Dr Angela Grange

Head of Nursing, Research & Innovation

Email: Angela.Grange@bthft.nhs.uk
Tel: 01274 366809
Twitter: @angela_grange

Background
Angela is a registered childrens’ nurse/general nurse with over 30 years’ experience, previously working in paediatric surgery and paediatric intensive care. Her research career started as a research fellow (funded by a regional fellowship) to undertake a PhD to develop a quality of life outcome measure for children following paediatric intensive care (University of York, 2002). This was followed by a post at City University (London) working as a Research Facilitator for Nurses, Midwives and Allied Health Professionals with responsibility to improve research capacity and capability at Barts and the London NHS Trust. She has worked as Head of Nursing, Research & Innovation at Bradford Teaching Hospitals NHS Foundation Trust since 2006, providing strategic leadership for research in nursing and midwifery as part of the Chief Nurse team, as well as leading a number of research projects within the Trust and with the Yorkshire Quality and Safety Research team, based at the Bradford Institute for Health Research. Angela also leads the professional development of clinical research nurses and supports patient and public involvement in research within the Trust. She is also the innovation lead, with a responsibility for leading the strategic development and implementation of innovation within the Trust, developing mechanisms for knowledge transfer and supporting the translation of research into practice. Angela leads the Bradford Innovation Group with the  Associate Medical Director, Innovation, a multidisciplinary group of senior clinical, managerial and governor colleagues, supported by the and the Head of Innovation at Medipex Ltd.

Angela has led a number of research studies: Evaluation of nurse/midwife wellbeing; development and testing of a patient-completed record in hospital; evaluation of electronic-consultation as an alternative to hospital referral; development and validation of a quality of life outcome measure for children following intensive care (PhD); perceptions of family centred care for children in hospital (MA). She has been a co-applicant on research to evaluate patient and public involvement (PPI) in patient safety research (NIHR); to investigate the nature and purpose of acute psychiatric wards, the Tompkins ward study (DH funded, City University). She has also collaborated on a number of research and improvement projects: Changing practice to improve the preparation and administration of IV antibiotics making the practice safer for patients (FoNS); Evaluation of the Enhanced Healing Environment in elderly care (King’s Fund); Evaluation of a novel approach to diabetes care using a shared electronic health record (Y&H SHA); Quality of life outcomes in patients with chronic kidney disease (University of Leeds).

Volatile Biomarker Positioning of Naso-Gastric Tubes to Enhance Patient Safety (NG-Sure™) (MRC DPFS); Evaluation of Schwartz Rounds

Current research
Volatile Biomarker Positioning of Naso-gastric Tubes to Enhance Patient Safety (NG-Sure ™)

Current improvement projects
Improving  the reporting and management of medication safety incidents in nursing; support for ‘second victims’.

Angela is a Visiting Research Fellow at the School of Psychology, University of Leeds and supervises PhD students. She is a reviewer for Quality of Life Research journal, and has published in the fields of quality of life outcomes in children, building research capacity in nursing, electronic solutions in healthcare, patient safety, and mental health.

Recent Funding Awarded

Volatile Biomarker Positioning of Naso-gastric Tubes to Enhance Patient Safety (Acronym: NG-Sure™) (chief investigator) – Medical Research Council, Developmental Pathway Funding Scheme (£1million) for 3 years, commencing October 2018

Patient Safety Nurse/Midwife leadership fellowship awards (lead applicant) – Yorkshire & Humber Health Education England (£110k) (2017)

PhD Awards for Improvement Science (co-applicant) – Health Foundation (£580,000) for 3 years commencing (2013-2016)

Yorkshire and Humber Academic Health Science Network (£15,000)/Yorkshire & Humber Collaboration for Leadership in Applied Health Research & Care (£24,920) (2015) (CI) Feasibility of volatile detection for naso-gastric tube placement

Improving patient safety through the involvement of patients (co-applicant) – NIHR programme grant (£2 million) (2009-2014).

