#WeNurses - Thursday 25th October 2018 8pm (GMT Standard Time)
Care plans - do we need them?
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During a recent #WeNurses Tweetchat on patient safety the subject of care plans came up:
A few people in our survey have suggested care plans should go #wenurses https://t.co/PtxCd2iZ79
— Rebecca Lawton (@LawtonRebecca) September 13, 2018
Lots of our recent research seems to suggest that they are a static, not dynamic plan, meaning that they are almost useless much of the time to support decisions. @RuthMBaxter and @NatashaHardicre are more knowledgeable about this than I... #wenurses
— Jane O'Hara (@janekohara) September 13, 2018
Who are they for? Patients, families, clinicians caring for patients, organisations?
— Mary Titchener RN DN QN (@mary_titchener) September 13, 2018
How should they be personalised and include the patient/client view?
I’m sure that we’ve all been taught about care plans but seeing them in practice- the variance is huge.... #wenurses
Definitely something that I hear, also “I write care plans but no one else reads them!” #wenurses
— Mary Titchener RN DN QN (@mary_titchener) September 13, 2018
Care plans are something that we are religiously taught are an essential part of nursing ... but are they?? This #WeNurses tweetchat aims to explore the care plan and it's role in nursing ... and perhaps even the alternatives !
- What is the purpose of a care plan?
- Taking into account the answers from Question 1 - do care plans achieve what they set out to achieve?
- Do you write care plans in your day to day work?
- Do you read care plans in your day to day work?
- What does the evidence say about care plans?
- How do we make care plans into more of a working document .. ie more dynamic?
- If we were to scrap care plans what is the alternative?
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Chat Summary
QUESTION 1
QUESTION 1
— WeNurses (@WeNurses) October 25, 2018
What is the purpose of a care plan?#WeNurses pic.twitter.com/uZKTPnv0MG
Care plans allow communication between nurses on their service users. They give nurses important information on the service users needs and keep updates on the care given! #wenurses
— Abigail Phillips (@puncabigail53) October 25, 2018
To ensure that everyone involved in the care of the patient is aware of current interventions, the response to them and any changes.
— June Girvin (@ProfJuneG) October 25, 2018
Working in a nursing home and dementia unit, care plans play a very important part.. I have worked one night a week in the last few years after having my children and find care plans very valuable if done correctly in a way for me to get to know each resident and their needs..
— Caroline O Callaghan (@CarolineOCalla3) October 25, 2018
QUESTION 2
QUESTION 2
— WeNurses (@WeNurses) October 25, 2018
Taking into account the answers from Question 1 - do care plans achieve their purpose? (explain your answer!) #WeNurses pic.twitter.com/AoIDNK3kJV
A2, in my previous post on a ward, not only did we have to document in the care plan, we had to write a summary of care in the medical notes. Most clinicians and #AHPs would write in the medical notes, not the care plan. I like the idea of 1 shared record #WeNurses
— 🌼#HellomynameisJo🌼 RN (@jomwlever) October 25, 2018
In the community these care plans are individual to patients and should be able to be adapted and changed as the needs change. Vital when mobile working to confirm the care that is to be delivered. #livedocument
— sandra smyth RN DN QN (@sanrgn) October 25, 2018
They should. But they vary so much in quality and detail that, as a student, I can't rely solely on a person's Care Plan. They often fall short and I find myself adding/adapting because they lack depth - which makes it really hard in complex MH/LD to get it right. #WeNurses
— Leanne Patrick (@LeanneHPatrick) October 25, 2018
QUESTION 3
QUESTION 3
— WeNurses (@WeNurses) October 25, 2018
Who are care plans for? Who writes them? Who reads them? #WeNurses pic.twitter.com/WvlyM90xBp
Care plan detail what the persons medical problem is, initial treatment,planned intervetnions, person's wishes and nursinig needs. It would be up to the team involved in the care to update acordingly. It should be for all invoved in the care. #WeNurses
— Lee Dickson💊💉 (@leedicksonstn) October 25, 2018
Not all other professions write in the ‘medical’ notes, before I left @NHSaaa we were using MDT notes with medics often the outliers 🤷?? #WeNurses
— Derek T Barron RMN 🏴 (@dtbarron) October 25, 2018
OK. I'm speaking from my experience of self and relatives/friends etc and time in clinical areas in different care settings and different geographical areas. I accept it may not be the same everywhere. #WeNurses
— June Girvin (@ProfJuneG) October 25, 2018
QUESTION 4
QUESTION 4
— WeNurses (@WeNurses) October 25, 2018
What does the evidence say about care plans?#WeNurses pic.twitter.com/2tX9oyz6xA
A great article on developing, understanding and effectiveness of care planning/care plans #WeNurses
— Reece Jordan Doonan, RN (@Lerounxi) October 25, 2018
https://t.co/X9gejMoLex
That they often fail in their objectives. #WeNurses
— Leanne Patrick (@LeanneHPatrick) October 25, 2018
I think it’s evident from our chat that care plans are formulated differently in different care settings, and that they aren’t utilised to their full potential in some cases
— Nicki (@NickiG40) October 25, 2018
QUESTION 5
QUESTION 5
— WeNurses (@WeNurses) October 25, 2018
How do we make care plans into more of a working document .. ie more dynamic?#WeNurses pic.twitter.com/1VFcw2SZpV
Having the confidence to go off grid; if it's not in a 'pre-configured care plan' and you want to write it in. Go ahead, remembering that your documentation is the only thing you have of proving something is completed/considered/ documented once you leave that shift. #WeNurses
— Reece Jordan Doonan, RN (@Lerounxi) October 25, 2018
The clue is in the name Care Plan.... CARE is not a tick box exercise, it's about the person. PLAN, well best laid plans can go astray!
— Rachel Ames (@Rachel_A_) October 25, 2018
You're planning to meet care needs.. these change. Respond accordingly.
