Publications
114 results found
Wells M, Williams B, Treweek S, et al., 2012, Intervention description is not enough: evidence from an in-depth multiple case study on the untold role and impact of context in randomised controlled trials of seven complex interventions, Trials, Vol: 13, Pages: 1-17, ISSN: 1745-6215
BackgroundA number of single case reports have suggested that the context within which intervention studies take place may challenge the assumptions that underpin randomised controlled trials (RCTs). However, the diverse ways in which context may challenge the central tenets of the RCT, and the degree to which this information is known to researchers or subsequently reported, has received much less attention. In this paper, we explore these issues by focusing on seven RCTs of interventions varying in type and degree of complexity, and across diverse contexts.MethodsThis in-depth multiple case study using interviews, focus groups and documentary analysis was conducted in two phases. In phase one, a RCT of a nurse-led intervention provided a single exploratory case and informed the design, sampling and data collection within the main study. Phase two consisted of a multiple explanatory case study covering a spectrum of trials of different types of complex intervention. A total of eighty-four data sources across the seven trials were accessed.ResultsWe present consistent empirical evidence across all trials to indicate that four key elements of context (personal, organisational, trial and problem context) are crucial to understanding how a complex intervention works and to enable both assessments of internal validity and likely generalisability to other settings. The ways in which context challenged trial operation was often complex, idiosyncratic, and subtle; often falling outside of current trial reporting formats. However, information on such issues appeared to be available via first hand ‘insider accounts’ of each trial suggesting that improved reporting on the role of context is possible.ConclusionsSufficient detail about context needs to be understood and reported in RCTs of complex interventions, in order for the transferability of complex interventions to be assessed. Improved reporting formats that require and encourage the clarification of both ge
Harris R, Probst H, Beardmore C, et al., 2012, Radiotherapy skin care: A survey of practice in the UK, Radiography, Vol: 18, Pages: 21-27, ISSN: 1078-8174
Aim: The primary objective of the survey was to evaluate clinical skin care practice in radiotherapy departments across the United Kingdom. Methods and sample: A questionnaire containing sixty-one questions grouped into eight themed sections was developed and a link to an on-line survey, using the Survey Monkey™ tool, was e-mailed to all radiotherapy department managers in the United Kingdom (N=67). Each recipient was invited to provide one response per department. Key results: Fifty-four departments responded within the allocated timeframe giving a final response rate of 81%. Products and their use for skin conditions varied and some outdated and unfounded practices were still being used which did not always reflect the current evidence base. The amount of data routinely collected on skin toxicity was limited making it difficult to quantify the extent of skin morbidity following radiotherapy. Conclusion: The survey demonstrated variability in skin care practice in radiotherapy departments across the UK, with limited practice based on evidence or on skin toxicity measurement and monitoring. © 2011 The College of Radiographers.
Sandeman G, Wells M, 2011, The meaning and significance of routine follow-up in lung cancer - A qualitative study of patients' experiences and interpretations, EUROPEAN JOURNAL OF ONCOLOGY NURSING, Vol: 15, Pages: 339-346, ISSN: 1462-3889
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- Citations: 12
Ozakinci G, Wells M, Williams B, et al., 2010, Cancer diagnosis: An opportune time to help patients and their families stop smoking?, PUBLIC HEALTH, Vol: 124, Pages: 479-482, ISSN: 0033-3506
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- Citations: 9
Anderson AS, Caswell S, Wells M, et al., 2010, "It makes you feel so full of life" LiveWell, a feasibility study of a personalised lifestyle programme for colorectal cancer survivors, SUPPORTIVE CARE IN CANCER, Vol: 18, Pages: 409-415, ISSN: 0941-4355
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- Citations: 50
Wells M, 2009, Surveying the experience of living with metastatic breast cancer: Comparing face-to-face and online recruitment (paper 578), Journal of Research in Nursing, Vol: 14, Pages: 57-59, ISSN: 1744-9871
Wells M, Kelly D, 2008, The loneliness of cancer, EUROPEAN JOURNAL OF ONCOLOGY NURSING, Vol: 12, Pages: 410-411, ISSN: 1462-3889
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- Citations: 24
