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  1. Article ; Online: 'It will dictate how many children I will have"- Women's decision-making in pregnancy following a previous caesarean birth (CB).

    Monis, Malitha / O'Connell, Rhona / Andrews, Tom

    Midwifery

    2022  Volume 116, Page(s) 103533

    Abstract: Vaginal birth after caesarean (VBAC) is supported in systematic reviews (Wu et al., 2019) and national guidelines (RCOG, 2015) and women are expected to be involved in the decision-making process for either a repeat caesarean birth or planned VBAC.: ... ...

    Abstract Vaginal birth after caesarean (VBAC) is supported in systematic reviews (Wu et al., 2019) and national guidelines (RCOG, 2015) and women are expected to be involved in the decision-making process for either a repeat caesarean birth or planned VBAC.
    Aim: To develop a Grounded Theory (GT) of women's decision making of their birth choices in pregnancy following a previous caesarean birth (CB) OBJECTIVE: To explore what determines women's birth choice and their decision making for birth following a previous CB.
    Design: Semi structured interviews with pregnant women were undertaken in order to develop a Glasserian Grounded Theory SETTING: Antenatal clinics and wards in a large tertiary level maternity hospital.
    Findings: The theory of 'Mentalizing Possibilities' is a substantive theory which explains pregnant women's decision making about their birth choices after a previous CB. Women's main concern is to achieve a positive experience. The core category of 'Mentalizing Possibilities' explains how women process their previous experience, adapt to uncertainty and deal with the decisional conflict. There are behavioural and cognitive strategies which women use to go through this process.
    Conclusion: Women want a positive birth experience after a previous CB and require support and continuity in decision making to help them decide the optimal birth choice for their current pregnancy.
    Language English
    Publishing date 2022-10-30
    Publishing country Scotland
    Document type Journal Article
    ZDB-ID 1036567-9
    ISSN 1532-3099 ; 0266-6138
    ISSN (online) 1532-3099
    ISSN 0266-6138
    DOI 10.1016/j.midw.2022.103533
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  2. Article ; Online: To cure sometimes, to relieve often and to comfort always: nurses' role in end-of-life decision-making.

    Andrews, Tom

    Nursing in critical care

    2015  Volume 20, Issue 5, Page(s) 227–228

    MeSH term(s) Decision Making ; Empathy ; Humans ; Intensive Care Units ; Nurse's Role/psychology ; Physicians ; Terminal Care
    Language English
    Publishing date 2015-09
    Publishing country England
    Document type Editorial
    ZDB-ID 2011956-2
    ISSN 1478-5153 ; 1362-1017
    ISSN (online) 1478-5153
    ISSN 1362-1017
    DOI 10.1111/nicc.12203
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  3. Article ; Online: Care accommodation in the acute care setting: Missed care or not?

    O'Donnell, Claire / Andrews, Tom

    Journal of nursing management

    2020  Volume 28, Issue 8, Page(s) 2128–2135

    Abstract: Aim: To explain how nurses care for patients with stroke in the acute setting, when working within constraints.: Background: Internationally, health care environments are experiencing constraints such as reduced staffing levels, and lack of time and ... ...

    Abstract Aim: To explain how nurses care for patients with stroke in the acute setting, when working within constraints.
    Background: Internationally, health care environments are experiencing constraints such as reduced staffing levels, and lack of time and resources. In such circumstances, patient care is often of poorer quality or missed entirely.
    Method(s): Classic grounded theory methodology was used to explain how care is provided within the acute care setting for patients following stroke. Data were collected using unstructured interviews with 32 nurses.
    Results: Care accommodation, a typology of caring, was generated consisting of functional caring, assisted self-caring and ideal caring. Depending on the degree of constraint, nurses consciously or subconsciously prioritize care, potentially leading to missed care.
    Conclusion(s): Care accommodation elucidates what happens to care delivery with limited resources. Missed care may result from engaging with care accommodation, a factor that nurses and managers need to consider in care delivery.
    Implications for nursing management: Care accommodation provides new insight and understanding for management of the daily challenges nurses face, thus informing nursing management that supports nurses advocating at higher levels for resources to provide necessary environments and strategies to reduce missed care.
    MeSH term(s) Critical Care ; Humans ; Nursing Care
    Language English
    Publishing date 2020-04-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 1162321-4
    ISSN 1365-2834 ; 0966-0429
    ISSN (online) 1365-2834
    ISSN 0966-0429
    DOI 10.1111/jonm.13025
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  4. Article ; Online: Smartphones and mobile applications (apps) in clinical nursing education: A student perspective.

