Dr Jane Rutty

Job: Associate Professor in Research and Innovation

Faculty: Health and Life Sciences

School/department: School of Nursing and Midwifery

Research group(s): Nursing and Midwifery Research Centre

Address: De Montfort University, The Gateway, Leicester, LE1 9BH.

T: +44 (0)116 201 3897

E: JRutty@dmu.ac.uk

W: http://www.dmu.ac.uk/nursingandmidwifery

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Personal profile

Dr Jane Rutty is a Registered General Nurse with a clinical background in critical care and research.

Jane's current principle role is that of Associate Professor in Research and Innovation within the Faculty of Health and Life Sciences where she is a specialist teacher in research, advancing practice and medico-legal nursing. She also has an has an active research programme through her post doctoral studies in Translational Nursing and supervises PhD students.

Research group affiliations

Nursing and Midwifery Research Centre.

Publications and outputs

Accountability issues in an English emergency department: A nursing perspective
Accountability issues in an English emergency department: A nursing perspective Rubio-Navarro, Alfonso; Garcia-Capilla, Diego Jose; Torralba-Madrid, Maria Jose; Rutty, Jane Introduction: Nurses confront doubts about their accountability and how it affects their clinical practice daily in the complex environment of an emergency department. Therefore, nurses’ experiences can provide vital information about the decisions and dilemmas in clinical practice that affect both healthcare professionals and patients alike. Aim: The aim of this study was to explore the perceptions of nursing staff in an English emergency department in relation to their ethical, legal and professional accountability. Methods: Ethnographic content analysis was used to analyse 34 semi-structured interviews from registered nurses working in an emergency department. Results: There were five categories found during the coding process: nursing care, staff interactions, legal and professional accountability, decision-making process and ethics and values. Conclusion: Several issues related to nursing accountability were found, including the effects of nursing shortages and the reasoning behind multidiscipinary team conflicts. Different approaches of individual and institutional accountability, the evolution of Benner’s nursing model and nursing value progression was also identified as key issues. All these phenomena affect nursing accountability in different ways, so their comprehension is paramount to understand and influence them to benefit both patients and nurses. University Hospitals of Leicester NHS Trust University of Murcia, Spain The file attached to this record is the author's final peer reviewed version. The Publisher's final version can be found by following the DOI link.
The use of mid-arm circumference for the estimation of adult body weight: A post mortem computed tomography approach
The use of mid-arm circumference for the estimation of adult body weight: A post mortem computed tomography approach Nathongchai, Raksachai; Rutty, Jane; Brough, Alison; Aljanaahi, Nayef; Morgan, Bruno; Rutty, Guy Purpose: Cadaver body weight (BW) is to be documented, where possible, in all forensic autopsy examinations.However, it may not always be possible to ascertain an accurate BW if, for example, functioning weighing equipment is unavailable or the body is incomplete. This research aimed to translate an adult clinical prehospital method which uses a mid-arm circumference (MAC) measurement to estimate BW to establish a post mortem computed tomography (PMCT) technique for adult cadaver BW estimation. Method: The clinical method was adapted for PMCT bone and soft tissue methods. Right and left MAC measurements were obtained by four independent observers from sixty-six (45 males and 21 females) consented research adult PMCT scans using the Osirix DICOM viewer. All observers rated MAC quality score on each arm from 0 (very poor) to 3 (good). Results: In the final group of fifty-five with MAC quality score ≥ 1, MAC measurements correlated well with actual BW (r=0.87) and yielded excellent intra- and inter-observer reliability. There were no statistical differences between the two MAC methods, sexes or side of arm. Mean estimated BW by previous study Equation, BW=(4×MAC)-50, was 0.47 kg greater than mean actual BW with limits of agreement of 12.7 kg; this would be reduced to 9.2 kg if an outlier were excluded. Conclusions: The study identifies a quick and easy PMCT technique to estimate adult BW using PMCT. However, the result remains only an estimation and caution should be expressed if a result is applied to medico-legal cases. The file attached to this record is the author's final peer reviewed version. The Publisher's final version can be found by following the DOI link.
Ethical, legal and professional accountability in emergency nursing practice: an ethnographic observational study
Ethical, legal and professional accountability in emergency nursing practice: an ethnographic observational study Rubio-Navarro, Alfonso; Garcia-Capilla, Diego Jose; Torralba-Madrid, Maria Jose; Rutty, Jane Introduction Accountability in nursing practice is a concept that influences quality care, decision-making, safety standards and staff values. Therefore, understanding accountability and how it affects nursing practice could improve patient care and nurses’ working conditions. Aim The aim of this study was to find factors that influenced ethical, legal and professional accountability in emergency nursing practice. Methods A qualitative ethnographic approach using participant observation through convenience sampling was employed as the data collection method, while ethnographic content analysis was used for data analysis. Results The factors linked to nursing accountability found were classified into four main themes: daily dynamics, work environment evolution, customs and routines and bioethics principles’ application. Discussion The long-term effect of chronic high workload and crowding, which affects nursing accountability, could promote burnout in a junior ED workforce. Changes in the nurses’ working conditions need to be implemented to limit the workload to which an ED nurse is subjected to. Conclusion ED nurses have to manage their accountability in difficult situations regularly, which followed patterns of four main themes across the majority of situations. Nonetheless, all those factors were influenced by nursing workload, an ever-present factor that was always considered by ED nurses during decision-making. The file attached to this record is the author's final peer reviewed version. The Publisher's final version can be found by following the DOI link.
