Innovations in PAtient Care and qualiTy (ImPACT)

Healthcare professionals are creative problem solvers, who are involved in advancing practice and able to improve clinical outcomes. However, there is a need to strengthen their research skills, including the ability to move creative ideas forward, so that others can replicate innovations that will enhance clinical or administrative practices. Healthcare research within nursing and allied health professions lags behind that of the medical profession, due primarily to the lack of research opportunities early on in careers, so enhancement of opportunities can enable this group to maximise their potential in transforming healthcare.

The South West Clinical School aims to address these issues at a local and regional level, with outputs also targeted to conferences and journals with a national and international reach. The research activities are conducted through the Innovations in Patient Care and Quality (ImPACT) research group.

Recent external grants

  • The Health Foundation. Pressure Reduction through continuous Monitoring In community Settings (PROMISE): Reducing and preventing avoidable and unavoidable pressure ulcers. Scaling Up Award.
  • Resuscitation Council UK Impact and support of hospital patients witnessing a resuscitation attempt on other patients: a qualitative study
  • Burdett Trust for Nursing Perspectives of Relatives on Intensive CareE Safety (PRINCES)
  • EU Erasmus Plus INACTIC: International Nursing Advanced Competency-based Training for Intensive Care
  • National Institute for Health Research (NIHR): ICA Clinical Doctoral Research Fellowship Developing, implementing and testing a new intervention to improve healthy living in older people with frailty. The Holistic Assessment and care Planning in Partnership Intervention (HAPPI) Study.



  • Health Foundation Innovating for Improvement award Improving pressure damage detection in the community using continuous pressure monitoring of patients.
  • NIHR Programme Development Grant The ESSENCE Programme: amalgamating marginal gains in ESSEntial Nursing CarE
  • Health Education South West Membership Council Innovation Fund Managing hydration risk: an education initiative for healthcare professionals, patients and carers
  • NHS Devon and Cornwall Early Sepsis in Children Assessment by Parents: Evaluation of the Sepsis Assessment Measure (SAM)

Selection of recent publications

  • Mitchell K, Delfont S, Bracey ML, Endacott R. (2018) Top ten concerns burdening people with cancer: perceptions of patients with cancer and the nurses caring for them. European Journal of Oncology Nursing 33: 102-106
  • James A, Stenhouse E, Endacott R (2017) The use of a Delphi study to examine maternity high dependency care (MHDC) in Obstetric Units remote from tertiary referral centres. RCM Evidence Based Midwifery 15(3): 101-106
  • Fiori M, Latour JM, Los F (in press) Am I also going to die, doctor?" A systematic review of the impact of in-hospital patients witnessing a resuscitation of another patient. European Journal of Cardiovascular Nursing
  • Cock K, Kent B (2017) Patient satisfaction with clinicians in colorectal 2-week wait clinics. British Journal of Nursing 26, 6:
  • Underwood F, Burrows L, Gegg R, Latour JM, Kent B (2017) The meaning of confidence for older people living with frailty: a qualitative systematic review. JBI database of systematic reviews and implementation reports 15 (5), 1316-1349
  • Punshon G, Endacott R, et al (2017) The Experiences of Specialist Nurses Working Within the Uro-oncology Multidisciplinary Team in the United Kingdom. Clinical Nurse Specialist. 31(4):210-8.
  • Fry F, Shawyer V, Endacott R (2016) Experience with phlebotomy for people with hepatitis C: a systematic review. Gastrointestinal Nursing 14(7): 28-41


  • Endacott R, Boyer C, Benbenishty J , et al (2016) Perceptions of a good death: a qualitative study in intensive care units in England and Israel. Intensive and Critical Care Nursing 36: 8-16
  • Goldsworthy S, Roe B, McGrail S, Latour JM, Morgan K. Developing and implementing a radiotherapy research activity assessment tool. Radiotherapy and Oncology. 2015;115;S397-S398
  • Goldsworthy S, Mundy K, Latour JM: A focus group consultation round exploring patient experiences of comfort during radiotherapy for head and neck cancer. Journal of Radiotherapy in Practice, 2016;15(2):143-149.
  • Zorab O, Robinson M, Endacott R. (2015) Are prehospital treatment or conveyance decisions affected by an ambulance crew’s ability to access health information? A UK survey. BMC Emergency Medicine Journal 32(6): e15
  • Endacott R, Jones C, et al. (2015) The state of critical care nursing education in Europe - an international survey. Intensive Care Medicine 41(12): 2237-2240.
  • Endacott R, McDonagh P, Gidman J, Bromige R, Arti M-H. (2015) Transfer and readmission of patients between acute and community hospitals: a retrospective review. Quality in Primary Care 23(1): 46-50
  • Ganz FDK, Endacott R, Benbenishty J, et al. (2015) The quality of intensive care unit nurse handover related to end of life: a descriptive comparative international study. International Journal of Nursing Studies 52(1): 49-56

Selection of recent conference presentations

  • UKONS UK Oncology Nursing Society Top ten concerns burdening people with cancer: perceptions of patients with cancer and the nurses caring for them
  • UKONS UK Oncology Nursing Society Implementing Urology Site Specific Health and Wellbeing Clinics
  • ESICM European Society of Intensive Care Medicine Impact of an education programme for novice nurses on staff work engagement in a UK ICU



  • National Acute Pain Symposium Pain assessment and management in patients with cognitive impairment in an acute hospital
  • Regional Critical Care Conference, Bendigo, Australia. Outcomes from intensive care: what can we realistically expect in the 21st century?
  • General Medical Council workshop, London Transforming Undergraduate Learning through InterProfessional Simulation – the TULIPS study.