Discharging patients with COVID-19 to designated settings: infection control and the Department of Health and Social Care

2021 ◽  
Vol 23 (3) ◽  
pp. 1-4
Author(s):  
Amanda Halliwell
Keyword(s):  
Infection Control ◽  
Social Care ◽  
Quality Care ◽  
Care Quality ◽  
Care Homes ◽  
High Quality ◽  
High Quality Care ◽  
Department Of Health ◽  
Health And Social Care ◽  
Care Quality Commission

COVID-19 positive patients are being discharged from hospital to care homes approved by the Care Quality Commission for safe, high-quality care. What assurance does this provide that infection will not be spread, as it was in the first wave, and has sufficient capacity been created? Amanda Halliwell examines the Department of Health and Social Care’s scheme.

The shocking revelations of the Care Quality Commission's report on DNACPR decisions

2021 ◽  
Vol 23 (2) ◽  
pp. 1-5
Author(s):  
Amanda Halliwell
Keyword(s):  
Decision Making ◽  
Social Care ◽  
Care Quality ◽  
Interim Report ◽  
Department Of Health ◽  
Health And Social Care ◽  
Care Quality Commission

During the COVID-19 pandemic, after concerns were raised, the Care Quality Commission was commissioned by the Department of Health and Social care to review DNACPR decision-making. Amanda Halliwell reviews their interim report.

DNAR orders during the pandemic

2021 ◽  
Vol 31 (1) ◽  
pp. 32-35
Author(s):  
Amanda Halliwell
Keyword(s):  
Decision Making ◽  
Social Care ◽  
Care Quality ◽  
Interim Report ◽  
Department Of Health ◽  
Health And Social Care ◽  
Care Quality Commission

The Care Quality Commission was commissioned by the Department of Health and Social care to review do not attempt resuscitation decision-making during the Covid-19 pandemic. Amanda Halliwell reviews their interim report

“I think that she would have wanted...”: Caregiver reflections on goal-concordant care for patients with cancer at the end of life.

2021 ◽  
Vol 39 (28_suppl) ◽  
pp. 163-163
Author(s):  
Brigitte N. Durieux ◽  
Anna Berrier ◽  
Hannah Z. Catzen ◽  
Tamryn Gray ◽  
James A. Tulsky ◽  
...  
Keyword(s):  
End Of Life ◽  
Advanced Cancer ◽  
Quality Care ◽  
Care Transitions ◽  
Care Quality ◽  
Uncertain Information ◽  
High Quality ◽  
High Quality Care ◽  
Clinician Communication ◽  
Information Gaps

163 Background: Experts recognize goal-concordant care (GCC) as among the most important outcomes for those with advanced cancer. Despite a conceptual understanding about ways to measure goal-concordant care, we know little about what patient experiences align perceptions of goal concordance. Caregivers’ close proximity to patients give them a unique perspective on what factors contribute to perceived goal concordance. Methods: We conducted semi-structured interviews with 19 recently bereaved family caregivers of those with cancer to understand their experience of care, the extent to which they felt it was goal-concordant, and the factors of care which contextualized their experience. Caregivers were interviewed using a semi-structured guide based on the end-of-life planning module in Round 2 of the National Health and Aging Trends Survey (NHATS). We used template analysis to identify themes across the 19 interviews. Results: Most caregivers reported goal-concordant care when prompted, though many also recalled moments of goal discordance. Three high-level themes characterized their care perceptions: communication, relationships and humanistic care, and care transitions. Sub-themes of communication included clinician communication quality, prognostic communication, and information gaps. First, clear and transparent clinician communication facilitated GCC and high-quality care. Prognostic communication that did not align to patient preferences or consider patient hope was seen as harmful. Information gaps inhibited high-quality care as well as caregivers’ confidence that decisions were goal concordant. Second, relationships between patients and their clinicians enriched care, and humanistic care was seen as higher-quality. Lastly, logistical barriers, the need for relationship rebuilding, uncertain information communication, and a general lack of coordination characterized perceptions around care transitions and goal discordance. In particular, several caregivers noted issues and inter-specialty tensions around transitions specifically involving hospice. Conclusions: Caregivers consistently rated care as goal-concordant while also identifying areas of disappointing and low-quality care. Measures that capture goal-concordant care may be subject to psychological bias and may not clearly align with or predict other measures of care quality. Communication, relationships and humanistic care, and care transitions are all modifiable targets for quality improvement and deserve clear attention for patients with advanced cancer.

