scholarly journals The perception of patient safety in an alternate site of care for elective surgery during the first wave of the novel coronavirus pandemic in the United Kingdom: a survey of 158 patients

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
George Lee ◽  
Oliver T. Clough ◽  
Joseph A. Walker ◽  
Raymond E. Anakwe
Keyword(s):  
United Kingdom ◽  
Elective Surgery ◽  
Structured Interviews ◽  
Hospital Site ◽  
Perception Of Safety ◽  
The United Kingdom ◽  
Qualitative Survey ◽  
Patient Pathways ◽  
Perceptions Of Safety ◽  
Novel Coronavirus

Abstract Background We undertook a prospective qualitative survey to ascertain the perceptions and experience of National Health Service patients in the United Kingdom who underwent planned or elective procedures and surgery at alternate ‘clean’ hospital sites during the coronavirus disease 2019 (COVID-19) pandemic. These alternate ‘clean’ hospital sites were independent hospitals running active staff and patient testing programmes for COVID-19 and which did not admit or treat patients suffering with COVID-19. Methods A prospective survey was undertaken to include patients at least 30 days after a planned surgery or procedure conducted at a ‘clean’ alternate hospital site during the COVID-19 pandemic. The study was conducted using structured interviews undertaken by trained assessors. A 20% sample group of patients were randomly selected to participate in this study. Qualitative data related to confidence, safety and perceptions of safety were collected. Results Ninety-five patients (60%) reported that they had prior worries or concerns about undergoing an elective procedure during the COVID-19 pandemic. A total of 47 patients (30%) had delayed their surgery at least once because of these concerns. A total of 150 patients (95%) felt that the precautions in place to protect their safety in the setting of an alternate ‘clean’ hospital site were well thought out and proportionate. Patients reported high levels of confidence in the measures undertaken. Separation of patient pathways using the independent sector and patient testing were identified by patients as having the greatest impact on their perception of safety. Conclusions Patient confidence will be key to ensuring uptake of planned and elective procedures and surgery during the COVID-19 pandemic. Perceptions of safety will be key to this confidence and efforts to demonstrably enhance safety are well received by patients. In particular, patients felt that a dedicated programme of patient testing and separation of patient pathways provided the greatest levels of confidence in the safety of their treatment.

scholarly journals Ageing in Urban Neighbourhoods: Exploring Place Insideness Amongst Older Adults in India, Brazil and the United Kingdom

2020 ◽  
Vol 32 (2) ◽  
pp. 201-223
Author(s):  
Ryan Woolrych ◽  
Jamuna Duvurru ◽  
Adriana Portella ◽  
Judith Sixsmith ◽  
Deborah Menezes ◽  
...  
Keyword(s):  
Older Adults ◽  
United Kingdom ◽  
Older People ◽  
Old Age ◽  
Sense Of Place ◽  
Urban Environments ◽  
Structured Interviews ◽  
Policy And Practice ◽  
The United Kingdom ◽  
Urban Neighbourhoods

The ageing in place agenda emphasises the importance of supporting older adults to age in their communities surrounded by the personal resources to age well. In exploring the relationship between older people and their environment, the concept of place insideness is seen as central to constructing feelings of identity, belonging and attachment in old age. Yet there has been little research exploring how older adults experience place insideness across different urban, social and cultural contexts which is an impediment to identifying effective interventions for age-friendly cities and communities. This article explores how place insideness is experienced amongst older adults across India, Brazil and the United Kingdom. The article presents qualitative findings from 294 semi-structured interviews collected across 9 cities and 27 neighbourhoods. The findings reveal that older adults cultivate their sense of place insideness in old age through dimensions of physical insideness (i.e., environmental competence in navigating and engaging in the community), social insideness (i.e., knowing others) and autobiographical insideness (i.e., shared place histories). In drawing on older people’s understanding of their communities, this article explores the opportunities and challenges in developing a sense of place insideness to support ageing well. We identify implications for policy and practice in terms of how we can better design urban environments as age-friendly communities which support a greater sense of place for older people.

Into the Purple Zone: Deconstructing the Politics/Administration Distinction

2016 ◽  
Vol 47 (7) ◽  
pp. 752-763 ◽  
Author(s):  
John Alford ◽  
Jean Hartley ◽  
Sophie Yates ◽  
Owen Hughes
Keyword(s):  
United Kingdom ◽  
New Zealand ◽  
Structured Interviews ◽  
Public Managers ◽  
The United Kingdom ◽  
Survey Responses ◽  
Clear Line ◽  
Do So

We add new data to the long-standing debate about the interface between politics and administration, deploying theory and evidence indicating that it varies. It can be either a “purple zone” of interaction between the red of politics and the blue of administration, or a clear line. We use survey responses from 1,012 mostly senior public managers in the United Kingdom, Australia, and New Zealand, along with semi-structured interviews with 42 of them, to examine the extent to which public managers perceive that they “cross” the line or go into a zone, and the ways in which they do so. Our inclusion of a zone as well as a line recasts how roles and relationships between politicians and administrators can be conceived. Moreover, it raises questions about how particular contingencies affect whether public managers perceive and work with a line or a zone.

