update on research in nursing, midwifery & allied health professions at cmft kinta beaver...
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Update on Research in Nursing, Midwifery & Allied Health Professions
at CMFT
Kinta BeaverProfessor of Nursing
Bigger picture
Biomedical Research Centre (BRC)
Collaborative Leaderships in Applied Health Research & Care (CLAHRC)
Manchester Academic Health Sciences Centre (MAHSC)
What’s going on in Nursing, Midwifery & AHP research at CMFT?
Making health care research a priority
• Cooksey Report (2006) - review of health care research
– UK strong in Basic Science (lab)– Gaps in translation
• 1st gap – translation from lab into development of new products/interventions
• 2nd gap – Implementation of new products/interventions into clinical practice
• More emphasis on translational medicine, health services research and applied health care research
Making health care research a priority
• How does this impact on research in nursing, midwifery & AHPs?
•Nursing, Midwifery AHP research historically more to the RIGHT !!
Basic Science Translational Research Health Services Research
Applied Health Care
Research
Biomedical Research Centre (BRC)
• Biomedical Research Centre (March 2008)• Translational research • Lab to bedside
• Focus on: • Experimental Therapeutics • Genetic & Developmental Medicine • Tissue Injury & Repair
Funded by National Institute for Health Research (NIHR); also supported by theNorth West Regional Development Agency, Manchester City Council andcommercial partners. • Funding opportunities
• Fellowship awards (attracting best applicants nationally)• Pump priming initiatives – health economics, small project grants• New professors (n=12)
Collaborative Leaderships in Applied Health Research and Care (CLAHRC)
• 9 CLAHRCs established to undertake high-quality applied health research focused on the needs of patients and to support the translation of research evidence into practice in the NHS.
– Greater Manchester CLAHRC (October 2008)– £20m (NIHR matched funding), 5 year programme– University of Manchester + 19 primary care and acute hospital trusts – Focus on vascular disease (stroke, CKD, diabetes, cardiovascular)
• 4 research themes:– Patients– Practitioners– Services– Information Systems
• 4 Implementation themes related to the 4 diseases (CMFT involvement)
Manchester Academic Health Sciences Centre (MAHSC)
• March 2009 official national status
• 5 AHSC – 3 London, 1 Cambridge, 1 Manchester
• The seven members of MAHSC:– Central Manchester University Hospitals NHS Foundation Trust – Christie Hospital NHS Foundation Trust – Manchester Mental Health and Social Care Trust – Salford Primary Care Trust – Salford Royal NHS Foundation Trust – University Hospital of South Manchester NHS Foundation Trust – The University of Manchester
Partnership working
A shared vision and strategy for health research in Greater
Manchester, including agreement to research programme
priorities and a framework to achieve sustained excellence
A collective brand and image for that research
Establishment (through investment and streamlining) of an
internationally competitive platform of research
infrastructure, coordinated and shared between the
members of MAHSC
What’s going on in Nursing, Midwifery & AHP research at CMFT?
Making research in Nursing, Midwifery & AHP a priority
• New appointments in 2008
– Chair in Nursing (Kinta Beaver)
– Chair in Midwifery (Tina Lavender)
– Research Fellow (Tim Twelvetree)
• Building on strong links with School of Nursing, Midwifery & Social Work
• New appointment in 2009– Lead Research Nurse
External review of Research at CMFT
• To ensure that research is directed to the goals of the Biomedical Research Centre (BRC) and aligned to BRC themes.
– Genetics & Developmental Medicine
– Experimental Therapeutics
– Tissue Injury & Repair.
• To make a step change in research performance prior to renewal of BRC status in 2012
• A lack of clarity exists on the extent and quality of ongoing research.
Review panel members Francis Creed Professor of Psychological Medicine (University of Manchester)Peter FriendDirector of the Oxford Transplant Centre and Professor of Transplantation in the Nuffield Department of Surgery, Oxford University Anne Marie RaffertyDean and Professor of Nursing Policy (King's College, London) Colin Sibley (Chair)Professor of Child Health & Physiology, Director, Tommy’s Maternal and Fetal Health Research Centre, University of Manchester.Terence StephensonProfessor of Child Health, Dean of the Faculty of Medicine and Health Sciences, University of Nottingham.Gareth WilliamsProfessor of Medicine, Dean of the Faculty of Medicine & Dentistry (University of Bristol)
Format •Each division asked to collate their research income and output, and produce a SWOT analysis
– Research Managers
– Children, Clinical & Scientific Services, Dental, Eye, Medical & Specialist Services, St Marys, Surgery
•Each division to give a presentation to the review panel and respond to questions and queries (28.10.08)
•Panel had been asked for advice regarding research projects, areas, disciplines or divisions that will derive maximum benefit from strategic investment.
