31 results on '"Vougioukalou, Sofia"'
Search Results
2. Accessing Participatory Research Impact and Legacy: Developing the Evidence Base for Participatory Approaches in Health Research
- Author
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Cook, Tina, Boote, Jonathan, Buckley, Nicola, Vougioukalou, Sofia, and Wright, Michael
- Abstract
Action research has been characterised as systematic enquiry into practice, undertaken by those involved, with the aim changing and improving that practice: an approach designed to have impact. Whilst much has been written about the process and practice of "researching," historically "impact" has been somewhat taken for granted. In recent years, however, the impact of all forms of research has become the focus of interest with many funding bodies now demanding that researchers not only articulate the prospective impact of their work, but what kinds of evidence will be proffered to demonstrate that impact. This has raised questions for action researchers, not about whether their work has an impact, but what form that impact takes, how it is recognised and by whom. This paper focuses on difficulties researchers find in both articulating the impact of participatory research and demonstrating links between such forms of research and impact. We draw on discussions about the notion of impact with authors that have self-reported and published their work as participatory. These discussions revealed that not only were there difficulties in clarifying the participatory dimension of their research but that whilst authors were able to discuss particular impacts of their work, articulating and evidencing that impact was often absent from their published papers. This paper offers insights into some of issues and barriers those who undertake participatory research face in explicating, for the external audience (and indeed sometimes for ourselves), the impact of this action-based form of enquiry.
- Published
- 2017
- Full Text
- View/download PDF
3. Ethnomedicine and the dynamics of knowledge transmission and plant conservation in Atiu, Cook Islands
- Author
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Vougioukalou, Sofia Anthi
- Subjects
306 ,QK Botany - Abstract
This thesis examines the link between the traditional medical knowledge and medicinal plant use in Atiu, Cook Islands. Indigenous knowledge systems and medicinal plant populations have been reported to be under threat from international organisations, social and natural scientists alike. An interdisciplinary perspective using anthropological and ethnobotanical methods was used to empirically assess the effect of healing practices on ethnomédical knowledge transmission and medicinal plant conservation. This study shows that despite socioeconomic changes and the decline of traditional practices in general, traditional medicine in the Cook Islands continues to be used across social and geographical boundaries without posing a threat to medicinal plant populations. This effect is attributed to the adaptive properties of the healing system that maintains some traditional elements such as family ownership of medical recipes and absence of monetary reward for healing while allowing for innovation as demonstrated in new recipes for new illnesses and flexible knowledge transmission patterns. The family ownership of medicinal recipes facilitated the conservation of both ethnomédical knowledge and medicinal plants as specific families operated as custodians of specialised knowledge and associated plant populations. The sense of obligation to the community's wellbeing and divine guidance that accompanied the practice of traditional medicine contributed to the operation of a moral and spiritual driving force behind this form of cultural and biological preservation. In short this study shows that engagement with traditional medicine is positively associated with the transmission of ethnomédical knowledge and the conservation of medicinal plants, as Atiuans strive to conserve medicinal plants in order to acquire the elevated social status associated with traditional healing. These findings contribute to the ethnobotanical literature on the conservation of biocultural diversity by highlighting the impact of knowledge transmission on plant management.
