As a mental health practitioner. I have come to realise that mental health issues is far wider than mental illness. So much work still needs to be done at community level to protect and safeguard the mental wellbeing of each of us. There is a need for more community activities for babies, toddlers, teenagers, adults and elderly. I would like to see more accessable sport clubs, tennis courts, basket ballcourts, dance clubs, competitons in local communities so that people will get to know their neighbours and develop informal support network. As much as I agree that the economy has a great impact on our mental health. I have to stress a focus on family values, integrated communities and social inclusion in the short term may have more positive outcome than grasping at unrealistic plitical goals.
I think the whole system needs to be revisited. One of the UK's main problem with standards is nurse training. I am always suprised at the quality of nursing students I get on placement; especially those in the 3rd year. As a mentor you can only do so much and getting support from link lecturers is sometimes futile. Another problem is that each university have different books and competencies, which is not helpful when setting standards across the healthcare service. I think the NMC should introduce and independent registration exam focusing on a combination of theory and practice in giving holistic care. So that even if a nurse manages to complete the university requirement for the course, before becoming registered they must successfully complete the NMC exam. I think this will help nursing to be taken seriously and in the long term improved patient care. Secondly for nurses already registered, then Managers should be given the responsibilty and accountabilty for signing off their nurse as competent. This should have a positive effect on staff access to training and supervision . The appraisal process will be more meaningful. Not just another paper excercise.
I do long days because of chidcare issues mainly. Although there have been some valid points against this shift. I think people have to look at the wider picture and also treat everyone as individuals. When I did official short shifts(E, L and N) as a deputy manager on an acute unit; I found myself working longer hours unofficially to ensure that my patients needs were met and the ward was safe; because most times there were so little permanent staff around. The handing over unfinished jobs to agency nurses, was proving to be dangerous and the continued care was hit and miss. Since; formally doing long days I have found that I am less stressed or exhauted. I have more time to give clients individualised care with out having to rush against the clock. I am more structured and focus. Most of all I look forward to my days off and is now able to use them constructively to get maximum relaxation. My sickness rate is minimal and I able to to use my annual leave more smaller clusters, rather in big bulks once or twice a year. This means that I get more rest spread evenly across the year. So, I don't get burnt out. This also have a positive outcome for the service and patient care. The one thing I think should be caution in repect to getting burnt out is not doing more than two long days together, else it could wear you out. I am grateful after working 16yrs in nursing, that nurses do have this flexibilty to balance their worklife; else the real stress comes when you have to choose between your career and your personal situation. The reality of nursing is that we are only human. We tend to be flexible with everyone else; but often neglect to give that same care and flexiibilty to ourselves. I call it 'Nightingale syndrome.'
I am inclined to think like the person who commented on the 15th June 2009. Maybe she was set up. However, I would like to think that the stock code would have been match with those on the ward. Hence leaving the question as to how this relative obtianed it. So my conclusion is that she probably made a risky decision to help a relative who then use it against her for some unknown reason. Maybe the NMC 's decision would have been more favaourable if she had admitted her involvement.