Health and Opportunity

Annual Report

October 2007 – September 2008

Centre for Research in Nursing and Midwifery Education Division of Health and Social Care Faculty of Health and Medical Sciences 2 CONTENTS

1. REVIEW OF THE YEAR 2007-2008 3

2.1 Changing Knowledge 6

2.2 Changing Practice 7

2.3 Midwifery Development 8

3. SUPERVISION OF STUDENTS 8

4. TEACHING 9

5. VISITING FELLOWS AND PROFESSORS 9

6. PARTNERSHIP WORKING AND INTERNATIONAL LINKS 10

7. CAPACITY BUILDING AND RESEARCH ENVIRONMENT 12

8. DISSEMINATION AND ENGAGEMENT STRATEGY 12

9. THE YEAR AHEAD 12

APPENDIX 1 – END OF PROJECT REPORTS 14

APPENDIX 2 – CONFERENCE PRESENTATIONS 15

APPENDIX 3 – PUBLICATIONS 17

3 CRNME hosts the International Centre for 1. Review of the Year 2007-2008 Nursing Ethics (ICNE) led by its Director, Dr Verena Tschudin. The year has been both challenging and productive for the Centre team. Following The Research Team and ICNE are supported restructuring of the Health and Social Care by Penny Robinson and Christalla Mouzoures Division and the departure of a number of following the departure of Claire White, who staff to take up exciting opportunities, there provide research administration, project are now four core research staff who work management, marketing, web based design, within CRNME. The team offer a broad range data storage and management, and of research methodologies and expertise as conference organisation. well as clinical experience in health disciplines. The research team includes:

Professor Pam Smith, with an international Invaluable research assistance was given reputation in the area of nurse education, during the year by Dr Paula Reed and Jill emotions and care; Dr Helen Allan who leads Lawrence following the departure of Dr John on qualitative research methods and Larsen to become Head of Evaluation at women’s health; Dr Khim Horton heads Rethink and Carin Magnusson to undertake a research on gerontology and is Director of PhD on patient safety at King’s College Studies of the MSc in Advanced Practice; and London. Dr Olwyn Westwood left to become Mr Mike O’ Driscoll has expertise in multi Professor of Medical Education at Barts and methods research and the evaluation of the London School of Medicine and Dentistry, educational interventions. University of London and Dr Margaret Volante also left to pursue new opportunities. We Senior tutor Alison Rhodes is a member of the thank all our colleagues for the contribution Centre team and heads up the Masters in they have made to CRNME and the Division Learning and Teaching and Mentorship over the years and wish them every success programmes and the Learning and Teaching for their future careers. Framework with colleagues Liz Rockingham and Audrey Symonds. Professor Jean Hooper, former Chair of the GNC Special Trustees was awarded an Lead midwife Denise Skidmore is also located Honorary Doctorate of the University of in the Centre and is a member of the Surrey at the 18 June 2008 Graduation Advisory Board. She plays a key role in Ceremony. focusing on leading edge midwifery developments to keep the midwifery profile high in the Division and in the Centre. Denise’s role in maintaining a midwifery presence in the Centre is particularly important following the departure of Midwifery Research Fellow Gina Finnerty and during the recruitment of a new midwifery Professor for the Division and midwifery researcher for the Centre.

Senior lecturer Dr Nimmi Hutnik is associated with the Centre and brings her expertise in psychology, ‘talking therapies’, mental health Professor Jean Hooper and emotions. She also leads workshops on diversity as part of SCEPTrE’s cultural CRNME, the Advisory Board and the GNC academy. Special Trustees were greatly saddened to hear of the untimely death in March of Professor Rosemary Pope, founder Director of

4 the CRNME. A Fund has been established in academic observations has been undertaken. her memory to award an annual prize for the The emerging ‘topic’ areas have been taken postgraduate thesis that makes a significant forward and further investigated in the Phase contribution to nursing, midwifery and health 2 case studies. These areas are: care. Information about the Fund is available at: http://portal.surrey.ac.uk/eihms/ - Lifting and handling research/specgroup/crnme/news - Communication - Prescribing and administration of drugs - Infection control - Risk assessment

During Phase 2 the research team has been using illuminative evaluation incorporating an ethnographic perspective in eight case study areas.

There has been in-depth investigation of learning and practice by students and newly qualified practitioners in relation to patient safety, in both the universities and the The following high profile projects have been practice settings. completed during 2007/08: Practice observation and interviews with Patient Safety in Health Care Trust staff have been held (such as Risk Professional Educational Curricula: managers, Heads of Nursing/Medicine). Examining the Learning Experience

Pam Smith, Carin Magnusson, and Jill Lawrence Relevant data from the Trusts including local in collaboration with the Universities of policy documents related to patient safety, Newcastle, East Anglia, Edinburgh and clinical governance meeting agendas and Manchester minutes, reports from the Commission for April 2006 - December 2008 Health Improvement and quality assurance Funded by: Department of Health Patient reviews from the Healthcare Commission, as Safety Research Programme well as relevant local curriculum documents have also been collected. Currently analysis This research study aims to investigate the of all the data is being undertaken for formal and informal ways pre-registration presentation in the end of project report. students from four healthcare professions (medicine, nursing, physiotherapy and pharmacy) learn about patient safety in order The Professional Experience of to become safe practitioners. Governance and Incentives: Meeting the The Phase one data collection has been needs of people with complex conditions completed with the following data collected: in primary care

13 Curricula documents from 5 sites (England Pam Smith, John Aggergaard Larsen, Helen and Scotland) Allan and Paula Reed in collaboration with the 26 interviews with Course Directors University of Kingston and St George’s 32 Academic observations University, King’s College London, the 32 focus groups with students University of Plymouth and the Open University Analysis of the curriculum documents, March 2006 – September 2008 interviews with course directors and

