A5076442554- Health Policy Implementation Science
- Geriatric Care and Nursing Homes
- Primary Care and Health Outcomes
- Retirement, Disability, and Employment
- Mental Health and Patient Involvement
- Chronic Disease Management Strategies
- Interprofessional Education and Collaboration
- Healthcare cost, quality, practices
- Nursing Roles and Practices
- Health Sciences Research and Education
- Dental Health and Care Utilization
- Emergency and Acute Care Studies
- Empathy and Medical Education
- Evaluation and Performance Assessment
- Employment and Welfare Studies
- Healthcare Policy and Management
- Interpreting and Communication in Healthcare
- Complex Systems and Decision Making
- Health Systems, Economic Evaluations, Quality of Life
- Critical Realism in Sociology
- Physical Activity and Health
- Urinary Tract Infections Management
- Biotechnology and Related Fields
- Counseling Practices and Supervision
- Research in Social Sciences
Bangor University
2015-2024
Griffith University
2020
Reid Health
2013
United States Department of Labor
2013
Merseytravel
2006
Association of Surgeons of Great Britain and Ireland
2006
Increasingly, it is being suggested that translational gaps might be eradicated or narrowed by bringing research users and producers closer together, a theory largely untested. This paper reports national study to fill gap in the evidence about conditions, processes outcomes related collaboration implementation.A longitudinal realist evaluation using multiple qualitative methods case studies was conducted with three Collaborations for Leadership Applied Health Research Care (England). Data...
Background The establishment of the Collaborations for Leadership in Applied Health Research and Care (CLAHRCs) was culmination a number policy initiatives to bridge gap between evidence practice. CLAHRCs were created funded facilitate development partnerships connect worlds academia practice an effort improve patient outcomes through conduct application applied health research. Objectives Our starting point test theory that bringing higher education institutions health-care organisations...
Abstract In the context of modern nursing practice that is embedded within complex social situations, critical discussions about contribution major philosophers are relevant and important. Whilst nurse theorists have advanced shaped as a discipline, other can offer much to advance enquiry. this paper, we focus on philosopher Roy Bhaskar who, amongst others, developed realism, philosophy for science which connects with how many us think world. Bhaskar's work focuses our attention interplay...
Objectives This evidence review was conducted to understand how and why workforce development interventions can improve the skills care standards of support workers in older people's services. Design Following recognised realist synthesis principles, completed by (1) an initial programme theory; (2) retrieval, relating designed develop workforce; (3) ‘testing out’ findings refine theories, establish their practical relevance/potential for implementation through stakeholder interviews; (4)...
As the use of realist approaches gains momentum, there is a growing interest in how systems can complement thinking. In this article, we discuss epistemology Soft Systems Methodology compatible with approaches. Both and emphasize necessity to engage stakeholders; through models, description contingencies exploring intricacies complex programmes really work. We outline key elements Methodology, report on two novel case studies. Drawing our own experiences, make that, used conjunction...
Youth-onset type 2 diabetes (T2D) is increasingly common and projected to impact over 200,000 adolescents young adults by 2060. Youth with T2D frequently experience health-related social needs (HRSN) that increase their risk for poor outcomes. Using human-centered design methodology, we explored how best address HRSN in pediatric endocrinology clinics. We conducted two parallel, six-session group meetings youth ( n = 4) caregivers of 6), as well individual interviews 12 clinicians. An...
Abstract Aim To report a study of an intermediary programme in infection control practice one hospital the UK . Background Promoting best evidence everyday is constant problem control. Intermediaries can influence transfer and use health care, but there remains lack theory about specific actions change processes, which be successful improving practices. Design An in‐depth mixed methods case study. Methods The was undertaken 2011. Participants were recruited through purposive sampling...
Background Support workers make up the majority of workforce in health and social care services for older people. There is evidence to suggest that support are not deployed as effectively possible, often undervalued, there gaps understanding worker roles across different settings. In context a population growing older, having skilled knowledgeable an imperative. Workforce development includes required equip those providing people with right skills, knowledge behaviours deliver safe...
Strategies to improve the effectiveness and quality of health care have predominantly emphasised implementation new research evidence into service organisation delivery. A parallel, but less understood issue is how clinicians leaders stop existing practices interventions that are no longer based, where supersedes old evidence, or replaced with those more cost effective. The aim this synthesis produce meaningful programme theory practical guidance for policy makers, managers understand why...
Dialectical behaviour therapy (DBT) is a third wave combining based components with elements of mindfulness. Although DBT effectiveness has been explored, relatively little attention given to its implementation. Frameworks are often the basis for gathering information about implementation and can also direct how an intervention conducted. Using existing frameworks, this critical literature review scoped develop refine bespoke framework. The initial framework was developed by consolidating...
Background Health-care systems across the globe are facing increased pressures to balance efficient use of resources and at same time provide high-quality care. There is greater requirement for services be evidence based, but practices that limited clinical effectiveness or cost-effectiveness still occur. Objectives Our objectives included completing a concept analysis de-implementation, surfacing decision-making processes associated with de-implementing through stakeholder engagement,...
To explore the nature of nurse clinical supervisor role.Although supervision in nursing has been widely explored, few studies have considered specific role supervisors.A phenomenological approach was used to what it means be a supervisor. Focus groups interviews were conducted with 12 supervisors within one National Health Service (NHS) Trust.Three main categories themes that represented essence supervisors' uncovered.The research demonstrated nurses who undertake are rarely offered...
Introduction An In-Practice Prevention (IPP) programme was developed by the Local Dental Network in North Yorkshire and Humber area England response to an oral health needs assessment. The underpinning logic model drew on a flexible commissioning approach aimed incentivise dental teams with NHS contracts promote delivery of prevention. This used care pathways that involved whole team cost-neutral.Aim evaluated using realist methodology identify 'what works, which circumstances, how for...
Little evidence exists to show the exact impact of link nurse role in promoting best practice infection prevention. This paper is a report implementation and evaluation programme for community hospitals across one NHS organisation.The main aim study was implement evaluate an prevention programme. The objectives were: 1) develop materials bespoke which incorporated education, behaviour change, reward recognition 2) programme, learn about barriers enablers implementation.Data were collected...
To develop a taxonomy of interventions and programme theory explaining how improve physical activity function in people with long-term conditions managed primary care. co-design prototype intervention informed by the theory.
From a formal evaluation of capitation-based NHS dental contract, as part National Institute Health Research funded project (HS&DR 14/19/12), data collected from series qualitative interviews suggest that general practitioners may behave differently in ways vary the results previous studies. Drawing on realist methodology, rapid review was conducted, enabling programme to be developed explain effect capitation pilot dentists working primary care. In essence, theory postulates are...