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  1. Article ; Online: Investigating healthcare workforce recruitment and retention: a mixed-methods study protocol.

    Alkan, Erkan / Cushen-Brewster, Noreen / Anyanwu, Philip

    BMJ open

    2024  Volume 14, Issue 2, Page(s) e074100

    Abstract: Introduction: Although the sustainability of the health workforce has been identified as essential to achieving health and wider development objectives, challenges with securing and retaining the healthcare workforce persist. In the UK, there are ... ...

    Abstract Introduction: Although the sustainability of the health workforce has been identified as essential to achieving health and wider development objectives, challenges with securing and retaining the healthcare workforce persist. In the UK, there are notable shortages across a wide range of National Health Service (NHS) staff groups, with a high staff turnover indicating retention issues in the healthcare workforce. In addition, gaps exist in understanding the root cause of individual organisation's workforce deficiencies and how their practice environment factors interact to impact workforce recruitment and retention.
    Methods and analysis: An exploratory mixed-methods approach will be conducted to investigate the impact of organisational practice environment factors on healthcare workforce recruitment and retention in two Integrated Care Systems (ICS) in the East of England. We will conduct an online survey of newly qualified and established nurses and allied health professionals using a questionnaire adapted from two validated instruments. Our calculation suggests a sample size of 373 participants, we will aim to surpass this in our recruitment to strengthen the statistical analyses. Multilevel linear regression models will be fitted to evaluate the association between organisational practice environmental factors and staff recruitment and retention. The qualitative interviews will explore the experiences and perspectives of staff and senior leaders to explain the survey results and any significant associations therein. Also, the interviews will explore how to strengthen the partnership between higher education institutions, Health Education England, health and care service providers, NHS nursing and allied health professional staff to enhance recruiting and retaining staff. An exploratory inductive coding and analysis will follow Braun and Clarke's recommendations to generate key themes from transcribed interview data.
    Ethics and dissemination: Ethical approval has been obtained through the University of Suffolk Research Ethics Committee (approval number: RETH(S)22/051). Findings from our work will be disseminated through publications in peer-reviewed journals; presentations at stakeholders' events, professional and academic conferences; and short reports for stakeholders, including participating ICSs.
    MeSH term(s) Humans ; State Medicine ; Health Personnel ; England ; Workforce ; Health Workforce
    Language English
    Publishing date 2024-02-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2023-074100
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Exploring the experiences of a community palliative care team as services were adapted to meet the demand of the COVID-19 pandemic.

    Mann, Denise / Cushen-Brewster, Noreen / Zeppetella, Giovambattista

    British journal of community nursing

    2022  Volume 27, Issue 8, Page(s) 402–410

    Abstract: During COVID-19, it was critical that services adapted to meet the high demands of the pandemic. This qualitative study explores the experiences of several staff members of the community palliative care team, as they adapted the delivery of their ... ...

    Abstract During COVID-19, it was critical that services adapted to meet the high demands of the pandemic. This qualitative study explores the experiences of several staff members of the community palliative care team, as they adapted the delivery of their services to such pressures. Semi-structured interviews via a virtual platform were conducted and four themes were identified: service development, communication, inter-professional relationships and support mechanisms. The participants supported the change in service delivery and use of technology to triage patients. The participants also reported improved collaboration and patient care-coordination, and enhanced support mechanisms used by the team helped sustain resilience and wellbeing. Although challenging, the team embraced the changes and described improved collaboration and coordination of patient care.
    MeSH term(s) COVID-19 ; Communication ; Humans ; Palliative Care ; Pandemics ; Qualitative Research
    Language English
    Publishing date 2022-08-03
    Publishing country England
    Document type Journal Article
    ZDB-ID 2146386-4
    ISSN 1462-4753
    ISSN 1462-4753
    DOI 10.12968/bjcn.2022.27.8.402
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The implementation of a behavioural coach within primary care.

    Sweeting, David / Cushen-Brewster, Noreen

    The British journal of general practice : the journal of the Royal College of General Practitioners

    2019  Volume 69, Issue 688, Page(s) 563

    MeSH term(s) Primary Health Care ; Program Evaluation ; United States
    Language English
    Publishing date 2019-10-31
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 1043148-2
    ISSN 1478-5242 ; 0035-8797 ; 0960-1643
    ISSN (online) 1478-5242
    ISSN 0035-8797 ; 0960-1643
    DOI 10.3399/bjgp19X706373
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: An evaluation of the experiences of academics and practice educators who supported radiography students working on the temporary HCPC register during the COVID-19 pandemic.

