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Displaying Results 1 - 25 of 92 on page 1 of 4
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A BEME (Best Evidence in Medical Education) systematic review of the use of workplace-based assessment in identifying and remediating poor performance among postgraduate medical trainees
(2015)
Barrett, Aileen; Galvin, Rose; Steinert, Yvonne; Scherpbier, Albert; O'Shaughnessy...
A BEME (Best Evidence in Medical Education) systematic review of the use of workplace-based assessment in identifying and remediating poor performance among postgraduate medical trainees
(2015)
Barrett, Aileen; Galvin, Rose; Steinert, Yvonne; Scherpbier, Albert; O'Shaughnessy, Ann; Horgan, Mary; Horsley, Tanya
Abstract:
Background: Workplace-based assessments were designed to facilitate observation and structure feedback on the performance of trainees in real-time clinical settings and scenarios. Research in workplace-based assessments has primarily centred on understanding psychometric qualities and performance improvement impacts of trainees generally. An area that is far less understood is the use of workplace-based assessments for trainees who may not be performing at expected or desired standards, referred to within the literature as trainees ‘in difficulty’ or ‘underperforming’. In healthcare systems that increasingly depend on service provided by junior doctors, early detection (and remediation) of poor performance is essential. However, barriers to successful implementation of workplace-based assessments (WBAs) in this context include a misunderstanding of the use and purpose of these formative assessment tools. This review aims to explore the impact - or effectiveness - of workplace-based ...
http://hdl.handle.net/10344/4756
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A radomised controlled trial evaluating family mediated excercise (fame) therapy following stroke
(2010)
Galvin, Rose
A radomised controlled trial evaluating family mediated excercise (fame) therapy following stroke
(2010)
Galvin, Rose
Abstract:
THESIS 9420
The aim of this study was to examine the impact of additional family mediated exercise (FAME) therapy on outcome of the lower limb (LL) following acute stroke through the implementation of a randomised controlled trial (RCT). Outcome was assessed at the level of impairment, activity and participation. A secondary aim of the study was to evaluate the impact of the FAME programme on the person with stroke and the family member assisting in the delivery of the exercises to them through qualitative and quantitative data gathering techniques.
http://hdl.handle.net/2262/78999
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A randomised controlled trial evaluating the effect of an individual auditory cueing device on freezing and gait speed in people with Parkinson's disease
(2008)
Ledger, Sean; Galvin, Rose; Lynch, Deirdre; Stokes, Emma
A randomised controlled trial evaluating the effect of an individual auditory cueing device on freezing and gait speed in people with Parkinson's disease
(2008)
Ledger, Sean; Galvin, Rose; Lynch, Deirdre; Stokes, Emma
Abstract:
Background: Parkinson's disease is a progressive neurological disorder resulting from a degeneration of dopamine producing cells in the substantia nigra. Clinical symptoms typically affect gait pattern and motor performance. Evidence suggests that the use of individual auditory cueing devices may be used effectively for the management of gait and freezing in people with Parkinson's disease. The primary aim of the randomised controlled trial is to evaluate the effect of an individual auditory cueing device on freezing and gait speed in people with Parkinson's disease. Methods: A prospective multi-centre randomised cross over design trial will be conducted. Fortyseven subjects will be randomised into either Group A or Group B, each with a control and intervention phase. Baseline measurements will be recorded using the Freezing of Gait Questionnaire as the primary outcome measure and 3 secondary outcome measures, the 10 m Walk Test, Timed "Up & Go" Test and...
http://hdl.handle.net/10344/4765
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A randomised controlled trial exploring the impact of a dedicated health and social care professionals team in the emergency department on the quality, safety, clinical and cost-effectiveness of care for older adults: a study protocol
(2019)
Cassarino, Marica; Robinson, Katie; O’Shaughnessy, Íde; Smalle, Eimear; White, Stephen;...
