Browsing by Author "Hinsliff-Smith, K."
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Item Metadata only Academic Writing for Publication: Information, Exercises and Individual Writing Journeys(The University of Nottingham, 2022-10-19) Hinsliff-Smith, K.; McGarry, Julie; Bartel, Heike; Langmack, Gill; Randa, Moreoagae BerthaThis resource aims to help you in developing your skills in: academic writing preparing manuscripts for publication writing funding applications. It shares experiences of writing and publishing and gives professional advice on developing your writing and how to prepare, review and persevere with it.Item Metadata only Accessing care services after sexual violence: A systematic review exploring experiences of women in South Africa(AOSIS, 2023-10-25) Hinsliff-Smith, K.; McGarry, Julie; Griffiths, Sarah; Randa, MoreoagaeBackground: Sexual violence against women is a global phenomenon. This is a particular issue in South Africa, where it is estimated with evidence provided that up to half of all women will encounter gender-based and/or sexual violence from a partner during their lifetime. Therefore, evidence suggests that addressing the needs of women in South Africa is a priority. Objective: This qualitative review aimed to explore the experiences of women seeking care from first contact healthcare facilities in South Africa after sexual violence and during follow-up care. Method: This systematic review was conducted using the PRISMA checklist for systematic reviews and in line with a published protocol (PROSPERO, CRD42019121580) and searched six relevant databases in 2022. A total of 299 sources were screened, with 5 forming the overall synthesis. Results: Two synthesised themes of women’s experiences emerged at the time of reporting and during attendance at follow-up healthcare services. Conclusion: South Africa does have an established legal framework for prosecution and can provide support for survivors of sexual violence through established Thuthuzela Care Centres (TCCs). The review identifies that survivors’ needs are not clearly established when seeking medical attention initially nor identifying support or appropriate pathways. Contribution: The review has the potential to characterise the support available for women, the type and nature of sexual violence and interventions that may be used by healthcare professionals to support survivors especially during follow-up care.Item Open Access The Advanced Clinical Practitioner (ACP) in UK healthcare: Dichotomies in a new ‘multi-professional’ profession(Elsevier, 2022-12-17) Mann, Claire; Timmons, Stephen; Evans, Catrin; Peace, Ruth; Overton, Charlotte; Hinsliff-Smith, K.Advanced Clinical Practitioners (ACPs) work in a wide range of settings across the English National Health Service. ACPs come from a wide range of health professional backgrounds. This paper explores the ACP as a multi-professional role, and the implications of these understandings for the sociology of professions. This paper analyses what happens when a new occupational role is created that encompasses several established professions. This qualitative study gathered views and experiences across a range of stakeholders. Fifty-eight semi-structured interviews were undertaken with participants employing ACPs (n = 14) actively working in an ACP role (n = 10), training as an ACP (n = 13) or engaged in the delivery of the ACP education programme in England (n = 21). Findings were analysed into three overarching themes: (i) professional identity, (ii) differing definitions of ACP and (iii) advanced practice, professional regulation and recognition. ACPs hold a unique and emerging professional identity based on their previous professional health background and are themselves clear that they are not doctors. The role is not yet formally regulated, though many ACPs aspire to this. This research is an early look at a new type of professional which challenges existing understandings of what a profession is.Item Metadata only 'Art for arts sake' or a research methodology to engage vulnerable and often unrepresented groups in healthcare education and research'(Elseiver, 2019-11-25) Hinsliff-Smith, K.Item Open Access ‘Art for art’s sake’ or a research methodology to engage vulnerable and often underrepresented groups in healthcare education and research.(Elsevier, 2022-10-20) Hinsliff-Smith, K.; McGarry, Julie; Bartel, Heike; Randa, Moreoagae Bertha; Langmack, GillThe use of arts based approaches within research and scholarly activity is relatively new but where used with sensitive topics, or with those whose voices are often not heard within dominant healthcare discourse, it is proving an effective method to engage with groups which are largely neglected within research. Methods: One such approach is by use of creative arts based activities to work with groups or individuals (Leavy, 2015), often using external facilitators or researchers who are accustomed to such approaches and methods. In the field of gender based violence researchers are frequently working with very vulnerable groups or individuals who have experienced traumatic experiences