My research interests are patient care quality and safety. I am also interested in organisational issues/ factors that impact on patient care quality and safety, for example nursing workforce: recruitment and retention and organisational culture.
My main research approaches are evaluation methods. I have been involved in clinical research that aims to improve patient care quality and safety and research that evaluates the impact of education on practice. In addition, I am interested in both the processes and outcomes of Education and Practice Development/ Quality Improvement/ Organisational Change initiatives.
I am a member of the Healthy Ageing Research group (HARG). Recent research activities include:
End of Life Care
- 2008-2010 A study of End of Life care planning in Care/ Nursing homes, funded by The Burdett Trust for Nursing. Co-applicant with Prof Martin Johnson, University of Salford
- 2008 Johnson M & Attree M End of Life care in Care/ Nursing homes. Pilot study funded by Salford PCT
- 2005-06 Patient Safety in an English pre-registration curriculum
This study used Illuminative Evaluation and an organisational case study to explore the location and status of patient safety in a pre-registration nursing curriculum. The study was internally funded. The Project Report is available at www.manchester.ac.uk/projects . Collaborators are listed in the section below. A publications from this work is listed in publications section.
- 2004-05: Evaluation of a Blended Approach to Patient Safety Education
This study used Impact Evaluation to evaluate the impact of a blended e-learning intervention about patient safety on individuals and organisations. The study was commissioned by the NHS NorthWest StHA, National Patient Safety Agency & NHS Modernization Agency. Mixed methods of data collection were employed, including questionnaires and interviews. The Project Report and Executive Summary are available at www.manchester.ac.uk/projects/rca. Project collaborators are listed below. Further information and publications relating to this study are available in the publication and projects section.
- 2003-05: Evaluation of the impact of introducing a Patient-held Care Pathway for elective joint replacement surgical patients
This study used an intervention design to evaluate the impact of introducing a patient-held care pathway on patient perceived participation in their care and staff attitudes to patient participation. Mixed methods of data collection were employed, including questionnaires, interviews and case note audit. Collaborators are listed in the section below.
- Ph.D 2002 Registered Nurses perceptions of standards of nursing practice: an emerging theory of professional dissonance.
My PhD, completed in 2002, was sponsored by a UKCC Research Scholarship. The study used grounded theory to explore registered nurses perceptions of standards of nursing practice. A theory of 'Professional Dissonance’ was generated. Professional Dissonance describes the psychological discomfort experienced by nurses who perceived that the quality of care they were able to deliver fell short of the high professional standards they aspired to and judged that patients needed. Publications relating to this study are available in the publications section. This study lead to the development of two new postgraduate unit s of learning: 'Critical Approaches to Clinical Governance and Quality' and 'Leading, Changing and Developing Practice in nursing and healthcare'
My methodological knowledge and experience are mainly qualitative; however I have adopted quantitative and mixed methods as appropriate to the research question.
- Grounded Theory
- Evaluation Research; Implementation
- Illuminitive Evaluation
- Impact Evaluation
- Intervention Study
- Mixed Methods
- Case Study
- Curriculum Analysis
- Organisational Analysis
Data Collection Methods:
- Interview: Individual & Focus Group
- Qualitative: Nudist; NVivo
Recent completed PhD supervisions include: 'A case study of the safety culture amongst nurses in a hospital in Northern Spain' , 'The impact of computerisation on the role of the nurse in Taiwan' and 'A case study of the implementation of the role of the community matron'.