scholarly journals Remote clinical consultations in restorative dentistry: a clinical service evaluation study

BDJ ◽  
2020 ◽  
Vol 228 (6) ◽  
pp. 441-447 ◽  
Author(s):  
Nicolas Martin ◽  
Shirin Shahrbaf ◽  
Ashley Towers ◽  
Christopher Stokes ◽  
Claire Storey
Keyword(s):  
Evaluation Study ◽  
Service Evaluation ◽  
Clinical Service ◽  
Restorative Dentistry

scholarly journals Reassessing the value of gastroscopy for the investigation of dyspepsia

2017 ◽  
Vol 9 (1) ◽  
pp. 62-66 ◽  
Author(s):  
Hey-Long Ching ◽  
Melissa F Hale ◽  
Reena Sidhu ◽  
Mark E McAlindon
Keyword(s):  
Patient Management ◽  
Diagnostic Yield ◽  
Evaluation Study ◽  
Service Evaluation ◽  
Proton Pump Inhibitor Therapy ◽  
Endoscopic Examination ◽  
Teaching Hospitals ◽  
Outpatient Basis ◽  
Non Invasive ◽  
Royal Hallamshire Hospital

ObjectiveTo evaluate the diagnostic yield of investigating dyspepsia with oesophagogastroduodenoscopy (OGD) with or without mucosal biopsy.DesignRetrospective service evaluation study.SettingTwo teaching hospitals: The Royal Hallamshire Hospital and Northern General Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, UK.Patients500 patients, 55 years of age and over, who underwent OGD to investigate dyspepsia were included. The study period included a 3-month window. All OGDs were performed on an outpatient basis.InterventionsData were extracted from electronic OGD records within the study period.Main outcome measuresDiagnostic yield provided by endoscopic examination and histological assessment.Results378 patients (75.6%) were reported to have some form of endoscopic abnormality, and 417 patients (83.4%) had biopsies taken. The most common findings at OGD were gastritis (47.2%) and oesophagitis (24.4%). Oesophagogastric malignancy was seen in 1%. Diagnoses made endoscopically or histologically that would not have been appropriately managed by empirical therapies were seen in 16.2%.ConclusionOGD in dyspepsia influences patient management in approximately one-sixth of cases. However, the majority of patients are sufficiently managed with Helicobacter pylori testing and eradication and/or a trial of proton pump inhibitor therapy. Further non-invasive approaches are needed to identify patients who need endoscopy for biopsy or therapy.

Radiographer-led breast boost localisation – A service evaluation study

Radiography ◽  
2015 ◽  
Vol 21 (2) ◽  
pp. 136-140 ◽  
Author(s):  
S. Smith ◽  
C. Comins
Keyword(s):  
Evaluation Study ◽  
Service Evaluation

“It’s changed my life!” Evaluation and improvement of a pilot Tier 2 weight management course, “Balance”

2021 ◽  
Vol 26 (1) ◽  
pp. 71-86
Author(s):  
Sally McGuire ◽  
Alex Stephens ◽  
Emma Griffith
Keyword(s):  
Mental Health ◽  
Weight Management ◽  
Evaluation Study ◽  
Service Evaluation ◽  
Service Users ◽  
Tier 2 ◽  
Content Type ◽  
Management Interventions ◽  
Cognitive Behavioural

Purpose This paper aims to describe a service evaluation study of “Balance” – a National Health Service Tier 2 pilot weight management course delivered in a primary care mental health service. The 12 weekly sessions included dietetic, psychological and behavioural elements underpinned by cognitive behavioural theory and “third-wave” approaches, including acceptance and commitment therapy, compassion-focused therapy and mindfulness. Design/methodology/approach A mixed-methods design was used in this service evaluation study that included analysis of outcome measures (weight, eating choices, weight-related self-efficacy and mental health) and focus group data (n = 6) analysed using thematic analysis. Eleven clients with a body mass index of 25–40 kg/m2 enrolled, and nine clients completed the course. Outcome data were collected weekly with follow-up at three and six months. Findings Quantitative data analysis using non-parametric Wilcoxon signed-rank tests showed that the group mean weight decreased significantly (p = 0.030) by the end of Balance, but the group mean weight loss was not statistically significant at the three-month (p = 0.345) or six-month (p = 0.086) follow-up. The qualitative results showed that participants valued the course ethos of choice and also welcomed learning new tools and techniques. Balance was very well-received by participants who reported benefitting from improved well-being, group support and developing new weight management skills. Research limitations/implications Only one client attended all sessions of the group, and it is possible that missed sessions impacted effectiveness. Some of the weight change data collected at the six-month follow-up was self-reported (n = 4), which could reduce data reliability. Focus group participants were aware that Balance was a pilot with a risk that the group would not be continued. As the group wanted the pilot to be extended, the feedback may have been positively skewed. A small sample size limits interpretation of the results. A group weight management intervention, including dietetic, psychological and behavioural elements, underpinned by cognitive behavioural theory was well-received by service users and effective for some. Commissioners and service users may have different definitions of successful outcomes in weight management interventions. Practical implications Longer-term support and follow-up after Tier 2 weight management interventions may benefit service users and improve outcomes. Originality/value The paper contributes to a small but growing evidence base concerned with the design and delivery of weight management interventions. Areas of particular interest include: a gap analysis between the course content and National Institute for Health and Care Excellence clinical guidelines, participants’ views on the most impactful course features and recommendations for course development. The results also show a disconnect between evidence-based guidelines (mandatory weight monitoring), participants’ preferences and clinicians' experience. The difference between client and commissioner priorities is also discussed.

