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Improving the Detection, Assessment, Management and Prevention of Delirium in Hospices (the DAMPen-D study): protocol for a co-design and feasibility study of a flexible and scalable implementation strategy to deliver guideline-adherent delirium care (2022)
Journal Article
Pearson, M., Jackson, G., Jackson, C., Boland, J., Featherstone, I., Huang, C., …Johnson, M. (2022). Improving the Detection, Assessment, Management and Prevention of Delirium in Hospices (the DAMPen-D study): protocol for a co-design and feasibility study of a flexible and scalable implementation strategy to deliver guideline-adherent delirium care. BMJ open, 12(7), Article e060450. https://doi.org/10.1136/bmjopen-2021-060450

INTRODUCTION: Delirium is a complex condition in which altered mental state and cognition causes severe distress and poor clinical outcomes for patients and families, anxiety and stress for the health professionals and support staff providing care, a... Read More about Improving the Detection, Assessment, Management and Prevention of Delirium in Hospices (the DAMPen-D study): protocol for a co-design and feasibility study of a flexible and scalable implementation strategy to deliver guideline-adherent delirium care.

Why do acute healthcare staff engage in unprofessional behaviours towards each other and how can these behaviours be reduced? A realist review protocol (2022)
Journal Article
Maben, J., Aunger, J., Abrams, R., Pearson, M., Wright, J., Westbrook, J., …Jones, A. (2022). Why do acute healthcare staff engage in unprofessional behaviours towards each other and how can these behaviours be reduced? A realist review protocol. BMJ open, 12(7), Article e061771. https://doi.org/10.1136/bmjopen-2022-061771

INTRODUCTION: Unprofessional behaviours encompass many behaviours including bullying, harassment and microaggressions. These behaviours between healthcare staff are problematic; they affect people's ability to work, to feel psychologically safe at wo... Read More about Why do acute healthcare staff engage in unprofessional behaviours towards each other and how can these behaviours be reduced? A realist review protocol.

Interrogating intervention delivery and participants’ emotional states to improve engagement and implementation: A realist informed multiple case study evaluation of Engager (2022)
Journal Article
Weston, L., Rybczynska-Bunt, S., Quinn, C., Lennox, C., Maguire, M., Pearson, M., …Byng, R. (2022). Interrogating intervention delivery and participants’ emotional states to improve engagement and implementation: A realist informed multiple case study evaluation of Engager. PLoS ONE, 17(7 July), Article e0270691. https://doi.org/10.1371/journal.pone.0270691

Background ‘Engager’ is an innovative ‘through-the-gate’ complex care intervention for male prison-leavers with common mental health problems. In parallel to the randomised-controlled trial of Engager (Trial registration number: ISRCTN11707331), a se... Read More about Interrogating intervention delivery and participants’ emotional states to improve engagement and implementation: A realist informed multiple case study evaluation of Engager.

Implementing the battery-operated hand-held fan as an evidence-based, non-pharmacological intervention for chronic breathlessness in patients with chronic obstructive pulmonary disease (COPD): a qualitative study of the views of specialist respiratory clinicians (2022)
Journal Article
Luckett, T., Roberts, M., Smith, T., Garcia, M., Dunn, S., Swan, F., …Johnson, M. J. (2022). Implementing the battery-operated hand-held fan as an evidence-based, non-pharmacological intervention for chronic breathlessness in patients with chronic obstructive pulmonary disease (COPD): a qualitative study of the views of specialist respiratory clinicians. BMC Pulmonary Medicine, 22(1), Article 129. https://doi.org/10.1186/s12890-022-01925-z

INTRODUCTION: The battery-operated hand-held fan ('fan') is an inexpensive and portable non-pharmacological intervention for chronic breathlessness. Evidence from randomised controlled trials suggests the fan reduces breathlessness intensity and impr... Read More about Implementing the battery-operated hand-held fan as an evidence-based, non-pharmacological intervention for chronic breathlessness in patients with chronic obstructive pulmonary disease (COPD): a qualitative study of the views of specialist respiratory clinicians.

