John SG Wells

John SG Wells
South East Technological University

Doctor of Philosophy

About

130
Publications
35,158
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1,138
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Publications

Publications (130)
Article
Full-text available
Background: The promotion of physical activity and the decrease of inactivity and sedentary behaviour are crucial for a healthy lifestyle and positive quality of life. People with intellectual disabilities are at increased risk of inactivity and sedentary behaviour. Therefore, it is important to increase their physical activity by implementing phy...
Article
Full-text available
Background The COVID-19 global pandemic is a harbinger of a future destabilised world driven by climate change, rapid mass migration, food insecurity, state failures and epidemics. A significant feature fuelling this destabilised world is networked misinformation and disinformation (referred to as an infodemic), particularly in the area of health....
Article
Aim: This article aims to outline the key concepts in hybrid warfare and cyber-attack to better inform nurses managers in their strategic contribution to the defence of critical digital infrastructure. Background: Hybrid warfare often targets a nation's critical digital infrastructure including health services. Hybrid warfare against national he...
Article
Background: . High-quality comprehensive data on short-/long-term physical/mental health effects of the COVID-19 pandemic are needed. Methods: . The Collaborative Outcomes study on Health and Functioning during Infection Times (COH-FIT) is an international, multi-language (n=30) project involving >230 investigators from 49 countries/territories/re...
Article
Full-text available
Background The EU promotes ‘Open Science’ as a public good. Complementary to its implementation is Citizen Science, which redefines the relationship between the scientific community, civic society and the individual. Open Science and Citizen Science poses challenges for the substance use and addictions research community but may provide positive op...
Article
Background: The COVID-19 pandemic has altered daily routines and family functioning, led to closing schools, and dramatically limited social interactions worldwide. Measuring its impact on mental health of vulnerable children and adolescents is crucial. Methods: The Collaborative Outcomes study on Health and Functioning during Infection Times (COH-...
Article
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Stress during the pandemic has had an impact on the mental health of healthcare professionals (HCPs). However, little is known about coping and “maladaptive” coping behaviours of this population. This study investigates “maladaptive” coping behaviours and their correlation with stress, anxiety and insomnia of Italian HCPs during the pandemic. It re...
Preprint
Full-text available
Background: Smoking and smoking-related disease is endemic amongst many marginalised populations such as people experiencing homelessness, people who use drugs, people living with HIV, sex workers and members of the LGBTQ+, Indigenous, Traveller and migrant communities. Alternative Nicotine Delivery Systems (ANDS)-based interventions including thos...
Article
Background: The COVID-19 pandemic has altered daily routines and family functioning, led to closing schools, and dramatically limited social interactions worldwide. Measuring its impact on mental health of vulnerable children and adolescents is crucial. Methods: The Collaborative Outcomes study on Health and Functioning during Infection Times (C...
Article
Background: . High-quality comprehensive data on short-/long-term physical/mental health effects of the COVID�19 pandemic are needed. Methods: . The Collaborative Outcomes study on Health and Functioning during Infection Times (COH-FIT) is an international, multi-language (n=30) project involving >230 investigators from 49 countries/territories/r...
Article
Background: Stakeholder’s views on the role of recovery capital, including issues and barriers, that might address service provision for individuals with alcohol- and drug-related problems are important for improving outcomes. Methods: Six focus groups (n = 35) and five networking public participation events took place across five counties in the S...
Article
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Objectives The catastrophic effects of armed conflict, particularly prolonged armed conflict, on individual and public health are well-established. The ‘right’ to healthcare during armed conflict and its lack of enforcement despite a range of United Nations mandated requirements regarding health and healthcare provisions is likely to be a significa...
Article
Aim To illustrate the value of Checkland’s ‘Soft Systems’ approach to explore and analyse the interaction of human and organisational factors that affect service delivery and patient experience in one specialist epilepsy service. Background Checkland’s approach is underutilised in relation to health service improvement. One epilepsy service in Ire...
Article
Sexualized injecting drug use ("SIDU") is a phenomenon associated with a wide array of high-risk injecting and sex-related practices. This scoping review establishes what is known about MSM and SIDU to assess implications for health care and policy. Characteristics of MSM for "SIDU" may include being on anti-retroviral treatment and urban residency...
