• Female Soccer: Part 1 – A Needs Analysis

      Turner, E.; Munro, Allan G.; Comfort, P. (2013)
      It is imperative for strength and conditioning coaches to conduct a detailed analysis of the demands of a sport, identifying normative data where possible to permit an evidence-based evaluation of an athlete’s current performance status and to inform the development of specific goals for the athletes’ development. Part one of this article reviews the demands of female soccer and provides normative data from published research identifying specific areas that require development in female soccer players. Part two recommends evidence-based approaches integrated to athlete development and injury prevention strategies, as a result of the needs analysis.
    • Female Soccer: Part 2 – Training Considerations and Recommendations

      Turner, E.; Munro, Allan G.; Comfort, P. (2013)
      Part 1 of this article identified the demands of female soccer and the specific areas of development required to optimize performance and reduce the risk of common injuries. Increases in aerobic capacity, strength, and lower limb control were required to improve performance and reduce the risks of common injuries. The aims of part 2 are to provide examples of evidence-based integrated strategies to address the issues identified in part 1 and to ensure not only enhanced performance but also a reduced incidence of common injuries in female soccer players.
    • Festival in a Box: Development and qualitative evaluation of an outreach programme to engage socially isolated people with dementia

      Eades, M.; Lord, Kathryn; Cooper, C. (2016)
      We co-designed and piloted ‘Festival in a Box’, an outreach programme to enable socially isolated people with dementia to engage with and enjoy cultural activities in their homes. It comprised 3–4 weekly home visits, each led by a professional artist to create art works using materials brought in ‘the box’. Activities included music, poetry, pottery, crafts and photography. We qualitatively interviewed 13 participants (6 people with dementia, 4 artists, 3 befrienders). Six participants with dementia completed, enjoyed and engaged with the planned visits. Main themes were: engagement, reflection on value of previous cultural activities, precariousness and isolation in current neighbourhood and the importance of a voice and being heard. Befrienders reported their preconceptions of what participants could do were challenged. Artists reported shifts in their preconceptions about dementia and the influence of the project on their professional practice. We propose that the ‘Festival in a Box’ pilot study suggests a means through which community arts festivals could work with socially isolated people with dementia to contribute to the creation of ‘Dementia Friendly Communities’. A larger-scale pilot study is now needed to develop this hypothesis.
    • Fidelity and the impact of patient safety huddles on teamwork and safety culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project.

      Lamming, Laura; Montague, Jane; Crosswaite, Kate; Faisal, Muhammad; McDonach, E.; Mohammed, A. Mohammed; Cracknell, A.; Lovatt, A.; Slater, B. (2021-10-01)
      The Patient Safety Huddle (PSH) is a brief multidisciplinary daily meeting held to discuss threats to patient safety and actions to mitigate risk. Despite growing interest and application of huddles as a mechanism for improving safety, evidence of their impact remains limited. There is also variation in how huddles are conceived and implemented with insufficient focus on their fidelity (the extent to which delivered as planned) and potential ways in which they might influence outcomes. The Huddle Up for Safer Healthcare (HUSH) project attempted to scale up the implementation of patient safety huddles (PSHs) in five hospitals - 92 wards - across three UK NHS Trusts. This paper aims to assess their fidelity, time to embed, and impact on teamwork and safety culture. A multi-method Developmental Evaluation was conducted. The Stages of Implementation Checklist (SIC) was used to determine time taken to embed PSHs. Observations were used to check embedded status and fidelity of PSH. A Teamwork and Safety Climate survey (TSC) was administered at two time-points: pre- and post-embedding. Changes in TSC scores were calculated for Trusts, job role and clinical speciality. Observations confirmed PSHs were embedded in 64 wards. Mean fidelity score was 4.9/9. PSHs frequently demonstrated a 'fear free' space while Statistical Process Control charts and historical harms were routinely omitted. Analysis showed a positive change for the majority (26/27) of TSC questions and the overall safety grade of the ward. PSHs are feasible and effective for improving teamwork and safety culture, especially for nurses. PSH fidelity criteria may need adjusting to include factors deemed most useful by frontline staff. Future work should examine inter-disciplinary and role-based differences in TSC outcomes.
    • Fiscal and economic stability in the eurozone.