    O'Connor, Siobhan / Andrews, Tom

    Nurse education today

    2018  Volume 69, Page(s) 172–178

    Abstract: Background: Nurse educators are exploring how mobile technology can support students in clinical practice. However, the view of nursing students on the use of smartphones and mobile applications (apps) to enhance clinical education has not been explored. ...

    Abstract Background: Nurse educators are exploring how mobile technology can support students in clinical practice. However, the view of nursing students on the use of smartphones and mobile applications (apps) to enhance clinical education has not been explored. Their opinions are vital to capture if the right technology is to be designed, evaluated, implemented and used.
    Method: A self-reported questionnaire, based on a review of the literature, was used to understand the opinions of undergraduate nursing students towards the use of smartphones and mobile apps to support learning in clinical environments. Descriptive statistics were utilised to describe participants and the mobile devices and apps they currently use. Thematic analysis was employed to code open-ended questions and explore students' perspective on how mobile apps can support learning and how best to implement and use them in practice.
    Results: Two hundred nursing students across a four-year Bachelor of Nursing programme responded to the questionnaire. Most reported owning a smartphone but just under half used mobile apps to help them learn in clinical practice. A range of educational apps such as calculators, drug reference guides and medical dictionaries were used with varying frequency. Nursing students reported numerous benefits of mobile technology such as better access to educational material, improvements in knowledge and confidence, and reduced levels of anxiety around learning in practice. Barriers such as negative attitudes of nursing staff, poor Wi-Fi connectivity, and the quality of educational content available on mobile apps were identified as some of the issues preventing the adoption of mobile learning in clinical nursing education.
    Conclusions: Nursing students have a unique perspective on how smartphones and mobile apps can support learning in clinical practice. Nursing faculty need to undertake more rigorous research to determine if mobile technology can improve learning outcomes, how best to personalise mobile apps to students needs and ensure both hardware devices and educational software can be integrated in practice to support clinical training.
    MeSH term(s) Adult ; Education, Nursing ; Female ; Humans ; Information Dissemination/methods ; Learning ; Male ; Mobile Applications/utilization ; Self Report ; Smartphone ; Students, Nursing/psychology ; Surveys and Questionnaires
    Language English
    Publishing date 2018-08-01
    Publishing country Scotland
    Document type Journal Article
    ZDB-ID 1062570-7
    ISSN 1532-2793 ; 0260-6917
    ISSN (online) 1532-2793
    ISSN 0260-6917
    DOI 10.1016/j.nedt.2018.07.013
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  5. Article ; Online: Nebulous Intentioning - Acute hospital nurses' struggle to deliver core nursing care.

    Lane, Aoife / Landers, Margaret / Andrews, Tom

    Journal of advanced nursing

    2020  Volume 76, Issue 12, Page(s) 3537–3547

    Abstract: Aim: To explore the influences on nursing practice in acute hospital care.: Design: A Classic Grounded Theory study.: Methods: Data collection (2013-2015) was through interviews and non-participant observations. Analysis was undertaken using ... ...

    Abstract Aim: To explore the influences on nursing practice in acute hospital care.
    Design: A Classic Grounded Theory study.
    Methods: Data collection (2013-2015) was through interviews and non-participant observations. Analysis was undertaken using constant comparative data analysis and theoretical sampling. Memo writing was used as an aid to understanding and conceptualizing data during analysis. Theoretical coding served to integrate emerging concepts.
    Results: This theory explains core nursing as a nebulous intention, an idea which acute care nurses retain throughout each shift, that they will nurse their patients fully when they have the opportunity. It reveals this as the resolution of their main problem which is the constant deferral of core nursing care. This study explains its two sub-core categories, accommodating and integrity eroding.
    Conclusion: The theory highlights nurses' attitudes towards their role, demonstrated by deferring it to accommodate the work of others, but offers a new perspective on the significant contribution nurses make to the safe and cohesive transition of patients through the acute healthcare system.
    Impact: The theory adds a new understanding of the unique contribution nurses make to patient health and safety in acute care environments. It also provides insight into nurses' attitudes towards their own professional work. It explains the consequences of attitudes which undermine core nursing when it competes for priority with accommodating. Accommodating indicates a greater workload for nurses than has been previously understood in explaining the activities, additional to core nursing care, which nurses undertake to contribute safety and cohesion to the patient's acute care journey. These new insights suggest a role for managers in recognizing accommodating in decisions about staffing and resources and for educators in improving the profession's regard for its theoretical underpinnings and for its self-image.
    MeSH term(s) Grounded Theory ; Hospitals ; Humans ; Nurses ; Nursing Care ; Nursing Staff, Hospital ; Workload
    Language English
    Publishing date 2020-09-29
    Publishing country England
    Document type Journal Article
    ZDB-ID 197634-5
    ISSN 1365-2648 ; 0309-2402
    ISSN (online) 1365-2648
    ISSN 0309-2402
    DOI 10.1111/jan.14546
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  6. Article ; Online: Nurses keeping patients safe by managing risk in perioperative settings: A classic grounded theory study.

