References

Understanding pressures in general practice. 2016. https://tinyurl.com/y7fox5y3 (accessed 19 August 2020)

Beigmoradi S, Pourshirvani A, Pazokian M, Nasiri M. Review nurses' skills in handover using SBAR tool in general ward. Evidence Based Care.. 2019; 9:(3)63-68

Boot M. Exploring the district nurse role in facilitating individualised advance care planning. Br J Community Nurs.. 2016; 21:(3)144-147 https://doi.org/10.12968/bjcn.2016.21.3.144

Brewster L, Tarrant C, Willars J, Armstrong N. Measurement of harms in community care: a qualitative study of use of the NHS Safety Thermometer. BMJ Qual Saf. 27:(8)625-632 https://doi.org/10.1136/bmjqs-2017-006970

Buus N, Hoeck B, Hamilton B. Nurses' shift reports: a systematic literature search and critical review of qualitative field studies. J Clin Nurs. 2017; 26:(19-20)2891-2906 https://doi.org/10.1111/jocn.13655

Cross R, Considine J, Currey J. Nursing handover of vital signs at the transition of care from the emergency department to the inpatient ward: an integrative review. J Clin Nurs. 2018; 28:(5-6)1010-1021 https://doi.org/10.1111/jocn.14679

Drennan V. More care out of hospital? A qualitative exploration of the factors influencing the development of the district nursing workforce in England. J Health Serv Res Policy.. 2018; 24:(1)11-18 https://doi.org/10.1177/1355819618769082

Community services: how they can transform care. 2014. https://tinyurl.com/y6673cym (accessed on 16 August 2020)

Ernst K, McComb S, Ley C. Nurse-to-nurse shift handoffs on medical-surgical units: a process within the flow of nursing care. J Clin Nurs. 2018; 27:(5-6)189-201 https://doi.org/10.1111/jocn.14254

Tools and techniques to improve teamwork and avoid patient harm. 2016. https://tinyurl.com/y2fkno3p (accessed 22 August 2020)

Living with long term conditions. 2016. https://tinyurl.com/y6j29dxv (accessed 14 August 2020)

Gerber L. Understanding the nurse's role as a patient advocate. Nurs J.. 2018; 48:(4)55-58 https://doi.org/10.1097/01.NURSE.0000531007.02224.65

Technology in nursing today. 2019. https://tinyurl.com/y4yehxok (accessed 22 August 2020)

Government Office for Science. Future of an ageing population. 2016. https://tinyurl.com/y9qy3s8x (accessed on 20 August 2020)

Improving quality in the English NHS: a strategy for action. 2016. https://tinyurl.com/y989eetx (accessed on 20 August 2020)

Health Education England. Improving teams in healthcare. 2017. https://tinyurl.com/y3reoh4n (accessed 19 August 2020)

Health Foundation. Teamwork and communication. 2016. https://tinyurl.com/y3uqnczx (accessed on 16 August 2020)

Holland K, Jenkins J. Applying the Roper-Logan-Tierney model in practice, 3rd edn. London: Elsevier; 2019

King's Fund. The NHS long-term plan explained. 2019. https://tinyurl.com/yxmykltc (accessed 20 August 2020)

Kodama Y, Fukahori H. Nurse managers' attributes to promote change in their wards: a qualitative study. Nurs Open.. 2017; 4:(4)209-217 https://doi.org/10.1002/nop2.87

Four in 10 district nurses lost in last 10 years, report warns. 2019. https://tinyurl.com/yxs8khsx (accessed 16 August 2020)

Digital change in health and social care. 2018. https://tinyurl.com/y4vnc7u5 (accessed 22 August 2020)

Marshall H, Sprung S. The Mental Capacity Act: ‘best interests’-a review of the literature. British Journal of Community Nursing,. 2017; 22:(8)384-390 https://doi.org/10.12968/bjcn.2017.22.8.384

Understanding quality in district nursing services. 2016. https://tinyurl.com/y48jp25h (accessed 20 August 2020)

