Michelle Howarth - Academia.edu (original) (raw)

Papers by Michelle Howarth

British Journal of Cardiac Nursing

A properly planned recruitment strategy is instrumental to research success. This paper provides ... more A properly planned recruitment strategy is instrumental to research success. This paper provides an overview of the recruitment process for your research study. The authors present a five-stage model incorporating the following steps: defining your sampling approach, identifying and accessing participants, screening participants, obtaining informed consent and enrolling patients onto your study. Informed consent is discussed as a key aspect of ethical rigour in this process. The five key steps presented in this paper will help you to design, develop and implement a recruitment strategy to optimise success in your research study.

The project sought to introduce an interprofessional training programme for 3rd year pre-registra... more The project sought to introduce an interprofessional training programme for 3rd year pre-registration students across a range of professional groups. The programme was developed collaboratively with three National Health Service (NHS) sites. Practice education facilitators (PEFs), social work and voluntary sector equivalents and lecturers were involved in developing the content and pedagogic approach. The programme ran over a period of six weeks and was delivered on Trust premises each week to a range of 50 pre-registration 3rd year students from different professional disciplines: nursing (adult, child, mental health and learning disabilities), physiotherapy, podiatry and social work (although the social work students were studying at masters level – structural issues meant that it was not possible for BA social work students to participate on this occasion). Once the students had completed the programme, they were invited to participate in a focus group to obtain their views about...

This literature review is one of three outputs from a project: Explicating the role of partnershi... more This literature review is one of three outputs from a project: Explicating the role of partnerships in changing the health and well-being of local communities, one of a number of projects in a larger Higher Education Funding Council Strategic Development Fund project (HEFCE) entitled: Urban Regeneration: Making a Difference. This was a collaborative venture between Manchester Metropolitan University, Northumbria University, University of Salford and University of Central Lancashire. Bradford University was an affiliated partner.

This literature review is one of series of outputs from Shaping the Future in Primary Care Educat... more This literature review is one of series of outputs from Shaping the Future in Primary Care Education and Training project (www.pcet.org.uk) which is funded by the North West Development Agency (NWDA). It is the result of a collaborative initiative between the NWDA, the North West Universities Association and seven Higher Education Institutions in the North West of England

BACKGROUND Child health research comprises complex ethical considerations. Understanding the exte... more BACKGROUND Child health research comprises complex ethical considerations. Understanding the extent to which the ethical process is reported in child health research is needed to improve reporting. AIMS To identify reportage of ethical considerations in child health research in leading nursing and paediatric journals. METHODS All child health research published between 2015 and 2019 in 10 leading nursing journals and two paediatric journals were retrieved and critically appraised for the reportage of informed consent and ethical approval. RESULTS Eight hundred and fifty-one child health research papers were included. Although 544 (79.9%) of the prospective studies mentioned informed consent, only 300 (55.2%) reported that written informed consent was obtained from the participants. Overall, 748 (87.9%) of child health research papers noted obtaining research ethics committee approval. Articles that mentioned financial support were significantly more likely to report informed consent...

British Journal of Community Nursing, 2020

This paper discusses social prescribing as part of the wider NHS England universal personalised c... more This paper discusses social prescribing as part of the wider NHS England universal personalised care model, and it describes how community nurses can engage with social prescribing systems to support community resilience. A case study based on the example of gardening, as a nature-based social prescription provided by the RHS Bridgewater Wellbeing Garden, is provided to illustrate the scope, reach and impact of non-medical, salutogenic approaches for community practitioners. The authors argue that social prescribing and, in particular, nature-based solutions, such as gardening, can be used as a non-medical asset-based approach by all health professionals working in the community as a way to promote health and wellbeing. They consider how the negative impact of social distancing resulting from COVID-19 restrictions could be diluted through collaboration between a holistic, social prescribing system and community staff. The paper presents a unique perspective on how community nurses c...

British Journal of Nursing, 2020

BMJ Open, 2020

ObjectiveTo systematically identify and describe studies that have evaluated the impact of garden... more ObjectiveTo systematically identify and describe studies that have evaluated the impact of gardens and gardening on health and well-being. A secondary objective was to use this evidence to build evidence-based logic models to guide health strategy decision making about gardens and gardening as a non-medical, social prescription.DesignScoping review of the impact of gardens and gardening on health and well-being. Gardens include private spaces and those open to the public or part of hospitals, care homes, hospices or third sector organisations.Data sourcesA range of biomedical and health management journals was searched including Medline, CINAHL, Psychinfo, Web of Knowledge, ASSIA, Cochrane, Joanna Briggs, Greenfile, Environment Complete and a number of indicative websites were searched to locate context-specific data and grey literature. We searched from 1990 to November 2019.Eligibility criteriaWe included research studies (including systematic reviews) that assessed the effect, va...

