Becoming an assertive district nurse in a challenging environment

It’s essential that district nurses are inspirational managers, who lead their teams in an effective and confident manner.
Assertive district nurses

District nurses traditionally see patients who are housebound and holistically manage a range of complex clinical conditions.

Over recent years the delivery of nursing care in the community has undergone considerable change, which has expanded the remit of district nurse teams.

In addition to increasingly ‘acute’ demands, each district nurse has day-to-day responsibility for the care of many patients with multiple, debilitating, long-term and palliative conditions.

Balancing these competing demands, often accompanied by diminishing staff numbers, presents every district nurse team with daily challenges which can result in delayed visits, hurried consultations and the potential to compromise care (Queen’s Nursing Institute 2009).

Such increasing pressures intensify the challenge of allocating and managing this daily workload and the ability to deliver high quality care to all.


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