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  • ItemMetadata only
    Creative approaches towards protecting the planet in clinical skills and simulation in nursing education
    (Elseiver, 2024-03-12) Arden, Catherine; Taylor-Rollings, Hannah; Tremayne, Penny; Padley, Wendy; Hinsliff-Smith, Kathryn
    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).
  • ItemOpen Access
    Engaging young people with sexual health services in general practice surgeries – A qualitative study of health care professionals
    (Wolters Kluwer, 2024-02-09) Adakpa, Itodo; Randhawa, Gurch; Ochieng, Bertha
    Evidence to date suggests that young people are becoming more sexually active and are forming relationships during the early stages of their lives, sometimes engaging in sexual risk-taking, which contributes to high rates of conception and sexually transmitted infections (STIs). Young people at risk of adverse sexual health outcomes are the least likely to engage with reproductive and sexual health promotion programmes and services (RSHPPs), especially in mainstream clinics such as general practice (GP) surgeries. The study aimed to explore the views and experiences of service providers. Materials and Methods: A qualitative approach to explore the views and experiences of designing and implementing RSHPPs for young people in GP surgeries was used. A total of seven participants were interviewed, including four general practitioners (GPs), two of whom were managers at the practice; one nurse; one healthcare and support worker; and one practice manager. Results: The context of RSHPPs such as local health priorities and partnerships to address STIs and unplanned pregnancies among young people contribute to the implementation and engagement of young people with RSHPPs. Training of GPs, nurses, and support workers helps develop confidence and overcome personal factors by promoting effective engagement of young people with RSHPPs. Conclusion: Addressing local health priorities such as reducing teenage pregnancies and STIs requires organisations to provide RSHPPs in both non-clinical and clinical settings to ensure that RSHPPs are accessible to young people. There is room for improvement in access to RSH for young people in GP surgeries by addressing organisational and structural barriers to access.
  • ItemOpen Access
    Improving students’ engagement during synchronous teaching sessions using interactive quiz tools: A case study of undergraduate Nursing students in DMU
    (2024-02-07) Oviasu, Osaretin
    A component of student engagement is the students’ willingness to respond to questions or ask questions during live teaching sessions. However, there is limited evidence that identifies how anonymous participation using interactive tools influences students’ engagement during teaching sessions. Therefore, this study examined how anonymous engagement with interactive tools impacts students’ willingness to respond to questions or ask questions during a face-to-face or virtual teaching session. The theoretical basis for the study is the Landers’ Theory of Gamified Learning. The study used a mixed-method approach as data were collected from undergraduate nursing students using a questionnaire. Also, a sample of some interaction reports from an interactive tool (Slido) on how students have engaged with an interactive tool during face-to-face and virtual teaching sessions were analysed. Overall, 141 students responded, majority were female (87.9%). Most participants said they will likely ask (73%) and answer (87.2%) questions using interactive tools if their responses were anonymous. Their reasons were around their confidence, avoiding embarrassment, avoiding being judged by their peers, and the fear of asking silly questions or giving wrong answers. The results indicates that students will engage more during teaching sessions when their questions or responses are anonymous. This is especially relevant when trying to get shy or non-engaging students to engage during teaching sessions.
