17 results found
Lloyd R, Munro J, Evans K, et al., 2023, Health service improvement using positive patient feedback: systematic scoping review, PLoS One, Vol: 18, ISSN: 1932-6203
BackgroundHealthcare services regularly receive patient feedback, most of which is positive. Empirical studies suggest that health services can use positive feedback to create patient benefit. Our aim was to map all available empirical evidence for how positive patient feedback creates change in healthcare settings.MethodsEmpirical studies in English were systematically identified through database searches (ACM Digital Library, AMED, ASSIA, CINAHL, MEDLINE and PsycINFO), forwards and backwards citation, and expert consultation. We summarise the characteristics of included studies and the feedback they consider, present a thematic synthesis of qualitative findings, and provide narrative summaries of quantitative findings.Results68 papers were included, describing research conducted across six continents, with qualitative (n = 51), quantitative (n = 10), and mixed (n = 7) methods. Only two studies were interventional. The most common settings were hospitals (n = 27) and community healthcare (n = 19). The most common recipients were nurses (n = 29). Most outcomes described were desirable. These were categorised as (a) short-term emotional change for healthcare workers (including feeling motivated and improved psychological wellbeing); (b) work-home interactional change for healthcare workers (such as improved home-life relationships); (c) work-related change for healthcare workers (such as improved performance and staff retention). Some undesirable outcomes were described, including envy when not receiving positive feedback. The impact of feedback may be moderated by characteristics of particular healthcare roles, such as night shift workers having less interaction time with patients. Some factors moderating the change created by feedback are modifiable.ConclusionFurther interventional research is required to assess the effectiveness and cost-effectiveness of receiving positive feedback in creating specific forms of change such as increases in staff retention. Healthca
Borowicz J, Zhang Z, Day G, et al., 2022, Vaccine equity in COVID-19: a meta-narrative review, BMJ Global Health, Vol: 7, Pages: 1-12, ISSN: 2059-7908
The topic of inequitable vaccine distribution has been widely discussed by academics, journalists, and policy-makers in the context of the COVID-19 pandemic. However, research into perceptions of vaccine equity have been particularly neglected, resulting in a lack of universal understanding of vaccine equity.To address this, we conducted a meta-narrative review on COVID-19 vaccine equity according to the Realist And MEta-narrative Evidence Syntheses: Evolving Standards (RAMESES) publication standard. The review included articles published between January 2020 and September 2021. It aims to 1) identify research traditions that have considered this topic and investigate how it has been conceptualised; 2) explore any potential differences in understandings of the concept of vaccine equity adopted by distinct research groups; and 3) to investigate the angles from which authors based their recommendations on how vaccine equity can be achieved.Five meta-narratives from literature across various research traditions are identified, contextualised, and discussed: Frameworks and Mechanisms for Vaccine Allocation, Global Health Law, Vaccine Nationalism, Ethics and Morality, and Reparative Justice. Our findings indicate the need for a comparative review of existing global COVID-19 allocation frameworks, with a focus on explicating understandings of vaccine equity. COVID-19 will not be the last it is desirable to reach a consensus on what constitutes progress on equitable development, production, distribution and research.
Day G, 2022, Creative practice: give it a go to grow, InnovAiT, Vol: 15, Pages: 373-374, ISSN: 1755-7380
Why is creativity a valuable skill for health professionals? ‘Medicine is an art as well as a science’ is a cliché but it is not without truth. ‘Art’ in this context does not mean the ability to paint or sculpt. It means having the confidence to trust yourself to make sound judgements when the situation cannot be resolved by recourse to science alone. Patients do not generally present in the guise of multiple-choice questions. Often there is no possibility of a single right answer, merely options in which exercising good judgement requires a mix of intuition and intelligence. Above all, the art of medicine is the recognition that the ability to respond effectively and compassionately to people in distress is not governed by protocols or mnemonics. It requires ingenuity. We must engage our moral imaginations to think ourselves into the predicament of others. The art of good doctoring is finding a balance between identifying with patients enough to convey that they matter, and not so much that it causes you to become emotionally exhausted. Having a sound sense of yourself as a creative being equips you to tap into your own resourcefulness and imagination, to care for others and, by extension, to care for yourself.
Day G, Robert G, Leedham-Green K, et al., 2022, An outbreak of appreciation: A discursive analysis of tweets of gratitude expressed to the National Health Service at the outset of the COVID-19 pandemic, Health Expectations, Vol: 25, Pages: 149-162, ISSN: 1369-6513
BACKGROUND: The early stages of the coronavirus disease 2019 pandemic prompted unprecedented displays of gratitude to healthcare workers. In the United Kingdom, gratitude was a hotly debated topic in public discourse, catalysing compelling displays of civic togetherness but also attracting criticism for being an unhelpful distraction that authorized unrealistic expectations of healthcare workers. Expressions of thanks tend to be neglected as drivers of transformation, and yet, they are important indicators of qualities to which people attach significance. OBJECTIVE: This study aimed to use discursive analysis to explore how the National Health Service (NHS) was constructed in attention-attracting tweets that expressed and/or discussed gratitude to the NHS. METHODS: Having determined that Twitter was the most active site for traffic relating to gratitude and the NHS, we established a corpus of 834 most-liked tweets, purposively sampled from Twitter searches on a day-by-day basis over the period of the first lockdown in the United Kingdom (22 March-28 May 2020). We developed a typology for tweets engaging with gratitude as well as analysing what the NHS was thanked for. RESULTS: Our analysis, informed by a discursive psychology approach, found that the meanings attributed to gratitude were highly mobile and there were distinct patterns of activity. The NHS was predominantly-and sometimes idealistically-thanked for working, effort, saving and caring. Displays of gratitude were seen as incommensurable with failures of responsibility. The clap-for-carers campaign was a potent driver of affect, especially in the early parts of the lockdown. CONCLUSIONS: The social value of gratitude is implicated in the re-evaluation of the risks and rewards of healthcare and social care work in the wake of the pandemic. We caution against cynicism about gratitude overshadowing the well-being effects that expressing and receiving gratitude can engender, particularly given concerns over th
Day G, 2021, Reflecting on 'Encountering Pain', Encountering Pain Hearing, seeing, speaking, Editors: Padfield, Zakrzewska, Publisher: UCL Press, Pages: 370-378, ISBN: 9781787352636
How do we respond to the pain of another, and can we do it better? Can explaining how pain works help us handle it? This unique compilation of voices addresses these and bigger questions.
