Respiratory Nurse team awarded for work on COPD

The respiratory nursing team in Southampton came away with two awards from the Association of Respiratory Nurse Specialists (ARNS) conference in May.

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Emma Ray won best Poster Spoken Session. She said:

I was very pleased to have the opportunity to share the findings of our world COPD day event addressing smoking prevention in school children in Southampton at the ARNS conference.  It was the brilliant idea of our PPI champion Mark Stafford-Watson who sadly passed away last year and is truly missed by our team.

Mark emailed me after that school event to say:

“You don’t know how proud I am of the team who turned up yesterday and made the session so good, you very kindly said that it was my idea, but an idea is not much use unless someone does something with it, and I recognise the amount of effort you put in to make that idea worthwhile, thank-you so much”

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Mark made a true impact to the direction and value of all our respiratory projects and worked hard to be a brilliant advocate for patients.  The world COPD day event was a true reflection of his desire to improve the lives of people in Southampton and he was passionate to address preventing smoking uptake in children, which should be a key priority in the prevention of COPD and the impact it has on other lung conditions.

As our event last year was very positively received by the students and school staff alike, we are hoping to take this work forward and hold future events with secondary school students aimed at raising awareness of COPD and smoking prevention.

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Helen Kruk, Kate Gillett, and Emma Ray

Kate Lippiet, won best poster for her work too. She was delighted.

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Kate Lippiet with her poster

My PhD seeks to understand what people living with COPD and lung cancer find difficult about their treatment and what they find helps them with carrying out their treatment. I hope that my research will identify areas which healthcare professionals and managers can target to improve the experience of treatment for people living with COPD and lung cancer. I was pleased to present my PhD as a poster at the recent Association of Respiratory Nurses Specialist conference and to discover that my research findings resonated with the practical experience of clinicians who work with people living with respiratory disease. Winning best poster was a lovely bonus.

I would like to take this opportunity, like Emma, to emphasise the contribution of Mark Stafford Watson to my research. Mark practically helped the development of my research by reading and commenting on my study protocol and patient information literature. More importantly, he truly believed in the relevance of the research I am undertaking to the lives of people living with respiratory disease. I found his energy and enthusiasm of great help personally. He is much missed.

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Mark worked tirelessly to support respiratory research – seen here in 2016 testing new equipment
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What does it mean to be a nurse? International Nurses Day

To mark International Nurses Day we asked the many researchers who are qualified nurses to answer these three questions:

  1. What nursing means to you? And is there a different view of it if you’re originally from another country?
  2. How you would encourage other nurses to progress and conduct research?
  3. What are the challenges facing the future of nursing that you can see?

Here’s what they said.

Professor Peter Griffiths
Professor of Health Services Research and the lead for CLAHRC research into Fundamental Care in Hospital

Professor Peter Griffiths

I remember being asked in my interview for nursing why I wasn’t applying to be a doctor. There’s no simple answer to ‘what nursing is’ or ‘what it means to me’ but the answer I gave then is probably as close as I’ll ever get.

I’m not that interested in disease but I am interested in people. Nursing is about supporting and helping people, often through their most difficult times. While it’s hard to distinguish this from many other caring professions the key (to me) is that the focus is on the person comes first and the rest follows.

Continue reading What does it mean to be a nurse? International Nurses Day

Why might nurses miss people’s ‘danger signs’ at night? – Dr Jo Hope

We know that nurses miss or delay taking patients’ vital signs (such as pulse, temperature and blood pressure) at night. Until now, no one knew why.

The NHS expects hospitals to use ‘Early Warning Scores’ to measure how ill someone is. These are based on the observation of ‘vital signs’ – measurements of things like pulse, temperature, blood pressure and breathing speed. The higher the score, the more often someone’s vital signs should be checked. This is so staff can spot the early danger signs of someone becoming very unwell, in time to help them.

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Your local hospital will probably have an ‘early warning protocol’ that says how often people should be checked according to their early warning score. At higher levels observations will need to be done in the middle of the night. Despite this, we know that nurses are much less likely to do the observations that are expected to be done at night.

Continue reading Why might nurses miss people’s ‘danger signs’ at night? – Dr Jo Hope

(A) Pope in Washington – news from the Deputy Director’s visit to DC – Professor Catherine Pope

My recent study visit to the USA was an opportunity to forge some new connections and to continue conversations begun with colleagues at international meetings and conferences in previous years.

It was a fascinating time to be in the United States Capital city, or ‘the District’ as the locals sometimes call it, not least because my stay coincided with the temporary shutdown of the federal government.

This stormy time precipitated lots of conversation about ‘Politics with a capital P’ as well as American policy and health care research – the subjects I was there to learn more about.

Continue reading (A) Pope in Washington – news from the Deputy Director’s visit to DC – Professor Catherine Pope

What are we missing here? (Are at risk older people spotted early enough in hospital?) – Dr Kinda Ibrahim, Research Fellow at Academic Geriatric Medicine

Nearly two thirds (65%) of people admitted to hospital in the UK are aged over 65 years old. Many of them are frail and at high risk of poor healthcare outcomes – like staying longer in hospital, reduced physical abilities, becoming dependant, going to a care home, and even death.

