Ms Pollyanna Kellett

Role: Lecturer in Nursing, Research Champion

· MSc Leadership in Clinical Education and Practice. Oxford Brookes University 2013
· PGCE Oxford Brookes University 2010
· BSc Social Anthropology University of Kent 1989-1991 (2:1)
· RGN Certificate in Registered General Nursing St Thomas’ Hospital 1987

Fellow of UK Higher Education Academy
Royal College of Nursing
Registered Nurse: Nursing and Midwifery Council

Teaching
In the Faculty of Health, School of Nursing and Midwifery, I work across academic levels 4 to 7. I teach on the Nursing Associate apprentice programme, the BSc Nursing (all fields) programme, the MSc in Nursing (Graduate entry) programme and what was the MBA in Leadership in Healthcare. In addition to this I support clinical skills training in the simulation suites, am a personal tutor and academic assessor for students in practice. 
My specialist fields are leadership, safety science, human factors, pharmacology and medicines management, recognising deterioration, clinical skills, and care planning and assessment for quality patient care.

My research interests fall into two broad fields:
1. Clinical nursing practice
2. Human factors and Patient safety
Research groups:
· Innovations in Patient Care and Quality (ImPACT) research group 
· eHealth Productivity and Innovation in Cornwall and the Isles of Scilly Project (EPIC)
Plymouth Institute for Health and Care Research (PIHR)

PhD Research
My PhD aims to explore the concept of resilience within the context of nurse medication administration practice in an in-patient setting, through multiple studies using mixed methods. The specific objectives of the PhD include: 
 

2. Empirical study of resilience in nurse medication administration using a mixed methods approach

3. Develop and validate definitions, models and measures to explore and promote resilience in medication administration

 

My systematic review (publication pending) has identified an array of resilient principles and practices from nurses administering medication, (as well as identifying the effectiveness of some of these practices), in the context of every day clinical care in a highly complex and demanding environment. The development of a novel definition of resilience as it applies to nurse medication administration is an additional output from the review. Resilient adaptive practices identify ‘work-as-done’ and aim to maintain patient safety and efficiency. However, findings suggest that they can have a negative patient effect and are sometimes referred to as violations. Where these relate to policies and protocols, they have particularly sensitive implications. These areas warrant further investigation. My next (research) stage was the empirical research. This 8 month qualitative interpretive ethnographic study took place in two different wards in an NHS hospital Trust in the South-West, with three data collection methods: observation, interview and document review 

Outcomes from the research would expect to find generalizable data relatable to most nurses in the in-patient setting, and some relatable data for tertiary and primary care settings. This is proving to be the case, but data analysis continues. An inital examination of the data focusses on the variations between 'work as planned' (in policies, procedures and guidelines) and 'work as done' (on everyday clinical practice). Exploring the differences between the two concepts, and considering these is relation to ineherent power relationships from an Institutional Ethnography persepctive and safety-II. The second round of data analysis (in progress) is developing a typology of variations and resilient adaptations in nursing medication adminstration, based on reflexive thematic analysis (Braun and Clarke, 2021) and using some existing approaches, taking an abductive approach to analysis. The unique contribution is taking resilient practices arising from everyday clinical work and aligning them with current safe systems, a safety –II approach to quality improvement, whereby resilience and flexibility act as necessary resources to maintain patient safety during medication administration.