Embedding the 6 Cs into clinical research practice and management

Br J Nurs. 2014 Apr 10;23(7):365-7.   Author: Hardicre J.
Compassion in Practice was launched by the Chief Nursing Officer (CNO), Jane Cummings, at the CNO’s Conference in December 2012 (Cummings and Bennett, 2012). The values and behaviours of this 3-year plan have been embraced. It has driven the NHS action and change agenda with calls for every nurse, midwife and member of the care team to implement the 6 Cs into practice (NHS Commissioning Board, 2013) and, furthermore, into all areas of health, public health and social care services. This was almost palpable around NHS Change Day in March 2014 and the rapid recruitment of caremakers acting as ambassadors for change and the implantation of the 6 Cs into practice.
The values and behaviours of the 6 Cs are:
■ Care
■ Compassion
■ Competence
■ Communication
■ Courage
■ Commitment.

Read the full article via EBSCO (Athens credentials required)

NEW Medicine Safety app from CPPE

Our thanks to Ciaran Friel of Liverpool Community Health NHS Trust for this news.

The Centre for Pharmacy Postgraduate Education (CPPmedsafetyE) has launched the Medicines Safety app. This is free and funded by Health Education North West. It offers short quizzes for any healthcare professional to test their knowledge on high-risk areas for medicines safety incidents. The topics so far include: Insulin, Allergies, Opioids, Anticoagulation and Medicines safety.

It stimulates further learning so it can be used to generate ideas for CPD portfolios and to improve practice. You can also use it in group learning situations as a starting point for discussion on key safety issues.

Download the app free of charge from the App Store for iPhone/iPad users and from Google Play Store for Android devices.  More topics will be released soon. 

You can also keep up to date with developments at CPPE and get in touch via the following media:  www.cppe.ac.uk/blog or via Twitter at twitter.com/cppeengland

Productive Ward article: International Journal of Nursing Studies

The impact of a large-scale Quality Improvement Programme on Work Engagement; Preliminary Results from a national cross-sectional-survey of the ‘Productive Ward …

M White, JSG Wells, T Butterworth – International Journal of Nursing Studies, May 2014

Quality improvement (QI) Programmes, like the Productive Ward: Releasing-time-to-care initiative, aim to ‘engage’ and ‘empower’ ward teams to actively participate, innovate and lead quality improvement at the front line. However, little is known about the relationship and impact that QI work has on the ‘engagement’ of the clinical teams who participate and vice-versa.

This paper explores and examines the impact of a large-scale QI programme, the Productive Ward, on the ‘work engagement’ of the nurses and ward teams involved.

Using the Utrecht Work Engagement Scale (UWES), we surveyed, measured and analysed work engagement in a representative test group of hospital-based ward teams who had recently commenced the latest phase of the national ‘Productive Ward’ initiative in Ireland and compared them to a control group of similar size and matched (as far as is possible) on variables such as ward size, employment grade and clinical specialty area.

Szatmary, P, et al; Annals of Surgery, May 2014,

Safety of short, in-hospital delays before surgery for acute appendicitis: Multicentre cohort study, systematic review, and meta-analysis

Citation: Annals of Surgery, May 2014, vol./is. 259/5(894-903), 0003-4932;1528-1140 (May 2014)

Author(s): Bhangu A.; Panagiotopoulou I.G.; Chatzizacharias N.; Rana M.; Rollins K.; Ejtehadi F.; Jha B.; Tan Y.W.; Fanous N.; Markides G.; Tan A.; Marshal C.; Akhtar S.; Mullassery D.;  P. Szatmary (East Cheshire NHS Trust, Macclesfield);

OBJECTIVE:  To determine safety of short in-hospital delays before appendicectomy.   BACKGROUND:   Short organizational delays before appendicectomy may safely improve provision of acute surgical services.

METHODS: The primary endpoint was the rate of complex appendicitis (perforation, gangrene, and/or abscess). The main explanatory variable was timing of surgery, using less than 12 hours from admission as the reference. The first part of this study analyzed primary data from a multicentre study on appendicectomy from 95 centers. The second part combined this data with a systematic review and meta-analysis of published data.

RESULTS: The cohort study included 2510 patients with acute appendicitis, of whom 812 (32.4%) had complex findings. Adjusted multivariable binary regression modelling showed that timing of operation was not related to risk of complex appendicitis [12-24 hours odds ratio (OR) 0.98 (P = 0.869); 24-48 hours OR 0.88 (P = 0.329); 48+ hours OR 0.82 (P = 0.317)]. However, after 48 hours, the risk of surgical site infection and 30-day adverse events both increased [adjusted ORs 2.24 (P = 0.039) and 1.71 (P = 0.024), respectively]. Meta-analysis of 11 nonrandomized studies (8858 patients) revealed that delay of 12 to 24 hours after admission did not increase the risk of complex appendicitis (OR 0.97, P = 0.750).

CONCLUSIONS: Short delays of less than 24 hours before appendicectomy were not associated with increased rates of complex pathology in selected patients. These organizational delays may aid service provision, but planned delay beyond this should be avoided. However, where optimal surgical systems allow for expeditious surgery, prompt appendicectomy will still aid fastest resolution of pain for the individual patient.

Copyright 2014 by Lippincott Williams & Wilkins.
Publication Type: Journal: Article
Source: EMBASE
Full Text: Available from Ovid in Annals of Surgery