A randomised controlled trial exploring the impact of a dedicated health and social care professionals team in the emergency department on the quality, safety, clinical and cost-effectiveness of care for older adults: a study protocol
(2019)
Cassarino, Marica; Robinson, Katie; O’Shaughnessy, Íde; Smalle, Eimear; White, Stephen; Devlin, Collette; Quinn, Rosie; Trépel, Dominic; Boland, Fiona; Ward, Marie E.; McNamara, Rosa; O’Connor, Margaret; McCarthy, Gerard; Ryan, Damien; Galvin, Rose
Abstract:
Background: Older people are frequent emergency department (ED) users who present with complex issues that are linked to poorer health outcomes following the index visit, often have increased ED length of stay, and tend to have raised healthcare costs. Encouraging evidence suggests that ED teams involving health and social care professionals (HSCPs) can contribute to enhanced patient flow and an improved patient experience by improving care decision-making and thus promoting timely and effective care. However, the evidence supporting the impact of HSCP teams assessing and intervening with older adults in the ED is limited and identifies important methodological limitations, highlighting the need for more robust and comprehensive investigations of this model of care. This study aims to evaluate the impact of a dedicated ED-based HSCP team on the quality, safety, and clinical- and cost-effectiveness of care of older adults when compared with usual care. Methods: The study is a single-...
http://hdl.handle.net/10344/8188
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A randomised controlled trial exploring the impact of a dedicated health and social care professionals team in the emergency department on the quality, safety, clinical and cost-effectiveness of care for older adults: a study protocol.
(2019)
Cassarino, Marica; Robinson, Katie; O'Shaughnessy, Íde; Smalle, Eimear; White, Ste...
A randomised controlled trial exploring the impact of a dedicated health and social care professionals team in the emergency department on the quality, safety, clinical and cost-effectiveness of care for older adults: a study protocol.
(2019)
Cassarino, Marica; Robinson, Katie; O'Shaughnessy, Íde; Smalle, Eimear; White, Stephen; Devlin, Collette; Quinn, Rosie; Trépel, Dominic; Boland, Fiona; Ward, Marie E; McNamara, Rosa; O'Connor, Margaret; McCarthy, Gerard; Ryan, Damien; Galvin, Rose
Abstract:
<p>The original article is available at <a href="https://www.biomedcentral.com/search?query=10.1186%2Fs13063-019-3697-5&searchType=publisherSearch">biomedcentral.com</a></p>
<p><strong>BACKGROUND:</strong> Older people are frequent emergency department (ED) users who present with complex issues that are linked to poorer health outcomes following the index visit, often have increased ED length of stay, and tend to have raised healthcare costs. Encouraging evidence suggests that ED teams involving health and social care professionals (HSCPs) can contribute to enhanced patient flow and an improved patient experience by improving care decision-making and thus promoting timely and effective care. However, the evidence supporting the impact of HSCP teams assessing and intervening with older adults in the ED is limited and identifies important methodological limitations, highlighting the need for more robust and comprehensive inve...
https://epubs.rcsi.ie/gpart/151
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Additional exercise therapy for the recovery of function after stroke (Protocol)
(2012)
Galvin, Rose; Lennon, S.; Murphy, B.T.; Cusack, T.; Horgan, Frances N.; Stokes, E.K.
Additional exercise therapy for the recovery of function after stroke (Protocol)
(2012)
Galvin, Rose; Lennon, S.; Murphy, B.T.; Cusack, T.; Horgan, Frances N.; Stokes, E.K.
Abstract:
To assess whether additional exercise therapy has an impact on recovery following stroke when compared with routine exercise therapy. The specific objectives of this review are twofold: 1. To examine the impact of additional exercise therapy time on functional recovery following stroke by reviewing RCTs that assess the effects of additional exercise therapy when compared with routine exercise therapy. 2. To determine a minimum threshold of additional exercise therapy time provided to the experimental group below which no clinically relevant benefit is observed
http://hdl.handle.net/10344/4763
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Clinical prediction rules in practice: review of clinical guidelines and survey of GPs
(2014)
Plüddemann, Annette; Wallace, Emma; Bankhead, Claire; Keogh, Claire; Van der Windt, Dan...