Towards codesign in respiratory care: development of an implementation-ready intervention to improve guideline-adherent adult asthma care across primary and secondary care settings (The SENTINEL Project) (2022)
Journal Article
Crowther, L., Pearson, M., Cummings, H., & Crooks, M. G. (2022). Towards codesign in respiratory care: development of an implementation-ready intervention to improve guideline-adherent adult asthma care across primary and secondary care settings (The SENTINEL Project). BMJ Open Respiratory Research, 9(1), Article e001155. https://doi.org/10.1136/bmjresp-2021-001155

Short-acting beta agonist (SABA) overuse (≥3 canisters annually) is associated with worse asthma outcomes and accounts for the majority of greenhouse gas emissions from asthma inhalers in England. Reducing SABA overuse aligns with the National Health... Read More about Towards codesign in respiratory care: development of an implementation-ready intervention to improve guideline-adherent adult asthma care across primary and secondary care settings (The SENTINEL Project).

Using and implementing individual-level outcome measures in palliative care settings: a reflective commentary (2021)
Journal Article
Bradshaw, A., Pearson, M., & Murtagh, F. (2021). Using and implementing individual-level outcome measures in palliative care settings: a reflective commentary. Rivista italiana di cure palliative, 23(4), 197-204. https://doi.org/10.1726/3702.36924

Individual-level outcome measures are an important aspect of palliative care. They are tools that can drive high-quality, person-centred care through providing healthcare professionals and services with valuable information about the patients we see... Read More about Using and implementing individual-level outcome measures in palliative care settings: a reflective commentary.

Implementing person-centred outcome measures (PCOMs) into routine palliative care: A protocol for a mixed-methods process evaluation of the RESOLVE PCOM Implementation Strategy (2021)
Journal Article
Bradshaw, A., Santarelli, M., Khamis, A. M., Sartain, K., Johnson, M., Boland, J., …Murtagh, F. E. (2021). Implementing person-centred outcome measures (PCOMs) into routine palliative care: A protocol for a mixed-methods process evaluation of the RESOLVE PCOM Implementation Strategy. BMJ open, 11(9), Article e051904. https://doi.org/10.1136/bmjopen-2021-051904

Introduction Person-centred outcome measures improve quality of care and patient outcomes but are used inconsistently in palliative care practice. To address this implementation gap, we developed the 'RESOLVE Implementation Strategy'. This protocol d... Read More about Implementing person-centred outcome measures (PCOMs) into routine palliative care: A protocol for a mixed-methods process evaluation of the RESOLVE PCOM Implementation Strategy.

Clarifying realist analytic and interdisciplinary consensus processes in a complex health intervention: A worked example of Judgemental Rationality in action (2021)
Journal Article
Rybczynska-Bunt, S., Weston, L., Byng, R., Stirzaker, A., Lennox, C., Pearson, M., …Quinn, C. (2021). Clarifying realist analytic and interdisciplinary consensus processes in a complex health intervention: A worked example of Judgemental Rationality in action. Evaluation, 27(4), 473-491. https://doi.org/10.1177/13563890211037699

Judgemental rationality is infrequently referenced within discussions of Realist Evaluations. Judgemental rationality refers to researchers’ capacity to assess which, potential, meanings provide the most credible explanations. In evaluation work, rat... Read More about Clarifying realist analytic and interdisciplinary consensus processes in a complex health intervention: A worked example of Judgemental Rationality in action.

Implementing person-centred outcome measures in palliative care: An exploratory qualitative study using Normalisation Process Theory to understand processes and context (2020)
Journal Article
Bradshaw, A., Santarelli, M., Mulderrig, M., Khamis, A., Sartain, K., Boland, J. W., …Murtagh, F. E. (in press). Implementing person-centred outcome measures in palliative care: An exploratory qualitative study using Normalisation Process Theory to understand processes and context. Palliative medicine, https://doi.org/10.1177/0269216320972049

© The Author(s) 2020. Background: Despite evidence demonstrating the utility of using Person-Centred Outcome Measures within palliative care settings, implementing them into routine practice is challenging. Most research has described barriers to, wi... Read More about Implementing person-centred outcome measures in palliative care: An exploratory qualitative study using Normalisation Process Theory to understand processes and context.

