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Found 982 results
  1. Content Article
    Risk of complications following hernia repair is the key parameter to assess risk/benefit ratio of a technique. As mesh devices are permanent, their risks are life-long. Too many reports in the past assessed mesh safety prematurely after short follow-ups. Peterson et al. aimed to explore what length of follow up would reveal the full extent of complications. The authors concluded that follow-up of more than 15 years is needed to fully assess complications after mesh hernia repair. Especially longer periods are needed to detect mesh erosion into organs and complications in younger males. Presently, short observations and lack of reporting standard in the literature prohibit accurate assessment of complication risks. 
  2. Content Article
    During the rapid rise in COVID-19 illnesses and deaths globally, and notwithstanding recommended precautions, questions are voiced about routes of transmission for this pandemic disease. Inhaling small airborne droplets is probable as a third route of infection, in addition to more widely recognised transmission via larger respiratory droplets and direct contact with infected people or contaminated surfaces. While uncertainties remain regarding the relative contributions of the different transmission pathways, Morawska et al. argue that existing evidence is sufficiently strong to warrant engineering controls targeting airborne transmission as part of an overall strategy to limit infection risk indoors. Appropriate building engineering controls include sufficient and effective ventilation, possibly enhanced by particle filtration and air disinfection, avoiding air recirculation and avoiding overcrowding. Often, such measures can be easily implemented and without much cost, but if only they are recognised as significant in contributing to infection control goals. The authors believe that the use of engineering controls in public buildings, including hospitals, shops, offices, schools, kindergartens, libraries, restaurants, cruise ships, elevators, conference rooms or public transport, in parallel with effective application of other controls (including isolation and quarantine, social distancing and hand hygiene), would be an additional important measure globally to reduce the likelihood of transmission and thereby protect healthcare workers, patients and the general public.
  3. Content Article
    As public health teams respond to the Covid-19 pandemic, containment and understanding of the modes of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission is of utmost importance for policy making. During this time, governmental agencies have been instructing the community on handwashing and physical distancing measures. However, there is no agreement on the role of aerosol transmission for SARS-CoV-2. Tang et al. aimed to review the evidence of aerosol transmission of SARS-CoV-2. Several studies support that aerosol transmission of SARS-CoV-2 is plausible, and the plausibility score (weight of combined evidence) is 8 out of 9. Precautionary control strategies should consider aerosol transmission for effective mitigation of SARS-CoV-2.
  4. Content Article
    This review explores the experiences of international nurses recently recruited to the UK nursing workforce (1995–2007) and the implications for retention. Five main themes emerged from the review: motivation for migration, adapting to British nursing, experiences of first world healthcare, feeling devalued and deskilled, and vectors of racial discrimination. Although some positive experiences are described, significant numbers of nurses describe not feeling personally or professionally valued by the UK nursing establishment, common emotions expressed are disappointment and unmet expectations. This will have implications for job satisfaction and intention to leave or stay. If overseas nurses choose to leave the UK in large numbers, the health services could face a severe staffing shortage. It is important that we listen carefully to their experiences to help identify priorities for policy and practice aimed at improving job satisfaction for migrant nurses and articulating the value that they bring to UK nursing.  
  5. Content Article
    The COVID-19 pandemic has led to changes in health service utilisation patterns and a rapid rise in care being delivered remotely. However, there has been little published research examining patients’ experiences of accessing remote consultations since COVID-19. Such research is important as remote methods for delivering some care may be maintained in the future.
  6. Content Article
    This resource from the Health Foundation includes data, insights and analysis exploring how the circumstances in which people in the UK live shape their health.
  7. Content Article
    Staff retention is a significant issue for ambulance services across the globe. Exploratory research, although minimal, indicates that stress and burnout, in particular, influence attrition within the paramedic profession. These need to be understood if their impact on retention is to be addressed.
  8. Content Article
    This study from West et al. explore the relationships between leader support, staff influence over decisions, work pressure and patient satisfaction. The results provide evidence that leader support influences patient satisfaction through shaping staff experience, particularly staff influence over decisions and work pressure. Patients’ care is dependent on the health, well-being, and effectiveness of the NHS workforce. That, in turn, is determined by the extent to which leaders are supportive in ensuring that work environments are managed in a way which protects the well-being of staff.
