Research Nurse Framework Auckland District Health Board Rachael Parke Nurse Senior Research Fellow Cardiothoracic and Vascular ICU 7 th March 2016
Today Background to framework Work undertaken Existing Framework Position descriptions What happens next
Background Research nurses everywhere! No consensus on employment practices Current practising certificate NZNC No consistent job titles Responsibilities Pay Grading
Background 2004 model for integrative practice including the ADHB senior nursing model implemented Excluded research nurses Research roles on the senior nurse salary scale were reviewed and scoped to Grade 2 Questions re validity
This framework is: 1. A response to those questions 2. An attempt to clarify where research nurse roles fit in the broader context of nursing at ADHB
Research Nurse Roles Clinical Research Nurse Managerial Educational
Research Nurse Roles Clinical Advocate; educate pt; consent; procedural knowledge; assessment; AEs; drugs Research Nurse Managerial Educational Manages/coordinates research projects; ethics; protocols; documentation; recruitment; data; samples; financials; ethics Participants; staff; team; self
Framework Objectives Identify and standardise research nurse roles Ensure nurse research roles employment terms and conditions are consistent with the NZNO/DHBNZ MECA Develop appropriate business rules or employment of nurses in research roles/projects Align nursing research roles to organisational and strategic plans Develop role profiles across health and academic sectors Provide guidance on key areas of competence Detail qualifications required to pursue a specific role
Research Titles Research Nurse Specialty Clinical Nurse (Research) Research Nurse Coordinator Nurse Research Fellow or Nurse Senior Research Fellow
Research Nurse Position Purpose Research Nurse To act with a degree of autonomy providing nursing care as determined by the research design/protocols. To use nursing judgement, knowledge and skills to meet the needs of patients and their families as defined by the research design. To provide support and assistance to the Principal Investigator and / or research team in the clinical arena. To assist with data collection, coding, data entry and analysis. An active role in ethical requirements. Accountabilities Clinical professional leadership Management of care / care coordination Refer to ADHB Research Nurse position description Practices in accordance with legal, ethical and culturally safe and professional standards Coordination of patient care in accordance with with legal, ethical and culturally safe and professional standards Coordination of patient care in accordance with research protocol/ design Education and teaching Education of research participants where appropriate Qualification Registered Nurse Experience & Relevant post registration clinical experience. knowledge Knowledge and understanding of the research process Grade RN Level 2-4
Research Nurse Purpose To act with a degree of autonomy providing nursing care as determined by the research design/protocols. Management of care / care coordination Education teaching Qualification Experience and & To use nursing judgement, knowledge and skills to meet the needs of patients and their families as defined by the research design. To provide support and assistance to the Principal Investigator and / or research team in the clinical arena. To assist with data collection, coding, data entry and analysis. An active role in ethical requirements. Practices in accordance with legal, ethical and culturally safe and professional standards Coordination of patient care in accordance with legal, ethical and culturally safe and professional standards Coordination of patient care in accordance with research protocol/ design Education of research participants where appropriate Registered Nurse Relevant post registration clinical experience. knowledge Knowledge and understanding of the research process Grade RN Level 2-4
Specialty Clinical Nurse (Research) Position Purpose Specialty Clinical Nurse (Research) To use nursing judgement, knowledge and skills to meet the needs of patients and their families as defined by the research design. To provide support and assistance to the Principal Investigator and / or research team in the clinical arena. Liaising with multi-disciplinary research teams. To assist with data collection, coding, data entry and analysis. Accountabilities Clinical professional leadership Refer to ADHB Specialty Clinical Nurse [Research} position description Lead small team of research nurses. Engages in quality improvement activities. Management of care / care coordination Education and teaching Promotes best practice and contributes to enhancing evidence-based nursing. Practices in accordance with legal, ethical and culturally safe and professional standards. Coordination of patient care in accordance with research protocol/design Teaching patients and staff Qualification Registered Nurse with post-graduate certificate and/or specialist knowledge Experience & knowledge required for each research project. Experience of running concurrent research studies with minimal supervision to the standards required by good clinical research practice. Ability to give advice on the organisation and management of the research in progress. Grade Senior Nurse Grade 1-2
Specialty Clinical Nurse (Research) Position Purpose Specialty Clinical Nurse (Research) To use nursing judgement, knowledge and skills to meet the needs of patients and their families as defined by the research design. To provide support and assistance to the Principal Investigator and / or research team in the clinical arena. Liaising with multi-disciplinary research teams. To assist with data collection, coding, data entry and analysis. Accountabilities Clinical professional leadership Refer to ADHB Specialty Clinical Nurse [Research} position description Lead small team of research nurses. Engages in quality improvement activities. Management of care / care coordination Education and teaching Promotes best practice and contributes to enhancing evidence-based nursing. Practices in accordance with legal, ethical and culturally safe and professional standards. Coordination of patient care in accordance with research protocol/design Teaching patients and staff Qualification Registered Nurse with post-graduate certificate and/or specialist knowledge Experience & knowledge required for each research project. Experience of running concurrent research studies with minimal supervision to the standards required by good clinical research practice. Ability to give advice on the organisation and management of the research in progress. Grade Senior Nurse Grade 1-2
