A5043840094- Infant Development and Preterm Care
- Antiplatelet Therapy and Cardiovascular Diseases
- Health Policy Implementation Science
- Sexual Assault and Victimization Studies
- Neonatal Respiratory Health Research
- Interprofessional Education and Collaboration
- Sex work and related issues
- Child and Adolescent Health
- Health Systems, Economic Evaluations, Quality of Life
- Evaluation and Performance Assessment
- Maternal and Perinatal Health Interventions
- Gender, Security, and Conflict
- Migration and Labor Dynamics
- Mental Health and Patient Involvement
- Grief, Bereavement, and Mental Health
- Migration, Health and Trauma
- Atrial Fibrillation Management and Outcomes
- Medication Adherence and Compliance
- Patient Dignity and Privacy
- Venous Thromboembolism Diagnosis and Management
- Telemedicine and Telehealth Implementation
- Cerebral Palsy and Movement Disorders
- Nursing Roles and Practices
- Qualitative Research Methods and Ethics
- Ethics in Clinical Research
University of Bristol
2019-2024
University Hospitals Bristol NHS Foundation Trust
2019-2024
University Hospitals Bristol and Weston NHS Foundation Trust
2020-2024
National Institute for Health Research
2019-2023
NIHR Applied Research Collaboration West
2019-2022
Cyprus University of Technology
2015
University of Cyprus
2012-2015
European University Cyprus
2012-2015
Open University of Cyprus
2013
Background Bleeding among populations undergoing percutaneous coronary intervention or artery bypass grafting and conservatively managed patients with acute syndrome exposed to different dual antiplatelet therapy triple (i.e. plus an anticoagulant) has not been previously quantified. Objectives The objectives were estimate hazard ratios for bleeding regimens, resources the associated costs of treating events, extend existing economic models cost-effectiveness therapy. Design study was...
A quality improvement strategy (PReCePT) was used in a standard and enhanced format to scale up clinical intervention (administering magnesium sulphate women preterm labour) across all maternity units England protect prematurely born infants from neurodevelopmental disabilities. Formal evaluations reported the effectiveness of package alone increasing administration sulphate. In this paper, we focus on findings process evaluations, using normalisation theory explain how different...
Background Mental health services aim to provide recovery-focused care and facilitate coproduced planning. In practice, mental providers can find supporting individualized with service users difficult while balancing administrative performance demands. To help meet this using principles of coproduction, an innovative mobile digital pathway tool (CPT) was developed be used on a tablet computer piloted in the West England. Objective The study examine providers’ views experiences CPT during...
Purpose This paper aims to discuss factors affecting temporary migrants' ability access and make effective use of public private healthcare services in the Republic Cyprus (hereafter referred as Cyprus). These are raised context a larger study focusing on needs migrants from non‐EU countries living working Cyprus. Design/methodology/approach Semi‐structured interviews with 13 domestic workers 17 students Sri Lanka, Pakistan, Bangladesh, India Philippines explored experiences accessing...
Background: Mental health policies advocate service user participation in care planning. However, users often feel they're not fully involved and direct access to users' own electronic plans the community can be an obstacle. To address this, pathway tool (CPT) was co-designed by users, staff software developers, facilitate co-production of crisis plans. Aims: investigate feasibility acceptability pilot implementation CPT professionals' practice co-produce enable efficient working. Method:...
Health literacy has gained popularity as a useful concept to promote and protect health. Even though health research been prolific it also fragmented, facing challenges in achieving its empowerment social justice-related aims. Crucial limitations make the application of principles vulnerable underrepresented groups problematic, even these are disproportionately affected by ill Efforts refine more relevant have tended expand models situate ‘in context’ reflect environmental factors shaping...
Abstract Objective To compare two quality improvement (QI) interventions to improve antenatal magnesium sulphate (MgSO 4 ) uptake in preterm births for the prevention of cerebral palsy. Design Unblinded cluster randomised controlled trial. Setting Academic Health Sciences Network, England, 2018. Sample Maternity units with ≥10 deliveries annually and MgSO ≤70%; 40 (27 NPP, 13 enhanced support) were included (randomisation stratified by uptake). Methods The National PReCePT Programme (NPP)...
Executive Summary This study set out to evaluate the longer-term sustainability, effectiveness, and cost-effectiveness of National PReCePT Programme (NPP) in England, explore trends MgSO4 guidance implementation practices devolved nations, Scotland Wales. We found that majority improvement use seemed take place first year or two following NPP. Benefits were largely sustained over 4 years follow-up, with an overall appearance plateau recent years. There was some indication a slight declining...
<title>Abstract</title> <bold>Background</bold> The administration of magnesium sulphate (MgSO4) in preterm labour is an evidence-based intervention recommended by the United Kingdom’s National Institute for Health and Care Excellence (NICE) to prevent neurological damage infant. However, uptake varies across UK maternity units. We used findings from implementation research England, Scotland Wales explore knowledge mobilisation as a mechanism improving adherence clinical guidance....
