Ede J, Sutherland S, Lumley C, Douglass A, Walthall H
Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
NIHR Oxford Biomedical Research Centre, Oxford, UK.
J Adv Nurs. 2025 Apr;81(4):1806-1814. doi: 10.1111/jan.16367. Epub 2024 Aug 21.
To outline the activity and impact from implementing a clinical academic nurse researcher in a multi-centre critical care unit.
A prospective exploratory activity audit informed by the Plan, Do, Study, Act framework.
Quantitative data on clinical academic activity, from 1 April 2023 to 31 March 2024, were collected in a Microsoft Excel © [2022, version 16.66.1] spreadsheet. Activity narratives were detailed in qualitative data and the impact categorized.
A total of 1500 clinical academic activity hours were logged (accounting for annual leave entitlement and sickness). Of these, 973 h were directly categorized within clinical academic activity. Most frequently undertaken clinical academic activities were academic writing (17.6%), data collection/analysis (9.6%), grant and funding workup (6.8%), Intensive Care Unit service development (6.6%), clinical activity (5.2%) and local level capability and capacity (4.9%) and other supportive tasks such as administration, unscheduled meetings, critical planning time and peer support (38%). Improvements broadly mapped onto five healthcare improvement domains; organizational, process design, data optimization and utilization, evidenced-based practice, and patients/staff impact.
Our data indicate system mechanisms afforded by the clinical academic role that have not been explored within the contemporary literature. A nursing clinical academic demonstrates impact across the broad organization whilst increasing the visibility of nursing work and the potential for system resilience. In conclusion, our service review underscores the transformative potential of clinical academics in shaping the future of healthcare. Utilizing their expertise and contributions paves the way for innovation, excellence and sustainability in patient care.
This review has provided clarity about clinical academic activity of a nurse researcher during the first year. There is international impact of this work for both clinical academics who may be evaluating such roles and healthcare management developing similar roles locally.
No Patient or Public Contribution.
概述在多中心重症监护病房实施临床学术护士研究员的活动及影响。
一项以前瞻性探索性活动审计为基础，采用计划、执行、研究、行动框架。
2023年4月1日至2024年3月31日期间，关于临床学术活动的定量数据收集于Microsoft Excel © [2022，版本16.66.1]电子表格中。活动叙述详细记录在定性数据中，并对影响进行分类。
共记录了1500个临床学术活动小时（包括年假和病假）。其中，973小时直接归类为临床学术活动。最常开展的临床学术活动是学术写作（17.6%）、数据收集/分析（9.6%）、资助和资金准备（6.8%）、重症监护病房服务发展（6.6%）、临床活动（5.2%）以及地方层面的能力建设（4.9%），还有其他支持性任务，如行政工作、临时会议、关键规划时间和同行支持（38%）。改进措施大致可归为五个医疗保健改进领域：组织、流程设计、数据优化与利用、循证实践以及对患者/工作人员的影响。
我们的数据表明了临床学术角色所提供的系统机制，而当代文献中尚未对此进行探讨。护理临床学术人员在整个广泛的组织中展现出影响力，同时提高了护理工作的可见性以及系统恢复力的潜力。总之，我们的服务审查强调了临床学术人员在塑造医疗保健未来方面的变革潜力。利用他们的专业知识和贡献为患者护理的创新、卓越和可持续发展铺平了道路。
本审查明确了护士研究员第一年的临床学术活动情况。这项工作对可能在评估此类角色的临床学术人员以及在当地发展类似角色的医疗保健管理部门都具有国际影响。
无患者或公众贡献。
