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- Research Officer
Publications
Publications (63)
Background
Codes of ethics are, for many, important documents that define the key values and behaviours expected of healthcare professionals. They are also documents that have been widely criticised. These criticisms range from being vague to failing to provide guidance on many important issues. Codes, however, vary substantially in their scope, co...
Background
Healthcare disparities within developed nations remain a critical concern, with ethnic minorities and marginalized groups experiencing pronounced inequalities. Cultural humility has emerged as a means to mitigate these disparities and enhance healthcare delivery. Simulation-based education is one of the most widely utilized pedagogical a...
Simulation for non-pedagogical purposes has begun to emerge. Examples include quality improvement initiatives, testing and evaluating of new interventions, the co-designing of new models of care, the exploration of human and organizational behaviour, comparing of different sectors and the identification of latent safety threats. However, the litera...
Introduction
Debriefings give healthcare workers voice through the opportunity to discuss unanticipated or difficult events and recommend changes. The typical goal of routine debriefings has been to improve clinical outcomes by learning through discussion and reflection of events and then transferring that learning into clinical practice. However,...
Background
While nursing education has been forecast to continue to grow, placement capacity is now the key factor precluding growth in supply.
Aims
To provide a comprehensive understanding of hub-and-spoke placements and their ability to increase placement capacity.
Method
A systematic scoping review and narrative synthesis were used (Arksey and...
Introduction: Non-violent resistance, carried out by healthcare workers, has been a common phenomenon. Despite this and despite the issues this type of action raises, we know little about the healthcare workers who engage in this action and their perspectives about its justification. This exploratory study sought to address this gap, examining thes...
Background
Non-violent resistance which has involved healthcare workers has been instrumental in securing a number of health-related gains and a force in opposing threats to health. Despite this, we know little about healthcare workers who have engaged in acts of non-violent resistance.
Research aim
Amongst a sample of healthcare workers who had e...
Background:
Strike action carried out by healthcare workers raises a range of ethical issues. Most fundamentally, as a strike is designed to disrupt, it has the potential to impact patient outcomes and healthcare delivery. This paper synthesises and analyses the empirical literature that details the impact of strike action on healthcare delivery....
While strike action has been common since the industrial revolution, it often invokes a passionate and polarising response, from the strikers themselves, from employers, governments and the general public. Support or lack thereof from health workers and the general public is an important consideration in the justification of strike action. This sys...
While strike action has been common since the industrial revolution, it often invokes a passionate and polarising response, from the strikers themselves, from employers, governments and the general public. Support or lack thereof from health workers and the general public is an important consideration in the justification of strike action. This sys...
Simulated practice is an opportunity to transition nursing students from on-campus learning to clinical practice. There is limited evidence on simulated practice’s role in assisting this transition at the beginning of a nursing student’s education in terms of benefits, challenges, differences and affordances. This study aimed to research the impact...
Strike action in healthcare has been a common global phenomenon. As such action is designed to be disruptive, it creates substantial ethical tension, the most cited of which relates to patient harm, that is, a strike may not only disrupt an employer, but it could also have serious implications for the delivery of care. This article systematically r...
Both the ethics of simulation and how it may be used to explore, train and assess ethical issues in a clinical context have received growing interest in recent years. As ethical considerations permeate almost every element of simulation and clinical practice, the emerging literature in this field remains relatively fragmented, lacking a common voca...
Objective:
This study sough to evaluate the impact of healthcare strike action on patient mortality.
Data sources:
EMBASE, PubMed CINAHL, BIOETHICSLINE, EconLit, WEB OF SCIENCE and Grey literature were searched up to December 2021.
Study design:
A systematic review and meta-analysis was utilised.
Data collection/extraction:
Random-effects me...
Some of the constitutive features of social relations fade from view when information naturally produced by sequential social interaction is translated into network ties. Building on core concepts and ideas developed within conversation analysis, in this paper we argue that this happens because the sequential, multimodal and embodied character of s...
Strike action in healthcare has been common over the last several decades. The overarching aim of this systematic review was to synthesise and analyse the empirical literature that examines the impact of strike action on patient morbidity, that is, all patient outcomes except mortality. After conducting a search and apply eligibility criteria, 15 s...
Background
Recruitment of large numbers of study participants within a designated time frame for multi-site clinical research studies is a significant challenge faced by researchers. If a study does not manage to recruit targeted number of participants, it could have a significant impact on the statistical significance of the research.
Purpose
Thi...