Early Childhood Educator Mental Health: Performing the National Quality Standard

2017 ◽  
Vol 42 (4) ◽  
pp. 97-105 ◽  
Author(s):  
Lara Corr ◽  
Kay Cook ◽  
Anthony D. LaMontagne ◽  
Elise Davis ◽  
Elizabeth Waters
Keyword(s):  
Mental Health ◽  
Early Childhood ◽  
Quality Care ◽  
Quality Standard ◽  
Care Quality ◽  
Mental Wellbeing ◽  
High Quality ◽  
Emotional Labour ◽  
High Quality Care ◽  
National Quality

IN EARLY CHILDHOOD EDUCATION and care (ECEC) settings, the mental wellbeing of educators is likely to be crucial to delivering high-quality care. Hence, this paper uses a contextual understanding of educators' mental health, and its evaluation by both educators and management, to reveal areas of the National Quality Framework that require critical revision. Drawing on Hochschild's (2012) theory of emotional labour, we report on the analysis of semi-structured interviews with family day care educators (n = 16) and ECEC sector key informants (n = 18). Results demonstrate widespread belief that educator mental wellbeing affects care quality and the children attending care. In response to job stressors and perceived surveillance, educators use emotional labour to hide negative feelings and manage risks associated with low mental wellbeing. In this context, making individual educators fully responsible for performing good mental health to meet the National Quality Standard may increase job stress and emotional labour, further distancing the aims of high-quality care. Our findings suggest that revising the NQS to improve working conditions, and addressing educator mental wellbeing are essential approaches for supporting high-quality ECEC practice.

scholarly journals Understanding the nursing process

2020 ◽  
Vol 14 (11) ◽  
pp. 568-571
Author(s):  
David Stonehouse
Keyword(s):  
Multidisciplinary Team ◽  
Social Care ◽  
Quality Care ◽  
Code Of Conduct ◽  
Support Staff ◽  
Nursing Process ◽  
Support Worker ◽  
High Quality ◽  
High Quality Care ◽  
Care Workers

Support staff work closely with their patients and members of the multidisciplinary team to deliver high-quality care. Often this care will have been planned by a nurse using ‘the nursing process’. It is therefore important for the support worker to understand how the patient has been assessed and that the care they are providing has been planned. Within this article, the author will be discussing the nursing process, explaining the different stages and how these are used to deliver quality care. Relevant sections of the Code of Conduct for Healthcare Support Workers and Adult Social Care Workers in England ( Skills for Care and Skills for Health, 2013 ) will be highlighted. Support workers have a clear and important role in making sure the nursing process is successful and patients receive the best quality care.

Care Quality Commission consults on changes to regulatory inspection process

2021 ◽  
Vol 30 (5) ◽  
pp. 318-319
Author(s):  
Alan Glasper
Keyword(s):  
Social Care ◽  
Care Quality ◽  
Emeritus Professor ◽  
Health And Social Care ◽  
Care Quality Commission ◽  
Inspection Process ◽  
Recent Initiative ◽  
The University

Emeritus Professor Alan Glasper, from the University of Southampton, discusses a recent initiative from the Care Quality Commission to fundamentally change its method of health and social care inspections

scholarly journals Barriers to Providing High-Quality Nursing Care in Intensive Care Units: A Qualitative Study

2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Nasrin Rezaee ◽  
Mahnaz Ghaljeh ◽  
Alireza Salar
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Nursing Care ◽  
Work Motivation ◽  
Quality Care ◽  
Sampling Technique ◽  
Care Quality ◽  
High Quality ◽  
High Quality Care ◽  
High Workload

Background: Providing high-quality nursing care is the vision of healthcare systems. Several factors contribute to providing high-quality care, which many of them need further investigation. In this line, qualitative research that helps researchers to access the thoughts and feelings of participants can play an important role in identifying care challenges. Objectives: Therefore, this study aimed to identify nurses’ concerns about the nursing care quality process in Intensive Care Units (ICUs). Methods: In this study, a conventional content analysis was used for data analyses. Data were collected by unstructured interviews with 10 ICU nurses. Participants were selected using the purposive sampling technique. The sampling continued upon reaching data saturation. Results: In total 290 codes were extracted, that using analysis and compare were categorized into three main themes: "care obstacles", "motivational obstacles", and "management obstacles". Twelve secondary themes were also extracted, including: "high workload", "not considering the educational needs", "not considering the work standards", "out of duty cares", "ward's bad structure", "personal motivation shortage", "poor work motivation", "personal and organizational motivation interference", "rules without work support", "work inconsistency in the ward", "keeping the position", and "inefficient communications between nurses and physicians". Conclusions: In this study, barriers to nursing high-quality care and its related motivational and managerial dimensions were investigated. In other words, the present study identified barriers in different dimensions, and by identifying the effective factors in providing quality care has facilitated the implementation of measures to address the problems.

Sign in / Sign up

Export Citation Format

Share Document