Clinical prediction rules in practice: review of clinical guidelines and survey of GPs
(2014)
Plüddemann, Annette; Wallace, Emma; Bankhead, Claire; Keogh, Claire; Van der Windt, Danielle; Lasserson, Daniel; Galvin, Rose; Moschetti, Ivan; Kearley, Karen; O'Brien, Kirsty K.; Sanders, Sharon; Mallett, Susan; Malanda, Uriell; Thompson, Matthew; Fahey, Tom; Stevens, Richard
Abstract:
Background The publication of clinical prediction rules (CPRs) studies has risen significantly. It is unclear if this reflects increasing usage of these tools in clinical practice or how this may vary across clinical areas. Aim To review clinical guidelines in selected areas and survey GPs in order to explore CPR usefulness in the opinion of experts and use at the point of care. Design and setting A review of clinical guidelines and survey of UK GPs. Method Clinical guidelines in eight clinical domains with published CPRs were reviewed for recommendations to use CPRs including primary prevention of cardiovascular disease, transient ischaemic attack (TIA) and stroke, diabetes mellitus, fracture risk assessment in osteoporosis, lower limb fractures, breast cancer, depression, and acute infections in childhood. An online survey of 401 UK GPs was also conducted. Results Guideline review: Of 7637 records screened by title and/or abstract, 243 clinical guidelines met inclusion criteria. C...
http://hdl.handle.net/10344/4762
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Cost benefit analysis of the use of tranexamic acid in primary lower limb arthroplasty: a retrospective cohort study
(2015)
McGoldrick, Niall P; O'Connor, Eabhann M; Davarinos, Nikos; Galvin, Rose; Quinlan,...
Cost benefit analysis of the use of tranexamic acid in primary lower limb arthroplasty: a retrospective cohort study
(2015)
McGoldrick, Niall P; O'Connor, Eabhann M; Davarinos, Nikos; Galvin, Rose; Quinlan, John F
Abstract:
AIM: To examine the cost benefit conferred by the perioperative administration of intravenous tranexamic acid (TXA) in lower limb arthroplasty. METHODS: This study evaluates the use of TXA in 200 consecutive lower limb arthroplasties performed in a single surgeon series. The initial 100 patients (control group) underwent surgery without perioperative administration of TXA while the subsequent 100 patients (TXA group) all received 1 g TXA at the time of induction of anaesthesia. Pre- and post-operative haemoglobin, platelet count, haematocrit, the use of blood product post-operatively, length of stay were examined. A financial analysis of both groups was then undertaken. RESULTS: The mean age of patients in both groups was 63 +/- 13 years. There were no significant differences between groups in terms of gender (P = 0.47), proportion of total hip replacement to total knee replacement (P = 0.25) or pre-operative haemoglobin (P = 0.43). In the control group, the transfusion rate was 22%...
http://hdl.handle.net/10344/4994
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Development and validation of a clinical prediction rule to identify suspected breast cancer: a prospective cohort study
(2014)
Galvin, Rose; Joyce, Doireann; Downey, Eithne; Boland, Fiona; Fahey, Tom; Hill, Arnold K
Development and validation of a clinical prediction rule to identify suspected breast cancer: a prospective cohort study
(2014)
Galvin, Rose; Joyce, Doireann; Downey, Eithne; Boland, Fiona; Fahey, Tom; Hill, Arnold K
Abstract:
Background: The number of primary care referrals of women with breast symptoms to symptomatic breast units (SBUs) has increased exponentially in the past decade in Ireland. The aim of this study is to develop and validate a clinical prediction rule (CPR) to identify women with breast cancer so that a more evidence based approach to referral from primary care to these SBUs can be developed. Methods: We analysed routine data from a prospective cohort of consecutive women reviewed at a SBU with breast symptoms. The dataset was split into a derivation and validation cohort. Regression analysis was used to derive a CPR from the patient’s history and clinical findings. Validation of the CPR consisted of estimating the number of breast cancers predicted to occur compared with the actual number of observed breast cancers across deciles of risk. Results: A total of 6,590 patients were included in the derivation study and 4.9% were diagnosed with breast cancer. Independent clinical predictors...
