Outputs (64)

Using conversation analysis to inform role play and simulated interaction in communications skills training for healthcare professionals: identifying avenues for further development through a scoping review (2018)
Journal Article
Pilnick, A., Trusson, D., Beeke, S., O 'brien, R., Goldberg, S., & Harwood, R. H. (2018). Using conversation analysis to inform role play and simulated interaction in communications skills training for healthcare professionals: identifying avenues for further development through a scoping review. BMC Medical Education, 18, Article 267. https://doi.org/10.1186/s12909-018-1381-1

Background: This paper responds to previously published debate in this journal around the use of sociolinguistic methods in communication skills training (CST), which has raised the significant question of how far consultations with simulated patient... Read More about Using conversation analysis to inform role play and simulated interaction in communications skills training for healthcare professionals: identifying avenues for further development through a scoping review.

What Works to Improve and Manage Fecal Incontinence in Care Home Residents Living With Dementia? A Realist Synthesis of the Evidence (2017)
Journal Article
Buswell, M., Goodman, C., Roe, B., Russell, B., Norton, C., Harwood, R., Fader, M., Harari, D., Drennan, V. M., Malone, J. R., Madden, M., & Bunn, F. (2017). What Works to Improve and Manage Fecal Incontinence in Care Home Residents Living With Dementia? A Realist Synthesis of the Evidence. Journal of the American Medical Directors Association, 18(9), 752-760.e1. https://doi.org/10.1016/j.jamda.2017.05.025

The prevalence of fecal incontinence (FI) in care homes is estimated to range from 30% to 50%. There is limited evidence of what is effective in the reduction and management of FI in care homes. Using realist synthesis, 6 potential program theories o... Read More about What Works to Improve and Manage Fecal Incontinence in Care Home Residents Living With Dementia? A Realist Synthesis of the Evidence.

Managing Faecal INcontinence in people with advanced dementia resident in Care Homes (FINCH) study: a realist synthesis of the evidence (2017)
Journal Article
Goodman, C., Harwood, R., Norton, C., Buswell, M., Russell, B., Harari, D., Roe, B., Rycroft-Malone, J., Drennan, V. M., Fader, M., Maden, M., Cummings, K., & Bunn, F. (2017). Managing Faecal INcontinence in people with advanced dementia resident in Care Homes (FINCH) study: a realist synthesis of the evidence. Health Technology Assessment, 21(42), https://doi.org/10.3310/hta21420

Making difficult decisions with older patients on medical wards (2017)
Journal Article
Khizar, B., & Harwood, R. H. (2017). Making difficult decisions with older patients on medical wards. Clinical Medicine, 17(4), 353-356. https://doi.org/10.7861/clinmedicine.17-4-353

Decision making with older people can be difficult because of medical complexity, uncertainty (about prognosis, treatment effectiveness and priorities), difficulties brought by cognitive and communication impairment and the multiple family and other... Read More about Making difficult decisions with older patients on medical wards.

Management of Fecal Incontinence in Older People With Dementia Resident in Care Homes: A Realist Synthesis—The FINCH Study (2017)
Journal Article
Roe, B., Goodman, C., Russell, B., Buswell, M., Norton, C., Harari, D., Harwood, R., Malone, J. R., Drennan, V. M., Fader, M., Maden, M., & Bunn, F. (2017). Management of Fecal Incontinence in Older People With Dementia Resident in Care Homes: A Realist Synthesis—The FINCH Study. Journal of the American Medical Directors Association, 18(9), 750-751. https://doi.org/10.1016/j.jamda.2017.06.001

Where next for delirium research? (2017)
Journal Article
Harwood, R. H., & Teale, E. (2018). Where next for delirium research?. International Journal of Geriatric Psychiatry, 33(11), 1512-1520. https://doi.org/10.1002/gps.4696

Clinicians who manage delirium must do so without key information required for evidence‐based practice, not least lack of any clearly effective treatment for established delirium. Both the nature of delirium and the methods used to research it contri... Read More about Where next for delirium research?.

Reducing and managing faecal incontinence in people with advanced dementia who are resident in care homes: protocol for a realist synthesis (2015)
Journal Article
Goodman, C., Rycroft Malone, J., Norton, C., Harari, D., Harwood, R., Roe, B., Russell, B., Fader, M., Buswell, M., Drennan, V. M., & Bunn, F. (2015). Reducing and managing faecal incontinence in people with advanced dementia who are resident in care homes: protocol for a realist synthesis. BMJ Open, 5(7), Article e007728. https://doi.org/10.1136/bmjopen-2015-007728

Introduction Faecal incontinence (FI) is the involuntary loss of liquid or solid stool that is a social or hygienic problem. The prevalence of FI in residents of care homes is high, but it is not an inevitable consequence of old age or dementia. Ther... Read More about Reducing and managing faecal incontinence in people with advanced dementia who are resident in care homes: protocol for a realist synthesis.

The evidence for treating hypertension in older people with dementia: a systematic review (2013)
Journal Article
Beishon, L. C., Harrison, J. K., Harwood, R. H., Robinson, T. G., Gladman, J., & Conroy, S. (2014). The evidence for treating hypertension in older people with dementia: a systematic review. Journal of Human Hypertension, 28(5), 283-287. https://doi.org/10.1038/jhh.2013.107

Hypertension and dementia commonly co-exist in older people, yet guidance is lacking on how to manage these co-existing conditions. The aim of this systematic review was to assess the evidence for the treatment of hypertension in older people with de... Read More about The evidence for treating hypertension in older people with dementia: a systematic review.

Acute medical unit comprehensive geriatric assessment intervention study (AMIGOS): Study protocol for a randomised controlled trial (2011)
Journal Article
Edmans, J., Conroy, S., Harwood, R., Lewis, S., Elliott, R. A., Logan, P., Bradshaw, L., Franklin, M., & Gladman, J. (2011). Acute medical unit comprehensive geriatric assessment intervention study (AMIGOS): Study protocol for a randomised controlled trial. Trials, 12, Article 200. https://doi.org/10.1186/1745-6215-12-200

Background
Many older people presenting to Acute Medical Units (AMU) are discharged after only a short stay (< 72 hours), yet many re-present to hospital or die within 1 year. Comprehensive Geriatric Assessment may improve patient outcomes for this... Read More about Acute medical unit comprehensive geriatric assessment intervention study (AMIGOS): Study protocol for a randomised controlled trial.

Does looped nasogastric tube feeding improve nutritional delivery for patients with dysphagia after acute stroke? A randomised controlled trial (2010)
Journal Article
Beavan, J., Paul Conroy, S., Harwood, R., Gladman, J. R., Leonardi-Bee, J., Sach, T., Bowling, T., Sunman, W., & Gaynor, C. (2010). Does looped nasogastric tube feeding improve nutritional delivery for patients with dysphagia after acute stroke? A randomised controlled trial. Age and Ageing, 39(5), 624-630. https://doi.org/10.1093/ageing/afq088

Background: nasogastric tube (NGT) feeding is commonly used after stroke, but its effectiveness is limited by frequent dislodgement.

Objective: the objective of the study was to evaluate looped NGT feeding in acute stroke patients with dysphagia.... Read More about Does looped nasogastric tube feeding improve nutritional delivery for patients with dysphagia after acute stroke? A randomised controlled trial.