References

Ahmed S, Manaf A, Islam R Measuring Lean Six Sigma and quality performance for healthcare organizations. International Journal of Quality and Service Science. 2018; 10:(3)267-278 https://doi.org/10.1108/IJQSS-09-2017-0076

for the King's Fund and The Health Foundation. Making the case for quality improvement: lessons for NHS boards and leaders. 2017. https://tinyurl.com/2b7vxxpr (accessed 22 September 2022)

Archer S, Hull L, Soukup T Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the literature. BMJ Open. 2017; 7:(12) https://doi.org/10.1136/bmjopen-2017-017155

Ball J, Anstee S, Couper K The impact of COVID-19 on Nurses (ICON) survey: nurses' accounts of what would have helped to improve their working lives. J Adv Nurs. 2022; https://doi.org/10.1111/jan.15442

The National Safety and Quality Health Service Standards requirements for orientation and induction within Australian healthcare: a review of the literature. 2014. https://dro.deakin.edu.au/view/DU:30069760 (accessed 22 September 2022)

British Medical Association. BMA survey. COVID-19 tracker survey. 2021. https://tinyurl.com/s6a44zp7 (accessed 22 September 2022)

British Medical Association. COVID-19: staff redeployment. 2021b. https://tinyurl.com/mtyxu28d (accessed 22 September 2022)

Care Quality Commission. Regulation 18: staffing. 2022. https://tinyurl.com/52uvpm3a (accessed 22 September 2022)

Cheng YC, Huang LC, Yang CH, Chang HC Experiential learning program to strengthen self-reflection and critical thinking in freshmen nursing students during COVID-19: a quasi-experimental study. Int J Environ Res Public Health. 2020; 17:(15) https://doi.org/10.3390/ijerph17155442

Coughlan C, Nafde C, Khodatars S COVID-19: lessons for junior doctors redeployed to critical care. Postgrad Med J. 2021; 97:(1145)188-191 https://doi.org/10.1136/postgradmedj-2020-138100

Cresswell JW, Plano-Clark VL Designing and conducting mixed methods research, 3rd edn. Sage: Thousand Oaks (CA); 2018

Dahlberg L, McCaig C Practical research and evaluation: a start-to-finish guide for practitioners.London: SAGE Publications; 2010

Deng G, Zhao D, Lio J, Ma X, Liang L, Feng C Linking hospital culture to the training performance of residents: the roles of leader-member exchange and transactional leadership style. J Eval Clin Pract. 2020; 26:(1)92-100 https://doi.org/10.1111/jep.13204

Department of Health and Social Care. Quality governance in the NHS—a guide for provider boards. 2011. https://tinyurl.com/4utync9k (accessed 22 September 2022)

Doyle J, Smith EM, Gough CJ Mobilising a workforce to combat COVID-19: an account, reflections, and lessons learned. J Intensive Care Soc. 2020; 23:(2)177-182 https://doi.org/10.1177/1751143720971540

Dragomiroiu R, Hurloiu II, Mihai G Induction staff training. Procedia Economics and Finance. 2014; 16:368-373 https://doi.org/10.1016/S2212-5671(14)00815-6

Eraut M Knowledge, working practices and learning. In: Billett S Dordrecht: Springer; 2010 https://doi.org/10.1007/978-90-481-3939-2_3

Faria G, Tadros BJ, Holmes N Redeployment of the trainee orthopaedic surgeon during COVID-19: a fish out of water?. Acta Orthop. 2020; 91:(6)650-653 https://doi.org/10.1080/17453674.2020.1824155

Fermariello M Patient safety is not a luxury. Lancet. 2016; 387:(10024) https://doi.org/10.1016/S0140-6736(16)30003-4

Flott K, Fontana G, Dhingra-Kumar N, Yu A, Durkin M, Darzi A Health care must mean safe care: enshrining patient safety in global health. Lancet. 2017; 389:(10076)1279-1281 https://doi.org/10.1016/S0140-6736(17)30868-1

The Mid Staffordshire NHS Foundation Trust public inquiry. 2013. http://tinyurl.com/p2ebw82 (accessed 22 September 2022)

General Medical Council. Joint statement: Supporting doctors in the event of a COVID-19 epidemic in the UK. 2020. https://tinyurl.com/bp7ax85j (accessed 22 September 2022)

