School of Nursing and Midwifery

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Browsing School of Nursing and Midwifery by Type "Conference"

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    Connecting with women: Independent Midwives perceptions of how they build and maintain rapport within the mother midwife relationship
    (International Confederation of Midwives 30th Triennial Confference, Prague., 2014-06-03) Garratt, Rosemary
    Connecting with Women: Independent Midwives’ perceptions of how they build and maintain rapport within the mother midwife relationship. This paper discusses findings from a doctoral research study due to be completed in July 2013. This is a hermeneutic phenomenological study, based in the UK, which investigated the lived experience of independent midwives and their perceptions of how they build and maintain rapport within the mother-midwife relationship. Few studies have explored the working lives of independent midwives in the UK, their motivations for practicing independently and their perceptions of what is important to them as midwives in the relationships they construct and sustain with clients. Data was collected from 20 Independent midwives by means of a modified biographical narrative technique (Wengraf 2001) and analysed using thematic analysis and Ricoeur’s theory of interpretation (Ricoeur 1971). Key findings suggest that Independent midwives demonstrate a strong sense of the “with woman “philosophy; this has informed their move from the NHS and into Independent practice where they feel they are better able to enact this. The mother midwife relationship is seen as a pivotal midwifery tool that facilitates the midwife’s understanding of the woman as an individual enabling her to provide more appropriate care, create an environment of trust, facilitating discussion/disclosure of concerns and anxieties. The relationship enables the midwife to understand the world of the woman, takes time to build. It is considered “risky” when there is insufficient time for this, as in the case of a woman booking with an independent midwife late in pregnancy. This study adds to the literature concerning the midwife mother relationship, and debates about communication in health care more generally. The quality of the relationship between midwife and client is particularly salient in independent practice, has implications for midwifery profession and the education of future practitioners. This study provides insight into the working lives of independent midwives at a time of impending change and potential demise.
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    The contemporary prescriber: improving working relationships between disciplines.
    (2019-06-24) Harrison, Tim; Dunbar, Helena; Ford, Karen
    UK policy promotes collaborative working and integrated care, with professions working from common competency frameworks. Interprofessional Education is acknowledged as an effective approach to enabling collaborative practice. Key to success is the opportunity for genuine practical engagement and interaction, allowing development of mutual respect and insight into the perspectives of other. Traditional teaching replaced with online and e-learning technologies. Students are divided into multidisciplinary teams to explore various aspects of a complex patient case. Facilitated discussion between teams who have explored different aspects of the case, a plenary session, reflection and personal development planning conclude the cycle of learning. Descriptive statistics and thematic analysis are being used to assess student’s perceived changes in knowledge and confidence relating learning outcomes along with exploration of skill and knowledge acquisition.
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    Do South Asian Communities ‘Act FAST’?
    (2019) Coleby, Dawn; Taub, Nick; Mistri, Amit; Turner, Andy; Coad, Jane; Wark, Petra; Bhatti, Krishna; Chahal, Kusminder; Teo, Wei-Peng
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    EMLETB Increasing future supply of General Practice Nurses
    (2013-07) Rolland, A.; Rutty, Jane
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    Endometriosis cllinical nurse specialists
    (2018-03-24) Norton, Wendy
    This conference session will cover aspects of advanced and specialist practice from the UK perspective, building on the work of the Royal College of Nursing (RCN) Women’s Health Forum. The presentation explores the introduction of the Clinical Nurse Specialist (CNS) in endometriosis, describes the RCN project examining the role components, and discusses some preliminary research findings relating to issues that these CNSs have experienced.
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    Facilitators and barriers to early diagnosis of malignant mesothelioma (FILMM): a qualitative study of patient experiences living in England, UK
    (16th International Conference of the international Mesothelioma interest group, 2023-06-26) Oviasu, Osaretin; Coleby, Dawn; Padley, Wendy; Hinsliff-Smith, K.
