A5040547560- Geriatric Care and Nursing Homes
- Palliative Care and End-of-Life Issues
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Diabetes Management and Education
- Sepsis Diagnosis and Treatment
- Emergency and Acute Care Studies
- Frailty in Older Adults
- Interprofessional Education and Collaboration
- Health Policy Implementation Science
- Health, psychology, and well-being
- Global Public Health Policies and Epidemiology
- Family Support in Illness
- Gender Roles and Identity Studies
- Renal Transplantation Outcomes and Treatments
- Nursing Diagnosis and Documentation
- Family and Patient Care in Intensive Care Units
- Intensive Care Unit Cognitive Disorders
- Aging and Gerontology Research
- Gender Politics and Representation
- Transplantation: Methods and Outcomes
- COVID-19 and Mental Health
- Patient Dignity and Privacy
- Nursing Roles and Practices
- School Health and Nursing Education
- Grief, Bereavement, and Mental Health
Newcastle University
2017-2025
NHS Greater Glasgow and Clyde
2022
Newcastle Hospitals - Campus for Ageing and Vitality
2022
National Institute for Health Research
2020
Glasgow Caledonian University
2015-2018
Early in the COVID-19 pandemic, care homes (long-term facilities) globally were severely impacted many ways, including end-of-life and death of residents. They experienced significantly elevated mortality rates amongst residents, compounded by restrictions on support from external healthcare specialist palliative providers. Family access to dying residents was often restricted. This paper explores experiences deaths, during first year pandemic (Spring 2020–2021). As part a wider study...
Community nurses are well placed to promote and support stroke survivors engage in self-management. The aim of this study was develop a self-management intervention that could be tailored towards survivors' needs, goals levels activation, the first year post-stroke.Mixed method study, designed accordance with British Medical Research Council's (MRC) guidance for development evaluation complex interventions. developed evaluated two phases. underpinned by theoretical concept patient activation...
Self-management is recognised as an essential criteria for the provision of high quality care chronic obstructive pulmonary disease (COPD). The management COPD usually delivered by a wide range healthcare practitioners. This study aimed to understand factors affecting self-management from perspectives different multidisciplinary teams involved in care. Semi-structured interviews were conducted with participants primary care, specialist respiratory and rehabilitation (PR) teams. Purposive...
Abstract Background the National Early Warning Score (NEWS) is a tool based on vital signs that aims to standardise detection of, and response to, clinical deterioration in adults. NEWS has been adopted hospitals but not adapted for other settings. This study aimed explore feasibility of measuring care homes describe distribution readings amongst home residents. Methods descriptive analysis all recorded 30-month period (2016–19) across 46 one Clinical Commissioning Group England. Comparisons...
Abstract Background Care homes (long-term care facilities) were profoundly impacted early in the COVID-19 pandemic, both terms of resident mortality and restrictions for infection control. This study investigated impact on emotional well-being home staff challenges faced at this time, strategies used to manage them. Methods Semi-structured interviews conducted October 2020-June 2021 with health service working them explored waves pandemic (March 2021). Interview data analysed using reflexive...
Background The National Early Warning Score (NEWS) is a tool for identifying and responding to acute illness. When used in care homes, staff measure residents’ vital signs record them on tablet computer, which calculates NEWS share with health services. This article outlines an evaluation of implementation homes across one clinical commissioning group area northern England. Aim To identify challenges homes. Design setting Qualitative analysis interviews conducted 15 members from six five...
Objectives To understand how health, education and social care services for disabled children changed during the COVID-19 pandemic, what did or not work well impacts of service changes were on both professionals families. Design Qualitative study using semistructured interviews. Setting Telephone video call interviews focus groups with working in one five local authority areas England. Participants 78 Results There was a significant disruption to reduced contact families early stages...
The COVID-19 pandemic has taken a heavy toll on the care home sector, with residents accounting for up to half of all deaths in Europe. response acute illness homes plays particularly important role during pandemic. Digital recording National Early Warning Score (NEWS), which involves measurement physical observations, started one area England 2016. Implementation NEWS intervention (including equipment, training and support) was accelerated early pandemic, despite limited evidence its use...