5 Funded by: Service Delivery and – 1 social care worker Organisation, Department of Health – 2 health visitors – 3 community matrons The purpose of this study was to explore the – 2 social care team managers professional experience of evolving – 5 mental health nurses organisational and governance structures in – 2 GPs the context of primary health and social care – 1 senior district nurse in relation to complex long-term conditions. Using three sites, London, Surrey and the Participants were asked to comment on their South West of England, we have undertaken involvement with recent policy changes to two distinct phases of data collection. care provision. The interviews were undertaken from October 2007 to January In Phase one, managers were interviewed for 2008. This coincided with the NHS staff their views on the effects of policy changes survey nationally and followed a major around governance and incentives and the restructuring of the Surrey Primary Care Trust implications of these initiatives for staff in all (PCT) from three smaller, separate PCTs. This three sites. A service user reference group restructuring had featured prominently in the was also established in Phase one to provide interviews with managers across Surrey ‘vignettes’ or stories of users’ experiences of during Phase one; it was therefore not the quality of care they received; these data surprising that a major change described by from the service user reference group many of the participants was the new PCT. informed the interviews with managers. A newsletter containing abridged versions of Staff’s main concerns around the impact of these vignettes was shared with the service changes in care provision on people with long user group and was subsequently sent to term conditions centred on the reconfiguring health professionals as part of the of the PCT particularly in physical care; they information before the interviews in Phase were also concerned with how services were two. A report from Phase one was circulated delivered – in particular, the location of teams to the managers interviewed in Phase one as and formation of new teams across Phase two began. disciplines and new models of services and who delivered the services – for example, the The aims of Phase two were to elicit introduction of triage by nurses in primary professionals’ experiences of working through care; the perceived merging of professional the changes in primary care around how care boundaries particularly in mental health. The is delivered and to explore their narratives of full report includes similar details from the working with new governance arrangements other two sites. and their knowledge and experience of incentives. In particular, we were interested Leadership for Learning: An in how they achieved good care and met Investigation into changes in nursing targets especially around reducing acute leadership roles and their impact on hospital bed-days. how student nurses learn in practice in the new NHS In Surrey, data collection involved semi- structured interviews with 19 health and Helen Allan, Pam Smith, Mike O’Driscoll and social care professionals within different Maria Lorentzon primary care teams. The teams included staff January 2006 – March 2008 working in home care; community mental Funded by: The General Nursing Council Trust health; crisis resolution and home treatment; a community hospital; social services and This study investigated how changes in children’s services. We interviewed the nursing leadership roles have influenced the following professionals: ways in which student nurses learn in practice settings in the new NHS (DH 1999, – 2 occupational therapists DH 2000). We focused on new leadership – 1 social worker (MH) roles and their influence on student nurse

6 learning, given the change in the ward The effects of the move into higher sister’s role during the 1990s. At the same education and role changes on student time as these workforce changes were being nurse learning are evident in the literature introduced, major changes in nurse education and illustrated in great depth by the occurred as a result of the introduction of the findings from this study. Our data suggest Project 2000 curriculum in the 1990s (NMC that students experience an uncoupling of 2004), the subsequent Fitness for Practice their learning in clinical practice from curriculum (UKCC 1999) and the move of their theoretical learning. For lecturers, nurse education into higher education. the changes have meant an increasing Subsequently, concerns emerged in relation lack of clinical academic confidence; and to the ward learning environment with the for mentors, they have been left with the shift in emphasis from the college to practice daily responsibility for learning if not the setting (UKCC 1999). leadership, which has increased their workload. Given these changes to ward management and nursing leadership and nurse education, Clinical learning continues to be the remit of and using Smith’s (1992) framework to link ward managers and although they are emotions and learning to care, the purpose of supported by practice educators, mentors, our study was to investigate the relationship ward sisters, staff nurses, clinical nurse between nursing leadership roles and student specialists, lead nurses or modern matrons, nurse learning in clinical practice – in other they maintain overall responsibility for words, who is responsible for the leadership ensuring that the learning environment, of student nurse learning in clinical practice? including mentor training and support, is provided at ward level. However, due to an Stage one included a literature review and increased workload, including Trust wide stakeholder interviews with leaders in nurse responsibilities, their presence and attention education. In Stage two, using a case study have been taken away from the ward and research approach, data collection involved students in many ways. three main methods: an online survey, clinical fieldwork and documentary analysis This uncoupling may be part of a wider shift of the written curricula in four case study to skills and competency based education sites: London (Universities A and C), the and practice which Scott (2008) identifies and North West of England (University B) and the a move from relational caring where South East of England (University D). emotions are not identified as a key component of nursing and therefore not Our main finding in Stage one took the form taught or assessed in education or practice. of key questions for data collection in Stage Our data suggest that emotions remain a two. strong feature of learning, mentoring and practice and that support is required to focus  What is nursing? on how to manage feelings and learn from  What should student nurses learn? them.  Whom should they be learning from? Clinical learning appears to be secondary to Our main finding in Stage two was that the the drive for achieving clinical throughput policy changes in both the education of and targets apparent through a return to task nurses, such as the move into the higher allocation. We argue that the nursing process education sector, and the workforce changes which was the predominant form of care in nursing, such as the changes to students’ delivery during the 1970s and 1980s has now and health care assistants’ roles, brought largely been abandoned due to the pressure about partly by these very same educational to achieve targets. developments, have had profound effects for both student nurses and staff who teach, Our data suggest that bedside care continues mentor and work with them both in practice to be regarded as low status work by student and in the higher education setting. nurses (as Goddard [1953] and others found).

