Without prejudice: results and realisation of a training needs audit in nursing homes

Lees, Liz; Hill, Carol; Coles, Tracey

doi:10.7748/nop2006.05.18.4.19.c2422

Cited by 7 publications

(2 citation statements)

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“…12,13 It has a focus on "changing people's practices, their understandings of their practices and the conditions under which they practice." [23][24][25][26][27][28][29] Therefore, in the context of this multisite project, a decision was made to include an action research component to enhance the implementation of best practice for falls prevention in a cohort of Australian RACFs. Its use in RACFs has been demonstrated to promote the professional engagement of nursing staff to address ongoing problems with professional isolation 20 and the development of networks.…”

Section: Advances In Nursing Science/january-march 2012mentioning

confidence: 99%

Reducing Staff Isolation and Developing Evidence-Informed Practice in the Aged Care Environment Through an Action Research Approach to Falls Prevention

Andrews¹,

Lea²,

Haines³

et al. 2012

Advances in Nursing Science

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This study aimed to examine whether an action research approach was effective in reducing the isolation of staff in 2 residential aged care facilities, within the context of an evidence-informed falls prevention program. A Falls Action Research Group comprising 12 nursing/nonnursing staff across 2 residential aged care facilities was established and engaged in critical dialogue and action over 12 months to improve their fall prevention activities. Through the group members' engagement, a research community was established that diminished staff isolation by engaging members in a sustained process of collaboration around falls prevention, which worked to disrupt occupational silos and challenge traditional staff hierarchies.

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Section: Advances In Nursing Science/january-march 2012mentioning

confidence: 99%

Reducing Staff Isolation and Developing Evidence-Informed Practice in the Aged Care Environment Through an Action Research Approach to Falls Prevention

Andrews¹,

Lea²,

Haines³

et al. 2012

Advances in Nursing Science

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“…The complexity inherent in the medical, palliative and basic care needs of the residents makes nursing homes interesting, but also demanding places for learning (Chen et al, 2007;O'Connell et al, 2008). Student nurses encounter many challenging learning situations in nursing homes, but limited access to qualified supervision and support may prevent them from fully utilizing the learning potentials (Davies et al, 2002;Lees et al, 2006;Kerridge, 2008;Xiao et al, 2008). Negative experiences during clinical placements are considered one of the reasons why nursing students hesitate to engage in aged care, and efforts to enhance the learning environment during clinical placements in nursing homes, may positively affect nursing students' attitudes and their future choice of employment (Grealish et al, 2010;McKenna et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

Improving the quality of nursing students' clinical placements in nursing homes: An evaluation study

Brynildsen

Bjørk

Berntsen

et al. 2014

Nurse Education in Practice

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The aim of this study was to explore students' experiences during their clinical placements in five nursing homes after implementing measures to improve the learning environment. It is vital to stimulate more future nurses to consider a career within geriatric wards and nursing homes. One way to achieve this, is to enhance nursing students' learning experiences during clinical placements in these settings. Measures to improve the learning environment were implemented as a result of a joint effort between a university college and five nursing homes. An explorative design was developed to collect empirical data concerning the students' experiences expressed through questionnaires and logs. The results generally conveyed more positive than negative experiences. Students expressed most satisfaction with peer collaboration, the placement's contribution to awareness of future nursing role and described the learning arena as exciting and interesting. They expressed less satisfaction with supervision from preceptor and how the practice site was prepared for and organized students' placements. Clinical placement arenas and educational institutions should collaborate closely to explore and develop models of supervision appropriate for the nursing home context, to build on existing potentials and resolve the issues that represent barriers for creating interesting and effective learning environments.

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The competencies of Registered Nurses working in care homes: a modified Delphi study

Stanyon

Goldberg

Astle³

et al. 2017

Age Ageing

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BACKGROUND: Registered Nurses (RNs) working in UK care homes receive most of their training in acute hospitals. At present the role of care home nursing is underdeveloped and it is seen as a low status career. We describe here research to define core competencies for RNs working in UK care homes. METHODS:A two-stage process was adopted. A systematic literature review and focus groups with stakeholders provided an initial list of competencies. The competency list was modified over three rounds of a Delphi process with a multi-disciplinary expert panel of 28 members. RESULTS:Twenty-two competencies entered the consensus process, all competencies were amended and six split. Thirty-one competencies were scored in round two, eight were agreed as essential, one competency was split into two. Twenty-four competencies were submitted for scoring in round three. In total, 22 competencies were agreed as essential for RNs working in care homes. A further ten competencies did not reach consensus. CONCLUSION:The output of this study is an expert-consensus list of competencies for RNs working in care homes. This would be a firm basis on which to build a curriculum for this staff group. Key words: care homes, nursing, competencies BACKGROUNDDue to the ageing population there is increased use of residential and nursing homes -collectively referred to as care homes -to support the growing proportion of older people with more complex care needs. In the UK, care homes provide 465,000 beds, compared with 132,000 in acute hospitalsThe Registered Nurses (RNs) who work in care homes have usually received most of their training in acute hospitals [2]. Acute hospital work however, requires different skills and competencies from work in long-term care. There has been a call by many in nursing education to raise students' understanding of gerontological and care home nursing as specialties that represent demanding and rewarding careers [3].The role of nursing in long-term care is underdeveloped and working with older people is viewed by students as a low status career choice with lack of opportunities for professional development [4]. The Care Quality Commission (CQC) stated concerns about the shortage of nurses within nursing homes, many having insufficient staff on duty to ensure residents receive safe and dignified care. They reported 8% vacancy rates for RNs and the highest turnover rate of any job role in social care settings at 32% [1]. There is a concern that RNs are employed to earn a home its nursing home status and are not enabled to make full use of their competencies. It is also apparent that many RNs working in care homes are overseas workers and, due to changes in regulations, there are worries over their language/communication skills, competence and supervision [2].There is a likely relationship between high turnover rates and nurses' perceptions of low competency in core skill areas for long-term care [5]. In one survey, 50% of RNs in care homes rated their knowledge as insufficient in areas such as psychiatric illness, dea...

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Without prejudice: results and realisation of a training needs audit in nursing homes

Abstract: An analysis of training needs among registered nurses and carers in nursing homes will be used to form education action plans that will foster a learning culture and, ultimately, improve patient care

Cited by 7 publications

References 0 publications

Reducing Staff Isolation and Developing Evidence-Informed Practice in the Aged Care Environment Through an Action Research Approach to Falls Prevention

Reducing Staff Isolation and Developing Evidence-Informed Practice in the Aged Care Environment Through an Action Research Approach to Falls Prevention

Improving the quality of nursing students' clinical placements in nursing homes: An evaluation study

The competencies of Registered Nurses working in care homes: a modified Delphi study

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