Voices - Direct and indirect care nurses all play important roles, says Viv Bennett

A social media conversation recently looked at what ‘nursing care’ and ‘patient care’ mean for nurses who do not provide personalised care to individual patients.

I found this question interesting, as Public Health England (PHE) is a pilot site for revalidation under the new Nursing and Midwifery Council code. As I prepared for my ‘shadow’ revalidation, I thought about nursing in terms of direct and indirect patient care.

The Code’s four themes apply equally to direct and indirect care. Nurses in public health roles have particular practice and leadership responsibilities, as stated in ‘pay special attention to promoting wellbeing, preventing ill health and meeting the changing health and care needs of people during all life stages’, as well as in ‘provide leadership to make sure people’s wellbeing is protected’.

The PHE system enables public health nurses to align revalidation evidence to the Code and the six domains for population health, namely: wider determinants of health, health improvement, health protection, healthcare public health, supporting wellbeing and independence, and the life course.

Nursing care seeks to protect, promote, restore and improve health. Some roles do so through direct care, others indirectly at population level or through education. Next week’s RCN congress gives a real opportunity to celebrate the contribution of all roles to personalised care and population health.

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