Day G, Robert G, Rafferty AM, 2020, Gratitude in health care: a meta-narrative review., Qualitative Health Research, Vol: 30, Pages: 2303-2315, ISSN: 1049-7323
Research into gratitude as a significant sociological and psychological phenomenon has proliferated in the past two decades. However, there is little consensus on how it should be conceptualized or investigated empirically. We present a meta-narrative review that focuses on gratitude in health care, with an emphasis on research exploring interpersonal experiences in the context of care provision. Six meta-narratives from literatures across the humanities, sciences, and medicine are identified, contextualized, and discussed: gratitude as social capital; gifts; care ethics; benefits of gratitude; gratitude and staff well-being; and gratitude as an indicator of quality of care. Meta-narrative review was a valuable framework for making sense of theoretical antecedents and findings in this developing area of research. We conclude that greater attention needs to be given to what constitutes "evidence" in gratitude research and call for qualitative studies to better understand and shape the role and implications of gratitude in health care.
Harvey P, Chiavaroli N, Day G, 2020, Arts and humanities in health professional education, Clinical Education for the Health Professions, Editors: Nestel, Reedy, McKenna, Gough, Publisher: Springer Singapore, Pages: 1-18, ISBN: 9789811361067
This chapter provides a perspective on clinical education through the lens of the humanities. It discusses enhancing clinical expertise by focusing learning on affective aspects of a learner’s discipline, assisting their development as effective health professionals.
Day G, 2019, Enhancing relational care through expressions of gratitude: insights from a historical case study of almoner-patient correspondence, Medical Humanities, Vol: 46, Pages: 288-298, ISSN: 1468-215X
This paper considers insights for contemporary medical practice from an archival study of gratitude in letters exchanged between almoners at London's Brompton Hospital and patients treated at the Hospital's tuberculosis sanatorium in Frimley. In the era before the National Health Service, almoners were responsible for assessing the entitlement of patients to charitable treatment, but they also took on responsibility for aftercare and advising patients on all aspects of welfare. In addition, a major part of the work of almoners at the Brompton was to record the health and employment status of former sanatorium patients for medical research. Of over 6000 patients treated between 1905 and 1963 that were tracked for the purposes of Medical Research Council cohort studies, fewer than 6% were recorded as 'lost to follow-up'-a remarkable testimony to the success of the almoners' strategies for maintaining long-term patient engagement. A longitudinal narrative case study is presented with illustrative examples of types of gratitude extracted from a corpus of over 1500 correspondents' letters. Patients sent money, gifts and stamps in gratitude for treatment received and for the almoners' ongoing interest in their welfare. Textual analysis of letters from the almoner shows the semantic strategies that position gratitude as central to the personalisation of an institutional relationship. The Brompton letters are conceptualised as a Maussian gift-exchange ritual, in which communal ties are created, consolidated and extended through the performance of gratitude. This study implicates gratitude as central to the willingness of former patients to continue to engage with the Hospital, sometimes for decades after treatment. Suggestions are offered for how contemporary relational healthcare might be informed by this unique collection of patients' and almoners' voices.
Day G, 2019, Creating Immersive Experiences, Playful Learning: Events and Activities to Engage Adults, Editors: Whitton, Moseley, Publisher: Routledge, Pages: 99-111, ISBN: 9781138496446
Day G, 2016, Establishing a Pulse: Arts for Reflection, Resilience, and Resonance in STEM Education, International Journal of Social, Political, and Community Agendas in the Arts, ISSN: 2326-9960
Day G, 2016, Establishing a Pulse: Arts for Reflection, Resilience, and Resonance in STEM Education, The International Journal of Social, Political and Community Agendas in the Arts, Vol: 11, Pages: 1-9, ISSN: 2326-9960
Kemp SJ, Day G, 2014, Teaching medical humanities in the digital world: affordances of technology-enhanced learning, MEDICAL HUMANITIES, Vol: 40, Pages: 125-130, ISSN: 1468-215X
Day G, 2013, Should medical students be required to study the arts? Yes, StudentBMJ, Vol: 21
Day G, 2012, Good grief: bereavement literature for young adults and <i>A Monster Calls</i>, MEDICAL HUMANITIES, Vol: 38, Pages: 115-119, ISSN: 1468-215X
Day G, 2010, A Hospital Odyssey, MEDICAL HUMANITIES, Vol: 36, Pages: 125-126, ISSN: 1468-215X
Day G, Cuming T, 2010, Fruit for Thought, JOURNAL OF GENERAL INTERNAL MEDICINE, Vol: 25, Pages: 96-97, ISSN: 0884-8734
Day G, Carter N, 2009, <i>Christmas 2009</i>: <i>Professional matters</i> Wards of the roses, BRITISH MEDICAL JOURNAL, Vol: 339, ISSN: 0959-535X
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