Marianne Markowski | University of Greenwich (original) (raw)
Papers by Marianne Markowski
Written Communication, Dec 11, 2023
Journal of international migration and integration, Mar 23, 2024
Frontiers in Psychiatry
IntroductionDebriefings give healthcare workers voice through the opportunity to discuss unantici... more IntroductionDebriefings give healthcare workers voice through the opportunity to discuss unanticipated or difficult events and recommend changes. The typical goal of routine debriefings has been to improve clinical outcomes by learning through discussion and reflection of events and then transferring that learning into clinical practice. However, little research has investigated the effects of debriefings on the emotional experiences and well-being of healthcare workers. There is some evidence that debriefings are a multi-faceted and cost-effective intervention for minimising negative health outcomes, but their use is inconsistent and they are infrequently adopted with the specific intention of giving healthcare workers a voice. The purpose of this systematic scoping review is therefore to assess the scope of existing evidence on debriefing practices for the well-being and emotional outcomes of healthcare workers.MethodsFollowing screening, 184 papers were synthesised through keywor...
British Journal of Nursing
Background: While nursing education has been forecast to continue to grow, placement capacity is ... more Background: While nursing education has been forecast to continue to grow, placement capacity is now the key factor precluding growth in supply. Aims: To provide a comprehensive understanding of hub-and-spoke placements and their ability to increase placement capacity. Method: A systematic scoping review and narrative synthesis were used ( Arksey and O'Malley, 2005 ). PRISMA checklist and ENTREQ reporting guidelines were followed. Findings: The search returned 418 results. After a first and second screen 11 papers were included. Results suggest that hub-and-spoke models were generally evaluated favourably by nursing students, with a range of benefits reported. However, many of the studies included in the review were small and of low quality. Conclusion: Given the exponential increase in applications to study nursing, hub-and-spoke placements appear to have the potential to better meet these increased demands, while also providing a number of benefits.
British journal of midwifery, Sep 2, 2022
Computers and Education Open
Digital leadership in higher education is a sub-field of research that rapidly evolved from e-lea... more Digital leadership in higher education is a sub-field of research that rapidly evolved from e-leadership studies. The practice of effective digital leadership in higher education is urgently needed to keep up with changing demands and opportunities. Yet limited knowledge exists of how it is defined, how it operates and relates to institutional leadership, including both administration and teaching. An updated review of prior empirical studies is overdue, given system-wide digitalization. This article systematically reviews empirical studies on digital leadership in higher education between 1999 and 2022, its value, focus and the research methods involved. The review combined descriptive synthesis and textual narrative synthesis, applying a data-based convergent synthesis design adhering to PRISMA and ENTREQ reporting guidelines. From 231 records, 36 studies remained following application of exclusion criteria. Research has increased, but is still limited in theory, maturity, and evidence. Definitions and theories of digital leadership are varied in scope and how far they are considered in the reviewed studies. Functional rather than critical perspectives predominate. The quality of most research is low, lacking rigour in research questions and methods, rendering findings inconclusive. The review recommends a digital leadership research maturity framework and further research on theoretical definitions and digitalization to address gaps in the literature identified in the review.
Clinical Simulation in Nursing
Both the ethics of simulation and how it may be used to explore, train and assess ethical issues ... more Both the ethics of simulation and how it may be used to explore, train and assess ethical issues in a clinical context have received growing interest in recent years. As ethical considerations permeate almost every element of simulation and clinical practice, the emerging literature in this field remains relatively fragmented, lacking a common vocabulary or standardised practice and methodology. Given this, the primary aim of this paper was to systematically map the literature related to ethics in healthcare simulation, guided by the research question of 'how is ethics in healthcare simulation recorded in current literature?'. Our secondary aim was to explore the feasibility of conducting a systematic mapping review. One hundred and four papers were included and analysed. Results suggest that this is relatively small, but rapidly growing field. Most research was carried out in the US and with variety of research methods employed. Research involving samples of nurses relied more heavily on qualitative methods and students in their samples than that of medical doctors or other professions. Keyword co-occurrence suggested that studies utilised simulation overwhelmingly in an educational context.
