#WeNurses - Thursday 23rd November 2017 8pm (GMT Standard Time) Nursing against the odds: Safe & effective staffing

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Hosted by WeNurses using #WeNurses

This chat is guest hosted by @BennyGoodmanUoP

A few weeks ago Benny Goodman wrote the blog below (you can view Bennys blog HERE) The blog poses many questions and raises some important issues about safe staffing and Benny has kindly agreed to guest host #WeNurses to explore this more.  In the meantime we have reposted the blog (below) as essential background reading for this discussion: 


The Royal College of Nursing has just published a report  this September (Borneo, Helm and Russell 2017) on staffing. This followed from a previous report in May 2017: ‘Effective staffing –  the real picture

The RCN also provided evidence in Scotland in July 2017.  Half of the survey  said patient care was compromised by insufficient staffing on their most recent shift. These claims emerged in a submission to Holyrood’s health committee on the 2018/19 draft budget.

In September 2016, NHSI published a report  stating that demand for nurses was outstripping supply while providers responded by hiring more agency nurses.

Roy Lilley commented upon the RCN 2017 report and his conclusion is devasting:

This report says to me the profession of nursing is over.  The damage is done.  Read this and no-one will want to be a nurse. The future?  De-skilled.  Care provided by health-care assistants, apprentices, technology and a handful of real nurses trying to hold the ring. My conclusion; don’t go into hospital if you can possibly avoid it.  Don’t have an episode of mental illness and on no account put yer-granny in a care home.  Nothing and no-one is safe.  Even more important; don’t let your kids or your partner consider a career in nursing; it’s an exhausting, exploited profession… going nowhere.  Expect tears, more tears, stress, pressure and life to be easier working in a salt-mine”.
(Full balanced commentary here.)

Given that commentary, I thought I’d take a look myself. Is it a bed of nettles or roses for nurses?

In the forward, Janet Davies (RCN CE and Gen Sec) stated:

  1. Over 50% of the nurses said their last shift was not staffed to the level planned and that care was compromised.
  2. 33% stated that care had to be left undone.
  3. 66% are working overtime each shift with no pay.
  4. Tea breaks are missed.
  5. Some patients are without dignity and some dying alone.
  6. Reports of burn out and sickness.
  7. Many question their future.
  8. Many had raised concerns only to feel ignored.
  9. For the first time more are leaving the register than joining
  10. EEA nationals are leaving.
  11. 1 in 3 are due to retire in 10 years.
  12. International recruitment is plateauing.
  13. In 2009 the proportion of RNs in Adult wards was 62%, it is now down to 58%.
  14. 20% of RNs were temporary staff.
  15. Unpaid time worked by nurses equates to £396 million annually.
  16. Safe and effective staffing is the exception not the rule.

This current report was based on a survey based on 30,000 responses. The RCN asked people about their last shift or day worked in health or social care. The majority of shifts, 97%, captured in the survey were in May 2017, after any winter pressures.

Lets be critical of this later report, because Tory ministers will be. It was a self reported survey and so open to respondent bias. It could be the case that only the disillusioned answered the survey and so skewing the result. The responses are subjective and not verifiable with objective data. It reported only on the last shift they worked in May and so could be open to bias, that shift may not have been representative. The report’s publisher, the RCN, has a vested interest and is not possibly a disinterested party.

While some of these points have merit, the results however indicate that there is some validity to the responses because they fit with other data such as that of the NHSI 2016 report. The King’s Fund (2017) states:

“New data highlighting an increase in the number of vacant NHS posts in the first quarter of 2017 underlines the pressure on the NHS workforce as a result of growing workloads and staff shortages. This is affecting staff morale – one of the top two concerns reported by NHS finance directors in each of our last four quarterly monitoring reports“.

The Safe Staffing Alliance  argues that:

Evidence shows that 45 per cent of wards in England are operating at unsafe levels. When you add the 27 per cent drop in district nurse numbers over the past four years, and the fact that 25 per cent of nursing directors are only in post for one year, it is little wonder the health service is in meltdown“.

Just two of the many quotes from the survey:

I feel that I am totally burnt out. Don’t think I can continue to work at this pace. I have resorted to anti depressant medication. I am seriously thinking of retiring next year as I will be 60 after 44 years in the NHS

“I feel exhausted, demoralised and do not want to go back for another shift”

Care is political. Responsibility rests with Jeremy Hunt who has presided over this for years. Pointing a gun in his back is Osborne’s Austerity. This is a direct result of the strategic decisions taken at the highest levels of government. Ministers blather about ‘more nurses’ and try to kid us that ‘more’ is the same as ‘enough’.

At heart is an ideology that undervalues nursing, that seems to think they are too expensive and not necessary (educated uppity nurses), and that actually individuals, families and care assistants could be better placed to do the job.

I cannot see the current Tory government budging one inch on this. They are fixated with Brexit and the deficit. I shudder to think of it, but perhaps when middle england wakes up and via the Daily Mail start to rant, perhaps and only perhaps something might be done.

 

References 

Borneo, A., Helm, C., and Russell, J. (2017) Safe and Effective Staffing: Nursing Against the Odds. London. RCN.







