Are you Hustling backwards?!

Onwards to new adventures!

One of my favourite programmes on the BBC used to be ‘Wanted Down Under’. It followed families who wanted to relocate to Australia or New Zealand, from helping them find homes, jobs while also giving them a reality check via a comparison cost of living between the UK and their dream new life in a bid to find out if the dream was affordable. For some the better salary and cost of living afforded by moving made the dream a reality and for others it meant hustling backwards, with their dreams deferred or abandoned.

Making the decision to leave home and start a new and hopefully better life in a new place or country is something humans have been doing since time immemorial and it’s a decision that is never taken lightly. For some it is the lure of a better work life balance, affording them more family time or more time to indulge in life long hobbies or passions. For others it is the promise of a regular paycheck and the job security that comes with it, a way to support themselves and their families free from worry and stress of not knowing if they would be able to do so day after day. It is this latter reason that i would like to focus on, because more often than not, the lure of a regular paycheck and job security blinds us and we do not take into account the full picture of what the cost will be and if it is at all worth it.

How can i make sure that my take home pay will be sufficient?

In my book ‘ The Extreme Sport of Nursing While Black : A Survival Guide’ , I talk about the importance of negotiating your salary so that you get paid your worth as well as really scrutinising your contract for any issues before signing on the dotted line. While this is still sound advice, i would like to add another tip, especially for Nurses being recruited from abroad, and that is to carry out a cost of living calculation to find out if would be able to live comfortably with the money you would be paid, your take home pay.

The first step would be to find out what your take home pay would be after all deductions, do not be fooled by the salary figure quoted, as that is normally your gross and not net which is likely to be significantly lower! Remember to ask during the recruitment process and not after you have signed your employment contract! The Salary Calculator is a handy site that helps you calculate how much your take home pay would be approximately. You can customise to see your take home pay yearly, monthly, weekly or even daily. This would give you a rough idea of what you are actually being paid and from that you can then do your cost of living calculations.

Armed with this information and your calculations, you can then make an informed decision whether it is worth it to take that job and uproot yourself from all that you know, or if you can negotiate for a better pay or hold out for one or better still, if staying and diversifying your income portfolio would be best. Whatever decision you make, make it work for you and having the full picture salary wise is one step in that direction and towards a financially secure future.

Here’s to Hustling forwards, always!

The Wandering Nurse x

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Nursing Tips, Patient safety , Patient Care, Reflections The Wandering Nurse Nursing Tips, Patient safety , Patient Care, Reflections The Wandering Nurse

A Case for Clinical Nurse Specialists in Kenya?

Whilst the long awaited rainy season is upon us in Kenya, it also heralds the season of joint aches and pains for my dad, especially his knees. A trip to the doctors saw him sorted out with some pain killers, with a recommendation to come back and see a specialist should he not see any improvement in his symptoms. The said specialist could only be seen on a Wednesday, as that was the only time he held a clinic.

A couple of weeks later, with no significant improvement in his symptoms, he decided to go see the specialist. He called me once he was there and quickly handed over the phone to the doctor, who introduced himself and then to my surprise revealed that he was an orthopaedic surgeon. You see, i was at a loss as to why my Dad was seeing an orthopaedic surgeon and not a Rheumatologist? I was also questioning as to if seeing folks with joint pains was actually the best use of the surgeons time and what, if any was the waiting list like to see him? Anyway, he managed to convince my Dad that it was indeed time to start using a walking stick to help take the pressure off his knees abit.

All this got me thinking about the state of specialist care in Kenya and the under utilisation of nurses and their skills within this sector. Why are there no Clinical Nurse Specialists in Kenya? And is it time ( long overdue) to introduce this branch of Nursing?

Healthcare worker with a patient.

Nurse training in Kenya, be it via government training institutions like the Kenya Medical Training Colleges ( KMTC) or via private colleges and universities, in my opinion, is one of the most rigorous and thorough all round training programme and produces very knowledgable, highly skilled and competent Nurses, who can work in various sectors and departments. These Nurses qualify with a wide range of skills from history taking, clerking, pharmacology, management just to name a few, making them well equipped to work as part of a team within a hospital setting to autonomously within a rural health centre setting.