The University of Greenwich, May 31, 2021
Nursing Inquiry, 2021
Racism in health and healthcare has long been recognised as a structural issue. While there has b... more Racism in health and healthcare has long been recognised as a structural issue. While there has been growing research and a number of important initiatives that have come from approaching racism as a structural issue, there is a range of implications that yet have to be explored as they relate to health and healthcare. Conceptualising racism in this way provides a means to consider how it shapes and is shaped by a range of global injustices and serves as a foundation for more egregious harms. It also suggests that if we are to dismantle racism, we need to look both within and beyond the traditional domains of health and healthcare and account for a range of broader forces that sustain and re-enforce racism. We first discuss the issue of responsibility, drawing on Young's social connection model to argue that we all have a responsibility to take action in addressing structural racism. We will then deal with a question that naturally follows, namely how we discharge our responsibilities, with a focus on the role of disruptive action in challenging power and ignorance in dismantling racism in health and healthcare.
Journal of Computer Assisted Learning
Societies
Although a fair amount of research around older adults’ perception of digital technology exists, ... more Although a fair amount of research around older adults’ perception of digital technology exists, there is only a moderate amount of research investigating older people’s reactions and sense-making in real-world contexts with emerging digital tools. This paper reports on the constructivist research approach used by the author, which initiated co-production with participants to gather older and younger adults’ reactions towards digital video connectivity during a series of design research interventions. For this, the author had built a research tool, the Teletalker kiosks (TT), which connected two locations using digital live video to provide a ‘window into the other space’. Participants, if they wished, could activate the volume with a designed mechanism aimed at non-computer literate people, which was used in order to speak to each other. The three connections were between an older people’s charity day centre and the university, between two locations at the university, and between t...
Technology for older people is typically concerned either with health care or accessibility of ex... more Technology for older people is typically concerned either with health care or accessibility of existing systems. In this paper we take a more 'entertainment-oriented' approach to developing experiences aimed at older users. We describe here the design, development and a user study of the V-Armchair, a virtual reality and motion platform based roller coaster experience. The V-Armchair constitutes a blueprint for the digital archiving of physical ride experiences through the simultaneous capture of 360 video, sound and motion. It gives access to thrill experiences to those who may not be able to go on real thrill rides, such as older riders, and it can be considered as a class of technology that could help to support 'active aging' as defined by the World Health Organisation. We discuss strategies for capturing and then 'toning down' motion experiences to make them accessible for older users. We present a study which explores the user experience of the V-Armcha...
Racism in health and healthcare has long been recognised as a structural issue. While there has b... more Racism in health and healthcare has long been recognised as a structural issue. While there has been growing research and a number of important initiatives that have come from approaching racism as a structural issue, there is a range of implications that yet have to be explored as they relate to health and healthcare. Conceptualising racism in this way provides a means to consider how it shapes and is shaped by a range of global injustices and serves as a foundation for more egregious harms. It also suggests that if we are to dismantle racism, we need to look both within and beyond the traditional domains of health and healthcare and account for a range of broader forces that sustain and re-enforce racism. We first discuss the issue of responsibility, drawing on Young's social connection model to argue that we all have a responsibility to take action in addressing structural racism. We will then deal with a question that naturally follows, namely how we discharge our responsibi...
The Journal of school nursing : the official publication of the National Association of School Nurses, 2021
Relationships and Sex Education (RSE) in schools are predominantly heterocentric. Consequently, l... more Relationships and Sex Education (RSE) in schools are predominantly heterocentric. Consequently, lesbian, gay, bisexual, transgender, and questioning young people have reported feeling excluded. This exclusion results in feelings of being "different" and "other," which in turn leads to further disengagement in the sex education classroom, contributing to poor sexual health literacy, greater risk of abusive relationships, and higher rates of sexually transmitted infections. A rapid review was undertaken to identify the impact of non-inclusive sex education. The review makes recommendations for policy and practice, which includes the provision of training courses to school teaching staff with an emphasis on inclusive RSE, appropriate online resources for lesbian, gay, bisexual transgender, and questioning (LGBTQ) young people, as well as offering 1:1 emotional health support for LGBTQ young people as they begin to question their sexual orientation.
Journal of nursing management, 2021
AIM(S) Understand factors influencing decision making of older nurses around timing of retirement... more AIM(S) Understand factors influencing decision making of older nurses around timing of retirement BACKGROUND: Global nursing shortages require flexible nurse retention strategies METHOD(S): An explanatory sequential mixed method approach: Nurses across seven health care organisations within one integrated care system responded to an online survey (n=524). Semi-structured interviews and a focus group were conducted (n=19). RESULTS Survey data confirmed age as a key factor influencing nurses' decision making. Factors associated with retention were flexible working conditions, financial considerations and feeling valued. Factors associated with attrition were poor or deteriorating health, stress, and wish for more time with family and friends. Logit regression confirmed flexible work patterns are the strongest predictors for working beyond retirement. Qualitative data revealed retirement plans are accompanied by personal milestones; the work environment heavily influence these plan...
