- Email: [email protected]
Changing the Way we Operate: The 2001 Report of the National Confidential Enquiry into Perioperative Deaths (NCEPOD, December 2001)
114 Journal of Orthopaedic Nursing
reproduced in the report. The UKCC is now working with the shadow Nursing and Midwifery Council (NMC) to develop its thinking on the future regulation of post-registration practice, given the outcomes of the pilot and wider changes in health care and regulation across the UK. It will be for the NMC to determine, in consultation with key stakeholders, further developments on regulating a higher level of practice. The full report is available only on the UKCC's website at www.ukcc.org.uk.Itis not available in a printed format. The executive summary is also available on the website and can be obtained by email from [email protected] or from the Distribution Department, UKCC, 23 Portland Place, London, WIN 4JT.
CHANGING THE WAY WE OPERATE: THE 200 I REPORT OF THE NATIONAL CONFIDENTIAL ENQUIRY INTO PERI OPERATIVE DEATHS (NCEPOD, DECEMBER 2001) This report provides a stark comparison of the changing medical scene over the past decade. It demonstrates that patients undergoing emergency surgery are both older and sicker than they were 10 years ago. In tum, this has a profound impact on the service provision necessary to deal with these clinical problems. One of the principal recommendations concerns the gap in the levels of nursing and medical expertise between ITUIHDU services and ward based care. In particular, there is a need to increase the skills of nurses and doctors on the wards in central venous pressure (CVP) management and interpretation. The report calls for more ward equipment with transducer pressure monitoring facilities to allow accurate and continuous CVP monitoring. More national and local programmes are required to provide education in the appropriate skills for nurses to apply these techniques in ward areas. The report can be downloaded from the NCEPOD website on www.ncepod.org.uk or can be purchased for £20 from NCEPOD, 35-43 Lincoln's Inn Fields, London, WC2A 3PE Above reports by: Deborah Wheeler Editorial Board
REPORT ON CANADA'S HEALTH CARE PROVIDERS (HCT REPORT 2001) The documents 'Who's who in healthcare' (chapter 1) and 'The health of healthcare providers'
(chapter 6) also recognise the non-professional, non-regulated informal caregiver. These healthcare providers are family members, friends and community volunteers providing care to the sick, disabled in a home or community setting. There is a fundamental need for healthcare professionals to recognise their contributions as caregivers. The two reports confirm previous research on nurses' physical burden and emotional stress in healthcare. A main theme of policy-oriented research on professional nursing is shown to be 'burnout'. The predictors and prevention of burnout have been studied at length and yet what are the health organisations doing about creating a safe and healthy workplace. What are health organisations doing to promote wellness? The report demonstrates that nurses feel socially isolated at work, feeling that there is no response to their concerns. Nurses and caregivers appear to cope with stress provided they experience more job satisfaction than stress, further research on the sources of caregiver wellness seems appropriate. This may possibly address the issue of absenteeism due to illness, stress and burnout in the nursing profession. The reports are available for review on: http://www.cihi.caIHCTReport2001/toc.shtml Linda McPolin Clinical Facilitator, Toronto East General & Orthopaedic Hospital
WORKING TOGETHER - LEARNING TOGETHER: A FRAMEWORK FOR LIFELONG LEARNING FOR THE NHS (DEPARTMENT OF HEALTH, NOVEMBER 200 I) A previous Policy Review (August 2001) outlined the UKCC's commitment in supporting lifelong learning for nurses, midwives and health visitors through the legitimisation of Continuing Professional Development (CPD) activities in practice of preceptorship and clinical supervision. This latest offering from the Department of Health now promotes a more strategic framework for the lifelong learning of all NHS staff and the development of a more systematic approach to professional development and learning of both an informal as well as formal nature. The promotion of the practitioner (of whatever discipline in the NHS) as continual learner in practice is an extremely worthwhile cause but a challenging prospect to implement, as the learning continuum begins on induction to post through to continuing personal and professional development embracing leadership and management development. The need for lifelong learning in the NHS
reproduced in the report. The UKCC is now working with the shadow Nursing and Midwifery Council (NMC) to develop its thinking on the future regulation of post-registration practice, given the outcomes of the pilot and wider changes in health care and regulation across the UK. It will be for the NMC to determine, in consultation with key stakeholders, further developments on regulating a higher level of practice. The full report is available only on the UKCC's website at www.ukcc.org.uk.Itis not available in a printed format. The executive summary is also available on the website and can be obtained by email from [email protected] or from the Distribution Department, UKCC, 23 Portland Place, London, WIN 4JT.
