#WeNurses - Thursday 17th October 2019 8pm (GMT Standard Time) The Nursing Associates Role

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Hosted by WeNurses using #WeNurses

This chat is guest hosted by @Ian_CostelloNA

In January this year the first Nursing Associates became registered with the NMC.  This is a new role in healthcare that has been developed by the government  in response to the Shape of Caring review and is “designed to help bridge the gap between health and care assistants and registered nurses” and “will contribute to the core work of nursing, freeing up registered nurses to focus on more complex clinical care” ( NMC 2019)  You can find out more about the Nursing Associate role HERE in the NMC Standards of proficiency for nursing associates. 

This #WeNurses Tweetchat aims to explore the role of the nursing associate and how the role works in practice. Some of the following questions will be explored:

  • What defines the role of the nursing associate? How does this differ from the role of the registered nurse?
  • How does the role of the nursing associate work in reality? 
  • What are the benefits of the nursing associate role?
  • What are the challenges of the nursing associate role?
  • How can nurses and nursing associates support one another in order to work together for the benefit of the people we care for?
  • With this being a new role how can we ensure that people are clear on the role of the nursing associate? 
  • Given all of the above …. do you think that there should be a separate “We” community for nursing associates to help define the roles but also ensure that Nursing Associates have support and a community? 





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 #WeNurses transcript

 
@AgencyNurse
17 October 2019 20:00
My absolute pleasure to work with you on this Ian ... you are ace to work with #WeNurses https://twitter.com/Ian_CostelloNA/status/1184906602962456576
@AgencyNurse
17 October 2019 20:00
Don't forget ... #WeNurses !! https://twitter.com/WeNurses/status/1184906683128176640
@WeNurses
17 October 2019 20:00
Goooooood evening everyone ... how are you this evening ?? If you are joining us for the next hour to discuss the role of the nursing associate then please send us a hello tweet and your first thoughts #WeNurses https://t.co/GEYPDW8JU7
@WeNurses
17 October 2019 20:00
Don't have an opinion on how the role of the nursing associate works in reality - join to get one! Have an opinion on how the role of the nursing associate works in reality - join to share it! #WeNurses ROGHT NOW with @Ian_CostelloNA
@Ian_CostelloNA
17 October 2019 20:01
RT @AgencyNurse: My absolute pleasure to work with you on this Ian ... you are ace to work with #WeNurses https://twitter.com/Ian_CostelloNA/status/1184906602962456576
@LooBlackburn
17 October 2019 20:01
@WeNurses Evening all !#WeNurses
@Dean14534683
17 October 2019 20:01
RT @WeNurses: How does the role of the nursing associate work in reality? #WeNurses in 30 minutes time Read more here > https://t.co/S0…
@Liz_HEE
17 October 2019 20:01
RT @WeNurses: Remember the golden rule for joining a #WeNurses tweetchat ..... don't forget the hashtag !!! https://t.co/xb1YZzxRbb
@Katewardleeds
17 October 2019 20:01
@WeNurses Well good evening one and all! #WeNurses
@nursingPUNC18
17 October 2019 20:02
@Ian_CostelloNA @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue Hi Ian second year nursing student wanting to learn more about the NA role here #WeNurses
@JamesIanMcLean
17 October 2019 20:02
The Nursing Associates Role with @Ian_CostelloNA via #WeNurses 17/10/2019 http://www.wecommunities.org/tweet-chats/chat-details/5414 via @WeNurses
@AgencyNurse
17 October 2019 20:02
Hello - Teresa here ... i have not come across any nursing associates yet in my clinical role ... however the nursing associates i have come across on here have all seemed very passionate about their role .. which is fab #WeNurses https://twitter.com/WeNurses/status/1184907158112165888
@SuHickman
17 October 2019 20:03
@WeNurses @Jacquelin_Joyce #WeNurses evening
@WeNurses
17 October 2019 20:03
@SuHickman @Jacquelin_Joyce welcome :) thanks for joining #wenurses
@Katewardleeds
17 October 2019 20:03
Hi @Ian_CostelloNA I’m interested in hearing about what team you work in and how the team have embraced your role? Any challenges around this? #WeNurses
@WeNurses
17 October 2019 20:03
@AgencyNurse helloooo Teresa :) #wenurses
@WeNurses
17 October 2019 20:03
Interesting point ... is this truth or a myth to be busted ?? Are the roles the same /similar ? #WeNurses https://twitter.com/PedroRibeiro000/status/1184907292401192960
@staceyjs9
17 October 2019 20:03
#WeNurses evening!!
@WeNurses
17 October 2019 20:04
@JamesIanMcLean @Ian_CostelloNA thanks for joining and sharing James :) #wenurses
@WeNurses
17 October 2019 20:04
Great link - thanks for sharing Ian #WeNurses https://twitter.com/Ian_CostelloNA/status/1184907920330366976
@gilliandrummon2
17 October 2019 20:04
@WeNurses #WeNurses looking forward to hearing others thoughts on this role and how it may fit into an ambulance trust
@WeNurses
17 October 2019 20:04
Hello there #WeNurses https://twitter.com/PedroRibeiro000/status/1184907977758691328
@nursingPUNC18
17 October 2019 20:04
@WeNurses Hi, I'm admitting I don't know a lot other than supportive role to nurse taking set / agreed nurse duties to support MDT team? #WeNurses (please forgive my ignorance)
@WeNurses
17 October 2019 20:05
Great to see you all here .... are you ready for QUESTION 1? Here it is: What defines the role of the nursing associate? How does this differ from the role of the registered nurse? #WeNurses https://t.co/LuBHqokCxx
@NRCUK
17 October 2019 20:05
@WeNurses @Ian_CostelloNA bit harsh :) #wenurses listening in with interest
@LooBlackburn
17 October 2019 20:05
@WeNurses @Ian_CostelloNA Here for hints and tips for spreading the awareness and overcoming barriers for NAs in GP #WeNurses
@Liz_HEE
17 October 2019 20:05
RT @WeNurses: Hell and welcome @Ian_CostelloNA .... we are looking forward to getting started #WeNurses https://twitter.com/Ian_CostelloNA/status/1184906602962456576
@PedroRibeiro000
17 October 2019 20:05
@WeNurses @Ian_CostelloNA #WeNurses
@nursingPUNC18
17 October 2019 20:05
@Ian_CostelloNA @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue thank you will do, great link #WeNurses
@maxwele2
17 October 2019 20:05
@AgencyNurse I’m sure they are lovely people but that’s not really the point is it? #WeNurses
@Katewardleeds
17 October 2019 20:05
@WeNurses I wasn’t around at the time of enrolled nurses but find it unhelpful to ‘look back’ rather than forward in any case really #WeNurses
@WeNurses
17 October 2019 20:05
@nursingPUNC18 thanks for joining in, again, Joy :) happy #wenurses'ing :)
@staceyjs9
17 October 2019 20:05
@WeNurses Looking forward to seeing others thoughts on this #WeNurses
@laurasmithTNA
17 October 2019 20:05
Hello all, Laura here. I’m a second year trainee nursing associate. My primary placement is within the Health Visiting team. Looking forward to this evenings chat. #WeNurses
@SuHickman
17 October 2019 20:05
@WeNurses @Jacquelin_Joyce Good to be here!! #wenurses
@WeNurses
17 October 2019 20:05
#wenurses https://twitter.com/PedroRibeiro000/status/1184907977758691328
@Ian_CostelloNA
17 October 2019 20:06
@Katewardleeds I am based in a forensic learning disability unit and I have been empowered to use my role to over see and ensure that our patients physical health needs are met. I lead with the monthly audits and liaise with the #RegisteredNurse as and when referrals are needed #WeNurses
@PedroRibeiro000
17 October 2019 20:06
@Ian_CostelloNA @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue Hi Ian, I'm an RNA working within an Admissions Cardiology unit. I've had 3 mental health placements and this made me an asset within the team. I have more experience in that department than some of my colleagues. #WeNurses
@WeNurses
17 October 2019 20:06
We are all learning and exploring together tonight Joy ... there are some Nursing Associates on the tweetchat so hopefully they will be able to educate us all #WeNurses https://twitter.com/nursingPUNC18/status/1184908167488114688
@AgencyNurse
17 October 2019 20:06
@maxwele2 absolutely ... but currently thats all i can comment on ! #WeNurses
@RhiannaPunc19
17 October 2019 20:06
@WeNurses Hello, I don’t know a lot about the role and I’m looking forward to learning more about it through this tweet chat! #WeNurses
@WeNurses
17 October 2019 20:06
@Katewardleeds @Ian_CostelloNA thanks for joining #wenurses this eve Kate :)
@JamesIanMcLean
17 October 2019 20:07
@WeNurses #WeNurses Evening all
@gilliandrummon2
17 October 2019 20:07
@WeNurses #WeNurses Q1 The Associate Nurse could be the key to better healthcare in the future and a more inclusive workforce
@nursingPUNC18
17 October 2019 20:07
@WeNurses The NMC link just shared is great but even it states not their role to specify what a NA does? So will be fab to learn more tonight. #WeNurses
@WeNurses
17 October 2019 20:07
@SuHickman @Jacquelin_Joyce we agree! #wenurses
@daisyflower88
17 October 2019 20:07
@WeNurses @Ian_CostelloNA #wenurses nursing associate working well in primary care
@coxc41
17 October 2019 20:07
@WeNurses My first thoughts are You’ll need to demonstrate the values and behaviours of the NHS Constitution and a knowledge of physical health, mental health and illness prevention. #WeNurses
@AgencyNurse
17 October 2019 20:08
Question 1 #WeNurses https://twitter.com/WeNurses/status/1184908208252641280
@WeNurses
17 October 2019 20:08
@PedroRibeiro000 @Ian_CostelloNA @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue thanks for joining and sharing via #wenurses this eve Pedro!
@maxwele2
17 October 2019 20:08
@AgencyNurse And that’s a problem. No risk assessment, no reference to impact of other others, no planned evaluation of impact on patient outcomes. All the talk is are they nice, do they like their training ????? #WeNurses
@AgencyNurse
17 October 2019 20:08
#Wenurses - thanks Emma https://twitter.com/Emma49357025/status/1184908976670068736
@nursingPUNC18
17 October 2019 20:09
@Ian_CostelloNA @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue From NMC link I can gleam it looks like assessing and evaluating care is RN role whilst delivering and monitoring care NA role, very close working relationship needed therefore as monitoring crucial in patient safety. #WeNurses
@laurasmithTNA
17 October 2019 20:09
@WeNurses #WeNurses one of the major differences I feel is that the RN’s plan, assess and evaluate care whereas the NA’s implement and monitor care. We have our own standards to work to and also limitations.