So it makes no sense as to why Nurses are not being used to their full potential. Why patients have to wait to see a specialist. Why there is no proper follow-up or aftercare of specialist patients who are on long-term care, because there is a shortage of specialists.

Why are Clinical Nurse Specialists Important?

The concept of a Clinical Nurse Specialist is not something that is new within the Kenyan healthcare system. We do have Nurses who are specialists in areas like Immunisations and Family Planning, Infectious Diseases just to name a few areas. The problem is that, it has not extended to other speciality areas like Rheumatology, Diabetes, Cancer, just to name a few, where long-term care and close follow-up is needed to optimise treatment and improve patients quality of life. This would also create a new career path for Nurses, which would in turn help solve the employment crisis that is plaguing the Nursing sector and seems to mainly affect degree holder Nurses but also improve continuity and consistency in patient care.

So who is a Clinical Nurse Specialist and why are they important?

“Clinical Specialist Nurses/ Clinical Nurse Specialists ( CNS) work in a variety of acute and community settings, specialising in particular areas of practice, as part of a multidisciplinary team to provide high quality, patient-centred, timely and cost-effective care. They provide tailored care depending on the patient’s level of need. They also provide education and support for patients to manage their symptoms, particularly patients with long term conditions and multiple morbidities”- Royal College of Nursing(RCN).

Like every other country in the world, Kenya has a shortage of healthcare workers, and that includes Specialist consultant Doctors. This shortage means that there is a high demand often with long waiting times for one to be seen and diagnosed, as they divide their time between their hospital(s) and private practice, and often incurs a hefty price in terms of consultation and various fees. Access to specialist care also involves travelling to the big city hospitals or Doctor’s plaza, where they have their private practices. All these are barriers towards patient care and safety, as more often than not, continuity of care is lost, with the patient sometimes ending up being worse off, as their condition deteriorates, where follow-up care involves them going through the whole process above. Having a Clinical Nurse Specialist can help bridge or even close those gaps.

A Clinical Nurse Specialist can take over the supervision and follow-up care of already diagnosed patients, freeing up the Consultant Specialist to diagnose new patients and more complex patients who require a their input. This then ensures that the patients are followed-up and continuity of care is maintained which in turn helps to keep the patients out of hospital admission. From a revenue point of view, patients save money on consultation fees, transport and hospital admission costs and the specialists increase their revenue by being able to see more new patients.

On the whole, Clinical Nurse Specialists help improve patient outcomes, decrease specialist consultants workload and deliver high quality care. So isn’t it high time the Kenyan healthcare system utilised the valuable resource that is the Clinical Nurse Specialist?

Useful Links:

  1. https://www.rcn.org.uk/news-and-events/Blogs/cancer-cns-blog

    http://alisonleary.co.uk/docs/RCN%20Study%20Adding%20Value%20to%20Care%20the%20work%20of%20the%20CNS..pdf

  2. https://www.nursingtimes.net/opinion/the-cns-role-is-vital-to-improving-services-treatment-and-care-17-03-2022/

  3. https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-014-0033-y

  4. https://www.rcn.org.uk/-/media/royal-college-of-nursing/documents/policies-and-briefings/uk-wide/policies/2013/0413.pdf

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Black Nurses, Nursing Tips The Wandering Nurse Black Nurses, Nursing Tips The Wandering Nurse

Building Wealth: Black Nurses Edition.

In my last building wealth as Black Nurses blog post, i talked about the importance of having financial security that can enable us Black nurses to live and retire comfortably and i also recommended books that one could read to get some inspiration towards starting that journey towards financial freedom.

At that time, i had just finished reading Professional trouble maker( for the 5th time) and had bought Rachel Rodgers’  We should all be millionaires after listening to her story on the professional troublemaker podcast( i truly recommend subscribing and listening to this podcast. It is full of gems and inspiring stories galore!). 

We should all be millionaires was an eye opener, not because it was the first time i was reading a book that was geared towards black women like me, but because it was jam packed with myth bursting, lie slaying facts about the lies we, as women, more so black women have been sold about money and our subsequent relationship with it and the systems that have been built to keep the status quo. I was truly floored! 