- Published
- 2008
- Full Text
- View/download PDF
4. The Contribution of Ethnobiology to Teaching Plant Sciences: Student and Faculty Perspectives
- Author
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Vougioukalou, Sofia A., Barfield, Keri, Huish, Ryan D., Shiels, Laura, Brosi, Sunshine L., Harrison, Patricia, and Quave, Cassandra L., editor
- Published
- 2014
- Full Text
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5. Heteronormativity and prostate cancer: A discursive paper
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Kelly, Daniel, Sakellariou, Dikaios, Fry, Sarah, and Vougioukalou, Sofia
- Published
- 2018
- Full Text
- View/download PDF
6. Understanding approaches to continence care for people living with dementia in acute hospital settings: an ethnographic study
- Author
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Featherstone, Katie, primary, Northcott, Andy, additional, Boddington, Paula, additional, Edwards, Deborah, additional, Vougioukalou, Sofia, additional, Bale, Sue, additional, Harrison Dening, Karen, additional, Logan, Karen, additional, Tope, Rosie, additional, Kelly, Daniel, additional, Jones, Aled, additional, Askey, Jackie, additional, and Harden, Jane, additional
- Published
- 2022
- Full Text
- View/download PDF
7. An interview with Elisabeth Hsu on Plants, Health and Healing : On the Interface of Ethnobotany and Medical Anthropology
- Author
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Vougioukalou, Sofia A. and Hsu, Elisabeth
- Published
- 2012
8. Ethnomedicine and the dynamics of knowledge transmission and plant conservation in Atiu, Cook Islands
- Author
-
Vougioukalou, Sofia Anthi
- Abstract
This thesis examines the link between the traditional medical knowledge and medicinal plant use in Atiu, Cook Islands. Indigenous knowledge systems and medicinal plant populations have been reported to be under threat from international organisations, social and natural scientists alike. An interdisciplinary perspective using anthropological and ethnobotanical methods was used to empirically assess the effect of healing practices on ethnomédical knowledge transmission and medicinal plant conservation. This study shows that despite socioeconomic changes and the decline of traditional practices in general, traditional medicine in the Cook Islands continues to be used across social and geographical boundaries without posing a threat to medicinal plant populations. This effect is attributed to the adaptive properties of the healing system that maintains some traditional elements such as family ownership of medical recipes and absence of monetary reward for healing while allowing for innovation as demonstrated in new recipes for new illnesses and flexible knowledge transmission patterns. The family ownership of medicinal recipes facilitated the conservation of both ethnomédical knowledge and medicinal plants as specific families operated as custodians of specialised knowledge and associated plant populations. The sense of obligation to the community’s wellbeing and divine guidance that accompanied the practice of traditional medicine contributed to the operation of a moral and spiritual driving force behind this form of cultural and biological preservation. In short this study shows that engagement with traditional medicine is positively associated with the transmission of ethnomédical knowledge and the conservation of medicinal plants, as Atiuans strive to conserve medicinal plants in order to acquire the elevated social status associated with traditional healing. These findings contribute to the ethnobotanical literature on the conservation of biocultural diversity by highlighting the impact of knowledge transmission on plant management.
- Published
- 2022
- Full Text
- View/download PDF
9. The contribution of ethnography to the evaluation of quality improvement in hospital settings: reflections on observing co-design in intensive care units and lung cancer pathways
- Author
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Vougioukalou, Sofia, Boaz, Annette, Gager, Melanie, and Locock, Louise
- Abstract
Ethnography is increasingly being used in the evaluation of quality improvement and change initiatives in healthcare settings, particularly in the form of ‘focused’ and ‘rapid’ ethnographies. This new ethnographic genre is tailored to suit narrower enquiries within clinical pathways. However, the application of ethnography to the evaluation of quality improvement is not straight-forward or free from reductionist bias, particularly in hospital settings where interventions take place during a limited period of time and instigate change in busy and sensitive settings. This paper discusses problems and emergent solutions involved in conducting an ethnographic process evaluation of co-design projects in lung-cancer and intensive care unit services in two hospitals in England. The mixed-methods ethnographic evaluation consisted of observations of the co-design process and triangulation of findings with interviews, questionnaires, participant reflective diaries and service improvement logs. Limitations of observational time and distance from ‘the field’ were overcome by making most of the pre- and post- event observational periods, situating quality improvement within the wider context of clinical practice, achieving attunement with local clinical cultures and engaging participants in collaboratively guiding observational and interview design. This approach led to a focused ethnographic evaluation that accommodated ethnographic principles to obtain rich insights into quality improvement processes despite the limitations of short-timeframes and the hospital setting.