  • ItemOpen Access
    Adherence to the Eatwell Guide and Population and Planetary Health: A Rank Prize Forum Repor
    (Wiley, 2024-01-31) Shannon, Oliver; Townsend, Rebecca; Malcomson, Fiona; Matu, Jamie; Griffiths, Alex; Jennings, Amie; Ward, Nicola; Papier, Keren; Best, Nicola; French, Chloe; Scheelbeek, Pauline; Kim, Curie; Ochieng, Bertha; Jay, Fareeha; Shepherd, Kaydee; Corfe, Bernard; Fairley, Andrea; McEvoyd, Claire; Minihane, Ann-Marie; Sim, Yi Jia; Stevenson, Emma; Gregory, Sarah
    This report summarises a Forum conducted in June 2023 to explore the current state of the knowledge around the Eatwell Guide, which is the UK Government’s healthy eating tool, in relation to population and planetary health. The 1.5-day Forum highlighted the limited, albeit promising evidence linking higher adherence to the Eatwell Guide with favourable health outcomes, including reduced overall mortality risk, lower abdominal obesity in post-menopausal women, and improved cardiometabolic health markers. Similarly, evidence was presented to suggest that higher adherence to the Eatwell Guide is associated with reduced greenhouse gas emissions. Presentations were given around cultural adaptations of the Eatwell Guide, including African Heritage and South Asian versions, which are designed to increase acceptability and uptake of the Eatwell Guide in these communities in the UK. Presentations highlighted ongoing work relevant to the applications of the Eatwell Guide in randomised controlled trials and public health settings, including the development of a screening tool to quantify Eatwell Guide adherence. The Forum ended with a World Café-style event, in which strengths and limitations of the Eatwell Guide were discussed, and directions for future research were identified. This Forum report serves as a primer on the current state of the knowledge on the Eatwell Guide and population and planetary health and will be of interest to researchers, healthcare professionals, and public health officials.
  • ItemOpen 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, Kathryn; 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.
  • ItemMetadata only
    Obstetric and neonatal outcomes in pregnant women with and without a history of specialist mental healthcare: a national population-based cohort study using linked routinely collected data in England.
    (Lancet, 2023-08-14) Langham, J.; Gurol-Urganci, I.; Muller, P.; Webster, K.; Tassie, E.; Heslin, M.; Byford, S.; Khalil, A.; Harris, T.; Sharp, H.; Pasupathy, D.; van der Meulen, J.; Howard, L.; O'Mahen, H.
    Background: Pregnant women with pre-existing mental illness have increased risks of adverse obstetric and neonatal outcomes. We estimated these difference in risks according to the highest level of pre-pregnancy specialist mental healthcare, defined as psychiatric hospital admission, crisis resolution team (CRT) contact, or specialist community care only, and the timing of the most recent care episode within 7 years before pregnancy. Methods: Hospital and birth registration records of women with singleton births between 2014 and 2018 in England were linked to records of babies and records from specialist mental health services, provided by the English National Health Service, a publicly funded healthcare system. Composite indicators captured neonatal adverse outcomes and maternal morbidity. We calculated odds ratios (ORs), adjusted for maternal characteristics. Outcomes: Of 2,081,043 included women (mean age 30.0 years; range 18 to 55 years; 77.7% White, 11.1% South Asian, 4.7% Black and 6.2% other ethnic background), 151,770 (7·3%) had at least one pre-pregnancy specialist mental healthcare contact. 7,247 (0·3%) had been admitted, 29,770 (1·4%) had CRT contact, and 114,753 (5·5%) had community care only. With a pre-pregnancy mental healthcare contact, risk of stillbirth or neonatal death within seven days was not significantly increased (0·45% to 0·49%; OR 1·11, 95%CI 0·99–1·24). Risk of preterm birth (<37 weeks) increased (6·5% to 9·8%; OR 1·53, 1·35–1·73) as did risk of small for gestational age (birthweight <10th percentile) (6·2% to 7·5%; OR 1·34, 1·30–1·37), and neonatal adverse outcomes (6·4% to 8·4%; OR 1·37, 1·21–1·55). With a pre-pregnancy mental healthcare contact, maternal morbidity increased slightly from 0·9% to 1·0% (OR 1·18, 1·12–1·25). Overall, risks were highest for women who had a psychiatric hospital admission any time or a mental healthcare contact in the year before pregnancy. Interpretation: Information about level and timing of pre-pregnancy specialist mental healthcare contacts can support identifying pregnant women at increased risk of adverse obstetric and neonatal outcomes, most likely to benefit from integrated perinatal mental health and obstetric care.
  • ItemMetadata only
    Accessing care services after sexual violence: A systematic review exploring experiences of women in South Africa
    (AOSIS, 2023-10-25) Hinsliff-Smith, Kathryn; McGarry, Julie; Griffiths, Sarah; Randa, Moreoagae
    Background: 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.