While i learnt a lot from the book, i was also keenly aware that it was mainly aimed at Sistas living in America and that most of the advice given would be near impossible to implement here in the U.K, especially as a Black woman. The whole system is set up in a way that is designed to keep you in your place class wise and race wise. I mean, how dare you try rise above your station and make something of yourself! That’s why most Black artists and business people, move to the U.S.A from the U.K to make it. But that is not to say all is lost!

As i tend to see all things through a Nursing lens, i thought of how i could combine all the knowledge from the books i had read, including consulting , and see how i could come up with ways to help Nurses, especially Nurses in Kenya, scale up their income away from the traditional bedside nursing, and after much brainstorming, i can say i have found a few, which i will be sharing within our groups.

If you would be interested, join our mailing list below to receive the log in link for the Zoom meeting where i will share the various ways you can use your Nursing/ Professional License to scale up your income and hopefully build a successful business and realise financial freedom and stability.

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Nursing Tips S.D. Onyango Nursing Tips S.D. Onyango

DO INTERVIEWS MAKE YOU NERVOUS?

I hate interviews. The whole process is nerve wracking and i am never prepared, not matter how prepared i think i am. I suspect it may be the reason i have stayed on in jobs that were no longer meeting my needs, because getting a new job or moving to a new department more often than not meant going through the whole interview process! A process i would rather avoid at all costs, sometimes literally costs to both my soul, finances and general well-being!

Don’t get me wrong, I love being a Nurse and if i can say so myself, i am pretty good at my job/role. So my hate or should i say fear of interviews in not borne out the fact that i am bad at my job, it is due to the fact that i would have to sit in a room and for an hour or less, and try edit myself and my skills to fit whatever role being interviewed for and this often leaves little space to be yourself, let alone showcase the multi levels of self and skill that make you ‘YOU’, and are indeed unique to yourself.

So when i recently found myself in line for not one, but two interviews, i went into panic mode. Thankfully they were both to be held online and i was not required to do any presentations, both which were a plus, as i would at least be in my own environment and i had no added stress of trying to come up with a power point presentation. I also made the conscious decision that i was going to bring my whole authentic self to the interview and not try to shrink myself and personality. They might as well see and get the real deal!

So i wove my personality and skills into my answers, it was scary at first and on more than one occasion i caught myself overthinking and trying to give a more sanitised answer, like when one interviewer asked me where i saw myself in years to come and i answered back, ‘in a field with Goats’ ! While they laughed for a full one minute, i mentally tried to think of something else but then remembered that i was being my authentic self and yes i envisioned a future that involved goat farming, so when they stopped laughing and waited for my answer, i said that was it! When another asked what unique thing/skill i would bring to the team, i quickly blurted out ‘Myself’ and went on to expand as to why ‘Myself’ was unique and how that would enhance the team. I recounted how a piece of machinery had me flummoxed, how chocolate cake makes me happy and how i am grumpy if i haven’t had my morning cup of tea, all within the narrative of my skills and experience.

So weeks later, it was refreshing to read Jilliane Yawney’s post about using story telling at job interviews. Click on her post below to read her brilliant tips and maybe next time you won’t find job interviews so nerve wracking.

Also check out this link to a briliant thread by Sahil Bloom on navigating your career/work life ⬇️

https://twitter.com/SahilBloom/status/1551197313510641667?t=BGbdXMp0cyIytMGRQmGVwQ&s=19

P/S- i got job offers after both interviews. So tell your story, show up as yourself and own that Job Interview! What’s the worst that can happen?

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A QUICK & HANDY GUIDE TO SETTLING IN THE U.K: FOR KENYAN NURSES!

Part 1: LOOKING AFTER YOURSELF - Physically & Mentally.

After months and weeks of frantic preparation, you have finally made it to the U.K to begin the next chapter in your Nursing journey. Congratulations on making it this and best wishes in all your endeavours.

The Covid-19 Pandemic has shown us now more than ever that ‘health is wealth’ and by health i mean overall health( physical and mental). Moving to the U.K might not seem like a big change in terms of things like jet lag etc because there isn’t such a huge time difference like with other countries e.g USA and also being that Kenya was former British Colony, some things are familiar, but it is a big change weather wise, culturally, food wise, socially and even accommodation. Once the excitement of moving to a new place dies down and everyone gets back to the daily grind, it can all seem overwhelming causing anxiety and loneliness in some cases.

