{"id":1471,"date":"2018-08-05T19:00:07","date_gmt":"2018-08-05T19:00:07","guid":{"rendered":"https:\/\/blogs.bmj.com\/ebn\/?p=1471"},"modified":"2018-08-02T10:20:39","modified_gmt":"2018-08-02T10:20:39","slug":"nursing-workforce-treating-the-symptoms-and-not-the-cause","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/ebn\/2018\/08\/05\/nursing-workforce-treating-the-symptoms-and-not-the-cause\/","title":{"rendered":"Nursing Workforce &#8211; treating the symptoms and not the cause"},"content":{"rendered":"<p>This week\u2019s Blog is written by Dr Pauline Milne (@NHSPauline).<a href=\"https:\/\/blogs.bmj.com\/ebn\/files\/2018\/08\/Pauline-M-photo.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-1472\" src=\"https:\/\/blogs.bmj.com\/ebn\/files\/2018\/08\/Pauline-M-photo-200x300.jpg\" alt=\"\" width=\"200\" height=\"300\" srcset=\"https:\/\/blogs.bmj.com\/ebn\/files\/2018\/08\/Pauline-M-photo-200x300.jpg 200w, https:\/\/blogs.bmj.com\/ebn\/files\/2018\/08\/Pauline-M-photo.jpg 426w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><\/p>\n<p><span style=\"font-size: 1rem\">Nursing workforce shortages have been a recurring issue for decades with continual cycles of \u2018boom and bust\u2019 becoming an all too common feature.\u00a0 Once again, we are experiencing a period of \u2018bust\u2019 in the nursing workforce.\u00a0 This shortage of Registered Nurses could be further exacerbated by recent political and policy decisions such as the implications of Brexit (Health Foundation 2018), removal of the bursary for pre-registration nurses in England, reductions in funding for continuing professional development and general working conditions (Twycross 2018).\u00a0<\/span><\/p>\n<p>In the past policies to address nursing shortages have included ambitious recruitment targets, such as those in the NHS plan (Department of Heath 2000), resulting in widening the entry routes into nursing and a heavy reliance on international nurse recruitment.<\/p>\n<p>More recent strategies include the introduction of new roles with shorter lead in times for example the Nursing Associate in England.\u00a0 There is also a renewed focus on retaining nurses in the workforce alongside national recruitment campaigns (NHS England 2018).<\/p>\n<p>There is however a risk that these strategies are merely attempting to treat the symptoms rather than address the cause of why we experience perpetual shortages of Registered Nurses.\u00a0 I believe that the focus should be shifted to improving nursing workforce policy and planning.<\/p>\n<p>Take a few moments to consider:<\/p>\n<ul>\n<li><em>Who holds responsibility for nursing workforce planning in your organisation, in your region or at a national level? <\/em><\/li>\n<li><em style=\"font-size: 1rem\">Similarly, when new health policies are being implemented who is responsible for ensuring that the impact of these policies on nursing is considered and planned for?<\/em><\/li>\n<\/ul>\n<p>It is likely that reflecting on these questions will have elicited a wide range of responses indicating the lack of clarity over these important responsibilities. \u00a0It is vital that senior nurses step into this space and take responsibility for planning the future supply and direction of the nursing workforce.\u00a0 Additionally nurses at all levels should be able to access education and training to equip them with the skills and expertise to participate in meaningful nursing workforce planning activities and to actively engage in policy discussions.<\/p>\n<p style=\"text-align: right\"><strong>Author <\/strong><\/p>\n<p style=\"text-align: right\"><strong>\u00a0<\/strong>Dr Pauline Milne MBE PhD MN BN RN<\/p>\n<p style=\"text-align: right\">Contact email:\u00a0<a href=\"mailto:pauline.milne2@nhs.net\">pauline.milne2@nhs.net<\/a><\/p>\n<p style=\"text-align: right\">Twitter: @NHSPauline<\/p>\n<p>&nbsp;<\/p>\n<p><strong>References<\/strong><\/p>\n<p>Department of Health (2000) <em>The NHS Plan<\/em>. <em>A Plan for Investment. A Plan for Reform. <\/em>London: DH.