Dr Andreas Xyrichis is an academic researcher at King’s College London, having previously held clinical, research and policy posts in London and Brussels. His training has been in nursing, research methodology, health policy and sociology; and he holds a BSc, a MSc and a PhD all from King’s. Andreas’ interests and expertise lie in interprofessional practice, education and research. His research is supported by the National Institute for Health Research and other international funders to investigate interprofessional, team-based practice interventions for patient safety and quality improvement. Andreas is a Trustee and Director of the UK Centre for the Advancement of Interprofessional Education (CAIPE) and Editor-in-Chief for the international Journal of Interprofessional Care.
Keynote: Interprofessional health care: not optional.
Interprofessionality has been discussed as a generally favourable perspective to health professional education and practice for some time. Over recent years, however, the international evidence base for its positive impact on service users, health practitioners and provider organisations has reached a state of maturity that can no longer be ignored. Across high-, middle- and lower-income countries challenges arising out of shifting health and illness patterns, the ageing of the population, rise in chronic conditions, multimorbidity and non-communicable diseases demand new models of health professional education and practice centred around service user, rather than professional needs. Combined with a global shortage of health workers, the way health care is currently delivered may be unsustainable in the long run. Yet, interprofessionality is rarely considered explicitly in health policy, service delivery and workforce planning. This talk draws on international research and policy developments to argue that interprofessional health care is quickly becoming a requirement for patient-centred, quality, safe, sustainable and resilient health systems; and is no longer optional.
Dr. Bryant-Lukosius is an Associate Professor in the School of Nursing and Department of Oncology and Co-Director for the Canadian Centre for Advanced Practice Nursing Research at McMaster University. In 2018, she became the inaugural holder of the Alba DiCenso Professorship in Advanced Practice Nursing and in 2009 was appointed as a Scientist in the Escarpment Cancer Research Institute. She is also cross appointed to the Juravinski Hospital and Cancer Centre as a Clinician Scientist and Director of the Canadian Centre of Excellence in Oncology Advanced Practice Nursing. Dr. Bryant-Lukosius is an international leader in advanced practice nursing research, education, mentorship, and knowledge translation. She has conducted research about Clinical Nurse Specialists and Nurse Practitioners in varied settings, led the development of advanced practice nursing curricula, and designed frameworks and tools to for the introduction and evaluation of APN roles. In oncology, she leads research focused on patient empowerment in the precision medicine era of cancer care. As a health services researcher, she has expertise in the design, implementation, and evaluation of new models of cancer care, self-management support interventions, and the uptake of evidence-based approaches to cancer symptom assessment and management.
Keynote: Strengthening the Health Systems Integration of Advanced Practice Nursing Roles
There is substantive evidence that the introduction of advanced practice nurses can improve access and quality of care, contribute to better patient health outcomes, and reduce costs associated with hospital-based care. Yet, even in countries like Canada where advanced practice nursing roles have been established for over 50 years, the full integration of these roles into health systems has yet to be achieved. This presentation will outline the international evidence about the impact of advanced practice roles. Barriers to the integration of advanced practice roles will be described. Examples from various countries will be used to illustrate policies, funding models, and multi-level strategies for strengthening the development, utilization, and health systems integration of advanced practice nurses.
Jill Maben is Professor of Health Services Research and Nursing at the University of Surrey, United Kingdom. She is a nurse and social scientist and her research focuses on supporting staff to care well. Jill trained as a nurse at Addenbrookes hospital, Cambridge, before leaving to study History at University College London. Jill reconnected with nursing and worked as staff nurses in Melbourne, Australia, before undertaking her MSc and PhD at King’s College London and the University of Southampton. Jill was Deputy Director and Director of the National Nursing Research Unit at Kings College London 2007-2014 and had led several national and international studies. She undertook one of the first studies to demonstrate relationships between staff wellbeing and patient experience at the team and individual level. In 2014 Jill completed the first national evaluation of the impact of 100% single rooms in hospitals on patient and staff experience and care quality outcomes in the UK which is being replicated in Denmark, The Netherlands and Australia. In 2013 Jill was in the Health Services Journal ‘Top 100 leaders’ and was also included on Health Service Journal’s inaugural list of Most Inspirational Women in Healthcare the same year.