Decision-making in an emergency department: A nursing accountability model
Decision-making in an emergency department: A nursing accountability model Rubio-Navarro, Alfonso; Garcia-Cappilla, Diego Jose; Torralba-Madrid, Maria Jose; Rutty, Jane Introduction Nurses that work in an emergency department regularly care for acute patients in a fast-paced environment, being at risk of suffering high levels of burnout. This situation makes them especially vulnerable to be accountable for decisions they did not have time to consider or have been pressured into. Research objective The objective of this study was to find which factors influence ethical, legal and professional accountability in nursing practice in an emergency department. Research design Data were analysed, codified and triangulated using qualitative ethnographic content analysis. Participants and research context This research is set in a large emergency department in the Midlands area of England. Data was collected from 186 nurses using participant observation, 34 semi-structured interviews with nurses and ethical analysis of 54 applicable clinical policies Ethical considerations Ethical approval was granted by two research ethics committees and the National Health Service Health Research Authority. Results The main result was the clinical nursing accountability cycle model, which showed accountability as a subjective concept that flows between the nurse and the healthcare institution. Moreover, the relations amongst the clinical nursing accountability factors are also analysed to understand which factors affect decision-making. Discussion The retrospective understanding of the factors that regulate nursing accountability is essential to promote that both the nurse and the healthcare institution take responsibility not only for the direct consequences of their actions but also for the indirect consequences derived from previous decisions. Conclusion The decision-making process and the accountability linked to it are affected by several factors that represent the holistic nature of both entities, which are organised and interconnected in a complex grid. This pragmatic interpretation of nursing accountability allows the nurse to comprehend how their decisions are affected, while the healthcare institution could act proactively to avoid any problems before they happen. The file attached to this record is the author's final peer reviewed version. The Publisher's final version can be found by following the DOI link.
Post Mortem Computed Tomography: An innovative tool for teaching anatomy within pre-registration nursing curricula
Post Mortem Computed Tomography: An innovative tool for teaching anatomy within pre-registration nursing curricula Rutty, Jane; Biggs, M.; Dowsett, Deborah; Kitchener, A.; Coltman, N.; Rutty, Guy Background There is significant change throughout the world regarding Post Mortem Computed Tomography (PMCT) as an adjunct or a replacement to the traditional invasive autopsy. Of interest, is the ability to demonstrate visually two and three dimensional normal soft tissue, organ and skeletal anatomy, as well as natural disease and trauma pathology. Objectives The objective was to compare formal traditional methods of teaching anatomy and pathology (pictures and diagrams) to pre-registration student nurses with supplementary PMCT 2/3D generated images, videos and printed anatomical models. The specific objective was to determine if these tools would increase the students’ perception of their understanding and learning experience of the subject area. Design A quasi-experimental within-subject design was chosen. Setting A School of Nursing and Midwifery within a Higher Education Institution in the UK. Participants Purposeful sampling of 57 voluntary informed consented pre-registration student nurses. Method Students were initially exposed to teaching of normal anatomy and common fractures using traditional methods. Data was then collected following the teaching session using a questionnaire entailing both quantitative and qualitative elements. The teaching session was then repeated with the same students but with the inclusion of PMCT of all the same normal anatomy and fractures. Data was then collected again using the same questionnaire. Both questionnaires were then compared. Results The quantitative findings proved highly significantly proved (P = < 0.01) that the inclusion of Post Mortem Computed Tomography when teaching normal anatomy and pathology increases preregistration nursing students’ perception of their understanding and learning experience. The qualitative results revealed three positive themes concerning visual learning, realism and patient empathy. Conclusion Including Post Mortem Computed Tomography imagery enables nurse academics to provide students with a virtual tour of the human body and a rich, authentic learning experience of a real individual who experienced a relevant clinical scenario that nurses are likely to encounter in their careers. The file attached to this record is the author's final peer reviewed version. The Publisher's final version can be found by following the DOI link.
Philosophy and quality? TAPUPASM as an approach to rigour in critical realist research