Mehta N. The population health benefits of a healthy lifestyle: life expectancy increased and onset of disability delayed. Health Aff.. 2017; 36:(8)1495-1502 https://doi.org/10.1377/hlthaff.2016.1569

Mental Capacity Act. Chapter 9. 2005. https://tinyurl.com/yxkpewd8 (accessed 22 August 2020)

Miles C, Arden-Close E, Thomas M Barriers and facilitators of effective self-management in asthma: systematic review and thematic synthesis of patient and healthcare professional views. Prim Care Respir Med.. 2017; 27:(1)1-3 https://doi.org/10.1038/s41533-017-0056-4

Moore Z, Patton D, Rhodes S, O'Connor T. Subepidermal moisture (SEM) and bioimpedance: a literature review of a novel method for early detection of pressure-induced tissue damage (pressure ulcers). Int Wound J.. 2016; 14:(2)331-337 https://doi.org/10.1111/iwj.12604

Muller M, Jurgens J, Redaèlli M, Klingberg K, Hautz W, Stock S. Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. BMJ Open.. 2018; 8:(8)22-23 https://doi.org/10.1136/bmjopen-2018-022202

National Institute for Health and Care Excellence. SEM scanner for pressure ulcer prevention. 2019. https://tinyurl.com/y2xlvhw9 (accessed 22 August 2020)

NHS England. Compassion in practice: one year on. 2013. https://tinyurl.com/y68z9pug (accessed 23 August 2020)

NHS England. Five Year Forward View. 2014. https://tinyurl.com/oxq92je (accessed on 20 August 2020)

NHS England. Personalised care and support planning. 2015. https://tinyurl.com/y5spwcoz (accessed 22 August 2020)

NHS England. Next steps on the NHS Five Year Forward View. 2017. https://tinyurl.com/m35m4tq (accessed on 20 August 2020)

NHS England. Improving patient safety by introducing a daily emergency call safety huddle. 2019. https://tinyurl.com/yytmljb9 (accessed 26 August 2020)

Nursing and Midwifery Council. The code: professional standards of practice and behaviour for nurses, midwives and nursing associates. 2018. https://tinyurl.com/gozgmtm (accessed 18 August 2020)

Office for National Statistics. Overview of the UK population. 2019. https://tinyurl.com/wgedbr5 (accessed 20 August 2020)

Owens K, Keller S. Exploring workforce confidence and patient experiences: a quantitative analysis. Patient Experience J.. 2018; 5:(1)97-105 https://doi.org/10.35680/2372-0247.1210

Phelan A, Davis M. Lessons learned: public health nurses practice in safeguarding children in the Republic of Ireland. J Global Paediatr Health.. 2015; 2:1-9

Queen's Nursing Institute. The QNI/QNIS voluntary standards for district nurse education and practice. 2015. https://tinyurl.com/y324hjxc (accessed 20 August 2020)

Queen's Nursing Institute. Understanding safe caseloads in the district nursing service. 2016. https://tinyurl.com/y5llmk93 (accessed 20 August 2020)

Queen's Nursing Institute. Development of the ‘Safety Huddle’ for use in a community nursing setting. 2017. https://tinyurl.com/y5mg47qx (accessed 25 August 2020)

Queen's Nursing Institute. Nursing in the digital age: using technology to support patients in the home. 2018. https://tinyurl.com/y7ey3kvf (accessed 20 August 2020)

Queen's Nursing Institute. Urgent need for more investment in the district nursing service. 2019. https://tinyurl.com/y5hdd9oo (accessed 16 August 2020)

Renz S, Boltz M, Wagner L, Capezuti E, Lawrence T. Examining the feasibility and utility of an SBAR protocol in long-term care. Geriatr Nurs.. 2013; 34:(4)295-301 https://doi.org/10.1016/j.gerinurse.2013.04.010

Riesenberg L, Leitzsch J, Little B. Systematic review of handoff mnemonics literature. Am J Med Qual.. 2019; 34:(5)446-454 https://doi.org/10.1177/1062860619873200

Ageing Britain: two-fifths of NHS budget is spent on over-65s. 2016. https://tinyurl.com/y2o4p6n5 (accessed 20 August 2020)

