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Workforce & Health Systems publications

Photovoice: An active learning tool with community nursing students

Andina-Díaz   E, Welch L, Siles-González J, Serrano-Fuentes N, Gutiérrez-García AI,   Solano-Ruiz M


Objective: To assess nursing students' experiences of using photovoice as a pedagogical approach to active learning in the community.


Methods: A descriptive design with a cross-sectional mixed-method questionnaire was used with 108 students following an educational activity, in which their communities were photographed and the impact of the pandemic on vulnerable populations was reflected. Descriptive statistics and thematic analysis were used to analyze the data.


https://doi.org/10.1111/phn.13285

February 2024

Workforce & Health Systems

What might make nurses stay? A protocol for discrete choice experiments to understand NHS nurses' preferences at early-career and late-career stages

Ejebu OZ, Turnbull J, Atherton I, Rafferty AM, Palmer B, Philippou J, Prichard J, Jamieson M, Rolewicz L, Williams M, Ball J


Like many countries, England has a national shortage of registered nurses. Employers strive to retain existing staff, to ease supply pressures. Disproportionate numbers of nurses leave the National Health Services (NHS) both early in their careers, and later, as they near retirement age. Research is needed to understand the job preferences of early-career and late-career nurses working in the NHS, so tailored policies can be developed to better retain these two groups.


https://doi.org/10.1136/bmjopen-2023-075066

February 2024

Workforce & Health Systems

Position Paper on the Reporting of Norepinephrine Formulations in Critical Care from the Society of Critical Care Medicine and European Society of Intensive Care Medicine Joint Task Force

Wieruszewski PM, Leone M, Kaas-Hansen BS, Dugar S, Legrand M, McKenzie CA, Bissell Turpin BD, Messina A, Nasa P, Schorr CA, De Waele JJ, Khanna AK


Objectives: To provide guidance on the reporting of norepinephrine formulation labeling, reporting in publications, and use in clinical practice.


Design: Review and task force position statements with necessary guidance.


https://doi.org/10.1097/ccm.0000000000006176

January 2024

Workforce & Health Systems

Nursing 12-Hour Shifts and Patient Incidents in Mental Health and Community Hospitals: A Longitudinal Study Using Routinely Collected Data

Dall’Ora C, Ejebu OZ, Jones J, Griffiths P


Shifts of 12 hours or longer are common in nursing services within general hospital wards. Concerns have been raised about their safety, but previous research has mostly used staff-reported measures of quality and safety and has occurred in general hospital settings only. 


This study aims to measure the association between the use of 12+ hour shifts in nursing staff (including registered nurses, healthcare support workers or nursing assistants, and nursing associates) and the rate of patient incidents in mental health and community hospitals


https://doi.org/10.1155/2023/6626585

January 2024

Workforce & Health Systems

Evidence on the use of Birthrate Plus® to guide safe staffing in maternity services - A systematic scoping review

Griffiths P, Turner L, Lown J, Sanders J


Birthrate Plus® is a widely used tool that informs decisions about the number of midwifery staff needed to provide safe and high quality care in maternity services. Evidence about the effectiveness, validity, reliability, and feasibility of tools such as this is needed.


https://doi.org/10.1016/j.wombi.2023.11.003

January 2024

Workforce & Health Systems

Ten reasons for the presence of pharmacy professionals in the intensive care unit

McKenzie   C, Spriet I, Hunfeld N


The intensive care unit (ICU) patient requires a plethora of disciplines to optimise care and clinical outcomes. Recently, the European Society of Intensive Care Medicine (ESICM) has given greater attention to ICU pharmacy professionals, i.e., the clinical pharmacist and pharmacy technician, and their integration into the ICU multidisciplinary (MDT) team. In this article, we describe ten reasons why ICU pharmacy professionals are vital for high-quality care in the ICU.


