Category Archives: Applied health research

Qualitative research – where to start?! – Here’s some help

pencil-1891732_1920

“The idea of the qualitative support group was initiated by Dr Kinda Ibrahim who felt that establishing a peer support network for members within CLAHRC Wessex and the wider University could be helpful to facilitate the use and development of qualitative research in health, illness and care.

This group has been massively supported by CLAHRC central team and Professors Cathy Pope and prof Anne Rogers.

The goal of this group is to encourage an intellectually dynamic yet supportive atmosphere for debate and discussion that examines the place of qualitative research in health research, its core concepts and methods.

The group meets every 2-3 months to share experience and research and are looking to possibly organise training workshops to staff, postgraduate and undergraduate candidates who are conducting or interested in conducting qualitative research. The agenda of this group is driven by its members and their interests and needs.

Dr Teresa Corbett suggested starting a “Qualitative journal club” to form the basis of the discussion in our group and has recently put a call out for recommendations for a “MUST READ LIST” for qualitative researchers on Twitter. The response was fantastic with over 50 replies. Many of those who replied on Twitter asked us to share the list with them once it was compiled.

So we have decided to build this dedicated resource to help and advise people”.

We have also started building up a resource that to be shared so that we can look up the best person(s) within our group that could help, advise, and support. If you would like to add your details, please click here

Continue reading Qualitative research – where to start?! – Here’s some help

Advertisements

Polypharmacy and the complexity of deprescribing medications – Dr Kinda Ibrahim

Dr KInda Ibrahim
Dr KInda Ibrahim, is a Senior Research Fellow based in the Faculty of Medicine at University Hospital Southampton

The concurrent use of 5 or more medications by one individual – is becoming increasingly a challenging phenomenon that demands attention at clinical policy and practice level. In the past decade, the average number of items prescribed for each person per year in England has increased by 53.8% from 11.9 to 18.3. It is 35-50% of community older people aged 65 years and above take 5 or more medications. The King’s fund ¹ published in November 2018 a report “Polypharmacy and medicines optimisation: Making it safe and sound” where they distinguished between the terms ‘appropriate’ and ‘problematic’ polypharmacy.

Appropriate polypharmacy: means prescribing for an individual for complex conditions or for multiple conditions in circumstances where medicines use has been optimised and the medicines are prescribed according to best evidence.
Polypharm cartoon

Problematic polypharmacy where multiple medications are prescribed inappropriately, or where the intended benefit of the medication is not realised.

Continue reading Polypharmacy and the complexity of deprescribing medications – Dr Kinda Ibrahim

Domestic violence – How do we measure interventions? Dr Sara Morgan

Dr Sara Morgan with Tracy Rutherford from Hampton Trust in Southampton
Dr Sara Morgan with Tracy Rutherford from Hampton Trust in Southampton
Dr. Sara A Morgan is an NIHR CLAHRC Research Fellow in Public Health – based at Southampton General Hospital

What’s the problem?

Official crime figures from 2013/14 show that 8% of women and 4% of men have experienced domestic violence within the previous year. In the past there has understandably been a strong focus on supporting these victims, but later there was a move to tackle the root cause, involving community programmes aimed at the perpetrators of domestic violence.

“I think there’s always been just the priority being the victim and there’s a lot of sense behind that because obviously those people need to be protected but, unless we actually deal with the source of the problem which is the perpetrator, we’re never going to stop that victim cycle.”

(Interview with stakeholder)

Continue reading Domestic violence – How do we measure interventions? Dr Sara Morgan

The rights of people with dementia -Jackie Bridges – Professor of Older People’s Care, University of Southampton

Not so long ago CLAHRC East of England Research Capacity in Dementia Care Programme (RCDCP) joined forces with the University of Southampton Alzheimer’s Society Doctoral Training Centre to provide a European Summer School for 17 dementia care doctoral students. Hosted by the University of Linköping in Sweden, the programme enabled participants to share ideas, build international partnerships, and learn from leaders in dementia care research.

Professor Jackie Bridges explains some of the lessons we can learn about caring for people with dementia.

She was particularly struck by the approach of a day centre she visited whilst on the trip.

Continue reading The rights of people with dementia -Jackie Bridges – Professor of Older People’s Care, University of Southampton

AKI – seeing the bigger picture through sharing data – By Dr Simon Fraser

One of the great things about being involved with CLAHRC Wessex has been the opportunity to engage with other research teams around the country doing similar work. A group of us have been part of a network of people across England, Scotland and Wales who are interested in acute kidney injury (AKI). A challenge with AKI research is that it can be misleading if you don’t use the same methods and definitions to define the condition.

Continue reading AKI – seeing the bigger picture through sharing data – By Dr Simon Fraser

Overloaded A&Es – Have we got this all wrong? Dr Brad Keogh

Brad_Keogh_NOV15.jpg_SIA_JPG_fit_to_width_INLINE
Dr Brad Keogh

Accident and Emergency wait times seem to be constantly in the news. Less commonly but equally importantly are headlines that waiting lists for elective operations and procedures are on the rise. Although these topics hit our headlines regularly there is actually very little evidence and understanding behind the reasons for these changes in NHS services, and how the NHS can take positive action to cope with these issues.

From what we understand a lot of the currently held beliefs around the causes for pressure on NHS services come from very basic, non peer-reviewed, and potentially flawed analyses. It does not need too much explaining that making decisions based on these might be a bad idea.

Continue reading Overloaded A&Es – Have we got this all wrong? Dr Brad Keogh

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.

ews_scanned

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

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

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.

bacteria-310

 

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