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  • Development of a scale to measure shared problem-solving and decision-making in mental healthcare

    Shoesmith, Wendy Diana; Abdullah, Atiqah Chew; Tan, Bih Yuan; Kamu, Assis; Ho, Chong Mun; Giridharan, Beena; Forman, Dawn; Fyfe, Sue; Universiti Malaysia Sabah, Kota Kinabalu, Malaysia; Curtin University, Miri, Malaysia; et al. (Elsevier BV, 2022-01-15)
    The aim of this study was to create a measure of collaborative processes between healthcare team members, patients, and carers. Methods: A shared decision-making scale was developed using a qualitative research derived model and refined using Rasch and factor analysis. The scale was used by staff in the hospital for four consecutive years (n = 152, 121, 119 and 121) and by two independent patients’ and carers’ samples (n = 223 and 236). Results: Respondents had difficulty determining what constituted a decision and the scale was redeveloped after first use in patients and carers. The initial focus on shared decision-making was changed to shared problem-solving. Two factors were found in the first staff sample: shared problem-solving and shared decision-making. The structure was confirmed on the second patients’ and carers’ sample and an independent staff sample consisting of the first data-points for the last three years. The shared problem-solving and decision-making scale (SPSDM) demonstrated evidence of convergent and divergent validity, internal consistency, measurement invariance on longitudinal data and sensitivity to change. Conclusions: Shared problem-solving was easier to measure than shared decision-making in this context. Practice implications: Shared problem-solving is an important component of collaboration, as well as shared decision-making.
  • Sharing is Caring: A Realist Evaluation of a Social Support Group for Individuals Who Have Been Bereaved by Suicide

    Adshead, Claire; Runacres, Jessica; University of Derby; Staffordshire University (SAGE Publications, 2022-01-31)
    To understand the experiences and perceived impact on the wellbeing of individuals attending a suicide bereavement social support group. A qualitative study guided by a realist evaluation framework. Data were collected from May–July 2020 using online semistructured individual interviews with participants (N = 6), from the North West of England recruited from a suicide bereavement support group's social media. Data were analysed using thematic analysis informed by the realist framework. Effective social support includes the prioritisation of building meaningful connections with like-minded individuals, providing a safe space for authentic self-expression aiding personal relationship maintenance. Contextual factors included: Societal and cultural stigma of suicide, self-stigma and gender norms. Mechanisms influencing support seeking include: Not wanting to burden loved ones due to judgement, and a lack of understanding. Policymakers can reduce demand on healthcare systems by developing tailored support groups to suit individual needs.
  • Diverticular Disease

    Redfern, Vicky; Mortimore, Gerri; University of Derby (MAG, 2022)
    Diverticular disease is an umbrella term encompassing symptomatic diverticulosis, uncomplicated and complicated diverticulitis. The presence of diverticula increases with age, affecting up 70% of the population by 80 years of age. It is associated with a significant economic burden in terms of health-care costs, hospitalisation, and resource utilisation. Although mortality from non-complicated diverticulosis is extremely rare, morbidity and mortality risk increase ten-fold with complications such as perforation or fistula. This article will examine diverticular disease, its pathogenesis, symptoms, and complications. Additionally, the surgical and non-surgical treatment options will be discussed including the role of antibiotics.
  • Constipation: a clinical review

    Burton, Louise; Mortimore, Gerri; ACP Chesterfield Royal Hospital; University of Derby (MAG, 2022)
    Advanced Nurse Practitioners (ANP) are autonomous practitioners who are required to manage clinical care in partnership with patients, families, and carers. This requires using evidence to undertake complex decision-making (Health Education England, 2017). This clinical review will examine the issue of constipation, with particular emphasis on the older patient group. The aetiology and epidemiology of constipation will be examined, the pathophysiological manifestation considered and the diagnosis and management within this population analysed. In doing so the evidence base will be critiqued to ensure autonomous, safe management of this condition.
  • Making a story out of a crisis – a response to Covid-19

