Toity Deave | University of the West of England (original) (raw)
Papers by Toity Deave
Injury Prevention, Sep 1, 2010
BACKGROUND Internationally, there is an increasing emphasis on early intervention in the first 10... more BACKGROUND Internationally, there is an increasing emphasis on early intervention in the first 1000 days to support pregnant mothers and optimise the health and development of newborns. To increase intervention reach, digital and app-based interventions have been advocated. This paper reports on the qualitative arm of the independent multicomponent evaluation of the Baby Buddy app, a pregnancy related app supported by several professional bodies and developed by a UK young child health and wellbeing charity Best Beginnings. OBJECTIVE To understand when, why and how first-time mothers use the Baby Buddy app and the perceived potential benefits. METHODS An Appreciative Inquiry (AI) qualitative approach was used with semi-structured interviews (n = 17) undertaken with pregnant mother either by telephone or in a focus group. Thematic analysis was used to synthesise the rich data and present findings. RESULTS Four over-riding themes were collated with regard to women’s use of the Baby Buddy app and its influence on interactions with health care professionals and family: Accessibility of information, Knowledge, Reassurance and Reliability, and Confidence. CONCLUSIONS The findings demonstrated a cyclical pattern between the emergent themes, which could provide a framework on which to support first-time mothers’ engagement with digital health management tools. CLINICALTRIAL NA INTERNATIONAL REGISTERED REPORT RR2-10.1017/S1463423618000294
Children and Young People Now
Health Scope, 2017
Introduction: This paper describes a case of pregnant mother who died of burn injury in order to ... more Introduction: This paper describes a case of pregnant mother who died of burn injury in order to understand the societal factors related to the event. We reviewed the case in the rural community. Initially, the case was reported as a maternal death to maternal and neonatal death review (MNDR) system being conducted in Bangladesh within exiting health system to explore the medical and social causes of maternal and newborn deaths. However, during the verbal autopsy, it was found that the mother died of bun injury. Therefore, we performed detailed case study. Case Presentation: A woman aged 18 years was nine months pregnant in a rural community in Moheskhali upazila of Cox's Bazar district. During the wintertime, the mother feels cold and goes near to the oven in the yard to be warm. Suddenly, part of her clothing (Anchal of Sari) catches fire; she does not recognized and starts to walk towards her room. A neighbor notices and starts to shout. The woman scars and tries to run. The neighbors come with a bucket of water. By this time, the fire spreads over whole body and cloths. Immediately after the event, she is transferred to a medical college hospital. Conclusions: Doctors tried to do immediate cesarean section; however, they could not save the life of the baby inside. The mother who was severely burnt also died after 10 days. Rural community in Bangladesh still does not have adequate awareness and knowledge about risk of burn. The scarce knowledge of appropriate steps immediately after burn was explored. Moreover, delays in decision-making and transferring the patient to the facility were identified. Specific interventions need to be taken to increase knowledge and awareness in the community, which could save thousands of lives.
PLOS ONE, 2017
<p>Primary and secondary outcomes at 12 month follow-up by treatment arm.</p
International Journal of Health Promotion and Education, 2015
To understand barriers and facilitators to the delivery of injury prevention programmes in Englis... more To understand barriers and facilitators to the delivery of injury prevention programmes in English children's centres (CCs). Unintentional injury is a major cause of disability and death in children aged 1-4 years; those living in poverty are at greatest risk. CCs are pivotal in English public health strategies to improve outcomes and reduce inequalities for disadvantaged children through health promotion and family support. Method This study is part of the NIHR funded 'Keeping Children Safe at home' programme which aims to develop a better understanding of how to prevent unintentional injuries in preschool children. Thirty-three interviews with CC staff from 16 CCs across 4 study sites, Nottingham, Norwich, Newcastle and Bristol, explored practitioners' experience of factors that impact on their implementation of health promotion and injury prevention interventions. Results Using Framework Analysis, managed by NVivo, key facilitators and barriers were identified across all levels of CCs' operation. Facilitators included: knowledge of policies and strategies in injury prevention, partnership working and effective parent engagement. Barriers included: paucity of national and local injury data; difficulties reaching disengaged families and funding constraints. Conclusions The challenge is to learn from those who work in CCs the best ways to harness facilitators and to address barriers to child injury prevention activities, and to provide support, including practical advice, for further development of their essential work in injury prevention.