7 Being associated with such work leads how student nurses learn in practice in students to feel stigmatised which in turn the new NHS leaves them feeling unprepared for their Helen Allan, Pam Smith, Mike O’Driscoll and future role as trained nurses who are not Maria Lorentzon expected to perform such tasks. General Nursing Council Trust

The report also includes survey findings The Mirror Project: Creating a reflective regarding students’ satisfaction with toolkit to support mentors in practice placements and their suggestions for Julie-Ann MacLaren, Helen Booth and improving teaching and learning. Chief Margaret Volante amongst the latter were: more time for SCEPTrE Fellowship teaching and learning; better preparation for mentors; improved communication or Supervision of practice in gynaecology improved relationship with mentor; agreed nursing learning objectives at start of placement; Helen Allan and Wendy-Rae Mitchell in experiencing a wider variety of clinical skills / collaboration with the Royal Surrey County practice skills; more teaching sessions on Hospital NHS Trust placement; more contact with link lecturers, The Foundation of Nursing Studies more help in linking theory and practice and improved staff attitude to students, Promoting a deep approach professional particularly regarding support for learning. education in the field Margaret Volante, Gina Finnerty, Julie MacLaren and Liz Rockingham 1. Research Programmes Fund for the Strategic Development of Learning and Teaching (University of Surrey) We have reviewed our research programmes: Learning and Teaching; Changing Workforce and User/Patients Experience and Involvement and have re-categorised them to reflect our changing profile of projects and future intentions in two key areas of focus: The student passport – assessment and feedback - Changing knowledge Margaret Volante, Juliet McDonnell, Jane Leng - Changing practices and teaching staff from pre-registration midwifery and nursing programmes Fund for the Strategic Development of 2.1 Changing Knowledge Learning and Teaching (University of Surrey) (Learning and Teaching) Supporting the transition from Completed projects doctorate to post doctoral employment - developing and piloting a tool for Patient Safety in Health Care training needs analysis and personal Professional Educational Curricula: development: managing the transition Examining the Learning Experience to post doctoral careers Pam Smith, Carin Magnusson and Jill Helen Allan, Khim Horton, Wendy Knibb and Lawrence in collaboration with the Mike O’Driscoll Universities of Newcastle, East Anglia, Fund for Researcher Development (University Edinburgh and Manchester of Surrey) The Patient Safety Research Programme, Department of Health Improving the student experience of feedback and assessment in biosciences Leadership for Learning: An - “ISFAB” investigation into changes in nursing Mike O’Driscoll and Dr Pete Sanders leadership roles and their impact on (Biosciences)

8 Fund for the Strategic Development of Khim Horton, Pam Smith, University of Learning and Teaching (University of Surrey) Maribor and University College of Dublin Life long learning Action-Transversal Projects in progress programme (European Union)

Working, Teaching and Learning: the In preparation mentor’s story Margaret Volante Learning and Teaching Scholarship Award A comparison between different forms (University of Surrey) of supervision: to support student nurses electronically and face to face Joint development of an online Helen Allan, Mike O’Driscoll, Theresa gerontological Masters degree Wiseman (Kings College, London), Martin programme - “GEROM” Johnson and Carol Haigh (University of Khim Horton, Pam Smith in collaboration with Salford) European partners at the University of Maribor, Slovenia, University of Oulu, Finland, 2.2 Changing Practice University College, Dublin, Ireland, (Changing Workforce Practices Fachhochschule Technikum Karnten, Austria User/Patients’ Experiences and Involvement) and the Medical University, Plovdiv, Bulgaria Education, Audiovisual and Culture Executive Completed projects Agency, Education and Culture, Lifelong Learning programme (European Union) The Professional Experience of Governance and Incentives: meeting the New projects needs of people with complex conditions in primary care Grassroots – developing students’ Pam Smith, John Aggergaard Larsen, Helen mentoring skills to provide peer support Allan and Paula Reed in collaboration with the and become ‘grassroot ambassadors’ University of Kingston and St George’s Liz Rockingham, Sid Carter and Pam Smith University of London, King’s College London, The Access Agreement Funds (University of the University of Plymouth and the Open Surrey) University

Proposals pending Improving In Patient Care: Nursing Therapeutic Engagement on Acute An assessment of supervision groups for Mental Health Wards senior nurses and mentors in two NHS John Aggergaard Larsen, Kevin Acott and Sue Trusts Hudson Helen Allan, Pam Smith and Kathryn Foundation of Nursing Studies Waddington (City University) Burdett Trust Biological Link between Obesity and New projects Vitamin D in the Ageing Population: Ethnic, Social and Environment A study into domestic stair lighting and influences - the BODESE Study its impact on the risk of falling for the Khim Horton, the Divisions of Biosciences and visually impaired Nutritional Sciences and the University of Khim Horton, Biomedical Engineering Reading (University of Surrey) Economic and Social Research Council, New Thomas Pocklington Trust Dynamics of Ageing programme

Promoting the improvement of elderly Proposals pending ICT skills and wellbeing by inter- generational and multi-sectorial education- PRIMER-ICT

