Guides, further resources and previous evaluations

In this section you will find external resources to support nursing, midwifery and care staff research.

Guides

Leading the acceleration of evidence into practice: a guide for executive nurses

Central to successful system transformation is to truly demonstrate the use of evidence-based practice. We know the importance of this is often stated, but how well research and evidence is translated into practice varies across the country. To consider this and help support any change required, a new guide for executive nurses has been developed, in partnership with the National Institute for Health Research (NIHR). The implementation of evidence can be achieved by creating the right culture, the right leadership, capability in interpreting and implementing evidence, and facilitating the engagement of staff and patients in evidence-based policy and practice.Ruth May, as the Chief Nursing Officer for England is a strong advocate for environments which embrace evidence-based practice, leadership at all levels and establishing mechanisms to support staff as innovators within their own areas of practice. Accelerating the use of research and evidence into practice has been shown to help us continually strive to prevent and tackle health inequalities and improve the care experience for the patients, individuals and populations we care for and work alongside. Additionally, it ensures strong nursing leadership is recognised as key to the delivery of the NHS Long Term Plan.Creating a truly evidence-informed profession involves a number of roles, including researchers and clinical academics, and all nurses and midwives – each embedding evidence in everyday practice in whatever role they undertake, wherever they work. This guide is written to support executive nurse leaders and role models to put a greater focus on research and evidence, and help equip colleagues with the necessary knowledge, skills and enthusiasm to drive and embed evidence-based improvements and innovations.

The guide has been written in collaboration with the National Institute for Health Research Dissemination Centre. The NIHR are committed to enhancing evidence-based practice among nursing and midwifery teams and driving forward innovation and improvements in patient care.

This guide is primarily directed at executive nurses and midwives working in positions where there is the opportunity to lead the acceleration of evidence into practice. It is proposed that it will also be useful for lead nurses in social care, third sector and private facilities.

Please read the guide and its examples of good practice and think about how you might implement the practical advice in your organisation.

Download the guide: Leading the acceleration of evidence into practice: a guide for executive nurses

Further resources

Institute of Health Research (NIHR)

The National Institute for Health Research (NIHR) fund health and care research and translate discoveries into practical products, treatments, devices and procedures, involving patients and the public in all their work.

The NIHR ensures that the NHS is able to support the research of other funders to encourage broader investment in, and economic growth from, health research. They work with charities and the life sciences industry to help patients gain earlier access to breakthrough treatments and train and develop researchers to keep the nation at the forefront of international research

The Association of UK University Hospitals (AUKUH)

The Association of UK University Hospitals is the key leadership body across the UK promoting the tripartite interests of university hospitals: service, teaching and research. Its role is to represent university hospital trusts’ unique interests in partnership with other national bodies. The high-quality teaching and research conducted within these institutions allows the standard of care provided to the patients they treat to be at the forefront of best practice throughout the UK.

Transforming healthcare through clinical academic roles in nursing, midwifery and allied health professions: A practical resource for healthcare provider organisations.

Collaborations for Leadership in Applied Health Research and Care (CLAHRCs)

The 13 Collaborations for Leadership in Applied Health Research and Care are funded by the National Institute for Health Research and undertake high-quality applied health research focused on the needs of patients and support the translation of research evidence into practice with the wider NHS and Public Health.

CLAHRCs are collaborative partnerships between a university and the surrounding NHS organisations, focused on improving patient outcomes through the conduct and application of applied health research. They create and embed approaches to research and its dissemination that are specifically designed to take account of the way that health care is increasingly delivered across sectors and a wide geographical area

Academic health science networks (AHSN)

There are 15 academic health science networks across England, established by NHS England in 2013 to spread innovation at pace and scale – improving health and generating economic growth. Each AHSN works across a distinct geography serving a different population in each region.

As the only bodies that connect NHS and academic organisations, local authorities, the third sector and industry, they are catalysts that create the right conditions to facilitate change across whole health and social care economies, with a clear focus on improving outcomes for patients.

National Institute for Health and Care Excellence (NICE)

The National Institute for Health and Care Excellence provides national guidance and advice to improve health and social care. NICE’s role is to improve outcomes for people using the NHS and other public health and social care services. This is done by,

  • Producing evidence-based guidance and advice for health, public health and social care practitioners.
  • Developing quality standards and performance metrics for those providing and commissioning health, public health and social care services.
  • Providing a range of information services for commissioners, practitioners and managers across the spectrum of health and social care.

