Twenty-four hour care: implications for the role and developmental needs of nurses in acute and community settings
Article first published online: 2 SEP 2008
© 2008 The Authors. Journal compilation © 2008 Blackwell Publishing Ltd
Journal of Nursing Management
Special Issue: This issue: Education and Professional Development Issue editor: Mike Cook
Volume 17, Issue 5, pages 594–602, July 2009
How to Cite
KELLY, D., BERRIDGE, E.-J. and GOULD, D. (2009), Twenty-four hour care: implications for the role and developmental needs of nurses in acute and community settings. Journal of Nursing Management, 17: 594–602. doi: 10.1111/j.1365-2834.2008.00890.x
- Issue published online: 2 JUL 2009
- Article first published online: 2 SEP 2008
- Accepted for publication: 5 March 2008
- continuing professional development;
- nursing at night;
- workforce planning
Aim(s) The aim of this study was to explore the challenges of providing continuity within the 24-hour nursing service. It explored why nurses work at night and what issues this raises for them.
Background The manner in which new ways of working affect the work or CPD (Continuing Professional Development) requirements of ward-based nurses or their community counterparts has received little attention. The aim of this study was to explore these issues with a diverse sample of practitioners.
Method(s) Twenty-seven staff from four settings (two acute trusts and two community teams) participated in this qualitative study employing focus groups and interviews.
Results The nature of night nursing is changing; expanded roles and responsibilities are common. However, CPD remains problematic, as a result of constraints around time and access. Context-specific issues shape the nature of night working in acute and community settings and should be considered when planning CPD.
Conclusion(s) There is a need to re-examine what CPD is available for practitioners providing care around the clock. Traditional forms of CPD may not reflect the evolving reality of practice at night.
Implications for Nursing Management There is a need to ensure CPD opportunities are reviewed regularly to reflect changing 24-hour service demands in all settings.