      Cohen, I.K.; McIntosh, Bryan; Richardson, M-A. (2012)
      Every day the news is filled with increasingly depressing news about the economy. The recent Autumn Statement (29 November 2011) to the House of Commons by UK Chancellor of the Exchequer, George Osborne, confirmed that the cause of a potential ?double dip? recession in the British economy lay largely at the doors of the European Union and, in particular, the eurozone. It is easy to understand why some commentators feel that perhaps the European single currency is in its death-throes, and that the European Union itself needs major structural revisions. But for the sake of perspective it is important to remember the underlying rationale behind the ?European project? which remains as relevant today as it did in the 1950s.
    • Five years of #MedRadJClub: An impact evaluation of an established twitter journal club

      Bolderston, A.; Meeking, K.; Snaith, Beverly; Watson, J.; Westerink, Woznitza (2022-06)
      Twitter journal clubs are a relatively new adaptation of an established continuing professional development (CPD) activity within healthcare. The medical radiation science (MRS) journal club 'MedRadJClub' (MRJC) was founded in March 2015 by a group of academics, researchers and clinicians as an international forum for the discussion of peer-reviewed papers. To investigate the reach and impact of MRJC, a five-year analysis was conducted. Tweetchat data (number of participants, tweets and impressions) for the first five years of MRJC were extracted and chat topics organised into themes. Fifth anniversary MRJC chat tweets were analysed and examples of academic and professional outputs were collated. A total of 59 chats have been held over five years with a mean of 41 participants and 483,000 impressions per hour-long synchronous chat. Ten different tweetchat themes were identified, with student engagement/preceptorship the most popular. Eight posters or oral presentations at conferences, one social media workshop and four papers have been produced. Qualitative analysis revealed five core themes relating to the perceived benefits of participation in MRJC: (1) CPD and research impact, (2) professional growth and influencing practice, (3) interdisciplinary learning and inclusion, (4) networking and social support and (5) globalisation. MRJC is a unique, multi-professional, global community with consistent engagement. It is beneficial for both CPD, research engagement, dissemination and socialisation within the MRS community.
    • Flexible working and work-life balance: Midwives’ experiences and views

      Prowse, Julie M.; Prowse, Peter J. (2016)
      Both flexible working and worklife balance (WLB) are important issues for the midwifery profession and can have both positive and negative consequences for midwives working in the National Health Service (NHS). This study examined midwives’ views and experiences of flexible working, work-life balance and the implications for the midwifery profession.
    • Flexible working and work–life balance: midwives’ experiences and views

      Prowse, Julie M.; Prowse, Peter J. (2015-09-10)
      This article presents midwives’ views and experiences of flexible working and work-life balance. Both flexible working and work-life balance are important contemporary agendas within midwifery and can have both positive and negative consequences for midwives. Full-time midwives and those without caring commitments feel disadvantaged by flexible working and work-life balance policies as they have to fit when they work around part-time midwives and are increasingly expected to cover extra work. They feel their work-life balance is marginalised and this is fuelling discontent and resentment among midwives and leading to divisions between full and part-time staff that reinforce flexibility stigma. Although flexible working and work-life balance are important for recruiting and retaining midwives they are part of the ongoing tensions and challenges for midwives and the midwifery profession. Keywords flexibility stigma, flexible working, full-time work, marginalisation, midwives, National Health Service,
    • Food choice motives, attitude towards and intention to adopt personalised nutrition

