Research Midwife

Swydd-ddisgrifiad a phrif gyfrifoldebau manwl

Expertise & Excellence in Clinical Practice

Contribute to the delivery of evidence-based personalised and
compassionate care which places quality at the heart of specialist practice.
Care will respond to individual needs and reflect current local protocols and national guidelines.

Act as an accessible professional for the multi-disciplinary team (MDT)
supporting the management of a clinical caseload for at least 80% of the
role. This will necessitate a degree of autonomy and advocacy to ensure
the delivery of appropriate care.

Contribute to the management of a caseload of patients within speciality
and prioritise workload to meet patient and service need.

Use knowledge of the speciality and treatment to support the development
of personalised care pathways for individuals and assist with holistic needs
assessment, planning and evaluation of care and all care interventions.

Act as a patient advocate to facilitate the process of shared decision making in respect to health, choice of treatment and care. Use interpersonal and communication skills where there may be significant barriers in order to build confidence. Ensure that patients’ individual needs are expressed and valued and individual care plans are understood.

Advise on disease and symptom management for patients within the
speciality in both inpatient and outpatient settings. Evaluate response to
interventions and cascade to relevant colleagues.

Support patients to self-manage their condition where deemed appropriate. Provide education for those who will need guided support to self-manage and those who will need ongoing face to face support.

Assist in the development and delivery of nurse led or parallel clinics in line
with National guidance and local service need.

Act as a resource providing specialist advice and support across service
boundaries to ensure optimum liaison and co-ordination of care.

Undertake clinical competencies relevant to this specialist service to
demonstrate expertise in extended nursing roles. Assess and assist in
managing individual psychological reactions to diagnosis, treatment and
associated side effects including working to Good Clinical Practice (GCP)
standards, adhering to the Study Protocol, maintenance of an Investigator
Site File to GCP standards and the reporting of Serious Adverse Events, Adverse Events and breaches to protocol in a timely manner as per the
requirements of both the Study Team and Trust

There will be a requirement to utilise specialist clinical skills, (e.g. the ability
to take and spin bloods) as a regular duty within the role.

Act as a role model demonstrating high standards of holistic care and
provide clinical leadership to others across the organisation.

Provide support to ensure public and patient involvement is embedded
within the sphere of practice.

Assist in setting measurable outcomes for the service and continuous
evaluation of practice supporting changes where necessary.

Contribute to the clinical governance agenda.

Participate in operational and strategic planning for the development and
delivery of the specialist service. Support service improvement activities.

Attend Trust Research Midwifery meetings and contribute to the agenda
and strategic midwifery vision.

Represent the Trust by contributing to and participating in meetings locally,
regional and nationally relating to the speciality.

Contribute to an annual service review, gathering information to support the annual report.

Communication

Take personal responsibility for ensuring effective communication between
all service providers.

Act as a role model for excellent communication skills. Demonstrate
empathetic interpersonal and communication skills in supporting, informing and advising patients and carers through diagnosis, treatment, disease progression, prognosis and supportive and palliative care where applicable. This will involve occasionally imparting significant news or supporting patients and carers during and following such consultations.

Effectively and sensitively communicate complex and sensitive information
to emotionally distressed patients and family/carers at key points along the
care pathway on a frequent basis.

As a core member of the MDT provide professional advice to Principle
Investigators, Junior Doctors, Nurses and other staff within the Trust and
liaise with Study Teams, Pharmacy, Pathology and Radiology as
appropriate to the study

Refer to other health professionals and outside agencies to ensure
optimum care and ongoing support for individual patients/carers, and to
ensure the seamless transition from primary to secondary care appropriate
to patients’ individual needs and circumstance.

Maintain links with local and national organisations, which support the care
of patients within this speciality.

Education

Identify and use educational strategies to deliver information to patients and carers.

Participate in the development of patient focused education including
training to support self-management and health promotion activities.

Assist in the development of other professionals by contributing to Trust
wide specialist education and training.

Support the delivery of formal and informal teaching initiatives as part of
the Trust’s education strategy as agreed with the appropriate senior nurse
to ensure practice development, staff empowerment and improved care for
patients.

Act as a mentor/clinical supervisor as appropriate.

