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CNSs promote role through 'grand round' for nursing


Clinical nurse specialists at Imperial College Healthcare Trust are promoting their role and helping train other nurses using an initiative borrowed from medicine.

“Grand rounds” usually consist of presentations on medical case studies to an audience of doctors. But Katy Odedra and Jan Hitchcock, co-chairs of the trust’s CNS forum, have adapted the idea for nursing.

They are the first in the UK to introduce a “grand round for nursing”, in which nurses meet to discuss patient case studies, such as transfusion errors, and give examples of best practice. CNSs present two clinical case studies at each session, followed by discussion. Unlike medical grand rounds, they are open to all clinical staff at the hospital including consultants.

The CNS forum has also produced a register including each of the trust’s 250 CNSs and their specialty, which they hope will help nurses notify them more quickly when a relevant patient is admitted and encourage consultants to refer more patients on to them.

Ms Hitchcock, an outpatient antibiotic therapy CNS, said: “Ultimately this should improve the quality of patient care by encouraging clinicians to refer patients to the right clinical nurse specialist in a timely manner.”

Ms Odedra, an asthma and allergy CNS, added: “It’s about promoting our role and showing our skills and knowledge. This is not something we’ve heard of before in the UK.”

She said they had held two nursing grand rounds so far at St Mary’s Hospital and that the idea would be piloted for three months, after which it would be decided whether to expand it to Imperial’s other sites.

She told Nursing Times the grand rounds had been positively received by nurses doctors. “The medical side has been really positive,” she said. “The CNSs love it because they are promoting what they do.”


Imperial College Healhcare Trust Grand Round
Aims and Objectives


To provide a professional forum for Imperial College Healthcare NHS Trust Registered Nurses to continue to develop their clinical and professional expertise in providing quality and evidence based care.


  • To promote excellence in nursing practice.
  • Provide a venue for Clinical Nurse Specialists (CNS) to share clinical case studies for professional discussion, increasing the visibility of this experienced group of health care professionals.
  • To share clinical expertise across CPG’s.
  • To utilise knowledge that reflects the integration of academia, research and clinical nursing knowledge to enhance the patients experience.





Readers' comments (3)

  • This is a brilliant initiative, albeit not enirely new in nursing. I love the idea of clinicians teaching clinicians, in a formal way. This will also undoubtedly add to the value of our well trained and educated clinical specialists. And make them even more accessible to other nurses who need their expertise. Truelly inspiring!! I have no doubt that this will quickly 'catch on' across the country. In fact, staff nurses with adequate knowledge can also 'grand round'.

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  • This is a brilliant idea, and I was only thinking the same thing as I attended our grand round the other day.

    Senior Nurses need a voice in the Trust too, and this is an excellent way to do this and I'm going to look at setting it up son in our Trust.

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  • This has been a great initiative. I was fortunate enough to visit the US last year where I saw these excellent nursing grand rounds in action. They were used very effectively to promote clinical excellence.

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