Nine characteristics of good-quality care in district nursing taken from interviews with patients, carers and staff.
We hope this framework and these slides will be a useful resource for you – please feel free to use them in your work, in documents and presentations.
As part of a joint learning network on integrated housing, care and health, The King's Fund and the National Housing Federation have produced a set of slides illustrating the connections between housing, social care, health and wellbeing.
We hope they will be a useful resource for you – please feel free to use them in your office, in documents or presentations.
As part of a joint learning network on integrated housing, care and health, The King's Fund and the National Housing Federation have produced a set of slides illustrating the connections between housing, social care, health and wellbeing.
We hope they will be a useful resource for you – please feel free to use them in your office, in documents or presentations.
Our series of organograms explain how the NHS is now structured, including how providers are regulated, who can influence the commissioning of services and where the money goes.
There has been over five decades of research into scaling with impact. However, this research has rarely been absorbed into the practice of spreading and diffusing innovative ideas, services and processes in both local and national health systems. Most of the scaling plans we see today are actually based on a set of assumptions, or myths
David Albury: learning from NHS (and other) innovation initiatives to dateThe King's Fund
David Albury, Director of the Innovation Unit Ltd, explores how the health care system can be transformed through innovation. This requires disciplined, focused innovation, learning from failure and addressing issues around scale and diffusion.
District councils’ contribution to public healthThe King's Fund
Our health is primarily determined by factors beyond just
health care. These slides illustrate the ways in which district
councils influence the health of local people through their key
functions and in their wider role supporting communities and
influencing other bodies.
Jan-Kees Helderman on NHS reform - a Dutch perspective The King's Fund
Jan-Kees Helderman, assistant professor in Comparative Governance and Public Policy at Radbouyd University Nijmegan, outlines how the Dutch health care system operates and reflects on the English health reforms.
It's the era of the improvement platformHelen Bevan
Slides from the presentation Helen Bevan made at 2nd International Symposium on Healthcare Improvement and Innovation, Monash University, 29th June 2016
"Signed, Sealed Delivered": leading improvement in a new eraHelen Bevan
The slides from the workshop that Helen Bevan and Goran Henriks presented at the Clinical Microsystems Festival, Jonkoping, Sweden on 2nd March 2016. References and resources have been added at the end
"Where is change going?" Slides from Helen Bevan's first talk at the NHS Tran...Helen Bevan
The NHS Transformathon was a 24 hour virtual event to connect people from all over the world who are leading the way in transforming the health and care system. It took place on 27/28 January 2016. The aim of this first talk "Where is chaneg going?" was to set the scene for the following 24 hours and to identify the principles that underpinned many of the talk to come during the Transformathon.
The entire event was a live broadcast on Google hangout. You can watch all of the sessions. Go to http://theedge.nhsiq.nhs.uk/transformathon/ and click on the title of the session you would like to view. The content is free and available to all.
If you tweet about the content of the Transformathon, please use the hashtag #NHSTform
How to create change that sticks and spreadsHelen Bevan
This is a talk that Helen Bevan gave at the NHS Transformathon with support from Zoe Lord, Jodi Brown and Hannah Wall at 4am on 28th January.
The NHS Transformathon was a 24 hour virtual event to connect people from all over the world who are leading the way in transforming the health and care system. It took place on 27/28 January 2016.
The entire event was a live broadcast on Google hangout. You can watch all of the sessions. Go to http://theedge.nhsiq.nhs.uk/transformathon/ and click on the title of the session you would like to view. The content is free and available to all.
If you tweet about the content of the Transformathon, please use the hashtag #NHSTform
This presentation mainly explains about the type of patients that are encountered in day to day practice as well as how each of them should be handled to improve the communication between a doctor and the patient.
Geron 2014: Caregiver Issues and Challenges by Swapna Kishore (Kolkata, India)Swapna Kishore
Caregivers: Issues and Challenges Faced--- A caregiver perspective presented on Sept 6, 2014, as part of the theme symposium at GERON 2014, the 10th Annual National Conference of the Indian Association for Geriatric Mental Health, held at Kolkata, India.
If you are concerned about dementia home care, also see the pages at: http://dementiacarenotes.in/caregivers/
Caritas in Action (launch): How Caring Science Informs and Inspires the Nursi...Kaiser Permanente
Kaiser Permanente, Northern California - Patient Care Services developed a Caritas in Action campaign to encourage caregivers to reflect authentic expressions of Jean Watson's Caring Science in their daily practice and within their medical center.