scholarly journals Power in research relationships: Engaging mothers with learning difficulties in a parenting programme evaluation

2019 ◽  
Vol 19 (5-6) ◽  
pp. 951-967
Author(s):  
Beth Tarleton ◽  
Pauline Heslop
Keyword(s):  
Learning Difficulties ◽  
Evaluation Study ◽  
Service Evaluation ◽  
Power Dynamics ◽  
Power Relationships ◽  
Ethical Considerations ◽  
Starting Point ◽  
Asymmetrical Power ◽  
Potential Impact ◽  
Therapeutic Space

There are significant ethical considerations when engaging with the participants of a service evaluation study. These include the potential impact of the findings of the evaluation on the lives of those in receipt of the service. The importance of researcher reflexivity in these circumstances is vital. This paper describes one researcher’s reflections about their own engagement with participants of an evaluation of a parenting course. The potential contributors to the evaluation of the course, that are the focus of this paper, were 18 mothers with learning difficulties. All had been referred to the course because of concerns about their parenting capacity or the welfare of their child. The power dynamics in the interactions between the researcher and the participants existed on a number of levels. The starting point was an asymmetrical power relation with the researcher defining the scope, content and conduct of the evaluation. Efforts to engage with the participants included trying to remodel some of this power and minimise the distance and separateness between each party. The parents too had some power, by using the interviews as a therapeutic space, providing socially desirable accounts or ultimately jeopardising the evaluation of the programme by refusing to participate. In this unique context, the power relationships were dynamic and inter-linked, feeling like a dance between active agents within the negotiations. Elements of Tew’s (2006) conceptual framework of ‘productive’ and ‘limiting’ modes of power were both in evidence and likely to have influenced the findings of the evaluation.

scholarly journals Pulmonary passport: a service evaluation study of a standardised web-based procedure logbook to aid specialist respiratory training and appraisal

2020 ◽  
Vol 7 (1) ◽  
pp. e000690
Author(s):  
Andrew Cheng ◽  
Tarek Saba ◽  
Tracy Duncan ◽  
Seamus Grundy ◽  
Matthew Evison
Keyword(s):  
Quality Assurance ◽  
Performance Metrics ◽  
Automated Analysis ◽  
Evaluation Study ◽  
Service Evaluation ◽  
Web Based ◽  
Regional Project ◽  
Recorded Data ◽  
Respiratory Training ◽  
The Impact

IntroductionThe pulmonary passport (PP) is a secure web-based procedural logbook for specialist respiratory trainees with enhanced functionality that includes automated analysis to provide key performance metrics and in-platform interactions with supervisors.MethodsThis service evaluation study used preimplementation and postimplementation online surveys in both trainees and supervisors along with analysis of recorded data within the PP to evaluate the impact of this service on data capture, training, appraisal and quality assurance.ResultsFrom August 2017 to August 2019, 69/73 (95%) specialist respiratory trainees eligible to use the PP across two UK health education deaneries registered with the system and logged 7352 procedures. 3105 thoracic ultrasound procedures identified 2145 pleural effusions and resulted in 1253 pleural procedures of which 96% were successful. 4% of ultrasounds required referral to a more expert sonographer. Iatrogenic bleeding and pneumothorax both occurred in ≤1% of all pleural procedures. 1909 basic diagnostic bronchoscopies were recorded including 1236 bronchial washes, 328 brushes and 221 endobronchial biopsies where definite tumour was identified (biopsy sensitivity 74%). Preimplementation and postimplementation survey data confirmed the PP had increased the consistency of logging procedures by trainees, the depth of data captured, the review of procedural performance metrics in appraisal and the frequency of formal supervisor feedback.DiscussionIn this regional project, the implementation of a web-based procedural logbook has been feasible with excellent uptake and has enhanced procedural recording, supervision and appraisal. Furthermore, it provides unprecedented quality assurance at an individual trainee, trust and deanery level and has a number of potential wider applications in the future.

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