V O L U M E PAGE 1 6 I S S U E 3 O C T O B E R 2 0 1 5 ONMSD Newsletter Office of the Nursing and Midwifery Services Director Message from Ms. Mary Wynne Inside this Issue Message from 1 Ms. Mary Wynne ONMSD Corporate News Pages 2-3 Nurse Prescribing of Ionising Radiation (X-Ray) for Adults & Children National Clinical Programme 2 2 2 for Palliative Care Nurse & Midwife Medicinal Product Prescribing Update 3 National Clinical Programme 3 for Older People (NCPOP) National Leadership and 4 Innovation Centre for Nursing & Midwifery (NLIC) Focus on HSE West 5 Focus on HSE South 6 Focus on HSE Dublin Mid Leinster 7 Focus on HSE Dublin North East 8 Dear Colleagues, Welcome to the Autumn Edition of the ONMSD Newsletter for 2015. As you probably know already I have recently taken up the role of Interim Director ONMSD. I would like to take this opportunity to introduce myself. I started my nursing and midwifery career in the Mater and Rotunda Hospitals. After that I worked for 15 years in clinical practice in both voluntary and statutory services and I graduated from UCD as a nurse tutor at the time of transition of nursing from diploma to graduate level education. I have had the privilege of working with many of you when I was involved in education, practice development, and senior nurse management at Assistant Director and Director level in the acute services. Since 2004 I have worked at regional level in Dublin Mid Leinster and at Area Level in Dublin North East for the last 5 years. Throughout my career I have experienced and learned a lot from the professionalism and commitment of nurses and midwives to improving care. It is my aim to support and enhance nursing and midwifery’s leadership and contribution to healthcare at every level and for all disciplines to make the patients’ experience one of care, compassion trust in our services. It gives me great pleasure to introduce the ONMSD newsletter where the dedication and expertise of nurses and midwives throughout the country is very evident. I am really looking forward to hearing from you about your current achievements and challenges and having a dialogue about how we can best move forward. PLEASE FORWARD ANY COMMENTS OR QUERIES TO: Office of the Nursing and Midwifery Services Ms. Mary Wynne Interim Nursing & Midwifery Services Director Assistant National Director, Clinical Strategy & Programmes Division HSE Director (ONMSD) Phone: 01-6352471 Email: mary.wynne1@hse.ie Website: www.hse.ie/go/onmsd Room 250 Dr. Steevens Hospital Dublin 8 Phone: 01-6352471 Fax: 01-6352509 Email: nursing.services@hse.ie ONMSD Website www.hse.ie/go/onmsd HSE South Area Director Ms. Catherine Killilea 021-4921207 Email: catherine.killilea@hse.ie HSE Dublin Mid Leinster (DML) Area Director Ms. Liz Roche 01-6201732 Email: liz.roche@hse.ie HSE Dublin North East (DNE) Interim Area Director Ms. Eithne Cusack 01-8908765 Email: eithne.cusack@hse.ie HSE West Area Director Mr. Patrick Glackin 071-9822107 Email: patrick.glackin@hse.ie Office of the Nursing and Midwifery Services Director-ONMSD–Volume 6, Issue 3 October 2015 PAGE 2 Corporate ONMSD News Nurse Prescribing of Ionising Radiation (X-Ray) for Adults & Children The inaugural group of registered nurses from seven different hospital sites have completed the Nurse Authority to Prescribe Ionising Radiation (X-Ray) programme. For the first time, this included independent prescribing of ionising radiation (X-Ray) for children. The programme is accredited with Quality & Qualifications Ireland (QQI) as a Special Purpose Award at Level 8 with 20 ECTS/ACCS Credits. It has Nursing and Midwifery Board of Ireland Special Purpose Award approval. Since its inception in 2009, the national education programme for nurse prescribing of ionising radiation (X-Ray), nurses could only prescribe ionising radiation (X-Ray) for adults. The need for the inclusion of independent prescribing of ionising radiation (X-Ray) for children was identified by the HSE National Advisory Group. The findings from the national evaluation report (Drennan et al 2014), demonstrated the benefits of nurse prescribing of ionising radiation (X-Ray) in the adult services. This new combined adult and childrens’ nurse authority to prescribe ionising radiation (X-Ray) was developed with the support of the Faculty of Radiologists, Irish Institute of Radiography and Radiation Therapy (IRRT), Irish Association of Physical Scientists in Medicine (IAPM), Advanced Nurse Practitioners, Radiography Services Managers (RSM) and the Office of the Nursing and Midwifery Services