• Daniel's story: Self-injury and the case study as method

      Lovell, Andy; University of Chester (Mark Allen Publishing, 2006-02-01)
      This journal article explores the value of case study methodology as a means of investigating the relationship between people with learning disabilities and self-injury. One life story might appear to be of limited value in this regard; however, it is argued that it might not only be of use in demonstrating the development of an isolated self-injuring career, but there may also be insights into its entrenchment in the lives of others. The telling of one story might serve as a filter, through which the interventions of medication, mechanical restraint and behaviourism can be observed over time. Furthermore, studying one life in some detail might be used to illustrate broader concerns about the context of the transition from institutional to community care. The restrictions of such an approach are acknowledged, particularly in the telling of a story where the main character's words cannot be heard, but maybe that is also the point of undertaking research about those at the margins of society.
    • Data analysis

      Harlow, Elizabeth; University of Chester (SAGE, 2013-12-16)
    • Data collection and management

      Steen, Mary; University of Chester (SAGE, 2013-12-14)
      Data collection and management is the information collected by researchers during a study and the steps for monitoring and managing the data.This chapter describes and discusses data collection methods and management of quantitative and qualitative data.
    • Data, information, knowledge

      Keen, Adam; University of Chester (SAGE, 2008-03-17)
      This book chapter discusses the relationship that exists between data, information, and knowledge.
    • The day-by-day baby book

      Bendefy, Ilona; Dale, Bella; Cooper, Carol; Halsey, Claire; Wilcock, Fiona; Hall, Jenny; Barratt, Judy; Sullivan, Karen; Steen, Mary; Laurent, Su; et al. (Dorling Kindersley, 2012-08-01)
      This book provides a visual guide to looking after your baby in the first year. In-depth, daily advice on baby's growth, care and developments are covered. This resource has been writtten by an exceptional team including a paediatrician, child psychologist, nutritionist, midwife and experienced parents.
    • The day-by-day pregnancy book: Comprehensive advice from a team of experts and amazing images every single day

      Blott, Maggie; Cooper, Carol; Eben, Friedericke; Erskine, Katrina; Goetzl, Laura; Green, Belinda; Guerin, Deirdre; Hutcherson, Amanda; Kaye, Philippa; Laurent, Su; et al. (Dorling Kindersley, 2009-07-01)
      The day-by-day pregnancy book is an unprecedented, comprehensive guide to pregnancy, labour and birth. Under the guidance of a consultant obstetrician it presents information from a team of professionals who spend their lives caring for women during pregnancy, labour, birth and following birth
    • De-escalation of Violence in the Context of Learning Disability: Working with complexity

      Lovell, Andy; University of Chester (Oud Consultancy, 2017-10-26)
      The use of physical interventions as a response to violence has come under increasing critique over recent years, particularly when the service user group is perceived as vulnerable, such as with elderly populations and those with intellectual disabilities. A 2-day educational workshop was devised for a whole population of qualified nurses and support workers currently working with people with intellectual disabilities detained under conditions of security in the north of England. The workshops were delivered between October 2016 and March 2017, and evaluated on an ongoing basis to ensure immediate feedback to service management. The basis of the workshop was a model of understanding the de-escalation of violence derived from several inter-linked components. Firstly, the process of violence is analysed in relation to how a situation becomes enflamed and violent behaviour results. The concept of de-escalation is then deconstructed so that the various components can be considered in relation to each other. Finally, the concept of complexity is unpicked, specifically around intellectual disability, and this constitutes the final element of the model. The three elements are subsequently developed in relation to each other to constitute a better way of understanding the process of de-escalating violence. The workshop, in effect, demands that participants reflect on their own work, and the therapeutic relationships developed over time with service users. The relationship between knowledge and practice is explored in some detail. The emphasis is placed on how the successful de-escalation of potentially violent situations directly relates to the effective translation of this knowledge, in all its diversity, into practice; and, perhaps, this is less understood than might immediately appear.
    • Dealing sensitively with sexuality in a palliative care context

      Woodhouse, Jan; Baldwin, Moyra A.; University of Chester (2008-01)
      Sexuality is integral to a person's identity and is encompassed in holistic palliative care. Current directives emphasize psychosocial support that is sensitive to a variety of issues, including sexuality, and offer community nurses the mandate to facilitate expressing sexuality. Nurses fail to address sexuality for a variety of reasons. Appreciating patients' individuality and avoiding making assumptions are some of the requirements to enabling expression of sexuality. Nurses need wisdom and determination to discuss such issues, and it is important that they recognize opportunities and cues as they arise. This article provides an examination of the issues surrounding sexuality outlining an approach that captures' constant attention to details. This guides the 'what', 'how' and 'why' sexuality in palliative care can be addressed. Ethics and safety aspects are briefly discussed and implications for practice suggested. Educating staff and focused education for the patient can positively influence sexuality and individuals' quality of life.
    • Dealing with failing and problem students

