Implementation of the Chief Nursing Officer for England's National Strategy for Nursing Research in Mental Health Service Provider Organisations: A Mixed-Methods Study.

Jonny Green, Imogen Byrne, Nicola Clibbens, Carrie-Ann Black, Geoffrey Dickens
Author Information
  1. Jonny Green: Mental Health Nurse Research and Education, Sussex Partnership NHS Foundation Trust, University of Surrey, Guildford, UK. ORCID
  2. Imogen Byrne: Cumbria, Northumberland, Tyne & Wear NHS Foundation Trust, Newcastle upon Tyne, UK. ORCID
  3. Nicola Clibbens: Mental Health Nursing, Northumbria University, Cumbria, Northumberland, Tyne & Wear NHS Foundation Trust, Newcastle upon Tyne, UK. ORCID
  4. Carrie-Ann Black: Nursing for Research and Quality, South London and Maudsley NHS Foundation Trust, London, UK. ORCID
  5. Geoffrey Dickens: Mental Health Nursing, Northumbria University, Newcastle upon Tyne, UK. ORCID

Abstract

BACKGROUND: In 2021, the Chief Nursing Officer (CNO) for England launched the strategic plan for research with the aim of empowering nurses to lead, participate in, and deliver research.
AIM AND OBJECTIVES: To determine whether mental health service providers have engaged with the CNO's strategy, the extent to which they have developed research leadership roles for nurses, and to identify their related plans.
METHOD: A convergent mixed-methods (quantitative plus qualitative) study was conducted. Data were gathered from an online census survey of informants from English NHS mental health service provider organisations, freedom of information requests and web searches. Quantitative data were analysed descriptively, and qualitative data were analysed thematically.
RESULTS: Information was elicited regarding 40/51 relevant provider organisations, n = 14 from survey responses and n = 26 from Freedom of Information requests. In a subset of provider organisations, dedicated roles for nursing research leadership had been developed, but they lacked consistency in terms of focus, responsibilities and pay grade. We did not identify any specific nursing research strategies; organisation-wide strategies generally covered all clinical professional groups.
DISCUSSION: The CNOs strategy has had limited influence on providers' research strategy developments. Some provider organisations have actively developed their plans to boost nursing research, but others need to increase their efforts to do likewise or risk missing out on the benefits that accrue to research-active services, their staff, and service users. We make recommendations for future activity aimed at strengthening nursing research leadership in provider organisations.
RELEVANCE TO MENTAL HEALTH NURSING: Mental health nursing aspires to be an evidence-based profession, but the contribution made by nurses to the evidence through the conduct and, particularly, the leadership of clinical research has lagged behind that of professional colleagues. Recent attempts to build capacity and capability for research in the mental health nursing workforce have had unclear take-up and impact. This paper describes how one such initiative, the Chief Nursing Officer for England's strategy for nursing research, has been used in mental health service provider organisations in England.

