Nursing Decision Making: An Integrated Programme of Research to Maximise the Effectiveness of Clinic

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Nursing Decision Making An Integrated Programme
of Research to Maximise the Effectiveness of
Clinical Nursing Resources
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Collaborative Programme Team

• Principal Investigator
• Professor P Anne Scott (Co-director)
• Dublin City University (DCU)E-mail
  anne.scott_at_dcu.ie
• Research Team
• Professor Pearl Treacy (Co-director)
• University College Dublin (UCD)
• E-mail pearl.treacy_at_ucd.ie
• Dr P Mac Neela, DCU Ms R Morris, DCU Mr G
  Clinton, DCU Ms M Corbally, DCUDr Kate Irving,
  DCU Ms P Henry, DCU.
• Dr A Hyde, UCD Dr M Butler, UCD Ms Anne Byrne,
  UCD, Mr J Drennan, UCD.
• Contact - DCU
• Roisin Morris, MSc. BSc (Research Fellow)
• E-mail Roisin.morris_at_dcu.ie
• Health Research Board Research Programme Grant
  (2002-2007).

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Programme Aim

• To articulate the nursing contribution to health
  and social care with particular reference to
  nursing decision making at individual,
  interpersonal and organisational levels.

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Programme Objectives

• Develop and validate NMDS
• Analyse patient problems, nursing interventions
  and patient outcomes through NMDS in general and
  mental health nursing
• Examine how interpersonal and organisational
  factors contribute to nursing decision making
• Analyse strategies used by nurses to make
  decisions
• Identify how effective decision-making can be
  promoted within an organisational context

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Programme Objectives Cont.

• 6. Examine best practice and patient outcomes in
  a field setting
• 7. Analyse how nursing decision making impacts on
  the nursing contribution to care and health and
  social gain
• 8. Integrate findings into a research-based
  practice development framework to inform and
  advise on the use of the nursing resource.

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Overview of Programme Management

• DCU / UCD Team PI and Co-direction
• Joint team meetings 4 6 weeks
• Internal (single institution ) team meetings
• Use of issue specific sub-groups eg. delphi,
  definitions and dictionary development, JDM
  Studies
• Annual Advisory Group meetings

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Year One Outputs

• Management structure for the programme
  established
• RAs, RFs and Admin. Staff recruited
• International Advisory Group established two
  meeting _at_ six monthly intervals held.
• Ethical approval and access negotiated on all
  sites
• Focus group and documentry data gathering
  commenced.
• 2 posters presented at ACENDIO, April 2003 2
  abstracts accepted for the TCD Research
  conference Nov 03.
• Literature review on NMDS commenced.

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Progress to Date Phase One Dual Purpose
Foundation Studies

• Focus Group Study - completed
• Nursing Documentation Study - completed
• Literature Reviews NMDS and Delphi
• Three Round Delphi Study - completed
• INMDS construction completed and piloted
• INMDS National validation studies commenced
• Conceptual development, tool development, case
  analysis work ongoing to inform phase two
• Dissemination presentations and publications

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Training and Access to International Expertise

• Workshop on definitions Prof Crow June 03
• Field Trip to Belgium - Prof Sermeuss research
  team August 03
• Workshop on NMDS components W Goossen,
  Netherlands Dec 03
• The Australian dataset development experience
  Prof Johnson, Uni of Western Sydney Oct 04
• Workshop on Phase Two Studies Dr D Dowding, Uni
  of York April 05
• JDM Symposium Nov 05 International
• Training in NVIVO, Endnote, AMOS

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Thankyou!

• Available for participants
• Programme flyers
• Dissemination details