Health Prospects

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					Issue 7 suMMeR 2009

Health Prospects
Newsletter of the Department of Health Sciences Education, training and research evidence for better health care

York health research world-class
The University of York achieved outstanding results in the recent official Research Assessment Exercise (RAE), and research from the Department of Health Sciences was recognised as world-leading and internationally excellent. The RAE is the way in which the British Government measures the quality of research outputs of UK universities. It is the most comprehensive survey of research quality undertaken anywhere in the world. York was ranked joint first in the country for Health Services Research, fourth for Nursing and Midwifery and 18th for Epidemiology and Public Health. Researchers in Health Sciences work to improve the evidence base for policy and practice decisions in health and health care, considering diverse questions such as ‘is yoga effective in treating back pain?’ and ‘does computerised cognitive behavioural therapy reduce depression?’ For more information about our research, please contact Sandi Newby: shn1@york.ac.uk.

Helping to develop nursing education in Syria
In January 2009, Sue Ford, Deputy Head of Department (Professional Education and Training), and Penny Broadley, Lecturer in Adult Nursing, both from the Department of Health Sciences, visited Syria as guests of the Syrian Health Ministry. Syria has been given funding from the World Health Organisation, which it plans to use to develop health care in Der Ezzor, a rural area in the North East of Syria. Dr Riwa Dahman, Director of Nursing in Syria, wishes to develop nurse education and training to UK degree standard in the newly built Al Furat University in Der Ezzor. Sue and Penny’s visit was a scoping exercise to see if the Department of Health Sciences could work in partnership with the Syrian nurse educators to develop Sue Ford and Penny Broadley with the Faculty team at Al Furat University. a curriculum of nurse education which meets the needs of the area. Sue Ford said, “We visited state run hospitals, community health care settings and polyclinics where we met many nurses and key staff. The hospitality and care afforded us by our hosts was incredible and we were extremely impressed by the enthusiasm to change the current system of training nurses. Currently, nurses are seen as performers of task oriented care under the instruction of medical staff. The vision of the team in Syria is to develop that into holistic patient centred care. “There is clearly scope for us to help develop a nursing curriculum and we have agreed a Memorandum of Understanding with the Syrians. It is envisaged that working together will involve some Syrian nurse educators spending time here in York, developing the curriculum, as well as visits by staff from Health Sciences to Al Furat University in Syria to facilitate the implementation of the new curriculum. “We are very excited by this opportunity to develop our work on an international level and look forward to working closely with the staff from Al Furat University.” For more information, please contact Sasha Singh: shs501@york.ac.uk

HealtH SCieNCeS
There are nearly 600 undergraduate pre-registration nursing and midwifery students in the Department of Health Sciences at York. A further 500 health care professionals are studying undergraduate programmes and modules part-time with us, while in employment. At postgraduate level over 150 students, both full-time and part-time, are on health-related diplomas, masters and research degrees. Our students benefit from studying in an environment where findings from a world-class health services research programme are rapidly integrated into our education and research courses.

a new programme for pre-registration nursing

Improving practice through learning in Scarborough

Some members of the pre-registration curriculum development team.

Nurses are faced with many challenges in contemporary health care. How they are prepared to meet these challenges is the focus of an exciting collaboration between the Department of Health Sciences at the University of York and local NHS and independent sector partners. “The whole context of health care is changing and the demands on nurses are tremendous,” says Helen Roberts, Programme Leader. “It is essential that we work together with our practice colleagues to ensure we prepare our future nurses to meet these demands. Our vision is for a nursing workforce fit to meet contemporary health care needs. With that in mind, we are developing an innovative new pre-registration nursing degree programme, a BSc (Hons) in Nursing, which we hope will start in September 2011.” Christine Beasley, Chief Nursing Officer for England and Wales laid out the Government’s plan for contemporary nursing in Modernising Nursing Careers (MNC). Along with other policy drivers, MNC outlined the strategic intent for the future of nursing and nurse education, based on the premise that we provide nurses who, at the point of registration “…can combine technical clinical skills with a deep understanding and ability to care” (DH, 2006). Both the Nursing and Midwifery Council (NMC) and MNC policies have been central to the development of our new pre-registration programme and we are talking to both the NMC and the Department of Health (DH) to ensure our programme will fit the needs of the nursing workforce. It is essential that our student nurses understand the reasons behind what they do in clinical practice but also the realities of that practice. With this in mind one of the key initiatives in this development will be the potential for grading and accrediting clinical practice. Our programme will also include an integration of theory and practice through groupings that the students will keep to over the programme’s three year duration. These groups will allow students to understand and reinforce their learning in the context of practice. Our student nurses will also be supported in practice by mentors and academic staff to reinforce the theory that they have learnt in the classroom. York will be one of the first higher education institutions in England to move towards an all graduate preparation of pre-registration nurses, in line with the new NMC standards (Wales, Northern Ireland and Scotland have had all degree provision for pre-registration nursing for the last two years). Our unique collaborative approach, involving all our partners within the Strategic Health Authority, NHS Trusts, the NMC and DH, should ensure that the new programme fits the needs of our students and local employers. We have also had a really good integration of academic and administrative staff within the Department of Health Sciences working on the new programme, to make sure that the educational and administrative process are developed at the same time for a seamless and hopefully trouble-free roll out in September 2011. We are hoping to have the programme outline finished by September 2009, with a new interactive website live in October 2009. At this stage we would like to invite involvement in the development of the programme from mentors, practitioners and users. We would like to canvas as many views as possible, and any involvment is welcome – even brief comments. Members of the curriculum development team will also be available to come and visit you to talk about the new programme, so please don’t miss your chance to influence and shape the nurses of the future. For more information, please contact Helen Roberts: her4@york.ac.uk

