A new nursing structure was presented at the Children’s Hospice Association Scotland (CHAS) in November 2014. The nursing team with the hiring of more accomplished children’s nurses has made substantial investments. Many of the earliest nurses have also been inducted successfully into new roles such as charge nurses, senior staff nurses, and practice teachers that is seen in other environments in nursing structures. This enables our nursing personnel to meet what the current and the future needs of infants, children, young people and families in our care as well as supporting a career pathway and succession planning for nursing within CHAS.
Over the former years, it is evident that the clinical need of the children and young people with an ailment that can shorten one’s life have changed and will continue to change. The care of children and young people is becoming more complicated, especially as medical advances are resulting in more specific care. More kids are being referred to CHAS for end-of-life care, and families need for more caution at home, especially as their child approaches the goal of animation. To increase, the need for specialist palliative care, respite services continues. CHAS therefore needs to hold a nursing team who can proceed to react safely to these demands whilst preserving the ethos of the home environment that the families cherish.
An inclusive review of the original nursing structure was taken away. It embraced the views of staff members and families. Focus groups, including care staff and nurse managers looked at how CHAS backed the prime needs of the child/young person/family and how those needs might change over the next five to ten years.
This was then compared with proof gathered from a number of families of what they considered their needs to be and what excellent care meant for them.
This was then compared with evidence gathered from a number of families of what they believed their needs to be and what quality care meant to them. This enabled us to identify if CHAS had the correct blend of skills needed to satisfy those demands.
Expert visits to other hospices and children’s services in both the NHS and the voluntary sector were held away.
The new CHAS nursing structure for all youngsters and family services is under a single director for children and households. There are two associate nurse directors – one runs the hospice and CHAS at Home nursing teams responsible for the direct nursing care of the kids and young people and assessment of new referrals on a daily basis, the other is responsible for quality affirmation, service improvement and clinical learning and instruction. The associate nurse directors are each held by three clinical nurse managers.
In that respect are new nursing roles and more tiers to provide nursing leadership at the level of care as well as professional pathways. All job labels in the nursing team include the word “nurse” to accentuate the importance of nursing within CHAS and to identify that everyone within the team provides nursing care.
The daily work of the nursing teams, any students, and care support volunteers are conducted and co-ordinated by charge nurses. The clinical capability, team support hospice and CHAS at Home through programs of learning and development, quality affirmation practices and continual evolution of care provision services.
Practice education nurses are in charge for supporting aptitude based on learning, teaching care planning and making sure nursing staff are adept in using all clinical equipment.
Diana children’s nurses are professionally employed by CHAS, working especially in the hospital and community setting, aiding infants, children, young people with palliative care needs and their families. They work closely with the CHAS nursing team and NHS colleagues.
Specialist and advanced expert roles for nurses are something that is views as an essential future development. As well as the Diana nurses, a quantity of our nurses have already achieved the non-medical prescribing requirement. This means that they have the ability the prescribe medicines which frees up doctors.
We are positive that we have a nursing structure that guarantee our staffing model can continue to satisfy the changing need of children, young people and their families. We are always ecstatic to hear from nurses who are passionate nursing and being inspired by the chance of working with CHAS.