    Strudwick, R M / Cushen-Brewster, N / Doolan, C / Driscoll-Evans, P

    Radiography (London, England : 1995)

    2021  Volume 27, Issue 4, Page(s) 1179–1184

    Abstract: Introduction: The COVID-19 pandemic has had a profound impact on all those residing in the United Kingdom, resulting in unprecedented changes being made to the education and training of healthcare students. Universities and practice partners had to ... ...

    Abstract Introduction: The COVID-19 pandemic has had a profound impact on all those residing in the United Kingdom, resulting in unprecedented changes being made to the education and training of healthcare students. Universities and practice partners had to respond quickly and work in close collaboration with Health Education England, to ensure the changes brought in by the Health and Care Professions Council (HCPC) emergency measures were implemented. The aim of this study was to explore the experiences of staff supporting final year diagnostic and therapeutic radiography students who joined the HCPC register early during phase one of the COVID-19 pandemic.
    Methods: This study was informed by a phenomenological approach, in which a purposeful sample of eight participants comprising of six practice educators (PEs) and two academics. Semi-structured interviews and focus groups were conducted to collect the data via a virtual platform.
    Results: The results highlighted three themes, Competence and the transition to registration, Support mechanisms and Communication. Both academics and PEs described how they observed the new registrants gaining confidence and competence during their time on the temporary register and suggested that professional bodies could consider curriculum changes to encompass a final transitional placement similar to their experience. They suggested that having robust support mechanisms and communication in place are essential for the success of this initiative.
    Conclusion: The results provide insight into how PEs and academics supported new registrants to meet the necessary requirements of the HCPC register whilst working during the first phase of the COVID-19 pandemic. They highlight the importance of having robust support mechanisms and good communication in place to achieve this.
    Implications for practice: Some consideration could be made to changing the curriculum in the future to allow for early temporary registration and paid Band 4 final placements for students working as assistant practitioners.
    MeSH term(s) COVID-19 ; Humans ; Pandemics ; Radiography ; SARS-CoV-2 ; Students
    Language English
    Publishing date 2021-07-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 1289102-2
    ISSN 1532-2831 ; 1078-8174
    ISSN (online) 1532-2831
    ISSN 1078-8174
    DOI 10.1016/j.radi.2021.07.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: An evaluation of the experiences of radiography students working on the temporary HCPC register during the COVID-19 pandemic.

    Cushen-Brewster, N / Strudwick, R M / Doolan, C / Driscoll-Evans, P

    Radiography (London, England : 1995)

    2021  Volume 27, Issue 4, Page(s) 1000–1005

    Abstract: Introduction: The COVID-19 pandemic has changed the world's perspective and had a profound impact on all those residing in the United Kingdom, resulting in unprecedented changes being made to the education and training of healthcare students. ... ...

    Abstract Introduction: The COVID-19 pandemic has changed the world's perspective and had a profound impact on all those residing in the United Kingdom, resulting in unprecedented changes being made to the education and training of healthcare students. Universities and practice partners had to respond quickly and work in close collaboration with their wider system partners, Health Education England and the Department of Health, to ensure the changes made within the Health and Care Professions Council (HCPC) emergency measures were implemented. The aim was to explore the experiences of final year diagnostic and therapeutic radiography students who joined the HCPC temporary register during phase one of the COVID-19 pandemic.
    Methods: This study was informed by a phenomenological approach, in which a purposeful sample of seventeen participants comprising of nine students, six practice educators and two academics were chosen to participate. Semi-structured interviews and focus groups were conducted to collect the data via a virtual platform.
    Results: The results highlighted three themes, professionalism and transition to registration, benefits and challenges of working through a pandemic, and emotional impact. Students described how they gained confidence and competence during their time on the temporary register and suggested that professional bodies could consider curriculum changes to encompass a final transitional placement similar to their experience. They said they had been well supported but felt a sense of loss having been denied the normal rite of passage associated with completion of their course and graduation.
    Conclusion: The results provide insight into how students, practice educators and academics transformed their practice to meet the necessary requirements whilst working during the first phase of the COVID-19 pandemic. They highlight the importance of having good support mechanisms in place and the rewards and challenges for students joining their professional register early.
    Implications for practice: Some consideration could be made to changing the curriculum in the future to allow for early temporary registration and paid Band 4 final placements for students working as assistant practitioners.
    MeSH term(s) COVID-19 ; Humans ; Pandemics ; Radiography ; SARS-CoV-2 ; Students
    Language English
    Publishing date 2021-03-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 1289102-2
    ISSN 1532-2831 ; 1078-8174
    ISSN (online) 1532-2831
    ISSN 1078-8174
    DOI 10.1016/j.radi.2021.03.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: The experiences of adult nursing students completing a placement during the COVID-19 pandemic.