and where using conventional methods of conducting research may not provide an appropriate forum for ‘hearing stories of survivorship’ or where those who have experienced abuse may not feel that they have a voice (McGarry & Bowden, 2017). Results: The study team have gained extensive use of using arts based methods to work with survivors of sexual violence and domestic abuse – both in UK and internationally. We will describe the different approaches used by sharing examples of our work over the past 5 years that have been incorporated into healthcare education programmes with digital resources freely available online (McGarry, et al. 2015). Discussion: The overall aim is to present the range of activities involved in this methodology, to share our approach to co-production with survivors of abuse in the development of creative digital educational resources and demonstrate their use in an interactive way with the conference audience. References: Leavy, P. (2015) Method Meets Art: Arts-based Research Practice. New York: The Guilford Press. McGarry, J. and Bowden, D. 2017. Unlocking stories: older women’s experiences of intimate partner violence told through creative expression Journal of Psychiatric and Mental Health Nursing. 24, 629– 637 McGarry J., Baker C., Wilson C., Felton A., Banerjee A, (2015). Preparation for safeguarding in UK pre-registration graduate nurse education. Journal of Adult Protection. 17(6), 371-379Item Metadata only Arts Based Health Care Research: A Multidisciplinary Perspective(Springer, 2022-09-05) ALI, PARVEEN; MCGARRY, JULIE; Hinsliff-Smith, K.This book, written by academics across a range of disciplines, including healthcare and social sciences discusses the increasing use of the arts in healthcare research, which often stems from the recognition that for some topics of investigation, or when dealing with sensitive issues, the usual qualitative or quantitative paradigms are not appropriate. While there is undoubtedly a place for such approaches, arts-based research paradigms (ABR) offers, not only additional study and data-collection tools, but also provides a new and enjoyable experience for those involved. The use of the arts as a medium to improve health and wellbeing was well documented by the World Health Organisation (WHO) in 2019, with over 3,000 studies conducted around the globe on the value of the arts in the prevention of ill health and promotion of health across the life span. This book examines how the arts, in a variety of forms, can be used by those working directly in healthcare settings as well as those involved in research across all health or patient settings. Covering a range of ABR genres, including literature (such as narrative and poetic inquiry); performance (music, dance, play building); visual arts (drawing and painting, collage, installation art, comics); and audio-visual and multimethod approaches, this user- friendly book will appeal to nurses, researchers in nursing and allied healthcare professions, as well professionals in the social sciences, psychosociology, psychology, literature and arts.Item Open Access Barriers and Opportunities to Effective Identification and Management of Domestic Violence and Abuse(Springer Publishers, 2019-11-17) Hinsliff-Smith, K.The aim of this chapter is to explore the debates and evidence surrounding domestic violence and abuse (DVA), routine enquiry and the support mechanisms that are in place to support those working in clinical practice. As a healthcare professional across any spectrum of clinical settings you are required to provide the best possible care for your patients. Your healthcare facility is often uniquely placed and can play an essential role in responding, supporting and referring patients to appropriate services who have experienced DVA. In the UK, for example, there are clear signposting and specialist services available to support survivors and also for perpetrator programmes. This is often in addition to the support that can be provided at the time of first contact with healthcare services. This chapter will explore the literature on DVA within a number of clinical settings and enable you to understand the complexity of decision-making with regard to screening and clinical/routine enquiry.Item Open Access Can solicited diaries provide a different insight into healthcare research: Researcher perspectives from a study of women's experiences of breastfeeding(RSN Publishing, 2016-01-22) Hinsliff-Smith, K.; Spencer, R.Background This paper discusses the use of diaries as a research tool to explore women's experiences of breastfeeding. Aim A phenomenological methodology was used to explore women's experiences of breastfeeding in the first 6-8 weeks after giving birth. The challenges and issues that can arise when using diaries are discussed here. Data sources The study was conducted in an East Midlands region of the UK. Volunteer pregnant primiparous women over 34 week's gestation were recruited to the study. In total 22 primigravid women completed a written diary for analysis. Mothers were encouraged to record something in their diary once a day about their infant