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Determining priorities for research to improve fundamental care on hospital wards

Determining priorities for research to improve fundamental care on hospital wards
Determining priorities for research to improve fundamental care on hospital wards
Background

The provision of high quality fundamental care in hospitals is a top priority for the NHS. Recent reports and investigations highlight that at times care has fallen below standard. It is unclear what research should be prioritised to improve care. The aim of this work is to involve patients/carers/public, clinicians and other stakeholders to identify issues that are priorities for research which could improve fundamental care in hospital.

Methods

Patient and public involvement was integral to this project, with a patient leader/service user being a member of the core team who designed and executed this research. After consideration of existing priority setting approaches, we developed an inclusive approach which consisted of six main phases: 1) Development of a conceptual framework of fundamental care, based on reports and literature 2) Consultation with a wide range of stakeholders through a survey, focus groups and interviews 3) Identifying themes from the responses to the consultation phase (76 themes identified) 4) Analysis to identify the 15 topics most frequently cited 5) Prioritisation of the top 15 themes through a half day workshop, which led to a shortlist of five themes 6) Development of the top 5 themes into research areas.

Results

Three hundred forty stakeholders (29 % of whom were patients/carers/public) completed the consultation survey. Analysis of the survey responses and of focus groups and interviews led us to identify 15 high scoring themes. We presented these at the prioritisation workshop, attended by 39 participants (23 of whom patients/carers/public). After a voting exercise, the 5 top research priorities which emerged were: nurse staffing; individualised patient care; staff communication; staff attitudes and relationships with patients; and information about care.

Conclusions

We involved a range of stakeholders in identifying topics for research to improve fundamental care and asked them to prioritise these. The process provided a means of reaching consensus as to the important issues for future research to focus on to improve fundamental care on hospital wards.
2056-7529
1-17
Ball, Jane
85ac7d7a-b21e-42fd-858b-78d263c559c1
Ballinger, Claire
1495742c-90aa-4074-920e-95e6cc3d5380
De-longh, A.
2358b7bd-06b2-45a5-99c4-90d528bf838d
Dall'ora, Chiara
4501b172-005c-4fad-86da-2d63978ffdfd
Crowe, S.
c3944568-5124-4a39-800e-b3002d341a8f
Griffiths, Peter
ac7afec1-7d72-4b83-b016-3a43e245265b
Ball, Jane
85ac7d7a-b21e-42fd-858b-78d263c559c1
Ballinger, Claire
1495742c-90aa-4074-920e-95e6cc3d5380
De-longh, A.
2358b7bd-06b2-45a5-99c4-90d528bf838d
Dall'ora, Chiara
4501b172-005c-4fad-86da-2d63978ffdfd
Crowe, S.
c3944568-5124-4a39-800e-b3002d341a8f
Griffiths, Peter
ac7afec1-7d72-4b83-b016-3a43e245265b

Ball, Jane, Ballinger, Claire, De-longh, A., Dall'ora, Chiara, Crowe, S. and Griffiths, Peter (2016) Determining priorities for research to improve fundamental care on hospital wards. Research Involvement and Engagement, 2 (31), 1-17. (doi:10.1186/s40900-016-0045-8).

Record type: Article

Abstract

Background

The provision of high quality fundamental care in hospitals is a top priority for the NHS. Recent reports and investigations highlight that at times care has fallen below standard. It is unclear what research should be prioritised to improve care. The aim of this work is to involve patients/carers/public, clinicians and other stakeholders to identify issues that are priorities for research which could improve fundamental care in hospital.

Methods

Patient and public involvement was integral to this project, with a patient leader/service user being a member of the core team who designed and executed this research. After consideration of existing priority setting approaches, we developed an inclusive approach which consisted of six main phases: 1) Development of a conceptual framework of fundamental care, based on reports and literature 2) Consultation with a wide range of stakeholders through a survey, focus groups and interviews 3) Identifying themes from the responses to the consultation phase (76 themes identified) 4) Analysis to identify the 15 topics most frequently cited 5) Prioritisation of the top 15 themes through a half day workshop, which led to a shortlist of five themes 6) Development of the top 5 themes into research areas.

Results

Three hundred forty stakeholders (29 % of whom were patients/carers/public) completed the consultation survey. Analysis of the survey responses and of focus groups and interviews led us to identify 15 high scoring themes. We presented these at the prioritisation workshop, attended by 39 participants (23 of whom patients/carers/public). After a voting exercise, the 5 top research priorities which emerged were: nurse staffing; individualised patient care; staff communication; staff attitudes and relationships with patients; and information about care.

Conclusions

We involved a range of stakeholders in identifying topics for research to improve fundamental care and asked them to prioritise these. The process provided a means of reaching consensus as to the important issues for future research to focus on to improve fundamental care on hospital wards.

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More information

Accepted/In Press date: 29 September 2016
e-pub ahead of print date: 12 October 2016
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 401179
URI: http://eprints.soton.ac.uk/id/eprint/401179
ISSN: 2056-7529
PURE UUID: a41bce75-f3ce-49a4-bc1e-f90ad69d8218
ORCID for Jane Ball: ORCID iD orcid.org/0000-0002-8655-2994
ORCID for Chiara Dall'ora: ORCID iD orcid.org/0000-0002-6858-3535
ORCID for Peter Griffiths: ORCID iD orcid.org/0000-0003-2439-2857

Catalogue record

Date deposited: 10 Oct 2016 08:43
Last modified: 17 Dec 2019 01:40

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Contributors

Author: Jane Ball ORCID iD
Author: Claire Ballinger
Author: A. De-longh
Author: Chiara Dall'ora ORCID iD
Author: S. Crowe
Author: Peter Griffiths ORCID iD

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