- Published
- 2019
10. Illness narratives: collecting
- Author
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Vougioukalou, Sofia, Atkinson, Paul, Delamont, Sara, Cernat, Alexandru, Sakshaug, Joseph W., and Williams, Richard
- Published
- 2019
11. Wellbeing and Integration through Community Music: The Role of Improvisation in a Music Group of Refugees, Asylum Seekers and Local Community Members
- Author
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Vougioukalou, Sofia, primary, Dow, Rosie, additional, Bradshaw, Laura, additional, and Pallant, Tracy, additional
- Published
- 2019
- Full Text
- View/download PDF
12. Heteronormativity and prostate cancer: A discursive paper
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Kelly, Daniel, primary, Sakellariou, Dikaios, additional, Fry, Sarah, additional, and Vougioukalou, Sofia, additional
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- 2017
- Full Text
- View/download PDF
13. Plants, health and healing: on the interface of ethnobotany and medical anthropology Elisabeth Hsu Stephen Harris
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Vougioukalou, Sofia
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- 2011
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14. What patients do and their impact on implementation
- Author
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Boaz, Annette, primary, Robert, Glenn, additional, Locock, Louise, additional, Sturmey, Gordon, additional, Gager, Melanie, additional, Vougioukalou, Sofia, additional, Ziebland, Sue, additional, and Fielden, Jonathan, additional
- Published
- 2016
- Full Text
- View/download PDF
15. Accessing Participatory Research Impact and Legacy (APRIL)
- Author
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Cook, Tina, Vougioukalou, Sofia, Buckley, Nicola, and Boote, Jonathan
- Subjects
L400 - Abstract
The JISC/NECCPE funding enabled APRIL to bring together people with a range of expertise with the intention of developing an open, online, interactive database (conceptualised as the knowledge base). The aim of this was to: \ud • bring together published sources on the background, participatory dimension, and impact of PHR, making these available to communities of practice \ud • provide a means of synthesising knowledge and impact from various sources in relation to participatory dimensions \ud • capture outputs and impacts of PHR using research and BCE reference points \ud • develop dimensions for describing PHR through diverse stakeholder engagement \ud • provide an on-going space for the collection of resources for the shared development of understanding through the process of public categorisation \ud • comply with the CERIF model\ud \ud 11 papers, written in the past 6 years, identified as participatory by their authors were selected and the authors contacted for a discussion to:\ud a. clarify type of partnership approach used\ud b. assess factual characteristics of the overall partnership approach \ud c. identify research approaches and methods \ud d. identify perceived impact related to the participatory approach and dimension of participation\ud \ud This information was used, alongside indicators already gathered and developed by the APRIL project team, to outline a proforma for an interactive knowledgebase for researchers, both academic and community, to build knowledge about participatory research and its impact and share lessons learnt from the impact analysis exercise across participating institutions and the broader PR community of practice. This work is part of a broader project of the International Collaboration for Participatory Health Research www.icphr.org
- Published
- 2012
16. An interviewwith Elisabeth Hsu on Plants, Health and Healing: On the Interface of Ethnobotany and Medical Anthropology
- Author
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Vougioukalou, Sofia A., primary
- Published
- 2012
- Full Text
- View/download PDF
17. Plants, health and healing: on the interface of ethnobotany and medical anthropology - Edited by Elisabeth Hsu & Stephen Harris
- Author
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VOUGIOUKALOU, SOFIA, primary
- Published
- 2011
- Full Text
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18. Leave no-one behind: Improving pathways to dementia information, early assessment, and support for older people from minoritised and racialised backgrounds in Wales
- Author
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Saltus, Roiyah, Duval, Suzanne, and Vougioukalou, Sofia
- Subjects
GN ,HM ,R1 ,RT - Abstract
An estimated 25,000 people of Black, Asian and Minority Ethnic (BME) origins live with dementia in the UK – a number which is expected to increase sevenfold by 2051. People from many minoritised communities experience dementia in a markedly different way to their white British counterparts. The fight for a myriad of effective information pathways, quick diagnosis, and person-centred care systems that address the health as well as psychosocial support requirements of those with dementia has long been a research, practice and policy priority. We need to build our understanding of how best to improve the lives of people living with dementia and their families and carers. Understanding the ways BME people living with dementia and their carers seek information, and how they experience the assessment process, and live with dementia is a critical step. In the coming decades the UK’s older demographic will increasingly become more diverse and thus the need for dementia services to improve how people access their screening and assessment services, to enhance their models of early intervention and to develop meaningful messaging and information platforms will become that more pressing.\udMoreover, the pandemic has raised the spectre of health inequalities and the disproportionate impact of dementia on population groups – not least those from Black and Minority Ethnic backgrounds where the existing evidence base is patchy and nascent. In order to (i) capture the accelerated interconnections across sectors, (ii) draw on the impact of the overhaul of existing systems and process, that cross many boundaries, and (iii) move forward, rooted in the learning and innovation that is taking place in ways that address social and health care issues exacerbated by the pandemic crisis, such work is needed. Given the Welsh Government commitment to deliver a new 10-year dementia action plan in the coming two years, not to gather necessary evidence may lead to the further cementing of health and social inequalities in the field of dementia. This work needs to be done now. In Wales, the work to be done must be noted, alongside the need for work in this area to accelerate.\ud\udThis report provides a (i) scoping overview of the evidence base (ii) summaries of recently completed scoping studies and engagement work undertaken by Diverse Cymru and (iii) proposed research programme to be taken forward.
