Networking in Nursing - Royal College of Nursing

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May 20, 2009 - Networking in Learning Disability Nursing: A Guide published 2000 to support Network development. • Fun
Networking in Nursing: The future of working together Trinity College Dublin

A Study Funded by The Leadership Centre, London & Commissioned by the National Networks of Learning Disability Nurses Paul Horan Doctoral Student/Lecturer Trinity College Dublin University of Dublin [email protected]

Dr. Michael Brown Lecturer & Nurse Consultant Edinburgh Napier University Edinburgh [email protected]

Dr. Fiona Timmins Director of BSc. (Cur) Senior Lecturer Trinity College Dublin

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Aims and Objectives Trinity College Dublin

• To explore issues relating to Networks and Networking in nursing • To outline the aims & rationale of the study • To outline the study design • To outline data collection methods • To provide initial findings of the study

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Background Trinity College Dublin

• Networking in Learning Disability Nursing: A Guide published 2000 to support Network development

• Funding source: – The Leadership Centre, London • Rationale: – The need to evaluate how networks function – The need to evaluate networking activities – The need to updated the Networking in Learning Disabilities Guide to assist with establishing and maintaining networks. 5/20/2009

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Networks and Networking Trinity College Dublin

• Managed Clinical Networks have been established as a vehicle to deliver Health and Social care policy initiatives in the UK • Little evidence has been published about the effect and impact of networks on patient outcomes • There is a need to develop empirical evidence to support the development of Networks

• There is a need to develop empirical evidence to support the efficacy of Networking to support and enable nursing practice that improves care outcomes

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Rationale for the Study Trinity College Dublin

• Networks in Nursing have proliferated and need to be researched – what they do and how they do it • Networks reflect a varied membership ranging from nursing to multidisciplinary & multi-agency that needs to be better understood • Infrastructures to support Networks and Networking vary and may be formally sponsored or self supporting • There has been limited evaluation of Networking and networks in health or nursing practice

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Rationale for Study Trinity College Dublin

• There is an increasing dependence on networks by Government policy departments, service provision organisations and individual practitioners.

• Leadership of Networks is recognised as having an important role, yet, no evidence into leadership roles as part of building Networks and enabling Networking

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Focus of the Study Trinity College Dublin

• To evaluate Networks and Networking activities in a specific discipline of Nursing in five countries • To identify changes and developments in nursing Networks and Networking activity • To identify how Networks and Networking support the development of nursing practice • To identify the leadership roles in Networks and Networking • To identify the role of Networks and Networking in informing and influencing policy

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Pilot Study Trinity College Dublin

• Initial survey emailed to pilot participants • URL created automatically in Survey Monkey software • Pilot sample size (n = 10) – Responses (n = 8) • Some typographical and questionnaire design issues noted • Survey modified and redesigned

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Inclusion criteria Trinity College Dublin

– All existing members of a recognised Nursing Network included (n = 1601) – 250 of emailed participants email addresses were found to be obsolete, therefore final

sample size (n = 1351)

– Responses (n = 665) representing a 49.2% response rate – Valid to report (n =629) 46.5% of initial participants consented to their data to be utilised for research purposes 5/20/2009

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Trinity College Dublin

Electronic Data Capture(EDC): A Lazy Man’s Way to do Research “I'm lazy. But it's the lazy people who invented the wheel and the bicycle because they didn't like walking or carrying things”. Lech Walesa (1943 - ) Polish labor leader, politician, & reformer

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Advantages of Electronic Data Capture Trinity College Dublin

(Turri-Tedesco, 2007) 5/20/2009

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Network Study Trinity College Dublin

• • •

Study Design Electronic Data Capture http://www.surveymonkey.com/MySurveys.aspx



A 98-point data collection tool developed –

Construction was a mutli-factorial questionnaire with a range of Likert-scaled question, yes/no answers and open question options

– – – –

Nursing workforce & demographic data Professional Activity Information data Networking Activity Checklist data Questions pertaining to the acceptability of an online survey Response levels to various questions varied Average over all response rate to questions (n=500) approx 37% of overall sample

– –

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Age Profile of Respondents 160 140

Trinity College Dublin

120 100 No. of Respondents 80 60 40 20 0

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Younger than 25

16

25- 30

49

31- 35

76

36- 40

110

41- 45

155

46- 50

115

51- 55

66

56- 60

12

61- 65

5

65 +

5

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Respondent Gender (N = 508) Trinity College Dublin Respondents by Gender

173, 28%

Male Female

436, 72%

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Working Areas of Participants

