Publications by authors named "Hegarty J"

Background: Health and social care standards are multi-faceted interventions that promote quality and safe care in health systems. There is a need to apply evidence-based, rigorous and transparent methods when selecting strategies to support the implementation of standards. We aimed to develop an evidence- and theory-informed intervention to guide researchers in identifying appropriate implementation strategies and then selecting tailored support tools and actions for use when implementing a set of standards.

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Background: Self-management support (SMS) is a recommended component of cancer survivorship care that improves health-related quality of life and reduces healthcare utilisation. However, widespread implementation has been difficult to achieve, with a gap in the literature on system-wide implementation efforts. This study examines contextual factors perceived to influence SMS adoption and sustainment in cancer centres in the Republic of Ireland.

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Article Synopsis
  • Thyroid cancer is the most common endocrine cancer in China, and this study explores the experiences of young adults in shared decision-making (SDM) for low-risk papillary thyroid cancer (PTC).
  • Conducted through semistructured interviews with 24 patients aged 18-38, the study revealed four main themes about their SDM experiences: challenges in information sharing, reasons for seeking information, factors influencing decisions, and how they see their role in decision-making.
  • The analysis highlighted three self-positions regarding treatment choices: dependent (paternalistic), collaborative (shared decision-making), and autonomous (personal responsibility), with significant challenges including limited treatment options, use of complex medical language, and gaps in communication with healthcare
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Article Synopsis
  • Active surveillance is a beneficial and safe alternative treatment for low-risk papillary thyroid microcarcinomas, but patients often face difficult decisions regarding this option.
  • A qualitative study conducted in China used interviews with 31 participants to understand the factors causing decisional conflicts when considering active surveillance versus surgery.
  • The study revealed three main themes of decisional conflicts: preparation, decision-making, and implementation, influenced by personal, system-level, and relational factors throughout the process.
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The shifting frontiers of air pollution emission sources contribute to stagnation or reversal of air quality gains across the United States (US). The frequency and possible duration of Exceptional Events - driven primarily by wildfires and dust storms - have significantly increased in the US over the past decade. Combined with the US Environmental Protection Agency (EPA) final rule strengthening primary annual National Ambient Air Quality Standards (NAAQS) for PM by 25%, communities will need to reevaluate domestic and international sources of PM.

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Aim: To summarise the qualitative evidence exploring the clinical assessor's experience of assessing undergraduate nursing and midwifery students who underperform on clinical placement.

Design: A qualitative systematic review and meta-summary was undertaken.

Data Source: Database searches included CINAHL Plus with full text; Academic Search Complete; MEDLINE; PsycARTICLES; PsychINFO; Social Sciences Full text; SocINDEX with Full Text; ERIC; Pubmed; Scopus and Web of Science.

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Background: National health and social care standards are complex, quality improvement interventions. Standards typically describe a process and/or outcome of safe, quality, person-centred care according to best evidence. Currently, there are 11 national standards that apply to diverse services in Ireland including residential centres, acute hospitals and rehabilitation and community inpatient healthcare services.

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Introduction: Testicular cancer is among the most common malignancies in men under the age of 50 years. Most testicular symptoms are linked to benign diseases. Men's awareness of testicular diseases and testicular self-examination behaviours are suboptimal.

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Introduction: Increased awareness of testicular diseases can lead to early diagnosis. Evidence suggests that men's awareness of testicular diseases is low, with many expressing their willingness to delay help-seeking for symptoms of concern. The risk of testicular diseases is higher in gender and sexual minority groups.

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Introduction: All newborns undergo a Complete Examination and Screening of the Neonate (CESoN) to verify the general health and well-being of the neonate and to screen for signs and symptoms of illness and significant congenital disorders, typically within 72 hours of birth. For healthy, term gestation neonates, this examination is usually performed by a qualified healthcare practitioner that is, a midwife, nurse or physician just prior to discharge from the maternity services. As a precursor to modifying and adapting an instrument that measures the quality of performance of the CESoN by healthcare professionals, this review aims to identify, evaluate, synthesise and map the evidence and theory underpinning current practice and the procedural elements of the CESoN.

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Adolescents face issues regarding physical health, mental health, sexual health, drug and alcohol problems, stress, and peer pressure. Little is known about adolescents' help-seeking behaviours in relation to health concerns. The general practitioner (GP) is usually the first point of contact for adolescents.

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Managing clinical manifestations of cancer/treatment burden on functional status and quality of life remains paramount across the cancer trajectory, particularly for patients with cachexia who display reduced functional capacity. However, clinically relevant criteria for classifying functional impairment at a single point in time or for classifying meaningful functional changes subsequent to disease and/or treatment progression are lacking. This unmet clinical need remains a major obstacle to the development of therapies for cancer cachexia.