Director. Programme delivery was facilitated by various expert members from the above associations in addition to two paediatric consultants and a senior physiotherapist. Attendees pictured at the inaugural programme Front Row (L-R) Beatrice Ann Kennedy, Kenneth Reamsbottom, Catherine Hanlon, Adrian Higgins Second Row (L- R): Karen Brennan ANP Lecturer, Gerardo Medina, Orla Callender, Yvonne O’Connor, Emma Mulligan, Elizabeth Reilly, RCNME, Connolly Hospital & Programme Coordinator, Third Row (L-R): Ciara Gleeson, Senior Physiotherapist & Lecturer, Maura Kelleher, Mairead Crowley, Back Row (L R) Martina Treacy, George Jefferies, Derek Brown, ANP & Lecturer. For further information contact: Ms. Elizabeth Reilly, Nurse Tutor, RCNME, Connolly Hospital, Dublin 15 Email: elizabeth.reilly@hse.ie Tel: 01-6465425 National Clinical Programme for Palliative Care The following is an overview of three work strands of the National Clinical Programme for Palliative Care. Workforce Planning The National Clinical Programme for Palliative Care is undertaking an extensive workforce planning exercise engaging with all disciplines providing specialist palliative care. This exercise will influence the future planning and development of the Palliative Care service in acute, community and hospice settings. A national working group, comprised of senior nurse managers, will be convened shortly, to explore the nursing contribution to specialist palliative care services. successfully completed a blended learning module. The focus of the module is on developing person-centred cultures and approaches to the assessment of palliative care needs by all health and social care staff providing Levels 1 and 2 palliative care. Two elearning lessons were provided as part of the module available to all on HSELanD: www.hseland.ie . A one day module is currently under development for health and social care assistants to support their role in palliative care needs assessment. Towards Excellence in Palliative Care, Quality Assessment and Improvement Workbook A set of workbooks entitled ‘Towards Excellence in Palliative Care, Quality Assessment and Improvement’ have been developed by the programme with the purpose of assisting specialist palliative care services in preparing for licensing and engaging in continuous quality improvement. The workbooks, based on the National Standards for Safer Better Healthcare, (HIQA, 2012) are available on the programme website under ‘Resources.’ Palliative Care Needs Assessment Guidance (HSE, 2014) To support the implementation of this guidance document, seventy-four programme facilitators have For further information contact: Ms. Lorna Peelo-Kilroe, Programme Nursing Lead Email: Lorna.peelo@hse.ie Tel: 087-6601791 Office of the Nursing and Midwifery Services Director-ONMSD –Volume 6, Issue 3 October 2015 PAGE 3 Corporate ONMSD News Nurse and Midwife Medicinal Product Prescribing Update Implementation Update To date 1192 nurses and midwives have been funded by the ONMSD to undertake the education programmes currently provided by the Royal College of Surgeons in Ireland, Waterford Institute of Technology (in association with RCSI), University College Cork, University College Dublin, National University of Ireland Galway, University of Dublin, Trinity College and University of Limerick. A total of 177 health service providers (49 acute and 128 primary and continuing care) are supporting the introduction of medicinal product prescribing. The candidates and Registered Nurse Prescribers are from 106 different clinical areas. We would like to congratulate all new Registered Nurse Prescribers, and wish them continued success in their prescribing practice. The next education programmes will commence in January 2016. Information on closing/start dates will be circulated by email and via the eNetworks in the coming weeks. Nurse and Midwife Medicinal Product Prescribing Review Since 2011, the number of applicants undertaking the education programme has been decreasing, as evidenced in the ‘National Implementation Report on the Nurse and Midwife Medicinal Product Prescribing Initiative’ (June 2014). Numerous factors have contributed to this decline including: 1. The public service moratorium on recruitment. 2. Regulatory requirements related to the Collaborative Practice Agreement arrangements, including: requirement for annual and biannual review access to Drugs and Therapeutics committees. 