References

Research into lone working in adult social care. 2019. https://tinyurl.com/w94d9cjp (accessed 3 June 2021)

The wellbeing of nations: meaning, motive and measurement. 2014. https://tinyurl.com/w2vwzh5 (accessed 3 June 2021)

Bradby M. Community nursing stories during COVID-19. J Community Nurs. 2020; 34:(4)

In short supply: pay policy and nurse numbers. 2017. https://tinyurl.com/3styu9eu (accessed 3 June 2021)

Chilton S. Nursing in a community environment, 2nd edn. In: Chilton S, Bain H (eds). London: Routledge; 2017

Wellbeing for health care workers during Covid-19. 2020. https://tinyurl.com/y5f472xv (accessed 3 June 2021)

Duncan M. Employers' duty of care to district nursing team members: health and safety concerns with lone domiciliary visits. Br J Community Nurs. 2019; 24:(8)377-379 https://doi.org/10.12968/bjcn.2019.24.8.377

Gazmuri S. Change the focus. Community Practitioner. 2018; 91:(10)48-49

Gould J. Organisation and management of care, 2nd edn. In: Chilton S, Bain H (eds). London: Routledge; 2017

Green J, Doyle C, Hayes S COVID-19 and district and community nursing. Br J Community Nurs. 2020; 25:(5) https://doi.org/10.12968/bjcn.2020.25.5.213

Kennedy C. Community nurses and the “new normal.”. Br J Community Nurs. 2020; 25:(7) https://doi.org/10.12968/bjcn.2020.25.7.317

Maben J, Bridges J. Covid-19: supporting nurses' psychological and mental health. J Clin Nurs. 2020; 29:(15/16)2742-2750 https://doi.org/10.1111/jocn.15307

Emerging evidence on COVID-19's impact on mental health and health inequalities. 2020. https://tinyurl.com/j58v997w (accessed 3 June 2021)

McKinless E. Impact of stress on nurses working in the district nursing service. Br J Community Nurs. 2020; 25:(11)555-561 https://doi.org/10.12968/bjcn.2020.25.11.555

Mendes A. How to address compassion fatigue in the community nurse. Br J Community Nurs. 2017; 22:(9)458-459 https://doi.org/10.12968/bjcn.2017.22.9.458

Mendes A. Balance in community nursing: leaving work at work. Br J Community Nurs. 2018; 23:(2)100-101 https://doi.org/10.12968/bjcn.2018.23.2.100

Michaelson J, Mahony S, Schifferes J. Measuring wellbeing: a guide for practitioners.London: New Economics Foundation; 2012

Murphy K. The use of WhatsApp in district nursing practice. Br J Community Nurs. 2019; 24:(9)448-449 https://doi.org/10.12968/bjcn.2019.24.9.448

NHS England. The Long Term Plan. 2019. https://tinyurl.com/yy5d9c64 (accessed 3 June 2021)

NHS Digital. NHS vacancy statistics England February 2015–December 2019, experimental statistics. 2020. https://tinyurl.com/f9ffhf5f (accessed 3 June 2021)

NHS Digital. NHS sickness absence rates. 2021. https://tinyurl.com/yv727htp (accessed 3 June 2021)

Office for National Statistics. Office for National Statistics suicide by occupation in England. 2017. https://tinyurl.com/6wyfef5f (accessed 3 June 2021)

Queen's Nursing Institute. Focusing on the future of district nursing. 2009. https://tinyurl.com/4hvfs54f (accessed 3 June 2021)

Queen's Nursing Institute. The value of the district nurse specialist practitioner qualification: a report by the Queen's Nursing Institute 2015. 2016. https://tinyurl.com/sxa43csz (accessed 3 June 2021)

Queen's Nursing Institute. Nursing in the Digital Age Using technology to support patients in the home. 2018. https://tinyurl.com/2mr9ujvd (accessed 3 June 2021)

Queen's Nursing Institute, Royal College of Nursing. Outstanding models of district nursing. A joint project identifying what makes an outstanding district nursing service. 2019. https://tinyurl.com/46szezwu (accessed 3 June 2021)

Royal College of Nursing. Personal safety when working alone: guidance for members working in health and social care. 2016. https://tinyurl.com/y3rxsexh (accessed 3 June 2021)

World Health Organization. Mental health and psychosocial considerations during the COVID-19 outbreak. 2020. https://tinyurl.com/5acu7t2n (accessed 3 June 2021)

How district nurses can support team wellbeing during the pandemic and beyond

02 July 2021
Volume 26 · Issue 7

Abstract

The COVID-19 pandemic has required rapid adaptation of the community nursing service, including the introduction of online communication platforms to prevent COVID-19 transmission among staff. Remote working has protected the workforce in the community from being decimated through team sickness, but has resulted in nurses who are feeling anxious and isolated from their colleagues while experiencing increased workloads, with complex and often emotionally challenging situations. The pressures of community nursing and the associated impact on sickness absence relating to mental health are well documented. The resources made available to support staff wellbeing were increased during the pandemic, but there remains some disparity of access to these resources. There is much that can be done by the district nurse as a leader of a team to ensure that the pressures are managed in a way that promotes team cohesion and mutual respect, while ensuring that open communication about wellbeing is encouraged.

The NHS Long Term Plan (NHS England, 2019) acknowledged that nurses were under pressure even prior to the pandemic. Over the past 10 years, recruitment has not met demand, and there were 38 785 nursing vacancies unfilled in December 2019, when details emerged of the first cases of COVID-19 in Wuhan, China (NHS Digital, 2020). During the past 10 years, this decrease in staffing has been reflected in the community nursing specialism, with the number of qualified district nurses reducing by 43% (Queen's Nursing Institute (QNI) and Royal College of Nursing (RCN), 2019).

The pressures of community nursing are recognised as having similarities with but also differences from those faced by nurses working in hospital settings. Although the causes of workplace pressures may not exactly align, absence rates attributed to mental health have been consistently high in all nursing professionals and appear to be increasing (Table 1).

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