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C. Shows an awareness of NHSE Chief Nursing Office for England Research and Innovation strategic plan for research and how it applies to their role and career

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C. Shows an awareness of NHSE Chief Nursing Office for England Research and Innovation strategic plan for research and how it applies to their role and career

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The CNO for England's Strategic Plan for Research focuses on embedding research into everyday nursing practice to improve patient outcomes and care quality. It emphasizes building research capacity and capability among nurses, fostering leadership in research, and ensuring that evidence-informed practice becomes a core aspect of nursing. The plan advocates for collaboration across healthcare, academia, and industry, promoting inclusivity and diversity in research to address health inequalities. It also highlights the importance of empowering nurses at all levels to engage in, lead, and apply research to enhance the profession and its impact.

Strategic Plan:

-Aligning nurse-led research with public need

-Releasing nurses' research potential

-Building the best research system

-Developing future nurse leaders of research

-Digitally-enabled nurse-led research

Delivered in 3 Phases:

1. Discover

2. Build

3. Sustain

REFLECTION:

I'm starting to explore how national research strategies link to my role and future career, but I'd like to gain more confidence talking about it.

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A. Demonstrates an awareness of the national infrastructure supporting clinical research within the NHS

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A. Demonstrates an awareness of the national infrastructure supporting clinical research within the NHS

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Primarily coordinated by the National Institute for Health and Care Research (NIHR). The NIHR plays pivotal role in funding, supporting, and delivering high-quality research to improve patient care and public health. It provides research networks, such as the RDN, to facilitate studies across NHS settings, ensuring equitable access to research for patients and staff. This infrastructure underscores the NHS's commitment to evidence-based practice, fostering innovation and collaboration across healthcare, academia, and industry.

Research Delivery Network (RDN)

-enables the health and care system to attract, optimise and deliver research across England

REFLECTION:

I'm still getting used to how the whole research system works in the NHS. I've started recognizing the key organizations but want to deepen my understanding.

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The NIHR Clinical Research Network funds and manages infrastructure to support high-quality health and care research in England.

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B. Describes the function and oversight of the following:

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B. Describes the function and oversight of the following:

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Department of Health and Social Care (DHSC)

-funds the Research Delivery Network

-manages work of NIHR

-develops policies and guidelines to improve the quality of care and to meet patient expectations

National Institute of Health Research (NIHR)

-funded by the Department of Health and Social Care to improve the health and wealth of the nation through research.

-working in partnership with the NHS, universities, local government, other research funders, patients and the public

-5 operating principles: impact, excellence, inclusion, collaboration and effectiveness

Health Research Authority (HRA)

-ensures that health and social care research is conducted ethically, transparently, and safely. It streamlines the research approval process while protecting participants and promoting public trust in research

-Steps: Ethics Review + Regulatory Approvals + Transparency + Guidance and Support

NIHR Regional Research Delivery Network (RRDN)

-12 Regions

-support successful delivery of high quality research, as an active partner in the research system

-attract, optimise and deliver research across England

NIHR Research Support Service (RSS)

-https://youtu.be/-IXqh0Op_Qs

-https://www.nihr.ac.uk/support-and-services/research-support-service

-providing support and advice for health and social care researchers

-help with developing funding applications and at other stages in the research pathway

finding funding sources

refining research questions, aims and objectives

developing appropriate methodological approaches

planning projects, teams and budgets

planning for implementation and impact

writing techniques/pitching an application

patient, public, service user and community involvement and engagement

research design to maximise equality, diversity and inclusion

REFLECTION:

I've learned what each organization does and how they connect, which helps me understand where support and funding comes from.

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The nation's largest funder of health and care research, providing the people, facilities and technology for research to thrive.

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D. Utilises resources and support via the NIHR Incubators

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D. Utilises resources and support via the NIHR Incubators

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NIHR Incubator

-fosters career development through mentoring, networking opportunities, and access to training resources

https://www.nihr.ac.uk/nihr-incubator-competition-2024-applicant-guidance-notes

REFLECTION:

I've seen the potential of these resources but haven't fully used them yet. I'd like to explore mentorship or learning sessions through them.

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The NIHR Incubators is a virtual service which supports capacity building and multidisciplinary career development in targeted areas.

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F. Knows how to keep up-to-date with national strategy and policy developments pertaining to their research topics

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F. Knows how to keep up-to-date with national strategy and policy developments pertaining to their research topics

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I recently visited NICE Guidelines website, Royal College of Obstetricians and Gynecologist (RCOG) publications online and NHS England reports to stay informed about emerging research and policy changes on my research topic.

For instance, the NICE guidelines on outpatient hysteroscopy outline best practices for pain management, which has influenced how some clinics implement local anaesthetic protocols.

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Summary

The aim of this guideline is to provide clinicians with up to date, evidence-based information regarding outpatient hysteroscopy, with particular reference to minimising pain and optimising the experience of the woman or person.

Outpatient hysteroscopy is an established, diagnostic and therapeutic procedure widely used across the UK. The procedure involves the use of miniaturised endoscopic equipment to directly visualise the uterine cavity, without the need for intravenous sedation or regional/general anaesthesia necessitating the use of formal theatre facilities. However, women or people should be made aware of other settings and modes of anaesthesia for hysteroscopy (e.g. procedure under general or regional anaesthesia, intravenous sedation) as an alternative to outpatient hysteroscopy. Outpatient hysteroscopy is indicated primarily in the assessment of women or people with a uterus with abnormal uterine bleeding but is also employed in the diagnostic work up of reproductive problems. Advances in endoscopic technology and ancillary instrumentation have facilitated the development of operative hysteroscopic procedures in an outpatient setting with or without the use of local anaesthesia.

Outpatient hysteroscopy, whether diagnostic or operative is successful, safe and well tolerated by most women. However, as with any procedure requiring instrumentation of the uterus, outpatient hysteroscopy can be associated with significant pain, anxiety and embarrassment. This not only impacts upon the satisfaction of women with their experience, but also limits the feasibility and possibly the safety, accuracy and effectiveness of the procedure. In order to minimise pain and discomfort, variations in hysteroscopic equipment, adaptations in technique and use of pharmacological agents have been advocated. This guideline assesses these components along with issues relating to optimal service provision.

Edition statement

This is the second edition of this guideline.

Developer declarations of interest

These are included in the published guideline.

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Outpatient Hysteroscopy (Green-top Guideline No. 59) | RCOG

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This guideline provides clinicians with evidence-based information regarding outpatient hysteroscopy, with a focus on minimising pain and optimising the woman’s experience.

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E. Describes practice that is consistent with guidance from the UK policy framework and within Good Clinical Practice standards

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E. Describes practice that is consistent with guidance from the UK policy framework and within Good Clinical Practice standards

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-GCP Course online (NIHR Learn)

REFLECTION:

I'm aware of GCP and its importance, and I aim to build habits that align with ethical and policy standards in research.

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NIHR offers a range of Good Clinical Practice (GCP) courses for the clinical research delivery workforce.