Radiology nurses at Scarborough General Hospital have been working with the Department of Health Sciences to improve patient waiting times, using learning materials provided by the NHS Institute for Innovation and Improvement. The nursing team, led by Sister Philippa Peters, were encouraged to discuss the typical ‘patient journey’ through radiology. Sister Peters commented, “We were able to identify that patients often dressed incorrectly, causing embarrassment and discomfort. This common problem also significantly adds to waiting times.” The team came up with a simple solution. They dressed a mannequin in the correct way, and displayed it outside waiting rooms. Patients were shown the mannequin on arrival. The team also designed and installed a number of high visibility posters in the changing area. Sister Peters said, “We have noticed a vast improvement in the number of patients putting on their robes correctly. Patient feedback suggests that they have found the mannequin and poster to be effective ways to communicate.” For more information on working with us on service improvement, please contact Angela Simpson: aes4@york.ac.uk

the effects of unequal societies on rich and poor
The most unequal societies are damaging for the better-off as well as for the poor, according to a groundbreaking new book written by Dr Kate Pickett and Professor Richard Wilkinson of the Department of Health Sciences. In The Spirit Level: Why More Equal Societies Almost Always Do Better, they suggest that nearly every modern social and environmental problem, from drugs and violence to obesity and long working hours, is more likely to occur in a less equal society. While the poor are widely recognised to suffer most as a result of these social ills, Dr Pickett and Professor Wilkinson argue that the well-off are adversely affected as well. Based on data from 30 years of research, The Spirit Level suggests that if the gap between rich and poor in British society was closer to that of countries such as Japan, Norway, Sweden and Finland, levels of trust might be expected to increase by two-thirds, homicide rates could fall by 75 per cent, everyone could have the equivalent of almost seven weeks extra holiday a year, and many prisons could close. “Even allowing for the current economic circumstances, we live in an era of unprecedented prosperity, comfort and extravagance and yet we find ourselves more anxious, isolated, unhealthy and unhappy than ever,” said Dr Pickett. “Our research shows this will not change until we address the growing gap between the richest and poorest.”

Grading practice innovation for York student midwives
From September 2009, student midwives at the University of York will be awarded academic grades for midwifery practice on placement. Practice placement areas in Yorkshire and the Humber provide students with a diverse and varied experience of midwifery, and the new grading in practice will provide the best clinical experience for both students and mentors. A practising midwife in the role of midwifery mentor can now support the learning and assessment of students from any of the six universities in the region, due to the development of the new common practice assessment document. The common assessment practice document provides an auditable trail of the student’s progress and performance as they negotiate the many and varied learning opportunities available to them. It also comprises a grading assessment tool to enable mentors, who are accountable for judging students’ competence, to award a fair and objective grade that reflects the essential elements of contemporary midwifery care. Midwifery mentors are supported in practice by a link lecturer who meets with the student and mentor to ensure that a sound assessment is made. The document has been developed with the input and support of maternity service users, midwives, midwifery managers, students and lecturers, and was coordinated by Heather Ong, Lecturer in Midwifery, University of Leeds. The tool will be launched at a study day on 8 September at the University of York, where midwifery mentors can engage in discussions regarding its implementation. For more information, please contact Karen Khan: kk13@york.ac.uk