  • ItemMetadata only
    Identifying and Managing Frailty: A Survey of UK Healthcare Professionals
    (Sage, 2023-10-20) Hinsliff-Smith, Kathryn; Gordon, Adam; Frost, Rachael; Gavin, James; Gaiolla, Paula; Robinson, Katie; Caldeira De Melo, Ruth; Villas Boas, P. J. F.
    Frailty is a common condition that leads to multiple adverse outcomes. Frailty should be identified and managed in a holistic, evidence-based and patient-centered way. We aimed to understand how UK healthcare professionals (HCPs) identify and manage frailty in comparison with UK Fit for Frailty guidelines, their frailty training, their confidence in providing support and organizational pathways for this. An online mixed-methods survey was distributed to UK HCPs supporting older people through professional bodies, special interest groups, key contacts, and social media. From 137 responses, HCPs valued frailty assessment but used a mixture of tools that varied by profession. HCPs felt confident managing frailty and referred older people to a wide range of supportive services, but acknowledged a lack of formalized training opportunities, systems, and pathways for frailty management. Clearer pathways, more training, and stronger interprofessional communication, appropriate to each setting, may further support HCPs in frailty management.
  • ItemEmbargo
    End-of-Life Care in The Patient’s Home: Experiences of Nursing Staff Caring for Patients from the ethnic minorities in the United Kingdom
    (Mark Allen Group, 2023) Manyimo, Pretty; de Vries, Kay
    Background Providing end-of-life care in the patient’s home is challenging, especially if the nurse is from a different ethnic background from the patient. Evidence shows that Black, Asian Minority Ethnic background people often experience poorer end-of-life care due to care providers not understanding their care needs. Aim To describe the experiences of the United Kingdom nursing staff caring for community ethnic minorities patients at the end-of-life. Methods Using a qualitative descriptive approach, 16 semi-structured interviews were conducted, and the data was thematically analysed. Findings Participants dealt with large tight-knit families, paternalism and controlling behaviours. There was mistrust of Western palliative medicine. Language barriers and challenges were faced by the nursing staff, resulting in difficult conversations with the families. Different levels of the nursing staff’s spiritual/cultural competencies were also identified. The COVID-19 pandemic intensified the challenges. Conclusion This research has shed light on the challenges of individualising end-of-life care in a culturally diverse community in the United Kingdom. The nursing staff’s cultural/spiritual competencies were challenged.
  • ItemOpen Access
    Exploring nurses’ well-being and strategies to support self-care
    (Royal College of Nursing, 2023-10-01) Tremayne, P.; De Bourg, L.
    Nurses experience a range of challenges in their practice that can adversely affect their well-being, for example work-related stress and workforce issues. These challenges may have been intensified by various factors, such as the coronavirus disease 2019 (COVID-19) pandemic and shift working. This article considers the concept of well-being and explores nurses’ well-being in the context of ongoing stressors and workforce issues. It also examines some of the effects of shift work on nurses’ well-being and how these could be mitigated. The authors outline a range of self-care practices that nurses could engage in and consider how they may be supported in this by their line managers and healthcare organisations
  • ItemOpen Access
    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, Kathryn
    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.