Philosophy and quality? TAPUPASM as an approach to rigour in critical realist research Ryan, Gemma; Rutty, Jane Background Philosophical principles should guide how research is designed, conducted and appraised. The more traditional and commonly used approaches to positivist (validity and generalisability) or interpretivist (trustworthiness) research do not necessarily complement the philosophical principles of post-positivist critical realism. Aims To discuss an approach to ensuring scientific rigour in post-positivist critical realist research using an enhanced version of the quality assurance model, TAPUPAS, that has an additional criterion: modified objectivity. Discussion The authors present examples of the quality framework TAPUPASM in the planning, design, conduct and dissemination of a realist research study. These strategies include choices about the collection and analysis of data, as well as how to disseminate findings using methods other than traditional academic approaches. They also provide a practical example of how they used TAPUPASM to ensure rigour in a critical realist ethnographic study in pre-registration nurse education. Conclusion TAPUPASM provides a framework for quality in post-positivist critical realist research. Implications for practice Nurse researchers can use the strategies provided to plan, design, conduct and disseminate critical realist research. The file attached to this record is the author's final peer reviewed version. The Publisher's final version can be found by following the DOI link.
The development of a clinical policy ethics assessment tool
The development of a clinical policy ethics assessment tool Garcia-Capilla, D.J.; Rubio-Navarro, A.; Torralba-Madrid, M.J.; Rutty, Jane Introduction: Clinical policies control several aspects of clinical practice, including individual treatment and care, resource management and healthcare professionals’ etiquette. This article presents Clinical Policy Ethics Assessment Tool, an ethical assessment tool for clinical policies that could be used not only by clinical ethics committees but also by policy committees or other relevant groups. Aim: The aim of this study was to find or create a tool to identify ethical issues and/or confirm ethical validity in nursing practice policies, protocols and guidelines. Methodology: The development of Clinical Policy Ethics Assessment Tool involved first a literature review, followed by modification of the Research Protocol Ethics Assessment Tool, which was created to identify research protocols’ ethical issues, and finally, a trial of Clinical Policy Ethics Assessment Tool to ensure its reliability and validity. Ethical consideration: The policies analysed trialling Clinical Policy Ethics Assessment Tool were in the public domain and did not contain any confidential information. Despite that, Clinical Policy Ethics Assessment Tool also had the approval of a research ethics committee. Results: Research Protocol Ethics Assessment Tool was chosen as the template for a Clinical Policy Ethics Assessment Tool, to which several modifications were added to adapt it to work within a nursing practice context. Clinical Policy Ethics Assessment Tool was tested twice, which resulted in a general test–retest reliability coefficient ¼ 0.86, r ¼ 0.84, a1 ¼ 0.817, a2 ¼ 0.824 and interclass correlation coefficient ¼ 0.874. Discussion: Contemporary nursing practice in a developed country is often ruled by clinical policies. The use of Clinical Policy Ethics Assessment Tool could confirm the ethical validity of those clinical practice policies, impacting on nurses’ education, values and quality of care. Conclusion: Clinical Policy Ethics Assessment Tool has the potential to detect ethical issues and facilitate the correction and improvement of clinical policies and guidelines in a structured way. This is especially so as it has shown reliability in detecting issues in clinical policies involving human participants and in encouraging policymakers to consider common ethical dilemmas in nursing practice. The file attached to this record is the author's final peer reviewed version. The Publisher's final version can be found by following the DOI link.
Managing transformational change: Implementing cross-sectional imaging into death investigation services in the United Kingdom
Managing transformational change: Implementing cross-sectional imaging into death investigation services in the United Kingdom Rutty, Jane; Morgan, Bruno; Rutty, Guy The file attached to this record is the author's final peer reviewed version. The Publisher's final version can be found by following the DOI link.
Successful partnerships with third sector organisations to enhance the student experience: A partnership evaluation
Successful partnerships with third sector organisations to enhance the student experience: A partnership evaluation Bell, Katie; Tanner, Judith; Rutty, Jane; Astley-Pepper, Maxine; Hall, Richard There is limited research surrounding academic partnerships and more research is needed to educate universities, and the private, public and third sectors about the benefits and limitations of such partnerships. The aim of this study was to outline the unique partnership between Macmillan Cancer Support and De Montfort University and to evaluate the progress of this partnership. A qualitative approach was employed which involved interviews with nine members of the partnership’s steering group. Interviews were transcribed and analysed using thematic analysis. The results showed that a partnership between a university and a third sector charity can have mutual benefits for all those involved, particularly for students and those affected by cancer. Furthermore, the module to develop volunteering among families affected cancer, created through this partnership is now being considered by other universities as a way of providing holistic and non-traditional lecture based learning experiences. Recommendations are made for future partnerships between third sector charities and universities.
EMLETB Increasing future supply of General Practice Nurses
EMLETB Increasing future supply of General Practice Nurses Rolland, A.; Rutty, Jane