http://hdl.handle.net/10344/4757
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Development and validation of a clinical prediction rule to identify suspected breast cancer: a prospective cohort study
(2014)
Galvin, Rose; Joyce, Doireann; Downey, Eithne; Boland, Fiona; Fahey, Tom; Hill, Arnold K
Development and validation of a clinical prediction rule to identify suspected breast cancer: a prospective cohort study
(2014)
Galvin, Rose; Joyce, Doireann; Downey, Eithne; Boland, Fiona; Fahey, Tom; Hill, Arnold K
Abstract:
Abstract Background The number of primary care referrals of women with breast symptoms to symptomatic breast units (SBUs) has increased exponentially in the past decade in Ireland. The aim of this study is to develop and validate a clinical prediction rule (CPR) to identify women with breast cancer so that a more evidence based approach to referral from primary care to these SBUs can be developed. Methods We analysed routine data from a prospective cohort of consecutive women reviewed at a SBU with breast symptoms. The dataset was split into a derivation and validation cohort. Regression analysis was used to derive a CPR from the patient’s history and clinical findings. Validation of the CPR consisted of estimating the number of breast cancers predicted to occur compared with the actual number of observed breast cancers across deciles of risk. Results A total of 6,590 patients were included in...
http://dx.doi.org/10.1186/1471-2407-14-743
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Development and validation of a clinical prediction rule to identify suspected breast cancer: a prospective cohort study.
(2014)
Galvin, Rose; Joyce, Doireann; Downey, Eithne; Boland, Fiona; Fahey, Tom; Hill, Arnold DK
Development and validation of a clinical prediction rule to identify suspected breast cancer: a prospective cohort study.
(2014)
Galvin, Rose; Joyce, Doireann; Downey, Eithne; Boland, Fiona; Fahey, Tom; Hill, Arnold DK
Abstract:
<p>The original article is available at <a href="http://www.biomedcentral.com">www.biomedcentral.com</a></p>
<p>BACKGROUND: The number of primary care referrals of women with breast symptoms to symptomatic breast units (SBUs) has increased exponentially in the past decade in Ireland. The aim of this study is to develop and validate a clinical prediction rule (CPR) to identify women with breast cancer so that a more evidence based approach to referral from primary care to these SBUs can be developed.</p> <p>METHODS: We analysed routine data from a prospective cohort of consecutive women reviewed at a SBU with breast symptoms. The dataset was split into a derivation and validation cohort. Regression analysis was used to derive a CPR from the patient's history and clinical findings. Validation of the CPR consisted of estimating the number of breast cancers predicted to occur compared with the actual number of observed breast ...
https://epubs.rcsi.ie/gpart/53
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Diagnostic accuracy of the STRATIFY clinical prediction rule for falls: a systematic review and meta-analysis
(2012)
Billington, Jennifer; Fahey, Tom; Galvin, Rose
Diagnostic accuracy of the STRATIFY clinical prediction rule for falls: a systematic review and meta-analysis
(2012)
Billington, Jennifer; Fahey, Tom; Galvin, Rose
Abstract:
Background: The STRATIFY score is a clinical prediction rule (CPR) derived to assist clinicians to identify patients at risk of falling. The purpose of this systematic review and meta-analysis is to determine the overall diagnostic accuracy of the STRATIFY rule across a variety of clinical settings. Methods: A literature search was performed to identify all studies that validated the STRATIFY rule. The methodological quality of the studies was assessed using the Quality Assessment of Diagnostic Accuracy Studies tool. A STRATIFY score of ≥2 points was used to identify individuals at higher risk of falling. All included studies were combined using a bivariate random effects model to generate pooled sensitivity and specificity of STRATIFY at ≥2 points. Heterogeneity was assessed using the variance of logit transformed sensitivity and specificity. Results: Seventeen studies were included in our meta-analysis, incorporating 11,378 patients. At a score ≥2 points, the STRATIFY rule is more...
http://hdl.handle.net/10344/4764
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Diagnostic accuracy of the STRATIFY clinical prediction rule for falls: A systematic review and meta-analysis.
(2012)
Billington, Jennifer; Fahey, Tom; Galvin, Rose
Diagnostic accuracy of the STRATIFY clinical prediction rule for falls: A systematic review and meta-analysis.
