Re. roger kline | 17-Jul-2014 5:21 pm
I agree. There are a number of senior nurses in trusts and care homes who area key part of the problem & certainly unfit to be part of any solution. The failure to hold them to account seems to stem from a recognition that senior nurses control little power to change, but even if they can't change what's happening, they have a clear moral duty to speak out for patient safety. The silence is deafening...
The current NMC has far too many non-registrants and it shows in the quality of their policy and professional guidance. A few lay Council advisors on legal, ethical & inter professional matters should surely suffice, plus a small but experienced administrative support team.
Part of this problem stems from the failure to develop a senior clinical career structure and recognition of clinical excellence. We have nothing like the medical royal colleges, with their systems of membership and fellowship on merit. So we end up with senior academics who rarely practice and managers who don't (or are reluctant to) appreciate the workplace problems.
Elections tend to produce self publicists and political operators. Appointments are difficult because of the lack of senior clinical recognition.
The NMC doesn't yet seem to be going in any direction that might be helpful.
It's high time corporate chums of this administration felt some real heat for their shameless plugging of junk food and fizzy pops to kids.
These 'captains of industry' wouldn't be proud of marketing drugs or child porn, so why are they so proud to be known as companies who damage the health of so many people? Their logos are everywhere and so are their expensive ads.
They're marketing ill health, unhappiness and early death to our kids and making huge profits. And the government just blames the victims who consume it because there's so little else and the rubbish is everywhere in schools, high streets and sports centres.
Try starting by restoring the full role of the Nursing Division in DH.
Nurses need to be part of each stage of policy development and implementation for it to be robust. It's only an arrogant government who would dare proceed without this essential advice and support as part of their change process. Mind you, some of the policies recently need an incinerator rather than an advisor...
The NMC terrifies me. They seem to be dysfunctional in areas where there's real risk to the public.
I know I have to pay up to stay registered, but I do wish I could respect the NMC and I had also hoped that they might restore the HV register as an important meaningful profession, rather than muddle along with the hopeless SCPHN add-on.
Health visiting and district nursing practice are very different from acute hospital nursing, as much so as mental health and learning disabilities. We need our own register to ensure the public is protected from poorly prepared practitioners and fakes.
Comment on: Why I'm giving up mentorship: an update
I have observed that there's still a bit of a theory/practice gap in mentor style workplace teaching.
With the student nurses, one can assume a level of background knowledge and that they understand some of the relevant pathological effects on a patient's physiology. They'll also understand infection and transmission of infection between people.
Where this knowledge base is missing, it's really hard to ensure that correct techniques as taught are maintained because the reasons for doing things in a particular way aren't truly understood. There isn't time to teach it to a colleague who may be a learner, but not in a formal nursing programme. This happens when you're demonstrating a clinical task you want to delegate to an HCA.
I have seen HCA colleagues carefully taught correct techniques, but their performance 'fades' over time in the absence of the understanding we take for granted.
Examples - the HCA who wiped a patient's perineum from back to front, when helping with toileting. Another used the same swab for both eyes when giving eye care to an unconscious patient.
Everyone had done their best in such cases, but the quality of the performance didn't really 'stick'.