•Asked to recommend areas for investment and possible disinvestment
Nursing is not a Division
•Research in nursing, midwifery & AHP’s is under-developed nationally
•DoH drive to develop career pathways that combine clinical practice & academia (Finch Report)
•Research strengths in Health Services Research, Applied Health Care research, psycho-social care and complex interventions
•Current focus of funding on patient benefit (RfPB, NIHR Programme grants for applied health care research)
•Hence, opportunity to examine our own areas of research strength and weakness and show how we can make a positive contribution to the research agenda
Our Starting Point
• Creating a research culture
• Survey of all qualified nurses, midwives & AHP’s
– Skills
– Potential
– Value of research
– Existing support
– Barriers
• Significant research activity – Primarily from university staff
with honorary contracts
• Research groups– Midwives Undertaking
Research Group (MURG) – Paediatric Research and Audit
Nurses Group (PRANG) – Research Practice Network -
research nurses – Children’s research group
Research Interests:Across Divisions and BRC themes
Medical & Specialist Services• Peritoneal sclerosis in patients on
CAPD (Hurst)• Reducing infection rates from
venous access devices (Kemp)• Trunk muscle stabilisation training
for low back pain (Oldham) • Psychosocial factors and re-
presentation of patients with ST elevation MI (Iles Smith)
Surgery• Nutritional care pathways for
colorectal cancer patients (Burden)
• Telephone follow-up after treatment for colorectal cancer (Beaver)
Saint Mary’s• Parenting after discharge from
neonatal Intensive Care (McLean)• Origins of abnormal fetoplacental
blood flow (Mills) • Prevention & management of
prolonged labour (Lavender) • Patient benefits from clinical
genetics services (McAllister) Eye• Glaucoma – adherence to
medications (Waterman) • Management of post op pain in
opthamology (Stanford)Children• Asthma self management (Callery)
Strengths
• Established links with SNMSW– Top rated School of Nursing– MPhil/PhD, new MRes– Track record of research links
to CMFT– Collaborative links with other
Trusts e.g. Prof Deaton (UHSM)
• Building programmes– Improved facilities– Improved working
environment
Strengths
• Track record in NIHR funding
• 69% of overall funding
• Focus on improving patient care, patient benefit
• CLAHRC (research & implementation themes)
• Quality of publications increased in last 2 years• From 30% up to 46% - top
25% of journals• From 42% down to 26% -
bottom 25% of journals• Diversity of research fields &
research methods
Consider: output primarily from university staff with
honorary research contracts rather than clinical staff at
CMFT
Goals
• Develop a sustainable research strategy
• Increase research capacity and capability
• Increase numbers of PI’s
• Increase research income directly associated with CMFT nursing, midwifery & AHP staff
• Develop a national and international reputation for research excellence
Positive feedback from panel
Potential for development Develop research strategy Focus our research efforts on areas of strength
Survey
• Survey of all qualified nurses, midwives & AHP’s
– Skills
– Potential
– Value of research
– Existing support
– Barriers
Survey
• Approx 25% response rate• 724 responses
– 549 nurses– 53 midwives– 119 AHPs
Academic/professional Qualifications* Number % of all respondents (n=724)
Professional Registration (RGN, RN, RM, RSCN 497 69.0
Diploma (Nursing) 290 40.0
Diploma (not Nursing) 62 9.0
Bachelors Degree (Nursing) 191 27.0
Bachelors Degree (not Nursing) 168 23.0
Taught Masters 53 7.0
Masters Degree by Research 9 1.0
PhD (Nursing/Midwifery) 0 0.0
PhD (not Nursing/Midwifery) 2 0.3
*may have answered in more than one category
Survey
External grants as PI
– 1 nurse, 1 midwife, 1 AHP
Publications in peer reviewed journals
Yes 10.5% (n=70)
Number % of all respondents
(724)
I am interested in research but I don’t have the time to get involved 316 44
I am interested in research but I don’t have the skills and ability to get involved 161 22
I am interested in research but there is little or no support from the Trust 105 15
I am interested in research and I am involved in research 89 12
I am interested in research but I do not want to get involved 79 11
I have no interest in research but I do understand the value of research 67 9
I have no interest in research and do not want to get involved 16 2
We have the interest !
Developing a Research Strategy • Responsive to broader developments locally, regionally and nationally
• Applicable to Nursing, Midwifery & AHPs
• Working with senior professional leads in nursing, midwifery & AHP todevelop this strategy document
• 5 year plan (with review after 2-3 years)
• Multi-professional Research Advisory Group & Multi-professional ResearchOperational Group
Developing a Research Strategy
Aim: to raise the profile of research in nursing, midwifery and AHP byIncreasing both research capacity and capability, thereby improving patient outcomes.
Objectives and activity to support objectives
Key Performance Indicators and targets for years 1-3
Research focus: health services interventions, outcomes and patient and familyexperiences.
Almost done !!
Current Opportunities
• Interested in a clinical research career?– NIHR Clinical Academic Training Pathway for Nurses, Midwives and
Allied Health Professions • www.nccrcd.nhs.uk/nursesmidwivesandahp/
• Want to publish your work?– Publication Learning Sets
• Want to lead your own research project?– Trust RfPB scheme (prior to submitting for NIHR RfPB). Closing date
29th April
Contact Us
• Kinta Beaver– [email protected]
– Tel: 0161 306 7779
• Tim Twelvetree– [email protected]
– Tel: 0161 306 7879