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 #WeNurses transcript

 
@WeNurses
23 November 2017 20:00
Good evening everyone- welcome to tonight’s #WeNurses https://t.co/Xh66EDgLPF
@WeNurses
23 November 2017 20:00
Tonights #WeNurses is around safe staffing and will be led by @BennyGoodmanUoP .... so over to you Benny :)
@AgencyNurse
23 November 2017 20:00
Hello Teresa here - really interested to hear peoples views on this topic #WeNurses
@AgencyNurse
23 November 2017 20:01
RT @WeNurses: Good evening everyone- welcome to tonight’s #WeNurses https://t.co/Xh66EDgLPF
@BennyGoodmanUoP
23 November 2017 20:01
#wenurses good evening everyone... i hope you have had a chance t read the blog entry, there are one or two quotes which i found disturbing
@carolgair
23 November 2017 20:01
@WeNurses Hi, Carol here. Mainly lurking as not ward based. #wenurses
@maxwele2
23 November 2017 20:02
@AgencyNurse what's the question? #WeNurses
@BennyGoodmanUoP
23 November 2017 20:02
#wenurses i just posted something....
@WeNurses
23 November 2017 20:02
If you havent had chance catch up here > https://t.co/YfgZWvTINn #WeNurses https://t.co/0HJwIgMDPq
@Sectioned_
23 November 2017 20:03
@WeNurses @BennyGoodmanUoP Will your #safestaffing discussion cover staffing levels in #mentalhealth care that are *mentally* safe, not just physically safe? #wenurses
@BennyGoodmanUoP
23 November 2017 20:03
#wenurses i found Roy Lilleys's commentary very disturbing, he said 'nursing is over' and was very black about prospects in the near future. what do you feel?
@PaulaHopes1
23 November 2017 20:03
RT @WeNurses: Tonights #WeNurses is around safe staffing and will be led by @BennyGoodmanUoP .... so over to you Benny :)
@jomwlever
23 November 2017 20:04
It's on now! #WeNurses https://t.co/6u44cXelgE
@WeNurses
23 November 2017 20:04
A really good point to consider #WeNurses https://t.co/JqEu3x76On
@WeNurses
23 November 2017 20:04
Question 1 is right here #WeNurses https://t.co/3Zzbdk1mPl
@BennyGoodmanUoP
23 November 2017 20:04
@maxwele2 @AgencyNurse I've just asked whether you think Roy Lilley is being too black in his quote #wenurses
@jomwlever
23 November 2017 20:05
@WeNurses Hi all, Jo here tweeting from Greater Manchester #WeNurses ??
@AgencyNurse
23 November 2017 20:05
I feel times are changing ... for better or worse i am not sure #WeNurses https://t.co/45eOIa6AH8
@BennyGoodmanUoP
23 November 2017 20:05
@WeNurses yes...that is definitely implied...this is about safety physically and emotionally #wenurses
@edfreshwater
23 November 2017 20:06
#WeNurses https://t.co/wEgtZoOSKE
@AgencyNurse
23 November 2017 20:06
Here is the @RoyLilley quote from the blog post: #WeNurses https://t.co/dgZqLdMXTh
@carolgair
23 November 2017 20:06
@BennyGoodmanUoP @maxwele2 @AgencyNurse It’s a tricky one. Nursing will not be over. Just perhaps will not move forward. Seems resistance to graduate workforce not seen elsewhere? #wenurses
@BennyGoodmanUoP
23 November 2017 20:06
remember to us #wenurses or else i don't se replies.
@WeNurses
23 November 2017 20:07
RT @edfreshwater: #WeNurses https://t.co/wEgtZoOSKE
@AgencyNurse
23 November 2017 20:07
RT @BennyGoodmanUoP: @WeNurses yes...that is definitely implied...this is about safety physically and emotionally #wenurses
@WeNurses
23 November 2017 20:07
RT @BennyGoodmanUoP: @WeNurses yes...that is definitely implied...this is about safety physically and emotionally #wenurses
@averyvazon
23 November 2017 20:07
@WeNurses @BennyGoodmanUoP @BennyGoodmanUoP @WeNurses should safe staffing levels include both registered:patient ratio and support staff:registered nursing ratio #WeNurses
@BennyGoodmanUoP
23 November 2017 20:07
yes..safe implies the base standard from which we build therapeutic #wenurses https://t.co/3zjqSz1XqA
@GMNurses
23 November 2017 20:07
RT @WeNurses: Question 1 is right here #WeNurses https://t.co/3Zzbdk1mPl
@WeNurses
23 November 2017 20:07
an interesting question ? #WeNurses https://t.co/ta149VDHpo
@DeeDavies12
23 November 2017 20:08
@WeNurses #wenurses We really need to focus upon right person with the right skills - just one example reduce nurses undertaking administration tasks
@jo_swidenbank
23 November 2017 20:08
@WeNurses I feel like we’ve reached the tipping point. It could go either way. #wenurses
@carolgair
23 November 2017 20:08
@averyvazon @WeNurses @BennyGoodmanUoP Perhaps. But doesn’t include housekeepers too at moment? #wenurses
@AgencyNurse
23 November 2017 20:08
I get this ... same but different maybe ? #WeNurses https://t.co/Ylft1C3IgV
@AgencyNurse
23 November 2017 20:09
RT @jo_swidenbank: @WeNurses I feel like we’ve reached the tipping point. It could go either way. #wenurses
@WeNurses
23 November 2017 20:09
RT @jo_swidenbank: @WeNurses I feel like we’ve reached the tipping point. It could go either way. #wenurses
@carolgair
23 November 2017 20:09
@averyvazon @WeNurses @BennyGoodmanUoP Sorry, doesn’t it... #wenurses
@AgencyNurse
23 November 2017 20:09
@jo_swidenbank @WeNurses what will stop us from tipping the wrong way ? #WeNurses
@treaclejo
23 November 2017 20:09
#WeNurses I think there will be an increase in unregulated nurse associates and HCAs as it's a cheaper option.
@BennyGoodmanUoP
23 November 2017 20:09
yes i think that should be the case but Aiken et al's research focuses on what Rns provide. The move seems to be to replace RNs with support staff. is that what we are happy with for patient outcomes? #wenurses https://t.co/zigRVX3Nl3
@maxwele2
23 November 2017 20:09
@carolgair @BennyGoodmanUoP @AgencyNurse Nursing will become a service industry rather than a profession if current direction continues #WeNurses
@catwoman1979
23 November 2017 20:10
RT @BennyGoodmanUoP: #WeNurses Hospital nurse staffing ratios mandated in California are associated with lower mortality and nurse outcomes…
@AgencyNurse
23 November 2017 20:10
Perhaps about working smarter ... however there is only so "smart" we can work if not enough nurses #Wenurses https://t.co/i7FDwq3xzj
@WeNurses
23 November 2017 20:10
What are peoples thoughts ? #WeNurses https://t.co/YFdvkofccm
@carolgair
23 November 2017 20:10
@AgencyNurse @jo_swidenbank @WeNurses We will. If we can gather the momentum. Or another mid-staffs will #wenurses
@maxwele2
23 November 2017 20:10
@WeNurses Depends if you want to use evidence or not #WeNurses
@edfreshwater
23 November 2017 20:10
@BennyGoodmanUoP I am concerned that "safe" becomes "contained", particularly in MH settings. To do so will disempower the nurse completely from being qualified practitioner to bouncer with meds. #wenurses
@BennyGoodmanUoP
23 November 2017 20:11
#wenurses Whoever we include in that calculation janet davies says 'safe is the exception not the rule'. So...what must we do do to make it the rule?
@AgencyNurse
23 November 2017 20:11
This is my greatest fear - we are headed for dark days #WeNurses https://t.co/MHsxChonRt
@jomwlever
23 November 2017 20:11
@BennyGoodmanUoP I hope the profession of nursing isn't doomed, we need to get better at demonstrating our value in the workplace #WeNurses
@reboverend
23 November 2017 20:11
@BennyGoodmanUoP Arrgghh #wenurses I hope many RNs would fight such a bleak prospect...I wonder if it is really about the way nursing is viewed by both ends of spectrum- can we be everything that is expected of us and the way we view our own work (quick copy and paste!!)
@WeNurses
23 November 2017 20:12
NEXT QUESTION .... #WeNurses https://t.co/X8hWIqN4gC
@BennyGoodmanUoP
23 November 2017 20:12
This appears the driver...cost rather than analysis and application of research #wenurses https://t.co/QQK5bDPhKY
@jomwlever
23 November 2017 20:12
RT @DeeDavies12: @WeNurses #wenurses We really need to focus upon right person with the right skills - just one example reduce nurses unde…
@AgencyNurse
23 November 2017 20:12
Nice list #WeNurses https://t.co/wcJrZPG409
@averyvazon
23 November 2017 20:12
@carolgair @WeNurses @BennyGoodmanUoP @BennyGoodmanUoP @WeNurses @carolgair could include whole team including housekeepers, ward clerks etc #WeNurses
@carolgair
23 November 2017 20:12
@AgencyNurse Loads to still be done by working smarter. Protecting core job. We delegate patient obs but not the cleaning too readily.. #wenurses
@WeNurses
23 November 2017 20:13
thoughts ? #wenurses https://t.co/5NFQOyw2Zq
@maxwele2
23 November 2017 20:13
@BennyGoodmanUoP Stop talking about a Nursing ‘family’ and recognise the evidence around RN dose #Wenurses
