Update on Research Update on Research Developments at UHSMDevelopments at UHSM

Nursing, Midwifery & AHPsNursing, Midwifery & AHPs

Christi DeatonChristi DeatonProfessor of NursingProfessor of Nursing

University Hospital of South Manchester NHS FTUniversity Hospital of South Manchester NHS FTSchool of Nursing, Midwifery & Social WorkSchool of Nursing, Midwifery & Social Work

The University of ManchesterThe University of Manchester

UpdateUpdate

Specific research studiesSpecific research studies Promoting knowledge translation or Promoting knowledge translation or

transformation at UHSM NHS FTtransformation at UHSM NHS FT

Knowledge TransformationKnowledge 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

MERG 2008MERG 2008

What is MERG*?What is MERG*?– MMulti-professional ulti-professional EEvidence-based vidence-based

practice and practice and RResearch esearch GGrouproup– Mission: to improve quality of care Mission: to improve quality of care

through the sustained facilitation of through the sustained facilitation of critical thinking, evidence-based critical thinking, evidence-based practice, and trustwide research by practice, and trustwide research by nurses, midwives and allied health nurses, midwives and allied health professionals.professionals.

*formerly the Non-Medical Research & Development Group 2004 - 2008

MERG Steering GroupMERG Steering Group Professor Christi Deaton (Chair of Nursing and of the MERG)Professor Christi Deaton (Chair of Nursing and of the MERG) Dr Stephanie Tierney (Research Fellow)Dr Stephanie Tierney (Research Fellow) Dr Andrew Maines (Head of Research and Development)Dr Andrew Maines (Head of Research and Development) Heads of Nursing and Therapy for Divisions (rotating Heads of Nursing and Therapy for Divisions (rotating

position)position) Michael Connolly (Nurse Consultant, Palliative Care)Michael Connolly (Nurse Consultant, Palliative Care) Valerie Beaumont (Nurse Consultant, A & E)Valerie Beaumont (Nurse Consultant, A & E) Tarnya Hulme (Nurse Consultant, Urology)Tarnya Hulme (Nurse Consultant, Urology) Dr. Steve Williams (Consultant Pharmacist)Dr. Steve Williams (Consultant Pharmacist) Cathy Pettipher (Therapist)Cathy Pettipher (Therapist) Anne Marie Nixon (Dietetics)Anne Marie Nixon (Dietetics) Stephen Woods (Librarian)Stephen Woods (Librarian) Rachel Byrne (Therapist)Rachel Byrne (Therapist)

Merg AimsMerg Aims

Create a culture of inquiry, critical Create a culture of inquiry, critical thinking and receptivity to changethinking and receptivity to change

Increase research capacityIncrease research capacity Provide care consistent with best Provide care consistent with best

evidenceevidence Develop a programme of research Develop a programme of research

with emphasis on patient and family with emphasis on patient and family experiencesexperiences

Three Year Strategic PlanThree Year Strategic Plan

StrategiesStrategies– Ongoing development of infrastructureOngoing development of infrastructure

EBP champions in divisionsEBP champions in divisions

– Education and action learningEducation and action learning– External fundingExternal funding– CollaborationCollaboration– Promote and publicisePromote and publicise

MERG ActivitiesMERG Activities

Mapping Exercise 2005Mapping Exercise 2005– Are nurses, midwives and AHPs interested in Are nurses, midwives and AHPs interested in

and engaging in research activities?and engaging in research activities?– What are the research interests, experience, What are the research interests, experience,

skills, and learning needs of nurses, midwives skills, and learning needs of nurses, midwives and AHPs within the Trust?and AHPs within the Trust?

– What are perceived barriers to and resources What are perceived barriers to and resources for research activities within the Trust?for research activities within the Trust?

