Presentation on theme: "Academic Career Pathways"— Presentation transcript:
1Academic Career Pathways Christine Norton PhD MA RNNurse Consultant (Bowel Control) St Mark’s Hospital, HarrowProfessor of Clinical Nursing Innovation & Associate Director of NursingBucks New University& Imperial College Healthcare NHS Trust
2The only certainty is change Patients (demographics, expectations)NHS (technology, community focus, organisation of care)Nursing (all graduate, support workers, new rolesResearch (focus, funding, governance)
3What will your ideal job look like in: 1 year5 years10 years20 yearsIs it possible to plan for this?
4The issues Much research has only a medical focus Many important questions not answered by drugsMany nurse academics are not clinical (focus on workforce)Lack of career structure and progression for research nursesWould career progress for research nurses attract and retain more + enable genuine multidisciplinary research?
8Clinical Academic Careers Aim to have clinically active nurses also having a research roleNIHR: huge new funding for research nursesBut not many have carved out own research programmes?
9Why education? Safeguard patient Knowledge & competencies Credibility of nursesEqual member of multidisciplinary teamProfessional and personal developmentRole satisfactionPromotion and pay??Enabled to develop nursing serviceBecome a prescriberEnabled to conduct nursing research
10Not all Masters are the same Accumulate credits from modules (180)Some generic (advanced practice)Some clinically focused (cancer nursing)Some multidisciplinaryMSc vs. MResThesis may not allow you to do original research1 year full time: typically 2-3 years part time (£2k pa)Choose carefully and ask lots of questions before you sign up
11Clinical nurses doing research for MSc thesis - excited Ward sister: RCT gum chewing after surgeryNurse endoscopist: RCT Entonox for analgesiaWard sister: marshmallows to firm ileostomy outputCNS: H Pylori gastric biopsies for IDACNS: introduce enhanced recoveryCNS: info giving improved bowel prep for colonoscopyNeed to be organised to achieve
12Should PhD be the target? 3 years full time; 4-6 years part timeOriginal contribution to knowledge1-2 supervisors, 1 projectRegister with a UniversityTrainingThesis ,000 words + viva
13Nursing Research – PhD Students Maureen Coggrave – spinal bowel managementSue Woodward – reflexology for constipationSarah Collings – experience of incontinenceMaggie Vance – nurse led screening for bowel CaNikki Cotterill – questionnaire for incontinenceDenise Hibberts – needs of Muslim women with a stomaLesley Dibley – stigma in inflammatory bowel disease
14Imperial College Healthcare NHS Trust – Professor of Nursing 2010 Director of Nursing Janice Sigsworth: 1st job: work out strategy for CAC in AHSC(+ for EBP)Where to start?25% nurses have BSc – target 50%2.3% have MSc – target 10%3 have PhD’s – target 0.5% (20+)
16Career structure – nurses in an AHSC BSc prepared students (+ MSc route)with “research enhanced” preparationopportunity for placement in CTU (10 units)New staff orientation: compulsory (online) research awareness skills (+ AHPs)PhD/Preceptorship programmeResearch nurses: development programme
17Research as a career option 3rd year student placementsResearch nurse posts – often the opportunity is missed – use to develop skills and ambitions – career pathwayBuild research into clinical job plans
19Issues for Research Nurses Employer: NHS or University?InductionLine manager and nursing reporting line?Who is responsible for mandatory training & CPD (& pays)?Career pathway? Short term contractsSkills development, study leaveIsolation; possibilities for undue pressureNot a “career”RCN competencies a start
20Develop research from clinical questions – grants RfPB: £248k, radiation proctitisImperial Charity: £436k, improving patient experienceCrohn’s & Colitis UK: £109k: FI in IBDBig Lottery: £481k: fatigue in IBDColoplast Ltd: £10k: pilot anal irrigationNIHR: £99k, development of constipation algorithm
21Conclusions Why try for academic progression? Others will seldom take the initiativeIt is hard work, but rewardingProbably the only way we are going to develop genuine multidisciplinary research and enhance patient outcomesRoute to a self-confident research active profession