kate sanders – foundation of nursing studies alison dinning, jo cooper, kathryn draper – nuh
DESCRIPTION
Knowing why we do what we do? Establishing a Unit Practice Council to improve evidence based nursing in acute medicine using Appreciative Inquiry. Kate Sanders – Foundation of Nursing Studies Alison Dinning, Jo Cooper, Kathryn Draper – NUH Wendy Walker – University Of Nottingham. - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Kate Sanders – Foundation of Nursing Studies Alison Dinning, Jo Cooper, Kathryn Draper – NUH](https://reader035.vdocument.in/reader035/viewer/2022070410/56814683550346895db3a52a/html5/thumbnails/1.jpg)
Knowing why we do what we do?
Establishing a Unit Practice Council to improve evidence based nursing in acute medicine using
Appreciative Inquiry
Kate Sanders – Foundation of Nursing Studies
Alison Dinning, Jo Cooper, Kathryn Draper – NUH
Wendy Walker – University Of Nottingham
![Page 2: Kate Sanders – Foundation of Nursing Studies Alison Dinning, Jo Cooper, Kathryn Draper – NUH](https://reader035.vdocument.in/reader035/viewer/2022070410/56814683550346895db3a52a/html5/thumbnails/2.jpg)
Nottingham University Hospitals NHS Trust
• NUH is the fourth largest teaching hospital in the UK - 87 wards and circa 1,700 beds.
• Employs 13,000 staff. • We provide services to over 5.5 million
residents of Nottinghamshire and surrounding counties
• 3 Sites - Queen’s Medical Centre, Nottingham City Hospital and Ropewalk House.
• Many specialist services, include Trauma, stroke, renal, neurosciences, cancer services and trauma
• One of the biggest EDs in Europe – approx 450 patients per day (164,000 per year)
• The Trust has an annual income of £722.5million
• Strong relationship with University of Nottingham and other universities across the East Midlands, including Loughborough University.
![Page 3: Kate Sanders – Foundation of Nursing Studies Alison Dinning, Jo Cooper, Kathryn Draper – NUH](https://reader035.vdocument.in/reader035/viewer/2022070410/56814683550346895db3a52a/html5/thumbnails/3.jpg)
Context of study
• Trust vision to become a Magnet Hospital• Shared Governance – Develop Unit Practice
Councils• UPC Project supported by Jenny Leggott
(Director of Nursing)• Secondment of Critical Skills Nurse Educator to
Trust Preceptorship Team• Focussing on Acute Admissions Areas initially
![Page 4: Kate Sanders – Foundation of Nursing Studies Alison Dinning, Jo Cooper, Kathryn Draper – NUH](https://reader035.vdocument.in/reader035/viewer/2022070410/56814683550346895db3a52a/html5/thumbnails/4.jpg)
Why Ward B3?
• Many Acutely ill patients due to direct Patient referrals from GP and ED
• Enthusiastic team• Lots of newly qualified nurses
• 90 WTE registered nurses (16 are newly qualified)• 20 non-registered nurses
![Page 5: Kate Sanders – Foundation of Nursing Studies Alison Dinning, Jo Cooper, Kathryn Draper – NUH](https://reader035.vdocument.in/reader035/viewer/2022070410/56814683550346895db3a52a/html5/thumbnails/5.jpg)
Summary of Project
• Establish and evaluate the development of a Unit Practice council on B3 using principles of shared governance
• Research supported by Kate Sanders and Foundation of Nursing Studies
• Bring decision-making to frontline clinical practice in relation to caring for Acutely ill patients.
• Support staff with relevant evidence-based practice
• Use an Appreciative Inquiry Approach
![Page 6: Kate Sanders – Foundation of Nursing Studies Alison Dinning, Jo Cooper, Kathryn Draper – NUH](https://reader035.vdocument.in/reader035/viewer/2022070410/56814683550346895db3a52a/html5/thumbnails/6.jpg)
Collection of data• A validated measure of nurse practice
environment collected at month 3, 9 and 13 (Measures autonomy, support, perceived patient safety culture and job satisfaction from Nursing Work Index – revised Aiken and Patrician, 2000)
• Qualitative data from two Appreciative Inquiry guided UPC focus groups / study days
• Focus group interviews (Analysis using Systematic Framework Analysis – Ritchie et al, 2003)
![Page 7: Kate Sanders – Foundation of Nursing Studies Alison Dinning, Jo Cooper, Kathryn Draper – NUH](https://reader035.vdocument.in/reader035/viewer/2022070410/56814683550346895db3a52a/html5/thumbnails/7.jpg)
Opportunities
• Develop a Unit Practice Council on B3 (with FONS support) as a pilot site for NUH
• Use Appreciative Inquiry as a methodology
• Opportunity for research lead /team to develop personal knowledge and skills in research and using AI
![Page 8: Kate Sanders – Foundation of Nursing Studies Alison Dinning, Jo Cooper, Kathryn Draper – NUH](https://reader035.vdocument.in/reader035/viewer/2022070410/56814683550346895db3a52a/html5/thumbnails/8.jpg)
Challenges
• Commitment and engagement from frontline clinical staff and patients
• Equipping staff with skills and support to implement change.
• Allocation of sufficient time• Adoption of a shared governance
approach• Using AI as our research methodology
![Page 9: Kate Sanders – Foundation of Nursing Studies Alison Dinning, Jo Cooper, Kathryn Draper – NUH](https://reader035.vdocument.in/reader035/viewer/2022070410/56814683550346895db3a52a/html5/thumbnails/9.jpg)
However……• Focus of research has already changed from original
aims
• Study Day led by FONS facilitator has identified with the ward team that work needs to be focussed on key areas that were not previously identified
• Appreciative Inquiry is a really effective methodology to use
• Method of collecting data will need to change
![Page 10: Kate Sanders – Foundation of Nursing Studies Alison Dinning, Jo Cooper, Kathryn Draper – NUH](https://reader035.vdocument.in/reader035/viewer/2022070410/56814683550346895db3a52a/html5/thumbnails/10.jpg)
Thank you