Professor Justin Waring - Implementing evidence and improvementCLAHRC-NDL
Professsor Justin Waring presentation on Implementing evidence and improvement, delivered at NIHR CLAHRC East Midlands launch event on 14 February 2014, Loughborough.
Professor Kamlesh Khunti - Prevention of Chronic DiseaseCLAHRC-NDL
Presentation by Professor Kamlesh Khunti on Prevention of Chronic Disease. Professor Khunti is Director of NIHR CLAHRC East Midlands and leads the Preventing Chronic Disease research theme.
Professor Justin Waring - Implementing evidence and improvementCLAHRC-NDL
Professsor Justin Waring presentation on Implementing evidence and improvement, delivered at NIHR CLAHRC East Midlands launch event on 14 February 2014, Loughborough.
Professor Kamlesh Khunti - Prevention of Chronic DiseaseCLAHRC-NDL
Presentation by Professor Kamlesh Khunti on Prevention of Chronic Disease. Professor Khunti is Director of NIHR CLAHRC East Midlands and leads the Preventing Chronic Disease research theme.
From post-doc to present day.
Presentation for the NIHR CLAHRC National Conference Careers Day: for postdoc research careers in the allied health professions
MEDICal REsearch Support is a scientific- post graduate- international -life long learning- medical education and publication program for health care professionals aiming to support medical research by ‘Evidence Based Medicine and Medical Decision Making’ tools, especially Biostatistics.
Kuchinke-The Learning Health System (LHS) Introduction and meeting 1fpdfWolfgang Kuchinke
We present the results of the conference: The Learning Health System (LHS) in Europe - A conference held in Brussels. A comparison between the US and the European approach to implementing a LHS was achieved. The perspective from the US was given by Charles Friedman; the European point of view by Federico Paoli. C. Friedman also introduced the concept of Learning by virtious cycles.
An example for the implementing the LHS in Europe was demonstrated in detail: the TRANSFoRm project, which aims to develop and demonstrate methods, models, standards and a
digital infrastructure for three specific components of the LHS:
– Genotype-phenotype epidemiological studies
– Randomised Clinical Trials (RCTs) with both data and trial processes embedded within the functionality of EHRs
– Decision support for diagnosis, based on clinical prediction rules
Other topics presented were: Sustainability and Business Development ofthe LHS. Knowledge Management & Data Standards in the LHS. Data privacy and security in the LHS (EHR4CR solutions for privacy protection, HIPAA - US experiences with privacy protection, TRANSFoRm Zone Model for data privacy protection, IMI code of practice for the secondary use of health data). Knowledge Translation and Decision Support in the LHS (Decision support for interventions in the LHS, TRANSFoRm Decision support for diagnosis,
TRANSFoRm Extensible model for diagnostic evidence, CareWell - A learning integrated care system, Improving quality of care with routine data: the perspective of a statutory health insurer, The impact on LHS).
CDISC and clinical trial standards in the LHS, pan-European platforms for the re- use of EHRs, TRANSFoRm and CDISC standards, Provenance and GCP for real world clinical trials,
Using Health Data for Innovative Trial Designs, ...
To achieve the goal of Health Equity we need changes principles and values in healthcare and healthcare education, changes in systems for health and the use of patient driven data (Big Data) in order to develop a learning healthcare system.
Unprecedented medical advances in cancer treatments are accompanied with huge financial challenges. Outcome-based payments have been proposed as a potential way to foster earlier access, tackle uncertainty, and address the financial challenge. But payments based on what outcomes? We conducted a literature review exploring what outcomes “matter most” in cancer.
Author(s) and affiliation(s): Amanda Cole, OHE Patricia Cubi-Molla, OHE Paula Lorgelly, OHE Jon Sussex, RAND Europe Jack Pollard, RAND Europe Miaoqing Yang, RAND Europe Richard Sullivan, King's College London
Conference/meeting: PROMS Research Conference 2018
Location: University of Birmingham
Date: 20/06/2018
A presentation by Jimmy Whitworth as part of the Sustainability and Ownership panel discussion at the International Symposium on Cohort and Longitudinal Studies in Developing Contexts, UNICEF Office of Research - Innocenti, Florence, Italy 13-15 October 2014
Koonal's slides from a short presentation (vignette) he gave at HTAi Annual Meeting 2018 summarising two study being undertaken in parallel to value health in children and adolescents. The audience comprised attendees at a conference focused on HTA.
From post-doc to present day.
Presentation for the NIHR CLAHRC National Conference Careers Day: for postdoc research careers in the allied health professions
MEDICal REsearch Support is a scientific- post graduate- international -life long learning- medical education and publication program for health care professionals aiming to support medical research by ‘Evidence Based Medicine and Medical Decision Making’ tools, especially Biostatistics.
