Título: | Moving toward safer out of hours patient care: Developing the nurse in charge of shift role |
Autores: |
Rowley, J; Coffs Harbour Health Campus, Coffs Harbour, NSW. Viney, J; Coffs Harbour Health Campus, Coffs Harbour, NSW. |
Fecha: | 2013-10-13 |
Publicador: | Hunter New England Local Health District |
Fuente: |
Ver documento |
Tipo: |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
Tema: | Nursing; Midwifery; Nursing Education; Leadership in Nursing; Staff Development |
Descripción: | Background: Nurses who work in charge of shift out of hours, play a vital role in the provision of support for health teams in inpatient public hospitals. Given the complexity of health care the in charge of shift role will continue to evolve. Enduring concerns remain about the decision making expected of nurses out of hours and the clarification of the training needs to perform this role is essential. Aims and Objectives: This project aims to highlight issues surrounding the role of the nurse in charge of shift, out of hours and to demonstrate how practice development tools can assist in defining the role and responsibilities. The objectives were to determine how nurses presently see the role, to determine the skills necessary to perform the role effectively and to demonstrate the effectiveness of using a practice development tool to ultimately influence patient care. Methodological Design: This project used practice development principles to examine issues related to nurse in charge of shift, out of hours. Focus groups were used to collect data to meet the aims and objectives of the project. Results: The results illustrate that in order to be effective, communication skills are a central component for the in charge of shift, out of hours role. In addition, themes identified that factors impacting on the role include support service availability, skill mix, patient flow and decision making. Conclusions: This project emphasized the need for nurses to be trained for the role of in charge of shift, out of hours but is not a sufficient condition for success. Rather it is argued that the role and status of in charge of shift, out of hours needs to be raised, and that a person-centred approach to care delivery, which acknowledges the importance of attending to the needs of all those involved in out of hours patient care be adopted |
Idioma: | Inglés |