19. Back in the closet: Homophobia, human rights and organisational cultures of dementia care
- Author
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Vougioukalou, Sofia, Benson, Juls, Vougioukalou, Sofia, and Benson, Juls
- Abstract
This performance is based on testimonials of LBGTQI+ professionals, carers and people with dementia. It highlights the impact of heteronormative language and discriminatory behaviours on the quality of life and human rights of LGBTQI+ people with dementia and their partners in later life.
20. More time: Cultural competence and person-centred dementia care in community settings
- Author
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Vougioukalou, Sofia, Benson, Juls, Vougioukalou, Sofia, and Benson, Juls
- Abstract
This performance is based on testimonials of Black, Asian and Minority Ethnic professionals and carers. It highlights the importance of culturally appropriate care and the ways that institutionalised task-orientated cultures and punishing workloads contribute to poor care and elderly neglect.
21. Next of Kin: D/deaf communication, dementia care and family in hospital settings
- Author
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Vougioukalou, Sofia, Benson, Juls, Vougioukalou, Sofia, and Benson, Juls
- Abstract
This performance is based on testimonials of Deaf people who use BSL and hard of hearing carers. It highlights the difficulties in communication faced by the next of kin of people living with dementia and how lack of interpretation and good communication deprived them of their right to be equally involved in the end of their loved one’s life.
22. Research briefing on social prescribing and arts and health
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Vougioukalou, Sofia and Vougioukalou, Sofia
- Abstract
Within the updated Programme for Government is a pledge to: “Introduce an all-Wales framework to roll out social prescribing to tackle isolation”. Social prescribing is a key component of universal personalised care where patients are in control of their care package – and, as a recent Senedd Research Service briefing noted, social prescribing aligns with the Wellbeing of Future Generations (Wales) Act 2015 and the Social Services and Wellbeing (Wales) Act 2014, both of which are founded upon models that recognise the impact of social aspects on health and wellbeing. Furthermore, the ‘A Healthier Wales: plan for health and social care’ sets out a long term future vision of a ‘whole system approach to health and social care’, which is focussed on health and wellbeing, and on preventing illness. Yet despite this acceptance of social prescribing’s important role for wellbeing, an evaluation of social prescribing interventions concluded that “social prescribing is being widely advocated and implemented but current evidence fails to provide sufficient detail to judge either success or value for money”. This missing detail consists of unwritten lived experiences and knowledge that creative professionals and participants have. Furthermore, although social prescribing has been cited for its efficacy in reducing psychosocial problems stemming from social isolation in an estimated 20% of GP referrals, there is a lack of systematised evidence for its impact. There are also concerns that uptake is too often from people who are already engaging well with services and are culturally active. To help redress this balance, an innovation and research partnership between Arts Council of Wales, Nesta and Cardiff University called Health, Arts, Research & People (HARP) is testing new ideas and approaches in arts and health. The research team, based within Cardiff University’s public services innovation lab for Wales (Y Lab), recently carried out a series of in-depth interviews on the pr
23. Research briefing on equality, diversity and inclusion in arts and health
- Author
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Vougioukalou, Sofia and Vougioukalou, Sofia
- Abstract
Within the updated Programme for Government is a pledge to: “Introduce an all-Wales framework to roll out social prescribing to tackle isolation”. Social prescribing is a key component of universal personalised care where patients are in control of their care package. A recent Senedd Research Service briefing noted, social prescribing aligns with the Wellbeing of Future Generations (Wales) Act 2015 and the Social Services and Wellbeing (Wales) Act 2014, both of which are founded upon models that recognise the impact of social aspects on health and wellbeing. Also, Welsh Government’s plan for an Anti-Racist Wales highlights tackling health inequalities faced by the Black Asian and Minority Ethnic (BAME) community. Furthermore, ‘A Healthier Wales: plan for health and social care’ sets out a long term future vision of a ‘whole system approach