Workforce & Health Systems
Cognitive impairment is associated with an increased risk of adverse outcomes in hospitalised older people with an unscheduled admission, by increasing hospital mortality, extending hospital stays and increasing frequency of readmissions.
Authors: Carole Fogg, Paul Meredith, David Culliford, Jackie Bridges, Peter Griffiths - August 2019
Older adults admitted to hospital are often cognitively impaired. It is not clear whether the presence of cognitive impairment conveys an additional risk for poor hospital outcomes in this patient population.
Patient involvement in pressure ulcer prevention and adherence to prevention strategies: An integrative review
There is limited research that focuses on the patient view of factors affecting adherence to prevention measures, particularly in community settings. Individual and daily lifestyle considerations and involvement in decision-making around pressure ulcer care are important aspects from the patient perspective. Further research is necessary to explore which factors affect patient adherence in order to improve clinical practice and support patient involvement in preventative strategies.
Jo Hope, Lisette Schoonhoven - October 23 2019
Older people's experiences in acute care settings: systematic review and synthesis of qualitative studies
Jackie Bridges, Joanna Hope - November 8 2019
Older people's care experiences in hospital may be negative in the absence of relational work by nurses to maintain people's identity, establish caring connections and ensure that individual patient needs, preferences and values are honoured in the care that is delivered. Relational care by nurses can mediate powerful institutional drivers that may otherwise result in negative experiences and poor care.
The influence of personal communities in understanding avoidable emergency department attendance: qualitative study
Gemma McKenna, Anne Rogers, Sandra Walker & Catherine Pope – September 2020
Use of emergency department (ED) care globally seems to be increasing at a faster rate than population growth. In the UK there has been a reported 16% rise in emergency admissions over the past 5 years. Estimates that between 11 and 40% of ED attendances are non-urgent, with 11% of patients being discharged from the ED without treatment (NHS Digital 2017), and a further 44% require no follow-up treatment …….
The association between ward staffing levels, mortality and hospital readmission in older hospitalised adults, according to presence of cognitive impairment: a retrospective cohort study
Carole Fogg, Jackie Bridges, Paul Meredith, Claire Spice, Linda Field, David Culliford, Peter Griffiths – September 2020
Lower nurse staffing levels are associated with increased hospital mortality. Older patients with cognitive impairments (CI) have higher mortality rates than similar patients without CI and may be additionally vulnerable to low staffing.
Supporting patient access to medicines in community palliative care: on-line survey of health professionals’ practice, perceived effectiveness and influencing factors
Sue Latter, Natasha Campling, Jacqueline Birtwistle, Alison Richardson, Michael I. Bennett, Sean Ewings, David Meads & Miriam Santer – September 2020
Patient access to medicines at home during the last year of life is critical for symptom control, but is thought to be problematic. Little is known about healthcare professionals’ practices in supporting timely medicines access and what influences their effectiveness. The purpose of the study was to evaluate health professionals’ medicines access practices, perceived effectiveness and influencing factors.
Guidance to support nurses’ psychological well-being during Covid-19 crisis.
Maben, J. Taylor, C. and Bridges, J. (April 2020)
This guidance is designed to be used by all nursing team members across health and social care settings and may need tailoring for different contexts.
How long do nursing staff take to measure and record patients’ vital signs observations in hospital? A time-and-motion study
Chiara Dall'ora, Peter Griffiths, Joanna Hope, Jim Briggs, Jeremy Jones, Stephen Gerry & Oliver C Redfern (June 2021)
Monitoring vital signs in hospital is an important part of safe patient care. However, there are no robust estimates of the workload it generates for nursing staff. This makes it difficult to plan adequate staffing to ensure current monitoring protocols can be delivered.
Ward staffing guided by a patient classification system: A multi-criteria analysis of “fit” in three acute hospitals
Christina Saville PhD, Peter Griffiths PhD, RN (Published 8 May 2021)
To assess how well the Safer Nursing Care Tool (SNCT) predicts staffing requirements on hospital wards, and to use professional judgement to generate hypotheses about factors associated with a “poor fit”.