Take personal responsibility for life-long learning and personal
development through clinical supervision and appraisal. Actively engages
with learning and development opportunities needed to work as an
advancing practitioner and take appropriate action to ensure these needs
are met.

Contribute to promoting educational links with local providers of higher
education and deliver lectures on a range of courses.

Quality, Audit, Innovation and Research

Assist in the development of written patient information and use existing
appropriate resources to inform users, according to individually assessed
need.

Work within the NMC code of professional conduct.

Contribute to the development of policies and clinical guidelines to support
the specialist service.

Collaborate with other MDT members to develop and update multiprofessional Trust operational policies and guidelines.

Maintain patient records and ensure an effective documentation system to
reflect the activity and delivery of specialist nursing care.

Promote the service were applicable.

Use creative reasoning, experience and vision to support advancement of
care.

Develop new skills in response to emerging knowledge and techniques.

Supports management of change as required.

Maintain membership and attendance at national and local forums to
network and debate issues to inform the specialist nursing role and service
delivery where applicable.

Assist with the collation of data to provide evidence of productivity,
outcomes and quality through audit and research.

Contribute to the identification of patients eligible for trial entry. Provide
support to patients considering entry to clinical trials in relation to informed consent and advocacy.

Participate in clinical research relevant to practice area.

Assist in the development of links and system to seek the views of patient
and carers to ensure service development is in line with user need.

Additional Responsibilities

Participate in clinical research in the delivery of the clinical trials portfolio at South Warwickshire NHS Foundation Trust. Monitor, record and present
recruitment numbers to ensure national and locally agreed recruitment and delivery targets are met

Ensure that the delivery of studies meet the requirements with regards to
the Department of health’s research Governance framework for health and
social care by implementing quality systems

Manage own portfolio of studies

Participate in good clinical practice training (GCP) and updates as per
National Institute of Health Research guidelines

Contribute to the process of gaining local regulatory approvals

Assist in the review of study protocols and contribute to the feasibility/study selection process, advising on safety, regulatory and logistical issues

Reporting of Serious Adverse Events, Adverse Events and breaches to
protocol in a timely manner as per the requirements of both the Study Team and Trust

Work with the trials teams and investigators to develop strategies to
overcome barriers to recruitment and solve other problems relating to
specific studies

Contribute to the study set up, recruitment planning and study delivery
planning

Facilitate and assist in the informed consent process ensuring that consent
forms are completed accurately and filed as required and participants are
fully aware of the nature of the study

Following appropriate training and competence assessment obtain written
informed consent for allocated research studies in accordance with study
protocol and Trust guidance

Randomise / enrol patients into clinical trials or other research studies
according to study protocols

Provide on-going advice and information to patients/volunteers about their
participation in clinical research in order to facilitate effective informed
consent

Provide clinical interventions as per the study and Trust protocols

Ensure clear, concise and accurate records are kept for research projects
in accordance with all regulatory requirements including the data protection act

Ensure that all GCP required documentation is kept in a clearly traceable
system and is stored in an appropriate manner for the appropriate length of
time

Where required, data is transcribed accurately into the Investigator Site File and maintain in accordance with GCP

Respond to data queries generated by the study co-ordinating team within
a timely manner. Liaises with trial personnel outside of the hospital as
necessary

Assess and evaluate the progress of on-going trials for which the post
holder has responsibility

Maintain accurate records of study recruitment as per local procedure and
status of studies providing regular updates. This will involve ensuring that EDGE (local patient management system) is updated with key trial data
and though the local team meetings and portfolio team meetings

Utilise and ensure others utilise information and IT systems to secure
accurate and timely patient, workforce and resource data

Escalate on-going study performance issues to the Senior Research
Midwife in a timely manner

Safeguard the integrity of the study by ensuring compliance with GCP
guidelines

Co-operate with external and internal audit, data monitoring and quality
assurance by working with RD&I, Sponsors, study monitors and external
bodies

Assist in study close procedures and archiving of study paperwork as per
the Retention of Document protocol

Take responsibility for the supervision of junior research nurses and act as
a resource to ensure they optimise their clinical research skills and potential

To assist in the education and support of health care professionals to
enable them to care for patients participating in clinical trials or other
research studies