@BennyGoodmanUoP
23 November 2017 20:13
#wenurses what must we do to make safe staffing the rule?
@carolgair
23 November 2017 20:14
@AgencyNurse It’s the people caught up in it. The patient. The family. And the nurse. Poor care isn’t anyone’s choice #wenurses
@NRCUK
23 November 2017 20:14
@RoyLilley is not wrong... Nursing as it stands can't survive, doesn't mean to say it shouldn't though of course! No voice, no proof, no point...that's why it's pushed around, even if there are 650,000 of you! #wenurses https://t.co/0M47IGCYkX
@AgencyNurse
23 November 2017 20:14
@maxwele2 @WeNurses well the NMC state that we should be evidence based ... but i'm guessing the question is rhetorical #WeNurses
@BennyGoodmanUoP
23 November 2017 20:15
Grassroots leadership...yes. the research is there but it is being ignored. #wenurses https://t.co/cvqsA0vE9a
@maxwele2
23 November 2017 20:15
@WeNurses Happening already with no risk assessment.Many have stopped seeing Nursing as therapeutic #WeNurses
@WeNurses
23 November 2017 20:15
#WeNurses https://t.co/NpZIwjLtwL
@AgencyNurse
23 November 2017 20:15
RT @maxwele2: @BennyGoodmanUoP Stop talking about a Nursing ‘family’ and recognise the evidence around RN dose #Wenurses
@WeNurses
23 November 2017 20:15
RT @maxwele2: @BennyGoodmanUoP Stop talking about a Nursing ‘family’ and recognise the evidence around RN dose #Wenurses
@WeNurses
23 November 2017 20:15
RT @reboverend: @BennyGoodmanUoP Arrgghh #wenurses I hope many RNs would fight such a bleak prospect...I wonder if it is really about the w…
@edfreshwater
23 November 2017 20:15
@BennyGoodmanUoP Hard to when the minister wants you gone, trust execs want cheaper labour #WeNurses
@BennyGoodmanUoP
23 November 2017 20:15
we have a research-application gap. we know the research but it is being ignored so how do we move on this? #wenurses https://t.co/ofTOaneQUU
@carolgair
23 November 2017 20:15
@averyvazon @WeNurses @BennyGoodmanUoP Safe staffing to me is about responding - feeding, toileting, call bells, falls; need decent ratios for that. WC and housekeeping essential to free staff for that #wenurses
@jomwlever
23 November 2017 20:15
@AgencyNurse I agree Teresa. I think we will need to demonstrate our value to Organisation Leaders, new, smart ways #WeNurses
@NRCUK
23 November 2017 20:15
@carolgair @AgencyNurse I think poor care is a choice! It's a choice made by everyone that doesn't modernise, use their voice and drive change... no other sector need a #fabchangeweek #wenurses
@maxwele2
23 November 2017 20:16
@AgencyNurse @WeNurses If we were, we’d be having a very different conversation tonight #WeNurses
@AgencyNurse
23 November 2017 20:16
Absolutely ! So whats the "fix" #WeNurses https://twitter.com/carolgair/status/933790767360995328
@reboverend
23 November 2017 20:16
@jo_swidenbank @AgencyNurse @WeNurses I totally agree with this #WeNurses
@AgencyNurse
23 November 2017 20:16
Great expression, aptly used #WeNurses https://twitter.com/jo_swidenbank/status/933791301136519168
@AgencyNurse
23 November 2017 20:17
@maxwele2 @WeNurses •sigh #WeNurses
@JFr4ser
23 November 2017 20:17
@AgencyNurse @RoyLilley Seems pretty on the button to me #wenurses
@BennyGoodmanUoP
23 November 2017 20:17
the evidence is there...but yes the voice is being ignored. both NMC and RCn have safe staffing guidance....for what?#wenurses https://twitter.com/NRCUK/status/933790816497229824
@jo_swidenbank
23 November 2017 20:17
@WeNurses I’m really cautious about the replacement with support staff, especially as there isn’t (at present) a clear code of conduct/registering body. #wenurses
@maxwele2
23 November 2017 20:17
@BennyGoodmanUoP But many nurses don’t know or ignore the research on safe staffing and safe practice. We do it to ourselves #WeNurses
@AgencyNurse
23 November 2017 20:17
@jomwlever i think we also have to stand up for ourselves and speak out when things aren't right .... everytime ! #WeNurses
@carolgair
23 November 2017 20:17
@AgencyNurse More RNs. #wenurses plus Investment and increase in ancillary and admin support. Change how we work and what we expect.
@StuartGuy25
23 November 2017 20:18
RT @BennyGoodmanUoP: This appears the driver...cost rather than analysis and application of research #wenurses https://twitter.com/treaclejo/status/933789658730901504
@AgencyNurse
23 November 2017 20:18
Speak out & speak up #WeNurses https://t.co/9W6p2pvlH4
@edfreshwater
23 November 2017 20:18
@BennyGoodmanUoP Vote for someone else. Make the SoS for Health legally accountable. Put nurses into CCG with a quota. Make trust execs legally accountable. #WeNurses
@carolgair
23 November 2017 20:19
@AgencyNurse @jomwlever Agree. But we need people to listen and that’s not happening. Quiet the dissenting. #wenurses
@jomwlever
23 November 2017 20:19
@WeNurses I would not be happy if RNs were replaced - we're supposed to be led by evidence. Mortality rates improve with RNs #WeNurses
@BennyGoodmanUoP
23 November 2017 20:19
#wenurses calidornia has SS law the research suggests it works.....
@AgencyNurse
23 November 2017 20:19
More RNs ? Or perhaps as @BennyGoodmanUoP said in his blog "enough" RNs #WeNurses https://t.co/yJp71Dfs8i
@WeNurses
23 November 2017 20:19
NEXT QUESTION #WeNurses https://t.co/jMAbakuv8u
@VanessaLGarrity
23 November 2017 20:20
RT @AgencyNurse: Here is the @RoyLilley quote from the blog post: #WeNurses https://t.co/dgZqLdMXTh
@WeNurses
23 November 2017 20:20
RT @maxwele2: @WeNurses Happening already with no risk assessment.Many have stopped seeing Nursing as therapeutic #WeNurses
@VanessaLGarrity
23 November 2017 20:20
RT @BennyGoodmanUoP: #wenurses 2017 budget for the NHS https://t.co/Fl9uIBAAPm more is not the same as enough @PUNC14
@BennyGoodmanUoP
23 November 2017 20:20
#wenurses A canadian nurse blogged on why she is leaving the UK to go home, for her its about respect, autonomy and responsibility (lack of in all three) , so how do we get this three?
@cdodd09
23 November 2017 20:21
we don't have a problem recruiting & retaining staff our issue is covering when nurses go off sick at the last minute #wenurses
@jo_swidenbank
23 November 2017 20:21
@AgencyNurse @BennyGoodmanUoP And let’s not forget the investment in social care that would help keep people in their homes and facilitate the discharge process. It has a huge knock-on effect. #wenurses
@NRCUK
23 November 2017 20:21
@BennyGoodmanUoP Guidance is useless!!! So many think-tanks, so many papers...but no change. Whats needed is bringing evidence (your data) via 21C tech to the forefront of how you plan and deliver care. Learn from other sectors... or be walked over forever :( #WeNurses
@WeNurses
23 November 2017 20:21
Some radical thinking here - what are peoples thoughts ? #WeNurses https://t.co/kU7htx5ItF
@treaclejo
23 November 2017 20:21
#WeNurses @WeNurses I was told by a manager this week that the staffing and workload were stable in my locality (2 staff per shift) , so why have I ended up working overtime every day!
@averyvazon
23 November 2017 20:21
@carolgair @WeNurses @BennyGoodmanUoP Healthcare is increasingly budget led rather than quality led, we need our leaders to speak out not buckle under! #Wenurses
@carolgair
23 November 2017 20:22
@AgencyNurse @BennyGoodmanUoP Fair point. Working differently may narrow the gap. #wenurses
@maxwele2
23 November 2017 20:22
@jo_swidenbank @WeNurses Registration is complete red herring. Clear evidence on the impact of critical thinking rather than task competencies. that’s why Briggs recommending ending second level registration. Nursing ignores its history at its peril. Sadly I think the war is lost #WeNurses
@WeNurses
23 November 2017 20:22
NEXT QUESTION How do we achieve these three elements ? #WeNurses https://t.co/uojkswUlSY
@edfreshwater
23 November 2017 20:23
@WeNurses Not that radical, it's common sense. I'm responsible for tasks I delegate, why not expect the same from the senior tier? #WeNurses
@WeNurses
23 November 2017 20:23
Very interesting indeed .. anyone else find this? #WeNurses https://t.co/0eX7SR7o9K
@DeeDavies12
23 November 2017 20:23
@BennyGoodmanUoP @WeNurses #wenurses We also need to consider the role of the CQC and the potential impact for the organisation when staffing levels are unsafe.
@SardaranCarol
23 November 2017 20:23
@WeNurses @treaclejo Some places don't really know what the role of a Nursing Associate, needs to be standardised #WeNurses
@jomwlever
23 November 2017 20:23
