Review of Nursing in the Community: Baseline Study

DescriptionDuring 2006 the Scottish Executive began a far reaching review of community nursing. It was decided to test a new model of community nursing in four development sites. This report outlines the key findings from a study designed to provide quantitative and qualitative evidence of the views and satisfaction of community health nurses in these four sites with their current role and their views on a proposed new model of community nursing in Scotland. It also gathered data on the views of their c
ISBN0 7559 7495 5
Official Print Publication DateApril 2009
Website Publication DateApril 02, 2009

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CONTENTS

ACKNOWLEDGEMENTS

ABBREVIATIONS

EXECUTIVE SUMMARY

1. INTRODUCTION
BACKGROUND
LITERATURE REVIEW
THE DECISION TO TEST THE NEW MODEL

2. AIMS AND OBJECTIVES

3. METHODS
EXISTING SERVICE DATA
SURVEY
QUALITATIVE INTERVIEWS AND FOCUS GROUPS

4. FINDINGS
HOW ARE COMMUNITY NURSES ORGANISED?
WHAT DO COMMUNITY NURSES DO?
WHAT DO COMMUNITY NURSES THINK OF THEIR WORK?
WHAT IS THE PERCEIVED IMPACT OF THEIR WORK FROM THE PERSPECTIVE OF:
MANAGERS, NURSES' THEMSELVES AND PATIENTS AND CLIENTS?
What are nurses' perceptions of the proposed model of Nursing in the Community?
WHAT THE MODEL WILL LOOK LIKE
ATTITUDES TOWARDS IMPLEMENTATION AND CHANGE

5. CONCLUSIONS
KEY AREAS OF CURRENT PRACTICE
LESSONS LEARNT FROM BASELINE ASSESSMENT
To what extent do community nurses already work in ways that are proposed by the new model?
RECOMMENDATIONS FOR FOLLOW-UP EVALUATION
Key conclusions

6. REFERENCES

ANNEX ONE - LITERATURE REVIEW WHICH INFORMED THE SURVEY INSTRUMENT

ANNEX TWO - SURVEY QUESTIONNAIRE

ANNEX THREE - PROTOCOL AND TOPIC SCHEDULES FOR QUALITATIVE INTERVIEWS

ANNEX FOUR - Current activities of community nurses as reported by focus group participants

LIST OF TABLES

Table 3.1 Number of questionnaires sent and received by development site
Table 3.2 Status of each development site
Table 3.3 Nurse participants involved in focus groups and interviews
Table 4.1 Survey sample characteristics
Table 4.2 Post by development site
Table 4.3 Size of Nursing Teams
Table 4.4 Composition of District Nursing Team
Table 4.5 Composition of Health Visiting Team
Table 4.6 Composition of Staff Nursing Teams
Table 4.7 Composition of Multiple Role Nursing Teams
Table 4.8 Composition of School Nursing Teams
Table 4.9 Work with individuals across the lifespan
Table 4.10 Child protection
Table 4.11 Coordinating services for those with complex needs
Table 4.12 Addressing health inequalities
Table 4.13 Working with other professionals
Table 4.14 Affect on service users, service delivery, and partnership working
Table 4.15 Assessing health and support needs
Table 4.16 Protecting from harm and neglect
Table 4.17 Enabling self management and self care (or with communities improving public health)
Table 4.18 Coordinating services on behalf of those with complex needs.
Table 4.19 Health inequalities
Table 4.20 Mean job satisfaction score by post
Table 4.21Correlation co-efficients for engagement and confidence
Table 4.22 Support for the new model
Table 4.23 Support for the new model by post
Table 4.24 Understanding how the new model affects their role
Table 4.25 Understanding how the new model affects their position as part of a multidisciplinary team
Table 4.26 Understanding how the new model affects service users
Table 4.27 Whether nursing staff felt fully consulted
Table 4.28 Whether leaders are fully aware of what is required.
Table 4.29 Some nurses will leave the service.

Professor Catriona Kennedy, Napier University
Professor Lawrie Elliott, The Centre for Integrated Health Care Research ( CIHR) Napier University
Dr Robert Rush,CIHR Queen Margaret University
Dr Rhona Hogg,CIHR and NHS Lothian
Dr Shona Cameron, Queen Margaret University
Dr Margaret Currie, Centre for Rural Health UHI Millennium Institute
Steph Hall, Centre for Rural Health University of Aberdeen
Martine Miller, Napier University
Charlene Plunkett,CIHR Queen Margaret University
Professor William Lauder, University of Dundee

The views expressed in this report are those of the researcher and
do not necessarily represent those of the Department or Scottish Ministers.

This report is available on the Scottish Government Social Research website only
www.scotland.gov.uk/socialresearch.