Inadequate staffing levels, lack of effective leadership and a lack of skills have been blamed for the “unacceptable” level of care at Mid Staffordshire hospital.
Nurses for the elderly “deserve” specialist registered status, the report from Robert Francis QC said.
George Coxon. Mental Health Nursing Association (MHNA) chair agreed, adding that the “advanced skills and knowledge” would be “essential”.
The Nursing in Practice board member said: "There is little doubt that there is a need for advanced knowledge of how to care for older people, and that this is crucial to ensure quality care.
“It is really important that we quickly make frailty into something we need to tackle,” he said, adding that “too many older people” die in hospital.
Francis’ 1,781 page report also said nursing students should have a “minimum period of work experience” to ensure they are “committed”.
A spokesman from the Queen’s Nursing Institute (QNI), said: “Work experience is a vital part of nurse education.
“It’s only through working with patients that someone can really demonstrate they have all the qualities to be an excellent nurse."
One of the 290 recommendations in Francis’ report was that healthcare assistants should be subject to Nursing and Midwifery Council (NMC) regulation.
It said: “Our conclusion is that the balance of evidence is strongly in favour is at least a compulsory registration scheme, and the imposition of common standards of training and a code of conduct.”
Professional development for nurses should also be reinforced by a system of “revalidation”, the report said.
The nursing regulator has announced it is “committed to implementing” the recommendations.
However, the NMC spokesman said: "This is a major undertaking and we have a substantial programme of work to complete before we will be in a position to launch revalidation.”
The NMC have said they will not have a revalidation system in place before the end of 2015.
I have never known the nursing profession to be in such dire straits as it is now and I do believe the incident will occur again, there are whistle blowing policys in place all over the united kingdom in all the trusts, but you put a concern forward and you are still labeled as a trouble maker, you have no chance of promotion and are often as in our setting the community, moved from your team or base, and I have witnessed this first hand.
We are spoken to appalling by managers who see nothing but thier targets.
And this is I believe across all sectors of the NHS, nurse are feeling over worked dying in a sea of paperwork and audits, stressed as the go from one task to another, missing breaks, having bladders that reach up to their necks, missing family due to either working over their time or taking work home.
Something will give and it will be the profession and the fantastic care that we provide. The managers and parliament should listen to a work force that has bee demoralised & understaffed, and for a while now underpaid!
It is appalling with the staffing levels but what I know is that it is not the degree, masters or Ph D in nursing that matters, what matters is them recommending to reduce the unnecessary paperwork overwhelming the staff and taking the nurse out from the patients bedside as well as reducing bureaucracy - so many unnecessary procedures/protocols/policies which needs to satisfy auditors, CQC, and the bosses but not in the interest of elderly care.
I left the ward and will never go back there as a nurse simply because of bureaucracy and paperwork. I wanted to do nursing, the nursing I know is the old nursing where everything was centered on the patient's care, comfort and improvement not anyone else as it is happening.
In the 70s I did my Enrolled Nurse Training, then the NMC said we do not require EN's but RNs so conversion started. Then HA's where introduced , Now you want them to register so they will be like the old EN's . What are the top people doing??
We had very good EN's doing care not paper work.
Lets get back to Basic, Matron in Hospitals,Nursing schools back in hospitals so the trainee's can go onto wards as Extras Not staff.
To stop infections on wards ect limited visiting times and staff laundrys no going home in uniforms
As an retired RGN of 35 yrs experience I can see what needs to be looked at why cannot the Higher archy and NMC??? very puzzled retired Nurse.
It strikes me from reading the press about Stafford, it was the families standing up for the patients that brought this case to light. As a nurse of long standing, I would not allow a family member of mine to be left to the ministrations of the NHS now. More frequent visiting would 'open the box of worms' and let us all see in!
I was under the impression that once you obtained the ENB 941 Nursing Elderly People, that you was look upon as a specialist nurse in care of the elderly.
Prehaps the training of the 70's and 80's where basic nursing care was paramount should be reintroduced, you could not proceed with your training if you failed your A B C D , aseptic technique, drugs, total patient care or running the ward.
More time should be spent on the wards learning how to care for patients and not in a university lecture theatre.
Yes I am a nurse of the 80's and may seem old fashioned but I know how to feed a patient, how to bed bath them and when someone needs time to talk and feel cared for.
This is missing in the training, everyone wants to be a specialist and not a good nurse.
I do so agree, I am so pleased that I did my nurse training starting in 1979 where we worked on the wards getting the practical aspects of the job correct. It soon made people decide whether they were in the correct vocation or not. The training now means, in some cases, that newly qualified nurses, have had very little hands on experience. I have even known nurses who have never given an IM injection or witnessed a cardiac arrest! The profession needs to get back to basics - putting the patient as the centre of care, it saddens me to see the bad publicity that nurses now get.
I partly agree with the comment above, however as a second year student nurse I also feel that if mentors in practice had more time to spend with the student and teach them these skills this would maybe begin to happen, yet because of depleting numbers of nurses on wards students often find themselves included in numbers rather than the super numeracy status that they should be.
I would also like to add that I believe that a pass mark of 40% in any exam/assignment clearly indicates a problem, a student nurse can technically get more wrong than right to become a nurse!! What does this say about the future of nursing?
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