National recommendations suggest that these high-risk older individuals should be routinely identified when they are admitted to hospital to allow healthcare teams to provide appropriate individual care that meets patient’s needs (1).  It is unclear whether and how those people are identified in hospital. Therefore our study looked at the current practice in one hospital with regard to identification of patients at high-risk of poor healthcare outcomes. To do that, we reviewed a random sample of patient’s clinical notes and interviewed staff members who worked at five acute medicine for older people wards (2).

Continue reading What are we missing here? (Are at risk older people spotted early enough in hospital?) – Dr Kinda Ibrahim, Research Fellow at Academic Geriatric Medicine

CLAHRC dementia care doctoral student event – report from Emily Walters, Dementia Care Doctoral Fellow

We were privileged to be able to attend a 2-day event in London for Dementia Care Doctoral Fellows from Wessex, East of England, Greater Manchester and the Peninsula CLAHRCs. This is the third such event and as before was packed with opportunities for learning, sharing and networking. It truly reflected the essence of CLAHRC – challenging practice, transforming healthcare, improving quality and involving patients and their carers.

Continue reading CLAHRC dementia care doctoral student event – report from Emily Walters, Dementia Care Doctoral Fellow

The movement behind saving our antibiotics

This week has been World Antibiotic Awareness Week to be followed tomorrow (Friday 18 November) by European Antibiotic Awareness Day. So what all the urgent action?

Well it’s well documented that resistance by bacteria to the existing supply of antibiotics is growing. The World Health Organisation has estimated that by 2050 deaths caused by antibiotic resistant bacteria could number 10 million people a year.

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This week NIHR CLAHRC Wessex hosted the Southampton Premiere of the award winning short film Catch, which tells the story of a family broken apart and facing difficult choices in a post antibiotic world.

Continue reading The movement behind saving our antibiotics

How do we support each other with our mental health? Professor Anne Rogers

When people talk about managing mental health the most frequent thing to do is to recourse to self help or looking to services to help.  There is less recognition of the power of social networks for help and support based on connections and reciprocity around us.

Separating out the individual from their need for other people and ability to mobilise resources in order to manage effectively, has meant that the notion of a personal community of support (the array of personal ties with which people are located and embedded) has not tended to be included in understanding or responding to mental health need.

Now there’s a nascent social movement about networks.

Continue reading How do we support each other with our mental health? Professor Anne Rogers

Letting the cat out of the bag at the Mental Wealth Festival – Dr Sandy Walker

In September, Dr Helen Brooks and I popped over to London for the 2017 Mental Wealth Festival, we were talking about the work we had done looking at how pets can help people manage their long-term mental health problems.

It’s common for academics to be found popping up at conferences and even music festivals these days, telling people what they have been finding out in an effort to spread the word and get the message heard. This was just the activity we were engaged in and one of the benefits for us as academics is that we also get to hear about others work and this gives us ideas.

Perhaps you are wondering what the Mental Wealth Festival (MWF) is all about?

The MWF takes place over 3 days in London . The first day takes place in the Houses of Parliament where Baroness Hollins hosts panel discussions on aspects of mental well-being and the next two days take place predominantly in City Lit, a further education college that serves London. Throughout these two days there is a plethora of wonderful sessions that can be accessed, free of charge, by those registered for the event. Attendees include those with lived experience of mental distress, both themselves and as carers; interested members of the public; policy makers; commissioners and professionals from every group with a role in helping those in mental distress.

It really is the most eclectic, informative and creative space to find yourself in. A place where many, sometimes opposing, worlds collide.

Our talk was full, so we had a great audience of interested people who asked questions all the way along and shared their own experiences of being pet owners. What stood out particularly, and resonated with the findings from our study, was the way in which pets give unconditional love which is consistently there regardless of how we are feeling.

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Dr Sandy Walker (L) and Dr Helen Brooks (R)

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Pets are trusted more than people many said and seem to have an intuitive understanding of their owners, knowing just when to demand to go out or to curl up for a cuddle.

For me most important was the knowledge, which we gained from the study, that for our cohort none of the participants had their pets considered as important network members as part of their care and yet all that had pets stated that they were essential.

The room completely agreed with this and the professionals in the room were clear that pets will be considered more seriously in future, in fact two of the attendees stated that they were relieved to have some research evidence to back up something they had wanted to attend to for a while but had felt reluctant to do so in case they were laughed at.

Contact Dr Sandy Walker

Give me more: Why Insulin pumps aren’t just about what the doctor tells you – Claire Reidy

More and more of us are looking online for information to support our health (see Chris Allen’s work on support in Online Communities). In my research, I have found that the ability to get hold of that information and support, which is personal to you, can make a huge difference to how well you are.

I’m focusing on insulin pumps, which are an alternative means to deliver insulin to people with diabetes – compared to the more traditional multiple daily injections.

Insulin pumps have been developed to help people with Type 1 diabetes manage the condition better; both in terms of their quality of life and by more closely resembling a fully-functioning pancreas.

However, introducing a new health technology to an already difficult to manage condition is not necessarily simple, or easy.

Continue reading Give me more: Why Insulin pumps aren’t just about what the doctor tells you – Claire Reidy

This site promotes independent research by the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care (CLAHRC) Funding Scheme. The views expressed in this blog are those of the author(s) and not necessarily those of the NHS, the National Institute for Health Research or the Department of Health