We make it individual! Surely it is so obvious when we talk about individual care, being family centred you cannot put all ypur patients into boxes they are all different and are entitled to be treated that way
— liz page (@LizPage84) October 25, 2018
QUESTION 6
QUESTION 6
— WeNurses (@WeNurses) October 25, 2018
If we were to scrap care plans what is the alternative? #WeNurses pic.twitter.com/1HxajtJ4OQ
We need to ensure that the most appropriate documentation is available, care plans to each clinical area, nursing home etc. Not multiple care plans that overlap each other - this is not helpful not efficient. They shouldn't be scrapped, just streamlined and appropriate #WeNurses
— Reece Jordan Doonan, RN (@Lerounxi) October 25, 2018
In dementia care, I have seen booklets that are written by the service user about their life, interests, dislikes etc. I think these should be introduced to all aspects of healthcare and developed to make them more effective! #wenurses
— Abigail Phillips (@puncabigail53) October 25, 2018
...alternative = "plan of care"? Whatever it is called, I think all nurses can agree there should be care and ideally it should be planned, between health care teams and patients. The process and documentation should be optimised and improved and probably simplified a lot.
— IslandNurse (@MarthaGillRN) October 25, 2018
THANK YOU - to all who took part and shared their thoughts and experience
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#WeNurses transcript
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@WeNurses
25 October 2018 20:00
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Hello and welcome to #WeNurses If you are joining us for the next hour to talk about "Care plans - do we need them… https://twitter.com/i/web/status/1055534476695089152 |
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@AgencyNurse
25 October 2018 20:00
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Hello Teresa here #WeNurses Ready to talk care plans |
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@LeanneHPatrick
25 October 2018 20:01
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@WeNurses Hello! #WeNurses |
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@puncabigail53
25 October 2018 20:01
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@WeNurses Hello???? #wenurses |
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@TheAutisticRN
25 October 2018 20:01
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@WeNurses Good Evening #WeNurses |
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@WeNurses
25 October 2018 20:01
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@puncabigail53 hello :D #WeNurses |
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@WeCYPnurses
25 October 2018 20:01
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RT @WeNurses: Hello and welcome to #WeNurses If you are joining us for the next hour to talk about "Care plans - do we need them?" then pl… |
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@WeNurses
25 October 2018 20:01
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@LeanneHPatrick hi leanne #wenurses |
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@Lerounxi
25 October 2018 20:01
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@WeNurses Hello! ?? #WeNurses |
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@WeNurses
25 October 2018 20:02
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@leedicksonstn Hi lee #wenurses |
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@WeNurses
25 October 2018 20:02
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QUESTION 1 What is the purpose of a care plan? #WeNurses https://t.co/uZKTPnv0MG |
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@Louise90999815
25 October 2018 20:02
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RT @WeNurses: QUESTION 1 What is the purpose of a care plan? #WeNurses https://t.co/uZKTPnv0MG |
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@WeNurses
25 October 2018 20:02
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@Lerounxi evening :D #WeNurses |
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@WeStudentNurse
25 October 2018 20:02
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RT @WeNurses: Hello and welcome to #WeNurses If you are joining us for the next hour to talk about "Care plans - do we need them?" then pl… |
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@MHnurseabby
25 October 2018 20:02
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@WeNurses @Lerounxi Hi ???? #wenurses |
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@WeStudentNurse
25 October 2018 20:02
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RT @WeNurses: QUESTION 1 What is the purpose of a care plan? #WeNurses https://t.co/uZKTPnv0MG |
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@jomwlever
25 October 2018 20:02
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RT @WeNurses: QUESTION 1 What is the purpose of a care plan? #WeNurses https://t.co/uZKTPnv0MG |
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@MHnurseabby
25 October 2018 20:02
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@WeNurses Hi ?? #WeNurses |
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@AgencyNurse
25 October 2018 20:02
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is it too simple if i say - to plan care ?? #WeNurses |
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@WeNurses
25 October 2018 20:03
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Hi Louise #WeNurses |
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@LeanneHPatrick
25 October 2018 20:03
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RT @WeNurses: QUESTION 1 What is the purpose of a care plan? #WeNurses https://t.co/uZKTPnv0MG |
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@maxwele2
25 October 2018 20:03
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@WeNurses To make explict and share with everyone the thinking part of decisions on care #WeNurses |
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@Lerounxi
25 October 2018 20:03
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@WeNurses The purpose being, understanding our patient’s care requirements. Should be individualised to each patient #WeNurses |