@Ian_CostelloNA
17 October 2019 20:09
@daisyflower88 @WeNurses Oh how wonderful. I have not met many, but the ones I have are extremely enthusiastic and passionate about their role #WeNurses
@WeNurses
17 October 2019 20:09
RT @laurasmithTNA: @WeNurses #WeNurses one of the major differences I feel is that the RN’s plan, assess and evaluate care whereas the NA’s…
@Ian_CostelloNA
17 October 2019 20:10
@Emma49357025 @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue Can you share what you have been able to gain in placement and bring back to your own department in theatres? #WeNurses
@WeNurses
17 October 2019 20:10
RT @daisyflower88: @WeNurses @Ian_CostelloNA #wenurses nursing associate working well in primary care
@Katewardleeds
17 October 2019 20:10
Q1 As a starting point registered nurses have found this most helpful in determining some of the differences between the roles of RN and NA #WeNurses https://t.co/AIWN5Kt9yu
@nadeshka99
17 October 2019 20:10
@WeNurses This is slide from my presentation where you can clearly see where our role differs and where we meet with RN, I find it very clear #WeNurses https://t.co/yyXc8qpJmN
@AgencyNurse
17 October 2019 20:10
@maxwele2 one would hope that there will be a formal evaluation of the role at some point ... wonder how long the first nursing associates have been registered for now ?? #WeNurses
@staceyjs9
17 October 2019 20:10
Q1- the associate will more often then not be the first person to notice when a patient isn’t looking right, as they mostly spend more time with patients then the registered nurse #WeNurses @WeNurses
@alimully
17 October 2019 20:10
@WeNurses As i understand it the Nurse Associate role is in between a hca and a RN - but that may be a simplistic understanding of the role #WeNurses
@LGT_NAs
17 October 2019 20:10
@WeNurses ?? from @LGT_NAs, we don't currently have any registered #NursingAssociates but we are training #ApprenticeNursingAssociates. Several of whom have worked with #NAs whilst on external placement with one of our partner organisations. #WeNurses
@WeNurses
17 October 2019 20:10
Interesting and useful slide #WeNurses https://twitter.com/nadeshka99/status/1184909507601801216
@Shaun_LDNurse
17 October 2019 20:10
@WeNurses Good evening all. Shaun [the often outspoken] #StudentNurse tweeting live from my sofa in #Birmingham - mug of tea in hand. Here to question and learn. #WeNurses
@SuHickman
17 October 2019 20:10
@WeNurses @Jacquelin_Joyce #wenurses I am a Nursing Associate Trainee in a Stroke Ward. Previously cardiac scrub nurse. I am published in Nursing Standard raising the Nursing Associate profile
@LooBlackburn
17 October 2019 20:11
@daisyflower88 @WeNurses @Ian_CostelloNA That’s great please share more details ! #WeNurses
@Katewardleeds
17 October 2019 20:11
@AgencyNurse @maxwele2 First registrants joined NMC at the back end of January this year #WeNurses
@LGT_NAs
17 October 2019 20:11
@sykes55 any thoughts on this? #WeNurses https://twitter.com/gilliandrummon2/status/1184908120843280385
@Liz_HEE
17 October 2019 20:11
RT @JamesIanMcLean: @WeNurses #WeNurses Evening all
@coxc41
17 October 2019 20:11
@WeNurses Nursing associates are not able to prescribe. While nursing associates will contribute to most aspects of care, including delivery and monitoring, registered nurses will take the lead on assessment, planning and evaluation. #WeNurses
@WeNurses
17 October 2019 20:12
Would you find this useful nurses? thanks for sharing Kate :) #WeNurses https://twitter.com/Katewardleeds/status/1184909476584939520
@daisyflower88
17 October 2019 20:12
@WeNurses @Ian_CostelloNA Looking forward to support the development of the NA . Leading the way , cytology , medication / injections , respiratory, making learning a positive journey #wenurses
@WeNurses
17 October 2019 20:12
Thanks Laura ... this helps to really clarify the difference #WeNurses https://twitter.com/laurasmithTNA/status/1184909256702730241
@pegsthe1
17 October 2019 20:12
@WeNurses Hello #WeNurses
@Liz_HEE
17 October 2019 20:12
RT @AgencyNurse: #Wenurses - thanks Emma https://twitter.com/Emma49357025/status/1184908976670068736
@WeNurses
17 October 2019 20:13
great share, thanks very much Nadia :) #WeNurses https://twitter.com/nadeshka99/status/1184909507601801216
@AgencyNurse
17 October 2019 20:13
Valuable insight into how the role works #WeNurses https://twitter.com/PedroRibeiro000/status/1184909268589432832
@KerryOLeary9
17 October 2019 20:13
@WeNurses RN's also assess patient needs and plan care. #NursingAssociate #WeNurses
@maxwele2
17 October 2019 20:13
@AgencyNurse Since Feb and no impact evaluation conducted or planned. @nmcnews wants individual nurses to be evidenced based but doesn’t think that applies to them (although most of their staff are not registrants so that is a position they can take) #WeNurses
@nursingPUNC18
17 October 2019 20:13
@WeNurses I think I've already gleamed a clear distinction and also the close working relationship with the two roles, NA's trained to deliver and monitor care, RN assessment and evaluation both within MDT. #WeNurses
@AgencyNurse
17 October 2019 20:13
#WeNurses https://twitter.com/Emma49357025/status/1184910179315408897
@WeNurses
17 October 2019 20:13
#WeNurses https://twitter.com/tna_life/status/1184910254066294784
@GeorgeCadeStN
17 October 2019 20:13
@WeNurses Evening! I'm George, 3rd year student nurse at @USWCareSciences. Looking forward to learn more about the role of nursing associates #WeNurses
@sykes55
17 October 2019 20:14
@LGT_NAs @WeNurses I am one of these that is currently #ApprenticeNursingAssociate and worked with a #NA on my external placement who works in a GP practice. #WeNurses
@WeNurses
17 October 2019 20:14
@GeorgeCadeStN @USWCareSciences welcome and thanks for joining #Wenurses George
@daisyflower88
17 October 2019 20:14
@JamesIanMcLean @WeNurses @Ian_CostelloNA Good mentors required , positive pro active practices . #wenurses , all areas can be developed primary and secondary
@Shaun_LDNurse
17 October 2019 20:14
@WeNurses In concrete terms (ie. practice) isn’t it largely being defined by the employers (whether that’s an NHS Trust, or private/independent care provider). #WeNurses #NursingAssociates #NA
@Ian_CostelloNA
17 October 2019 20:14
@rantingsofalady @nursingPUNC18 @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue So many hidden gems being found via the #NursingAssociate route. Great things are happening for our patients. We all aim to do more for our patients but have been limited up until now... many will go on to top up BUT massively important that this role is kept #WeNurses
@AgencyNurse
17 October 2019 20:14
@maxwele2 @nmcnews thats disappointing ... think that with any new role we should evaluate and use that evaluation to adapt and improve #WeNurses
@tna_life
17 October 2019 20:14
@WeNurses Hello ??????? I’m a month in to my course and will be happy to help. My cohort are the very first direct entry trainee nursing associates nationally, as opposed to the apprenticeship route, so spreading knowledge about my course and role is highly important #WeNurses
@WeNurses
17 October 2019 20:15
QUESTION 2 How does the role of the nursing associate work in reality? #WeNurses https://t.co/9FotPfnLTd
@alimully
17 October 2019 20:15
And here is the crux of the matter, NA's were introduced due to a lack of registered nurses, with limited evidence and evaluation of the role #WeNurses https://twitter.com/staceyjs9/status/1184909584827330561
@LGT_NAs
17 October 2019 20:15
@sykes55 @WeNurses ??@sykes55 great to have you join the conversation #WeNurses
@WeNurses
17 October 2019 20:15
How does this distinction sound? Thanks for sharing your take Joy. #WeNurses https://twitter.com/nursingPUNC18/status/1184910313369604096
@AgencyNurse
17 October 2019 20:15
Thank you that is useful to know #WeNurses https://twitter.com/ecwestcott/status/1184910424128524298
@nursingPUNC18
17 October 2019 20:15
@Ian_CostelloNA @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue Someone mentioned limitations earlier, so are there clear limitations and do these help to distinguish role boundaries? #WeNurses
@AgencyNurse
17 October 2019 20:15
#WeNurses https://twitter.com/Emma49357025/status/1184910621780905985
@LGT_NAs
17 October 2019 20:15
RT @laurasmithTNA: @WeNurses #WeNurses one of the major differences I feel is that the RN’s plan, assess and evaluate care whereas the NA’s…
@AgencyNurse
17 October 2019 20:15
#WeNurses https://twitter.com/LBP_CovUni/status/1184910802689626119
@MenInNursing
17 October 2019 20:16
RT @finnigan_dave: The conclusion of my most recent self care project. Melbourne Half Marathon done! #selfcare #meninnursing #wenurses #nur…
@WeNurses
17 October 2019 20:16
great question #WeNurses https://twitter.com/nursingPUNC18/status/1184910811023794178
@WeNurses
17 October 2019 20:16
@Shaun_LDNurse welcome Shaun (and your sofa) enjoy #wenurses and your mug of tea too!
