Conference proceedings by Sarahjane Jones
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Published articles by Sarahjane Jones
International Journal of Bilingual Education and Bilingualism , 2018
Purpose: This study aims to understand the effect of therapies on dual language children with dev... more Purpose: This study aims to understand the effect of therapies on dual language children with developmental language disorder (DLD) on a range of bilingual language outcomes, compare with second-language-only therapy and determine whether there is any cross-linguistic transfer.
Methods: A systematic review of English articles in 10 electronic databases was conducted. Screening, reviewing and appraising were performed independently by two reviewers. Quality was appraised and findings synthesised in accordance with the research questions.
Results: Nine reports were identified. Five studies were found to be low in bias and therefore high in quality. Two were medium bias and two were high. Key findings were that instruction in the first language is required to support its continued acquisition and that bilingual instruction does not limit second language growth.
Conclusions: There is no identified evidence to suggest that second-language-only is better than bilingual therapy for dual language children with DLD for the development of the second language. There is evidence to suggest that bilingual therapy is equally effective for second language development, and also supports development of the first language. Further work is required to understand the efficacious doses of both languages in order to develop cost effective therapies and achieve optimal outcomes.
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Journal of Advanced Nursing, 2016
Aim: to discover and describe how patients, carers and case management nurses define safety and c... more Aim: to discover and describe how patients, carers and case management nurses define safety and compare it to the traditional risk reduction and harm avoidance definition of safety.
Background: Care services are increasingly being delivered in the home for patients with complex long term conditions. However, the concept of safety remains largely unexplored.
Deign: a sequential, exploratory mixed method design.
Methods: A qualitative case study of the NHS case management programme in the English NHS was deployed during 2012. Thirteen interviews were conducted with patients (n=9) and carers (n=6), and three focus groups with nurses (n=17) from three community care providers. The qualitative element explored the definition of safety. Data were subjected to framework analysis and themes were identified by participant group. Sequentially, a cross-sectional survey was conducted during 2013 in a fourth community care provider (patient n=35, carer n=19, nurse n=26) as a form of triangulation.
Findings: Patients and carers describe safety differently to case management nurses, choosing to focus on meeting needs. They use more positive language and recognise the role they have in safety in home-delivered healthcare. In comparison, case management nurses described safety similarly to the definitions found in the literature. However, when offered the patient and carer definition of safety, they preferentially selected this definition to their own or the literature definition.
Conclusion: Patients and carers offer an alternative perspective on patient safety in home-delivered healthcare that identifies their role in ensuring safety and is more closely aligned with the empowerment philosophy of case management.
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Papers by Sarahjane Jones
International Journal for Quality in Health Care
Background Delays to the transfer of care from hospital to other settings represent a significant... more Background Delays to the transfer of care from hospital to other settings represent a significant human and financial cost. This delay occurs when a patient is clinically ready to leave the inpatient setting but is unable to because other necessary care, support or accommodation is unavailable. The aim of this study was to interrogate administrative and clinical data routinely collected when a patient is admitted to hospital following attendance at the emergency department (ED), to identify factors related to delayed transfer of care (DTOC) when the patient is discharged. We then used these factors to develop a predictive model for identifying patients at risk for delayed discharge of care. Objective To identify risk factors related to the delayed transfer of care and develop a prediction model using routinely collected data. Methods This is a single centre, retrospective, cross-sectional study of patients admitted to an English National Health Service university hospital following ...
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Journal of Research in Nursing
Background Clinical academics are health professionals who provide direct patient care alongside ... more Background Clinical academics are health professionals who provide direct patient care alongside engaging in health research. Despite the generally agreed consensus that such roles enhance evidence-based care, availability and uptake has been sporadic in non-medical professions. With no data readily available regarding general practice nurses undertaking clinical academic roles, there is a need to understand the barriers and enabling factors that impact general practice nurses considering or pursuing a clinical academic career. Aims This review aims to address the question ‘What are the barriers and enablers relevant to general practice nurses in the UK pursuing clinical academic careers?’ by providing an overview of the relevant existing literature and drawing out the implications for policy and practice. Methods Literature published in the past 10 years was systematically searched. Using agreed inclusion criteria, papers were first screened on titles and abstracts, with papers inc...
