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Appendix 3
Review processes and methods
The Review of Nursing in the Community in Scotland was launched to:
'… identify the core components of a modern community nursing service which is flexible and responsive to meet the needs of patients and communities in Scotland within a multi-disciplinary setting and makerecommendations for the future delivery of care.'
The Review set out to build on the positive elements of the nursing role by capturing the contributions nursing makes to community services, whether in people's homes, general practices, work places, community hospitals, schools, workplaces or other community settings.
Objectives
The Review objectives were to:
- identify current arrangements/models for the provision of nursing in the community
- determine future nursing service requirements to provide modern nursing in the community and determine the impact this will have on other community disciplines
- identify effective practice
- identify models of best practice.
The Review took its place among a raft of policy, legislative and contractual arrangements governing and influencing health care in Scotland, such as:
- Delivering for Health ( SEHD, 2005)
- Delivering Care, Enabling Health ( SEHD, 2006a)
- Rights, Relationships and Recovery - the Review of Mental Health Nursing in Scotland ( SEHD, 2006c)
- Changing Lives: The 21st Century Social Work Review (Scottish Executive, 2006d)
- Care 21 (Scottish Executive, 2006e) and the Scottish Executive, response to it (Scottish Executive, 2006f)
- Delivering a Healthy Future (Scottish Executive, 2006g)
- The Joint Future programme
- Community Care and Health (Scotland) Act 2002
- The Mental Health (Care and Treatment) Scotland Act 2003
- The General Medical Services Contract
- The Community Pharmacy Contract
- The Agenda for Change pay modernisation initiative.
Methods
The methods involved a number of specific mechanisms for engaging with members of the public and people working in health and related services and ensuring their views, experiences and ideas were harnessed. It also set out to ensure that evidence from the literature was incorporated into Review findings.
Two project officers were appointed to lead the Review. The methods they adopted involved:
- convening a steering group and reference groups ( Appendices 1 and 2)
- holding workshops with patients, carers and their representatives
- examining the views of the public who had been engaged with other recent policy development projects
- holding workshops with staff and managers in NHS Boards (Box 1)
- consulting with established fora such as CHP general managers and professional organisations' single-discipline groups
- developing an online questionnaire
- holding a national conference and a consensus conference
- commissioning a literature review carried out by staff of Napier University and Queen Margaret University College, Edinburgh (the literature review can be accessed at: www.scotland.gov.uk/nursing)
- evaluating the implications for nursing in the community of previous national and international reviews (Box 2)
- ensuring that as many people as possible were able to comment on the draft report through widespread print and online distribution.
Box 1 Workshop format |
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The workshops focused on five key questions: - What are the most valuable contributions nurses working in the community make to Scotland's health?
- What models of care have you developed and what are the lessons learnt, both positive and negative?
- What are the least valuable contributions nurses working in the community make to Scotland's health?
- Are there other contributions nurses could be making? If so, what are they?
- What would need to change to allow these to be made?
The online questionnaire also followed this format. |
Box 2 Previous reviews |
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The method involved evaluating the implications for nursing in the community of previous national and international reviews, including: - Nursing for Health
- Promoting Health, Supporting Inclusion
- Nursing People with Cancer in Scotland: a Framework
- Framework for Nursing in General Practice
- A Scottish Framework for Nursing in Schools
- Rights, Relationships and Recovery: The Review of Mental Health Nursing in Scotland
- evidence from the World Health Organisation family health nursing project taken forward in Scotland by the Scottish Executive
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A website and newsletter were developed to keep people updated on progress, and articles about the Review were prepared for the professional press. The website can be accessed via the following link: www.scotland.gov.uk/nursing
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