Heather Loveday | University of West London (original) (raw)

Papers by Heather Loveday

Journal of Clinical Epidemiology, 2022

OBJECTIVE Mixed methods systematic reviews (MMSR) combine quantitative and qualitative evidence w... more OBJECTIVE Mixed methods systematic reviews (MMSR) combine quantitative and qualitative evidence within a single review. Since the revision of the JBI Methodology for MMSRs in 2020, there has been an increasing number of reviews published that claim to follow this approach. A preliminary examination of these indicated that authors frequently deviated from the methodology. This paper outlines five common 'pitfalls' associated with undertaking MMSR and provides direction for future reviewers attempting MMSR. METHODS Forward citation tracking identified 17 reviews published since the revision of the JBI mixed methods methodological guidance. Methods used in these reviews were then examined against the JBI methodology to identify deviations. RESULTS The issues identified related to the rationale for choosing the methodological approach; incorrect synthesis and integration approach chosen to answer the review question/s posed; the exclusion of primary mixed methods studies in the review; the lack of detail regarding the process of data transformation and a lack of 'mixing' of the quantitative and qualitative components. CONCLUSION This exercise was undertaken to assist systematic reviewers considering conducting a MMSR as well as MMSR users to identify potential areas where authors tend to deviate from the methodological approach. Based on these findings a series of recommendations are provided.

Supplemental material, Figure_2_Online_supplementary_material_Oct_2019 for A prevalence survey of... more Supplemental material, Figure_2_Online_supplementary_material_Oct_2019 for A prevalence survey of patients with indwelling urinary catheters on district nursing caseloads in the United Kingdom: The Community Urinary Catheter Management (CCaMa) Study by Jacqui Prieto, Jennie Wilson, Aggie Bak, Andrea Denton, Ashley Flores, Gail Lusardi, Matthew Reid, Lesley Shepherd, Niamh Whittome and Heather Loveday in Journal of Infection Prevention

There is clear evidence that gloves are often misused in clinical practice, which puts patients a... more There is clear evidence that gloves are often misused in clinical practice, which puts patients at increased risk of infection. New evidence suggests there are two main influences on health professionals’ to wear gloves: socialisation, reflecting the expectations of peers, or the ; and emotion, the response to a sense of disgust and need for self-protection. This article explores the extent of glove misuse why they are misused, and suggests to address the problem.

Objectives: As part of Health Education England’s (HEE) response to the 2014 Mandate, Health Educ... more Objectives: As part of Health Education England’s (HEE) response to the 2014 Mandate, Health Education England Thames Valley (HEETV) commissioned four universities to undertake a multi-phase project. The University of West London, Oxford Brookes University, University of Bedfordshire and University of Northampton became partners in the Dementia Academic Action Group (DAAG). Phase 1 of the project consisted of a Scoping Review, reported through a poster at the 2016 ADI. This poster will focus on Phase 2 (design and delivery of the training package) and Phase 3 (evaluation of the impact of training). The DAAG has developed evidence based and quality assured training package based on recognised National UK standards such as Skills for Health Dementia Training Standards (2015). It has also been validated by the Alzheimer Society as meeting the standards for Dementia Friend’s training, and participants are eligible to register as a Dementia Friend on completion of the training. The packa...

Aim of paper: This is a report on the preliminary findings of an ongoing prospective, longitudina... more Aim of paper: This is a report on the preliminary findings of an ongoing prospective, longitudinal study which aims to assess the impact of combining values-based recruitment and resilience testing on student performance and retention over a period of three years. Background: Student attrition rates have long been regarded as a major challenge for Higher Education Institutions (HEI) and cost the NHS approximately £99 million a year. Attrition affects students’ self-esteem as well as healthcare organisations challenged by nursing shortages. Some risk factors identified as contributing to high attrition include stress, course-related difficulties, loss of motivation and personal reasons. It has also been recognised that the students enrolled on nursing programmes differ from traditional university students and may therefore require different support to progress and complete successfully. Greater insight into the relationship between these factors is needed to enable HEIs to predict th...

