http://hdl.handle.net/10147/16012 Search the Channel search http://www.lenus.ie/hse/simple-search http://hdl.handle.net/10147/196249 Title: An investigation into leadership in the Health Service Executive, with a particular focus on styles of leadership among clinical leaders in HSE Cork. Is it transactional or transformational? / [thesis] by Mary A. Cummins<br/><br/>Authors: Cummins, Mary A.<br/><br/>Description: The focus of this research is in the area of leadership in the Health Service Executive (HSE). The research examined in particular the area of clinical leadership in HSE Cork. Such a study is important in order to enable senior leaders in the HSE to reflect on its ability to successfully transform the organisation. There is an existing body of knowledge which strongly suggests that a transformational style of leadership is the most appropriate style during times of change. The research approach adopted in this dissertation included a survey namely the Transformational Leadership Questionnaire. Two semi-structured interviews were also carried out with two high-ranking leaders in the HSE. The results from the survey revealed that clinical leaders in HSE Cork are transformational in their leadership style as measured by leaders and their direct reports. The findings from the qualitative aspect of the research concluded that transformational leadership is less evident amongst non-clinical administrative managers and that the sustainability of change requires a change in culture. Additionally, it concluded that leadership needs to be seen as a distributed practice throughout the organisation. The dissertation recommends that training in the area of transformational leadership be prioritised for non-clinical administrative managers going forward. Sun, 29 May 2011 22:58:59 GMT http://hdl.handle.net/10147/192393 Title: Guidelines for the prevention of catheter-associated urinary tract infection<br/><br/>Authors: SARI; Health Service Executive (HSE) Mon, 29 Aug 2011 22:58:59 GMT http://hdl.handle.net/10147/190291 Title: Places to flourish: a pattern based approach to foster change in residential care<br/><br/>Authors: Health Service Executive (HSE); Coyle, Ann; McCormack, Brendan; Carragher, Lucia; Bond, Rodd Sat, 29 Oct 2011 22:58:59 GMT http://hdl.handle.net/10147/190270 Title: Out-of-hospital cardiac arrest (OHCA) survival in rural Northwest Ireland: 17 years' experience.<br/><br/>Authors: Masterson, Siobhán; Wright, Peter; Dowling, John; Swann, David; Bury, Gerard; Murphy, Andrew<br/><br/>Abstract: SAVES, the name used to describe a register of survivors of out-of-hospital cardiac arrest (OHCA), was established in rural Northwest Ireland in 1992. From 1992 to 2008, 80 survivors were identified (population 239,000 (2006)). Most incidents were witnessed (69/70) and all were in shockable rhythm at the time of first rhythm analysis (66/66). Of 66 patients who could be traced, 46 were alive in December 2008. Average survival rates appeared to increase over the lifetime of the database. SAVES has also contributed to the development of a national OHCA register. Thu, 28 Apr 2011 22:58:59 GMT http://hdl.handle.net/10147/190151 Title: Epidemiology, clinical characteristics and resource implications of pandemic (H1N1) 2009 in intensive care units in Ireland.<br/><br/>Authors: Nicolay, Nathalie; Callaghan, Michael A; Domegan, Lisa M; Oza, Ajay N; Marsh, Brian J; Flanagan, Paula C; Igoe, Derval M; O'Donnell, Joan M; O'Flanagan, Darina M; O'Hora, Aidan P<br/><br/>Abstract: To describe the incidence, clinical characteristics and outcomes of critically ill patients in Ireland with pandemic (H1N1) 2009 infection, and to provide a dynamic assessment of the burden of such cases on Irish intensive care units.; Multicentre prospective observational study of all adult patients admitted to any of the 30 ICUs in the Republic of Ireland between 15 July 2009 and 30 May 2010.; Patient demographics, clinical characteristics and ICU mortality; ICU admissions, bed-days, bed occupancy rates and distribution.; Seventy-seven adult patients with pandemic (H1N1) 2009 infection were admitted to 27 of 30 Irish ICUs. The median age was 43 years (IQR, 30-56 years); 67 patients (88%) were aged under 65; 39 (51%) were male. Sixty-two patients (82%) had comorbid conditions, including obesity (36%), respiratory disease (34%) and malignancy or immunosuppression (20%). Eight (11%) were pregnant, and 27 (36%) were smokers. Sixty-seven patients were mechanically ventilated, 24 (32%) required renal replacement therapy, 39 (51%) received vasopressors and four (5%) received extracorporeal membrane oxygenation. Of 14 patients (18%) who died in the ICU, two had no pre-existing comorbidities. The ICU admission rate of patients with pandemic (H1N1) 2009 infection was 22.5/million population. A total of 1882 ICU bed-days (557.5 bed-days/million adult population) were consumed, equating to a 3.9% bed occupancy rate, with a peak of 14.0% in October 2009. Median length of stay was 12 days (IQR, 7-34 days).; The 2009 influenza A (H1N1) pandemic was a significant burden on Irish ICUs, predominantly affecting the tertiary centres. The demographics and clinical characteristics were similar to those described in the southern hemisphere, suggesting such data may inform future resource planning for similar threats. Sun, 28 Nov 2010 22:58:59 GMT http://hdl.handle.net/10147/190071 Title: Nurses perception about older persons experiencing social isolation in residential care setting [thesis]/ by Iyabo Olaniyan<br/><br/>Authors: Olaniyan, Iyabo<br/><br/>Description: The nurse’s experiences of social isolation among their residents at the study site were explored through a descriptive