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  1. Article ; Online: The changing role of pre-admission work experience (clinical visits) in therapeutic radiography, diagnostic radiography and operating department practice: Academic perspectives (part 2).

    Ibbotson, R / Ali, N / Cadman, V / Burke, G / Shute, E / Elkington, M / Nightingale, J

    Radiography (London, England : 1995)

    2022  Volume 28 Suppl 1, Page(s) S84–S92

    Abstract: Introduction: A clinical visit (work experience) provides an opportunity for prospective students, prior to registration, to visit a clinical department to observe health professionals in practice. The Covid-19 pandemic interrupted access to clinical ... ...

    Abstract Introduction: A clinical visit (work experience) provides an opportunity for prospective students, prior to registration, to visit a clinical department to observe health professionals in practice. The Covid-19 pandemic interrupted access to clinical visits; this article explores the value of clinical visits and the alternatives implemented as a response to Covid-19 restrictions from an academic perspective.
    Methods: This article reports the quantitative phase of a three-phase mixed methods study. A survey was distributed to Higher Education Institution (HEI) education leaders for onward distribution to academics supporting recruitment for diagnostic radiography, therapeutic radiography and operating department practice programmes. Qualtrics online survey software was used to administer the survey which was launched in October 2020. Descriptive statistics summarised the data.
    Results: Representing 37.7% (n = 18/49) of eligible universities, 34 responses from 18 HEIs across England and Wales were received Seventy-eight percent of respondents strongly agreed that they are vital in confirming career choices. Prior to the Covid-19 pandemic, 64% of respondents' programmes had a clinical visit requirement, yet with improvements in simulation and online learning alternatives, 48% agreed that in the longer-term clinical visits will become obsolete.
    Conclusion: Requirements for clinical visits vary between professions and HEIs; academics welcome an opportunity to standardise work experience. Regardless of prospective student background and selected profession/university, all should have equitable and easily available access to high quality resources to support career decision-making.
    Implications for practice: The enforced withdrawal of clinical visits may impact upon subsequent attrition associated with 'misinformed career choice'. Alternatives to clinical visits, while less onerous for students, admissions staff and clinical colleagues alike, need to be carefully evaluated to ensure they offer prospective students a realistic understanding of the profession.
    MeSH term(s) COVID-19/epidemiology ; COVID-19 Testing ; Career Choice ; Humans ; Pandemics ; Radiography ; Surveys and Questionnaires
    Language English
    Publishing date 2022-08-26
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1289102-2
    ISSN 1532-2831 ; 1078-8174
    ISSN (online) 1532-2831
    ISSN 1078-8174
    DOI 10.1016/j.radi.2022.08.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The changing role of pre-admission work experience (clinical visits) in Therapeutic Radiography, Diagnostic Radiography and Operating Department Practice: Student perspectives (Part 1).

    Ali, N / Saunders, J / Ibbotson, R / Shute, E / Burke, G / Cadman, V / Elkington, M / Nightingale, J

    Radiography (London, England : 1995)

    2022  Volume 28 Suppl 1, Page(s) S77–S83

    Abstract: Introduction: Clinical visits (work experience opportunities) are a recommended part of admissions processes for many diagnostic and therapeutic radiography courses but not for operating department practice (ODP) where observational visits are ... ...

    Abstract Introduction: Clinical visits (work experience opportunities) are a recommended part of admissions processes for many diagnostic and therapeutic radiography courses but not for operating department practice (ODP) where observational visits are challenging for applicants to obtain. The Covid-19 pandemic interrupted access to visits for all prospective students; this study presents a review of the value of clinical visits and alternatives.
    Methods: This article reports the initial qualitative phase of a three-phase mixed methods study. Using a critical realist approach, focus groups explored first year student experiences of the 'ideal' pre-admission clinical visit and alternative resources. A structured review of Online Prospectus (OLP) entries was undertaken by two student researchers to ascertain the requirements for clinical visits for the three professions.
    Results: Four focus groups included 25 first year students interviewed prior to their first clinical placement (14 therapeutic radiography, 5 diagnostic radiography and 6 ODP students). Three themes were constructed, namely: informing career choices, the clinical visit experience, and the value of clinical visits. Clinical visits affirmed rather than inspired career choices. The best timing for a visit was before admission interviews and optimal duration was a full day. Interacting with current students was the most valued aspect. Videos and simulations provided in-depth information about the professional role and allowed replay, but some participants found the videos uninspiring. OLP entries present a confusing picture for applicants who may be researching several Universities and professions.
    Conclusion: Clinical visits were deemed 'vital' to radiography student career choices, yet ODPs who could not access visits were comfortable with videos. Simulated visits are a safe option amidst the pandemic but must capture the dynamic and patient-centred nature of practice to accurately inform career choices.
    MeSH term(s) COVID-19 ; COVID-19 Testing ; Career Choice ; Humans ; Pandemics ; Radiography ; Students
    Language English
    Publishing date 2022-08-27
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1289102-2
    ISSN 1532-2831 ; 1078-8174
    ISSN (online) 1532-2831
    ISSN 1078-8174
    DOI 10.1016/j.radi.2022.08.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Neuroprostheses: method to evaluate the information content of stimulation strategies.