That is why looking after yourself and knowing what to look out for and where to get help/ resources when needed is so important. When i first came to the UK, the only serious illness that i had ever experienced was Malaria. So months later i was in bed not able to get up, whole body aches and pains, sore throat and running nose. I genuinely felt like i was dying and having no family or friends around to lean or look after me only made it worse. I was staying at a hostel at the time, where meals were served at set times downstairs in the canteen. I managed to drag myself on day 2 of being ill downstairs and the security guy at the desk took one look at me and said ‘ i see you have finally got the welcome FLU’! He asked if i had any supplies, i had no clue what he was talking about? it was summer, how did i have the flu? He helped me get some food, got me some Lemsip, tins of soup and multivitamins. He then went on to explain to me what he meant by the ‘welcome FLU’! He was from South Africa and over the years he had noticed that those who migrated to the UK, got this one bout of very strong flu within weeks or months of them migrating. I know it is not scientifically backed but then i started noticing the trend amongst friends and colleagues who had migrated as well. So i pass on this tale to you as a forewarning to be prepared and have some supplies, just in case you get hit with this ‘Welcome FLU’. Thanks to him and his rescue pack i was on the mend and back to work.

You can buy your much needed rescue supplies from any pharmacy over the counter or from most supermarkets, but i would recommend BOOTS: https://www.boots.com/ over all the others like Superdrug, Lloyds or Supermarket pharmacies. My tried and tested reasons being:

  • Their points/ rewards system is the best out of all of them like Superdrug, Holland&Barrett and signing up for their points card is a great way to save money, earn points which you can use to pay for products.

  • Their own brand products are just a good sometimes if not better than branded ones.

  • They have a wide variety of products and lines from baby stuff, cosmetics, skincare and alot more especially at their bigger stores, so you can do all your toiletry shopping as well as pick up essential medicines all in one go and have i mentioned while earning rewards. it a win - win for me.

  • They also offer a wide range of other services depending on store.

    So if you have not already done so, get yourself a boots card and thank me later!

You may have come with your friends as a group or have family here in the UK which is great as having loved ones nearby can be a blessing when adjusting to new settings and scenarios. Technology has also made it easy for us to stay connected to those who are far away. Sometimes due to work commitments or time differences it may not be possible to stay in touch with friends and family that you have left behind as much as you would like to or even at all.

You are not alone and there are support networks you can plug into. Most NHS Trusts provide some sort of counselling/ therapy services for staff that you can self refer to or call if you feel overwhelmed and need help, be it work or home related. I am not sure about provisions in other settings like Care Homes or Private Hospitals.

Others that might be interest and are worth noting down/joining are:

  • KENYA NURSES/MIDWIVES- UK( KENMA UK) : http://knmuk.org/ They aim to bring together all UK Kenyan nurses and midwives for common good and to help collaborate with like-minded organisations across the world.

  • Equality 4 Balck Nurses: A great organisation that can support you when you are experiencing racism or discrimination at work. They also have a weekly zoom session that you can join as and when for support. https://www.equality4blacknurses.com/


Part 2: LOOKING AFTER YOURSELF - Money Saving/Work/Food/Shopping Tips

You would have to be on another planet, if you are not feeling the pinch or have been affected in someway or another with the global cost of living crisis! Lets just say that even before the Covid-19 pandemic and the war in Ukraine, nursing pay has not been that great and that we have been feeling the economic downturn shift for a while now.

I remember going shopping for food or anything and converting the cost into Kenya Shillings and almost fainting. I still do it even now, 20 something years later! I refuse to buy an avocado for £1! You’ve got to draw the line somewhere. As a Nurse working within the NHS or Social Care sector, you can get discounts across many high-street stores by just showing your Work ID badge, or via your local NHS Staff discount pages that your has managed to negotiate on your behalf as part of their staff benefits, or you can sign up for Discount Cards, that you can use to get money off your shopping, phone deals, home gadgets and much more. Some come with an initial fee to join, but are worth it in the long run. Two that i can think of are:

  1. Blue Light Card: For just £4.99, members of the Blue Light community can register for 2-years access to more than 15,000 discounts from large national retailers to local businesses across categories such as holidays, cars, days out, fashion, gifts, insurance, phones, and many more. https://www.bluelightcard.co.uk/index.php

  2. COSTCO: Great for if you prefer to shop in bulk. https://www.costco.co.uk/

FOOD

If you like eating out and are craving that Kenyan feel to going out, then you are in luck if you are in London, mainly East London, as most Kenyan Restaurants/ Eateries are based there.

