Research Projects

 

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SPACE - Space and people, how the atmosphere is created by the environment in paediatric ED
University of Leicester Knowledge Exchange and Enterprise Development Fund. January - June 2019

There is increasing evidence that the physical environment and feel of a place in healthcare settings have an effect on emotion and behaviour, as well as on well-being and recovery. This project focuses on the urgent assessment space i.e. the process of arriving in a hospital setting seeking medical review, and how place and space influence the experience of care as well as the process of diagnosis and decision making in acute illness.

For more information, please contact Nicola Mackintosh.

Red flags and symptom checkers for self-diagnosis in maternity

Sands (Stillbirth and Neonatal Death Charity) grant, January - December 2019

Websites and pregnancy apps are an integral source of information for many pregnant women, particularly in high-income countries. This project aims to find out about who uses these resources, and differences in types of resource used and how these digital resources ‘work’ to help women distinguish between normal pregnancy-related changes and what could be a sign of a complication.

For more information, please contact Nicola Mackintosh.

Digitizing reproduction: new technologies, intersectionality and the politics of inclusion
Sociology of Health and Illness Foundation Grant Development Award, April – October 2018

This network is exploring use of digital platforms for reproductive health. By digital’ we mean the internet, mobile programmes (apps and text messaging), social media, and remote monitoring devices. We are interested in what (if anything) is ‘new’ and ‘distinct’ about digital health practices and what impact they are already having or could have in terms of outcomes (at user and health services level).

For more information, please contact Nicola Mackintosh.

HCPC: Healthy Crossroads in Pregnancy Care - A Scoping and Participatory Design Study of the Potential for Information Communication Technologies to Improve Maternal Health Care in India
MRC-AHRC Global Public Health: Partnership Awards scheme, March 2018 – February 2019

This partnership aims to co-inquire what roles Information and Communication Technologies (ICTs) might play in enhancing and shaping (individual and community-based) socio-cultural practices around pregnancy care in India.

For more information, please contact Nicola Mackintosh.

‘DEPAC’: Digital enablement, promise and uncertainty in maternity care
Research and Enterprise Division (Tiger Team initiative), Sept 2017 - Jul 2018

Our research will focus on the relatively unexplored area of women’s interaction with and use of self-tracking digital technologies in practice, and how this shapes clinical encounters and decision making. The team will undertake a narrative review of the sociological, medical and communication literature to see how women mediate diagnostic work with self-monitoring digital technologies for potential life threatening pregnancy related complications.

For more information, please contact Nicola Mackintosh.

SCALING: Learning how to replicate and scale a successful maternity safety improvement programme
The Health Foundation, May 2017 - Jun 2019

Following on from the successful project Why is Southmead safe? Developing a programme theory of 'PROMPT' (PRactical Obstetric Multi-Professional Training), the SCALING project aims to develop a model for the successful replication and scaling of improvement interventions, using the Southmead Maternity Unit (Bristol, UK) as a case study.

For more information, please contact Carolyn Tarrant.

Interventions to increase patient and family involvement in escalation of care for acute life threatening illness in community and hospital settings

This Cochrane review will focus not only on the evidence base for interventions designed to help service users and families contribute to their safety, but whether these interventions enable an appropriate response from health professionals, and the influence of context on outcomes. The review focuses on the negotiation work that patients and families undertake across the emergency care escalation pathway, once contact has been made with healthcare professionals. It includes patients presenting with new onset of conditions as they make contact with community health and hospital services for urgent / emergency care and timely treatment, and patients already in the healthcare system who are negotiating a step up in care to receive urgent / emergency treatment

For more information, please contact Nicola Mackintosh.