    Mengl, Kevin / Meffin, Hamish / Michael Ibbotson, R / Kameneva, Tatiana

    Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference

    2018  Volume 2018, Page(s) 4724–4727

    Abstract: We propose a framework to evaluate the information content of different stimulation strategies used in neuroprosthetic implants. We analyze the responses of retinal ganglion cells to electrical stimulation using an information theory framework. This ... ...

    Abstract We propose a framework to evaluate the information content of different stimulation strategies used in neuroprosthetic implants. We analyze the responses of retinal ganglion cells to electrical stimulation using an information theory framework. This methodology allows us to calculate the information content by looking at the consistency of neural responses generated across multiple repetitions of the same stimulation protocol.
    MeSH term(s) Electric Stimulation ; Neural Prostheses ; Prostheses and Implants ; Retinal Ganglion Cells
    Language English
    Publishing date 2018-09-17
    Publishing country United States
    Document type Journal Article
    ISSN 2694-0604
    ISSN (online) 2694-0604
    DOI 10.1109/EMBC.2018.8513122
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Transforming nursing care for children with serious long-term conditions: A mixed methods exploration of the impact of Roald Dahl Specialist Nurses in the United Kingdom.

    Nightingale, Julie / Ali, Nancy / Lewis, Robin / Ibbotson, Rachel / Monks, Helen / Urquhart-Kelly, Tanya / Saunders, Lesley

    Journal of pediatric nursing

    2023  Volume 70, Page(s) 90–102

    Abstract: Purpose: A new model of paediatric nursing, funded initially by a charitable organisation working in partnership with UK healthcare providers, was implemented to support children living with serious long-term conditions. This study explored, from the ... ...

    Abstract Purpose: A new model of paediatric nursing, funded initially by a charitable organisation working in partnership with UK healthcare providers, was implemented to support children living with serious long-term conditions. This study explored, from the perspective of multiple stakeholders, the impact of services provided by 21 'Roald Dahl Specialist Nurses' (RDSN) within 14 NHS Trust hospitals.
    Design and methods: A Mixed Methods Exploratory design commenced with interviews with RDSNs (n = 21) and their managers (n = 15), alongside a medical clinician questionnaire (n = 17). Initial themes (constructivist grounded theory) were validated through four RDSN focus groups, and informed development of an online survey of parents (n = 159) and children (n = 32). Findings related to impact were integrated using a six-step triangulation protocol.
    Results: Zones of significant impact included: Improving quality and experience of care; Improved efficiencies and cost-effectiveness; Provision of holistic family-centred care; and Impactful leadership and innovation. The RDSNs forged networks across inter-agency boundaries to safeguard the child and enhance the family experience of care. RDSNs delivered improvements across a range of metrics, and were valued for their emotional support, care navigation and advocacy.
    Conclusions: Children living with serious long-term conditions have complex needs. Regardless of the specialty, location, organisation or service focus, this new model of care crosses organisational and inter-agency boundaries to ensure that the healthcare delivered has maximum impact. It has a profoundly positive impact on families.
    Practice implications: This integrated and family-centred model of care is strongly recommended for children with complex needs crossing organisational divides.
    MeSH term(s) Humans ; Child ; United Kingdom ; Parents/psychology ; Pediatric Nursing ; Delivery of Health Care ; Nurses
    Language English
    Publishing date 2023-02-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632731-x
    ISSN 1532-8449 ; 0882-5963
    ISSN (online) 1532-8449
    ISSN 0882-5963
    DOI 10.1016/j.pedn.2023.02.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Student nurses' career intentions following placements in general practice through the advanced training practices scheme (ATPS): findings from an online survey.