to health and social care’, which is focussed on health and wellbeing, and on preventing illness. The COVID-19 pandemic occurred against a backdrop of social and economic inequalities in existing non-communicable diseases as well as inequalities in the social determinants of health. Inequalities in COVID-19 infection and mortality rates arose as a result of the cumulative effect of the COVID-19 pandemic, inequalities in chronic diseases and the social determinants of health. Therefore, when engaging under-represented groups that were disproportionately affected by the pandemic such as ethnic minorities and disabled people, care and attention needs to be paid to acknowledge the trauma of that experience in order to build relationships and overcome distrust. Questions have been raised on the applicability of arts and health interventions to different demographics, particularly on the aesthetics of the ‘art’ and the audiences that it appeals to. Diversity and inclusion are concepts that are currently widely discussed in the arts and often used interchangeably. Yet they mean very two different things: ‘diversity is being invited to th
24. Leave no-one behind: Improving pathways to dementia information, early assessment, and support for older people from minoritised and racialised backgrounds in Wales
- Author
-
Saltus, Roiyah, Duval, Suzanne, Vougioukalou, Sofia, Saltus, Roiyah, Duval, Suzanne, and Vougioukalou, Sofia
- Abstract
An estimated 25,000 people of Black, Asian and Minority Ethnic (BME) origins live with dementia in the UK – a number which is expected to increase sevenfold by 2051. People from many minoritised communities experience dementia in a markedly different way to their white British counterparts. The fight for a myriad of effective information pathways, quick diagnosis, and person-centred care systems that address the health as well as psychosocial support requirements of those with dementia has long been a research, practice and policy priority. We need to build our understanding of how best to improve the lives of people living with dementia and their families and carers. Understanding the ways BME people living with dementia and their carers seek information, and how they experience the assessment process, and live with dementia is a critical step. In the coming decades the UK’s older demographic will increasingly become more diverse and thus the need for dementia services to improve how people access their screening and assessment services, to enhance their models of early intervention and to develop meaningful messaging and information platforms will become that more pressing. Moreover, the pandemic has raised the spectre of health inequalities and the disproportionate impact of dementia on population groups – not least those from Black and Minority Ethnic backgrounds where the existing evidence base is patchy and nascent. In order to (i) capture the accelerated interconnections across sectors, (ii) draw on the impact of the overhaul of existing systems and process, that cross many boundaries, and (iii) move forward, rooted in the learning and innovation that is taking place in ways that address social and health care issues exacerbated by the pandemic crisis, such work is needed. Given the Welsh Government commitment to deliver a new 10-year dementia action plan in the coming two years, not to gather necessary evidence may lead to the further cementing of health and
25. Research into nurse staffing levels in Wales
- Author
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Jones, Aled, Powell, Tom, Vougioukalou, Sofia, Lynch, Mary, Kelly, Daniel M., Jones, Aled, Powell, Tom, Vougioukalou, Sofia, Lynch, Mary, and Kelly, Daniel M.
- Abstract
This report presents a review of the evidence associated with setting and monitoring safe nurse staffing levels. It also includes analysis of findings related to developing a better understanding of the availability and accessibility of nurse staffing data in medical and surgical wards in Wales. The review of evidence on safe nurse staffing levels includes, for example, nurse-to-patient ratios and skill mix, the role played by nurse staffing levels in influencing patient safety, unintended consequences of mandatory nurse staffing levels and the use of staffing level tools. Availability and accessibility of relevant data focuses on the Electronic Staff Record (ESR), public availability of Welsh NHS staff data, data quality in the ESR database system and possible other sources of data. In addition, a data acquisition exercise with Local Health Boards is outlined, setting out methods, data quality, findings from an initial analysis of the data returned and lessons for future practice.
26. Dying at the wrong age: professional's experiences of witnessing young people transitioning from curative to palliative care.
