College of Medicine and Healthhttps://hdl.handle.net/10468/4https://cora.ucc.ie/retrieve/62d2c650-e462-4c97-9c79-2fa252ce3e88/2024-03-28T11:04:40Z2024-03-28T11:04:40Z27301"It is much more real when it comes from them": The role of experts by experience in the integration of mental health nursing theory and practiceHappell, BrendaWaks, ShifraHorgan, AineGreaney, SonyaManning, FionnualaGoodwin, JohnBocking, JuliaScholz, BrettHals, ElisabethGranerud, ArildDoody, RoryPlatania-Phung, ChrisGriffin, MarthaRussell, SiobhanMacGabhann, LiamPulli, JarmoVatula, AnnaliinaBrowne, Graemevan der Vaart, Kornelis JanAllon, JerryBjornsson, EinarEllilä, HeikkiLahti, MariBiering, Pallhttps://hdl.handle.net/10468/131712023-04-05T06:51:06Z2020-03-13T00:00:00Zdc.title: "It is much more real when it comes from them": The role of experts by experience in the integration of mental health nursing theory and practice
dc.contributor.author: Happell, Brenda; Waks, Shifra; Horgan, Aine; Greaney, Sonya; Manning, Fionnuala; Goodwin, John; Bocking, Julia; Scholz, Brett; Hals, Elisabeth; Granerud, Arild; Doody, Rory; Platania-Phung, Chris; Griffin, Martha; Russell, Siobhan; MacGabhann, Liam; Pulli, Jarmo; Vatula, Annaliina; Browne, Graeme; van der Vaart, Kornelis Jan; Allon, Jerry; Bjornsson, Einar; Ellilä, Heikki; Lahti, Mari; Biering, Pall
dc.description.abstract: Purpose: To examine nursing students' perceptions of Experts by Experience impact on theoretical and practical learning. Design and Methods: Qualitative exploratory study involving focus groups with undergraduate nursing students from five European countries and Australia. Data were analyzed thematically. Findings: Participants described positive impacts as:bridging the theory and practice gap through first-hand experience, including sub-themes:bringing theory to life; can't be taught any other way, and innovative teaching methods fueling curiosity. Relevance to Clinical Practice: Integrating theory and practice is key for quality mental health nursing practice. Experts by experience can potentially contribute to reducing this enduring gap.
2020-03-13T00:00:00Z"Unless they bring it up, I won't go digging": Psychiatric nurses' experiences of developing therapeutic relationships with adult survivors of child sexual abuseWalsh, ChloeBradley, Stephen K.Goodwin, Johnhttps://hdl.handle.net/10468/131472023-04-05T06:51:16Z2022-04-05T00:00:00Zdc.title: "Unless they bring it up, I won't go digging": Psychiatric nurses' experiences of developing therapeutic relationships with adult survivors of child sexual abuse
dc.contributor.author: Walsh, Chloe; Bradley, Stephen K.; Goodwin, John
dc.description.abstract: Purpose: The purpose of this study is to explore psychiatric nurses' experiences of developing therapeutic relationships with adult survivors of child sexual abuse (CSA). Design and Methods: A qualitative descriptive design was adopted. Semistructured interviews were conducted with six registered psychiatric nurses. Data were analyzed using reflexive thematic analysis. Findings: Although participants were able to develop therapeutic relationships with survivors and cited the importance of interpersonal skills, they felt uncomfortable discussing CSA. Practice Implications: Given the importance of developing trusting relationships, more support needs to be provided for nurses so they can build stronger alliances with survivors of CSA.
2022-04-05T00:00:00Z"You Don't Feel": The experience of youth benzodiazepine misuse in Ireland.Murphy, Kevin D.Lambert, SharonMcCarthy, SuzanneSahm, Laura JByrne, Stephenhttps://hdl.handle.net/10468/106772023-04-04T12:08:50Z2017-09-27T00:00:00Zdc.title: "You Don't Feel": The experience of youth benzodiazepine misuse in Ireland.
dc.contributor.author: Murphy, Kevin D.; Lambert, Sharon; McCarthy, Suzanne; Sahm, Laura J; Byrne, Stephen
dc.description.abstract: There are negative effects to inappropriate use of benzodiazepines, yet the percentage of young people in Ireland experimenting with benzodiazepines has increased. There is a paucity of research about why Irish young people misuse benzodiazepines. In this study, people between 18 and 25 years attending substance misuse services in the south of Ireland (N = 13) were interviewed in a semi-structured style between June 2012 and April 2013. Content analysis was performed. The main motivations for benzodiazepine misuse were to self-regulate negative emotions and to induce dissociation from their environment. Interviewees also described the consequences of benzodiazepine misuse, such as disengagement from family relationships and other protective environments such as school and sports clubs. The consequences of chronic misuse were discussed, such as the compulsion to take more benzodiazepines despite experiencing severe side-effects. The incidence of paradoxical aggression on benzodiazepines is also explored. Education about benzodiazepines and their risks to young people, families, and the public may reduce benzodiazepine misuse. Future research on the role of trauma and mental health in young people’s substance misuse is needed.