Inpatient Rounding: 30 Minutes a Week to Amazing Patient ExperienceMedAmerica Marketer
In a busy emergency department, patients can feel lost in the shuffle. No wonder patients admitted from the ED tend to score the hospital low on patient satisfaction surveys. But even after a negative experience, it’s still possible to win back patients’ loyalty. The trick is to respond quickly and with genuine compassion.
Nova Health Patient-Centric Culture Code Kristine Rice
The Nova Health patient-centric culture code is the convergence of our patients’ needs and our staffs’ deep-rooted desire to help care for our patients and each other.
Understanding NHS financial pressures: visual resourcesThe King's Fund
This slideset contains key visual elements from our report, Understanding NHS financial pressures: how are they affecting patient care? Please feel free to share and re-use these graphics with credit to The King's Fund.
The King’s Fund Events organise more than 20 health and social care events each year. Our highly-regarded conferences attract leading speakers from the government, the NHS, local authorities and the independent and voluntary sectors.
Jos de Blok set up Buurtzorg – which means ‘neighbourhood care’ in Dutch – with a team of four nurses. Today there are nearly 8,000 Buurtzorg nurses in 630 independent teams, caring for 60,000 patients a year. Nurses in Sweden, Norway, Japan and the United States are adopting the Buurtzorg model.
Our infographics highlight some key facts and figures around leadership vacancies in the NHS and some of the difficulties NHS organisations face in recruiting and retaining people for executive positions.
Sharing leadership with patients and users: a roundtable discussionThe King's Fund
‘What more is possible when patients, service users and those delivering services share the leadership task in health and social care?’
We held a roundtable discussion with patient leaders and organisational leads to discuss this question. Our slidepack summaries the conversations, including the opportunities and challenges for patient leaders, and where and how to start shared leadership working.
Making the case for public health interventionsThe King's Fund
In partnership with the Local Government Association, we have produced a set of infographics that describe key facts about the public health system and the return on investment for some public health interventions.
We hope they will be a useful resource for you – please feel free to use them in your office, in documents or presentations.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
This document is designed as an introductory to medical students,nursing students,midwives or other healthcare trainees to improve their understanding about how health system in Sri Lanka cares children health.
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
India Diagnostic Labs Market: Dynamics, Key Players, and Industry Projections...Kumar Satyam
According to the TechSci Research report titled “India Diagnostic Labs Market Industry Size, Share, Trends, Competition, Opportunity, and Forecast, 2019-2029,” the India Diagnostic Labs Market was valued at USD 16,471.21 million in 2023 and is projected to grow at an impressive compound annual growth rate (CAGR) of 11.55% through 2029. This significant growth can be attributed to various factors, including collaborations and partnerships among leading companies, the expansion of diagnostic chains, and increasing accessibility to diagnostic services across the country. This comprehensive report delves into the market dynamics, recent trends, drivers, competitive landscape, and benefits of the research report, providing a detailed analysis of the India Diagnostic Labs Market.
Collaborations and Partnerships
Collaborations and partnerships among leading companies play a pivotal role in driving the growth of the India Diagnostic Labs Market. These strategic alliances allow companies to merge their expertise, strengthen their market positions, and offer innovative solutions. By combining resources, companies can enhance their research and development capabilities, expand their product portfolios, and improve their distribution networks. These collaborations also facilitate the sharing of technological advancements and best practices, contributing to the overall growth of the market.
Expansion of Diagnostic Chains
The expansion of diagnostic chains is a driving force behind the growing demand for diagnostic lab services. Diagnostic chains often establish multiple laboratories and diagnostic centers in various cities and regions, including urban and rural areas. This expanded network makes diagnostic services more accessible to a larger portion of the population, addressing healthcare disparities and reaching underserved populations. The presence of diagnostic chain facilities in multiple locations within a city or region provides convenience for patients, reducing travel time and effort. A broader network of labs often leads to reduced waiting times for appointments and sample collection, ensuring that patients receive timely and efficient diagnostic services.
Rising Prevalence of Chronic Diseases
The increasing prevalence of chronic diseases is a significant driver for the demand for diagnostic lab services. Chronic conditions such as diabetes, cardiovascular diseases, and cancer require regular monitoring and diagnostic testing for effective management. The rise in chronic diseases necessitates the use of advanced diagnostic tools and technologies, driving the growth of the diagnostic labs market. Additionally, early diagnosis and timely intervention are crucial for managing chronic diseases, further boosting the demand for diagnostic lab services.