    Holmwood, Clive; University of Derby (Routledge, 2022-02-14)
    As an academic and practitioner part of my role is to write academic articles and books, besides carrying out research. My personal escape from this academic rigour has often been zombie apocalypse and disaster novels and movies. Action adventures where individuals or small groups of survivors move cautiously through urban landscapes decimated by disaster; empty streets and empty shops, that show the last remnants of a society that once existed. Recently I have begun to live, and still live, the reality of these fantasy dramas, in a way neither I, nor anyone else, could have expected.
  • A Review of Drama Education (UK) and Integral Drama Based Pedagogy (China), Western and Eastern Perspectives and Influences

    Holmwood, Clive; University of Derby (Brill, 2022-01-31)
    This article will consider similarities to and connections with western progressive based drama education and recent developments in China, namely Integral Drama Based Pedagogy (IDBP). It will also consider links between dramatherapy and IDBP which considers drama from a more emotional and integral education perspective. It will begin by giving a brief history of drama and progressive education in the UK followed by the development of integral education in general and then make connections between the training of dramatherapists in the west to that of student of IDBP.
  • I’m going on a Bear Hunt’, Neuro-dramatic Play, Multi-Sensory Informed, Storytelling Approaches to Working with Children Under Five.

    Holmwood, Clive; University of Derby (Routledge, 2022-02-14)
    The purpose of this chapter is to explore with Annie aspects of Neuro Dramatic Play (NDP) ( Jennings 2011 ), in relation to story and Jennings’s notion of Embodiment Project Role (EPR), from a multi- sensory informed approach, using the great children’s classic We’re Going on a Bear Hunt ( Rosen & Oxenbury 1993 ). I will consider a range of multi- sensory ways of working using messy play, drama and rhythmic storytelling ( Jennings 2011 :41) in relation to Rosen’s story and the potential impact that this has upon the overall personal, cognitive and social development of Annie as a 20- month- old.
  • Routledge International Handbook of Therapeutic Stories and Storytelling

    Holmwood, Clive; Jennings, Sue; Jackties Sharon; University of Derby; University of the Witwatersrand (Routledge, 2022-02-14)
    The Routledge International Handbook of Therapeutic Stories and Storytelling is a unique book that explores stories from an educational, community, social, health, therapeutic and therapy perspectives, acknowledging a range of diverse social and cultural views in which stories are used and written by esteemed storytellers, artists, therapists and academics from around the globe. The book is divided into five main sections that examine different approaches and contexts for therapeutic stories and storytelling. The collected authors explore storytelling as a response to the Covid-19 pandemic, in education, social and community settings, and in health and therapeutic contexts. The final section offers an International Story Anthology written by co-editor Sharon Jacksties and a final story by Katja Gorečan. This book is of enormous importance to psychotherapists and related mental health professionals, as well as academics, storytellers, teachers, people working in special educational needs, and all those with an interest in storytelling and its applied value.
  • Acute onset low back pain leading to a diagnosis of cauda equina syndrome: a case study

    Read, Haley; Mortimore, Gerri; University of Derby (MAG, 2022-02-08)
    Cauda equina syndrome is rarely seen in primary care, but advanced practitioners must be aware of the possibility. Haley Read and Gerri Mortimore highlight a case study leading to a diagnosis of the condition One of the most common symptoms managed in primary care is lower back pain, which affects approximately 20% of the UK population at any one time (National Collaborating Centre for Primary Care, 2009). There are many differential diagnoses for the cause of back pain, with one such potential diagnosis being cauda equina syndrome. In this instance, it is of paramount importance that the correct diagnosis is reached quickly with urgent referral into secondary care for the instigation of treatment to prevent paralysis. This case review will examine a patient presenting to primary care with lower back pain and diagnosed with cauda equina syndrome.
  • New year, new lifestyle

    Mortimore, Gerri; University of Derby (Mark Allen Group, 2021-12-14)
  • Neurosurgeons’ experiences of conducting and disseminating clinical research in low-income and middle-income countries: a reflexive thematic analysis