Health and Care Professions Council. COVID-19 hub: COVID-19 and your scope of practice. 2020. https://tinyurl.com/4kk7v35c (accessed 22 September 2022)

Health Education England. Multi-professional framework for advanced clinical practice in England. 2017. https://tinyurl.com/4s22c58f (accessed 22 September 2022)

Health Education England. Analysis of the online workshop to consider the impact of COVID-19 upon and the implications for the future of advanced and consultant practice. 2020. https://tinyurl.com/876hxdef (accessed 22 September 2022)

Health Education England. What is advanced clinical practice?. 2022. https://tinyurl.com/53ae2uau (accessed 22 September 2022)

Health Foundation. Quality improvement made simple. 2021. https://tinyurl.com/ytncd4f5 (accessed 22 September 2022)

Hettle D, Sutherland K, Miles E Cross-skilling training to support medical redeployment in the COVID-19 pandemic. Future Healthc J. 2020; 7:(3)e41-e44 https://doi.org/10.7861/fhj.2020-0049

Horntvedt MT, Nordsteien A, Fermann T, Severinsson E Strategies for teaching evidence-based practice in nursing education: a thematic literature review. BMC Med Educ. 2018; 18:(1) https://doi.org/10.1186/s12909-018-1278-z

Health and Social Care Committee, Science and Technology Committee. Coronavirus: lessons learned to date. 2021. https://tinyurl.com/5bry3kxj (accessed 30 September 2022)

Jeong S, Han SJ, Lee J, Sunalai S, Yoon SW Integrative literature review on informal learning: antecedents, conceptualizations and future directions. Hum Resour Dev Rev. 2018; 17:(2)128-152 https://doi.org/10.1177/1534484318772242

Jones M, Rattray J, Cormack D Questionnaire design, 7th edn. In: Gerrish K, Lathlean J Chichester: Wiley-Blackwell; 2015

Kaufman DM Teaching and learning in medical education: how theory can inform practice, 3rd edn. In: Swanwick T, Forrest K, O'Brien B Hoboken (NJ): Wiley-Blackwell; 2018

LeMahieu PG, Nordstrum LE, Greco P Lean for education. Quality Assurance in Education. 2017; 25:(1)74-90 https://doi.org/10.1108/QAE-12-2016-0081

Lean Enterprise Academy. What is lean?. 2021. https://www.leanuk.org/what-is-lean (accessed 22 September 2022)

Li C, Yang Y, Jing Y Formulation of teaching strategies for graduation internship based on the experiential learning styles of nursing undergraduates: a non-randomized controlled trial. BMC Med Educ. 2022; 22:(1) https://doi.org/10.1186/s12909-022-03221-0

Marks S, Edwards S, Jerge EH Rapid deployment of critical care nurse education during the COVID-19 pandemic. Nurse Lead. 2021; 19:(2)165-169 https://doi.org/10.1016/j.mnl.2020.07.008

Minissian MB, Ballard-Hernandez J, Coleman B Multispecialty nursing during COVID-19: lessons learned in Southern California. Nurse Lead. 2021; 19:(2)170-178 https://doi.org/10.1016/j.mnl.2020.08.013

Mitchell P, Nightingale J, Reeves P Competence to capability: an integrated career framework for sonographers. Radiography. 2019; 25:(4)378-384 https://doi.org/10.1016/j.radi.2019.05.008

Morton SMB, Bandara DK, Robinson EM, Carr PEA In the 21st century, what is an acceptable response rate?. Aust N Z J Public Health. 2012; 36:(2)106-108 https://doi.org/10.1111/j.1753-6405.2012.00854.x

Moule P, Aveyard H, Goodman M Nursing research: an introduction, 3rd edn. London: SAGE Publications; 2017

Mousavi Isfahani H, Tourani S, Seyedin H Lean management approach in hospitals: a systematic review. International Journal of Lean Six Sigma. 2019; 10:(1)161-188 https://doi.org/10.1108/IJLSS-05-2017-0051

National Quality Board of NHS England. Quality governance in the NHS—a guide for provider boards. 2011. https://tinyurl.com/d75e54tt (accessed 22 September 2022)

National Quality Board of NHS England. How to ensure the right people, with the right skills, are in the right place at the right time. 2013. https://tinyurl.com/3nbfu87s (accessed 22 September 2022)

