Melting the Snowy White Peaks: a student inclusive leadership programme
Start date
September 2021End date
December 2023Aims and objectives
The proposed project aims to develop, implement and test the feasibility of a student nursing inclusive leadership programme, to offer Black, Asian and minority ethnic student nurses the best start to successful, equitable careers, with the additional outcome of producing cohorts of nurses who are fully prepared for nursing in a diverse healthcare system.
Objectives:
- To evaluate the feasibility and acceptability of a student nursing inclusive leadership programme, through student engagement, experience and recruitment/retention onto the programme.
- To increase Black, Asian and minority ethnic student nurses’ empowerment, self-efficacy, sense of belonging and readiness for leadership (to prepare Black, Asian and minority ethnic nurses for leadership positions).
- To increase White student nurses’ self-efficacy and awareness of own privilege.
- To increase students’ understanding of structural inequalities and inclusive healthcare, and improved confidence as active bystanders (to create inclusive nurses capable of excellent nursing in diverse healthcare systems).
- To explore the feasibility and acceptability of a reverse mentoring scheme for clinical leaders as mentees and Black, Asian and minority ethnic student nurses as mentors.
Funding amount
Total funding: £250,000
Funders
Melting the Snowy White Peaks Inclusive Leadership Programme film
Students who participated in the study share their thoughts on the Melting the Snowy White Peaks Programme, in terms of its value and impact for individuals and within nursing education (licensed under CC BY-NC-ND licence).
Team
Principal investigator
Dr Emily Williams
Director of Equality, Diversity and Inclusion; Associate Professor in Health Inequalities and Chronic Disease
Biography
Emily is Director of Equality, Diversity and Inclusion for Surrey and Associate Professor in Health Inequalities and Chronic Disease. Emily joined the School of Health Sciences in April 2017.
Emily completed her PhD within the Psychobiology Group at UCL in 2007, exploring 'Psychosocial risk factors for the development of coronary heart disease (CHD) in UK South Asian people'. She extended this work with an MRC-ESRC Post-doctoral fellowship to explore 'Ethnic inequalities in CHD'. Emily went on to focus on type 2 diabetes, being awarded a Diabetes UK Moffat Travelling Post-doctoral fellowship. This programme of work examined 'Ethnic and social inequalities in type 2 diabetes', improving our understanding of the role of psychosocial risk factors in the development of diabetes in disadvantaged populations. This involved a collaboration between Imperial College London (National Heart and Lung Institute) and Monash University and the Baker Heart and Diabetes Institute in Melbourne.
Emily has worked on a range of different diabetes studies from nationally-representative observational, longitudinal studies to randomised controlled trials for the prevention of diabetes (in low and middle income countries) and improved diabetes self-management. More recently, Emily's research at the Institute of Cardiovascular Science, UCL has focused on ageing health (physical function, multimorbidities, supporting effective self-management) in ethnic minority groups in the UK, and trying to address the significant shortfalls in our knowledge in this area. Emily holds an honorary position at UCL and has international collaborations with the Universities of Melbourne and Sydney, the Universities of Alabama and of North Carolina, and the Sree Chitra Tirunal Institute, Kerala.
Co-investigators
Professor Jill Maben
Professor of Health Services Research and Nursing
Biography
Jill is a nurse and social scientist and her research focuses on supporting staff to care well for patients. Jill qualified as a Registered nurse at Addenbrookes in Cambridge and studied History at UCL, before undertaking her Masters in Nursing at King's College London and completing her PhD at the University of Southampton. She completed her PGCE at the London School of Hygiene and Tropical Medicine in 2007. Jill was deputy Director (2007-2010) and Director (2011-2014) of the Policy Research Programme's National Nursing Research Unit at King's College London.
Jill was awarded an OBE in June 2014 for services to nursing and healthcare. In 2013 she was in the Health Services Journal ‘Top 100 leaders’ and was also included on Health Service Journal’s inaugural list of Most Inspirational Women in Healthcare the same year.