3. Requirements for inputting prescriptions to Nurse and Midwife Prescribing Data Collection System (HSE). As a consequence of these factors, a collaborative approach has been established between the Nursing and Midwifery Board of Ireland (NMBI) and the ONMSD to review the regulatory and implementation systems and processes. Aim of Review The aim of the review is to examine the existing regulatory and implementation systems and processes in place to support nurse and midwife medicinal product prescribing. An advisory group and collaborative working group consisting of relevant key stakeholders has been established to support and inform the review process. Timeframe The Review commenced in March 2015. It is anticipated that the final report with recommendations will be completed by late 2015. Change in Personnel within the Medicinal Product Prescribing Team The team would like to take this opportunity to thank Ina Crowley for her support and contribution to the prescribing initiative. We wish her well in her new post. We would also like to welcome Maureen Nolan to the team as she replaces Ina in Dublin Mid-Leinster. We look forward to working with Maureen over the coming months. For further information contact: Ms. Clare McGabhann, National Lead, DoNM Medicinal Product Prescribing South Email: clare.macgabhann@hse.ie Tel: 021-4921210/0879317025 Ms. Maureen Nolan, DoN, National Lead Ionising Radiation and Medicinal Product Prescribing DML Email: maureend.nolan@hse.ie Tel: 086-6012195 Ms. Rose Lorenz, ADoNM, Prescribing DNE Email: rose.lorenz@hse.ie Tel: 041-6850658/087-2864075 Ms. Annette Cuddy, ADoNM, Prescribing West Email: Annette.cuddy@hse.ie Tel: 087-9317039 National Clinical Programme for Older People (NCPOP) The NCPOP is launching its guidance document ‘Comprehensive Geriatric Assessment’ (CGA) in the coming weeks. The aim of this document is to act as a practical resource to assist with the comprehensive assessment of complexly ill/at risk older adults. The document is primarily intended for use by medical, nursing and health and social care professionals working across many settings, but should also prove useful for education providers. The information in this guide is evidence based and informed by multidisciplinary expert opinion. CGA is a “multi-dimensional, interdisciplinary diagnostic process to determine the medical, psychological and functional capabilities of a frail older person in order to develop a co-ordinated and integrated plan for treatment and long-term follow-up” (Rubenstein, L.Z. et al 1991). It emphasises improving the quality of life and functional status of the older adult and at the same time, improves prognosis and outcome for this group of older people. It results in better outcomes for hospital patients (Ellis et al 2011). The NCPOP recommends that complexly ill/at risk older adults should have a timely CGA performed and documented in their permanent health record. Pathways of care for this cohort of patients should be agreed in conjunction with the Specialist Geriatric Services. For further information contact: Ms. Carmel Hoey, Nursing & Midwifery Development Officer, HSE West Email: carmel.hoey@hse.ie Tel: 087-7903569 Office of the Nursing and Midwifery Services Director-ONMSD –Volume 6, Issue 3 October 2015 PAGE 4 National Leadership & Innovation Centre for Nursing & Midwifery Future Nurse Leaders (FNL) and Safe Surgery Collaborative In June 2015, sixteen Peri-operative CNM2s and their multidisciplinary colleagues, celebrated the completion of the FNL and Safe Surgery Collaborative. This was the final initiative, in a series of three, commissioned by the Chief Director of Nursing and Midwifery, University of Limerick Hospital Group (ULH) facilitated by the National Leadership and Innovation Centre for Nursing and Midwifery (NLIC), Royal College of Physicians in Ireland (RCPI), and supported by HSE West/MidWest Centre of Nursing and Midwifery Education (CNME). The primary aim of this bi-directional initiative is to enable CNM2s to become familiar with the principles of effective leadership and quality improvement methodologies. The benefit derived from the initiative was evident from the outcomes presented on the day. Key leadership and quality improvement outcomes demonstrated included: Empowerment regarding the role and responsibility of the CNM2 Collaborative engagement and integration within and across all the Surgical Directorate Production of a training DVD ‘Safe Surgical Check List’ for use across ULH’s operating theatres and the wider services. Implementation of the ISBAR (Identify-Situation-Background -Assessment-Recommendation) technique as a handover