Transcript Slide 1
Update on Research in Nursing, Midwifery & Allied Health Professions at CMFT
Kinta Beaver Professor of Nursing [email protected]
Bigger picture
Biomedical Research Centre (BRC) Collaborative Leaderships in Applied Health Research & Care (CLAHRC) Manchester Academic Health Sciences Centre (MAHSC)
What’s going on in Nursing, Midwifery & AHP research at CMFT?
Making health care research a priority
• Cooksey Report (2006) - review of health care research – UK strong in Basic Science (lab) – Gaps in translation • 1 • 2 st nd gap gap – translation from lab into development of new products/interventions – Implementation of new products/interventions into clinical practice • More emphasis on translational medicine, health services research and applied health care research
Making health care research a priority
• How does this impact on research in nursing, midwifery & AHPs?
• Nursing, Midwifery AHP research historically more to the RIGHT !!
Basic Science Translational Research Health Services Research Applied Health Care Research
Biomedical Research Centre (BRC)
• • Biomedical Research Centre (March 2008) • Translational research • Lab to bedside Focus on: • Experimental Therapeutics • Genetic & Developmental Medicine • Tissue Injury & Repair Funded by National Institute for Health Research (NIHR); also supported by the North West Regional Development Agency, Manchester City Council and commercial partners.
• Funding opportunities • Fellowship awards (attracting best applicants nationally) • Pump priming initiatives – health economics, small project grants • New professors (n=12)
Collaborative Leaderships in Applied Health Research and Care (CLAHRC)
• 9 CLAHRCs established to undertake high-quality applied health research focused on the needs of patients and to support the translation of research evidence into practice in the NHS. – Greater Manchester CLAHRC (October 2008) – £20m (NIHR matched funding), 5 year programme – University of Manchester + 19 primary care and acute hospital trusts – Focus on vascular disease (stroke, CKD, diabetes, cardiovascular) • 4 research themes: – Patients – Practitioners – Services – Information Systems • 4 Implementation themes related to the 4 diseases (CMFT involvement)
Manchester Academic Health Sciences Centre (MAHSC)
• March 2009 official national status • 5 AHSC – 3 London, 1 Cambridge, 1 Manchester • The seven members of MAHSC: – Central Manchester University Hospitals NHS Foundation Trust – Christie Hospital NHS Foundation Trust – Manchester Mental Health and Social Care Trust – Salford Primary Care Trust – Salford Royal NHS Foundation Trust – University Hospital of South Manchester NHS Foundation Trust – The University of Manchester
Partnership working A shared vision and strategy for health research in Greater Manchester, including agreement to research programme priorities and a framework to achieve sustained excellence A collective brand and image for that research Establishment (through investment and streamlining) of an internationally competitive platform of research infrastructure, coordinated and shared between the members of MAHSC
What’s going on in Nursing, Midwifery & AHP research at CMFT?
Making research in Nursing, Midwifery & AHP a priority
• New appointments in 2008 – Chair in Nursing (Kinta Beaver) – Chair in Midwifery (Tina Lavender) – Research Fellow (Tim Twelvetree) • Building on strong links with School of Nursing, Midwifery & Social Work • New appointment in 2009 – Lead Research Nurse
External review of Research at CMFT
• To ensure that research is directed to the goals of the Biomedical Research Centre (BRC) and aligned to BRC themes. – Genetics & Developmental Medicine – Experimental Therapeutics – Tissue Injury & Repair.
• To make a step change in research performance prior to renewal of BRC status in 2012 • A lack of clarity exists on the extent and quality of ongoing research.
Review panel members
Francis Creed
Professor of Psychological Medicine (University of Manchester)
Peter Friend
Director of the Oxford Transplant Centre and Professor of Transplantation in the Nuffield Department of Surgery, Oxford University
Anne Marie Rafferty
Dean and Professor of Nursing Policy (King's College, London)
Colin Sibley (Chair)
Professor of Child Health & Physiology, Director, Tommy’s Maternal and Fetal Health Research Centre, University of Manchester.
Terence Stephenson
Professor of Child Health, Dean of the Faculty of Medicine and Health Sciences, University of Nottingham.