- Author
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Kelly, Daniel, Vougioukalou, Sofia, Kelly, Daniel, and Vougioukalou, Sofia
- Abstract
Objectives Death is normally associated with older age and dying young goes against the natural order. Ensuring an appropriately managed transition from curative internet to a palliative approach is a key aspect of Adolescent & Young Adult (AYA) cancer care. However, this aspect of of care has not been well researched, especially its impact of professionals. The objective of the study is to identify the emotional demands of transition work and its impact on a sample of UK cancer professionals. Findings Data collection with 25 AYA cancer professionals has been undertaken. A diverse sample of professionals participated in in-depth telephone interviews about how they assist, and experience, transition care. After being transcribed the interviews were analysed to identify common experiences, as well as divergent and individual accounts of practices, difficulties and coping strategies. An Australian phase of this study is currently ongoing out of Sydney university and combined data will be presented subsequently. Key conclusions The UK data will be presented to describe how professionals experience this phase, how communication within and between teams serves to assist in the transition process, what particular needs are faced when dying is more likely in young patients and how professionals cope with the emotional demands of this work. Implications for practice, education and research will be considered.
27. Responding to the 'big society': flexible curriculum development for the voluntary sector
- Author
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University Vocational Awards Council, ., Vougioukalou, Sofia, University Vocational Awards Council, ., and Vougioukalou, Sofia
28. Dying at the wrong age: professional's experiences of witnessing young people transitioning from curative to palliative care.
- Author
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Kelly, Daniel, Vougioukalou, Sofia, Kelly, Daniel, and Vougioukalou, Sofia
- Abstract
Objectives Death is normally associated with older age and dying young goes against the natural order. Ensuring an appropriately managed transition from curative internet to a palliative approach is a key aspect of Adolescent & Young Adult (AYA) cancer care. However, this aspect of of care has not been well researched, especially its impact of professionals. The objective of the study is to identify the emotional demands of transition work and its impact on a sample of UK cancer professionals. Findings Data collection with 25 AYA cancer professionals has been undertaken. A diverse sample of professionals participated in in-depth telephone interviews about how they assist, and experience, transition care. After being transcribed the interviews were analysed to identify common experiences, as well as divergent and individual accounts of practices, difficulties and coping strategies. An Australian phase of this study is currently ongoing out of Sydney university and combined data will be presented subsequently. Key conclusions The UK data will be presented to describe how professionals experience this phase, how communication within and between teams serves to assist in the transition process, what particular needs are faced when dying is more likely in young patients and how professionals cope with the emotional demands of this work. Implications for practice, education and research will be considered.
29. Understanding approaches to continence care for people living with dementia in acute hospital settings: an ethnographic study
- Author
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Featherstone K, Northcott A, Boddington P, Edwards D, Vougioukalou S, Bale S, Harrison Dening K, Logan K, Tope R, Kelly D, Jones A, Askey J, and Harden J
- Abstract
Background: The acute hospital setting has become a key site of care for people living with dementia. People living with dementia are one of the largest populations in our hospitals, with the Department of Health and Social Care recognising that 25–50% of all acute hospital admissions are people who are also living with dementia. However, people living with dementia are a highly vulnerable group in the hospital setting and, following an acute admission, their functional abilities can deteriorate quickly and significantly. Detailed research is required to explore what constitutes ‘good care’., Objectives: This study’s focus was a common, but poorly understood, aspect of everyday care for people living with dementia during an acute admission, that is continence care. We asked the following questions: what caring practices are observable when interacting with this patient group? How do ward teams respond to and manage continence needs? What informs these approaches? What are staff doing and why?, Design: This ethnography was informed by the symbolic interactionist research tradition, focusing on understanding how action and meaning are constructed within a setting. In-depth evidence-based analysis of everyday care enabled us to examine how ward staff responded to the continence care needs of people living with dementia and to follow the consequences of their actions. We carried out a mixed-methods systematic narrative review to refine our approach to fieldwork and analysis., Setting: This ethnography was carried out for 180 days, across 12 months, in six wards in three hospitals across England and Wales that were purposefully selected to represent a range of hospital types, geographies and socioeconomic catchments., Participants: In addition to general observations, 108 individuals participated directly in this study, contributing to 562 ethnographic interviews. Ten detailed case studies were also undertaken with people living with dementia., Results: This study identified ‘pad cultures’ as an embedded practice on these acute wards. The routine use of continence pads among people living with dementia (regardless of continence and independence) was widespread. The use of continence pads was viewed as a precautionary strategy, the rationale being to provide safeguards, ensure containment and prevent ‘accidents’ or incontinence episodes, with an expectation that patients living with dementia not only will wear pads, but will use them., Conclusions: These ‘pad cultures’ enabled the number of unscheduled interruptions to the institutionally mandated timetabled work of these wards to be reduced, but had significant impacts on people living with dementia and, in turn, wider consequences for these individuals and their identities. Ward staff described feeling abandoned with the responsibility of caring for large numbers of people living with dementia, believing that it was impossible to work in other ways to support their patient’s continence., Limitations: The limitations identified included the potential for the Hawthorne effect to influence data collection., Future Work: In collaboration with a specialist dementia care and continence teams, the findings are informing the development of education and training at the interactional and organisational level., Study Registration: This study is registered as PROSPERO CRD42018119495., 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. 14. See the NIHR Journals Library website for further project information., (Copyright © 2022 Featherstone et al. This work was produced by Featherstone 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
- Full Text
- View/download PDF
30. The contribution of ethnography to the evaluation of quality improvement in hospital settings: reflections on observing co-design in intensive care units and lung cancer pathways in the UK.
