Systematic review of literature on intellectual disability nursing staffing levels, and its relation to the safety, quality and delivery of compassionate nursing care

Mafuba, Kay, Shanley, O, Kupara, Dorothy and Gates, Bob (2015) Systematic review of literature on intellectual disability nursing staffing levels, and its relation to the safety, quality and delivery of compassionate nursing care. In: 6th International Conference on Disabilities, 6-9 July 2015, Tel Aviv, Israel.

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Abstract

Within the UK pre-registration students of nursing follow one of four fields of practice at the outset of their education: nursing children, adults, people with intellectual disabilities, or people with mental health problems. They then practice in their chosen area of care at the point of initial registration. Apart from Ireland, the UK is the only country to follow this approach: other countries provide a generic pre-registration education.

In the UK the intellectual disability nursing community has been concerned about declining numbers (Gates, 2010; U.K. Chief Nursing Officers, 2012; Glover and Emerson, 2012; CfWFI, 2012). This is highly relevant in the UK where there is a complex landscape of service provision for people with intellectual disabilities, with a multiplicity of service providers, making it difficult to locate strategic responsibility for work force planning; yet where epidemiological evidence concerning people with intellectual disabilities points to a need for increasing the numbers of this part of the nursing workforce (Gates, 2011). However, ensuring adequate numbers of education commissions and intellectual disability nurses does not of itself address the context of national concern regarding nursing's ability to deliver safe and compassionate care. And these concerns can be located in a national context. (Francis, 2013) recently identified; ‘poor leadership and staffing policies, [and that] a completely inadequate standard of nursing was offered on some wards in Stafford. The complaints heard at both the first inquiry and this one testified not only to inadequate staffing levels, but poor leadership, recruitment and training’; and these issues can be found in all fields of nursing practice.

In response to increasing government and public concerns it became necessary to develop a national nursing strategy. This was launched in 2012 and set out the purpose of nurses, midwives and care staff in delivering high quality, compassionate care (DH, 2012). As part of the implementation of the national Compassion into Practice Programme (DH, 2012) work streams were planned for nursing, and this included intellectual disability nursing; Task area 5; ‘Ensuring we have the right staff with the right skills in the right place: learning disabilities’. Also the Royal College of Nursing - UK, specifically the RCN intellectual disability forum has since been proactive in developing intellectual disability nursing in the United Kingdom, and has established a position statement on the role of the intellectual disability nurse (RCN,2011; 2014). A national intellectual disability nursing task and finish group [T and F] was established in 2013. This group commissioned a systematic review of relevant literature to inform the implementation of the UK national Compassion into Practice Programme for intellectual disability nursing.

Item Type: Conference or Workshop Item (Poster)
Subjects: Medicine and health
Medicine and health > Nursing
Depositing User: Kay Mafuba
Date Deposited: 08 Jun 2016 11:38
Last Modified: 08 Sep 2016 10:14
URI: http://repository.uwl.ac.uk/id/eprint/2412

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