More people need nursingMore people need complex nursing

More chronic disease, less cash

NURSING ISSUES Profession is rapidly becoming matureStudent nurse numbers are downNewly qualified nurses cannot always find

suitable employment28% of student nurses do not qualifyCan new nurses nurse? Modernising Nursing Careers and care

homes?

NURSES AND CARE HOMESCare homes are nursing organisationsSenior, expert, prescribing clinical nurses

need to be attracted to care homesPrevent hospital admissions, GP visits

through nursing excellence and confidenceWhy are expert nurses not attracted to care

homes?Confront the reality, in order to succeedWhat is affordable?

MORE CARE HOME NURSINGDemographyFewer informal carers – maybeExcellent end of life careMore rehabilitationAdditional skills required, eg care of

tracheostomy care, IV therapies etc Traditional hospital careHuge implications for skill mix – and cost!

PREPARING NURSES TO CARECompassion is the icing on the cakeWhere are the role models?Exhaustion and hostile organisations do not

relate well to enhancing compassionate careCompassion cannot be regulatedGood manners and kindness should be the normZero tolerance policyDig down to find the reason behind the lack of

careThe challenge of diverse cultures within the team

THE NEW NURSEWill be caring for older peopleA number of mature people with a range of

disabilitiesMay never work in a hospitalLikely to work in the independent sectorWill have experienced a care home as a

studentMay be mature and on her 3rd career Will have debtsAnd, also family commitments

THE ADVANCED NURSE PRACTITIONERA rarity in the care home worldConsider the benefits to residentsWould reduce the need for medical

interventionBetter care, leadership, an exemplar to other

nursesRelatively expensive, but wonderful valueWould ANP become bored?Passion is a wonderful thing and should be

cherished

INTERNATIONAL SHORTAGE OF NURSESEven Ireland is recruiting from overseasSkill mix needs to be tackled with intelligenceTrain, train, train and more training for

HCSWsA culture of education, rather then regulationCare homes versus care at home. Respite care provision can be a wonderful

thingFlexibility is preciousHow do our young people see care homes?

CHALLENGING TIMESThe speed of changeTechnology, technology, technologyBut modern times demand the ‘old ways’ tooThe constants – care, compassion, continuity,

coherence and the cashScotland provides free personal care and is

running out of money – change post election expected

IT DOES NOT COST, IT CANNOT BE BOUGHT, BUT IT CAN BE ENCOURAGED, REWARDED AND ENHANCED THROUGH

SUPPORT, CULTURE AND THE RIGHT ETHICAL FRAMEWORK.