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@sroo91
25 October 2018 20:03
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@WeNurses Hello #wenurses |
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@WeNurses
25 October 2018 20:03
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RT @maxwele2: @WeNurses To make explict and share with everyone the thinking part of decisions on care #WeNurses |
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@jomwlever
25 October 2018 20:04
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Hi all, Jo here, tweeting from Greater Manchester. Got plenty of experience documenting in hospital care plans #wenurses |
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@WeNurses
25 October 2018 20:04
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RT @Lerounxi: @WeNurses The purpose being, understanding our patient’s care requirements. Should be individualised to each patient #WeNurses |
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@maaike30be
25 October 2018 20:04
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RT @WeNurses: Hello and welcome to #WeNurses If you are joining us for the next hour to talk about "Care plans - do we need them?" then pl… |
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@Louise90999815
25 October 2018 20:04
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RT @maxwele2: @WeNurses To make explict and share with everyone the thinking part of decisions on care #WeNurses |
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@WeNurses
25 October 2018 20:05
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#wenurses |
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@WeNurses
25 October 2018 20:05
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#WeNurses |
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@MHnurseabby
25 October 2018 20:05
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@WeNurses To create a holistic plan of how all services will together meet the patients needs??? #WeNurses |
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@WeNurses
25 October 2018 20:05
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RT @MHnurseabby: @WeNurses To create a holistic plan of how all services will together meet the patients needs??? #WeNurses |
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@MHnurseabby
25 October 2018 20:06
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@WeNurses Oooo yes, I did to when I worked in a school! Although wasn't called a care plan. #WeNurses |
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@maxwele2
25 October 2018 20:06
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@AgencyNurse Yes, because we could do that by rote, care planning should be more than that #WeNurses |
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@lilian_wittman
25 October 2018 20:06
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#WeNurses I think they're good in principle but can be restricted in the content. |
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@Lerounxi
25 October 2018 20:06
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@AgencyNurse absolutely not - seems straightforward. However, how effective are care plans in care planning? #WeNurses |
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@ChristineCatley
25 October 2018 20:07
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@AgencyNurse A1) A tool to meet patient's current care requirements & aim for discharge #wenurses |
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@AgencyNurse
25 October 2018 20:07
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RT @ChristineCatley: @AgencyNurse A1) A tool to meet patient's current care requirements & aim for discharge #wenurses |
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@WeNurses
25 October 2018 20:08
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#WeNurses |
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@WeNurses
25 October 2018 20:09
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Is this where the problem lies ?? #WeNurses |
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@s9tmt
25 October 2018 20:09
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RT @jomwlever: Hi all, Jo here, tweeting from Greater Manchester. Got plenty of experience documenting in hospital care plans #wenurses |
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@maxwele2
25 October 2018 20:10
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@WeNurses No, this is the consequence of nurses not fully understanding the purpose #WeNurses |
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@STPHCareers
25 October 2018 20:10
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Want to work in #Covington, LA? View our latest opening: http://bit.ly/2yuV7Gp #HealthyNurse #WeNurses #Nursing #Job #Jobs #Hiring |
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@WeNurses
25 October 2018 20:10
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RT @maxwele2: @WeNurses No, this is the consequence of nurses not fully understanding the purpose #WeNurses |
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@nadasj89
25 October 2018 20:11
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Setting and prioritising mutual care goals #WeNurses |
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@kilgore_cliff
25 October 2018 20:12
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RT @AgencyNurse: is it too simple if i say - to plan care ?? #WeNurses https://twitter.com/WeNurses/status/1055534976488345600 |
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@maxwele2
25 October 2018 20:13
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#WeNurses struck by the difference in tweets. One group see care plans as a record of pt wishes and care to be deli… https://twitter.com/i/web/status/1055537849381076992 |
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@AgencyNurse
25 October 2018 20:13
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@maxwele2 thats a fair point ... but how can they be more ? What is needed ? #WeNurses |
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@AgencyNurse
