scholarly journals A service improvement project of a legacy nurse programme to improve the retention of late career nurses

2021 ◽  
pp. 174498712110361
Author(s):  
Sue Haines ◽  
Kerry Evans ◽  
Stephen Timmons ◽  
Ellen Cutler
Keyword(s):  
Registered Nurses ◽  
Workforce Planning ◽  
Cost Effective ◽  
Integrated Approach ◽  
Nurse Retention ◽  
Evidence Base ◽  
Service Improvement ◽  
Improvement Project ◽  
Nurse Programme

Background A Nottingham Legacy Nurse Programme was developed in response to the reducing supply of new nursing registrants and an ageing workforce. The programme comprised components of focussed mentorship, knowledge transition, support and development of new learners in practice. Aims The work-based development programme aimed to improve the retention and experience of late career registered nurses. Methods The programme was informed by the evidence base and co-produced with late career registered nurses (aged 55 years or over, approaching retirement). A small pilot programme ( n = 6) was evaluated through a mixed-methods approach. Refinements and recommendations were proposed in response to findings of a scoping search of the literature, feedback from participants and stakeholder groups across the NHS Midlands and East regions ( n = 238). Results A Legacy Nurse programme has potential to address nurses’ individual career development needs, valuing and retaining them in the workforce, enabling them to share professional knowledge and skills within clinical teams and offers a cost-effective solution to improving retention of late career nurses. Conclusions Addressing the needs of late career registered nurses is required to improve retention, job satisfaction, quality-of-care provision and facilitate knowledge transfer. The programme requires evaluation in other care settings and should be considered as part of an integrated approach to nurse retention, inclusive talent management and workforce planning, alongside financial and careers advice.

The Mae on Project: Using Acupuncture for Symptom Relief and Improved Quality of Life for People Living with Hiv and Aids in Rural Thailand

2010 ◽  
Vol 28 (1) ◽  
pp. 37-41 ◽  
Author(s):  
Laura Louie ◽  
Nopporn Pathanapornpandh ◽  
Unchalee Pultajuk ◽  
Robert Kaplan ◽  
Ian Hodgson ◽  
...  
Keyword(s):  
Symptom Relief ◽  
Cost Effective ◽  
Integrated Approach ◽  
Hiv And Aids ◽  
People Living With Hiv ◽  
Preliminary Evaluation ◽  
Related Symptom ◽  
History Of ◽  
Living With Hiv

Acupuncture in combination with antiretroviral therapies is a potentially useful treatment for HIV-related symptom relief in resource-poor settings. Traditional Chinese medicine has a long history of being used to enhance immune function. In the setting of HIV, Chinese traditional medicine allows for symptom treatment without adding extra medications to a complex drug regime. This paper provides details of a project at Mae On Hospital in rural northern Thailand where allopathic/conventional treatments are used in tandem with acupuncture. A preliminary evaluation of the project suggests that an integrated approach to symptom relief is viewed positively by respondents receiving acupuncture, though further studies are required to confirm the association between acupuncture and symptom relief. The project also demonstrates the feasibility of developing a cost-effective acupuncture programme using local healthcare staff.

OP02 A Managed Access Approach To Appraising New Cancer Drugs In England

2017 ◽  
Vol 33 (S1) ◽  
pp. 1-2
Author(s):  
Linda Landells ◽  
Martyn Burke ◽  
Meindert Boysen
Keyword(s):  
Cost Effective ◽  
Integrated Approach ◽  
Evidence Base ◽  
Phase Iii ◽  
Appraisal Committee ◽  
Cancer Drugs ◽  
Cancer Treatments ◽  
Considerable Uncertainty ◽  
Health Technologies ◽  
Current Price

INTRODUCTION:The changing regulatory landscape brings new challenges to Health Technology Assessment (HTA). Marketing authorizations are being granted as the evidence base evolves to facilitate timely patient access to promising health technologies. Consequently, some products come to HTA bodies sooner in their development cycles with less evidence, which ultimately leads to greater uncertainty in decision making. A key challenge for payer and HTA bodies is providing access to promising medicines while the evidence is still emerging, in a financially sustainable way.METHODS:Changes to the Cancer Drugs Fund (CDF) have resulted in a managed access fund for cancer medicines in England. The National Institute for Health and Care Excellence (NICE) can now recommend a treatment for use within the CDF if there is plausible potential to satisfy the criteria for routine use in the National Health Service (NHS) at its current price, but the evidence is not robust enough and associated with significant uncertainty. Further evidence is then generated in clinical trials, through observational data collection, or a combination of the two, while the drug's price reflects the decision uncertainty. At the end of the managed access period, NICE reviews the guidance to determine if the treatment can be recommended for routine commissioning.RESULTS:The first treatment recommended for use within the new CDF was osimertinib for non-small cell lung cancer (1). At the time of NICE appraisal, there was considerable uncertainty in osimertinib's clinical and cost effectiveness because only short-term phase II trial results were available. NICE's independent appraisal committee considered there was plausible potential for osimertinib to be cost effective and identified that an ongoing phase III trial would provide longer-term data addressing the key uncertainties.CONCLUSIONS:An integrated approach between payer and HTA decision-maker has significantly changed how cancer treatments in England are appraised. This collaborative way of working heralds a more sustainable approach to introducing promising cancer treatments.