Research Nurse Coordinator Purpose Leading the implementation of research projects and negotiating research budgets; responsible for nursing and financial elements of research projects. Responsible for submissions to research ethics committees, developing relations with sponsoring companies, advising specialists in the field on the application of research, dissemination and publication of research findings. Accountabilities Refer to ADHB Research Nurse Coordinator position description plus line Clinical leadership professional management accountability Coordinate and lead a larger team of research nurses Fosters inquiry, critical thinking and research skill acquisition among nursing workforce to advance nursing practice and patient/client care. Demonstrates commitment to quality improvement, risk management and appropriate resource utilisation Promotes best practice and contribute to enhancing evidence-based nursing. Management of care / care coordination Education and teaching Practices in accordance with legal, ethical and culturally safe and professional standards Ensures of patient care in accordance with research protocol/design Teaching staff Qualification Experience & knowledge Registered Nurse with Masters level degree in relevant clinical and research topics, or second degree in relevant field eg management. Development of research protocols and study documentation; negotiating contracts with sponsoring companies; supervision of research teams. Co-investigator on studies. Comprehensive knowledge to enable costing of clinical trials appropriately; understanding of the complexity of ethical issues for research staff involved clinical research Grade Senior Nurse Grade 2-4
Research Nurse Coordinator Purpose Leading the implementation of research projects and negotiating research budgets; responsible for nursing and financial elements of research projects. Responsible for submissions to research ethics committees, developing relations with sponsoring companies, advising specialists in the field on the application of research, dissemination and publication of research findings. Accountabilities Refer to ADHB Research Nurse Coordinator position description plus line Clinical leadership professional management accountability Coordinate and lead a larger team of research nurses Fosters inquiry, critical thinking and research skill acquisition among nursing workforce to advance nursing practice and patient/client care. Demonstrates commitment to quality improvement, risk management and appropriate resource utilisation Promotes best practice and contribute to enhancing evidence-based nursing. Management of care / care coordination Education and teaching Practices in accordance with legal, ethical and culturally safe and professional standards Ensures of patient care in accordance with research protocol/design Teaching staff Qualification Experience & knowledge Registered Nurse with Masters level degree in relevant clinical and research topics, or second degree in relevant field eg management. Development of research protocols and study documentation; negotiating contracts with sponsoring companies; supervision of research teams. Co-investigator on studies. Comprehensive knowledge to enable costing of clinical trials appropriately; understanding of the complexity of ethical issues for research staff involved clinical research Grade Senior Nurse Grade 2-4
Research Nurse Fellow Purpose Accountabilities Clinical professional leadership Provides leadership in research activity and development, working to bring together the right composition research teams for the right research projects. Active locally, regionally and nationally in terms of furthering the institutional research agenda; leads by example in terms of research activity and publications Refer to ADHB Nurse Research Fellow position description plus line management accountability May be joint appointment with tertiary institution or acknowledged with honorary appointment Initiates and leads the development of research that improves patient/workforce outcomes. Develops and promotes effective working relationships with diverse multidisciplinary teams and population groups to develop supportive environments for research. Provision of support, mentoring and training for DHB and primary care based practitioners in enquiry, evaluation research and research methods. Promotion of institutional profiles locally, nationally and internationally. Management of care / care coordination Education and teaching Qualification Experience & knowledge Grade Promotes best practice and contribute to enhancing evidence-based nursing. Practices in accordance with legal, ethical and culturally safe and professional standards Development of research design/protocol that ensures patient care is to legal, ethical and professional standards Teaching staff and students Registered Nurse working towards a Doctoral degree or has a Doctoral degree (Senior Nursing Research Fellow) Principal investigator, named investigator or site investigator; develops investigatorinitiated projects; seeks external funding from research agencies/companies; membership of national committees; peer reviewing for leading journals; supervising post graduate students. Knowledge of international guidelines for good research practice. Lead or last author in high impact journal publications Appropriate academic grade
Research Nurse Fellow Purpose Accountabilities Clinical professional leadership Provides leadership in research activity and development, working to bring together the right composition research teams for the right research projects. Active locally, regionally and nationally in terms of furthering the institutional research agenda; leads by example in terms of research activity and publications Refer to ADHB Nurse Research Fellow position description plus line management accountability May be joint appointment with tertiary institution or acknowledged with honorary appointment Initiates and leads the development of research that improves patient/workforce outcomes. Develops and promotes effective working relationships with diverse multidisciplinary teams and population groups to develop supportive environments for research. Provision of support, mentoring and training for DHB and primary care based practitioners in enquiry, evaluation research and research methods. Promotion of institutional profiles locally, nationally and internationally. Management of care / care coordination Education and teaching Qualification Experience & knowledge Grade Promotes best practice and contribute to enhancing evidence-based nursing. Practices in accordance with legal, ethical and culturally safe and professional standards Development of research design/protocol that ensures patient care is to legal, ethical and professional standards Teaching staff and students Registered Nurse working towards a Doctoral degree or has a Doctoral degree (Senior Nursing Research Fellow) Principal investigator, named investigator or site investigator; develops investigatorinitiated projects; seeks external funding from research agencies/companies; membership of national committees; peer reviewing for leading journals; supervising post graduate students. Knowledge of international guidelines for good research practice. Lead or last author in high impact journal publications Appropriate academic grade
Working group Members Objectives Review currently available PDs for content Review currently available PDs in line with newly proposed research nurse framework Develop suggested competencies for individual research groups/areas Terms of Reference Minutes Met every two weeks
Position descriptions
What happened next? NZNO informed Mapping exercise from current PD to revised PD and confirmation of titles
What happened next? NZNO informed Mapping exercise from current PD to revised PD and confirmation of titles
We re happy to share rparke@adhb.govt.nz
rparke@adhb.govt.nz