Using action research to develop a thoracic support nurse role to enhance quality of care

Bellman, Loretta PhD, BSc, CertEd, RNT, RCNT, RN
Corrigan, Philomena MSc (behavioural biology and healthcare), MSc (cardiology), BA, CertEd, RNT, DipN, RN

AUTHORS Loretta Bellman, PhD, BSc, CertEd, RNT, RCNT, RN, was senior nurse research and development, University College London Hospitals Foundation Trust at the time of writing and is now trustee, Foundation of Nursing Studies; Philomena Corrigan, MSc (behavioural biology and healthcare), MSc (cardiology), BA, CertEd, RNT, DipN, RN, is consultant nurse cardiac care, University College London Hospitals Foundation Trust and senior lecturer, London South Bank University.

Nursing Times 106(22):p 18-21, June 8, 2010.

ABSTRACT

Aim

The project aimed to develop a new nurse role to support thoracic patients with complex needs.

Method

An action research approach enabled frontline staff, called co-researchers, to systematically explore the change and development process of the new role. The 60 participants were the co-researchers, patients, ward nurses, and the multidisciplinary team.

Results and discussion

Thematic analysis revealed five key themes: it is the need to improve patient care; bringing research to life; a rollercoaster of emotions and experiences; process is as important as outcome; and we did it ourselves and learnt so much.

Conclusion

Patients and staff recognised how the new role significantly improved the quality of thoracic nursing care. However, there were many challenges to address, including role conflict and funding.