9 A study into women’s experiences of inauguration of the High Coombe Midwifery successful conception after fertility Teacher Training College (MTTC) Trust are treatment housed in the Centre and archival work has Helen Allan and Gina Finnerty been undertaken by Senior Research Fellow, Economic and Social Research Council Dr Maria Lorentzon. Publications are in progress and presentations to the Royal Understanding the benefit of dignified College of Midwives are planned (2009) co- care of older people: an ethnographic ordinated by Dr Lorentzon. study of care settings Helen Allan, Pam Smith, Michael Traynor (Middlesex University) Danny Kelly 3. Supervision of Students (Middlesex University) and Cheryl Holman (City University) Completed theses: Patient Benefit Programme, Department of Health PhD Robab Latifnejad Roudsari: How religious In preparation faiths and spiritual beliefs affect women’s psycho social experiences of infertility: a Routines of care in fertility units: the feminist grounded theory approach management of the distal patient. Helen Allan, Pam Smith Helen Allan Eshtiaq Al-Faraj; Reasons for continuing in nursing following initial nurse education 2.3 Midwifery Development fieldwork in Saudi Arabia Helen Allan, Pam Smith Midwifery Practice Development Unit (PDU) Ann-Christine Odelius: A visit to Shadowland. Psychiatric stigma: a The Midwifery PDU is chaired by Ann comparison of the experiences of parents, Robinson, Lecturer/Clinical. This group has spouses, grown up children and grown up made steady progress and continues to meet siblings of severely mentally ill people four times a year bringing clinicians and Helen Allan, Pam Smith academics together. During the last year clinical colleagues have presented topics Current students: such as an “Update on the management of the third stage of labour” (Julie Frohlich, Isabel White: Psychosexual assessment in Frimley Park Foundation Hospital Trust) and women with gynaecological cancer have been involved in the development of Helen Allan, Sara Faithfull the new Midwifery curriculum (commencing September 2008). Jill Shawe: A study of the reproductive health choices of women with Type 1 and Royal College of Midwives: Type 2 Diabetes Mellitus Education and Research Committee Pam Smith, Ian Robbins Education Advisory Group Binette Krubally-N’Diaye: Cultural Lead Midwife awareness among nurse lecturers Denise Skidmore Helen Allan, Pam Smith

History of Midwifery Education Malachy Ujam: Experiences of MI for care of Nigerian patients in mental health The University of Surrey has historically hospitals in the UK played a significant role with regard to Helen Allan, Karen Bryan preparing midwife teachers. Extensive archival documents and materials from

10 Rachel Pascoe: What patterns of knowledge module ‘Communities of Practice’ which uses acquisition and re-structuring do student blended teaching methods and contributes to nurses follow leading to knowledge taught doctorate research teaching. encapsulation in relation to illness script theory? Helen Allan was appointed the Faculty Centre Khim Horton, Pam Smith for Learning Development (CLD) scholar commencing on the 1st September, for one Doctorate of Clinical Practice day per week over three years.

Cathy Hughes: Patient choice in As the CLD Faculty scholar Helen will work endometrial cancer with the Associate Dean (Learning and Helen Allan, Wendy Knibb Teaching) to develop the Centre as a hub for learning and teaching activities and facilitate Rosi Castle: Preparation of pre registration projects across the Faculty. students for palliative care Helen Allan, Anne Arber

Liz Bishop: An ethnography of blood transfusion Helen Allan, Sara Faithful

Chrissie Lawson: Chronic Fatigue Syndrome/Myalgic Encephalopathy (CFS/ME) in children Khim Horton, Pam Smith

In preparation

Harjunder Singh (Mental Health): Helen Allan, Helen Cowie

Jacky Savory (Advanced Practice): Helen Allan

MSc Teaching and Learning

Juliet Girdher: The lived experience of nurse practitioners Helen Allan Helen Allan and Pam Smith (outgoing Associate Dean) with Dave Povey (incoming Associate Dean) MSc Advanced Practice Gina Finnerty contributed to the Mentorship Vikki Carruth: The lived experience of Module ‘Using experience for learning’; the nurse managers MSc Teaching and Learning programme: Helen Allan ‘Supporting learners and learning’ and the MSc in Advanced Practice: ‘The transfer of craft knowledge in practice’. 2. Teaching 3. Visiting Fellows and Professors Helen Allan contributes to MSc programmes, co-ordinates the Doctorate in Clinical Practice

11 Our visiting scholars continue to offer an University of Maribor, Slovenia invaluable resource and keep us grounded in As part of the teacher mobility exchange education, practice and research. programme between the Division of Health and Social Care, the Centre and the Faculty Debbie Barber, Clinical Nurse Specialist, of Health Sciences, University of Maribor Oxford Radcliffe Fertility Unit. there have been a number of partnership visits. Dr Sheryl de Lacey, Flinders University South Australia. Visits to the University of Maribor included Khim Horton and senior tutor Toni Schwarz’s Beverley Hunt, Consultant – Connecting teacher mobility exchange visit in March to leadership and diversity for individual, social teach and exchange information with and organisational change. lecturers in the care of older people and children’s nursing. Professor Billie Hunter, Professor of There were visits to Surrey in May from Mr Midwifery, University of Swansea. Borut Gaber to look at student support services and in June from Mr Anton Kozelji, a Professor Tina Koch, Professor of Older lecturer in critical care, to study emergency Peoples’ Care, University of Newcastle, New and unscheduled care. South Wales, Australia. In February Pam Smith and Khim Horton participated in the first meeting of the Dr Carol Leppa, Professor, Nursing Studies GEROM project with other European partners. and Continuing Professional Development, University of Washington, USA. DAIWA Anglo-Japanese Foundation Dr Maria Lorentzon, Senior Research Fellow, Nursing and Midwifery History, FHMS and During July and August, Professors Helen CRNME, University of Surrey. Cowie of UKCO (The UK Observatory for the promotion of Non-Violence) and Pam Smith Dr Gaynor MacLean, Consultant on Safe gave a lecture tour in Japan, based on their Motherhood. original research and sponsored by the DAIWA Anglo-Japanese Foundation and Dr Julia Magill-Cuerden, Principal Lecturer, Hiroshima University. Professor Pam Smith Thames Valley University. delivered a keynote address on emotional labour and the art of caring at a seminar Dr Debbie Payne, Auckland University of organised by the Universities of Osaka and Technology, New Zealand. Meisei, Tokyo. The next day they jointly presented a seminar at Ritsumeikan Professor Ellen Rosskam, University of University, Kyoto, convened by Dr Haruo Massachusetts Lowell. Sakiyama who is currently a visiting scholar in the Centre. Professor June Fisher, Division of Occupational and Environmental Medicine University of California, San Francisco completed her term in July 2008.

