35 research outputs found
Engaging the postgraduate student voice for enhancement of learning and teaching
Postgraduate (PG) courses are undertaken for a variety of reasons and in many different formats across the three faculties (Faculty of Health Education and Society, Faculty of Business and Law and the Faculty of Art, Science and Technology) within the University of Northampton, (UON). PG students’ engagement, especially minority groups and part time students, are historically underrepresented with teaching and learning often devolved from undergraduate courses or professional doctorate courses. This underrepresented student body require a stronger network to engage, discuss and target their specific requirements within the university. Dissertation students’ satisfaction at UON in the latest PTES, (2022) survey is below the sector average.Postgraduate studies frequently occur when students are raising families, working full time and busy meeting personal objectives. During this life-phase, engagement with the university community is difficult. However, this student group have skills and knowledge to enhance their own learning and teaching requirements which may strengthen the student experience and promote engagement. Enhancing the student voice within the PG community and across faculties will aid communication and the objectives identified within the Access and Participation Plan (APP) relating to attainment, retention and progression by ethnicity and IMD/POLAR characteristics.This project concept was developed from the recommendations of a previously successful innovation bid, “Converting Willingness to Engagement” which targeted PG health professionals within FHES. It identified under representation within the professional postgraduate community. The Postgraduate student voice, particularly at Master's level (L7), has been nationally identified as under-represented (PTES, 2022). This project explored how these students, deemed at risk of unconscious bias, intersectional students, the ethnical diverse and part time students can create a student voice and provide practical outcomes in terms of recommendations for all faculties
Engaging the postgraduate student voice for enhancement of learning and teaching
Postgraduate (PG) courses are undertaken for a variety of reasons and in many different formats across the three faculties (Faculty of Health Education and Society, Faculty of Business and Law and the Faculty of Art, Science and Technology) within the University of Northampton, (UON). PG students’ engagement, especially minority groups and part time students, are historically underrepresented with teaching and learning often devolved from undergraduate courses or professional doctorate courses. This underrepresented student body require a stronger network to engage, discuss and target their specific requirements within the university. Dissertation students’ satisfaction at UON in the latest PTES, (2022) survey is below the sector average.Postgraduate studies frequently occur when students are raising families, working full time and busy meeting personal objectives. During this life-phase, engagement with the university community is difficult. However, this student group have skills and knowledge to enhance their own learning and teaching requirements which may strengthen the student experience and promote engagement. Enhancing the student voice within the PG community and across faculties will aid communication and the objectives identified within the Access and Participation Plan (APP) relating to attainment, retention and progression by ethnicity and IMD/POLAR characteristics.This project concept was developed from the recommendations of a previously successful innovation bid, “Converting Willingness to Engagement” which targeted PG health professionals within FHES. It identified under representation within the professional postgraduate community. The Postgraduate student voice, particularly at Master's level (L7), has been nationally identified as under-represented (PTES, 2022). This project explored how these students, deemed at risk of unconscious bias, intersectional students, the ethnical diverse and part time students can create a student voice and provide practical outcomes in terms of recommendations for all faculties
Scaling up an intervention to protect preterm infants from neurodevelopmental disabilities:findings from a qualitative process evaluation comparing standard with enhanced quality improvement support packages for maternity units in England
Multiorgan MRI findings after hospitalisation with COVID-19 in the UK (C-MORE): a prospective, multicentre, observational cohort study
Introduction:
The multiorgan impact of moderate to severe coronavirus infections in the post-acute phase is still poorly understood. We aimed to evaluate the excess burden of multiorgan abnormalities after hospitalisation with COVID-19, evaluate their determinants, and explore associations with patient-related outcome measures.
Methods:
In a prospective, UK-wide, multicentre MRI follow-up study (C-MORE), adults (aged ≥18 years) discharged from hospital following COVID-19 who were included in Tier 2 of the Post-hospitalisation COVID-19 study (PHOSP-COVID) and contemporary controls with no evidence of previous COVID-19 (SARS-CoV-2 nucleocapsid antibody negative) underwent multiorgan MRI (lungs, heart, brain, liver, and kidneys) with quantitative and qualitative assessment of images and clinical adjudication when relevant. Individuals with end-stage renal failure or contraindications to MRI were excluded. Participants also underwent detailed recording of symptoms, and physiological and biochemical tests. The primary outcome was the excess burden of multiorgan abnormalities (two or more organs) relative to controls, with further adjustments for potential confounders. The C-MORE study is ongoing and is registered with ClinicalTrials.gov, NCT04510025.
