Nina Fudge
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View article: Dementia and the disappearing subject: a framing analysis of drugs for dementia in UK news media
Dementia and the disappearing subject: a framing analysis of drugs for dementia in UK news media Open
Dementia affects 55 million people worldwide and is a global priority as governments, health services and care providers grapple with how to provide care for people with dementia and their families. In the UK, drug treatments for dementia …
View article: Collaborative and integrated working between general practice and community pharmacies: A realist review of what works, for whom, and in which contexts
Collaborative and integrated working between general practice and community pharmacies: A realist review of what works, for whom, and in which contexts Open
Objectives Collaborative and integrated (C + I) working between general practice and community pharmacies has the potential to increase accessibility to services, improve service efficiency and quality of care, and reduce health care expen…
View article: ‘Troubling’ medication reviews in the context of polypharmacy and ageing: A linguistic ethnography
‘Troubling’ medication reviews in the context of polypharmacy and ageing: A linguistic ethnography Open
Healthy ageing is a global priority. Polypharmacy (the use of 5+ medicines) amongst older people is increasing, with over one-third of adults in England, aged 80-89, prescribed at least eight medications. Although sometimes necessary, poly…
View article: Addressing Polypharmacy: Developing Public-Facing Resources Through Storytelling-Based Co-Design
Addressing Polypharmacy: Developing Public-Facing Resources Through Storytelling-Based Co-Design Open
Background: Tackling problematic polypharmacy is a global health safety priority and is likely to require a multifaceted approach. UK health policy hinges around the potential of medication reviews, but deprescribing in medication reviews …
View article: Multimorbidity as chronic crisis: ‘Living on’ with multiple long‐term health conditions in a socially disadvantaged London borough
Multimorbidity as chronic crisis: ‘Living on’ with multiple long‐term health conditions in a socially disadvantaged London borough Open
Contemporary health services are primarily designed around single diseases. People with multimorbidity (multiple long‐term health conditions) often become burdened by accumulated treatments. Through multimodal fieldwork in a socially disad…
View article: Advancing the communication of genetic risk for cardiometabolic diseases: a critical interpretive synthesis
Advancing the communication of genetic risk for cardiometabolic diseases: a critical interpretive synthesis Open
Background Genetics play an important role in risk for cardiometabolic diseases—including type 2 diabetes, cardiovascular disease and obesity. Existing research has explored the clinical utility of genetic risk tools such as polygenic risk…
View article: Providing care to marginalised communities: a qualitative study of community pharmacy teams
Providing care to marginalised communities: a qualitative study of community pharmacy teams Open
Background Health inequalities in the UK are widening, particularly since the COVID-19 pandemic. Community pharmacies are the most visited healthcare provider in England and are ideally placed to provide and facilitate access to care for t…
View article: Multimorbidity: a problem in the body, or a problem of the system?
Multimorbidity: a problem in the body, or a problem of the system? Open
Ten things I wish I had known about academic primary careAs an academic GP trainee I read Wanat et al's article with interest. 1I was surprised that there was no mention of the inherent administrative bureaucracy and red tape that is rife …
View article: Supporting Inclusion and Participation for People Living With Dementia: Ethnographic and Participatory Research Methods
Supporting Inclusion and Participation for People Living With Dementia: Ethnographic and Participatory Research Methods Open
Dementia researchers have persuasively argued for using flexible and creative methods with people with dementia, to ensure their historically marginalised voices are now heard. This article builds on that work, using examples from a study …
View article: Advancing the communication of genetic risk for cardiometabolic diseases: A critical interpretive synthesis
Advancing the communication of genetic risk for cardiometabolic diseases: A critical interpretive synthesis Open
Background Genetics play an important role in risk for cardiometabolic diseases—including type 2 diabetes, cardiovascular disease and obesity. Existing research has explored the clinical utility of genetic risk tools such as polygenic risk…
View article: Community pharmacy and general practice collaborative and integrated working: a realist review protocol
Community pharmacy and general practice collaborative and integrated working: a realist review protocol Open
Introduction Increasing collaborative and integrated working between General practice (GP) and Community pharmacy (CP) is a key priority of the UK National Health Service and has been proposed as a solution to reducing health system fragme…
View article: The emergence of multimorbidity as a matter of concern: a critical review
The emergence of multimorbidity as a matter of concern: a critical review Open
Multimorbidity is considered one of the greatest emerging challenges for contemporary health care systems. However, the meaning of the term ‘multimorbidity’ is not straightforward. Despite many attempts to clarify the definition and its me…
