Tag Archives: ethics

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CaHRU attends 999 EMS Research Forum conference 2018 in Stirling

999EMSpreconferenceThis year’s annual EMS 999 Research Forum, ‘Research for impact in 999 Emergency Care’ was held in the University of Stirling’s picturesque campus from 26-27 March 2018 and was attended by members of CaHRU, Viet-Hai Phung, Laura Simmons, Greg Whitley and Professor Niro Siriwardena. The preconference sessions included two workshops: Professor Rowena Murray from the University of the West of Scotland led a session on how to write a peer reviewed paper; the other session involved CaHRU’s Professor Niro Siriwardena, with Professor Helen Snooks from the University of Swansea and Roy Norris from Service Users for Primary and Emergency Care Research (SUPER), leading a session on designing and planning research projects and getting them funded.

999EMSShona Robison, the Cabinet Minister for Health and Sport in the Scottish Government introduced the start of the second day. This started with presentations on research that makes a difference and the links between prehospital research and Out-of-Hospital Cardiac Arrest (OHCA). There then followed a series of four oral presentations, which included a sensitive one from Kelly Hird and Fiona Bell from Yorkshire Ambulance Service about suicide among ambulance staff, and Belinda Flanagan, from the University of the Sunshine Coast in Australia, who presented her work on unplanned births in paramedic care.

vhp2There was a CaHRU representation in the post-lunch poster session with Viet-Hai Phung presenting on the ‘Perceptions and experiences of community first responders on their role and relationships: qualitative interview study’, Rob Spaight from East Midlands Ambulance Service NHS Trust presenting work led by Dr Murray Smith on ‘Modelling of patient outcomes after emergency treatment for out-of-hospital cardiac arrest by paramedics and community first responders’ and Prof Niro Siriwardena presenting an interview study led by Dr Stephanie Armstrong of paramedics’ perceptions of the ethics of ambulance-based trials. Last year’s prize winner, Dr Edward Duncan, from Stirling University, subsequently recounted his experience of presenting at the Paramedic Australasia International Conference.

999EMSpanelThe final substantive session of the conference was a lively and thought-provoking panel discussion which included Janette Turner from the University of Sheffield and Professor Niro Siriwardena, on future priorities for prehospital research. The conference closed with a prize giving session for some excellent presentations and posters that were given throughout the conference.

By Viet-Hai Phung

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CaHRU team at Imperial College London for international partnership to improve primary care with South Asia

icl_cahruMembers of the Community and Health Research Unit, Dr Stephanie Armstrong, Dr Murray Smith, Professor Graham Law and Professor Niro Siriwardena attended a week long meeting with colleagues from Imperial College London (Professor Azeem Majeed, Dr Matthew Harris, Dr Yasser Bhatti, Dr Mala Rao, Professor Peter Childs and Professor James Barlow), Sri Lanka (Drs Rivaiz Haniffa and Dr Sajeeva Ranaweera, University of Colombo), Pakistan (Dr Asim Mahmood of Integrated Health Services) and Bangladesh (Dr Foysol Chowdhury of BRAC) to develop a collaboration exploring frugal innovation and quality improvement in primary care in middle income countries in South Asia.

The meeting consisted of seminars, presentations and discussions on the current systems of primary care in Sri Lanka, Pakistan, Bangladesh, other countries such as Brazil, and the United Kingdom, those systems being developed to improve care, how we could introduce frugal low cost innovations to enhance care in low and middle income countries and how these innovations could be introduced into the UK through ‘reverse innovation’. There were also presentations on research ethics and intellectual property.

taj2During the week’s meeting professor Siriwardena was invited to give a presentation on his work on quality improvement, specifically on ‘Quality Improvement Collaboratives: theory, design and effects’. This summarised work on three large scale QICs, Resources for Effective Sleep Treatment (REST), the Ambulance Services Cardiovascular Quality Initiative (ASCQI) and Scaling up PINCER, a pharmacist intervention to reduce clinically important prescribing errors in primary care, all funded by the Health Foundation and the last also co-funded by East Midlands Academic Health Science network. The talk developed the idea that collaboratives had different purposes and that syntheses should take this into account.

The meeting finished with partners agreeing to work together in future, support each other on the need to develop primary care and to implement frugal innovations as part of quality improvement initiatives in the countries involved.

By Professor Niro Siriwardena

[su_document url=”https://communityandhealth.dev.lincoln.ac.uk/files/2018/03/QICs_ICSiriwardena.pdf” width=”660″ responsive=”no”]Multi-morbidity, goal-oriented care, the community and equity[/su_document]

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First publication from the NEAT project on consent in ambulance trials

Got-Consent-Logo-2CaHRU are pleased to announce the first publication from the Wellcome Trust funded project, NEAT: Network exploring Ethics in Ambulance Trials. The article, entitled ‘Assessment of consent models as an ethical consideration in the conduct of prehospital ambulance randomised controlled clinical trials: a systematic review‘, sought to understand the main ethical considerations when conducting clinical trials involving ambulance services.

