• National Audit of Hospital Mortality Annual Report 2017

      National Office of Clinical Audit (NOCA); National Office of Clinical Audit (National Office of Clinical Audit, 2018-12)
    • Irish Hip Fracture Database National Report 2017

      National Office of Clinical Audit; Health Service Executive (HSE) (National Office of Clinical Audit, 2018-11-29)
    • Wellbeing and Health in Ireland’s over 50s 2009-2016

      TILDA; Trinity College Dublin (The Irish Longitudinal Study on Ageing, 2018-11-28)
    • Self-management needs of Irish adolescents with Juvenile Idiopathic Arthritis (JIA): how can a Canadian web-based programme meet these needs?

      O'Sullivan, Grace; O'Higgins, Siobhán; Caes, Line; Saetes, Sophia; McGuire, Brian E; Stinson, Jennifer (Pediatric Rheumatology, 2018-11-08)
      Juvenile Idiopathic Arthritis (JIA) affects over 1000 children and adolescents in Ireland, potentially impacting health-related quality-of-life. Accessible self-management strategies, including Internet-based interventions, can support adolescents in Ireland where specialist rheumatology care is geographically-centralised within the capital city. This study interviewed adolescents with JIA, their parents, and healthcare professionals to (i) explore the self-management needs of Irish adolescents; and (ii) evaluate the acceptability of an adapted version of a Canadian JIA self-management programme (Teens Taking Charge: Managing Arthritis Online, or TTC) for Irish users. Focus groups and interviews were conducted with Irish adolescents with JIA (N = 16), their parents (N = 13), and Irish paediatric healthcare professionals (HCPs; N = 22). Adolescents were aged 12-18 (M Five themes emerged: independent self-management; acquiring skills and knowledge to manage JIA; unique challenges of JIA in Ireland; views on web-based interventions; and understanding through social support. Adolescents acknowledged the need for independent self-management and gradually took additional responsibilities to achieve this goal. However, they felt they lacked information to manage their condition independently. Parents and adolescents emphasised the need for social support and felt a peer-support scheme could provide additional benefit to adolescents if integrated within the TTC programme. All participants endorsed the TTC programme to gain knowledge about JIA and offered suggestions to make the programme relevant to Irish users. There is scope for providing easily-accessible, accurate information to Irish families with JIA. The acceptability of adapting an existing JIA self-management intervention for Irish users was confirmed.
    • Child & Adolescent Emergency Mental Health Crisis: A Neglected Cohort

      McNicholas, F; University College Dublin (Irish Medical Journal, 2018-11)
    • Voices that matter: end-of-life care in two acute hospitals from the perspective of bereaved relatives.

      Donnelly, Sarah; Prizeman, Geraldine; Coimín, Diarmuid Ó; Korn, Bettina; Hynes, Geralyn (BMC Palliative Care, 2018-10-19)
      End-of-life care (EoLC) is an experience that touches the lives of everyone. Dying in an acute hospital is a common occurrence in developed countries across the world. Previous studies have shown that there is wide variation in EoLC and at times is experienced as being of poor quality. Assessing and measuring the quality of care provided is a key component of all healthcare systems. This paper reports on the qualitative analysis of open-ended free text questions that were asked as part of a post-bereavement survey conducted in two adult acute hospitals in Ireland. This was a quantitative descriptive post-bereavement postal survey, gathering data retrospectively from relatives or friends of patients who died, utilising an adapted version of the VOICES (Views of Informal Carers - Evaluation of Services) questionnaire. VOICES MaJam has 29 core questions, seven questions requesting personal demographic information and four open-ended questions gathering descriptive data about the care experience during the patient's last admission to hospital. A total of 356 valid questionnaires were returned. Qualitative data were managed, coded and analysed with NVivo 10, using a template analysis framework approach. Three quarters (75%: n = 268) responded to at least one of the open-ended questions. Several key themes emerged, indicating areas that require particular attention in EoLC. Two themes relate to how care needs are met and how the hospital environment has a critical influence on EoLC experiences. The remaining three themes relate more to the interpersonal context including whether patients are treated with dignity and respect, the psychological, emotional and spiritual needs of patients and their family members and communication. Acute hospitals need to ensure that patients and their relatives receive high quality EoLC. Seeking the views of bereaved relatives should be considered by all hospitals and healthcare settings to ascertain the quality of care at end of life. This study contributes to our understanding and knowledge of what good EoLC looks like and where care can be improved, thus enabling hospitals to direct and inform quality improvement.
    • An Evaluation of the MindOut Programme in Disadvantaged Post-Primary Schools (Executive Summary)

      Dowling, Katherine; Barry, Margaret M.; Health Promotion Research Centre NUI Galway (Health Service Executive, 2018-10-01)
    • An Evaluation of The Role of The Traveller Mental Health Liaison Nurse in Carlow and Kilkenny

      Keogh, B; Brady, A.M; Downes, C; Doyle, L; Higgins, A; McCann, T; School of Nursing and Midwifery Trinity College Dublin (School of Nursing and Midwifery, Trinity College Dublin, The University of Dublin, 2018-10)
    • Exercise Rehabilitation Services Provided by Physiotherapy Departments in Cancer Care in Ireland

      Mulcahy, S; Prendergast, J; Foley, G; O Hare, A; Murphy, E; Guinan, E.M; Hussey, J; Trinity College Dublin (Irish Medical Journal, 2018-10)
    • The knowledge and attitudes of general practitioners to the assessment and management of pain in people with dementia

      Jenning, Aisling; Linehan, Maura; Foley, Tony; Dept. of General Practice University College Cork (BMC Family Practice, 2018-10)
    • Older Patients’ Views of Health Care Interactions in Ireland

      Gibney, Sarah; Moore, Tara; Department of Health (HLRP: Health Literacy Research and Practice, 2018-10)
    • The barriers and facilitators to the implementation of National Clinical Programmes in Ireland: using the MRC framework for process evaluations.

