scholarly journals Qualitative evaluation of an educational intervention to reduce medicolegal risks for medical doctors experiencing significantly more cases than their peers in the UK and Ireland

BMJ Open ◽  
2018 ◽  
Vol 8 (4) ◽  
pp. e020838 ◽  
Author(s):  
John Jolly ◽  
Paul Bowie ◽  
Julie Price ◽  
Matt Mason ◽  
Mark Dinwoodie
2015 ◽  
Vol 86 (11) ◽  
pp. e4.1-e4 ◽  
Author(s):  
JP Appleton ◽  
A Ilinca ◽  
AG Lindgren ◽  
A Puschmann ◽  
M Habahbeh ◽  
...  

Having previously demonstrated that in-patients referred to neurology at two UK hospitals were not fully examined prior to referral, we designed an audit with 80% power to detect a 10% increase in tendon hammer or ophthalmoscope use following an educational intervention.In-patients referred to neurology over a 4 month period in the UK, Jordan, Sweden and the United Arab Emirates were asked whether they recalled examination with a Tendon hammer, Ophthalmoscope and Stethoscope since admission. Results were disseminated to local medical teams and data were collected for a further 4 months. Pre and post-intervention data were available for 11 centres with 407 and 391 patients in each arm. 264 patients (64.86%) recalled examination with a tendon hammer pre-intervention, which significantly improved to 298 (76.21%) (p<0.001). 119 (29.24%) recollected ophthalmoscopy pre-intervention, which significantly improved to 149 (38.11%) (p=0.009). 321 (78.87%) recalled examination with a stethoscope pre-intervention, which significantly improved to 330 (84.4%) (p=0.045). Most patients were not fully examined prior to neurology referral, yet a simple assessment score and educational intervention can improve the standard of neurological examination. This is the largest and – to our knowledge – only study to assess the standard of neurological examination internationally. This has implications for national neurological educators.


2017 ◽  
Vol 35 (1) ◽  
pp. 99-104 ◽  
Author(s):  
Laura Deckx ◽  
Sibyl Anthierens ◽  
Parker J Magin ◽  
Simon Morgan ◽  
Lawrie McArthur ◽  
...  

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Joanna M. Kesten ◽  
Charlotte F. Davies ◽  
Mark Gompels ◽  
Megan Crofts ◽  
Annette Billing ◽  
...  

Author(s):  
Pearl John

A critical context is an essential aspect of practice-based research; however, a lack of structure exists to obtain and evaluate criticism from peers. This paper presents a case study of how the &lsquo;silent student&rsquo; critique method used in Higher Education settings in the UK (Elkins, 2014) was adapted for a holographic arts research study. A &lsquo;silent researcher&rsquo; critique session with nine experts was held in Aveiro, Portugal, June 2018 to evaluate the author&rsquo;s digital holographic artwork, on display at the City Museum. The experts asked the author critical questions about the artwork while the author remained silent. The session was filmed, transcribed and processed using a general inductive approach for analysing qualitative evaluation data (Thomas, 2006). This paper outlines the benefits and drawbacks of using this new critique method for research. The benefits included; participant&rsquo;s careful response to the artwork avoiding engagement of egos of critic and researcher, the drawbacks included the difficulty of evaluating against a pre-determined research question when the discussion could not be steered. This paper evaluates the artwork critiqued describing how the work contributes to the aesthetic development of the medium of holography; which used the Z-axis of holographic space to depict a chronological narrative.


2020 ◽  
pp. bmjsrh-2020-200661 ◽  
Author(s):  
Jeni Harden ◽  
Julie Ancian ◽  
Sharon Cameron ◽  
Nicola Boydell

BackgroundBetween 2017 and 2019, legislation was introduced in the UK that approved the home as a place for self-administration of misoprostol for early medical abortion. While research has shown that early medical abortion at home is as safe as in a clinical setting, women’s experiences in the UK in the light of this change have not yet been investigated. This qualitative research explored the experiences of women in one region of Scotland, UK who accessed early medical abortion with home self-administration of misoprostol.MethodsQualitative interviews were conducted with 20 women who had recently undergone early medical abortion (≤69 days' gestation) with home self-administration of misoprostol. The data were analysed thematically using an approach informed by the Framework analytic approach.ResultsWomen appreciated the flexibility that home administration of misoprostol offered, including the opportunity to control the timing of the abortion. This was particularly important for women who sought not to disclose the abortion to others. Most women valued being in the comfort and privacy of the home when preparing for self-administration, although a small number highlighted some concerns about being at home. Most women reported that self-administration of misoprostol was straightforward; however, some expressed concerns around assessing whether their experiences were ‘normal’.ConclusionsWomen welcomed the opportunity for home self-administration of misoprostol. To further improve women’s early medical abortion experience we suggest that the legislation be amended so that women can self-administer in an appropriate non-clinical setting, not just their home.


2019 ◽  
Vol 40 (5) ◽  
pp. 327-337 ◽  
Author(s):  
Charlie Smith

Purpose Community libraries now constitute a significant proportion of library provision in the UK; however, there is relatively little research on how the transfer to this model has affected those libraries and the wider balance of provision. The purpose of this paper is to broaden the discourse and understanding about the impact of changing libraries to community models. Design/methodology/approach The paper provides a qualitative evaluation of all the libraries transferred to community-managed models within a large city council region in the UK. Structured research visits were made to appraise each library. These are discussed in the context of published literature and data, both specific to the study area and nationally. Findings Transferring the management of libraries to community organisations is often reactive and perceived with negative associations. This study uncovers increases in use and diversification of services following transfer; however, support from the local authority and the previous experience of managing organisations are significant factors. The paper also reveals how the successful transfer of a library to a community organisation led to more being moved out of local authority control, but that the support they receive from the local authority can be inconsistent between them. Originality/value The paper provides a study of community-managed libraries across a large city council area, affording an in-depth understanding of their impact on overall provision over one region. It will be of value to those involved in library management and service provision at both local and strategic levels, including local authorities and community groups considering library transfer.


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