Introducing
key papers and publications that focus mainly on the latest news and issues in
the nursing profession.
The British
Journal of Nursing, Nursing Times, British Journal of Healthcare Assistants,
Journal of Perioperative Practice and the British Journal of Midwifery are all
either available in print within the library or online via your OpenAthens
username and password.
Please click on the links below and enter your OpenAthens
username and password to download the
full text or contact the library at esth.hirsonlibrary@nhs.net to request the full text.
Abstract:
There is limited research evaluating
the implementation and effectiveness of clinical nurse educator roles in
clinical practice. UK employers tend to use generic nursing job profiles,
although the definition, expectations and implementation of nurse educator
roles are interpreted differently between employers. This project intended to
reduce variation and standardise job titles, job descriptions and job plans for
CNEs and identify the academic requirements and professional experience
required.
Source: British Journal of Nursing 2021; 30(12): 747-752.
Team working part 2: Team meetings
Abstract: The author explores the pitfalls of meetings, and how to make the
most of them. This series is exploring a number of the very practical aspects
of ‘team work’ and one of the most important principles of working together is:
team meetings. Take a few moments to recall how many different types of team
meetings you have attended over the past month. Almost certainly the one common
to all clinical nurses is the daily patient update and handover at the
beginning and end of a shift.
Source: British Journal of Nursing 2021; 30(12): 762.
Abstract: The aim of this study was to investigate the effect of mandala
colouring on the anxiety of hospitalized COVID-19 patients. The results of this
study show that 30 min of mandala colouring daily is an effective strategy for
reducing anxiety in hospitalized COVID-19 patients. Mandala colouring can
complement routine treatment and provides a non-pharmaceutical option for
decreasing patient anxiety.
Source: International Journal of Mental Health Nursing 2021; Early view.
Why all nurses play a critical role in population screening
Abstract: Population screening is an important public health initiative
that saves thousands of lives each year. Screening services are often poorly
understood by non-public health professionals and the public. In addition,
because screening programmes help to protect us from developing health issues
later down the line, they often do not receive the recognition they deserve for
the harm that they prevent.
Source: British Journal of Nursing 2021; 30(12): 753-755.
Abstract: Highlights: Online discussion forum developed to support and
educate nurse preceptors; A structured learning activity in an online
discussion forum promotes deep learning; Nurses involved in online forum felt
support and planned to continue to participate.
Source: Nurse Education in Practice 21;
53(103076):https://doi.org/10.1016/j.nepr.2021.103076.
It's time to change the way we work
Abstract: Sam Foster, Chief Nurse, Oxford University Hospitals, reflects on
how the pandemic has changed work practices and suggests that refocusing
priorities can not only improve staff wellbeing but also productivity and
competition.
Source: British Journal of Nursing 2021; 30(11): 687.
Evaluation of a personal professional mentor scheme for newly qualified nurses
Abstract: Newly qualified nurses are known to experience a range of
feelings and fears in the first transitional 12 months post-qualifying, with
absence and turnover among potential outcomes. This study aimed to evaluate the
personal professional mentor role and scheme, a new pastoral support
initiative, from the perspective of participating newly qualified nurses.
Source: British Journal of Nursing 2021; 30(11): 672–676.
Abstract: This
study explored whether a flexible rostering system for nursing students during
their clinical placements enhanced their experience and contributed to a
positive learning environment. In England, attrition from nursing programmes is
an enduring issue, often related to student experience of clinical placements.
Students juggle caring responsibilities, academic assessment and additional
part-time jobs to mitigate financial hardship, while they are undertaking the
clinical placement aspect.
Source: Nurse
Education in Practice 2021; 54: 103096.
Evidence-based strategies to promote vaccine acceptance
Abstract: The success of a vaccination programme depends upon its coverage
so that it provides herd immunity. Vaccine hesitancy has the potential to
undermine a vaccine programme. Evidence suggests that some strategies are more
effective in promoting vaccination uptake. Community nurses should help in the
promotion of vaccination uptake using evidence-based interventions and through
‘Making Every Contact Count’.
Source: British Journal of Community Nursing 2021; 26(7): epub
Community specialist practitioner's role in enhancing interprofessional collaboration
Abstract: Communication failures not only fail the patient but also the
multidisciplinary team involved in patient care in the community. All nurses
are expected to have good communication skills, but advanced skills in
coaching, teaching and collaborating are expected of the community specialist
practitioner (CSP). The skill of communication is intricate, influenced by
intrinsic and extrinsic factors, affecting the ability of both the sender and
receiver to understand the messages sent and received. Communication should be
tailored to the individual to enhance the dialogue. The CSP is best placed,
together with the patient, to align the priorities of each contributor to the
patient's health to enhance person-centred care. Enhanced communication skills
used in conjunction with emotional intelligence can improve interprofessional
collaboration, which, in turn, increases the quality of care.
Source: British
Journal of Community Nursing 26(7): epub
Opportunity, support and understanding: the experience of four early trainee nursing associates
Abstract: Aims: This study aimed to capture the lived experience of some of
the first trainee nursing associates (TNAs) during the pilot of the role in the
January 2017 cohort of TNAs, based at the University of Derby.
Methods: A convenience sampling approach was used to recruit participants to this phenomenological study. In-depth, semi-structured interviews were carried out with four participants to capture the experience, as lived by the first cohort of TNAs. Transcripts were transcribed verbatim and were analysed using interpretive phenomenological analysis.
Results: Analysis suggests that the participant experience was characterised by six themes, namely: challenges relating to NA training; developing new skills; opportunity; the importance of support; impact of the NA role; and understanding the NA role.
