VANGUARD: Stage 3
Research type
Research Study
Full title
A project to develop and feasibility test Respiratory Nurse Sensitive Outcome Indicators for Chronic Obstructive Pulmonary Disease
IRAS ID
173598
Contact name
Samantha Prigmore
Contact email
Sponsor organisation
University of Manchester
Duration of Study in the UK
0 years, 5 months, 1 days
Research summary
The development of the Respiratory Nurse Specialist role in the UK to provide management and support for patients with chronic respiratory disease, follows early studies which suggested that the RNS could improve patients understanding of their condition and management of exacerbations; were evaluated positively by patients and carers; and demonstrated an improvement in health related quality of life.
The number of RNS in the UK has increased following studies which demonstrated that patients admitted to hospital with an acute exacerbation of COPD could be safely discharged from hospital under early discharge schemes, under the care of the RNS. However, there is a lack of evidence for the effectiveness of RNS. There is a need to examine the impact that RNS have on patient health outcomes and experiences, however the best method to capture and monitor the impact they could have, is yet to be described. The development of Respiratory Nurse Sensitive Outcome Indicators (RNSOI) is the first step in addressing these issues.
Stage 1 of this project involved early phase development of a RNSOI tool to assess the quality of care provided by a RNS, and whether the care improves patients' experiences of living with COPD. In this Stage 3 of the study the RNSOI tool, developed in Stage 1, will be tested for preliminary reliability and feasibility.
Quantitative methods will be employed to test the psychometric properties of the RNSOI which will include a number of statistical tests to help identify the best items to keep in and identify potential items for removal from the RNSOI.
Qualitative approaches will be used to test the feasibility of using the RNSOI in practice. This will obtained through conducting semi structured interviews with participating RNS and with their Clinical Nurse Managers (CNM).REC name
London - South East Research Ethics Committee
REC reference
15/LO/1563
Date of REC Opinion
1 Sep 2015
REC opinion
Favourable Opinion