      Rankin, A.; Bunting, B.P.; Poinhos, R.; van der Lans, I.A.; Fischer, A.R.H.; Kuznesof, S.; Almeida, M.D.V.; Markovina, Jerko; Frewer, L.J.; Stewart-Knox, Barbara (2018-10)
      The present study explored associations between food choice motives, attitudes towards and intention to adopt personalised nutrition, to inform communication strategies based on consumer priorities and concerns. Design/Setting: A survey was administered online which included the Food Choice Questionnaire (FCQ) and items assessing attitudes towards and intention to adopt personalised nutrition. Subjects: Nationally representative samples were recruited in nine EU countries (n 9381). Results: Structural equation modelling indicated that the food choice motives ‘weight control’, ‘mood’, ‘health’ and ‘ethical concern’ had a positive association and ‘price’ had a negative association with attitude towards, and intention to adopt, personalised nutrition. ‘Health’ was positively associated and ‘familiarity’ negatively associated with attitude towards personalised nutrition. The effects of ‘weight control’, ‘ethical concern’, ‘mood’ and ‘price’ on intention to adopt personalised nutrition were partially mediated by attitude. The effects of ‘health’ and ‘familiarity’ were fully mediated by attitude. ‘Sensory appeal’ was negatively and directly associated with intention to adopt personalised nutrition. Conclusions: Personalised nutrition providers may benefit from taking into consideration the importance of underlying determinants of food choice in potential users, particularly weight control, mood and price, when promoting services and in tailoring communications that are motivationally relevant.
    • Food insecurity and socio-demographic characteristics in two UK ethnic groups: an analysis of women in the Born in Bradford cohort

      Power, M.; Uphoff, E.P.; Stewart-Knox, Barbara; Small, Neil A.; Doherty, B.; Pickett, K.E. (2017-03-28)
      The use of foodbanks has risen sharply in the UK; however, the epidemiology of UK food insecurity is undeveloped. This study contributes to the field by analysing socio-demographic risk factors for food insecurity in a female, ethnically diverse population. Methods Data from the Born in Bradford (BiB) cohort were matched with data on food insecurity from the nested BiB1000 study (N = 1280). Logistic regression was used to model food insecurity in relation to ethnicity and socio-demographic factors. Results Food insecurity, reported by 13.98% of the sample, was more likely among White British than Pakistani women (crude Odds Ratio (OR) 1.94, 95% CI: 1.37; 2.74, adjusted OR 2.37, 95% CI: 1.57; 3.59). In fully adjusted analyses, food insecurity was associated with a range of socio-economic measures, particularly the receipt of mean-tested benefits (adjusted OR 2.11, 95% CI: 1.41; 3.15) and perception of financial insecurity (adjusted OR 8.91, 95% CI: 4.14; 19.16 for finding it difficult/very difficult compared to living comfortably). Conclusions The finding that food insecurity prevalence may be higher than previously thought and that food insecurity is highly associated with socio-economic status, notably benefit receipt, is a cause for concern necessitating an urgent policy response.
    • Fools’ Gold - Lean management in the health sector

      McIntosh, Bryan; Sheppy, B.; Cohen, I.K. (2014)
      Purpose of paper: This paper provides a critical evaluation of the impact of lean practices in informing healthcare policy. Methodology: Review of primary and secondary literature Finding: There has been considerable interest in the implementation of practices imported from manufacturing into healthcare as a solution to address rising healthcare spending and disappointing patient safety indicators. This encompasses a number of practices in Operations Management and Human Resource Management, including Just-in-Time (JIT), Total Quality Management (TQM), Total Productive Maintenance (TPM), employee empowerment, and extensive training. Used together there is great potential to improve overall firm competitiveness. However, despite widespread enthusiasm about the potential of lean management processes, evidence about its contribution to higher organisational performance remains inconsistent. Contribution to knowledge: Our paper contributes to the organisational management literature in healthcare by showing that even though lean management in healthcare appears to have the potential to improve organisational performance; there remain problems with its application.
    • The forgotten people in British public health: a national neglect of the dying, bereaved and caregivers