Abstract Recent years have seen a rise in digital interventions to improve coordination between care homes and NHS services, supporting remote sharing of data on the health home residents. Such were key components response COVID-19 pandemic. This paper presents findings from qualitative component an evaluation implementation HealthCall Digital Care Homes application, across sites northern England. The commenced prior pandemic continued throughout. Semi-structured, interviews held with...
People are living longer internationally, with a growing number experiencing very old age (≥95 years). Physical, psychological and social changes can challenge one’s sense of self disrupt existing identities. However, experiences the in society seldom researched how they construct identity negotiate is little understood. Our study focuses on participants aged >95 years to understand conceptualised continued place society. Qualitative interviews 23 people were thematically analysed,...
Background Long-term survival after lung transplantation is limited compared with other organ transplants. The main cause development of progressive immune-mediated damage to the allograft. This damage, which can develop via multiple immune pathways, captured under umbrella term chronic allograft dysfunction (CLAD). Despite availability powerful immunosuppressive drugs, there are presently no treatments proven reverse or reliably halt loss function caused by CLAD. aim E-CLAD UK trial...
Within and across areas of high deprivation, we explored constructions masculinity in relation to sexual health wellbeing, what believe be the first UK study take this approach. Our sample 116 heterosexual men women age 18-40 years took part individual semi-structured interviews (n = 35) focus group discussions 18), Scotland. Drawing on a socio-ecological framework, findings revealed experience places matter, with gender practices rooted domestically violent milieu, where localised,...
Abstract Background The Equal North network was developed to take forward the implications of Due report Independent Inquiry into Health Equity. aim this exercise identify how reduce health inequalities in north England. Methods Workshops (15 groups) and a Delphi survey (3 rounds, 368 members) were used consult expert opinion achieve consensus. Round 1 answered open questions around priorities for action; 2 5-point Likert scale rate items; 3 responses re-rated alongside median response each...
There is a growing evidence base for the need holistic approach to sexual health improvement, but challenges realising this in 'real world' may be harder some communities than others. We examined understandings and behaviours among adult men women deprived areas of Scotland. Thematic analysis, using constant comparative method, qualitative, semi-structured in-depth interviews with 19 16 aged 18–40 years from most Glasgow, Edinburgh, Dundee, three Highland towns. Even though had been shown...
Background Broadening the skill-mix in general practice is advocated to build resilience into primary care workforce. However, there little understanding of how extended-scope practitioners from different disciplines, such as paramedicine and nursing, embed roles traditionally ascribed (GPs).Objectives This study sought explore patients' professionals' experiences a home visiting service delivered by emergency (ECPs), place GPs; determine positive impacts/unintended consequences establish...
<h3>Aim</h3> Pancreatic cancer is the 5th most common cause of death in UK, with a 5 year survival less than 5%. Most patients diagnosed are on palliative pathway. There significant symptom burden and many unmet needs. Family friends increasingly take role informal caregivers. Carers themselves often have extensive needs for support; these not only correlate carer decrease their own quality-of-life, but also negatively affect patient's wellbeing health outcomes. However, there paucity data...
Although there are studies on the use of social media and palliative end-of-life care (PEOLC), no specifically investigating content online public feedback about PEOLC services. This study sought to understand experiences provided in hospitals West Scotland by exploring main themes within stories posted a nationally endorsed nonprofit platform, Care Opinion, 2-year period. We used “Appreciative Inquiry” as theoretical framework for this determine what works well care, while also identifying...
Abstract Changes in physiological measurements such as blood pressure or temperature may signal deteriorating health before it is apparent. Early warning (or track and trigger) systems provide a framework to use identify acute illness prompt timely response. They are widespread hospitals across North America Europe, but few have been validated community settings. Hospitals the UK adopted National Warning Score (NEWS) which measures temperature, respiratory rate, pulse, pressure, oxygen...