NIHR Highlights. My Signals-Nurses Collection

Description

The nursing workforce is experiencing a protracted transformation, with pre-registration education under review as new entry routes and associate roles are added. The much needed move to an entirely degree educated profession allowed junior nurses, with less senior support, to quickly become expert in assessing and managing the deteriorating patient. I feel that this Signal is important in highlighting the risk of delegating central nursing responsibilities to less experienced practitioners.

“I was also very interested to read the suggestion that simulation training could be utilised to help nurses and teams use these track and trigger systems as changes to nurse education could see an increase in the utilisation of sim training. Nurses often talk of a “feeling” that something is “not right” about a patient’s condition, it is highlighted in this study that the conflict between this and normal clinical observations delays referrals. This “feeling” is really a complex subconscious expert use of clinical judgement and I think it was important that the conflict between this and track and trigger systems be highlighted and that protocols could actually incorporate this to support nurses.”