  9. Event
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    This lecture will briefly outline challenges in quality and safety in healthcare, will identify the patchy history of attempts to make improvements, will emphasise the need to build and evidence base for improvement, and will outline some of the challenges and opportunities in evidence generation. Mary Dixon-Woods is Director of THIS Institute and The Health Foundation Professor of Healthcare Improvement Studies in the Department of Public Health and Primary Care at the University of Cambridge. Register
  10. Event
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    Many health care professionals believe that while critical patient feedback may help improve services, positive patient feedback has no such value. But is that really true? In this, Care Opinion's 21st research chat, we welcome Dr Stefan Rennick Egglestone, who has recently led a review of research on this issue (in press with Plos One). We'll be discussing what the 68 papers in the review can tell us about the real value of positive patient feedback to staff and services. Format Care Opinion research chats are informal and friendly, and last 30 minutes in all. For the first 15 minutes we’ll discuss the research, and then invite your comments and questions via the chat box (or in person if you prefer). Who should attend Anyone with an interest can come along - you don't need to be academic, and you don't need to have read the paper. Just coming along and listening is fine. So do join us! Register for the event
  11. Event
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    Health and care, and academic environments can have specific expectations that influence the evaluation of public involvement. These expectations may shape why the evaluation takes place and the approaches deemed ‘valid’. The hosts of this ‘Necessary Conversation’ argue that these environments and the approaches that they tend to favour, can lead to public contributors being absent from the conversation about what matters. Lynn Laidlaw leads this session with Niccola Hutchinson-Pascal and others to be confirmed. Lynn will be asking who is pushing the impact and evaluation agenda, where does the power lie, and what are the different forms of impact that exist? Sign up for this event
  12. Event
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    The Health Research Authority (HRA) rounds off Make it Public Week with a panel discussion, chaired by Professor Sir Terence Stephenson, HRA Chair. Sir Terence will be joined by a panel representing different parts of the research sector, who will revisit and reflect on the key topics of discussion during the week. We will also be looking forward and at what we – as individuals, organisations, and the sector as a whole – can do next to make research transparent from start to finish, and how we can keep the conversation around research transparency going. Participants can submit questions to the panel ahead of the meeting or live on the day using Slido. You can submit a question in advance when registering for the event. Book now to reserve your free space
  13. Event
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    The Health Research Authority is holding its first research transparency week. The effectiveness and relevance of research is improved when opportunities to be involved in research are made more visible, open and accessible to the public. This is because it gives a study the best chance to involve the full range of people who will benefit from the outcomes of research. By having research opportunities more publicly available, researchers will be able to recruit and retain a wide, diverse range of research participants. As a result of increased diversity and better opportunities to access diversity and better opportunities to access research for more people, research will be more relevant, effective, trusted and transparent. At the same time, health professionals, commissioners, researchers, policy makers and funders can use research findings to make informed decisions, which will enhance public trust in research evidence and enhance public accountability. It is equally important to have an awareness and understanding of potential barriers that may restrict members of the public getting involved in research. Identifying these challenges and putting measures in place to counter them is therefore essential in the delivery of transparent research. This will be a two-hour online workshop, chaired by the co-Chairs of the Make it Public campaign group, Matt Westmore, Chief Executive of the HRA, and Derek Stewart, public contributor. The objective for attendees of this workshop will be to work together in facilitated small groups to explore this theme, and produce a set of 'top tips' to support best practice for those active in research. There will also be a short panel discussion, where attendees can hear directly from the study leads and research participants of studies, as well as organisations, working creatively and progressively in this area. NIHR Be Part of Research Patient Research Ambassador scheme, Maidstone and Tunbridge Wells NHS Trust Register for the workshop
  14. Event
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    The Health Research Authority is holding its first research transparency week. This workshop will look at the importance of publishing summary results of trials We believe that publishing summary results and data – not just of trials, but of all research – in an open, accessible and public way is a key factor in ensuring research is transparent. Publishing results in a peer-reviewed journal is not always achievable, and findings published in this way may not be accessible to the public. Making the results of research studies public and as easy to access as possible helps builds trust and accountability, whilst ensuring participants are protected from unnecessary studies. It is also a process that helps ensure research funding is maximised by avoiding duplication. This will be a two-hour online workshop, chaired by the co-Chairs of the Make it Public campaign group, Matt Westmore, Chief Executive of the HRA, and Derek Stewart, public contributor. The objective for attendees of this workshop will be to work together in facilitated small groups to explore this theme, and produce a set of 'top tips' to support best practice for those active in research. There will also be a short panel discussion, where attendees can hear directly from the study leads and research participants of studies, as well as organisations, working creatively and progressively in this area. Abbvie Chief Scientist Office Scotland F1000 ISRCTN Registry Register for the workshop
  15. Event
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    The Health Research Authority (HRE) is holding its first ever research transparency week. This lunchtime webinar will be hosted by the HRE's Chief Executive, Matt Westmore. Matt will be talking about the importance of transparency in research with special guest speaker Professor Lucy Chappell, Chief Scientific Adviser to the Department of Health and Social Care and Chief Executive Officer of National Institute for Health and Care Research. They’ll be talking about why transparency is key to building trust with research participants, practical things you can do to ensure research is transparent and what support is available to you. In the spirit of transparency Matt will also be presenting the HRA's second Make it Public annual report on research transparency. He will talk through the priorities and focus of the report and the Make it Public Campaign Group, what has been achieved over the past year, and plans are for Make it Public in 2023. The session will finish by looking at the rest of the activities planned for Make it Public Week and how you can get involved. The webinar will run from 12pm to 1pm on Zoom. Reserve your free space.
