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The Modernization of the Nursing Workforce: Valuing the healthcare
assistant is based on recently completed research exploring the
role of healthcare assistants (HCA) in acute hospitals. Whilst a
support role working alongside registered nurses has been a
longstanding feature of the NHS, the contemporary HCA role has
become increasingly central to the process of health service
modernization. The role is now assuming even greater importance as
the ramifications of financial constraints, restructuring and other
pressures on the NHS play out. The issue is becoming increasingly
relevant as the government has commissioned an independent review
into the role of healthcare assistants, the Cavendish Review, which
uses this book extensively. The HCA role is unregulated and low
paid, but by taking-on direct care tasks from registered nurses,
the role has become politically sensitive. The HCA remains a cheap
and flexible source of labour, but the unregulated role encourages
dilemmas and public scrutiny over risk and patient safety. The book
explores how public policy reform of the health service feeds
through to impact upon the management and structure of the
healthcare workforce. More specifically, the book provides a timely
evidence base for the extended and growing use of the HCA role. The
book draws upon a multi-method research design from four
geographically located hospital trusts in England, which during a
three year period saw over 270 staff interviewed, focus groups and
interviews with over 100 patients, some 275 hours of ward-based
observation, and detailed survey responses from over 3,000 members
of staff and hospital patients. The unusual richness of the data
allows a definitive examination of who undertakes the HCA role, its
shape, nature and diversity, along with the consequences for those
with a stake in the role - hospital managers, the assistants
themselves, the patients they care for and the nurses they work
alongside, making The Modernization of the Nursing Workforce:
Valuing the healthcare assistant essential reading for health care
studies and public management communities, and those charged with
training and education policy.
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