Student nurse satisfaction: implications for the common foundation programme.

This study examines the history of general hospital nursing in Sheffield between approximately 1948 and 1974 – the first 26 years of the operation of the National Health Service (NHS) in England. The availability of nurses in quantity and in quality, their knowledge and skills, working practices and organisation, are themes that endured during this quarter-century. This was a period when administrative and therapeutic innovation was juxtaposed with – and constrained by – resource limitations. In particular, the inability to match nursing availability to patient needs caused operational and strategic problems in developing and delivering hospital-based health care. These problems were exacerbated when innovations in nursing and medical care required new approaches to the organisation of hospital beds and equipment, which also had to be implemented in nineteenth century buildings with inadequate basic facilities. Making extensive use of archived records of Sheffield’s hospitals, the present study explores how the coalescence of these factors influenced nurses and their work, and how this contributed to continuity and change in nursing in the city’s general hospitals.

General hospital nursing in Sheffield during the early years of the NHS, 1948-1974.

Keeping afloat: student nurses' experiences following assignment referral.

The observation that survival differs between hospitals was first made by Florence Nightingale over a century ago2, and in the intervening period this issue has resurfaced intermittently, largely through the efforts of enthusiastic individuals. Only in the late 1 980s and 1 990s has it emerged as a major policy issue. Several factors have contributed to this. The most important has been the need in certain industrialized countries to make difficult decisions about resource allocation because of accelerating hospital costs. A recent report from the American Office of Technology Assessment notes that 'The period since 1980 has seen constant change in the role of hospitals all over the world, reflecting both the dynamism of medicine and the tightening financial climate'3. This report records how governments are not only pursuing aggregate cost containment policies but are also focusing on more efficient production of hospital services so that they can obtain more benefit for the same investment. Studies for the European Commission and the World Health Organization came to similar conclusions4'5, which have important implications for various groups of staff: hospitals are highly labour intensive and staff costs typically account for over half of all expenditure. Unfortunately there is little to guide decisions about where to invest in hospitals since there is scant evidence about which factors make a difference to outcomes. In particular, it is unclear whether it is better to invest in equipment or staff and which is the most effective mix of staff. Consequently, better information on outcomes is seen as an essential tool to enable managers and clinicians make good decisions. The second factor driving this issue onto the agenda is promotion of consumer choice and thus the provision of information to the public. This is a central tenet of current government policy in the UK and is based on a view that

Measuring Hospital Performance: Are we Asking the Right Questions?:

http://psycnet.apa.org/journals/apl/35/4/281.pdf

The selection of nurses in England.

Working Party on the Recruitment and Training of Nurses

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Working Party on the Recruitment and Training of Nurses