JBI Evidence Synthesis, 2020

This document was downloaded from https://openair.rgu.ac.uk JBI Evidence Synthesis Barriers and e... more This document was downloaded from https://openair.rgu.ac.uk JBI Evidence Synthesis Barriers and enablers to implementation of pressure injury prevention in hospitalized adults: a mixed methods systematic review protocol

Journal of Hospital Infection, 2017

Background Much attention has focused on hand decontamination for healthcare workers; little has ... more Background Much attention has focused on hand decontamination for healthcare workers; little has been paid to patient hand hygiene. Patients confined to bed are often unable to access hand washing facilities. They could use an alcohol hand rub but these are not advised for soiled hands or social hand hygiene. One alternative is the use of a hand wipe. However, are they effective at removing transient microorganisms from the hands? Aim To develop a method assessing the antimicrobial efficacy of hand wipes compared with hand washing, and so determine if a hand wipe can be acceptable for patient hand hygiene. Methods The methodology was based on the European standards EN 1499 (2013) and EN 1500 (2013) as there is no standard for hand wipes. The hands of 20 healthy volunteers were artificially contaminated by immersion in Escherichia coli and then sampled before and after using a reference soft soap or hand wipes for 60 seconds. The counts obtained were expressed as log10 and the log10 reductions calculated. Findings The patient hand wipe with no antimicrobial agent was inferior to the soft soap. However, the antimicrobial wipe was statistically non-inferior to the soft soap. A log10

Critically appraising an article is much more than simply reading it. Appraisal is a technique th... more Critically appraising an article is much more than simply reading it. Appraisal is a technique that will improve the effectiveness of your ability to read research and determine if it is of adequate quality. This book will teach you how to critically appraise all types of research using questions geared to the particular type of research. You will then be able to determine if the research results are valid and can be applied in practice.

Journal of Infection Prevention

In the past year, infection prevention and control (IPC) services globally have faced unique epid... more In the past year, infection prevention and control (IPC) services globally have faced unique epidemiological, operational, behavioural and policy challenges in preventing COVID-19 transmission in health and social care settings. IPC teams have been stretched beyond capacity to meet these challenges and we need to identify learning that ensures the pivotal role of IPC in pandemic planning. In our “normal” IPC world there is a focus on improving IPC practice to prevent healthcare-associated infection (HAI) and combat antimicrobial resistance (AMR), with little focus on pandemic planning. Globally, the core components of an IPC programme are described by the World Health Organisation (WHO; 2016)

Supplemental material, sj-pptx-1-msj-10.1177_1757177420971849 for A comparison of the nationally ... more Supplemental material, sj-pptx-1-msj-10.1177_1757177420971849 for A comparison of the nationally important infection prevention and control documents in NHS England and NHS Scotland by Evonne T Curran, Emma Burnett, Jude Robinson and Heather Loveday in Journal of Infection Prevention

American Journal of Infection Control, 2021

OBJECTIVE The role of healthcare worker hand hygiene in preventing healthcare associated infectio... more OBJECTIVE The role of healthcare worker hand hygiene in preventing healthcare associated infections (HCAI) is well established. There is less emphasis on the hand hygiene of hospitalised patients; in the context of COVID-19 mechanisms to support it are particularly important. The purpose of this study was to establish if providing patient hand wipes, and a defined protocol for encouraging their use, was effective in improving the frequency of patient hand hygiene (PHH). DESIGN Before and after study SETTING: General Hospital, United Kingdom. PARTICIPANTS All adult patients admitted to six acute elderly care/rehabilitation hospital wards between July and October 2018. METHODS Baseline audit of PHH opportunities conducted over 6 weeks. Focus group with staff and survey of the public informed the development of a PHH bundle. Effect of bundle on PHH monitored by structured observation of HH opportunities over 12 weeks. RESULTS During baseline 303 opportunities for PHH were observed; compliance with PHH was 13.2% (40/303; 95%CI 9.9-7.5). In the evaluation of PHH bundle 526 PHH opportunities were observed with HH occurring in 58.9% (310/526); an increase of 45.7% vs. baseline (95%CI 39.7-51.0%; p<0.001). CONCLUSION Providing patients with multi-wipe packs of handwipes is a simple, cost-effective approach to increasing patient hand hygiene and reducing the risk of HCAI in hospital. Healthcare workers play an essential role in encouraging PHH.

Nursing and Residential Care, 2021

Background/aims Older adults residing in nursing homes are vulnerable to dehydration. Residents l... more Background/aims Older adults residing in nursing homes are vulnerable to dehydration. Residents living with dementia can experience additional challenges, making it difficult to independently consume sufficient fluids. The aim of this study was to describe the experience of hydration care for nursing home residents living with dementia. Methods Observations of hydration care were conducted between 06:00 and 22:45 on one care home unit. Twenty-two residents with dementia were eligible for observation. Conversations with staff and relatives provided further insights. The data were analysed using thematic analysis. Findings Hydration care provision was highly routinised with little flexibility. Residents received limited support to express individual choices, and staff missed opportunities to provide drinks. More fluid was consumed when care staff developed strategies to encourage fluid intake. Conclusions Key factors to optimise hydration care include providing individual support to e...

