TETRA
CPD practice profile Nursing and therapy staff share office space, which enhances team work, communication, interdisciplinary support and insight into the different roles. Staff retention is high, and because there are so few new staff members, staff are immersed in the ward culture.
Leadership
Patient safety A CPD article enhanced Lorna Young’s understanding of the role organisational culture plays in ensuring patient safety Recently my colleagues and I developed our understanding of the 6Cs of nursing – care, compassion, competence, communication, courage and commitment. As a result, I became interested in the wider organisational effect on care, both at ward and trust level. I read the CPD article to enhance my understanding of organisational culture. The article’s time out activities prompted me to explore my views of this culture. After reading the CPD, I have a better understanding of the management terms and the structures that make the ward where I work effective. Admissions come from an acute city hospital. The ward’s rehabilitation environment is geared to operate at a slow pace. It is patient-centred, and patient admission feedback reflects this. The trust’s management staff are based at a different site, so communication is conducted through site managers, meetings and emails. The trust also provides weekly newsletters and monthly updates.
Visiting students often comment on the contributions made by all members of our multidisciplinary team, including nurses, medical staff, pharmacists and various therapists. The ward has clear signage and information leaflets to improve communication, and the buildings have been adapted to meet patients’ needs, in consultation with staff. Ward rounds and meetings are organised on set days and times; handovers are computer-generated, allowing staff to access the same information; and there is a single folder relating to each patient that all members of the team use to update the patient’s care.
This practice profile is based on NS699 Kaufman G, McCaughan D (2013) The effect of organisational culture on patient safety. Nursing Standard. 27, 43, 50-56.
The CPD article stated that effective leadership is essential to maintain patient safety. Commitment to employees, and by extension to patients, is demonstrated in annual personal development meetings, mandatory training in essential skills, and reviews and updates of policies and procedures. The trust has always emphasised the importance of patient care and safety, and there is now acceptance that organisational culture can affect standards of care. All employees should be competent to perform their roles, from trust managers being able to manage budgets and other resources, to nurses being competent to take bloods and carry out patient assessments for example. Every nurse needs to be mindful of his or her personal contribution to the quality of care given, and this should be extended to every NHS employee to promote patient safety at every opportunity NS Lorna Young is a staff nurse at Colman Hospital, Norwich
Write your own practice profile You can gain a certificate of learning by reading a Nursing Standard CPD article and writing a practice profile. Turn to page 45 for this week’s article and on page 55 you can find out how to present and submit your practice profile.
Visit the RCN Learning Zone The RCN Learning Zone is a FREE online service to help RCN members with their continuing professional development and professional portfolio management. The RCN Learning Zone can be found at www.rcn.org.uk/members/learningzone.php
54 february 19 :: vol 28 no 25 :: 2014
NURSING STANDARD
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