Lesley Graham, Head of Nursing for Specialist Medicine at Guy's and St Thomas' Hospital, London completed her term in August 2008.

4. Partnership working and International links

12 the group before he left to take up a new post in learning disabilities at the University of Bournemouth. Professors Cowie and Smith with Dr Sakiyama and colleagues at Ritsumeiken University In June 2008 the second international ‘Working with Emotions’ conference ‘The In the seminar they explored the positive and Future of Feelings’ was held at the University negative aspects of emotional labour, its of Surrey with over 80 delegates and an relationship to bullying and its impact on the impressive plenary panel. caring process.

The lively debate centred on a critique of Pam Smith's book The Emotional Labour of Nursing: How Nurses Care (a new edition is currently in preparation) which has been translated into Japanese. Professors Cowie and Smith are planning collaborative work with several Universities in Japan.

Working with Emotions Network (EMNET)

The Interest Group has continued to meet Delegates at the conference regularly during the year. The Group provides opportunities for researchers to test out their ideas but also for doctoral students to gather University of Salford and the University confidence in a ‘safe’ environment. In January of Surrey 2008 a special reception was held for Dr Haruo Sakiyama when he visited from Successful visits by each partner have led to Ritsumeiken University, Kyoto, Japan. Other proposals for research and contributions to presentations included: teaching in both institutions as well as a Master class by Professor Martin Johnson at  Robab Latifnejad (PhD student): the University of Surrey and a second Master ‘Relying on a higher being’: A class by Dr Helen Allan at Salford University. grounded theory of experiencing infertility in a religious and spiritual Association of Psychosexual Nurses context The Association’s annual study day will be  Dr Sarah Li (senior lecturer, Kingston held at the University of Surrey. Dr Helen University and St. George's): Learning Allan has been invited to give the keynote To Do Qualitative Data Analysis: An address entitled ‘Intimacy or Intimidation’ Observational Study of PhD Work i.e., the gynaecological examination.

 Dr Helen Allan (CRNME) presented some findings from the GNC Department of Health Leadership for Learning project titled: 'Selling Out: The mismanagement of Dr Helen Allan and Professor Pam Smith met students feelings in practice’ with the Deputy Chief Nurse, Janice Sigsworth to report on the key findings from the  Dr Sid Carter from the Division of Leadership for Learning project in September Health and Social Care and CRNME: 2008. ‘Applying emotion based learning to people with cognitive impairments’. This was Sid’s farewell presentation to

13 Surrey Centre for Excellence in Philomena Mweu with 30 fresher BSc Nursing Professional Training and Education students in the Faculty. (SCEPTrE) Curriculum Innovation Award Dr Margaret Volante and the Mental Health The ‘Good Nurse’ Team were awarded a Curriculum Innovation Award. Khim Horton and Verena Tschudin are investigators with Dr Ann Gallagher, Kingston SCEPTrE Fellowship University, on a pilot study ‘The Good Nurse’. Dr Gina Finnerty was awarded a SCEPTrE This is part of the European arm of the wider Fellowship (2007-08) to study ‘The use of study conducted in Japan, China, Taiwan and collage mapping to showcase creative energy Korea under the leadership of Professor of teachers’. Samantha Pang from Hong Kong Polytechnic University. The fellowship provided an opportunity to test collage mapping as an innovative way to Human Rights and Nursing Awards tap mentors’ and teachers’ creativity. Academic staff, healthcare mentors and The International Centre for Nursing Ethics teachers in nursing practice were invited to (ICNE) presented the Human Rights and join one of six workshops during July 2008. Nursing Awards 2008 to Emmie Chanika (Malawi) and Sister Teresita Hinnegan (USA) An independent consultant, Emma Coats, co- on 19 July at the ICNE conference at Yale facilitated and all workshops evoked University, USA. Both Awardees are nurses. extremely rich metaphors and narratives. A Emmie Chanika is now a leading human positive outcome was the abundance of rights lawyer in Malawi, particularly involved suggested applications for collage mapping in working for the elimination of trafficking of across the University. women and the acquisition and sale of body parts, especially of children. Sr Teresita has The International Centre for Nursing established a safe house in Philadelphia for Ethics (ICNE) women who have been trafficked, abused or raped. Value of Nursing The annual Awards are presented to any The Value of Nursing study is close to nurse in recognition of an outstanding completion culminating in a report and a commitment to human rights who exemplify series of papers. The project team includes the essence of nursing’s philosophy of Dr Verena Tschudin, Dr Khim Horton and humanity. The nominations for the award are Philomena Mweu. open to all nurse practitioners and the winners are chosen by an international Good Work in Nursing committee. This award is unique in the field of nursing. Verena Tschudin and Khim Horton are members of the steering group of the Good Work in Nursing Project based at Bloomsburg 5. Capacity Building and Research University, Pennsylvania in the USA and led Environment by Dr Joan Miller. The USA partners have conducted a pilot study and the wider The Work in Progress Seminars (WIP) have Community met at the ICNE conference (17- continued during the year but with the re- 19 July) at Yale University to commence the organisation of the School into a division of a implementation of the full study, in large Health and Medical Sciences Faculty September 2008 and including 20 countries. there has been a change in the research and The local arm of the study will be conducted staff development environment with a by Verena Tschudin, Khim Horton and greater emphasis on biomedical science. There are monthly Faculty research seminars