(2012)
Billington, Jennifer; Fahey, Tom; Galvin, Rose
Abstract:
<p>This article is also available at <a href="http://www.biomedcentral.com">www.biomedcentral.com</a></p>
<p>BACKGROUND: The STRATIFY score is a clinical prediction rule (CPR) derived to assist clinicians to identify patients at risk of falling. The purpose of this systematic review and meta-analysis is to determine the overall diagnostic accuracy of the STRATIFY rule across a variety of clinical settings.</p> <p>METHODS: A literature search was performed to identify all studies that validated the STRATIFY rule. The methodological quality of the studies was assessed using the Quality Assessment of Diagnostic Accuracy Studies tool. A STRATIFY score of ≥2 points was used to identify individuals at higher risk of falling. All included studies were combined using a bivariate random effects model to generate pooled sensitivity and specificity of STRATIFY at ≥2 points. Heterogeneity was assessed using the variance of logit transforme...
https://epubs.rcsi.ie/gpart/28
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Diagnostic and predictive accuracy of the clinical frailty scale among hospitalised older medical patients: a systematic review and meta-analysis protocol
(2021)
Leahy, Aoife; O'Connor, Margaret; Condon, Jennifer; Heywood, Sarah; Shanahan, Elai...
Diagnostic and predictive accuracy of the clinical frailty scale among hospitalised older medical patients: a systematic review and meta-analysis protocol
(2021)
Leahy, Aoife; O'Connor, Margaret; Condon, Jennifer; Heywood, Sarah; Shanahan, Elaine; Peters, Catherine; Galvin, Rose
Abstract:
Introduction Frailty is a common condition affecting older adults and is associated with increased mortality and adverse outcomes. Identification of older adults at risk of adverse outcomes is central to subsequent resource planning and targeted interventions. This systematic review and meta-analysis will examine the: (1) diagnostic accuracy of the Clinical Frailty Scale (CFS) in identifying hospitalised adults ≥65 years with frailty and a medical diagnosis compared with the reference standard Frailty Index or Frailty Phenotype and (2) predictive value of the CFS in determining those at increased risk of subsequent adverse outcomes.
http://hdl.handle.net/10344/9665
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Do stroke clinical practice guideline recommendations for the intervention of thickened liquids for aspiration support evidence based decision making? A systemetic review and narrative synthesis
(2020)
McCurtin, Arlene; Boland, Pauline; Kavanagh, Maeve; Lisiecka, Dominika; Roche, Caoimhe;...
Do stroke clinical practice guideline recommendations for the intervention of thickened liquids for aspiration support evidence based decision making? A systemetic review and narrative synthesis
(2020)
McCurtin, Arlene; Boland, Pauline; Kavanagh, Maeve; Lisiecka, Dominika; Roche, Caoimhe; Galvin, Rose
Abstract:
Background Aspiration is a common sequela post stroke as a result of oropharyngeal dysphagia. It is primarily managed by recommending thickened liquids whereby a thickening agent is added to liquids to increase viscosity and slow bolus speed. However, the evidence supporting this intervention is not strong and clinicians may rely on tools such as clinical practice guidelines to support clinical decision-making. The purpose of this systematic review and narrative synthesis was to evaluate the evidentiary bases of recommendations made by clinical guidelines regarding the thickened liquids intervention. Methods A systematic review was conducted on stroke clinical guidelines retrieved via searches conducted across a range of databases including Academic Search Complete, CINAHL, MEDLINE and the Cochrane Library as well as through association websites. Guidelines were eligible for inclusion if they focused on adult stroke populations, made recommendations relating to the intervention of ...
http://hdl.handle.net/10344/8667
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Dynapaenic obesity and its association with health outcomes in older adult populations: Protocol for a systematic review
(2019)
Leahy, Siobhan; Cassarino, Marica; O'Connell, Matthew D. L.; Glynn, Liam G.; Galvi...
Dynapaenic obesity and its association with health outcomes in older adult populations: Protocol for a systematic review
(2019)
Leahy, Siobhan; Cassarino, Marica; O'Connell, Matthew D. L.; Glynn, Liam G.; Galvin, Rose
Abstract:
Two major global health challenges are the rapidly ageing population and the high prevalence of obesity in all age groups. Older adults are also susceptible to age-related loss of muscle strength, termed dynapaenia. The co-occurrence of both obesity and dynapaenia, termed dynapaenic obesity (DO), has been associated with poorer health outcomes and increased healthcare usage compared with either state alone. The purpose of this systematic review is to quantify the prevalence and incidence of DO in older adult populations, and to explore the association between DO and health outcomes, specifically chronic disease and multimorbidity, functional disability and healthcare usage. Methods and analysis Using the Meta-analyses Of Observational Studies in Epidemiology guidelines, we will conduct a systematic review of cross-sectional and longitudinal observational studies of older adults, which include measures of DO and specified outcomes. Detailed literature searches of will be conducted us...
http://hdl.handle.net/10344/7888
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Effectiveness of early assessment and intervention by interdisciplinary teams including health and social care professionals in the emergency department: protocol for a systematic review.