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International Journal of Health Care Quality Assurance
PurposeIncident reporting systems are commonly deployed in healthcare but resulting datasets are ... more PurposeIncident reporting systems are commonly deployed in healthcare but resulting datasets are largely warehoused. This study explores if intelligence from such datasets could be used to improve quality, efficiency, and safety.Design/methodology/approachIncident reporting data recorded in one NHS acute Trust was mined for insight (n = 133,893 April 2005–July 2016 across 201 fields, 26,912,493 items). An a priori dataset was overlaid consisting of staffing, vital signs, and national safety indicators such as falls. Analysis was primarily nonlinear statistical approaches using Mathematica V11.FindingsThe organization developed a deeper understanding of the use of incident reporting systems both in terms of usability and possible reflection of culture. Signals emerged which focused areas of improvement or risk. An example of this is a deeper understanding of the timing and staffing levels associated with falls. Insight into the nature and grading of reporting was also gained.Practica...
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Health Informatics Journal
Evidence highlights the intrinsic link between nurse staffing and expertise, and outcomes for ser... more Evidence highlights the intrinsic link between nurse staffing and expertise, and outcomes for service users of healthcare, and that workforce retention is linked to the clinical and organisational experiences of employees. However, this understanding is less well established in mental health. This study comprises a retrospective observational study carried out on routinely collected data from a large mental healthcare provider. Two databases comprising nurse staffing levels and adverse events were modelled using latent variable methods to account for the presence of multiple underlying behaviours. The analysis reveals a strong dependence of the rate of adverse events on the location and perceived clinical demand of the wards, and a reduction in adverse events where registered nurses exceed ‘clinically required levels’. In the first study of its kind, these findings present significant implications for nursing workforce policy and present an opportunity to not only improve safety but...
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Applied Nursing Research, 2016
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Journal of tissue viability, 2016
To investigate the relationship between pressure ulcers of the heel and peripheral arterial disea... more To investigate the relationship between pressure ulcers of the heel and peripheral arterial disease (PAD) and determine the feasibility of conducting a statistically powered matched case control study. Evidence indicates a relationship between chronic leg ulcers and vascular disease. The relationship between pressure ulcers of the heel and vascular disease is less well established. A matched case control study. Data were collected between March 2014 and January 2015. 15 patients identified as having a grade 2, 3 or 4 pressure ulcer of the heel were compared with 15 matched controls without pressure ulcers of the heel. The primary clinical outcome measure was the ankle brachial pressure index (ABPI), where an ABPI <0.9 or >1.3 was considered clinically indicative of PAD. The primary feasibility outcome measure was the rate of recruitment. Eighty seven patients were reported as having foot and heel ulcers; 36 of whom were identified as having pressure ulcers of the heel, 15 (42%...
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British Journal of Community Nursing, 2015
Perceptions on safety in community care have been relatively unexplored. A project that sought to... more Perceptions on safety in community care have been relatively unexplored. A project that sought to understand the multiple perspectives on safety in the NHS case-management programme was carried out in relation to the structure, process, and outcome of care. This article presents a component of the nursing perspective that highlights an important element in the structure of nursing care that could potentially impede the nurses&amp;amp;amp;amp;#39; ability to be fully effective and safe. A single case study of the case-management programme was undertaken. Three primary care organisations from three strategic health authorities participated, and three focus groups were conducted (one within each organisation). In total, 17 case management nurses participated. Data were audiotaped and transcribed verbatim and subjected to framework analysis. Nursing staff attitudes were identified as a structure of care that influence safety outcomes, particularly their perceptions of the care setting and the implications it has on their role and patient behaviour. Greater understanding of the expected role of the community nurse is necessary, and relevant training is required for nurses to be successful in empowering patients to perform more safely. In addition, efforts need to be made to improve patients&amp;amp;amp;amp;#39; trust in the health-care system to prevent harm and promote more effective utilisation of resources.