Introduction
A strike is a collective, temporary and calculated action, which involves a temporary stoppage of work. For healthcare professionals strike action poses a unique dilemma. Perhaps most fundamentally, as strike action is designed to be disruptive it has the potential to impact the delivery of care and place patient well-being in jeopardy...
Introduction
Knee osteoarthritis is a chronic degenerative disease associated with significant chronic pain, disability and impaired quality of life and is the most common form of osteoarthritis. There is no cure for knee osteoarthritis, and the main therapeutic goals are pain management and improving quality of life. The objective of this study is...
Background
Simulation is increasingly being used to train health care professionals; however, there is limited knowledge on how pediatric simulation is being used to train undergraduate nurses. This article systematically scopes the literature on the types of undergraduate pediatric nursing simulations taking place, their value, the research method...
Background
The patient experience is associated with patient satisfaction and health outcomes, presenting a key challenge in healthcare. The objective of the study was to explore the principles of care in and beyond healthcare, namely in a three Michelin-starred restaurant, and consider what, if any, principles of care from the diners’ experience c...
Introduction
Knee osteoarthritis is a chronic degenerative disease and the most common form of osteoarthritis, and is associated with significant chronic pain, disability and impairment of quality of life. Currently, there is no cure for knee osteoarthritis and pain management and improving quality of life are the main therapeutic goals. The object...
Aims
To summarise the international empirical literature to provide a comprehensive understanding of older nurses’ decision making surrounding the timing of their retirement.
Background
The global nursing shortage is increasing. Amongst some countries it has become an economic imperative to consider raising the state pension age and to extend work...
Background:
Despite the enormous financial and humanistic burden of chronic low back pain (CLBP), there is little consensus on what constitutes the best treatment options from a multitude of competing interventions. The objective of this network meta-analysis (NMA) is to determine the relative efficacy and acceptability of primary care treatments...
Whether they are aware of it or not, the philosophical stance (or research paradigm) that a researcher takes is crucial to how the research is conducted. This case study describes a research study that explored communication in operating theatres in order to illustrate what can be achieved through a different research paradigm. It then goes on to s...
Background:
The prevalence of diabetes is on the increase in the UK and worldwide, partly due to unhealthy lifestyles, including poor dietary regimes. Patients with diabetes and other co-morbidities such as stroke, which may affect swallowing ability and lead to malnutrition, could benefit from enteral nutrition, including the standard formula (SF...
Vitamin D deficiency is highly prevalent amongst pregnant women and is linked to a range of adverse complications, including gestational diabetes. However, there is no consensus among researchers regarding the impact of vitamin D supplementation in alleviating adverse effects in gestational diabetes. The objective of this systematic review and meta...
Introduction
Paediatric emergency department attendances are increasing nationwide, with almost 25% of cases deemed ‘avoidable’.¹ Emergent strategies look to ‘nudge’ patients towards appropriate healthcare services. Sequential SimulationTM (SqS) is a novel technique that aims to portray a patient’s ‘journey’ in a compressed live performance involvi...
Background
Team communication in operating rooms is problematic worldwide, and can negatively impact patient safety. Although initiatives such as the World Health Organization's Surgical Safety Checklist have been introduced to improve communication, patient safety continues to be compromised globally, warranting the development of new intervention...
Background
Simulation in healthcare is mainly associated with clinical training and assessment needs. However, its uses can be much broader than is currently practiced. Recent applications have seen it be used for quality improvement projects, public and patient engagement and outreach, evaluation of new interventions, identification of latent safe...
Aim
To describe a surgical team simulation proof-of-concept study conducted in the UK and USA that aimed to clarify its applicability and acceptability beyond a UK context.
Background
Good communication and teamwork in operating rooms (ORs) can be challenging globally, and can negatively impact on patient safety.¹ The World Health Organisation’s S...
Background:
A need for improved education and training for hospital staff caring for patients in the last year of life was identified at an urban UK hospital. Sequential Simulation (SqS Simulation™) is a type of simulation that recreates a patient's journey, considering the longitudinal element of care and how this might impact on the patient's ex...
R1 Simulation training in stroke thrombolysis: reducing door to needle times to less than 15 minutes
R2 Sequential Simulation (SqS): an empirical and theoretical model
R3 Debriefing with team deliberate practice: an instructional design to enhance the performance of undergraduate nursing students in recognising the deteriorating patient
R4 Behavior...
Background/Context/Aims
Sequential Simulation (SqS) is the physical re-enactment of longitudinal elements of care, rather than single episodes, as is currently the main format of most healthcare simulations. It takes a patient's perspective of their care pathway journey through the system rather than the healthcare professionals perspectives alone....
