Confirmed Keynote Speakers 2017

Ultimate Team Collaboration: Xtreme Everest 10 years on

Kay Mitchell, Senior Research Manager, Critical Care Research Area, NIHR Southampton Respiratory Biomedical Research Unit NMAHP Training Lead - Southampton Academy of Research Honorary Ambassador, World Federation of Critical Care Nurses (WFCCN)


Kay is a member of the Xtreme Everest Oxygen Research Consortium executive team. This group organizes medical research expeditions including the Caudwell Xtreme Everest (2007) and Xtreme Everest 2 (2013) expeditions. These expeditions use healthy volunteers to explore the effects of hypoxia, and thus develop treatments to improve outcomes in critically ill patients. Kay is also the Critical Care Senior Research Manager, NIHR Biomedical Research Centre, based at University Hospital Southampton, and the NMAHP Training Lead for the Southampton Academy of Research, established in 2016 to build the research capacity and capability of healthcare researchers at University Hospital Southampton and University of Southampton. She is an honorary ambassador for the World Federation of Critical Care Nurses.

Kay qualified as an RGN at the Oxford School of Nursing before completing a BSc in Human Sciences at UCL. Kay has worked as an intensive care nurse at UCLH, and the Homerton hospital in London, focusing on practice development and education, as well as at University Hospital Southampton. She completed her MSc in Adult Critical Care at Imperial College London in 2007. Now she has moved her base to Southampton. She is reading for a PhD in epigenetic markers of adaptation to hypoxia


This session will use definitions of teamwork from the literature to examine the Caudwell Xtreme Everest medical research team. This team evolved to carry out the largest ever medical research project at high altitude in 2007. The speaker will describe how individual team members worked together to carry out more than 30 separate research protocols on 250 healthy volunteers, trekking to Everest base camp, and beyond. The results from this, and subsequent expeditions, continue to increase our understanding of how some individuals tolerate low oxygen levels well, and some do not: a key factor affecting outcomes for critically ill patients.

In health care, a systematic concept analysis in 2008 concluded teamwork to be "a dynamic process involving two or more healthcare professionals with complementary backgrounds and skills, sharing common health goals and exercising concerted physical and mental effort in assessing, planning, or evaluating patient care”, Xirychis et al 2008.


Working together to Enhance Patient Safety

Professor Kim Manley CBE, Professor Practice Development, Research and Innovation, Co-Director, England Centre for Practice Development, Faculty of Health and Social Care, Canterbury Christ Church University


Kim integrates research and scholarly inquiry, practice development, workplace learning and leadership development to build and sustain effective workplace cultures that are person centred, safe, effective and good places to work.

Her research expertise focuses on using participatory approaches with multiple stakeholders based on the realism and transformation of practice focusing on using he workplace as the main resource for learning, development, improvement and inquiry.

She is committed to whole systems integrated working and is passionate about helping staff to develop their potential and flourish, and for patients and service users to experience excellence. In 2000, she was awarded the CBE for quality patient services and 2015 recognised as one of Nursing Times Top Nursing Leaders


Working together with patients and service users, colleagues and other stakeholders is a key factor that influences not just patient safety but also other outcomes such as quality and learning.  A culture of working together is dependent on leadership, teamwork , shared purpose and agreed ways of working as well organisational  enablers. The presentation will draw on the findings of the Safety Culture, Quality Improvement and Realistic Evaluation Project ( SCQIRE) funded by the Academic  Health Science Network  across four acute NHS Trusts and also other practice development and leadership initiatives to tease out the key factors that enable both the process and outcomes of a patient safety culture to be recognised and achieved. Practice development methodology is an approach that integrates collaboration, inclusion and participation with stakeholders and increasingly is enabling  greater opportunities for  co-creation and subsequently engagement – a key feature of working together.


Links in the Chain to Effective Discharge

Professor Ruth Endacott, Director, Plymouth University/Royal Devon and Exeter Clinical School, Royal Devon and Exeter Hospital
Faculty of Health and Human Sciences, University of Plymouth and Professor of Critical Care Nursing, Monash University, Melbourne


Ruth Endacott is Professor of Critical Care Nursing at Plymouth University where she is Director of the Plymouth University/Royal Devon and Exeter Hospital clinical school. She also holds a part time Professorship at Monash University, Melbourne. She holds a number of acute and critical care-related research grants in both countries and is a Trustee/Director for NCEPOD.

Professor Endacott has particular interests in quality and safety of care, inter-professional learning, simulation, organisational aspects of intensive care and end of life care in ICU. She is also passionate about developing the research skills of clinicians, as evidenced by the number of clinicians involved in her grants and publications.


A team approach to managing critically ill patients is emphasised from pre-ICU management (for example rapid response or medical emergency teams) through to the implementation of care bundles in the critical care unit, requiring input from different members of the multi-professional team and timely ICU discharge. Clinical skills education has also shifted from a focus on purely technical skills (for example, insertion of CVCs) to nontechnical skills such as teamwork, communication and situation awareness. There is a growing body of evidence that teamwork impacts on patient outcomes and staff wellbeing in critical care. In this presentation we will explore dynamics around teamwork – when it works and what gets in the way – drawing on evidence from studies conducted in critical care and inter-professional education settings. 


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