The nature of nurse education has changed considerably since the inception of nursing as a profes... more The nature of nurse education has changed considerably since the inception of nursing as a profession in the mid-nineteenth century. The challenge for modern student nurses is bridging the conceptual gap between formal (classroom) learning and practical (on the ward) competence. The nature of post-registration transition into nursing practice is challenging for many nurses. The Capital Nurse Foundation Programme (CNFP) provides support for newly qualified nurses who begin their practice with National Health Service (NHS) Trusts within the UK capital. Crossing this boundary from academia to practice can be daunting for new nurses. This programme uses rotation to provide supported educational experiences for new nurses crossing this boundary aiming to support retention and prevent high turnover. This paper is a qualitative evaluation of newly qualified nurses and programme managers experiences of the CNFP across 9 different London Healthcare Trusts. The findings revealed five primary ...

Since its inception more than half a century ago, the National Health Service has continued to tr... more Since its inception more than half a century ago, the National Health Service has continued to transform and improve the health and wellbeing of the Nation. Now treating a million people every 36 hours, the NHS provides an unprecedented range of clinical interventions that can mend accidental damage, prevent, identify and manage or cure disease, and prolong quality life. However, hospital care and healthcare interventions are always associated with potential hazards, including the risk of acquiring an infection during care. Those patients most at risk are often the most vulnerable and chronically ill in our society and they and their families suffer needlessly because healthcare-associated infections are largely preventable. During the last decade, the Richard Wells Research Centre (RWR) in the Faculty of Health and Human Sciences at University of West London (formally Thames Valley university) has collaborated with the Department of Health and a variety of other governmental organi...

As people age, they become increasingly vulnerable to dehydration. Older people living in care ho... more As people age, they become increasingly vulnerable to dehydration. Older people living in care homes are particularly at risk and ensuring that they receive and consume adequate amounts of fluid every day can be a challenge. This article describes the findings of a quality improvement project conducted in two London care homes aimed at optimising residents’ fluid intake. A range of simple and inexpensive practical solutions were developed and implemented with good results. The research team that worked with staff on the project has since developed a free resource pack on hydration in care homes.

Journal of Clinical Epidemiology, 2022

OBJECTIVE Mixed methods systematic reviews (MMSR) combine quantitative and qualitative evidence w... more OBJECTIVE Mixed methods systematic reviews (MMSR) combine quantitative and qualitative evidence within a single review. Since the revision of the JBI Methodology for MMSRs in 2020, there has been an increasing number of reviews published that claim to follow this approach. A preliminary examination of these indicated that authors frequently deviated from the methodology. This paper outlines five common 'pitfalls' associated with undertaking MMSR and provides direction for future reviewers attempting MMSR. METHODS Forward citation tracking identified 17 reviews published since the revision of the JBI mixed methods methodological guidance. Methods used in these reviews were then examined against the JBI methodology to identify deviations. RESULTS The issues identified related to the rationale for choosing the methodological approach; incorrect synthesis and integration approach chosen to answer the review question/s posed; the exclusion of primary mixed methods studies in the review; the lack of detail regarding the process of data transformation and a lack of 'mixing' of the quantitative and qualitative components. CONCLUSION This exercise was undertaken to assist systematic reviewers considering conducting a MMSR as well as MMSR users to identify potential areas where authors tend to deviate from the methodological approach. Based on these findings a series of recommendations are provided.

Supplemental material, Figure_2_Online_supplementary_material_Oct_2019 for A prevalence survey of... more Supplemental material, Figure_2_Online_supplementary_material_Oct_2019 for A prevalence survey of patients with indwelling urinary catheters on district nursing caseloads in the United Kingdom: The Community Urinary Catheter Management (CCaMa) Study by Jacqui Prieto, Jennie Wilson, Aggie Bak, Andrea Denton, Ashley Flores, Gail Lusardi, Matthew Reid, Lesley Shepherd, Niamh Whittome and Heather Loveday in Journal of Infection Prevention

There is clear evidence that gloves are often misused in clinical practice, which puts patients a... more There is clear evidence that gloves are often misused in clinical practice, which puts patients at increased risk of infection. New evidence suggests there are two main influences on health professionals’ to wear gloves: socialisation, reflecting the expectations of peers, or the ; and emotion, the response to a sense of disgust and need for self-protection. This article explores the extent of glove misuse why they are misused, and suggests to address the problem.