British Journal of Cardiac Nursing, 2019

Personalised care is integral to the delivery of the NHS England Long Term Plan. Enabling choice ... more Personalised care is integral to the delivery of the NHS England Long Term Plan. Enabling choice and supporting patients to make decisions predicated on ‘what matters to them’, rather than ‘what is the matter with them’ is a fundamental part of the NHS vision. Social prescribing uses non-medical, asset-based, salutogenic approaches to promote this personalised paradigm, and places the patient central to decision making. This article discusses how personalised care can be used to help people with cardiovascular disease using socially prescribed ‘nature-based’ interventions to support the pre-habilitation and rehabilitation of patients with cardiovascular disease. The concept of personalised care outlined and the significance of salutogenic principles as a complementary approach to the pathogenic model is discussed. The authors argue that this seemingly novel approach to using nature-based interventions can help promote wellbeing for people with cardiovascular disease as part of the w...

Journal of Research in Nursing, 2018

Background Therapeutic horticulture is a nature-based method that includes a range of green activ... more Background Therapeutic horticulture is a nature-based method that includes a range of green activities, such as gardening, to promote wellbeing. It is believed that therapeutic horticulture provides a person-centred approach that can reduce social isolation for people with mental health problems. Aims The aim of the project was to evaluate the impact of a mental health recovery programme that used therapeutic horticulture as an intervention to reduce social inclusion and improve engagement for people with mental health problems. Methods A mixed-methods approach was used and data from four semi-structured focus group interviews, 11 exit interviews and 20 ‘recovery star' datasets were collected from September 2015 to October 2017. Qualitative data from the interviews were thematically analysed, and quantitative data based on a recovery star outcomes tool were analysed using descriptive statistics to demonstrate trends and progression. The findings were then triangulated to provide...

Practice Nursing, 2019

More people are living longer with multimorbidities, many of which are handled in general practic... more More people are living longer with multimorbidities, many of which are handled in general practice. Michelle Howarth and Liz Burns highlight the contribution that general practice nurses can make to providing person-centred approaches to improving health and wellbeing The NHS Long Term Plan recognised the need to understand that ’what matters to someone’ is not the same as ‘what's the matter with someone’. Conversations that focus on what is the matter with someone typically draw out the patient's needs, with assessment and care planning based on classic principles of pathogenesis and accompanying clinical solutions. Conversations that consider what matters to someone draw out a person's individual assets and what is important to them, with personalised care and support planning based on principles of salutogenesis and non-medical solutions, such as social prescribing. This article explores the pivotal role that practice nurses have in maximising their impact on personal...

Nursing ethics, 2017

It is acknowledged that publishers now require all primary research papers to demonstrate that th... more It is acknowledged that publishers now require all primary research papers to demonstrate that they have obtained ethical approval for their research. To assess the rate of reporting of ethical approval in clinical trials in core nursing journals in mainland China. A retrospective observational study. All clinical trials published in all of the 12 core nursing periodicals from 2016 edition China Science and Technology Journal Citation Report (core version) between 2013 and 2016 were retrieved by hand to explicate rate of reporting ethical approval and informed consent. Ethical considerations: The study did not require approval from the research ethics committee as it did not involve human subjects or records. In total, 40,278 papers were published in 12 nursing periodicals between 2013 and 2016. Out of these, 9488 (23.6%) focused on clinical trials. Informed consent obtained from patients or the legally authorized representative was reported in 51.8% of clinical trials. Notably, onl...

British Journal of Cardiac Nursing, 2017

Globally, coronary heart disease remains one of the biggest causes of death ( World Health Organi... more Globally, coronary heart disease remains one of the biggest causes of death ( World Health Organization (WHO), 2013 ) and has influenced a vast array of research to ensure that treatments, approaches, prevention strategies and rehabilitation methods are evidence-based. Significantly, the amount of public and private funds used to support research in cardiac care is vast, and funders expect timely, high-quality research to develop and advance care-delivery innovations. Managing research can be complex and fraught with challenges; however, careful consideration of the risks and how these can be avoided or managed can increase your chances of success.

