Without

Without is a collaboration between Sally Underwood and Roxy Walsh. Their ongoing research explores how artworks co-habit gallery spaces, and how those spaces are inhabited by the bodies within it. Dwellings, small architectures, paintings and wall paintings are central to these explorations: artworks sited within other artworks. UnderwoodWalsh were invited by Karen Knorr and Daniel Blight to make a site specific installation for Chandelier Projects, housed in the studio of Karen Knorr in Hackney, for the spring of 2015. Following on from their installation at Art Exchange (See Outwith), a tree was central to this installation. Here, away from the parkland, a lone tree alongside a giant egg, a park bench not fit for sitting, and imagistic paintings (a figure, a dick-duck, a shadow in pink grass) alongside patches of architectural colour. An accompanying text was commissioned from Simon Clark. The finissage, on 16th May, also featured a poetry reading by Liz Berry and a performance by Simon Clark

Synthesis of qualitative research studies regarding the factors surrounding UK critical care trial infrastructure

© 2019 Author(s). Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJConducting clinical trials in critical care is integral to improving patient care. Unique practical and ethical considerations exist in this patient population that make patient recruitment challenging, including narrow recruitment timeframes and obtaining patient consent often in time-critical situations. Units currently vary significantly in their ability to recruit according to infrastructure and level of research activity. Aim : To identify variability in the research infrastructure of UK intensive care units (ICUs) and their ability to conduct research and recruit patients into clinical trials. Design: We evaluated factors related to intensive care patient enrolment into clinical trials in the UK. This consisted of a qualitative synthesis carried out with two datasets of in-depth interviews (distinct participants across the two datasets) conducted with 27 intensive care consultants (n=9), research nurses (n=17) and trial coordinators (n=1) from 27 units across the UK. Primary and secondary analysis of two datasets (one dataset had been analysed previously) was undertaken in the thematic analysis. Findings: The synthesis yielded an overarching core theme of Normalising Research, characterised by motivations for promoting research and fostering research-active cultures within resource constraints, with six themes under this to explain the factors influencing critical care research capacity: Organisational, Human, Study, Practical resources, Clinician, and Patient/family factors. There was a strong sense of integrating research in routine clinical practice, and recommendations are outlined. Conclusions: The central and transferable tenet of Normalising Research advocates the importance of developing a culture where research is inclusive alongside clinical practice in routine patient care and is requisite for all healthcare individuals from organisational to direct patient contact level.Peer reviewedFinal Published versio

Quality care, public perception and quick-fix service management: a Delphi study on stressors of hospital doctors in Ireland.

OBJECTIVES: To identify and rank the most significant workplace stressors to which consultants and trainees are exposed within the publicly funded health sector in Ireland. DESIGN: Following a preliminary semistructured telephone interview, a Delphi technique with 3 rounds of reiterative questionnaires was used to obtain consensus. Conducted in Spring 2014, doctors were purposively selected by their college faculty or specialty training body. SETTING: Consultants and higher specialist trainees who were engaged at a collegiate level with their faculty or professional training body. All were employed in the Irish publicly funded health sector by the Health Services Executive. PARTICIPANTS: 49 doctors: 30 consultants (13 male, 17 female) and 19 trainees (7 male, 12 female). Consultants and trainees were from a wide range of hospital specialties including anaesthetics, radiology and psychiatry. RESULTS: Consultants are most concerned with the quality of healthcare management and its impact on service. They are also concerned about the quality of care they provide. They feel undervalued within the negative sociocultural environment that they work. Trainees also feel undervalued with an uncertain future and they also perceive their sociocultural environment as negative. They echo concerns regarding the quality of care they provide. They struggle with the interface between career demands and personal life. CONCLUSIONS: This Delphi study sought to explore the working life of doctors in Irish hospitals at a time when resources are scarce. It identified both common and distinct concerns regarding sources of stress for 2 groups of doctors. Its identification of key stressors should guide managers and clinicians towards solutions for improving the quality of patient care and the health of care providers

Dependent Rational Animals [Catalogue]

Catalogue for the Exhibition, Dependent Rational Animals. Sally Underwood and Roxy Walsh at Towner Gallery Eastbourne 2013. Forward by Sanna Moore, curator. Essay by Anne Enrigh

Outwith

Outwith is a collaboration between Sally Underwood and Roxy Walsh. Their ongoing research explores co-habitation, shelter, dwelling and time, exploring how gallery space is inhabited and lived by the bodies within it. Dwellings and small architectures are central to these explorations: artworks sited within other artworks. UnderwoodWalsh were invited by Jessica Kenney to make a site specific installation for Art Exchange, the gallery of the University of Essex, for January/February 2015. The campus is a spectacular collection of largely brutalist buildings set in Wivenhoe park, rolling parkland made famous by John Constable’s 1816 painting. The predominant materials on campus are concrete and engineering brick. Though faced with 1980’s (bijou postmodern) brick patterns, the building that houses Art Exchange has a heart of concrete like the others. At Art Exchange, ‘shelter’ or location was provided a putative tree, echoing both the parkland of the campus and the shuttered concrete structure at the centre of the gallery building. Its exposed roots were bracketed by small walls of engineering brick and kindling in response to the spectacular use of engineering brick in the North Towers. The thin blue light of winter was echoed in watercolour above, and painted panels punctuated the space - sometimes pictorially but more often spatially, alongside large passages of painting directly onto the walls. Parkland outside of the gallery was made visible again by the uncovering of a picture window that had been walled in for a number of years. An accompanying text was commissioned from George Vase

Right Here Right Now (RHRN) pilot study: testing a method of near-real-time data collection on the social determinants of health

Background: Informing policy and practice with up-to-date evidence on the social determinants of health is an ongoing challenge. One limitation of traditional approaches is the time-lag between identification of a policy or practice need and availability of results. The Right Here Right Now (RHRN) study piloted a near-real-time data-collection process to investigate whether this gap could be bridged. Methods: A website was developed to facilitate the issue of questions, data capture and presentation of findings. Respondents were recruited using two distinct methods – a clustered random probability sample, and a quota sample from street stalls. Weekly four-part questions were issued by email, Short Messaging Service (SMS or text) or post. Quantitative data were descriptively summarised, qualitative data thematically analysed, and a summary report circulated two weeks after each question was issued. The pilot spanned 26 weeks. Results: It proved possible to recruit and retain a panel of respondents providing quantitative and qualitative data on a range of issues. The samples were subject to similar recruitment and response biases as more traditional data-collection approaches. Participants valued the potential to influence change, and stakeholders were enthusiastic about the findings generated, despite reservations about the lack of sample representativeness. Stakeholders acknowledged that decision-making processes are not flexible enough to respond to weekly evidence. Conclusion: RHRN produced a process for collecting near-real-time data for policy-relevant topics, although obtaining and maintaining representative samples was problematic. Adaptations were identified to inform a more sustainable model of near-real-time data collection and dissemination in the future