    Whiffin, Charlotte Jane; Smith, Brandon George; Esene, Ignatius N; Karekezi, Claire; Bashford, Tom; Mukhtar Khan, Muhammad; Hutchinson, Peter John; Kolias, Angelos G; Fontoura Solla, Davi Jorge; Paiva, Wellingson S; et al. (BMJ, 2021-09-22)
    Low-income and-middle-income countries (LMICs) are increasing investment in research and development, yet there remains a paucity of neurotrauma research published by those in LMICs. The aim of this study was to understand neurosurgeons’ experiences of, aspirations for, and ability to conduct and disseminate clinical research in LMICs. This was a two-stage inductive qualitative study situated within the naturalistic paradigm. This study committed to an interpretivist way of knowing (epistemology), and considered reality subjective and multiple (ontology). Data collection used online methods and included a web-based survey tool for demographic data, an asynchronous online focus group and follow-up semistructured interviews. Data were analysed using Braun and Clarke’s Reflexive Thematic Analysis supported by NVivo V.12. Setting LMICs. In April–July 2020, 26 neurosurgeons from 11 LMICs participated in this study (n=24 in the focus groups, n=20 in follow-up interviews). The analysis gave rise to five themes: The local landscape; creating capacity; reach and impact; collaborative inquiry; growth and sustainability. Each theme contained an inhibitor and stimulus to neurosurgeons conducting and disseminating clinical research, interpreted as ‘the neurosurgical research potential in LMICs’. Mentorship, education, infrastructure, impact and engagement were identified as specific accelerators. Whereas lack of generalisability, absence of dissemination and dissemination without peer review may desensitise the impact of research conducted by neurosurgeons. The geographical, political and population complexities make research endeavour challenging for neurosurgeons in LMICs. Yet in spite of, and because of, these complexities LMICs provide rich opportunities to advance global neurosurgery. More studies are required to evaluate the specific effects of accelerators of research conducted by neurosurgeons and to understand the effects of desensitisers on high-quality, high-impact clinical research.
  • A qualitative study of the understanding of compassion through completing a brief online CMT intervention among non-clinical population in Czechia and Poland

    Michalczyk, Magdalena; Taubenhanslova, Ester; University of Derby (University of Derby, 2021-11-03)
    Assess participants understanding of the concept of compassion in Czechia and Poland after completion of a brief online Compassionate Mind Training (CMT) intervention.
  • The role of social connection on the experience of COVID-19 related post-traumatic growth and stress

    matos, marcela; McEwan, Kirsten; Kanovský, Martin; Halamová, Júlia; Steindl, Stanley R.; Ferreira, Nuno; Linharelhos, Mariana; Rijo, Daniel; Asano, Kenichi; Vilas, Sara P.; et al. (Public Library of Science (PLoS), 2021-12-15)
    Historically social connection has been an important way through which humans have coped with large-scale threatening events. In the context of the COVID-19 pandemic, lockdowns have deprived people of major sources of social support and coping, with others representing threats. Hence, a major stressor during the pandemic has been a sense of social disconnection and loneliness. This study explores how people’s experience of compassion and feeling socially safe and connected, in contrast to feeling socially disconnected, lonely and fearful of compassion, effects the impact of perceived threat of COVID-19 on post-traumatic growth and post-traumatic stress. Adult participants from the general population (N = 4057) across 21 countries worldwide, completed self-report measures of social connection (compassion for self, from others, for others; social safeness), social disconnection (fears of compassion for self, from others, for others; loneliness), perceived threat of COVID-19, post-traumatic growth and traumatic stress. Perceived threat of COVID-19 predicted increased post-traumatic growth and traumatic stress. Social connection (compassion and social safeness) predicted higher post-traumatic growth and traumatic stress, whereas social disconnection (fears of compassion and loneliness) predicted increased traumatic symptoms only. Social connection heightened the impact of perceived threat of COVID-19 on post-traumatic growth, while social disconnection weakened this impact. Social disconnection magnified the impact of the perceived threat of COVID-19 on traumatic stress. These effects were consistent across all countries. Social connection is key to how people adapt and cope with the worldwide COVID-19 crisis and may facilitate post-traumatic growth in the context of the threat experienced during the pandemic. In contrast, social disconnection increases vulnerability to develop post-traumatic stress in this threatening context. Public health and Government organizations could implement interventions to foster compassion and feelings of social safeness and reduce experiences of social disconnection, thus promoting growth, resilience and mental wellbeing during and following the pandemic.
  • Compassion Protects Mental Health and Social Safeness During the COVID‑19 Pandemic Across 21 Countries