    Brien, Brid O' / Andrews, Tom / Savage, Eileen

    Journal of nursing management

    2019  Volume 27, Issue 7, Page(s) 1454–1461

    Abstract: Aim: To develop and expand how nurses promote safety in perioperative settings.: Background: This article presents orchestrating a sub-core category from the theory of anticipatory vigilance in promoting safety within preoperative settings (Journal ... ...

    Abstract Aim: To develop and expand how nurses promote safety in perioperative settings.
    Background: This article presents orchestrating a sub-core category from the theory of anticipatory vigilance in promoting safety within preoperative settings (Journal of Clinical Nursing, 27, 2018, 247). Orchestrating explains this and involves effective planning, delegating, co-ordinating and communication.
    Method: A classic grounded theory methodology was used. Ethical approval was granted. Data comprised of 37 interviews and 33 hr of non-participant observation. Data analysis followed the principals of classic grounded theory.
    Results: Orchestrating is fundamental in promoting safety and minimizing risk of errors and adverse events in the perioperative setting. Nurses achieve this through four categories: macro orchestrating, locational orchestrating, situational orchestrating and being in the know.
    Conclusion(s): Nurses minimize risk by fostering a culture of safety, risk awareness, effective management and leadership.
    Implications: Effective management structures and support systems are essential in promoting a culture of safety in perioperative setting.
    MeSH term(s) Grounded Theory ; Humans ; Nurses/standards ; Nurses/statistics & numerical data ; Patient Safety/standards ; Patient Safety/statistics & numerical data ; Perioperative Period ; Qualitative Research ; Risk Management/methods ; Risk Management/standards
    Language English
    Publishing date 2019-07-15
    Publishing country England
    Document type Journal Article
    ZDB-ID 1162321-4
    ISSN 1365-2834 ; 0966-0429
    ISSN (online) 1365-2834
    ISSN 0966-0429
    DOI 10.1111/jonm.12829
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  7. Article: Co-Designing Mobile Apps to Assist in Clinical Nursing Education: A Study Protocol.

    O'Connor, Siobhan / Andrews, Tom

    Studies in health technology and informatics

    2016  Volume 225, Page(s) 963–964

    Abstract: Mobile applications (apps) to train health professionals is gaining momentum as the benefits of mobile learning (mLearning) are becoming apparent in complex clinical environments. However, most educational apps are generic, off-the-shelf pieces of ... ...

    Abstract Mobile applications (apps) to train health professionals is gaining momentum as the benefits of mobile learning (mLearning) are becoming apparent in complex clinical environments. However, most educational apps are generic, off-the-shelf pieces of software that do not take into consideration the unique needs of nursing students. The proposed study will apply a user-centred design process to create a tailored mobile app for nursing students to learn and apply clinical skills in practice. The app will be piloted and evaluated to understand how nursing students use mobile technology in clinical settings to support their learning and educational needs.
    MeSH term(s) Computer-Assisted Instruction/methods ; Curriculum ; Education, Nursing/methods ; Health Information Systems/utilization ; Mobile Applications ; Software Design ; United Kingdom ; User-Computer Interface
    Language English
    Publishing date 2016
    Publishing country Netherlands
    Document type Journal Article
    ISSN 0926-9630
    ISSN 0926-9630
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  8. Article: Using Co-Design with Nursing Students to Create Educational Apps for Clinical Training.

    O'Connor, Siobhan / Andrews, Tom

    Studies in health technology and informatics

    2016  Volume 225, Page(s) 334–338

    Abstract: Mobile technology is being trialed in nursing education to support students in clinical practice, as it can provide instant access to high quality educational material at the point of care. However, most educational mobile apps are generic, off-the-shelf ...