Who’s who? Championing the ‘#TheatreCapChallenge’

2019 ◽  
Vol 29 (6) ◽  
pp. 166-171 ◽  
Author(s):  
Suzanne Gorman ◽  
Tessa Cox ◽  
Rebecca Sandford Hart ◽  
Lewis Marais ◽  
Scott Wallis ◽  
...  
Keyword(s):  
Social Media ◽  
Patient Safety ◽  
Quality Of Care ◽  
Patient Care ◽  
Systematic Approach ◽  
Service Improvement ◽  
Media Campaigns ◽  
Improvement Project ◽  
Simple Idea

Our Developing Perioperative Practice service improvement project, sponsored by the Royal Bournemouth Hospital, addressed whether the remarkably simple idea of putting names and roles on hats in theatre would improve communication and patient care. We were inspired by our own experiences as a group of student Operating Department Practitioners: unfamiliarity with members of the team, wanting to feel included in the work but not out of our depth, and by social media campaigns such as the ‘#TheatreCapChallenge’ and ‘#hellomynameis’, aiming to humanise care and increase patient safety. Researching, clinically trialling and presenting this project gave us a systematic approach to improving the quality of care within the theatre environment.

Jaundice

2020 ◽  
Author(s):  
Harry Lengel ◽  
Harish Lavu
Keyword(s):  
Imaging Techniques ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Cost Effective ◽  
Biliary Tree ◽  
Integrated Approach ◽  
Patient Morbidity ◽  
Incremental Information ◽  
Laboratory Investigations ◽  
Yellowish Orange

The term jaundice refers to the yellowish-orange discoloration of skin, sclerae, and mucous membranes that results from excessive deposition of bilirubin in the tissues. A problem-based approach to the jaundiced patient that involves assessing the incremental information provided by successive clinical and laboratory investigations, as well as the information obtained by means of modern imaging techniques, is key. Current decision making in the approach to the jaundiced patient should include not only careful evaluation of anatomic issues but also close attention to patient morbidity and quality-of-life concerns, as well as a focus on a cost-effective diagnostic workup. For optimal treatment, an integrated approach that involves the surgeon, gastroenterologist, and radiologist is essential. This review covers terminology and epidemiology, clinical evaluation and investigative studies, workup and management of posthepatic jaundice, and postoperative jaundice.  This review contains 5 figures, 13 tables, and 84 references.  Keywords: Jaundice, biliary tree, biliary obstruction, cholangiocarcinoma, pancreatic cancer, endoscopic retrograde cholangiopancreatography, magnetic resonance cholangiopancreatography

Increasing Hospital Breastfeeding Rates Through Online Education for Staff Registered Nurses

2015 ◽  
Vol 6 (1) ◽  
pp. 24-34
Author(s):  
Ann Baker ◽  
Yvonne Weideman ◽  
Debra Facello
Keyword(s):  
Online Education ◽  
Registered Nurses ◽  
Exclusive Breastfeeding ◽  
Negative Attitude ◽  
Cost Effective ◽  
Breastfeeding Initiation ◽  
Improvement Project ◽  
Breastfeeding Rate ◽  
Breastfeeding Rates ◽  
Clinically Significant

Background: The Baby-Friendly Hospital Initiative of 2010 recommends the proportion of mothers who breastfeed their babies in the early postpartum period should be at least 75% (Baby-Friendly USA, 2010). The exclusively breastfeeding rate at a community hospital located in the Appalachian region is 44%, well below the proposed standard. Registered nurses who lack knowledge or exhibit a negative attitude toward breastfeeding, can impede the understanding and skills necessary to empower mothers to effectively breastfeed.Purpose: This performance improvement project was designed to determine whether an online educational module was effective in increasing the knowledge and improving the attitudes of nurses working with breastfeeding mothers.Methods: A pre- and posttest design was used to evaluate nurse’s attitudes and knowledge of breastfeeding.Results: The results of the paired-sample t-test indicated a significant increase in the Breastfeeding Initiation Practice scores pre- and posttest. The exclusive breastfeeding rate had a clinically significant change from 44% to 58%.Conclusion: An online educational intervention was effective in increasing the knowledge of nurses working with breastfeeding mothers. This efficient and cost-effective intervention may be valuable to hospitals desiring to increase exclusive breastfeeding rates by increasing the knowledge and skill of staff.