  • ItemMetadata only
    Transitioning to trauma care: A phenomenological study of non-trauma foreign-trained nurses
    (Elsevier, 2023) Al-Sheikh Hassan, Mohammed; de Vries, Kay; Rutty, Jane
    Background: The increasing global nursing workforce shortage creates higher demands for recruiting foreign-trained nurses, especially in high-income countries that depend on them to fill their nursing workforce gaps. Specifically, Saudi Arabia, a high-income country that possesses one of the highest trauma rates globally, recruits two-thirds of its total nursing workforce from other foreign countries. However, a significant number of newly recruited foreign-trained nurses are allocated to major trauma care settings without gaining previous trauma care experience in their home countries. This exposes them to intolerable workloads and higher rates of dissatisfaction affecting their transition and integration into their new care settings. Aim: To explore and describe the lived experiences of moving to major trauma care in Saudi Arabia as non-trauma foreign-trained nurses. Methods: The study employed a descriptive phenomenological approach guided by Husserl's phenomenology. In-depth, unstructured one-to-one interviews were conducted to gather data about the participants' transition journeys through real-life examples and stories from their own lived experiences. A total of nine foreign nurses were recruited to the study. The nurses were interviewed twice on two different occasions. The data were analysed using Colaizzi's descriptive phenomenological method. Findings: Three main themes were identified, (1) facing a new reality, (2) adjusting towards growth, and (3) achieving belonging. The themes depict the nurses' journey from their arrival in a foreign country as novice trauma nurses through to attaining a higher-level proficiency. Moreover, the themes highlight the phenomenon behind the significant transition the nurses went through at the personal, emotional, and professional levels. Conclusion: Extreme cultural, social, and religious differences and the need to provide nursing care in a challenging practice area were significant factors in the nurses' transition, which exposed them to culture and practice shocks. However, by practising emotional labour throughout their transition, the nurses moved forward and achieved belonging within the care setting. Therefore, the study provides practice and future research recommendations for enhancing foreign-trained nurses' recruitment and retention, which can lead to improvements in the pre-and post-arrival experiences of other nurses in similar contexts.
  • ItemEmbargo
    The impact of Covid-19 on the mental health of professional footballers
    (Taylor and Francis, 2021-01-25) Souter, Gary; Tonge, Alan; Culvin, Alex
    The Covid-19 pandemic has had huge ramifications on professional football. This commentary focuses on the impact of the pandemic on the mental health of professional footballers. Specifically, footballers within the English Premier League, English Football League, FA Women’s Super League and FA Women’s Championship. This commentary considers a holistic approach to mental health, the environment of professional football, and the impact of career transitions and critical moments on mental health. The intention is to stimulate discussion and further research of mental health and wellbeing within professional football. This paper considers the impact of Covid-19 and makes recommendations for professional football clubs to develop a holistic mental health strategy. We recommend that professional clubs increase the level of emotional support for professional footballers, and that this should not be a temporary measure due to the pandemic. Clubs should develop a long-term strategy to encourage players to seek emotional support.
  • ItemOpen Access
    Induction of labour at 39 weeks and adverse outcomes in low-risk pregnancies according to ethnicity, socioeconomic deprivation and parity: a national cohort study in England.
    (PLOS Medicine, 2023-07-20) Muller, P; Karia, A M; Webster, K; Carroll, F; Dunn, G; Frémeaux, A; Harris, T; Knight, H; Oddie, S; Khalil, A; van der Meulen, J; Gurol-Urganci, I
