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Article ; Online: Response to: "Junior doctors receiving supervisor and peer support are more work-engaged professionals who express their voice for quality improvement".

Jain, Tithi / Smith, Gillian

2023 Volume 46, Issue 2, Page(s) 294–295

MeSH term(s)	Humans ; Quality Improvement ; Physicians ; Medical Staff, Hospital ; Research Personnel
Language	English
Publishing date	2023-10-19
Publishing country	England
Document type	Journal Article ; Comment
ZDB-ID	424426-6
ISSN	1466-187X ; 0142-159X
ISSN (online)	1466-187X
ISSN	0142-159X
DOI	10.1080/0142159X.2023.2271154
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Article: A stitch in time.

Smith, Gillian

Midwives

2018 Volume 20, Page(s) 78

MeSH term(s)	Art ; Female ; History, 20th Century ; History, 21st Century ; Humans ; Midwifery/history ; Pregnancy ; Scotland
Language	English
Publishing date	2018-10-23
Publishing country	England
Document type	Historical Article ; Journal Article
ZDB-ID	1224001-1
ISSN	1479-2915 ; 1355-8404
ISSN	1479-2915 ; 1355-8404
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Zs.A 4860: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG)
Zs.B 1576: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG)

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Article ; Online: Supporting and sustaining care at home: Experiences of adult daughters who support a parent with dementia to remain in their own home.

Smith, Gillian / Rodham, Karen

Health & social care in the community

2021 Volume 30, Issue 1, Page(s) 81–90

Abstract: Supporting a parent with dementia living in their own home is a challenging care issue which has potential for negative physical, emotional and psychosocial impacts. This research explores the experiences of adult daughters who sustain this arrangement ... ...

Abstract	Supporting a parent with dementia living in their own home is a challenging care issue which has potential for negative physical, emotional and psychosocial impacts. This research explores the experiences of adult daughters who sustain this arrangement as well as managing the competing demands of their lives. Using a qualitative approach, semistructured interviews were conducted between March and October 2017. Eight adult females in the United Kingdom who were supporting a parent with dementia to remain living in their home were interviewed. Photo-elicitation was used as an aid to data collection and complemented the use of Thematic Analysis (TA) to analyse verbatim transcripts. Four themes were identified: (a) Impact on identity: impact of the participants' experience on their sense of identity; (b) Continuity and change: relationship redefinition and duality of roles; (c) Stepping up to the challenge: adjustment to and coping with competing demands and ethical dilemmas; and (d) Finding help: 'It is just a minefield': experiences of help-seeking and service provision. This study highlights the experiences and challenges for adult daughters who support a parent with dementia. Ethical dilemmas regarding autonomy and safeguarding concerns figure large along with the competing demands of multiple roles. Service providers should aim to be more proactive in offering timely practical and psychosocial support and guidance to avoid compassion fatigue and acknowledge the valuable unpaid service provided by these 'women in the middle'.
MeSH term(s)	Adaptation, Psychological ; Adult ; Adult Children ; Caregivers ; Dementia ; Female ; Humans ; Parents ; Qualitative Research
Language	English
Publishing date	2021-04-06
Publishing country	England
Document type	Journal Article
ZDB-ID	1155902-0
ISSN	1365-2524 ; 0966-0410
ISSN (online)	1365-2524
ISSN	0966-0410
DOI	10.1111/hsc.13373
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Zs.A 3728: Show issues

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Article ; Online: Recognising the value of student involvement in the MDT huddle: A junior doctor's perspective.

Master, Mohammed-Ashraf / Smith, Gillian

Medical teacher

2021 Volume 44, Issue 4, Page(s) 454–455

MeSH term(s)	Humans ; Students
Language	English
Publishing date	2021-06-15
Publishing country	England
Document type	Letter ; Comment
ZDB-ID	424426-6
ISSN	1466-187X ; 0142-159X
ISSN (online)	1466-187X
ISSN	0142-159X
DOI	10.1080/0142159X.2021.1937590
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Article ; Online: Virtually Supervised Exercise Programs for People With Cancer: A Scoping Review.