Keynote: Exploring the links between staff wellbeing and patient experiences of care – the role of positive practice environments.
Healthcare needs healthy and well-motivated staff to provide high quality patient care. However, healthcare work is physically, emotionally and ethically very challenging. Staff shortages, high demand and increasing external scrutiny, are also associated with a high prevalence of poor staff well-being. It appears self evident that patients experiences’ and the quality of healthcare they receive are influenced by the well-being of healthcare staff. Yet until our UK study there was limited evidence of these links at the team and individual level. This paper draws on data from three large studies focusing on the role of positive parctice environments that support staff to care well. In study 1 positive environments supported nurses to implement their ideals and values of care (longitiudinal quliataitve study; 52 interviews); in study 2 the links between patients experiences of healthcare and staff well-being are identified (498 patient experience surveys; 106 patient interviews; 301 staff well-being surveys; 86 staff interviews and 206 hours of observation) and in study 3 a recent evaluation of a group reflective intervention (Schwartz Rounds) to support staff well-being at work and improve compassionate care for patients is evaluated (500 staff surveys from Rounds attenders/non-attenders; 177 interviews, and 100 hours of observation).
René Schwendimann is Chief Patient Safety Officer at the University Hospital Basel and senior lecturer at the Institute of Nursing Science, University of Basel (Switzerland). His professional career with clinical, managerial and academic positions spans over 35 years. Schwendimann studied psychiatric nursing, nursing management and nursing science in Zurich, Aarau, Maastricht (NL) and Basel. After graduating with a MSc and PhD in Nursing Science he carried out postdoctoral studies at Duke University Health System, USA. His current activities include service delivery, research and teaching focusing on patient safety and quality of care.
Keynote: Strengthening health systems through nursing: Evidence from 14 European countries – The Swiss case
This keynote will refer to the book «Strengthening health systems through nursing: Evidence from 14 European countries» with portraying trends and forces influencing and forming nursing in a range of country case studies across Europe. The countries of these national case studies includes Belgium, England, Finland, Germany, Greece, Ireland, Lithuania, the Netherlands, Norway, Poland, Slovenia, Spain, Sweden, and Switzerland. All providing evidence on policy challenges and responses in nursing, including training, skill mix, workforce, service conditions, regulation and governance.
Sally Thorne is Professor at the University of British Columbia, School of Nursing. She studies patient experience in serious and life-limiting conditions such as chronic disease and cancer, most recently focusing on palliative approaches to care delivery across sectors and nurses’ experiences with medical assistance in dying. In addition to advising various professional and policy organizations, she actively fosters nursing scholarship development through her philosophical and methodological activities and in her role as Associate Editor of the journal Qualitative Health Research and Editor-in-Chief of Nursing Inquiry.
Keynote: Ideological and structural barriers to nursing workforce development within our evolving systems of health service delivery
In an era in which cost-effectiveness accountability is closely managed and interprofessional practice is the driving philosophy, nursing is experiencing unintended barriers to enactment of its ideals as regards systems of care. As corporate health administrative structures systematically dismantle professional practice leadership by professional designation in an effort to reduce provider self-interest, they are unwittingly creating the conditions under which professional socialization and development throughout a career trajectory can be compromised. What we learn from decades of patient-perspective research, tapping the wisdom of those our systems are designed to serve, is that these same system conditions also pose risks to patient outcomes. If we are to not only train and recruit but also retain the nursing workforce needed to meet future demands and to proactively meet population needs, we must critically reflect on the wider impacts of the structures we create to manage nursing workforces within our health care systems and the ideological positions with which we defend those approaches. In this presentation, Dr. Thorne will draw on the example of global trends in nursing organization and leadership as a cautionary tale for our ongoing strategizing.