(2018)
Cassarino, Marica; Robinson, Katie; Quinn, Rosie; Naddy, Breda; O'Regan, Andrew; R...
Effectiveness of early assessment and intervention by interdisciplinary teams including health and social care professionals in the emergency department: protocol for a systematic review.
(2018)
Cassarino, Marica; Robinson, Katie; Quinn, Rosie; Naddy, Breda; O'Regan, Andrew; Ryan, Damien; Boland, Fiona; Ward, Marie E; McNamara, Rosa; McCarthy, Gerard; Galvin, Rose
Abstract:
<p>The original article is available at <a href="https://bmjopen.bmj.com/content/8/7/e023464.long">bmjopen.bmj.com</a></p>
<p><strong>INTRODUCTION:</strong> Finding cost-effective strategies to improve patient care in the emergency department (ED) is an increasing imperative given growing numbers of ED attendees. Encouraging evidence indicates that interdisciplinary teams including health and social care professionals (HSCPs) enhance patient care across a variety of healthcare settings. However, to date no systematic reviews of the effectiveness of early assessment and/or interventions carried by such teams in the ED exist. This systematic review aims to explore the impact of early assessment and/or intervention carried out by interdisciplinary teams including HSCPs in the ED on the quality, safety and cost-effectiveness of care, and to define the content of the assessment and/or intervention offered by HSCPs.</p> <p&g...
https://epubs.rcsi.ie/gpart/141
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Effectiveness of early assessment and intervention by interdisciplinary teams including health and social care professionals in the emergency department:protocol for a systematic review
(2018)
Cassarino, Marica; Robinson, Katie; Quinn, Rosie; Naddy, Breda; O'Regan, Andrew; R...
Effectiveness of early assessment and intervention by interdisciplinary teams including health and social care professionals in the emergency department:protocol for a systematic review
(2018)
Cassarino, Marica; Robinson, Katie; Quinn, Rosie; Naddy, Breda; O'Regan, Andrew; Ryan, Damien; Boland, Fiona; Ward, Marie E.; McNamara, Rosa; McCarthy, Gerard; Galvin, Rose
Abstract:
Introduction Finding cost-effective strategies to improve patient care in the emergency department (ED) is an increasing imperative given growing numbers of ED attendees. Encouraging evidence indicates that interdisciplinary teams including health and social care professionals (HSCPs) enhance patient care across a variety of healthcare settings. However, to date no systematic reviews of the effectiveness of early assessment and/or interventions carried by such teams in the ED exist. This systematic review aims to explore the impact of early assessment and/or intervention carried out by interdisciplinary teams including HSCPs in the ED on the quality, safety and cost-effectiveness of care, and to define the content of the assessment and/or intervention offered by HSCPs. Methods and analysis Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses standardised guidelines, we will conduct a systematic review of randomised controlled trials (RCTs), non-RCTs, controll...
http://hdl.handle.net/10344/7023
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Enhancing existing formal home care to improve and maintain functional status in older adults: protocol for a feasibility study on the implementation of the Care to Move (CTM) programme in an Irish healthcare setting
(2020)
Horgan, Frances N.; Cummins, Vanda; Doyle, Frank; O'Sullivan, Maria; Galvin, Rose;...
Enhancing existing formal home care to improve and maintain functional status in older adults: protocol for a feasibility study on the implementation of the Care to Move (CTM) programme in an Irish healthcare setting
(2020)
Horgan, Frances N.; Cummins, Vanda; Doyle, Frank; O'Sullivan, Maria; Galvin, Rose; Burton, Elissa; Sorensen, Jan; Skelton, Dawn A.; Townley, Bex; Rooney, Debbie; Jackson, Gill; Swan, Lauren; Warters, Austin
Abstract:
An increasing ageing population leads to greater demand for care services to help maintain people in their own homes. Physical activity programmes have been shown to improve older adults’ functional capacity, enabling the older adult to live independently and maintain functional status. There has been a lack of quality research conducted around physical activity within the landscape of home care services. We describe a feasibility study of implementing the Care to Move (CTM) programme in older adults receiving low-level home care. A Phase 1 mixed-methods feasibility study design will explore the recruitment, attrition, retention, costs to deliver and data loss. It will also explore the acceptability and impact of the CTM programme on older adults and thematic analysis of data collected from older people, home care workers and relevant stakeholders through use of semi-structured interviews and focus groups. We will measure functional status and fall outcomes in older adults receiving...