Article
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Empowerment is integral to patient-centered practice, particularly as this relates to people with chronic conditions, though operationally it is poorly understood in this context. Empowerment, therefore, as experienced by patients with a chronic condition needs exploration. This article reports the experience of empowerment by patients in one speci...
Poster
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Poster presentation at RCSI Faculty of Nursing and Midwifery - 39th Annual International Nursing & Midwifery Research and Education Conference in Dublin, Ireland. Offers a case example of issues arising from GDPR as they relate to patient data research
Technical Report
Full-text available
Our Vision is to reduce the impact of substance misuse on individuals, their families and our communities through a range of integrated effective interventions that help people make a difference for the better in their lives. We believe that SERDATF should contribute to creating: ✔ a safe and healthy community ✔ Support services that treat people w...
Article
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Since the Brexit referendum of 23rd June, 2016,, much ink has been expended on its impact on nursing within the UK (for example, see exchange between McRae (2018) and McKee (2018) with regards to differing perspectives on justification and impact of Brexit on health care in the UK). Less is written on its impact on the nursing profession within the...
Article
Background: A growing body of literature reports on the injection of synthetic cathinones (SC) and novel synthetic opioids (NSO) in marginalized drug-using (MDU) populations. This review seeks to establish what is known about the injection of SCs and NSOs impacts on MDUs. Method: A six-stage iterative scoping literature review was conducted in rela...
Article
It is recognised that physical activity has a positive impact on quality of life, social well-being and overall health of people with severe mental illness. However, there is a lack of theory informed programmes that support people with mental illness to adopt regular physical activity behaviour. The aim of this case study was to identify determina...
Article
Full-text available
Background: Understanding the nature of work-related stress and burnout among intellectual disability care staff is important to protect the well-being of these workers and encourage their retention in the sector. Though reviews of specific aspects of this literature have been conducted no article has sought to fully chart the range and nature of t...
Article
Background The European Union’s general data protection regulation (GDPR) came into effect in May 2018. It is intended to prevent the unwanted sharing of private data and it has significant implications for healthcare research. A well-established research methodology that GDPR is likely to affect is the retrospective reviewing of patients’ data. Th...
Article
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The implementation within Europe of a credit system for vocational education and training known as ECVET is a European Commission priority. The potential for permeability between the ECVET and European Credit Transfer and accumulation System (ECTS) was foreseen in the Recommendation to establish ECVET in 2009, while the Bruges Communique of 2010 ca...
Article
Aim This paper aims to unpack the concept of “skill mix” into its constituent parts to achieve a better understanding and reduce confusion associated with the term. Background Skill mix is a topic that is widely debated and is foremost on the health policy agenda due to specific local pressures within international health services. At present, how...
Article
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Background The 2008 financial crisis exacerbated an already mounting workforce challenge faced by most health services in the western world, namely the recruitment and retention of qualified nurses. Aim This paper examines two additional challenges of relevance to workforce planning in health care, an ageing nursing workforce and reliance upon mig...
Article
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Purpose: Codeine containing medicines can carry a number of health risks associated with the increase in reported misuse and dependence, however they are still readily available over the counter (OTC) in many countries. The aim of this novel study was to report on the results of a survey of customers purchasing OTC codeine containing medicinal pro...
Poster
Full-text available
Abstract: Instances of violence and suicide/attempted suicide within inpatient mental health services are commonly seen as a simple manifestation of mental illness. Research evidence would also suggest, however, that these incidents can occur in the absence of mental health problems or are at least partly influenced by other contextual factors such...
Article
This study reports on an empirically underdocumented practice in contemporary aesthetic enhancement culture, the self-injection of unregulated DIY Botox and dermal filler kits purchased online. Data were collected from 4 online discussion forums containing disclosures in relation to use of DIY kits and analyzed using ethnographic content analysis....
Article
Full-text available
Background: The misuse of codeine is of increasing concern in a number of countries, particularly as this relates to over -the-counter pain and cough relief medication, and is also supplied as a prescription medicine. The study aimed to obtain and analyse the opinions and experience of pharmacy staff with regard to codeine misuse. Methods: A cro...