10.1007/s00134-023-07285-4

January 2024

Workforce & Health Systems

Evaluation of the nurse-assisted eHealth intervention 'eHealth@Hospital-2-Home' on self-care by patients with heart failure and colorectal cancer post-hospital discharge: protocol for a randomised controlled trial.

Storm   M, Morken IM, Austin RC, Nordfonn O, Wathne HB, Urstad KH et al


Patients with heart failure (HF) and colorectal cancer (CRC) are prone to comorbidity, a high rate of readmission, and complex healthcare needs. Self-care for people with HF and CRC after hospitalisation can be challenging, and patients may leave the hospital unprepared to self-manage their disease at home. eHealth solutions may be a beneficial tool to engage patients in self-care.


https://doi.org/10.1186/s12913-023-10508-5

January 2024

Workforce & Health Systems

Validation of oxygen saturations measured in the community by emergency medical services as a marker of clinical deterioration in patients with confirmed COVID-19: a retrospective cohort study

Inada-Kim M, Chmiel FP, Boniface M, et al


Objectives: To evaluate oxygen saturation and vital  signs measured in the community by emergency medical  services (EMS) as clinical markers of COVID-19-positive  patient deterioration


doi: 10.1136/bmjopen-2022-067378

January 2024

Workforce & Health Systems

The important factors nurses consider when choosing shift patterns: A cross-sectional study.

Emmanuel   T, Griffiths P, Lamas-Fernandez C, Ejebu OZ, Dall'Ora C


Aim: To gain a deeper understanding of what is important to nurses when thinking about shift patterns and the organisation of working time.


Methods: We recruited from two National Health Service Trusts and through an open call via trade union membership, online/print nursing profession magazines and social media. Worked versus preferred shift length/pattern, satisfaction and choice over shift patterns and nurses' views on aspects related to work and life (when working short, long, rotating shifts) were analysed with comparisons of proportions of agreement and crosstabulation. Qualitative responses on important factors related to shift preferences were analysed with inductive thematic analysis.


https://doi.org/10.1111/jocn.16974

December 2023

Workforce & Health Systems

Reducing medication errors in adult intensive care: Current insights for nursing practice

Nixon C,   McKenzie C, Bourne RS


Intensive care unit (ICU) nurses have a pivotal role in delivering quality care for some of the sickest and most vulnerable patients in our hospitals. The direct patient care provided by ICU nurses affords a unique opportunity to influence the quality of care delivered. Delivering care that is safe is critical in the complex and dynamic environment of the ICU. Medication is the most common intervention that ICU patients receive. Medication errors (MEs) are numerous and contribute to worse ICU patient outcomes.


https://doi.org/10.1016/j.iccn.2023.103578

November 2023

Workforce & Health Systems

 Intravenous antimicrobial infusions: Getting it right every time, some of the time.

Kemp I,   McKenzie C


60% of the time, it works every time” stated the character Brian Fantana in the film Anchorman in (2004). In the previous issue of Intensive and Critical Care Nursing, Joan Rout and colleagues critically observed nursing practice in the preparation, double checking and administration of antimicrobials (in this case carbapenems) in the intensive care unit (ICU) and essentially asked “How well are we doing? Are we getting it right all the time, or just some of the time?” (Rout et al., 2023). The study outcomes report adherence to multiple steps that are intended to reduce the risk of errors associated with the preparation and administration of medication in the ICU. In the context of antimicrobials these processes, by design, endeavour to guarantee delivery of the correct drug at the correct dose, to the correct patient at the correct time i.e., antimicrobial stewardship.


doi:   10.1016/j.iccn.2023.103569

November 2023

Workforce & Health Systems

Scheduled intravenous opioids.

McKenzie   C, Skrobik Y, Devlin JW


Maintaining comfort and analgesia is fundamental to providing adequate care in intensive care unit (ICU) patients. Pain assessment and its control remain the highest priorities and concerns among survivors of critical illness and their loved ones


DOI: 10.1007/s00134-023-07254-x

November 2023

Workforce & Health Systems

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