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The management of poor performance in nursing and midwifery: a case for concern

Stone, Katie, Traynor, Michael, Gould, Dinah ORCID: and Maben, Jill 2011. The management of poor performance in nursing and midwifery: a case for concern. Journal of Nursing Management 19 (6) , pp. 803-809. 10.1111/j.1365-2834.2011.01219.x

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Aim(s)  To examine the evidence of how poorly performing nurses and midwives are managed in the UK National Health Service (NHS). Background  Nurses and midwives form the largest clinical group in the NHS. There is little evidence, however, about poor performance and its management in nursing and midwifery literature. Method(s)  The present study comprised a literature search, analysis of recent Nursing and Midwifery Council (NMC) data and observation at NMC fitness to practice hearings. Results  Nurses and midwives are the clinical groups most likely to be suspended in the NHS; Trusts do not report data on suspensions therefore no data exist on numbers, reasons for suspensions, managerial processes, gender, area of work, or ethnicity of those suspended; the few major research projects identify variable management practices, the significant financial cost to the NHS and the personal cost to those suspended; there is evidence that inexperienced, poorly trained, or poorly supported managers use suspension inappropriately. Our observation supported this. Conclusion(s)  There is a need for robust data gathering and research in the field of NHS managerial practice. Implications for nursing management  Managers should refrain from adopting punitive forms of performance management. Frontline staff and management need better training and support for dealing with poor performance.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Healthcare Sciences
Subjects: R Medicine > RT Nursing
Uncontrolled Keywords: literature review; management; nursing and midwifery; poor performance
Publisher: John Wiley & Sons
ISSN: 0966-0429
Last Modified: 20 Oct 2022 09:18

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