Capacity building - a challenge for nurse managers

Severinsson, Elisabeth

doi:10.1111/jonm.12209

Cited by 14 publications

(17 citation statements)

References 12 publications

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“…Review of the literature indicates that initiatives to enhance clinical research capacity should address three main areas; leadership, expertise and capacity [11, 23]. Strong leadership has long been advocated as a key element in clinical research capacity building [8, 10, 21, 22, 24].…”

Section: Introductionmentioning

confidence: 99%

“…The use of collaborations or networks [8, 22, 23, 26, 27], is a common feature of support advocated [25]. This can be of several different forms but usually embraces using experts in the area [8], either academics [11, 28] or other clinicians both within and outside of the discipline [13] and utilising different modes of mentorship [29].…”

Section: Introductionmentioning

confidence: 99%

“…Whether this is to provide direct support to single researchers, finding funding for research facilitator posts or other resources [8, 25], investments in infrastructure or other aspects of an initiative [20, 25] or building elements of sustainability and continuity [11]. Support can also be provided through the development of an educational programme or educational providing opportunities [8, 9, 13, 19, 23, 25, 30] or through the use of journal clubs [13] newsletters and monthly research meetings [19]. But overall it is evident that the leadership model utilised should provide a good support management system that will, in addition to the above, increase awareness of research within units [8, 25] so as to increase the capacity of individuals to engage in research.…”

Section: Introductionmentioning

confidence: 99%

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Describing the implementation of an innovative intervention and evaluating its effectiveness in increasing research capacity of advanced clinical nurses: using the consolidated framework for implementation research

et al. 2017

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BackgroundDespite advanced nursing roles having a research competency, participation in research is low. There are many barriers to participation in research and few interventions have been developed to address these. This paper aims to describe the implementation of an intervention to increase research participation in advanced clinical nursing roles and evaluate its effectiveness.MethodsThe implementation of the intervention was carried out within one hospital site. The evaluation utilised a mixed methods design and a implementation science framework. All staff in advanced nursing roles were invited to take part, all those who were interested and had a project in mind could volunteer to participate in the intervention. The intervention consisted of the development of small research groups working on projects developed by the nurse participant/s and supported by an academic and a research fellow. The main evaluation was through focus groups. Output was analysed using thematic analysis. In addition, a survey questionnaire was circulated to all participants to ascertain their self-reported research skills before and after the intervention. The results of the survey were analysed using descriptive statistics. Finally an inventory of research outputs was collated.ResultsIn the first year, twelve new clinical nurse-led research projects were conducted and reported in six peer reviewed papers, two non-peer reviewed papers and 20 conference presentations. The main strengths of the intervention were its promptness to complete research, to publish and to showcase clinical innovations. Main barriers identified were time, appropriate support from academics and from peers. The majority of participants had increased experience at scientific writing and data analysis.ConclusionThis study shows that an intervention, with minor financial resources; a top down approach; support of a hands on research fellow; peer collaboration with academics; strong clinical ownership by the clinical nurse researcher; experiential learning opportunities; focused and with needs based educational sessions, is an intervention that can both increase research outputs and capacity of clinically based nurses. Interventions to further enhance nursing research and their evaluation are crucial if we are to address the deficit of nurse-led patient-centred research in the literature.Electronic supplementary materialThe online version of this article (doi:10.1186/s12912-017-0214-6) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Describing the implementation of an innovative intervention and evaluating its effectiveness in increasing research capacity of advanced clinical nurses: using the consolidated framework for implementation research

et al. 2017

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“…He also created the time and space for the twin to participate in meetings and the visit to the UK which directly linked to her professional and personal development (Severinsson, 2014); these behaviours were then observed being replicated by other UNMC staff.…”

Section: Additional Benefitsmentioning

confidence: 99%

Developing a national standard for midwifery mentorship in Uganda

Kemp

Bannon²,

Muwema³

et al. 2018

IJHG

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Abstract:Purpose This paper describes the development of a national standard for midwifery mentorship in Uganda, part of a wider quality improvement project which aimed to develop a model of mentorship for Ugandan Midwifery using the principles of action research. It aims to stimulate debate about strengthening the capacity of a health regulatory body, midwifery twinning partnerships and the use of international health volunteer placements. MethodologyMOMENTUM was a 20 month project implemented by the Royal College of Midwives UK (RCM) and the Uganda Private Midwives Association (UPMA). Following a situational analysis, the project was structured around 3 action reflection/quality improvement cycles, participatory workshops, individual twinning relationships between UK and Ugandan midwives and peer exchange visits. The capacity of the Ugandan Nurses and Midwives Council (UNMC) to develop a standard for midwifery mentorship was assessed. A capacity building programme was then designed and implemented to develop the standard for midwifery mentorship. FindingsThe capacity of UNMC was increased and the standard was developed though has yet to be validated and adopted. However, this intervention may not be replicable as a stand-alone intervention because its success was inextricably linked to the wider programme activities and support structures. Practical Implications:Action research, midwifery twinning partnerships and targeted international health volunteer placements can be effective for designing and delivering complex health system changes, for implementing quality improvement, for delivering capacity building initiatives and for facilitating leadership development. Originality/ValueDeveloping a national standard for midwifery mentorship in Uganda 2 This is the first paper describing midwifery twinning to strengthen the capacity of a regulatory body to develop practice standards.

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“…However, innovative approaches that enhance patient and system outcomes require motivation and engagement [10] as well as research capacity [11], collaboration [12], and communication skills [9]. There are many interventions available for change of practice, and education is not necessarily the sole implementation strategy, especially as it has been demonstrated that traditional didactic education does not have much potential for bringing about change [13].…”

Section: Introductionmentioning

confidence: 99%

Implementation Strategies for Improving the Care of Depressed Elderly Persons—Summary of an International Workshop

Severinsson¹,

Holm²

2014

OJN

Self Cite

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The aim of the study was to identify the most important research priorities as well as future strategies for promoting and implementing evidence-based care of depressed elderly persons. An interdisciplinary workshop was organized using a focus group format and the transcript of the discussion was interpreted by means of the qualitative content analysis. The most important research priorities for improving the care of depressed elderly persons, implementation levels, theoretical approaches as well as possible outcomes were analysed on individual consumer, healthcare system, and policy level. A wide range of theories and methods are necessary to identify and explain implementation processes and results. Qualitative and quantitative methodologies in combination with knowledge synthesis were discussed. In addition, the need to summarize the literature in terms of specific issues was emphasized. In conclusion, the implementation strategies for improving the care of depressed elderly persons should be addressed on three levels: individual consumer, healthcare system and policy. Although some aspects of the implementation model may need to be enhanced, the fact that it includes conditions on individual level, i.e. self-management support, is of importance. The expansion and maintenance of evidence-based care generate potential for change in mental healthcare, thus improving outcomes for individual elderly patients. Areas that require further research are organization, cost and leadership. The use of mixed methods could strengthen future studies. Implementation researchers need a broad repertoire in order to plan and perform evidence-based research. To improve practice, implementation strategies should be developed in clinical and community guidelines.

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Capacity building - a challenge for nurse managers

Cited by 14 publications

References 12 publications

Describing the implementation of an innovative intervention and evaluating its effectiveness in increasing research capacity of advanced clinical nurses: using the consolidated framework for implementation research

Describing the implementation of an innovative intervention and evaluating its effectiveness in increasing research capacity of advanced clinical nurses: using the consolidated framework for implementation research

Developing a national standard for midwifery mentorship in Uganda

Implementation Strategies for Improving the Care of Depressed Elderly Persons—Summary of an International Workshop

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