Click here to view a full listing of Dr Jane Rutty's publications and outputs.

Key research outputs

RECENT PAPERS

Rutty G N and Rutty J E (2012) Did the participants of the mass fatality exercise Operation Torch learn anything? Journal of Forensic, Science, Medicine and Pathology 8(2):88-93.

Rutty G N and Rutty J E (2012) Perceptions of the near virtual autopsy. Journal of Forensic Legal Medicine 18(7):306-309.

Bell K, Tanner J, Rutty J, Astley-Pepper M and Hall R (2015) Successful partnerships with third sector organisations to enhance the student experience: A partnership evaluation. Nurse Education Today 35(3): 530-534.

Rutty J E, Morgan B and Rutty G N (2015) Managing transformational change: Implementing cross-sectional imaging into death investigation services in the United Kingdom. Journal of Forensic Radiology and Imaging 3:57-60.

RECENT BOOK CHAPTERS

Rutty J E (2015) Religious attitudes to death. IN Payne-James J and Byard R W (editors) Encyclopaedia of Forensic and Legal Medicine. 2^nd edition. Elsevier, Oxford, pp 88-108.

RECENT CONFERENCE INVITED KEY SPEAKER

Rutty J E (2015) Forensic Nursing: The practice of nursing globally when health and legal systems intersect. The Annual National Medico-Legal Seminar (The Medico-Legal Society of Singapore (MLSS) and Singapore Medical Association (SMA)), 25th October.

