Building clinical academic leadership capacity: sustainability through partnership

Westwood, Greta; Richardson, Alison; Latter, S.; Clark, James G.; Fader, Mandy

doi:10.1177/1744987117748348

Cited by 54 publications

(82 citation statements)

References 4 publications

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“…There is a long tradition of doctors and dentists pursuing academic research alongside their clinical practice 1. However, it is increasingly acknowledged that nurses, midwives and allied health professionals (AHPs) (henceforth NMAHPs) are also well-placed to devise solutions to the problems that they observe first hand in their day-to-day clinical practice 2.…”

Section: Introductionmentioning

confidence: 99%

A mixed-methods study of challenges and benefits of clinical academic careers for nurses, midwives and allied health professionals

2019

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ObjectivesThe clinical academic trajectory for doctors and dentists is well-established, with research embedded in their career development. Recent years have also seen a burgeoning interest and push for nurses, midwives and allied health professionals (NMAHPs) to pursue a clinical academic career. However, the National Institute for Health Research (NIHR) 10-year review suggested that there may be problems with progression post Master’s degree level for this group, with nurses and midwives receiving less NIHR funding than allied health professionals. This study responds to these concerns, tracking the progression and exploring experiences of NMAHPs in the East Midlands region of England.DesignAn online survey and in-depth interviews were used to capture a wide range of experiences.Participants67 NMAHPs who were pursuing a clinical academic career were surveyed, supplemented by 16 semi-structured in-depth interviews.ResultsThree themes emerged during data analysis: Embarking on a clinical academic career, overcoming barriers and benefits.ConclusionsNMAHPs are motivated to pursue a clinical academic career by a drive to improve services for the benefit of patients and the National Health Service more widely, as well as for personal development and career progression. People working in these roles have opportunities to explore possible solutions to issues that they encounter in their clinical role through academic study. Findings reveal benefits emanating from the individual level through to (inter)national levels, therefore academic study should be encouraged and supported. However, investment is needed to establish more clinical academic roles to enable NMAHPs to continue to use their experience and expertise post-PhD, otherwise the full extent of their value will not be recognised.

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Section: Introductionmentioning

confidence: 99%

A mixed-methods study of challenges and benefits of clinical academic careers for nurses, midwives and allied health professionals

2019

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“…Recent literature shows that there are already several successful programme models which have been developed between NHS and HEI organisations intended to support integration of more NMAHP clinical academic roles to expand research capacity in NHS practice (Westwood et al, 2018), including the NIHR Integrated Clinical Academic programme Programme (Health Education England/National Institute for Health Research, 2019). However, these are typically hosted and situated within larger university hospital organisations and, while linked to practice, are primarily focused on an academic research model (Strickland, 2017).…”

Section: Resultsmentioning

confidence: 99%

“…These roles are long established in the medical profession with a developing focus across nursing, midwifery and allied health professionals (NMAHPs) (Carrick-Sen et al, 2016;Strickland, 2017). However, as Westwood et al (2018) highlight, although there is a national clinical academic training scheme in England focusing on the NMAHP workforce, it currently lacks the capacity to build the level of clinical academic leadership needed for the scale of innovation and improvements required across NHS health care.…”

Section: Introductionmentioning

confidence: 99%

Empowering Nurses, Midwives and Allied Health Professionals to Gain an Academic, Research and Quality Improvement Experience within Clinical Practice

Bell¹,

Colleran²

2019

IJPBLHSC

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The NHS Multi-Professional Framework for Advanced Clinical Practice in England (Health Education England, 2017) sets out an expectation that all health and care professionals working at advanced clinical practice (ACP) level demonstrate a range of standard clinical academic capabilities across four pillars: clinical practice, leadership and management, education, and research. To achieve this, practitioners and employers need to work collaboratively to develop these capabilities and recognise how they contribute to improving the quality of care. However, the culture, leadership values and infrastructure of clinical practice environments limit opportunities for such clinical academic development (van Oostveen et al., 2017), resulting in a strong clinical bias amongst advanced practitioners with limited focus on research and leadership. To address this, we propose Nursing, Midwifery and Allied Health Professional (NMAHP) groups require specific development programmes that combine an academic, research and quality improvement experience grounded within clinical practice roles. In this article, we describe Western Sussex Hospitals NHS Foundation Trust Clinical Improvement Scholarship (CIS), a twelve-month programme combining work on a practice-based quality improvement project alongside education for leadership, research and quality improvement. Early indicators from the first and second cohorts suggest a significant increase in research and leadership knowledge with 'scholars' reporting increased commitment and confidence in utilising research evidence to improve care. Line managers also suggest a notable rise in professional confidence in the delivery of care and organisational competency. We therefore conclude that the CIS programme has impacted positively on professional capabilities and clinical quality within the Trust.

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“…Research capacity-building initiatives have also been proposed in other sectors. In the health sciences, research infrastructure development challenges have been identified in regard to public health, medicine, and nursing (Brownson, Fielding, & Green, 2018;Westwood, Richardson, Latter, Clark, & Fader, 2018). Similar efforts have been noted in adjacent professions including business, public administration, and public policy (Bartunek & Rynes, 2014;George, Howard-Grenville, Joshi, & Tihanyi, 2016;Paton, Chia, & Burt, 2014).…”

mentioning

confidence: 79%

Building Knowledge to Support Human Service Organizational and Management Practice: An Agenda to Address the Research-to-Practice Gap

McBeath¹,

Mosley²,

Hopkins³

et al. 2019

Social Work Research

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Leaders of human service organizations (HSOs) face significant pressures from policymakers and funders to justify practices and ensure successful outcomes, an issue that has implications for social work practitioners and evidence-informed management practice. Although empirical research has advanced understanding of the factors that improve human service effectiveness and organizational improvement, considerable research-to-practice gaps exist and the use and translation of knowledge into regular management practice remain limited. This article concerns how social work research can link human service organizational and management research to practice more robustly. Authors describe challenges that affect the ability of managers in HSOs to use research to inform practice. The analysis of these challenges supports a research capacity-building agenda focusing on (a) the identification and application of new methods of organization and management science, (b) the fostering of closer connections between researchers and practitioners, and (c) the provision of institutional and organizational resources for applied human services research. This macro-level agenda is designed to enhance practice-based research among schools of social work and leading HSOs, and also strengthen researcher-practitioner linkages, with the goal of promoting the advancement and utilization of research evidence in HSOs.

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Building clinical academic leadership capacity: sustainability through partnership

Cited by 54 publications

References 4 publications

A mixed-methods study of challenges and benefits of clinical academic careers for nurses, midwives and allied health professionals

A mixed-methods study of challenges and benefits of clinical academic careers for nurses, midwives and allied health professionals

Empowering Nurses, Midwives and Allied Health Professionals to Gain an Academic, Research and Quality Improvement Experience within Clinical Practice

Building Knowledge to Support Human Service Organizational and Management Practice: An Agenda to Address the Research-to-Practice Gap

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