Evidence and Practice

Clinical

Open access
Development of a hospital early warning score to end ‘escalation fatigue’

Development of a hospital early warning score to end ‘escalation fatigue’

Antrim Area HEWS has advanced the Northern Irish trust’s management of site-level pressure

Exploring the public perspectives of e-professionalism in nursing

Exploring public perspectives of e-professionalism in nursing

Public perceptions of the acceptability of nurses’ online behaviours and e-professionalism

Use of instant messaging to enhance leadership and management training for rural nurse managers

How instant messaging can boost leadership training for rural nurse managers

A study explored the use of instant messaging in continuing education for nurses and midwives

The right fit

Establishing an advanced care academy and its role in advanced practitioner development

Advanced clinical practice roles help fill gaps in care provision and improve consistency

Interprofessional shared governance and relationship-based care

Implementation and lessons learned from a US project carried out over eight years

Objective structured clinical exam: how clinical nurse educators can support internationally educated nurses

Objective structured clinical exam: how clinical nurse educators can support...

Internationally educated nurses (IENs) require robust teaching programmes to support them through the objective structured clinical exam (OSCE) process to gain registration with the Nursing and Midwifery Council. There should be measures in place to support these nurses from a clinical and pastoral perspective. It is also important to learn from IENs, because moving to a different country is an emotional and life-changing experience that affects nurses and their families. Preparation is central to completing the programme successfully, alongside having the resources required in terms of time and a dedicated facility for practise. This article describes the development and implementation of an OSCE preparation teaching programme to support IENs, discusses the challenges for teachers and participants, and shows how having a dedicated facility and programme lead has led to excellent results.

CPD articles

Supporting staff who are second victims after adverse healthcare events

Supporting staff who are second victims after adverse healthcare events

It is important to be aware of the effects of adverse events on second victims

Chairing meetings

Chairing and managing formal workplace meetings: skills for nurse leaders

An overview of how to lead and manage effective meetings

Teamwork in nursing: essential elements for practice

Teamwork in nursing: essential elements for practice

As any nurse working in the NHS knows, teamwork can be powerful. Successful teamwork can make a huge workload of unmanageable tasks manageable. However, unsuccessful teamwork can leave people struggling to cope. This article explores readers’ knowledge and skills related to teamwork and provides them with new skills and techniques to improve practice.

Action learning: staff development, implementing change, interdisciplinary working and leadership

Action learning: staff development, implementing change, interdisciplinary working and...

Action learning (AL) is a process that supports problem-solving by applying a questioning formula to challenge issues and prompt actions. Initially developed to support organisational change, AL is now recognised as a motivating and influencing process for team development, individual goal setting, change initiatives, quality improvement and leadership development. Learning from observation and practice is central to its approach, which lends itself to healthcare settings. It is especially useful to managers seeking to implement change, enhance quality and promote teamwork in multidisciplinary settings.

Importance of reflection in revalidation

Importance of reflection in revalidation

Reflection is a hallmark of professional practice and an important element of the Nursing and Midwifery Council revalidation process. Following two previous continuing professional development articles, on reflection and professional learning and on reflection and personal learning, this article will aim to explore the specific elements of reflection required for revalidation. This publication should help demystify and support registrants embarking on the process.

Applying the Data Protection Act 2018 and General Data Protection Regulation principles in healthcare settings

Applying the Data Protection Act 2018 and General Data Protection Regulation principles...

The Data Protection Act (DPA) of 1998 was radically updated in 2018 and since then there has been much media coverage about the General Data Protection Regulation (GDPR). Recent headlines have featured well known organisations that have been fined under the DPA 1998. This article describes the recent changes in data protection law, including the principles behind the DPA and GDPR, highlights patients’ rights and how nurses can advocate for the protection of patients’ personal data, and outlines nurses’ role in ensuring that the principles of data protection are implemented fully as part of patient care delivery.

Practice question

How can critical thinking make me a better nurse?

Critical thinking can help nurses provide excellent care and improve patient well-being

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