- Author
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Vougioukalou S, Boaz A, Gager M, and Locock L
- Subjects
- Delivery of Health Care, Evaluation Studies as Topic, Humans, Quality Improvement, United Kingdom, Anthropology, Cultural, Anthropology, Medical, Hospitals, Intensive Care Units, Lung Neoplasms therapy
- Abstract
Ethnography is increasingly being used in the evaluation of quality improvement and change initiatives in healthcare settings, particularly in the form of 'focused' and 'rapid' ethnographies. This new ethnographic genre is tailored to suit narrower enquiries within clinical pathways. However, the application of ethnography to the evaluation of quality improvement is not straightforward or free from reductionist bias, particularly in hospital settings where interventions take place during a limited period of time and instigate change in busy and sensitive settings. This paper discusses problems and emergent solutions involved in conducting an ethnographic process evaluation of co-design projects in lung cancer and intensive care unit services in two hospitals in England. The mixed-methods ethnographic evaluation consisted of observations of the co-design process and triangulation of findings with interviews, questionnaires, participant reflective diaries and service improvement logs. Limitations of observational time and distance from 'the field' were overcome by making most of the pre- and post-event observational periods, situating quality improvement within the wider context of clinical practice, achieving attunement with local clinical cultures and engaging participants in collaboratively guiding observational and interview design. This approach led to a focused ethnographic evaluation that accommodated ethnographic principles to obtain rich insights into quality improvement processes despite the limitations of short-timeframes and the hospital setting.
- Published
- 2019
- Full Text
- View/download PDF
31. Exploration of a Co-Production Approach to Developing a Walking Group with People with Huntington's Disease.
- Author
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Jones U, Hamana K, Vougioukalou S, Jones M, and Busse M
- Abstract
Background: People with Huntington's disease (HD) struggle to maintain regular physical activity despite evidence of the benefits of exercise. This study aimed to evaluate the experiences of people who co-produced a walking group for people with HD., Methods: Three people with HD, a specialist HD advisor (sHDA), two project officers from Let's Walk Cymru (LWC) and the research team co-produced and participated in a walking group for people with HD. A walking group for people with HD was supported weekly by LWC for eight weeks and fortnightly for a further 12 weeks. Semi-structured interviews were undertaken with three people with HD, a sHDA and two project LWC project officers. Interviews were transcribed verbatim and analysed using thematic analysis., Findings: Interviews identified six themes across participants: "organisation and planning"; "purpose of the walks"; "benefits"; "barriers", "the group" and "the future". People with HD enjoyed participating in the walks and reported increased confidence to be more active outside the home. All participants noted challenges including apathy, diminished planning skills, social stigma and motor problems specific to HD; people with HD perceived a lack of influence in relation to co-planning and co-execution of the walking group., Conclusions: The walking group was perceived as enjoyable, beneficial, and motivational. This is the first study to report co-production of a walking group with people with HD and the findings suggest that further research is needed to adapt models of co-production for people with a long-term complex condition., Competing Interests: Conflict of Interest The authors declare that there is no conflict of interest.
- Published
- 2019
- Full Text
- View/download PDF
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