View article: Negotiating the polypharmacy paradox: a video-reflexive ethnography study of polypharmacy and its practices in primary care
Negotiating the polypharmacy paradox: a video-reflexive ethnography study of polypharmacy and its practices in primary care Open
Background Polypharmacy is an important safety concern. Medication reviews are recommended for patients affected by polypharmacy, but little is known about how they are conducted, nor how clinicians make sense of them. We used video-reflex…
View article: What do we want to get out of this? A critical interpretive synthesis of the value of process evaluations with a practical planning framework
What do we want to get out of this? A critical interpretive synthesis of the value of process evaluations with a practical planning framework Open
Background Process evaluations aim to understand how interventions bring about outcomes by examining intervention mechanisms, implementation, and context. While much attention has been paid to the methodology of process evaluations in heal…
View article: Organising polypharmacy: unpacking medicines, unpacking meanings—an ethnographic study
Organising polypharmacy: unpacking medicines, unpacking meanings—an ethnographic study Open
Objectives We explore how older patients affected by polypharmacy manage the ‘hidden work’ of organising their medicines, how they make sense of this work and integrate it into their lives. Design and setting Ethnographic study observing p…
View article: ‘It's all about patient safety’: an ethnographic study of how pharmacy staff construct medicines safety in the context of polypharmacy
‘It's all about patient safety’: an ethnographic study of how pharmacy staff construct medicines safety in the context of polypharmacy Open
Objective As polypharmacy increases, so does the complexity of prescribing, dispensing and consuming medicines. Medication safety is typically framed as the avoidance of harm, achievable through adherence to policies, guidelines and operat…
View article: The impact of public involvement in health research: what are we measuring? Why are we measuring it? Should we stop measuring it?
The impact of public involvement in health research: what are we measuring? Why are we measuring it? Should we stop measuring it? Open
As public involvement in the design, conduct and dissemination of health research has become an expected norm and firmly enshrined in policy, interest in measuring its impact has also grown. Despite a drive to assess the impact of public i…
View article: Addressing the polypharmacy challenge in older people with multimorbidity (APOLLO-MM): study protocol for an in-depth ethnographic case study in primary care
Addressing the polypharmacy challenge in older people with multimorbidity (APOLLO-MM): study protocol for an in-depth ethnographic case study in primary care Open
Introduction Polypharmacy is on the rise. It is burdensome for patients and is a common source of error and adverse drug reactions, especially among older adults. Health policy advises clinicians to practice medicines optimisation —a perso…
View article: The polypharmacy challenge: time for a new script?
The polypharmacy challenge: time for a new script? Open
Polypharmacy, usually defined as the ongoing use of ≥4 medicines by one person, presents one of the most pressing primary care challenges of our time. This simple definition conceals much of the complexity that the concept evokes in the mi…
View article: Stroke through a lens: Exposing the challenges of establishing a visual arts project as a research engagement activity
Stroke through a lens: Exposing the challenges of establishing a visual arts project as a research engagement activity Open
To celebrate 20 years of an epidemiological study, the South London Stroke Register, we collaborated with student artists and stroke survivors to create an exhibition of visual arts displayed at a series of events in 2015–16. This paper ex…
View article: Gender equity programmes in academic medicine: a realist evaluation approach to Athena SWAN processes
Gender equity programmes in academic medicine: a realist evaluation approach to Athena SWAN processes Open
Objectives Gender inequity has persisted in academic medicine. Yet equity is vital for countries to achieve their full potential in terms of translational research and patient benefit. This study sought to understand how the gender equity …
View article: Citizen Participation as Political Ritual: Towards a Sociological Theorizing of ‘Health Citizenship’
Citizen Participation as Political Ritual: Towards a Sociological Theorizing of ‘Health Citizenship’ Open
This article examines citizen participation in health research, where funders increasingly seek to promote and define ‘patient and public involvement’ (PPI). In England, the focus of our study, government policy articulates a specific set …
View article: Optimising Translational Research Opportunities: A Systematic Review and Narrative Synthesis of Basic and Clinician Scientists' Perspectives of Factors Which Enable or Hinder Translational Research
Optimising Translational Research Opportunities: A Systematic Review and Narrative Synthesis of Basic and Clinician Scientists' Perspectives of Factors Which Enable or Hinder Translational Research Open
To optimise translational research, policy could consider refining translational research models to better reflect scientists' experiences, fostering greater collaboration and buy in from all types of scientists. Organisations could foster…