Interventions to minimise doctors’ mental ill-health and its impacts on the workforce and patient care: the Care Under Pressure realist review (2020)
Journal Article
Carrieri, D., Pearson, M., Mattick, K., Papoutsi, C., Briscoe, S., Wong, G., & Jackson, M. (in press). Interventions to minimise doctors’ mental ill-health and its impacts on the workforce and patient care: the Care Under Pressure realist review. Health Services and Delivery Research, 8(19), 1-132. https://doi.org/10.3310/hsdr08190

Background The growing incidence of mental ill-health in health professionals, including doctors, is a global concern. Although a large body of literature exists on interventions that offer support, advice and/or treatment to sick doctors, it has no... Read More about Interventions to minimise doctors’ mental ill-health and its impacts on the workforce and patient care: the Care Under Pressure realist review.

“Are you doing your pelvic floor?” An ethnographic exploration of the interaction between women and midwives about pelvic floor muscle exercises (PFME) during pregnancy (2020)
Journal Article
Terry, R., Jarvie, R., Hay-Smith, J., Salmon, V., Pearson, M., Boddy, K., …Dean, S. (2020). “Are you doing your pelvic floor?” An ethnographic exploration of the interaction between women and midwives about pelvic floor muscle exercises (PFME) during pregnancy. Midwifery, 83, Article 102647. https://doi.org/10.1016/j.midw.2020.102647

Objective Many women experience urinary incontinence (UI) during and after pregnancy. Pelvic floor muscle exercises (PFME) can prevent and reduce the symptoms of UI. The objective of the study was to explore challenges, opportunities and concerns fo... Read More about “Are you doing your pelvic floor?” An ethnographic exploration of the interaction between women and midwives about pelvic floor muscle exercises (PFME) during pregnancy.

Building programme theory to develop more adaptable and scalable complex interventions: Realist formative process evaluation prior to full trial (2018)
Journal Article
Brand, S. L., Quinn, C., Pearson, M., Lennox, C., Owens, C., Kirkpatrick, T., …Byng, R. (2019). Building programme theory to develop more adaptable and scalable complex interventions: Realist formative process evaluation prior to full trial. Evaluation, 25(2), 149-170. https://doi.org/10.1177/1356389018802134

Medical Research Council guidelines recognise the need to optimise complex interventions prior to full trial through greater understanding of underlying theory and formative process evaluation, yet there are few examples. A realist approach to format... Read More about Building programme theory to develop more adaptable and scalable complex interventions: Realist formative process evaluation prior to full trial.

Evaluation of a complex intervention (Engager) for prisoners with common mental health problems, near to and after release: Study protocol for a randomised controlled trial (2018)
Journal Article
Kirkpatrick, T., Lennox, C., Taylor, R., Anderson, R., Maguire, M., Haddad, M., …Byng, R. (2018). Evaluation of a complex intervention (Engager) for prisoners with common mental health problems, near to and after release: Study protocol for a randomised controlled trial. BMJ open, 8(2), e017931. https://doi.org/10.1136/bmjopen-2017-017931

Introduction The ‘Engager’ programme is a ‘through-the-gate’ intervention designed to support prisoners with common mental health problems as they transition from prison back into the community. The trial will evaluate the clinical and cost-effective... Read More about Evaluation of a complex intervention (Engager) for prisoners with common mental health problems, near to and after release: Study protocol for a randomised controlled trial.

‘Care Under Pressure’: a realist review of interventions to tackle doctors’ mental ill-health and its impacts on the clinical workforce and patient care (2018)
Journal Article
Carrieri, D., Briscoe, S., Jackson, M., Mattick, K., Papoutsi, C., Pearson, M., & Wong, G. (2018). ‘Care Under Pressure’: a realist review of interventions to tackle doctors’ mental ill-health and its impacts on the clinical workforce and patient care. BMJ open, 8(2), e021273. https://doi.org/10.1136/bmjopen-2017-021273

Introduction Mental ill-health is prevalent across all groups of health professionals and this is of great concern in many countries. In the UK, the mental health of the National Health Service (NHS) workforce is a major healthcare issue, leading to... Read More about ‘Care Under Pressure’: a realist review of interventions to tackle doctors’ mental ill-health and its impacts on the clinical workforce and patient care.