<\/p>\n<p>Health Foundation (2018) UK public support recruitment of EU nurses post-Brexit, including \u2018leave\u2019 voters.\u00a0 Retrieved from <a href=\"https:\/\/www.health.org.uk\/news\/uk-public-support-recruitment-eu-nurses-post-brexit-including-leave-voters\"><em>https:\/\/www.health.org.uk\/news\/uk-public-support-recruitment-eu-nurses-post-brexit-including-leave-voters<\/em><\/a><\/p>\n<p>NHS England (2018) \u00a0\u00a0England\u2019s top nurse announces major new recruitment and retention campaign to coincide with 70th anniversary of NHS.\u00a0 Retrieved from <a href=\"https:\/\/www.england.nhs.uk\/2018\/03\/englands-top-nurse-announces-major-new-recruitment-and-retention-campaign-to-coincide-with-70th-anniversary-of-nhs\/\">https:\/\/www.england.nhs.uk\/2018\/03\/englands-top-nurse-announces-major-new-recruitment-and-retention-campaign-to-coincide-with-70th-anniversary-of-nhs\/<\/a><\/p>\n<p>Twycross A (2018) Time to take a stand on nurses\u2019 working conditions.\u00a0 Editorial <em>Evidence Based Nursing<\/em>.\u00a0 Retrieved from <a href=\"https:\/\/ebn.bmj.com\/content\/21\/3\/59\"><em>https:\/\/ebn.bmj.com\/content\/21\/3\/59<\/em><\/a><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>This week\u2019s Blog is written by Dr Pauline Milne (@NHSPauline). Nursing workforce shortages have been a recurring issue for decades with continual cycles of \u2018boom and bust\u2019 becoming an all too common feature.\u00a0 Once again, we are experiencing a period of \u2018bust\u2019 in the nursing workforce.\u00a0 This shortage of Registered Nurses could be further exacerbated [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/ebn\/2018\/08\/05\/nursing-workforce-treating-the-symptoms-and-not-the-cause\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":170,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[3665],"class_list":["post-1471","post","type-post","status-publish","format-standard","hentry","tag-nursing-issues"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Nursing Workforce - treating the symptoms and not the cause - Evidence-Based Nursing blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/ebn\/2018\/08\/05\/nursing-workforce-treating-the-symptoms-and-not-the-cause\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Nursing Workforce - treating the symptoms and not the cause - Evidence-Based Nursing blog\" \/>\n<meta property=\"og:description\" content=\"This week\u2019s Blog is written by Dr Pauline Milne (@NHSPauline). Nursing workforce shortages have been a recurring issue for decades with continual cycles of \u2018boom and bust\u2019 becoming an all too common feature.\u00a0 Once again, we are experiencing a period of \u2018bust\u2019 in the nursing workforce.\u00a0 This shortage of Registered Nurses could be further exacerbated [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/ebn\/2018\/08\/05\/nursing-workforce-treating-the-symptoms-and-not-the-cause\/\" \/>\n<meta property=\"og:site_name\" content=\"Evidence-Based Nursing blog\" \/>\n<meta property=\"article:published_time\" content=\"2018-08-05T19:00:07+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/ebn\/files\/2018\/08\/Pauline-M-photo-200x300.jpg\" \/>\n<meta name=\"author\" content=\"atwycross\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"atwycross\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/2018\\\/08\\\/05\\\/nursing-workforce-treating-the-symptoms-and-not-the-cause\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/2018\\\/08\\\/05\\\/nursing-workforce-treating-the-symptoms-and-not-the-cause\\\/\"},\"author\":{\"name\":\"atwycross\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/#\\\/schema\\\/person\\\/cd4c65f7de28af4bbdc346cd2c883661\"},\"headline\":\"Nursing Workforce &#8211; 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