Jill is passionate about creating positive practice environments for NHS staff and supporting staff in the work they do caring for patients and her programme of research has highlighted the links between staff experiences of work and patient experiences of care- https://www.journalslibrary.nihr.ac.uk/programmes/hsdr/081819213/#/ This was one of the first studies to demonstrate relationships between staff wellbeing and patient experience at the team and individual level demonstrating that staff wellbeing is an important antecedent of patient care performance.
Jill's doctoral work examined what supported and what prevented newly qualified nurses implementing their ideals and values in practice, highlighting how ideals and values of new nursing students can become compromised and crushed in poor work environments. She also recently completed the first national evaluation of Schwartz Centre Rounds in the UK: “A Longitudinal National Evaluation of Schwartz Centre Rounds®: an intervention to enhance compassion in relationships between staff and patients through providing support for staff and promoting their wellbeing” [https://www.journalslibrary.nihr.ac.uk/programmes/hsdr/130749/#/] she has developed a short film from this work: Understanding Schwartz Rounds: Findings from a National Evaluation https://www.youtube.com/watch?v=C34ygCIdjCo
Other recent studies include an evaluation of patient and staff experiences and safety outcomes of a move to 100% single hospital bedrooms. [https://www.journalslibrary.nihr.ac.uk/programmes/hsdr/10101342/#/] and interventions to support healthcare staff including Schwartz Center Rounds and to improve relational care for older people in hospital [https://www.journalslibrary.nihr.ac.uk/programmes/hsdr/1212910/#/] The single room evaluation work is now being replicated in Australia; Holland and Denmark.
Current studies include the Impact of Covid on Nurses (ICON) (Burdett Trust; Florence Nightingale Foundation and the Colt Trust) and NIHR studies:
Care Under Pressure 2: Caring for the Carers a realist review of interventions to minimise the incidence of mental ill-health in nurses, midwives and paramedics: www.journalslibrary.nihr.ac.uk/programmes/hsdr/NIHR129528/#/ and
Strategies to address unprofessional behaviours among staff in acute healthcare settings: a realist review: www.journalslibrary.nihr.ac.uk/programmes/hsdr/NIHR131606/#/
Dr Anna Cox
Senior Lecturer in Health and Social Care
Biography
Anna is a Senior Lecturer in Health and Social Care in the School of Health Sciences at the University of Surrey. Her research focuses on the development and implementation of interventions to support the provision of good ethical care throughout the life course. Anna has a particularly interest in the care experience of older people and people with learning disabilities. Anna leads the Together Project funded by NHSE Workforce Training and Education Directorate, South East Region and the National Institute for Health and Care Research Applied Research Collaboration Kent, Surrey and Sussex. The Together Project: Supporting the delivery of good practice in maternity services for parents with learning disabilities | University of Surrey
Heather Caudle
Chief Nursing Officer at Surrey and Borders Partnership NHS Foundation Trust
Research Assistant
Jemima Onih
Psychology BSc (Hons) undergraduate
Resources
Organisational guidance document
Our organisational guidance document offers evidence-based recommendations for the implementation of the Melting the Snowy White Peaks Inclusive Leadership Programme. Details of the multi-component programme are presented in the guide as well as information about what, why and how the intervention was delivered, while recognising barriers to student engagement and proposing recommendations for ways to deliver and adapt the programme.
How to access the organisational guidance document
The organisational guidance document is free to use (in line with our CC BY-NC-ND license) but we ask you to have regard to the following conditions of its use:
- Do not distribute this document to anyone else – if anyone asks for a copy, please direct them to this web page so they can download it.
- If you use this document or any part of it, we would be grateful if you would please:
- Acknowledge the authorship team
- Send copies of any reports/papers that are produced to Emily Williams (Emily.d.williams@kcl.ac.uk)
- Let us have any comments/suggestions that you feel might improve the document so that your experience can be incorporated into subsequent updates.
Research themes
Find out more about our research at Surrey: