Susan is Deputy Vice Chancellor (Research), and has interest in health workforce research, research capacity building and health service development and delivery. Phone: (+61) 0407 877973 Address: Military Road
East Lismore
NSW 2480
Australia
Purpose The purpose of this study is to review evidence on the nature of effective leadership in ... more Purpose The purpose of this study is to review evidence on the nature of effective leadership in interprofessional health and social care teams. Design/methodology/approach A critical review and thematic synthesis of research literature conducted using systematic methods to identify and construct a framework to explain the available evidence about leadership in interprofessional health and social care teams. Findings Twenty-eight papers were reviewed and contributed to the framework for interprofessional leadership. Twelve themes emerged from the literature, the themes were: facilitate shared leadership; transformation and change; personal qualities; goal alignment; creativity and innovation; communication; team-building; leadership clarity; direction setting; external liaison; skill mix and diversity; clinical and contextual expertise. The discussion includes some comparative analysis with theories and themes in team management and team leadership. Originality/value This research i...
Introduction: This paper describes an evidence based action-research approach to health-care serv... more Introduction: This paper describes an evidence based action-research approach to health-care service development bringing together the full range of staff members within complex work settings to evaluate their own services, plan, and carry out development activities. Background: Recent health-care policy claims a move away from ‘top-down change’, potentially removing a significant influence on service development. This paper explores the possibility of ‘bottom-up’ change using locally relevant expertise and engaging team members. Data are drawn from a national study involving 12 community rehabilitation and intermediate care teams. A ‘Service evaluation conference’ for each team explored possible service improvements and created unique action plans. A further 3 ‘team learning sets’ supported teams to implement their plans over 6 months. Method: Reports of these events were compiled and at each event feedback forms were completed by participants. Qualitative analysis was carried out ...
Health & social care in the community, Jan 19, 2014
Reflective practice is used increasingly to enhance team functioning and service effectiveness; h... more Reflective practice is used increasingly to enhance team functioning and service effectiveness; however, there is little evidence of its use in interdisciplinary teams. This paper presents the qualitative evaluation of the Interdisciplinary Management Tool (IMT), an evidence-based change tool designed to enhance interdisciplinary teamwork through structured team reflection. The IMT incorporates three components: an evidence-based resource guide; a reflective implementation framework based on Structured, Facilitated Action Research for Implementation methodology; and formative and summative evaluation components. The IMT was implemented with intermediate care teams supported by independent facilitators in England. Each intervention lasted 6 months and was evaluated over a 12-month period. Data sources include interviews, a focus group with facilitators, questionnaires completed by team members and documentary feedback from structured team reports. Data were analysed qualitatively usi...
Background and designThis research was based on a reanalysis of a merged data set from two interm... more Background and designThis research was based on a reanalysis of a merged data set from two intermediate care (IC) projects in order to identify patient characteristics associated with outcomes [Nancarrow SA, Enderby PM, Moran AM, Dixon S, Parker SG, Bradburn MJ,et al.The Relationship Between Workforce Flexibility and the Costs and Outcomes of Older Peoples’ Services (COOP). Southampton: National Institute for Health Research (NIHR) Service Delivery and Organisation (SDO); 2010 and Nancarrow SA, Enderby PM, Ariss SM, Smith T, Booth A, Campbell MJ,et al.The Impact of Enhancing the Effectiveness of Interdisciplinary Working (EEICC). Southampton: NIHR SDO; 2012]. Additionally, the impact of different team and staffing structures on patient outcomes and service costs was examined, when possible given the data sets, to enable identification of the most cost-effective service configurations and change over time with service provision. This secondary analysis was placed within updated liter...
This section of the Interdisciplinary Management Tool (IMT) Workbook, is an instruction manual fo... more This section of the Interdisciplinary Management Tool (IMT) Workbook, is an instruction manual for organising and running the IMT's structured organisational development intervention (IMT Intervention) to support interdisciplinary team working. It was developed in response to a recognised need for a structured way to help integrate into practice the best evidence relating to interdisciplinary team working.
Research Aim: The aim of this study is to develop, implement and evaluate the cost and clinical i... more Research Aim: The aim of this study is to develop, implement and evaluate the cost and clinical impact of an Interprofessional Management Tool designed to optimise interprofessional working in community based older peoples' services. Type and location: The setting for this research is older peoples' community based intermediate care and rehabilitation provision, which will include health and social services across England. Specifically, the research will take place in non-acute, time limited services that are ...
