Exploring the relationship between cultural and structural workforce issues and retention of nurses in general practice (GenRet): A qualitative interview study

medRxiv (Cold Spring Harbor Laboratory), Год журнала: 2025, Номер unknown

Опубликована: Фев. 7, 2025

ABSTRACT Background Increasing shortfalls in nursing workforces are detrimental to safety critical patient care. In general practice England up one-in-two posts predicted be unfilled by 2030/31, with Wales similarly threatened. This is reflected internationally. Limited attention has been paid how cultural and structural issues affect retention of nurses practice. The aim our study understand factors that challenge support stay Methods We conducted an exploratory qualitative interview n=41 members teams working in, or who have worked as well nurse leaders associated across Wales. Recruitment was through professional social media networks snowballing techniques. Data were collected between October 2023-June 2024 analysed following framework analysis. University York ethics approval (Ref: HSRGC/2023/586/A) gained. funded the General Nursing Council Trust. Results Recognition value central at all levels affected several themes: essence practice; commodification deprofessionalisation Opportunities for development; Employment outside National Health Service; Lack voice, precarity position lack recourse; Tipping points. Conclusion Cultural impacted on While some supported retention, others revealed deep-seated, complex which require addressing practice, local national organisational levels. Nurses experience leave them vulnerable underserved. Policy makers, employers organisations need work enable not only survive, but thrive. Protocol Registration Open Science Framework ( https://osf.io/ ) Identifier: DOI 10.17605/OSF.IO/2BYXC https://osf.io/2byxc/

Язык: Английский

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Exploring the relationship between cultural and structural workforce issues and retention of nurses in general practice (GenRet): a qualitative interview study

BMC Primary Care, Год журнала: 2025, Номер 26(1)

Опубликована: Апрель 17, 2025

Increasing shortfalls in nursing workforces are detrimental to safety critical patient care. In general practice England up one-in-two posts predicted be unfilled by 2030/31, with Wales similarly threatened. This is reflected internationally. Limited attention has been paid how cultural and structural issues affect retention of nurses practice. The aim our study understand factors that challenge support stay We conducted an exploratory qualitative interview n = 41 members teams working in, or who have worked as well nurse leaders associated across Wales. Recruitment was through professional social media networks snowballing techniques. Data were analysed following framework analysis collected between October 2023-June 2024. University York ethics approval (Ref: HSRGC/2023/586/A) gained. funded the General Nursing Council Trust. Recognition value central at all levels affected several themes: essence practice; commodification deprofessionalisation Opportunities for development; Employment outside National Health Service; Lack voice, precarity position lack recourse; Tipping points. Cultural impacted on While some supported retention, others revealed deep-seated, complex which require addressing practice, local national organisational levels. Nurses experience leave them vulnerable underserved. Policy makers, employers organisations need work enable not only survive, but thrive. Open Science Framework ( https://osf.io/ ) Identifier: DOI https://doi.org/10.17605/OSF.IO/2BYXC https://osf.io/2byxc/ . Protocol published: https://onlinelibrary.wiley.com/doi/ https://doi.org/10.1111/jan.16313.

Язык: Английский

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Decentralising delivery of systemic anti-cancer therapy (SACT) with subcutaneous atezolizumab: service challenges, opportunities and case studies

British Journal of Nursing, Год журнала: 2025, Номер 34(Sup10b), С. S4 - S14

Опубликована: Апрель 19, 2025

Cancer treatment services face considerable pressures across the SACT pathway. The availability of a subcutaneous formulation Tecentriq (atezolizumab) presents opportunities to decentralise delivery new venues. With sufficient workforce training and flexibility, decentralisation could produce lasting improvement in outcomes. Six case studies are presented highlighting successful examples service using (SC) atezolizumab, covering their impacts on patients.

Язык: Английский

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“Rookie factor”: why healthcare workforce policy needs to embrace experience

BMJ, Год журнала: 2024, Номер unknown, С. q2836 - q2836

Опубликована: Дек. 19, 2024

Язык: Английский

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