@PedroRibeiro000
17 October 2019 20:16
@AgencyNurse The role differs both in Mental health placements/physical health the same as Community. I have a colleague in a GP Practice and has the opportunity for more training and development, but always escalating to the RN whenever necessary. #WeNurses
@AgencyNurse
17 October 2019 20:16
Thanks for clarifying #WeNurses https://twitter.com/ecwestcott/status/1184910960315768833
@WeNurses
17 October 2019 20:16
@SuHickman @Jacquelin_Joyce thanks for joining #wenurses Su
@LGT_NAs
17 October 2019 20:16
#TeamWorkMakesTheDreamWork #InItTogether #WeNurses https://twitter.com/PedroRibeiro000/status/1184909268589432832
@Katewardleeds
17 October 2019 20:16
A few tweets about evaluating the role of NA. Just to say this is happening and @NHS_HealthEdEng have appointed Traverse to carry our independent evaluation of the introduction of the role based on the NA pilot #WeNurses
@AgencyNurse
17 October 2019 20:16
#WeNurses
@WeCYPnurses
17 October 2019 20:17
RT @WeNurses: QUESTION 2 How does the role of the nursing associate work in reality? #WeNurses https://t.co/9FotPfnLTd
@Ian_CostelloNA
17 October 2019 20:17
@LBP_CovUni @PedroRibeiro000 @WeNurses @AgencyNurse @nmcnews @NHS_HealthEdEng @samjdonohue @LordWillisg Thank you Lisa. @AgencyNurse has been so supportive to me, and actually quite empowering as a leader. True leaders make other leaders... #WeNurses
@WeNurses
17 October 2019 20:17
Thank you >> #WeNurses https://twitter.com/Katewardleeds/status/1184911166470012929
@coxc41
17 October 2019 20:17
@WeNurses The role is being used and regulated in England and it's intended to address a skills gap between unregulated health and care assistants and registered nurses. #WeNurses
@WeNurses
17 October 2019 20:17
@tna_life thanks for joining and bringing your experience to tonight's #wenurses :)
@AgencyNurse
17 October 2019 20:17
Question 2 #WeNurses https://twitter.com/WeNurses/status/1184910732766384128
@nursingPUNC18
17 October 2019 20:18
@WeNurses I have yet to work with a NA, my placement experiences so far have been outside of ward situs so keen to learn from other's experiences on this question. #WeNurses
@ecwestcott
17 October 2019 20:18
@AgencyNurse @maxwele2 @nmcnews That is what is planned. It would be good if the Department as sponsor and/or the research provider could share the scope and methods so that interested people could see. I will raise #wenurses
@GeorgeCadeStN
17 October 2019 20:18
@WeNurses In Wales, we don't have nursing associates so I'd be interested to find out how RNs and Students find working with them? #WeNurses
@CalvinMoorley
17 October 2019 20:18
@PedroRibeiro000 @nursingPUNC18 @Ian_CostelloNA @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue #WeNurses I wonder if these boundaries become blurred. I’m glad to see the partnership in care delivery identified
@Katewardleeds
17 October 2019 20:18
Q2 Misunderstanding & negative perceptions of the NA role are a huge barrier. Lots of ‘PR’ work to do. I’m pretty sure the general public will know very little about the role #WeNurses
@LooBlackburn
17 October 2019 20:18
@tna_life @WeNurses Interesting , so not Apprentice’s ? How long is course and where ? Thank you !#WeNurses
@Shaun_LDNurse
17 October 2019 20:18
@WeNurses Similarly to my previous response to Question One - isn’t it largely being determined by employers (either NHS or private/independent health and social care providers). #WeNurses #NursingAssociates #NA
@AgencyNurse
17 October 2019 20:19
This sounds like a very good idea #Wenurses https://twitter.com/ecwestcott/status/1184911504719728640
@DrJude_G
17 October 2019 20:19
RT @JamesIanMcLean: The Nursing Associates Role with @Ian_CostelloNA via #WeNurses 17/10/2019 http://www.wecommunities.org/tweet-chats/chat-details/5414 via @WeNurses
@AgencyNurse
17 October 2019 20:19
Another useful link #WeNurses https://twitter.com/Ian_CostelloNA/status/1184911665797697537
@nursingPUNC18
17 October 2019 20:19
@Ian_CostelloNA @rantingsofalady @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue that is what I wondered, how you define and establish a role if it is seen as a route to top up? #WeNurses
@AgencyNurse
17 October 2019 20:19
Great question #WeNurses https://twitter.com/toxic_harpy/status/1184911779069136896
@CalvinMoorley
17 October 2019 20:19
I know this is about NA but I wonder how much it success will see other professions AHP adopting similar model #WeNurses
@WeAHPs
17 October 2019 20:20
RT @CalvinMoorley: I know this is about NA but I wonder how much it success will see other professions AHP adopting similar model #WeNurses
@Ian_CostelloNA
17 October 2019 20:20
@jane_padmore @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue Is there anyway you can share that great feedback from one of our Matrons? #WeNurses
@Ian_CostelloNA
17 October 2019 20:20
RT @AgencyNurse: Another useful link #WeNurses https://twitter.com/Ian_CostelloNA/status/1184911665797697537
@WeNurses
17 October 2019 20:20
RT @CalvinMoorley: I know this is about NA but I wonder how much it success will see other professions AHP adopting similar model #WeNurses
@PedroRibeiro000
17 October 2019 20:20
@CalvinMoorley @nursingPUNC18 @Ian_CostelloNA @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue #WeNurses In a busy ward and busy world it can become blurred. But it is up to the NA to know its limitations. Such as a RN its not going to do a job she does not know and escalate so does the NA. We are responsible for our work and should work in our boundaries.
@AgencyNurse
17 October 2019 20:21
#WeNurses
@ecwestcott
17 October 2019 20:21
@alimully @maxwele2 @AgencyNurse @nmcnews Again, I will suggest that the plans for the research are shared more widely - it is not a quick study because numbers will be low at first. And 1st NAs are from HEE pilot not @nmcnews approved programmes - but they have all been assessed against our standards #wenurses
@Katewardleeds
17 October 2019 20:21
Q2 Introducing NAs into our workforce has resulted in some anxiety amongst other associates too... eg Associate Practitioners. So we’re mindful of continuing to invest and promote other associate roles alongside introducing the NA role. Right skills in right teams #WeNurses
@AgencyNurse
17 October 2019 20:21
#WeNurses
@WeNurses
17 October 2019 20:22
"Independent evaluation finds trainee nursing associates are very positive about their training experience" @NHS_HealthEdEng blog #wenurses https://www.hee.nhs.uk/news-blogs-events/news/independent-evaluation-finds-trainee-nursing-associates-are-very-positive-about-their-training https://twitter.com/devonsylvia/status/1184911565981671424
@WeNurses
17 October 2019 20:22
@devonsylvia @AgencyNurse @maxwele2 thanks for sharing :) #wenurses
@PedroRibeiro000
17 October 2019 20:22
@CalvinMoorley @nursingPUNC18 @Ian_CostelloNA @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue #WeNurses It hasn't been 1 year since the first RNA have qualified. The NHS needs time to prime and polish the role. The role as suffered massive changes to the program and every time I speak to TNA I feel that things are improving bit by bit. #Proud
@AgencyNurse
17 October 2019 20:22
#WeNurses ... i hear this a lot ... but am i being daft when i say i am really not sure what this means in reality ?? #WeNurses https://twitter.com/coxc41/status/1184912345933516800
@Katewardleeds
17 October 2019 20:22
@AgencyNurse As our registered NA numbers are small (2) we’re looking at cultural survey initially as a means of evaluation #Wenurses
@AgencyNurse
17 October 2019 20:22
#WeNurses
@tna_life
17 October 2019 20:23
@LooBlackburn @WeNurses Not apprentices, and will be supernumerary whilst on placement with student finance/self-funded like other student nurses. The course is still a foundation degree for two years, and at @DerbyUni No problem, glad to help! #WeNurses
@WeNurses
17 October 2019 20:23
RT @AgencyNurse: #WeNurses ... i hear this a lot ... but am i being daft when i say i am really not sure what this means in reality ?? #WeN…
@AgencyNurse
17 October 2019 20:23
#WeNurses
@Emma49357025
17 October 2019 20:23
@WeNurses Anyone who isn’t too familiar with the role this is a good link, http://nmc.org.uk/standards/nurs… We work alongside the RN and the Health care assistants to compliment the high standards of care given to patients. We are a generic role and so can fit into many services. #WeNurses
@Ian_CostelloNA
17 October 2019 20:23
@PedroRibeiro000 @CalvinMoorley @nursingPUNC18 @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue So you should be #WeNurses
@GeorgeCadeStN
17 October 2019 20:23
@PedroRibeiro000 @CalvinMoorley @nursingPUNC18 @Ian_CostelloNA @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue Hi all, in your experiences what would the ratio of RN:NA:HCA be and how does allocation work? #WeNurses
@WeNurses
17 October 2019 20:24
Thanks for sharing #WeNurses https://twitter.com/Emma49357025/status/1184912922553868288
@AgencyNurse
17 October 2019 20:24
#WeNurses
@CalvinMoorley
17 October 2019 20:24
@AgencyNurse I think we need to know how much time they are given to prepare for this role. Need to ensure we are not assuming prior knowledge is quality. NA needs adequate protected time to learn #wenurses
@Ian_CostelloNA
17 October 2019 20:24
Agreed! #WeNurses https://twitter.com/lbp_covuni/status/1184912861535129600
@AgencyNurse
17 October 2019 20:25
good points #WeNurses https://twitter.com/CalvinMoorley/status/1184913101470257152
@WeNurses
17 October 2019 20:25
QUESTION 3 What are the benefits of the nursing associate role? #WeNurses https://t.co/KaMsBtkAwr
@ecwestcott
17 October 2019 20:25
Argh, keeping forgetting the #wenurses! Sorry https://twitter.com/ecwestcott/status/1184913169447358464
@AgencyNurse
17 October 2019 20:25
Question 3 #WeNurses https://twitter.com/WeNurses/status/1184913236640096256
@reboverend_RNc
17 October 2019 20:25
@AgencyNurse I think I’m with you on this one...it’s hard for me to ‘visualise’ esp in paeds. I also wonder if we are asking how RNs feel about changes which may remove them from some of the delivery of care whilst still having responsibility for its planning and evaluation? #wenurses
@AgencyNurse
17 October 2019 20:25
#WeNurses
@NRCUK
17 October 2019 20:26
Interesting question, but as there aren't any safe staffing levels for any roles (probably as nobody could meet them) it's going to be interesting to see how NA's are deployed #wenurses https://twitter.com/GeorgeCadeStN/status/1184912955894370304
@nursingPUNC18
17 October 2019 20:26
@LBP_CovUni @Ian_CostelloNA @rantingsofalady @WeNurses @AgencyNurse @nmcnews @NHS_HealthEdEng @samjdonohue yes I guess so, good point, both are possible. It's prob' a bit like saying a nurse's role is not defined just because many nurses pathway into other roles. #WeNurses
@AmyBillingto
17 October 2019 20:26
RT @WeNurses: Tonight's #WeNurses tweetchat ... The Nursing Associates Role with @Ian_CostelloNA Read more here > https://t.co/S0ikDfTf…
@laurasmithTNA
17 October 2019 20:26
RT @Ian_CostelloNA: Agreed! #WeNurses https://twitter.com/lbp_covuni/status/1184912861535129600
@GeorgeCadeStN
17 October 2019 20:26
@WeNurses it would free up time for nursing staff, and hopefully ensure better care is given to patients. It also provides an alternative route for people that have been HCAs for a long time to progress to being an RN, I'd imagine? #WeNurses
@WeMHNurses
17 October 2019 20:26
RT @WeNurses: QUESTION 3 What are the benefits of the nursing associate role? #WeNurses https://t.co/KaMsBtkAwr
@daisyflower88
17 October 2019 20:26
@JamesIanMcLean @WeNurses @Ian_CostelloNA I have sent your contact to my work e mail and I’ll try and reply tomorrow . #wenurses . We have a hard job to get primary care practices @NHSELRCCG to take student nurses . We are trying to @JubileeHub . Leading the way @JubileeHub
@WeCYPnurses
17 October 2019 20:26
RT @WeNurses: QUESTION 3 What are the benefits of the nursing associate role? #WeNurses https://t.co/KaMsBtkAwr
@PedroRibeiro000
17 October 2019 20:26
#WeNurses https://twitter.com/LBP_CovUni/status/1184912861535129600
@AgencyNurse
17 October 2019 20:26
Really good points ...#WeNurses https://twitter.com/reboverend_RNc/status/1184913388448686081
@WeDistrictNurse
17 October 2019 20:26
RT @WeNurses: QUESTION 3 What are the benefits of the nursing associate role? #WeNurses https://t.co/KaMsBtkAwr
@Ian_CostelloNA
17 October 2019 20:26
@GeorgeCadeStN @PedroRibeiro000 @CalvinMoorley @nursingPUNC18 @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue Many factors come in to play! Complexity of care and if the vacancies are left infilled. Why leave empty when #NursingAssociates can help. Short term... whom will then be likely to top up. @nhsemployers have this large information pack https://www.nhsemployers.org/nursingassociates/introduction-to-nursing-associates/what-is-a-nursing-associate #WeNurses
@LooBlackburn
17 October 2019 20:26
@tna_life @WeNurses @DerbyUni That’s great info thanks , do you have any choice in placements ? @WeNurses #WeNurses promise won’t bombard you with questions !!