25 October 2018 20:13
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#WeNurses |
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@RN_Abigail
25 October 2018 20:14
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#WeNurses To plan care and the aims of the treatment we are providing to patients. It provides us with a plan to ha… https://twitter.com/i/web/status/1055538159604383744 |
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@WeNurses
25 October 2018 20:15
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Thoughts ?? #Wenurses |
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@emma_emmalowri
25 October 2018 20:16
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RT @maxwele2: @WeNurses To make explict and share with everyone the thinking part of decisions on care #WeNurses |
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@Lerounxi
25 October 2018 20:17
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@WeNurses Let's not forget the Nursing Process... #WeNurses https://t.co/1mTdgl96Td |
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@AgencyNurse
25 October 2018 20:17
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I'm not sure that they are always what they aspire to be #WeNurses |
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@ProfJuneG
25 October 2018 20:17
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Until there is an agreed purpose & we can see here that there isn't), then judging their effectiveness is a non-starter! #wenurses |
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@AgencyNurse
25 October 2018 20:18
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I also wonder about the audit side of care plans ?? creates something to measure by ?? #WeNurses |
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@TheAutisticRN
25 October 2018 20:18
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Great thoughts on care planning. #WeNurses |
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@Lerounxi
25 October 2018 20:18
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@WeNurses Let's not forget the Nursing Process... or have we forgotten the nursing process? #WeNurses https://t.co/tXbsEiZtqL |
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@NursesSikh
25 October 2018 20:18
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@WeNurses #WeNurses Care plans are usually a good guide for delivering nursing care, but things can change dependen… https://twitter.com/i/web/status/1055539207937101824 |
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@AgencyNurse
25 October 2018 20:20
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@ProfJuneG maybe thats the problem June ? #WeNurses |
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@ProfJuneG
25 October 2018 20:20
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@AgencyNurse Yup. #wenurses |
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@WeNurses
25 October 2018 20:20
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#WeNurses |
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@PeterMartin55
25 October 2018 20:20
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@WeNurses #WeNurses Should centre around short term and long term goals. Should detail how person’s needs - as dete… https://twitter.com/i/web/status/1055539677695000576 |
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@Louise90999815
25 October 2018 20:20
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RT @WeNurses: #WeNurses https://twitter.com/NickiG40/status/1055539578835296256 |
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@WeNurses
25 October 2018 20:22
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QUESTION 3 Who are care plans for? Who writes them? Who reads them? #WeNurses https://t.co/WvlyM90xBp |
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@lilian_wittman
25 October 2018 20:22
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#WeNurses by definition care plans mean "a plan of care". When they're written it's all about what happened during… https://twitter.com/i/web/status/1055540118004658177 |
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@WeNurses
25 October 2018 20:22
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Great point ... thoughts ?? #WeNurses |
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@jomwlever
25 October 2018 20:23
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@WeNurses A2 I don't know! #WeNurses |
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@ProfJuneG
25 October 2018 20:23
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@Lerounxi Maybe you could individualise it? Just because it's a template doesn't mean you can't write what is necessary in it? #wenurses |
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@dtbarron
25 October 2018 20:24
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@Louise90999815 @puncabigail53 @WeNurses No, but the patient should have direct input where possible #wenurses |
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@selenam738
25 October 2018 20:24
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@lilian_wittman Exactly. SBAR format for our handover sheets. #WeNurses |
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@Louise90999815
25 October 2018 20:24
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RT @dtbarron: @Louise90999815 @puncabigail53 @WeNurses No, but the patient should have direct input where possible #wenurses |
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@vlcurrie
25 October 2018 20:25
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Anyone think the nursing car?e plan is just a ritualistic paper exercise #WeNurses |
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@JulesWright22
25 October 2018 20:25
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RT @WeNurses: Great point ... thoughts ?? #WeNurses https://twitter.com/ProfJuneG/status/1055540040233902082 |
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@OfrahRn
25 October 2018 20:25
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@WeNurses Hey ?? from the intermittent train signal back from #sunnyEdinburgh ??#WeNurses |