If you happen to be based in Swindon then Masai Choma House on 131 Ferndale Road is your place. Other places can be found via Google or word of mouth but remember not all those that use our Kenyan Heritage actually cater for them.

When it comes to food shopping, it is worth shopping around but time to do that is rarely available so my go to supermarkets are: Lidl and Aldi. They are pocket friendly and most of their stuff are own brand and actually taste way better than the branded stuff! In fact buying Supermarket own branded stuff not only saves you money most times, they actually taste better most times ( Think Panadol/Paracetamol).

For Spices and stuff like Maize meal and Chapati flour or even greens and fruits, then its cheaper and better to buy them from your local South Asian store which are mostly branded as Halal stores as opposed to the World foods section that have now popped up in most major supermarkets. I tend to get my Meat/chicken and fish from there as well.

PHONE/SIM CARD PROVIDERS

Calling home( Kenya) used to be a problem, one had to buy a calling card or use access codes to call home. Calling home has never been easier especially with apps like Whatsapp, Facebook Messenger etc, the only problem is that they require the party that you are calling to be online and we all know how expensive bundles in Kenya can be. While you can roam with your Kenyan numbers and use them to call home, you will need a local UK number for day to day use. If roaming, i find that Safaricom is cheaper that the rest.

Most service providers conduct a credit check before you sign up for a monthly/ post paid deal. If a pay monthly deal is not your thing then there are great pay as you go Sim only deals out there. remember to check coverage in your area, you do not want to get a deal where you can only use in certain spots! If you want a UK line that you can also use to call Kenya on then my go to one is LYCA: https://www.lycamobile.co.uk/en/rates/#/international , it has great low rates when calling Kenya and also free Lyca-Lyca calls.

Whatever provider you are looking for, do not forget to check what savings you can make using your Blue Light Card. Usually you can save more on top of discounts already provided by your selected provider.

CLOTHES & OTHER STUFF.

I am not much of a clothes shopping person as most of my time is spent either in my work uniform or in my pyjamas once i am home, so i would be utterly useless at telling you where you can get the latest fashions etc. I also hate shopping so i tend to go to one store and that is it and for 20 or so years Primark has served me well, especially when it comes to essentials needed for work and new items and for other stuff like coats and jackets or seasonal wear, Charity or thrift shops are my go to places. But those are just my preferences.

The UK is a place where you can have four seasons in one day! I have also discovered that an Umbrella is much of a hindrance than help when it is raining as it rarely rains without wind or in a straight fashion! rather, as one friend put it ‘ it rains in a diagonal way’ and half the time you spend trying to stop the umbrella from flying away! Investing in a couple of waterproof good coats is essential. A thick one for winter, a slightly lighter one for Autumn and Spring and a general light rain coat for summer. I would also add a fleece sweater for work, if your work place does not provide one. They are much more comfortable and less bulky to wear when at work.

It would also be a good idea to buy some leggings or thermals that you can wear under your uniform, especially during the cold months as you have to bear below elbow when in a clinical setting, so wearing a sweater on the ward is a no-no. I tend to buy the long sleeved basic tshirts and leggings at Primark, not forgetting a couple of long thick socks.

You will quickly find out how expensive anything Black hairdressing is with varying quality at every turn, so if you have that friend who knows how to braid, plait or style hair then keep them close or else you better learn fast how to look after your own hair and how to make a hairstyle last that bit longer. All things Black hair are a tad expensive and hard to find unless you are in a town that has a Black Hair Store. If you happen to find one in your town, ask them if they have an in house hairdressing place. Most of them do. You can also find a limited amount of Black Hair Products in Boots, Superdrug, Amazon, online stores and some select supermarkets.