OPTI-PREM: Optimising neonatal service provision for preterm babies born between 27 and 31 weeks of gestation in England using national data, qualitative research and economic analysis
NIHR Health Services & Delivery Research, Apr 2017 – Mar 2020

Logo for the OPTI-PREM studyThe project aims to assess whether care in a NICU (Neonatal Intensive Care Unit) or care in a LNU (Local Neonatal Unit) results in better outcomes for babies born at 27-31 weeks. The data generated by the project will be used to make recommendations to guide doctors and to shape delivery of care for preterm babies.

For more information please contact Natalie Armstrong.

Antimicrobial resistance as a social dilemma: Approaches to reducing broad-spectrum antibiotic use in acute medical patients internationally
Research Councils' Tackling AMR Initiative, Jan 2017 - Dec 2018

AntibioticsThe project will compare attitudes to prescribing antibiotics in England, Sri Lanka, and South Africa, aiming to build a model which identifies the risks, tensions, and elements of social and cultural context that effect the way broad spectrum antibiotics are prescribed, and use this to find ways to improve antibiotic prescribing.

For more information, please contact Carolyn Tarrant

 

Patient Experience And Reflective Learning (PEARL)
NIHR - Services and Delivery Research Programme, Oct 2016 - Oct 2019

The aim of the PEARL project is to create a reflective learning framework for staff in acute medical units and intensive care units, using patient experience data to improve patient and family experience of the emergency care pathway in hospital.Researchers will design an approach to collecting and presenting patient experience data to staff and will develop a protocol to encourage reflective learning so that staff continually engage in self-criticism and improvement.

For more information, please contact Carolyn Tarrant

The Embedding Study: Increasing uptake of effective self-management education programmes for type 2 diabetes in multi-ethnic primary care settings
National Institute for Health Research, Programme Grants for Applied Health Research, Jan 2016 – Jan 2021

This project involves developing and testing an ‘embedding package’ of practical advice and solutions to facilitate an increase in uptake to structured education for self-management of Type 2 Diabetes by addressing barriers and enablers to uptake at patient, healthcare professional and organisational levels.

For more information please contact Helen Eborall.

Building a Culture of Openness from Blunt End to Sharp End
Department of Health Policy Research Programme, 2016-2019

The project aims to evaluate the current state of cultures at every level of the NHS relating to openness, transparency, and learning, including change over time and variation across settings, and to gain an understanding of how far specific policies and initiatives developed by senior managers and policymakers and introduced since the publication of the Francis inquiry have changed norms, attitudes, practices, and behaviour and thus translated into positive action at the level of patient care.

For more information, please contact Graham Martin

Implementing Evidence and Improvement (IEI) Theme, CLAHRC East Midlands
NIHR, 2014-2018

Implementation
Image by Danilo.mac (CC BY-SA)
This project is a collaborative research and evaluation programme looking at key initiatives in innovation, healthcare improvement and knowledge translation across the region’s NHS organisations.

For more information, please contact Graham Martin

Evaluation of the Impact of High-Intensity Specialist-Led Acute Care (HiSLAC) on Emergency Medical Admissions to NHS Hospitals at Weekends
NIHR, Oct 2013 - Sept 2018

HISLAC Project logoEmergency medical patients admitted to hospitals at weekends have poorer outcomes than those admitted during the week. This study aims to evaluate High-Intensity Specialist-Led Acute Care (HiSLAC) to improve the care of acutely ill medical patients admitted as emergencies to English hospitals at weekends. In the first stage, metrics for HiSLAC will be produced, and levels of ‘penetration’ mapped. The second stage of the study will examine the impact of HiSLAC through an NHS-wide comparison of HiSLAC penetration with NHS performance and outcomes. Alongside this, a detailed quantitative and qualitative study of 10 HiSLAC and 10 low-intensity (LoSLAC) hospitals will be conducted involving case note reviews of quality of care and on-site ethnographic exploration of approaches, barriers, and facilitators to HiSLAC. This research is important because it offers an unique opportunity to evaluate the impact of the transition to seven-day working, and to understand factors likely to impede or enhance the effectiveness of this change in practice.

For more information, please contact Carolyn Tarrant

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