The Oxford Handbook of Primary Care and Community Nursing is written by primary care nurses and o... more The Oxford Handbook of Primary Care and Community Nursing is written by primary care nurses and other experts in their field, who are directly engaged in current practice, research and policy activities. It addresses the knowledge and skills needed by nurses working in modern ...
The Department of Health commissioned a team from the University of Bristol to undertake an indep... more The Department of Health commissioned a team from the University of Bristol to undertake an independent evaluation of the first wave of NHS walk-in centres. The evaluation was designed to assess the success of walk-in centres against five criteria of improved access to health care, quality, appropriateness, impact on other NHS providers and efficiency. In addition, the evaluation sought to identify the models of organisation and settings which allowed the objectives of walk-in centres to be achieved most effectively. The evaluation began in June 2000 and was completed in November 2001. The evaluation was based on a number of component studies, which are summarised below: Analysis of monitoring returns and anonymised patient data Each walk-in centre sends monthly "monitoring returns" to the Department of Health, describing their activities. In addition, anonymised data were obtained from 12 walk-in centres for more detailed analysis. The number of visitors to centres is gradually increasing, with each centre receiving an average of 2556 per month in August 2001. Nurses conducted 83% of consultations. The median length of a consultation was 14 minutes. Although one feature of walk-in centres is extended opening hours, the majority of visitors attended between 9.00am and 4.00pm, with relatively few attending in the evening. The pattern of attendance by time was distinctly different for different agegroups. A high proportion of visitors were young adults, including a greater proportion of men than attend in general practice settings. Patient throughput was related to the location of the walk-in centre, with centres located on hospital sites without an A & E department, and those co-located with general practices, receiving most visitors.
Injury Prevention, Sep 1, 2010
BACKGROUND Internationally, there is an increasing emphasis on early intervention in the first 10... more BACKGROUND Internationally, there is an increasing emphasis on early intervention in the first 1000 days to support pregnant mothers and optimise the health and development of newborns. To increase intervention reach, digital and app-based interventions have been advocated. This paper reports on the qualitative arm of the independent multicomponent evaluation of the Baby Buddy app, a pregnancy related app supported by several professional bodies and developed by a UK young child health and wellbeing charity Best Beginnings. OBJECTIVE To understand when, why and how first-time mothers use the Baby Buddy app and the perceived potential benefits. METHODS An Appreciative Inquiry (AI) qualitative approach was used with semi-structured interviews (n = 17) undertaken with pregnant mother either by telephone or in a focus group. Thematic analysis was used to synthesise the rich data and present findings. RESULTS Four over-riding themes were collated with regard to women’s use of the Baby Buddy app and its influence on interactions with health care professionals and family: Accessibility of information, Knowledge, Reassurance and Reliability, and Confidence. CONCLUSIONS The findings demonstrated a cyclical pattern between the emergent themes, which could provide a framework on which to support first-time mothers’ engagement with digital health management tools. CLINICALTRIAL NA INTERNATIONAL REGISTERED REPORT RR2-10.1017/S1463423618000294
Children and Young People Now
Health Scope, 2017
Introduction: This paper describes a case of pregnant mother who died of burn injury in order to ... more Introduction: This paper describes a case of pregnant mother who died of burn injury in order to understand the societal factors related to the event. We reviewed the case in the rural community. Initially, the case was reported as a maternal death to maternal and neonatal death review (MNDR) system being conducted in Bangladesh within exiting health system to explore the medical and social causes of maternal and newborn deaths. However, during the verbal autopsy, it was found that the mother died of bun injury. Therefore, we performed detailed case study. Case Presentation: A woman aged 18 years was nine months pregnant in a rural community in Moheskhali upazila of Cox's Bazar district. During the wintertime, the mother feels cold and goes near to the oven in the yard to be warm. Suddenly, part of her clothing (Anchal of Sari) catches fire; she does not recognized and starts to walk towards her room. A neighbor notices and starts to shout. The woman scars and tries to run. The neighbors come with a bucket of water. By this time, the fire spreads over whole body and cloths. Immediately after the event, she is transferred to a medical college hospital. Conclusions: Doctors tried to do immediate cesarean section; however, they could not save the life of the baby inside. The mother who was severely burnt also died after 10 days. Rural community in Bangladesh still does not have adequate awareness and knowledge about risk of burn. The scarce knowledge of appropriate steps immediately after burn was explored. Moreover, delays in decision-making and transferring the patient to the facility were identified. Specific interventions need to be taken to increase knowledge and awareness in the community, which could save thousands of lives.
