Capturing the impact of Nurse Consultant Posts

Report
Kate Gerrish, Ann McDonnell, Fiona Kennedy
Programme
13.00
Welcome & overview of the research project Kate Gerrish
13.15
Framework for capturing impact on patient, Ann McDonnell
staff and the organisation
13.25
Practicalities of capturing impact
Ann McDonnell
13.35
Toolkit for capturing impact
Fiona Kennedy
13.55
Nurse consultants’ experiences of
capturing impact
Iain Armstrong
Gill Bell
14.15
Question time
Presenters
14.40
Break
15.00
Group work – using the toolkit to capture
impact
Kate Gerrish
(co-ordinator)
16.10
Panel discussion
Kate Gerrish (Chair)
16.40
Closing remark
Kate Gerrish
Kate Gerrish, Professor of Nursing Research
University of Sheffield/Sheffield Teaching Hospitals NHS FT
Email: [email protected]
Funded by The Burdett Trust for Nursing
Nurse consultants (NC) introduced into the NHS in England in
2000
Gradual increase in numbers: 1091 NCs in post by 2010
Early evaluation: evidence of perceived impact on service
development & leadership of frontline staff (Guest et al. 2004)
Overall little robust evidence on the actual impact of NCs
Impact of these multi-faceted roles is inherently hard to
capture (Guest et al. 2004)
Four components of role
• Expert practice
• Professional leadership & consultancy
• Education, training & development
• Service development, research & evaluation
Issue of process and outcome
Potential framework for outcome indicators (Gerrish et al 2007)
• Clinical significance – patients
• Professional significance – staff
• ? Organisational significance – internal and external
To identify a range of indicators to
demonstrate the impact of nurse consultants
on patient, staff and organisational outcomes
To develop a toolkit/guidance to help nurse
consultants to demonstrate their impact on
patient, staff and organisational outcomes
Stage 1
Systematic literature review (Kennedy et al 2011)
Stage 2
Mapping exercise of nurse consultants
Stage 3
Case studies of nurse consultants
Stage 4
Iterative specialist panel linked to each case study
Stage 5
Composite toolkit/guidance
•whether the NC managed their own caseload
Purposive
sampling of 6 NCs
in 5 hospitals in 2
trusts to achieve
maximum
variation
Specialisms
•whether the NC acted as a specialist advisor
to front-line staff
•the extent to which the role crossed
organisational and professional boundaries
•the extent to which the nurse consultant
worked independently or as part of a multidisciplinary team
•Gynaecology, neonatal care, pulmonary
hypertension, sexual health, stroke, urology
Participant
Data collection
Nurse consultant
In-depth interview
Follow-up in depth interview
Professional
colleagues
Semi-structured interview
Patients and family Semi-structured interview
members
Data analysis
Framework approach
(Ritchie and Spencer 1994)
Specialist panel for each NC involving the NC, key stakeholders
and the research team
Areas of impact identified in case studies reviewed and consensus
established regarding most important to capture and how
NCs worked with research team for 6-8 weeks to pilot between 26 data collection instruments and strategies
Follow up interviews with NC
Exploration of practicalities of capturing impact
Based on
research
findings
Framework for capturing impact
Practicalities of capturing impact
Examples of tools used by NCs
Initial
validation
NCs involved in project
Wider group of nurse/midwife consultants
Project Advisory Group – nurse consultants, chief nurses,
lead nurse, patient representatives, academic researcher

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