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Chief nurses call for E4E framework support


Nurses and midwives across England are being urged to publicly support Energise for Excellence (E4E), an online framework that aims to ensure the delivery of high quality, safe and effective care.

The E4E initiative grew out of the “High Impact Actions” for nursing and midwifery programme, launched by the chief nursing officer in 2009.

The idea is that by placing various tools, techniques and nurses’ own examples of best practice in one web resource, nurses and midwives are empowered to make a difference, and take it upon themselves to recognise what needs improving.

Jane Cummings, chief nurse at NHS North of England and national responsible officer for E4E, and Ruth May, chief nurse at NHS Midlands and East, said E4E is a “call to action” to mobilise nurses and midwives to help improve the quality of care for every patient in every NHS organisation.

Speaking at an event today in Leeds, Ms Cummings said: “Poor care is devastating to patients and their families. It is also devastating to nurses who, in almost every case, are members of the profession because they want to give the very best care they can.

“By answering the call to action, nurses and midwives across the healthcare service are stepping up to the plate, demonstrating that they have both the skills and the determination to provide excellent care at all times, for every patient.”

Nurses and midwives are being asked to join the roll call of the nursing community that is already supporting E4E and the improvement initiatives that are available online. So far 3,144 have signed up to date but the target is for 200,000 nurses to show their commitment by signing up.


E4E is urging nurses to pledge to take five actions:

1.  Take a specific action to make a specific change within a specific timescale

For example, taking steps towards the goals of ‘Harm Free’ Care, a Productive programme or a High Impact Action.

2.  Use the most relevant tools

Rather than ‘reinventing the wheel’, use the E4E online resource to look and learn from what other nursing teams have done and adapt it for your own work environment.

3.  Measure it

Measure the improvement to show the difference you have made. Prove to patients, carers, the trust board, or other key stakeholders the difference clinical teams can and do make.

4.  Celebrate success

Show the difference that can be made when the clinical team is energised and mobilised for change. Celebrate those that took part in the change and praise their contribution.

5.  Tell your story to others

Promote your success far and wide and show others what can be achieved when nurses unite around a common cause, reinforcing the belief it is possible to deliver quality and eliminate harm whilst reducing costs.


Readers' comments (2)

  • We got an email about this E4E at work today (NHS Direct). The rosters have now changed and they are bringing nurses in for 0430 am starts, runs of up to 9 shifts in a row and lone working on night shifts. Earlies, lates and nights in the same week.

    How on earth is that going to improve patient care with isolation from peers, a destroyed circadian rhythm leading to fatigue and impaired decision-making?

    Energise for Excellence ......... you need ENERGY to do that! Any more mad ideas? Answers on a postcard please.

    Unsuitable or offensive? Report this comment

  • more helpful to mobilise the resources to get on with nursing patients than constantly creating new and mad ideas

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