2 - Schools incorporating the Life Sciences and Medicine
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Item What are the motivating and hindering factors for health professionals to undertake new roles in hospitals? : A study among physicians, nurses and managers looking at Breast Cancer and Acute Myocardial Infarction care in nine countries(2018-10) Köppen, Julia; Maier, Claudia B.; Busse, Reinhard; MUNROS team; University of Aberdeen.Other Applied Health Sciences; University of Aberdeen.Health Economics Research Unit; University of Aberdeen.Aberdeen Centre for Evaluation; University of Aberdeen.Applied Medicine; University of Aberdeen.Medical SciencesItem Clinical decisions and time since rest break : An analysis of decision fatigue in nurses(2019-04) Allan, Julia L.; Johnston, Derek W.; Powell, Daniel J. H.; Farquharson, Barbara; Jones, Martyn C.; Leckie, George; Johnston, Marie; University of Aberdeen.Aberdeen Health Psychology Group; University of Aberdeen.Other Applied Health Sciences; University of Aberdeen.Institute of Applied Health Sciences; University of Aberdeen.Psychology; University of Aberdeen.Rowett InstituteItem Task shifting between physicians and nurses in acute care hospitals : cross-sectional study in nine countries(2018-05-25) Maier, Claudia B.; Köppen, Julia; Busse, Reinhard; MUNROS team; University of Aberdeen.Other Applied Health Sciences; University of Aberdeen.Institute of Applied Health Sciences; University of Aberdeen.Health Economics Research Unit; University of Aberdeen.Aberdeen Centre for Evaluation; University of Aberdeen.Medical SciencesItem A qualitative study of primary care professionals' views of case finding for depression in patients with diabetes or coronary heart disease in the UK(2013-04-04) Maxwell, Margaret; Harris, Fiona; Hibberd, Carina; Donaghy, Eddie; Pratt, Rebekah; Williams, Chris; Morrison, Jill; Gibb, Jennifer; Watson, Philip; Burton, Chris; University of Aberdeen.Irish and Scottish Studies; University of Aberdeen.University of Aberdeen; University of Aberdeen.Other Applied Health Sciences; University of Aberdeen.Institute of Applied Health SciencesItem The PRaCTICaL study of nurse led, intensive care follow-up programmes for improving long term outcomes from critical illness : a pragmatic randomised controlled trial(BMJ, 2009) Cuthbertson, Brian; Rattray, J; Campbell, Marion Kay; Gager, M; Roughton, S; Smith, A; Hull, A; Breeman, S; Norrie, John David; Jenkinson, David James; Hernández, Rodolfo Andrés; Johnston, Marie; Wilson, E; Waldman, C; PRaCTICaL Study Group; University of Aberdeen, School of Medicine & Dentistry, Division of Applied Health SciencesObjectives To test the hypothesis that nurse led follow-up programmes are effective and cost effective in improving quality of life after discharge from intensive care. Design A pragmatic, non-blinded, multicentre, randomised controlled trial. Setting Three UK hospitals (two teaching hospitals and one district general hospital). Participants 286 patients aged ≥18 years were recruited after discharge from intensive care between September 2006 and October 2007. Intervention Nurse led intensive care follow-up programmes versus standard care. Main outcome measure(s) Health related quality of life (measured with the SF-36 questionnaire) at 12 months after randomisation. A cost effectiveness analysis was also performed. Results 286 patients were recruited and 192 completed one year follow-up. At 12 months, there was no evidence of a difference in the SF-36 physical component score (mean 42.0 (SD 10.6) v 40.8 (SD 11.9), effect size 1.1 (95% CI −1.9 to 4.2), P=0.46) or the SF-36 mental component score (effect size 0.4 (−3.0 to 3.7), P=0.83). There were no statistically significant differences in secondary outcomes or subgroup analyses. Follow-up programmes were significantly more costly than standard care and are unlikely to be considered cost effective. Conclusions A nurse led intensive care follow-up programme showed no evidence of being effective or cost effective in improving patients’ quality of life in the year after discharge from intensive care. Further work should focus on the roles of early physical rehabilitation, delirium, cognitive dysfunction, and relatives in recovery from critical illness. Intensive care units should review their follow-up programmes in light of these results.