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@lilian_wittman
25 October 2018 20:25
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#WeNurses @ProfJuneG Could this be something to do with the medical/nursing divide - Drs write the notes, nurses write the care plan ? |
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@ProfJuneG
25 October 2018 20:27
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Absolutely this. No-one should be afraid to add stuff relevant to the individual patient on any template. #WeNurses |
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@AgencyNurse
25 October 2018 20:27
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Bloomin brilliant point and i agree #WeNurses |
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@NursesSikh
25 October 2018 20:27
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@WeNurses #WeNurses Now there's a dilemma. There are 2 schools of thought - either for the patient and /or for nurs… https://twitter.com/i/web/status/1055541460785942529 |
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@WeNurses
25 October 2018 20:28
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Thoughts #WeNurses |
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@ProfJuneG
25 October 2018 20:28
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@vlcurrie Only for people who don't understand its purpose or its importance. #WeNurses |
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@WeNurses
25 October 2018 20:28
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#WeNurses |
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@WeNurses
25 October 2018 20:29
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RT @NursesSikh: @WeNurses #WeNurses Now there's a dilemma. There are 2 schools of thought - either for the patient and /or for nursing staf… |
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@vlcurrie
25 October 2018 20:29
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Honestly, though aren't paper based nursing care plans just a waste of time? #WeNurses |
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@ProfJuneG
25 October 2018 20:29
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@lilian_wittman Dunno. But it's pretty daft if it is. Notes about the patient should be in the patient's notes. Makes sense to me. #wenurses |
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@thesismum
25 October 2018 20:30
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RT @WeNurses: QUESTION 1 What is the purpose of a care plan? #WeNurses https://t.co/uZKTPnv0MG |
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@ProfJuneG
25 October 2018 20:30
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@leedicksonstn @WeNurses But it isn't. Every other professional writes in the med notes. So why don't nurses? #WeNurses |
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@OfrahRn
25 October 2018 20:30
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Surely for the people accessing any service & their families #theyshouldbethemaincontributor #WeNurses @WeNurses |
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@AgencyNurse
25 October 2018 20:30
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poorly deigned and inaccessible computerised care plans can also be a total waste #WeNurses |
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@vlcurrie
25 October 2018 20:30
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@Jo3_NHS Some would argue they have never been clear....#wenurses |
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@ProfJuneG
25 October 2018 20:30
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RT @WeNurses: QUESTION 3 Who are care plans for? Who writes them? Who reads them? #WeNurses https://t.co/WvlyM90xBp |
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@WeNurses
25 October 2018 20:31
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QUESTION 4 What does the evidence say about care plans? #WeNurses https://t.co/2tX9oyz6xA |
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@AgencyNurse
25 October 2018 20:31
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@leedicksonstn @PUNCJack maybe not structure ... but what about a defined purpose / aim ? #WeNurses |
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@Jo3_NHS
25 October 2018 20:31
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@PUNCJack @WeNurses There should also be involvement of advocates in this case #WeNurses |
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@vlcurrie
25 October 2018 20:31
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@Lerounxi @WeNurses Well some might argue there is far too much focus on process in nursing....#wenurses |
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@WeNurses
25 October 2018 20:31
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#WeNurses |
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@AgencyNurse
25 October 2018 20:32
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No here's a question ! #WeNurses |
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@Lerounxi
25 October 2018 20:32
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@vlcurrie @WeNurses I think there's a whole discussion debate alone right there #WeNurses |
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@Aeh98Hume
25 October 2018 20:32
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RT @WeNurses: QUESTION 3 Who are care plans for? Who writes them? Who reads them? #WeNurses https://t.co/WvlyM90xBp |
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@maxwele2
25 October 2018 20:32
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@WeNurses What’s the research question? #wenurses |
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@JenniferDeight3
25 October 2018 20:33
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#WeNurses Care plans should be for everyone involved in the patients care, most importantly for the patient. Indivi… https://twitter.com/i/web/status/1055542814606610437 |
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@TheAutisticRN
25 October 2018 20:34
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@AgencyNurse @PUNCJack I would say having a shared vision would help. #WeNurses |