Education in dementia care as international priority
Dementia, and the resulting health and social care needed for sufferers and their families and carers, is fast becoming a global priority. The increasing incidence of newly diagnosed cases and the huge projections of future patients is being reflected across many European and Asian countries. Currently, it is estimated that the UK has 700,000 known cases, and with an increasing ageing population this number is set to rise over the next decade. One in five people over 85 years of age has a profound dementia that requires support. This picture is one that is being replicated across the world. In the UK, the National Dementia Strategy (DH 2009), released in February 2009, calls for a person centred journey that will structure resources to meet this challenge, and the University of York is providing education to help services cope with this increasing demand, both in the UK and abroad. Gordon Evans from the Department of Health Sciences recently facilitated a three day course for senior academics in Kuala Lumpur in Malaysia, on building capacity in dementia care. The course addressed the concept and nature of dementia, of which Alzheimer’s is the commonest form. The course showed the academics how to develop a social and medical care structure of an individual’s journey, reflecting the local multicultural population of Malaysia.

Masterskills University were hosts and partners to this event, who are a fast growing major provider of health and nurse education in Malaysia. For more information, please contact Gordon Evans: gde1@york.ac.uk.

New continuing professional development provision available on new NHS course finder website
The Department of Health Sciences provides programmes for practitioners, managers and researchers in the health and social care sector, and we have recently revamped our CPD provision to keep in line with the Yorkshire and Humber Strategic Health Authority (SHA) strategy, Healthy Ambitions, and its workforce component, Workforce Ambitions. This includes new modules such as Improving Care at the End of Life, Facilitating Learning in Practice for non-NMC Registered Practitioners, Community Nurse Practitioner Prescribing (V150), Insulin Pump Therapy and Recognising the Sick Child. We continue to run our popular modules, such as Introduction to Cognitive Behavioural Therapy, Managing Minor Illnesses in First Contact Care and Understanding and Supporting People with Autistic Spectrum Disorder. You will find all our modules and programmes in our new CPD prospectus, on our website at www.york.ac.uk/healthsciences/cpd and on the new SHA CPD course finder website at www.cpd4yorksandhumber.nhs.uk. The new course finder website has been developed to manage the range of CPD provision from the 10 universities in the Yorkshire and Humber region. The University of York is pleased to have been involved in the development of this website, which was launched in June 2009. Chris Holroyd, Education Commissioning Manager for NHS Yorkshire and the Humber said, “The development has been extremely well planned and I have received positive feedback both about the launch and the website. It will be of huge benefit to staff wishing to pursue funded CPD now and in the future.” Places are offered at no charge to NHS trust and primary care staff in areas covered by the Yorkshire and the Humber SHA. Places are also available by agreement with the SHA to South Tees and Tees Esk and Wear Valley staff; please contact us for details. For a copy of the new prospectus, please call 01904 321321.

Finding out about nurse education
A series of information afternoons are held in North Yorkshire during the year for anyone thinking about a career in nursing, or who is advising a potential applicant. The events include talks on various branches of nursing, admissions and finance information and advice on how to apply. They also include the opportunity to talk to current students, staff and practice learning facilitators. Events take place on Wednesday afternoons at a variety of venues in North Yorkshire.

30 September 2009 – York 25 November 2009 – York 13 January 2010 – York 3 February 2010 – Harrogate 21 April 2010 – Scarborough 2 June 2010 – York
Each event starts at 2.00pm and finishes around 4.30pm. For further details and to book a place, please contact Jane Milsom on 01904 321392.

New Clinical Solutions in Diabetes Care
- Opportunities and challenges
When: 5 November 2009, 9.00am – 4.00pm Where: National Science Learning Centre, University of York
A one-day diabetes conference for GPs, practice nurses and all those working in primary care diabetes delivery. Designed by diabetes practitioners to generate debate and provide workable solutions for day-to-day clinical diabetes issues. The conference is being organised by the University of York, University of Huddersfield and Diabetes UK. Places are limited and will be allocated on a first come, first served basis. For further details contact Alison Bone on alison.bone@diabetes.org.uk or telephone 01325 488606, or visit www.york.ac.uk/healthsciences/ diabetes/2009novconf/ where you can download a full programme and registration form.

Contact us
Telephone us on +44 (0)1904 321321 or email health-matters@york.ac.uk for details of our programmes, modules and study days. For information about our research, telephone Sandi Newby on +44 (0)1904 321344 or email shn1@york.ac.uk Department of Health Sciences University of York Seebohm Rowntree Building Heslington York YO10 5DD

www.york.ac.uk/ healthsciences/ healthprospects


				
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