    Matos, Marcela; McEwan, Kirsten; Kanovsky, Martin; University of Coimbra; University of Derby (Springer, 2022-01-04)
    The COVID-19 pandemic is having an unprecedented detrimental impact on mental health in people around the world. It is important therefore to explore factors that may buffer or accentuate the risk of mental health problems in this context. Given that compassion has numerous benefits for mental health, emotion regulation, and social relationships, this study examines the buffering effects of different flows of compassion (for self, for others, from others) against the impact of perceived threat of COVID-19 on depression, anxiety, and stress, and social safeness. The study was conducted in a sample of 4057 adult participants from the general community population, collected across 21 countries from Europe, Middle East, North America, South America, Asia, and Oceania. Participants completed self-report measures of perceived threat of COVID-19, compassion (for self, for others, from others), depression, anxiety, stress, and social safeness. Perceived threat of COVID-19 was associated with higher scores in depression, anxiety, and stress, and lower scores in social safeness. Self-compassion and compassion from others were associated with lower psychological distress and higher social safeness. Compassion for others was associated with lower depressive symptoms. Self-compassion moderated the relationship between perceived threat of COVID-19 on depression, anxiety, and stress, whereas compassion from others moderated the effects of fears of contracting COVID-19 on social safeness. These effects were consistent across all countries. Our findings highlight the universal protective role of compassion, in particular self-compassion and compassion from others, in promoting resilience by buffering against the harmful effects of the COVID-19 pandemic on mental health and social safeness.
  • Intention to consume halal pharmaceutical products: evidence from Indonesia

    Kasri, Rahmatina Awaliah; Ahsan, Abdillah; Widiatmoko, Dono; Hati, Sri Rahayu Hijrah; Universitas Indonesia, Depok, Indonesia; University of Derby (Emerald, 2021-12-28)
    Despite the importance of pharmaceutical products in everyday life, particularly after the coronavirus outbreak in early 2020, only a few studies have attempted to analyse consumer behaviour with regard to halal pharmaceutical products. Therefore, this study aims to investigate the factors influencing purchase intention for halal pharmaceutical products among Indonesian Muslims. This study uses a theory of planned behaviour approach, in which religiosity and knowledge of halal product variables are added to attitude, subjective norms and perceived behavioural control variables. Primary data were collected from 225 Indonesian Muslims in Jakarta, the capital city of Indonesia and analysed using structural equation modelling. The study found that the intention to purchase halal pharmaceutical products is positively affected by attitude, religiosity, knowledge of halal products and perceived behavioural control. However, the influence of the subjective norm variable was found to be insignificant in this study. It is possible to improve the empirical model by including more explanatory variables and investigating the mediating effect of the variables. The study could also be scaled up to reach more respondents in different regions and countries. These additional aspects would provide better insights into the behaviour of consumers when considering halal pharmaceutical products. The findings suggest the importance of designing and implementing appropriate strategies and campaigns to enhance knowledge of halal products, of positive attitudes and of better resources/opportunities to consume halal pharmaceutical products. The industry needs to highlight its products’ halal and tayyib aspects through proper branding and promotion strategies. The government and other stakeholders could also implement education campaigns to increase halal products and halal literacy knowledge. These are ultimately expected to enhance the effectiveness of halal regulations and meet Muslim consumer expectations in the country. Despite the importance of halal pharmaceutical products, this area has received limited attention in the academic literature. Thus, this study attempts to elaborate on consumer behaviour in this niche area.
  • Telephone Consultation as a Substitute for Routine Out-patient Face-to-face Consultation for Children With Inflammatory Bowel Disease: Randomised Controlled Trial and Economic Evaluation

