Evaluating the impact of a ward environment with 20 single occupancy rooms and two four-bedded bays on patient and staff experiences and outcomes in an acute NHS Trust: a mixed-methods study protocol.

Introduction: Traditionally, wards in acute care hospitals consist predominately of multioccupancy bays with some single rooms. There is an increasing global trend towards a higher proportion of single rooms in hospitals, with the UK National Health Service (NHS) advocating for single-room provision in all new hospital builds. There is limited evidence on the impact of a ward environment incorporating mostly single and some multioccupancy bays on patient care and organisational outcomes.

Clinical academic careers for general practice nurses: a qualitative exploration of associated barriers and enablers.

Background: The delivery of research in healthcare in the UK is dependent on a subgroup of clinicians - clinical academics - who concurrently engage in clinical practice and academic activities. The need to increase access to such roles for general practice nurses has been identified, although the need for a robust career framework remains.

Aims: This study, with a qualitative interview and focus group design, aimed to explore the concept of clinical academic careers for general practice nurses by identifying barriers and enablers associated with pursuing and performing such roles.

Clinical academic careers for general practice nurses: a rapid evidence assessment.

Background: Clinical academics are health professionals who provide direct patient care alongside engaging in health research. Despite the generally agreed consensus that such roles enhance evidence-based care, availability and uptake has been sporadic in non-medical professions. With no data readily available regarding general practice nurses undertaking clinical academic roles, there is a need to understand the barriers and enabling factors that impact general practice nurses considering or pursuing a clinical academic career.

Risk factors associated with heel pressure ulcer development in adult population: A systematic literature review.

Aims: The main aim of this systematic literature review was to identify risk factors for development of heel pressure ulcers and quantify their effect.

Background: Pressure ulcers remain one of the key patient safety challenges across all health care settings and heels are the second most common site for developing pressure ulcers after the sacrum.

Design: Quantitative systematic review.

A predictive model for identifying patients at risk of delayed transfer of care: a retrospective, cross-sectional study of routinely collected data.

Background: Delays to the transfer of care from hospital to other settings represent a significant human and financial cost. This delay occurs when a patient is clinically ready to leave the inpatient setting but is unable to because other necessary care, support or accommodation is unavailable. The aim of this study was to interrogate administrative and clinical data routinely collected when a patient is admitted to hospital following attendance at the emergency department (ED), to identify factors related to delayed transfer of care (DTOC) when the patient is discharged.

Using knowledge discovery through data mining to gain intelligence from routinely collected incident reporting in an acute English hospital.

Purpose: Incident reporting systems are commonly deployed in healthcare but resulting datasets are largely warehoused. This study explores if intelligence from such datasets could be used to improve quality, efficiency, and safety.

Design/methodology/approach: Incident reporting data recorded in one NHS acute Trust was mined for insight ( = 133,893 April 2005-July 2016 across 201 fields, 26,912,493 items).

An observational study on the rate of reporting of adverse event on healthcare staff in a mental health setting: An application of Poisson expectation maximisation analysis on nurse staffing data.

Evidence highlights the intrinsic link between nurse staffing and expertise, and outcomes for service users of healthcare, and that workforce retention is linked to the clinical and organisational experiences of employees. However, this understanding is less well established in mental health. This study comprises a retrospective observational study carried out on routinely collected data from a large mental healthcare provider.

Understanding the distribution of A&E attendances and hospital admissions for the case managed population: A single case cross sectional study.

Aim: To describe the characteristics of case-managed patients presenting at accident and emergency (A & E) and to explore the distribution of their attendances and admissions.

Background: Recently, the UK Government announced extended-hours primary care provision in an effort to reduce the growing utilization of A & E. No evidence is available to understand the use of acute services by this high-risk patient group.

Mining routinely collected acute data to reveal non-linear relationships between nurse staffing levels and outcomes.

Objectives: Nursing is a safety critical activity but not easily quantified. This makes the building of predictive staffing models a challenge. The aim of this study was to determine if relationships between registered and non-registered nurse staffing levels and clinical outcomes could be discovered through the mining of routinely collected clinical data.

Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed method study.

Aim: The aim of this study was to discover and describe how patients, carers and case management nurses define safety and compare it to the traditional risk reduction and harm avoidance definition of safety.

Background: Care services are increasingly being delivered in the home for patients with complex long-term conditions. However, the concept of safety remains largely unexplored.

Heel ulcers - Pressure ulcers or symptoms of peripheral arterial disease? An exploratory matched case control study.

Aims: To investigate the relationship between pressure ulcers of the heel and peripheral arterial disease (PAD) and determine the feasibility of conducting a statistically powered matched case control study.

Background: Evidence indicates a relationship between chronic leg ulcers and vascular disease. The relationship between pressure ulcers of the heel and vascular disease is less well established.

Implications of case managers' perceptions and attitude on safety of home-delivered care.

Perceptions on safety in community care have been relatively unexplored. A project that sought to understand the multiple perspectives on safety in the NHS case-management programme was carried out in relation to the structure, process, and outcome of care. This article presents a component of the nursing perspective that highlights an important element in the structure of nursing care that could potentially impede the nurses' ability to be fully effective and safe.

Embracing research in nursing practice.

The establishment of an integrated research culture in medicine has contributed to the ongoing success of medical science in treating disease. Research examining the effectiveness of services and care is of increasing priority, and is a branch of research open to all health professionals. This article provides an overview of the research process aimed at health professionals with novice research skills.