PURPOSE: The aim of this article is to report some of the work undertaken by a nursing "think tank", focussed on examining the causes of poor nursing care in hospitals, and potential solutions. DESIGN/METHODOLOGY/APPROACH: A "think tank" was convened which incorporated widespread discussion with national, regional and local stakeholders, a critical literature review, and a focus group of senior nurses. FINDINGS: It was found that there are no widespread systems of staff support that help nurses working in hospitals to cope with the emotional component of their work. This is one element that contributes to nurses providing poor care. A number of approaches to staff support have been developed that warrant further study. PRACTICAL IMPLICATIONS: If episodes of poor care are to be prevented it is necessary for hospital boards to recognise the importance of supporting nurses in managing the emotional labour of caring. The introduction of routine systems of staff support should be considered. ORIGINALITY/VALUE: In addition to highlighting and condemning poor care, it is important to seek solutions. This article offers a new perspective on an enduring problem and identifies approaches that can be part of the solution.
PURPOSE: The aim of this article is to report some of the work undertaken by a nursing "think tank", focussed on examining the causes of poor nursing care in hospitals, and potential solutions. DESIGN/METHODOLOGY/APPROACH: A "think tank" was convened which incorporated widespread discussion with national, regional and local stakeholders, a critical literature review, and a focus group of senior nurses. FINDINGS: It was found that there are no widespread systems of staff support that help nurses working in hospitals to cope with the emotional component of their work. This is one element that contributes to nurses providing poor care. A number of approaches to staff support have been developed that warrant further study. PRACTICAL IMPLICATIONS: If episodes of poor care are to be prevented it is necessary for hospital boards to recognise the importance of supporting nurses in managing the emotional labour of caring. The introduction of routine systems of staff support should be considered. ORIGINALITY/VALUE: In addition to highlighting and condemning poor care, it is important to seek solutions. This article offers a new perspective on an enduring problem and identifies approaches that can be part of the solution.