      Karapliagou, Aliki; Kellehear, Allan (2016)
      The clinical and social epidemiology of living with a life-threatening or life-limiting illness, frail ageing, long-term caregiving, and grief and bereavement is well documented in the palliative care, psycho-oncology and psychiatric literature but this investigation asks what interest exists from the mainstream public health sector in these health and illness experiences. This paper reports a content analysis of 7 key British public health journals, 14 major public health textbooks and 3 public health websites employing key word and synonym searches to assess the size and quality of interest in populations related to ageing, dying, caregiving, and grief and bereavement. Compared with other public health issues, such as obesity and tobacco use, for examples, interest in the social experience and epidemiology of end-of-life experiences is extremely low. Reasons for this lack of interest are explored.
    • Frameworks and Models, Scaffolding or Straight Jackets? Problematising Reflective Practice

      Kelsey, Catherine; Hayes, S. (2015-11)
      This paper aims to open a debate about the impact of reflective practice questioning whether reflective frameworks and models argued to facilitate the education of highly skilled reflective practitioners can be oppressive rather than emancipatory in outcome. Contemporary education focuses on evidence based and effective practice with reflection at its core leading to empowerment and ultimately emancipation of the profession as independent and equal to medics and other health care professionals. Models and frameworks have therefore been developed to facilitate the education of highly skilled reflective practitioners; able to recognise the need to draw on evidence based practice in order to challenge out-dated methods and engage in new ways of working. This paper however questions the current focus on reflective practice suggesting that reflection in itself can be oppressive and support the commodification of nursing as a ‘workforce’, the profession at the beck and call of current governmental policy and control.
    • “A Friend in the Corner”: Supporting people at home in the last year of life via telephone and video consultation – an evaluation

      Middleton-Green, Laura; Gadoud, A.; Norris, Beverley; Sargeant, Anita R.; Nair, S.; Wilson, L.; Livingstone, H.; Small, Neil A. (2016)
      Objective: To evaluate a 24/7, nurse led telephone and video-consultation support service for patients thought to be in the last year of life in Bradford, Airedale, Wharfedale and Craven. Method: Activity and other data recorded at the time of calls were analysed. Interviews with 13 participants captured patients and carers perspectives. Results: Between April 1st 2014 and March 31st 2015, 4648 patients were registered on the Gold Line. 42% had a non-cancer diagnosis and 46% were not known to specialist palliative care services. The median time on the caseload was 49 days (range 1-504 days). 4533 telephone calls and 573 video consultations were received from 1813 individuals. 39% of the 5106 calls were resolved by Gold Line team without referral to other services. 69% of calls were made outside normal working hours. Interviews with patients and carers reported experiences of support and reassurance and the importance of practical advice. Conclusion: A nurse led, 24/7 telephone and video consultation service can provide valuable support for patients identified to be in the last year of life and their cares. The line enabled them to feel supported and remain in their place of residence, reducing avoidable hospital admissions and use of other services. Providing this service may encourage health care professionals to identify patients approaching the last year of life, widening support offered to this group of patients beyond those known to specialist palliative care services.
    • From embracing to managing risks

      Keen, J.; Nicklin, E.; Wickramasekera, N.; Long., A.; Randell, Rebecca; Ginn, C.; McGinnis, E.; Willis, S.; Whittle, J. (2018-11)
      Objective: To assess developments over time in the capture, curation and use of quality and safety information in managing hospital services. Setting: Four acute National Health Service hospitals in England. Participants: 111.5 hours of observation of hospital board and directorate meetings, and 72 hours of ward observations. 86 interviews with board level and middle managers and with ward managers and staff. Results: There were substantial improvements in the quantity and quality of data produced for boards and middle managers between 2013 and 2016, starting from a low base. All four hospitals deployed data warehouses, repositories where datasets from otherwise disparate departmental systems could be managed. Three of them deployed real-time ward management systems, which were used extensively by nurses and other staff. Conclusions: The findings, particularly relating to the deployment of real-time ward management systems, are a corrective to the many negative accounts of information technology implementations. The hospital information infrastructures were elements in a wider move, away from a reliance on individual professionals exercising judgements and towards team-based and data-driven approaches to the active management of risks. They were not, though, using their fine-grained data to develop ultrasafe working practices.
    • From Plastered Skulls to Palliative Care: What the Past Can Teach Us About Dealing with Death