Purpose The purpose of this study is to review evidence on the nature of effective leadership in ... more Purpose The purpose of this study is to review evidence on the nature of effective leadership in interprofessional health and social care teams. Design/methodology/approach A critical review and thematic synthesis of research literature conducted using systematic methods to identify and construct a framework to explain the available evidence about leadership in interprofessional health and social care teams. Findings Twenty-eight papers were reviewed and contributed to the framework for interprofessional leadership. Twelve themes emerged from the literature, the themes were: facilitate shared leadership; transformation and change; personal qualities; goal alignment; creativity and innovation; communication; team-building; leadership clarity; direction setting; external liaison; skill mix and diversity; clinical and contextual expertise. The discussion includes some comparative analysis with theories and themes in team management and team leadership. Originality/value This research i...
Introduction: This paper describes an evidence based action-research approach to health-care serv... more Introduction: This paper describes an evidence based action-research approach to health-care service development bringing together the full range of staff members within complex work settings to evaluate their own services, plan, and carry out development activities. Background: Recent health-care policy claims a move away from ‘top-down change’, potentially removing a significant influence on service development. This paper explores the possibility of ‘bottom-up’ change using locally relevant expertise and engaging team members. Data are drawn from a national study involving 12 community rehabilitation and intermediate care teams. A ‘Service evaluation conference’ for each team explored possible service improvements and created unique action plans. A further 3 ‘team learning sets’ supported teams to implement their plans over 6 months. Method: Reports of these events were compiled and at each event feedback forms were completed by participants. Qualitative analysis was carried out ...
Health & social care in the community, Jan 19, 2014
Reflective practice is used increasingly to enhance team functioning and service effectiveness; h... more Reflective practice is used increasingly to enhance team functioning and service effectiveness; however, there is little evidence of its use in interdisciplinary teams. This paper presents the qualitative evaluation of the Interdisciplinary Management Tool (IMT), an evidence-based change tool designed to enhance interdisciplinary teamwork through structured team reflection. The IMT incorporates three components: an evidence-based resource guide; a reflective implementation framework based on Structured, Facilitated Action Research for Implementation methodology; and formative and summative evaluation components. The IMT was implemented with intermediate care teams supported by independent facilitators in England. Each intervention lasted 6 months and was evaluated over a 12-month period. Data sources include interviews, a focus group with facilitators, questionnaires completed by team members and documentary feedback from structured team reports. Data were analysed qualitatively usi...
Background and designThis research was based on a reanalysis of a merged data set from two interm... more Background and designThis research was based on a reanalysis of a merged data set from two intermediate care (IC) projects in order to identify patient characteristics associated with outcomes [Nancarrow SA, Enderby PM, Moran AM, Dixon S, Parker SG, Bradburn MJ,et al.The Relationship Between Workforce Flexibility and the Costs and Outcomes of Older Peoples’ Services (COOP). Southampton: National Institute for Health Research (NIHR) Service Delivery and Organisation (SDO); 2010 and Nancarrow SA, Enderby PM, Ariss SM, Smith T, Booth A, Campbell MJ,et al.The Impact of Enhancing the Effectiveness of Interdisciplinary Working (EEICC). Southampton: NIHR SDO; 2012]. Additionally, the impact of different team and staffing structures on patient outcomes and service costs was examined, when possible given the data sets, to enable identification of the most cost-effective service configurations and change over time with service provision. This secondary analysis was placed within updated liter...
This section of the Interdisciplinary Management Tool (IMT) Workbook, is an instruction manual fo... more This section of the Interdisciplinary Management Tool (IMT) Workbook, is an instruction manual for organising and running the IMT's structured organisational development intervention (IMT Intervention) to support interdisciplinary team working. It was developed in response to a recognised need for a structured way to help integrate into practice the best evidence relating to interdisciplinary team working.
Research Aim: The aim of this study is to develop, implement and evaluate the cost and clinical i... more Research Aim: The aim of this study is to develop, implement and evaluate the cost and clinical impact of an Interprofessional Management Tool designed to optimise interprofessional working in community based older peoples' services. Type and location: The setting for this research is older peoples' community based intermediate care and rehabilitation provision, which will include health and social services across England. Specifically, the research will take place in non-acute, time limited services that are ...
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Papers by Susan Nancarrow