701 research outputs found
The challenges to integrating care via telehealthcare device usage across the spectrum of end-user needs
No full textA methodology for evaluating wound care technologies in the context of treatment and care
No full textBackground: the question of whether particular methodologies can generate knowledge of a sufficiently rigorous and relevant standard to guide patients’ interventions is regularly debated. This debate tends to be polarised between those who advocate the randomised controlled trial (RCT) as the ultimate scientific methodology and those who find RCTs wanting in terms of the information derived and their limited generalisability beyond the immediate trial population. This paper argues for a suite of methodologies that can evaluate wound care interventions; it also details a novel methodology for use in complex chronic and palliative wound care.Aim: to outline a methodology that can evaluate the clinical performance of wound care products in the context of complex treatment and care.Methods: the methodology is informed by the UK Medical Research Council framework for the design of complex evaluations, and is an N-of-1 design.Results: a novel methodology for evaluating the effectiveness of wound care technologies in complex chronic wound care and palliative wound care has been proposed.Conclusion: the methodology requires validation in prospective studies. The purpose of this paper is to open a constructive debate.Conflict of interest: non
A methodology for evaluating wound care products in complex chronic wounds
No full textThe question of whether particular methodologies can generate knowledge of a sufficiently rigorous and relevant standard to guide patients’ interventions is regularly debated. This debate tends to be polarised between those who advocate the randomised controlled trial (RCT) as the ultimate scientific methodology and those who find RCTs wanting in terms of the information derived and their limited generalisability beyond the immediate trial population. This paper argues for a suite of methodologies that can evaluate wound care interventions; it also details a novel methodology for use in complex chronic and palliative wound care.Aim: To outline a methodology that can evaluate the clinical performance of wound care products in the context of complex treatment and care.Methods: The methodology is informed by the UK Medical Research Council framework for the design of complex evaluations, and is an N-of-1 design.Results: A novel methodology for evaluating the effectiveness of wound care technologies in complex chronic wound care and palliative wound care has been proposed.Conclusion: The methodology requires validation in prospective studies. The purpose of this paper is to open a constructive debate
Disconnection: the user voice within the wound dressing supply chain
No full textAim: this study examined the user voice in England’s National Health Service (NHS) wound dressing supply chain.Background: the impetus for this work came from involvement in a collaboration between industry and clinicians, entitled Woundcare Research for Appropriate Products. Experiences from that study highlighted the notable absence of research about the impact of the supply chain on the users of dressings.Method: interview data are presented following an outline of the grounded theory method used. These data were obtained from key stakeholders (n = 41) within the wound dressing supply chain such as nurses, manufacturers, distributors, professional organizations, government organizations and user groups.Results: the consequences of supply disconnection revealed haphazard supply, unmet user needs and lack of information transfer between player groups.Conclusions and implications for nursing management: these consequences explain the lack of user voice in the supply chain and have far-reaching implications for nursing management, through purchasing decisions and nurses’ management of wound car
"Am I normal? Is this normal?": supporting a community approach to grief
No full textThe grief literacy movement promotes normalising and regaining conversations about death, dying and grief within communities and networks. Enhancing grief literacy enables the public to identify grief, seek relevant information and adopt appropriate support. Historically families have been the primary provider of such support, but recently in the Global North these skills and knowledge have been lost. Families and communities need to be supported to regain ownership and relearn these skills. An online resource was developed and evaluated to explore its value in supporting the knowledge, skills and values required to embed grief literacy in family and friends-based networks. This paper presents findings from qualitative interviews (n=16) and group interviews (n=7). These rich datasets confirmed the resource to be an effective mechanism by increasing knowledge and skills to enhance grief literacy and supporting collective grief, where loss transcends the individual and becomes a social or cultural experience for the majority who deal with their grief with the support of family and friends rather than bereavement professionals
A methodology for a structured survey of the healthcare literature related to medical device users
No full textThis article reports on the structured literature survey methodology, which was used to identify how and at what stage users of medical devices are engaged in the medical device technology cycle, including methods and tools for evaluating device outcomes.This was not a conventional systematic review of the literature.The stated purpose of the survey is broader than synthesizing best evidence to inform an area of practice and policy, as undertaken in a conventional systematic review.The survey was systematic in the sense that an explicit search strategy was used with inclusion and exclusion criteria to minimize sampling bias. An established qualitative methodology, framework analysis, was used to organize and synthesize major findings from a broad range of healthcare literature.The search strategy and thematic analysis are presented, to contribute to the literature on review strategies, together with the major findings concerning users and medical device
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