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@maxwele2
25 October 2018 20:35
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@Lerounxi @vlcurrie @WeNurses Without a process to consider what nurses do, we’re just service workers not a profession #wenurses |
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@vlcurrie
25 October 2018 20:35
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@selenam738 But for who? Just the nurse? Why? #wenurses |
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@jomwlever
25 October 2018 20:35
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RT @WeNurses: QUESTION 4 What does the evidence say about care plans? #WeNurses https://t.co/2tX9oyz6xA |
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@LeanneHPatrick
25 October 2018 20:35
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@WeNurses That they often fail in their objectives. #WeNurses |
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@jomwlever
25 October 2018 20:35
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RT @WeNurses: QUESTION 3 Who are care plans for? Who writes them? Who reads them? #WeNurses https://t.co/WvlyM90xBp |
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@Jo3_NHS
25 October 2018 20:35
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@PUNCJack @WeNurses That's right. I was also thinking of statutory advocates like IMHAs and IMCAs #WeNurses |
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@Lerounxi
25 October 2018 20:36
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@WeNurses A great article on developing, understanding and effectiveness of care planning/care plans #WeNurses https://journals.rcni.com/nursing-standard/developing-nursing-care-plans-ns.30.26.51.s48 |
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@parrisjanet4
25 October 2018 20:36
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@WeNurses #WeNurses care plans are for the service user, the nurse or other equivalent worker who is in charge of t… https://twitter.com/i/web/status/1055543689018310656 |
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@puncabigail53
25 October 2018 20:36
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@WeNurses Just looking at this chat, it’s clear that there are many problems with care plans that need to be resolved! #wenurses |
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@NickiG40
25 October 2018 20:36
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RT @Lerounxi: @WeNurses A great article on developing, understanding and effectiveness of care planning/care plans #WeNurses https://t.co… |
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@Louise90999815
25 October 2018 20:36
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RT @WeNurses: #WeNurses https://twitter.com/RobertL15169174/status/1055542295452356608 |
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@AgencyNurse
25 October 2018 20:37
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@nadasj89 @WeNurses and you could take them to the patient .. this is often not the case with computerised #WeNurses |
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@JenniferDeight3
25 October 2018 20:39
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#WeNurses Ironically I was reading about the evidence base only this morning. The language we use needs to be perso… https://twitter.com/i/web/status/1055544364049547270 |
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@NursesSikh
25 October 2018 20:39
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@WeNurses Hello or Sat Sri Akaal (hello in Punjabi) from British Sikh Nurses! #WeNurses |
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@WeNurses
25 October 2018 20:40
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QUESTION 5 How do we make care plans into more of a working document .. ie more dynamic? #WeNurses https://t.co/1VFcw2SZpV |
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@jomwlever
25 October 2018 20:40
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@WeNurses Not sure, but wondering what value they actually have? #wenurses |
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@OfrahRn
25 October 2018 20:41
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@dtbarron @WeNurses Patient owned = betteroutcomes I say #justmyview #WeNurses @WeNurses |
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@AgencyNurse
25 October 2018 20:42
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Thoughts ?? #WeNurses https://t.co/kICbVOp4T7 |
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@ProfJuneG
25 October 2018 20:42
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@Jo3_NHS Yes. Again showing how this important record of accountability is not taken seriously. #WeNurses |
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@ProfJuneG
25 October 2018 20:43
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Now that's a very good question indeed. #wenurses |
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@selenam738
25 October 2018 20:43
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Loathe tick boxes in nursing. Abrogates the nursing narrative, our observations, clinical intuition. #wenurses |
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@ProfJuneG
25 October 2018 20:44
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By understanding what there purpose is and our accountability for them to be 'real' documents. #wenurses |
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@JenniferDeight3
25 October 2018 20:45
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#WeNurses We need to look at the full range of the patients needs. Different needs will need different time frames… https://twitter.com/i/web/status/1055545950196953089 |
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@vlcurrie
25 October 2018 20:46
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@ProfJuneG Demonised?? #wenurses |
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@vlcurrie
25 October 2018 20:47
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@ProfJuneG And if they dont? #wenurses |
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@ProfJuneG