These are just some tips that i hope will help. I know it is not at all exhaustive but i hope it can be start into getting you settled. If there is anything else you would like me to touch or expound on, please let me know. Please share with friends or anyone who you think would benefit.

Wishing you all the best in all your current and future endeavours.

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Nursing Tips, Reflections S.D. Onyango Nursing Tips, Reflections S.D. Onyango

What are some of the best career advice you have heard?

🩺Was busy minding my own business, curled up on the sofa, catching up on my favourite show #sweetmagnolias when I heard this 👇🏾 and I had an Aha moment! One of the boys working in the kitchen wanted to know how to become a chef and how much school would cost? So Erick, the chef tells him, he has to be sure it is what he wants as it can be a lonely profession with long hours, leaving no time for a social life let alone family life!

🩺It has to be up there with some of the best career advice out there. Basically what he was saying was that if you are not passionate about something, then choosing it as a career will be a slog! You will tired down doing a job you hate just to pay off the debt you took to study it 🙆🏾‍♀️😶😭.

🩺I immediately thought of #Nursing (as that's my profession ) and how thankless the work can sometimes feel, especially now with everyone just about hanging in there, with nothing more left to give. Don't get me started on the pay! As much as it has been labelled as a calling by some, even the most charitable, passionate and vocational Nurse is struggling at the moment 😕, questioning how much longer they can hold on for?

🩺But it is not all bleak( believe me). Records show that alot of people have been inspired to take up Nursing, having witnessed how brilliant nurses have been during the pandemic( we have always been brilliant, but we will take our flowers 💐 even if late). All that is great given the huge financial burden one now has to take on to train as a nurse! That makes this 👇🏾 quote even more poignant - 🗨make sure you love it, before going into debt for it 🗨 and if that is the case, then a Huge welcome to you all #studentnurses and aspiring futures nurses into the wonderful, rollercoaster life that is Nursing.

💊🩺💊🩺💊🩺💊🩺💊🩺💊

#NHS #nursingschool #Nursing #careeradvice #mentoring #nurseconsultant

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Clinical Judgement & National Early Warning Score(NEWS2).

The National Early Warning Score(NEWS2) has been mandated by NHS England and NHS Improvement for use for adult in acute and ambulance trusts. It should not be used in children under 16 or pregnant women.

It's used to identify acutely ill patients, including those with Sepsis by using a scoring system that measures 6 physiological parameters: Oxygen saturation, Respiration rate, Pulse rate, Level of consciousness or new onset confusion, Temperature and Systolic blood pressure.

Some handy safety tips are included below ⬇️

Learn more about NEW2 on the Royal College of Physician's website ⬇️⬇️ https://www.rcplondon.ac.uk/projects/outputs/national-early-warning-score-news-2

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Research Nursing as a career option.

Nursing has evolved over the years and has opened up many career paths, one of them being research nursing. While nurses have always helped in research in one way or another, it is only in recent times that the role of nurses in research both as clinical researchers in their own right as well as helping run clinical studies as research nurses, has truly been recognised and feted, but there is still a long way to go in dispelling the myths that surround Nursing and Research and also Research Nursing. If you have heard of ‘evidence based practice’, wondered why CPR changed from 15:2 compressions/ breaths to 30:2, or why manual handling has changed over time amongst other things , then you have engaged with research.

Who is a Research Nurse and what do they do?

“ A research nurse is a registered nurse who plays an important role in delivering clinical research which in turn improves treatment pathways and patient care” - RCN.ORG

“ Research Nurses bring studies to life” - Lisa Berry, Senior Research Nurse.

According to the Royal College of Nursing(RCN), a career in research nursing offers nurses the opportunity to use core skills, contributing to the development of new evidence and improving patient care.

