Amanda Farrin

Ivana Holloway3
Jane Nixon3
3Ivana Holloway
3Jane Nixon
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BACKGROUND Medical Research Council (MRC) guidance identifies implementation as a key element of the development and evaluation process for complex healthcare interventions. Implementation is itself a complex process involving the mobilization of human, material, and organizational resources to change practice within settings that have pre-existing(More)
AIM This paper discusses the critical determinants of pressure ulcer development and proposes a new pressure ulcer conceptual framework. BACKGROUND Recent work to develop and validate a new evidence-based pressure ulcer risk assessment framework was undertaken. This formed part of a Pressure UlceR Programme Of reSEarch (RP-PG-0407-10056), funded by the(More)
AIM To agree a draft pressure ulcer risk factor Minimum Data Set to underpin the development of a new evidenced-based Risk Assessment Framework. BACKGROUND A recent systematic review identified the need for a pressure ulcer risk factor Minimum Data Set and development and validation of an evidenced-based pressure ulcer Risk Assessment Framework. This was(More)
OBJECTIVE To compare the clinical effectiveness of doctors and nurses in undertaking upper and lower gastrointestinal endoscopy. DESIGN Pragmatic trial with Zelen's randomisation before consent to minimise distortion of existing practice. SETTING 23 hospitals in the United Kingdom. In six hospitals, nurses undertook both upper and lower gastrointestinal(More)
BACKGROUND AND OBJECTIVES delirium is a distressing but potentially preventable condition common in older people in long-term care. It is associated with increased morbidity, mortality, functional decline, hospitalization and significant healthcare costs. Multicomponent interventions, addressing delirium risk factors, have been shown to reduce delirium by(More)
The DCM™ EPIC trial requires participating care homes to identify two staff members willing to be trained in the DCM™ intervention and thereafter implement three DCM 'mapping cycles' during the trial. These staff are known as 'mappers'. This is no small undertaking, and early pilot work highlighted the need to include additional measures to enhance(More)
  • Suzanne Hartley, Paul Carder, Robbie Foy, Peter Heudtlass, Liz Glidewell, Emma Ingleson +4 others
  • 2015
Action to Support Practices Implementing Research Evidence (ASPIRE) is an NIHR-funded programme aiming to develop and evaluate interventions to promote the uptake of NICE recommendations in general practice. Multifaceted intervention packages targeting key recommendations will be evaluated using anonymised, routinely collected electronic health records in(More)
UNLABELLED In many countries, routine data relating to growth of infants are collected as a means of tracking health and illness up to school age. These have potential to be used in research. For health monitoring and research, data should be accurate and reliable. This study aimed to determine the agreement between length/height and weight measurements(More)
T he high prevalence and diversity of longer-term problems experienced by patients with stroke and their carers has long been recognized, 1 but they remain poorly addressed by existing services. 2 Postdischarge contact with therapy services is associated with improved outcomes. 3,4 However, these interventions are generally time limited and have little(More)