Making sense of evidence: using research training to promote organisational change (2017)
Journal Article
Wilkinson, K., Boyd, K., Pearson, M., Farrimond, H., Lang, I. A., Fleischer, D., …Rappert, B. (2019). Making sense of evidence: using research training to promote organisational change. Police Practice and Research, 20(5), 511-529. https://doi.org/10.1080/15614263.2017.1405266

Many have argued that the development of evidence-based policing (EBP) depends on those in law enforcement agencies receiving appropriate training in research methodologies and data analysis. Despite this, there are few detailed accounts of such trai... Read More about Making sense of evidence: using research training to promote organisational change.

Collaborative action for person-centred coordinated care (P3C): An approach to support the development of a comprehensive system-wide solution to fragmented care (2017)
Journal Article
Lloyd, H. M., Pearson, M., Sheaff, R., Asthana, S., Wheat, H., Sugavanam, T. P., …Byng, R. (2017). Collaborative action for person-centred coordinated care (P3C): An approach to support the development of a comprehensive system-wide solution to fragmented care. Health research policy and systems, 15(1), Article 98. https://doi.org/10.1186/s12961-017-0263-z

Background Fragmented care results in poor outcomes for individuals with complexity of need. Person-centred coordinated care (P3C) is perceived to be a potential solution, but an absence of accessible evidence and the lack of a scalable ‘blue print’... Read More about Collaborative action for person-centred coordinated care (P3C): An approach to support the development of a comprehensive system-wide solution to fragmented care.

Social and professional influences on antimicrobial prescribing for doctors-in-training: A realist review (2017)
Journal Article
Papoutsi, C., Mattick, K., Pearson, M., Brennan, N., Briscoe, S., & Wong, G. (2017). Social and professional influences on antimicrobial prescribing for doctors-in-training: A realist review. The journal of antimicrobial chemotherapy, 72(9), 2418-2430. https://doi.org/10.1093/jac/dkx194

Background Antimicrobial resistance has led to widespread implementation of interventions for appropriate prescribing. However, such interventions are often adopted without an adequate understanding of the challenges facing doctors-in-training as key... Read More about Social and professional influences on antimicrobial prescribing for doctors-in-training: A realist review.

Improving Hospital at Home for frail older people: insights from a quality improvement project to achieve change across regional health and social care sectors (2017)
Journal Article
Pearson, M., Hemsley, A., Blackwell, R., Pegg, L., & Custerson, L. (2017). Improving Hospital at Home for frail older people: insights from a quality improvement project to achieve change across regional health and social care sectors. BMC health services research, 17(1), Article ARTN 387. https://doi.org/10.1186/s12913-017-2334-9

© 2017 The Author(s). Background: Against a background of rising numbers of frail older people, there is a need to improve quality and safety of services whilst containing costs. Improving patient outcomes requires change across hospital and communit... Read More about Improving Hospital at Home for frail older people: insights from a quality improvement project to achieve change across regional health and social care sectors.

Opportunities, challenges and concerns for the implementation and uptake of pelvic floor muscle assessment and exercises during the childbearing years: Protocol for a critical interpretive synthesis (2017)
Journal Article
Salmon, V. E., Hay-Smith, E. J. C., Jarvie, R., Dean, S., Oborn, E., Bayliss, S. E., …Pearson, M. (2017). Opportunities, challenges and concerns for the implementation and uptake of pelvic floor muscle assessment and exercises during the childbearing years: Protocol for a critical interpretive synthesis. Systematic reviews, 6(1), Article 18. https://doi.org/10.1186/s13643-017-0420-z

© 2017 The Author(s). Background: Pregnancy and childbirth are important risk factors for urinary incontinence (UI) in women. Pelvic floor muscle exercises (PFME) are effective for prevention of UI. Guidelines for the management of UI recommend offer... Read More about Opportunities, challenges and concerns for the implementation and uptake of pelvic floor muscle assessment and exercises during the childbearing years: Protocol for a critical interpretive synthesis.