    BACKGROUND Partly due to late presentation and diagnosis of malignant mesothelioma (MM), UK’s survival rate is below the European average [1]. To date, there has been little attention given to patients’ experiences prior to MM diagnosis as available studies have focused on their lived experiences after diagnosis [2], [3]. Therefore, to improve survival through earlier diagnosis, there is an urgent need to understand decision-making points prior to patients’ MM diagnosis. OBJECTIVES This UK based study aims to explore patients’ experiences from the moment they notice the first symptom until they receive a MM diagnosis. Primary objective • To explore the factors which affect mesothelioma patients’ diagnosis pathway from their first symptom to confirmed diagnosis from their perspective. Secondary objective • To explore patients’ understanding of the development of their symptoms, reasons for seeking medical help and the process of interaction with health care professionals METHODS This is a qualitative study using one-to-one interviews and was conducted with participants who live in England, UK. Recruitment was via two regional specialist MM outpatient clinics using a purposive sample. A total of 17 patients were recruited, consented and interviewed. The data from the interviews were analysed using framework analysis. We utilised a model of pathway to treatment [4] as a conceptual framework for conducting the interviews and for the analysis of the findings. This model identifies four stages/intervals where delay can occur in the pathway to diagnosis - Appraisal, Help-seeking, Diagnostic, and Pre-treatment intervals and provides a useful framework to describe the participants’ journey to diagnosis and clinical interventions. RESULTS Preliminary findings indicates that there were barriers and facilitators within each interval identified along the MM patients’ journey to diagnosis. Within the appraisal and diagnostic intervals, the presentation of vague symptoms that were mistaken for a less serious illness were found to be a barrier. Both the patients that presented with these symptoms and their health care professional (HCP) failed to investigate for MM at the onset thereby leading to a delayed diagnosis. CONCLUSION Our findings identify, from the patients’ perspective, areas for improvement in the interactions and decision points along the clinical pathways to confirmed MM diagnosis. Earlier symptom recognition by both patient and HCP including GPs can be used to target significant and avoidable delays along patients’ MM diagnosis pathway, thereby promoting earlier diagnosis and treatment options. REFERENCE LIST [1] Cancer Research UK, “Mesothelioma statistics,” Statistics by cancer type, 2018. https://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/mesothelioma (accessed Feb. 24, 2020). [2] A. Arber et al., “A research study exploring the patient’s experience during the first three months following a diagnosis of Malignant Pleural Mesothelioma,” Surrey, 2010. [Online]. Available: s.surrey.ac.uk/id/eprint/2517. [3] C. Warnock, K. Lord, B. Taylor, and A. Tod, “Patient experiences of participation in a radical thoracic surgical trial: Findings from the Mesothelioma and Radical Surgery Trial 2 (MARS 2),” Trials, vol. 20, no. 598, 2019, doi: 10.1186/s13063-019-3692-x. [4] F. Walter, A. Webster, S. Scott, and J. Emery, “The Andersen Model of Total Patient Delay: a systematic review of its application in cancer diagnosis,” J Heal. Serv Res Policy, vol. 17, no. 2, pp. 110–118, 2012, doi: 10.1258/jhsrp.2011.010113.
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    Facilitators and barriers to early diagnosis of malignant mesothelioma (FILMM): A qualitative study
    (2022-03-28) Oviasu, Osaretin; Brown, Jayne; Arber, Anne
    Prognosis with malignant mesothelioma (MM) is poor, yet evidence indicates a better chance of survival at earlier diagnosis. There is a shortage of research to produce evidence based guidance related to patients’ journey to mesothelioma diagnosis, which could be vital in improving earlier diagnosis and ultimately the survival rate. This is particularly important for the UK as the survival rate in the UK is lower than Europe’s average. Although, there has been an attempt to examine MM patients’ referral pathway once they present to a healthcare professional, there has been no study that has examined their entire pathway to diagnosis (i.e. from patient’ symptom awareness to diagnosis). This is particularly relevant at this period as evidence has shown the impact COVID19 has on waiting times to diagnosis for other cancers. There has been little attention to MM patients’ experiences prior to diagnosis (i.e. early symptom awareness, help-seeking decisions and subsequent treatment pathways) as available studies have focused on their lived experiences after diagnosis. It is important to understand how MM patients appraise their symptoms, present to health services with MM symptoms and the speed of the pathway from presentation and referral to diagnosis and treatment.
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    From Silence to Voice: A collaborative international partnership to develop a digital resource for use in clinical and education settings about sexual violence from perspectives of students, educators and survivors.
