Explanipedia

Building collaborative capacity: Professional role awareness in integrated older adult care teams Open

Sahar Hammoud, Aoife De Brún, Carmel Davies, C Green, Marie O’Shea , et al. · 2025

Background Interprofessional Collaboration (IPC) enables healthcare professionals (HCPs) from different disciplines to provide coordinated, high-quality care and is central to the WHO's Integrated Care for Older People framework (WHO, 2019…

How can interprofessional collaboration be fostered and sustained in team-based care integration for older people in community settings? A realist evidence synthesis Open

Deirdre O’Donnell, Carmel Davies, Catherine Devaney, Apolonia Radomska, Marie O’Shea , et al. · 2025

The results provide policymakers and clinicians with evidence-based programme theory that will catalyse critical dialogue on IPC implementation. This programme theory informs the prioritisation of resources to enable favourable contexts fo…

Why Aren't Antenatal Care Providers Adopting Oral Health Guidelines? A Qualitative Exploration Open

Annika Wilson, Carmel Davies, SS Bettiol, Heather Bridgman, LA Crocombe , et al. · 2025

Objective The current Australian Pregnancy Care guidelines recommend that antenatal care providers discuss oral health, provide advice and refer women to dental professionals as needed. However, the delivery of oral health recommendations …

Distraction-based interventions for children in the emergency care setting: A realist synthesis based on primary research Open

Christianne Micallef, Suja Somanadhan, Deirdre O’Donnell, Wayne Thompson, Diarmuid Stokes , et al. · 2025

This realist synthesis provides methodological guidance in the form of PT that can be utilised by clinical practitioners to adopt and implement DBI within the healthcare setting.

Shared Decision-Making for Patients with Stroke in Neurocritical Care: A Qualitative Meta-Synthesis Open

Hui Zhang, Carmel Davies, Diarmuid Stokes, Deirdre O’Donnell · 2024

Barriers and enablers to care-leavers engagement with multi-agency support: A scoping review Open

Louise Prendergast, Carmel Davies, Diane Seddon, Ned Hartfiel, Rhiannon Tudor Edwards · 2024

Background: Many care-leavers experience poor individual and social outcomes.Care-leavers involvement with decision making and consistent supportive relationships with professionals can facilitate a more successful transition to independen…

A realist process evaluation of an intervention to promote competencies in interprofessional collaboration among interdisciplinary integrated care teams for older people: Study protocol. Open

Deirdre O’Donnell, Emer Ahern, Carmel Davies, Aoife De Brún, Sarah Donnelly , et al. · 2023

Background: International policy is increasingly committed to placing interdisciplinary team-working at the centre of health and social care integration across the lifespan. The National Clinical Programme for Older People in Ireland has a…

An examination of relational dynamics of power in the context of supported (assisted) decision‐making with older people and those with disabilities in an acute healthcare setting Open

Deirdre O’Donnell, Carmel Davies, Lauren Christophers, Éidín Ní Shé, Sarah Donnelly , et al. · 2023

Introduction Supported (assisted) healthcare decision‐making (ADM) focuses attention on how people with disabilities, including cognitive impairments, can be best supported to make decisions about their health and social care on an equitab…

Children as innovators: harnessing the creative expertise of children to address practical and psychosocial challenges of the coronavirus disease 2019 (COVID-19) pandemic – COVISION study protocol Open

Helen McAneney, Harry Shier, Lisa Gibbs, Carmel Davies, Aoife De Brún , et al. · 2022

Background:We are currently in a period of transition, from the pre-COVID-19 (coronavirus disease 2019) era and the initial reactive lockdowns, to now the ongoing living with and potentially the after COVID-19 period. Each country is at it…

A Rapid Realist Review of Quality Care Process Metrics Implementation in Nursing and Midwifery Practice Open

Seán Paul Teeling, Carmel Davies, Marlize Barnard, Laserina O’Connor, Alice Coffey , et al. · 2021

Quality measurement initiatives promote quality improvement in healthcare but can be challenging to implement effectively. This paper presents a Rapid Realist Review (RRR) of published literature on Quality Care-Process Metrics (QCP-M) imp…