feeding experience. Findings Using diaries provides a unique opportunity to capture the lived experiences of participants. In addition to being an accepted data collection method, the participants found the diaries acted as a reflective mechanism. Participants found that it allowed them an opportunity to describe their feelings and emotions, particularly if their infant feeding experiences was not as they had anticipated. Conclusions Diaries provide a useful insight into a social and health phenomenon that is often not captured in qualitative studies and are complementary to methods that are more commonly used, for example interviews. Diaries provide a unique opportunity for participants to share their lived experiences in a contemporaneous way and could be utilised more effectively in other qualitative or mixed methods health studies.Item Open Access Cognitive impairment in post-acute COVID-19 syndrome: a scoping review Comprometimento cognitivo na síndrome pós-COVID-19 aguda: uma revisão de escopo(Arquivos de Neuro-Psiquiatria, 2023-12-11) Hinsliff-Smith, K.; Cipolli, G.; Alonso, V.; Yasuda, C.; Cachioni, Meire; Melo, R.; Yssuda, M.; Assumpo, D.Emerging studies indicate the persistence of symptoms beyond the acute phase of COVID 19. Cognitive impairment has been observed in certain individuals for months following infection. Currently, there is limited knowledge about the specific cognitive domains that undergo alterations during the post-acute COVID-19 syndrome and the potential impact of disease severity on cognition. The aim of this review is to examine studies that have reported cognitive impairment in post-acute COVID-19, categorizing them into subacute and chronic phases. The methodology proposed by JBI was followed in this study. The included studies were published between December 2019 and December 2022. The search was conducted in PubMed, PubMed PMC, BVS – BIREME, Embase, SCOPUS, Cochrane, Web of Science, Proquest, PsycInfo, and EBSCOHost. Data extraction included specific details about the population, concepts, context, and key findings or recommendations relevant to the review objectives. A total of 7,540 records were identified and examined, and 47 articles were included. The cognitive domains most frequently reported as altered 4 to 12 weeks after acute COVID-19 were language, episodic memory, and executive function, and after 12 weeks, the domains most affected were attention, episodic memory, and executive function. The results of this scoping review highlight that adults with post-acute COVID-19 syndrome may have impairment in specific cognitive domains.Item Open Access A COST-EFFECTIVENESS EVALUATION OF A SERVICE USER AND CARER CO-DELIVERED TRAINING PROGRAMME FOR MENTAL HEALTH PROFESSIONALS TO ENHANCE INVOLVEMENT IN CARE PLANNING(2019-07-02) Hinsliff-Smith, K.; Davies, L.; Camacho, E.; Bee, P.; Brooks, H.; Callaghan, P.; Grundy, A.; Meade, O.; Rogers, A.; Rushton, K.; Bower, P.; Lovell, K.; Shields, G.E.; Carter, L.A.; Fraser, C.Item Open Access The COVID-19 Pandemic in UK Care Homes - Revealing the Cracks in the System(Journal of Nursing Home Research, 2020-07-09) Hinsliff-Smith, K.; Gordon, Adam; Devi, Reena; Goodman, ClaireThere are around 420,000 residents living in UK care homes. The majority are over 85, have multiple health conditions, live with frailty and are nearing the end of their lives. Up to 80% of residents live with dementia. Care homes are not part of the National Health Service (NHS). Care home places are funded through a complex mix of self-funding, means-tested support from local authorities, and continuous healthcare funding from the NHS. They are run by independent organisations. A third of providers are large for-profit chains, the remainder comprising not-for-profit third-sector organisations, or small private companies with only a small number of homes. The level of government reimbursement for long-term care homes in the UK is low by international standards, an issue highlighted by multiple public commissions3,4 but which has gone unaddressed by successive UK governments. Medical care to UK care homes is highly variable. In some areas, the NHS Care Home Vanguards have established dedicated General Practitioners with responsibility for each home and direct access to specialist multidisciplinary teams, with evidence that such approaches may minimise unnecessary admission to hospital5. But often, care is based on residents’ individual relationships with family doctors, with the result that access to medical care is variable and uncoordinated6. As the COVID -19 pandemic started, arrangements for medical care in English care homes were in the early stages of being standardised as part of the NHS England Enhanced Health in Care Homes project. There is a social dread surrounding care homes, perceived as places to avoid because of concerns about care quality and resistance to having to pay for social care when health care is free. Most of the coverage of care homes in mainstream media prior to COVID was negative, focussing on isolated scandalous cases of negligence or abuse, and rarely reporting on the exceptional work done by the