1. 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

2. Update  Specific research studies  Promoting knowledge translation or transformation at UHSM NHS FT

3. Knowledge Transformation Raising clinical questions Reading and discussing research Using Audit Review of literature Systematic review Evaluating evidence for practice Changing practice & policies based on evidence Need for ‘cognitive space’ Need for mentors & collaborators Need for a research culture

4. 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

5. MERG Steering Group  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)

6. 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

7. Three Year Strategic Plan  Strategies –Ongoing development of infrastructure  EBP champions in divisions –Education and action learning –External funding –Collaboration –Promote and publicise

8. 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?

9. Research Skills Mapping Exercise 2005

10. Research Skills Mapping Exercise 2005

11. Results: Perceived Barriers YesNoNS Time constraints 87.5%8%4% Neg attitudes 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% Mapping Exercise 2005

12. 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

13. 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 –Audit  3 workshops June 2008 – February 2009

14. MERG Website  www.researchdirectorate.org.uk/merg/ www.researchdirectorate.org.uk/merg/  Group members and profiles  Events (forthcoming and past)  Research and audit projects  Resources  Glossary  Useful links  Key documents

19. 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’

20. Help from NIHR

21. 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: –Masters in Research (MRes) or Masters in Clinical Research –Doctorate Research (PhD) –Clinical Lectureship –Senior Academic Clinical Lectureship

22. 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 –PT or FT  www.nccrcd.nhs.uk/nursesmidwivesandahp/

23.  …While compassionate care is important, compassionate but ill-informed care may be harmful. –Royal College of Nursing, 2003

24. 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