Evidence in the US suggests 60% of all new nurses quit their first job within the first year due to workplace behaviour issues
It is over three years since the publication of the Francis report, which highlighted a culture of workplace bullying and fear, and demonstrated the consequences to patients and staff. Yet workplace bullying remains a significant issue for the nursing profession worldwide, and not only involves managers bullying their staff but also nurses bullying each other. Evidence from the US suggests 60% of all new nurses quit their first job within the first year due to workplace behaviour issues and 48% of graduating nurses are concerned they will become the target of workplace bullying.
This reminded me of an excellent article in our archive that explores the research into bullying and its causes, as well as different types of bullying and its impact on victims. You will find the section on combating, preventing and dealing with the problem particularly useful.
It is important to understand why pain occurs
A few months ago I had the misfortune of falling off my bike, breaking a bone and having surgery. One of the most important elements of my recovery has been adequate pain relief and knowing how to manage my drug therapy. Pain is debilitating as it affects every aspect of life. It is important to understand why pain occurs, how it is perceived and why assessment and regular reassessment is so important. If you would like to learn more about acute pain, read our series which starts with an overview of how the body detects painful stimuli.
I was talking to a friend a few weeks ago who has developed a venous leg ulcer. Her nurse has given her lots of information about how ulcers heal but my friend’s main concern is that it smells and she is anxious about going out and meeting people. Leg ulcers are increasingly common and can heal with appropriate treatment but this depends on accurate assessment and diagnosis.
In an article in Nursing Times Irene Anderson, an expert on leg ulcers, compares the assessment process to “doing a multidimensional jigsaw puzzle, in which all the pieces need to fit together to make a whole picture that has depth and meaning”. In her article Irene describes the key points of assessment including the complex social and psychological impact these ulcers have on patients. This and the other articles highlighted are well worth a read.