I have 2 separate points to make, firstly like Kathy above I was working on the floor in a hospital in Riyadh as it began its magnet journey. Myself and many of my colleagues similarly believed that it was just a process we had to go through and it wouldn't change anything, but it did start to change things. Nurses became empowered to speak out and use the skills and knowledge they already posses and build on evidence based practice to improve the quality of care provided to patients and to improve the safety of patients. It does, however, need a cultural shift in the way the hospital/trust acts and thinks and requires everyone to embrace the change that is happening.
My second point is from a friend who recently had a baby who was in NICU in Oxford who was then transferred to a more local NICU when a bed became available. Her comments (without knowing anything about the magnet process) was that although the care received in both places was of a high standard, they were very close to requesting a transfer back to Oxford even though it would mean more travel because the attitude of all staff from cleaners to the consultants was completely different in Oxford where everybody seemed to be working together and listening to each other as equals. I think this speaks volumes as to why a Magnet Journey and the cultural shift in thinking so very important. Especially given the pressures facing the NHS when we need to work collaboratively more than ever.
To Mike Hostick:
Mike, I've briefly browsed 'Desuto'.
If you read this, I would be interested in swapping a few e-mails with you, if you are up for it - you'll find an e-mail address for me in my piece at:
I qualified in 2006, and during my training was administering IV fluids and medications and this was expected. All third years within the trust were also signed of on IV administration prior to qualifying! As a nurse since then both in the UK and overseas ( where there is no separate course for administering IV fluids/medications) on predominantly post surgical units I have noticed many nurses being unable to complete a fluid balance chart and also being unaware of the importance of this. But maybe this is also down to the fact that when these nurses were students they had poor clinical placements and uni education which didn't allow them to learn the essential skills of noticing dehydration/overload as well as electrolyte imbalance.
I think this is good idea, at my hospital in saudi arabia we do 360 apprasials and it works well, and in terms of the collegue feedback it was done anonymously and incorparated into the appraisal. I never knew who had completed an appraisal on me but i got a well rounded picture of the areas my colleagues belive me to excel in and the areas wherei could improve.
We are one of very countries who make people choose there branch of nursing before we even start training! We also have very little exposure to any other branch other than our chosen branch we leaves us inadequtley prepared when entering our nursing career, nurses on general wards look after mental health and learning disabilties patients without having had exposure let alone training in caring for these programmes, so i agree withhe above poster who said get rid of branches of nursing altogether especially in pre-reg training! Australia and the US have systems whereby on qualifying you enter a graduate programme aimed at steering you through your first year of nursing in whichever field you choose after having had exposure to different areas of nursing!