    Background: Ethnic and socioeconomic inequalities in obstetric outcomes are well established. However, the role of induction of labour (IOL) to reduce these inequalities is controversial, in part due to insufficient evidence. This national cohort study aimed to identify adverse perinatal outcomes associated with IOL with birth at 39 weeks of gestation (“IOL group”) compared to expectant management (“expectant management group") according to maternal characteristics in women with low-risk pregnancies. Methods and Findings: All English National Health Service (NHS) hospital births between January 2018 and March 2021 were examined. Using the Hospital Episode Statistics (HES) dataset, maternal and neonatal data (demographic, diagnoses, procedures, labour, and birth details) were linked, with neonatal mortality data from the Office for National Statistics (ONS). Women with a low-risk pregnancy were identified by excluding pregnancies with pre-existing comorbidities, previous caesarean section, breech presentation, placenta previa, gestational diabetes, or a baby with congenital abnormalities. Women with premature rupture of membranes, placental abruption, hypertensive disorders of pregnancy, amniotic fluid abnormalities, or antepartum stillbirth were excluded only from the IOL group. Adverse perinatal outcome was defined as stillbirth, neonatal death or neonatal morbidity, the latter identified using the English composite neonatal outcome indicator (E-NAOI). Binomial regression models estimated risk differences (with 95% confidence intervals) between the IOL group and the expectant management group, adjusting for ethnicity, socioeconomic background, maternal age, parity, year of birth, and birthweight centile. Interaction tests examined risk differences according to ethnicity, socioeconomic background, and parity. Of the 1 567 004 women with singleton pregnancies, 501 072 women with low-risk pregnancies and with sufficient data quality were included in the analysis. 3.3% of births in the IOL group (1 555/47 352) and 3.6% in the expectant management group (16 525/453 720) had an adverse perinatal outcome. After adjustment, a lower risk of adverse perinatal outcomes was found in the IOL group (risk difference -0.28%; 95% confidence interval -0.43%, -0.12%; p=0.001). This risk difference varied according to socioeconomic background from 0.38% ( 0.08%, 0.83%) in the least deprived to -0.48% ( 0.76%, -0.20%) in the most deprived national quintile (p value for interaction =0.01), and by parity with risk difference of -0.54% (-0.80%, -0.27%) in nulliparous women and -0.15% (-0.35%, 0.04%) in multiparous women (p-value for interaction = 0.02). There was no statistically significant evidence that risk differences varied according to ethnicity (p=0.19). Key limitations included absence of additional confounding factors such as smoking, BMI, and the indication for induction in the HES datasets, which may mean some higher risk pregnancies were included. Conclusions: IOL with birth at 39 weeks was associated with a small reduction in the risk of adverse perinatal outcomes, with 360 inductions in low-risk pregnancies needed to avoid one adverse outcome. The risk reduction was mainly present in women from more socioeconomically deprived areas and in nulliparous women. There was no significant risk difference found by ethnicity. Increased uptake of IOL at 39 weeks, especially in women from more socioeconomically deprived areas, may help reduce inequalities in adverse perinatal outcomes.
  • ItemOpen Access
    A Qualitative Exploration on Perceived Socio-Cultural Factors Contributing to Undernutrition Among Under-Fives in the Southern Highlands of Tanzania
    (Frontiers, 2023-07-21) Frumence, Gasto; Jin, Yannan; Kasangala, Amalberga; Mang’enya, Mary; Bakar, Saidah; Ochieng, B.
    Objective: Under nutrition especially among under-fives is a major public health challenge in Tanzania. However, the contribution of cultural practices to child under nutrition is often overlooked. This study aimed to explore the perceived socio-cultural factors contributing to the persisting under nutrition among under-fives in Tanzania. Methods: The study applied focus group discussion (FDGs) with forty practitioners to examine the sociocultural factors contributing to under nutrition during early childhood. The study participants were purposively selected and thematic analysis was used to identify themes within the data. Results: This study revealed that, under nutrition for under-fives is caused by a number of socio-cultural factors including existence of gender inequality related to dietary practices and qualities, women’s excessive workload, patriarchy social-norm, excessive alcohol use and cultural taboos prohibiting women and girls from eating certain types of nutrient dense foods. Conclusion: The study highlights the multiplicity of factors including socio-cultural perspectives contributing to under nutrition among under-fives, and calls for a concerted efforts in developing and implementing issue-specific and culturally sensitive strategies towards elimination of child under nutrition.
  • ItemOpen Access
    A Case Study of a Pilot Smart Home Monitoring System with Older Adults Living Alone in East Midlands
    (Athens Institute for Education & Research, 2023-06-16) Chaudhry, Ismail; Chamley, Carol; Nijhof, Dewy; Ochieng, Rebecca; Rogerson, Louise; Wong, Richard; Prasad, Rishabh; Ochieng, B.