Article
Background: New evidence with regard to a previously undocumented practice - self phlebotomy, known as 'bloodletting' - incontemporary injecting performance and image enhancing drug (PIED) culture is the subject of this paper. While self phlebotomy has been evidenced in psychiatric patients previously, it was performed here in people who inject AA...
Technical Report
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Traveller Health Unit, South East Community Healthcare, Health Service Executive, Social Inclusion Department. Report prepared by: Waterford Institute of Technology
Article
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There has been significant growth recently in online learning and joint programmes of education involving collaborative partnerships between and among higher education institutions in different jurisdictions. Utilising an interdisciplinary team model (Care and Scanlan 2001), we describe in this article the process of collaboration among four Europe...
Article
Background New evidence with regard to an under documented practice – the home manufacture of anabolic androgenic steroids (AAS) for injection, known as ‘homebrewing’ – in contemporary injecting performance and image enhancing drug (PIED) culture is the subject of this paper. Methods Data was collected from five publicly accessible internet discus...
Article
Full-text available
The Irish Government has adopted “Gender Mainstreaming” as a strategy to promote equal opportunities between women and men in its National Development Plan. While current mental health policy addresses the principle of partnership and social inclusiveness as a way forward for mental health service provision, it still does not explicitly deal with t...
Article
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Background: Concerns about patient safety and reducing harm have led to a particular focus on initiatives that improve healthcare quality. However Quality Improvement (QI) initiatives have in the past typically faltered because they fail to fully engage healthcare professionals, resulting in apathy and resistance amongst this group of key stakehold...
Article
Aim: To explore the experiences of participants involved in the implementation of the Productive Ward: Releasing Time to Care™ initiative in Ireland, identifying key implementation lessons. Background: A large-scale quality improvement programme Productive Ward: Releasing Time to Care™ was introduced nationwide into Ireland in 2011. We captured...
Article
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Purpose: The purpose of this paper is to review the literature as this relates to theoretical perspectives of adherence to web-based interventions, drawing upon empirical evidence from the fields of psychology, business, information technology and health care. Methods: A scoping review of the literature utilising principles outlined by Arksey an...
Article
Objective: As the global nursing workforce ages, developing a comprehensive understanding of the experiences, needs and values specific to older nurses is increasingly significant. This paper reviews the evidence with regard to the specific challenges encountered by older nurses in the workplace. Design: A scoping review of the published literat...
Article
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Objectives This review sought to determine what is currently known about the focus, form, and efficacy of web-based interventions that aim to support the well-being of workers and enable them to manage their work-related stress.MethodA scoping review of the literature as this relates to web-based interventions for the management of work-related str...
Article
Students with mental health difficulties in higher education don’t seek help and many fail to progress. A systematic review identified 22 published studies on barriers and supports for this group in high income English speaking countries. Findings fall into two categories. 1) Factors internal to the person (symptoms of mental illness, fear of discl...
Article
Recent concerns about the poor quality of healthcare and diminishing compassion within patient care have prompted many healthcare organisations to adopt ‘compassion’ and ‘care’ into their value and mission statements. Productive Ward: Releasing Time to Care (PW) is a quality improvement (QI) programme designed to meet the value and mission intentio...
Article
Full-text available
Misuse of codeine containing preparations is a public health concern given the potential for associated harms and dependence. This study explores the perspectives of community pharmacists in three regulatory regimes on issues of customer misuse of over-the-counter (OTC) and prescribed codeine. A qualitative design comprising six focus groups (n = 4...
Article
Full-text available
Il progetto DELAROSE ha sviluppato un corso completamente online, in 3 lingue, con il quale i lavoratori del settore sanitario e sociale imparano a gestire lo stress lavorativo e acquisiscono dei crediti formativi ECTS e ECVET.
Conference Paper
Full-text available
In recent years there has been a significant growth in online learning and the delivery of joint programmes of education involving collaborative partnerships between higher education institutions in different jurisdictions. This paper details a case-study of the pilot delivery and assessment of a new online learning programme ‘Certificate in the Ma...
