38332 research outputs found
Sort by
Improving access and recruitment to clinical trials for lung cancer patients : a multi-phase, qualitative focus group and co-production study
Get PDFAim.
To design and develop a novel co-produced intervention tool aimed at facilitating discussions that lung cancer nurses have with lung cancer patients about clinical trial opportunities; and promote trial recruitment.
Design.
A multi-phase qualitative focus group (phase 1) and co-production (phase 2) study.
Methods.
The rigorous design and content of the intervention tool was informed by qualitative data from seven focus groups with lung cancer healthcare professionals (n = 38) and patients and their carers (n = 22) to establish barriers and facilitators to clinical trial participation. Data collection took place across England and Scotland between October and December 2023. Findings from a previously published systematic review were also incorporated to inform intervention tool design. The tool was developed through an extended co-production workshop comprising lung cancer nurses (n = 7), lung cancer patients (n = 2) and health researchers (n = 4). The COM-B model of behavioural change underpinned both phases of the project to guide tool development.
Results.
Phase 1 focus groups identified the need for a tool to provide basic trial information to patients, and to support lung cancer nurses in discussing trials with patients, thus improving nurses' knowledge, confidence, and awareness of trials. The phase 2 coproduction workshop identified that the tool should consist of two elements: a patient-facing information pamphlet and a large poster for nurses to assist them in discussing trial opportunities.
Conclusion.
The study results demonstrate how nurses can be supported to discuss clinical trial opportunities with patients, with the potential to increase long-term recruitment to clinical trials.
Implications for the Profession and/or Patient Care.
Lung cancer nurses often lack confidence to support patients to make informed choices about trial enrolment. By addressing this issue, participation in lung cancer clinical trials can be significantly improved to benefit patient outcomes and trial participation rates.
Impact.
The tool has the potential to be used across a range of different cancer settings and sites to increase recruitment to clinical trials.
Reporting Method.
The COREQ checklist was utilised to ensure that robust processes were followed and reported on.
Patient and Public Involvement.
Patients and members of the public were involved in all study processes and contributed to the study design, interpretation of the data, and intervention design. Their contributions included reviewing focus group topic guides, reviewing data analysis, the co-production of the intervention tool, and co-authoring this paper, ensuring the research addressed the needs and priorities of lung cancer patients when making an informed choice about clinical trial participation
Breaking barriers : accelerating gender equality in STEMM through collaborative partnerships with women in higher education and research institutions : insights from India, Brazil and the UK
Get PDFThis paper explores the collaborative efforts between teams from higher education and research
institutions in India, Brazil and the UK in promoting gender equality in science, technology, engineering,
mathematics and medicine (STEMM). Recognising the underrepresentation of women in STEMM
disciplines, partnerships through two initiatives ‘Gender Advancement for Transforming Institutions’
(GATI; India-UK) and the ‘Women in Science UK-Brazil Partnership’ (WiS) aimed to identify, address
and overcome barriers hindering the advancement of women in scientific careers. These reflections are
on our teams’ formal collaborations which took place between 2021 and 2024 through projects funded
by the British Council and the Department of Science and Technology in India. Drawing on Wenger’s
Communities of Practice theory, we interpret these transnational partnerships not only as vehicles for
institutional change but also as evolving communities where shared learning, mutual engagement and a
joint enterprise around gender equality took shape. We discuss the initiatives’ key objectives, the
challenges encountered and the successes achieved to date, as well as the broader impact of these
partnerships on individuals and institutions across the three countries. By facilitating mentorship, crosscultural dialogue, policy advocacy and sustained peer learning, the partnerships exceeded expectations
by embedding long-term potential for institutional reflection and reform
Inclusive early childhood education : exploring co-construction and the process of empowerment within participatory research
Get PDFIntroduction:
Inclusive education and participatory research (PR) are both premised upon engaging with local unique needs, social justice, and empowerment. PR is limited through the lack of empirical exploration into the research approach itself, particularly its use in inclusive education. This paper explores findings from the co-construction process within a PR research project, which co-constructed a programme of inclusion for children with ADHD-type behaviours in kindergartens in countries in eastern/central Europe with local stakeholders.
Methods:
This paper will draw on findings from methods used at particular phases of the project, including two researcher constructed questionnaires: a pre-post teacher training questionnaire and an open-ended qualitative survey of participants on the process of empowerment within co-creation. The qualitative data was subject to Thematic Analysis and the Wilcoxon Signed Ranks tests was used to analyse the results from the pre-post teacher training questionnaire.
