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.
Interventions for nurses caring for older adults in the community to identify malnutrition risk
A case study of polypharmacy involving an older person living with frailty
The reasons why oral health can deteriorate in nursing home residents and potential effects
Sepsis training for hospital and nursing home staff can reduce sepsis mortality
A dementia nurse specialist who ran an educational support group for carers reflects on it
How a Scottish health board trained and redeployed staff to work as temporary healthcare support workers
The status and direction of palliative care for people with dementia
Using iPads can help patients connect with family and take part in person-centred activities
Support for nurses to ensure that older people who lack capacity can participate in research
Changes made to service delivery by a team caring for older people living with frailty
Evidence about leadership skills and competencies needed in advanced dementia care is scant
Why you should read this article: • To gain insight into the complexity of NHS continuing healthcare (CHC) assessments • To reflect on what skills and knowledge are required for the optimal assessment of an older person’s eligibility for CHC • To understand the training and development needs of nurses involved in CHC-associated work Background Nurses in England play a prominent role in NHS continuing healthcare (CHC) assessments, but there are no overview data on their knowledge and educational needs. Aim An online survey was conducted to identify the educational status and development needs of nurses involved in CHC assessments. Method The survey was informed by a literature review and focus group discussions, and distributed via email to the members of the Royal College of Nursing older people’s forum. Descriptive data analysis was undertaken. Results Overall, respondents were confident about their ability to undertake CHC-associated work and manage each aspect of the CHC process. However, respondents were less confident about how to determine whether a primary health need exists based on the four main criteria – nature, complexity, intensity and unpredictability – of a person’s health and social care needs. This was one of the respondents’ priorities for training and development. Conclusion The survey demonstrates the importance of face-to-face and multidisciplinary CHC training delivered locally. It also confirms the need for a standardised approach and more consistency in the CHC assessment process. A CHC competency framework would contribute to standardise the process and benefit all involved.