    Akobeng, Anthony K.; O'Leary, Neil; Vail, Andy; Brown, Nailah; Fagbemi, Andrew; Thomas, Adrian G.; Widiatmoko, Dono; University of Manchester; Royal Manchester Children's Hospital, Central Manchester NHS Foundation Trust, Manchester, UK; Sidra Medical and Research Centre, Doha, Qatar; et al. (Elsevier, 2015-08-08)
    Evidence for the use of telephone consultation in childhood inflammatory bowel disease (IBD) is lacking. We aimed to assess the effectiveness and cost consequences of telephone consultation compared with the usual out-patient face-to-face consultation for young people with IBD. We conducted a randomised-controlled trial in Manchester, UK, between July 12, 2010 and June 30, 2013. Young people (aged 8–16 years) with IBD were randomized to receive telephone consultation or face-to-face consultation for 24 months. The primary outcome measure was the paediatric IBD-specific IMPACT quality of life (QOL) score at 12 months. Secondary outcome measures included patient satisfaction with consultations, disease course, anthropometric measures, proportion of consultations attended, duration of consultations, and costs to the UK National Health Service (NHS). Analysis was by intention to treat. This trial is registered with ClinicalTrials.gov, number NCT02319798. Eighty six patients were randomised to receive either telephone consultation (n = 44) or face-to-face consultation (n = 42). Baseline characteristics of the two groups were well balanced. At 12 months, there was no evidence of difference in QOL scores (estimated treatment effect in favour of the telephone consultation group was 5.7 points, 95% CI − 2.9 to 14.3; p = 0.19). Mean consultation times were 9.8 min (IQR 8 to 12.3) for telephone consultation, and 14.3 min (11.6 to 17.0) for face-to-face consultation with an estimated reduction (95% CI) of 4.3 (2.8 to 5.7) min in consultation times (p < 0.001). Telephone consultation had a mean cost of UK£35.41 per patient consultation compared with £51.12 for face-face consultation, difference £15.71 (95% CI 11.8–19.6; P < 0.001). We found no suggestion of inferiority of telephone consultation compared with face-to-face consultation with regard to improvements in QOL scores, and telephone consultation reduced consultation time and NHS costs. Telephone consultation is a cost-effective alternative to face-to-face consultation for the routine outpatient follow-up of children and adolescents with IBD.
  • Enabling safer bathing for people living with epilepsy

    Collier, Elizabeth; Grant, Mandy; University of Derby (University of Derby, 2021-12-14)
    This public involvement consultation (PIC) was set up to explore the opinions and ideas of people living with epilepsy for developing a full research project on the topic of prevention of drowning in the bath. The general advice available for people living with epilepsy (PLE) is to have showers instead of baths, or to have a chaperone and not to bath if alone (Epilepsy Action 2019). However, we know that people with epilepsy do have baths and have them alone, and that there are fatal and non-fatal accidents. Twelve people (7 men and 5 women) took part in the PIC via online meetings and written feedback. Principles of thematic content analysis were applied to detailed notes that were taken, and these were examined independently by the two authors to identify similarities and key issues. Seven categories were identified: Research issues and methods, encouraging language, advice and information, options available, consequences, influencing factors and perceptions of risk. The PIC confirmed that people do bathe alone and that the reasoning behind this is complex and warrants investigation. This includes consideration of language, emotions, personal biography and context, and the role of specialists.
  • The Value and Potential of Qualitative Research Methods in Neurosurgery