@LGT_NAs
17 October 2019 20:27
@WeNurses It's still early days to be able to answer this clearly. As a new role for larger organisations it will take time to recruit volume of #NursingAssociates to be able to determine & effectively evaluate how the role is working & the difference it makes. #WeNurses
@Ian_CostelloNA
17 October 2019 20:27
Absolutely #WeNurses https://twitter.com/nursingpunc18/status/1184913483416113153
@GeorgeCadeStN
17 October 2019 20:27
@NRCUK I'd wonder if wards substitute NAs for RNs when they're running short? #WeNurses
@CalvinMoorley
17 October 2019 20:27
@LBP_CovUni @PedroRibeiro000 @nursingPUNC18 @Ian_CostelloNA @WeNurses @AgencyNurse @nmcnews @NHS_HealthEdEng @samjdonohue But that trust has to come with a competent practitioner who generates confidence. I’m speaking from a project 2000 nurse experience #WeNurses
@WeNurses
17 October 2019 20:27
Food for thought #WeNurses https://twitter.com/LGT_NAs/status/1184913807493292033
@GeorgeCadeStN
17 October 2019 20:28
@Ian_CostelloNA @PedroRibeiro000 @CalvinMoorley @nursingPUNC18 @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue @nhsemployers Thank you :) #WeNurses
@Katewardleeds
17 October 2019 20:28
@WeNurses Q3 I really believe the role of the NA has the skills, knowledge & leadership to improve the physical health of people accessing mental health services and driving parity of esteem #WeNurses
@Emma49357025
17 October 2019 20:28
@WeNurses I’d also love to know how other professional find working with people like myself in this role. In reality I know that the role has really embedded itself within theatre and I honestly feel as though it has made a difference to patient care. #WeNurses
@PedroRibeiro000
17 October 2019 20:28
@GeorgeCadeStN @CalvinMoorley @nursingPUNC18 @Ian_CostelloNA @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue At my trust, they are hoping to have a 10-20% ratio in the wards. Meaning in every 4 Registered 1 would be a NA. #WeNurses
@Jacquelin_Joyce
17 October 2019 20:28
#WeNurses #FutureWorkforce #NursingAssociate Spreading The Burden Of Care And allowing #RNs To be the professionals they were trained to be https://twitter.com/wenurses/status/1184913236640096256
@WeNurses
17 October 2019 20:28
"Introduction of Nursing Associates - Year 2 Evaluation Report " via @MRadford_HEECN @NHS_HealthEdEng https://www.hee.nhs.uk/sites/default/files/documents/15.1%20-%20Trainee%20Nursing%20Associate%20Year%202%20Evaluation%20Report_0.pdf #wenurses https://twitter.com/JamesIanMcLean/status/1184913522679005184
@Ian_CostelloNA
17 October 2019 20:28
Agreed! I now have many nurses and other members of the #MDT approach me directly! I work autonomously but continually check in with the Nurse leading the shift #WeNurses https://twitter.com/jacquelin_joyce/status/1184913521752133633
@laurasmithTNA
17 October 2019 20:28
#WeNurses one of the benefits I see in my primary placement is that I am able to take more complex visits from the RN’s than I would have been able to do as a HCA. This then frees them up to focus families with complex health needs / high levels of safeguarding https://twitter.com/wenurses/status/1184913236640096256
@CalvinMoorley
17 October 2019 20:29
So part of your view is NA is diluting the RN role? What do others think on this #WeNurses https://twitter.com/shaun_ldnurse/status/1184913275181522944
@Penny69298983
17 October 2019 20:29
RT @WeNurses: QUESTION 2 How does the role of the nursing associate work in reality? #WeNurses https://t.co/9FotPfnLTd
@nursingPUNC18
17 October 2019 20:29
@Ian_CostelloNA @GeorgeCadeStN @PedroRibeiro000 @CalvinMoorley @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue @nhsemployers so how can we support nursing students like myself and RNs know when a NA is part of our team what roles are; accountability wise the duty is on us to get to know the NMC NA standards but I wonder are Trusts providing much training to support integration? #WeNurses
@WeNurses
17 October 2019 20:29
RT @laurasmithTNA: #WeNurses one of the benefits I see in my primary placement is that I am able to take more complex visits from the RN’s…
@TraineeNA_Chels
17 October 2019 20:30
@PedroRibeiro000 @Ian_CostelloNA @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue Equally I'm based in Acute MH ward but placements in cardio & further general settings planned to bring that knowledge back to my base & extend to the team to promote positive patient outcomes. Good to see the cross over of placements we may not get as student RGN/RMN #wenurses
@GeorgeCadeStN
17 October 2019 20:30
@laurasmithTNA Hello! What kind of clinical skills have you been able to build on/acquire since training as an NA? #WeNurses
@AgencyNurse
17 October 2019 20:30
@PedroRibeiro000 @GeorgeCadeStN @CalvinMoorley @nursingPUNC18 @Ian_CostelloNA @WeNurses @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue so is this instead of a RN or instead of a HCA ? Or just added in on top of everyone ? #WeNurses
@JulesLewis6
17 October 2019 20:30
RT @WeNurses: QUESTION 3 What are the benefits of the nursing associate role? #WeNurses https://t.co/KaMsBtkAwr
@WeNurses
17 October 2019 20:30
QUESTION 4 What are the challenges of the nursing associate role? #WeNurses https://t.co/7zqePdj1XD
@CalvinMoorley
17 October 2019 20:30
@laurasmithTNA @AgencyNurse In your opinion is this adequate or do you think more is needed for your learning to the required role? #WeNurses
@WeCYPnurses
17 October 2019 20:30
RT @WeNurses: QUESTION 4 What are the challenges of the nursing associate role? #WeNurses https://t.co/7zqePdj1XD
@WeMHNurses
17 October 2019 20:30
RT @WeNurses: QUESTION 4 What are the challenges of the nursing associate role? #WeNurses https://t.co/7zqePdj1XD
@WeNurses
17 October 2019 20:31
#wenurses https://twitter.com/SuHickman/status/1184914564854505473
@anders_cat
17 October 2019 20:31
RT @CalvinMoorley: I know this is about NA but I wonder how much it success will see other professions AHP adopting similar model #WeNurses
@ecwestcott
17 October 2019 20:31
@reboverend_RNc @AgencyNurse Nursing is so varied that it is hard to visualise because the role played by #nursingassociates will depend on complexity and acuity, the wider MDT, other risk factors. Good to see some eg social care developing case studies on how they’re using role to help others #wenurses
@Emma49357025
17 October 2019 20:31
@WeNurses 1. Some have HCAs for many years and it’s unlocked our potential and wide range of knowledge to not only support our teams but enrich our own self esteem and confidence to really provide care to patients that we know we are capable of! I learned so much in university #WeNurses
@LGT_NAs
17 October 2019 20:31
Q2, I'm keen to find out more about the implementation & evaluation process for #PhysicianAssociates & whether there is as much negativity around this role. I'm sure there are similarities that can be drawn & shared lessons to learn. #PartnershipWorking #WeNurses @FPARCP
@Shaun_LDNurse
17 October 2019 20:31
@CalvinMoorley Go easy on me the @WeNurses community. As I said I’m not saying I agree with the position taken by the CSP. ?? #WeNurses #NursingAssociates #NA
@tna_life
17 October 2019 20:32
@LooBlackburn @WeNurses We undertake placements in all four fields of nursing in the form of four eight week blocks in total. In my opinion, this will make us well-rounded registered nursing associates who are able to apply knowledge to their practice from a variety of disciplines. #WeNurses
@PedroRibeiro000
17 October 2019 20:32
In a recent publication, more than 50% of RNA would want to progress to an RN post. If the NA did not exist the NHS would still be even shorter of Registered professionals. We are here to provide assistance and in the future be more accountable if we so desire. #WeNurses https://twitter.com/Ian_CostelloNA/status/1184913666778583040
@AgencyNurse
17 October 2019 20:32
I have to admit to having a real worry ... what happens when there is short staffing of RNs ... will NA's step up ? I think that there could be a real challenge in managing expectations during these times #WeNurses https://twitter.com/WeNurses/status/1184914544491192320
@GeorgeCadeStN
17 October 2019 20:32
@AgencyNurse @PedroRibeiro000 @CalvinMoorley @nursingPUNC18 @Ian_CostelloNA @WeNurses @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue I'd wonder if hospitals would use them to top up numbers where there are shortages of RNs? #WeNurses
@ecwestcott
17 October 2019 20:33
@WeNurses Undoubtedly some #nursingassociates are in the receiving end of negativity about the role from colleagues and other students. Though mainly nurses who have direct experience of NAs are positive about the potential #wenurses
@DonnaBr05960029
17 October 2019 20:33
@WeNurses Hi I am a Registere N/A working on a busy Cardiology ward at the Glenfield Hospital in Leicester. I believe the only difference is that I am unable at present to do IV,s. My own case load, own responsibilities, and support from a registered nurse #Wenurses
@Katewardleeds
17 October 2019 20:34
@JamesIanMcLean @WeNurses Well my thinking in my Trust at the moment is, linking in with service user networks, we’ve produced an info leaflet for reception areas, currently making a video involving 4 of our associates (that’ll go on Trust website) but need to work with our partners too #WeNurses
@susanerobertson
17 October 2019 20:34
@AgencyNurse I'm with you too. Can NA doing all the same skills as a nurse? What is the main step between HCA and nurse? I've worked with loads of amazingly skilled HCA so shouldn't we just reduce barriers to nurse training if that's the issue to recruitment? #WeNurses
@AgencyNurse
17 October 2019 20:34
@GeorgeCadeStN @PedroRibeiro000 @CalvinMoorley @nursingPUNC18 @Ian_CostelloNA @WeNurses @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue I am led to understand that this shouldn't be the case ... as the role is about ensuring safer care .. and this scenario would not ensure that #WeNurses
@roseannanna
17 October 2019 20:34
RT @WeNurses: QUESTION 3 What are the benefits of the nursing associate role? #WeNurses https://t.co/KaMsBtkAwr
@GeorgeCadeStN
17 October 2019 20:34
