Publications by authors named "Marianne Markowski"

Article Synopsis
  • Eating and drinking are essential for life, but older patients often face restrictions due to concerns about aspiration; EDAR provides a way to uphold their comfort and autonomy despite these risks.
  • A qualitative study involving healthcare professionals from Japan and the UK explored their experiences and decision-making processes regarding EDAR, resulting in three key themes: healthcare systems, priorities in decision-making, and patient-family relationships.
  • Findings revealed similarities and differences between the two countries’ approaches, showing that cultural dynamics heavily influence how decisions are made, particularly in Japan, where there is a tendency to prioritize family wishes over clinical judgment.
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The health of refugees has been widely documented, as has the impact of a range of factors throughout the migration journey from being exposed to violence to the impacts of immigration detention. This study adds to our understanding of health-related quality of life amongst refugees and asylum seekers by evaluating health-related quality of life as measured by the Short-Form 36 (SF-36) Health Survey using meta-analysis. The aims of this study were to (1) provide a summary and overview of health-related quality of life (as measured by the SF-36), including the extent to which this varies and (2) explore the factors that influence health-related quality of life (as measured by the SF-36) amongst refugees and asylum seekers.

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Purpose: Older patients with pneumonia are commonly restricted from oral intake due to concerns towards aspiration. Eating and drinking with acknowledged risks (EDAR) is a shared decision-making process emphasising patient comfort. As part of our project to find the barriers and facilitators of EDAR, we aimed for this initial study to see how frequently EDAR was selected in practice.

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Background: Ethical climate refers to the shared perception of ethical norms and sets the scope for what is ethical and acceptable behaviour within teams.

Aim: This paper sought to explore perceptions of ethical climate amongst healthcare workers as measured by the Ethical Climate Questionnaire (ECQ), the Hospital Ethical Climate Survey (HECS) and the Ethics Environment Questionnaire (EEQ).

Methods: A systematic review and meta-analysis was utilised.

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Article Synopsis
  • Debriefings allow healthcare workers to talk about tough situations and suggest improvements to help others.
  • Researchers found that while debriefings can help workers feel better, they are not used consistently or specifically for that purpose.
  • This study looks at current research to understand how debriefings can support the emotional well-being of healthcare workers and suggests more thorough research is needed.
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Background: While nursing education has been forecast to continue to grow, placement capacity is now the key factor precluding growth in supply.

Aims: To provide a comprehensive understanding of hub-and-spoke placements and their ability to increase placement capacity.

Method: A systematic scoping review and narrative synthesis were used (Arksey and O'Malley, 2005).

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Language tests for overseas registered nurses (ORN) working outside their home country are essential for patient safety, as communication competency needs to be established in any workforce. We argue that the current employment of existing language tests is structurally and institutionally racist and disadvantages ORNs from non-European Union (EU) and non-White countries seeking to work in the United Kingdom. Using Critical Race Theory (CRT), we argue that existing English language tests for ORNs seeking registration in the United Kingdom are discriminatory due to the UK's racist migration policies and a regulatory body for nursing and midwifery that fails to acknowledge and understand its own institutionally racist practices.

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Objectives: Collaborative Learning in Practice (CLiP) is one way of addressing an increase in student placement capacity and potentially improving the student learning experience overall. The aim of this article is to report the findings of a CLiP pilot study undertaken in a London hospital maternity ante- and postnatal ward.

Design: A qualitative explorative study design employing a descriptive online survey and individual semi-structured interviews to evaluate the experiences.

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Relationships and Sex Education (RSE) in schools are predominantly heterocentric. Consequently, lesbian, gay, bisexual, transgender, and questioning young people have reported feeling excluded. This exclusion results in feelings of being "different" and "other," which in turn leads to further disengagement in the sex education classroom, contributing to poor sexual health literacy, greater risk of abusive relationships, and higher rates of sexually transmitted infections.

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Aim: This study aimed to understand factors influencing decision making of older nurses around timing of retirement.

Background: Global nursing shortages require flexible nurse retention strategies.

Methods: An explanatory sequential mixed-method approach: nurses across seven health care organisations within one integrated care system responded to an online survey (n = 524).

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Racism in health and healthcare has long been recognised as a structural issue. While there has been growing research and a number of important initiatives that have come from approaching racism as a structural issue, there is a range of implications that yet have to be explored as they relate to health and healthcare. Conceptualising racism in this way provides a means to consider how it shapes and is shaped by a range of global injustices and serves as a foundation for more egregious harms.

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Aims: To summarise the international empirical literature to provide a comprehensive overview of peer learning and collaborative practice placement models in health care and to synthesise their benefits and challenges.

Background: Practical placements for students are in high demand due to the need for an increased nursing, midwifery and health professional workforce, thus collaborative placement models are an attractive solution to potentially increase placement capacity and enhance the student learning experience.

Design: A systematic search of the literature and qualitative data synthesis using the PRISMA checklist and ENTREQ guidelines.

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Aims: To summarize the international empirical literature to provide a comprehensive understanding of older nurses' decision-making surrounding the timing of their retirement.

Background: The global nursing shortage is increasing. Among some countries it has become an economic imperative to consider raising the state pension age and to extend working lives.

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