communication tool between recovery staff and ward staff. Increase in efficiencies for endoscopy patients. Standardisation of processes for theatre listings. Data and process analysis aimed at improving patient flow and theatre usage. The Directorate team are currently in the process of finalising a framework for expansion of the new improvements to ensure sustainability. (L-R) Mary O’Grady, CNM2, ULH Croom,, Katie Tierney, Clinical Educator, ULH Marie O’Donnell, CNM2, St. John’s Hospital, Ellen Downes, CNM2, ULH, Ennis, Noreen Kelly Ryan, CNM2, ULH Nenagh For further information contact: Ms. Kay Chawke, Peri-Op. Directorate Nurse Manager Email: kay.chawke@hse.ie Tel: 061-301111 Ms. Teresa Moore, NLIC Project Lead Email: teresam.moore@hse.ie Tel: 087-9830592 Clinical Leadership Competency ePortfolio (CLCeP) The CLCeP is an excellent elearning resource that supports staff nurses, staff midwives, Clinical Nurse and Midwife Managers 1 & 2s to identify and develop their clinical leadership competencies. Learning and development is a lifelong pursuit and portfolios of evidence are becoming increasingly utilised to demonstrate Continuous Professional Development. The CLCeP is an ideal mechanism to help you record your learning and is available on www.hseland.ie Benefits of the CLCeP: Flexible, practical, individualised mode of learning Facilitates performance development Offers a portfolio of evidence for CPD Supports compliance to the NMBI Professional Code of Conduct And Ethics Supports career development. Current Status: The CLCeP was officially launched by Ms. Mary Brosnan, Honorary President Irish Association Directors of Nursing and Midwifery (IADNAM) at the recent National Nursing and Midwifery Leadership and Innovation Summit in Dublin Castle. It is now being implemented nationally and information sessions will be delivered on a regional basis in the near future. For further information contact: Ms. Marie Kilduff, Leadership and Innovation Advisor Email: marie.kilduff@hse.ie Tel: 087-6568104 Left : Official Launch of the CLCeP, 12th May 2015, National Nursing and Midwifery Leadership and Innovation Summit, Dublin Castle (L-R): Ms. Marie Kilduff, Leadership & Innovation Advisor & National Project Lead CLCeP, Ms. Mary Brosnan, Honorary President IADNAM, Ms. Annette Connolly, Leadership & Innovation Advisor; Mr. Tony O’Brien, Director General HSE, Ms. Teresa Moore, Leadership & Innovation Advisor, Mr. Leo Varadkar, Minister for Health, Dr. Michael Shannon, Director of Nursing & Midwifery Services & Asst. National Director, Clinical Strategy & Programmes Division, Mr. Pat Kenny, National eLearning Manager, Ms. Deirdre Lang, Director of Nursing, NCPOP; Ms Mary B Rice, Leadership & Innovation Advisor; Ms Lorraine Murphy, Leadership and Innovation Advisor. Office of the Nursing and Midwifery Services Director-ONMSD –Volume 6, Issue 3 October 2015 PAGE 5 Focus on HSE West HSE Donegal Promotes Awareness of Elder Abuse and Ethics in Safeguarding Vulnerable Adults To mark World Elder Abuse day on the 15th June 2015, the Centre for Nursing and Midwifery Education (CNME) Donegal, in partnership with the Adult Social Work Service, held their annual information/awareness workshop. This workshop highlighted the issue of elder abuse and safeguarding the vulnerable person. Eighty participants from different disciplines and agencies across health and social services involved in the protection of vulnerable adults attended the event. The agenda for the day reflected HSE Policy ‘Safeguarding Vulnerable Persons at Risk of Abuse’ (HSE, 2014). The overall theme focused on the ethical dilemmas facing professionals who are working with, and safeguarding vulnerable persons, as part of their professional and moral responsibility. The importance of collaborative working was emphasised throughout the day and was reflected in the multi-professional approach. Presentations from Nursing, Social Work, General Management and the Garda Síochána all reiterated the importance of supporting vulnerable persons and the implementation of the aforementioned HSE policy 2014. Feedback from the day was extremely positive. For further information contact: Ms Catherine Cannon, Director, CNME Donegal Email: Catherine.Cannon@hse.ie. Tel: 074-9188851 Mr Seamus McGarvey, Safeguarding Team Leader Donegal Email: Seamus.McGarvey@hse.ie Tel: 087-9531695 Pictured on the Left: Attendees at the Annual Information Awareness Workshop Front Row (L-R): Anne Gallen Director NMPD HSE West, Catherine Cannon Director CNME Donegal, Connie McGilloway CNS Sexual