Building Nursing Teams for the Future

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• Building Nursing Teams for the Future

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Why should nurses consider examining the way we
organise our nursing care?
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• We are experiencing changes in our nursing
  workforce including
• The introduction of different levels of nurses
• An aging workforce and
• An increasing number of novice practitioners.

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All will have an impact on the workforce of
tomorrow
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• The healthcare environment in which we work has
  altered over the last decade
• We are now exposed to
• An increase in patient acuity
• An increased number of patients with one or more
  chronic conditions and associated co-morbidities
  
• Improved care and treatment has led to a reduced
  length of stay and a high patient turnover
• Rapidly expanding medical and technical
  breakthroughs resulting in an increased
  complexity and need for specialty care.

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• Consequently, acute care hospitals are busy
  places accommodating sicker patients requiring
  more intensive treatments necessitating
• coordinated
• and expert nursing care

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• A key recommendation (45) of the Garling Report
  identified that state-wide principles of best
  practice for the supervision of junior
  clinicians should be developed
• Clinical leaders must build a culture where all
  staff assume the role of supervision in the
  interests of the patient.

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• First year RNs and nurses new to the ward/unit
  require support and supervision from more
  experienced nurses

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• The Bureau of health Information (BHI) Insights
  Into Care Report looks closely at the care
  experiences of the one million patients who spend
  a day, or one or more nights, in NSW public
  hospitals each year. The report states that
• staff teamwork
• and courtesy of nurses matter most
• to patients across NSW
• Bureau of Health Information (2010) Insights into
  Care Patients Perspectives on NSW Public
  Hospitals Sydney. Available at
  http//www.bhi.nsw.gov.au/__data/assets/pdf_file/
  0004/117841/BHI-InsightsIntoCare-MainReport2010.pd
  f

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In a nut shell

• Acute care hospitals are busy places
  accommodatingsicker patients who require more
  intensive treatments requiring coordinated and
  expert nursing care
• Need to recruit and retain nurses in the system
• First year RNs require support and supervision
  during their first critical year of practice
• Nurses new to the ward/unit require support and
  guidance
• Staff teamwork and courtesy of nurses matter
  most to patients across NSW.

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• Therefore, nurses today need to support and grow
  the workforce of the future by ensuring that
  not only the science but also the art of
  nursing is supported through the way that work
  is organised

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What is the WOW project?

• NSW Health Nursing and Midwifery Office
  commenced the WOW Project in 2010
• The project explored the ways in which nurses
  organise their clinical work.

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WOW project findings

• Site visits and discussions with a number of
  nurses and other key stakeholders were conducted
  across NSW to gain an understanding of the
  variety of ways that work is organised at the
  ward/unit level.
• A number of WOW have been identified
• Patient allocation
• Allocation in teams
• Task or functional
• Modular
• Primary Nursing
• Case management
• Team.

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• More collaborative approaches will help to build
  future nurses skills and capabilities
• A Collaborative Nursing Model requires teamwork

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Teamwork requires

• A clear vision for the future
• Team members roles are clearly defined and all
  team members know what their jobs are
• Open and clear communication
• Effective decision making
• Balanced participation ensures that everyone on
  the team is fully involved. Without
  participation you dont have a team, you have a
  group of bodies
• Valued diversity where team members are valued
  for the contributions that they bring to the
  team
• Managed conflict ensures that problems are not
  swept under the rug
• Positive atmosphere with trust being the most
  important ingredient
• Cooperative relationships where there is a sense
  of belonging and a willingness to make things
  work for the good of the whole team
• Participative leadership where leaders share the
  responsibility and the glory, are supportive and
  fair, create a climate of trust and openness and
  are good coaches and teachers.

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How can you implement a Collaborative Nursing
Model in your ward/unit?
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The WOW Resource

• Introduces the evidence for considering a CNM in
  your ward/unit
• Provides guidelines for implementing a CNM in
  your ward/unit
• Provides an audiovisual representation of nurses
  working collaboratively Making it Real
• Provides tools that can be used to support and
  evaluate a CNM.
• Available on the intranet at http//www.health.n
  sw.gov.au/nursing/projects/WOW.asp

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