A5077047294- Primary Care and Health Outcomes
- Global Health Workforce Issues
- Health Policy Implementation Science
- Child and Adolescent Health
- Disaster Response and Management
- Acute Kidney Injury Research
- COVID-19 and healthcare impacts
- Cardiac Arrest and Resuscitation
- Nursing Roles and Practices
- Emergency and Acute Care Studies
- Innovations in Medical Education
- Healthcare Decision-Making and Restraints
- Employment and Welfare Studies
- Health Sciences Research and Education
- Obesity, Physical Activity, Diet
- Health Promotion and Cardiovascular Prevention
- Meta-analysis and systematic reviews
- Community Health and Development
- COVID-19 and Mental Health
- Healthcare cost, quality, practices
- Gender, Feminism, and Media
- Body Image and Dysmorphia Studies
- Workplace Health and Well-being
- Obesity and Health Practices
- Clinical practice guidelines implementation
University of Liverpool
2009-2022
Primary Health Care
2006-2020
Health Innovation Manchester
2020
Manchester Academic Health Science Centre
2019-2020
University of Manchester
2018-2020
NIHR Applied Research Collaboration Greater Manchester
2018-2020
Salford Royal NHS Foundation Trust
2017-2020
NIHR Manchester Biomedical Research Centre
2018
National Institute for Health Research
2017
The Template for Intervention Description and Replication (TIDieR) checklist guide was developed by an international team of experts to promote full accurate description trial interventions. It is now widely used in health research. aim this paper describe the experience using TIDieR outside trials, a range applied research contexts, make recommendations on its usefulness such settings. We template intervention six projects. cases comprise diverse sample terms clinical problems, population,...
Background General practice is currently facing a significant workforce challenge. Changing the general skill mix by introducing new non-medical roles recommended as one solution; literature highlights that organisational and/or operational difficulties are associated with skill-mix changes. Aim To compare how three were being established in practice, understand common implementation barriers, and identify measurable impacts or unintended consequences. Design setting In-depth qualitative...
Objective To identify the experiences and concerns of health workers (HWs), how they changed, throughout first year COVID-19 pandemic in UK. Methods Longitudinal, qualitative study with HWs involved patient management or delivery care related to general practice, emergency departments hospitals. Participants were identified through snowballing. Semi-structured telephone video interviews conducted between February 2020 2021, audio-recorded, summarised, transcribed. Data analysed...
The study sought to examine the implementation of sick day guidance cards designed prevent acute kidney injury (AKI), in primary care settings.Qualitative semistructured interviews were conducted and comparative analysis informed by normalisation process theory was undertaken understand sense-making, appraisal associated guidance.A single health setting North England.29 participants took part qualitative evaluation: seven general practitioners, five practice nurses, community pharmacists,...
We describe how COVID-19-related policy decisions and guidelines impacted healthcare workers (HCWs) during the UK’s first COVID-19 pandemic phase. Guidelines in aim to streamline processes, improve quality manage risk. However, we argue that this time studied often fell short of these goals practice. analysed 74 remote interviews with 14 UK HCWs over 6 months (February–August 2020). Reframing through Mol’s lens ‘enactment’, reveal embodied, relational material impacts some had for HCWs....
Abstract Background As COVID-19 death rates have risen and health-care systems experienced increased demand, national testing strategies come under scrutiny. Utilising qualitative interview data from a larger study, this paper provides insights into influences on the enactment of for health care workers (HCWs) in English NHS settings during wave one pandemic (March–August 2020). Through findings we aim to inform learning about policies practices; future diagnostic preparedness. Methods A...
Objectives We sought to understand the factors influencing implementation of a primary care intervention improve post-discharge following acute kidney injury (AKI). Design Qualitative study using semi-structured interviews and thematic analysis. Setting General practices in one Clinical Commissioning Group area England. Participants A total 18 healthcare staff took part interviews. were practice pharmacists, general practitioners, managers administrators involved implementing intervention....
Questions about the relationship between faces, 'disfigurement' and identity intensified following first facial transplant (2005). Over a decade later, empirical research exploring influence of acquired on embodied disruption re-formation remains limited. A common strand thinking assumes identities are contained within faces. Commentators have suggested that can be diminished through restored or replaced reconstruction transplantation. The authors question this claim provide conceptually...
Background Over the past decade, targeting acute kidney injury (AKI) has become a priority to improve patient safety and health outcomes. Illness complicated by AKI is common associated with adverse outcomes including high rates of unplanned hospital readmission. Through national directives, NHS England mandated implementation an clinical decision support system in hospitals. In order care following AKI, hospitals have also been incentivised discharge summaries general practices are...
Cardiovascular disease (CVD) accounts for 30% of UK deaths. It is associated with modifiable lifestyle factors, including insufficient consumption fruit and vegetables (F&V). Lay health trainers (LHTs) offer practical support to help people develop healthier behaviour lifestyles. Our two-group pilot randomized controlled trial (RCT) investigated the effectiveness LHTs at promoting a heart-healthy among adults least one risk factor CVD inform full-scale RCT.Eligible (aged 21-78 years),...
Background: Responses to COVID-19 have invested heavily in science. How this science was used is therefore important. Our work extends existing knowledge on the use of pandemic by capturing scientific advisers’ experiences real time. Aims and objectives: aim present generalisable messages key qualifications or difficulties involved speaking ‘following science’. Methods: Ninety-three interviews with UK advisors government officials captured their activities perceptions during We also examined...
This article examines the mainstreaming potential of learning, which has arisen from The Children's Fund initiative in Knowsley, Merseyside, order to support development its Trust. Desk‐based analysis and a series in‐depth interviews were conducted with services funded by Knowsley Fund. Interviews took place Managers Local Authority Departmental Managers. research demonstrated that: (1) there is no single definition ‘mainstreaming’ (though it been defined as take‐up learning into mainstream...
Background ‘Skill-mix’ change (changing mix of staff roles or introducing new ways working) is increasingly promoted to relieve pressure in general practice teams. As part a primary care workforce strategy, one locality Greater Manchester seeking integrate three ‘non-medical’ – Advanced Practitioners (APs), Physician Associates (PAs) and Clinical Pharmacists (CPs) work alongside staff. Aim A qualitative process evaluation studied the integration these to: establish aims priorities services;...