Keywords

References

  1. Arias, D., S. Saxena, and S. Verguet. 2022. “Quantifying the Global Burden of Mental Disorders and Their Economic Value.” eClinicalMedicine 54: 101675. https://doi.org/10.1016/j.eclinm.2022.101675.
  2. Bilardi, D., E. Rapa, S. Bernays, and T. Lang. 2021. “Measuring Research Capacity Development in Healthcare Workers: A Systematic Review.” BMJ Open 11, no. 7: e046796. https://doi.org/10.1136/bmjopen‐2020‐046796.
  3. Boaz, A., S. Hanney, T. Jones, and B. Soper. 2015. “Does the Engagement of Clinicians and Organisations in Research Improve Healthcare Performance: A Three‐Stage Review.” BMJ Open 5, no. 12: e009415. https://doi.org/10.1136/bmjopen‐2015‐009415.
  4. Borschmann, R., S. Patterson, D. Poovendran, D. Wilson, and T. Weaver. 2014. “Influences on Recruitment to Randomised Trials in Mental Health Settings in England: A National Cross‐Sectional Survey of Researchers Working for the Mental Health Research Network.” BMC Medical Research Methodology 14: 23. https://doi.org/10.1186/1471‐2288‐14‐23.
  5. Braun, V., and V. Clarke. 2006. “Using Thematic Analysis in Psychology.” Qualitative Research in Psychology 3, no. 2: 77–101. https://doi.org/10.1191/1478088706qp063oa.
  6. Butterworth, T. 1991. “Generating Research in Mental Health Nursing.” International Journal of Nursing Studies 28, no. 3: 237–246. https://doi.org/10.1016/0020‐7489(91)90017‐W.
  7. Care Quality Commission. 2018. “Inspection Framework: NHS Trusts and Foundation Trusts; Next Phase Methodology 2018, Well‐Led [Online].” https://www.cqc.org.uk/guidance‐providers/healthcare/well‐led‐outstanding.
  8. Castro‐Sanchez, E., C.‐A. Black, C. Whitehouse, et al. 2020. “The NIHR 70@70 Programme: Transforming Research.” British Journal of Nursing 29, no. 4: 240–241. https://doi.org/10.12968/bjon.2020.29.4.240.
  9. Cooke, J., P. Gardios, and A. Booth. 2018. “Uncovering the Mechanisms of Research Capacity Development in Health and Spcial Care: A Realist Synthesis.” Health Research Policy and Systems 16: 93. https://doi.org/10.1186/s12961‐018‐0363‐4.
  10. Dickens, G. L., M. Al Maqbali, N. Blay, et al. 2023. “Randomized Controlled Trials of Mental Health Nurse‐Delivered Interventions: A Systematic Review.” Journal of Psychiatric and Mental Health Nursing 30, no. 3: 341–360. https://doi.org/10.1111/jpm.12881.
  11. Dickens, G. L., M. Avantaggiato‐Quinn, S.‐J. Long, M. Schoultz, and N. Clibbens. 2024. “Mental Health Nurses' and Allied Health Professionals' Individual Research Capacity and Organizational Research Culture: A Comparative Study.” SAGE Open Nursing 10: 1–17. https://doi.org/10.1177/23779608241250207.
  12. Dorgan, S. 2018. “Building Research Capacity and Capability in the Nursing, Midwifery and Allied Health Professions.” British Journal of Nursing 27, no. 11: 634–635. https://doi.org/10.12968/bjon.2018.27.11.634.
  13. Driessnack, M., V. D. Sousa, and I. A. C. Mendes. 2007. “An Overview of Research Designs Relevant to Nursing: Part 3 Mixed and Multiple Methods.” Revista Latino‐Americana de Enfermagem 15, no. 5: 1046–1049. https://doi.org/10.1590/S0104‐11692007000500025.
  14. Fenlady, T., T. Dwyer, J. Kahl, A. Sobolewska, K. Reid‐Searl, and T. Signal. 2022. “Research Capacity Building for Clinicians: Understanding How the Research Facilitator Role Fosters Clinicians' Engagement in the Research Process.” Health Research Policy and Systems 20: 45. https://doi.org/10.1186/s12961‐022‐00849‐8.
  15. Freedom of Information Act. 2000, c.36. https://www.legislation.gov.uk/ukpga/2000/36/contents.
  16. Gee, M., and J. Cooke. 2018. “How Do NHS Organisations Plan Research Capacity Development? Strategies, Strengths, and Opportunities for Improvement.” BMC Health Services Research 18: 198. https://doi.org/10.1186/s12913‐018‐2992‐2.
  17. Health Psychology Management Organisation Services. 2013. “A‐Z List of NHS Mental Health Trusts in England.” http://www.hp‐mos.org.uk/a‐z‐list‐of‐nhs‐mental‐health‐trusts‐in‐england/.
  18. Henshall, C., D. Greenfield, H. Jarman, H. Rostron, H. Jones, and S. Barrett. 2023. “A Nationwide Initiative to Increase Nursing and Midwifery Research Leadership: Overview of Year One Programme Development, Implementation and Evaluation.” Journal of Clinical Nursing 32, no. 15–16: 5369–5381. https://doi.org/10.1111/jocn.15558.
  19. Kueny, A., L. Shever, M. Mackin, and M. Titler. 2015. “Facilitating the Implementation of Evidence‐Based Practice Through Contenxtual Support and Nursing Leadership.” Jounral of Healthcare Leadership 7: 29–39. https://doi.org/10.2147/JHL.S45077.
  20. Mental Health Foundation. n.d. “Investment Into Mental Health Research: Statistics [Online], United Kingdom: Mental Health Foundation”. https://www.mentalhealth.org.uk/explore‐mental‐health/mental‐health‐statistics/investment‐mental‐health‐research‐statistics#:~:text=There%20have%20been%20recent%20boosts,announced%20by%20the%20NIHR%20and.
  21. Menzies, J., S. Brand, S. Bench, L. Bramley, S. Smith, and C. Henshall. 2023. “Increasing Nursing and Midwifery Research Leadership: Impact Evaluation of the National Institute for Health and Care Research Senior Nurse and Midwife Research Leader Programme at 1 Year.” Journal of Research in Nursing 28, no. 6–7: 516–528. https://doi.org/10.1177/17449871231201550.