Royal College of Nursing. Safe and effective staffing: nursing against the odds. 2017a. https://tinyurl.com/y4bw37pu (accessed 17 August 2020)

Royal College of Nursing. Patient safety and human factors. 2017b. https://tinyurl.com/yy6rcfum (accessed 17 August 2020)

Royal College of Nursing. Principles of consent. 2017c. https://tinyurl.com/y7sqdt6m (accessed 17 August 2020)

Royal College of Nursing. Staffing for safe and effective. 2018. https://tinyurl.com/y4sgqy77 (accessed 17 August 2020)

Royal College of Nursing. Pressure ulcers: early inspection means early detection. 2019a. https://tinyurl.com/y4nm8qgd (accessed 17 August 2020)

Royal College of Nursing. Education, prevention and the role of the nursing team. 2019b. https://tinyurl.com/ydegjplf (accessed 17 August 2020)

Seddon L. Emerging issues in long term conditions. In: Chilton S, Bain H (eds). Oxon: Routledge; 2018

Shahid S, Thomas S. Situation, Background, Assessment, Recommendation (SBAR) communication tool for handoff in health care-a narrative review. Saf Health.. 2018; 4:(1)7-8 https://doi.org/10.1186/s40886-018-0073-1

Soukup T, Lamb B, Arora S, Darzi A, Sevdalis N, Green J. Successful strategies in implementing a multidisciplinary team working in the care of patients with cancer: an overview and synthesis of the available literature [Corrigendum]. J Multidiscip Healthc.. 2018; 11:267-268 https://doi.org/10.2147/JMDH.S167652

Stapley E, Sharples E, Lachman P, Lakhanpaul M, Wolpert M, Deighton J. Factors to consider in the introduction of huddles on clinical wards: perceptions of staff on the SAFE programme. Int J Qual in Health Care.. 2017; 30:(1)44-49 https://doi.org/10.1093/intqhc/mzx162

Three tips to make your patient safety huddles more effective. 2016. https://tinyurl.com/y4c3dfr6 (accessed 20 August 2020)

World Health Organization. Communication during patient handovers. 2007. https://tinyurl.com/yaklbldw (accessed 17 August 2020)

Safety huddle in a community nursing setting

02 September 2020
Volume 25 · Issue 9

Abstract

A safety huddle is a meeting held among district nurses, allied health professionals, specialist nurses, administrative staff, community matrons and healthcare assistants, also known as the wider multidisciplinary team. This article aims to identify and discuss the importance of safety huddles within a community nursing team. The author, a Specialist Community Practitioner District Nurse (SCPDN), explores why safety huddles were introduced and the implications of staff and patient safety if a safety huddle is not performed. The article also discusses the role of the SCPDN, how patient harm is sustained when communication failures occur within a team, new technologies implemented into practice and the implementation of safety huddles electronically.

The number of district nurses (DNs) employed in the NHS has fallen by 43% in the past 10 years in England alone (Launder, 2019). The impact of this reduction in the DN workforce has resulted in existing DNs managing enormous workloads, with approximately 4000 nurses delivering care for almost 55 million people (Queen's Nursing Institute (QNI), 2019). It is estimated that, by 2039, 18% of the population will be aged 65 years and over, and although healthcare has improved, people are not necessarily living healthier lifestyles (Government Office for Science, 2016). Mehta (2017) suggested that wider factors than healthcare services alone determine a person's health, for example, whether they exercise, what they eat and where they live and work; therefore, to improve health and lifestyles, these determinants need to be addressed. This increase in the older population will place increased pressure on the NHS, particularly district nursing services, as most people cared for under these services are older (Ham et al, 2016). Robineau (2016) reported that more than 40% of the NHS budget will be devoted to people in this age group. The care of a person aged 85 years costs the NHS roughly seven times more than that for a person in their late 30s (at around £7000 a year) (Office for National Statistics, 2019).

Register now to continue reading

Thank you for visiting Community Nursing and reading some of our peer-reviewed resources for district and community nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • New content and clinical newsletter updates each month