14 and there have been two research and two Issue 3: Development of a Good Practice learning and teaching events organised by Tool for Mentors. the respective Associate Deans at both Faculty and University level in which the Issue 4: Valuing and Recognising the Centre team have participated and been well Talents of a Diverse Healthcare Workforce. represented. The challenge is to work with Professor Sara Faithfull, Faculty coordinator Issue 5: Supporting Professional Education for the health care practice research theme in in the Field (Project Mercury): An evaluation order to ensure the balance between health services research, social and life sciences, Issue 6: Leadership for Learning and biomedical sciences. The Work in Progress Seminars (WIP) are a means to A list of our publications, end of project ensure this and will be re-established in the reports and conference papers are available coming year. The appointment of Dr Helen in Appendices 1, 2 and 3 and also on our Web Allan, as the Faculty CLD scholar is an pages: excellent opportunity to promote pedagogical research and scholarly activity in close http://portal.surrey.ac.uk/eihms/ association with Lee-Ann Sequeira the newly research/specgroup/crnme/ appointed E-learning facilitator who has been located in the Centre during the first three months of her appointment. She has worked closely with Pam Smith, during her term as 7. The Year Ahead Associate Dean (Learning and Teaching), in undertaking a review of e-learning activity In the year ahead we intend to: and developing an e-learning strategy for the Faculty.  Build on existing and seek new national and international partnerships  Submit more bids, submit larger bids, Publications continue to be a top priority with win more bids plans to hold a series of scholarly workshops  Continue to deliver high quality, throughout the year. The Centre team was successful projects well represented in the Research Assessment  Influence national policy agendas Exercise. They were entered under the new  Ensure succession planning and unit of assessment, Health Services Research direction in CRNME and ICNE and the results will be known in December  Successfully fill our midwifery 2008. research fellow vacancy  Establish a postdoctoral fellowship 6. Dissemination and Engagement  Increase our research studentships Strategy We will achieve this through: Research Highlights Partnerships – we plan to institute a formal Our Research Highlights include: contact strategy with all our current and potential partners, and with current and Issue 1: A retrospective evaluation of the potential funders. This will involve the multidisciplinary project at the Townend building of a database of contacts, and a General Practice planned campaign of regular and relevant communications, with the aim of keeping Issue 2: Researching Equal Opportunities for CRNME ‘front-of-mind’ with our key contacts. Internationally Recruited Nurses and other Healthcare Professionals. Professor Pam Smith’s planned 0.5 secondment to the University of Edinburgh from January 2009 will increase our

15 opportunities for partnership working and income generation.

We have strong internal partners with the University’s Centre for Learning Development (CLD) and the Surrey Centre for Excellence in Professional Training and Education (SCEPTrE). Dr Helen Allan’s appointment as Faculty CLD scholar will strengthen our internal and international links and offer the potential to establish the Centre as a hub for learning and teaching activities across the Faculty working closely with the Associate Dean (Learning and Teaching) to facilitate teaching and learning projects.

Bids – we plan to increase our bid rate, targeting large funders with strong partners.

Delivery of projects – maintain current standards which are recognised to be high.

National policy agendas – we plan a series of meetings with the Department of Health and local and national stakeholders to market our services and shape the national policy around learning and teaching and thereby shape future research funding calls.

Succession planning - of senior researchers and postdoctoral fellows.

Research studentships – dependent upon our successful income generation, we have agreement in principal from the General Nursing Council Trustees to advertise a PhD studentship and plan to apply for ESRC funding for further studentships and target our MSc students for this purpose.

Faculty and Divisional interaction - the planned appointments of Professors in Adult Nursing and Midwifery and the Director of ICNE following the retirement of the current post holder, offer future opportunities to develop and strengthen the nursing and midwifery profile locally, nationally and internationally.

16 Appendix 1 – End of project reports

Reports can also be located at: http://portal.surrey.ac.uk/eihms/ research/specgroup/crnme/

Leadership for Learning: An Investigation into changes in nursing The Professional Experience of leadership roles and their impact on Governance and Incentives: meeting the how student nurses learn in practice in needs of people with complex conditions the new NHS in primary care Helen Allan, Pam Smith, Mike O’Driscoll, Pam Smith, John Aggergaard Larsen, Helen Maria Lorentzon Allan and Paula Reed in collaboration with the Final Report: Leadership for Learning University of Kingston and St George’s University of London, Kings College London, The Mirror Project: Creating a reflective the University of Plymouth and the Open toolkit to support mentors in practice University Julie-Ann MacLaren, Helen Booth and Margaret Volante Final report: The Professional Experience of Final Report: The Mirror Project: Creating a Governance and Incentives: Meeting the reflective toolkit to support mentors in Needs of Individuals with Complex Conditions practice in Primary care