      Darker, Catherine D; Nicolson, Gail H; Carroll, Aine; Barry, Joe M; 1 - 2. Department of Public Health & Primary Care, Institute of Population Health, School of Medicine, Trinity College Dublin. 3. Clinical Strategy and Programmes Division, Health Service Executive, Dr Steevens' Hospital. 4.School of Medicine, University College Dublin (BMC Health Services Research, 2018-09-24)
      A major healthcare reform agenda in Ireland is underway which underpins the establishment of a series of National Clinical Programmes (NCPs), which aim to take an evidence based approach to improve quality, access and value. The current study aimed to determine the enablers and barriers to implementation of the NCPs. A qualitative methodology advocated by the Medical Research Council (MRC) framework on conducting process evaluations of complex interventions guided this research. Purposive sampling techniques were used to recruit participants from seven NCPs across both acute and chronic healthcare domains, comprised of orthopaedics, rheumatology, elective surgery, emergency medicine, paediatrics, diabetes and chronic obstructive pulmonary disease. A total of 33 participants were interviewed using a semi-structured interview guide. Participants included current and previous Clinical Leads, Programme Managers, Health Service Executive management, hospital Chief Executive Officers, representatives of General Practice, and a Nursing and a Patient representative. Thematic analyses was conducted. A range of factors of different combinations and co-occurrence were highlighted across a total of six themes, including (i) positive leadership, governance and clinical networks of the NCPs, (ii) the political and social context in which the NCPs operate, (iii) constraints on resources, (iv) a passive attitudinal resistance to change borne from poor consultation and communication, (v) lack of data and information technology, (vi) forces outside of the NCPs such as the general practitioner contract thwarting change of the model of care. The MRC framework proved a useful tool to conduct this process evaluation. Results from this research provide real world experiences and insight from the people charged with implementing large-scale health system improvement initiatives. The findings highlight the need for measured responses that acknowledge both direct and non-direct challenges and opportunities for successful change. Combined, it is recommended that these elements be considered in the planning and implementation of large-scale initiatives across healthcare delivery systems, both in Ireland and internationally.
    • The human mesenteric lymph node microbiome differentiates between Crohn’s disease and ulcerative colitis

      Kiernan, Miranda G.; Coffey, J. Calvin; McDermott, Kieran; Cotter, Paul D.; Cabrera-Rubio, Raul; Kiely, Patrick A.; Dunne, Colum P.; 1.Graduate Entry Medical School and Centre for Interventions in Infection, Inflammation & Immunity (4i), University of Limerick, Limerick, Ireland, (Journal of Crohn's and Colitis (JCC), 2018-09)
    • Incidence of Thyroid Cancer among Patients with Thyroid Nodules

      Gilmartin, A; Ryan, M (Irish Medical Journal, 2018-09)
    • The Physical Examination on Admission to the Acute Psychiatric Unit - complete Audit cycle

      Elzain, M; I. Elimam, I; Barry, S (Irish Medical Journal, 2018-09)
    • It's not all about price: factors associated with roll-your-own tobacco use among young people - a qualitative study.

      Breslin, Elizabeth; Hanafin, Joan; Clancy, Luke; TobaccoFree Research Institute Ireland (TFRI), Focas Research Institute (BMC Public Health, 2018-08-08)
      Smoking prevalence in Ireland is falling in all age groups, but the prevalence of roll-your-own (RYO) tobacco use is rising among young people. This qualitative study aims to explore and understand the factors associated with young people's use of RYO products. Semi-structured individual and focus group interviews were conducted with young people aged 16-22 years. Participants were recruited from a higher education institution and youth organisations working with early school leavers across Dublin. In total, there were 62 participants in the study, consisting of 22 individual interviews and eight focus group interviews with 40 participants. Categoric and thematic data analysis was used to generate the findings. We identified two broad themes, incentivising and disincentivising factors. The lower cost of RYO products compared to pre-manufactured cigarettes was the most important incentive for users. However, other product characteristics, such as the artisanal factors associated with RYO products were also found. Social and environmental influences were apparent, in which certain groups and environments facilitated and normalised RYO practices. Amenities and facilities often provided smokers with normalised spaces which could be dedicated to the enactment of rolling practices and to the creation and maintenance of social bonds with other users. Disincentives included negative features related to the product itself, adverse health effects, and the effects of tobacco denormalisation. While the lower cost of RYO products is very important for young smokers, other product characteristics and influences also incentivise and disincentivise use. A more comprehensive understanding of the multi-dimensional appeal of these products will assist policymakers to target strategies to reduce the attractiveness to young smokers of these products.
    • Therapeutics Today August 2018

      National Medicines Information Centre, St. James’s Hospital; St. James’s Hospital (St. James’s Hospital, 2018-08)