Partnership working between HEI/NHS to progress R&D for nurses & midwives Grace Lindsay 1 Barbara Parfitt 1, Jean McIntosh 1, Margaret Smith 2 1. Glasgow Caledonian University 2.North Glasgow University NHS Division

Joint Clinical Academic Post: Principle Role Objectives To develop an infrastructure and culture to support N &M research activity, utilisation and practice development To develop an infrastructure and culture to support N &M research activity, utilisation and practice development To contribute to defining the research areas of activity To contribute to defining the research areas of activity To lead research activity in specific focussed areas To lead research activity in specific focussed areas To support the quality standards integral to the research governance agenda To support the quality standards integral to the research governance agenda

Where do you start????

Joint Appointment: Guiding principles Shared strategic focus Shared strategic focus Thematic research activity Thematic research activity Clinical expertise and priorities should inform research agenda Clinical expertise and priorities should inform research agenda Organisational infrastructure & support Organisational infrastructure & support Critical mass of individuals contributing to research agenda Critical mass of individuals contributing to research agenda Transparency Transparency Sustainability Sustainability

Joint organisational strategic goals GCU-Nursing, Midwifery & Community Health School knowledge generation research utilisation evidence based care clinical effectiveness Excellence in nurses/midwifes contribution to patient care and outcomes High quality nursing & midwifery education NGD

Where to begin in practice? …. Scoping: current status Scoping: current status Meetings with individuals within NGD/GCU and nationally with remit for research and practice development Meetings with individuals within NGD/GCU and nationally with remit for research and practice development Perspectives on priorities and needs:national/local Perspectives on priorities and needs:national/local Delivery of a strategy document &Implementation plan Delivery of a strategy document &Implementation plan Develop funding bids for nationally calls for proposals for research development in nursing, midwifery, AHCP Develop funding bids for nationally calls for proposals for research development in nursing, midwifery, AHCP To collaboratively, create an infrastructure for research development To collaboratively, create an infrastructure for research development

NGD Organisation Structures in relation to N&M R&D Corporate N &M Division Group NGUT R&D Exec.Board N & M Research Implementation Group R & D Man. Group Corporate PD Forum Advanced Prof. Practice Group PD Divisional Groups

Topic areas that have been identified as priorities for research Reduction of risk of adverse events in ‘high risk’ patient groups Reduction of risk of adverse events in ‘high risk’ patient groups Cancer and Cardiac nursing Cancer and Cardiac nursing Education/training needs assessment in relation to research Education/training needs assessment in relation to research Junior Doctors’ hours- what areas of their roles can be carried out by other HCPs Junior Doctors’ hours- what areas of their roles can be carried out by other HCPs Discharge planning- Primary/Secondary Care Interface Discharge planning- Primary/Secondary Care Interface Professional development in clinical trials nursing- GCP/Clinical governance Inter-relationship with other professional groups Impact of ACADs Role of case managers for ICPs Impact of complimentary therapies Recruitment/retention Impact of specialist nurses

Research Activity Focus Relevant to patient care and national priorities Relevant to patient care and national priorities Build on expertise and research themes within GCAL Build on expertise and research themes within GCAL Generation of ideas from current work that can be developed into new research questions/hypotheses Generation of ideas from current work that can be developed into new research questions/hypotheses Improve quality, rigour and dissemination of research activity Improve quality, rigour and dissemination of research activity Produce results that add to knowledge and understanding that develops clinical practice Produce results that add to knowledge and understanding that develops clinical practice Support staff to acquire skills to allow them to contribute to the research process and utilisation of evidence-based practice Support staff to acquire skills to allow them to contribute to the research process and utilisation of evidence-based practice

Some approaches to generating ideas for research What areas of practice is there uncertainty about its effect, manner of delivery or unclear evidence-base? What areas of practice is there uncertainty about its effect, manner of delivery or unclear evidence-base? What could nurses/midwifes change in their practice that could lead to improvement in patient/carer outcomes? What could nurses/midwifes change in their practice that could lead to improvement in patient/carer outcomes? What measures do we have that can be used as key indicators of effectiveness? What measures do we have that can be used as key indicators of effectiveness? Can a core minimum dataset be identified for evaluation of patient health outcome across different areas of practice and clinical specialties? Can a core minimum dataset be identified for evaluation of patient health outcome across different areas of practice and clinical specialties? What are patients’ perspectives of good care in different settings/clinical circumstances? What are patients’ perspectives of good care in different settings/clinical circumstances?

Performance targets Increase in the quality and quantity of knowledge generation Increase in the quality and quantity of knowledge generation Programmes of research with improved quality and quantity of research output Programmes of research with improved quality and quantity of research output Increased income generation Increased income generation Increase study opportunities for staff Increase study opportunities for staff Evidence of improvement in research utilisation in practice Evidence of improvement in research utilisation in practice Improved contribution of N &M to both generation and delivery of evidence based care Improved contribution of N &M to both generation and delivery of evidence based care

Achievements Scoping of research activity undertaken by nurses and midwifes Scoping of research activity undertaken by nurses and midwifes Research Strategy agreed and disseminated Research Strategy agreed and disseminated Establishment of N&M Research Implementation Group Establishment of N&M Research Implementation Group Group represents a range of research and clinical expertise Group represents a range of research and clinical expertise Delivery of other professional and academic responsibilities Delivery of other professional and academic responsibilities

Next steps ….. Continue to implement agreed research strategy Continue to implement agreed research strategy Agree areas of research working Agree areas of research working Monitor via agreed milestones Monitor via agreed milestones Responsive to opportunities of new developments e.g WoS; calls for research proposal Responsive to opportunities of new developments e.g WoS; calls for research proposal Support development of increased research capacity/career pathways Support development of increased research capacity/career pathways

Acknowledgements Barbara Parfitt, Jean McIntosh Margaret Smith Colleagues in GCAL and NGUD Scottish Executive (2003) Partnership for Care. Scotland’s Health White Paper. NHS Scotland. Edinburgh. Scottish Executive (2001) Caring for Scotland: The Strategy for Nursing and Midwifery in Scotland, NHS Scotland, Edinburgh. Scottish Executive (2002) Choices and Challenges: The Strategy for Research and Development in Nursing and Midwifery in Scotland, NHS Scotland, Edinburgh.