      Büster, Lindsey S.; Croucher, Karina T.; Dayes, Jennifer E.; Green, Laura I.; Faull, C. (2018)
      Modern, advanced healthcare detects and monitors long-term and life-limiting illness more comprehensively than ever before. However, death is now often considered medical failure, and is a virtually taboo topic of conversation in daily life. At a time when the societal relevance of archaeology is under scrutiny more than ever before, the AHRC-funded Continuing Bonds Project – a collaboration between archaeology and palliative care – explores the potential of the past to promote discussion. Not only does archaeology illuminate the diversity of practice surrounding death, the past provides a safe, distanced platform for considering death, dying and bereavement today. Through archaeological and ethnographic case studies, health and social care professionals and students consider topics such as place, choice and identity, in both personal and professional life. This article examines participant responses to a variety of archaeological material and presents post-workshop reflections which demonstrate the success of archaeology in opening up conversations and increasing confidence in discussing this most enduring and problematic of life events.
    • From Room 21: Narratives of liminality, shared space, and collective memory in dementia care

      Clegg, D.; Capstick, Andrea (2013)
      Since 2001 the Trebus Project has been collecting first-person narrative biographies of people with dementia, the majority of whom were living in UK care homes. In 2012 David Clegg, the director of the Trebus Project, received funding from the Wellcome Trust's Arts Awards to carry out an interdisciplinary exploration of the narratives of three people with dementia who, by coincidence, had occupied the same care home room (Room 21) at different times. Analysis of the three narratives to date has discovered some uncanny echoes and resonances. The narrators make frequent reference to other rooms which are temporally or spatially connected with Room 21 in some way. There are worm-hole-like exits and entrances to past times and places, and intimations of other rooms within, behind, and underneath this present living space. At points, events in national and social history sheer dizzyingly away from the accounts of them we have inherited from official sources. Extracts from the narratives of Room 21's three inhabitants, Frances, Peter and Shirley, will be presented in a way that juxtaposes the experience of dementia and post-war postmodern consciousness: liminal, fragmentary, frequently surreal, and beyond the reach of universalising accounts of either the 'illness experience' or revisionist history. Plans to disseminate the findings of the project by means of film and dramatic reconstruction will be discussed.
    • From sanctuary in health to university of sanctuary

      Mitchell, W.L.; Haith-Cooper, Melanie (2017)
      The shocking pictures of a drowned Syrian boy in September 2015 spurred European governments and organisations into taking action to address the growing refugee crisis. The University of Bradford was no different and the senior management team began to look at ways of responding. Consultation was carried out with local organisations at a Bradford City of Sanctuary event and with other UK universities. This suggested that the university should: Recognise how the concept of sanctuary fits with its traditional values and the strategic plan (which includes inclusivity, diversity, internationalisation and sustainability); See this as a long-term issue. ‘Responses need to be long-term. The refugee crisis will be here for years to come.’; Recognise this as an issue that is wider than Syrian refugees. There are substantial numbers of asylum seekers and refugees escaping conflict in other countries such as Eritrea, Afghanistan and Iraq; Align with the civic and community response. The city of Bradford has a proud history of welcoming and including newcomers from all corners of the world and has responded positively to the current crisis. The City of Sanctuary initiative plays a major role in this response. The university response would follow three main principles: To build on and scale up the excellent work previously carried out at faculty level in being awarded Sanctuary in Health to then apply for a University of Sanctuary award; To develop a holistic response across the university, involving faculties, professional services and students. This should be inclusive to generate commitment, ownership and awareness across the whole university; To take a broad, inclusive definition of sanctuary, embracing academics at risk as well as student refugees and asylum seekers.