Smith, Gillian V H / Myers, Samantha A / Fujita, Rafael A / Yu, Christy / Campbell, Kristin L

Cancer nursing

2024

Abstract: Background: Exercise has been shown to improve physical function and quality of life for individuals with cancer. However, low rates of exercise adoption and commonly reported barriers to accessing exercise programming have demonstrated a need for ... ...

Abstract	Background: Exercise has been shown to improve physical function and quality of life for individuals with cancer. However, low rates of exercise adoption and commonly reported barriers to accessing exercise programming have demonstrated a need for virtual exercise programming in lieu of traditional in-person formats. Objective: The aim of this study was to summarize the existing research on supervised exercise interventions delivered virtually for individuals living with and beyond cancer. Methods: We conducted a scoping review of randomized controlled trials, pilot studies, or feasibility studies investigating virtually supervised exercise interventions for adults either during or after treatment of cancer. The search included EMBASE, MEDLINE, CINAHL, SPORTDiscus, Cochrane Library, and conference abstracts. Results: Fifteen studies were included. The interventions were delivered mostly over Zoom in a group format, with various combinations of aerobic and resistance exercises. Attendance ranged from 78% to 100%, attrition ranged from 0% to 29%, and satisfaction ranged from 94% to 100%. No major adverse events were reported, and only 3 studies reported minor adverse events. Significant improvements were seen in upper and lower body strength, endurance, pain, fatigue, and emotional well-being. Conclusion: Supervised exercise interventions delivered virtually are feasible and may improve physical function for individuals with cancer. The supervision included in these virtual programs promoted similar safety as seen with in-person programming. More randomized controlled trials with large cohorts are needed to validate these findings. Implications for practice: Individuals living with and beyond cancer can be encouraged to join virtually supervised exercise programs because they are safe, well enjoyed, and may improve physical function and quality of life.
Language	English
Publishing date	2024-04-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	391995-x
ISSN	1538-9804 ; 0162-220X
ISSN (online)	1538-9804
ISSN	0162-220X
DOI	10.1097/NCC.0000000000001353
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Article ; Online: Evaluating indwelling devices and other risk factors for mortality in invasive Carbapenem-resistant Enterobacterales infections in Georgia, 2012-2019.

Witt, Lucy S / Sexton, Mary Elizabeth / Smith, Gillian / Farley, Monica / Jacob, Jesse T

Antimicrobial stewardship & healthcare epidemiology : ASHE

2024 Volume 3, Issue 1, Page(s) e254

Abstract: Objective: Carbapenem-resistant Enterobacterales (CRE) infections are a public health threat due to the risk of transmission between patients and high associated mortality. We sought to identify risk factors for mortality in patients with invasive CRE ... ...

Abstract	Objective: Carbapenem-resistant Enterobacterales (CRE) infections are a public health threat due to the risk of transmission between patients and high associated mortality. We sought to identify risk factors for mortality in patients with invasive CRE infections and to specifically evaluate whether there was an association between indwelling medical devices and 90-day mortality. Design: Retrospective observational cohort study of patients infected with CRE in the eight-county metropolitan Atlanta area between 2012 and 2019. Methods: Patients with invasive CRE infections were identified via the Georgia Emerging Infections Program's active, population- and laboratory-based surveillance system and linked with the Georgia Vital Statistics database. We used bivariate analysis to identify risk factors for mortality and completed log binomial multivariable regression to estimate risk ratios (RR) for the association between indwelling devices and mortality. Results: In total, 154 invasive CRE infections were identified, with indwelling devices present in most patients (87.7%) around the time of infection. Admission to an intensive care unit was found to be associated with 90-day mortality (adjusted RR [aRR] 1.55, 95% CI 1.07, 2.24); however, the presence of any indwelling device was not associated with increased risk of 90-day mortality in multivariable analysis (aRR 1.22, 95% CI 0.55, 2.73). Having at least two indwelling devices was associated with increased mortality (aRR 1.79, 95% CI 1.05, 3.05). Conclusions: Indwelling devices were prevalent in our cohort but were not consistently associated with an increased risk of mortality. Further studies are needed to examine this relationship and the role of device removal.
Language	English
Publishing date	2024-01-02
Publishing country	England
Document type	Journal Article
ISSN	2732-494X
ISSN (online)	2732-494X
DOI	10.1017/ash.2023.531
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Book ; Conference proceedings: The doctoral consortium at AIIDE 2013

