@article { , title = {Engaging and developing the frontline clinical nurse to drive care excellence: evaluating the Chief Nurse Junior Excellence in Care Fellowship Initiative}, abstract = {Background Global challenges in the development of a highly skilled and motivated nursing workforce, jeopardises the delivery of high quality care. Flexible and innovative workforce solutions are required to overcome these challenges. Aims To describe the implementation and present the preliminary evaluation of a bespoke initiative called the ‘Chief Nurse Excellence in Care Junior Fellow’ designed to develop foundational clinical and academic skills of frontline junior clinical staff. Methods This initiative was developed and piloted at a large, inner-city, acute NHS Trust. The initiative involved two main components: a bespoke development programme and an improvement project that was supported by clinical and academic mentors. The initiative was evaluated using structured feedback, case studies, and data on dissemination activities. Results Six fellows completed the first cohort of the initiative that commenced in the spring 2016. Results showed positive impact on professional development relating to the acquisition of new knowledge and skills. Case studies of projects showed demonstrable impact on patient experience, outcomes and cost savings. Wider organisation and NHS impact was demonstrated through multiple dissemination activities. Conclusion This preliminary evaluation provides evidence that this initiative is a sustainable, clinically driven career development opportunity at a foundational level with demonstrable positive impact on care and staff development. Further work is underway to carry out a longitudinal structure, process and outcome evaluation with particular focus on impact.}, doi = {10.1177/1744987118808843}, eissn = {1949-0194}, issue = {12}, journal = {International Journal of Research in Nursing}, pages = {1977-1990}, publicationstatus = {Published}, publisher = {Science Publications}, url = {https://nottingham-repository.worktribe.com/output/1205296}, volume = {16}, keyword = {Bio/Medical/Health - Allied Health Professions, Dentistry, Nursing & Pharmacy, Global Research Theme - Health and Wellbeing}, year = {2018}, author = {Bramley, Louise and Manning, Joseph and Cooper, Joanne} }