@WeNurses Clarity on what they do/don't do, how they are deployed onto wards and clinical areas (ie staffing ratios) and also when on wards how are they allocated patients? #WeNurses
@RachaelCraven5
17 October 2019 20:34
RT @WeNurses: QUESTION 2 How does the role of the nursing associate work in reality? #WeNurses https://t.co/9FotPfnLTd
@GeorgeCadeStN
17 October 2019 20:34
@AgencyNurse @PedroRibeiro000 @CalvinMoorley @nursingPUNC18 @Ian_CostelloNA @WeNurses @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue Thank you :) #WeNurses
@RachaelCraven5
17 October 2019 20:34
RT @WeNurses: QUESTION 3 What are the benefits of the nursing associate role? #WeNurses https://t.co/KaMsBtkAwr
@tna_life
17 October 2019 20:34
@LooBlackburn @WeNurses There is also the option after qualifying to top up to a BSc in any field of nursing for 18 months, which I am hoping to do in order to become a children’s nurse #WeNurses
@WeNurses
17 October 2019 20:34
These are real challenges ... how do we overcome them ? #WeNurses https://twitter.com/GeorgeCadeStN/status/1184915519390003206
@RachaelCraven5
17 October 2019 20:34
RT @WeNurses: QUESTION 4 What are the challenges of the nursing associate role? #WeNurses https://t.co/7zqePdj1XD
@reboverend_RNc
17 October 2019 20:35
@CalvinMoorley I’m not sure dilution is the right word- it will certainly change it over time I think. I wonder what the role of the future RN will be when it becomes more oversight focused?- I am not confident that this role will remain the minority of workforce long- term... #wenurses
@Katewardleeds
17 October 2019 20:35
@JamesIanMcLean @WeNurses I feel our Universities also need to focus more on service user involvement in the programme. That will cheap contribute towards public understanding too #WeNurses
@ecwestcott
17 October 2019 20:35
@WeNurses I think we need to think about how #nursingassociates develop in role. Is the only progression option becoming an RN, because it won’t be for everyone. #wenurses
@Emma49357025
17 October 2019 20:35
@WeNurses I an able to support the RN with my knowledge when they needed help with decision making and offer them alternative solutions to PT care that may not have been explored before, my role has developed in allowing me to now scrub for operations, bordering my abilities. #WeNurses
@NRCUK
17 October 2019 20:35
@AgencyNurse could technology and roles in clinical systems protect both the NA and the patient here? Ensuring the correct role and abilities defined activity and reporting, ie only nurse can update care plan? #wenurses
@AgencyNurse
17 October 2019 20:35
Important point ... i feel we all need to understand this #WeNurses https://twitter.com/Ian_CostelloNA/status/1184915596456218632
@mskahin1
17 October 2019 20:35
@WeNurses Q3. Learning and having placements in all four fields of Nursing. Having greater understanding of skills and care provided. Ability to support patients better in a holistic way. Support team and assist in medication rounds, reviewing care plans, venepuncture etc. #WeNurses
@PedroRibeiro000
17 October 2019 20:35
@AgencyNurse @GeorgeCadeStN @CalvinMoorley @nursingPUNC18 @Ian_CostelloNA @WeNurses @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue In a physical sector would be instead of an RN, see my other post for the cases this would not be applied. Your team must know how to assist you it is all about teamwork. We all have behind us years of practice and experience. #WeNurses
@KerryOLeary9
17 October 2019 20:35
@Emma49357025 @WeNurses I absolutely agree with you Emma. #NursingAssociates are so passionate about making a difference to patient care and safety. Whether we're a HCA, NA or Nurse we are all working towards achieving the same goal for our patients. #WeNurses
@WeNurses
17 October 2019 20:36
#wenurses https://twitter.com/JamesIanMcLean/status/1184915535982665733
@CalvinMoorley
17 October 2019 20:36
#WeNurses Just asking are NAs assessed and signed off as pre registration student nurses and how does mentoring work?
@ecwestcott
17 October 2019 20:36
@WeNurses The first #nursingassociates were mainly highly regarded HCAs, so knew the sector, loved the work. Will subsequent cohorts be the same or different? #wenurses
@susanerobertson
17 October 2019 20:36
@AgencyNurse This also isnt bring rolled out in Scotland (as far as I know) so I genuinely am interested and don't know much about the reality of the role other than publication info online #WeNurses
@GeorgeCadeStN
17 October 2019 20:36
@Ian_CostelloNA @AgencyNurse @PedroRibeiro000 @CalvinMoorley @nursingPUNC18 @WeNurses @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue Good to hear! I think 'complimenting' the team is a good description :) #WeNurses
@Ian_CostelloNA
17 October 2019 20:36
RT @AgencyNurse: Important point ... i feel we all need to understand this #WeNurses https://twitter.com/Ian_CostelloNA/status/1184915596456218632
@OnlyAmy90
17 October 2019 20:36
@WeNurses It gives those who have spent years as HCAs the chance to progress and opens so many doors! The role helps support the nursing and wider MDT in providing excellent care to patients! And allows the NA to work autonomously! #WeNurses
@WeNurses
17 October 2019 20:36
#wenurses
@AgencyNurse
17 October 2019 20:36
@vlcurrie @GeorgeCadeStN @PedroRibeiro000 @CalvinMoorley @nursingPUNC18 @Ian_CostelloNA @WeNurses @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue I don't know .. as have not worked with an NA as yet #WeNurses
@RachaelCraven5
17 October 2019 20:37
@WeNurses Better dissemination of the standards of proficiency in practice environments - and what they look like within the different wards. #WeNurses
@LGT_NAs
17 October 2019 20:37
@WeNurses Generic nature of the role / training which enables the transfer of skills & knowledge across settings / fields of Nursing. Enabling a holistic approach to care provision & a greater understanding of the persons (patient/service user) journey through health &social care #WeNurses
@LooBlackburn
17 October 2019 20:37
@WeNurses GPLand not fully au fait with this role and challenges re placements , and release to training , potentially easier with PCNs going forward ? @WeNurses #WeNurses
@WeNurses
17 October 2019 20:37
is there any evidence of this? #wenurses https://twitter.com/vlcurrie/status/1184915607394947072
@AgencyNurse
17 October 2019 20:37
#WeNurses
@Ian_CostelloNA
17 October 2019 20:37
#WeNurses we are NOT to replace... we are a profession to compliment the wonderfully stretched nurses. This profession is also there to bring additional experience from all fields! Nurses are not replaceable x https://twitter.com/agencynurse/status/1184915887666728960
@Dizzygeorgie
17 October 2019 20:38
RT @WeNurses: Would you find this useful nurses? thanks for sharing Kate :) #WeNurses https://twitter.com/Katewardleeds/status/1184909476584939520
@WeNurses
17 October 2019 20:38
An interesting point #WeNurses https://twitter.com/ecwestcott/status/1184916027467030530
@Jacquelin_Joyce
17 October 2019 20:38
RT @AgencyNurse: Important point ... i feel we all need to understand this #WeNurses https://twitter.com/Ian_CostelloNA/status/1184915596456218632
@reboverend_RNc
17 October 2019 20:38
@nursingPUNC18 @Ian_CostelloNA @GeorgeCadeStN @PedroRibeiro000 @CalvinMoorley @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue @nhsemployers But what are the skills?? I have seen discussion about working with supervision of RN only; caring for LTV pts; preparing for IV administration...my understanding is the broad descriptions leave interpretation that fits workplace needs but the boundaries seem negotiable #wenurses
@AgencyNurse
17 October 2019 20:38
@LBP_CovUni @vlcurrie @GeorgeCadeStN @PedroRibeiro000 @CalvinMoorley @nursingPUNC18 @Ian_CostelloNA @WeNurses @nmcnews @NHS_HealthEdEng @samjdonohue @MRadford_HEECN thanks and will do #WeNurses
@Ian_CostelloNA
17 October 2019 20:38
@AgencyNurse @vlcurrie @GeorgeCadeStN @PedroRibeiro000 @CalvinMoorley @nursingPUNC18 @WeNurses @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue I’ll come and join you #WeNurses. Look forward to hearing your first experience
@WeNurses
17 October 2019 20:38
RT @Ian_CostelloNA: #WeNurses we are NOT to replace... we are a profession to compliment the wonderfully stretched nurses. This profession…
@NRCUK
17 October 2019 20:38
@vlcurrie @AgencyNurse @PedroRibeiro000 @GeorgeCadeStN @CalvinMoorley @nursingPUNC18 @Ian_CostelloNA @WeNurses @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue In my experience of workforce planning and skill deployment the whole process is pretty blooming flaky anyway, so not sure if you could ever prove this really, can you substantiate your view? #wenurses
@nursingPUNC18
17 October 2019 20:38
RT @laurasmithTNA: #WeNurses one of the benefits I see in my primary placement is that I am able to take more complex visits from the RN’s…
@knitknitqueen
17 October 2019 20:38
Perhaps the main issue is that the role has not been defined clearly #WeNurses
@SuHickman
17 October 2019 20:39
@Jacquelin_Joyce I hope to stay as a RNA and go into clinical education for the bands 2&3 to grow our future workforce from the roots up #wenurses
@Eleanor_TNA
17 October 2019 20:39
RT @Ian_CostelloNA: #WeNurses we are NOT to replace... we are a profession to compliment the wonderfully stretched nurses. This profession…
@maxwele2
17 October 2019 20:39
@AgencyNurse If only this were true, many Trusts have already taken funding from RN roles to fund NAs. If more RNs become available, will the NAs be made redundant? #WeNurses
@LooBlackburn
17 October 2019 20:39
@tna_life @WeNurses Best of luck with this ! Is there a guaranteed place on completion of TNA? @WeNurses #WeNurses
@KerryOLeary9
17 October 2019 20:39
@WeNurses I believe that NursingAssociates also bring a range of experiences with them from their training due to us experiencing all areas of Nursing. I know a lot of my cohort became more aware of the needs of mental health pts when they present with physical health complaints. #WeNurses
@ora_dall
17 October 2019 20:39
@WeNurses #wenurses from what I have seen in practice they are often used interchangebly with RNs and this is not fair on the patients, on the RNs and on the nurse associates themselves who are underpaid to do a job which they were not employed to do..