    (Elseiver, 2019-11-25) Hinsliff-Smith, K.; McGarry, Julie; Randa, Moreoagae; Bartel, Heike; Langmack, Gill
    Gender based violence (GBV) – which includes sexual violence - is a significant global public health and societal problem, recognised as a global human rights issue by the World Health Organisation (WHO, 2017). Global estimates indicate that 1 in 3 women experience physical/sexual violence in their lifetime (WHO, 2017). GBV/SV exerts a detrimental impact not only on the lives and health of women, but also those who witness abuse and has been identified as a large scale problem in South Africa with recorded estimates that a woman is raped every seventeen seconds. The impact of GBV/SV on the physical and psychological wellbeing of those who experience abuse is wide ranging. It includes the immediate physical effects for example, physical injury as well as longer term chronic ill health as a result, acute and enduring psychological trauma, mental ill-health, alongside secondary physiological health issues such as gynaecological and sexual health (Feder et al. 2011). It is well evidenced however that healthcare professionals across the spectrum do not respond effectively often due to a lack of knowledge or professional confidence and their own values and assumptions surrounding GBV/SV (McGarry et al. 2015). Education is pivotal, and a proven means to tackle a growing global problem. This includes pre-qualifying healthcare students who are often not exposed to education about GBV/SV within their current curricula. Working with our project partners and key stakeholders in South Africa during 2019, including women who have experienced GBV/SV, the aim of this research was to engage stakeholders in the co-production of a digital e-learning resource to use across multiple healthcare disciplines on GBV/SV. Our aim is to describe the process of an international collaboration, provide the context using survey data and present the digital resource and the evaluations conducted on the application and use within education and clinical settings. References: Feder G, Davies R, Baird K, Dunne D, Eldridge S, Griffiths C, Gregory A, Howell A, Johnson, M., Ramsay J, Garcia-Moreno, C., Armin, A. (2016) The sustainable development goals, violence and women’s and children’s health (WHO) http://www.who.int/bulletin/volumes/94/5/16-172205/en/ (accessed 7.7.18) 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), 371-379 World Health Organisation (2017) Violence against women http://www.who.int/news-room/fact-sheets/detail/violence-against-women (accessed 7.7.18)
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    Gay Men's Experiences of UK Maternity Care
    (2019-06) Norton, Wendy
    Objective: The number of same-sex parents in the UK has increased steadily over the years. Gay men are increasing seeking surrogacy to become parents and subsequently engaging with maternity services. Whilst there is a small body of literature on the care lesbian women receive within the maternity sector, to date, no studies have explicitly explored the experience of gay men within UK maternity services following successful surrogacy. Design: These data are drawn from a wider exploratory, qualitative study based on an interpretivist epistemology. The study explored the factors that influence UK resident gay men’s desire and motivation for parenthood, why men choose surrogacy over other family building options and their experiences as they navigate the surrogacy journey. Data were collected using semi-structured, face-to-face interviews with 21 gay men and 15 key stakeholders, for example surrogacy organisations, legal and regulatory agencies, and healthcare professionals. Method: The presentation centres on data from interviews with a purposive, self-selecting sample of 12 gay men who had become fathers via surrogacy, and whose surrogate delivered their baby within the UK maternity sector. Interviews were transcribed verbatim and analysed using thematic analysis. Results: This paper reports three key themes: (i) heteronormative barriers in maternity care, (ii) healthcare professionals’ unfamiliarity and inexperience with surrogacy arrangements and (iii) healthcare professionals’ lack of understanding of UK surrogacy law. Data suggest that institutionalised practices endorsing heteronormative and gendered norms still exist within UK maternity care, with little recognition of the needs of gay men as intended parents. Maternity staff lacked understanding and knowledge of surrogacy arrangements which often resulted in poor care. Participants reported that in order to challenge negative institutionalised practices and be viewed as legitimate parents, they had to educate healthcare professionals about the practicalities and legalities of surrogacy arrangements. Conclusions: The majority of participants reported negative experiences within maternity services. Despite significant changes in UK equality legislation, removing some of the structural boundaries to parenting for gay men, inequitable and discriminatory care is still occurring within the UK maternity sector. It is recommended that maternity staffs receive additional education on UK surrogacy law and reflect on current practices to ensure they are inclusive of all prospective parents. A contemporary surrogacy policy and protocol needs to be in place in all UK maternity units to ensure inclusive and responsive maternity care is provided for all those involved in surrogacy arrangements.