Nursing management (Harrow, London, England : 1994)
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Nurs Manag (Harrow) · Feb 2014
Embedding NHS values: a framework and learning tool to support practice.
Multiple healthcare failings point to an NHS culture where care and compassion are no longer guaranteed. The NHS Constitution and values set out in it should have supported and empowered healthcare professionals to improve their working culture, however these have not been widely adopted. This article describes a framework for all healthcare staff that hinges on principles of 'observing practice, praising good practice, challenging poor practice, and escalating if standards are compromised' (OPCE), and which encourages everyone to take responsibility for poor care.
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Person-centred, safe and effective care is at the heart of the fundamentals of caring. However, there are many challenges to achieving this reliably and consistently. This article describes one nursing team's experience of implementing 'care and comfort' rounds, which has led to proactive rather than reactive nursing care delivery. The number of patient falls and the use of call buzzers have reduced, patient experience has been enhanced, a more controlled environment is provided for patients, and staff satisfaction in care delivery has improved.