@sykes55
17 October 2019 20:39
I think this was the aim and its about up skilling this work force and making them accountable while also bringing in more people #WeNurses https://twitter.com/ecwestcott/status/1184916027467030530
@AgencyNurse
17 October 2019 20:39
feel i may have missed a question! Lots of tweets tonight #WeNurses
@ajm398
17 October 2019 20:39
late to the chat :) #WeNurses
@knitknitqueen
17 October 2019 20:39
@GeorgeCadeStN @Ian_CostelloNA @AgencyNurse @PedroRibeiro000 @CalvinMoorley @nursingPUNC18 @WeNurses @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue But how do they compliment? That's what needs to be made clearer #WeNurses
@DonnaBr05960029
17 October 2019 20:40
@Ian_CostelloNA @LBP_CovUni @GeorgeCadeStN @AgencyNurse @PedroRibeiro000 @CalvinMoorley @nursingPUNC18 @WeNurses @nmcnews @NHS_HealthEdEng @samjdonohue I truly believe we can and are making a difference #Wenurses
@Emma49357025
17 October 2019 20:40
@WeNurses My biggest challenge was education around the role for ourselves embarking on this journey but also those round us. It’s been scary and hard but I hope we can show everyone how much we care about our patients and how this role can benefit in so many ways! #WeNurses
@WeNurses
17 October 2019 20:40
QUESTION 5 How can nurses and nursing associates support one another in order to work together for the benefit of the people we care for? #WeNurses https://t.co/36noRuqJgx
@Katewardleeds
17 October 2019 20:40
@WeNurses At present my Trust is committed to ‘home growing’ our NAs and offering the apprenticeship route of training to our existing health support workers. We have some amazing band 3s & now they have a route of professional development #WeNurses
@LGT_NAs
17 October 2019 20:41
@WeNurses ?Introduction of a career pathway for #HCAs. ?Interesting career opportunities within role: able to work in variety of settings/ fields ?An alternative route into #Nursing. ?Another member of the healthcare family. #WideningParticipation #TeamWorkMakesTheDreamWork #WeNurses
@NRCUK
17 October 2019 20:41
@GeorgeCadeStN i don't think there is a very robust process for grades/skills required on most wards anyway to be honest, not in my experience... skill / need management and succession planning still requested by providers and lives badly if ever in ESR which is rubbish #wenurses
@GeorgeCadeStN
17 October 2019 20:41
@WeNurses I've found this to be true in Wales. Often bed managers will move a nurse to a different ward, but then give the first ward an extra HCA to 'boost' the numbers #WeNurses
@AgencyNurse
17 October 2019 20:41
@maxwele2 maybe we need to make it true .. the more people who are aware of the intention behind the role the more we can raise it when those intentions go awry ?? #wenurses (in theory ... however understand as nurses we are very bad at speaking up about these things)
@reboverend_RNc
17 October 2019 20:41
@ecwestcott @WeNurses I think this is a very interesting question...#wenurses
@LGT_NAs
17 October 2019 20:41
@WeNurses Is a role Health and Social care #WeNurses
@WeNurses
17 October 2019 20:41
#wenurses
@ecwestcott
17 October 2019 20:41
@GeorgeCadeStN @WeNurses How #nursingassociates are deployed will vary across settings. There is some national guidance via NHSI/E and CQC have some guidance about what they will look for in safe staffing judgements #wenurses
@WeNurses
17 October 2019 20:41
Interesting point #WeNurses https://twitter.com/knitknitqueen/status/1184916712501731333
@GeorgeCadeStN
17 October 2019 20:41
@knitknitqueen @Ian_CostelloNA @AgencyNurse @PedroRibeiro000 @CalvinMoorley @nursingPUNC18 @WeNurses @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue I agree, the NMC website isn't very clear at all on their role description #WeNurses
@nursingPUNC18
17 October 2019 20:42
@knitknitqueen @GeorgeCadeStN @Ian_CostelloNA @AgencyNurse @PedroRibeiro000 @CalvinMoorley @WeNurses @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue tonight has gone some way in helping me to do this. I will take from it RNS assess and evaluate, NAs support with delivery and monitoring. In broad terms that take helps me begin to define the roles in part. #WeNurses
@CarlyRothery
17 October 2019 20:42
@WeNurses Collaborative working and education, ensuring we are not too prescriptive #wenurses
@ajm398
17 October 2019 20:42
@WeNurses effective communication - #wenurses
@LGT_NAs
17 October 2019 20:42
RT @Jacquelin_Joyce: #WeNurses #FutureWorkforce #NursingAssociate Spreading The Burden Of Care And allowing #RNs To be the professionals t…
@reboverend_RNc
17 October 2019 20:42
@maxwele2 @AgencyNurse I’m afraid I agree with you Elaine... #wenurses
@OnlyAmy90
17 October 2019 20:42
@WeNurses The biggest challenge for me is getting people to understand our role better! That's one of the reasons why I said yes to being an NA ambassador as I want to help promote and spread the word about what it is we do! Dispelling myths as I go #WeNurses #NAAmbassadors
@RachaelCraven5
17 October 2019 20:42
@WeNurses There needs to be some research into this but it’s pretty early days to get anything concrete. Nursing numbers are low which creates opportunity for the development of the NA role but this is why it’s important that the standards of proficiency are taken into account #WeNurses
@mskahin1
17 October 2019 20:42
@WeNurses Q.4 Not understanding the role properly. Not agreeing with the role. Seeing Nursing Associate as a 'threat' to their role. #WeNurses
@WeNurses
17 October 2019 20:42
#wenurses
@vlcurrie
17 October 2019 20:42
Nursing associates: will they become a cheap substitute for nurses? https://www.theguardian.com/healthcare-network/2018/mar/06/nursing-associates-cheap-substitute-nurses?CMP=share_btn_tw #WeNurses
@Eleanor_TNA
17 October 2019 20:43
RT @WeNurses: #wenurses https://twitter.com/Eleanor_TNA/status/1184917364925698051
@AgencyNurse
17 October 2019 20:43
I don't know ... however for a role that intends to ensure care is safer this scenario doesn't sound as if it would be safer .. so one would hope that this would not become the case #WeNurses https://twitter.com/cinnamon_billie/status/1184917095294930944
@tna_life
17 October 2019 20:43
@LooBlackburn @WeNurses Thank you very much! No guaranteed place, however due to the recognition of prior learning policies and also being a course rep for my cohort, I’m hopeful it will all hold me in good stead when the time comes ???? #WeNurses
@pegsthe1
17 October 2019 20:43
@WeNurses Gives the opportunity and a route for progression whilst learning skills and evidence base for quality,holistic,all round patient-centred care. #WeNurses
@ecwestcott
17 October 2019 20:44
@sykes55 Agree Jake: the intro of #nursingassociates has focussed people on the pipeline: how to get band 2s and 3s ready for their next step; addressing core skills that can be a barrier to further learning #wenurses
@Jacquelin_Joyce
17 October 2019 20:44
RT @Jacquelin_Joyce: #WeNurses #FutureWorkforce #NursingAssociate Spreading The Burden Of Care And allowing #RNs To be the professionals t…
@WeNurses
17 October 2019 20:44
What are peoples' thoughts on Elaine's view? #WeNurses https://twitter.com/maxwele2/status/1184917836487106560
@Katewardleeds
17 October 2019 20:44
@WeNurses Q5 They need to be proactive in engaging with their Trusts around the ongoing development of the role, reaching out into steering meetings & such like, working together with practice development colleagues, ensuring learning is shared #WeNurses
@PedroRibeiro000
17 October 2019 20:44
@toxic_harpy @ecwestcott @AgencyNurse @maxwele2 This is being looked at, but there are only 1000 of us around the entire UK, it is like looking at 1 ant in their mist. #WeNurses With time things would be clearer and we are here to help. The fact that we experience both mental health physical and pediatrics makes us an asset
@Ian_CostelloNA
17 October 2019 20:44
@RachaelCraven5 @DonnaBr05960029 @LBP_CovUni @GeorgeCadeStN @AgencyNurse @PedroRibeiro000 @CalvinMoorley @nursingPUNC18 @WeNurses @nmcnews @NHS_HealthEdEng @samjdonohue Agree #WeNurses
@Jacquelin_Joyce
17 October 2019 20:45
RT @SuHickman: @WeNurses @Jacquelin_Joyce #wenurses I am a Nursing Associate Trainee in a Stroke Ward. Previously cardiac scrub nurse. I am…
@Jacquelin_Joyce
17 October 2019 20:45
RT @WeNurses: @SuHickman @Jacquelin_Joyce we agree! #wenurses
@Jacquelin_Joyce
17 October 2019 20:45
RT @SuHickman: @WeNurses @Jacquelin_Joyce Good to be here!! #wenurses
@Jacquelin_Joyce
17 October 2019 20:45
RT @WeNurses: @SuHickman @Jacquelin_Joyce welcome :) thanks for joining #wenurses
@GeorgeCadeStN
17 October 2019 20:45
@WeNurses Have a clear structure tailored to the clinical environment stating what the RN's responsibilities will be and what the NA's responsibilities will be, otherwise I think things could get confusing for staff #WeNurses
@reboverend_RNc
17 October 2019 20:46
@ora_dall @WeNurses Role drift has been around for a long time...there no reason to believe it will change in the future. What I keep wondering is what the future role of the RN is going to be as their role- what skills are they going to need?? #wenurses
@ajm398
17 October 2019 20:46
@vlcurrie #wenurses i don't think this is a true reflection. i think we have to look at the fact there isn't enough nurses being trained, and therefore we have to look at our workforce differently.... we have many HSW's who have limited career development, this is a way of growing our HSW
@Shaun_LDNurse
17 October 2019 20:46
@reboverend_RNc @CalvinMoorley 2) including NQ #LDNurses within that if current trends continue). So a sizeable minority if trends continue. Btw, NA are definitely bridging the skills gap in #LDNursing (which is a bonus as it’s needed). ?? #WeNurses
@OnlyAmy90
17 October 2019 20:46
@WeNurses More education on each others role, knowing the limits of their competence, communication, understanding and working together #WeNurses #nursingassociates
@NRCUK
17 October 2019 20:46
Tech is only ever as good as how you define and implement it :) #wenurses https://twitter.com/cinnamon_billie/status/1184918428764835859
@Emma49357025
17 October 2019 20:47