sector daily. The workforce is not valued. There is no national accreditation for care home staff, opportunities for career progression are limited, staff are poorly paid and positions in care homes are often referred to as unskilled work.Item Metadata only Creative approaches towards protecting the planet in clinical skills and simulation in nursing education(Elsevier, 2024-03-12) Arden, Catherine; Taylor-Rollings, Hannah; Tremayne, Penny; Padley, Wendy; Hinsliff-Smith, K.As we ponder the bigger picture of environmental issues, sustainability and global challenges as a society, we note that planetary health and sustainability is a theme at the next NET/NEP conference to be held in Singapore, Oct 2024 (Elsevier 2024). We have been reviewing some of our practices, particularly within our undergraduate nursing programmes and the materials we use in our clinical skills labs to set one context and to hopefully trigger some discussion for the reader. We are also responding to the Royal College of Nursing positioning statement (2019) “recognising climate change undermines the very foundations of our health” linked to the WHO equally stating that climate change is the “defining health challenge of our time” (WHO, 2023). Within all UK undergraduate nursing programmes, the Nursing and Midwifery Council (NMC), our professional body requires all candidates to undertake 50% theory and 50% clinical practice in their curricula and this approach is common across a wide range of programmes outside of the UK (Morgan et al., 2024). We are all aware that within our programmes an element of preparation is required for the acquisition of clinical skills prior to learners going into their mandatory clinical placements. Many Faculties also provide opportunities in purpose-built simulation or clinical skills labs (Borneuf & Haigh, 2010).Item Open Access Education and Social Relationships between Museums and Older People: A Scoping Review(ANAIS DO MUSEU PAULISTA, 2022-09-20) Hinsliff-Smith, K.; Costa, Susanna; Cachioni, MeireRapidly ageing population increases the demand for activities with learning and social stimulation. Museums are well placed to provide such a function. Objective: How and in what form are museums engaging with older populations. The review will focus on three aspects: (1) Identifying the frameworks and tools being used by and in museums with older people. (2) Assess variables used in research and in areas that supports knowledge creation. (3) Identify evidence in relation to the interactions between museums and older audiences. A review of 8 databases and 2 university repositories (English and Portuguese language). The 2 ANAIS DO MUSEU PAULISTA – vol. 30, 2022. search retrieved 810 potential sources (2002-2020), 39 sources met the inclusion criteria. They focused on the educational aspects of museums and were produced by disciplines like psychology and gerontology, museology, arts and education. Museums play an important role on health (emphasis on psychological and physical wellbeing), socialization (discussing stereotypes, reducing isolation, redefining social roles), socioeconomic aspects (with local focus on services, partnerships) and on creative aging (promoting non-formal education with lifelong learning at different levels).Item Open Access Education and the relationships between museums and older audiences: A scoping review protocol(Elsevier, 2020-05-30) Hinsliff-Smith, K.; Araujo, Susanna; Cochioni, MeireUnderstanding how museums recognize the potential educational relationship with older audiences (aged over 60) is important if museums are to thrive as places for attracting social engagement, educational opportunities and lifelong learning. With the predicted rise in older populations and the lower take up of younger visitors to museums, there is scope to better understand how museums are engaging with these potential visitors in spaces traditionally viewed as non-formal education settings. Museums are known to house objects or collections which can work well in engaging with older populations, including cognitively-impaired elderly. However, there is a gap in evidence-based studies on audience research. The review will synthesize available empirical evidence on museum education for older audiences to catalogue good practice.Item Open Access Embedding shared decision-making in the care of patients with severe and enduring mental health problems: the EQUIP pragmatic cluster randomised trial(PLOS ONE, 2018-08-22) Lovell, K; Bee, P; Brooks, H; Cahoon, P; Cahhaghan, P; Carter, I; Cree, I; Davies, I.; Drake, R; Fraser, C; Gibbons, C; Grundy, A; Hinsliff-Smith, K.; Meade, O; Roberts, C.; Rogers, A; Rushton, K; Sanders, C; Shields, G; Walker, I.; Bower, PBackground Severe mental illness is a major driver of worldwide disease burden. Shared decision-making is critical for high quality care, and can enhance patient satisfaction and outcomes. However, it has not been translated into routine practice. This reflects a lack of evidence on the best way to implement shared decision-making, and the challenges of implementation in routine settings with limited resources. Our aim