25 October 2018 20:48
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This is the principle that should apply to all patients. It isn't the preserve of mental health care. #wenurses |
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@NursesSikh
25 October 2018 20:48
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@AgencyNurse #WeNurses Evidence would suggest that care plans have an objective for nursing patients from a holisti… https://twitter.com/i/web/status/1055546600624414721 |
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@vlcurrie
25 October 2018 20:48
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@AgencyNurse @Lerounxi @nadasj89 @WeNurses It is daft! #wenurses |
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@lilian_wittman
25 October 2018 20:48
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#WeNurses I think they need to be more of a collaborative approach to involve the pts and families more, to work to… https://twitter.com/i/web/status/1055546728676503553 |
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@AgencyNurse
25 October 2018 20:48
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@NursesSikh perhaps that is another problem #wenurses |
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@AgencyNurse
25 October 2018 20:49
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@Lerounxi @nadasj89 @WeNurses sounds like a plan ;D #WeNurses |
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@WeNurses
25 October 2018 20:50
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QUESTION 6 If we were to scrap care plans what is the alternative? #WeNurses https://t.co/1HxajtJ4OQ |
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@vlcurrie
25 October 2018 20:50
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@Lerounxi @AgencyNurse Nurse compliance? #wenurses |
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@Lerounxi
25 October 2018 20:50
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@AgencyNurse @nadasj89 @WeNurses Let me know if you need a hand... Nurses stick together #WeNurses ?? |
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@Lerounxi
25 October 2018 20:51
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@vlcurrie @AgencyNurse Yes sadly #WeNurses |
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@AgencyNurse
25 October 2018 20:51
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@Lerounxi @nadasj89 @WeNurses have you got some bolt cutters ;D #WeNurses |
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@lilian_wittman
25 October 2018 20:51
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#WeNurses I think there has to be something in place so that the care given can be documented - "if it's not writte… https://twitter.com/i/web/status/1055547511656644608 |
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@WeNurses
25 October 2018 20:52
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RT @lilian_wittman: #WeNurses I think there has to be something in place so that the care given can be documented - "if it's not written do… |
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@Lerounxi
25 October 2018 20:52
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@RobertL15169174 @WeNurses Absolutely agree! Devils advocate #WeNurses |
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@ProfJuneG
25 October 2018 20:53
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@WeNurses Do you mean scrap care planning or scrap the documentation as we currently have it? Very different things! #WeNurses |
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@ProfJuneG
25 October 2018 20:53
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Some times if it IS written down it didn't necessarily happen. #WeNurses |
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@NianSeri
25 October 2018 20:54
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@ProfJuneG @WeNurses I saw the tweet n remember I have to submit my care plan next week, not yet started ??????.. #wenurses |
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@Lerounxi
25 October 2018 20:54
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@AgencyNurse @nadasj89 @WeNurses sadly not! #WeNurses |
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@JenniferDeight3
25 October 2018 20:55
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#WeNurses Now there’s a difficult question. I’ve never considered an alternative. Food for thought. I’m interested… https://twitter.com/i/web/status/1055548347916976128 |
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@WeNurses
25 October 2018 20:55
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We were being deliberately ambiguous June .. feel free to interpret the question as you want to :D #WeNurses |
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@AgencyNurse
25 October 2018 20:55
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Yep have had this happen too !!! #WeNurses |
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@lilian_wittman
25 October 2018 20:56
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@ProfJuneG #WeNurses @ProfJuneG this is also true - although I think it's worrying !! |
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@OfrahRn
25 October 2018 20:56
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Interested to read the #nurseresponses but also #patient&carerresponse #justasimportant #WeNurses @WeNurses https://t.co/pOH7gZ5i59 |
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@Jo3_NHS
25 October 2018 20:56
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I would be very interested to learn what they do in other countries where this works well #WeNurses. https://t.co/60r64qllPR |
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@vlcurrie
25 October 2018 20:57
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@joannemangnall2 And is it a permanent part of my patient record? #wenurses |
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@Nix_edformation
25 October 2018 20:57
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#WENURSES . If it's not hashtagged, I've not said it https://t.co/mfB9iliLMz |
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@AgencyNurse