Objectives: As part of Health Education England’s (HEE) response to the 2014 Mandate, Health Educ... more Objectives: As part of Health Education England’s (HEE) response to the 2014 Mandate, Health Education England Thames Valley (HEETV) commissioned four universities to undertake a multi-phase project. The University of West London, Oxford Brookes University, University of Bedfordshire and University of Northampton became partners in the Dementia Academic Action Group (DAAG). Phase 1 of the project consisted of a Scoping Review, reported through a poster at the 2016 ADI. This poster will focus on Phase 2 (design and delivery of the training package) and Phase 3 (evaluation of the impact of training). The DAAG has developed evidence based and quality assured training package based on recognised National UK standards such as Skills for Health Dementia Training Standards (2015). It has also been validated by the Alzheimer Society as meeting the standards for Dementia Friend’s training, and participants are eligible to register as a Dementia Friend on completion of the training. The packa...

Aim of paper: This is a report on the preliminary findings of an ongoing prospective, longitudina... more Aim of paper: This is a report on the preliminary findings of an ongoing prospective, longitudinal study which aims to assess the impact of combining values-based recruitment and resilience testing on student performance and retention over a period of three years. Background: Student attrition rates have long been regarded as a major challenge for Higher Education Institutions (HEI) and cost the NHS approximately £99 million a year. Attrition affects students’ self-esteem as well as healthcare organisations challenged by nursing shortages. Some risk factors identified as contributing to high attrition include stress, course-related difficulties, loss of motivation and personal reasons. It has also been recognised that the students enrolled on nursing programmes differ from traditional university students and may therefore require different support to progress and complete successfully. Greater insight into the relationship between these factors is needed to enable HEIs to predict th...

JBI Evidence Synthesis, 2020

This document was downloaded from https://openair.rgu.ac.uk JBI Evidence Synthesis Barriers and e... more This document was downloaded from https://openair.rgu.ac.uk JBI Evidence Synthesis Barriers and enablers to implementation of pressure injury prevention in hospitalized adults: a mixed methods systematic review protocol

Journal of Hospital Infection, 2017

Background Much attention has focused on hand decontamination for healthcare workers; little has ... more Background Much attention has focused on hand decontamination for healthcare workers; little has been paid to patient hand hygiene. Patients confined to bed are often unable to access hand washing facilities. They could use an alcohol hand rub but these are not advised for soiled hands or social hand hygiene. One alternative is the use of a hand wipe. However, are they effective at removing transient microorganisms from the hands? Aim To develop a method assessing the antimicrobial efficacy of hand wipes compared with hand washing, and so determine if a hand wipe can be acceptable for patient hand hygiene. Methods The methodology was based on the European standards EN 1499 (2013) and EN 1500 (2013) as there is no standard for hand wipes. The hands of 20 healthy volunteers were artificially contaminated by immersion in Escherichia coli and then sampled before and after using a reference soft soap or hand wipes for 60 seconds. The counts obtained were expressed as log10 and the log10 reductions calculated. Findings The patient hand wipe with no antimicrobial agent was inferior to the soft soap. However, the antimicrobial wipe was statistically non-inferior to the soft soap. A log10

Critically appraising an article is much more than simply reading it. Appraisal is a technique th... more Critically appraising an article is much more than simply reading it. Appraisal is a technique that will improve the effectiveness of your ability to read research and determine if it is of adequate quality. This book will teach you how to critically appraise all types of research using questions geared to the particular type of research. You will then be able to determine if the research results are valid and can be applied in practice.

Journal of Infection Prevention

In the past year, infection prevention and control (IPC) services globally have faced unique epid... more In the past year, infection prevention and control (IPC) services globally have faced unique epidemiological, operational, behavioural and policy challenges in preventing COVID-19 transmission in health and social care settings. IPC teams have been stretched beyond capacity to meet these challenges and we need to identify learning that ensures the pivotal role of IPC in pandemic planning. In our “normal” IPC world there is a focus on improving IPC practice to prevent healthcare-associated infection (HAI) and combat antimicrobial resistance (AMR), with little focus on pandemic planning. Globally, the core components of an IPC programme are described by the World Health Organisation (WHO; 2016)

Supplemental material, sj-pptx-1-msj-10.1177_1757177420971849 for A comparison of the nationally ... more Supplemental material, sj-pptx-1-msj-10.1177_1757177420971849 for A comparison of the nationally important infection prevention and control documents in NHS England and NHS Scotland by Evonne T Curran, Emma Burnett, Jude Robinson and Heather Loveday in Journal of Infection Prevention

