Connect with us

Clinical Updates

RCN boss to speak at Conservative Party Conference in a bid to ‘fix health and social care’

The college has launched a debate about how Britain’s two biggest political parties can fix health and social care without losing the next election.

Published

on

Party Conference
Shutterstock

The RCN General Secretary will speak at the Conservative Party Conference in a bid to ‘fix health and social care’.

The Royal College of Nursing (RCN) has launched a debate about how Britain’s two biggest political parties can fix health and social care without losing the next election.

Dame Donna Kinnair. Acting Chief Executive and General Secretary of the RCN, will speak at a fringe event during the Conservative Party Conference alongside George Freeman MP, Chair of the Conservative Policy Forum and a key architect of the Conservatives’ 2017 general election manifesto.

Advertisement

How Do You Fix Health and Social Care Without Losing the Election?

The discussion, aptly named,  ‘How Do You Fix Health and Social Care Without Losing the Election?‘ will discuss how to place the health and social care system on a firm financial footing, whether or not revenue-raising solutions are a vote winner and if it is possible to find a cross-party solution to the problem.

Similar questions were put to, Labour backbencher Sandy Martin MP, at the Labour Party conference at a fringe panel event in Birmingham earlier today. Both events will be chaired by Nick Davies, Programme Director at the Institute for Government, and arranged as both parties look for vote-winning policies for their next manifestos.

In 2017, Theresa May was invited to speak at RCN Congress but declined the invitation.

Action is needed in the heart of Government.

Dame Donna Kinnair said: “Three out of four people think that there are not enough nurses to care safely for patients in the NHS. More than a quarter are worried that as a result, their loved ones might not get the care they require when they most need it. Investing in nursing is investing in patients.

“We believe action is needed at the very centre of Government to ensure that there are enough nurses available, in the right place, at the right time and with the right skills. This isn’t happening at the moment and we believe legislation is the only way to secure this.

“Wales has led the way, enshrining safe staffing levels in law and Scotland has followed suit, with legislation being debated by members of the Scottish parliament. We now need the same in England.

“What is perhaps even more pressing than funding for the NHS is delivering a sustainable funding model for social care. Our members are calling for cross-party collaboration to deliver a sustainable, long-term funding solution.”

Clinical Care

Hourly rounding ‘may not be the best way for nurses to deliver care’, finds study

Hourly rounding places an emphasis on ‘tick box’ care.

Published

on

Nurse with patient in bed

Hourly rounding made a minor contribution, if at all, to the way nurses engage with patients.

A new report by researchers at King’s College London has found that the widespread practice of hourly or intentional rounding, may not be the best way for nurses to deliver care to patients.

The report also found that rounding makes a minor contribution, if at all, to the way nurses engage with patients.

Advertisement

Hourly or intentional rounding involves standardised regular checks with individual patients at set intervals and was introduced in hospitals in England in 2013, with 97% of NHS acute Trusts in England implementing it in some way.

The majority of NHS trusts adopted the ‘4Ps’ (Position, Pain, Personal needs, Placement of items) model of rounding.

The research was commissioned and funded by the National Institute for Health Research (NIHR) and was led by Professor Ruth Harris in the Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care.

Hourly rounding places an emphasis on ‘tick box’ care.

The NIHR report – Intentional rounding in hospital wards to improve regular interaction and engagement between nurses and patients: a realist evaluation – is the first study of its kind in the world.

The study found that rounding placed an emphasis on transactional ‘tick box’ care delivery, rather than individualised care. However, patients were found to value their interactions with nursing staff, which the study argues could be delivered during other care activities and rather than through intentional rounding.

The report also found that rounding was implemented without consultation, careful planning and piloting in the interests of political expediency following the Francis Inquiry Report into care failures in the NHS.

Ruth Harris, Professor of Health Care for Older Adults at King’s College London, said; “Checking patients regularly to make sure that they are OK is really important but intentional rounding tends to prompt nurses to focus on completion of the rounding documentation rather than on the relational aspects of care delivery.

“Few frontline nursing staff or senior nursing staff felt intentional rounding improved either the quality or the frequency of their interactions with patients and their family.”

Continue Reading

Clinical Updates

Nurses’ ‘worry’ better than most early warning scores, finds study

Nurses were asked to grade patients between ‘no concern’ and ‘extreme concern’. 

Published

on

Observations

A sense of worry can provide important information for the detection of acute physiological deterioration.

Nurses’ worry has a “higher accuracy” than most published early warning scores (EWS) at predicting if a patient is becoming more unwell, according to a recent study.

The study looked at 31,159 patient-shifts for 3185 patients during 3551 hospitalisations across two surgical and two medical wards. Researchers compared if the nurses were worried about a patients potential for deterioration using ‘the Worry Factor’ with early warning score indicators.

Advertisement

Nurses were asked to grade each patient between “no concern” and “extreme concern”.

The Worry Score

Out of 492 potential deterioration events identified, researchers found that when nurses had an increasing worry factor the patient was more likely to require emergency medical treatment – 7 cardiac arrest calls, 86 medical emergency calls and 76 transfers to the intensive care unit.

The study also revealed that accuracy rates were significantly higher in nurses with over a year of experience.

The researchers concluded that “nurses’ pattern recognition and sense of worry can provide important information for the detection of acute physiological deterioration” and was often more reliable than traditional early warning systems.

They also noted that the worry score could be used alone or easily incorporated into existing EWS to potentially improve their performance.

Continue Reading

POPULAR