Consumer Involvement in Research

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Using a toolkit to promote EBP activity and
ensure good governance the Luton
experience Catherine Nelson Research Management
Co-ordinator, Luton tPCT and Honorary Research
Fellow, University of Bedfordshire
National tPCT Conference 31/10 1/11/2006
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Luton tPCT RD Remit
Build a Research Culture
Support EBP activity
Create Research Governance systems
EBP research, audit, evaluation work
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Service users

• Directly employed staff
• Independent contractors
• External researchers
• Geographically spread
• Varying degrees of experience skills

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Initial documents

• EBP project proposal (governance) form
• Research or audit flow chart
• EBP traffic light system

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Impetus for the toolkit

• Support training offered expanded
• Frequently asked questions emerged
• Set responses across the team helped create
  uniformity

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Version one, launched October 2004
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Evidence Based Practice Project Toolkit
2. How can the toolkit help you?
3. Contact the EBP team and ask us about our
toolkit
1. What are EBP projects?

• Research Seeks to generate new knowledge it is
  the systematic investigation of a problem, issue
  or question. Its findings may be generalisable
• Audit Seeks to improve patient outcomes by
  ensuring that evidence based standards are
  adhered to. It will highlight areas of good
  practice and areas where action could be taken to
  improve practice
• Survey/service evaluation Seeks to establish
  the quality of existing practice by collecting
  the views of users and/or staff. The findings are
  usually not generalisable.

• It provides you with practical help. The toolkit
  is more than advice, it also has decision making
  charts, form filling guidance and directions to
  useful contacts, help is out there!
• The toolkit will help you
• Nail down the key points
• Hammer out significant problems
• Put the spotlight on relevant issues
• Dig deeply to uncover the genuine situation
• Measure reliably
• Get a grip on ethical issues
• Fit everything together until its JOB DONE

Brigitte Catherine
Roger Roger.bedford_at_luton-pct.nhs.uk Catherine.nel
son_at_luton-pct.nhs.uk Brigitte.sousa_at_luton-pct.nhs.
uk
5. Use the EBP group project review traffic light
system to help you decide if an application to
the EBP group is needed
6. See the research information
website nww.eastern.nhs.uk Click on Beds Click on
the research information icon
4. The pathway to project success
RED STOP AND SEEK APPROVAL- You are employed by
Luton tPCT and you plan to undertake a piece of
research,audit, service evaluation or survey. You
are an independent contractor and you plan to
undertake a piece of research using LtPCT staff
or patients as the subjects AMBER SEEK ADVICE
TO SEE IF APPROVAL IS REQUIRED You are employed
by LtPCT and you plan to undertake a mapping
exercise of current service provision GREEN GO
AHEAD, THE EBP GROUP DOES NOT NEED TO APPROVE
YOUR WORK - You are making a change to your
service that is not part of a research or audit
project and which is not part of an evaluation
project
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Toolkit contents

• Contact details
• Website advert
• Project approval pathway
• Research or audit flowchart
• EBPG traffic light system
• EBPG project proposal form
• EBPG charter

• Form filling guide
• Consent form and information sheet template
• Ethical considerations
• Introduction to clinical audit
• Research governance the basics
• Dissemination

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Using the toolkit

• Training
• EBP traffic light system
• Research or audit
• Website flyer

• 11 advice
• EBP form/completion guidelines
• EBPG charter
• Ethical issues

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The EBP traffic light system
Does the project need organisational review and
approval?
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EBP Project Review Traffic Light System

• Scenario One You would like to see if adding
  an extra visit by a feeding advisors to newly
  delivered mothers would improve breast feeding
  rates does this need to be submitted for tPCT
  review and approval?

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EBP Project Review Traffic Light System

• Scenario Two You are planning a re-audit
  following an audit you did 2 years ago. There
  have been changes to the services and some new
  standards have been introduced since the last
  audit, which mean alter the design of the
  re-audit -does this need to be submitted for
  tPCT review and approval?

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Research, Audit, or Service Evaluation?

• Would patients attending a GUM clinic prefer
  to be seen by a member of staff of the same sex?
• Research or audit flowchart is used for this
  exercise

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Research, Audit, or Service Evaluation?

• What do people using the health visiting
  service think about it?
• Research or audit flowchart is used for this
  exercise

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Research, Audit, Service Evaluation?

• For the project you think is research, think
  about an audit project you could create, based on
  the research findings

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The toolkit and 11 sessions

• EBPG form/completion guidelines
• Clarity of project purpose
• Helps to structure project
• Gets person thinking about time commitment

• EBPG charter
• Highlights governance processes
• Stresses ongoing help available
• Clarifies expectations on both sides

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Toolkit SfBHC5d, C12, D2d, D3

• Contact details
• Website advert
• Project approval pathway
• Research or audit flowchart
• EBPG traffic light system
• EBPG project proposal form
• EBPG charter

• Form filling guide
• Consent form and information sheet template
• Ethical considerations
• Introduction to clinical audit
• Research governance the basics
• Dissemination

Audit Research governance EBP Integrated
governance
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Success so far

• Best poster display at launch
• Online version visited by over 600 people
• Version two created, two years after original
  therefore still relevant

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Current uses

• Good for reduced team
• Appended to SfBH dashboard
• Still used for training/11s
• Sent to audit plan leads

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Contact details

• Catherine Nelson
• Research Management Co-ordinator
• Luton tPCT
• 01582 708332
• catherine.nelson_at_luton-pct.nhs.uk