was to test whether we could deliver a practical and feasible intervention in routine community mental health services to embed shared decision-making for patients with severe mental illness, by improving patient and carer involvement in care planning. Methods We cluster randomised community mental health teams to the training intervention or usual care, to avoid contamination. Training was co-delivered to a total of 350 staff in 18 teams by clinical academics, working alongside patients and carers. The primary outcome was the Health Care Climate Questionnaire, a self-report measure of `autonomy support'. Primary and secondary outcomes were collected by self-report, six months after allocation. Findings In total, 604 patients and 90 carers were recruited to main trial cohort. Retention at six months was 82% (n = 497). In the main analysis, results showed no statistically significant difference in the primary outcome between the intervention and usual care at 6 months (adjusted mean difference -0.064, 95% CI -0.343 to 0.215, p = 0.654). We found significant effects on only 1 secondary outcome. Conclusions An intervention to embed shared decision-making in routine practice by improving involvement in care planning was well attended and acceptable to staff, but had no significant effects on patient outcomes. Enhancing shared decision-making may require considerably greater investment of resources and effects may only be apparent over the longer term.Item Open Access Engaging in research with care homes(NIHR-ARC, 2023-02-10) Hinsliff-Smith, K.; Devi, Reena; Chadborn, Neil; Horne, Jane; Gordon, AdamCare homes are a key part of health and social care provision within the UK, and research is needed to help develop solutions to challenges faced in practice. Care homes might want to get involved in research but might not know where to start, and likewise, researchers might not know how best to engage care homes in their work. A team of academics with first-hand experience of conducting research and working with care homes have produced a tool, with public and patient input, to help care homes get more involved in research, and researchers wanting to involve care homes in research. The tool is freely available and is a 2-sided infographic hand out which aims to help guide discussions about engaging in research from the perspectives of both the research community and the care homes.Item Open Access An ethnographic evaluation of a specialty training pathway for general practice nursing in the UK(Elsevier, 2022-04-06) Hinsliff-Smith, K.; Claire, Mann; Boyd, Matthew; Davis, Heidi; Beardmore, GillianAims: The aim of the study was to evaluate the implementation and impact of the General Practice Nurse – Specialty Training (GPN-ST) programme across seven sites in one geographical location in the UK. The objectives were to understand, describe and evaluate: 1) the implementation of the ‘proof of concept’ training scheme; 2) the learning undertaken during the training; and 3) the impact of the training scheme on individual nurses. These objectives offer the opportunity to describe the potential return on investment for General Practices supporting nurses new to General Practice through the programme. Background: General Practice Nurses (GPNs) play a vital role in delivering primary and community care. In the UK there is a shortfall in the GPN workforce. Unlike training for other clinical professions there is currently no standardised training pathway or entry route for nurses wishing to work in General Practice. An ethnographic evaluation was undertaken of a one-year speciality training programme (GPN-ST). The programme, aimed at nurses new to General Practice, included formal higher education training and funded supported learning and mentoring whilst in practice. Methods: A qualitative ethnographic evaluation was undertaken. Observations were conducted of programme implementation, network and education meetings in the scheme. In-depth, semi-structured, interviews and focus groups were conducted with a wide range of professionals (n = 40) including nurse mentors, nursing students, academic providers, commissioners and the programme managers. These data were supplemented by documentary analysis of meeting notes, learning materials, internal student feedback and locally collected evaluation material in line with ethnographic approaches to research. Kirkpatrick’s model for course evaluation and complimentary inductive emergent thematic analysis was used. Findings: There is evidence of learning at every level of the Kirkpatrick model from reaction through to changes in behaviour and results in practice for patients. The speciality training route offered opportunities for deep learning for GPNs. The scheme offered a comprehensive career pathway to General Practice nursing which in turn benefited General Practices. Practices benefitted from confident, independent nurses who were able to contribute to patient care, practice safely and also contributed widely in the long-term for example in research, workforce development and mentoring. Conclusions: General Practice needs to invest in developing