http://hdl.handle.net/10344/8744
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Fall-related experiences of stroke survivors: a meta-ethnography
(2016)
Walsh, Mary E.; Galvin, Rose; Horgan, Frances N.
Fall-related experiences of stroke survivors: a meta-ethnography
(2016)
Walsh, Mary E.; Galvin, Rose; Horgan, Frances N.
Abstract:
PURPOSE: Health professionals view falls after stroke as common adverse events with both physical and psychological consequences. Stroke survivors' experiences are less well understood. The aim of this systematic review was to explore the perception of falls-risk within the stroke recovery experience from the perspective of people with stroke. METHODS: A systematic literature search was conducted. Papers that used qualitative methods to explore the experiences of individuals with stroke around falls, falls-risk and fear of falling were included. Two reviewers independently assessed the methodological quality of papers. Meta-ethnography was conducted. Concepts from each study were translated into each other to form theories that were combined through a "lines-of-argument" synthesis. RESULTS: Four themes emerged from the six included qualitative studies: (i) Fall circumstances, (ii) perception of fall consequences, (iii) barriers to community participation and (...
http://hdl.handle.net/10344/6045
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Fall-related experiences of stroke survivors: a meta-ethnography.
(2016)
Walsh, Mary Elizabeth; Galvin, Rose; Horgan, Frances
Fall-related experiences of stroke survivors: a meta-ethnography.
(2016)
Walsh, Mary Elizabeth; Galvin, Rose; Horgan, Frances
Abstract:
<p>This is an Accepted Manuscript of an article published by Taylor & Francis in Disability and Rehabilitation on 23 Mar 2016, available online: <a href="http://www.tandfonline.com/doi/abs/10.3109/09638288.2016.1160445"><strong>http://www.tandfonline.com/doi/abs/10.3109/09638288.2016.1160445</strong></a></p> <p><strong><br /></strong></p>
<p>PURPOSE: Health professionals view falls after stroke as common adverse events with both physical and psychological consequences. Stroke survivors' experiences are less well understood. The aim of this systematic review was to explore the perception of falls-risk within the stroke recovery experience from the perspective of people with stroke.</p> <p>METHODS: A systematic literature search was conducted. Papers that used qualitative methods to explore the experiences of individuals with stroke around falls, falls-risk and fear of falling we...
https://epubs.rcsi.ie/sphysioart/26
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Falls Related Events In The First Year After Stroke In Ireland: Results Of The Multi-Centre Prospective FREESE Cohort Study
(2018)
Walsh, Mary E; Galvin, Rose; Williams, David; Harbison, Joseph A; Murphy, Sean; Collins...
Falls Related Events In The First Year After Stroke In Ireland: Results Of The Multi-Centre Prospective FREESE Cohort Study
(2018)
Walsh, Mary E; Galvin, Rose; Williams, David; Harbison, Joseph A; Murphy, Sean; Collins, Ronan; McCabe, Dominick; Crowe, Morgan; Horgan, Frances
Abstract:
<p>The original article is available at <a href="http://journals.sagepub.com/">http://journals.sagepub.com/</a></p>
<p><strong>Introduction:</strong> Falls are common post-stroke adverse events. This study aimed to describe the first-year falls incidence, circumstances and consequences among persons discharged home after stroke in Ireland, and to examine the association between potential risk factors and recurrent falls.</p> <p><strong>Patients and Methods:</strong> Patients with acute stroke and planned home-discharge were recruited consecutively from five hospitals. Variables recorded pre-discharge included: age, stroke severity, co-morbidities, fall history, prescribed medications, hemi-neglect, cognition, and functional independence (Barthel Index). Falls were recorded with monthly diaries, and six and 12-month interviews. The association of pre-discharge factors with recurrent falls (>1 fall) was...
https://epubs.rcsi.ie/sphysioart/28
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Falls related EvEnts in the first year after StrokE in Ireland: results of the multi-centre prospective FREESE cohort study
(2018)
Walsh, Mary E.; Galvin, Rose; Williams, David JP.; Harbison, Joseph A.; Murphy, Sean; C...