qualitative research approach. A search of literature conducted indicated a dearth of published work on this topic, especially in Irish context. A focus group meeting attended by four of the nurses produced information that was further explored during the subsequence six semi-structured interviews which were audio-taped and later transcribed verbatim. Colazizzi (1978) framework of data analysis was used to arrive at the three main findings of the study which are;Social isolation; a deterrent to quality of life among the older personsSocial intervention; a cost effective non-pharmacological therapyEducational needs of the nurses working with the older personsThe study findings confirm the existence of social isolation at the study site. The possible causes, clinical features as well as interventions were highlighted. Nurses have significant role in the identification, management and prevention of social isolation. Yes, nurses have constraints in their performance of social intervention programmes. The need for retraining of the nurses will enhance performance of a nursing role capable of facilitating healthy ageing process. Tue, 14 Jun 2011 22:58:59 GMT http://hdl.handle.net/10147/189007 Title: A cost-utility analysis of adding a bivalent or quadrivalent HPV vaccine to the Irish cervical screening programme.<br/><br/>Authors: Dee, Anne; Howell, Fenton<br/><br/>Abstract: Cervical cancer is a leading cause of death worldwide, and in Ireland it is the ninth most commonly diagnosed cancer in women. Almost 100% of these cancers are caused by human papillomavirus (HPV) infection. Two newly developed vaccines against HPV infection have become available. This study is a cost-utility analysis of the HPV vaccine in Ireland, and it compares the cost-effectiveness profiles of the two vaccines.; A cost-utility analysis of the HPV vaccine in Ireland was performed using a Markov model. A cohort of screened and vaccinated women was compared with an unvaccinated screened cohort, and both cohorts were followed over their lifetimes. The model looked at uptake of services related to HPV disease in both cohorts. Outcomes were measured in quality adjusted life years (QALYs). Extensive sensitivity analysis was done.; For the base case analysis, the model showed that the incremental cost-effectiveness ratio (ICER) for quadrivalent HPV vaccination would be 25,349 euros/QALY and 30,460 euros/QALY for the bivalent vaccine. The ICER for the quadrivalent vaccine ranged from 2877 euros to 36,548 euros, and for the bivalent from 3399 euros to 45,237 euros. At current prices, the bivalent vaccine would need to be 22% cheaper than the quadrivalent vaccine in order to have equivalent cost effectiveness.; HPV vaccination has the potential to be very cost effective in Ireland. The quadrivalent vaccine is more cost effective than the bivalent vaccine. Mon, 29 Mar 2010 22:58:59 GMT http://hdl.handle.net/10147/189013 Title: Comparison of midwife-led and consultant-led care of healthy women at low risk of childbirth complications in the Republic of Ireland: a randomised trial.<br/><br/>Authors: Begley, Cecily; Devane, Declan; Clarke, Mike; McCann, Colette; Hughes, Patricia; Reilly, Mary; Maguire, Roisin; Higgins, Shane; Finan, Alan; Gormally, Siobhan; Doyle, Miriam<br/><br/>Abstract: ABSTRACT: BACKGROUND: No midwifery-led units existed in Ireland before 2004. The aim of this study was to compare midwife-led (MLU) versus consultant-led (CLU) care for healthy, pregnant women without risk factors for labour and delivery. METHODS: An unblinded, pragmatic randomised trial was designed, funded by the Health Service Executive (Dublin North-East). Following ethical approval, all women booking prior to 24 weeks of pregnancy at two maternity hospitals with 1,300-3,200 births annually in Ireland were assessed for trial eligibility.1,653 consenting women were centrally randomised on a 2:1 ratio to MLU or CLU care, (1101:552). 'Intention-to-treat' analysis was used to compare 9 key neonatal and maternal outcomes. RESULTS: No statistically significant difference was found between MLU and CLU in the seven key outcomes: caesarean birth (163 [14.8%] vs 84 [15.2%]; relative risk (RR) 0.97 [95% CI 0.76 to 1.24]), induction (248 [22.5%] vs 138 [25.0%]; RR 0.90 [0.75 to 1.08]), episiotomy (126 [11.4%] vs 68 [12.3%]; RR 0.93 [0.70 to 1.23]), instrumental birth (139 [12.6%] vs 79 [14.3%]; RR 0.88 [0.68 to 1.14]), Apgar scores <8 (10 [0.9%] vs 9 [1.6%]; RR 0.56 [0.23 to 1.36]), postpartum haemorrhage (144 [13.1%] vs 75 [13.6%]; RR 0.96 [0.74 to 1.25]); breastfeeding initiation (616 [55.9%] vs 317 [57.4%]; RR 0.97 [0.89 to 1.06]). MLU women were significantly less likely to have continuous electronic fetal monitoring (397 [36.1%] vs 313 [56.7%]; RR 0.64 [0.57 to 0.71]), or augmentation of labour (436 [39.6%] vs 314 [56.9%]; RR 0.50 [0.40 to 0.61]). CONCLUSIONS: Midwife-led care, as practised in this study, is as safe as consultant-led care and is associated with less intervention during labour and delivery. Trial registration: Current Controlled Trials ISRCTN14973283. Fri, 28 Oct 2011 22:58:59 GMT http://hdl.handle.net/10147/188911 Title: Communicable disease update ; November 2011<br/><br/>Authors: Health Service Executive (HSE) South East. Department of Public Health Mon, 31 Oct 2011 22:58:59 GMT http://hdl.handle.net/10147/188889 Title: Wexford community mental health services - a key to recovery<br/><br/>Authors: McDonald, Donald Dr.; Cullen, Catherine; Watters, Liam Dr.<br/><br/>Description: Description of Services available within South Sector Services, A brief account of a number of common disorders and a guideline of expectation on availing of the service. Fri, 29 Oct 2010 22:58:59 GMT