Skip to main content

Prioritising people in nursing care.


There has been in recent years concern that care in the NHS has not been sufficiently 'patient centred', or responsive to the needs of the patient on a case basis. It has been felt in care that it as been the patient who has had to adapt to the regime of care, rather than the other way around. Putting patients at the centre of care means being responsive to their needs and supporting them through the process of health care delivery.  Patients should not become identikit sausages in a production line.

The nurses body, the Nursing and Midwifery Council has responded to this challenge with a revised code of practice reflection get changes in health and social care since the previous code was published in 2008.

The Code describes the professional standards of practice and behaviour for nurses and midwives. Four themes describe what nurses and midwives are expected to do:

prioritise people
practise effectively
preserve safety, and
promote professionalism and trust.

The revised Code  reflects the changes in health and social care since the previous code was issued in 2008 with new requirements on:

Fundamentals of care: This covers the essential aspects of caring for a patient, including making sure that a patient has adequate access to nutrition and hydration.

The duty of candour: Nurses and midwives should be open and honest with colleagues, patients and healthcare regulators when things go wrong.

Raising concerns: Nurses and midwives should raise concerns without delay if they are aware of a threat to patient safety or public protection.

Delegation and accountability: Nurses and midwives should make sure that they delegate tasks and duties appropriately and those they delegate to complete tasks to the required standard.

The professional duty to take action in an emergency: Nurses and midwives should take action in an emergency when off-duty, within the limits of their competence.

Social media use: Nurses and midwives should use social media responsibly, in line with our guidance.

The Code also makes clear that responsibility for those receiving care lies not only with the nurse or midwife providing hands-on care, but also with those nurses and midwives working in policy, education and management roles.

This new code is to be welcomed.

Comments

Popular posts from this blog

Ian Duncan-Smith says he wants to make those on benefits 'better people'!

By any account, the government's austerity strategy is utilitarian. It justifies its approach by the presumed potential ends. It's objective is to cut the deficit, but it has also adopted another objective which is specifically targeted. It seeks to drive people off benefits and 'back to work'.  The two together are toxic to the poorest in society. Those least able to cope are the most affected by the cuts in benefits and the loss of services. It is the coupling of these two strategic aims that make their policies ethically questionable. For, by combining the two, slashing the value of benefits to make budget savings while also changing the benefits system, the highest burden falls on a specific group, those dependent on benefits. For the greater good of the majority, a minority group, those on benefits, are being sacrificed; sacrificed on the altar of austerity. And they are being sacrificed in part so that others may be spared. Utilitarian ethics considers the ba

A time for every purpose

All life moves. Or, more precisely, all life moves purposefully.  This is true even for trees and plants.  Movement is essential for maintaining life.  Animals migrate; plants disperse.  Some form of migration is an ingredient of all life.  For many organisms, it is a key function of reproduction.  We don't reproduce merely to create a new organism, but also to disperse the population - finding new fertile ground, or resources. Reproduction is a form of migration. Reproduction isn't merely to replicate. Reproduction produces change and diversity.  While we may have strong resemblences in families, we also have differences.  Creating a difference is how evolution works.  In this sense, nature is a continuous exploratory process, finding what works best.  Nature senses change and responds.  Some of this is immediate and physiological or behavioural; some of it is over generations.  If we look at a forest over long periods of time, we would see that it shifts. There is a movement

A weaver's tail - the harvest mouse

Living in the grass is a tiny mouse: the tiny harvest mouse, with a wonderful scientific name that sounds like the title of a Charles Dickens Novel,  Micromys minutus.   It is the only British mammal with a prehensile tail. It uses its tail to hold on to the slender grass stems, at the tops of which it builds a nest. Photo: Nick Fewing These tiny mammals (just around 5 cm long) build a spherical nest of tightly woven grass at the top of tall grasses, in which the female will give birth to about six young.  In the fields, we see cows and horses brushing away flies with their tails; often they will stand side-by-side and end-to-end, and help each other.  Two tails are better than one!  In nature, tails are put to good use.  Just as a tight-rope walker uses his pole for balance, so for some species, a tail provides balance. When running, a squirrel uses its tail as a counterbalance to help the squirrel steer and turn quickly, and the tail is used aerodynamically in flight.  But many anima