Children as innovators: harnessing the creative expertise of children to address practical and psychosocial challenges of the coronavirus disease 2019 (COVID-19) pandemic – COVISION study protocol Open

Helen McAneney, Harry Shier, Lisa Gibbs, Carmel Davies, Aoife De Brún , et al. · 2021

Background:We are currently in a period of transition, from the pre-COVID-19 (coronavirus disease 2019) era and the initial reactive lockdowns, to now the ongoing living with and potentially the after COVID-19 period. Each country is at it…

Animal assisted interventions in the children's hospital: protocol for a scoping review Open

Rachel Howe, Sandra Nicholson, Attracta Lafferty, Carmel Davies, Diarmuid Stokes , et al. · 2021

The introduction of Animal Assisted Interventions (AAIs) in healthcare is relatively common; however, their actual effectiveness and long-term impact are not so well known, especially in relation to the children’s hospital setting. It is i…

Context counts: a qualitative study exploring the interplay between context and implementation success Open

Lisa Rogers, Aoife De Brún, Sarah A. Birken, Carmel Davies, Éilish McAuliffe · 2021

Purpose Implementing change in healthcare is difficult to accomplish due to the unpredictability associated with challenging the status quo. Adapting the intervention/practice/program being implemented to better fit the complex context is …

Contexts and Mechanisms That May Facilitate or Inhibit the Implementation of Assisted Decision-Making Policy With Older People in Acute Care Settings: A Qualitative Analysis of the Experiences of Health and Social Care Professionals, Older People and Family Carers. Open

Deirdre O’Donnell, Carmel Davies, Lauren Christophers, Éidín Ní Shé, Sarah Donnelly , et al. · 2021

Background: Assisted Decision-Making (ADM) legislation in Ireland provides a statutory basis for the right of all individuals, including those with a disability, to be supported to participate as fully as possible in all decisions which af…

Assisted decision-making and interprofessional collaboration in the care of older people: a qualitative study exploring perceptions of barriers and facilitators in the acute hospital setting Open

Sarah Donnelly, Diarmuid Ó Coimín, Deirdre O’Donnell, Éidín Ní Shé, Carmel Davies , et al. · 2021

In recent years, there has been a move toward a more human rights-based approach to the issue of supported and assisted decision-making (ADM) with legislative changes strengthening the formal right for older people to participate in care p…

Quality care process metrics (QCP-Ms) in nursing and midwifery care processes: a rapid realist review (RRR) protocol Open

Laserina O’Connor, Alice Coffey, Veronica Lambert, Mary Casey, Martin McNamara , et al. · 2021

Background: In 2018, the Office of the Nursing and Midwifery Services Director (ONMSD) completed phase one of work which culminated in the development and launch of seven research reports with defined suites of quality care process metrics…

A Rapid Realist Review of Quality Care Process Metrics Implementation in Nursing and Midwifery Practice Open

Seán Paul Teeling, Carmel Davies, Marlize Barnard, Laserina O’Connor, Alice Coffey , et al. · 2021

Supplementary files to the study include:- A representation list of the reference and expert groups, - An extraction template linked to the CFIR Framework, - Detailing all included documents selected after the quality appraisal process- An…

The micropolitics of implementation; a qualitative study exploring the impact of power, authority, and influence when implementing change in healthcare teams Open

Lisa Rogers, Aoife De Brún, Sarah A. Birken, Carmel Davies, Éilish McAuliffe · 2020

Quality care metrics (QC-M) in nursing and midwifery care processes: a rapid realist review (RRR) protocol Open

Laserina O’Connor, Alice Coffey, Veronica Lambert, Mary Casey, Martin McNamara , et al. · 2020

Background: In 2018, the Office of the Nursing and Midwifery Services Director (ONMSD) completed phase one of work which culminated in the development and launch of seven research reports with defined suites of quality care process metric…

Animal assisted activities in the children's hospital: protocol for a scoping review Open

Rachel Howe, Sandra Nicholson, Attracta Lafferty, Carmel Davies, Diarmuid Stokes , et al. · 2020