Kuchinke-The Learning Health System (LHS) Introduction and meeting 1fpdfWolfgang Kuchinke
We present the results of the conference: The Learning Health System (LHS) in Europe - A conference held in Brussels. A comparison between the US and the European approach to implementing a LHS was achieved. The perspective from the US was given by Charles Friedman; the European point of view by Federico Paoli. C. Friedman also introduced the concept of Learning by virtious cycles.
An example for the implementing the LHS in Europe was demonstrated in detail: the TRANSFoRm project, which aims to develop and demonstrate methods, models, standards and a
digital infrastructure for three specific components of the LHS:
– Genotype-phenotype epidemiological studies
– Randomised Clinical Trials (RCTs) with both data and trial processes embedded within the functionality of EHRs
– Decision support for diagnosis, based on clinical prediction rules
Other topics presented were: Sustainability and Business Development ofthe LHS. Knowledge Management & Data Standards in the LHS. Data privacy and security in the LHS (EHR4CR solutions for privacy protection, HIPAA - US experiences with privacy protection, TRANSFoRm Zone Model for data privacy protection, IMI code of practice for the secondary use of health data). Knowledge Translation and Decision Support in the LHS (Decision support for interventions in the LHS, TRANSFoRm Decision support for diagnosis,
TRANSFoRm Extensible model for diagnostic evidence, CareWell - A learning integrated care system, Improving quality of care with routine data: the perspective of a statutory health insurer, The impact on LHS).
CDISC and clinical trial standards in the LHS, pan-European platforms for the re- use of EHRs, TRANSFoRm and CDISC standards, Provenance and GCP for real world clinical trials,
Using Health Data for Innovative Trial Designs, ...
To achieve the goal of Health Equity we need changes principles and values in healthcare and healthcare education, changes in systems for health and the use of patient driven data (Big Data) in order to develop a learning healthcare system.
Unprecedented medical advances in cancer treatments are accompanied with huge financial challenges. Outcome-based payments have been proposed as a potential way to foster earlier access, tackle uncertainty, and address the financial challenge. But payments based on what outcomes? We conducted a literature review exploring what outcomes “matter most” in cancer.
Author(s) and affiliation(s): Amanda Cole, OHE Patricia Cubi-Molla, OHE Paula Lorgelly, OHE Jon Sussex, RAND Europe Jack Pollard, RAND Europe Miaoqing Yang, RAND Europe Richard Sullivan, King's College London
Conference/meeting: PROMS Research Conference 2018
Location: University of Birmingham
Date: 20/06/2018
A presentation by Jimmy Whitworth as part of the Sustainability and Ownership panel discussion at the International Symposium on Cohort and Longitudinal Studies in Developing Contexts, UNICEF Office of Research - Innocenti, Florence, Italy 13-15 October 2014
Koonal's slides from a short presentation (vignette) he gave at HTAi Annual Meeting 2018 summarising two study being undertaken in parallel to value health in children and adolescents. The audience comprised attendees at a conference focused on HTA.
7 Day Services webinar - Workforce and delivering 7 day servicesNHS England
This webinar explores how use of enhanced roles can help Trusts in the delivery of seven day services, and aims to help trusts understand the practical issues associated with developing enhanced roles and implementing these into their organisations. During this session you will hear about:
* Workforce planning and the delivery of 7 day Services. Health Education England will provide an update regarding the national picture and provide insight into innovative workforce solutions which will support the delivery of 7 Day Services
* Practical examples from colleagues in acute trusts, where new roles have been utilised in delivering the 4 priority clinical standards
Key speakers:
Kevin Moore - Head of Workforce Transformation, Health Education England
Miss Fiona Kew - Consultant Gynaecologist, Modernising the Workforce: Physician's Associates – Sheffield Teaching Hospital
Darren McGuiness - Endoscopy Manager Royal Liverpool & Broadgreen NHS Trust. Seven Day Services in Endoscopy
Nicky Taggart - General Manager, Radiology and Imaging, Royal Liverpool & Broadgreen NHS Trust. Seven day services in Radiology
Qualidade do Cuidado de Saúde e Segurança do Paciente: aspectos conceituais Proqualis
Aula de Jonathan Riddell Bamber, Gerente de Pesquisa da Health Foundation (Reino Unido), foi proferida durante o II Seminário Internacional sobre Qualidade em Saúde e Segurança do Paciente - evento do Qualisus - que ocorreu dias 13 e 14 de Agosto de 2013, no Ministério da Saúde, em Brasília.
Professor Kamlesh Khunti - Introduction to CLAHRC East MidlandsCLAHRC-NDL
Professor Kamlesh Khunti, Director of NIHR CLAHRC East Midlands - Introductory presentation given at CLAHRC East Midlands launch event, 14 February 2014, Loughborough.