Results:
Findings support the use of participatory practices within inclusive education, especially teacher training, and the need for culturally and contextually relevant responses to including children with ADHD-type behaviours in early childhood education. Findings also emphasise particular experiences within and external to, but as a result of, the co-creation process, which were empowering, including collaborative dialogue, positioning within ones community, and finally the role of insider experts, and the emotional experience of being identified as an expert. Partners need to embrace this expert role, but they may be uncomfortable with or reject it
The impact of green credit guidelines on green lending and environmental outcomes : evidence from Chinese banks
No full textIn line with global trends, China introduced the Green Credit Guidelines (GCGs) in 2012 to promote green lending and advance environmental protection. This study shifts the analytical focus from borrowing firms, the primary subject of prior research, to lending institutions and examines how banks have responded to the GCGs. Using panel data from 34 A-share listed Chinese banks between 2008 and 2020, we find a general increase in green lending following the implementation of the GCGs. However, this growth is predominantly driven by state-controlled banks, suggesting that institutional constraints limit broader industry uptake. Further analysis reveals that state-controlled banks benefit financially from green lending post-GCGs and the regions with better GCG implementation experience a decrease in pollution emission levels. Our findings support both institutional theory and relationship banking theory, highlighting the perspectives of the lending institutions and the shortcomings of the current GCGs. To enhance the effectiveness of GCGs, we recommend that the GCGs be supplemented with mechanisms that promote practices across the banking sector
Diagnosis and management of femoroacetabular impingement syndrome (FAIS) : a survey of contemporary physiotherapy practice
Get PDFBackground.
Femoroacetabular impingement syndrome (FAIS) is a motion-related hip disorder characterised by altered hip-joint morphology and symptoms. Recent consensus statements have provided guidance on the diagnosis and management of FAIS but given the knowledge gaps in translating research into practice, it is unclear at what level this is being utilised by primary contact physiotherapists. This study undertook a cross-sectional multi-centre international survey to describe contemporary physiotherapy practice for the diagnosis and management of femoroacetabular impingement syndrome (FAIS).
Methods.
An online survey comprising 32 questions based around current consensus recommendations for the diagnosis and management of FAIS, was developed. The survey was distributed to six English-speaking countries (Australia, Canada, Ireland, New Zealand, South Africa and the United Kingdom) where physiotherapists work as primary contact practitioners. Questions were answered with a 5-point Likert scale. To describe the ‘most commonly’ utilised tools for diagnosis and management, the two highest ranked responses (‘always’ and ‘often’) were combined for analysis and presented as a percentage of total respondents.
Results.
Four hundred and twenty-nine (72%) of eligible respondents were included. Respondents varied across the six countries, 58% were female, and most worked in private practice (70%). When diagnosing FAIS, patient-reported signs/symptoms (90%), functional tests (88%), special tests (87%), and strength assessments (70%) were ‘most commonly’ used, while imaging (60%) and balance assessment (33%) were less frequently implemented. Most respondents employed strengthening exercises (97%) and education (96%) in their management of FAIS, and some utilised range of motion/stretching (62%), and manual therapy (62%). Half of the respondents (52%) use patient-reported outcome measures to assess treatment effectiveness.
Conclusions.
Our findings of physiotherapy diagnosis and management of FAIS from six countries broadly aligns with contemporary expert recommendations. Physiotherapy diagnosis of FAIS in practice is guided by patient-reported symptoms, and functional and special tests. Central to physiotherapy management is exercise and advice/education. Other modalities are less frequently utilised
Digital Education Team - profile pictures
No full textDigital Education Team - profile pictures (Get support page update
Barriers and limitations of employment in desistance : exploring the experiences of men leaving prison in Aotearoa New Zealand
Get PDFThrough narrative interviews with 16 men leaving prison in Aotearoa New Zealand, the current research contributes to the literature on the role of employment in desistance by emphasising some of the barriers to (or limitations of) its desisting effects. In particular, the study emphasises structural constraints in the colonial setting of Aotearoa New Zealand, which can prevent Indigenous Māori men from obtaining stable, rewarding work. The study emphasises how different types of work and work environments can have varying effects on desistance, with some even encouraging reoffending and needing to be ‘knifed off’ to support the men’s desistance journeys. It is argued that those leaving prison should not be encouraged into ‘any’ job, but rather work which provides adequate remuneration, satisfaction, and opportunities to build a positive identity to foster desistance. This may require the state, particularly the Department of Corrections, and employers to facilitate opportunities into suitable employment
Stop in the law of the name! : nominative lawmaking, populism, and justice
Get PDFNominative laws—laws named after particular victims of violence or injustice such as Martyn's Law, Sarah's Law and Awaab's Law—have become increasingly prominent in the UK. In this article, we offer the first sustained attempt to explore this phenomenon and its social, political and legal significance. Two contributions are made. First, we demonstrate the breadth of nominative laws via an original typology organised around their four primary ambitions: rights, obligations, protections and punishments. Second, we situate these laws within relevant social and political dynamics, including the rise of populism, expectations of performative justice, and social memory. In doing this, the article argues that nominative laws are important for what they create and close down. On the one hand, they offer new opportunities for marking injustices and accelerating political action. On the other, they risk foreclosing space for political debate and contestation