Research article summary (published 29 Jun 2009):

Twenty-four hour care: implications for the role and developmental needs of nurses in acute and community settings.

Full Abstract

AIM(S): The aim of this study was to explore the challenges of providing continuity within the 24-hour nursing service. It explored why nurses work at night and what issues this raises for them. BACKGROUND: The manner in which new ways of working affect the work or CPD (Continuing Professional Development) requirements of ward-based nurses or their community counterparts has received little attention. The aim of this study was to explore these issues with a diverse sample of practitioners. METHOD(S): Twenty-seven staff from four settings (two acute trusts and two community teams) participated in this qualitative study employing focus groups and interviews. RESULTS: The nature of night nursing is changing; expanded roles and responsibilities are common. However, CPD remains problematic, as a result of constraints around time and access. Context-specific issues shape the nature of night working in acute and community settings and should be considered when planning CPD. CONCLUSION(S): There is a need to re-examine what CPD is available for practitioners providing care around the clock. Traditional forms of CPD may not reflect the evolving reality of practice at night. IMPLICATIONS FOR NURSING MANAGEMENT: There is a need to ensure CPD opportunities are reviewed regularly to reflect changing 24-hour service demands in all settings.

Author information

Author/s: Kelly, Daniel (D); Berridge, Emma-Jane (EJ); Gould, Dinah (D);

Affiliation: School of Health & Social Sciences, Middlesex University, 2-10 Highgate Hill, London N19 5LW, UK. d.kelly(-atsign-)mdx.ac.uk

Journal and publication information

Publication Type: Journal Article

Journal: Journal of nursing management (J Nurs Manag), published in England. (Language: eng)

Reference: 2009-Jul; vol 17 (issue 5) : pp 594-602

Dates: Created 2009/07/06; Completed 2009/10/08;

PMID: 19575718, status: MEDLINE (last retrieval date: 10/8/2009, IMS Date: )

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Attitude of Health Personnel Career Choice Community Health Nursing - education; organization & administration Continuity of Patient Care - organization & administration Education, Nursing, Continuing - organization & administration Focus Groups Health Care Reform - organization & administration Humans Job Satisfaction London Needs Assessment - organization & administration Night Care - organization & administration

Night Care - organization & administration Nurse Administrators - organization & administration; psychology Nurse's Role - psychology Nursing Education Research Nursing Methodology Research Nursing Staff - education; organization & administration; psychology Personnel Staffing and Scheduling Professional Autonomy Qualitative Research Questionnaires Staff Development - organization & administration State Medicine - organization & administration

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