Striving for Excellence, Seeking Value, Sparking a RevolutionNancyElFarargy
Some insights from the 19th Annual IHI/BMJ International Forum on Quality and Safety in Healthcare, Paris, 08-11 April 2014:
The theme of this year’s Forum was “Strive for Excellence, Seek Value, [and] Spark a Revolution!” in healthcare. The meeting attracted over 3000 delegates from over 75 countries – and so it was a great opportunity to cross-fertilise ideas and share cutting-edge practices across international boundaries.
Our work from across NHS Education for Scotland attracted much interest and discussion – not only at the NHS Scotland exhibition stand, but also at the workshop presentations and poster sessions.
Internationally, over 200 sessions were presented by leading thinkers in the field; and covered the following streams:
• Patient and family centred care
• Leading effective change
• Improving population and community health
• Improving clinical performance
• Technology and innovation
• Safe and reliable care
One core theme however, appeared to be patient safety stories, and staff & patient experiences.
The ethos was on reflecting on person centred care – really listening to patients and service users, and understanding what really matters to them. In addition, there were deliberations on taking healthcare completely outside the formal healthcare system and in engaging in health every day. Whilst this concept is not new, it resonates with the notion that “prevention is better than cure”.
One keynote in particular presented the power of narrative in compelling action and transformational positive change.
Another presentation focussed on shadowing the patient journey – to review process maps, the voice of patients, family members and staff, and transitions in care. Using this real-time collection of data and narrative, the organisation was able to review the team effort around the patient, to improve services, interactions and processes. The emphasis was on co-designing services with patients through engagement, partnership and in closing any identified gaps to ideal care delivery.
In summary, a key message emanating is how the complementary nature of data and narrative/story will compel action, catalyse improvements, and drive transformative change for excellence in service delivery.
Understanding the value and contribution of nurses and midwives to public health in the UK - presentation at the Faculty of Public Health annual conference 2016
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Welcome to Secret Tantric, London’s finest VIP Massage agency. Since we first opened our doors, we have provided the ultimate erotic massage experience to innumerable clients, each one searching for the very best sensual massage in London. We come by this reputation honestly with a dynamic team of the city’s most beautiful masseuses.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Butterworth T. & Jackson C. Clinical Academic Careers for HP
1. www.lincoln.ac.uk
Development of Clinical Academic Careers
in the UK Health Professions (2003-2017)
Professor Tony Butterworth, CBE, Emeritus Professor of Health
Care Innovation
Dr Christine Jackson, Hon Fellow, University of Lincoln and Visiting
Professor, University of Maribor
2. www.lincoln.ac.uk
What is a clinical academic?
In the UK the following definition is generally agreed as –
‘Clinical Academics are clinically active health researchers. They work in
health and social care as clinicians to improve, maintain or recover health
while in parallel researching new ways of delivering better outcomes for
the patients they treat and care for. Because they remain clinically active,
their research is grounded in the day to day issues of their patients and
the delivery of service. This dual role allows the clinical academic to
combine their clinical and their research career rather than having to
choose between the two’.
NIHR 2016
3. www.lincoln.ac.uk
The Strategic Learning and Research Human
Resources Plan (StLaR) Project
2003-2005
Problems to address
• Poor labour market intelligence
• Capacity building the next generation (s) to
meet increased demand and succeed the present ‘ageing
workforce’
• Increase investments in research training and scholarly activity
• Build clearly identified career pathways
• Poor contractual arrangements
• Develop support and mentorship
• Develop inter-professional alliances
• Work internationally/globally
4. www.lincoln.ac.uk
‘Developing the best research
professionals’
Qualified graduate nurses:
recommendations for preparing and
supporting clinical academic nurses of the
future
Report of the UKCRC Sub Committee
for Nurses in Clinical Research
2007
in collaboration with
Modernising Nursing
Careers
5. www.lincoln.ac.uk
• Analysis of reports & policies, UK and international -
on research capability and capacity (1)
• 20 key stakeholder interviews plus expert reference
group discussions across the UK (2)
• Recommendations from (1) and field notes from (2)
were analysed using NVivo software
• Inductive and deductive analyses – propositional
themes/recommendations generated for testing
• Tested on a national focus group of stakeholders
Producing the ‘Finch Report’: Methods
7. www.lincoln.ac.uk
• Each of the four UK countries funds their own
programmes
• For England this is through the National Institute for
Health Research (NIHR)
• Funding allocation includes salary replacement costs,
tuition fees and additional research costs
National funding of the Finch Report
recommendations
8. www.lincoln.ac.uk
2009 2010 2011 2012 2013 2014 2015 2016
Masters in
Research 70 70 70 147 147 147 100 100
Clinical
Doctoral
Res.
Fellow
15 16 0 12 20 15 24 20
Clinical
Lecturer 10 6 0 6 6 4 7 6
Senior
Clinical
Lecturer
- - - - 1 0 3 1
Impact: Awards and cohort numbers (2009- 2016) England (NIHR)
NB the awards scheme changed in 2015 to include Healthcare Scientists – in 2011
the scheme was ‘on hold’ .