@WeNurses Understanding the role, acknowledging the limitations and both RNs and RNAs scope then uterlising the role to its full potential always remembering we share a common goal! To support each other, and to offer best possible care to our service users.#WeNurses
@CalvinMoorley
17 October 2019 20:47
@GeorgeCadeStN @knitknitqueen @Ian_CostelloNA @AgencyNurse @PedroRibeiro000 @nursingPUNC18 @WeNurses @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue But they are clear on proficiency wonder how we are ensuring competency at point of registration #WeNurses
@LGT_NAs
17 October 2019 20:47
@nursingPUNC18 @Ian_CostelloNA @GeorgeCadeStN @PedroRibeiro000 @CalvinMoorley @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue @nhsemployers As with any member of team,it's about everyone introducing themselves,respectfully asking each other about their roles. @LG_NHS we've had #ANAs support #StudentNurses & vice versa in clinical area. @Midwife_VC gets excited when they've given feedback in the others #PAD #WeNurses
@Jacquelin_Joyce
17 October 2019 20:47
#weNurses https://twitter.com/jacquelin_joyce/status/1184918250158616576
@Jacquelin_Joyce
17 October 2019 20:48
#WeNurses https://twitter.com/jacquelin_joyce/status/1184914625055412229
@Ian_CostelloNA
17 October 2019 20:48
#WeNurses I think that continually talking and supporting each other with the #NursingAssociate role will help massively. We need to make sure that platforms on here are different. We should support our own profession but also crossover too. What do you say? @WeNurses
@Jacquelin_Joyce
17 October 2019 20:48
#weNurses #FutureWorkforce #NursingAssociates https://twitter.com/jacquelin_joyce/status/1184916991989157888
@GeorgeCadeStN
17 October 2019 20:48
@CalvinMoorley @knitknitqueen @Ian_CostelloNA @AgencyNurse @PedroRibeiro000 @nursingPUNC18 @WeNurses @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue Who signs them off at their end of their training? #WeNurses
@coxc41
17 October 2019 20:48
@nursingPUNC18 @Ian_CostelloNA @GeorgeCadeStN @PedroRibeiro000 @CalvinMoorley @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue @nhsemployers NA more tasks including cannulation, venepuncture and ECGs, supporting individuals and their families and carers when faced with unwelcome news and life-changing diagnoses. But to get on NA training you have to have more qualifications #WeNurses
@ajm398
17 October 2019 20:49
@Katewardleeds #wenurses i know terrible role model!! :)
@CarlyRothery
17 October 2019 20:49
@WeNurses Effective communication and mutual respect #WeNurses
@WeNurses
17 October 2019 20:49
RT @CarlyRothery: @WeNurses Effective communication and mutual respect #WeNurses
@jane_padmore
17 October 2019 20:49
RT @Ian_CostelloNA: #WeNurses we are NOT to replace... we are a profession to compliment the wonderfully stretched nurses. This profession…
@mskahin1
17 October 2019 20:49
@WeNurses Q.5 Communication. Empathy. Sharing knowledge together. Weekly supervision. Constructive feedback after shift. Agreeing learning objectives at the beginning of the shift. Kindness. Inspire. #WeNurses
@nadeshka99
17 October 2019 20:49
@WeNurses respect each other, be kind, always be kind and understanding #WeNurses
@WeNurses
17 October 2019 20:50
QUESTION 6 With this being a new role how can we ensure that people are clear on the role of the nursing associate? #WeNurses https://t.co/KQXjJn6BGk
@WeNurses
17 October 2019 20:50
Thoughts ? #WeNurses https://twitter.com/JamesIanMcLean/status/1184919452078530560
@tna_life
17 October 2019 20:50
Being able to apply knowledge to practice from a variety of disciplines, acting accountably. Working with and supporting other professionals to ensure that patient’s receive the excellent care that they deserve. #WeNurses https://twitter.com/wenurses/status/1184913236640096256
@Shaun_LDNurse
17 October 2019 20:50
@WeNurses The #Nursing profession and employer not nurturing the role and using #NursingAssociates to simply address the shortages in the workforce. #WeNurses
@PedroRibeiro000
17 October 2019 20:50
@CalvinMoorley @GeorgeCadeStN @knitknitqueen @Ian_CostelloNA @AgencyNurse @nursingPUNC18 @WeNurses @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue I have a preceptorship to complete. Plus things I need to achieve and learn. I'm being looked at by my mentor and ward manager in my development and how I am improving. I have "my" patient but any changes happening the RN needs to agree. #WeNurses
@GeorgeCadeStN
17 October 2019 20:50
@coxc41 @nursingPUNC18 @Ian_CostelloNA @PedroRibeiro000 @CalvinMoorley @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue @nhsemployers but I know some HCAs are also able to do ECGs, cannulation, venepuncture etc. Are the lines between these roles too blurry? #WeNurses
@NRCUK
17 October 2019 20:50
@maxwele2 @AgencyNurse Can this be demonstrated? Can you evidence that the replaced RN role wasn't done so as the required skills were in fact between HCA and RN and therefore meet NA skillset? I'd see this as a legitimate change in employment if so, wouldn't you? #WeNurses
@SuHickman
17 October 2019 20:51
@JamesIanMcLean @WeNurses The Nursing Associate a PR exercise? Wow #wenurses
@RachaelCraven5
17 October 2019 20:51
@KerryOLeary9 @WeNurses As a Registered Mental Health Nurse I’m super optimistic about the Nursing Associate role and think it is going to prove extremely valuable in promoting parity of esteem #WeNurses
@PedroRibeiro000
17 October 2019 20:51
@GeorgeCadeStN @coxc41 @nursingPUNC18 @Ian_CostelloNA @CalvinMoorley @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue @nhsemployers Those healthcares are not liable in their work, if some malpractice happens it will be directed to the RN because she assigned that work. If we do something wrong we are accountable by our own work #WeNurses
@hoosaynerh
17 October 2019 20:51
RT @WeNurses: QUESTION 4 What are the challenges of the nursing associate role? #WeNurses https://t.co/7zqePdj1XD
@GeorgeCadeStN
17 October 2019 20:51
@laurasmithTNA @CalvinMoorley @knitknitqueen @Ian_CostelloNA @AgencyNurse @PedroRibeiro000 @nursingPUNC18 @WeNurses @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue As a student nurse, I have a book full of competencies which is how I'm assessed in clinical practice. Do you have a similar sort of thing? #WeNurses
@hoosaynerh
17 October 2019 20:51
RT @WeNurses: QUESTION 3 What are the benefits of the nursing associate role? #WeNurses https://t.co/KaMsBtkAwr
@SamReece16
17 October 2019 20:52
@WeNurses Staff understanding the limitations of the role, and also accepting the role #wenurses
@WeNurses
17 October 2019 20:52
#wenurses
@ajm398
17 October 2019 20:52
@GeorgeCadeStN @coxc41 @nursingPUNC18 @Ian_CostelloNA @PedroRibeiro000 @CalvinMoorley @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue @nhsemployers #wenurses yes HSW can do ECG etc, but RNA's are trained in understanding why doing these tasks and what to do upon receiving the results,
@pegsthe1
17 October 2019 20:52
@WeNurses In theatres it frees up experienced nurses to scrub for more complex cases whilst I could scrub for minor procedures,my unit fully supports and appreciates this role to help share the http://workload.esp.in eye theatres where I can scrub NA alone when qualified. #WeNurses
@ecwestcott
17 October 2019 20:52
@WeNurses Twitter can reduce things to ‘are you for it or against it?’ Two things can be true: There are clear risks with introducing a new role when there are nursing shortages. And a progression option for excellent HCAs is a good idea. #wenurses
@maxwele2
17 October 2019 20:52
@reboverend_RNc @ora_dall @WeNurses As I always do at this point in the conversation, can I refer us back to the Briggs report of 1972 that led to the phasing out of Enrolled Nurses for this very reason #wenurses
@Ian_CostelloNA
17 October 2019 20:52
@GeorgeCadeStN @coxc41 @nursingPUNC18 @PedroRibeiro000 @CalvinMoorley @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue @nhsemployers I understand you 100% BUT this is about having more professionals accountable for their actions and also instilling trust in to the profession. Nurses are complimented by registered and regulated #NursingAssociates #WeNurses
@Shaun_LDNurse
17 October 2019 20:52
@WeNurses Definition, structure, and a commitment to mutual development (both for #Nurses and #NAs) as #NursingAssociates are here to stay. It’s about knowing each other’s and respecting each other’s professional boundaries. #WeNurses
@laurasmithTNA
17 October 2019 20:53
RT @SamReece16: @WeNurses Staff understanding the limitations of the role, and also accepting the role #wenurses
@Katewardleeds
17 October 2019 20:53
I’m bidding #WeNurses goodnight as I’m using my phone for Twitter this evening & fingers are now aching ?? Thanks for an overall positive and helpful chat everyone! I’ll see you in the morning @ajm398 & nice to see you joining in @TraineeNA_Chels #FutureNA
@WeNurses
17 October 2019 20:53
An important point #WeNurses https://twitter.com/maxwele2/status/1184920146416152577
@nikkilouh
17 October 2019 20:53
@CalvinMoorley #Wenurses I think the paperwork was very similar to the Student Nurses as I met a nurse associate on my last placement.
@LGT_NAs
17 October 2019 20:53
@nursingPUNC18 @Ian_CostelloNA @GeorgeCadeStN @PedroRibeiro000 @CalvinMoorley @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue @nhsemployers I'd also hope that HEIs are including this in their curriculum around team working / roles /professional practice ?? responsibility/ accountability #WeNurses
@Emma49357025
17 October 2019 20:54
@Ian_CostelloNA @GeorgeCadeStN @AgencyNurse @PedroRibeiro000 @CalvinMoorley @nursingPUNC18 @WeNurses @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue 2. Knowing that we have had training, to undertake these tasks efficiently and effectively, therefore allowing the RN to focus on patients who are needing more complexed care. Our HCAs are brilliant! Now this role also allows us to support them. #Wenurses
@ajm398
17 October 2019 20:54
@RachaelCraven5 @KerryOLeary9 @WeNurses #wenurses yes thats very much how we are utilising the role in our organisations MH and LD Trust ..