    Abstract Mobile technology is being trialed in nursing education to support students in clinical practice, as it can provide instant access to high quality educational material at the point of care. However, most educational mobile apps are generic, off-the-shelf applications that do not take into consideration the unique needs of nursing students, who can require personalised software solutions. This study adapted a socio-cognitive engineering approach and through a series of focus groups with final year nursing students explored the co-design process and gained their input on the design and functionality of a clinical skills based educational app. Results showed students required an uncluttered interface that was fast to navigate and easy to use in busy clinical environments. They also requested simple visual descriptions of key clinical skills and equipment to enable them to quickly refresh their memory so they could perform the skill in practice.
    MeSH term(s) Clinical Competence ; Education, Nursing/methods ; Humans ; Mobile Applications ; Nursing Informatics/education ; Software Design ; Students, Nursing ; Teaching Materials
    Language English
    Publishing date 2016
    Publishing country Netherlands
    Document type Journal Article
    ISSN 0926-9630
    ISSN 0926-9630
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  9. Article: Nursing Students' Opinion on the Use of Smartphone Applications (Apps) in Clinical Education and Training: A Study Protocol.

    O'Connor, Siobhan / Andrews, Tom

    Studies in health technology and informatics

    2016  Volume 225, Page(s) 1024–1025

    Abstract: Nurse educators are exploring different mobile technologies to provide additional support to nursing students in clinical practice. However, the view of nursing students on the use of smartphone applications (apps) to enhance clinical education has not ... ...

    Abstract Nurse educators are exploring different mobile technologies to provide additional support to nursing students in clinical practice. However, the view of nursing students on the use of smartphone applications (apps) to enhance clinical education has not been explored. This proposed study will use a self-reported questionnaire to examine the opinions of nursing students on the current and potential use of smartphone apps when training in clinical settings. Descriptive and inferential statistics will be performed on the quantitative data. Qualitative data from open ended questions will be thematically analysed using the framework approach. This will be the first study to examine the use of smartphone apps as a support in clinical teaching from a students' perspective. Their opinion is vital if the right mobile technology is to be designed and implemented.
    MeSH term(s) Attitude to Computers ; Computer-Assisted Instruction/methods ; Computer-Assisted Instruction/utilization ; Education, Nursing/methods ; Education, Nursing/statistics & numerical data ; Educational Measurement/methods ; Educational Measurement/statistics & numerical data ; Mobile Applications/utilization ; Smartphone/utilization ; Students, Nursing/statistics & numerical data ; United Kingdom
    Language English
    Publishing date 2016
    Publishing country Netherlands
    Document type Journal Article
    ISSN 0926-9630
    ISSN 0926-9630
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  10. Article ; Online: Playing the game: How young people moderate influences in accommodating asthma in their lives.

    Hughes, Mary / Savage, Eileen / Andrews, Tom

    Journal of child health care : for professionals working with children in the hospital and community

    2018  Volume 22, Issue 3, Page(s) 309–316

    Abstract: This article presents moderating influences, one of the sub-core categories from the theory of accommodating interruptions. This theory emerged in the context of young people who have asthma, explaining how they develop behaviours in their everyday lives ...

    Abstract This article presents moderating influences, one of the sub-core categories from the theory of accommodating interruptions. This theory emerged in the context of young people who have asthma, explaining how they develop behaviours in their everyday lives (Hughes 2014; Hughes et al., 2017). The aim of this research was to develop a theory on the behaviours of young people who have asthma, in relation to the impact of asthma on the lives and the issues affecting them. This research was undertaken using a classic grounded theory approach. Data were collected through in-depth interviews, participant diaries and clinic consultations with young people aged 11-16 years who had asthma for over one year. Moderating influence accounts for how social influences and social culture affect what young people who have asthma wish to achieve and how they want to be perceived by others. Young people moderate influences by their features or attributes in order to meet their own needs.
    MeSH term(s) Adolescent ; Adolescent Behavior ; Asthma/psychology ; Attitude to Health ; Child ; Chronic Disease/psychology ; Female ; Grounded Theory ; Humans ; Interviews as Topic ; Ireland ; Male
    Language English
    Publishing date 2018-03-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 2299167-0
    ISSN 1741-2889 ; 1367-4935
    ISSN (online) 1741-2889
    ISSN 1367-4935
    DOI 10.1177/1367493518761010
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