This article will argue that A healthier Wales: our workforce strategy for health and social care, produced by Health Education and Improvement Wales and Social Care Wales and endorsed by the Welsh Government in 2020, is best understood as a statement of ambitions, rather than as a strategy. NHS England's approach to workforce strategy, as set out in the Interim NHS people plan and other documents, elicits both points of similarity and key differences. This article reviews various conceptions of what a strategy might be and concludes that, although A healthier Wales contains elements of a number of different approaches to strategy, the absence of a delivery plan makes it of limited use. The length of time it has taken to produce and approve this document, as well as the delay in producing a delivery plan, is considered a critical weakness.
{"title":"Is A healthier Wales: our workforce strategy for health and social care actually a strategy?","authors":"R. Royce","doi":"10.12968/bjhc.2021.0058","DOIUrl":"https://doi.org/10.12968/bjhc.2021.0058","url":null,"abstract":"This article will argue that A healthier Wales: our workforce strategy for health and social care, produced by Health Education and Improvement Wales and Social Care Wales and endorsed by the Welsh Government in 2020, is best understood as a statement of ambitions, rather than as a strategy. NHS England's approach to workforce strategy, as set out in the Interim NHS people plan and other documents, elicits both points of similarity and key differences. This article reviews various conceptions of what a strategy might be and concludes that, although A healthier Wales contains elements of a number of different approaches to strategy, the absence of a delivery plan makes it of limited use. The length of time it has taken to produce and approve this document, as well as the delay in producing a delivery plan, is considered a critical weakness.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46969874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In this article, Roberts et al discuss the importance of SNOMED CT in improving electronic health records, and the benefits this can bring healthcare organisations, professionals and patients.
{"title":"SNOMED CT: a potential powerhouse in the health record revolution","authors":"L. Roberts, Sadie Lanes, Carolyn Cooper","doi":"10.12968/bjhc.2022.0039","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0039","url":null,"abstract":"In this article, Roberts et al discuss the importance of SNOMED CT in improving electronic health records, and the benefits this can bring healthcare organisations, professionals and patients.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45510944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andy Richardson, lecturer in adult nursing, explains how media misrepresentation of statins has impacted patients and the wider public, and what healthcare professionals can do to mitigate this.
{"title":"Statins: setting the record straight","authors":"A. Richardson","doi":"10.12968/bjhc.2022.0102","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0102","url":null,"abstract":"Andy Richardson, lecturer in adult nursing, explains how media misrepresentation of statins has impacted patients and the wider public, and what healthcare professionals can do to mitigate this.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42528594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarah Chessell, Sandra Courtiour, Amanda Colman, S. Porter, V. Heaslip
Following several major reports of poor quality care in the NHS, including the Francis report, a multi-centre study was undertaken by to improve patient-centred care by implementing near-real time patient feedback. This article follows on from this and explores the experiences of staff from one hospital involved in the multi-centre study, including the learning from the intervention and how it affected their practice. Semi-structured interviews were conducted with eight individuals who were involved in the original study, including five clinical staff members and three volunteers. Responses were transcribed and analysed thematically. The interviews highlighted four inter-related themes: the importance of communication; normalising feedback; confidence to talk to patients; and seeing from the patient perspective. Participants described how near real-time feedback enhanced communication, giving them confidence to interact with patients. Staff responded to negative patient feedback by making improvements to patient experiences. However, the initiative was not sustained following the conclusion of the study. Near-real time patient feedback can be effective in improving staff–patient communication and creating a more positive experience for both patients and staff. However, this study highlights the need to examine the sustainability of improvement initiatives, as well as their initial effectiveness.
{"title":"Staff perspectives of a near-real time feedback intervention to improve patient experiences","authors":"Sarah Chessell, Sandra Courtiour, Amanda Colman, S. Porter, V. Heaslip","doi":"10.12968/bjhc.2022.0056","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0056","url":null,"abstract":"Following several major reports of poor quality care in the NHS, including the Francis report, a multi-centre study was undertaken by to improve patient-centred care by implementing near-real time patient feedback. This article follows on from this and explores the experiences of staff from one hospital involved in the multi-centre study, including the learning from the intervention and how it affected their practice. Semi-structured interviews were conducted with eight individuals who were involved in the original study, including five clinical staff members and three volunteers. Responses were transcribed and analysed thematically. The interviews highlighted four inter-related themes: the importance of communication; normalising feedback; confidence to talk to patients; and seeing from the patient perspective. Participants described how near real-time feedback enhanced communication, giving them confidence to interact with patients. Staff responded to negative patient feedback by making improvements to patient experiences. However, the initiative was not sustained following the conclusion of the study. Near-real time patient feedback can be effective in improving staff–patient communication and creating a more positive experience for both patients and staff. However, this study highlights the need to examine the sustainability of improvement initiatives, as well as their initial effectiveness.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66711513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Improving care for patients with cardiorespiratory conditions","authors":"N. Bosanquet","doi":"10.12968/bjhc.2022.0103","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0103","url":null,"abstract":"","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66711610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health writer Gemma Harris provides an overview of this year's NHS influenza vaccination programme, including key goals and lessons learnt from the COVID-19 vaccine rollout.
