Raising and escalating concerns about patient care: RCN guidance

2021 ◽  
Vol 30 (2) ◽  
pp. 128-129
Author(s):  
Alan Glasper
Keyword(s):  
Patient Safety ◽  
Patient Care ◽  
Emeritus Professor ◽  
High Quality ◽  
The University

Emeritus Professor Alan Glasper, from the University of Southampton, discusses guidance on raising concerns to help ensure that patient safety and the delivery of high-quality person-centred care is not compromised

The importance of upholding the duty of candour during patient care

2021 ◽  
Vol 30 (1) ◽  
pp. 74-75
Author(s):  
Alan Glasper
Keyword(s):  
Patient Care ◽  
Media Coverage ◽  
Emeritus Professor ◽  
The University

In light of recent media coverage, Emeritus Professor Alan Glasper, from the University of Southampton, discusses polices and guidance pertinent to the duty of candour

A qualitative study exploring nurses' communication about patient safety

2017 ◽  
Author(s):  
◽  
Allison Brandt Anbari
Keyword(s):  
Patient Safety ◽  
Qualitative Study ◽  
Patient Care ◽  
Local Level ◽  
Advanced Degree ◽  
Degree Programs ◽  
University Of Missouri ◽  
Systemic Level ◽  
Theory Of Language ◽  
The University

[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI AT AUTHOR'S REQUEST.] There is a growing body of evidence suggesting that an increased number of bachelor's prepared nurses at the bedside improves patient safety and outcomes. However, these studies do not stratify their sample into four-year BSNs and ADN to BSN graduates. There must be underlying reasons why the BSN degree as an entirety (BSN, accelerated BSN, and ADN to BSN completion) improves patient care and outcomes, but a gap in the literature remains. To begin to address this gap, a qualitative study was conducted to investigate potential differences in patient safety meaning among differently educated nurses, specifically BSNs and ADN to BSNs graduates and to better understand how/if the advanced BSN education for ADNs enhanced their understanding of patient safety. Guided by the theory of Language Convergence/Meaning Divergence, interview data from 8 BSN and 8 ADN to BSN graduates were analyzed. Findings indicate there are two meaning levels, including understanding the meaning of patient safety at the local level as well as at the systemic level. The local level was where the meaning of patient safety is focused at the patient's bedside is regulated by the nurse. The systemic level encompasses the local level, but also includes the notion that health system factors such as policies and staffing are paramount to keeping patients safe. More frequently, ADN to BSN graduates' meaning of patient safety was at the local level, while BSNs' meaning centered at the systemic level. In addition, ADN to BSN graduates were asked to discuss components of their degree programs that they perceived to influence their ability to keep patients safe. The graduates pursued their degrees for career advancement purposes, and did not correlate the advanced degree with their ability to keep patients safe. Additional research is needed to further explore patient safety meaning differences among differently educated nurses and the potential impact those differences might have on patient care and outcomes.

scholarly journals Educational background of nurses and their perceptions of the quality and safety of patient care

Curationis ◽  
2015 ◽  
Vol 38 (1) ◽  
Author(s):  
Reece P. Swart ◽  
Ronel Pretorius ◽  
Hester Klopper
Keyword(s):  
Patient Safety ◽  
Quality Of Care ◽  
Patient Care ◽  
Critical Role ◽  
International Health ◽  
Educational Background ◽  
High Quality ◽  
Systems Research ◽  
Significant Difference

Background: International health systems research confirms the critical role that nurses play in ensuring the delivery of high quality patient care and subsequent patient safety. It is therefore important that the education of nurses should prepare them for the provision of safe care of a high quality. The South African healthcare system is made up of public and private hospitals that employ various categories of nurses. The perceptions of the various categories of nurses with reference to quality of care and patient safety are unknown in South Africa (SA).Objective: To determine the relationship between the educational background of nurses and their perceptions of quality of care and patient safety in private surgical units in SA.Methods: A descriptive correlational design was used. A questionnaire was used for data collection, after which hierarchical linear modelling was utilised to determine the relationships amongst the variables.Results: Both the registered- and enrolled nurses seemed satisfied with the quality of care and patient safety in the units were they work. Enrolled nurses (ENs) indicated that current efforts to prevent errors are adequate, whilst the registered nurses (RNs) obtained high scores in reporting incidents in surgical wards.Conclusion: From the results it was evident that perceptions of RNs and ENs related to the quality of care and patient safety differed. There seemed to be a statistically-significant difference between RNs and ENs perceptions of the prevention of errors in the unit, losing patient information between shifts and patient incidents related to medication errors, pressure ulcers and falls with injury.

Helping nurses to provide optimum care in the second wave of the pandemic

2020 ◽  
Vol 29 (21) ◽  
pp. 1292-1293
Author(s):  
Alan Glasper
Keyword(s):  
Quality Care ◽  
Emeritus Professor ◽  
High Quality ◽  
High Quality Care ◽  
The University ◽  
Second Wave

Emeritus Professor Alan Glasper, from the University of Southampton, discusses a King's Fund review that investigates how workplace transformations can enhance the delivery of compassionate and high-quality care

scholarly journals The relationship between the nurses’ work environment and the quality and safe nursing care: Slovenian study using the RN4CAST questionnaire

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0261466
Author(s):  
Martina Brešan ◽  
Vanja Erčulj ◽  
Jaro Lajovic ◽  
Mirjam Ravljen ◽  
Walter Sermeus ◽  
...  
Keyword(s):  
Patient Safety ◽  
Patient Care ◽  
Work Environment ◽  
Nursing Care ◽  
Quantitative Research ◽  
Influential Factors ◽  
Quality Of Patient Care ◽  
The University ◽  
Clinical Departments