Harrow A, Wells M, Humphris G, et al., 2008, "Seeing is believing, and believing is seeing": An exploration of the meaning and impact of women's mental images of their breast cancer and their potential origins, PATIENT EDUCATION AND COUNSELING, Vol: 73, Pages: 339-346, ISSN: 0738-3991
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- Citations: 24
Harrow A, Wells M, Barbour RS, et al., 2008, Ambiguity and uncertainty: The ongoing concerns of male partners of women treated for breast cancer, EUROPEAN JOURNAL OF ONCOLOGY NURSING, Vol: 12, Pages: 349-356, ISSN: 1462-3889
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- Citations: 19
Wells M, Donnan PT, Sharp L, et al., 2008, A study to evaluate nurse-led on-treatment review for patients undergoing radiotherapy for head and neck cancer, JOURNAL OF CLINICAL NURSING, Vol: 17, Pages: 1428-1439, ISSN: 0962-1067
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- Citations: 45
Williams B, Entwistle VA, Haddow G, et al., 2008, Placing evidence in context: A response to Fry's commentary, SOCIAL SCIENCE & MEDICINE, Vol: 66, Pages: 1461-1462, ISSN: 0277-9536
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- Citations: 2
Williams B, Entwistle V, Haddow G, et al., 2008, Promoting research participation: Why not advertise altruism?, SOCIAL SCIENCE & MEDICINE, Vol: 66, Pages: 1451-1456, ISSN: 0277-9536
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- Citations: 67
MacBride SK, Wells ME, Hornsby C, et al., 2008, A Case Study to Evaluate a New Soft Silicone Dressing, Mepilex Lite, for Patients With Radiation Skin Reactions, CANCER NURSING, Vol: 31, Pages: E8-E14, ISSN: 0162-220X
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- Citations: 30
MacMillan MS, Wells M, MacBride S, et al., 2007, Randomized comparison of dry dressings versus hydrogel in management of radiation-induced moist desquamation, INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, Vol: 68, Pages: 864-872, ISSN: 0360-3016
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- Citations: 49
Miller M, Taylor A, Kearney N, et al., 2007, Evaluation of the feasibility and acceptability of an oral care diary by patients during chemotherapy, INTERNATIONAL JOURNAL OF NURSING STUDIES, Vol: 44, Pages: 693-701, ISSN: 0020-7489
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- Citations: 10
Krishnasamy M, Wells M, Wilkie E, 2007, Patients and carer experiences of care provision after a diagnosis of lung cancer in Scotland, SUPPORTIVE CARE IN CANCER, Vol: 15, Pages: 327-332, ISSN: 0941-4355
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- Citations: 42
Miller M, Taylor A, Wells M, et al., 2007, Health professionals' views of the feasibility and acceptability of an oral care diary by patients during chemotherapy, EUROPEAN JOURNAL OF ONCOLOGY NURSING, Vol: 11, Pages: 82-84, ISSN: 1462-3889
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- Citations: 2
Moore S, Wells M, Plant H, et al., 2006, Nurse specialist led follow-up in lung cancer: The experience of developing and delivering a new model of care, EUROPEAN JOURNAL OF ONCOLOGY NURSING, Vol: 10, Pages: 364-377, ISSN: 1462-3889
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- Citations: 28
Wells M, Macmillan M, Raab G, et al., 2004, Does aqueous or sucralfate cream affect the severity of erythernatous radiation skin reactions? A randomised controlled trial, RADIOTHERAPY AND ONCOLOGY, Vol: 73, Pages: 153-162, ISSN: 0167-8140
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- Citations: 128
Wells M, Harrow A, Donnan P, et al., 2004, Patient, carer and health service outcomes of nurse-led early discharge after breast cancer surgery: a randomised controlled trial, BRITISH JOURNAL OF CANCER, Vol: 91, Pages: 651-658, ISSN: 0007-0920
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- Citations: 40
Moore S, Corner J, Haviland J, et al., 2002, Nurse led follow up and conventional medical follow up in management of patients with lung cancer: randomised trial, BMJ-BRITISH MEDICAL JOURNAL, Vol: 325, Pages: 1145-1147, ISSN: 1756-1833
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- Citations: 189
Wells M, Dryden H, Guild P, et al., 2001, The knowledge and attitudes of surgical staff towards the use of opioids in cancer pain management: can the Hospital Palliative Care Team make a difference?, EUROPEAN JOURNAL OF CANCER CARE, Vol: 10, Pages: 201-211, ISSN: 0961-5423
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- Citations: 21
Wells M, 1998, The hidden experience of radiotherapy to the head and neck: a qualitative study of patients after completion of treatment, JOURNAL OF ADVANCED NURSING, Vol: 28, Pages: 840-848, ISSN: 0309-2402
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- Citations: 52
Wells M, 1998, What's so special about radiotherapy nursing?, European Journal of Oncology Nursing, Vol: 2, Pages: 162-168, ISSN: 1462-3889
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- Citations: 8
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