    Whiffin, Charlotte J.; Smith, Brandon G.; Selveindran, Santhani M.; Bashford, Tom; Esene, Ignatius N.; Mee, Harry; Barki, M. Tariq; Baticulon, Ronnie E.; Khu, Kathleen J.; Hutchinson, Peter J.; et al. (Elsevier BV, 2021-12-18)
    To explore the value and potential of qualitative research to neurosurgery and provide insight and understanding to this underused methodology. The definition of qualitative research is critically discussed and the heterogeneity within this field of inquiry explored. The value of qualitative research to the field of neurosurgery is articulated through its contribution to understanding complex clinical problems. To resolve some of the misunderstanding of qualitative research, this paper discusses research design choices. We explore approaches that use qualitative techniques but are not, necessarily, situated within a qualitative paradigm in addition to how qualitative research philosophy aids researchers to conduct interpretive inquiry that can reveal more than simply what was said by participants. Common research designs associated with qualitative inquiry are introduced, and how complex analysis may contribute more in-depth insights is explained. Approaches to quality are discussed briefly to support improvements in qualitative methods and qualitative manuscripts. Finally, we consider the future of qualitative research in neurosurgery, and suggest how to move forward in the qualitative neurosurgical evidence base. There is enormous potential for qualitative research to contribute to the advancement of person-centered care within neurosurgery. There are signs that more qualitative research is being conducted and that neurosurgical journals are increasingly open to this methodology. While studies that do not engage fully within the qualitative paradigm can make important contributions to the evidence base, due regard should be given to immersive inquiry within qualitative paradigms to allow complex, in-depth, investigations of the human experience.
  • Principles and Practice of Nurse Prescribing

    Gould, Jill; Bain, Heather; University of Derby; Robert Gordon University (SAGE, 2022-02)
    Feel prepared to take on nurse prescribing with this short and accessible text. Whether you are pre-registration or undertaking a prescribing course, this book is your perfect introduction to the world of nurse prescribing. Covering the legal, professional and pharmacological considerations as well as core skills such as assessment and teamworking, this accessible text explores all aspects of non-medical prescribing in clear, straightforward terms.
  • Impact of occupational therapy in an integrated adult social care service: Audit of Therapy Outcome Measure Findings

    Davenport, Sharon J.; University of Derby (Emerald, 2021-09-21)
    Health and social care services should demonstrate the quality of their interventions for commissioners, patients and carers, plus it is a requirement for occupational therapists to measure and record outcomes. Use of the “Therapy Outcome Measure” (TOMs) standardised tool was implemented by an occupational therapy adult social care service to demonstrate outcomes from April 2020, following integration to a community NHS Trust. The aim was to demonstrate occupational therapy outcomes in adult social care through a local audit of the TOMs. The objective was to determine if clients improved following occupational therapy intervention in the four domains of impairment, activity, participation and wellbeing/carer wellbeing. 70 cases were purposively sampled over a 2-month timeframe, extracting data from the local electronic recording system. Occupational therapy in adult social care clearly makes an impact with their client group and carers. Evidence from the dataset demonstrates clinically significant change, as 93% of clients seen by adult social care occupational therapy staff showed an improvement in at least one TOMs domain during their whole episode of care. 79% of activity scores, 20% of participation scores and 50% of wellbeing scores improved following intervention. 79% of carer wellbeing scores improved following occupational therapy. Research limitations/implications The audit did not collect data on uptake from the separate teams (equipment, housing, STAR and adult social care work) in occupational therapy adult social care. Potential sampling bias occurred as cases with completed scores only were purposively sampled. Sampling was not random which prevented data gathering on uptake of TOMs across the separate teams. Additionally, the audit results can only be applied to the setting from which the data was collected, so has limited external validity. These novel findings illustrate the valuable and unique impact of occupational therapy in this adult social care setting. The integration of adult social care into an NHS Community Trust has supported the service to measure outcomes, by utilising the same standardised tool in use by allied health professions across the Trust.

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