@WeNurses For wards, what will the boundaries be for TNA's? Much time needed for drug administration, IVs, care planning referrals, it's good when you can spend a bit of time with patients #wenurses
@wlasinclair
23 November 2017 20:24
@cdodd09 yes covering short term sickness is difficult and has massive impact #wenurses
@JFr4ser
23 November 2017 20:24
@carolgair @AgencyNurse @BennyGoodmanUoP Giving away bit of the job we don’t like creates a rubbish job for someone else. So to compensate bits we do like are added in. We need to stop apologising for being an RN #wenurses
@BennyGoodmanUoP
23 November 2017 20:24
yes nick, we have the research we have the guidelines the missing bit is as you suggest having an action plan via tech. that is part of the solution. I see an problem though #wenurses https://t.co/tp4ySsjJFL
@carolgair
23 November 2017 20:24
@BennyGoodmanUoP We don’t while we fail to value nursing. #wenurses Accepting development of other staff groups shouldn’t be about compromising another
@wlasinclair
23 November 2017 20:24
Hello #wenurses dipping in and out tonight - great subject! :-)
@tarailes
23 November 2017 20:24
As a profession we need to stand proud & respect ourselves! We are autonomous practitioners & should be respected as such @BennyGoodmanUoP #WeNurses
@AgencyNurse
23 November 2017 20:24
RT @carolgair: @BennyGoodmanUoP We don’t while we fail to value nursing. #wenurses Accepting development of other staff groups shouldn’t be…
@WeNurses
23 November 2017 20:24
RT @carolgair: @BennyGoodmanUoP We don’t while we fail to value nursing. #wenurses Accepting development of other staff groups shouldn’t be…
@louisebrady17
23 November 2017 20:25
and staff don't need any more forecasts of DOOM either... what we need is action, & soon #wenurses https://t.co/JY1RfqvGvB
@BennyGoodmanUoP
23 November 2017 20:25
"learn from other sectors" yes #wenurses https://t.co/tp4ySsjJFL
@AgencyNurse
23 November 2017 20:25
It's all very well saying this (and i agree) ... have heard it lots ... how do we achieve this ? #WeNurses https://t.co/JvtUlX9IL8
@tarailes
23 November 2017 20:25
It’s all very well recruiting nursing staff. Retention is key & that appears more challenging #WeNurses @BennyGoodmanUoP
@NRCUK
23 November 2017 20:26
@wlasinclair @cdodd09 but surely this is built in to workforce planning? 70 years of the NHS and the winter and staff being sick is a surprise still? For small teams it isn't easy. Which bright spark outsourced banks??? #wenurses
@AgencyNurse
23 November 2017 20:26
Recruit from where though ? There just aren't enough of us to meet demands are there ? #WeNurses https://t.co/JDIkUzZrew
@BennyGoodmanUoP
23 November 2017 20:26
RT @AgencyNurse: It's all very well saying this (and i agree) ... have heard it lots ... how do we achieve this ? #WeNurses https://t.co/J…
@tarailes
23 November 2017 20:27
@AgencyNurse We need to celebrate best practice & the amazing achievements nurses display every day. As a profession we don’t do this enough #WeNurses
@NRCUK
23 November 2017 20:27
@BennyGoodmanUoP But you can't "learn from other sectors" as t"hey are COMPLETELY different" is all I ever hear. They are also not in half the state nursing/NHS is either! Some mythbusting needed! #wenurses
@cdodd09
23 November 2017 20:27
@NRCUK @wlasinclair being a small team and specialist nurses is our issue, we have an internal bank but it's primarily covered by our own staff #wenurses
@carolgair
23 November 2017 20:27
@tarailes @BennyGoodmanUoP Because we’re stuck in old ideals. Shifts, rotas. Culture. Although can be difficult to please everyone and cover service #wenurses
@reboverend
23 November 2017 20:27
@BennyGoodmanUoP Wondering if this is a bit of a knowing-doing gap- affective domain. Know what we should do but don’t do it. Why? Because research not valued enough, still many RNs who think no need for CPD as method for empowerment and perversity of being seen as the underdog?? #wenurses
@JFr4ser
23 November 2017 20:28
@AgencyNurse Far too much post-reg variation of practice. Too little application of critical analysis in some roles. Need to drive standardised post-reg education, experience and promotion/progression imo #wenurses
@BennyGoodmanUoP
23 November 2017 20:28
#wenurses Networking and political awareness are two of the 5 domains of nursing leadership. we must iqpemtn out networking a political skills to learn form and with others using latest techniques quickly. are we political enough?
@AgencyNurse
23 November 2017 20:28
@louisebrady17 it's not very good for morale is it ? #WeNurses though perhaps we need to also face reality in some respects ... call it what it is .. unsafe !
@NRCUK
23 November 2017 20:28
@louisebrady17 action.... bit radical! #wenurses :)
@martina_davies
23 November 2017 20:28
RT @louisebrady17: and staff don't need any more forecasts of DOOM either... what we need is action, & soon #wenurses https://t.co/JY1Rfqv…
@louisebrady17
23 November 2017 20:28
RT @AgencyNurse: @louisebrady17 it's not very good for morale is it ? #WeNurses though perhaps we need to also face reality in some respe…
@WeNurses
23 November 2017 20:28
NEXT QUESTION Are we political enough ? #WeNurses https://twitter.com/BennyGoodmanUoP/status/933794334910156802
@tarailes
23 November 2017 20:29
@carolgair @BennyGoodmanUoP Absolutely. We need to think outside the box....#WeNurses
@jomwlever
23 November 2017 20:29
@carolgair @averyvazon @WeNurses @BennyGoodmanUoP Also patient movement, enough nurses to provide escort post surgery, to critical care etc... Time critical things like sepsis management ivABx acutely unwell, deteriorating patients #WeNurses
@AgencyNurse
23 November 2017 20:29
Yep #WeNurses https://twitter.com/JFr4ser/status/933794309194833920
@hardcastle76
23 November 2017 20:29
@cdodd09 #Wenurses the pool of people is even smaller in paeds - often rely on established staff doing extra hours to cover short term sickness!
@wlasinclair
23 November 2017 20:29
@NRCUK @cdodd09 yep all agreed! #wenurses
@treaclejo
23 November 2017 20:29
@WeNurses #WeNurses Retaining staff appears to be an issue if you have poor leadership but poor leadership is never addressed, what seems to happen is poor leader is moved to a different team creating further problems!
@WeNurses
23 November 2017 20:29
RT @hardcastle76: @cdodd09 #Wenurses the pool of people is even smaller in paeds - often rely on established staff doing extra hours to cov…
@BennyGoodmanUoP
23 November 2017 20:30
Agree our professional silo and culture impedes cross sectorial learning. #wenurses i also think the understandable wish to focus on direct patent care prevents us from looking up and outwards. https://twitter.com/NRCUK/status/933794214525177857
@jomwlever
23 November 2017 20:30
RT @AgencyNurse: @jomwlever i think we also have to stand up for ourselves and speak out when things aren't right .... everytime ! #WeNurses
@JFr4ser
23 November 2017 20:30
@WeNurses Absolutely not #wenurses
@NRCUK
23 November 2017 20:30
RT @BennyGoodmanUoP: Agree our professional silo and culture impedes cross sectorial learning. #wenurses i also think the understandable wi…
@AgencyNurse
23 November 2017 20:30
OMG i so agree with this .... #WeNurses https://twitter.com/carolgair/status/933794255704875008
@tarailes
23 November 2017 20:30
@AgencyNurse Now that’s the question?! We need to entice the next generation of nurses into what (can be) such a rewarding career... #WeNurses
@cdodd09
23 November 2017 20:31
recently heard about pharmacy technicians helping nurses with medicine rounds (on adult wards) to improve safety and help take some of the pressure off, anyone using this model? #wenurses
@karmicgirl
23 November 2017 20:31
RT @AgencyNurse: Yep #WeNurses https://twitter.com/JFr4ser/status/933794309194833920
@SardaranCarol
23 November 2017 20:31
@cdodd09 Also when wards are well staffed they get moved to other wards by Matrons where they are short. #WeNurses
@louisebrady17
23 November 2017 20:31
@AgencyNurse No it's not... why bother with FAB Change week etc etc.. & then come out with this? We know the reality ( all too clearly) as we work in it.. #wenurses
@louisebrady17
23 November 2017 20:31
RT @NRCUK: @louisebrady17 action.... bit radical! #wenurses :)
@carolgair
23 November 2017 20:31
Ooops! #wenurses https://twitter.com/carolgair/status/933795094389501955
@thesismum
23 November 2017 20:31
RT @WeNurses: NEXT QUESTION Are we political enough ? #WeNurses https://twitter.com/BennyGoodmanUoP/status/933794334910156802