    Lewis, Robin / Ibbotson, Rachel / Kelly, Shona

    BMC medical education

    2019  Volume 19, Issue 1, Page(s) 448

    Abstract: Background: The demand for General Practice services in the UK, and elsewhere, is rising quickly. In part, the increasing demand is from an aging population that requires management of multiple long-term conditions. The General Practice Nurse is ... ...

    Abstract Background: The demand for General Practice services in the UK, and elsewhere, is rising quickly. In part, the increasing demand is from an aging population that requires management of multiple long-term conditions. The General Practice Nurse is increasingly taking on the role. It is acknowledged that if general practice is to be able to recruit sufficient General Practice Nurses (GPNs) to meet this increasing demand in the future, new graduate nurses must be encouraged to consider general practice as a viable career option. This research is part of a review of the Advanced Training Practice Scheme (ATPS) which supported clinical placements in participating general practices.
    Methods: The aim of the study was to examine nursing students' perceptions of GP placements, and their effect upon career intentions following graduation from Sheffield Hallam University (SHU), in the UK. Interviews and an online survey were used collect data. Only the survey is reported here. The bespoke survey examined students' views of: opportunities for learning new clinical skills and consolidating existing clinical skills; the learning environment in general practice and their views on a career in general practice.
    Results: One thousand one hundred twenty undergraduate adult-field nursing students were contacted, with a response rate of 41% (N = 462). Ninety respondents had a placement and, 92% (N = 84) viewed practice nursing positively, and 77% (N = 70) felt that the placement had transformed their views on general practice. The opportunity to participate in the management of the various aspects of chronic disease was identified by 84% (N = 76) of the students as a key new skill they had acquired. They also reported that they valued a team ethos, control over aspects of work, and the variety of health problems they encountered.
    Conclusion: The findings from this study demonstrate a positive experience arising from the provision of General Practice placements for nursing students. The use of 'targeted' placement schemes with appropriate support such as this may be seen as a viable way of exposing nursing students to General Practice nursing, and of encouraging new graduate nurses to consider General Practice nursing as a viable career option.
    MeSH term(s) Adolescent ; Adult ; Career Choice ; Education, Nursing/methods ; Female ; General Practice/education ; Humans ; Interviews as Topic ; Male ; Students, Nursing/psychology ; Surveys and Questionnaires ; United Kingdom ; Young Adult
    Language English
    Publishing date 2019-12-03
    Publishing country England
    Document type Journal Article
    ZDB-ID 2044473-4
    ISSN 1472-6920 ; 1472-6920
    ISSN (online) 1472-6920
    ISSN 1472-6920
    DOI 10.1186/s12909-019-1880-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Differences between morphological and electrophysiological retinal ganglion cell classes.

    Zehra, Syeda / Damien Hicks, G / Adjinicolaou, Alex / Michael Ibbotson, R / Kameneva, Tatiana

    Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference

    2018  Volume 2018, Page(s) 3056–3059

    Abstract: Retinal prostheses work by delivering electrical pulses to the surviving retinal neurons. A pattern of electrical stimulation can generate a perception of vision in blind patients. To improve efficacy of retinal implants, it is important to understand ... ...

    Abstract Retinal prostheses work by delivering electrical pulses to the surviving retinal neurons. A pattern of electrical stimulation can generate a perception of vision in blind patients. To improve efficacy of retinal implants, it is important to understand how different classes of retinal neurons respond to electrical stimulation and if a classification can be made based on the electrophysiological properties of neurons. We use previously recorded patch clamp data from retinal ganglion cells classified into morphological classes (A,B,C, D) and functional types (ON, OFF, ON-OFF). We use a machine learning technique to separate data based on the recorded electrophysiological parameters. Results show that the clusters discovered using the machine learning technique do not correspond to the morphological or functional classes used by neuroscientists.
    MeSH term(s) Action Potentials ; Electric Stimulation ; Electrophysiological Phenomena ; Humans ; Retinal Ganglion Cells ; Visual Prosthesis
    Language English
    Publishing date 2018-09-17
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2694-0604
    ISSN (online) 2694-0604
    DOI 10.1109/EMBC.2018.8512899
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Views and experiences of using integrated care pathways (ICPs) for caring for people in the last days to hours of life: results from a cross-sectional survey of UK professionals.