A key challenge for qualitative methods in applied health research is the fast pace that can characterize public and care service landscape, where there a need informed by immediate pragmatic questions relevant findings are required quickly to inform decision-making. The COVID-19 pandemic accelerated at which evidence was needed urgent healthcare This researchers step up of conducting speed whilst maintaining rigor ensuring credible. article illustrates how working with multidisciplinary,...
Purpose – Drawing findings from a large mixed-method study on perceptions of dignity, care expectations, and support in relation to older women Black minority-ethnic backgrounds, the purpose this paper is explore interrelationships between life course events multiple roles adopted by at different points time that have shaped their expectations old age. Design/methodology/approach In total, 32 semi-structured interviews were undertaken, allowing for collection data participants’ understanding...
Sexual harassment against female migrant domestic workers is a public health problem, which remains hidden and largely underreported. The current paper presents the results of qualitative research study on sexually victimized in four European countries (Austria, Cyprus, Greece, Sweden). aimed at exploring profile experiences victimised individuals. Data were gathered via 66 semi-structured interviews with workers. Key findings indicate that victims: (a) usually undocumented had low local...
Purpose – Research evidence indicates the need for studies that explore salience of dignity from perspective older people a range ethno-linguistic and cultural backgrounds. Drawing findings mixed-methods study on social-care expectations community-dwelling women black minority-ethnic backgrounds, purpose this paper is to interrelationships between life-course events (such as migration) roles adopted by throughout their lives, which shaped understanding dignity. Design/methodology/approach...
'Real world' bleeding in patients exposed to different regimens of dual antiplatelet therapy (DAPT) and triple (TT, DAPT plus an anticoagulant) have a clinical economic impact but not been previously quantified. We will use linked Clinical Practice Research Datalink (CPRD) Hospital Episode Statistics (HES) data assemble populations eligible for three 'target trials' patient groups: percutaneous coronary intervention (PCI); artery bypass grafting (CABG); conservatively managed (medication...
Objective To understand the experiences of patients with dual antiplatelet therapy (DAPT) and nuisance bleeding, their perspectives impact bleeding on medication adherence information seeking. Methods We conducted focus groups who had undergone percutaneous coronary intervention, artery bypass graft conservatively managed acute syndrome patients. Two were at early stages treatment (0–3 months), two coming to end (9–12 months). Group discussions audio recorded, recordings transcribed...
Domestic workers face increased risk for sexual harassment and assault in the workplace but are often reluctant to disclose abuse or seek retribution. We report on a study looking at migrant domestic workers’ responses violence, reasons behind their responses, factors enhancing diminishing vulnerability abuse. carried out qualitative, in-depth, individual group interviews with 15 female from Philippines Sri Lanka working Republic of Cyprus. Descriptive thematic analysis was used analyse data...
Extensive research into the tangible and intangible implications of Clinical Genetic Services (CGSs) has confirmed relevance a multidimensional outcome benefit conceptually linked to perceived control. This paper aims report qualitative findings from one small study aiming add evidence pool confirming such an participants UK clinical genetics center. Data were collected using focus groups individual interviews with 22 service users following conditions: Hereditary Breast Ovarian Cancer...
Background: In preterm labour, magnesium sulphate (MgSO4) reduces the risk of cerebral palsy by 30%. NHS England commissioned AHSN network in 2018 to deliver National PReCePT Programme (NPP) increase MgSO4 uptake all maternity units England. We investigated impact an enhanced QI support programme (ESP) further improving compared NPP model.Methods: An unblinded cluster randomised controlled trial with ≥10 pre-term deliveries annually and ≤70%. received materials, regional support, midwife...
ABSTRACT Objective To compare the impact of National PReCePT Programme (NPP) versus an enhanced Quality Improvement (QI) support programme in improving magnesium sulfate (MgSO 4 ) uptake English maternity units. Design Unblinded cluster randomised controlled trial. Setting England, Academic Health Sciences Network (AHSN), 2018. Participants Maternity units with ≥10 preterm deliveries annually and MgSO ≤70%. 40 (27 NPP, 13 support) were included (randomisation stratified by uptake)....
<title>Abstract</title> <bold>Background</bold> The administration of magnesium sulphate (MgSO4) in preterm labour is an evidence-based intervention recommended by the United Kingdom’s National Institute for Health and Care Excellence (NICE) to prevent neurological damage infant. However, uptake varies across UK maternity units. We used findings from implementation research England, Scotland Wales explore knowledge mobilisation as a mechanism improving adherence clinical guidance....
<title>Abstract</title> <bold>Background</bold> The administration of magnesium sulphate (MgSO4) in preterm labour is an evidence-based intervention recommended by the United Kingdom’s National Institute for Health and Care Excellence (NICE) to prevent neurological damage infant. However, uptake varies across UK maternity units. We used findings from implementation research England, Scotland Wales explore knowledge mobilisation as a mechanism improving adherence clinical guidance....
<title>Abstract</title> Background: Effective and cost-effective treatments are not always optimally implemented. The benefit forgone due to sub-optimal implementation is often considered or estimated. We use the economic concept of ‘incremental net monetary benefit’ (INMB) demonstrate how this can be valued. This approach inform decision-making when used estimate value for money potential future quality improvement (QI) programmes. illustrate these analyses using case antenatal magnesium...