2017-09-27T00:00:00Z'It will dictate how many children I will have"- Women's decision-making in pregnancy following a previous caesarean birth (CB)Monis, MalithaO'Connell, RhonaAndrews, Tomhttps://hdl.handle.net/10468/139962023-04-05T06:49:59Z2022-11-05T00:00:00Zdc.title: 'It will dictate how many children I will have"- Women's decision-making in pregnancy following a previous caesarean birth (CB)
dc.contributor.author: Monis, Malitha; O'Connell, Rhona; Andrews, Tom
dc.description.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.
2022-11-05T00:00:00Z'Should have gone to...': bilateral papilloedema with normal CSF pressure due to vestibular schwannomaRonan, Geoffrey PeterGailani, GaafarCostello, CiaraSweeney, Brianhttps://hdl.handle.net/10468/110112023-04-05T06:45:37Z2020-12-12T00:00:00Zdc.title: 'Should have gone to...': bilateral papilloedema with normal CSF pressure due to vestibular schwannoma
dc.contributor.author: Ronan, Geoffrey Peter; Gailani, Gaafar; Costello, Ciara; Sweeney, Brian
dc.description.abstract: A 24-year-old woman presented with bilateral blurring of her distance vision and 'dizzy spells'. She had no other neurological symptoms or medical history. She consulted an optometrist, and optical coherence tomography (OCT) was performed, which demonstrated papilloedema. She was referred to the local eye clinic for assessment and from there was referred for neurological assessment.Her initial investigations revealed no abnormalities, and brain imaging was reported to be normal. In the absence of an alternative diagnosis, idiopathic intracranial hypertension (IIH) was considered and a lumbar puncture was performed. This showed elevated protein but normal cerebrospinal fluid (CSF) pressure. MRI of the brain the next day revealed a large cerebellopontine lesion in keeping with vestibular schwannoma. She was referred to neurosurgery for operative management.This case highlights three interesting points: the aetiology of her papilloedema without raised intracranial pressure, the decision to perform a lumbar puncture in suspected IIH and community OCT as a clinical adjunct.
2020-12-12T00:00:00Z'There need to be a balance': mental health nurses' perspectives on medication education in university and clinical practiceGoodwin, JohnKilty, CarolineHarman, MarkHorgan, Ainehttps://hdl.handle.net/10468/85822023-04-05T06:50:55Z2019-09-09T00:00:00Zdc.title: 'There need to be a balance': mental health nurses' perspectives on medication education in university and clinical practice
dc.contributor.author: Goodwin, John; Kilty, Caroline; Harman, Mark; Horgan, Aine
dc.description.abstract: Working with medication is an important role of the mental health nurse. However, little research has focused on staff nurses’ perspectives on where the responsibility lies for preparing student nurses for safe, competent medication management. This study investigated mental health nurses’ perspectives on medication education. An interpretive descriptive approach was used. Two focus groups were conducted, and data were analysed using inductive content analysis. It was found that participants embraced a medical approach to servicer user care, with less positive attitudes demonstrated towards psychosocial approaches. There were also tensions expressed between clinical practice and the university, with uncertainty voiced about whose responsibility it was to educate students about medication management. It is important that both environments complement each other in order to enhance the student nurse educational experience. While mental health nurses should be educated in this area to practice in a safe and competent manner, it is also key that a holistic approach to care is considered.
2019-09-09T00:00:00Z'They don't actually join the dots': An exploration of organizational change in Irish opiate community treatment servicesKelly, PeterHegarty, J.Dyer, Kyle R.O'Donovan, A.https://hdl.handle.net/10468/117562023-04-05T06:50:22Z2021-07-09T00:00:00Zdc.title: 'They don't actually join the dots': An exploration of organizational change in Irish opiate community treatment services
dc.contributor.author: Kelly, Peter; Hegarty, J.; Dyer, Kyle R.; O'Donovan, A.
dc.description.abstract: People who use community-based drug treatment services spend a considerable amount of their time in treatment in direct contact with frontline staff. These staff are also fundamental to supporting the implementation of change to meet service user needs. Yet, very little is known about staff perspectives on the process and internal dynamics of drug treatment services, their views about what makes services work effectively, and how services can more effectively adopt to changes in practice. Conducted across Irish community opiate prescribing services and drawing on data from 12 in-depth qualitative interviews with frontline staff. This paper examines the narratives of staff about the factors which influence the dynamics and process of treatment services, particularly in relation to the implantation of change. Change itself was described both in respect of how a service responded to immediate service user needs or supported planned change. Little distinction was made in respect of service attributes which facilitated a response in either context. Overwhelmingly, staff contextualised current service effectiveness, historical change, and desired change in how effectively their services met service user needs, which was also viewed as a significant motivation for change. Differences in operational standards across services in terms of practices, policy implementation, job roles, divisions between professional groups, and recruitment and retention of staff inhibited change adoption. Factors which were identified in terms of inhibiting or facilitating planned change were consistent with the wider literature on change implementation but provided unique insights in the context of substance misuse services. A range of interdependent factors which influence an 'eco-system' of service delivery were identified. Effective policy implementation in Ireland remains aspirational, but findings reported in this paper have important implications for future planning and design of services for people who use drugs, and provide a good basis for further investigation.
