Emily Cooper1, Karen Spilsbury2, Dorothy McCaughan3, Carl Thompson2, Tony Butterworth4, Barbara Hanratty5. 1. York Teaching Hospital NHS Foundation Trust, York, UK. 2. School of Healthcare, University of Leeds, Faculty of Medicine and Health , Leeds, UK. 3. Health Sciences, University of York, York, UK. 4. School of Health and Social Care, University of Lincoln, Lincoln, Lincolnshire, UK. 5. Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
Abstract
Objective: To establish a consensus on the care and professional development needs of registered nurses (RNs) employed by UK care homes. Design: Two-stage, online modified Delphi study. Setting and Participants: A panel (n = 352) of individuals with experience, expertise or interest in care home nursing: (i) care home nurses and managers; (ii) community healthcare professionals (including general practitioners, geriatricians, specialist and district nurses); and (iii) nurse educators in higher education. Results: RNs employed by nursing homes require particular skills, knowledge, competence and experience to provide high-quality care for older residents. The most important responsibilities for the nursing home nurse were: promoting dignity, personhood and wellbeing, ensuring resident safety and enhancing quality of life. Continuing professional development priorities included personal care, dementia care and managing long-term conditions. The main barrier to professional development was staff shortages. Nursing degree programmes were perceived as inadequately preparing nurses for a nursing home role. Nursing homes could improve by providing supportive learning opportunities for students and fostering challenging and rewarding careers for newly RNs. Conclusion: If nurses employed by nursing homes are not fit for purpose, the consequences for the wider health and social-care system are significant. Nursing homes, the NHS, educational and local authorities need to work together to provide challenging and rewarding career paths for RNs and evaluate them. Without well-trained, motivated staff, a high-quality care sector will remain merely an aspiration.
Objective: To establish a consensus on the care and professional development needs of registered nurses (RNs) employed by UK care homes. Design: Two-stage, online modified Delphi study. Setting and Participants: A panel (n = 352) of individuals with experience, expertise or interest in care home nursing: (i) care home nurses and managers; (ii) community healthcare professionals (including general practitioners, geriatricians, specialist and district nurses); and (iii) nurse educators in higher education. Results: RNs employed by nursing homes require particular skills, knowledge, competence and experience to provide high-quality care for older residents. The most important responsibilities for the nursing home nurse were: promoting dignity, personhood and wellbeing, ensuring resident safety and enhancing quality of life. Continuing professional development priorities included personal care, dementia care and managing long-term conditions. The main barrier to professional development was staff shortages. Nursing degree programmes were perceived as inadequately preparing nurses for a nursing home role. Nursing homes could improve by providing supportive learning opportunities for students and fostering challenging and rewarding careers for newly RNs. Conclusion: If nurses employed by nursing homes are not fit for purpose, the consequences for the wider health and social-care system are significant. Nursing homes, the NHS, educational and local authorities need to work together to provide challenging and rewarding career paths for RNs and evaluate them. Without well-trained, motivated staff, a high-quality care sector will remain merely an aspiration.
Authors: Claire A Surr; Sahdia Parveen; Sarah J Smith; Michelle Drury; Cara Sass; Sarah Burden; Jan Oyebode Journal: BMC Health Serv Res Date: 2020-06-05 Impact factor: 2.655
Authors: Zhaohui Su; Kylie Meyer; Yue Li; Dean McDonnell; Nitha Mathew Joseph; Xiaoshan Li; Yan Du; Shailesh Advani; Ali Cheshmehzangi; Junaid Ahmad; Claudimar Pereira da Veiga; Roger Yat-Nork Chung; Jing Wang Journal: Res Sq Date: 2020-12-14
Authors: Zhaohui Su; Kylie Meyer; Yue Li; Dean McDonnell; Nitha Mathew Joseph; Xiaoshan Li; Yan Du; Shailesh Advani; Ali Cheshmehzangi; Junaid Ahmad; Claudimar Pereira da Veiga; Roger Yat-Nork Chung; Jing Wang Journal: Res Sq Date: 2020-08-18