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Aim: The aim of this study was to: (1) use cognitive task analysis to describe final year nursing students situation awareness in recognising, responding and escalating care of deteriorating patients in ward settings; and (2) make recommendations for training and practice.

Design: A mixed methods cognitive task analysis with a convergent triangulation design.

Method: Data collection involved observations of 33 final year nursing students in simulated deteriorating patient scenarios and retrospective cognitive interviews.

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Article Synopsis
  • The relationship between nurse staffing and quality of care in emergency departments is less understood compared to medical and surgical settings, with existing evidence suggesting worse outcomes when staffing is low.
  • A systematic review of 16 studies revealed that lower nurse staffing levels are linked to increased patient wait times, more patients leaving without seeing a doctor, and longer hospital stays.
  • Although there is a lack of robust evidence, the findings indicate that inadequate nurse staffing leads to delays in medications and interventions, and a higher risk of serious incidents like cardiac arrest in emergency departments.
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Background And Objective: Multiparametric magnetic resonance imaging (mpMRI) of the prostate is used for prostate cancer diagnosis. However, mpMRI has lower sensitivity for small tumours. Prostate-specific membrane antigen positron emission tomography/computed tomography (PSMA-PET/CT) offers increased sensitivity over conventional imaging.

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Aim: SSI is one of the most prevalent healthcare-associated infections and is associated with extended hospital stays, increased need for reoperation and higher hospital readmission rates. Implementing systematic SSI surveillance can reduce these adverse outcomes. Implementing a surveillance system into a hospital is a complex intervention requiring that staff involved in a patient's perioperative journey have the knowledge of SSI prevention, the data required for surveillance, an understanding of how data informs quality improvement initiatives and their role in surveillance.

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Large-scale medical data sets are vital for hands-on education in health data science but are often inaccessible due to privacy concerns. Addressing this gap, we developed the Health Gym project, a free and open-source platform designed to generate synthetic health data sets applicable to various areas of data science education, including machine learning, data visualization, and traditional statistical models. Initially, we generated 3 synthetic data sets for sepsis, acute hypotension, and antiretroviral therapy for HIV infection.

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Background: Supporting those living with and beyond cancer to self-manage their health can optimise health-related quality of life and reduce symptom burden. Self-management support (SMS) programmes have been shown to be effective, but uptake is often low. This qualitative study aimed to identify experienced and perceived enablers and barriers to accessing SMS services among those who had completed primary cancer treatment and were living with and beyond cancer.

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Aim: Surgical site infections (SSIs) are common healthcare associated infections with serious consequences for patients and healthcare organisations. It is critical that healthcare professionals implement prevention strategies to reduce the incidence of such infections. Prevention strategies are key to reducing the incidence of SSIs.

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Introduction: Testicular cancer is the most common cancer in men aged 15-44 years in many countries. Most men with testicular cancer present with a lump. Testicular symptoms are more likely to occur secondary to benign diseases like epididymo-orchitis, a common sexually transmitted infection.

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Developing materials that can more efficiently and cheaply capture carbon dioxide from ambient atmospheric conditions is essential for improving negative emission technologies. This study builds on the promising moisture-swing modality for direct air capture of carbon dioxide by investigating the use of several new anions─orthosilicate, borate, pyrophosphate, tripolyphosphate, and dibasic phosphate─that when introduced into ion-exchange resins allow for the cyclable capture of CO under dry conditions and its release under wet conditions. These ions, as well as many others that failed to show moisture-swing performance, are tested and directly compared thermodynamically and kinetically to understand their differences.

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Importance: Neonatal hypoglycemia is common, occurring in up to 50% of infants at risk for hypoglycemia (infant of diabetic mother [IDM], small for gestational age [SGA], large for gestational age [LGA], and preterm) and is associated with long-term neurodevelopmental impairment. Guidelines recommend screening infants at risk of hypoglycemia. The proportion of infants who require screening for neonatal hypoglycemia is unknown.

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Background: The Centers for Disease Control and Prevention estimate that () causes half a million infections (CDI) annually and is a major cause of total infectious disease death in the United States, causing inflammation of the colon and potentially deadly diarrhea. We recently reported the isolation of ADS024, a () strain, which demonstrated direct bactericidal activity against , with minimal collateral impact on other members of the gut microbiota. In this study, we hypothesized that activities of ADS024 will translate to protect against CDI challenge in mouse models.

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Background: Changes in patterns of drug use and population needs necessitate the adoption of new technologies. Despite high failure rates in adopting new technologies acquired in training, little is known about the process that can support successful change. This study explores the impact that staff and service characteristics have on the process of training adoption in Irish opiate substitution therapy services, with a specific focus on the concept of organizational readiness to change.

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