9 results on '"Maistrello, Giulia"'
Search Results
2. Towards cataloguing and characterising advance care planning and end-of-life care resources
- Author
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Ramirez-Valdez, Edric Aram, Leong, Clare, Wu, Frances, Ball, Sarah, Maistrello, Giulia, Martin, Graham, and Fritz, Zoë
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- 2022
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3. Utilization and engagement with an employer-provided digital mental health platform: An international perspective.
- Author
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Maistrello, Giulia, Phillips, William, Lee, Daniel Steven, and Romanelli, Robert J.
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- 2024
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4. How to co-design a prototype of a clinical practice tool: a framework with practical guidance and a case study.
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Woodward, Matthew, Dixon Woods, Mary, Randall, Wendy, Walker, Caroline, Hughes, Chloe, Blackwell, Sarah, Dewick, Louise, Bahl, Rachna, Draycott, Tim, Winter, Cathy, Ansari, Akbar, Powell, Alison, Willars, Janet, Brown, Imogen A. F., Olsson, Annabelle, Richards, Natalie, Leeding, Joann, Hinton, Lisa, Burt, Jenni, and Maistrello, Giulia
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MEDICAL protocols ,RESEARCH funding ,QUALITATIVE research ,INTERVIEWING ,STATISTICAL sampling ,EXPERIMENTAL design ,SOUND recordings ,SURVEYS ,CONCEPTUAL structures ,RESEARCH methodology ,ADULT education workshops ,RESEARCH ,USER-centered system design ,MEDICAL practice ,VIDEO recording - Abstract
Clinical tools for use in practice--such as medicine reconciliation charts, diagnosis support tools and track- and- trigger charts--are endemic in healthcare, but relatively little attention is given to how to optimise their design. User- centred design approaches and co- design principles offer potential for improving usability and acceptability of clinical tools, but limited practical guidance is currently available. We propose a framework (FRamework for co- dESign of Clinical practice tOols or 'FRESCO') offering practical guidance based on user- centred methods and co- design principles, organised in five steps: (1) establish a multidisciplinary advisory group; (2) develop initial drafts of the prototype; (3) conduct think- aloud usability evaluations; (4) test in clinical simulations; (5) generate a final prototype informed by workshops. We applied the framework in a case study to support co- design of a prototype track- and- trigger chart for detecting and responding to possible fetal deterioration during labour. This started with establishing an advisory group of 22 members with varied expertise. Two initial draft prototypes were developed--one based on a version produced by national bodies, and the other with similar content but designed using human factors principles. Think- aloud usability evaluations of these prototypes were conducted with 15 professionals, and the findings used to inform co-design of an improved draft prototype. This was tested with 52 maternity professionals from five maternity units through clinical simulations. Analysis of these simulations and six workshops were used to co-design the final prototype to the point of readiness for large- scale testing. By codifying existing methods and principles into a single framework, FRESCO supported mobilisation of the expertise and ingenuity of diverse stakeholders to co- design a prototype track- and- trigger chart in an area of pressing service need. Subject to further evaluation, the framework has potential for application beyond the area of clinical practice in which it was applied. [ABSTRACT FROM AUTHOR]
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- 2024
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5. Using pulse oximeters in care homes for residents with COVID-19 and other conditions: a rapid mixed-methods evaluation
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Sidhu, Manbinder, primary, Litchfield, Ian, additional, Miller, Robin, additional, Fulop, Naomi J, additional, Janta, Barbara, additional, Tanner, Jamie-Rae, additional, Maistrello, Giulia, additional, Bousfield, Jenny, additional, Vindrola-Padros, Cecilia, additional, and Sussex, Jon, additional
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- 2022
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6. Towards cataloguing and appraising advance care planning and end-of-life care resources
- Author
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Ramirez-Valdez, Edric Aram, primary, Leong, Clare, additional, Wu, Frances, additional, Ball, Sarah, additional, Maistrello, Giulia, additional, Martin, Graham, additional, and Fritz, Zoë, additional
- Published
- 2022
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- View/download PDF
7. Effect of health warning labels on motivation towards energy-dense snack foods: Two experimental studies
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Ventsel, Minna, primary, Pechey, Emily, additional, De-loyde, Katie, additional, Pilling, Mark Andrew, additional, Morris, Richard, additional, Maistrello, Giulia, additional, Ziauddeen, Hisham, additional, Marteau, Theresa, additional, Hollands, Gareth J, additional, and Fletcher, Paul, additional
- Published
- 2021
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8. Training for managing impacted fetal head at caesarean birth: multimethod evaluation of a pilot.