@JFr4ser
23 November 2017 20:32
@cdodd09 Omg what??!!! No.... #wenurses
@AgencyNurse
23 November 2017 20:32
In any other profession a lack of qualified professionals would drive up pay to attract more people ... in nursing we seem to drive down skill instead #WeNurses bizzarre !! https://twitter.com/jo_swidenbank/status/933794827057221634
@AgencyNurse
23 November 2017 20:32
@tarailes yes - would you recommend nursing currently ? Not sure i would #WeNurses
@AgencyNurse
23 November 2017 20:33
#WeNurses https://twitter.com/carolgair/status/933795094389501955
@BennyGoodmanUoP
23 November 2017 20:33
old ideals and cultures...yes....!!! #wenurses. https://twitter.com/AgencyNurse/status/933794966467473408
@treaclejo
23 November 2017 20:33
@WeNurses #WeNurses Not sure whether I'm more political but I'm certainly more out spoken...... I think it's my age!!
@JFr4ser
23 November 2017 20:33
@AgencyNurse In America individual nurses could name their price... I despair of our collective attitude here #wenurses
@tarailes
23 November 2017 20:34
@AgencyNurse It’s in my blood! But it’s certainly not the profession I entered. Altho there have been some positives #WeNurses
@carolgair
23 November 2017 20:34
@AgencyNurse Yikes. Sorry *with NA not RN* that should read!! #wenurses
@jomwlever
23 November 2017 20:34
@WeNurses I would like to hear senior nurse leaders where I work speak up for #safestaffing & value RNs more. Seeing more tweets about TNA's at the moment #wenurses
@selenam738
23 November 2017 20:34
@AgencyNurse #Wenurses and that is why there needs to be a societal change in how nursing and the NHS are perceived...it’s deteriorating
@WeNurses
23 November 2017 20:34
Interesting #WeNurses https://twitter.com/JFr4ser/status/933795710432153601
@NRCUK
23 November 2017 20:34
@AgencyNurse OR it would drive efficiency, quality and productivity up.... more isn't always the answer :) #wenurses
@AgencyNurse
23 November 2017 20:35
@tarailes i love nursing - but would i want my children to nurse in the current climate ... no :( #WeNurses
@WeNurses
23 November 2017 20:35
RT @treaclejo: @WeNurses #WeNurses Not sure whether I'm more political but I'm certainly more out spoken...... I think it's my age!!
@jomwlever
23 November 2017 20:35
RT @DeeDavies12: @BennyGoodmanUoP @WeNurses #wenurses We also need to consider the role of the CQC and the potential impact for the organi…
@BennyGoodmanUoP
23 November 2017 20:36
#wenurses political does not mean party political but political skills, knowing the decision makers, being the decision makers, influencing the decision makers. know their agenda and dealing wth it.
@WeNurses
23 November 2017 20:36
Woweee really ?? #WeNurses https://twitter.com/cdodd09/status/933795066610675714
@NRCUK
23 November 2017 20:36
@louisebrady17 I think the incentive is to create conversation that drives action, not spread doom :) #wenurses
@reboverend
23 November 2017 20:36
@AgencyNurse @BennyGoodmanUoP Model it! We spend a lot of time looking at developing new RNs but those in the centre shape how those new to nursing behave. Do we value our own care and others with compassion for others workload? Do we focus on good rather than the bits we missed?? All the time??? #wenurses
@WeNurses
23 November 2017 20:36
RT @BennyGoodmanUoP: #wenurses political does not mean party political but political skills, knowing the decision makers, being the decisio…
@jomwlever
23 November 2017 20:36
RT @WeNurses: Woweee really ?? #WeNurses https://twitter.com/cdodd09/status/933795066610675714
@cdodd09
23 November 2017 20:36
#wenurses https://twitter.com/wlasinclair/status/933795885565333505
@tarailes
23 November 2017 20:37
@AgencyNurse It’s certainly a jungle out there!! #WeNurses
@jomwlever
23 November 2017 20:37
RT @selenam738: @AgencyNurse #Wenurses and that is why there needs to be a societal change in how nursing and the NHS are perceived...it’s…
@wlasinclair
23 November 2017 20:38
@cdodd09 oops thank you :-) #wenurses
@PUNC14
23 November 2017 20:38
RT @BennyGoodmanUoP: #wenurses political does not mean party political but political skills, knowing the decision makers, being the decisio…
@s9tmt
23 November 2017 20:38
RT @AgencyNurse: @jomwlever i think we also have to stand up for ourselves and speak out when things aren't right .... everytime ! #WeNurses
@louisebrady17
23 November 2017 20:39
RT @NRCUK: @louisebrady17 I think the incentive is to create conversation that drives action, not spread doom :) #wenurses
@BennyGoodmanUoP
23 November 2017 20:39
#wenurses how do you become a key decision maker in your workplace? how will you become one? you decide at the bedside perhaps but how is your voice going to be heard at other levels, how are you going to exercise clinical leadership?
@reboverend
23 November 2017 20:39
@hardcastle76 @WeNurses @cdodd09 I hear you!! #wenurses
@martina_davies
23 November 2017 20:39
@louisebrady17 @AgencyNurse Despite negativity ,nursing will alway exist in one form or another, it simply needs to change and adjust. As the backbone of the NHS , nurses want to nurse, but safely and paid appropriately for their vast skills and responsibility #Wenurses
@WeNurses
23 November 2017 20:39
NEXT QUESTION..... #WeNurses https://twitter.com/BennyGoodmanUoP/status/933797082623856640
@carolgair
23 November 2017 20:39
@tarailes @AgencyNurse Nursing was in a dark place post-Francis. we’ve had lots to take on - 6Cs, staffing reviews, acuity. Graduate workforce. Feels all in vain. #wenurses
@s9tmt
23 November 2017 20:39
RT @AgencyNurse: @louisebrady17 it's not very good for morale is it ? #WeNurses though perhaps we need to also face reality in some respe…
@AgencyNurse
23 November 2017 20:39
do we need to be more political ? .... yes we do how do we achieve this ? .... ? #WeNurses
@jomwlever
23 November 2017 20:40
@selenam738 @AgencyNurse We need to work on the Image of Nursing & how we are perceived in society & let's get more men to join our profession #WeNurses
@AgencyNurse
23 November 2017 20:40
RT @WeNurses: NEXT QUESTION..... #WeNurses https://twitter.com/BennyGoodmanUoP/status/933797082623856640
@jomwlever
23 November 2017 20:40
RT @BennyGoodmanUoP: #wenurses political does not mean party political but political skills, knowing the decision makers, being the decisio…
@carolgair
23 November 2017 20:41
Surely, a DoN somewhere is looking at this as a big red flag? #wenurses https://twitter.com/cdodd09/status/933795066610675714
@thesismum
23 November 2017 20:41
@AgencyNurse @tarailes When I got K2 my fab colleague & nurse politician @Anja_Kistler e-mailed me: „For God‘s sake, let the kid learn something decent!“ #WeNurses
@louisebrady17
23 November 2017 20:41
@NRCUK Prophet Roy is v quiet @RoyLilley and from one agitator to another, it's not more conversation we need.. government must act #simples #wenurses
@JFr4ser
23 November 2017 20:41
@wlasinclair @cdodd09 Ahhh. Our ePrescribing sends an automatic order to pharmacy when a drug is prescribed that’s non-stock. Lots of tech time spent on med-rec to support ward pharmacist. Increased number of stores delivery #wenurses
@WendyWhistles
23 November 2017 20:41
@cdodd09 We have a ward based pharmacist who is invaluable to us. It frees us up with ordering routine drugs, expediting scripts. I don’t know how he’d feel about the drug round though. #wenurses
@s9tmt
23 November 2017 20:41
RT @louisebrady17: and staff don't need any more forecasts of DOOM either... what we need is action, & soon #wenurses https://t.co/JY1Rfqv…
@AgencyNurse
23 November 2017 20:41
I think it's very hard ... walk a fine line between being an advocate for safer staffing and being seen as a trouble maker ... think it's a real fear for some #WeNurses https://twitter.com/BennyGoodmanUoP/status/933797082623856640
@NusratkRD
23 November 2017 20:41
RT @WeNurses: Woweee really ?? #WeNurses https://twitter.com/cdodd09/status/933795066610675714
@jomwlever
23 November 2017 20:41
@AgencyNurse Agreed. #WeNurses
@BennyGoodmanUoP
23 November 2017 20:42
#wenurses yes, but definition of nursing has to include decision making about not just giving care but the totality of its organisation. loom up from the individual patient in front of you and learn about systems, politics and technologies? https://twitter.com/martina_davies/status/933797147929083904
@AgencyNurse
23 November 2017 20:42
#WeNurses https://twitter.com/vlcurrie/status/933797594689626112
@treaclejo
23 November 2017 20:42