American Journal of Infection Control, 2021

OBJECTIVE The role of healthcare worker hand hygiene in preventing healthcare associated infectio... more OBJECTIVE The role of healthcare worker hand hygiene in preventing healthcare associated infections (HCAI) is well established. There is less emphasis on the hand hygiene of hospitalised patients; in the context of COVID-19 mechanisms to support it are particularly important. The purpose of this study was to establish if providing patient hand wipes, and a defined protocol for encouraging their use, was effective in improving the frequency of patient hand hygiene (PHH). DESIGN Before and after study SETTING: General Hospital, United Kingdom. PARTICIPANTS All adult patients admitted to six acute elderly care/rehabilitation hospital wards between July and October 2018. METHODS Baseline audit of PHH opportunities conducted over 6 weeks. Focus group with staff and survey of the public informed the development of a PHH bundle. Effect of bundle on PHH monitored by structured observation of HH opportunities over 12 weeks. RESULTS During baseline 303 opportunities for PHH were observed; compliance with PHH was 13.2% (40/303; 95%CI 9.9-7.5). In the evaluation of PHH bundle 526 PHH opportunities were observed with HH occurring in 58.9% (310/526); an increase of 45.7% vs. baseline (95%CI 39.7-51.0%; p<0.001). CONCLUSION Providing patients with multi-wipe packs of handwipes is a simple, cost-effective approach to increasing patient hand hygiene and reducing the risk of HCAI in hospital. Healthcare workers play an essential role in encouraging PHH.

Nursing and Residential Care, 2021

Background/aims Older adults residing in nursing homes are vulnerable to dehydration. Residents l... more Background/aims Older adults residing in nursing homes are vulnerable to dehydration. Residents living with dementia can experience additional challenges, making it difficult to independently consume sufficient fluids. The aim of this study was to describe the experience of hydration care for nursing home residents living with dementia. Methods Observations of hydration care were conducted between 06:00 and 22:45 on one care home unit. Twenty-two residents with dementia were eligible for observation. Conversations with staff and relatives provided further insights. The data were analysed using thematic analysis. Findings Hydration care provision was highly routinised with little flexibility. Residents received limited support to express individual choices, and staff missed opportunities to provide drinks. More fluid was consumed when care staff developed strategies to encourage fluid intake. Conclusions Key factors to optimise hydration care include providing individual support to e...

The nature of nurse education has changed considerably since the inception of nursing as a profes... more The nature of nurse education has changed considerably since the inception of nursing as a profession in the mid-nineteenth century. The challenge for modern student nurses is bridging the conceptual gap between formal (classroom) learning and practical (on the ward) competence. The nature of post-registration transition into nursing practice is challenging for many nurses. The Capital Nurse Foundation Programme (CNFP) provides support for newly qualified nurses who begin their practice with National Health Service (NHS) Trusts within the UK capital. Crossing this boundary from academia to practice can be daunting for new nurses. This programme uses rotation to provide supported educational experiences for new nurses crossing this boundary aiming to support retention and prevent high turnover. This paper is a qualitative evaluation of newly qualified nurses and programme managers experiences of the CNFP across 9 different London Healthcare Trusts. The findings revealed five primary ...

Since its inception more than half a century ago, the National Health Service has continued to tr... more Since its inception more than half a century ago, the National Health Service has continued to transform and improve the health and wellbeing of the Nation. Now treating a million people every 36 hours, the NHS provides an unprecedented range of clinical interventions that can mend accidental damage, prevent, identify and manage or cure disease, and prolong quality life. However, hospital care and healthcare interventions are always associated with potential hazards, including the risk of acquiring an infection during care. Those patients most at risk are often the most vulnerable and chronically ill in our society and they and their families suffer needlessly because healthcare-associated infections are largely preventable. During the last decade, the Richard Wells Research Centre (RWR) in the Faculty of Health and Human Sciences at University of West London (formally Thames Valley university) has collaborated with the Department of Health and a variety of other governmental organi...

As people age, they become increasingly vulnerable to dehydration. Older people living in care ho... more As people age, they become increasingly vulnerable to dehydration. Older people living in care homes are particularly at risk and ensuring that they receive and consume adequate amounts of fluid every day can be a challenge. This article describes the findings of a quality improvement project conducted in two London care homes aimed at optimising residents’ fluid intake. A range of simple and inexpensive practical solutions were developed and implemented with good results. The research team that worked with staff on the project has since developed a free resource pack on hydration in care homes.