Introduction The safety and quality of patient care are basic guidelines in finding new and improved solutions in nursing. Important and influential factors shape the nurses’ work environment in hospitals. Purpose With the study, we intended to investigate whether the perception of nurses’ work environment is related to the safety culture and the quality of patient care and whether it differs according to nurses’ level of education. Methods of work The study with a quantitative research method was conducted at the six clinical departments of the University Medical Centre, Ljubljana in 2019. We used a survey questionnaire from the European survey Nurse forecasting in Europe (RN4CAST). Results 270 nurses were included in the study. The response rate was 54%. The study confirmed that there is a correlation between the assessment of the nurses’ work environment and the general assessment of patient safety (r = 0.36; p <0.001), the general assessment of the quality of nursing care (r = 0.32; p <0.001), the confidence in patient self-care at discharge (r = 0.29; p <0.001) and the quality of patient care in the previous year (r = 0.27; p = 0.001). The results showed frequent verbal abuse of nurses, in 44.9% by patients and their relatives and in 35.4% by staff. Graduate nurses rated the work environment more negatively than healthcare technicians (p = 0.003). Discussion and conclusion We confirmed the correlation between the assessment of nurses’ work environment and patient safety and the quality of health care, and that employees’ education influences the assessment and perception of the work environment.

Clinical Cybersecurity Training Through Novel High Fidelity Simulations (Preprint)

2018 ◽  
Author(s):  
Christian Dameff ◽  
Jordan Selzer ◽  
Jonathan Fisher ◽  
James Killeen ◽  
Jeffrey Tully
Keyword(s):  
Patient Safety ◽  
Patient Care ◽  
Medical Devices ◽  
Healthcare Systems ◽  
High Fidelity ◽  
Protected Health Information ◽  
Patient Harm ◽  
Security Vulnerabilities ◽  
Clinical Simulations ◽  
Medical Infrastructure

BACKGROUND Cybersecurity risks in healthcare systems have traditionally been measured in data breaches of protected health information but compromised medical devices and critical medical infrastructure raises questions about the risks of disrupted patient care. The increasing prevalence of these connected medical devices and systems implies that these risks are growing. OBJECTIVE This paper details the development and execution of three novel high fidelity clinical simulations designed to teach clinicians to recognize, treat, and prevent patient harm from vulnerable medical devices. METHODS Clinical simulations were developed which incorporated patient care scenarios with hacked medical devices based on previously researched security vulnerabilities. RESULTS Clinician participants universally failed to recognize the etiology of their patient’s pathology as being the result of a compromised device. CONCLUSIONS Simulation can be a useful tool in educating clinicians in this new, critically important patient safety space.

Strategies to boost the mental health and learning disability nursing workforce

2021 ◽  
Vol 30 (3) ◽  
pp. 194-195
Author(s):  
Alan Glasper
Keyword(s):  
Mental Health ◽  
Learning Disability ◽  
Nursing Workforce ◽  
Emeritus Professor ◽  
The University ◽  
Recent Policy

Emeritus Professor Alan Glasper, from the University of Southampton, discusses two recent policy reports which indicate a potential crisis in mental health and learning disability nursing

scholarly journals 179 Evaluating a Clinical Pharmacist Service in a Residential Care Unit

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii1-iii16
Author(s):  
Claire Kavanagh ◽  
Eimear O'Dwyer ◽  
Róisín Purcell ◽  
Niamh McMahon ◽  
Morgan Crowe ◽  
...  
Keyword(s):  
Patient Safety ◽  
Patient Care ◽  
Patient Outcomes ◽  
Residential Care ◽  
Clinical Pharmacist ◽  
Comparative Evaluation ◽  
Positive Impact ◽  
Standard Of Care ◽  
Pharmacist Interventions ◽  
Medication Reviews

Abstract Background This study assessed the pharmacist role in an 80 bed residential care unit by: Quantifying the number and type of pharmacist interventions made and their acceptance rate.Assessing impact of pharmacist interventions on patient care.Assessing staff attitudes towards the clinical pharmacist service. Methods This was a non-blinded, non-comparative evaluation of the existing clinical pharmacist service in the unit. All residents were included. All pharmacist interventions over a 10-week period were recorded, then graded according to the Eadon scale1 by a consultant gerontologist and an experienced pharmacist to assess their impact on patient care. Results There were 615 pharmacist interventions. The most common interventions were: Drug Therapy Review, 34% (n=209) Technical Prescription, 26.5% (n=163) Administration, 15.3% (n=94) Drug Interaction, 10.4% (n=64) Medication Reconciliation, 8.5% (n=52) 98% (n=596) of interventions were rated as having significance to patient care, of which: 48.4% (n=298) and 41.8% (n=257) of the interventions rated as ‘significant and resulting in an improvement in the standard of care’1% (n=6) and 0.5% (n=3) rated as ‘very significant and preventing harm’. There was a statistically significant agreement between the evaluators, κw = 0.231 (95% CI, 0.156 to 0.307), p < .0005. The strength of agreement was fair. Of interventions requiring acceptance by medical team (n=335), 89.9% (n=301) were accepted. 95% (n=36) of staff who responded agreed or strongly agreed that improved patient safety resulted from the pharmacist’s involvement in multidisciplinary medication reviews. Over 92% (n=35) agreed or strongly agreed that their experience of the pharmacist was positive. Conclusion The pharmacist has an important role in our residential care unit. Their involvement in the medicines optimisation process positively impacts patient outcomes and prevents harm. Staff perceived a positive impact of the clinical pharmacist service provided on patient care and patient safety.

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