Article
Injecting use of image and performance-enhancing drugs (IPED) in the general population is a public health concern. A wide and varied range of IPED are now easily accessible to all through the online market. A comprehensive literature review was undertaken according to Critical Appraisal Skills Programme (CASP) guidelines for systematic review, to...
Article
Amphetamine-type stimulant (ATS);Captagon;fenethylline;Middle East;Syria;conflict
Technical Report
Full-text available
DELAROSE (Delivering E Learning Accreditation to Reduce Occupational Stress in Employment) is a pan-European Transfer of Innovation Project built upon the work carried out by ROSE (Reducing Occupational Stress in Employment) which was a Development of Innovation project. It was funded by the European Commission through Léargas. It began on November...
Article
Background: In spite of the number of studies available in the field and policy documents developed both at the national and the international levels, there is no reliable data available regarding the variation of roles occupied by clinical mentors (CMs) across countries. Objectives: To describe and compare the CM's role; responsibilities; qualific...
Poster
DELAROSE was an E.U. funded project led by the School of Health Sciences at Waterford Institute of Technology. It built upon the work carried out by ROSE, which mapped the nature of stress and burnout amongst mental health and social care workers in five countries within the European Union. Through the ROSE project an open access and user friendly...
Article
Full-text available
In spite of the number of studies available in the field and policy documents developed both at the national and the international levels, there is no reliable data available regarding the variation of roles occupied by clinical mentors (CMs) across countries. To describe and compare the CM's role; responsibilities; qualifications; employment requi...
Conference Paper
Full-text available
Work related stress is a considerable societal problem. Health and social care workers in particular suffer considerable work-related stress with associated manifestations (European Commission, 2008). An alternative approach to blaming the work-environment or the sufferers themselves is to build and support resiliency within organisations and among...
Article
tAim: Socio-cultural emphasis on having a tan has led to blackmarket diversion of synthetic-tanningproducts Melanotan I and II. This review of literature on clinical outcomes of Melanotan I and II aims topresent extant literature on synthetic-tanning and its range of effects.Methods: A review was conducted according to The Critical Appraisal Skills...
Conference Paper
Full-text available
The European Framework on Psychosocial Risk Management identifies health and social care workers as particularly vulnerable to work stress (2008). Within the context of austerity measures implemented by the Irish Government from 2009 to the present and their impact on health professionals and other care providers, these issues of work based stress...
Article
A challenge facing modern health care systems is to develop and implement new models of service that deliver increased capacity while providing a higher-quality, more cost-effective service within resource constraints. Incorporating the experience of people with epilepsy must be seen as central to the effectiveness of service design and delivery. T...
Article
Background: Shared decision making principles underpinned a co-production Quality Improvement (QI) initiative between service users, family/carers and healthcare professionals in the south sector community mental health service in the Republic of Ireland. Aim: The aim of the present study was to improve the experience for new referral service users...
Article
Background: Shared decision making principles underpinned a co-production Quality Improvement (QI) initiative between service users, family/carers and healthcare professionals in the south sector community mental health service in the Republic of Ireland. Aim: The aim of the present study was to improve the experience for new referral service users...
Article
Full-text available
healthcare professionals in the south sector community mental health service in the Republic of Ireland. Aim: The aim of the present study was to improve the experience for new referral service users and for their families/carers. Method and Material: The Model for improvement guided the sequence of work. Change packages developed collaboratively,...
Article
Taking as its starting point Carr’s view that historical narrative reflects the preoccupations of the time in which it is written and Foucault’s concept of consensual historical discourse as the outcome of a social struggle in which the victor suppresses or at least diminishes contrary versions of historical events in favour of their own, this pape...
Article
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Background In accordance with the process of nursing globalization, issues related to the increasing national and international mobility of student and qualified nurses are currently being debated. Identifying international differences and comparing similarities for mutual understanding, development and better harmonization of clinical training of...
Article
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The year 2008 marked a profound crisis for Irish public services, with the economy moving from a state of ‘boom’ to ‘bust’. This economic context has significantly impacted on Irish nursing and midwifery. This paper outlines the profound changes that have taken place in the landscape of Irish Nursing and midwifery, between 1997 and 2014 as a result...