      Williams, Julie; University of Chester (SAGE, 2010-10-29)
      This book chapter discusses how universities can encourage student retention and progress, and deal with disruptive students.
    • Death

      Quigley, Jane; University of Chester (SAGE, 2010-10-15)
      This book chapter discusses palliative care at the end of life.
    • Decision making in the management of adults with malignant colorectal polyps: An exploration of the experiences of patients and clinicians

      Westwood, Clare; Lee, Tom; McSherry, Robert; Bettany-Saltikov, Josette; Catlow, Jamie; University Hospital North Tees and Hartlepool NHS Foundation Trust; North Tyneside General Hospital; University of Chester; Teesside University (Wiley, 2021-05-18)
      Aim: A diagnosis of colorectal polyp cancer presents a treatment dilemma. The decision between segmental resection versus endoscopic surveillance is difficult due to lack of good quality clinical evidence for either option. The aim of this study was to understand the decision-making experiences of both clinicians and patients when faced with such a diagnosis. Methods: Qualitative, semi-structured interviews were undertaken with ten clinicians involved in the care of patients diagnosed with polyp cancer and five patients who had experience of a diagnosis of polyp cancer. All clinicians and patients were from four hospital Trusts across the North of England. Interviews were audio recorded, transcribed verbatim and analysed using the principles of Interpretative Phenomenological Analysis. Results: Analysis of the interview transcripts evidenced the difficulties faced by both groups when faced with treatment decisions following a diagnosis of colorectal polyp cancer. Some of these difficulties were specific to either the clinician or patient group. Themes which were common to both groups included: complexity of risk information; external influences, unexpected diagnosis; and time. In addition, hospital system factors were disclosed which also influenced clinician and patient experiences. Conclusion: This research study has evidenced several factors such as uncertainty, complexity of risk information and influences on decisions which are preventing patients being fully involved in treatment decisions following a diagnosis of colorectal polyp cancer. Recommendations for improvements in practice, including a framework to assist treatment decision making in the future have been highlighted. What does this paper add to the literature? This qualitative study is, to the authors knowledge, the first exploring clinician and patient experiences of treatment decision making following a colorectal polyp cancer diagnosis. Key factors influencing how treatment decisions are made have been identified. As a result, a framework is proposed highlighting critical factors for consideration to deliver patient centred care.
    • Decreasing physical activity levels across religious Sikh male South asian migrant population in Kent, UK: A public health concern

      Sarkar, Swrajit; Ellahi, Basma; Zotor, Francis B.; Amuna, Paul; Leeds Trinity University; University of Chester; University of Health and Allied Sciences; University of Greenwich (SAGE, 2017-10-09)
      Physical activity (PA) plays a crucial role in reducing the risk of non-communicable diseases (NCDs). We investigated intergenerational physical activity level (PAL) among first and second generation Sikh Punjabi male subjects (n=137), recruited from two Sikh temples in Medway, UK. Employing a cross sectional survey PA was quantified using the validated Global PA Questionnaire (GPAQ). Data were analysed using SPSS 20 and Epi Info software. 91% of the subjects were classified as overweight. Mean physical activity level (PAL) range was sedentary to low levels of PA (1.45 – 1.60). Comparisons between first and second generation Punjabi male subjects showed that the two groups are equally culpable in not engaging in work-related or recreational PA, but for the second generation this is significantly lower. Low PAL is a contributory factor to increased risk and prevalence of NCDs among this population and a public health concern. Efforts to increase PA in this group should continue.
    • Defence Committee: Armed Forces and Veterans Mental Health Inquiry. Part One

      Kiernan, Matthew; Finnegan, Alan; Hill, Mick; University of Northumbria (Crown, 2018-07-12)
      Executive Summary • MoD provides an occupational military mental health service, where clinical decisions are safety critical due to the environment in which armed forces personnel operate. • Statistics provided from defense are accurate, however, trying to contextualise them by comparing them with the wider population is problematic, as the threshold for referral is much lower. • Only 8% of UK veterans were correctly registered at a PHC practice. • Military mental health practice is unique, and to understand the issues facing current service provision, the statistical data needs to be annually supplemented with purposeful qualitative data from those working in defence mental health. • A priority should be afforded to the inclusion of veteran peer researchers within studies to improve sample selection, interpretation and understanding of results. • There needs to be an agenda to broaden methodological expertise and cooperation within the sector and a move away from a predominately one-dimensional research approach. The only way that the questions in this enquiry will be answered, is through a multiple methods and multiple institution collaboration.
    • Defence Committee: Armed Forces and Veterans Mental Health Inquiry. Part Two. The Provision of Care