Conclusion: This study adds to our understanding relating to the lived experience of some of the first TNAs taking up training for this role within healthcare, and highlights some of the factors that were most pertinent, according to the lived experience of the trainees themselves. The authors hope that the findings of this study will prove useful for those considering taking up training for the role, or indeed establishments considering implementing the role with their settings.
Source: British
Journal of Healthcare Assistants 15(6): epub
The expansion of the HCA role: introducing the ‘doctors' assistant’
Abstract: The role
for healthcare assistants (HCAs) is ever-expanding. There are senior healthcare
assistant roles, nursing associate roles, roles in phlebotomy or the labs to
move across to if preferred, and there is a developing role, being trialled by
East Sussex Healthcare NHS Trust, of the doctors' assistant. It is an exciting
development that may interest many HCAs.
Source: British
Journal of Healthcare Assistants 15(6): epub
An exploratory study into the teaching of clinical examination skills in advanced practice
Abstract: Clinical examination skills are vital for the accurate assessment
and diagnosis of patients. These skills also allow clinicians to differentiate
between pathology requiring investigation or treatment and normal anatomy or
physiology. This allows clinicians to avoid unnecessary tests and to be able to
reassure a patient that their symptoms do not require treatment. However, an
incomplete or faulty clinical examination can lead to missed diagnoses and
patient harm. Although comprehensive clinical examination skills training is
provided in the undergraduate curriculum of medical schools in the UK, little
is known in relation to the teaching provided for nurses and allied health
professions working in advanced practice roles. This survey sought to explore
this phenomenon and uncover clinicians' experiences with regard to being taught
a selection of specific clinical examination skills in theory and in practice,
those skills being the core system examinations (respiratory, cardiovascular
and peripheral vascular, abdominal, central and peripheral nervous systems) and
a number of focused examinations (digital rectal and examination, thyroid,
breast and genital examination for males and females). The findings demonstrate
a concerning variability of educational experiences and a lack of educational
coverage of some of the basic clinical examination skills in both theoretical
and practical terms. These findings provide an insight into areas of future
higher education curricula development as well as workplace mentoring and
learning.
Source: British Journal of Nursing 30(12): epub
Abstract: Background: Health
professionals are considered a group vulnerable to developing mental health
symptoms during a pandemic, with redeployment being a risk factor. However,
previous literature suggests workplace communication can be a protective
element.
Aims: An audit aimed to evaluate NHS research staff's experiences of redeployment in order to provide suggestions for future improvements in the process.
Methods: A questionnaire was disseminated to all staff in the clinical research directorate of an NHS trust. Responses were analysed using thematic analysis.
Findings: Over half the redeployed staff experienced perceived negative psychological outcomes. The main reported contributor to this was perceived lack of communication.
Conclusion: Communication needs to be improved in future redeployments. Future research should consider a larger cohort and more input from team members who remained on the pre-COVID-19 studies in order to improve the transition back from redeployment.
Source: British
Journal of Nursing 30(12): epub
Abstract: Aims: To investigate the association between the five components
of nurse managers' transformational leadership and each process of organisational
learning in a hospital ward.
Background: Elucidating
the components of nurse managers' transformational leadership that promote
organisational learning is needed.
Methods: In 2018,
591 self-report questionnaires from two hospitals in Japan were analysed, using
the measurement scale for Organizational Learning Subprocesses and Multifactor
Leadership Questionnaire. Hierarchical linear modelling was conducted using the
wards’ mean scores of five components of transformational leadership and five subprocesses
of organisational learning.
Results: None of
the transformational leadership components were significantly associated with
information acquisition, but all five were significantly positively associated
with information distribution and information integration. Only some of the
five components showed a significant association with information
interpretation and organisational memory.
Conclusion:
Transformational leadership may be effective to promote the four organisational
learning processes other than information acquisition.
Source: Journal of Nursing Management 2021; 29(4): 672-680
Abstract: Aim: To assess the impact of toxic leadership behaviours among
nurse managers on nurse-reported adverse events and quality of care.
Background: Toxic
leadership, a form of ineffective leadership, is increasingly becoming rampant
in the field of nursing and has been strongly linked to poor nurse job outcomes
including job dissatisfaction, higher stress levels, and increased turnover
intention. To date, no studies have been conducted to examine how this type of
leadership behaviours affects patient outcomes and care quality.
Methods: A
multicentre, cross-sectional study. This study involved a sample of 1,053
registered nurses working in 20 hospitals in the Philippines. Three
standardized scales were deployed, including the Toxic Leadership Behaviors of
Nurse Managers Scale, the Adverse Patient Events Scale and the single-item
quality-of-care-measure.
Results: Overall,
nurses (96.2%) appraised the quality of care of their respective units as ‘good
to excellent’ and cited complaints from patients and their families as the most
commonly reported adverse events. Toxic leadership behaviours in nurse managers
were strongly associated with increased nurse-reported adverse events including
reports of complaints (β = .619; p < .001) and verbal mistreatment from
patients and their families (β = .407; p < .001), patient falls (β = .834; p
< .001), health care–associated infections (β = .629; p < .001) and
errors in administering medication (β = .708; p < .001) and with decreased
quality of care (β = −.216; p < .001).
Conclusion:
Nurses who experience working under a nurse manager exhibiting toxic behaviours
reported an increased frequency of nurse-reported adverse events and poorer
quality of care in the unit.
Source: Journal of Nursing Management 2021; 29(4): 855-863