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British Journal of Nursing, 2014
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Concepts, Methodologies, Tools, and Applications, 2015
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Health Informatics Journal, Oct 3, 2019
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Conference proceedings by Sarahjane Jones
Published articles by Sarahjane Jones
Methods: A systematic review of English articles in 10 electronic databases was conducted. Screening, reviewing and appraising were performed independently by two reviewers. Quality was appraised and findings synthesised in accordance with the research questions.
Results: Nine reports were identified. Five studies were found to be low in bias and therefore high in quality. Two were medium bias and two were high. Key findings were that instruction in the first language is required to support its continued acquisition and that bilingual instruction does not limit second language growth.
Conclusions: There is no identified evidence to suggest that second-language-only is better than bilingual therapy for dual language children with DLD for the development of the second language. There is evidence to suggest that bilingual therapy is equally effective for second language development, and also supports development of the first language. Further work is required to understand the efficacious doses of both languages in order to develop cost effective therapies and achieve optimal outcomes.
Background: Care services are increasingly being delivered in the home for patients with complex long term conditions. However, the concept of safety remains largely unexplored.
Deign: a sequential, exploratory mixed method design.
Methods: A qualitative case study of the NHS case management programme in the English NHS was deployed during 2012. Thirteen interviews were conducted with patients (n=9) and carers (n=6), and three focus groups with nurses (n=17) from three community care providers. The qualitative element explored the definition of safety. Data were subjected to framework analysis and themes were identified by participant group. Sequentially, a cross-sectional survey was conducted during 2013 in a fourth community care provider (patient n=35, carer n=19, nurse n=26) as a form of triangulation.
Findings: Patients and carers describe safety differently to case management nurses, choosing to focus on meeting needs. They use more positive language and recognise the role they have in safety in home-delivered healthcare. In comparison, case management nurses described safety similarly to the definitions found in the literature. However, when offered the patient and carer definition of safety, they preferentially selected this definition to their own or the literature definition.
Conclusion: Patients and carers offer an alternative perspective on patient safety in home-delivered healthcare that identifies their role in ensuring safety and is more closely aligned with the empowerment philosophy of case management.
Papers by Sarahjane Jones
Methods: A systematic review of English articles in 10 electronic databases was conducted. Screening, reviewing and appraising were performed independently by two reviewers. Quality was appraised and findings synthesised in accordance with the research questions.
Results: Nine reports were identified. Five studies were found to be low in bias and therefore high in quality. Two were medium bias and two were high. Key findings were that instruction in the first language is required to support its continued acquisition and that bilingual instruction does not limit second language growth.
Conclusions: There is no identified evidence to suggest that second-language-only is better than bilingual therapy for dual language children with DLD for the development of the second language. There is evidence to suggest that bilingual therapy is equally effective for second language development, and also supports development of the first language. Further work is required to understand the efficacious doses of both languages in order to develop cost effective therapies and achieve optimal outcomes.
Background: Care services are increasingly being delivered in the home for patients with complex long term conditions. However, the concept of safety remains largely unexplored.
Deign: a sequential, exploratory mixed method design.
Methods: A qualitative case study of the NHS case management programme in the English NHS was deployed during 2012. Thirteen interviews were conducted with patients (n=9) and carers (n=6), and three focus groups with nurses (n=17) from three community care providers. The qualitative element explored the definition of safety. Data were subjected to framework analysis and themes were identified by participant group. Sequentially, a cross-sectional survey was conducted during 2013 in a fourth community care provider (patient n=35, carer n=19, nurse n=26) as a form of triangulation.
Findings: Patients and carers describe safety differently to case management nurses, choosing to focus on meeting needs. They use more positive language and recognise the role they have in safety in home-delivered healthcare. In comparison, case management nurses described safety similarly to the definitions found in the literature. However, when offered the patient and carer definition of safety, they preferentially selected this definition to their own or the literature definition.
Conclusion: Patients and carers offer an alternative perspective on patient safety in home-delivered healthcare that identifies their role in ensuring safety and is more closely aligned with the empowerment philosophy of case management.