Promoting a deep approach: Improving In Patient Care: The professional education in the field therapeutic engagement of nurses on Margaret Volante, Gina Finnerty, Julie acute mental health wards MacLaren and Liz Rockingham John Aggergaard Larsen, Kevin Acott and Sue Final report: Promoting a deep approach to Hudson. professional learning in the field Final report: Improving In Patient Care: The Therapeutic Engagement of Nurses on Acute The student passport – assessment and Mental Health Wards: A Practice feedback Margaret Volante, Juliet McDonnell Development Project and teaching staff from pre-registration midwifery and nursing programmes Patient Safety in Health Care Final report: The student passport – Professional Educational Curricula: assessment and feedback Examining the Learning Experience In collaboration with the Universities of Supporting the transition from Newcastle, East Anglia, Edinburgh and doctorate to post doctoral employment: Manchester developing and piloting a tool for Pam Smith, Carin Magnusson and Jill personal development and training Lawrence needs analysis: Managing the transition Final report in preparation to post doctoral careers Helen Allan, Khim Horton, Wendy Knibb, Mike Improving the student experience of O’Driscoll. feedback and assessment in biosciences Final report: Supporting the transition from - “ISFAB” doctorate to post doctoral employment: Mike O’Driscoll, Dr Pete Sanders (University developing and piloting a tool for personal of Surrey). development and training needs analysis Final report in preparation

Supervision of practice in gynaecology nursing

17 Helen Allan and Wendy Rae-Mitchell supported by the Foundation of Nursing Studies in collaboration with the Royal Surrey County Hospital NHS Trust No final report required – paper in preparation

18 Symposium presentation: Unveiling the Appendix 2 – Conference hidden curriculum in midwifery presentations Other speakers: Dr Gina Finnerty Nurse Education Today 2008 Conference, Dr Helen Allan Cambridge 2-4 September 2008 ‘Workshop on International Migration’ Barcelona EONS 12th - 14 September 2007

'Supporting the transition from doctorate to post doctoral employment: Developing and piloting a tool for training needs analysis and ‘ The influence of the hidden curriculum on personal development' mentoring in healthcare settings’ European Academy Nursing Scientists, Other speakers: Dr Gina Finnerty, Kevin Leuven Belgium Acott and Bob Birtwell 25 January 2008 Nurse Education Today 2008 Conference, Cambridge 'The elephant in the room: understanding 2-4 September 2008 emotions and sexuality in cancer care' Royal Marsden Study day on cancer and Dr Gina Finnerty Sexuality March 2008 ‘ Making craft knowledge visible: Student midwives’ voices’ Symposium presentation: ‘The doctoral WOMB Seminar, Bournemouth journey and transition to post doctoral October 2007 working: is it managed effectively and do post doctoral nurses have a career ‘Maternity services: ever-decreasing circles?’ structure?’ Royal College of Midwives Student Midwives’ Other speakers: Pam Smith, Isabel White and Conference, London Lorraine Ellis December 2007 RCN International Research Conference, Liverpool ‘Development and evaluation of e-portfolios: 9 April 2008 A model of personalised learning for trainee healthcare mentors’ ‘ Frequently we’re in no-man’s land in the Other speakers: Dr Margaret Volante, Liz middle and we’re not sure where we belong Rockingham, Julie MacLaren and Mike or should we be able to bear our patients in O’Driscoll our teaching in some way”: the University of Surrey, Learning and Teaching supernumerary status of nurse lecturers in event, Friday modern nurse education’ 7 March 2008 Master class, University of Salford May 2008 Symposium presentation: ‘Unveiling the hidden curriculum in midwifery’ ‘For whose benefit? Staff’s views on meeting Other speakers: Dr Helen Allan targets and providing care for people with Nurse Education Today 2008 Conference, long term complex conditions in new primary Cambridge: Education in Healthcare care organisation’ September 2-4 2008 Other speakers: Paula Reed and Pam Smith Faculty of Health and Medical Sciences ‘ The influence of the hidden curriculum on Festival of Research mentoring in healthcare settings’ July 2008 Other speakers: Dr Helen Allan, Kevin Acott and Bob Birtwell

19 Nurse Education Today 2008 Conference, 9 April 2008 Cambridge: Education in Healthcare September 2-4 2008 Dr Verena Tschudin

Hear your neighbour as yourself’ Dr Khim Horton Essex and East London Hospital Chaplains’ Annual study day ‘Student Attrition: The Exit Interview Process’ 8 October 2007 Other speakers: Carin Magnusson University of Surrey, Learning and Teaching ‘ Nurses, ethics, poverty and human event development’ 7 March 2008 Royal Marsden Hospital Nurses Alumni Study Day and Annual General Meeting ‘ Student Retention in Higher Education: role 10 October 2007 and process of student exit interviews’ Other speakers: Carin Magnusson ‘The value of nursing and values in nursing’ 10th International Conference on Education, 3rd International specialist conference on Athens care ethics 26 - 29 May 2008 15 November 2007 ‘Challenges and Supports for Breastfeeding in highly motivated Malaysian mothers’ ‘Ethical issues in end of life care; Counselling Other speakers: Nazatul Shiha Bachtiar, for loss and grief; Facing myself and Jamiyah Binti Hassan, WTK Lee and SA managing myself as a palliative care worker’ Lanham-New 15th Peace House Hospice International Sigma Theta Tau International, Singapore Workshop, ‘Palliative care: East-West 5 July 2008 dialogue’. Peace House Hospice, Oiso, Japan 3-4 February 2008 ‘Listening to older people to improve uptake of fall prevention interventions: Developing a health-promoting model to increase self- ‘The value of nursing’ efficacy’ Kyoto Tachibana University Other speakers: Angela Dickinson, Ina 6 February 2008 Machen, Jenny Cove, Ted Maddex and ‘Ethics in Nursing: the Caring Relationship’ Deepak Jain St Mary’s University College, Twickenham BSG Conference, Bristol 10 May 2008 5-6 September 2008 ‘Ethics and caring, in the present and for the Professor Pam Smith future’ 17th World Council of Enterostomal Therapists ‘Emotional Labour in the care of people with Congress, Ljubljana Dementia’ 19 June 2008 Dementia Matters Conference, University of Surrey ‘Global responsibilities of and for nurses’ 7 April 2008 International Nursing Research Conference ‘Facing the Challenge of Health Care Systems Symposium presentation: ‘The doctoral in Transition’, Jerusalem, Israel journey and transition to post doctoral 30 June – 3 July 2008 working: is it managed effectively and do post doctoral nurses have a career Dr Margaret Volante structure?’ Other speakers: Helen Allan, Isabel White and ‘Teaching and Assessment in practice’ Lorraine Ellis Other speakers: Juliet McDonnell RCN International Research Conference, NET/NEP2008 Conference, Dublin Liverpool 9 – 11 June 2008