- Author
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van der Scheer JW, Cornthwaite K, Hewitt P, Bahl R, Randall W, Powell A, Ansari A, Attal B, Willars J, Woodward M, Brown IAF, Olsson A, Richards N, Price E, Giusti A, Leeding J, Hinton L, Burt J, Dixon-Woods M, Maistrello G, Fahy N, Lyons O, and Draycott T
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- Pregnancy, Female, Humans, Cesarean Section, Focus Groups, Maternal Health Services, Obstetrics education
- Abstract
Background: Implementation of national multiprofessional training for managing the obstetric emergency of impacted fetal head (IFH) at caesarean birth has potential to improve quality and safety in maternity care, but is currently lacking in the UK., Objectives: To evaluate a training package for managing IFH at caesarean birth with multiprofessional maternity teams., Methods: The training included an evidence-based lecture supported by an animated video showing management of IFH, followed by hands-on workshops and real-time simulations with use of a birth simulation trainer, augmented reality and management algorithms. Guided by the Kirkpatrick framework, we conducted a multimethod evaluation of the training with multiprofessional maternity teams. Participants rated post-training statements about relevance and helpfulness of the training and pre-training and post-training confidence in their knowledge and skills relating to IFH (7-point Likert scales, strongly disagree to strongly agree). An ethnographer recorded sociotechnical observations during the training. Participants provided feedback in post-training focus groups., Results: Participants (N=57) included 21 midwives, 25 obstetricians, 7 anaesthetists and 4 other professionals from five maternity units. Over 95% of participants agreed that the training was relevant and helpful for their clinical practice and improving outcomes following IFH. Confidence in technical and non-technical skills relating to managing IFH was variable before the training (5%-92% agreement with the pre-training statements), but improved in nearly all participants after the training (71%-100% agreement with the post-training statements). Participants and ethnographers reported that the training helped to: (i) better understand the complexity of IFH, (ii) recognise the need for multiprofessional training and management and (iii) optimise communication with those in labour and their birth partners., Conclusions: The evaluated training package can improve self-reported knowledge, skills and confidence of multiprofessional teams involved in management of IFH at caesarean birth. A larger-scale evaluation is required to validate these findings and establish how best to scale and implement the training., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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- 2023
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9. Using pulse oximeters in care homes for residents with COVID-19 and other conditions: a rapid mixed-methods evaluation
- Author
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Sidhu M, Litchfield I, Miller R, Fulop NJ, Janta B, Tanner JR, Maistrello G, Bousfield J, Vindrola-Padros C, and Sussex J
- Abstract
Background: There are over 15,000 care homes in England, with a total of approximately 450,000 beds. Most residents are older adults, some with dementia, and other residents are people of any age with physical or learning disabilities. Using pulse oximetry in care homes can help the monitoring and care of residents with COVID-19 and other conditions., Objectives: To explore the views of care home staff, and the NHS staff they interact with, with regard to using pulse oximetry with residents, as well as the NHS support provided for using pulse oximetry., Design: We carried out a rapid mixed-methods evaluation of care homes in England, comprising (1) scoping interviews with NHS leaders, care association directors and care home managers, engaging with relevant literature and co-designing the evaluation with a User Involvement Group; (2) an online survey of care homes; (3) interviews with care home managers and staff, and with NHS staff who support care homes, at six purposively selected sites; and (4) synthesis, reporting and dissemination. The study team undertook online meetings and a workshop to thematically synthesise findings, guided by a theoretical framework., Results: We obtained 232 survey responses from 15,362 care homes. Although this was a low (1.5%) response rate, it was expected given exceptional pressures on care home managers and staff at the time of the survey. We conducted 31 interviews at six case study sites. Pulse oximeters were used in many responding care homes before the pandemic and use of pulse oximeters widened during the pandemic. Pulse oximeters are reported by care home managers and staff to provide reassurance to residents and their families, as well as to staff. Using pulse oximeters was usually not challenging for staff and did not add to staff workload or stress levels. Additional support provided through the NHS COVID Oximetry @home programme was welcomed at the care homes receiving it; however, over half of survey respondents were unaware of the programme. In some cases, support from the NHS, including training, was sought but was not always available., Limitations: The survey response rate was low (1.5%) and so findings must be treated with caution. Fewer than the intended number of interviews were completed because of participant unavailability. Throughout the COVID-19 pandemic, care homes may have been asked to complete numerous other surveys etc., which may have contributed to these limitations. Owing to anonymity, the research team was unable to determine the range of survey respondents across location, financial budget or quality of care., Conclusions: Using pulse oximeters in care homes is considered by managers and staff to have been beneficial to care home residents. Ongoing training opportunities for care home staff in use of pulse oximeters would be beneficial. Escalation processes to and responses from NHS services could be more consistent, alongside promoting the NHS COVID Oximetry @home programme to care homes., Future Research: Further research should include the experiences of care home residents and their families, as well as finding out more from an NHS perspective about interactions with care home staff. Research to investigate the cost-effectiveness of pulse oximetry in care homes, and of the NHS COVID Oximetry @home programme of support, would be desirable., Funding: This project was funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme and will be published in full in Health and Social Care Delivery Research ; Vol. 10, No. 35. See the NIHR Journals Library website for further project information., (Copyright © 2022 Sidhu et al. This work was produced by Sidhu et al. under the terms of a commissioning contract issued by the Secretary of State for Health and Social Care. This is an Open Access publication distributed under the terms of the Creative Commons Attribution CC BY 4.0 licence, which permits unrestricted use, distribution, reproduction and adaption in any medium and for any purpose provided that it is properly attributed. See: https://creativecommons.org/licenses/by/4.0/. For attribution the title, original author(s), the publication source – NIHR Journals Library, and the DOI of the publication must be cited.)
- Published
- 2022
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