RESUMO
BACKGROUND: This study examined the research and development culture and capacity within one NHS Trust in Northern Ireland. Strengths and challenges were identified and opportunities for further research and development expansion were sought. METHODS: This is a two-stage project incorporating a baseline survey (n = 379) followed by consultation with key stakeholders across the Trust (n = 11). FINDINGS: In the survey, over half of the respondents (n = 194) stated they had participated in a research project and a significant number (n = 313) read health care journals. Identification of barriers to research resulted in findings similar to other published work. Staff responded positively about using research in practice (n = 328) and that practice should be influenced by research (n = 312). Nurse Managers indicated support for research and development activity. CONCLUSION: The study provides a starting point from which to develop a positive research and development culture within this Trust. IMPLICATIONS FOR NURSING MANAGEMENT: After establishing a baseline of research and development activity across a large acute Trust, the strengths and weaknesses of such activity were identified with a view to informing a strategy to develop this aspect of professional activity. A change in an organizational culture cannot be made without full support of both the clinicians and their managers.
Assuntos
Atitude do Pessoal de Saúde , Conhecimentos, Atitudes e Prática em Saúde , Pesquisa em Enfermagem/organização & administração , Recursos Humanos de Enfermagem Hospitalar , Difusão de Inovações , Feminino , Humanos , Masculino , Avaliação das Necessidades , Irlanda do Norte , Enfermeiros Administradores/educação , Enfermeiros Administradores/organização & administração , Enfermeiros Administradores/psicologia , Papel do Profissional de Enfermagem/psicologia , Pesquisa Metodológica em Enfermagem , Pesquisa em Enfermagem/educação , Recursos Humanos de Enfermagem Hospitalar/educação , Recursos Humanos de Enfermagem Hospitalar/organização & administração , Recursos Humanos de Enfermagem Hospitalar/psicologia , Cultura Organizacional , Competência Profissional/normas , Autoeficácia , Apoio Social , Medicina Estatal/organização & administração , Inquéritos e QuestionáriosRESUMO
This article describes the experience of staff in one acute hospital in Northern Ireland who adapted the Liverpool Care Pathway (LCP) for the dying patient to suit their organisation. It focuses on one patient's journey, from diagnosis to terminal care. The patient remained on the care pathway for 12 days. This reflection demonstrates that, as long as patients continue to meet the criteria for the LCP, some may be on the care pathway for more than the recognised average of two days.