PLOS ONE, 2017
<p>Primary and secondary outcomes at 12 month follow-up by treatment arm.</p
International Journal of Health Promotion and Education, 2015
To understand barriers and facilitators to the delivery of injury prevention programmes in Englis... more To understand barriers and facilitators to the delivery of injury prevention programmes in English children's centres (CCs). Unintentional injury is a major cause of disability and death in children aged 1-4 years; those living in poverty are at greatest risk. CCs are pivotal in English public health strategies to improve outcomes and reduce inequalities for disadvantaged children through health promotion and family support. Method This study is part of the NIHR funded 'Keeping Children Safe at home' programme which aims to develop a better understanding of how to prevent unintentional injuries in preschool children. Thirty-three interviews with CC staff from 16 CCs across 4 study sites, Nottingham, Norwich, Newcastle and Bristol, explored practitioners' experience of factors that impact on their implementation of health promotion and injury prevention interventions. Results Using Framework Analysis, managed by NVivo, key facilitators and barriers were identified across all levels of CCs' operation. Facilitators included: knowledge of policies and strategies in injury prevention, partnership working and effective parent engagement. Barriers included: paucity of national and local injury data; difficulties reaching disengaged families and funding constraints. Conclusions The challenge is to learn from those who work in CCs the best ways to harness facilitators and to address barriers to child injury prevention activities, and to provide support, including practical advice, for further development of their essential work in injury prevention.
The Oxford Handbook of Primary Care and Community Nursing is written by primary care nurses and o... more The Oxford Handbook of Primary Care and Community Nursing is written by primary care nurses and other experts in their field, who are directly engaged in current practice, research and policy activities. It addresses the knowledge and skills needed by nurses working in modern ...
The Department of Health commissioned a team from the University of Bristol to undertake an indep... more The Department of Health commissioned a team from the University of Bristol to undertake an independent evaluation of the first wave of NHS walk-in centres. The evaluation was designed to assess the success of walk-in centres against five criteria of improved access to health care, quality, appropriateness, impact on other NHS providers and efficiency. In addition, the evaluation sought to identify the models of organisation and settings which allowed the objectives of walk-in centres to be achieved most effectively. The evaluation began in June 2000 and was completed in November 2001. The evaluation was based on a number of component studies, which are summarised below: Analysis of monitoring returns and anonymised patient data Each walk-in centre sends monthly "monitoring returns" to the Department of Health, describing their activities. In addition, anonymised data were obtained from 12 walk-in centres for more detailed analysis. The number of visitors to centres is gradually increasing, with each centre receiving an average of 2556 per month in August 2001. Nurses conducted 83% of consultations. The median length of a consultation was 14 minutes. Although one feature of walk-in centres is extended opening hours, the majority of visitors attended between 9.00am and 4.00pm, with relatively few attending in the evening. The pattern of attendance by time was distinctly different for different agegroups. A high proportion of visitors were young adults, including a greater proportion of men than attend in general practice settings. Patient throughput was related to the location of the walk-in centre, with centres located on hospital sites without an A & E department, and those co-located with general practices, receiving most visitors.