A5039967320- Stroke Rehabilitation and Recovery
- Health Policy Implementation Science
- Geriatric Care and Nursing Homes
- Health Systems, Economic Evaluations, Quality of Life
- Mental Health and Patient Involvement
- Palliative Care and End-of-Life Issues
- Primary Care and Health Outcomes
- Health Sciences Research and Education
- Clinical practice guidelines implementation
- Acute Ischemic Stroke Management
- Pelvic floor disorders treatments
- Chronic Disease Management Strategies
- Dementia and Cognitive Impairment Research
- Interprofessional Education and Collaboration
- Evaluation and Performance Assessment
- Healthcare cost, quality, practices
- Nursing Roles and Practices
- Delphi Technique in Research
- Healthcare Quality and Management
- Complex Systems and Decision Making
- Nursing Diagnosis and Documentation
- Healthcare Policy and Management
- Retirement, Disability, and Employment
- Global Health Workforce Issues
- Radiology practices and education
Canterbury Christ Church University
2019-2025
University of Sheffield
2025
University of East Anglia
2025
Norwich Research Park
2025
Bangor University
2010-2019
University of Bristol
2019
University of Hertfordshire
2017
Edwards (United Kingdom)
2016
University of Illinois Urbana-Champaign
2014
Eastern Kentucky University
2012
Understanding how stroke sufferers experience their and recovery is essential if the development of rehabilitation services to be effective appropriate. Previous research in this area has tended either cross-sectional or with a limited amount informant follow-up, consequently utility. This paper describes study underpinned by phenomenological approach, which tracked experiences six patients admitted unit north-west England. Informants were followed for at least 12 months after stroke, total...
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...
The English National Health Service has made a major investment in nine partnerships between higher education institutions and local health services called Collaborations for Leadership Applied Research Care (CLAHRC). They have been funded to increase capacity capability produce implement research through sustained interactions academics services. CLAHRCs provide natural 'test bed' exploring questions about implementation within partnership model of delivery. This protocol describes an...
BackgroundStress and back pain are two key factors leading to sickness absence at work. Recent research indicates that yoga can be effective for reducing perceived stress, alleviating pain, improving psychological well-being.
The aims of this qualitative study were to identify patients’ and family members’ experiences acute stroke their preferences for end-of-life care. Twenty-eight purposely sampled patients with an who had high (n = 13) low 15) disability selected from 191 sequential cases admitted two general hospitals in north-east England. In addition, 25 members other recruited. Views about current services care elicited semi-structured interviews. Communication between healthcare professionals was...
In theory, greater interaction between researchers and practitioners should result in increased potential for implementation. However, we know little about whether this is the case, or what mechanisms might operate to make it happen. This paper reports findings from a study that identifying tracking implementation mechanisms, processes, influences impacts real time, over time Collaborations Leadership Applied Health Research Care (CLAHRCs).This longitudinal, realist evaluation case study....
There is little evidence of service user preferences to guide the commissioning and improvement services that support life after stroke. We report first investigation patients’ family carers’ for community stroke using a discrete choice experiment (DCE). Two workshops with patients carers (n = 8) explored experiences, identifying attributes important in shaping views about design, piloted data collection strategies. Attributes were group versus individual support; provider; additional social...
There is growing evidence that context mediates the effects of implementation interventions intended to increase healthcare professionals' use research in clinical practice. However, conceptual clarity about what comprises elusive. The purpose this study was advance on by developing Implementation Context Framework, a meta-framework domains, attributes and features can facilitate or hinder effectiveness practice.We conducted meta-synthesis data from three interrelated studies: (1) concept...
A theoretical description of the nursing role in stroke rehabilitation remains elusive literature. The United Kingdom strategy for health service development will increasingly require nurses from all clinical specialities to collaborate with other care professionals and stakeholders evaluate services they provide. In rehabilitation, an understanding contribution that makes is essential, if collaboration be effective. This paper details a study undertaken describe nature factors shape this...
Aims. This paper reports a study evaluating whether expanding specialist nursing role to provide outreach education and support stroke patients carers after discharge from hospital is effective in promoting recovery. Background. Building therapeutic relationships with key component of the rehabilitation, although this limited by constraints service organization. Methods. A pragmatic randomized controlled trial was undertaken. Patients diagnosis were receive continued nurse ( n = 87) or usual...
Given the current emphasis on networks as vehicles for innovation and change in health service delivery, ability to conceptualise measure organisational enablers social construction of knowledge merits attention. This study aimed develop a composite tool context evidence-based practice (EBP) healthcare. A structured search major healthcare management databases measurement tools from four domains: research utilisation (RU), activity (RA), (KM), learning (OL). Included studies were reports...
Background: despite a mortality rate of approximately 30% in acute stroke, little is known about the palliative care needs this group patients. Design: prospective study 191 stroke patients admitted to hospital England. Biographical, medical and stroke-related data were collected. Participants completed Sheffield Profile for Assessment Referral Care (SPARC), screening tool referral specialist care. Findings: over 50% reported moderate significant fatigue-related problems. Approximately...
<b>Objective</b> To evaluate the clinical efficacy of an established programme occupational therapy in maintaining functional activity and reducing further health risks from inactivity care home residents living with stroke sequelae. <b>Design</b> Pragmatic, parallel group, cluster randomised controlled trial. <b>Setting</b> 228 homes (>10 beds each), both without provision nursing care, local to 11 trial administrative centres across United Kingdom. <b>Participants</b> 1042 a history or...
This paper addresses the challenge of investigating fidelity in implementation a complex rehabilitation intervention designed to increase level independence personal activities daily living stroke patients UK care homes. A programme theory was constructed underpin process evaluation running alongside cluster randomized trial intervention.The has been drawing on principles realist evaluation. Using data from in-depth semi-structured interviews (n = 17) with all occupational therapists (OTs)...
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...
Re‐thinking stroke rehabilitation: the Corbin and Strauss chronic illness trajectory framework The dramatic effects of a can have far‐reaching implications for patients carers. Effective recovery involves considerable array coping strategies that facilitate promote engagement in social world. Their development is long‐term process requires effort, motivation enterprise on part their families. Traditional approaches to provision rehabilitation services, however, appear be underpinned by...
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...
To assess the clinical effectiveness of two speech and language therapy approaches versus no for dysarthria in people with Parkinson's disease.
There is emerging evidence that crisis resolution services can provide alternatives to hospital admission, reducing demand on inpatient beds. Following a public consultation exercise in Lancashire (England), team of nurses undertook study, using interactive research methodology, gain an understanding how users and carers define what range services, resources interventions service thought would help avoid unnecessary admission. Data collection comprised postal questionnaires 24 group meetings...
Palliative care should be integrated early into the trajectories of people with life threatening illness such as stroke. However published guidance focuses primarily on end life, and there is a gap in evidence about how palliative needs acute stroke patients families addressed. Synthesising data across programme related studies, this paper presents an explanatory framework for integration care.Data from survey (n=191) patient-reported interviews (n=53) exploring experiences family members...