  16. Event
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    This Westminster conference will assess priorities and next steps for addressing the impact of Long Covid in Ireland. Areas for discussion include developing and implementing research into Long Covid, the state of specialised services in Ireland, and the implementation and development of the Model of Care, which recommended the development of eight post-acute and six Long Covid clinics. It will be a timely opportunity to discuss Ireland’s strategy for tackling long COVID following analysis from Denis Naughten TD - who is part-chairing this conference - which suggests that almost 340,000 people in Ireland could have been affected by long COVID. It also follows a motion forwarded by a regional group of TDs calling for swifter action to support those with long COVID, which secured unanimous Dáil Éireann support. With the HSE now implementing the Model of Care for long COVID, and developing an epidemiological survey to gauge long COVID numbers in Ireland, delegates will assess the development of the model, workforce and recruitment priorities, and next steps for research and data. It will include keynote sessions from Dr Siobhán Ní Bhriain, Consultant Psychiatrist & National Clinical Director, Integrated Care, HSE; and Professor John Lambert, Consultant in Infectious Diseases and Genitourinary Medicine, Mater Misericordiae University Hospital and Associate Professor, UCD School of Medicine. Overall, sessions in the agenda will look at: the interim model of care: priorities for development and for creating a centralised care hub to provide support. long COVID clinics: next steps for implementation - providing effective staffing and funding - tackling long COVID backlogs and waiting lists - relieving pressures on GP waiting lists. patients: assessing and providing the support needed by those with long COVID and identifying those most at risk - options for workplace support and assisting those out of work to return quickly. research: building on data from current long COVID and post-acute COVID clinics to inform future strategies - implementing effective surveillance to understand, scale and respond to the issues. policy coordination: integrating responses with Sláintecare reforms and waiting list strategies. Register
  17. Event
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    This participatory event, concerning research undertaken on patient safety, will consist of a 45 minute talk followed by a Q&A/interactive discussion about how hospital care can be improved and how the public can be empowered to be involved in their care. The talk will specifically draw upon Dr Elizabeth Sutton's recent research, which explored how patients understood patient safety, and how this affected the ways that they were involved in their care when hospitalised. The Head of Patient Safety at University Hospitals of Leicester NHS Trust will be participating in the event and there will be a screening of an animated video based upon Dr Sutton's research on patient perceptions and experiences of involvement in their safety. What’s it about? We are all likely to receive hospital care at some point in our lives or have relatives who have experienced hospital care. This makes it vitally important that we are well informed about what patients experience when hospitalised and how best to improve that care. This event aims to highlight what patient safety means to patients, why it matters and to find ways of empowering the public to be involved in their hospital care. I want to find out whether these experiences resonate with you. How could patient safety be improved? What would you like to see happen? How can we best help patients to speak up about their care when hospitalised? As an attendee, you will hear about research on this topic and have the opportunity to ask questions and put across your point of view. This event will be led by Dr Elizabeth Sutton, Research Associate, University of Leicester. It will be of particular interest to anyone who has experience of hospital care or whose relative has received hospital care and patient groups. Book a place a the event
  18. Event
    until
    This participatory event, concerning research undertaken on patient safety, will consist of a 45 minute talk followed by a Q&A/interactive discussion about how hospital care can be improved and how the public can be empowered to be involved in their care. The talk will specifically draw upon Dr Elizabeth Sutton's recent research, which explored how patients understood patient safety, and how this affected the ways that they were involved in their care when hospitalised. The Head of Patient Safety at University Hospitals of Leicester NHS Trust will be participating in the event and there will be a screening of an animated video based upon Dr Sutton's research on patient perceptions and experiences of involvement in their safety. What’s it about? We are all likely to receive hospital care at some point in our lives or have relatives who have experienced hospital care. This makes it vitally important that we are well informed about what patients experience when hospitalised and how best to improve that care. This event aims to highlight what patient safety means to patients, why it matters and to find ways of empowering the public to be involved in their hospital care. I want to find out whether these experiences resonate with you. How could patient safety be improved? What would you like to see happen? How can we best help patients to speak up about their care when hospitalised? As an attendee, you will hear about research on this topic and have the opportunity to ask questions and put across your point of view. This event will be led by Dr Elizabeth Sutton, Research Associate, University of Leicester. It will be of particular interest to anyone who has experience of hospital care or whose relative has received hospital care and patient groups. Book a place a the event