@NRCUK
17 October 2019 20:54
@WeNurses Put them in a different uniform so patients are even more confused #wenurses My money is on the housekeeper in the 2pm at ascot :) https://t.co/PIa1d9VFwq
@Ian_CostelloNA
17 October 2019 20:54
Brilliantly articulated #WeNurses https://twitter.com/rachaelcraven5/status/1184920381724995585
@WeNurses
17 October 2019 20:55
AND FINALLY .... Do you think that there should be a separate “We” community for nursing associates to help define the roles but also ensure that Nursing Associates have support and a community? #WeNurses https://t.co/ipmT8NK87p
@snavemarc
17 October 2019 20:55
RT @WeNurses: Would you find this useful nurses? thanks for sharing Kate :) #WeNurses https://twitter.com/Katewardleeds/status/1184909476584939520
@WeNurses
17 October 2019 20:55
#wenurses
@WeNurses
17 October 2019 20:55
Is this the case ? What are your thoughts ? #WeNurses https://twitter.com/SamReece16/status/1184920722180919297
@ecwestcott
17 October 2019 20:55
@NRCUK @maxwele2 @AgencyNurse Unthinking role for role substitution in a risky acute ward would be wrong. A proper review of need in a lower risk context that might lead to fewer nurses supported by NAs and AHPs might be good for patients and staff - hard to generalise #wenurses
@reboverend_RNc
17 October 2019 20:55
@JamesIanMcLean @WeNurses James can I ask them why this investment was not placed squarely at the RN role then?? Or you saying that the NA role is more attractive? Not sure I understand what you’re saying...?? #wenurses
@mavetherave99
17 October 2019 20:55
RT @Ian_CostelloNA: #WeNurses we are NOT to replace... we are a profession to compliment the wonderfully stretched nurses. This profession…
@coxc41
17 October 2019 20:56
@mskahin1 @WeNurses Agree with Mskakin especially RNs even HCAs seening Nurse Associate been a threat. #WeNurses
@roseannanna
17 October 2019 20:56
RT @Ian_CostelloNA: #WeNurses we are NOT to replace... we are a profession to compliment the wonderfully stretched nurses. This profession…
@NRCUK
17 October 2019 20:57
@alimully @maxwele2 @AgencyNurse and that is why a lot of this conversation and view the role and safety and workforce planning is utter rubbish and demonstrates how behind and undervalued safe staffing and patient care, safety, quality is in NHS :( #wenurses
@OnlyAmy90
17 October 2019 20:57
@WeNurses So much so that I may be doing a teaching session for them soon! They were keen to learn about our role so they understand how we can help them and also so they are able to support NAs better once they qualify #wenurses #nursingassociates
@Ian_CostelloNA
17 October 2019 20:57
Nearly an hour passed! Brilliant voices, brilliant points! Thank you everyone #WeNurses @WeNurses https://twitter.com/ian_costellona/status/1184906602962456576
@LGT_NAs
17 October 2019 20:57
@WeNurses Q4 I think one of the biggest challenges is that it's new. We are still building the wider #NA community and as such it can sometimes feel as though you are the sole voice repeating the same message. It takes time for others to understand and we are moving at pace. #WeNurses
@GeorgeCadeStN
17 October 2019 20:57
@WeNurses I think so, although I do thing joint tweet chats like tonight should happen often as I've found it really useful and have learnt a lot about the role #MDT #WeNurses
@Shaun_LDNurse
17 October 2019 20:57
@maxwele2 @reboverend_RNc @AgencyNurse @theRCN Apologies if I would conspiracy theory-ish: but @RCN and other professional organisations have been largely silent about it because they’ve been part of the decision making process, gladly been sat round the table at the DoH and NHS on this one. #WeNurses #NursingAssociates
@nursingPUNC18
17 October 2019 20:57
@WeNurses Yes, I think it would help define the roles and bring clarity to the MDT and therefore not just be of benefit to NAs #WeNurses
@PedroRibeiro000
17 October 2019 20:57
Very true. #Wenurses https://twitter.com/JamesIanMcLean/status/1184921263652986880
@ecwestcott
17 October 2019 20:57
@NRCUK @maxwele2 @AgencyNurse Worth looking properly at how decisions about NAs in the staffing mix are being managed in settings - good, evidence based work by @James_Avery_ and colleagues at BHR for example #wenurses
@maxwele2
17 October 2019 20:58
@NRCUK @AgencyNurse I’d be delighted to see ANY evidence that a) this was what happened and b) that the change in skill mix was supported by research evidence @alisonleary1 #wenurses
@pegsthe1
17 October 2019 20:58
@WeNurses Just to add that the nurses in my unit can see how much work I have undertaken and my mentor has noticed a distinct progression in my knowledge and ability in Yr.2 of the NA course. There has been respect and appreciation all round ?? #WeNurses
@WeNurses
17 October 2019 20:58
Can anyone help with evidence here ? #WeNurses https://twitter.com/maxwele2/status/1184921526325432321
@GeorgeCadeStN
17 October 2019 20:58
@JamesIanMcLean @Ian_CostelloNA @AgencyNurse @PedroRibeiro000 @CalvinMoorley @nursingPUNC18 @WeNurses @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue Hi James, I see from your bio you work in critical care. I wondered if you have seen NA's in this environment and how they have complimented the team? :) #WeNurses
@WeNurses
17 October 2019 20:58
#WeNurses https://twitter.com/GPHCAs/status/1184921614137413632
@Ian_CostelloNA
17 October 2019 20:59
@WeNurses More work to be done with a national #NAambassador programme to help support the role #WeNurses
@WeNurses
17 October 2019 20:59
RT @Ian_CostelloNA: @WeNurses More work to be done with a national #NAambassador programme to help support the role #WeNurses
@ajm398
17 October 2019 20:59
@nursingPUNC18 @WeNurses #wenurses we (@Katewardleeds) have developed some information leaflets about the role of nursing associates and importantly associate practitioners as well to help staff and service users understand the roles
@ecwestcott
17 October 2019 20:59
@nursingPUNC18 @Ian_CostelloNA @GeorgeCadeStN @PedroRibeiro000 @CalvinMoorley @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue @nhsemployers Really important that employers support everyone’s understanding about the new role #wenurses
@GeorgeCadeStN
17 October 2019 21:00
@Jacquelin_Joyce in my experience, these HCAs work in environments such as ED where they do this independently without supervision after they've completed relevant training #WeNurses
@NRCUK
17 October 2019 21:00
@maxwele2 @AgencyNurse @alisonleary1 but you don't any evidence that it didn't happen, do you? I've not seen any quality skill to need workforce planning in any the few dozen providers that I've discussed skill recording and planning in, in acute, community and in nursing/AHPs. #wenurses
@LooBlackburn
17 October 2019 21:00
RT @WeNurses: #WeNurses https://twitter.com/GPHCAs/status/1184921614137413632
@WeNurses
17 October 2019 21:01
Thank you all for your tweets this evening .... really fab discussion And a HUGE thank you to @Ian_CostelloNA for being such a brilliant guest this evening #WeNurses https://t.co/2K8fyss6Bi
@PedroRibeiro000
17 October 2019 21:01
@nursingPUNC18 @Ian_CostelloNA @GeorgeCadeStN @CalvinMoorley @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue @nhsemployers Since qualifying, I had the practice development team coming and doing regular checks to see how I have been integrating in the team now that I am qualified and how the team is responding to having me there. #Teamwork #WeNurses
@ajm398
17 October 2019 21:01
@maxwele2 @NRCUK @AgencyNurse @alisonleary1 #wenurses i would imagine there is some evidence around this with mental health trusts having to provide safer staffing numbers, to i believe NHS Improvement/digital
@Ian_CostelloNA
17 October 2019 21:01
@WeNurses Absolutely! I have been trying so hard! I hope so :) we need to support one another but equally a place to support each profession separately so that these roles are kept separate. Focusing on complimenting and not replacing our wonderful nurses #WeNurses
@maxwele2
17 October 2019 21:02
@ecwestcott @NRCUK @AgencyNurse @James_Avery_ I think as registered professionals when we claim an ‘evidence base’ we should provide references not just take on faith that there is good quality, rigorous and reliable evidence rather than anecdote and opinion #wenurses
@Jacquelin_Joyce
17 October 2019 21:02
@nadeshka99 @WeNurses I absolutely love this! #WeNurses #FutureWorkforce #NursingAssociates
@alimully
17 October 2019 21:02
@JamesIanMcLean @Ian_CostelloNA @GeorgeCadeStN @AgencyNurse @PedroRibeiro000 @CalvinMoorley @nursingPUNC18 @WeNurses @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue I get this is a logical conclusion with certain assumptions, but if the NA role does start to replace RN's on wards then care may not be safer. As we do have evidence that the ratio of RN's to pts does impact on pt safety. Role evaluation is needed. #wenurses
@WeNurses
17 October 2019 21:02
Lots of diverse viewpoints during tonights #WeNurses ... we hope that we have managed to ensure that all viewpoints have been amplified ... thank you all for your tweets
@cinnamon_billie
17 October 2019 21:02
@JamesIanMcLean @WeNurses Yes. There was and is a clear need for investment in the nursing workforce. But they had the option to invest the large amount in the role that we already know delivers good patient care, etc... Rather than investing in a whole new untested role #wenurses
@nursingPUNC18
17 October 2019 21:03
@WeNurses @Ian_CostelloNA thank you all #WeNurses
@ajm398
17 October 2019 21:03
@ecwestcott @nursingPUNC18 @Ian_CostelloNA @GeorgeCadeStN @PedroRibeiro000 @CalvinMoorley @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue @nhsemployers #wenurses yes this is really important, we (@Katewardleeds ) has written leaflets on the role of nursing associates and also associate practitioners to help MDT and service users understand the role
@ora_dall
17 October 2019 21:04
@maxwele2 @reboverend_RNc @WeNurses I have never seen this Briggs report Elaine, will look it up. #WeNurses
@coxc41
17 October 2019 21:05
@Ian_CostelloNA @GeorgeCadeStN @nursingPUNC18 @PedroRibeiro000 @CalvinMoorley @WeNurses @AgencyNurse @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue @nhsemployers I also know a few HCAs who used to do cannulation but the trust i worked for stopped all HCAs doing cannulation agree Ian. #WeNurses
@WeNurses
17 October 2019 21:05
NEXT WEEK Being a newly qualified nurse > http://www.wecommunities.org/tweet-chats/chat-details/5417 #WeNurses on 24th Oct at 8pm https://t.co/LphiFCPbu7
@pauljebb1
17 October 2019 21:05
@Ian_CostelloNA Sorry missed it (went to gym) will catch up #wenurses
@AgencyNurse
17 October 2019 21:05
RT @WeNurses: NEXT WEEK Being a newly qualified nurse > http://www.wecommunities.org/tweet-chats/chat-details/5417 #WeNurses on 24th Oct at 8pm https://t.co/LphiFCPbu7
@GeorgeCadeStN
17 October 2019 21:05
@WeNurses Thanks to @Ian_CostelloNA for hosting, this was the first #WeNurses chat I've participated in and I've thoroughly enjoyed and have gotten a lot of info out of it
@ajm398
17 October 2019 21:06
@alimully @JamesIanMcLean @Ian_CostelloNA @GeorgeCadeStN @AgencyNurse @PedroRibeiro000 @CalvinMoorley @nursingPUNC18 @WeNurses @nmcnews @LBP_CovUni @NHS_HealthEdEng @samjdonohue #wenurses there is a national evaluation completed by pilot sites from the first implementers... i wonder though with so many vacancies of RN posts and a reduction of students training we have to do something within the MDT
@TraineeNA_Chels
17 October 2019 21:06
@PedroRibeiro000 Sorry you had this experience! we should all strive to provide holistic care within our remit in all setting! Hope you can feedback to the ward so they can address? also give @bitesizedteach a view to see the work going on to improve physical health knowledge in MH ???? #wenurses
@Ian_CostelloNA
17 October 2019 21:07
RT @GeorgeCadeStN: @WeNurses Thanks to @Ian_CostelloNA for hosting, this was the first #WeNurses chat I've participated in and I've thoroug…
@NRCUK
17 October 2019 21:07
@maxwele2 @ecwestcott @AgencyNurse @James_Avery_ So you have sharable evidence that RN roles are being replaced by NAs :) Have you evidence that has been a cost saving exercise that has impacted safety, as that is my understanding from your tweets, but am often misunderstood! #wenurses
@LGT_NAs
17 October 2019 21:07
@WeNurses Q4: Supporting people to see that you can learn 'on the job' and that being supernumerary doesn't = learning. #WeNurses
@cinnamon_billie
17 October 2019 21:09
@WeNurses I think, it's important to teach NAs themselves about the role scope. I've met a few TNAs over the summer who were excited to say things like "I'll basically be like a registered nurse next month... There's not really any differences..." #wenurses
@StaceyReesRNLD
17 October 2019 21:09
RT @GeorgeCadeStN: @WeNurses Thanks to @Ian_CostelloNA for hosting, this was the first #WeNurses chat I've participated in and I've thoroug…




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