A5091649612- Scottish History and National Identity
- Language, Discourse, Communication Strategies
- Historical Studies of British Isles
- Patient-Provider Communication in Healthcare
- Discourse Analysis in Language Studies
- American Constitutional Law and Politics
- Language, Metaphor, and Cognition
- Maternal and Perinatal Health Interventions
- Patient Satisfaction in Healthcare
- Reformation and Early Modern Christianity
- Political Systems and Governance
- Child Abuse and Trauma
- Interpreting and Communication in Healthcare
- Historical Economic and Social Studies
- Historical Art and Culture Studies
- Irish and British Studies
- Healthcare Systems and Technology
- Nursing Roles and Practices
- Patient Dignity and Privacy
- Primary Care and Health Outcomes
- Historical Studies on Reproduction, Gender, Health, and Societal Changes
- Health Systems, Economic Evaluations, Quality of Life
- Clinical Reasoning and Diagnostic Skills
- Interprofessional Education and Collaboration
- European Political History Analysis
University of York
2013-2025
University of Liverpool
2021
Trinity College
2010-2019
University of Cambridge
2002-2015
University of Leicester
2000-2012
Ministry of Manpower
1994
BackgroundCOVID-19 is a multisystem disease and patients who survive might have in-hospital complications. These complications are likely to important short-term long-term consequences for patients, health-care utilisation, system preparedness, society amidst the ongoing COVID-19 pandemic. Our aim was characterise extent effect of complications, particularly in those survive, using International Severe Acute Respiratory Emerging Infections Consortium WHO Clinical Characterisation Protocol...
Background. Urinary incontinence is a common problem but, for those experiencing significant clinical symptoms, help seeking has been reported to be as low 20%. As many of these people could helped by simple interventions, there clear need identify barriers and develop interventions overcome barriers. Objectives. This study explores help-seeking behaviour in with urinary symptoms such leakage, frequency, nocturia urgency order service use. Method. Thirty-one who either had agreed treatment...
<h3>Abstract</h3> <b>Objective</b> To examine patients9 understanding of the status, function, and remit written consent to surgery. <b>Design</b> Prospective questionnaire study. Questionnaires were sent patients within one month Responses analysed with frequencies single variable analyses. <b>Setting</b> Large teaching hospital. <b>Participants</b> 732 who had undergone surgery in obstetrics gynaecology over a six period. <b>Main outcome measures</b> Patients9 awareness legal implications...
<h3>Abstract</h3> Golden Ratio proportions are found throughout the world of multicellular organisms but underlying mechanisms behind their appearance and adaptive value if any remain unknown. The is a real-valued number cell population counts whole numbered. Binet9s formula connects to numbered Fibonacci sequence (<i>f</i><sub><i>n</i>+1</sub> = <i>f</i><sub><i>n</i></sub> + <i>f</i><sub><i>n</i>–1</sub> where <i>f</i><sub>1</sub> 1 <i>f</i><sub>2</sub> 2), so we seek cellular mechanism...
To evaluate women's experience of giving consent to obstetric and gynaecological surgery examine differences between those undergoing elective emergency procedures.A prospective questionnaire study.A large teaching hospital.1006 consecutive patients or in obstetrics gynaecology.Questionnaires were administered women who had given following the introduction national guidelines form. Differences responses assessed using frequencies, single multivariable analyses.Patients' recall process, their...
Birthing is an exemplary setting for investigating how non-pathological painful sensations are intersubjectively established. Contractions integral to giving birth and physiologically normal events that can range from mild intensely sensations. This conversation analytic study the first examine first-stage labor contractions made recognizable shape interaction between laboring women, partners, attending clinicians. Drawing on recordings two British midwife-led units, we show participants...
This paper reports a study of patients' accounts the differences in nurses' and general medical practitioners' roles primary care.Nurses are now diagnosing treating illnesses including conducting first contact care consultations. However, findings international studies reporting views developments nursing not consistent. Whilst some report higher satisfaction following nurse consultations, others suggest that patients do want nurses to replace practitioners. Healthcare professionals'...