scholarly journals Towards an epistemology of data journalism in the devolved nations of the United Kingdom: Changes and continuities in materiality, performativity and reflexivity

Journalism ◽  
2017 ◽  
Vol 21 (7) ◽  
pp. 915-932 ◽  
Author(s):  
Eddy Borges-Rey
Keyword(s):  
United Kingdom ◽  
Northern Ireland ◽  
Professional Community ◽  
Original Model ◽  
Regional Data ◽  
Structured Interviews ◽  
Distinctive Character ◽  
The United Kingdom ◽  
Data Journalism ◽  
Epistemological Framework

This article outlines a general epistemological framework of data journalism in the devolved nations of the United Kingdom. By using an original model based on three conceptual lenses – materiality, performativity and reflexivity – this study examines the development of this form of journalism, the challenges it faces and its particularities in the context of Scotland, Wales and Northern Ireland. This research, therefore, offers unique insights from semi-structured interviews with data journalists and data editors based at, or working as freelancers for, the mainstream news organisations of these regions. The results suggest that data journalism in these devolved nations displays a distinctive character just as much as it reinforces the norms and rituals of the legacy organisations that pioneered this practice. While various models of data exploitation are tested, regional data journalists creatively circumvent generalised organisational struggles to lay the groundwork for their trade and professional community.

scholarly journals Emerging variants of novel coronavirus - myth and reality

2021 ◽  
pp. 26-26
Author(s):  
Tanja Jovanovic ◽  
Marko Jankovic ◽  
Aleksandra Knezevic
Keyword(s):  
United Kingdom ◽  
Receptor Binding ◽  
Vaccine Efficacy ◽  
Human Population ◽  
Viral Transmission ◽  
Receptor Binding Domain ◽  
Clinical Tests ◽  
Species Barrier ◽  
The United Kingdom ◽  
Novel Coronavirus

The new coronavirus has crossed the species barrier leading to the pandemic of COVID-19. The lengthy circulation of the virus within the human population has enabled the development of many new viral variants, some of which are conducive to further pathogen spread. Notable variants are those that contain mutations within the S gene, particularly within the region that codes for the receptor-binding domain (RBD) that links to the hACE-2 receptor. These mutations are responsible for increased viral transmission and influence disease severity, reliability of clinical tests as well as vaccine efficacy. At present, the variant first identified in the United Kingdom poses the greatest threat in Europe

scholarly journals Women Rugby Union Coaches’ Experiences of Formal Coach Education in Ireland and the United Kingdom: A Qualitative Study

2021 ◽  
Vol 29 (1) ◽  
pp. 29-37
Author(s):  
Gareth M. Barrett ◽  
I. Sherwin ◽  
Alexander D. Blackett
Keyword(s):  
United Kingdom ◽  
Rugby Union ◽  
Women Coaches ◽  
Structured Interviews ◽  
Coach Education ◽  
Representation Of Women ◽  
Abductive Logic ◽  
The United Kingdom ◽  
Continual Professional Development ◽  
Education Courses

Although the sport of rugby union has expanded globally in both the men’s and women’s formats recently, there remains an under-representation of women coaches across all contexts. Research has focused its analysis on the under-representation of women coaches in a select few sports such as soccer. No extant research has empirically analyzed this under-representation within rugby union. This study addressed this research lacuna on why this under-representation exists from the perspective of 21 women rugby union coaches based within the United Kingdom and Ireland. The specific research objective was to analyze the coaches’ lived experiences of attending formal coach education courses in rugby union. Data were collected through individual semi-structured interviews. Data were analyzed thematically and conceptualized via an abductive logic against LaVoi’s Ecological-Intersectional Model and Pierre Bourdieu’s species of capital. Supportive and positive themes reported how the coach education courses had been delivered in a collegiate and lateral manner. Courses thus acted as settings where greater amounts of cultural and social capital could be acquired from both course tutors and peers. This enabled social networks to be made that were used for continual professional development beyond the courses. Barriers and negative experiences orientated upon the lack of empathy imparted by course tutors on account of men having fulfilled these roles on most occasions. Recommendations on how national governing bodies can improve the experiences of women coaches attending future coach education courses are discussed.

scholarly journals Creating a climate that catalyses healthcare innovation in the United Kingdom – learning lessons from international innovators

2017 ◽  
Vol 23 (4) ◽  
pp. 772 ◽  
Author(s):  
Kathrin Cresswell ◽  
Sarah Cunningham-Burley ◽  
Aziz Sheikh
Keyword(s):  
United Kingdom ◽  
Care Service ◽  
Structured Interviews ◽  
Technology Markets ◽  
The United Kingdom ◽  
Central Direction ◽  
Regional Strategies ◽  
Service Staff ◽  
Healthcare Innovation ◽  
The Uk