Findings:
Of 2710 participants in Tier 2 of PHOSP-COVID, 531 were recruited across 13 UK-wide C-MORE sites. After exclusions, 259 C-MORE patients (mean age 57 years [SD 12]; 158 [61%] male and 101 [39%] female) who were discharged from hospital with PCR-confirmed or clinically diagnosed COVID-19 between March 1, 2020, and Nov 1, 2021, and 52 non-COVID-19 controls from the community (mean age 49 years [SD 14]; 30 [58%] male and 22 [42%] female) were included in the analysis. Patients were assessed at a median of 5·0 months (IQR 4·2–6·3) after hospital discharge. Compared with non-COVID-19 controls, patients were older, living with more obesity, and had more comorbidities. Multiorgan abnormalities on MRI were more frequent in patients than in controls (157 [61%] of 259 vs 14 [27%] of 52; p<0·0001) and independently associated with COVID-19 status (odds ratio [OR] 2·9 [95% CI 1·5–5·8]; padjusted=0·0023) after adjusting for relevant confounders. Compared with controls, patients were more likely to have MRI evidence of lung abnormalities (p=0·0001; parenchymal abnormalities), brain abnormalities (p<0·0001; more white matter hyperintensities and regional brain volume reduction), and kidney abnormalities (p=0·014; lower medullary T1 and loss of corticomedullary differentiation), whereas cardiac and liver MRI abnormalities were similar between patients and controls. Patients with multiorgan abnormalities were older (difference in mean age 7 years [95% CI 4–10]; mean age of 59·8 years [SD 11·7] with multiorgan abnormalities vs mean age of 52·8 years [11·9] without multiorgan abnormalities; p<0·0001), more likely to have three or more comorbidities (OR 2·47 [1·32–4·82]; padjusted=0·0059), and more likely to have a more severe acute infection (acute CRP >5mg/L, OR 3·55 [1·23–11·88]; padjusted=0·025) than those without multiorgan abnormalities. Presence of lung MRI abnormalities was associated with a two-fold higher risk of chest tightness, and multiorgan MRI abnormalities were associated with severe and very severe persistent physical and mental health impairment (PHOSP-COVID symptom clusters) after hospitalisation.
Interpretation:
After hospitalisation for COVID-19, people are at risk of multiorgan abnormalities in the medium term. Our findings emphasise the need for proactive multidisciplinary care pathways, with the potential for imaging to guide surveillance frequency and therapeutic stratification
Nurse and mother: is there a conflict of interest?
Tracey Redwood asks whether becoming a first-time mother affects the way a nurse approaches patient care, particularly in children's and neonatal nursing
Becoming a mother : a phenomenological exploration of transition to motherhood, its impact and implications for the professional lives of nurses, midwives and health visitors
EThOS - Electronic Theses Online ServiceGBUnited Kingdo
A Phenomenological Exploration of Women's Utilisation of Maternal Healthcare Services in Bauchi State, Nigeria
Despite the government provision of maternal healthcare centres, the high maternal mortality rate in northern Nigeria has been an issue of concern. The level of utilisation of maternal healthcare centres has not been found encouraging. Hence, this study was carried out to explore the factors affecting women's utilisation of maternal health care services in Bauchi State, Nigeria. A descriptive phenomenology research design was adopted, while purposive and snowballing sampling techniques were used for participants' selection. Data were collected from 23 reproductive women, 5 married men, 2 skilled health workers, and 2 Traditional Birth Attendants (TBAs) through Focus Group Discussions (FGDs) and semi-structured interviews. The data collected were analysed with Colaizzi's-7 steps analytic technique using NVIVO Computer Assisted Qualitative Data Analysis Software (CAQDAS). Two themes and six clusters of themes emerged from the data analysis. The emerging themes were cultural belief systems and trust in the traditional healthcare system. The themes under the first theme were preference for female health workers, husband dominance, belief about death, and masculinity in pregnancy. The cluster of themes under the second theme was reliance on traditional treatment and support from TBAs' support. The community members were underutilising maternal healthcare centres. The results showed the need to pay more attention to awareness and sensitisation on the significance of healthcare in avoiding preventable deaths and promoting personal human responsibility on healthcare matters. Keywords: Reproductive women, Maternal healthcare services, Phenomenology DOI: 10.7176/JHMN/110-01 Publication date:August 31st 2023
Exploring attitudes and behaviour towards teenage pregnancy
This article illustrates a methodological approach, which actively engaged 14 to 19 year olds in the research process. This two phase study explored the attitudes and behaviours of young people towards teenage pregnancy in Northamptonshire, UK. The first phase involved training young mothers to lead six focus groups with three specifically targeted 'at-risk' groups; other teenage mothers, young offenders and looked after children (from 14 to 19 years of age). An open question began each focus group but the young women or peer researchers were aware of the topics they wished to explore and provided prompts as necessary. Seven topics are presented under the headings of: alcohol and drugs; planned pregnancy; professionals' treatment; need for love; support by family, friends and partners; labelling and the reality for teenage mothers; and future aspirations. The reasons for pregnancy or consequences of pregnancy are discussed under the implications and recommendations