Smith, Gillian

[held October 18, 2013 in Boston, Massachusetts, USA]

(Technical report / American Association for Artificial Intelligence : WS ; 2013,23)

2013

Title variant	AAAI Conference on Artificial Intelligence and Interactive Digital Entertainment
Event/congress	AAAI Conference on Artificial Intelligence and Interactive Digital Entertainment (AIIDE) (9, 2013.10.14-18, BostonMass.) ; AAIDE doctoral consortium (2013.10.18, BostonMass.)
Author's details	[Gillian Smith, cochair ...]
Series title	Technical report / American Association for Artificial Intelligence : WS ; 2013,23
Language	English
Size	V, 40 S., Ill., graph. Darst.
Publisher	AAAI Press
Publishing place	Palo Alto, Calif
Document type	Book ; Conference proceedings
Note	Literaturangaben
ISBN	9781577356387 ; 1577356381
Database	Library catalogue of the German National Library of Science and Technology (TIB), Hannover

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Article ; Online: Fragility fractures of the pelvis in the older population.

Sivapathasuntharam, Dhanupriya / Smith, Gillian / Master, Mohammed-Ashraf / Bates, Peter

Age and ageing

2022 Volume 51, Issue 3

Abstract: Pelvic fractures are an increasingly common injury seen in the older population and represent a significant burden of morbidity and mortality in this age group, as well as a large financial burden on the health service. It is well established that early ... ...

Abstract	Pelvic fractures are an increasingly common injury seen in the older population and represent a significant burden of morbidity and mortality in this age group, as well as a large financial burden on the health service. It is well established that early fixation of femoral neck and acetabular fractures improves outcomes and increases the chances of patients returning close to their premorbid functional baseline. However, fixation of fragility fractures of the pelvis is less well established in current practice. There has been recent development of novel stabilisation techniques for unstable pelvic fractures, designed to tackle the difficulties associated with fixation in poor bone quality, along with medical trials of parathyroid hormone analogue treatment. However, it is still current practice to manage nearly all fragility fractures of the pelvis conservatively. In this article, we consider whether the development of surgical stabilisation techniques for pelvic fragility fractures may have the potential to improve the well-described morbidity and mortality associated with them.
MeSH term(s)	Fracture Fixation, Internal/adverse effects ; Fracture Fixation, Internal/methods ; Fractures, Bone/surgery ; Hip Fractures/diagnostic imaging ; Hip Fractures/surgery ; Humans ; Pelvic Bones/diagnostic imaging ; Pelvic Bones/injuries ; Pelvic Bones/surgery ; Pelvis/injuries ; Spinal Fractures
Language	English
Publishing date	2022-03-15
Publishing country	England
Document type	Journal Article
ZDB-ID	186788-x
ISSN	1468-2834 ; 0002-0729
ISSN (online)	1468-2834
ISSN	0002-0729
DOI	10.1093/ageing/afac063
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Zs.A 877: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: A post-diagnosis information and support programme for dyads-People living with dementia or mild cognitive impairment and family carers: A feasibility study.

Stockwell-Smith, Gillian / Moyle, Wendy / Grealish, Laurie / Comans, Tracy / Varghese, Paul / Whitlatch, Carol / Orsulic-Jeras, Silvia

Journal of advanced nursing

2024

Abstract: Aim: The aim of the study was to establish the feasibility of delivering a structured post-diagnosis information and support program to dyads (persons living with dementia or mild cognitive impairment and family carers) in two primary care settings.: ... ...

