Using a positive practice environment framework to support recruitment

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In this article…

Key points

The nursing shortage is a multifactorial problem requiring employers to improve recruitment and retention

Key points

A positive work environment and empowerment improve staff recruitment, staff retention and quality of care

Key points

The Pathway to Excellence programme involves frontline staff in decision-making, empowering them to make changes

Key points

The Pathway to Excellence practice standards are designed to embed a culture of sustained excellence across organisations

The nursing shortage means employers need to find strategies to recruit and retain staff, and ensure they provide high-quality care. Pathway to Excellence is an accredited programme focused on shared decision-making to empower staff to influence the care they provide. This article reports on the progression of the first district general hospital in the UK to aim for Pathway to Excellence designation. It discusses the six standards that are core to the Pathway to Excellence programme and the work that has already been done to help the hospital achieve designation in 2018/19. It explores some of the benefits of this journey towards accreditation in relation to vacancy rates, patient experience and nursing indicators.


Pauley T, Fox C (2018) Using a positive practice environment framework to support recruitment. Nursing Times; 114: 10, 26-28.

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