Best research for best practice: policy and practice in clinical research nursing. RCN Research Society Supported by Nurse Researcher

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1 Best research for best practice: policy and practice in clinical research nursing RCN Research Society Supported by Nurse Researcher

2 Understand new research infrastructures and opportunities within the NHS Describe and envisage the role of a clinical research nurse Increase understanding of clinical academic careers and research careers

3 NHS Agenda NHS Constitution

4 Up to 8m per NHS trust UKCRC UKCRN UKCRF s Increased clinical research activity cost, quality and time

5 Competition within Europe and USA Delay in research approval Poor infrastructure place and people Poor recruitment to target

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7 The UK Clinical Research Collaboration (UKCRC) is a partnership of organisations working to establish the UK as a world leader in clinical research, by harnessing the power of the NHS. Our aim is to re-engineer the environment in which clinical research is conducted in the UK, to benefit the public and patients by improving national health and increasing national wealth.

8 Developing a comprehensive infrastructure to underpin clinical research. Building up an expert research workforce to support clinical workforce. Developing incentives for research in the NHS. Streamlining the regulatory and governance environment. Developing a coordinated approach to research funding.

9 CLRN Topics, CLRN and Specialty Groups NIHR Portfolio Studies UKCRN Cancer Mental Health Children s Diabetes Stroke Ageing Primary Care Specialty Groups (L/N) Clinician Sessions Research Governance Infrastructure & Service Support Costs

10 26 Clinical Specialty Groups Non- malignant haematology Cardiovascular Clinical Genetics ENT Ophthalmology Infections diseases and microbiology Immunology and inflammation Injuries and accidents Metabolic and endocrine Musculoskeletal Neurological disorders Oral and dental Gastrointestinal Hepatology Renal Urogenital Reproductive Health and Childbirth Respiratory Dermatology Public Health Research Health Services Research Paediatrics Age and ageing Critical Care Surgery Anaesthetics

11 Increase research culture All NHS Trusts engaged with research networks 95% research active Improve recruitment to target From 39% to 74% Reduce research approval time to 70 days Approximately 51 days

12 Review Panel Report-2009 Congratulated on impressive achievements to date especially in view of the immense scale and pace of change and the internationally unique nature of the venture. Nothing like this had ever been attempted anywhere else in the world and thus there are no benchmarks on which to draw. Progress had been admirable.

13 National Clinical Research Facilities/ Network Dedicated facilities responsible for identifying, developing and sharing effective systems for the management of UK clinical research and experimental medicine infrastructure. CRFs -5 Welcome funded in in 2005 and 44 in 2010

14 Clinical Research Workforce Clinical Research Facility Network CLRN Nurse Leads Group NHS Trust Leads for Research Think-Tank 25 th June 2010 Affiliations RCN, RCM, Health Professionals Council

15 Support research leads and funders to develop protocols and patient information Assist with set up and approval Consent Research related clinical care observations, questionnaire, new drug, blood letting, bone marrow aspiration, ultrasound scans Collect data Patient advocate Project and people management Estimated to be > 2500 in England RCN online community

16 Dedicated world class research facilities Induction and training programme Established band 5/6 training posts Transferable skills Masters clinical research programme Team leads/mentors Career pathway developing 20% willing and able to lead own research

17 Clinical Academic Doctors EWTD Clinical Academic Role Expansion Qualified Nurses Unregistered Practitioner Health Care Assistants Degree Exit An unqualified nurse doing nursing duties Role Expansion

18 Finch report Need to increase capacity and capability of nurse, midwife and AHP led research NIHR research fellowships Clinical Academic Training (CAT) Program Masters Doctorate Clinical lectureship Senior clinical lectureship

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20 Report by Prime Minister s Commission Recommendation 19 - Integrating practice, education and research An urgent review must be conducted on how to strengthen the integration of nursing and midwifery practice, education and research; develop and sustain the education workforce; facilitate sustainable clinical academic career pathways between the NHS, other health providers and universities; and further develop nurses and midwives research skills. Page 103, March 2010

21 Clinical role Academic activity

22 => 50% Clinical (expertise, direct pt contact) ~ 25% Research ~ 25% Education? Roles in the NHS

23 Clinical academic career within the NHS Nurse Specialist Band 6,7 Nurse Consultant Band 8a, 8b Associate/ Clinical Chair (Professor) Band 8c, 8d

24 CLRN Topics, CLRN and Specialty Groups NIHR Portfolio Studies UKCRN Cancer Mental Health Children s Diabetes Stroke Ageing Primary Care Specialty Groups Clinician Sessions Research Governance Infrastructure & Service Support Costs

25 Career Journey Senior Fellow Bradford Institute for Health Research Senior Lecturer University of Bradford present Gerry Armitage Senior Lecturer Children s Nursing Bradford 2004 DoH Research Fellowship PhD Post Grad Cert. Res Methods MSc Courses Leader RN Child Post Reg./Grad provision Lecturer Post Reg Short Courses Student Teacher BSc (Hons) with Education Staff Nurse/Post Reg. student Paediatric Renal Unit Student & Staff Nurse RN Staff Nurse Critical Care Student & Staff Nurse Paediatrics Charge Nurse*** Acute Paediatrics

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27 Qualifications GSCE/A Levels NVQ Registered Nurse Certificate Diploma Degree PG Certificate APEL PG Diploma Masters MPhil PhD Post PhD Clinical skills Advanced skills Research experience Management experience Supervision 2 nd gateway Line management (area/people) A4C band Band 5 (max 2 yrs) Band 6 Band 7 Band 8 Influence/function Consolidation Self Others Organisation & National Clinical Research Route Research training Nurse Led Research Route Academic - teaching Clinical post Roles & opportunities Assist others Clinical nurse post Nurse specialist Clinical research Research networks Masters Advanced skills Clinical or research Management Research team lead Research faculty Research network