RECENT CONFERENCE PRESENTATIONS

Rutty J, Rutty G, Morgan B and Brough A (2016) Using Post Mortem Computed Tomography (PMCT) images and videos as an advanced tool for teaching anatomy as an adjunct to traditional methods with nursing and midwifery curriculums. Royal College of Nursing Education Forum International Conference and Exhibition (Telford International Centre), 15-16 March.

Rutty J, Rutty G, Morgan B and Brough A (2016) Using PMCT as an advanced teaching tool for anatomical based courses that do not have access to cadavers. 5^th Congress of the International Society for Forensic Radiology and Imaging (Amsterdam, Holland), 12-14 May.

Rutty J (2016) The meaning of Being as a nurse involved in the work of death investigation: A North American view and its implications to practice in England. International Association of Legal Medicine Intersocietal Symposium (Venice, Italy), 21-24 June.

Rutty J ( 2016) The role of the death investigation nurse in the USA and its application to this emerging forensic science in the UK. International Conference on Forensic Nursing Science and Practice (Denver, Colorado, USA), 29 September – 2 October.

Rutty J and Amoroso J (2016) The use of PMCT to the traditional invasive autopsy in natural and suspicious deaths: Critical reflections on consenting the bereaved for teaching and research in this area of work. International Conference on Forensic Nursing Science and Practice (Denver, Colorado, USA), 29 September – 2 October.

Rutty J and Brough A (2016) Creating and integrating the advanced tool of PMCT images and videos as an adjunct to traditional methods of anatomy teaching to increase undergraduate nursing, midwifery and policing students’ understanding and learning experience. International Conference on Forensic Nursing Science and Practice (Denver, Colorado, USA), 29 September – 2 October.

Rutty G N, Rutty J E, Biggs M, Hollingbury F, Robinson C and Morgan B (2017) The Leicester Post Graduate Post Mortem Radiology Training Courses: Our experience so far. 6^th International Society of Forensic Radiology and Imaging Congress, Odense Denmark, 10-13^thMay.

RECENT CONFERENCE POSTERS

Rolland A and Rutty J (2013) EMLETB Increasing the future supply of General Practice Nurses. RCN Education Forum International Conference and Exhibition. Glasgow, Scotland, 5-7 July.

Brough A, Rutty J, Rutty G and Morgan B (2016) Using PMCT as an advanced teaching tool for anatomical based courses that do not have access to cadavers. Midlands Academy of Medical Research Festival (Leicester), 15 April.

Research interests/expertise

Jane's research is around translational nursing and includes the following topic areas currently:

MEDICO-LEGAL NURSING

Includes legal aspects of nursing and advancing forensic nursing roles such as custody care, sexual assault examination, death investigation, mass disasters etc.

CARE OF THE DECEASED

Includes religious attitudes to death.

NURSE EDUCATION

Includes quality assurance, volunteering and international partnerships.

Areas of teaching

Jane teaches at both under and postgraduae level in the following subject areas:

Advancing clinical practice;
Medico-legal nursing;
All aspects of reseach.

Qualifications

PhD

University of Bradford

MSc Nursing

University of Manchester / Royal College of Nursing Institute

BSc (Hons) Education Studies (Nursing) / NMC Teacher

University of Wolverhampton / Nursing and Midwifery Council

Diploma in Professional Studies in Nursing

University of Westiminter

NMC Registered General Nurse (Adult)

Redbridge Health Authority / Nursing and Midwifery Council

Courses taught

PROGRAMME LEADER

Professional Doctorate in Health Sciences - DHSci

Honours and awards

Honorary Associate Professor for contribution to Teaching and Forensic Nursing, University of Leicester, 2017 to date

International Association of Forensic Nursing Award for Forensic Nursing Excellence 2016.

Visiting Associate Professor in Forensic Science (Nursing), National Univeristy of Singapore 2015.