Since 1999, NICE has provided the NHS, and those who rely on it for their care, with an increasing range of advice on effective, good value healthcare, and have gained a reputation for rigour, independence and objectivity. In April 2013, NICE gained new responsibilities for providing guidance for those working in social care.

NICE, in partnership with Health Education England, also provides quick access to reliable information for health and social care professionals. Using this evidence service you can use the healthcare databases advanced search (HDAS), or search journals, databases and specialist evidence via OpenAthens.

World Health Organisation (WHO) Collaborating Centre

WHO collaborating centres are institutions such as research institutes, parts of universities or academies, which are designated by the Director-General to carry out activities in support of the organisation’s programmes. Currently there are over 700 WHO collaborating centres in over 80 member states working with WHO on areas such as nursing, occupational health, communicable diseases, nutrition, mental health, chronic diseases and health technologies.

WHO’s goal is to build a better, healthier future for people all over the world. Working through offices in more than 150 countries, WHO staff work side by side with governments and other partners to ensure the highest attainable level of health for all people.

Together WHO strives to combat diseases – infectious diseases like influenza and HIV and non-communicable ones like cancer and heart disease. WHO helps mothers and children survive and thrive so they can look forward to a healthy old age. WHO ensures the safety of the air people breathe, the food they eat, the water they drink – and the medicines and vaccines they need.

Council of Deans of Health

The Council of Deans of Health represents the UK’s university faculties engaged in education and research for nurses, midwives and allied health professionals. The Council aims to lead and influence policy at national and UK level, promoting the essential contribution their members make to health and social care – for high quality education and research, always in partnership with NHS England and NHS Improvement as well as multiple stakeholder organisations across the system. A key strategic focus of the council is to foster leadership and innovation across the professions, including a focus on research, which recognises the importance of recognising strong leadership for our professions, which will lead to better outcomes for education and research in our sector.

Care Staff research

The NIHR School of Social Care Research (NIHR, SSCR)

The Social Care Elf

Social Care Institute for Excellence

Evaluations

Evaluating Leading Change, Adding Value

From Leading Change, Adding Value to helping lead implementation of the new Long Term Plan

Leading Change, Adding Value (LCAV) was published in 2016 and the framework concluded in March 2019.  The Atlas of Shared Learning and the complementary Research Portfolio showcase practice and demonstrate how nursing, midwifery and care staff are leading transformational change across health and care and help lead the successful delivery of the NHS Long Term Plan.

Leading Change, Adding Value – a process evaluation

This evaluation reports on the first year of the Leading Change, Adding Value framework for nursing, midwifery and care staff, (LCAV) and its implementation. With a focus on leading everyday change, perceptions were gathered on how LCAV was being used by frontline staff.

Recommendations were made on how to measure and look towards LCAV becoming “business as usual”, to meet the triple aim outcomes of improving outcomes, experience and better use of resources and support closing the three gaps – health and wellbeing, care and quality and funding and efficiency – as outlined in the Five Year Forward View (FYFV).

Following on from the year-one evaluation, this interim report describes and evaluates the work undertaken in year two (May 2017 – May 2018), building upon the foundations set within year one (May 2016 – May 2017), to continue to disseminate LCAV at national, regional and local levels and also to support its co-implementation.

Building on the year one and year two evaluation, the Leading Change, Adding Value framework – a final service evaluation, reports on the third year of LCAV and describes the learning from the dissemination and subsequent implementation of the principles in the LCAV framework. This report concludes the three year LCAV programme which formally ended on 31 March 2019.

Leading Change, Adding Value – articles

In January 2018, an article  written by a freelance journalist in the Nursing Standard describes how Leading Change, Adding Value was halfway through its three-year implementation programme. It highlights how LCAV emphasises that all staff are leaders, whatever their role, wherever they work. The article describes how all front-line staff can make a difference.

In the same January 2018 Nursing Standard issue, Susan Aitkenhead, Director of Nursing, Professional Development at NHS England and now Deputy Chief Nursing Officer, authored an overview article describing the quantifiable contribution of nursing, midwifery and care staff. Susan described how leadership is not always about managing teams – it is about looking at what needs to change or what could be changed to improve services and outcomes for patients as well as describing the key elements of LCAV.

A series of Leading Change, Adding Value articles were published in the British Journal of Nursing.

The (full) articles written or co-authored by the Leading Change, Adding Value Operational team are available upon request – please email england.nursingmidwifery@nhs.net