@WeNurses #WeNurses decisions are made by higher management then we are 'consulted' which means 'you can say what you like but this is how it's going to be!'
@JFr4ser
23 November 2017 20:42
@vlcurrie @AgencyNurse Absolutely. And it still struggles to verbalise exactly what it brings to the table #wenurses
@martina_davies
23 November 2017 20:43
@WendyWhistles @NRCUK @louisebrady17 ?? #WeNurses !
@carolgair
23 November 2017 20:43
@AgencyNurse Does it show that ward to board was never secure? Not walking the walk? #wenurses
@WeNurses
23 November 2017 20:43
RT @treaclejo: @WeNurses #WeNurses decisions are made by higher management then we are 'consulted' which means 'you can say what you like b…
@tarailes
23 November 2017 20:43
@vlcurrie @JFr4ser @AgencyNurse Absolutely, I agree. It has to be a collective voice. We need to be taken seriously #WeNurses
@s9tmt
23 November 2017 20:43
RT @NRCUK: @louisebrady17 I think the incentive is to create conversation that drives action, not spread doom :) #wenurses
@NRCUK
23 November 2017 20:43
@jomwlever @selenam738 @AgencyNurse I'm so torn on the politics, i think it sits somewhere.... but wonder if starting with you, as a nurse, pointing out inefficiencies, crap IT, stupid processes and using your voice internally is something 650,000 nurses can do every day, now? #wenurses
@s9tmt
23 November 2017 20:43
RT @selenam738: @AgencyNurse #Wenurses and that is why there needs to be a societal change in how nursing and the NHS are perceived...it’s…
@jomwlever
23 November 2017 20:44
@carolgair @tarailes @AgencyNurse I feel a bit more optimistic because we got a new Leadership team - compassionate culture. Voice of nursing listened to #WeNurses
@s9tmt
23 November 2017 20:44
RT @WeNurses: Woweee really ?? #WeNurses https://twitter.com/cdodd09/status/933795066610675714
@louisebrady17
23 November 2017 20:44
RT @martina_davies: @WendyWhistles @NRCUK @louisebrady17 ?? #WeNurses !
@s9tmt
23 November 2017 20:44
RT @DeeDavies12: @BennyGoodmanUoP @WeNurses #wenurses We also need to consider the role of the CQC and the potential impact for the organi…
@JFr4ser
23 November 2017 20:44
@AgencyNurse Indeed. Culture often doesn’t like “troublemakers”, sees only certain people as change agents #wenurses
@selenam738
23 November 2017 20:44
@AgencyNurse #wenurses indeed it is, you soon get labelled, but integrity and passion are hard to lose. ‘When your most passionate staff go quiet is the time to worry’
@NRCUK
23 November 2017 20:45
@martina_davies @WendyWhistles @louisebrady17 I think you probably need to understand and get to know bloggers, commentators style and not take things in isolation or out of context :) #WeNurses
@AgencyNurse
23 November 2017 20:45
@carolgair perhaps ... my guess is the good are good and god help you if you work in a bad trust ! #Wenurses
@averyvazon
23 November 2017 20:45
@carolgair @tarailes @BennyGoodmanUoP I LOVED the first 35 years of my nursing career, time to care for my patients, their families and for my colleagues: increasingly over last 5 years it’s become dog eat dog, poor work/life balance,nurses expected to do more with less,poor skill/mix and high turnover #WeNurses
@AgencyNurse
23 November 2017 20:45
RT @JFr4ser: @AgencyNurse Indeed. Culture often doesn’t like “troublemakers”, sees only certain people as change agents #wenurses
@AgencyNurse
23 November 2017 20:45
RT @selenam738: @AgencyNurse #wenurses indeed it is, you soon get labelled, but integrity and passion are hard to lose. ‘When your most pas…
@jomwlever
23 November 2017 20:46
@carolgair @tarailes @AgencyNurse Twitter has helped restore passion for nursing. Can demonstrate #6Cs connect with others, demonstrate our professionalism, @theRCN membership helps too #WeNurses
@cdodd09
23 November 2017 20:46
#WeNurses https://twitter.com/gavpop/status/933798324184014849
@PUNC14
23 November 2017 20:46
#WeNurses no profession has a uniform collective opinion though..medics and AHP's are also finding it difficult to be heard. Is the issue a lack of hearing equipment from politicians? (MC's own opinion) https://twitter.com/AgencyNurse/status/933797845899071489
@AgencyNurse
23 November 2017 20:46
RT @BennyGoodmanUoP: #wenurses yes, but definition of nursing has to include decision making about not just giving care but the totality of…
@WeNurses
23 November 2017 20:46
RT @BennyGoodmanUoP: #wenurses yes, but definition of nursing has to include decision making about not just giving care but the totality of…
@BennyGoodmanUoP
23 November 2017 20:46
What did they mean by that? #wenurses https://twitter.com/thesismum/status/933797647617593344
@tarailes
23 November 2017 20:46
@JFr4ser @AgencyNurse Don’t you think culture is changing? Duty of candour/patient safety. It feels like we’re heading in the right direction?#WeNurses
@AgencyNurse
23 November 2017 20:47
I met a local nurse the other day who had no idea who her DoN is .. let alone having met them #WeNurses https://twitter.com/jo_swidenbank/status/933798859628843008
@reboverend
23 November 2017 20:47
@BennyGoodmanUoP Hmm interesting is the structure designed to keep us in a disempowered potion then???...I am learning so much from all of the #WeNurses community! Thank you!
@s9tmt
23 November 2017 20:47
RT @BennyGoodmanUoP: #wenurses political does not mean party political but political skills, knowing the decision makers, being the decisio…
@WeNurses
23 November 2017 20:47
Is culture changing ? #WeNurses https://twitter.com/tarailes/status/933798996296044544
@WeNurses
23 November 2017 20:47
RT @AgencyNurse: I met a local nurse the other day who had no idea who her DoN is .. let alone having met them #WeNurses https://t.co/zmmiO…
@carolgair
23 November 2017 20:48
@NRCUK @martina_davies @WendyWhistles @louisebrady17 Roy Lilley’s blog has always been a champion of protecting the frontline. He says make it a fun place to work, problems disappear. #wenurses
@mynameisAndyJ
23 November 2017 20:48
@AgencyNurse #wenurses We missed you today #FabAwards2017 hope your feeling better
@martina_davies
23 November 2017 20:48
@NRCUK @WendyWhistles @louisebrady17 ?? oh, I do understand his style ! Not taken out of context but not helpful to future or student nurses #WeNurses
@AgencyNurse
23 November 2017 20:48
@carolgair @NRCUK @martina_davies @WendyWhistles @louisebrady17 it's not as simple as that though is it ? #WeNurses
@AgencyNurse
23 November 2017 20:49
@maxwele2 @jo_swidenbank @vlcurrie @WeNurses yes indeed and looking forward to it :D #WeNurses
@louisebrady17
23 November 2017 20:49
@carolgair @NRCUK @martina_davies @WendyWhistles Clearly not... We are all DOOMED! #wenurses
@JFr4ser
23 November 2017 20:49
@tarailes @AgencyNurse Scotland had unsurprising a very small number of health boards. Staff movement varies with some boards having large local workforce population. Culture not so easily changed or challenged #wenurses
@carolgair
23 November 2017 20:49
@AgencyNurse @NRCUK @martina_davies @WendyWhistles @louisebrady17 It’s a good starting point..? #wenurses
@jomwlever
23 November 2017 20:49
@tarailes @BennyGoodmanUoP Recruitment & retention still challenging where I work. I'm waiting to hear what measures there'll be for loyal staff who stayed in dark times. Leadership opportunities target Band 6 & above. What development for Band5s? #WeNurses
@nursemaiden
23 November 2017 20:50
How many years does it take to change a culture 5-10 years? #Wenurses https://twitter.com/wenurses/status/933799248289820673
@NRCUK
23 November 2017 20:50
@WeNurses I think culture might be changing amongst nurses re care quality, patient exp etc. BUT culture around modernising NHS IT is holding firm with lock it all down, pay loads for old IT systems and through away the key! :( #wenurses
@AgencyNurse
23 November 2017 20:51
RT @nursemaiden: How many years does it take to change a culture 5-10 years? #Wenurses https://twitter.com/wenurses/status/933799248289820673
@WeNurses
23 November 2017 20:51
RT @nursemaiden: How many years does it take to change a culture 5-10 years? #Wenurses https://twitter.com/wenurses/status/933799248289820673
@AgencyNurse
23 November 2017 20:51
@nursemaiden how long is a piece of string ?? and how are we measuring such a change ? #WeNurses
@carolgair
23 November 2017 20:51
@louisebrady17 @NRCUK @martina_davies @WendyWhistles We are not doomed. Our jobs will go on. The framework of how we work may significantly change with current agenda. It’s what we do about that, if anything, that’s the question., #wenurses
