- Pre-service and in-service education and training for maternal and newborn care providers in low- and middle-income countries: An evidence review and gap analysis. [Journal Article]Midwifery 2019; 78:104-113M
- CONCLUSIONS: There is a very limited quantity and quality of peer reviewed published studies of the effectiveness of pre service and in service midwifery education in LMICs; this is at odds with the importance of the topic to survival, health and well-being. There is a preponderance of studies which focus on training for specific emergencies during labour and birth. None of the in-service programmes considered the education of midwives to international standards with the full scope of competencies needed. There is an urgent need for the development of theoretically informed pre-service and in-service midwifery education programmes, and well-conducted evaluations of such programmes. Upscaling quality midwifery care for all women and newborn infants is of critical importance to accelerate progress towards Sustainable Development Goal 3. Quality midwifery education is an essential pre-requisite for quality care. To deliver SDG 3, the startling underinvestment in midwifery education identified in this review must be reversed.
- Interprofessional education: A disaster response simulation activity for military medics, nursing, & paramedic science students. [Journal Article]Nurse Educ Pract 2019; 39:67-72NE
- Health care providers need to be able to function and react appropriately and efficiently during a community-wide disaster situation. Traditional health care education is not adequately structured to provide realistic experiences with respect to high-risk or infrequently encountered events such as a disaster. As a result, many healthcare providers graduate into practice with inadequate exposure o…
Health care providers need to be able to function and react appropriately and efficiently during a community-wide disaster situation. Traditional health care education is not adequately structured to provide realistic experiences with respect to high-risk or infrequently encountered events such as a disaster. As a result, many healthcare providers graduate into practice with inadequate exposure or skills to intervene in a disastrous event. Previous studies validate that active participation by students during a simulation can translate into positive, meaningful learning applicable to practice. This paper describes how a disaster response simulation can be utilized as an innovative experiential learning technique. Additionally, interprofessional collaboration and positive learning experiences were fostered between military trainees and health care students in nursing and paramedic sciences. The constructivist framework utilized enabled educators to incorporate interprofessional collaboration, clinical reasoning, and technical skills in the safe learning environment of a simulation.
- The pedagogy of remembrance: How we remember and learn from the past. [Editorial]Nurse Educ Today 2019; 82:29-31NE
- The 'Reality of Revalidation in Practice' (RRiP) project - Experiences of registrants and preparation of students in nursing and midwifery in the United Kingdom: A descriptive exploratory survey. [Journal Article]Nurse Educ Today 2019; 82:21-28NE
- CONCLUSIONS: The purpose and process of revalidation is enhanced if confirmation is undertaken by a registered nurse or midwife of the individual's choice. Preparation of students for future revalidation is facilitated by role-modelling of positive attitudes and explicitly linking relevant pre-registration curriculum activities to this process and purpose.
- Rationale and design of a nurse-led intervention to extend the HIV treatment cascade for cardiovascular disease prevention trial (EXTRA-CVD). [Journal Article]Am Heart J 2019; 216:91-101AH
- CONCLUSIONS: The EXTRA-CVD trial will provide evidence appraising the potential impact of nurse-led interventions in reducing ASCVD risk among PLHIV, an essential extension of the HIV care continuum beyond HIV viral suppression.
- Home telemonitoring improved pain registration in patients with cancer. [Journal Article]Pain Pract 2019PP
- CONCLUSIONS: Home telemonitoring for patients with cancer significantly increases registration of pain and prescriptions of analgesics in outpatient's medical records. Home telemonitoring helps to increase the awareness of pain and its management.
- Manager, clinician or both? Nurse managers' engagement in clinical care activities. [Journal Article]J Nurs Manag 2019JN
- CONCLUSIONS: By indicating their engagement in the clinical care domain, respondents demonstrated that clinically-focused activities were not entirely lost from either front-line or middle management roles.Nurse managers equipped with clinical and management skills, and allowed time to remain engage in clinical care activities are critical for patient-centred and cost-effective care in today's complex healthcare environments.
- Micro-costing and a cost-consequence analysis of the 'Girls Active' programme: A cluster randomised controlled trial. [Journal Article]PLoS One 2019; 14(8):e0221276Plos
- Physical inactivity has been identified as a leading risk factor for premature mortality globally, and adolescents, in particular, have low physical activity levels. Schools have been identified as a setting to tackle physical inactivity. Economic evidence of school-based physical activity programmes is limited, and the costs of these programmes are not always collected in full. This paper descri…
Physical inactivity has been identified as a leading risk factor for premature mortality globally, and adolescents, in particular, have low physical activity levels. Schools have been identified as a setting to tackle physical inactivity. Economic evidence of school-based physical activity programmes is limited, and the costs of these programmes are not always collected in full. This paper describes a micro-costing and cost-consequence analysis of the 'Girls Active' secondary school-based programme as part of a cluster randomised controlled trial (RCT). Micro-costing and cost-consequence analyses were conducted using bespoke cost diaries and questionnaires to collect programme delivery information. Outcomes for the cost-consequence analysis included health-related quality of life measured by the Child Health Utility-9D (CHU-9D), primary care General Practitioner (GP) and school-based (school nurse and school counsellor) service use as part of a cluster RCT of the 'Girls Active' programme. Overall, 1,752 secondary pupils were recruited and a complete case sample of 997 participants (Intervention n = 570, Control n = 427) was used for the cost-consequence analysis. The micro-costing analysis demonstrated that, depending upon how the programme was delivered, 'Girls Active' costs ranged from £1,054 (£2 per pupil, per school year) to £3,489 (£7 per pupil, per school year). The least costly option was to absorb 'Girls Active' strictly within curriculum hours. The analysis demonstrated no effect for the programme for the three main outcomes of interest (health-related quality of life, physical activity and service use).Micro-costing analyses demonstrated the costs of delivering the 'Girls Active' programme, addressing a gap in the United Kingdom (UK) literature regarding economic evidence from school-based physical activity programmes. This paper provides recommendations for those gathering cost and service use data in school settings to supplement validated and objective measures, furthering economic research in this field. Trial registration: -ISRCTN, ISRCTN10688342.
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- Trauma-informed primary care for medical residents. [Journal Article]Clin Teach 2019CT
- CONCLUSIONS: Training residents in trauma-informed care results in improved knowledge, attitudes and practices in caring for patients with psychological trauma. Residents appreciated both experiential and skills-based exercises. Next steps include continued exploration of using direct observation and feedback, and examining effects of training on patient outcomes (e.g. satisfaction with care).