Mossbauer studies of iron-exchanged zeolites

Imperial Users onl

Using Video-Reflexive Ethnography on an Acute Medical Unit:Methodological Challenges, Solutions and Opportunities within a Complex and Busy Healthcare Setting

Video-Reflexive Ethnography (VRE) is an innovative and participatory research and improvement methodology that involves videoing in-situ work practices and collaboratively analysing this footage with participants during reflexive sessions. This involves participants ‘slowing down’, engaging reflexively with their everyday working practices, and taking time out to discuss issues collectively. VRE has increasingly been used across a range of different healthcare settings. However, one setting that has received less attention is the Acute Medical Unit (AMU). AMUs are busy short-stay hospital departments with very high patient throughput and large multidisciplinary teams where patients receive initial assessment, diagnosis and treatment before being moved to other wards or settings. The aim of this study was to examine how VRE as a research and improvement methodology can be applied, in the busy and complex setting of an AMU. In this paper we outline some of the methodological challenges encountered in this setting and discuss how these were transformed into opportunities and solutions. Then, we evaluate our work by using the four guiding principles at the heart of VRE (care, collaboration, reflexivity and exnovation) to test if, and how, the methodology can be used in such a complex and busy setting without losing its methodological rigor and impact. We show how it is possible to initiate and achieve the core principles of VRE in the complex and busy AMU setting through careful planning, constant revision of data collection methods, remaining highly flexible and adaptable to the spatial and temporal rhythms of the ward and being sensitive to hierarchical inter- and intra-professional relationships and vulnerabilities. Finally, we share recommendations for using VRE in other busy and complex settings

Using Video-Reflexive Ethnography on an Acute Medical Unit:Methodological Challenges, Solutions and Opportunities within a Complex and Busy Healthcare Setting

Video-Reflexive Ethnography (VRE) is an innovative and participatory research and improvement methodology that involves videoing in-situ work practices and collaboratively analysing this footage with participants during reflexive sessions. This involves participants ‘slowing down’, engaging reflexively with their everyday working practices, and taking time out to discuss issues collectively. VRE has increasingly been used across a range of different healthcare settings. However, one setting that has received less attention is the Acute Medical Unit (AMU). AMUs are busy short-stay hospital departments with very high patient throughput and large multidisciplinary teams where patients receive initial assessment, diagnosis and treatment before being moved to other wards or settings. The aim of this study was to examine how VRE as a research and improvement methodology can be applied, in the busy and complex setting of an AMU. In this paper we outline some of the methodological challenges encountered in this setting and discuss how these were transformed into opportunities and solutions. Then, we evaluate our work by using the four guiding principles at the heart of VRE (care, collaboration, reflexivity and exnovation) to test if, and how, the methodology can be used in such a complex and busy setting without losing its methodological rigor and impact. We show how it is possible to initiate and achieve the core principles of VRE in the complex and busy AMU setting through careful planning, constant revision of data collection methods, remaining highly flexible and adaptable to the spatial and temporal rhythms of the ward and being sensitive to hierarchical inter- and intra-professional relationships and vulnerabilities. Finally, we share recommendations for using VRE in other busy and complex settings

Using Video-Reflexive Ethnography on an Acute Medical Unit:Methodological Challenges, Solutions and Opportunities within a Complex and Busy Healthcare

Video-Reflexive Ethnography (VRE) is an innovative and participatory research and improvement methodology that involves videoing in-situ work practices and collaboratively analysing this footage with participants during reflexive sessions. This involves participants ‘slowing down’, engaging reflexively with their everyday working practices, and taking time out to discuss issues collectively. VRE has increasingly been used across a range of different healthcare settings. However, one setting that has received less attention is the Acute Medical Unit (AMU). AMUs are busy short-stay hospital departments with very high patient throughput and large multidisciplinary teams where patients receive initial assessment, diagnosis and treatment before being moved to other wards or settings. The aim of this study was to examine how VRE as a research and improvement methodology can be applied, in the busy and complex setting of an AMU. In this paper we outline some of the methodological challenges encountered in this setting and discuss how these were transformed into opportunities and solutions. Then, we evaluate our work by using the four guiding principles at the heart of VRE (care, collaboration, reflexivity and exnovation) to test if, and how, the methodology can be used in such a complex and busy setting without losing its methodological rigor and impact. We show how it is possible to initiate and achieve the core principles of VRE in the complex and busy AMU setting through careful planning, constant revision of data collection methods, remaining highly flexible and adaptable to the spatial and temporal rhythms of the ward and being sensitive to hierarchical inter- and intra-professional relationships and vulnerabilities. Finally, we share recommendations for using VRE in other busy and complex settings.Keywords Ethnography, Focus Groups, Observational Research, photovoice, Methods in Qualitative Inquiry<br/

Using Celebrities and Advertising Campaigns to Enhance Learning of Critical Review and Experimental Design, within an Inquiry-Oriented Biomedical Curriculum

A challenge in learning to become a scientist is gaining skills in critical review and experimental design. Our aim was to measure the effectiveness of an inquiry-oriented learning (IOL) workshop which used popular culture and pseudoscience as stimuli for engagement. The workshop on critical review of scientific literature and best-practice experimental design consisted of a Socratic-seminar (i.e., collaborative, intellectual dialogue facilitated with open-ended questions) and a poster-defence. Students analysed the scientific publication which led Dr Oz (medical doctor and TV host) to falsely claim green coffee bean extract as a ‘miracle’ cure for obesity. Students also designed an experiment to test the effectiveness of an advertising campaign (e.g., Old Spice: ‘The Man Your Man Could Smell Like’) and presented their design in poster format. Students were assessed before and after the workshop. Post-test scores were higher than pre-test scores (51.8 ± 3.8% vs 38.2 ± 3.1%, n = 25, p < 0.0001) and were correlated (p < 0.001) with students’ assignment marks. Students agreed that the workshop developed their ability to critically review scientific literature (79%) and to design experiments (63%). Our findings suggest that an IOL workshop, using popular culture and pseudoscience, improves skills in critical review and experimental design

The burden of metabolic syndrome on osteoarthritic joints

Versus Arthritis (grants 19667, 20050, 20775, 20865, 21156) and the Medical Research Council (grant MR/L020211/1).Peer reviewedPublisher PD

Enhancing Food Security in an Era of Global Climate Change: An Executive Session on Grand Challenges of the Sustainability Transition

The goal of the workshop was to build a more strategic and integrated perspective on the threats and opportunities latent in the food / climate issue, and to discuss the hard challenges of moving forward toward common goals in a private, off-the-record setting. An executive session convened by the John F. Kennedy School of Government at Harvard University and the Venice International University on June 6-9, 2010, attracted more than 25 of the world's leading experts from the fields of policy, science, and business to San Servolo Island for an intensive three- day session (see text for a list of the participants). The discussions were off-the-record, with each participant present in his or her own capacity, rather than representing an organization. The session was one in a series on Grand Challenges of the Sustainability Transition organized by the Sustainability Science Program at Harvard University with the generous support of the Italy’s Ministry for Environment, Land and Sea. This particular session was held in cooperation with the new Mega Program on Climate Change, Agriculture and Food Security being developed by the Consultative Group on International Agricultural Research (CGIAR) and the Earth System Science Partnership. This summary report of the session is our synthesis of the main points and arguments that emerged from the discussions. It does not represent a consensus document, since no effort was made at the session to arrive at a single consensus view. Rather, we report here on what we heard to be the major themes discussed at the session. Any errors or misrepresentations remain solely our responsibility