Determining Excellence Factors in Nursing and Midwifery: A Mixed Methods Study

Background:<br/>PRESENTED BY<br/>The Midlands Regional Excellence Network brings together senior nurse leaders across 11<br/>integrated care boards to develop collective leadership, positive work environments and a<br/>culture of excellence. Six excellence pillars have emerged namely; shared professional decision<br/>making, local accreditation, meaningful recognition, distributed leadership, continuous quality<br/>improvement and, research and innovation. Conducted in the Midlands, this study is the first in<br/>England to explore nursing and midwifery excellence in acute and non-acute settings.<br/>Mrs. Michelle Hartanto<br/>University Hospitals Coventry and Warwickshire NHS Trust<br/>- (⚑ United Kingdom)<br/>Mrs. Gishi Sashidharan<br/>University Hospitals Coventry and Warwickshire NHS Trust<br/>Aims:<br/>- (⚑ United Kingdom)<br/>To describe approaches and behaviours that drive nursing and midwifery excellence in acute<br/>provider settings and explore the potential transferability of these to non-acute provider<br/>settings.<br/>Mr. Nicolas Aldridge<br/>University Hospitals Coventry and Warwickshire NHS Trust<br/>- (⚑ United Kingdom)<br/>Methods:<br/>Mrs. Lisa Dunn<br/>Mixed methods were a scoping review; Midlands-wide cross sectional staff survey, administered<br/>via QR code using Office 365; case study interviews with acute and non- acute providers via MS<br/>Teams, and an exploration of key metrics to determine impacts of excellence. The six excellence<br/>pillars provided an exploratory framework, directed by the COM-B behavioural change model<br/>throughout1. Forty-four organisations were invited to participate. Coventry University Ethics<br/>P172363<br/>University Hospitals Coventry and Warwickshire NHS Trust<br/>- (⚑ United Kingdom)<br/>Prof. Liz Lees-Deutsch<br/>Coventry University - (⚑ United Kingdom)<br/>Results:<br/>16 global studies reviewed (n=23) focused on delivery of excellence through the Magnet<br/>Recognition Programme2. Twenty-six organisations responded to the survey. Case studies with<br/>acute provider organisations (n=12) identified behaviours driving excellence, with professional<br/>leadership and organisational cultures as key factors. Non-acute organisations (n=3)<br/>demonstrated some early principles of excellence.<br/>1.<br/>2.<br/>3.<br/>4.<br/>AUTHORS<br/>Mrs. Michelle Hartanto (⚑ United Kingdom) 1<br/>Mrs. Gishi Sashidharan (⚑ United Kingdom) 1<br/>Mr. Nicolas Aldridge (⚑ United Kingdom) 1<br/>Mrs. Lisa Dunn (⚑ United Kingdom) 1<br/>Discussion:<br/>5.<br/>Prof. Liz Lees-Deutsch (⚑ United Kingdom) 2<br/>Higher workforce stability and lower leaver rates were found in organisations employing<br/>excellence approaches, compared to those who did not use these approaches. Non-acute<br/>organisations demonstrated a willingness to adopt excellence approaches.<br/>1. University Hospitals Coventry and Warwickshire NHS<br/>Trust, 2. Coventry University<br/>Conclusion:<br/>Well-developed excellence approaches are evident across the Midlands in acute organisations.<br/>Non-acute organisations are at an earlier stage of development. A delivery plan indicating<br/>support for non-acute leaders to develop, implement and sustain excellence approaches is<br/>needed. Further research to expand this work across England is warranted.<br/>REFERENCES<br/>(1) Michie S, van Stralen M, West R. The behaviour change wheel: A new method for<br/>characterising and designing behaviour change interventions. Implementation Science 2011;<br/>6:42.<br/>(2) Boylan et al. Association of Magnet nursing status with hospital performance on nationwide<br/>quality metrics. Journal for Healthcare Quality 2019; 41(4): 189-94.<br/>LEAD PRESENTER BIOGRAPHY<br/>Michelle Hartanto, RN, MSc is a Practice Facilitator for Pathway to Excellence® at University<br/>Hospitals Coventry and Warwickshire NHS Trust. After completing a NIHR/HEE Pre-Doctoral<br/>Research Fellowship (2022), she led research on the ReSPECT process and CPR decision-making<br/>conversations and has been published in peer-reviewed scientific journals. In 2024, as a<br/>Research Fellow on a study commissioned by NHS England – Midlands and funded/sponsored<br/>by the Chief Nursing Officer for England’s Policy and Strategy Unit within the NHS England<br/>national team, Michelle co-led the first study in England to explore Nursing and Midwifery<br/>Excellence in acute and non-acute healthcare settings.<br/>TOPICS<br/>Clinical topic, research field and research issues: Leadership and management<br/>Clinical topic, research field and research issues: Quality standards<br/>Clinical topic, research field and research issues: Workforce and employment (including<br/>heath and wellbeing roles, research careers)<br/>Research approach: Mixed methods research