Written Communication, Dec 11, 2023
Journal of international migration and integration, Mar 23, 2024
Frontiers in Psychiatry
IntroductionDebriefings give healthcare workers voice through the opportunity to discuss unantici... more IntroductionDebriefings give healthcare workers voice through the opportunity to discuss unanticipated or difficult events and recommend changes. The typical goal of routine debriefings has been to improve clinical outcomes by learning through discussion and reflection of events and then transferring that learning into clinical practice. However, little research has investigated the effects of debriefings on the emotional experiences and well-being of healthcare workers. There is some evidence that debriefings are a multi-faceted and cost-effective intervention for minimising negative health outcomes, but their use is inconsistent and they are infrequently adopted with the specific intention of giving healthcare workers a voice. The purpose of this systematic scoping review is therefore to assess the scope of existing evidence on debriefing practices for the well-being and emotional outcomes of healthcare workers.MethodsFollowing screening, 184 papers were synthesised through keywor...
British Journal of Nursing
Background: While nursing education has been forecast to continue to grow, placement capacity is ... more Background: While nursing education has been forecast to continue to grow, placement capacity is now the key factor precluding growth in supply. Aims: To provide a comprehensive understanding of hub-and-spoke placements and their ability to increase placement capacity. Method: A systematic scoping review and narrative synthesis were used ( Arksey and O'Malley, 2005 ). PRISMA checklist and ENTREQ reporting guidelines were followed. Findings: The search returned 418 results. After a first and second screen 11 papers were included. Results suggest that hub-and-spoke models were generally evaluated favourably by nursing students, with a range of benefits reported. However, many of the studies included in the review were small and of low quality. Conclusion: Given the exponential increase in applications to study nursing, hub-and-spoke placements appear to have the potential to better meet these increased demands, while also providing a number of benefits.
British journal of midwifery, Sep 2, 2022
Computers and Education Open
Digital leadership in higher education is a sub-field of research that rapidly evolved from e-lea... more Digital leadership in higher education is a sub-field of research that rapidly evolved from e-leadership studies. The practice of effective digital leadership in higher education is urgently needed to keep up with changing demands and opportunities. Yet limited knowledge exists of how it is defined, how it operates and relates to institutional leadership, including both administration and teaching. An updated review of prior empirical studies is overdue, given system-wide digitalization. This article systematically reviews empirical studies on digital leadership in higher education between 1999 and 2022, its value, focus and the research methods involved. The review combined descriptive synthesis and textual narrative synthesis, applying a data-based convergent synthesis design adhering to PRISMA and ENTREQ reporting guidelines. From 231 records, 36 studies remained following application of exclusion criteria. Research has increased, but is still limited in theory, maturity, and evidence. Definitions and theories of digital leadership are varied in scope and how far they are considered in the reviewed studies. Functional rather than critical perspectives predominate. The quality of most research is low, lacking rigour in research questions and methods, rendering findings inconclusive. The review recommends a digital leadership research maturity framework and further research on theoretical definitions and digitalization to address gaps in the literature identified in the review.
Clinical Simulation in Nursing
Both the ethics of simulation and how it may be used to explore, train and assess ethical issues ... more Both the ethics of simulation and how it may be used to explore, train and assess ethical issues in a clinical context have received growing interest in recent years. As ethical considerations permeate almost every element of simulation and clinical practice, the emerging literature in this field remains relatively fragmented, lacking a common vocabulary or standardised practice and methodology. Given this, the primary aim of this paper was to systematically map the literature related to ethics in healthcare simulation, guided by the research question of 'how is ethics in healthcare simulation recorded in current literature?'. Our secondary aim was to explore the feasibility of conducting a systematic mapping review. One hundred and four papers were included and analysed. Results suggest that this is relatively small, but rapidly growing field. Most research was carried out in the US and with variety of research methods employed. Research involving samples of nurses relied more heavily on qualitative methods and students in their samples than that of medical doctors or other professions. Keyword co-occurrence suggested that studies utilised simulation overwhelmingly in an educational context.
The University of Greenwich, May 31, 2021
Nursing Inquiry, 2021
Racism in health and healthcare has long been recognised as a structural issue. While there has b... more Racism in health and healthcare has long been recognised as a structural issue. While there has been growing research and a number of important initiatives that have come from approaching racism as a structural issue, there is a range of implications that yet have to be explored as they relate to health and healthcare. Conceptualising racism in this way provides a means to consider how it shapes and is shaped by a range of global injustices and serves as a foundation for more egregious harms. It also suggests that if we are to dismantle racism, we need to look both within and beyond the traditional domains of health and healthcare and account for a range of broader forces that sustain and re-enforce racism. We first discuss the issue of responsibility, drawing on Young's social connection model to argue that we all have a responsibility to take action in addressing structural racism. We will then deal with a question that naturally follows, namely how we discharge our responsibilities, with a focus on the role of disruptive action in challenging power and ignorance in dismantling racism in health and healthcare.