“Clinical research is essential- It is the only evidence-based method of deciding whether a new approach to treatment or care is better than the current standard, and is essential to diagnose, treat, prevent, and cure disease” - RCN.ORG

I first came across research nursing while working alongside research nurses as a student nurse, working as a clinical trials assistant in a clinical trials unit, working with healthy volunteers, testing new drugs and devices. Years later after qualifying i worked as a research nurse, a role that was very different from ward based nursing but still utilised the clinical and nursing skills gained whilst working on the wards. There is this disconnect between ward based nurses and research nurses, a misunderstanding amongst nurses that research nurses do not really do much and are not really ‘Nurses’. The roles, while different all require use of nursing and clinical skills. The national body that is responsible for research in the U.K, the National Institute for Health Research ( NIHR) is trying to bridge this gap with their ‘Clinical research is everyone’s future’ which aims to embed a research culture across the whole of the NHS by encouraging a research positive culture and encouraging all NHS staff to be research aware and active. Some NHS trusts with Research and Development (R&D) departments have short/ week long clinical placements as part of the student nurse pathway which is a great way for students to be exposed to the practical side of clinical research.

As a research nurse you work within a wider team as well as autonomously within Good Clinical Practice(GCP) guidelines and your duties include but are not limited to:

  • Acting as a patients advocate while supporting them through their treatment as part of a clinical trial.

  • recruiting patients to clinical trials.

  • Sample collection and processing

  • Data collection and submission.

  • Coordinating clinical studies from initiation, management to completion.

  • Preparing trial documents, submitting trial documents for regulatory approval.

  • Managing a team.

How to become a Research Nurse.

It is not possible at the moment to come into research nursing as a newly qualified nurse. Some clinical experience is needed, but there are ways you can still get a so called foot in:

  • Find out if your Trust has a research and development department or your local research network and what research studies are being run in your hospital/ ward and how you can help the research team. You could be the ward/ department research link nurse.

  • If you work soley for a nursing agency, you could find out if they have contracts with private research companies where you could do some shifts ( training is always provided).

  • Do your Good Clinical Practice ( GCP) training. Training opportunities can be found on the NIHR website or via your local /regional Clinical Research Network (CRN)

The above will work in your favour when you decide to apply for a permanent research post. These can be found on the NHS jobs website or other job search sites like indeed . Just search for Research Nurse. You can also apply to work as a research nurse for Clinical Research Organisations ( CRO) , G.P practices and Charities like British heart Foundation, Cancer Research just to name a few.

Things worth noting.

Every research study is unique and has a protocol that determines how the study will be conducted. Detailed study specific training is normally provided before each and every study. Research specific training is provided by the trusts local research and development department or the local clinical research network (CRN) or the research organisation that you work for. If in doubt, always ask. There is always a team of people willing to help.

Research and the research network still has a diversity problem in terms of workforce and in patient/ participant recruitment. This is an area that the NIHR are trying to rectify with their key priority of: Promoting equality, diversity and inclusion in research.

“We are committed to equality, diversity and inclusion in everything we do. Diverse people and communities shape our research, and we strive to make opportunities to participate in research an integral part of everyone’s experience of health and social care services. We develop researchers from multiple disciplines, specialisms, geographies and backgrounds, and work to address barriers to career progression arising from characteristics such as sex, race or disability” - NIHR


As earlier indicated, research nurses work within a wider team but also autonomously , which means at times working alone in terms of patient/ participant recruitment, data collection and input, arranging patient visits and all study related actions that do not require the Principal investigator (PI). This can at times be challenging in terms of getting time off or annual leave. So with this in mind, make sure when you are interviewing for a research nursing post or before you sign any job offer contracts, you:

  • ask what support network is in place to help with studies.

  • How many studies would you be expected to manage and if an intensity tool is used to access each study.

  • who you have as back up for your studies if you are the only one in post and not part of a team especially if it is a speciality specific role, who can cover your studies when you are off or on annual leave.


The current Covid-19 pandemic has helped to highlight the importance of research and the important role research nurses play. The research nurse role is diverse and broad, and everyday is different with patient advocacy at the very heart. You can learn more from the links below.

Useful Links/ Further Reading:

  1. https://www.rcn.org.uk/professional-development/research-and-innovation/research-training-and-careers/clinical-research-nurses

  2. https://www.nihr.ac.uk/documents/the-role-of-the-clinical-research-nurse/11505

  3. https://www.nihr.ac.uk/health-and-care-professionals/engagement-and-participation-in-research/embedding-a-research-culture.htm

  4. https://www.nihr.ac.uk/about-us/our-key-priorities/equality-diversity-and-inclusion/





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