A5010563057- Intensive Care Unit Cognitive Disorders
- Family and Patient Care in Intensive Care Units
- Geriatric Care and Nursing Homes
- Palliative Care and End-of-Life Issues
- Anesthesia and Sedative Agents
- Electronic Health Records Systems
- Healthcare Decision-Making and Restraints
- Frailty in Older Adults
- Primary Care and Health Outcomes
- Hip and Femur Fractures
- Information Systems Theories and Implementation
- Pain Management and Opioid Use
- Healthcare Policy and Management
- Diet and metabolism studies
- Knowledge Management and Sharing
- Psychiatric care and mental health services
- Bipolar Disorder and Treatment
- Educational Technology and Optimization
- Healthcare Systems and Technology
- Electroconvulsive Therapy Studies
- Schizophrenia research and treatment
- Online and Blended Learning
- Telemedicine and Telehealth Implementation
- Dementia and Cognitive Impairment Research
- Global Maternal and Child Health
University of York
2018-2025
Hull York Medical School
2021
University of Leeds
2010-2016
delirium is likely to be particularly common in care homes, given the clustering of known risk factors these settings. Preventing should result significant benefits, including better quality and improved outcomes for residents.to test feasibility 'Stop Delirium!', an intervention prevent homes older people, optimise parameters inform design a future trial evaluation.we delivered Stop Delirium! six over 10 months, mixed methods before after study.Stop was successfully implemented study homes....
Delirium is common and distressing for hospice in-patients. Hospital-based research shows delirium may be prevented by targeting its risk factors. Many preventative strategies address patients' fundamental care needs. However, there little regarding how interventions need to tailored the in-patient setting. To explore behaviours of staff in relation prevention, influences that shape these behaviours. Focused ethnography supported behaviour change theory. Observation, semi-structured...
Background: Delirium is a complex condition, stressful for all involved. Although highly prevalent in palliative care settings, it remains underdiagnosed and associated with poor outcomes. Guideline-adherent delirium may improve its detection, assessment management. Aim: To inform future definitive study that tests whether an implementation strategy designed to guideline-adherent settings improves patient outcomes (reduced proportion of in-patient days delirium). Design: With Patient...
<h3>Background</h3> Bipolar disorder is not uncommon, associated with high disability and risk of suicide, often presents depression, can go unrecognised. <h3>Aim</h3> To determine the prevalence unrecognised bipolar among those prescribed antidepressants for depressive or anxiety in UK primary care; whether have more severe depression than who do not; accuracy a screening questionnaire disorder, Mood Disorder Questionnaire (MDQ), this setting. <h3>Design setting</h3> Observational care...
Delirium is a distressing condition often experienced by hospice in-patients. Increased understanding of current multidisciplinary care delirium needed to develop interventions in this setting.To explore staff and volunteers' practice, its influences what may need change improve care.Qualitative interview study using behaviour theory from critical realist stance.Thirty-seven staff, including different professional groups roles, volunteers were purposively sampled two in-patient hospices.We...
The Stop delirium! project used interactive teaching methods to help staff recognise and take action prevent delirium. Imogen Featherstone, Ann Hopton Najma Siddiqi examine the effectiveness of training
Prevention of delirium is an important part looking after care home residents, however, it can be difficult to detect, especially in those who have dementia. This article explores the perceptions and experiences staff integrating prevention activity their everyday work. As Stop delirium! feasibility study interviews were carried out when they analysed five themes identified: triggers knowledge; detection observation; effect closest contact; changes management care; communication teamwork...
Delirium is common and distressing in palliative care settings. This survey aims to describe current practice regarding delirium identification specialist units (SPCU), such as inpatient hospices, the UK.An 18-item anonymous online was distributed by Hospice UK their network of clinical leads (n=223), research mailing list (n=228). The also sent chair executive forum for direct dissemination representatives (n=20). Clinical were asked distribute healthcare staff SPCUs.220 SPCU (48% nurses;...
Delirium is a complex condition in which altered mental state and cognition causes severe distress poor clinical outcomes for patients families, anxiety stress the health professionals support staff providing care, higher care costs. Hospice are at high risk of developing delirium, but there significant variation delivery. The primary objective this study to demonstrate feasibility an implementation strategy (designed help deliver good practice delirium guidelines), participant recruitment...
Introduction Delirium is a serious acute neurocognitive condition that common in palliative care units and yet under-addressed. To improve delirium this setting, we will develop pilot monitoring system integrates the Clinical Care Standard, Palliative Outcomes Collaboration (PCOC) methods, perspectives of patients, carers staff. Methods This paper reports protocol for two-stage, exploratory, sequential mixed-methods implementation study. Stage 1 data collection includes Standard-aligned...
<h3>Background</h3> Delirium is a complex condition, distressing for patients, family members and staff, associated with poor outcomes. Despite high prevalence in the palliative care setting, it remains under-diagnosed. guideline-adherent may both prevent alleviate delirium. The best way to improve delirium-guideline adherence, whether better adherence reflected reduced delirium, not known. Prompt dissemination of feasibility findings critical avoid research waste. <h3>Methods</h3> To inform...
Introduction Delirium is a distressing condition which commonly experienced by hospice patients. Although delirium can be prevented around one-third in hospital inpatients (Siddiqi et al. 2016) there has been little research into effective strategies to prevent and manage hospices. Greater insight the current practice attitudes understanding of staff volunteers would inform development interventions that are tailored improve care Aim To explore regarding patients with delirium. Methods 36...
<h3>Background</h3> Delirium causes severe distress for patients, families, and staff. One-third of people admitted to adult palliative care units have delirium two-thirds develop during their stay (Watt, Momoli, Ansari, et al., 2019. Palliat Med. 33: 865), yet implementation clinical guidelines is poor assessment tools are used infrequently (Boland, Kabir, Bush, 2022. BMJ Support Care. 12: 73). Strategies needed address this gap between knowledge action (Featherstone, Hosie, Siddiqi, 2021....
<h3>Background</h3> Delirium causes severe distress for patients, families, and staff. One-third of people admitted to adult palliative care units have delirium two-thirds develop during their stay (Watt, Momoli, Ansari, et al., 2019. Palliat Med. 33:865), yet implementation clinical guidelines is poor (NICE. Delirium: prevention, diagnosis management - Clinical Guideline 103, 2010). Strategies are needed address the gap between knowledge action (Featherstone, Hosie, Siddiqi, 2021. 35: 988)....