Clinical

Our clinical nursing articles aim to inform and educate nurse practitioners and students. This is achieved through the publication of peer-reviewed, evidence-based, relevant and topical articles.

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.

Nurses+QI=better hospital performance? A critical review of the literature

Nurses+QI=better hospital performance? A critical review of the literature

NHS regulators, such as NHS Improvement and the Care Quality Commission, promote staff involvement in quality improvement (QI), while national nursing leaders and the Nursing and Midwifery Council advocate nurses’ involvement in improving services. This article critically explores the evidence base for a national nursing strategy to involve nurses in QI using a literature review. A thematic analysis shows that nurse involvement in QI has several positive outcomes, which are also included in the NHS Improvement’s Single Oversight Framework for NHS Providers. The article concludes that nurse involvement in QI helps improve hospital performance.

Development of assertive communication skills in nursing preceptorship programmes: a qualitative insight from newly qualified nurses

Development of assertive communication skills in nursing preceptorship programmes

A qualitative insight from newly qualified nurses

Technology combined with expert, relationship-based care

Technology combined with expert, relationship-based care

Using technology to engage with patients can be as valuable as face-to-face interaction

Open access
Creating digitally ready nurses in general practice

Creating digitally ready nurses in general practice

Digital healthcare provision in England has been driven mainly by a ‘top-down’ approach and a focus on digital infrastructure rather than front-line delivery. This has laid the foundation, but digital care delivery still has a long way to go. This article describes an action learning programme to create digitally ready nurses. The programme, which underpins action six of NHS England’s ten-point plan for general practice nursing, shows that a ‘ground-up’ approach to upskill and empower front-line clinicians is central to embedding technology-enabled care services (TECS). Following completion of the action learning sets (ALSs), 24 general practice nursing digital champions across Staffordshire have used TECS to deliver a range of benefits for their practice teams. This has informed the introduction and extension of the programme, with national funding for a further 12 regional pilot ALSs across England in 2018-19. Importantly, the active learning individualised approach provides a digitally ready workforce with the ability and support to adopt TECS in areas of clinical need. This ability is central to the next stage in the digital transformation of healthcare.

Effects of the Care Certificate on healthcare assistants’ ability to identify and manage deteriorating patients

Effects of the Care Certificate on healthcare assistants’ ability to identify and...

The Care Certificate, launched in England in 2015, safeguards patients by ensuring all new healthcare assistants (HCAs) undertake a structured educational programme so that they can provide appropriate, safe and high standards of care in clinical settings. This article describes a service evaluation that aimed to identify the effects of the Care Certificate on HCAs’ confidence and ability to identify, and initiate management of, unwell patients independently.

Enhanced supervision: new ways to promote safety and well-being in patients requiring one-to-one or cohort nursing

Enhanced supervision: new ways to promote safety and well-being in patients requiring...

The number of older people with multiple co-morbidities and cognitive impairment being admitted to hospital is increasing, and behavioural disturbances, such as confusion, agitation and delirium, are becoming commonplace. The need for nursing teams to manage the patients with such disturbances has led to the proliferation of one-to-one nursing or close observation, anecdotally known as ‘specialing’. This article describes the implementation and outcomes of a new framework for providing enhanced supervision of patients in clinical wards run by the Cardiff and Vale University Health Board, one of the largest acute providers of care in Wales.

Relationship between communication skills and emotional intelligence among nurses

Aim Nurses’ emotional intelligence (EI) affects many of their behavioural skills. Given the...

An exploration of NHS clinical staff perceptions of changes to clinical products and...

The NHS in England is working to reduce variation and waste in the use of clinical products...

Evaluation of matron ward rounds to enhance patient experience and improve staff morale

Intentional rounding was introduced in the UK in 2012 to improve direct nursing care....

Keeping support and clinical supervision on your agenda

Support and clinical supervision can benefit staff and service users. Inquiries have...

Challenges of being a hospital nurse manager in the Volta region of Ghana: a...

Aim To explore the challenges facing hospital nurse managers (HNMs) in selected hospitals in...

Student-led simulation: preparing students for leadership

It is vital to prepare nurses to become informed leaders with the required knowledge and...

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