NThe review found  issues with consent were the most significant ethical issue for ambulance trials. The type of consent gained differed depending on the condition or intervention being studied, but the country in which the research took place had less influence on the type of consent. The terminology used to describe consent varied widely with multiple terms used to describe the same processes. This, coupled with the the wide range of consent types used led to the conclusion that standardisation of consent models and terminology used to describe them was warranted.

The systematic review  was published in BMC Medical Research Methodology and is available open access at the following link: http://rdcu.be/vUxW

By Stephanie Armstrong.

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CaHRU students win top spots to present at SAPC Annual Scientific Meeting

sapcposterSeveral members of the Community and Health Research Unit have been selected for oral and elevator presentations at the forthcoming Society for Academic Primary Care Annual Scientific Meeting (SAPC ASM). This year’s conference will take place at the University of Warwick. The SAPC annual conference is the main international conference for primary care in the UK.

Dr Julie Pattinson will speak on her study, ‘Understanding reasons for variation by ethnicity in performance of general practice specialty trainees in the Membership of the Royal College of General Practitioners’ Applied Knowledge Test: cognitive interview study’.

Dr Zahid Asghar will also give an oral presentation on, ‘Performance of candidates with dyslexia in the Applied Knowledge Test for Membership of the Royal College of General Practitioners.’

An oral presentation will be given by Dr Murray Smith on the ‘Effect on hypnotic prescribing of a quality improvement collaborative for primary care of insomnia: a segmented regression analysis’.

CaHRU_logotypeDr Steph Armstrong will also speak at an elevator session on, ‘Ethical considerations in prehospital ambulance based research: an interview study of expert informants’, a study funded by the Wellcome Trust as part of the Network for exploring Ethics in Ambulance Trials (NEAT) project.

Michael Toze, will give an elevator pitch on his doctoral study, ‘Coming out in General Practice: the experience of older LGBT patients – his place ta the confernece was funded through the Best Oral Presentation Prize at the recent Trent Regional SAPC Conference hosted by CaHRU and the University of Lincoln.

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Finally, the abstract submitted by Joseph Akanuwe, research assistant and doctoral student at CaHRU, ‘Exploring Service User and practitioner perspectives of QCancer use in primary care consultations’ was among the top 10 highest scoring abstracts and will be eligible to be considered for the SAPC/North American Primary Care Research Group travel prize.

The whole team have done particularly well this year to be awarded oral and elevator pitches for all abstracts presented, but our doctoral students in particular have excelled.

By Niro Siriwardena

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CaHRU seminar – Incorporating ethical considerations in research – Dr Stephanie Armstrong

CaHRU_logotypeThe latest CaHRU Implementation Science and Research Methods seminar was given on November 22nd 2016 by CaHRU’s very own Dr Stephanie Armstrong. Stephanie, currently a Lecturer in Healthcare Quality Improvement at the University of Lincoln, comes from a diverse background, starting in the fields of Zoology (Trinity College Dublin) and Equine Studies (University of Coventry), moving on to studying Forensic Anthropology (University of Lincoln) and working on ethics and human rights. She is now researching the ethics of ambulance trials through a grant funded by the Wellcome Trust: Network exploring Ethics of Ambulance Trials (NEAT).

Stephanie’s talk focused on research ethics. She started the seminar by asking the participants to think about ethics Steph750 11.16and what their definition of ethics was. After a quick discussion around the participants’ thoughts, Stephanie gave an overall definition of research ethics and discussed issues around both the philosophical and legal aspects of ethics. The majority of the seminar was around the four basic constructs of research ethics: autonomy, non-maleficence, beneficence, and justice. Stephanie discussed the most relevant and important laws concerning research, such as the Mental Capacity Act (2005) and the Medicines for Human Use (Clinical Trials) Regulations (2004) – for Clinical Trials Involving Medicinal Products (CTIMPs), before reviewing the different types of participant consent used in research studies. At the end of the seminar, Stephanie reminded the attendees of the importance of ethics in animal research and discussed issues around its governance by the Animals (Scientific Procedures) Act 1986.

NThe seminar was very well presented and raised some very important issues around research ethics. The next Implementation Science and Research Methods seminar will be presented by Professor Chris Bridle, Director of the Institute for Health at the University of Lincoln, on Tuesday December 6th 2016. His topic will be “Accumulative Evidence Synthesis: fast track through the implementation pipeline”.

By Despina Laparidou