Influence of mineral elements on the yield and quality of grain of the prospective line in winter tritikale

2020 ◽  
Author(s):  
I.N. Voronchikhina ◽  
◽  
A.G. Marenkova ◽  
V. S. Rubets ◽  
V. V. Pylnev
Keyword(s):  
Cost Effective ◽  
Mineral Elements ◽  
Early Spring ◽  
High Potential ◽  
Winter Triticale ◽  
Yield And Quality ◽  
Fertilizer System

The results of elements development of varietal agrotechnics of a new high-potential line 238h of winter triticale presented. It was identified that under the conditions of 2020 the most cost effective fertilizer system is an early spring application of NPK (S) (15-15-15 (10)) at a dose of 200kg/ha. The profitability level of this fertilizer was 88,9%.

Regulatory Issues in Pakistan Telecommunication

1998 ◽  
Vol 37 (4II) ◽  
pp. 873-882 ◽  
Author(s):  
Sarfaraz Khan Quershi
Keyword(s):  
National Economy ◽  
Cost Effective ◽  
Market Forces ◽  
Global Trends ◽  
Regulatory Issues ◽  
Competitive Price ◽  
Modern Services ◽  
A Company ◽  
Telecom Infrastructure

Growth in telecom infrastructure and provision of modern telecom services to consumers at a cost based tariff helps growth of national economy. Modern telecoms serve as the engine of growth of national economy. Following the global trends of liberalisation and deregulation in telecoms monopolies which have thus far been providing inefficient communication at a greedily high tariffs are falling apart. Mergers in telecoms are not for increasing the size of the monopoly but to provide more efficient and cost effective services to the consumers. In Pakistan the erstwhile T&T department played a needful role at its time. Conversion of the department into a corporation and then into a company were steps necessary for following the global trends. Need now is to continue this trend further, eliminate the monopolistic approach by allowing more players in the field thus permitting the market forces to decide the provision of better quality of modern services at competitive price.

A Sample Preparation on Decapsulation Methodology for Effective Failure Analysis on Thin Small Leadless (TSLP) Flip Chip Package with Copper Pillar (CuP) Bump Interconnect Technology

2014 ◽  
Author(s):  
Gwee Hoon Yen ◽  
Ng Kiong Kay
Keyword(s):  
Sample Preparation ◽  
Failure Analysis ◽  
Flip Chip ◽  
Fault Localization ◽  
Cost Effective ◽  
Fault Isolation ◽  
Voltage Contrast ◽  
Interconnect Technology

Abstract Today, failure analysis involving flip chip [1] with copper pillar bump packaging technologies would be the major challenges faced by analysts. Most often, handling on the chips after destructive chemical decapsulation is extremely critical as there are several failure analysis steps to be continued such as chip level fault localization, chip micro probing for fault isolation, parallel lapping [2, 3, 4] and passive voltage contrast. Therefore, quality of sample preparation is critical. This paper discussed and demonstrated a quick, reliable and cost effective methodology to decapsulate the thin small leadless (TSLP) flip chip package with copper pillar (CuP) bump interconnect technology.

About Using the Complex Method in Studies of the Quality of Life of the Population of the North Ossetia

2020 ◽  
pp. 36-48
Author(s):  
I. M. Loskutova ◽  
N. G. Romanova
Keyword(s):  
Quality Of Life ◽  
Integrated Approach ◽  
Standard Of Living ◽  
Complex Method ◽  
The North ◽  
Social Wellbeing ◽  
The Social ◽  
Sociological Studies ◽  
North Ossetia

This article is devoted to the application of an integrated approach in the study of the quality of life of the population of the North Ossetia. Aspects of the specifity of objective and subjective approaches are substantiated. The increasing importance of the concept of “quality of life” in the XXI century is indicated. A review of sociological studies of the level and quality of life in Russia, as well as a range of monographic works on the analyzed issues. The results of empirical sociological studies in 2014 and 2018 (a study of the quality and standard of living of the population of North Ossetia and a study of the social wellbeing of the population of North Ossetia using the methodology developed by Lapin N. I. and Belyaeva L. A.) are presented.

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