25 October 2018 20:57
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@ProfJuneG It's just a complete waste of time and makes me so very cross #WeNurses .. also please lump into that "d… https://t.co/3csuscDWUB |
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@dtbarron
25 October 2018 20:57
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@OfrahRn @WeNurses Yep, always patient owned, but that IMO isn’t who the primary plan is written to assist #WeNurses |
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@AgencyNurse
25 October 2018 20:57
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Yes THIS #WeNurses |
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@WeNurses
25 October 2018 20:58
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RT @JenniferDeight3: #WeNurses Now there’s a difficult question. I’ve never considered an alternative. Food for thought. I’m interested in… |
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@WeNurses
25 October 2018 21:00
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#WeNurses |
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@vlcurrie
25 October 2018 21:00
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@jomwlever @lilian_wittman Well that is certainly the way coroners look at it - if its not written down, it didn't happen #wenurses |
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@WeNurses
25 October 2018 21:00
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RT @Jo3_NHS: I would be very interested to learn what they do in other countries where this works well #WeNurses. https://twitter.com/WeNurses/status/1055547057283481600 |
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@JenniferDeight3
25 October 2018 21:01
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#WeNurses. There’s always an alternative. Perhaps we’ve never been prompted to think about it until now. What that… https://twitter.com/i/web/status/1055549884252766209 |
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@OfrahRn
25 October 2018 21:02
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Co produced like this idea ??@WeNurses #WeNurses |
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@MHnurseabby
25 October 2018 21:02
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@puncabigail53 @WeNurses We have these on MH wards as well and they are 10000Xs more effective than care plans! #WeNurses |
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@robmarki
25 October 2018 21:03
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RT @ProfJuneG: By understanding what there purpose is and our accountability for them to be 'real' documents. #wenurses https://t.co/GFCCwr… |
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@AgencyNurse
25 October 2018 21:03
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#WeNurses >> |
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@HaigFrances
25 October 2018 21:05
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RT @WeNurses: QUESTION 1 What is the purpose of a care plan? #WeNurses https://t.co/uZKTPnv0MG |
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@WeNurses
25 October 2018 21:06
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UN Sustainable Development Goals - what can we do, as nurses, to contribute ? #WeNurses next Thursday at 8pm Bac… https://twitter.com/i/web/status/1055551256180199424 |
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@dtbarron
25 October 2018 21:06
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@vlcurrie @OfrahRn @WeNurses Yes they can, albeit a copy will remain as a legal record of the care planned and delivered #WeNurses |
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@WeNurses
25 October 2018 21:08
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If you want to reflect on tonights #WeNurses on Care Plans for your participatory CPD hen here is the all important… https://t.co/Uv4wtoldhP |
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@NursesSikh
25 October 2018 21:09
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@AgencyNurse #WeNurses One avenue of thought would be to investigate nurses’ opinions about using standardised care… https://twitter.com/i/web/status/1055551853482655746 |
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@ProfJuneG
25 October 2018 21:09
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I didn't mean to join in tonight, but it was an interesting discussion. Thank you everyone. #wenurses. |
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@AgencyNurse
25 October 2018 21:11
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RT @WeNurses: If you want to reflect on tonights #WeNurses on Care Plans for your participatory CPD hen here is the all important MyWe link… |
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@sunday1964
25 October 2018 21:11
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RT @WeNurses: If you want to reflect on tonights #WeNurses on Care Plans for your participatory CPD hen here is the all important MyWe link… |
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@OfrahRn
25 October 2018 21:12
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Made my journey home #moreexciting ?? #backtobasicsIsay #keepingitsimple @WeNurses #wenurses |
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@Jo3_NHS
25 October 2018 21:20
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@jomwlever I have had the same experience however, it is the first thing that regulators would want to be evidenced #WeNurses |
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@ProfJuneG
25 October 2018 21:21
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@PUNCJack @vlcurrie Can be taught the principles of its purpose and its r le in safety, continuity, communication etc. #WeNurses |
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@parrisjanet4
25 October 2018 21:22
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@WeNurses #wenurses I don't think there is anything else to replace care plans but I think a major issue in my expe… https://twitter.com/i/web/status/1055555108791091200 |
Stats
Total contributers:
41
Total tweets:
178
Total reach:
4,823,946