    Collins, K A / Hughes, P M / Ibbotson, R / Foy, G / Brooks, D

    BMJ supportive & palliative care

    2016  Volume 6, Issue 3, Page(s) 377–380

    Abstract: Objectives: To determine the views and experiences of health and social care professionals on using integrated care pathways (ICPs)for caring for people in the last days to hours of life.: Methods: Online cross-sectional questionnaire survey of UK ... ...

    Abstract Objectives: To determine the views and experiences of health and social care professionals on using integrated care pathways (ICPs)for caring for people in the last days to hours of life.
    Methods: Online cross-sectional questionnaire survey of UK professionals working in UK primary and secondary care settings.
    Results: 1331 professionals returned completed questionnaires. Ninety-three per cent (1138/1228) of respondents used the Liverpool Care Pathway (LCP) or local variant. Eighty-eight (1089/1234) felt ICPs enabled professionals to provide better care for individuals and their families/carers. ICPs were viewed as promoting patient-centred holistic care, improving pain and symptom control, providing guidance and standards and improving communication with patients/families. Sixty-two per cent (770/1234) had no concerns regarding the use of ICPs. Areas of concern included incorrect use and implementation of the ICP, poor communication with families, junior level staff making decisions and insufficient education and support.
    Conclusions: There was strong support for using ICPs for caring for people in the last days to hours of life. ICPs were viewed as supporting high-quality patient-centred holistic care. Given the recommendations of the More Care Less Pathway report, those that develop the guidance and support that replace the LCP need to incorporate the aspects of this that have resulted in the benefits seen by professionals within this survey, but also learn from the instances where ICPs have failed to prevent poor care, or worse, have contributed to it.
    MeSH term(s) Attitude of Health Personnel ; Caregivers ; Cross-Sectional Studies ; Delivery of Health Care, Integrated/standards ; Delivery of Health Care, Integrated/utilization ; Humans ; Needs Assessment ; Surveys and Questionnaires ; Terminal Care/standards ; Terminal Care/utilization
    Language English
    Publishing date 2016-09
    Publishing country England
    Document type Journal Article
    ISSN 2045-4368
    ISSN (online) 2045-4368
    DOI 10.1136/bmjspcare-2014-000768
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Who attends out-of-hours general practice appointments? Analysis of a patient cohort accessing new out-of-hours units.

    Kelly, Shona J / Piercy, Hilary / Ibbotson, Rachel / Fowler Davis, Sally V

    BMJ open

    2018  Volume 8, Issue 6, Page(s) e020308

    Abstract: Objectives: This report describes the patients who used additional out-of-hours (OOH) appointments offered through a UK scheme intended to increase patient access to primary care by extending OOH provision.: Design: Cohort study and survey data.: ... ...

    Abstract Objectives: This report describes the patients who used additional out-of-hours (OOH) appointments offered through a UK scheme intended to increase patient access to primary care by extending OOH provision.
    Design: Cohort study and survey data.
    Setting: OOH appointments offered in four units in one region in England (October 2015 to November 2016).
    Methods: Unidentifiable data on all patients were abstracted from a bespoke appointment system and the responses to a patient opinion questionnaire about this service. Descriptive analysis of the appointment data was conducted. Multivariate analysis of the opinion survey data examined the characteristics of the patients who would have gone to the emergency department (ED) had the OOH appointments not been available.
    Results: There were 24 448 appointments for 19 701 different patients resulting in 29 629 service outcomes. Women dominated the uptake and patients from the poorest fifth of the population used nearly 40% of appointments. The patient survey found OOH appointments were extremely popular-93% selecting 'extremely likely' or 'likely' to recommend the service. Multivariate analysis of patient opinion survey data on whether ED would have been an alternative to the OOH service found that men, young children, people of Asian heritage and the most deprived were more likely to have gone to ED without this service.
    Conclusions: The users of the OOH service were substantially different from in-hours service users with a large proportion of children under age 5, and the poor, which support the idea that there may be unmet need as the poor have the least flexible working conditions. These results demonstrate the need for equality impact assessment in planning service improvements associated with policy implementation. It suggests that OOH need to take account of patients expectations about convenience of appointments and how patients use services for urgent care needs.
    MeSH term(s) Adolescent ; Adult ; After-Hours Care/statistics & numerical data ; Age Distribution ; Aged ; Aged, 80 and over ; Child ; Child, Preschool ; Cohort Studies ; Emergency Service, Hospital/statistics & numerical data ; England ; Female ; General Practice/statistics & numerical data ; Health Services Accessibility/statistics & numerical data ; Humans ; Infant ; Infant, Newborn ; Logistic Models ; Male ; Middle Aged ; Multivariate Analysis ; Sex Distribution ; Surveys and Questionnaires ; Young Adult
    Language English
    Publishing date 2018-06-09
    Publishing country England
    Document type Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 2747269-3
    ISSN 2044-6055 ; 2044-6055 ; 2053-3624
    ISSN (online) 2044-6055
    ISSN 2044-6055 ; 2053-3624
    DOI 10.1136/bmjopen-2017-020308
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  9. Article: Ibbotson chides not-for-profits on investments. Interview by Maria R. Traska.

