NHS Grampian Academy publications

NHS Grampian Academy publications

Articles, Governance, Learning Resources, Member Blogs, News, Transforming Roles
NHS Grampian has piloted a number of aspects of Scottish Academy work, and have published the following articles which you may find interesting. They are both in the same Issue of RCNi Nursing Management, which is freely available on Knowledge Network - either when on NHS Scotland premises or through your Athens account login.  Establishing an advanced care academy and its role in advanced practitioner development. Nursing Management [Online]. Available: https://journals-rcni-com.knowledge.idm.oclc.org/doi/full/10.7748/nm.2019.e1856 [Accessed 29/09/2020].Citation: Kindness, K., Gray, H., Moggach, A., Croft, A., & Hiscox, C. Establishing an advanced care academy and its role in advanced practitioner development. Nursing Management, doi:10.7748/nm.2019.e1856.Steering national standards to advanced clinical practice. In Nursing management [Online]. Available: https://journals-rcni-com.knowledge.idm.oclc.org/nursing-management/feature/steering-national-standards-to-advanced-clinical-practice-nm.26.5.12.s8/full  [Accessed 29/09/2020].Citation: Kindness, K.(2019).Steering national standards to advanced clinical practice. Nursing Management, 26(5), 12-15.doi:10.7748/nm.26.5.12.s8.
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Providing a navigable route for acute medicine nurses to advance their practice: a framework of ascending levels of practice

Articles
Acute Med. 2016;15(2):98-103. Lees-Deutsch L1, Christian J2, Setchfield I3. Abstract This article conveys concerns raised by delegates at the International SAM Conference (Manchester, 2015) regarding how to advance nursing practice in acute medicine. It endeavors to capture the essence of 'how to advance practice' and 'how to integrate advanced practice' within the workforce structures of an acute medicine unit (AMU). It addresses the production of tacit knowledge and the recognition and integration of this to developing the nursing workforce. The current context of NHS efficiencies and recruitment issues emphasize the value of retaining tacit knowledge. Uniquely, this article offers an early conceptual framework through which levels of advancement and potential transition points to advance nursing practice in acute medicine are articulated. Determining how to advance requires identification of prior accomplishments…
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Management of Sepsis

Management of Sepsis

Articles
Introduction: The following is a scenario based learning discussion on the management of sepsis. This article was submitted to ACAP by: Dr Paul Robertson, MRCP MD Specialty Doctor in Microbiology, Monklands District General Hospital, Monkscourt Avenue, Airdrie, ML6 0JS   A call to assess a febrile in-patient is a common scenario for junior medical staff or advanced nurse practitioners (ANP). Nursing and medical tradition would see this as an opportunity to administer an anti-pyretic and obtain blood cultures. Sadly these are often the only interventions that occur, with insufficient thought being given to identifying and treating the cause of the fever. I’ll argue that a call to assess a febrile inpatient represents an opportunity for early identification and treatment of sepsis, and that a shift in hospital culture – particularly…
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Liability and Consent– Julie Smith & Elaine Headley

Liability and Consent– Julie Smith & Elaine Headley

Articles
Liability and Consent Julie Smith & Elaine Headley Introduction Discussing the legal and ethical issues that surround Advanced Nurse Practitioners can only increase awareness and improve the need to question and demand clarification of all areas that create situations of ambiguity and uncertainty. This is crucial to facilitate continued development in advanced nursing and ensure it manages to survive with the utmost safety for patients. Continuing with the legal and ethical issues pertinent to advanced practice, this article will focus on the issues of both liability and consent. Both of these issues are complex and multifaceted, it is therefore the intention of this article to give only a brief overview of the main issues regarding liability and consent. Similarly, it is acknowledged that there are differences in regards to Scottish…
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It’s only water, but it makes a difference

Articles
I work as an Associate Nurse Director for advanced practice within NHS Ayrshire and Arran. As far as I’m aware, it’s the only post of this type within NHS Scotland (if someone out there knows different, I'd be delighted to hear from you).Advanced practice is “big business" in our healthboard.  Service change, reduction in medical staff, quality drives have all influenced the development of advanced practice posts across the whole continuum of care.  Advanced Nurse Practitioners now work in areas as diverse as Hospital at Night in Mental Health, Community Wards, Out of Hours primary care, Paediatrics, Neonates and acute hospital work.One of the most exciting, and challenging projects my team and I have been tasked with has been the development of an advanced practice model that would be able…
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Influencing change

Influencing change

Articles
Introduction. This article will discuss how an advanced nurse practitioner (ANP) influenced organizational change within an established structure in primary care. This ultimately led to better outcomes for patient care, subsequently allowing more consultation time for the doctors. Additionally this change facilitated both empowerment and utilization of the practitioner’s skills and knowledge. This was achieved through identifying the need for the change and how the change was implemented through collaborative working; ultimately leading to a win-win situation. There has been a considerable growth in the field of advanced practice in the last decade, often with underlying confusion over the context and nature of the role (Smith & Headley 2010). The Scottish Government (2008) recognizing this confusion and recognizing the need to conceptualize advanced practice developed the Advanced Practice Toolkit (www.advancepractice.scot.nhs.uk)…
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Emotional Intelligence

Emotional Intelligence

Articles
Understanding Emotional Intelligence in Relationship to Leadership   Elaine Headley Senior charge Nurse HECT NHSLanarkshire Introduction.   What makes a good leader? Is there a simple uncomplicated answer to that small question? In all probability that is unlikely. Finding a definition that would describe this concept has never been agreed (Swansburg & Swansburg 2002). In all probability the lack of a clear concise definition is almost certainly due to the fact that leadership is a multi-complex concept; taking in styles, personality, organisational and political influences, ones ability to mentor or coach, effective communication, critical and creative thinking and effective team building. These are just a few titles of the many aspects of this concept, with each aspect further covering a vast array of sub headings. It is the focus of…
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Liability and Consent

Liability and Consent

Articles
Liability and Consent Julie Smith & Elaine Headley Introduction Discussing the legal and ethical issues that surround Advanced Nurse Practitioners can only increase awareness and improve the need to question and demand clarification of all areas that create situations of ambiguity and uncertainty. This is crucial to facilitate continued development in advanced nursing and ensure it manages to survive with the utmost safety for patients. Continuing with the legal and ethical issues pertinent to advanced practice, this article will focus on the issues of both liability and consent. Both of these issues are complex and multifaceted, it is therefore the intention of this article to give only a brief overview of the main issues regarding liability and consent. Similarly, it is acknowledged that there are differences in regards to Scottish…
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