Category Archives: Nursing

The importance of trust between colleagues: It’s all about the little things

“Tea” by chumsdock is licensed under CC BY-SA 2.0

Simon Sinek’s Life Advice Will Change Your Future

That named above is billed as a motivational talk for business leaders, and that it what it is [with a typically borderline hyperbolic title]. However,  business leaders are not the only audience who might benefit. I am a big fan of Simon Sinek and I got a lot out of this talk. It has a large focus on the importance of trust between colleagues which makes it relevant to healthcare colleagues where trust is essential for effective team-working (and consequently on patient safety and the effectiveness of care). Check it out.

Trust is vital during this pandemic. More than ever we all need to trust each other – to follow the social distancing measures, to thoroughly wash hands, fully isolate if symptomatic of COVID-19 and other government requirements on our behaviour. In the front-line of the NHS that trust needs to extend further to instances where social distancing is not possible – trust between colleagues; trust between healthcare professionals and patients. This is a big ask for healthcare professionals who are risking their lives on the front-line of healthcare more than at any other time in the history of the NHS. Trust needs to be earned, true, but it needs to be earned quickly.

Brief, ordinary and effective

A little bit of practical advice might be to remind you (introduce you to?) of the ‘brief, ordinary and effective model’ of communication (which BU students can access here).  It is a neat reminder of how effective communication might be still be achieved despite trying circumstances. Trusting relationships are built on rapport, and rapport is achieved by opening up about ourselves to another, revealing an aspect of ourselves that we are comfortable sharing with a relative stranger who might then reciprocate – thus a connection is formed with a fellow human being.  It’s little things that achieve this meaningful connection – shared support of a football team, a love of food, music, whatever (even weather, if you can’t think of anything more interesting!) – it doesn’t matter as long as it promotes a connection. This is not always easy to do, revealing something of ourselves, as it makes us vulnerable.

Healthcare professionals have and will continue to make themselves vulnerable – it was ever thus. But the pressures the NHS is under and will continue to be over the coming weeks as the number of covid-19 cases peaks means that tempers may be more likely to fray as workload exceeds capacity, as colleagues need to self-isolate. Emotions may run high as as heart-wrenching decisions need to be made that would not be contemplated during more normal times, as tiredness and fear contribute to the risk of trust breaking down. That is why a focus on trust is so vital at this time, because trust is fragile – anything as fragile and as worthwhile as trust deserves to be carefully protected. Never stop valuing trust and, while some people will let you down, what this pandemic is showing, I believe, is way more instances of the best of human behaviour rather than the worst (outstanding book on this by the way – Behave: The Biology of Humans at Our Best and Our Worst by Robert Salposky, one of the best books you will ever read) – and it all hinges on trust. But how to adhere to the best side of our nature with the stress and strain of this pandemic invading and pervading our lives? We won’t always get it right, but especially when we go awry and our behaviour lets us down we can remind ourselves: be brief, ordinary and effective, and try again. I hope this advice will change your future.

Coronavirus and wellbeing. Some tips to help you during this difficult time

Couple of great looking resources I was introduced to by the BCP Council email newsletter (sign up for it here) to help let some light in on these increasingly dark times. See below.

Dorset Mind has some really helpful information on staying well, deciding on a routine, connecting with people, keeping your mind stimulated and much more.

LiveWell Dorset have also launched a five-ways to wellbeing virtual challenge which involves the following five actions:

  1. Be active
  2. Connect
  3. Take notice
  4. Keep learning
  5. Give

Get involved now, you’re just five steps away from boosting your wellbeing – and be sure to share it with your friends and family to help brighten their day.

Now might not be the best time, but…

Huge congratulations to everyone who recently graduated as nurses from BU! (And I extend this out to anyone else who recently joined a register of healthcare professionals!).

I had originally planned to kick off a series of posts to offer some cheer to the pioneering students of V8 (you know who your are!) who were the first to graduate from BU with a PGDip Adult Nursing ( a course designed for graduates of any discipline with care experience to become a registered nurse in two years rather than the usual three years). Starting in your first post can be daunting, challenging, downright scary – so I had planned to post some things here to act like a little emotional boost. What I had not planned for was this to coincide with an escalating pandemic that risks pushing you guys in the NHS and beyond to the absolute brink of your emotional and physical limits. The maximum ‘Life happens while you’re busy making plans’ seems rather an understatement. My initial thought was that some of the posts I was planning might now seem crass, irrelevant, or even insensitive in the face of the increasingly grim reality. Maybe though what I was planning, to offer some cheer, a tiny bit of practical advice and make more buoyant the recent graduate nurses I had got to know over the last two years (and all other amazing nurses too!) in some ways couldn’t come at a better time…? Well, you will be the judge of that. I will charge on with what I planned – let me know if it is welcome, or indeed if it is not. Look out for my first post in ages (apart from this one ) and it only seems right that first post does not ignore the elephant in the room….

Jonny Branney

Bringing nursing practice into the classroom with collaborative team-based learning: A model for 21st century nurse education?

Bring nursing practice into the classroom – RCN Education Forum 2018_V2

Click on the link above to view the poster that formed the basis of our ViPER (Visual Presentation with Expert Review) presentation at the RCN Education Forum in Newcastle-upon-Tyne, UK, 20-21 March 2018. I am really proud of this teaching model, delivered alongside fantastic colleagues from Royal Bournemouth Hospital and Dorset Healthcare. We think this represents an effective model for delivering education to nurses fit for the 21st century. The audience of clinicians and educators we presented to gave us excellent feedback which was overwhelmingly positive. What do you think?