Patient satisfaction with urodynamics: a qualitative study This was undertaken to assess patients’ views of the urodynamic investigation. The aim identify dimensions important patients in evaluating this type procedure and ways which care could be improved. Unstructured interviews were carried out by four trained interviewers 21 people (17 female 4 male) who had undergone investigation at various gynaecology, urology continence outpatient clinics. audio‐taped transcribed verbatim. data then...
Background The randomized controlled trial (RCT) has a well-established role in assessing drug therapies, but its adoption developing surgical interventions been slow. Patients’ perspectives on RCTs, especially those including patient preference option, have received little attention. Purpose To characterize participants’ experiences and views of recruitment to pilot (CARPET1) two treatments for urinary incontinence vaginal prolapse that included option. Methods Semi-structured qualitative...
Consent has been placed at the centre of doctor-patient relationships. Attempts to improve consent process in medicine have drawn on bioethical and legal traditions. Current approaches emphasise provision information have, UK, resulted a single standardised format for both elective emergency situations. Investigation patients' perceptions priorities are important understanding quality process.In this qualitative study, semi-structured interviews were conducted with 25 women. Eleven had 14...
How best to provide the findings of research study participants remains poorly understood.We aimed develop, deliver, and evaluate a consultative approach inform provision feedback about in Oracle Children Study (OCS). The OCS had identified adverse outcomes for some children whose mothers been prescribed antibiotics as part trial pregnancy.An iterative process, including focus groups with consultation other stakeholders, was used development package, results leaflet, participants. A...
The UK's Royal College of Surgeons (2016) has argued that health professionals must replace a ‘paternalistic’ approach to consent with ‘informed choice’. We engage these guidelines through analysis neurology consultations in two UK-based neuroscience centres, where informed choice been advocated for over decade. Based on 223 recorded and related questionnaire data (collected 2012), we used conversation (CA) identify practices offering choice: patient view elicitors (PVEs) option-lists. This...
The Addenbrooke’s Cognitive Examination (ACE-111) is a neuropsychological test used in clinical practice to inform dementia diagnosis. ACE-111 relies on standardized administration so that patients’ scores can be interpreted by comparison with normative scores. delivered and responded interaction between clinicians patients, which places talk-in-interaction at the heart of its administration. In this article, conversation analysis (CA) investigate how practice. Based 40 video/audio-recorded...
The way we refer to third parties in talk is one means through which relationships between speaker, recipients and referents are made relevant. A range of referring expressions available any number might correctly a referent. One guide selection the preference for achieving recognition default practice is, where possible, use name. This conversation analytic article describes that does not fit pattern. In this practice, speakers select broad social category (typically gendered, e.g. guy,...
This article examines communicative practices in Japanese and UK English accounts of extraordinary experiences. We compare the way which specific narrative features are handled: description actual experience, completion narrative. also examine some ways rhetorically designed to address skeptical alternatives. The perspective is informed by an ethnomethodological focus on competences description. comparison identifies differences between narratives. interactional data contrasted macro...
Background. NHS Walk-in Centres have been introduced to improve access healthcare in the UK. Little is understood about why people choose from among range of options available them.
Background NHS policy emphasises shared decision-making during labour and birth. There is, however, limited evidence concerning how happens in real time. Objectives Our objectives were as follows – create a data set of video- audio-recordings birth midwife-led units; use conversation analysis to explore talk is used decision-making; assess whether or not women’s antenatal expectations are reflected experiences the interactional strategies (particularly extent which decisions shared)...
Background We report follow-on research from our previous qualitative analysis of how neurologists offer patients choice in practice. This focus reflects the NHS’s emphasis on ‘patient choice’ and lack evidence-based guidance to enact it. Our primary study identified practices for offering choice, which we called view elicitors’ (PVEs) ‘option-listing’. However, that was not designed compare these with recommendations or analyse consequences selecting one practice over another. Objectives To...