    Ibbotson, R

    Hospitals

    1987  Volume 61, Issue 22, Page(s) 78–80

    MeSH term(s) Economics, Hospital ; Financial Management/standards ; Financial Management, Hospital/standards ; Hospitals, Voluntary/economics ; Investments/standards ; United States
    Language English
    Publishing date 1987-11-20
    Publishing country United States
    Document type Interview
    ZDB-ID 80214-1
    ISSN 0018-5973
    ISSN 0018-5973
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  10. Article ; Online: Valuing Health Using Time Trade-Off and Discrete Choice Experiment Methods: Does Dimension Order Impact on Health State Values?

    Mulhern, Brendan / Shah, Koonal / Janssen, Mathieu F Bas / Longworth, Louise / Ibbotson, Rachel

    Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research

    2016  Volume 19, Issue 2, Page(s) 210–217

    Abstract: Background: Health states defined by multiattribute instruments such as the EuroQol five-dimensional questionnaire with five response levels (EQ-5D-5L) can be valued using time trade-off (TTO) or discrete choice experiment (DCE) methods. A key feature ... ...

    Abstract Background: Health states defined by multiattribute instruments such as the EuroQol five-dimensional questionnaire with five response levels (EQ-5D-5L) can be valued using time trade-off (TTO) or discrete choice experiment (DCE) methods. A key feature of the tasks is the order in which the health state dimensions are presented. Respondents may use various heuristics to complete the tasks, and therefore the order of the dimensions may impact on the importance assigned to particular states.
    Objective: To assess the impact of different EQ-5D-5L dimension orders on health state values.
    Methods: Preferences for EQ-5D-5L health states were elicited from a broadly representative sample of members of the UK general public. Respondents valued EQ-5D-5L health states using TTO and DCE methods across one of three dimension orderings via face-to-face computer-assisted personal interviews. Differences in mean values and the size of the health dimension coefficients across the arms were compared using difference testing and regression analyses.
    Results: Descriptive analysis suggested some differences between the mean TTO health state values across the different dimension orderings, but these were not systematic. Regression analysis suggested that the magnitude of the dimension coefficients differs across the different dimension orderings (for both TTO and DCE), but there was no clear pattern.
    Conclusions: There is some evidence that the order in which the dimensions are presented impacts on the coefficients, which may impact on the health state values provided. The order of dimensions is a key consideration in the design of health state valuation studies.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Chi-Square Distribution ; Choice Behavior ; England ; Female ; Health Status ; Health Status Indicators ; Health Surveys ; Humans ; Interviews as Topic ; Likelihood Functions ; Linear Models ; Logistic Models ; Male ; Middle Aged ; Quality of Life ; Random Allocation ; Severity of Illness Index ; Surveys and Questionnaires ; Time Factors ; Value of Life ; Young Adult
    Language English
    Publishing date 2016-03
    Publishing country United States
    Document type Comparative Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1471745-1
    ISSN 1524-4733 ; 1098-3015
    ISSN (online) 1524-4733
    ISSN 1098-3015
    DOI 10.1016/j.jval.2015.11.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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