2021-07-09T00:00:00Z'Waiting in the wings'; lived experience at the threshold of clinical practiceCoakley, NiamhO'Leary, PaulaBennett, Deirdrehttps://hdl.handle.net/10468/80262023-04-05T06:46:44Z2019-05-15T00:00:00Zdc.title: 'Waiting in the wings'; lived experience at the threshold of clinical practice
dc.contributor.author: Coakley, Niamh; O'Leary, Paula; Bennett, Deirdre
dc.description.abstract: Context: The transition to clinical practice is challenging. Lack of preparedness and issues with support, responsibility and complex workplace interactions contribute to the difficulties encountered. The first year of clinical practice is associated with negative consequences for new doctors’ health and well‐being. The contemporaneous lived experience of new graduates on the threshold of clinical practice has not been described. Deeper understanding of this phase may inform interventions to ease the transition from student to doctor. Methods: We used interpretative phenomenological analysis (IPA) to explore the individual experience of making the transition from medical student to doctor, focusing on the period prior to commencing clinical practice. Fourteen recent graduates were purposively recruited, and semi‐structured interviews were conducted with each, with respect to how they anticipated the transition. Results: We draw on the metaphor of the actor ‘waiting in the wings’ to describe participants’ lived experience on the threshold of practice. The experience of the actor, about to step into the spotlight, was mirrored in participants’ perceptions of an abrupt transformation to come, mixed feelings about what lay ahead, and the various strategies that they had planned to help them to perform their new role convincingly. Discussion: Participants in this study braced themselves for a trial by ordeal as they contemplated commencing clinical practice. The hidden curriculum shaped their understanding of what was expected of them as new doctors, and inspired dysfunctional strategies to meet expectations. Solutions to make the experience a more positive one lie in the approximation of the roles of senior medical student and newly qualified doctor, in explicitly addressing the hidden curriculum and generating cultural change. An emphasis on experience‐based learning through contribution to patient care, guided reflection on the hidden curriculum and shifting cultural expectations through faculty development and strong local leadership can contribute to these objectives.
2019-05-15T00:00:00Z'Working away in that Grey Area...' A qualitative exploration of the challenges general practitioners experience when managing behavioural and psychological symptoms of dementiaJennings, Aisling A.Foley, TonyMcHugh, Sheena M.Browne, John P.Bradley, Colin P.https://hdl.handle.net/10468/52132023-04-05T06:39:20Z2017-12-06T00:00:00Zdc.title: 'Working away in that Grey Area...' A qualitative exploration of the challenges general practitioners experience when managing behavioural and psychological symptoms of dementia
dc.contributor.author: Jennings, Aisling A.; Foley, Tony; McHugh, Sheena M.; Browne, John P.; Bradley, Colin P.
dc.description.abstract: Background: general practitioners (GPs) have identified the management of behavioural and psychological symptoms of dementia (BPSD) as a particularly challenging aspect of dementia care. However, there is a paucity of research on why GPs find BPSD challenging and how this influences the care they offer to their patients with dementia. Objectives: to establish the challenges GPs experience when managing BPSD; to explore how these challenges influence GPs’ management decisions; and to identify strategies for overcoming these challenges. Design: qualitative study of GPs experiences of managing BPSD. Methods: semi-structured interviews were conducted with 16 GPs in the Republic of Ireland. GPs were purposively recruited to include participants with differing levels of experience caring for people with BPSD in nursing homes and in community settings to provide maximum diversity of views. Interviews were analysed thematically. Results: three main challenges of managing BPSD were identified; lack of clinical guidance, stretched resources and difficulties managing expectations. The lack of relevant clinical guidance available affected GPs’ confidence when managing BPSD. In the absence of appropriate resources GPs felt reliant upon sedative medications. GPs believed their advocacy role was further compromised by the difficulties they experienced managing expectations of family caregivers and nursing home staff. Conclusions: this study helps to explain the apparent discrepancy between best practice recommendations in BPSD and real-life practice. It will be used to inform the design of an intervention to support the management of BPSD in general practice.
2017-12-06T00:00:00Z1,3-Dipolar cycloadditions of 2-thio-3-chloroacrylamides with diazoalkanesKissane, MarieLawrence, Simon E.Maguire, Anita R.https://hdl.handle.net/10468/5962023-03-31T07:11:37Z2010-06-21T00:00:00Zdc.title: 1,3-Dipolar cycloadditions of 2-thio-3-chloroacrylamides with diazoalkanes
dc.contributor.author: Kissane, Marie; Lawrence, Simon E.; Maguire, Anita R.
dc.description.abstract: 2-Thio-3-chloroacrylamides undergo 1,3-dipolar cycloadditions with diazoalkanes leading to a series of novel pyrazolines and pyrazoles. The mechanistic and synthetic features of the cycloadditions to the 2-thio-3-chloroacrylamides at both the sulfide and sulfoxide levels of oxidation are rationalised on the basis of the nature of the substituents.
2010-06-21T00:00:00Z