Promoting clinical decision making and teamwork in undergraduate nursing education: A mixed methods evaluation of team-based learning in applied pathophysiology

Poster for TBLC 2018

Click on the link above to see our poster, ‘Promoting clinical decision making and teamwork in undergraduate nursing education: A mixed methods evaluation of team-based learning in applied pathophysiology’ by Branney, J, and Priego-Hernández, J, as presented at the Team-based Learning Collaborative 17th Annual Meeting, San Diego, 1-3 March 2018. Just two of the reasons we think Team-based Learning is fantastic for nurse education. What do you think?

 

Basic nursing care, done well, is complex, isn’t it?

Basic nursing care – what’s in a word?

What does ‘basic’ nursing care mean to you? This perhaps springs to mind aspects of care such as washing, mouthcare, and assistance for eating and drinking amongst other aspects of living that we normally perform for ourselves when well. Such Activities of Daily Living might be regarded as ‘basic’ as they are easy to learn and don’t require a great deal of mental effort to perform. For others, however, the word ‘basic’ is belittling to the art and science of nursing, reducing nursing to little more than the performance of a series of simple tasks. ‘Basic’ seems to involve what to do (e.g. clean mouth) and how  (e.g. brush teeth) to do it, but does not readily seem to encompass when, who, where, how; and perhaps the most important question word – why (e.g. to promote personal comfort, to facilitate meaning as being regarded as a fellow worthy human being, to maintain homeostasis and reduce the risk of nosocomial pneumonia). Just because the care is directed at basic needs, does that make the care basic too?

What’s better than basic? Fundamental? Essential? Something else?

Alternative terminology such as ‘fundamental’ or ‘essential’ nursing care have been proposed, yet ‘basic’ sticks (for example). This is a deceptively complex and controversial topic which deserves a much more thorough and referenced exploration than I will provide here. For now, I wish simply to propose an acronym, and I would like to know your views on it: BASIC.

Basic care, done well, is complex, but is BASIC nonetheless

Best Care ought to be the best possible skilfully performed care that the nurse can deliver (within the limits of experience, ability, time and cost), not a mechanically performed task
Authentic Care ought to be delivered authentically, that is, delivered purposefully with positive intentions by someone who genuinely cares and wants to care
Specific Care ought to be specific, in other words, patient/person-centred, not task/nurse-centred
Informed Care ought to be informed, in other words, evidence-based (remembering that evidence-based practice includes not just best research evidence but the expertise of practitioners and patient preferences)
Compassionate Care ought to be delivered compassionately, such that the patient/person feels cared for

What do you think?

Do you think that ‘re-claiming’ the word BASIC to show that, when done well (in such a way as to best achieve effective care i.e. maximise patient outcomes), basic care is in fact highly skilled with a good deal of mental effort required? Or do you think this would simply perpetuate the notion that a great deal of what a nurse does is low skill, low mental effort? Do you think my suggestion is nothing more than re-inventing the wheel? Whatever your view, basic or complex, I’d love to hear it.

Antibiotic Resistance: Urban Myth or Zombie Apocalypse? Find out at Cafe Scientifique Bournemouth!

Antibiotic Resistance: Urban Myth or Zombie Apocalypse?
by Dr Liz Sheridan, microbiologist, Poole Hospital

nasty-bacteria-150x150

Tuesday 1st November 2016, Cafe Boscanova

Everyone, in particular healthcare professionals but also the wider public, needs to know about antibiotic (or antimicrobial) resistance. What better way to find out about it than from a medical expert while enjoying the comforts of Cafe Boscanova?!

I’ve written before about antimicrobial resistance – it’s one of the biggest challenges that we face in the 21st century, see below:

Inappropriate use of antibiotics is putting our lives at risk

What can you do to decrease overuse of antibiotics?

And find out more about Care Scientfique here. Hope to see you there!

The New Script of Nursing

The New Script of Nursing

As stated by Patricia Davidson, Dean, Johns Hopkins School of Nursing, “All of us know that our profession is undergoing an extraordinary transformation and that nursing will never look the same. While we know this, there is a profound need to educate the general public about the broader scope of our work and expanding opportunities.

As the breadth and impact of our work increases, so does the need to recruit and retain nurses—crucial elements during a nursing shortage throughout the world. Together we are writing the “new script of nursing,” and we have created a video that reveals the intensity and magnitude of our profession that is much more than what meets the eye – researcher, clinician, change agent, inventor”.

What do you think?

 

Can your personality help you decide which area of nursing you’re best suited to?

What Nursing Speciality Is Best For You? by Nurse.org

This is a 9-question quiz which takes into account your personality, character traits, and daily activities. Upon completion of the quiz, it is claimed, you will discover the nursing speciality that is best suited to you. The results include an easy-to-understand summary of the speciality, education requirements (including certain certifications and hours required), the average salary (and how it’s trending), the job outlook (positive, negative, or steady with percentages) etc, but this is for a US context only. However, you might gain some insight regarding which area you’d like to work in. If nothing else, it’s a bit of fun!