Assault Forensic Examiner Donegal SATU, Denise Curran A/ General Manager Donegal PCCC Back Row ( L- R): Seamus McGarvey Team Leader Safeguarding Team, Garda Superintendent David Kelly Milford, Sean Dunne A/ Principal Social Worker, Adult Social Work Service, Donegal, Gordon Barrett Retired Social Worker Sligo Community Oncology Nursing Programme Background The Community Oncology Nursing Programme was designed by the Office of the Nursing and Midwifery Services Director (ONMSD) in collaboration with the National Cancer Control Programme (NCCP). The programme was submitted for approval to the Nursing and Midwifery Board of Ireland (NMBI) as a QQI Minor Award Level 9 Continuing Education programme. It is accredited by National University of Ireland, Galway as a QQI Minor Award Level 9 with 10 ECTS Credits. Objective of Programme Development The objective was to develop an education and training programme that would provide community nurses with evidence based knowledge and skills that would enable them to safely care for patients in the community within an expanded scope of practice. Programme Outline The programme consists of seven units of learning, each unit with designated learning outcomes and indicative content. Programme Delivery at CNME Galway In January 2015, 21 community nurses from Clare, Galway, Limerick, Mayo and Tipperary commenced the programme. All participants successfully completed the academic and clinical components of the programme over a six month period. The theoretical content was delivered by nursing and medical oncology specialists at Galway University Hospital. Clinical placements were provided at Galway University Hospital, Limerick University Hospital, Mayo General Hospital and Portiuncula Hospital. A further programme is scheduled to commence in early 2016. For further information contact: Ms Margaret Burke, Director, CNME Galway Email: Margaret.burke@hse.ie Tel: 087-1332778 Office of the Nursing and Midwifery Services Director-ONMSD –Volume 6 Issue 3 October 2015 PAGE 6 Focus on HSE South Quality and Governance Project for Public Heath Nursing HSE South East In 2014, the Regional Directors of Public Health Nursing (DPHN) group for Carlow/Kilkenny, South Tipperary, Waterford and Wexford reviewed the workload involved in updating and developing policies relevant to Public Health Nursing Services. A Quality and Governance Steering Group was established with the aim of standardising all policies in order to avoid duplication of work across the four community care areas. Work was undertaken to develop policies to support the standardisation of clinical practice, development of best practice, compliance and maintenance of care standards. The objective was to minimise resource implications and maximise outcomes for patients. A successful application was made to the NMPDU South East for innovation funding. This funding facilitated the engagement of a Change Management Consultant to assist the team with the project. Over a 16 month period the Steering Group achieved the following outcomes: Review of all existing relevant Public Health Nursing Standard Operating Procedures (SOPs) and Management Operating Procedures (MOPs) in the region. Consultation with peers, experts and other disciplines regarding the update of all policies. Development of 40 SOPs and 20 MOPs with modified audit tools for each. A sustainability plan was devised which included the development of a user-friendly IT Portal to allow IT access to all policies and forms. Regional IT funding has been secured to ensure provision of the HSE systems to all non-networked health centres. The Portal will be officially launched in November 2015. The Regional DPHN group (L–R): Mary B Finn Gilbride (Wexford), Jean O’Keeffe (Waterford), Barbara McMahon (Carlow/Kilkenny) and Esther Butler (South Tipperary) For further information contact: Ms. Mary B. Finn-Gilbride, DPHN, Wexford Community Care Services Email: maryb.finn-gilbride@hse.ie Tel: 053-9123522 ex. 357 Information on Preparing for Birth and Parenthood Cork University Maternity Hospital (CUMH) launched a new guide for expectant parents attending preparation for birth and parenthood education classes on 30 th June 2015. This new pregnant-friendly guide includes all the information given to women and their partners while attending classes during a two week period prior to giving birth at the hospital. The guide includes information on pregnancy, labour, birth and parenthood as well as referencing numerous reliable sources of online information. CUMH offers an