CHANGING THE WAY WE OPERATE: THE 200 I REPORT OF THE NATIONAL CONFIDENTIAL ENQUIRY INTO PERI OPERATIVE DEATHS (NCEPOD, DECEMBER 2001) This report provides a stark comparison of the changing medical scene over the past decade. It demonstrates that patients undergoing emergency surgery are both older and sicker than they were 10 years ago. In tum, this has a profound impact on the service provision necessary to deal with these clinical problems. One of the principal recommendations concerns the gap in the levels of nursing and medical expertise between ITUIHDU services and ward based care. In particular, there is a need to increase the skills of nurses and doctors on the wards in central venous pressure (CVP) management and interpretation. The report calls for more ward equipment with transducer pressure monitoring facilities to allow accurate and continuous CVP monitoring. More national and local programmes are required to provide education in the appropriate skills for nurses to apply these techniques in ward areas. The report can be downloaded from the NCEPOD website on www.ncepod.org.uk or can be purchased for £20 from NCEPOD, 35-43 Lincoln's Inn Fields, London, WC2A 3PE Above reports by: Deborah Wheeler Editorial Board
REPORT ON CANADA'S HEALTH CARE PROVIDERS (HCT REPORT 2001) The documents 'Who's who in healthcare' (chapter 1) and 'The health of healthcare providers'
(chapter 6) also recognise the non-professional, non-regulated informal caregiver. These healthcare providers are family members, friends and community volunteers providing care to the sick, disabled in a home or community setting. There is a fundamental need for healthcare professionals to recognise their contributions as caregivers. The two reports confirm previous research on nurses' physical burden and emotional stress in healthcare. A main theme of policy-oriented research on professional nursing is shown to be 'burnout'. The predictors and prevention of burnout have been studied at length and yet what are the health organisations doing about creating a safe and healthy workplace. What are health organisations doing to promote wellness? The report demonstrates that nurses feel socially isolated at work, feeling that there is no response to their concerns. Nurses and caregivers appear to cope with stress provided they experience more job satisfaction than stress, further research on the sources of caregiver wellness seems appropriate. This may possibly address the issue of absenteeism due to illness, stress and burnout in the nursing profession. The reports are available for review on: http://www.cihi.caIHCTReport2001/toc.shtml Linda McPolin Clinical Facilitator, Toronto East General & Orthopaedic Hospital
WORKING TOGETHER - LEARNING TOGETHER: A FRAMEWORK FOR LIFELONG LEARNING FOR THE NHS (DEPARTMENT OF HEALTH, NOVEMBER 200 I) A previous Policy Review (August 2001) outlined the UKCC's commitment in supporting lifelong learning for nurses, midwives and health visitors through the legitimisation of Continuing Professional Development (CPD) activities in practice of preceptorship and clinical supervision. This latest offering from the Department of Health now promotes a more strategic framework for the lifelong learning of all NHS staff and the development of a more systematic approach to professional development and learning of both an informal as well as formal nature. The promotion of the practitioner (of whatever discipline in the NHS) as continual learner in practice is an extremely worthwhile cause but a challenging prospect to implement, as the learning continuum begins on induction to post through to continuing personal and professional development embracing leadership and management development. The need for lifelong learning in the NHS