Research SkillsResearch Skills

0%

10%

20%

30%

40%

50%

60%

70%

lit search lib use crit app analysis proj mg

very confrefresher

Mapping Exercise 2005

Research SkillsResearch Skills

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

implem present funding writing

very confrefresher

Mapping Exercise 2005

Results: Perceived BarriersResults: Perceived BarriersYesYes NoNo NSNS

Time constraintsTime constraints 87.5%87.5% 8% 8% 4%4%

Neg attitudesNeg attitudes 20.5 - 14 %20.5 - 14 % 73 – 76%73 – 76% 5 – 8%5 – 8%

Staff motivationStaff motivation 48%48% 42.5%42.5% 8%8%

Lack of confidenceLack of confidence 51%51% 47%47% 3%3%

Work pressuresWork pressures 82%82% 16%16% 1.4%1.4%

Lack of supportLack of support 37%37% 45%45% 17%17%

Cost/lack of Cost/lack of resourcesresources

60%60% 25%25% 15%15%

Mapping Exercise 2005

MERG ActivitiesMERG Activities

Research action learning set (RALS)Research action learning set (RALS)– Nurse and AHP consultantsNurse and AHP consultants– Discharge Planning StudyDischarge Planning Study

Focus groups (framework analysis)Focus groups (framework analysis)Staff surveyStaff survey 2 publications2 publications Implications for practice and further Implications for practice and further

researchresearch

– Individual projectsIndividual projects

MERG ActivitiesMERG Activities

Mentoring research projectsMentoring research projects Workshops, classes, seminarsWorkshops, classes, seminars

– Evidence-based practiceEvidence-based practice– Research and EBP skills, Examples:Research and EBP skills, Examples:

Statistics for the Non-StatisticianStatistics for the Non-Statistician Turning clinical problems into research Turning clinical problems into research

questionsquestions

– AuditAudit3 workshops June 2008 – February 20093 workshops June 2008 – February 2009

MERG WebsiteMERG Website

www.researchdirectorate.org.uk/merg/www.researchdirectorate.org.uk/merg/ Group members and profilesGroup members and profiles Events (forthcoming and past)Events (forthcoming and past) Research and audit projects Research and audit projects ResourcesResources GlossaryGlossary Useful linksUseful links Key documentsKey documents

UHSM NHS FTUHSM NHS FT

A start, but more work needed:A start, but more work needed:– Tension between day-to-day work and Tension between day-to-day work and

cognitive space needed for KTcognitive space needed for KT– Capturing KT done by degree studentsCapturing KT done by degree students– Developing skills/involvement in larger Developing skills/involvement in larger

research studiesresearch studies– Building social networksBuilding social networks– External funding to support activitiesExternal funding to support activities– ‘‘Critical Mass’Critical Mass’

Help from NIHR

NIHR Clinical Academic Training NIHR Clinical Academic Training Pathway for Nurses, Midwives and AHPs Pathway for Nurses, Midwives and AHPs

Collaboration among NIHR, CNO, ESRC and Collaboration among NIHR, CNO, ESRC and HEFCEHEFCE

Funding for research training schemes: Funding for research training schemes: comprehensive clinical academic training comprehensive clinical academic training pathway.pathway.

Four levels of integrated training:Four levels of integrated training:– Masters in Research (MRes) or Masters in Masters in Research (MRes) or Masters in

Clinical ResearchClinical Research– Doctorate Research (PhD)Doctorate Research (PhD)– Clinical LectureshipClinical Lectureship– Senior Academic Clinical LectureshipSenior Academic Clinical Lectureship

NIHR Clinical Academic Training NIHR Clinical Academic Training Pathway for Nurses, Midwives and AHPsPathway for Nurses, Midwives and AHPs

SNMSW at the University of SNMSW at the University of Manchester one of 7 successful MRes Manchester one of 7 successful MRes programmesprogrammes

10 fully funded places (including 10 fully funded places (including salary costs for backfill) per year on salary costs for backfill) per year on the new MClin Res programme for the new MClin Res programme for the next three yearsthe next three years– PT or FT  PT or FT  

www.nccrcd.nhs.uk/nursesmidwivesandahp/www.nccrcd.nhs.uk/nursesmidwivesandahp/

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

HousekeepingHousekeeping

1:00 pm concurrent sessions1:00 pm concurrent sessions– Reproductive Health Seminar Room 8Reproductive Health Seminar Room 8– Cancer LT1Cancer LT1

2:45 pm Session 3 Vascular LT12:45 pm Session 3 Vascular LT1 QuestionnaireQuestionnaire Certificate of attendance from StaceyCertificate of attendance from Stacey TrusTech standTrusTech stand Slides will be availableSlides will be available