Journal of Clinical Nursing, 2017

Aims and objectives. This critical review examines the extent that individualised education helps... more Aims and objectives. This critical review examines the extent that individualised education helps reduce depression, anxiety and improves self-care for people who've undergone Coronary Artery Bypass Graft surgery (CABG). Background. Individualised discharge planning is increasingly important following cardiac surgery due to recurrent admissions as well as the issue of anxiety and depression, often due to lack of preparation. The hospital to home transition is fundamental in the recovery process. Individualised education and person centred care ensures that patients' educational needs are met. This empowers patients, increasing self efficacy or confidence, resulting in autonomy, a smoother discharge process and avoiding post discharge problems and rehospitalisation. Design. A critical review of published peer-reviewed literature was conducted. Methods. Electronic databases searched included MEDLINE, CINAHL, the Cochrane Library and PsychInfo 2009-2015.Data was selected and extracted by three reviewers based on PRISMA guidelines (Moher et al 2009) Results. Eight articles were identified for review, and a CASP framework was used to determine the quality of the papers, all of the papers focussed on CABG. The designs were typically experimental or quasi experimental with 2 reviews. Conclusion. A greater understanding of the patients needs allows tailored education to be provided which promotes self care management. This level of patient empowerment increases confidence and ultimately minimise anxiety and depression. Despite the varying teaching and learning methods What does this paper contribute to the wider global clinical community? This critical review contributes to the body of knowledge that individualised education helps reduce complications and promotes self care following Coronary artery bypass surgery. Individualised education and patient centred care ensures that patient needs are met. Patient empowerment through tailored education increases confidence and prepares patients for discharge following Coronary artery bypass surgery. Formatted: Highlight associated with individualised education, patient centred education has the potential to assist cardiac nurses in adequately preparing patients for discharge following their CABG. Relevance to clinical practice. Development of individualised education programmes is crucial in preparing patients for discharge. The reduction in readmission to hospital has a significant effect on already stretched resources, and the reduction in post operative complications during the recovery period linked with depression and anxiety will have a positive effect on the individuals' ability to self-care, health and well being.

Journal of Public Mental Health, 2016

Purpose The purpose of this paper is to qualitatively evaluate the impact of therapeutic horticul... more Purpose The purpose of this paper is to qualitatively evaluate the impact of therapeutic horticulture (TH) on social integration for people who have mental health problems. Design/methodology/approach A qualitative grounded theory approach captured the perceptions about TH from people with mental health problems. Data were collected using semi-structured focus group and interviews from a purposive sample (n=7) and were analysed using a constant comparative approach. Findings Four key themes emerged from the analysis: “a space to grow”, “seeing the person”, “learning about each other through nature” and “connecting to nature and others”. The findings suggest that TH enabled participants to integrate socially, engage with nature and develop confidence. Research limitations/implications TH is a potential approach that can help combat social isolation. The findings from this research have implications for people working towards supporting people who are socially excluded. However, this ...

Journal of Advanced Nursing, 2008

Title. Centralization and research governance: does it work? Aim. This paper is a report of a stu... more Title. Centralization and research governance: does it work? Aim. This paper is a report of a study to evaluate the impact and success of the United Kingdom centralized Research Management and Governance model. Background. Research is crucial to the generation of new knowledge and for the development of nursing services. However, poor research conduct has prompted a growing international impetus to govern and monitor research activity. In 2004, a centralized Research Management and Governance Model aimed at fostering a quality research culture through streamlining bureaucratic management processes was implemented across 14 primary care provider organizations in the United Kingdom. Methods. A questionnaire survey was undertaken in 2004 to explore researchers' experiences (n = 76) of the model across the 14 organizations, and semi-structured interviews were conducted with five research and development managers. The interview transcripts were independently thematically analysed. Findings. Governance processes were seen as useful or very useful by 36AE8% (n = 28) of researchers viewed, and 47AE3% (n = 36) thought they were a hindrance or not useful. Managers suggested that the model supported the research infrastructure and had reduced paperwork. The benefits of centralization were balanced against managers' perceptions of reduced autonomy and control. Conclusions. Centralizing research governance is an effective way of maximizing research resources, but researchers still may not value the process. Partnership working can streamline research governance mechanisms, but needs to be adequately resourced and transparent. This model could be of benefit to international colleagues who are charged with the management of research.

International Journal of Integrated Care, 2007

Purpose: The purpose of this paper is to critically examine the extent of patient centrality with... more Purpose: The purpose of this paper is to critically examine the extent of patient centrality within integrated chronic back pain management services and compare policy rhetoric with practice reality. Context: Integrated chronic back pain management services. Data sources: We have drawn on theories of integration and context specific journals related to integration and pain management between 1966 and 2006 to identify evidence of patient centrality within integrated chronic pain management services. Discussions: Despite policy rhetoric and guidelines which promote 'patient centrality' within multidisciplinary services, we argue that evaluations of these services are scant. Many papers have focussed on the assessment of pain in multidisciplinary services as opposed to the patients' experience of these services. Conclusions: A latent measure of the reality of its magnitude needs to be captured through analysis of the patient's perspectives. Capturing patients' thoughts about integrated services will promote patient centrality and support the reality rather than endorse the rhetoric.