Background/Context/Aims
Sequential Simulation,¹ a longitudinal form of simulation, was identified as an effective training approach for multi-disciplinary teams in identifying and caring for patients in their last year of life in a hospital setting. Sequential Simulation is a physical simulation of a pathway of care rather than isolated components...
Background
A recent CQC inspection identified disparities in care quality across maternity services in several London¹ districts, revealing a need to identify challenges and solutions and to share learning across sites. Sequential Simulation² (SqS) uses physical simulation to portray selected snapshots from a pathway of care, for pedagogical and en...
Background
A new challenge for healthcare managers is to improve the patient experience. Simulation is often used for clinical assessment and rarely for those operating outside of direct clinical care. Sequential simulation (SqS) is a form of simulation that re-creates care pathways, widening its potential use.
Local problem
Numbers, outcome measu...
Video recording technologies offer a powerful way to document what happens in clinical areas.1 Cameras, and to a lesser extent, microphones, can be found in a growing number of modern operating rooms in the USA, UK and other parts of the world. While they could be used to create a detailed record of what happens in and around the operating table, t...
Objectives
Public and patient engagement (PPE) is fundamental to healthcare research. To facilitate effective engagement in novel point-of-care tests (POCTs), the test and downstream consequences of the result need to be considered. Sequential simulation (SqS) is a tool to represent patient journeys and the effects of intervention at each and subse...
Background The Department of health funded an initiative to pioneer new approaches that would create a more integrated form of care.
Local problem In order to receive funding, local Clinical Commissioning Groups were required to engage a range of stakeholders in a practical approach that generated the development of an integrated model of care.
Int...
Objectives:
To develop an intervention for educating pharmacists (community and hospital) about integrated care and their role in implementing it.
Methods:
We developed a sequential simulation derived from a patient's journey, with the key scenario featuring a community pharmacist. The scenarios were designed with input from pharmacists and pati...
A poster presentation describing how the Sequential Simulation utilises low cost portable distributed simulation kit to allow simulations to occur in settings local to workshop participants.
This paper proposes simulation-based enactment of care as an innovative and fruitful means of engaging patients and clinicians to create collaborative solutions to healthcare issues. This use of simulation is a radical departure from traditional transmission models of education and training. Instead, we frame simulation as co-development, through w...
Objective:
Leadership is particularly important in complex highly interprofessional health care contexts involving a number of staff, some from the same specialty (intraprofessional), and others from different specialties (interprofessional). The authors recently published the concept of "The Burns Suite" (TBS) as a novel simulation tool to delive...
Aim:
To explore the unsettling effects of increased mobility of nurses, surgeons and other healthcare professionals on communication and learning in the operating theatre.
Background:
Increasingly, healthcare professionals step in and out of newly formed transient teams and work with colleagues they have not met before, unsettling previously rel...
An evaluation of an effective and engaging intervention for educating general practice (GP) receptionists about integrated care and the importance of their role within the whole system was conducted.
Workshops took place in North West London, one of England's 14 'Integrated Care Pioneers.' Three training days featuring Sequential Simulations (SqS)...
To observe the extent and the detail with which playing music can impact on communication in the operating theatre.
According to the cited sources, music is played in 53-72% of surgical operations performed. Noise levels in the operating theatre already exceed World Health Organisation recommendations. There is currently a divide in opinions on the...
Our aim was to develop an engaging intervention for educating general practice (GP) receptionists about integrated care and the importance of their role in the 'bigger picture'. The work took place in North West London, population two million, one of England's 14 'Integration Pioneers.' We held four training workshops featuring a sequential simulat...
This article introduces a data-grounded simulation model for training social interaction strategies to operating theatre nurses. Video-supported Simulation for Interactions in the Operating Theatre (ViSIOT) draws on original video-based research on teamwork in the operating theatres in the UK. The objective of the ViSIOT model is to improve verbal...
Exploring the historical roots of our profession can help us understand how current procedures and practices have come about. Such exploration can unearth ideas from the past that were side-lined or overlooked due to changing needs and priorities, but which might fit the needs of today. And as we have recently discovered, there is nothing new under...
Communication is extremely important to ensure safe and effective clinical practice. A systematic literature review of observational studies addressing communication in the operating theatre was conducted. The focus was on observational studies alone in order to gain an understanding of actual communication practices, rather than what was reported...
I travelled extensively before beginning my nursing career, so when an opportunity arose to do one of my nursing placements abroad, I took it.