20 21 Appendix 3 – Publications and barriers to participation in fall prevention interventions Ageing and Society 28, 449 (October 2007 to September 2008) -472

2007 Finnerty G and Smith P (2008) A Tribute to Allan H T, Smith P and Lorentzon M (2007) Professor Rosemary Pope (1958-2008) Nurse Leadership for learning: a literature study of Education Today (available on-line) leadership for learning in clinical practice. Journal of Nursing Management 16, 545-555 Green A, Westwood O, Smith P, Peniston- Bird, F and Holloway, D (accepted for Allan H (2007) The rhetoric of caring and the publication 2008) Provision of Continuing recruitment of overseas nurses: or the social Professional Development for non-medical reproduction of a care gap Journal of Clinical prescribers: a report on a training needs Nursing 16, 12, 2204-2212 analysis Journal of Nursing Management

Finnerty G, Magnusson C and Pope R Lorentzon M, Marchant S, Duff E, Finnerty G, (2007) Women’s views of student midwives’ James D, Magill-Cuerden J, Smith P and involvement in maternity care Evidence Tickner V (2008) Midwifery education in Based Midwifery 5, 4, 137-42 England, 1949-56. A research in progress report about an ongoing archival study of the Larsen J A (2007) Embodiment of Midwife Teachers’ Training Council and discrimination and overseas nurses’ career College at High Coombe MIDIRS Midwifery progression Journal of Clinical Nursing 16, 12, Digest 18:1 2187-2195 Horton K (2008) The use of telecare for Latifnejad R, Allan H T and Smith P A people with Chronic Obstructive Pulmonary (2007) Looking at infertility through the lens Disease: Implications for management of religion and spirituality: a review of the Journal of Nursing Management 16 173 - 180 literature. Human Fertility 10, 3, 141-149 Horton K (in press) Gender and the Risk of Smith P (2007) Editorial: Overseas trained Falling: A Sociological Approach Journal of nurses, diversity and discrimination: Advanced Nursing perceptions, practice and policy, Journal of Clinical Nursing. 16, 12, 2185-2186 Hutnik H and Gregory J (2008) Cultural Sensitivity Training: description and Smith P and Mackintosh M (2007) Profession evaluation of a workshop Nurse Education market and class: nurse migration and the re- Today 28 171 -178 making of division and disadvantage. Journal of Clinical Nursing, 16, 12, 2213-2220 Hutnik N and Street R (in press) Profiles of British Muslim Identity Journal of 2008 Adolescence Allan H T (2008) Ethnicity, race and health in a multicultural environment Foundations for Joolaee S, Tschudin V, Nikbakht-Nasrabadi better epidemiology, public health and health A, Parsa-Yekta Z (2008) Patients’ rights: the care Bulletin of the World Health lived experience of Iranian nurses and Organization physicians International Nursing Review 55:1 55-61 Allan H T, Tshudin V and Horton K (2008) The devaluation of nursing: a position Joolaee S and Tschudin V (accepted for statement Nursing Ethics 15, 4 publication 2008) Facilitators and barriers to the practice of patients’ rights in Iran Bunn F, Dickinson A, Barnett-Page E, McInnes International Nursing Review E and Horton K (2008) A systematic review of older people’s perceptions of facilitators

22 Smith P (2008) Guest Editorial: Compassion Smith P, (2008) Preface Emotional Labour: and smiles: what's the evidence? Journal of What Do We Know and What Do We Need to Research in Nursing 13, 367-70 Find Out? In Hunter B and Deery R (Eds.) Emotions in Midwifery and Reproduction, Tschudin V (accepted for publication 2008) Palgrave Macmillan, Basingstoke Publishing in English language journals Nursing Ethics

Tschudin V and Davis A (2008) (Eds.) The Globalisation of Nursing: ethical, legal and political issues. Radcliffe Medical Press, Oxford

BOOK CHAPTERS Allan H T and Smith P A (in press) The cultural context of communication: overseas’ nurses’ experiences of being ‘different’ in the NHS. In Bryan K (Ed.) Communication in Health care Allan H T (2008) Reforming national regulatory standards: the UK’s failure to adequately recognise and value overseas trained nurses’ skills in the UK workforce. In Tschudin V and Davis A (Eds.) Globalisation of nursing: ethical, legal and political issues Radcliffe Medical Press, Oxford

Finnerty G and Allan H (2008) Motherhood Following Successful Infertility Treatment: Emotions in Midwifery and Reproduction. In Hunter B and Deery R (Eds.) Emotions in Midwifery and Reproduction, Palgrave Macmillan, Basingstoke

Smith P and Lorentzon M (2008) The Emotional Labour of Nursing In Spouse J, Cox C and Cook M (Eds.) Common Foundation Studies in Nursing (Fourth Edition), Elsevier: Edinburgh

Smith P, Vydelingum V. Colliety P (in press) Research Perspectives Applied to Primary Health Care, in Sines D, Appleby F and Raymond B (Eds.) Community Health Care Nursing (Fourth edition), Blackwell, Oxford