Research Development
Staff Publications
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Staff Publications
Research Development
Find out what your colleagues have been writing. This section features articles published by staff working for St Helens and Knowsley Teaching Hospitals and Halton, Knowsley and St Helens community staff.
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Aims At our Trust, all severe inpatient hypoglycaemic episodes in individuals with diabetes (defined as a hypoglycaemic episode requiring injectable treatment) are reported to NaDIA-Harms (National Diabetes Inpatient Audit). We conducted a detailed review of the care of all these events to improve patient safety. In this study, we assessed..
Published: | 25/04/2023 |
Authors: | Taylor J, Michaels S, Hatton DA, Caton K, Cardwell J, Hardy KJ, Strong AJ, Bujawansa S |
Aim Despite national initiatives to improve practice, the National Diabetes Inpatient Audit (NADIA) 2019 still reported high levels of medication and insulin errors. A quick reference insulin safety binder was produced to promote insulin safety and support registered nurses whilst undertaking medication rounds. The binder is an eye catching, easy to..
Published: | 23/03/2022 |
Authors: | Strong AJ, Michaels S, Cardwell J, Bujawansa S |
Aims Breastfeeding is beneficial for a mother, baby and society. Enhancing breastfeeding rates has potential to save lives and drive improvements in public health. Breastfed babies have a lower risk of developing childhood-onset diabetes. On average breastfeeding rates in St Helens are between 26.5% and 31.6% at 6-8 weeks. The aim of..
Published: | 23/03/2022 |
Authors: | Gallagher CG, Bujawansa S, Milne R, Michaels S, McNulty S, Westall S |
Aims To explore the impact of a prescribing feedback intervention on insulin prescribing. Methods This was a mixed-methods study in a hospital setting. An insulin prescribing feedback intervention was delivered verbally and in writing to twelve doctors. Insulin prescribing error frequency was compared to ten doctors who had not received..
Published: | 13/03/2021 |
Authors: | Lloyd M, Bennett N, Wilkinson A, Furlong NJ, Cardwell J, Michaels S |
Aim To evaluate the views of doctors and nurses on the delivery and use of a safe insulin tips (SIPS) educational programme. Methods Twelve SIPS were developed covering key areas of safe insulin use by a multi‐professional collaboration of patients and healthcare professionals. Individual SIPs were emailed weekly over 12..
Published: | 07/10/2020 |
Authors: | Lloyd M, Michaels S, Cardwell J, Furlong NJ |
Aim Inpatient Diabetes Specialist Nurse Cover nationally is varied. Post a successful NHS England Transformation funding bid the aim was to provide greater support for ward areas, reduce error rates and increase satisfaction rates through the implementation of seven‐day working and an emergency advice line led by a diabetes..
Published: | 07/10/2020 |
Authors: | Michaels S, Bujawansa S, Hardy KJ, Cardwell J, Milne R, Strong AJ, Lee C, Smith R |
Background We introduced seven‐day working and increased support for inpatients from the diabetes specialist nursing (DSN) Team in 2017. Previous surveys using hand‐delivered or postal questionnaires had resulted in low response rates. This year we used an online survey via SurveyMonkey® to measure inpatient diabetes related staff satisfaction. Aim..
Published: | 07/10/2020 |
Authors: | Milne R, Bujawansa S, Hardy KJ, Cardwell J, Michaels S, Smith R, Lee C |
Background Our Trust received funding through the NHS Diabetes Transformation Programme to improve inpatient care and foot care. The monies received for inpatient care was used to increase the number of diabetes inpatient nurses by fivefold. We introduced extended weekday coverage (0,800–2,200), weekend cover and an emergency support line. The funding..
Published: | 07/10/2020 |
Authors: | Bujawansa S, Furlong NJ, Narayanan RP, Westall S, Cardwell J, Mitchell L, Michaels S, Hardy KJ |
Aims NICE guidelines for screening state that all GDM patients should be screened for diabetes at 6–12 weeks postpartum. Previous published data have given a national rate of less than 20%1. We reviewed our screening rate after the interventions of: discussion with the patient at first and last visit, written instructions to..
Published: | 07/10/2020 |
Authors: | McNulty SJ, Wilkinson P, Michaels S, Davies H, Sullivan H, Bujawansa S |
Aims The aim of this research was to explore the impact of pharmacist‐led feedback on insulin prescribing. Methods This study was undertaken in a large UK teaching hospital. Ward pharmacists were trained in the delivery of prescribing feedback. Definitions of insulin prescribing errors were based on the National Diabetes..
Published: | 26/06/2019 |
Authors: | Bennett N, Cardwell J, Furlong NJ, Hart A, Lloyd M, Michaels S |
Aims To evaluate the use of multiprofessional high‐fidelity simulation to educate nurses and healthcare assistants on the management of hypoglycaemia and diabetic ketoacidosis. Methods A simulation‐based training event was developed by a multidisciplinary team. Nurses and healthcare assistants on two hospital wards were invited to participate. Effectiveness of..
Published: | 26/06/2019 |
Authors: | Cardwell J, Furlong NJ, Hart A, Lloyd M, Michaels S, Rowson M |
Aims The aim of this research was to explore the impact of feedback on insulin prescribing behaviour. Method(s) Doctors that had received feedback on their insulin prescribing were invited to participate in the study. Semi-structured interviews were used to explore the potential impact of feedback on their insulin prescribing...
Published: | 26/06/2019 |
Authors: | Bennett N, Cardwell J, Furlong NJ, Hart A, Lloyd M, Michaels S |
Aims NICE updated its guidance on diabetes in pregnancy in February 2015. The changes included recommending cut-off values for diagnosing gestational diabetes (GDM) and lowering the target pre-prandial glucose levels from
Published: | 19/07/2016 |
Authors: | Bujawansa S, McNulty S, Wilkinson P, Michaels S, Pankaja S |
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