An exciting opportunity has arisen for an experienced and enthusiastic senior nurse to be involved as a co-facilitator in a 10-12 month trust wide Southmead Hospital Charity funded ‘Next Big Thing’ quality improvement project. This post is 0.4 WTE (15 hours per week)
The aim of the project is to create a ‘just ask’ culture to improve end-of-life care for patients at North Bristol NHS Trust and to support staff to discuss the cultural, religious, and spiritual needs of patients and their who are nearing the end of their lives.
Main duties of the job
After an initial period of relevant training and with support, the post holder will facilitate focus groups in exploring healthcare staff’s attitudes and concerns in managing spiritual, cultural and religious beliefs.
National and local audits at North Bristol NHS Trust have revealed that cultural, religious and spiritual needs are not consistently explored or documented as part of end-of-life care for patients, suggesting that these important needs are not addressed.
The post holder will be an experienced senior nurse acting autonomously alongside palliative care professionals within their professional boundaries as part of the wider MDT multidisciplinary team to deliver high quality care and quality improvement outputs.
They will be expected to work closely alongside Dr Nipuna Gunawardena (palliative care SpR), other members of the NBT specialist palliative care team, the quality improvement team, the communications team, the research and innovation team and Southmead Hospital Charity
The North Bristol NHS Trust specialist palliative care team is comprised of a team of consultants, specialist registrars and clinical nurse specialists who work in an advisory capacity across the trust. We assess the physical, psychological, social and spiritual needs of patients who have life limiting diseases and provide support to them, their families and our colleagues across the trust. The specialist palliative care team are available 24 hours per day
22 February 2023
Agenda for change
£41,659 to £47,672 a year per annum (pro rata)
The project will have two distinct stages:1. Scoping stage NBT staff members thoughts, attitudes, and perspectives around discussing patients cultural and spiritual needs at end of life. At NBT, our staff and patients come from a range of different cultural, social and religious backgrounds and have diverse views about end-of-life care. Understanding the perspectives of NBT staff is vital to shape care and create culturally safe settings. We seek to understand this through focus groups and a robust staff survey.2. Intervention stage will be informed by the findings from the scoping stage and pilot interventions aimed at empowering staff to create culturally and psychologically safe spaces for patients and their families.
These interventions will involve a trust wide campaign and workshops that introduce the practice of cultural safety in NBT. This will be supplemented with online modules that can be accessed to wider staff
Main duties and responsibilities of the role : To provide logistical and organisational skills in arranging the focus groups and workshops To co-ordinate with the QI support team (Perform) in ensuring staff survey is completed by a significant amount of NBT staff and helping analyse the data that comes from the survey To use qualitative methodology with the support of the Research Team at the hospital to identify themes that come from discussions during the focus groups in the scoping sage. To utilise the analysis of data collected from scoping stage and training in cultural safety to create educational material for the workshops and online modules for the intervention stage intervention stage To coordinate with the Comms and Arts Team in creating material for the trust wide campaign in promoting curiosity and enquiry of cultural, religious and spiritual needs at end of life among staff To interview consenting staff and video recording this as educational material for online modules and for the trust wide campaign To participate in the write up and presentation of results for this project. There will be opportunities to present at conferences and we will aim to publish this work in a journal. To develop and share expertise within the multi-disciplinary team. To demonstrate ability to deal with immediate issues concerning staff sickness and absence and performance management. To adhere to and promote in others the importance of infection control guidelines and procedures To act as a positive role model for nurses in the hospital through the demonstration of excellent communication and clinical skills To provide support to other members of the team To provide specialist support and advice in clinical areas, wards and outpatients, to optimise quality improvement opportunities To analyse and respond to challenging and complex situations utilising specialist knowledge and analytical and judgemental skills to assess a range of options to formulate solutions and recommendations To act as a change agent, using skills that will motivate and reassure staff through negotiation and training, to facilitate the change process, liaising with the SpR lead, the consultant lead and the lead nurse for palliative and end of life care.
Education To participate in the planning and delivery of formal and informal education programmes for patients, carers and all staff To participate in education forums locally To ensure that professional knowledge and practice is regularly updated To take personal responsibility for life-long learning and personal development through clinical supervision, appraisal and Knowledge and Skills Framework
Research and Audit To collate and record quantitative and qualitative data that provides evidence of productivity, outcomes and quality, through audit and research To regularly lead on and participate in clinical audit and research To promote a culture of evidence based practice To be involved with health promotion
Management To plan the provision of day to day organisational tasks With support, manage a complex caseload based on flexible principles, priorities and the care needs of patients To participate in policy and service development and the development of protocols for specialist area of work and for the wider healthcare community served by North Bristol Trust Participate in providing an initial response to complaints and queries, and have a working awareness of the North Bristol NHS Trusts complaints procedure Maintain accurate and concise records that produce statistical data for the purpose of evaluation and development of the service To be responsible for the effective, efficient and safe use, maintenance and storage of resources and equipment used in the performance of the role To keep accurate and up to date patient records
Research and Audit To collate and record quantitative and qualitative data that provides evidence of productivity, outcomes and quality, through audit and research To regularly participate in clinical audit and research including supporting clinical trials To promote a culture of evidence-based practice To be involved with health promotion To be prepared to disseminate outcomes locally and nationally
- At least 5 years post registration experience
- Experience of running a similar project would be advantageous
Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab) .
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab) .
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
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