They're banking on you

Article Abstract:

The UK National Health Service is increasingly relying on agency and bank nurses to work on hospital wards. The effects of this situation on patient care must be considered, particularly when, in some areas, agency staff outnumber permanent staff. Implications for patient wellbeing include the effects of poor continuity of care, the possible irrelevance of the temporary nurse's training for a particular ward or level of care, poor relationships between temporary staff and both patients and permanent members of staff, and the long hours often worked by bank and agency staff.

Usage, Human resource management, Hospitals, Cover Story, United Kingdom. National Health Service, Nursing services

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Upgraded or degraded

Article Abstract:

Clinical grading is generally considered to have improved nurses' salary and clinical career structure despite about 38,000 outstanding appeals. An improvement in nurses' morale and a reduction in staff turnover may be attributable to regrading. However, the system may be at risk. A decline in grade H and I posts threatens the clinical career structure. Some Trusts are trying to reduce costs by replacing clinical grading with job evaluation.

Analysis, Management, Evaluation, Nursing, Career development

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Period pieces

Article Abstract:

A retired nurse, Maureen Raper, has a collection of over 300 pieces of historic medical equipment, such as old surgical instruments. Ms Raper buys them from auctions, second-hand shops and she is sometimes given things. Her interest in medical memorabilia began when her grandfather gave her the instruments he had used in the Boer War. Ms Raper also writes and teaches creative writing.

Medical equipment, Collections and collecting

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