extensive birth and parenthood education programme for pregnant women and their partners. Tailored classes are available to first-time parents, teenagers and young adults, parents expecting multiple births and parents with specific needs. According to the editor - Cathy O’Sullivan, Midwife Teacher, CME - research indicates that women attending ante-natal classes want to take home written information and it is hoped that those using the guide will find it a helpful addition to the education programme provided. Expectant mothers and their partners reviewed draft copies of the booklet prior to its publication. The publication of this guide was supported by the NMPDU (Cork/Kerry). “Our vision is to empower parents to develop the skills to negotiate all aspects of their journey through pregnancy, labour, birth and early parenthood.” (Information on Preparing for Birth and Parenthood’, HSE, 2015) Pictured at the launch of Cork University Maternity Hospital’s new guide on preparing for birth and parenthood (L-R) Mum to be Noelle Hogan; Ms Olive Long, A/Director of Midwifery CUMH; Ms Margaret Murphy, Lecturer School of Nursing and Midwifery, UCC; Ms. Cathy O’Sullivan, Midwife Teacher, CME, CUMH and mum to be Ms Ciara Murphy. Link to ‘Information on Preparing for Birth & Parenthood’ http://www.hse.ie/eng/services/publications/Children/ prepbirth.pdf For further information contact: Ms. Cathy O’Sullivan, Midwife Teacher, CME, CUMH Email: cathy.osullivan@hse.ie Tel: 021-4920736 Office of the Nursing and Midwifery Services Director-ONMSD –Volume 6, Issue 3 October 2015 PAGE 7 Focus on HSE Dublin Mid Leinster New Patient Safety Initiative ‘Zero Harm – Know Your Medicines’ launched at Tallaght Hospital Medication has been the cause of serious adverse reactions in 4% of patients (Saedder, E. et al 2015). These can lead to profound and devastating effects on patients and their carers, in addition to prolonged and more resource-intensive hospital care. Tallaght Hospital is tackling this phenomenon by focusing on a series of initiatives to help improve medication safety. The Tallaght Hospital Adult Medicines Guide, first published in hardback in 1998, available in app format since October 2013, has now been upgraded. The re-launched app enhances the existing app already being used in the hospital as an in-house, evidence-based source of medicines information and prescribing protocols. Most drug related harm occurs within a limited group of medications and drug classes i.e. anticoagulants, opioids, antimicrobials, insulin and diuretics. These medications, along with general information on understanding and avoiding medication error, were the focus of an elearning programme ‘Drug Safety-High Risk Medications’. The e-learning programme is promoted to all healthcare professionals in the hospital who prescribe, administer, dispense or monitor medication therapy. The Zero Harm initiative also includes working with patients, families and parents through the introduction of a ‘My Medicines’ leaflet in which they can document a list of their current medicines, to help staff treat patients safely while in the hospital. This acts as a prompt to patients and their carers to bring their medicines list to appointments or when being admitted and to appreciate the importance of knowing their medicines and working with hospital staff to improve safety. Nursing staff have played a key role in championing and promoting these initiatives. At the launch, Tallaght Hospital’s Head of Pharmacy, Tim Delaney stated “Almost all patients use medication during their hospital stay and so it is vital that we equip prescribers with access to up-to-date expert information on medications in real time, when they are making decisions. Furthermore, 70% of preventable death or serious adverse reactions are due to nine drugs or classes, so constant education on these high risk medications is important. ‘Zero Harm–Know Your Medicines’ follows best international practice to utilise technology and patient engagement to reduce instances of medicine-related harm.” This initiative is one of a series of Zero Harm Initiatives in Tallaght Hospital, the first one being ‘Clean Hands Save Lives’. The next Zero Harm Initiative for 2015 will be the ‘Prescribing of Oxygen Therapy’, followed by the use of ‘Invasive Device Care Bundles’. A copy of the Patient Safety Information Leaflet can be accessed on the following link http://www.tallaghthospital.ie/Patients-Visitors/ Know-your-Medicines/ (L-R): Rebecca O’Shea, Louise O’Regan and Finola Power, Clinical Placement Co-ordinators, Nurse Practice Development Department Adult Services Tallaght Hospital. For further information contact: Ms. Áine Lynch, Nurse Practice Development Co-ordinator, Adult Nursing Services, Tallaght Hospital Email: aine.lynch@amnch.ie Tel: 01-4142006/pager 7270 Office of the Nursing and Midwifery Services Director-ONMSD –Volume 6, Issue 3 October 2015 PAGE 8 Focus on HSE Dublin North East ‘Our Home, Our Say!’ Report Launch On Thursday, 23rd July 2015, Mr. Tony O'Brien, Director General, HSE launched the report 'Our Home, Our Say!' in the Nuremore Hotel, Carrickmacross, Co. Monaghan. The report presents the findings of an evaluation of the residents’ level of understanding of the underlying principles of the National Standards for Residential Services for Children and Adults with Disabilities (2013). This study, based on semi structured interviews, conducted with forty-six residents in HSE North East Services, provides a valuable insight into the residents’ views of service provision in their homes. Commissioned by the Nursing and Midwifery Planning and Development Unit North East and North East Disability Services, the study was conducted by Dundalk Institute of Technology (DKIT). Residents, staff and service managers from HSE North East Disability Services were amongst the attendees at the launch. Presented by Mr. Joe Treacy, Programme Director, Intellectual Disability Nursing, DKIT and HSE NE Disability Services resident Mr. Bernard Reilly, the report findings show that research participants are familiar with the principles of the Standards and are happy with the services being provided. There are clear indications that staff promote independence and autonomy in most aspects of the individuals lives, through the use of Person Centred Plans. The findings also indicate three potential areas for future development including; the further expansion of social networks; an increased focus on independent living and the ongoing development of the supporting services addressing these issues. Mr. Tony O’Brien , Director General HSE with residents and staff from HSE Residential Disability Services Dublin North East area For further information contact: Ms. Vanessa Clarke, Project Officer, North East Email: vanessa.clarke@hse.ie Tel: 087-6320034 Establishing a Culture of Research in Clinical Nursing Practice: REACH REACH (Research Excellence Across Clinical Healthcare) is a nursing and midwifery research capacity development programme developed in the North Dublin HSE area. It is a project which supports nurses and midwives in clinical settings to develop service led clinical research and creates a culture of research within the workplace. Following the implementation of this project seven nurses and midwives have successfully published service -led research initiative within the first year. Two of the teams supported by REACH are Clinical Nurse Specialists in Intellectual Disability Services in Dublin North. The team members are drawn from the Daughters of Charity, Navan Road and a variety of Intellectual Disability Services in Dublin North and South. These teams aim to conduct research in the area of nursing with autism spectrum disorder. REACH is also supporting nurses and midwives in clinical settings to develop eHealth solutions and a nursing terminology system proposal relating to activities of daily living, therapeutic self-care and the summary care record. The proposal will now be incorporated into eHealth Ireland, the HSE’s agenda in implementing the electronic healthcare record nationally. Another nursing service initiative ‘A Community Virtual Ward Model to Support Frail Elderly in the Community who have complex medical and social care needs’ is also being developed as part of the REACH initiative. REACH was presented during the 34th RCSI Faculty of Nursing and Midwifery Annual Research Conference 2015, where seven REACH participants from local services presented posters. The REACH programme was also presented at the 3rd International APN & ANP Congress 2015 in Munich, Germany and has been nominated for an innovation award. REACH is continuing to develop nursing service-led research programmes of excellence and a culture of evidence based care across clinical healthcare settings in Dublin North. Research Excellence Across Clinical Healthcare Dublin North For further information contact: Ms. Eithne Cusack, Interim Area Director, NMPDU, DNE Email: Eithne.cusack@hse.ie Tel: 01-8131810 Office of the Nursing and Midwifery Services Director-ONMSD –Volume 6 Issue 3 October 2015