NHS England/NHS Improvement. The NHS long term plan. 2019a. https://tinyurl.com/y6dzmk2o (accessed 22 September 2022)

NHS England/NHS Improvement. Enabling staff movement between NHS organisations: a toolkit for sharing staff appropriately and efficiently. 2019b. https://tinyurl.com/muf3xxek (accessed 22 September 2022)

NHS England/NHS Improvement. Interim NHS people plan. 2019c. https://www.longtermplan.nhs.uk/publication/interim-nhs-people-plan/ (accessed 26 September 2022)

NHS England/NHS Improvement. Important and urgent – next steps on NHS response to COVID-19. Letter to chief executives of all NHS trusts and foundation trusts, CCG accountable officers, GP practices and primary care networks, and providers of community health services. 2020a. https://tinyurl.com/2k455eun (accessed 22 September 2022)

NHS England/NHS Improvement. Advice on acute sector workforce models during COVID-19. 2020b. https://tinyurl.com/324s97jv (accessed 22 September 2022)

NHS England/NHS Improvement. 2020 National NHS staff survey. 2021. https://tinyurl.com/2p8mzzsz (accessed 30 September 2022)

NHS England/NHS Improvement, Health Education England. Advice on acute sector workforce models during COVID-19. 2022. https://tinyurl.com/3y3u2b2y (accessed 30 September 2022)

NHS Health Research Authority. Is my study research?. 2022. http://www.hra-decisiontools.org.uk/research (accessed 22 September 2022)

NHS Institute for Innovation and Improvement. Improvement leaders' guide. Evaluating improvement. General improvement skills. 2017. https://tinyurl.com/4rht6e3r (accessed 22 September 2022)

Nursing and Midwifery Council. The code: professional standards of practice and behaviour for nurses, midwives and nursing associates. 2018. https://tinyurl.com/gozgmtm (accessed 22 September 2022)

O'Connell J, Gardner G, Coyer F Beyond competencies: using a capability framework in developing practice standards for advanced practice nursing. J Adv Nurs. 2014; 70:(12)2728-2735 https://doi.org/10.1111/jan.12475

Okuyama A, Wagner C, Bijnen B Speaking up for patient safety by hospital-based health care professionals: a literature review. BMC Health Serv Res. 2014; 14:(1) https://doi.org/10.1186/1472-6963-14-61

Patri R, Suresh M Modelling the enablers of agile performance in healthcare organization: a TISM approach. Global Journal of Flexible Systems Management. 2017; 18:251-272 https://doi.org/10.1007/s40171-017-0160-x

Payne A, Rahman R, Bullingham R, Vamadeva S, Alfa-Wali M Redeployment of surgical trainees to intensive care during the COVID-19 pandemic: evaluation of the impact on training and wellbeing. J Surg Educ. 2021; 78:(3)813-819 https://doi.org/10.1016/j.jsurg.2020.09.009

Pearson B The clinical governance of multidisciplinary care. International Journal of Health Governance. 2017; 22:(4)246-250 https://doi.org/10.1108/IJHG-03-2017-0007

Price DW, Campbell CM Rapid retooling, acquiring new skills, and competencies the pandemic era: implications for and expectations for physician continuing professional development. J Contin Educ Health Prof. 2020; 40:(2)74-75 https://doi.org/10.1097/CEH.0000000000000297

Roberts M A critical analysis of the failure of nurses to raise concerns about poor patient care. Nurs Philos. 2017; 18:(3) https://doi.org/10.1111/nup.12149

Royal College of Nursing. Employment survey 2019. 2019. https://tinyurl.com/mr235kyd (accessed 22 September 2022)

Royal College of Nursing. Redeployment and unsustainable pressures. 2021. https://www.rcn.org.uk/Get-Help/RCN-advice/redeployment-and-unsustainable-pressures (accessed 5 October 2022)

Royal College of Nursing. Training: mandatory and statutory. 2022. https://tinyurl.com/2y6tv3ma (accessed 22 September 2022)

San Juan N, Clark SE, Camilleri M Training and redeployment of healthcare workers to intensive care units (ICUs) during the COVID-19 pandemic: a systematic review. BMJ Open. 2022; 12:(1) https://doi.org/10.1136/bmjopen-2021-050038

