Moira Attree, PhD, MSc; B.Nurs, RN, RDN, RHV, RNT

I am a Senior Lecturer with responsibilities for teaching, research and administration. I teach undergraduate and postgraduate units of learning, and supervise post graduate research students at Masters and PhD level. I have extensive experience in curriculum development and am interested in research evaluating the impact of interventions, both clinical and educational, on patient care quality and safety.

I am the School Erasmus Exchange Programme Coordinator; managing the School's European educational links. Previous admin roles include:-  Chair CPD Exam Board (2009 -2013); Quality Assurance and Enhancement Officer (2002-2005) and School Examinations Officer (1995-1999). I have been a reviewer for Nurse Education Today for 20 years and am on the Journal Editorial Board; I also review for The Journal of Nursing Management and am on the Editorial Board. I have acted as Editor for two Special Issues on Patient Safety.

I am a Senior Lecturer in Nursing; I hold responsibilities for research, teaching and administration. Previously I held a Joint Appointment between the School and Central Manchester HealthCare (NHS) Trust with responsibility for Professional Practice Development. Prior to that I held various clinical appointments in acute and primary care settings. I have three degrees from the University of Manchester at Bachelor’s, Master’s and Doctoral level:

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'

Undergraduate Teaching:

• B.Nurs
  • Sociology of Health & Illness
  • Research Methods and Dissertation Supervision
• BSc Nursing Practice Singapore ~ Unit lead - Leading and Managing Chage in Nursing
•              Dissertation Supervision

• Post Graduate Teaching
  • MRes Research Design Unit: Qualitative Methods seminar group leader:  Dissertation Supervision
  • MSc Developing Practice, Managing Change
  • MSc Dissertation Supervision
  • MRes Qualitative Design and Analysis; session lead / facilitator: Grounded Theory & Data Analaysis

Postgraduate Research Supervision:
Recent completed PhDs 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 exploring the implementation of the role of the community matron'.
  
 

1. End of Life Care
   Prof Martin Johnson & Dr I Jones, University of Salford; Staff from Salford PCT & Salford Acute Hospital NHS Foundation Trust
2. Evaluating the impact of a patient held care pathway
   Dr Gary Cook; Tanya Claridge: Anna Hamilton: David Johnson & Heather Waterman
3. Evaluating the impact of a blended approach to Patient Safety Education
   Professor C Carlisle
4. Patient Safety in the Curriculum
   Dr H Cooke 

• European Academy of Nursing Science (EANS) - Scholar
• NIHR RfPB NW Funding Committee Member (2010-1013)
• Royal College of Nursing: Specialist Groups: Education Forum; Quality Assurance Network; Research Society: National & North West Regional member
• UK Evaluation Society: North West Evaluation Network (NWEN)

My methodological knowledge and experience are mainly qualitative; however I have adopted quantitative and mixed methods as appropriate to the research question.

 Methodological Approaches:

• Grounded Theory
• Evaluation Research; Implementation
• Illuminitive Evaluation
• Impact Evaluation
• Intervention Study
• Mixed Methods
• Case Study
• Curriculum Analysis
• Organisational Analysis

Data Collection Methods:

• Questionnaire
• Interview: Individual & Focus Group

Data Analysis:

• Qualitative: Nudist; NVivo
• Quantitative:

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'.

Academic

• Ph.D. Nursing - University of Manchester
• M.Sc. Nursing - University of Manchester
• B.Nurs. - University of Manchester

Professional

• RN:    Registered Nurse
• RDN: Registered District Nurse
• RHV: Registered Health Visitor
• RNT:  Registered Nurse Tutor