    Cushen-Brewster, Noreen / Barker, Anne / Driscoll-Evans, Paul / Wigens, Lynne / Langton, Helen

    British journal of nursing (Mark Allen Publishing)

    2021  Volume 30, Issue 21, Page(s) 1250–1255

    Abstract: Background: The emergency measures implemented by the Nursing and Midwifery Council in response to the COVID-19 pandemic provided nursing students in their final 6 months of study with the opportunity to complete a paid consolidation clinical placement ... ...

    Abstract Background: The emergency measures implemented by the Nursing and Midwifery Council in response to the COVID-19 pandemic provided nursing students in their final 6 months of study with the opportunity to complete a paid consolidation clinical placement and thus increase their personal responsibility for the care they delivered under supervision.
    Aim: To explore the experiences of third-year nursing students who completed their final clinical placement during the COVID-19 pandemic.
    Methods: Semi-structured interviews were conducted via a virtual platform.
    Findings: Three themes were identified: the importance of support mechanisms, the development of confidence, and innovative learning opportunities. Students reported improved confidence in the transition period to registered practitioner and felt well supported, which enabled them to take greater responsibility.
    Conclusion: This study provided insight into the experience of nursing students during the COVID-19 pandemic, and found that support mechanisms, and a sense of belonging, helped to increase their confidence in clinical practice.
    MeSH term(s) Adult ; COVID-19 ; Education, Nursing, Baccalaureate ; Female ; Humans ; Midwifery ; Pandemics/prevention & control ; Pregnancy ; Qualitative Research ; SARS-CoV-2 ; Students, Nursing
    Language English
    Publishing date 2021-11-29
    Publishing country England
    Document type Journal Article
    ZDB-ID 1119191-0
    ISSN 0966-0461
    ISSN 0966-0461
    DOI 10.12968/bjon.2021.30.21.1250
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Failure load effect of molar axial wall height with CAD/CAM ceramic crowns with moderate occlusal convergence.

    Hoopes, Wyeth / Cushen, Sara / DuVall, Nicholas / Wajdowicz, Michael / Brewster, John / Roberts, Howard

    Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.

    2018  Volume 30, Issue 3, Page(s) 249–253

    Abstract: ... third molars were divided into 5 groups (n = 12). Specimens were prepared for full-coverage, all ceramic ...

    Abstract Objectives: To evaluate the significance of axial wall height (AWH) in molar fracture resistance involving CAD/CAM adhesively bonded, all-ceramic full coverage restorations on preparations with moderate total occlusal convergence (TOC) (16°).
    Materials and methods: 60 newly extracted maxillary third molars were divided into 5 groups (n = 12). Specimens were prepared for full-coverage, all ceramic restorations with occlusal cervical AWHs of 4, 3, 2, 1 as well as a flat preparation (0 mm AWH) with all preparations with AWH containing a moderate 16° TOC. Scanned preparations were fitted with a lithium disilicate restoration with a self-adhesive resin luting agent after intaglio surface preparation with hydrofluoric acid and silanation. Specimens were stored at 37°C/98% humidity for 24 hours and tested to failure at a 45° angle applied to the palatal cusp on a universal testing machine. Mean results were analyzed using ANOVA/Tukey's (P = .05).
    Results: Preparations containing 2, 3, and 4 millimeters of AWH demonstrated similar and higher resistance to fracture than the 1 and zero millimeter AWH groups.
    Conclusions: Under the conditions of this study, results suggest that adhesive CAD/CAM technology may compensate for reduced axial wall height. However, more definitive results depend on fatigue testing.
    Clinical significance: These in vitro results suggest that adhesive CAD/CAM technology may compensate for less than optimal AWH.
    MeSH term(s) Ceramics ; Computer-Aided Design ; Crowns ; Dental Porcelain ; Dental Prosthesis Design ; Dental Restoration Failure ; Dental Stress Analysis ; Materials Testing ; Molar
    Chemical Substances Dental Porcelain (12001-21-7)
    Language English
    Publishing date 2018-01-31
    Publishing country England
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 2043146-6
    ISSN 1708-8240 ; 1496-4155
    ISSN (online) 1708-8240
    ISSN 1496-4155
    DOI 10.1111/jerd.12366
    Database MEDical Literature Analysis and Retrieval System OnLINE

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