Ascom attended the RCN Congress and Exhibition 2013 in Liverpool to understand nurses' perspectives. They created a graffiti wall asking "What is important to you in nursing?" Over 600 comments were received over three days. The comments were analyzed and grouped into categories. Top categories included care, resources like time and staffing, and patient experience. Nurses emphasized delivering compassionate care, having enough resources to care for patients, and providing a positive experience for patients. The graffiti wall gave nurses a chance to voice what matters most to them in their work.
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1. Whats important to you in nursing?
A perspective taken from nurses who attended
RCN Congress and Exhibition 2013.
2. Ascom at RCN Congress and Exhibition 2013
Liverpools Echo Arena played host to the largest nursing exhibition in the UK. Throughout
the 3 days, 22nd
24th
April, nurses from all over the UK flocked to the venue to take part in
discussions, debates and learn about the latest solutions and products in the market.
Ascom joined over 100 exhibitors with the aim of communicating with nurses and finding out
what they felt was important to them in nursing. From this vision a graffiti wall was created; a
2.2 metre high wall, spanning 3 metres in width donning the title What is important to you in
nursing? Have your say right here!.
Were a leading healthcare communication solutions company so what better way to
communicate with our audience than providing them a pen and canvass for them to write
down whats important to them, says Hiral Chavda, Marketing Executive, Ascom (UK) Ltd
The Wall as it came to be known over the 3-day period gave nurses the chance to voice
their opinion; hundreds flocked to the stand to have their say.
We had nurses coming back to our stand with their colleagues who also wanted their say.
To us this was a very important exercise, with so much coming out of the Francis report and
the nursing values based upon the 6Cs. We wanted to know what nurses truly felt was
important to them, after all we are a communications company, says Hiral.
The Francis report published earlier this year was one of the most eagerly and anticipated
reports in the history of the NHS. The report focused on fostering a common culture shared
by all, in the service of putting the patient first. This tied in with the 6Cs: care; compassion;
competence; communication; courage and; commitment. Values unveiled by the NHS
Commissioning Board with the intention that all staff should comply with them, placing them
at the heart of everything they do. With these values being constantly discussed by nurses
through social media forums, we felt it was time to hear what they felt; the graffiti wall
encouraged them to do just that, and what better time to do it than at RCN Congress and
Exhibition.
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3. The Graffiti wall
The wall started with only a few comments and ended up with over 600 comments by the
end of the 3-day exhibition. The interest The Wall created had nurses flocking to the stand,
all eager to have their say.
A constant feed of comments were tweeted out via @AscomUK, allowing those absent from
the exhibition to keep up-to-date to see and helping #rcncongress trend on Twitter.
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4. What is important to you in nursing?
Following the exhibition, time was spent logging all the comments and sub-dividing them into
groups, placing the verbatim comments into the categories below. This showed which
themes were the most often written about and therefore most important to the attendees at
that time.
In no way does this serve to be a comprehensive study, this is an insight to what nurses that
attending our stand felt was important to them in nursing, at that moment in time.
Chart A: Showing the categories and respective percentage weightings.
Categories Containing comments. %
Care
care for staff, delivering care, dont forget the
basics...
20%
Resources
right tools, less paperwork, time to , safe
working
20%
Patient
Experience
person centred, patient focused, seeing a
patient smile
19%
Compassion
respect, listen to the family, ability to change
lives
19%
Commitment passion, motivation, nursing is very rewarding 7%
Being heard
being appreciated, having an open culture,
courage
6%
Communications communicate effectively, move the information 5%
Teamwork Team work and support, good practice 5%
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5. Chart B: Bubble chart representation based on the weighting of the categories.
Care
Unsurprisingly as care is core to the profession and one of the 6Cs it is high on the list. With
so much focus being on delivering individualised care plans for each patient that are
followed through and executed, it is not surprising comments such as personal centred
care and to provide safe and quality care is high up on the list.
Comments around high quality standards of care and making sure the patient is considered
reaffirms nurses still see it as what they consider the most important thing to them in nursing,
making sure the best possible care is given.
A few comments that have come to light in this category are around caring for the nurses,
another important aspect as they are the backbone of the hospital; care for our staff, they
will deliver high quality care.
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6. Resources
We grouped comments in to this category that discussed issues around the need for not only
equipment but training as a resource too. More time to do training that is not mandatory.
Debriefing so we can learn from mistakes and ourselves. Less bureaucracy - more time
with patients.
The main underlying theme when looking in to these comments was around less paper
work, more time with patients therefore freeing up enough of the nurses time to spend with
their patients.
Staff patient ratio was also a hot topic, there needs to be a better nurse:patient ratio; linking
to having enough time to care for their patients, time to care, keep the patient at the centre
of what we do.
Patient experience
It was not surprising that patient experience was high up on the list of what was deemed
important in nursing, especially with focus being on patient-centred care, which was
mentioned frequently. Patient centred always, time to care, time to listen, time to
understand, time for the patient and for the family! Not to be target driven. Quality care."
There were comments around ensuring the patients needs are met, and relationships
being built, and how they felt the patients experience was being greatly affected by their lack
of time, patients before paper work; linking it back to care, resources and compassion.
They felt strongly about having happier patients and making their hospital/care experience a
better one.
Compassion
Another one of the 6Cs was again high up on the list with comments such as, care,
compassion + being there through someones worst time and offering support and taking
time to listen, to really listen!. This emphasises that nursing is not just about the care they
provide but the way in which they provide it, treating everyone as an individual in a caring
and compassionate way. The comments showed that nurses understand their patients
experience and the impact of what they say and do, treat patients as you would wish to be
treated yourself.
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7. Summing it all up
When we had the idea of the graffiti wall, we never imagined how much feedback we would
receive. Four panels later, we had over 600 comments from nurses, all telling us what was
important to them in nursing. By putting the pen in the nurses hand we empowered them to
have their say and the feedback was invaluable.
The passion these nurses have for their role is undeniable, nursing is very rewarding,
proud to be a nurse.
They wanted their input and were also interested in what their colleagues had to say. Many
of their comments unsurprisingly included one, two or more of the 6Cs in some way or form,
reinforcing these values and behaviours. The Wall has helped create a better
understanding of nursing from a nurses perspective and a deeper understanding into their
mind-set around what the profession has been criticised about in the media.
In conclusion, we understand nurses are advocates for their patients and the backbone of
the hospital. They see and play an important role in what happens in their hospital on a daily
basis. Nurses understand what the patient goes through, the emotions they experience, and
whats important to them. The nurse is on the front-line and they are constantly putting the
patient first, being their voice.
To understand nursing, ask a nurse. To understand what motivates them, ask them. To
understand whats important to them, put the pen in their hand.
Acknowledgements
We would like to thank everyone who attended our stand and graffitid our wall, the insight
you have given has been invaluable and we look forward to receiving any feedback you may
have; please email Hiral Chavda hiral.chavda@ascom.co.uk.
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