"“That’s why we will step up our support for nurses and midwives,” said Nicola Sturgeon. Whilst not knocking this announcement itself, Nicola Sturgeon should remember from her time as Health Secretary that supporting nurses & midwives doesn't just mean money for training, it means addressing the bullying culture in NHS Scotland, working conditions - workloads, staffing levels, shift patterns and in general, and thus reducing the people lost to the profession post-qualifying.
I'm impressed you still get 3 days of face-to-face mandatory training - ours was diluted to online plus 1 x half day several years ago but...to the main point of documentation:
I couldn't agree more.
I was 'brought' up as a student both with the mantra that 'if it's not written down it's not been done' but also, that a properly written care plan should be able to be evaluated with 'care as plan' plus comments on any deviations from the plan, or issues that had arisen (e.g. pain issues, abnormal obs plus action taken etc). It took about 2 days on placement to discover that no, you have to re-document everything that's in the plan stating you did it or it will be assumed not to have happened (the joys of a litigious society).
Outcome - like you say, duplicating information e.g. obs; lots of time taken on paperwork reducing time on patient care; increasingly the culture of completing paperwork coming before any 'added extras' (or even some basics, like emotional support, mouth care (after all, you can't see if it's been done until something goes wrong - hmm)) is trained on down to the next generation of nurses.
I remember a fantastic mentor I had, incredibly patient-centred, in a hospice setting, who I later met when I was an ICU nurse sent with equipment/to help SpR transfer an incredibly sick post-natal lady. As I entered the room to long series of requests from a desperate looking SpR & gynae SHO, midwife (my old mentor) was sat with notes, said hello & she couldn't remember my surname, & then when I gave it scribbled in the notes. Later, once lady ventilated, on inotropes and filtered in ICU (later died), I found in notes '2.54am SN x entered room'. When did that become more important than a clinical emergency (& for a nurse who didn't come from that ethos at all)??
Paperwork also takes on more significance that the actual truth.
As a patient (8hrs after should have been discharged but awaiting something in notes that no-one could tell me) heard a conversation about 'have you been on intentional rounding training yet' at the desk followed by a piece of paper arriving in folder at the end of the bed documenting 'rounds' that had apparently been done for whole 12-hr shifts (including meals I wasn't given) - no point complaining then as I'd be fighting paperwork.
GP can produce documentary evidence that hospital notes are false, but they're still not changed as 'it's in the notes it must be true' (shame about the ongoing risk false information causes any time I'm admitted).
As a patient, I'd rather have quality care, and that quality care be so reliable that the statement 'care as plan' in notes can be taken as the truth, than pages of documentation but compromised care.
& as a nurse, I'd rather be providing that quality care than covering my back by writing it. (& exactly where would the NMC draw the line re: dishonesty when it becomes a patient's word against protective but falsified documentation??)
Looking for a 'like' button (both article, and Erica's reply)
Several of the nurses seem to have checked out their employability, but been either misinformed or the rule change not highlighted at jobs fairs.
Whilst yes, each regulatory body has the right to set their own rules to protect the public, Pamela Gridley's comment seems practical. After all, there will be UK-trained nurses already working in Australia who don't have a degree but aren't now being removed from the register. Here in the UK, diploma, or pre-diploma, trained nurses aren't thrown off the register when the NMC changes it's training rules so long as they've fulfilled PREP/practice requirements.
What is the solution for UK nurses travelling to Oz (or vice versa)? Kelly Vernon (in article) has topped up her diploma to a degree, but is still having problems getting registered, whereas a newly-qualified degree student would be? Defies logic.
Those both sound good appointments for keeping patients and their voices at the centre of decision making. Well done NHS GG&C.