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Nurse-led intermediate care: an opportunity to develop enhanced roles for nurses?
1Health Research Unit, School of Health Professions and Rehabilitation Sciences, University of Southampton, Southampton SO17 1BJ, UK. raw@soton.ac.uk
Journal of Advanced Nursing
|June 26, 2001
Summary
Nurse-led units offer nurses enhanced roles in post-acute care, improving patient outcomes. However, these roles are perceived as low status by some staff, requiring further development and leadership.
Area of Science:
- Healthcare Management
- Nursing Practice
- Post-Acute Care
Background:
- Nurse-led units (NLUs) are emerging in the UK to address hospital bed shortages.
- This study evaluates a 10-bedded NLU in the South of England.
Purpose of the Study:
- To explore the potential for enhanced nursing roles within NLUs.
- To understand the perspectives of NLU nursing staff and other healthcare professionals.
Main Methods:
- Qualitative study involving 38 in-depth, audio-taped interviews.
- Participants included NLU nurses, managers, acute ward nurses, and doctors.
Main Results:
- NLUs facilitate enhanced nursing roles and therapeutic nursing care.
- Junior staff and other professionals viewed NLU work as low status, contrasting with senior nurses' views.
- Senior nurses saw NLUs as enabling extended roles (doctor substitutes) rather than enhanced, complementary roles.
Conclusions:
- NLUs offer opportunities for autonomous nursing practice and improved patient discharge outcomes.
- Enhanced roles require further development through education, training, and leadership.
- Optimizing NLUs benefits both nursing staff and patient care.
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