Gareth Williams
Professor of Medicine, Dean of the Faculty of Medicine & Dentistry (University of Bristol)
Format
•Each division asked to collate their research income and output, and produce a SWOT analysis – Research Managers – Children, Clinical & Scientific Services, Dental, Eye, Medical & Specialist Services, St Marys, Surgery •Each division to give a presentation to the review panel and respond to questions and queries (28.10.08) •Panel had been asked for advice regarding research projects, areas, disciplines or divisions that will derive maximum benefit from strategic investment. •Asked to recommend areas for investment and possible disinvestment
Nursing is not a Division
•Research in nursing, midwifery & AHP’s is under-developed nationally •DoH drive to develop career pathways that combine clinical practice & academia (Finch Report) •Research strengths in Health Services Research, Applied Health Care research, psycho-social care and complex interventions •Current focus of funding on patient benefit (RfPB, NIHR Programme grants for applied health care research) •Hence, opportunity to examine our own areas of research strength and weakness and show how we can make a positive contribution to the research agenda
Our Starting Point
• • Creating a research culture Survey of all qualified nurses, midwives & AHP’s – Skills – Potential – Value of research – Existing support – Barriers • Significant research activity – Primarily from university staff with honorary contracts • Research groups – Midwives Undertaking Research Group (MURG) – Paediatric Research and Audit Nurses Group (PRANG) – Research Practice Network research nurses – Children’s research group
Research Interests:
Across Divisions and BRC themes
• • • •
Medical & Specialist Services
Peritoneal sclerosis in patients on CAPD (Hurst) Reducing infection rates from venous access devices (Kemp) Trunk muscle stabilisation training for low back pain (Oldham) Psychosocial factors and re presentation of patients with ST elevation MI (Iles Smith) • •
Surgery
Nutritional care pathways for colorectal cancer patients (Burden) Telephone follow-up after treatment for colorectal cancer (Beaver) • • • •
Saint Mary’s
Parenting after discharge from neonatal Intensive Care (McLean) Origins of abnormal fetoplacental blood flow (Mills) Prevention & management of prolonged labour (Lavender) Patient benefits from clinical genetics services (McAllister) • •
Eye
Glaucoma – adherence to medications (Waterman) Management of post op pain in opthamology (Stanford) •
Children
Asthma self management (Callery)
Strengths
• Established links with SNMSW – Top rated School of Nursing – MPhil/PhD, new MRes – Track record of research links to CMFT – Collaborative links with other Trusts e.g. Prof Deaton (UHSM) • Building programmes – Improved facilities – Improved working environment
• Track record in NIHR funding • 69% of overall funding • Focus on improving patient care, patient benefit • CLAHRC (research & implementation themes)
Strengths
• Quality of publications increased in last 2 years • From 30% up to 46% - top 25% of journals • From 42% down to 26% bottom 25% of journals • Diversity of research fields & research methods
Consider: output primarily from university staff with honorary research contracts rather than clinical staff at CMFT
Goals
• Develop a sustainable research strategy • Increase research capacity and capability • Increase numbers of PI’s • Increase research income directly associated with CMFT nursing, midwifery & AHP staff • Develop a national and international reputation for research excellence
Positive feedback from panel
Potential for development Develop research strategy Focus our research efforts on areas of strength
• Survey of all qualified nurses, midwives & AHP’s – Skills – Potential – Value of research – Existing support – Barriers
Survey
• •
Survey
Approx 25% response rate 724 responses – 549 nurses – 53 midwives – 119 AHPs
Academic/professional Qualifications*
Professional Registration (RGN, RN, RM, RSCN Diploma (Nursing) Diploma (not Nursing) Bachelors Degree (Nursing) Bachelors Degree (not Nursing) Taught Masters Masters Degree by Research PhD (Nursing/Midwifery) PhD (not Nursing/Midwifery) *may have answered in more than one category
Number
497 290 62 191 168 53 9 0 2
% of all respondents (n=724)
69.0
40.0
9.0
27.0
23.0
7.0
1.0
0.0
0.3
External grants as PI – 1 nurse, 1 midwife, 1 AHP
Survey
Publications in peer reviewed journals Yes 10.5% (n=70) I am interested in research but I don’t have the time to get involved I am interested in research but I don’t have the skills and ability to get involved I am interested in research but there is little or no support from the Trust I am interested in research and I am involved in research I am interested in research but I do not want to get involved I have no interest in research but I do understand the value of research I have no interest in research and do not want to get involved Number 316 161 105 89 79 67 16 % of all respondents (724) 44 22 15 12 11 9 2
We have the interest !
Developing a Research Strategy
• Responsive to broader developments locally, regionally and nationally • Applicable to Nursing, Midwifery & AHPs • Working with senior professional leads in nursing, midwifery & AHP to develop this strategy document • 5 year plan (with review after 2-3 years) • Multi-professional Research Advisory Group & Multi-professional Research Operational Group
Developing a Research Strategy
Aim: to raise the profile of research in nursing, midwifery and AHP by Increasing both research capacity and capability, thereby improving patient outcomes. Objectives and activity to support objectives Key Performance Indicators and targets for years 1-3 Research focus: health services interventions, outcomes and patient and family experiences. Almost done !!
Current Opportunities
• Interested in a clinical research career?
– NIHR Clinical Academic Training Pathway for Nurses, Midwives and Allied Health Professions • www.nccrcd.nhs.uk/nursesmidwivesandahp/ • Want to publish your work?
– Publication Learning Sets • Want to lead your own research project?
– Trust RfPB scheme (prior to submitting for NIHR RfPB). Closing date 29 th April
Contact Us
• Kinta Beaver
– Tel: 0161 306 7779
• Tim Twelvetree
– Tel: 0161 306 7879