a workforce of GPNs, there are significant benefits to investing in the development of GPNs through a training pathway. This scheme provides scope for application in other clinical settings as well in other countries where there is a gap in career progression into GP practices. Tweetable abstract: GPNs play a vital role in delivering primary and community care. Unlike training for other clinical professions there is currently no standardised training pathway or entry route for nurses wishing to work in General Practice. There are significant benefits to investing in the development of GPNs through a training pathwayItem Open Access Experiences and impact of mistreatment and obstetric violence on women during childbearing: a systematic review protocol(2017-03-01) McGarry, J.; Hinsliff-Smith, K.; Watts, K.; McClouskey, P.; Evans, C.The aim of this review is to synthesize the best available evidence on the experiences of mistreatment and/or obstetric violence in women. Specifically, the objective is to explore, from a woman's point of view, the impacts and consequences of mistreatment and/or obstetric violence during childbearing. The review question is: “What are the experiences and impact of mistreatment and obstetric violence on women during the active period of childbearing?”Item Open Access An exploration of infant feeding experiences of women in Lincolnshire in the early postnatal period(University of Nottingham, 2012-12) Spencer, R.; Hinsliff-Smith, K.; Walsh, D.Executive Summary Breastfeeding initiation and maintenance rates within Lincolnshire remain lower than the average for the East Midlands and England. Rates of initiation of breastfeeding at birth in 2010/2011 were 72% in Lincolnshire, compared to an initiation rate in England of 74%. The percentage of babies still being either partially or exclusively breastfed at 6 – 8 weeks dropped to 39% in Lincolnshire in comparison to 46% in England (NHS Lincolnshire, 2011). The purpose of this qualitative research was to gain an understanding of primigravid women‟s breastfeeding experience in the first 6 – 8 week postpartum period. Whilst valuable audit data is held on infant feeding methods in Lincolnshire, this research focuses on offering insights into the experiences of new mothers in order to better understand their feeding experiences and decisions, with a view to understanding differences in rates. The objectives of the study were: PRIMARY OBJECTIVE To describe women‟s experiences of breastfeeding SECONDARY OBJECTIVES To determine women‟s perceptions of breastfeeding To identify the factors that influence breastfeeding duration and cessation. The study used phenomenological principles to understand the lived experiences of the women. The study focused on women who were living in the county of Lincolnshire. Ethical approval was granted by the University of Nottingham and the National Research Ethics Committee. Two methods of data collection were used: Personal diaries 48 primigravid women over 34 weeks gestation were invited to complete detailed daily diaries of their infant feeding experiences in the 6 to 8 week postnatal period. 22 diaries were completed, a response rate of 46%. In-depth interviews A sub-sample of 13 women participated in a face-to-face interview which explored their infant feeding experiences and factors that affected their decision to continue or to discontinue breastfeeding. Data analysis utilised phenomenological principles that proceeded from coding to category development to themes.Item Open Access Exploring the impacts of organisational structure, policy and practice on the health inequalities of marginalised communities: illustrative cases from the UK healthcare system(Elsevier, 2020-01-16) Hui, Ada; Latif, Asam; Chen, Timothy; Hinsliff-Smith, K.This paper explores how organisational structure, policies and practices in healthcare can inadvertently disadvantage marginalised populations (e.g. individuals from ethnic minority backgrounds) and reinforce health inequalities. We draw upon three diverse UK healthcare settings (long term care institutions, high security hospitals and community pharmacies) to illustrate how systemic injustices negatively impact on access to care, treatment and health outcomes. The first case study considers the care of older people within nursing homes; specifically the disempowering effects of this service structure and impacts of choice reduction upon health and their access to health provision. The second case study explores the impact of security restrictions upon patients within high security hospitals, focusing particularly on the maintenance of relationships and support networks outside of the hospital. The third and final case study, draws upon the national community pharmacy medicine management service to illustrate ways in which policies and guidelines inadvertently obstruct patients' engagement with the service within a community setting. We draw upon these settings to highlight inequalities within different contexts and to illustrate the ways in which well intended services can inadvertently disadvantage marginalised communities in multiple ways.