ORCID Profile
0000-0002-0111-2341
Current Organisations
University of Birmingham
,
University Hospitals Birmingham NHS Foundation Trust
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Publisher: Wiley
Date: 29-07-2019
DOI: 10.1002/CAPR.12252
Publisher: Wiley
Date: 13-08-2002
DOI: 10.1046/J.1365-2648.2002.02307.X
Abstract: The assessment of clinical competence has returned to centre stage of nurse education. However, there is little evidence to support the use of clinical competence and a wide variety of methods for its use. The present study was designed to investigate the evidence for the use of clinical competence assessment in nursing. A review using systematic methods of literature pertaining to clinical competence in nursing was conducted using defined dates, databases and search terms. There is still considerable confusion about the definition of clinical competence and most of the methods in use to define or measure competence have not been developed systematically and issues of reliability and validity have barely been addressed. The assessment of clinical competence remains almost universally accepted in the nurse education literature as a laudable pursuit yet there are aspects of it that remain at odds with the higher education of nurses.
Publisher: Wiley
Date: 09-06-2017
DOI: 10.1111/INR.12380
Abstract: To test the effect on patient mortality of implementing a nursing systems framework across a national health system. There have been five previous observational studies that have tested the effect of a nursing systems framework on clinical outcomes for patients. Implementation of a nursing systems framework in the health system of a developing country has not been evaluated. Quasi-experimental (before and after) study. A nursing systems framework consisting of six themes: (i) Professionalisation (ii) Education (iii) Structure (iv) Quality of nursing care (v) An academic health system and (vi) Communication (Professional), was implemented across the national health system of Qatar in March 2015. Routine administrative data were extracted (March 2014-February 2016) for elective admissions. Our primary and secondary outcomes were, respectively, all cause mortality at discharge and readmission to hospital (within 28 days of discharge). We split the data into two time periods: before (March 2014-February 2015) and after (March 2015-February 2016) the implementation of the nursing systems framework. Multivariable regression modelling was used to examine the effect of the framework on patient mortality, after adjusting for key confounding variables (patient age, episode acuity, intensive care admission and length of stay). Data were extracted for 318 548 patients (year 1 = 130 829 year 2 = 187 725). After adjusting for confounding, there was a significant association between the implementation of the nursing systems framework, mortality and readmission. Our observations suggest that the implementation of a nursing systems framework may be important in improving outcomes for patients in emerging health systems.
Publisher: Wiley
Date: 27-07-2016
DOI: 10.1111/JAN.13059
Abstract: To investigate the relationship between patient mortality and the educational preparation (graduateness) of the nurses who cared for them. There have been 18 studies over the last two decades examining the effect of nurses' educational qualifications on mortality. All but three have used mortality data aggregated at the hospital level that has been combined with surveys of nurses to estimate the level of graduateness in the population. Data collection and extraction generally has been done at different points in time. A retrospective, cross-sectional study. Routine administrative patient data were extracted (May-August 2015). The primary outcome was all-cause patient mortality at discharge. We were able to identify the in idual nurses who provided care during patients inpatient stay using an identification number. We were then able to calculate the 'graduateness' of the nursing care patients received by iding the number of recorded episodes of care provided by baccalaureate prepared nurses with the total number of care episodes. After adjusting for confounding, we observed a significant association between patient mortality and nurse graduateness. Our observations suggest an optimum level of baccalaureate prepared nurses of approximately 70%. Above this level, there appears to be no additional decrease in mortality rates. This study represents an important methodological step forward over previous approaches. Our observations are generally consistent with existing literature and confirm the importance of baccalaureate nurse education.
Publisher: Springer Science and Business Media LLC
Date: 16-07-2017
Publisher: Hindawi Limited
Date: 26-09-2016
DOI: 10.1111/ECC.12577
Publisher: Wiley
Date: 26-12-2014
DOI: 10.1111/IJUN.12064
Publisher: Wiley
Date: 02-03-2018
DOI: 10.1111/INR.12450
Abstract: Most studies have reported that higher levels (baccalaureate degree) of educational attainment by nurses are associated with lower levels of patient mortality. Researchers working in developed economies (e.g. North America and Europe) have almost exclusively conducted these studies. The value of baccalaureate nurse education has not been tested in countries with a developing economy. A retrospective observational study conducted in seven hospitals. Patient mortality was the main outcome of interest. Anonymized data were extracted from nurses and patients from two different administrative sources and linked using the staff identification number that exists in both systems. We used bivariate logistic regression models to test the association between mortality and the educational attainment of the admitting nurse (responsible for assessment and care planning). Data were extracted for 11 918 (12, 830 admissions) patients and 7415 nurses over the first 6 months of 2015. The majority of nurses were educated in South Asia and just over half were educated to at least bachelor degree level. After adjusting for confounding and clustering, nurse education was not found to be associated with mortality. Our observations may suggest that in a developing economy, the academic level of nurses' education is not associated with a reduction in patient mortality. Findings should be interpreted with considerable caution but do challenge widely held assumptions about the value of baccalaureate-prepared nurses. Further research focused on nursing education in developing economies is required to inform health policy and planning.
Publisher: Wiley
Date: 14-10-2014
DOI: 10.1111/IJUN.12055
Publisher: Wiley
Date: 02-05-2019
DOI: 10.1111/IJUN.12191
Publisher: Wiley
Date: 06-02-2020
DOI: 10.1111/COA.13508
Abstract: This paper explores the concept of advocacy in head and neck cancer. We define inherent challenges in the development and success of advocacy within this context and offer ways to embed it within clinical practice. We outline what advocacy is, ways in which it may benefit people with head and neck cancer and the engagement required from healthcare professionals to facilitate advocacy to improve outcomes.
Publisher: Wiley
Date: 10-06-2020
DOI: 10.1111/IJUN.12236
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for Anne Topping.