Transcription of Understanding quality in district nursing services
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Understanding quality in district nursing servicesLearning from patients, carers and staffAuthorsJo MaybinAnna CharlesMatthew HoneymanAugust 2016 Contents 1 Understanding quality in district nursing services156342 Contents 1 ContentsKey messages 3 Introduction 5 Background 7 district nursing services 7 Demographic changes and the policy drive to shift care closer to home 10 Managing quality in district nursing services 11 What is good care ? 14A quality framework for district nursing 14 Caring for the whole person 15 Continuity of care 19 The personal manner of staff 23 Scheduling and reliability of appointments 25 Being available for patients and carers to contact between appointments 27 Valuing and involving carers and family members 28 Nurses acting as co-ordinators and advocates 32 Clinical competence and expertise 34 Patient education and support for self-management 36123 Contents
prevalence of frailty and long-term conditions, together with a policy ambition to shift more care out of hospitals and into community settings, mean that district nursing is a key part of the health service both now and in the future (Ham et al 2012). However, we know very little about demand for district nursing services nationally,
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