      Finnegan, Alan; University of Chester; University of Northumbria (Crown, 2018-09-11)
      Executive Summary * Effective Military Mental Health care requires practitioners with extensive knowledge of service provision and structures, and who have the correct clinical competencies that are underpinned by academic qualification/s and experience. * Veterans are a heterogeneous group, differing by factors such as age, gender and length of service. These factors are extremely important during transition, and initiatives to support ex-Service personnel and their families are hindered through a lack of understanding of the veteran community. * NHS Mental Health care provision is extensive and comprehensive, although is areas such as Northern Ireland, it is Combat Stress that provide bespoke veteran care options, funded through charitable contributions. * Many veterans are unaware of their entitlement to priority medical services, or the wider provisions available to them. * Veterans are unwilling to disclose problems associated with their former military life, often believing that civilians, including healthcare professionals, do not appreciate military culture and “cannot understand” their experiences. * Receiving quick, appropriate support requires GPs and other healthcare professionals having sufficient awareness of the NHS and veteran specific services, and on the patients MH condition being correctly identified. * Stressors identified during the transition period are just as likely to negatively impact on the spouse and family. * There is an assumption that the small local veteran charities may be doing harm, although there is limited evidence to substantiate this view, and there is a requirement to understand why some veterans prefer this option
    • Defining the problem and sourcing the solution: a reflection on some of the organizational, professional and emotional complexities of accessing post-adoption support.

      Harlow, Elizabeth; University of Chester (Taylor & Francis, 2018-05-16)
      In the United Kingdom as elsewhere, children across the age range are now being adopted from care. Some of these children, by no means all, are expressing additional physical, emotional, behavioural and educational needs. In consequence, the government has introduced legislation and attendant policies aimed at providing adoptive families with support. In 2013 in the northwest of England, a specialist post-adoption support service was established, and an illuminative evaluation of its organization and provision was conducted. A key theme emerging from the qualitative data concerned the difficulties parents had encountered in accessing appropriate support prior to the creation of the service. These difficulties have been interpreted as: uncertainty in defining the problems encountered and knowing which agencies and professionals to approach; ambivalence about seeking help; professionals’ uncertainty in knowing how to respond; and the scarcity of resources. This paper illustrates these difficulties, then draws attention to some of the ways in which they are being addressed.
    • Deva Hospital Chester - Bathing of patients

      Deva Hospital Chester (Deva Hospital Chester, 2014-09-30)
      Poster explaining how nursing staff were to bathe patient at the Deva Hospital Chester.
    • Developing midwifery responses to women in their care who are living with violent men

      Steen, Mary; Leeds Teaching Hospitals NHS Trust (MIDIRS, 2000-09)
      It is suggested that one in four women will experience domestic violence sometime in their life and that pregnancy can be a trigger for this violence, resulting in morbidity for both mother and child. Mary Steen describes a project in Leeds set up to train midwives to be more aware of possible domestic violence in their clients and how to support those who are suffering from it.
    • Development and delivery of the trainee nursing associate pilot curriculum.

      Roulston, Christina; Davies, Miriam (2019-04-11)
      This article discusses the recently launched curriculum for nursing associates and the authors' involvement in the development of a medicine management module. This required recognition of the challenges in an ever-changing healthcare environment with, in this instance, limited guidance from the Nursing and Midwifery Council and associated professional organisations and with multiple stakeholders to satisfy. Curriculum development therefore required consideration of the concerns of service users and providers regarding the integration of this new, poorly understood role, its potential effect on skill mix and lack of knowledge regarding proposed regulation.
    • Development and psychometric testing of the online Adolescent Diabetes Needs Assessment Tool (ADNAT)

      Cooper, Helen; Spencer, Joy; Lancaster, Gillian A.; Titman, Andrew; Johnson, Mark; Wheeler, Sarah; Lwin, Rebekah; University of Chester ; University of Chester ; Lancaster University ; Lancaster University ; Bolton University ; University of Chester ; University of Chester (Wiley, 2013-09-03)
      Aim: To report on the development and psychometric testing of the Adolescent Diabetes Needs Assessment Tool. Background: The UK has the fifth largest paediatric diabetes population in the world, but one of the poorest levels of diabetes control, highlighting the need for intervention development. Design: Mixed methods following recommendations for questionnaire design and validation. Methods: A total of 171 young people (12–18 years) participated between 2008– 2011. Methods included item selection using secondary framework analysis, item review, pre-testing, piloting and online transfer. Statistical tests assessed reliability using item-total correlations, interitem consistency and test–retest reliability; and validity using blood glucose (HbA1c) levels and the Self-Management of type 1 Diabetes in Adolescence questionnaire. Results: The Adolescent Diabetes Needs Assessment Tool consists of 117 questions divided between six domains of educational and psychosocial support needs. It combines reflective questioning with needs assessment to raise self-awareness to support adolescent decision-making in relation to diabetes self-care. Thirty-six of the questions provide self-care and psychosocial health assessment scores. Face and content validity of the scoring items were all positively evaluated in terms of appropriateness and readability and tests for validity found significant correlations with Self-Management of type 1 Diabetes in Adolescence and weak correlation with HbA1c, which compared favourably with Self-Management of type 1 Diabetes in Adolescence, the only comparable (USA) tool. Item response analysis validated the use of simple additive scores. Conclusions: The Adolescent Diabetes Needs Assessment Tool combines reflective learning with needs assessment to support patient-centred clinical consultations.