Nesta Roberts, RCBC Fellow wins Alun Islwyn Giles memorial nursing scholarship

May 2013

RCBC Wales Early Career PhD student, Nesta Roberts, from Bangor University was awarded the Alun Islwyn Giles memorial nursing scholarship on Monday 20th May 2013.

The award was given to towards her Doctorate study in nursing and is for RCN members in Wales, to promote the advancement of the art and science of nursing. This was presented at the CNO Conference at the All Nations Centre, Cardiff by Professor Jean White, Health Minister Mark Drakeford and Director of the RCN Tina Donnelly.

Nesta works for the Betsi Cadwalader University Health Board as a Continuing Health Care Nurse Reviewer. As part of this role she ensures the standard of care provided to older people is reviewed and updated in accordance with local and national legislation, policies and procedures. 

Nesta is directly responsible for the co-ordination and management of care home self assessments, service user reviews, final reporting, action planning and overseeing the quality of care provided. Part of this role is to assist the care homes in improving goals adapted from the already established clinical quality benchmarks, ensuring there are quality improvement goals for each care home. Nesta works in partnership with care homes, nursing staff and managers to identify and assess complex events or problems, as well as addressing broader health issues such as tissue viability, nutrition, physical activity, falls prevention and preventative health care within the care home.

The research study:

Connecting Care Plans: Improving the care and discharge of people with dementia from acute hospital care to care homes – a participatory action research study.

Following a scoping study, there are currently no standardised or widely used dementia care plans which have been implemented to address the transfer of person-centred information from hospital settings to care homes in Wales. Moreover, the standard of information provided on discharge from acute hospital care, including A&E to care homes for people with dementia, has been recognised as poor (Alzheimer’s Society, 2009). Dementia prevalence is predicted to dramatically increase worldwide by 2041, requiring major shifts in health and social care provision (Chenoweth et al, 2009).

The study seeks to critically analyse and synthesise the evidence base regarding the information requirements of acute hospital and care home practitioners to deliver excellent care for people with dementia and their families. It aims to examine the issues surrounding dementia care and discharge care planning and the strategies employed to implement transfers by professionals in the acute hospital and care home environment. Nesta will then construct a pilot care plan document that incorporates the core elements identified in the evidence-base and empirical work to provide an effective and person-centred care planning document. This will aim to better communicate dementia patient’s needs as well as strengthen the partnership between people with dementia, their families, care homes and acute hospital professionals at a local, organisational and strategic level.

Current Publications
Roberts, N. & Moule, P. (2010) Chlorhexidine and Tooth-brushing as prevention strategies in reducing ventilator-associated pneumonia rates. Journal of Nursing Critical Care, 16, 6: 295–302

Current Prizes
Gill Hek Scholarly Prize for achieving excellent grade and implementing evidence based care: Awared from the University West of England, 2010