Sarpong NO, Forrester LA, Levine WN What's important: redeployment of the orthopaedic surgeon during the COVID-19 pandemic: perspectives from the trenches. J Bone Joint Surg Am. 2020; 102:(12)1019-1021 https://doi.org/10.2106/JBJS.20.00574mr235kyd

Sullivan-Bolyai S, Bova C Data collection methods, 9th edn. In: Lobiondo-Wood G, Haber J St Louis (MO): Elsevier; 2018

Veerasuri S, Vekeria M, Davies SE, Graham R, Rodrigues JCL Impact of COVID-19 on UK radiology training: a questionnaire study. Clin Radiol. 2020; 75:(11)877.e7-877.e14 https://doi.org/10.1016/j.crad.2020.07.022

Wang L, Lu H, Dong X The effect of nurse staffing on patient-safety outcomes: A cross-sectional survey. J Nurs Manag. 2020; 28:(7)1758-1766 https://doi.org/10.1111/jonm.13138

Ward LA Engaging nurses through active and experiential learning. Nursing. Nursing. 2022; 52:(8)31-35 https://doi.org/10.1097/01.NURSE.0000839856.54243.ce

Wise J Covid-19: London's Nightingale Hospital will reopen for non-covid cases. BMJ. 2021; 372:(15) https://doi.org/10.1136/bmj.n15

Wood E, King R, Senek M UK advanced practice nurses' experiences of the COVID-19 pandemic: a mixed-methods cross-sectional study. BMJ Open. 2021; 11:(3) https://doi.org/10.1136/bmjopen-2020-044139

World Health Organization. 10 facts on patient safety. 2019. https://tinyurl.com/4ztdf2yu (accessed 30 September)

Preparing for COVID-19: rapid redeployment workshops for senior doctors [version 1]. 2020. https://mededpublish.org/articles/9-209 (accessed 26 September 2022)

ACP-supported redeployment in response to the COVID-19 pandemic: a service evaluation of staff experience

13 October 2022
Volume 31 · Issue 18

Abstract

Background:

During the COVID-19 pandemic, healthcare organisations around the world had to optimise resources and redeploy staff to meet unprecedented demands on services. This service evaluation aims to establish the experiences of nurses redeployed to a COVID-negative Nightingale ward during the first wave of the pandemic in the UK.

Methods:

Purposive sampling using a survey was used to capture nurses' experiences. Data were extrapolated to meet the aims of the thematic line of enquiry and descriptive statistics used to analyse the data set.

Results:

The response rate was 34.0% (n=30). The majority of redeployees (76.7%; n=23) strongly agreed or agreed the trust induction had been beneficial. Informal learning, including from colleagues, was said to be very helpful by 50.0% (n=15) and helpful by 36.7% (n=10) of participants. Most (90.0%; n=27) agreed they were able to maintain safety, with 93.3% (n=28) satisfied with the quality of their care. Regarding giving the care they aspired to, 46.7% (n=14) strongly agreed and 40.0% (n=12) agreed they had been able to do this.

Conclusion:

The advanced clinical practitioner role was central to successful redeployment, in preparing redeployees through induction and education. These practitioners facilitated the acquisition of the knowledge and skills to deliver competent care, ensuring staff had the capacity and capability to undertake their job. Patient safety was not compromised by redeployment.

The emergence of the COVID-19 pandemic presented challenges and opportunities for advanced clinical practitioners (ACPs) to use their knowledge, skills and experiences to deliver high-quality care to patients (Health Education England (HEE), 2020), optimise their contribution in meeting the needs of the population and offer new methods of working (HEE, 2017).

This article will examine the role, skill and knowledge set of ACPs used to lead the induction, education and training of employees redeployed to a COVID-negative Nightingale ward commissioned to meet the needs of the local population in the first wave of the COVID-19 pandemic, and discuss their role in maintaining high-quality, safe care (HEE, 2020).

ACPs transform and remodel care pathways, enabling the safe, effective sharing of their advanced skills and knowledge across traditional professional boundaries (HEE, 2022). The NHS Long Term Plan (NHS England/NHS Improvement, 2019a) highlighted that ACPs are central to transforming service delivery to meet the needs of local populations by providing enhanced capacity, capability, productivity and efficiency within multidisciplinary teams.

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