Trauma Outpatient Center is a comprehensive facility dedicated to addressing mental health challenges and providing medication-assisted treatment. We offer a diverse range of services aimed at assisting individuals in overcoming addiction, mental health disorders, and related obstacles. Our team consists of seasoned professionals who are both experienced and compassionate, committed to delivering the highest standard of care to our clients. By utilizing evidence-based treatment methods, we strive to help our clients achieve their goals and lead healthier, more fulfilling lives.
Our mission is to provide a safe and supportive environment where our clients can receive the highest quality of care. We are dedicated to assisting our clients in reaching their objectives and improving their overall well-being. We prioritize our clients' needs and individualize treatment plans to ensure they receive tailored care. Our approach is rooted in evidence-based practices proven effective in treating addiction and mental health disorders.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
1. A quality framework for district nursing
Nine characteristics of good-quality care in district nursing,
taken from interviews with patients, carers and staff.
Read more at www.kingsfund.org.uk/districtnursing
2. Caring for the
whole person
Continuity
of care
Personal manner
of staff
Scheduling and reliability
of appointments
Being available
between appointments
Valuing and
involving carers and
family members
Nurses acting
as co-ordinators
and advocates
Clinical competence
and expertise
Patient education
and support for
self-management
Nine characteristics of good-quality care in district nursing
2014
2015
2016
Care
pla
n
Community
Center
GP Surgery
Hospital
Patient
In
fo
rm
ation
2016
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Nurse Sarah Visit
Nurse Sarah Visit
3. Caring for the whole person
1
What does this involve?
Taking a holistic, person-centred
approach to care rather than a
task-focused approach
Seeing the person, not the need
Considering the person’s other
health conditions, social issues and
wider circumstances, not just a
particular condition
4. Quality of care improves because….
People receiving care and their carers:
feel supported
benefit from the social interaction of visits.
Staff can:
understand and address the root cause of
a problem
identify undiagnosed health problems,
including acute illness
adapt care to an individual’s needs.
Caring for the whole person
1
Just being there and chatting with
the patients, because while you’re doing
that you’re also doing an assessment of
them, and there can be things that crop
up while you’re chatting.
District nurse team leader
They just seem to go that little bit
further to help, I mean, just being asked
‘are you feeling okay?’
Male patient, 60s
5. 2016
1
2
3
4
5
6
7
8
9
10
11
Nurse Sarah visit
Nurse Sarah visit
Continuity of care
2
What does this involve?
The same nurse, or the same few
nurses (who communicate
information effectively) seeing
each individual receiving care
6. 13
14
15
16
Continuity of care
2
You get a reassurance…They say it’s
getting better, so you feel better.
Whereas a complete stranger can’t say
what it’s like, if it’s getting better,
because they’ve never seen it before so
they can’t compare it with anything.
Male patient, 60s
If you’ve known the person when
they’re well, you build up that rapport
and that relationship with the patient
and the family. Then when they begin to
decline you’ve got more of a feeling for
what they need, and then you know
what they’re going to need and you can
- to a certain extent - anticipate it.
Community nurse
Quality of care improves because…
Staff can:
monitor progress to detect improvements in
the patient’s condition
take a ‘whole person’ approach
to care
build relationships and trust
with patients.
People receiving care:
do not have to repeat information
have confidence in the abilities of a known
and trusted nurse.
7. Personal manner of staff
3
What does this involve?
Caring and compassionate attitudes
Polite and respectful attitudes
Not appearing to rush
Effective communication and
building trust
Staff appearing to be professional
and confident
8. Personal manner of staff
3
He seemed to care. And his
professional manner of course…there
was that thought, not just like ‘I’ll do my
job and go’.
Female carer, 60s
[Good care is] communication more
than anything. Discuss what you’re
doing, step by step: ‘I’m here now, my
name is, I’m going to take this bandage
off now, I’m going to clean, now I’m
going to put on a new bandage’. And tell
him everything you’re doing, so that he’s
not so fretful. Communication and
bedside manner.
Female carer, 50s
Quality of care improves because…
People receiving care:
feel at ease and more confident in the care.
9. 2014
2015
2016
Scheduling and reliability of appointments
4
What does this involve?
Advance warning of appointment
timing
Reliable/predictable timing
Information and updates when
scheduling is disrupted
10. Scheduling and reliability of appointments
4
[If they come late] by the time you
get up it’s almost time to go back to bed
again, the day’s gone.
