Browsing Service Delivery by Issue Date
Now showing items 1-20 of 191
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Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety
(2014)Patients, clinicians and managers all want to be reassured that their healthcare organisation is safe. But there is no consensus about what we mean when we ask whether a healthcare organisation is safe or how this is ... -
Understanding and working with suicide risk
(2015-07)Key learning points: Understanding risk factors associated with suicide; Considering a framework for understanding suicide; How to assess and manage suicide risk -
Managing resources and reducing waste in healthcare settings
(2015-12)The NHS is under pressure to increase its effectiveness and productivity. Nurses are tasked with delivering effective and efficient care, as well as improving patient safety, experiences and results. The reduction of ... -
Difficult conversations? Engaging patients in reducing waste in health care
(2016)Purpose – Reducing waste in health care can result in savings that could be used to meet the projected shortfall in NHS funding or to meet the care needs of vulnerable groups. Patients and their families can contribute ... -
The Role of Self-Management Practices as Mechanisms for Re-Establishing Normality in Cancer Survivors
(2016)This article explores the relationship between cancer survivors' use of self-management practices and their search for normality. Using Frank's illness narratives and other theoretical literature on normality in chronic ... -
Reducing waste in the NHS: an overview of the literature and challenges for the nursing profession
(2016-04-20)Waste in the NHS is estimated to account for 20% of health expenditure. This article examines the literature on reducing waste, analyses some approaches to waste reduction, and identifies the role that nurses and other ... -
Absconding: reducing failure to return in adult mental health wards
(2016-11)Failing to return from leave from acute psychiatric wards can have a range of negative consequences for patients, relatives and staff. This study used quality improvement methodology to improve the processes around patient ... -
A web-based clinical decision tool to support treatment decision-making in psychiatry: a pilot focus group study with clinicians, patients and carers
(2017)Background Treatment decision tools have been developed in many fields of medicine, including psychiatry, however benefits for patients have not been sustained once the support is withdrawn. We have developed a web-based ... -
Helping young people who self-harm
(2017-02)Key learning points: For many young people, the function of self-harm is to escape an unbearable emotional state; relief and negative feelings experienced following self-harm can result in a cycle of self-harming behaviour; ... -
Typologies for Restructuring Relationships in Cancer Survivorship
(2017-07)Background: Cancer survivors with good social support are generally more motivated to undertake self-management behaviors and make lifestyle changes. However, the impact of changes in social support over time, from ... -
The Role of the Clinical Practice Educator in a large integrated NHS Trust
(2017-10)This article examines the work of a team of six clinical practice educators employed by a large integrated Mental Health and Community Health NHS Trust over a two year period. The article assesses how the role of the ... -
51 Doctor(noun, latin), to teach; transforming a working week into a teaching week
(2018)One of the prerequisites to successfully complete Core Medical Training in the UK is to acquire the Membership of the Royal College of Physicians (MRCP) title by passing the Practical Assessment of Clinical Examination ... -
Street triage services in England: service models
(2018)Aims and method: Street triage services are increasingly common and part of standard responses to mental health crises in the community, but little is understood about them. We conducted a national survey of mental health ... -
‘Coaching and Peer Assisted Learning’ (C‐PAL) ‐The mental health nursing student experience: A qualitative evaluation
(2018)Introduction: This paper presents findings from a study that evaluated mental health nursing students’ experience of a team mentoring model called Coaching and Peer Assisted Learning (C‐PAL). At present there are no ... -
Improving the quality and content of midwives’ discussions with low-risk women about their options for place of birth: Co-production and evaluation of an intervention package
(2018-01)Objective: Women's planned place of birth is gaining increasing importance in the UK, however evidence suggests that there is variation in the content of community midwives’ discussions with low risk women about their ... -
Safety of service users with severe mental illness receiving inpatient care on medical and surgical wards
(2018-01)This review aimed to synthesize the evidence on the likelihood of harm and mortality on medical and surgical inpatient wards for people with severe mental illness (SMI). From 937 results identified through database ... -
Patient and public involvement in reducing health and care research waste
(2018-01-08)Background: Eighty five per cent of health research expenditure is potentially wasted due to failure to publish research, unclear reporting of research that is published, and the failure of new research studies to ... -
Successful recruitment to trials: findings from the SCIMITAR+ Trial
(2018-01-19)Background: Randomised controlled trials (RCT) can struggle to recruit to target on time. This is especially the case with hard to reach populations such as those with severe mental ill health. The SCIMITAR+ trial, a trial ... -
Adding value, reducing research waste, the role of the NHS research and development management community
(2018-02-23)Purpose – Research suggests that 85 per cent of health research is avoidably wasted. The research and development management community has an important role in the research process and can contribute to improving the ... -
Living network meta-analysis compared with pairwise meta-analysis in comparative effectiveness research: empirical study
(2018-02-28)Objective:To examine whether the continuous updating of networks of prospectively planned randomised controlled trials (RCTs) (“living” network meta-analysis) provides strong evidence against the null hypothesis in comparative ...
