to understand the purpose, impact and experience of nurse handover from patient staff perspectives.poor communication is increasingly recognised as a major factor in healthcare errors. Handover key risk point. Little consensus exists regarding practice nursing but trend towards bedside handover. Research on experiences limited.a qualitative observational study two acute wards large urban hospital UK.interviews conducted with patients observation handovers, ward rounds patient-staff...

Abstract Introduction People with Long Covid report a wide range of symptoms and inconsistent responses when seeking clinical diagnosis support. Much the qualitative research on has been based people attending specialist services or who have accessed support groups. We describe varied ways in which diverse group community sample experience, recognise manage persistent following COVID-19. Methods Qualitative interview study nested within large, community-based REal-time Assessment Community...

Abstract Background Successes in biomedicine have transformed HIV from a debilitating and frequently fatal infection to chronic, manageable condition. Objective To explore how the contemporary metanarrative of as chronic condition is understood by patients it varies depending on when they were diagnosed. Design Qualitative interviews with 52 people living who diagnosed during different phases history epidemic. Setting participants Participants recruited two clinics London include four “...

Objectives To describe the experiences of HIV treatment cascade diagnosis, engagement with care and initiation from perspective patients; we explored whether this differed according to year their for example, they had experienced in pretreatment era. Design Qualitative interview study framework analysis. Setting Two large adult outpatient clinics central London. Participants 52 HIV-positive individuals, 41 men, 11 women, purposively sampled include people who been diagnosed at different...

Globally, clinical guidelines for HIV treatment are being altered to reflect new research showing that successful with antiretroviral therapies (ART) can prevent the onward transmission of HIV. As a result, health care services challenged find ways roll out “treatment as prevention” (TasP) public measure. In theory, TasP requires individuals start ART soon they diagnosed – reasons which may be some time before individual is required reasons. There currently little on acceptability from...

Background Advances in treatment have transformed HIV into a long-term condition (LTC), presenting fresh challenges for health services, specialists, and GPs. Aim To explore the experience of people living with (PLHIV) regarding consulting their Design & setting A mixed-method analysis using data from two sources: nationally-representative survey PLHIV qualitative study London-based PLHIV. Method Univariate logistic regression was used quantitative framework data. Results The had 4422...

Using interview and observational data from a busy research-intensive breast cancer service in the United Kingdom, we discuss recent developments personalised medicine. Specifically, show how clinical research practices meet pathways that are reconfigured response to changing approaches of diagnosing, monitoring, treating understanding cancers. Clinical increasingly sensitive changes evidence deduced through new technologies therapies as well decisions based on intensive, iterative analysis...

It is crucial to include a wide range of the population in clinical trials for outcome be applicable real-world settings. Existing literature indicates that under-served groups, including disabled people, have been excluded from participating without justification. Exclusion exacerbates disparities healthcare and diminishes benefits populations. Therefore, this study was conducted investigate potential obstacles prevent people United Kingdom (UK).

Cambrosio et al. (2018. "Extending Experimentation: Oncology's Fading Boundary Between Research and Care." New Genetics Society 37 (3): 207–226) argue that "experimental care" in contemporary oncology involves the rapid merging of patient research care, invite further study into developments across other health conditions. We present a 2018–2019 experimental breast cancer care an urban clinical setting light two studies same hospital group: service (2013–14) and, prompted by these earlier...

Our inquiry investigated the barriers to, and facilitators for, involvement of Black Minority Ethnic (BME) ‘seldom-heard’ communities, in a study researching impact mobile phone wireless device usage on adolescents’ cognition, behaviour mental health. The aim was to co-produce solutions increase participation, we used focus groups, telephone interviews, community event public patient (PPI) café conduct inquiry. Five themes emerged from data: two enablers – value benefits research; three...

People living with frailty risk adverse outcomes following even minor illnesses. Admission to hospital or the intensive care unit is associated potentially burdensome interventions and poor outcomes. Decision-making during an emergency fraught complexity potential for conflict between patients, carers clinicians. Advance planning a process of shared decision-making which aims ensure patients are treated in line their wishes. However, future challenging those rarely given opportunity discuss...

Abstract Aims We explored the experiences and motivations of participants staff who took part in TRED‐HF trial (Therapy withdrawal REcovered Dilated cardiomyopathy). Methods results conducted a qualitative study, using semi‐structured interviews, with ( n = 12) research team 4) from trial. Interviews were carried out 2019 audio‐recorded transcribed. Data managed NVivo analysed framework analysis. A patient representative provided guidance on interpretation findings presentation themes to...

<h3>Introduction</h3> Figures for the UK’s HIV treatment cascade are among best worldwide with over 95% retention once in care, however guidelines and service models changing. We examine perspectives on each stage of four generations patients. <h3>Methods</h3> In-depth interviews 48 HIV-positive adults from two clinics. Participants were purposively selected ‘HIV generations’, based ART development – those diagnosed pre-1996, 1997–2005, 2006–2012, since 2013. Framework was used to analyse...

Patterns of healthcare demand are changing, so services increasingly being located in communities. Nurses and nurse managers must. therefore, prepare themselves for mid-career transitions into new roles or working environments. This article explains how these can best be made offers some tips nurses who about to make them, want help colleagues successfully.

<title>Abstract</title> <bold>Background: </bold>It is crucial to include a wide range of the population in clinical trials for outcome be applicable real-world settings. Existing literature indicates that under-served groups, including disabled people, have been excluded from participating without justification. Exclusion exacerbates disparities healthcare and diminishes benefits populations. Therefore, this study was conducted investigate potential obstacles prevent people United Kingdom...

Introduction The widespread use of modern ARVs has increased self-management in HIV patients and reduced their contact with services. We explored how adjusted to the changing model care. Methods conducted in-depth interviews 52 adults from two clinics. Participants were purposively sampled achieve variation in: time since diagnosis demographic characteristics. Data examined using thematic analysis. Results Three-quarters sample virally undetectable, financially stable generally healthy,...

We follow up our recent feature on effective handovers with tips what to consider, who engage, how long take and enhance communication