Abstract	Aim: The aim of the study was to establish the feasibility of delivering a structured post-diagnosis information and support program to dyads (persons living with dementia or mild cognitive impairment and family carers) in two primary care settings. Design: A two-phase explanatory mixed-method approach guided by the Bowen Feasibility Framework focused on acceptability, implementation, adaptation, integration and efficacy of a five-part programme. In phase 1, the quantitative impact of the programme on the dyadic programme recipients' self-efficacy, quality of life, dyadic relationship and volume of care was measured. In phase 2, inductive content analysis focused on nurse and dyad participant experiences of the programme. Quantitative and qualitative data were reviewed to conclude each element of feasibility. Methods: Four registered nurses working within the participating sites were recruited, trained as programme facilitators and supported to deliver the programme. Eligible dyads attending the respective primary health clinics were invited to participate in the programme and complete surveys at three time points: recruitment, post-programme and 3-month follow-up. Post-programme semi-structured interviews were conducted with dyads and programme facilitators. Results: Twenty-nine dyads completed the program; the majority were spousal dyads. The programme proved acceptable to the dyads with high retention and completion rates. Implementation and integration of the programme into usual practice were attributed to the motivation and capacity of the nurses as programme facilitators. Regarding programme efficacy, most dyads reported they were better prepared for the future and shared the plans they developed during the programme with family members. Conclusion: Implementing a structured information and support programme is feasible, but sustainability requires further adaptation or increased staff resources to maintain programme fidelity. Future research should consider selecting efficacy measures sensitive to the unique needs of people living with dementia and increasing follow-up time to 6 months. Impact: This study established the feasibility of registered nurses delivering a post-diagnosis information and support programme for people living with early-stage dementia or mild cognitive impairment and their informal carers in primary care settings. The motivation and capacity of nurses working as programme facilitators ensured the integration of the programme into usual work, but this was not considered sustainable over time. Family carer dyads reported tangible outcomes and gained confidence in sharing their diagnosis with family and friends and asking for assistance. Findings from this study can be used to provide direction for a clinical trial investigating the effectiveness of the structured information and support programme in the primary care setting. Reporting method: The authors have adhered to the EQUATOR STROBE Statement. Patient or public contribution: A public hospital memory clinic and general medical practice participated in project design, study protocol development and supported implementation.
Language	English
Publishing date	2024-03-24
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.16167
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Article ; Online: Understanding and investing in healthcare innovation and collaboration.

Day-Duro, Emma / Lubitsh, Guy / Smith, Gillian

Journal of health organization and management

2020 Volume ahead-of-print, Issue ahead-of-print

Abstract: Purpose: To understand the partnership between clinicians and academics who come together to provide high-quality care alongside research and innovation, identifying challenges and productive conditions for innovation and collaboration across multi- ... ...

Abstract	Purpose: To understand the partnership between clinicians and academics who come together to provide high-quality care alongside research and innovation, identifying challenges and productive conditions for innovation and collaboration across multi-disciplinary teams. Design/methodology/approach: An explorative action research methodology was adopted. Semi-structured interviews were conducted with 15 clinical, academic and executive leads at a large metropolitan tertiary care hospital with an academic health services portfolio in the UK. Findings: Clinical leaders recognise the division of limited resource, restrictive employment contracts and the divergent priorities of each organisation as challenges hindering the collaborative process and derailing innovation. Developing a culture of respect, valuing and investing in individuals and allowing time and space for interaction help facilitate successful innovation and collaboration. Successfully leading collaborative innovation requires a combination of kindness, conviction and empowerment, alongside the articulation of a vision and accountability. Research limitations/implications: Action research continues at this site, and further enquiry into the experiences, challenges and solutions of non-leaders when collaborating and innovating will be captured to present views across the organisation. Practical implications: Clinical and academic collaboration and innovation are essential to the continued success of healthcare. To ensure hospitals can continue to facilitate this in increasingly challenging circumstances, they must ensure longevity and stability of teams, devote time and resource to research and innovation, nurture interpersonal skills and develop kind and empowering leaders. Originality/value: This work uniquely focuses on a real-time collaborative and innovative development. By employing action research while this development was happening, we were able to access the real time views of those at the centre of that collaboration. We offer insight into the challenges and effective solutions that consultant-level clinical leaders encounter when attempting to innovate and collaborate in practice.
MeSH term(s)	Cooperative Behavior ; Delivery of Health Care ; Diffusion of Innovation ; Health Services Research ; Interviews as Topic ; Qualitative Research ; Research/economics ; State Medicine ; United Kingdom
Language	English
Publishing date	2020-04-06
Publishing country	England
Document type	Journal Article
ZDB-ID	2109532-2
ISSN	1758-7247 ; 1477-7266
ISSN (online)	1758-7247
ISSN	1477-7266
DOI	10.1108/JHOM-07-2019-0206
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