Background: The United Kingdom (UK) lags behind other high-income countries in relation to technological innovation in healthcare. In order to inform UK strategy on how to catalyse innovation, we sought to understand what national strategies can help to promote a climate for innovation in healthcare settings by extracting lessons for the UK from international innovators.Methods: We undertook a series of qualitative semi-structured interviews with senior international innovators from a range of health related policy, care/service delivery, commercial and academic backgrounds. Thematic analysis helped to explore how different stakeholder groups could facilitate/inhibit innovation at individual, organisational, and wider societal levels.Results: We conducted 14 interviews and found that a conducive climate for healthcare innovation comprised of national/regional strategies stimulating commercial competition, promoting public/private relationships, and providing central direction (e.g. incentives for adoption and regulation through standards) without being restrictive. Organisational attitudes with a willingness to experiment and to take risks were also seen as important, but a bottom-up approach to innovation, based on the identification of clinical need, was seen as a crucial first step to construct relevant national policies.Conclusions:  There is now a need to create mechanisms through which frontline National Health Service staff in relation can raise ideas/concerns and suggest opportunities for improvement, and then build national innovation environments that seek to address these needs. This should be accompanied by creating competitive health technology markets to stimulate a commercial environment that attracts high-quality health information technology experts and innovators working in partnership with staff and patients.

A Systematic Review of the Impact of Healthcare Reforms on Access to Emergency Department and Elective Surgery Services

2017 ◽  
Vol 48 (1) ◽  
pp. 81-105 ◽  
Author(s):  
Sandeep Reddy ◽  
Peter Jones ◽  
Harsha Shanthanna ◽  
Raechel Damarell ◽  
John Wakerman
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Emergency Department ◽  
United Kingdom ◽  
Elective Surgery ◽  
Grey Literature ◽  
Unintended Consequences ◽  
Health Care Reforms ◽  
The United Kingdom ◽  
The Impact

This systematic review sought to identify whether health care reforms led to improvement in the emergency department (ED) length of stay (LOS) and elective surgery (ES) access in Australia, Canada, New Zealand, and the United Kingdom. The review was registered in the PROSPERO database (CRD42015016343), and nine databases were searched for peer-reviewed, English-language reports published between 1994 and 2014. We also searched relevant “grey” literature and websites. Included studies were checked for cited and citing papers. Primary studies corresponding to national and provincial ED and ES reforms in the four countries were considered. Only studies from Australia and the United Kingdom were eventually included, as no studies from the other two countries met the inclusion criteria. The reviewers involved in the study extracted the data independently using standardized forms. Studies were assessed for quality, and a narrative synthesis approach was taken to analyze the extracted data. The introduction of health care reforms in the form of time-based ED and ES targets led to improvement in ED LOS and ES access. However, the introduction of targets resulted in unintended consequences, such as increased pressure on clinicians and, in certain instances, manipulation of performance data.

scholarly journals Continuing Education through COVID-19 Crisis in the United Kingdom: A Swiss Trainee Abroad

2021 ◽  
Vol 10 (01) ◽  
pp. e25-e29
Author(s):  
Alicja Zientara
Keyword(s):  
Cardiac Surgery ◽  
United Kingdom ◽  
Continuing Education ◽  
Personal Perspective ◽  
The Novel ◽  
Swiss Society ◽  
The United Kingdom ◽  
Cardiac Surgeon ◽  
Novel Coronavirus

AbstractThe work has been awarded in July 2020 with the “Special Swiss Young Cardiac Surgeon Award 2020” by the Swiss Society of Cardiac Surgery (Schweizerische Gesellschaft für Herz- und thorakale Gefässchirurgie [SGHC-SSCC]) and reflects a personal perspective from a Swiss trainee experiencing the novel coronavirus disease 2019 (COVID-19) pandemic during her fellowship in London.

scholarly journals “I Can’t Blame Mum”: A Qualitative Exploration of Relational Dynamics in Women With Female Genital Mutilation (FGM) in the United Kingdom

2021 ◽  
pp. 107780122199491
Author(s):  
Rebecca J. Newton ◽  
Jennifer Glover
Keyword(s):  
United Kingdom ◽  
Female Genital Mutilation ◽  
Interpretative Phenomenological Analysis ◽  
Adult Women ◽  
Structured Interviews ◽  
Relational Dynamics ◽  
Genital Mutilation ◽  
Self In Relation ◽  
The United Kingdom ◽  
Female Genital

Female genital mutilation (FGM) is conceptualized as an interpersonal act, commonly initiated by mothers. This study investigates relational dynamics among adult women who experienced FGM in childhood and have since migrated to the United Kingdom. A qualitative research design was employed, using semi-structured interviews and interpretative phenomenological analysis (IPA) with nine women. Three superordinate themes emerged: (a) “The ‘who to blame?’ conflict: Preserving goodness in parents”; (b) “Better or worse? Positioning the self in relation to others”; and (c) “Regaining power: Righting the wrongs.” Implications for understanding the relational consequences of FGM and the discontinuation of its intergenerational transmission are considered.

Sign in / Sign up

Export Citation Format

Share Document