{"title":"The NHS influenza vaccination programme 2022–23: striving for success","authors":"Gemma Harris","doi":"10.12968/bjhc.2022.0100","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0100","url":null,"abstract":"Health writer Gemma Harris provides an overview of this year's NHS influenza vaccination programme, including key goals and lessons learnt from the COVID-19 vaccine rollout.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46674877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sophie Tooth, V. Doughty, T. Lumanisakio, S. De Sousa
Tooth et al outline the model of fetal cardiac care implemented at the Royal Brompton Hospital and the crucial role of the fetal cardiac nurse specialist.
Tooth等人概述了皇家布朗普顿医院实施的胎儿心脏护理模式以及胎儿心脏护理专家的关键作用。
{"title":"Why do we need to invest in fetal cardiac nurse specialists? The Brompton model explained","authors":"Sophie Tooth, V. Doughty, T. Lumanisakio, S. De Sousa","doi":"10.12968/bjhc.2022.0105","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0105","url":null,"abstract":"Tooth et al outline the model of fetal cardiac care implemented at the Royal Brompton Hospital and the crucial role of the fetal cardiac nurse specialist.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46564729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Healthcare students are at high risk of sharps injuries, which can negatively impact their confidence and wellbeing. This study audited three clinical skills simulation wards at a UK university to determine the incidence of sharps injuries in this educational setting. An audit of sharps injuries sustained in three clinical skills simulation wards was conducted, including data from 2008–2016. The authors developed an audit tool to collect data on the number of incidents that occurred, the type of individual involved and the nature of the incident. Results were analysed to compare the incidence of general injuries and sharps injuries among healthcare students and staff. A total of 46 incidents were recorded across the three wards during the 8-year period. Sharps injuries were by far the most common type of injury, comprising 69.6% of recorded incidents, followed by fainting at 19.6%. The highest proportion of general injuries (56.5%) and sharps injuries (59.4%) occurred among nursing students. However, the association between incidents and type of individual involved was not statistically significant Sharps injuries were the most common type of incident in the clinical skills simulation wards, with student nurses being at highest risk. Intervention is needed to improve safety in this educational setting, including sharps handling training, with greater focus on existing regulations.
{"title":"An audit of sharps injuries in clinical skills simulation wards at a UK university","authors":"K. Hambridge, R. Endacott, Andrew Nichols","doi":"10.12968/bjhc.2020.0193","DOIUrl":"https://doi.org/10.12968/bjhc.2020.0193","url":null,"abstract":"Healthcare students are at high risk of sharps injuries, which can negatively impact their confidence and wellbeing. This study audited three clinical skills simulation wards at a UK university to determine the incidence of sharps injuries in this educational setting. An audit of sharps injuries sustained in three clinical skills simulation wards was conducted, including data from 2008–2016. The authors developed an audit tool to collect data on the number of incidents that occurred, the type of individual involved and the nature of the incident. Results were analysed to compare the incidence of general injuries and sharps injuries among healthcare students and staff. A total of 46 incidents were recorded across the three wards during the 8-year period. Sharps injuries were by far the most common type of injury, comprising 69.6% of recorded incidents, followed by fainting at 19.6%. The highest proportion of general injuries (56.5%) and sharps injuries (59.4%) occurred among nursing students. However, the association between incidents and type of individual involved was not statistically significant Sharps injuries were the most common type of incident in the clinical skills simulation wards, with student nurses being at highest risk. Intervention is needed to improve safety in this educational setting, including sharps handling training, with greater focus on existing regulations.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47588238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Julia Hubbard, professor of clinical health education, explains how digital cardiac rehabilitation programmes could help to improve uptake and reduce pressure on emergency services.
{"title":"Reducing readmissions and bed occupancy using digital cardiac rehabilitation programmes","authors":"J. Hubbard","doi":"10.12968/bjhc.2022.0099","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0099","url":null,"abstract":"Julia Hubbard, professor of clinical health education, explains how digital cardiac rehabilitation programmes could help to improve uptake and reduce pressure on emergency services.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47851311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Professor Bryan McIntosh and Ellie Koseda provide an overview of the review into the NHS's only gender identity development service, led by Dr Hilary Cass, following the publication of the interim report in February 2022. Key issues in this complex and developing field are discussed.
{"title":"The interim report of the Cass review into the NHS gender identity development service: a discussion","authors":"B. Mcintosh, Ellie Koseda","doi":"10.12968/bjhc.2022.0089","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0089","url":null,"abstract":"Professor Bryan McIntosh and Ellie Koseda provide an overview of the review into the NHS's only gender identity development service, led by Dr Hilary Cass, following the publication of the interim report in February 2022. Key issues in this complex and developing field are discussed.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41634398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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