Younge Lisa, Mason Isobel, Kapasi Rukshana
Health Service Development, Crohn's and Colitis UK, Saint Albans, UK.
Royal Free London NHS Foundation Trust, London, London, UK.
Frontline Gastroenterol. 2020 Apr 1;12(3):169-174. doi: 10.1136/flgastro-2019-101354. eCollection 2021.
To determine the impact to date of the ongoing Crohn's & Colitis UK inflammatory bowel disease (IBD) clinical nurse specialists (CNS) campaign.
A survey-based design was used. 2 questionnaires were sent to the UK IBD nursing community and promoted via nursing and clinical networks. Respondents were asked to provide data at both an individual and trust level about their nursing services.
394 IBD CNS posts were identified across the UK, with a 32% increase in posts since the start of the campaign. 27% felt the campaign had been influential in securing new posts. Greater numbers of posts were reported in England when compared with the devolved nations. Most services remain below the UK standards recommendation of 2.5 IBD CNS per 250 000 patient population. Cross site working was reported in 59% of services. 45% of respondents were non-medical prescribers, with 13% educated to MSc level. High levels of stress were reported by IBD CNS associated with managing advice line services.
Crohn's & Colitis UK's More IBD Nurses-Better Care' campaign has contributed to the numbers of CNS posts in IBD continuing to rise, but they remain lower than the recommended standard of 2.5 IBD CNS per 250 000. Educational and career pathways are not clearly defined, and aspects of the role such as advice line provision contribute to stress within the workforce. The ongoing aims of the charity campaign hope to address these issues by improving access to formal education pathways with peer support for IBD specialist nurses, and advice line training, in addition to supporting trusts and services throughout the UK to reduce the workforce deficit with effective business cases.
确定英国克罗恩病和结肠炎协会正在开展的炎症性肠病（IBD）临床护理专家（CNS）活动迄今为止所产生的影响。
采用基于调查的设计。向英国IBD护理群体发放了两份问卷，并通过护理和临床网络进行推广。要求受访者提供个人层面及机构层面有关其护理服务的数据。
在英国共确定了394个IBD CNS岗位，自活动开始以来岗位数量增加了32%。27%的人认为该活动对获得新岗位有影响。与权力下放国家相比，英格兰报告的岗位数量更多。大多数服务仍低于英国每25万患者人口配备2.5名IBD CNS的标准建议。59%的服务机构报告有跨机构工作情况。45%的受访者为非医学开处方者，13%拥有硕士学历。IBD CNS报告称，管理咨询热线服务带来了高度压力。
英国克罗恩病和结肠炎协会的“更多IBD护士 - 更好护理”活动促使IBD CNS岗位数量持续增加，但仍低于每25万配备2.5名IBD CNS的推荐标准。教育和职业发展路径尚不明确，咨询热线服务等工作内容给员工带来压力。该慈善活动的持续目标希望通过改善IBD专科护士获得正规教育途径并获得同行支持、提供咨询热线培训，以及支持英国各地的机构和服务以通过有效的商业案例减少劳动力短缺来解决这些问题。