Trinity College Dublin

11% 16%

17%

56%

Education

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Management

Clinical Practice

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Other (please specify)

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Unanimous Agreement on a Definition of Networking Definition No.2

Trinity College Dublin

‘Networking is a way of establishing and using contacts for information support and other assistance’ (Benton 1997) (n = 592) (589 respondents agreed)

1

0

50 100 150 200 250 300 350 1

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Strongly Disagree

1

Disagree

2

Agree

255

Strongly Agree

334

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Agreement Definitions of Networking Definition No.3

Trinity College Dublin

‘Networks are complex systems where professionals agencies carers and service users share information and work together in order to achieve a high standard of evidence based service provision’ (adapted from Horan 1997) (Responses level n=590) (n= 512 86.8% agreement) 1% 12%

35%

St r ongly Agr ee Agr ee Disagr ee St r ongly Disagr ee

52%

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Trinity College Dublin

Email Message Groups is not a common form of Networking

26 Always

90 Most of t he t ime

Series1 288 Somet imes

151 Never

0

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50

100

150

200

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250

300

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Internet Discussion Groups is not a popular method of Networking Trinity College Dublin

Always

Most of t he t ime

Somet imes

Never

0

Series1

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50

100

150

200

250

300

350

Never

Somet imes

Most of t he t ime

Always

306

210

30

5

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Telephones and Networking Trinity College Dublin

1

0

100 200 300 400 1 13

Always Most of the time

101

Sometimes

389

Never 5/20/2009

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Mobile Phones, texting and Networking Trinity College Dublin

1

0

50

100

150

200

250

300

350

400

1 al ways

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3

most of the ti me

25

someti mes

142

never

380

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Networking at Conferences Trinity College Dublin

1

0

50

100

150

200

250

300

1

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al ways

95

most of the ti me

160

someti mes

266

never

35

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Trinity College Dublin

Networking provides insights into current Research into Best Practice 1%

0%

49%

50%

strongly agree agree disagree strongly disagree 5/20/2009

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Leaders of Networks & providing direction Trinity College Dublin

400 350 300 250 200 150 100 50 0 1

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str ongl y agr ee

67

agr ee

378

di sagr ee

73

str ongl y di sagr ee

5

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Trinity College Dublin

Networking provide opportunities for continuing professional development (n=96.1%) 350

300

250

200

150

100

50

0

Ser i es1

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str ongl y agr ee

agr ee

di sagr ee

str ongl y di sagr ee

150

314

19

0

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Trinity College Dublin

Networking provides opportunities for Personal Development (n= 96.7%) 350

300

250

200

150

100

50

0

Ser i es1

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str ongl y agr ee

agr ee

di sagr ee

str ongl y di sagr ee

154

316

16

0

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Networking is Challenging Trinity College Dublin 15, 3% 67, 14%

185, 38%

str ongl y agr ee agr ee di sagr ee str ongl y di sagr ee

218, 45%

Networking with professional colleagues is challenging (n=58.3%) 5/20/2009

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Study Outcomes Trinity College Dublin

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• Largest study involving Learning Disability Nursing in history (we think!) • Largest study on Networks & Networking in nursing in the UK and Ireland • High response rate and acceptability of data collection method • Potential generalisability of findings to inform Network development and networking activity • Some evidence now to support professional benefits of Networks & Networking in Nursing • Partial census from a nursing discipline on a definition of Networking • Replicate study with other groups and disciplines possible NNLDN Ltd and TCD 2009 Copyright

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Implications Trinity College Dublin

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• Networks present nurses with the opportunity to meet colleagues, disseminate evidence and share practice • Networks can support and enable nursing development • Now evidence evolving to support networking activities in Nursing • Need to develop an understanding of the effect of professional networking on patient outcomes • Service User involvement in Networks and in Networking activities NNLDN Ltd and TCD 2009 Copyright

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Study Limitations Trinity College Dublin

• • • • • •

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Positive Bias A Quantitative Slant Limited initially to membership of NNLDN Limited to those with access to email Identifying the impact of Networks Indentifying the impact of Networking on patient outcomes

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Acknowledgements Trinity College Dublin

• Fiona Law - University of Bangor and North West Wales Learning Disability NHS Trust • Dr. Owen Barr – University of Ulster • The Leadership Centre, London • Colleagues at NNLDN for commissioning the study • Professor Mary McCarron, Head of School, Trinity College, Dublin • Professor Philip McCallion – University of Albany • Dr. Fiona Timmins – (Research Supervisor) - TCD • Dr. Michael Brown – Chair, NNLDN and Research Advisor – Edinburgh Napier University

Contact: [email protected]

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