The introduction of animal interventions in healthcare are relatively common; however, their actual effectiveness and longer term findings are not so well known or published, especially in relation to the children’s hospital setting. It is…

Designing and developing core physiology learning outcomes for pre-registration nursing education curriculum Open

Alison Wood, Colin Chandler, Siobhan A. Connolly, Gabrielle M. Finn, Catherine Redmond , et al. · 2020

Physiology is a key element of “bioscience” education within pre-registration nursing programs, but there is a lack of clarity on what is included. Physiology and bioscience content and delivery are highly varied across both higher educati…

Minding the gap: identifying values to enable public and patient involvement at the pre-commencement stage of research projects Open

Éidín Ní Shé, Jennifer Cassidy, Carmel Davies, Aoife De Brún, Sarah Donnelly , et al. · 2020

“What Bothers Me Most Is the Disparity between the Choices that People Have or Don’t Have”: A Qualitative Study on the Health Systems Responsiveness to Implementing the Assisted Decision-Making (Capacity) Act in Ireland Open

Éidín Ní Shé, Deirdre O’Donnell, Sarah Donnelly, Carmel Davies, Francesco Fattori , et al. · 2020

Objective: The Assisted Decision-Making (ADM) (Capacity) Act was enacted in 2015 in Ireland and will be commenced in 2021. This paper is focused on this pre-implementation stage within the acute setting and uses a health systems responsive…

Animal assisted interventions in the children's hospital: protocol for a scoping review [version 2; peer review: 2 approved] Open

Rachel Howe, Sandra Nicholson, Attracta Lafferty, Carmel Davies, Diarmuid Stokes , et al. · 2020

Quality Care Metrics (QC-M) in Nursing and Midwifery Care Processes: A Rapid Realist Review (RRR) Protocol Open

Marlize Barnard, Laserina O’Connor, Alice Coffey, Veronica Lambert, Mary Casey , et al. · 2020

Quality Care Process Nursing/Midwifery Metrics (QC-M) in practice: A rapid realist review (RRR) protocol.

What are the mechanisms that support healthcare professionals to adopt assisted decision-making practice? A rapid realist review Open

Carmel Davies, Francesco Fattori, Deirdre O’Donnell, Sarah Donnelly, Éidín Ní Shé , et al. · 2019

171 Programme Theory to Guide the Adoption of Assisted Decision Making with Older People in Acute Healthcare: Realist Evaluation Open

Carmel Davies, Deirdre O’Donnell, Éidín Ní Shé, Sarah Donnelly, Francesco Fattori , et al. · 2019

Background In Ireland, the Assisted Decision-Making (ADM) (Capacity) Act and emerging Codes of Practice provide a legal framework for Healthcare Professionals (HCPs) to enable ADM for patients with impaired capacity. ADM ensures that a per…

153 Barriers and Enablers of Assisted Decision-making for Older People in Acute Care Hospitals: A Multi-Stakeholder Inquiry Open

Sarah Donnelly, Diarmuid Ó Coimín, Deirdre O’Donnell, Carmel Davies, Éidín Ní Shé , et al. · 2019

Background Ireland’s Assisted Decision-Making (Capacity) Act 2015 breaks from traditional views of capacity to consider the uniqueness of each decision with relation to topic, time and place for those with impaired or fluctuating capacity.…

Optimizing nursing time in a day care unit: Quality improvement using Lean Six Sigma methodology Open

Carmel Davies, Caroline Lyons, Regina Whyte · 2019

Objective This study applies Lean Six Sigma (LSS) to improve the efficiency of a private hospital day care unit and generate a positive impact on optimizing nursing time and improving personalized patient care and staff satisfaction. Desig…

Developing clinical guidelines for the management of menopausal symptoms in breast cancer survivors: process evaluation Open

Carmel Davies, Elizabeth Summersby, Vanessa Clarke, Gráinne Mooney, Kathy Maher , et al. · 2019

Introduction: In Ireland, the risk of a women developing breast cancer is 1 in 9. For hormone responsive breast cancer, the risk of re-occurrence is reduced by anti-hormone therapy. However, the treatment induces menopausal symptoms that a…

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