Membership of professional associations and societies

International Association of Forensic Nursing
International Council of Nurses - Education and Research
International Institute for Qualitative Methodology
Royal College of Nursing - Critical Care Nursing Forum, Research Society, Education Forum, Ethics Forum, History of Nursing Society
Specialist Interest Group for Practice Focused Doctoral Research
Professional Standards Authority (Professional Stakeholder Network)

Professional licences and certificates

NURSING AND MIDWIFERY COUNCIL

Registered General Nurse
Recorded qualification as Teacher

HIGHER EDUCATION ACADEMY

Fellow

Conference attendance

RECENT CONFERENCE ATTENDANCE

The Annual National Medico-Legal Seminar (The Medico-Legal Society of Singapore (MLSS) and Singapore Medical Association (SMA)), 25th October 2015.

Royal College of Nursing Education Forum, International Conference and Exhibition (Telford International Centre, UK), 15-16 March 2016.

International Association of Legal Medicine Intersocietal Symposium (Venice, Italy), 21-24 June 2016.

International Conference on Forensic Nursing Science and Practice (Denver, Colorado, USA), 29 September – 2 October 2016.

Consultancy work

AREAS OF EXPERTISE

Medico-legal nursing
Higher education and quality assurance

RECENT CONSULTANCIES UNDERTAKEN

Department of Health (2010) Medical Examiner – An E-Learning Project commissioned by the Department of Health for the training of Medical Examiners following implementation of the Government’s reform for of the process of death investigation in England and Wales. Jane wrote four modules on faith considerations in caring for the deceased and their families.

National Policing Improvement Agency (2012) A project to update the National Exhumation Protocol. Jane contributed by writing the religious aspects of exhumation in a multicultural society.

University of Leicester (2016) Jane was consulted to develop a new MSc in Post Mortem Radiology for Natural and Forensic Death Investigation.

Current research students

CURRENT DOCTORATE STUDENTS

First supervisor

Mohammed Ak-Sheikh Hassan - The experiences and challenges faced by nurses working in a newly established level 1 trauma centre in Saudi Arabia

Jon Ellis - The lived experiences of the emerging Advanced Paramedic Practitioner working in the community to prevent emergency admissions.

Leanne Holman - The lived experiences of adoptive parents caring for children with attachement difficulties.

Karen Murray - Alcohol, my liver and me: Exploring patient views of the "alcoholic" in Alcoholic Liver Disease.

Susan Palmer - Optimizing patients for referral and transfer to Extra Corporeal Membrane Oxygenation.

Second supervisor

Rachael Carroll - The lived experiences of Health Care Assistants working within the acute sector in influencing multi-disciplinary relationship centred care delivery.

Nlokozo Ncube - The exploration of the spirituality dimension and it’s significance in the recovery of mental health patients.

Srwa Rasul - The notion of clinical credibility in Iraq.

COMPLETED DOCTORATE STUDENTS

Ma'en Aljezawi (2012) Exploring preventive interventions and risk factors of hospital-acquired pressure ulcers: A retrospective matched case-control design.

Gemma Ryan (2018) The effects of social networking on professional accountability.

Externally funded research grants information

Rutty J (2008) New methods of support to promote personal tutoring. East Midlands HWD - £11,891.30.

Rutty J (2008) Operation Torch - Evaluation of a multi-national, multi-agency contaminated mass fatality exercise in preparation for the 2012 Olympics. Contracted by University of Leicester as part of their European Commission Grant - £7,487.50.

Professional esteem indicators

CURRENTLY

Journal of Clinical Forensic Medicine - Reviewer.

Journal of Forensic Psychiatry and Psychology - Reviewer.

Journal of Nursing Education and Practice - Member International Editorial Review Board.

Journal of Clinical Nursing Studies - Member International Editorial Review Board.

The Cochrane Collaboration - Embase Screener.

PREVIOUSLY

Journal of Forensic Nursing - International Member of the Advisory Board.

McMaster University - Sentinel Reader for Evidence Based Nursing,

Journal of Forensic Science, Medicine and Pathology - Editorial Panel Member.

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