Male patient, 60s
I’ve got a friend who comes up to
see me and I go down to see her, but we
can't do it on the days the nurse is
coming. It’s every other day and it’s
tying the whole day up. I don't seem to
have any days.
Female patient, 80s
Quality of care improves because…
People receiving care can:
plan and maintain routines
plan hospital appointments or other
care visits
maintain social networks and contact.
11. Being available between appointments
5
What does this involve?
Services being available to be
contacted between visits for
information, advice or support or in
case of emergency
12. Being available between appointments
5
One individual described the comfort
she takes from being:
always able to ring them up if
something [isn’t] right.
Female patient, 60s
We heard a number of examples from
patients and carers of times when the
nursing service had supported them in a
moment of crisis, and had either made
an unscheduled visit or supported them
to access other emergency medical care.
Quality of care improves because…
People receiving care and carers:
can contact the service in the event of a
deterioration, a sudden worsening of a
problem or other issue, and receive helpful
intervention and support
get the information and advice they need to
manage between nurse visits
are reassured and experience
less anxiety.
13. Care
plan
Valuing and involving carers and family members
6
What does this involve?
Offering practical support to carers
in their role
Involving carers in care planning
and decisions
Valuing and recognising carers’
contributions and expertise
Addressing carers’ own needs and
personal wellbeing
14. Valuing and involving carers and family members
6
[If they tell me what to do when
there’s a problem then] when it happens
I’m not going to panic – I feel like I know
what I should be doing, rather than
thinking I can’t leave it like that, I’m
going to have to make my own mind up,
and I might do something stupid.
Female carer, 50s
If we are struggling with a patient,
I will turn to the family most of the time
and say ‘encourage him to do that.’ They
tend to listen to them, they try to
implement it for us.
Support staff
Quality of care improves because…
Carers:
feel supported and reassured and more
confident in their caring role
feel valued and recognised
may be able to assist staff with treatment
can support staff to better understand the
individual’s preferences and needs.
People recieving care:
have improved patient experience
and outcomes.
15. Community
center
GP surgery
Hospital
Nurses acting as co-ordinators and advocates
7
What does this involve?
Supporting patients and carers in
contact with multiple services
Advocating on the patient or
carer’s behalf
16. Nurses acting as co-ordinators and advocates
7
They’re so on the ball. I’ve got an
ulcer on my heel – they told the podiatry
people and now they see me every
month. She arranged the ambulance to
pick me up for my appointments.
Female patient, 80s
You pick up so much about what
they want and what they need, and can
liaise with others, and bring services
into the home
Community nurse
Quality of care improves because…
Staff can:
alert other professionals to problems and
ensure appropriate intervention
identify the need for other services and
support people to access them.
17. Clinical competence and expertise
8
What does this involve?
Knowledge, experience and
expertise
Clinical skills and advanced
technical skills
Skills in assessment and care
co-ordination
18. Clinical competence and expertise
8
I think [the good thing] was, she
used to change your catheter and you
used to have a lot of faith in her that it
would be alright
Male carer, 70s
Quality of care improves because…
People receiving care and their carers:
have increased confidence in the care they
are receiving.
Staff can:
complete procedures to a high standard
without causing harm or avoidable
discomfort.
19. Patient
inform
ation
Patient education and support for self-management
9
What does this involve?
Supporting and educating patients
to self-manage
Involving people in decisions
about their own care
20. Patient education and support for self-management
9
Community [nursing] is about
empowering them, so educating them
about what they should do in terms of
their own health.
Support staff
[We should be] giving patients
empowered choices, yet helping them
understand their health needs and how
to access [care] appropriately… so they
can get a better understanding and it’s
done more in partnership.
Professional development lead
Quality of care improves because…
People receiving care can:
manage their own health and care needs
as far as possible, which promotes
independence.
21. Who values and recognises these characteristics?
Highest priority for people receiving
care, carers and staff:
Caring for the whole person
Continuity of care
Personal manner of staff
High priority for people receiving
care and carers, recognised by staff:
Scheduling and reliability of
appointments
Being available between
appointments
Important to people receiving care,
carers and staff:
Valuing and involving carers and
family members
Nurses acting as co-ordinators and
advocates
Clinical competence and expertise
Important to staff:
Patient education and support for
self-management
22. Understanding
quality in district
nursing services
Learning from patients,
carers and staff
More detail on this quality framework is
available in our report, Understanding
quality in district nursing services
Download it from
www.kingsfund.org.uk/districtnursing
We hope this framework and these slides
will be a useful resource for you – please
feel free to use them in your work, in
documents and presentations.