Falls related EvEnts in the first year after StrokE in Ireland: results of the multi-centre prospective FREESE cohort study
(2018)
Walsh, Mary E.; Galvin, Rose; Williams, David JP.; Harbison, Joseph A.; Murphy, Sean; Collins, Ronan; McCabe, Dominick JH.; Crowe, Morgan; Horgan, Frances N.
Abstract:
Introduction: Falls are common post-stroke adverse events. This study aimed to describe the first-year falls incidence, circumstances and consequences among persons discharged home after stroke in Ireland, and to examine the association between potential risk factors and recurrent falls. Patients and Methods: Patients with acute stroke and planned home-discharge were recruited consecutively from five hospitals. Variables recorded pre-discharge included: age, stroke severity, comorbidities, fall history, prescribed medications, hemi-neglect, cognition, and functional independence (Barthel Index). Falls were recorded with monthly diaries, and six and 12-month interviews. The association of pre-discharge factors with recurrent falls (>1 fall) was examined using univariable logistic regression. Results: 128 participants (mean age=68.6, SD=13.3) were recruited. 110 completed 12-month follow-up. The first-year falls-incidence was 44.5% (95%CI=35.1-53.6) with 25.6% falling repeatedly (9...
http://hdl.handle.net/10344/7200
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Family physicians perceived role in perinatal mental health: an integrative review
(2018)
Noonan, Maria; Doody, Owen; Jomeen, Julie; O'Regan, Andrew; Galvin, Rose
Family physicians perceived role in perinatal mental health: an integrative review
(2018)
Noonan, Maria; Doody, Owen; Jomeen, Julie; O'Regan, Andrew; Galvin, Rose
Abstract:
Background: Responding to and caring for women who experience mental health problems during the perinatal period, from pregnancy up to one year after birth, is complex and requires a multidisciplinary response. Family physicians are ideally placed to provide an effective response as it is recognised that they are responsible for organising care and supports for women and their families. This paper reports an integrative review undertaken to examine family physicians’ perceived role in perinatal mental health care and concludes with recommendations for health policy, research and practice. Method: A systematic search of literature in seven databases from January 2000 to March 2016 identified a total of 1125 articles. Qualitative, quantitative and mixed-method studies were eligible for inclusion if they explored family physicians’ experiences of caring for women who experience perinatal mental health problems. Results: Thirteen articles reporting 11 studies met the inclusion criteria ...
http://hdl.handle.net/10344/7132
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First year post-stroke healthcare costs and fall-status among those discharged in the community
(2018)
Walsh, Mary E.; Sorensen, Jan; Galvin, Rose; Williams, David JP.; Harbison, Joseph A.; ...
First year post-stroke healthcare costs and fall-status among those discharged in the community
(2018)
Walsh, Mary E.; Sorensen, Jan; Galvin, Rose; Williams, David JP.; Harbison, Joseph A.; Murphy, Sean; Collins, Ronan; McCabe, Dominick JH.; Crowe, Morgan; Horgan, Frances N.
Abstract:
Introduction: Falls are common post-stroke events but their relationship with healthcare costs is unclear. The aim of this study was to examine the relationship between healthcare costs in the first year after stroke and falls among survivors discharged to the community. Patients and Methods: Survivors of acute stroke with planned home-discharges from five large hospitals in Ireland were recruited. Falls and healthcare utilisation data were recorded using inpatient records, monthly calendars and post-discharge interviews. Cost of stroke was estimated for each participant from hospital admission for one year. The association of fall-status with overall cost was tested with multivariable linear regression analysis adjusting for pre-stroke function, stroke severity, age and living situation. Results: 109 stroke survivors with complete follow-up data (mean age=68.5 years (SD=13.5 years)) were included. 53 participants (49%) fell following stroke, of whom 28 (26%) had recurrent falls. Es...
http://hdl.handle.net/10344/7199
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