SummaryThe importance of evidence-based care for patients with diabetes is well established, and the evidence required to make decisions about patient care is generated through research and audit. The rigours of the research process and the need to enrol large numbers of patient volunteers in a timely manner has meant that most studies are now conducted at multiple sites. Research infrastructure is costly to implement, but is important for successful clinical research projects. By establishing permanent networks this infrastructure can be maintained and built upon.Research nursing has evolved as a new but very important discipline within the nursing profession in recent years and it has been pivotal for the success of many studies. In this article we examine the potential for clinical research networks to facilitate high quality clinical research and in particular the development of the research nurse role.
Findings will help develop criteria to objectively and proactively define complex patients and improve care through greater team collaboration. Results Before the teaching programme, 26/30 respondents (87%) wished for further palliative care education. Key concerns included pain and symptom management, and a need for a key point of regular contact for advice. After the programme a second staff survey was conducted. 13/17 respondents were keen for more palliative care education. Their main concerns were pain (10), end of life care (10), advance planning and DNACPR (6), care of relatives (1). Of note, this was not the same group that received education or who replied to the first survey. Programme attendees who gave feedback reported increased awareness of palliative care. Following the training programme, relatives (n=10) felt care in Biggart was 'always good' (10/10), pain/symptoms 'always' or 'usually' well managed (5/10; 5/10 respectively); sufficiently supportive both emotionally (8/10) and spiritually (4/10). Conclusions Joint working improved relationships, skills and confidence. ANP visits consolidated this new approach. Education programme was valued by attendees albeit numbers were small. Education programmes need learner and management commitment to support attendance. Pain, spiritual support and care of relatives remain key areas for ongoing education. 121
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