    The aim of this project was to examine older adults and their next-of-kins’ experiences of using smart home technology. The technology unobtrusively monitors the older adult’s physical functional ability to undertake their daily activities at home. Using a case study approach, the participants comprised three family units: three older adults with a history of long-term co-morbidities and who lived alone, along with their next-of-kin (n=4). The older adults were all female aged between 72- 82 years of age, while the four next-of-kin were all females aged between 40 and 55 years of age. Participants experiences of using the smart home technology was evaluated at three- and eight-months post installation via in-depth one-to-one interviews with the older adults and their next-of-kin. The older adults described how the smart home sensors reduced their levels of anxiety because they were ‘not feeling alone’. Likewise, their next-of-kin described how the sensors gave them an insight to their older relatives’ activities of daily living, as well as the challenges they experienced. The findings highlighted the benefit of smart home technologies in terms of helping older adults and their next-of-kin monitor their daily activities, reduce social isolation, and adopt positive health and behavioural changes.
  • ItemOpen Access
    Emotional labour in nursing: the fine line between support and stress
    (University Hospitals of Leicester NHS Trust, 2023-05-24) Al-Sheikh Hassan, Mohammed
    N/A
  • ItemMetadata only
    Intimate Partner Violence. Gender-Based Violence: A Comprehensive Guide
    (Springer, 2023-06-01) Hinsliff-Smith, K.; McGarry, Julie
    This chapter provides a foundation for the understanding of what is termed intimate partner violence. Intimate partner violence is a global phenomenon affecting all genders and relates to acts by a current or ex-partner to another person. Such acts may be physical, emotional, psychological or financial but in most cases will have a detrimental effect on the survivor. It is now much better understood that such acts can directly affect a survivor’s physical and mental health and have long-lasting, life-changing impacts. In this chapter, we aim to provide some context to the issues of intimate partner violence, which are often experienced by women and can occur across all age ranges. We provide the context for intimate partner violence as well as background about the known prevalence, which leads to changes in policy and how different authorities may deal with instances of intimate partner violence. Finally, we provide a case study that shows the complexity of intimate partner violence.
  • ItemOpen Access
    Addressing health inequalities, assumptions and barriers in meeting the hygiene needs of the transgender population
    (Nursing Standard, 2023) Layton, Helen; Tremayne, Penny; Norton, Wendy
    This article originates from the preparation of study resources for first year undergraduate nurses prior to them participating in an introductory simulation session related to patient hygiene (NMC, 2018a Annex B, 3.4,4.1,4.3 and 4.5). The lecturing team had prepared theoretical material and on reflection was acknowledged that it was overtly cisnormative. Content, both theory and simulation need to ensure that all protected characteristics of the Equality Act (2010) are addressed. This deficit influenced a need to expand knowledge and to influence and enhance care that student nurses would deliver to trans individuals who are in a healthcare setting and require assistance, support and care with their hygiene needs. Stonewall (2018) highlights that nursing schools should review curricula standards and training to ensure that it reflects LGBT-inclusive care including specific information on providing trans-inclusive care. This article considers some of the wider issues relating to this educational development and identify inequalities, assumptions and barriers in addressing the hygiene needs of trans patients. Ill-informed assumptions can lead to thoughtless care that can leave the patient feeling marginalised and discriminated against. The Nursing and Midwifery Council (2018b) stipulate the need to provide culturally competent care. There are many ways that a nurse can offer an even better care experience in promoting hygiene in a healthcare setting for these individuals.
  • ItemOpen Access
    Dementia and comorbid cancer: challenges and implications for nursing practice.
    (RCNI., 2023-03-21) de Vries, Kay; Chaâbane, Fiona; Harrison Dening, Karen
    Data regarding the prevalence of dementia and the prevalence of cancer suggest that a relatively large number of older people living with dementia may also have unsuspected comorbid cancer. Research into dementia and comorbid cancer is limited. The existing literature shows that people living with dementia have much lower cancer survival rates than people who do not have dementia, perhaps due to advanced age and cancer being diagnosed at a late stage or not at all. In people with dementia, investigating and managing cancer is complicated by cognitive impairment, atypical presentation, communication difficulties and potential behavioural issues – all of which may deter healthcare professionals from conducting patient assessments and screening tests. In this article, the authors use a case study to illustrate the challenges that can arise when a person living with dementia develops cancer, particularly in relation to diagnosis, pain assessment, decision-making and carer involvement.