Transcript Nursing, Midwifery & AHP Research at UHSM

Update on Research
Developments at UHSM
Nursing, Midwifery & AHPs
Christi Deaton
Professor of Nursing
University Hospital of South Manchester NHS FT
School of Nursing, Midwifery & Social Work
The University of Manchester
Update
 Specific
research studies
 Promoting knowledge translation or
transformation at UHSM NHS FT
Knowledge Transformation
Changing practice &
policies based on evidence
Evaluating evidence
for practice
Systematic review
Need for ‘cognitive space’
Review of literature
Raising clinical questions
Reading and discussing research
Using Audit
Need for mentors &
collaborators
Need for a research
culture
MERG 2008
 What
is MERG*?
– Multi-professional Evidence-based
practice and Research Group
– Mission: to improve quality of care
through the sustained facilitation of
critical thinking, evidence-based
practice, and trustwide research by
nurses, midwives and allied health
professionals.
*formerly the Non-Medical Research & Development Group 2004 - 2008
MERG Steering Group
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Professor Christi Deaton (Chair of Nursing and of the
MERG)
Dr Stephanie Tierney (Research Fellow)
Dr Andrew Maines (Head of Research and Development)
Heads of Nursing and Therapy for Divisions (rotating
position)
Michael Connolly (Nurse Consultant, Palliative Care)
Valerie Beaumont (Nurse Consultant, A & E)
Tarnya Hulme (Nurse Consultant, Urology)
Dr. Steve Williams (Consultant Pharmacist)
Cathy Pettipher (Therapist)
Anne Marie Nixon (Dietetics)
Stephen Woods (Librarian)
Rachel Byrne (Therapist)
Merg Aims
 Create
a culture of inquiry, critical
thinking and receptivity to change
 Increase research capacity
 Provide care consistent with best
evidence
 Develop a programme of research
with emphasis on patient and family
experiences
Three Year Strategic Plan
 Strategies
– Ongoing development of infrastructure
 EBP
champions in divisions
– Education and action learning
– External funding
– Collaboration
– Promote and publicise
MERG Activities

Mapping Exercise 2005
– Are nurses, midwives and AHPs interested in
and engaging in research activities?
– What are the research interests, experience,
skills, and learning needs of nurses, midwives
and AHPs within the Trust?
– What are perceived barriers to and resources
for research activities within the Trust?
Research Skills
70%
60%
50%
40%
very conf
refresher
30%
20%
10%
0%
lit search
lib use
crit app
analysis
Mapping Exercise 2005
proj mg
Research Skills
90%
80%
70%
60%
50%
very conf
refresher
40%
30%
20%
10%
0%
implem
present
funding
writing
Mapping Exercise 2005
Results: Perceived Barriers
Yes
No
NS
87.5%
8%
4%
20.5 - 14 %
73 – 76%
5 – 8%
Staff motivation
48%
42.5%
8%
Lack of confidence
51%
47%
3%
Work pressures
82%
16%
1.4%
Lack of support
37%
45%
17%
Cost/lack of
resources
60%
25%
15%
Time constraints
Neg attitudes
Mapping Exercise 2005
MERG Activities
 Research
action learning set (RALS)
– Nurse and AHP consultants
– Discharge Planning Study
 Focus
groups (framework analysis)
 Staff survey
 2 publications
 Implications for practice and further
research
– Individual projects
MERG Activities
 Mentoring
research projects
 Workshops, classes, seminars
– Evidence-based practice
– Research and EBP skills, Examples:
Statistics for the Non-Statistician
 Turning clinical problems into research
questions
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– Audit
3
workshops June 2008 – February 2009
MERG Website
www.researchdirectorate.org.uk/merg/
 Group members and profiles
 Events (forthcoming and past)
 Research and audit projects
 Resources
 Glossary
 Useful links
 Key documents

UHSM NHS FT
A
start, but more work needed:
– Tension between day-to-day work and
cognitive space needed for KT
– Capturing KT done by degree students
– Developing skills/involvement in larger
research studies
– Building social networks
– External funding to support activities
– ‘Critical Mass’
Help from NIHR
NIHR Clinical Academic Training Pathway
for Nurses, Midwives and AHPs
Collaboration among NIHR, CNO, ESRC
and HEFCE
 Funding for research training schemes:
comprehensive clinical academic training
pathway.
 Four levels of integrated training:
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– Masters in Research (MRes) or Masters in
Clinical Research
– Doctorate Research (PhD)
– Clinical Lectureship
– Senior Academic Clinical Lectureship
NIHR Clinical Academic Training Pathway
for Nurses, Midwives and AHPs
 SNMSW
at the University of
Manchester one of 7 successful MRes
programmes
 10 fully funded places (including
salary costs for backfill) per year on
the new MClin Res programme for
the next three years
– PT or FT

www.nccrcd.nhs.uk/nursesmidwivesandahp/
…While
compassionate care is
important, compassionate but
ill-informed care may be
harmful.
– Royal College of Nursing, 2003
Housekeeping
 1:00
pm concurrent sessions
– Reproductive Health Seminar Room 8
– Cancer LT1
 2:45
pm Session 3 Vascular LT1
 Questionnaire
 Certificate of attendance from Stacey
 TrusTech stand
 Slides will be available