9. www.lincoln.ac.uk
• Successful NIHR applicants are allocated research
supervisors according to their fields of interest and
position
• Provision of research supervision and career
mentoring
• Expectation that awardees will then provide career
mentoring and research supervision for junior
researchers
Case studies of current awardees demonstrate this is
an effective approach
Impact: NIHR Mentoring programme
10. www.lincoln.ac.uk
Methods
• Cohort analyses and career progression
• Competitive research awards
• Within module assessments of research
competences
• Module feedback and group discussions
• Evidence of peer supervision and mentoring
Impact: Local case study
University of Lincoln, UK
11. www.lincoln.ac.uk
M Clin.Res programme (UoL)
Professional profile by cohort
2009 intake n=6 2010 intake n=10 2011 intake n=4
(full time programme only)
Midwife x1
Nurse x 1
Occ. Therapist x 1
Paramedic x 1
Psych. graduate x 2
Academic nurse x 1
Comp. therapies
graduate x1
Health graduate x 1
Health manager x 1
Nurse x 3
Psych. graduate x 2
Research ass x 1
Biomedical scientist
x 2 (1 international)
Medical student x 1
Nurse x 1
12. www.lincoln.ac.uk
Impact Career progression/awards for
M Clin Res students (2009 cohort)
• Psychology graduates
• Midwife
• Paramedic
• Mental Health nurse
• PhD graduate
• Research assistant
• Research midwife (Sept
2010)
• Clinical academic paramedic
(Sept 2010)
• MH Research nurse
13. www.lincoln.ac.uk
Impact: Career progression /awards for
M Clin Res students (2010 cohort)
• Psychology graduates x2
• Health and Social care grad
• Research assistant
• MH nurse
• Academic nurse
Completed D Clin Psy training
Awarded a competitive D Clin
Psy trainee post (Sept 2016)
Consumer research post
Awarded a competitive PhD
scholarship (Sept 2012)
MH Research nurse
Principal lecturer
14. www.lincoln.ac.uk
Impact: Career progression for M Clin Res
students 2011 cohort
• Biomedical scientist
graduate
• Biomedical scientist
(international)
• Medical student
• MH nurse
PhD scholarship University
College of London (June
2013)
Research post in home
country (Sept 2012)
Qualified and working in the
US
MH Research post
15. www.lincoln.ac.uk
In summary
Impact of the Finch report (2009-ongoing)
• There is evidence to demonstrate increased research
capacity and capability in nursing and AHPs
• Research training is of a very high standard
• Nurses and AHPs are leading national research
projects
• Mentoring schemes are cascading down to junior
researchers
• Local schemes are mirroring the national programme
16. www.lincoln.ac.uk
Impact of Finch Report:2016-2017
Supporting health care professionals and managers towards
clinical academic careers
http://www.medschools.ac.uk/SiteCollectionDocuments/Transform
Association of UK University Hospitals
Clinical Academic Careers Group
17. www.lincoln.ac.uk
Developing Doctoral Training Centres
What are they?
Centres in which research can be focussed on specific areas and where
appropriate academic competencies can be developed
Do we need them for the health professions?
To help develop a ‘critical mass’ of clinical academics (AUKUH we need say
8,500 by 2020)
What might they do?
Act as beacons strategically and operationally can become centres of excellence
and intelligence
How many do we need?
Not many !!
Some practical steps.
Start a national debate (begun in the UK) and engage reserch funding agencies
18. www.lincoln.ac.uk
Indicative references
• 1.Developing the best research professionals. Qualified graduate nurses: recommendations
for preparing and supporting clinical academic nurses of the future. Report of the UKCRC
subcommittee for Nurses in Clinical research (Workforce); 2007.
• 2. Butterworth A, Jackson C, Brown E, et al. Clinical academic careers for educators and
researchers in nursing. Journal of Research in Nursing. Sage Publications, London, 2005; 10
(1), 85-97
• 3. Butterworth T, Jackson C, Orme M, et al. StLaR HR Plan Project. Phase II Strategic Report.
Developing and sustaining a world class workforce of educators and researchers in health and
social care. A report to the Strategic Learning and Research Committee (StLaR) Project
Report. Strategic Learning and Research Advisory Group (StLaR)/National Health Service
University. 2004.
• 4. Developing the Role of the Clinical Academic Researcher in the Nursing, Midwifery and
Allied Health Professions. Department of Health; 2012.
• 5.Competency Framework for Clinical Research Nurses. October 2011 [Online],Available
fromhttp://www.rcn.org.uk/development/researchanddevelopment/rs/publications_and_po
sition_statements/competencies://eprints.lincoln.ac.uk/920/