Journal of Computer Assisted Learning
Societies
Although a fair amount of research around older adults’ perception of digital technology exists, ... more Although a fair amount of research around older adults’ perception of digital technology exists, there is only a moderate amount of research investigating older people’s reactions and sense-making in real-world contexts with emerging digital tools. This paper reports on the constructivist research approach used by the author, which initiated co-production with participants to gather older and younger adults’ reactions towards digital video connectivity during a series of design research interventions. For this, the author had built a research tool, the Teletalker kiosks (TT), which connected two locations using digital live video to provide a ‘window into the other space’. Participants, if they wished, could activate the volume with a designed mechanism aimed at non-computer literate people, which was used in order to speak to each other. The three connections were between an older people’s charity day centre and the university, between two locations at the university, and between t...
Technology for older people is typically concerned either with health care or accessibility of ex... more Technology for older people is typically concerned either with health care or accessibility of existing systems. In this paper we take a more 'entertainment-oriented' approach to developing experiences aimed at older users. We describe here the design, development and a user study of the V-Armchair, a virtual reality and motion platform based roller coaster experience. The V-Armchair constitutes a blueprint for the digital archiving of physical ride experiences through the simultaneous capture of 360 video, sound and motion. It gives access to thrill experiences to those who may not be able to go on real thrill rides, such as older riders, and it can be considered as a class of technology that could help to support 'active aging' as defined by the World Health Organisation. We discuss strategies for capturing and then 'toning down' motion experiences to make them accessible for older users. We present a study which explores the user experience of the V-Armcha...
Racism in health and healthcare has long been recognised as a structural issue. While there has b... more Racism in health and healthcare has long been recognised as a structural issue. While there has been growing research and a number of important initiatives that have come from approaching racism as a structural issue, there is a range of implications that yet have to be explored as they relate to health and healthcare. Conceptualising racism in this way provides a means to consider how it shapes and is shaped by a range of global injustices and serves as a foundation for more egregious harms. It also suggests that if we are to dismantle racism, we need to look both within and beyond the traditional domains of health and healthcare and account for a range of broader forces that sustain and re-enforce racism. We first discuss the issue of responsibility, drawing on Young's social connection model to argue that we all have a responsibility to take action in addressing structural racism. We will then deal with a question that naturally follows, namely how we discharge our responsibi...
The Journal of school nursing : the official publication of the National Association of School Nurses, 2021
Relationships and Sex Education (RSE) in schools are predominantly heterocentric. Consequently, l... more Relationships and Sex Education (RSE) in schools are predominantly heterocentric. Consequently, lesbian, gay, bisexual, transgender, and questioning young people have reported feeling excluded. This exclusion results in feelings of being "different" and "other," which in turn leads to further disengagement in the sex education classroom, contributing to poor sexual health literacy, greater risk of abusive relationships, and higher rates of sexually transmitted infections. A rapid review was undertaken to identify the impact of non-inclusive sex education. The review makes recommendations for policy and practice, which includes the provision of training courses to school teaching staff with an emphasis on inclusive RSE, appropriate online resources for lesbian, gay, bisexual transgender, and questioning (LGBTQ) young people, as well as offering 1:1 emotional health support for LGBTQ young people as they begin to question their sexual orientation.
Journal of nursing management, 2021
AIM(S) Understand factors influencing decision making of older nurses around timing of retirement... more AIM(S) Understand factors influencing decision making of older nurses around timing of retirement BACKGROUND: Global nursing shortages require flexible nurse retention strategies METHOD(S): An explanatory sequential mixed method approach: Nurses across seven health care organisations within one integrated care system responded to an online survey (n=524). Semi-structured interviews and a focus group were conducted (n=19). RESULTS Survey data confirmed age as a key factor influencing nurses' decision making. Factors associated with retention were flexible working conditions, financial considerations and feeling valued. Factors associated with attrition were poor or deteriorating health, stress, and wish for more time with family and friends. Logit regression confirmed flexible work patterns are the strongest predictors for working beyond retirement. Qualitative data revealed retirement plans are accompanied by personal milestones; the work environment heavily influence these plan...