  22. Mitchell, G. 2021. “Mental Health Nurse Consultants Regain National Platform, Nursing Times.” https://www.nursingtimes.net/news/mental‐health/mental‐health‐nurse‐consultants‐regain‐national‐platform‐06‐10‐2021/.
  23. Morgan, D. 2013. Integrating Qualitative and Quantitative Methods: A Pragmatic Approach. Sage.
  24. Morris, Z. S., S. Wooding, and J. Grant. 2011. “The Answer Is 17 Years, What Is the Question: Understanding Time Lags in Translational Research.” Journal of the Royal Society of Medicine 104, no. 12: 510–520. https://doi.org/10.1258/jrsm.2011.110180.
  25. National Institute for Health and Care Research. 2021. “£30 Million Investment to Rebalance the Scale of Mental Health Research [Online].” https://www.nihr.ac.uk/news/30‐million‐investment‐to‐rebalance‐the‐scale‐of‐mental‐health‐research/28411.
  26. National Institute for Health and Care Research (NIHR). 2022. “Senior Research Leader‐Nursing and Midwifery Programme [Online].” https://www.nihr.ac.uk/documents/senior‐research‐leader‐nursing‐and‐midwifery‐programme/31369.
  27. National Institute for Health and Care Research (NIHR). 2023a. RfPB Under‐Represented Disciplines and Specialisms Highlight Notice: Nurses and Midwives [Online]. NIHR. https://www.nihr.ac.uk/funding/rfpb‐under‐represented‐disciplines‐and‐specialisms‐highlight‐notice‐nurses‐and‐midwives/32059.
  28. National Institute for Health and Care Research (NIHR). 2023b. “£42.7 Million Funding Boost for Mental Health Research [Online].” https://www.nihr.ac.uk/news/427‐million‐funding‐boost‐for‐mental‐health‐research/33559.
  29. National Institute for Health and Care Research (NIHR). 2023c. “Local Clinical Research Network [Online].” https://local.nihr.ac.uk/lcrn/.
  30. National Institute for Health and Care Research (NIHR). 2024. “Research in Mental Health Nursing ‐ NIHR Highlight Notice Commissioning Brief.” https://www.nihr.ac.uk/documents/research‐in‐mental‐health‐nursing‐nihr‐highlight‐notice‐commissioning‐brief/36299.
  31. NHS Employers. 2024. “NHS Employers' Submission to the NHS Pay Review Body 2024/25.” https://www.nhsemployers.org/system/files/2024‐03/NHS%20PRB%202024%2025%20evidence.pdf.
  32. NHS England. 2020. “Leading the Acceleration of Evidence Into Practice: A Guide for Executive Nurses [Online]. NHS England.” https://www.england.nhs.uk/nursingmidwifery/research‐and‐evidence/.
  33. NHS England. 2024a. “The Centre for Advancing Practice Multi‐Professional Practice‐Based Research Capabilities Framework.” https://advanced‐practice.hee.nhs.uk/our‐work/research/multi‐professional‐practice‐based‐research‐capabilities‐framework/.
  34. NHS England. 2024b. “Self‐Assessment of Organisational Readiness Tool (SORT): A Guide to Improve Nursing Research Capacity in Health and Care.” NHS England » Self‐assessment of organisational readiness tool (SORT).
  35. NHS England. n.d. “Chief Nursing Officer for England.” https://www.england.nhs.uk/nursingmidwifery/chief‐nursing‐officer‐for‐england/#:~:text=He%20is%20responsible%20for%20providing,as%20the%20nurses%20working%20in.
  36. NHS England and NHS Improvement. 2021. Making Research Matter: Chief Nursing Officer for England's Strategic Plan for Research (Version 2). NHS.
  37. NHS England and NHS Improvement. 2022. The Mental Health Nurse's Handbook. NHS.
  38. Olive, P., F. Maxton, C.‐A. Bell, et al. 2022. “Clinical Academic Research Internships: What Works for Nurses and the Wider Nursing, Midwfiery and Allied Health Professional Workforce.” Journal of Clinical Nursing 31: 318–328. https://doi.org/10.1111/jocn.15611.
  39. Organization for Economic Co‐Operation And Development. 2023. Health at a Glance 2023: OECD Indicators. OECD Publishing. https://doi.org/10.1787/7a7afb35‐en.
  40. Ozdemir, B. A., A. Karthikesalingam, S. Sinha, et al. 2015. “Research Activity and the Association With Mortality.” PLoS One 10, no. 2: e0118253. https://doi.org/10.1371/journal.pone.0118253.
  41. Palmer, W., E. Dodsworth, and L. Rolewicz. 2023. In Train? Progress on Mental Health Nurse Education. Nuffiled Trust. https://www.nuffieldtrust.org.uk/sites/default/files/2023‐05/Mental%20Health%20nursing%20update_WEB_FINAL.pdf.
  42. Savage, A., and R. Hyde. 2014. “Using Freedom of Information Requests to Facilitate Research.” International Journal of Social Research Methodology 17, no. 3: 303–317. https://doi.org/10.1080/13645579.2012.742280.
  43. Tingen, M. S., A. H. Burnett, R. B. Murchison, and H. Zhu. 2009. “The Importance of Nursing Research.” Journal of Nursing Education 48, no. 3: 167–170. https://doi.org/10.3928/01484834‐20090301‐10.
  44. Warrender, D., M. Ramsay, and J. Hurley. 2023. “Mental Health Nurse Education: A Contemporary View in the Debate Between Generic and Specialist Approaches.” Mental Health Practice 26: 20–25. https://doi.org/10.7748/mhp.2023.e1663.

Grants

  1. /NHS England

Word Cloud

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