  19. Event
    This Westminster conference will discuss the future for Long Covid research, services, and care. It will be an opportunity to assess Long Covid: the NHS plan for improving Long Covid services and how its ambitions for improving access to services, patient experience and outcomes for patients can be achieved. Further sessions examine priorities for research and improving understanding of Long Covid, looking at implementing the latest developments in research to improve services, and the long-term health implications of Long Covid. There will also be discussion on addressing concerns around inequalities, capacity and wait times for Long Covid services, as well as the primary care referral system, and utilisation of investment. Sessions in the agenda include: latest developments: trends - key issues - assessing the NHS plan for improving long COVID services. clinical research: taking forward the understanding of Long Covid - advancing clinical trials - utilising data - funding and investment. improving patient outcomes, prediction and prevention - accelerating the development of effective treatments - areas for focus, such as cardiology. examining the increased risk of long-term health conditions and impacts of reinfection for Long Covid patients. improving specialist Long Covid services: progress made so far and priorities for moving forward. options for increasing capacity - addressing inequalities in provision, access to services and information - applying latest developments from research. children’s Long Covid services: assessing delivery - implications for child development and attainment. primary care: tackling key challenges for diagnosis and referral. the workforce: priorities for education and training - support for long COVID patients in the workforce. Register
  20. Community Post
    Are you currently working on an inpatient mental health ward in the UK? We would like to learn about how you feel towards restrictive practices on mental health wards. Go to https://tinyurl.com/restrictivepractices to find out more.
  21. Community Post
    Some years ago I stopped writing for journals, in favour of blogging & volgging. My reasons were: I specialise in patient involvement and inclusion, so I want the work of me and my colleagues to be easily found by everyone We didn't want our work to end up behind a paywall We work across disciplines and try to bypass hierarchies, especially in promoting action learning and patient led care I can see there are some really good Open Access Journals around. So my question for us all is: Which are the best Open Access Journals? Here a link to my digital profile: https://linktr.ee/stevemedgov This is our developing model of working, a away of working in healthcare that all use and participate in:
  22. Community Post
    Hi there, I represent a team of researchers in Reading, who are submitting ethical approval for a project investigating pain research and knee surgery. Part of this process is receiving feedback from an NHS ethics committee and addressing this for the benefit of the science, patients and clinicians involved. One suggestion they have made is that we involve patients within the review of our information sheets, which detail the procedures (both medical & research) that they may consent to. There is no requirement of expertise or experience from any patient who wishes to be involved, we are just very eager to make sure our information is clear, free of jargon and doesn't come across as confusing or intimidating. The committee have indicated this is an optional recommendation, but it is one that I am very keen to engage with. As it's optional, we are unable to shift our deadline for this, and I would unfortunately need the documents reviewed and submitted by Thursday 26th November. If this is something that anybody would be willing to help us with, I'd be very grateful. One information sheet is 2 pages, and the other is 7 pages, if this offers a good idea of how much time it may require. My hope it it would take no more than 30 minutes. If you are able to volunteer your time, please contact me on rich.harrison@reading.ac.uk, and I will forward you the documents for your review. Once again, thank you in advance! Richard
  23. Content Article
    This document from the Patient Experience Library aims to map the evidence base for patient experience in digital healthcare. We shine a spotlight on areas of saturation, we expose the gaps and we make suggestions for how research funders and national NHS bodies could steer the research to get better value and better learning.
  24. Content Article
    The Medicines and Healthcare products Regulatory Agency (MHRA) are providing an update on a retrospective observational study on the risk to children born to men who took valproate in the 3 months before conception and on the need for the re-analysis of the data from this study before conclusions can be drawn. No action is needed from patients.  For female patients, healthcare professionals should continue to follow the existing strict precautions related to preventing the use of valproate in pregnancy (Valproate Pregnancy Prevention Programme).
  25. Content Article
    This report by the Nuffield Trust looks at workforce training issues in England, arguing that the domestic training pipeline for clinical careers has been unfit for purpose for many years. It presents research that highlights leaks across the training pathway, from students dropping out of university, to graduates pursuing careers outside the profession they trained in and outside public services. Alongside high numbers of doctors, nurses and other clinicians leaving the NHS early in their careers, this is contributing to publicly funded health and social care services being understaffed and under strain. It is also failing to deliver value for money for the huge taxpayer investment in education and training.
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