Northern & Yorkshire Regional Fellowship 1998-2001 £93,000 (Lead Applicant)

Recent Publications

Johnson J, Louch G, Dunning A, Johnson O, Grange A, Reynolds C, Hall L & O’Hara J (2017) Burnout mediates the association between depression and patient safety perceptions: a cross-sectional study in hospital nurses. Journal of Advanced Nursing, DOI: 10.1111/jan.13251

Wright J, Lawton R, O’Hara J, Armitage G, Sheard L, Marsh C, Grange A, McEachan RRC, Cocks K, Hrisos S, Thomson R, Jha V, Thorp L, Conway M, Gulab A, Walsh P, Watt I (2016) Improving patient safety through the involvement of patients: development and evaluation of novel interventions to engage patients in preventing patient safety incidents and protecting them against unintended harm. Programme Grants Appl Res; 4 (15).

Grange A, Rhodes V & Starkey A (2012) How to be a Creative and Innovative Practitioner, In: Lawton R & Armitage G Innovating for Patient Safety in Medicine (Eds), London: Sage Publications Ltd, 78-96.

Coulson C & Grange A (2012) Developing clinical research nurses. Nursing Times, 108 (22): 23-25.

Stoves J, Connolly J, Cheung CK, Grange A, Rhodes P, O’Donoghue D & Wright J (2010) Electronic consultation as an alternative to hospital referral for patients with chronic kidney disease: a novel application for networked electronic health records to improve the accessibility and efficiency of health care. Quality and Safety in Health Care 19:e54.doi:10.1136/qshc.2009.038984.

Rhodes P, Giles S, Cook G, Grange A, Hayton R, Maxwell M, Sheldon T & Wright J (2008) Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. Quality and Safety in Health Care; 17: 409-415.

Perry L, Grange A, Heyman B & Noble P (2008) Stakeholder’s perceptions of a research capacity development project for nurses, midwives and allied health professionals. Journal of Nursing Management, 16, 315-326.

Grange A, Bekker H, Noyes J & Langley P (2007) Adequacy of health-related quality of life measures in children under 5 years old: systematic review. Journal of Advanced Nursing, 59 (3): 197-220.

Bowers L, Simpson A, Eyres S, Nijman H, Hall C, Grange A & Phillips L (2006) Serious untoward incidents and their aftermath in acute inpatient psychiatry: The Tompkins Acute Ward Study. International Journal of Mental Health Nursing, 15: 226-234.

Bowers L, Simpson A, Alexander J, Hackney D, Nijman H, Grange A & Warren J (2005) The nature and purpose of acute psychiatric wards: The Tompkins Acute Ward Study. Journal of Mental Health, 14 (6): 625-635.

Grange A, Herne S, Casey A, Wordsworth L (2005) Building Research Capacity. Nursing Management, 12 (7): 32-37.

Grange A, Bekker H & Russell I (2003) Validation of an evaluative health-related quality of life (HRQoL) measure: the Paediatric Intensive Care Quality of Life (PICQoL) questionnaire. Pediatric Critical Care Medicine, (Supplement) – 4th World Congress on Paediatric Intensive Care June 2-8, 2003, Boston, USA – Book of Abstracts)

Grange A & Green M (2002) Caring for critically ill children: meeting the education and training needs of doctors and nurses from district general hospitals (DGH’s). Care of the Critically Ill, 18 (3): 88-92.

Grange A (2000) Health-related quality of life after PIC: development and validation of a package of outcome measures. Pediatric Critical Care Medicine, 1 (1) (Supplement – 3rd World Congress on Paediatric Intensive Care June 25-29, 2000, Montréal, Canada – Book of Abstracts): 59-60.

Grange A & Russell I (2000) Health-related quality of life (HRQoL) after paediatric intensive care (PIC): development and validation of a package of outcome measures. Quality of Life Newsletter, 25: 9

Grange AR, Darowski M, Milner MM & Pinder JM (1998) Are paediatric intensive care units in England ready to meet the educational and training recommendations of the Paediatric Intensive Care – ‘A Framework for the Future’ report? Care of the Critically Ill; 14 (7): 248 (abstract)

Grange A, Renvoize E & Pinder J (1998) Patients’ rights to access their healthcare records, Nursing Standard; 13 (6): 41-42

Grange AR, Renvoize EB & Pinder JM (1998) Introducing clinical effectiveness to nursing practice: not so easy! Clinical Effectiveness in Nursing; 2: 98-102

Renvoize E, Grange A, Pinder J, Mavor A, Atmarow G & McGowan M (1997) On the records. Health Service Journal, December 11th: 30-31.