@SP_Duckworth
23 November 2017 20:51
It works both ways. She could have visited the intranet a found out. Professionals should take an interest in the organisation. #wenurses https://twitter.com/AgencyNurse/status/933799090713976833
@PUNC14
23 November 2017 20:51
#WeNurses possibly, I think that these initiatives keep pushing the force field in the right direction but poor support, low staff levels and lack of CPD push against this. It is a dynamic system rather than a move one way (MC own opinion) https://twitter.com/tarailes/status/933798996296044544
@louisebrady17
23 November 2017 20:51
@carolgair @AgencyNurse @NRCUK @martina_davies @WendyWhistles Morale is low.. enough said #wenurses
@BennyGoodmanUoP
23 November 2017 20:51
#wenurses we have the theory, we have the education, we have the research, we have the passion, we have the mission, and we have the numbers. So what is stopping us and how to we act from now onwards? @PUNC14
@Rugbymumno9
23 November 2017 20:52
@martina_davies @louisebrady17 @AgencyNurse Personally I am becoming a little tired of someone who profits from healthcare, presuming to pronounce on our profession, from the outside. #WeNurses will use our own voices, thank you.
@Alanmakepeace1
23 November 2017 20:52
RT @BennyGoodmanUoP: #WeNurses Hospital nurse staffing ratios mandated in California are associated with lower mortality and nurse outcomes…
@carolgair
23 November 2017 20:52
@BennyGoodmanUoP @PUNC14 We are. Feels lonely #wenurses
@Sectioned_
23 November 2017 20:52
@WeNurses @BennyGoodmanUoP Staffing levels in #mentalhealth care are not safe if safety only means *physically* safe. #WeNurses
@NRCUK
23 November 2017 20:53
@nursemaiden about 5mins! With good leadership, visibility and solutions to problems... NHS holds culture barrier like a badge of honour :( #wenurses
@AgencyNurse
23 November 2017 20:53
@SP_Duckworth i agree ... but why did she feel that she didn't need to do that ? Why did she feel the need not to know? All fascinating stuff #wenurses
@BennyGoodmanUoP
23 November 2017 20:53
We don't have time for culture change, we need action. now #wenurses and that means being active in our workplaces at micro and macro level and nt being afraid too write, blog, speak and act. #wenurses https://twitter.com/nursemaiden/status/933799834141839360
@selenam738
23 November 2017 20:53
@BennyGoodmanUoP @PUNC14 #Wenurses an actor @RalfLittle garnered a response from @Jeremy_Hunt we rarely do.
@AgencyNurse
23 November 2017 20:53
lol thanks - glad we have that cleared up :D #WeNurses https://twitter.com/treaclejo/status/933800531704844289
@martina_davies
23 November 2017 20:53
@AgencyNurse @carolgair @NRCUK @WendyWhistles @louisebrady17 Stressed frontline staff working flat out for poor renumeration , trying to deliver safe evidence based care don't have time for fun......that's the reality. #WeNurses
@louisebrady17
23 November 2017 20:53
@carolgair @NRCUK @martina_davies @WendyWhistles Keeping morale high on the agenda is a bloomin good start... followed by actions not (blogs) nor tokenism #wenurses
@martina_davies
23 November 2017 20:54
RT @louisebrady17: @carolgair @AgencyNurse @NRCUK @martina_davies @WendyWhistles Morale is low.. enough said #wenurses
@AgencyNurse
23 November 2017 20:54
@nursemaiden a good point well made #WeNurses
@SP_Duckworth
23 November 2017 20:54
@AgencyNurse It is. I think lots of factors involved. Worrying though. #WeNurses
@PEFtrace
23 November 2017 20:54
RT @nursemaiden: How many years does it take to change a culture 5-10 years? #Wenurses https://twitter.com/wenurses/status/933799248289820673
@nursemaiden
23 November 2017 20:54
RT @BennyGoodmanUoP: We don't have time for culture change, we need action. now #wenurses and that means being active in our workplaces at…
@AgencyNurse
23 November 2017 20:54
Yep #WeNurses https://twitter.com/martina_davies/status/933800762722971648
@carolgair
23 November 2017 20:55
@martina_davies @AgencyNurse @NRCUK @WendyWhistles @louisebrady17 Yes. Roy uses fun. It means enjoyable. Make it enjoyable for people to come to work.. #wenurses
@Rugbymumno9
23 November 2017 20:55
@BennyGoodmanUoP I find his view from the outside not remotely constructive, Ill-informed and self aggrandising... as increasingly I find most of his work. Perhaps everyone else should stop speaking for #WeNurses and start listening to us instead. #Advocacy #Agentsforchange
@AgencyNurse
23 November 2017 20:55
@SP_Duckworth yes indeed .... knowing who your DoN is is an important piece of info for so many reasons #WeNurses
@PUNC14
23 November 2017 20:56
RT @BennyGoodmanUoP: #wenurses we have the theory, we have the education, we have the research, we have the passion, we have the mission, a…
@jomwlever
23 November 2017 20:56
@NRCUK @selenam738 @AgencyNurse I have found a voice on Twitter. Connected with many senior colleagues & have a great level of communication that would be very difficult in work. No hierarchy here. Would like to see more on #wenurses tweetchats! ??
@AgencyNurse
23 November 2017 20:56
@Rustinurse @WeNurses oh dear ! #WeNurses
@BennyGoodmanUoP
23 November 2017 20:56
#wenurses celebrity of course helps. I've been posting out Hunts agenda for ages but no one hears it. so we need to co opt key influences, be poltically savvy and network https://twitter.com/selenam738/status/933800752337780736
@WeNurses
23 November 2017 20:56
#WeNurses https://twitter.com/Rustinurse/status/933801157818028038
@PUNC14
23 November 2017 20:57
RT @AgencyNurse: lol thanks - glad we have that cleared up :D #WeNurses https://twitter.com/treaclejo/status/933800531704844289
@DeeDavies12
23 November 2017 20:57
@nursemaiden @WeNurses #wenurses Visibility for our DoNs is key but can be challenging to achieve #meetingsoverload
@WeNurses
23 November 2017 20:57
RT @BennyGoodmanUoP: #wenurses celebrity of course helps. I've been posting out Hunts agenda for ages but no one hears it. so we need to co…
@macstne
23 November 2017 20:58
I find as nurses sometimes we expect change, but we aren’t willing to engage or take any steps to making it happen. Instead we just sit and complain. Get doing. #WeNurses
@martina_davies
23 November 2017 20:58
@carolgair @AgencyNurse @NRCUK @WendyWhistles @louisebrady17 Unfortunately nurses are leaving in their droves as going to work is no longer even 'enjoyable'. We need to put the joy back into nursing , mountains to climb along the way. #WeNurses
@AgencyNurse
23 November 2017 20:58
@DeeDavies12 @nursemaiden @WeNurses visibility isn't always about physical visibility though ... they can't be everywhere ... but need to get smarter at being accessible and known #WeNurses
@treaclejo
23 November 2017 20:58
@NRCUK @WeNurses #WeNurses don't get me started on IT systems... Bloody nightmare on the community we poor connectivity and rubbish laptops
@jomwlever
23 November 2017 20:59
RT @BennyGoodmanUoP: We don't have time for culture change, we need action. now #wenurses and that means being active in our workplaces at…
@AgencyNurse
23 November 2017 20:59
@Rustinurse @WeNurses yes i can imagine #WeNurses !!!
@carolgair
23 November 2017 20:59
@Rustinurse @AgencyNurse @WeNurses Wasn’t that the issue with the DoN at mid-staffs too? She wasn’t the bedside nurses... #wenurses
@WeNurses
23 November 2017 20:59
1 MINUTE LEFT #WeNurses @BennyGoodmanUoP
@JFr4ser
23 November 2017 20:59
@Rustinurse @AgencyNurse @WeNurses I had a Dep DoN say that in a situation like mid-staffs* it’s the bedside nurses on the stand not folks in senior position. Makes you wonder what they’re paid for ?? #wenurses *paraphrasing
@reboverend
23 November 2017 21:00
@carolgair @BennyGoodmanUoP @PUNC14 Don’t be lonely! We have lost so many of the opportunities to be together, ‘see’ each other and learn from each other beliefs about what makes nursing good, which is why forums like #wenurses are so helpful. Look forward to learning about what you are doing ??
@BennyGoodmanUoP
23 November 2017 21:00
#wenurses so keep networking, the evidence for our worth is easily collated but we need to talk to management, CCGs, Unions, local and national politicians and write publish in various media.
@WeNurses
23 November 2017 21:00
RT @BennyGoodmanUoP: #wenurses so keep networking, the evidence for our worth is easily collated but we need to talk to management, CCGs, U…
@PUNC14
23 November 2017 21:01
RT @BennyGoodmanUoP: #wenurses so keep networking, the evidence for our worth is easily collated but we need to talk to management, CCGs, U…
@Rugbymumno9
23 November 2017 21:01
RT @BennyGoodmanUoP: #wenurses so keep networking, the evidence for our worth is easily collated but we need to talk to management, CCGs, U…
@tarailes
23 November 2017 21:01
@jomwlever @nursemaiden @NRCUK @selenam738 @AgencyNurse It’s a brilliant opportunity to network nationally, from the comfort of your front room! :)#WeNurses
@NRCUK
23 November 2017 21:01
Change nothing, nothing changes - only you nurses can change how you all practice to be safe, demand more from managers, evidence poor processes, be the change :) #wenurses https://twitter.com/NRCUK/status/566144736462139392
@Rugbymumno9
23 November 2017 21:01
RT @BennyGoodmanUoP: #wenurses celebrity of course helps. I've been posting out Hunts agenda for ages but no one hears it. so we need to co…
@Ella69
23 November 2017 21:01
RT @AgencyNurse: Here is the @RoyLilley quote from the blog post: #WeNurses https://t.co/dgZqLdMXTh
@Rugbymumno9
23 November 2017 21:01
RT @BennyGoodmanUoP: #wenurses we have the theory, we have the education, we have the research, we have the passion, we have the mission, a…
@WeNurses
23 November 2017 21:01
WOW what an hour ! Huge thank you to @BennyGoodmanUoP .. lots of food for thought tonight #WeNurses https://t.co/98MXMc4hQp
@averyvazon
23 November 2017 21:01
@carolgair @martina_davies @AgencyNurse @NRCUK @WendyWhistles @louisebrady17 That’s half the battle but with teams fragmented, dispirited, overworked and unsupported - many have forgotten the good times! Time to bring the joy back into nursing - care for each other so we have time and energy to care for patients #WeNurses
@carolgair
23 November 2017 21:01
@martina_davies @AgencyNurse @NRCUK @WendyWhistles @louisebrady17 Totally agree. Safe staffing with good RN support network. It’s why I don’t agree with NAs replacing vacant posts and being seen as a solution to pressure. #wenurses
@BennyGoodmanUoP
23 November 2017 21:02
That hour flew by!!!!! #wenurses. there is doom and gloom but we do have more influence and power han we think. we need to believe we can exercise it and that means learning some old skills again. https://twitter.com/WeNurses/status/933802247779225601
@WeNurses
23 November 2017 21:02
NEXT WEEK - on Thurs 8pm The importance of case studies and practice examples > https://buff.ly/2ArVc1b #WeNurses with @WendyJNicholson https://t.co/HTVBEERpmQ
@JFr4ser
23 November 2017 21:02
@DeeDavies12 @nursemaiden @WeNurses Nothing ever happened for patients just because someone wrote something down - too many meetings at senior level #wenurses
@WeNurses
23 November 2017 21:02
NEXT WEEK - on Tues at 8pm "Patient safety during busy periods" with @nhsimprovement and @karendunderdale #WeNurses Details here > https://buff.ly/2iKHXhm https://t.co/4alul6uOWe
@jomwlever
23 November 2017 21:02
@AgencyNurse @SP_Duckworth Definite change where I work. I know who ours is & deputy - they know me & always say hi if they see me in work. It's great. Ideas shared. Chance to voice challenges & feel listened to & understood #WeNurses
@s9tmt
23 November 2017 21:02
RT @BennyGoodmanUoP: We don't have time for culture change, we need action. now #wenurses and that means being active in our workplaces at…
@louisebrady17
23 November 2017 21:02
@averyvazon @carolgair @martina_davies @AgencyNurse @NRCUK @WendyWhistles We said Mary! #wenurses
@AgencyNurse
23 November 2017 21:02
A really good warm up to our activism chat on the 9th @maxwele2 @Anniecoops @EllzSummary #WeNurses https://t.co/fanqhhzRyB
@jomwlever
23 November 2017 21:03
RT @BennyGoodmanUoP: #wenurses celebrity of course helps. I've been posting out Hunts agenda for ages but no one hears it. so we need to co…
@AgencyNurse
23 November 2017 21:03
Brilliant :D #WeNurses https://t.co/cB6nLFxzNR
@treaclejo
23 November 2017 21:03
@WeNurses @BennyGoodmanUoP My first @WeNurses debate, thoroughly enjoyed it... Feeling very political now! #WeNurses
@EllzSummary
23 November 2017 21:04
RT @BennyGoodmanUoP: #wenurses so keep networking, the evidence for our worth is easily collated but we need to talk to management, CCGs, U…
@AgencyNurse
23 November 2017 21:04
RT @BennyGoodmanUoP: That hour flew by!!!!! #wenurses. there is doom and gloom but we do have more influence and power han we think. we nee…
@WeNurses
23 November 2017 21:04
RT @BennyGoodmanUoP: That hour flew by!!!!! #wenurses. there is doom and gloom but we do have more influence and power han we think. we nee…
@PUNC14
23 November 2017 21:04
#WeNurses Thanks @WeNurses @BennyGoodmanUoP and all the connecting nurses online. Proud to be a Nurse??
@PUNC14
23 November 2017 21:04
RT @treaclejo: @WeNurses @BennyGoodmanUoP My first @WeNurses debate, thoroughly enjoyed it... Feeling very political now! #WeNurses
@PUNC14
23 November 2017 21:05
RT @AgencyNurse: A really good warm up to our activism chat on the 9th @maxwele2 @Anniecoops @EllzSummary #WeNurses https://t.co/fanqhhzRyB
@selenam738
23 November 2017 21:05
#wenurses https://t.co/y8S3sHNkoD
@NaomiMcVey
23 November 2017 21:05
RT @WeNurses: NEXT WEEK - on Thurs 8pm The importance of case studies and practice examples > https://t.co/qnuDi6TDt2 #WeNurses with @Wen…
@PUNC14
23 November 2017 21:05
RT @BennyGoodmanUoP: That hour flew by!!!!! #wenurses. there is doom and gloom but we do have more influence and power han we think. we nee…
@WeNurses
23 November 2017 21:06
RT @selenam738: #wenurses https://t.co/y8S3sHNkoD
@AgencyNurse
23 November 2017 21:06
RT @selenam738: #wenurses https://t.co/y8S3sHNkoD
@krishnaker
23 November 2017 21:06
RT @WeNurses: NEXT WEEK - on Tues at 8pm "Patient safety during busy periods" with @nhsimprovement and @karendunderdale #WeNurses Detai…
@WeNurses
23 November 2017 21:07
@treaclejo @BennyGoodmanUoP great to have you join us #WeNurses
@tarailes
23 November 2017 21:07
RT @selenam738: #wenurses https://t.co/y8S3sHNkoD
@NRCUK
23 November 2017 21:07
Top job @BennyGoodmanUoP on tonight’s #WeNurses Thanks for adding so much long term value to the community :)
@MidwifeBec
23 November 2017 21:07
RT @selenam738: #wenurses https://t.co/y8S3sHNkoD
@BennyGoodmanUoP
23 November 2017 21:07
#wenurses a big thank you to contributors, I'm impressed....so lets get on with it!
@Power180582
23 November 2017 21:07
RT @selenam738: #wenurses https://t.co/y8S3sHNkoD
@louisebrady17
23 November 2017 21:08
YES! #wenurses https://t.co/qqaczFZ19g
@tiredkiwinurse
23 November 2017 21:08
RT @selenam738: #wenurses https://t.co/y8S3sHNkoD
@martina_davies
23 November 2017 21:08
RT @louisebrady17: YES! #wenurses https://t.co/qqaczFZ19g
@carolgair
23 November 2017 21:08
Goodness! Terrible texting errors tonight. *By bring back #wenurses https://t.co/ekRKfhtqY4
@EnferEvidente
23 November 2017 21:09
RT @BennyGoodmanUoP: #WeNurses Hospital nurse staffing ratios mandated in California are associated with lower mortality and nurse outcomes…
@AgencyNurse
23 November 2017 21:09
@carolgair lol thats how i read it anyway ;D #WeNurses
@jomwlever
23 November 2017 21:10
#WeNurses thanks for this @Ex_Acute ???? https://t.co/hLBJYQGBMZ
@AgencyNurse
23 November 2017 21:10
Brilliant discussion @BennyGoodmanUoP ... thank you :D #WeNurses
@twizzle_80
23 November 2017 21:10
RT @selenam738: #wenurses https://t.co/y8S3sHNkoD
@HBrett1
23 November 2017 21:10
RT @selenam738: #wenurses https://t.co/y8S3sHNkoD
@acockroft
23 November 2017 21:10
@nursemaiden It takes ppl to change culture, not time. #wenurses
@MrsStegallSON
23 November 2017 21:11
RT @WeNurses: If you havent had chance catch up here > https://t.co/YfgZWvTINn #WeNurses https://t.co/0HJwIgMDPq
@Alanmakepeace1
23 November 2017 21:12
RT @selenam738: #wenurses https://t.co/y8S3sHNkoD
@s9tmt
23 November 2017 21:12
RT @louisebrady17: YES! #wenurses https://t.co/qqaczFZ19g
@AgencyNurse
23 November 2017 21:12
Or even 7th !!! #WeNurses https://t.co/IjmGsVtlcZ
@nursemaiden
23 November 2017 21:13
RT @acockroft: @nursemaiden It takes ppl to change culture, not time. #wenurses
@MrsLStocks
23 November 2017 21:13
RT @selenam738: #wenurses https://t.co/y8S3sHNkoD
@disley1980
23 November 2017 21:14
RT @WeNurses: NEXT WEEK - on Thurs 8pm The importance of case studies and practice examples > https://t.co/qnuDi6TDt2 #WeNurses with @Wen…
@nursemaiden
23 November 2017 21:14
#Wenurses is this the case? https://t.co/B5BxPcKwv4




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