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Behind the Rituals

Why do you do the things you do? How much of nursing practice is based on ritual and myth and how much on sound evidence? If you have a ritual you’d like to discuss here, email

All posts by Fran Entwistle

Will NICE’s new safe staffing guidelines be effective in improving patient safety?

Posted by Fran EntwistleMon, 21 Jul 2014

NICE sets out guidance on safe nurse staffing levels for hospitals

Should more patients with diabetes be offered weight loss surgery?

Posted by Fran EntwistleMon, 14 Jul 2014

This week we reported that more people with type 2 diabetes are likely to become eligible for weight-loss surgery.

How do you go the extra mile for your patients?

Posted by Fran EntwistleMon, 7 Jul 2014

Hospital staff efforts ensure bride’s special day goes ahead

Is there a need for a minimum nurse-to-patient ratio across all areas of healthcare?

Posted by Fran EntwistleMon, 19 May 2014

Last week, we hosted a twitter discussion on NICE’s ground-breaking new guidelines on safe staffing levels in the NHS. The draft recommendation states that if nurses are looking after more than ...

What effect will recruiting mental health nurses to police stations and courts have?

Posted by Fran EntwistleTue, 7 Jan 2014

The government has announced extra funding for mental health nurses to be based at police stations and courts across the country.

Will increasing the number of places on nursing courses solve the staffing crisis?

Posted by Fran EntwistleMon, 30 Dec 2013

This is part of the first ever national workforce plan for the NHS, which aims to recruit and retain more nurses to prevent staffing levels dropping dangerously low.

Should the Berwick report have suggested a minimum staff:patient ratio?

Posted by Fran EntwistleMon, 12 Aug 2013

Earlier this week, the Berwick report was unveiled amidst much speculation that it would recommend minimum staffing levels. However, the report did not give a specific number and instead recommended providers should “ensure they have sufficient staff to meet the NHS’s needs now and in the future”. The review also added support to Robert Francis’ recommendation that NICE develop evidence to enable minimum staffing tools to be devised.

Are low numbers of staff “early warning signs” of poor patient care?

Posted by Fran EntwistleMon, 5 Aug 2013

Sir Bruce Keogh’s review, published earlier this month, into the high mortality rates at 14 trusts found that all these trusts were understaffed.

Is physical restraint over-used?

Posted by Fran EntwistleMon, 24 Jun 2013

Nearly 40,000 incidents of physical restraint on mental health patients in England were recorded in one year - with more than 3,000 in the “dangerous” face-down position - according to figures released by Mind.

Does current nurse education reflect government aims to provide more care in the community?

Posted by Fran EntwistleMon, 10 Jun 2013

They have warned of “widespread and significant” concerns over the number of district nurses currently being educated, stating that there simply are not enough coming through to replace those who are retiring.

Should nurses be on hand to help police in dealing with mental health offenders?

Posted by Fran EntwistleMon, 20 May 2013

Article: Nurses to aid police with mental health offenders