Simon Bettles

Director of Studies (HCPC Programmes) and Lead for Simulation Education
Research in Health and Social Care Simulation Education MSc


Areas of specialism

Simulation Education in Health

University roles and responsibilities

  • Lead for Simulation Education
  • Director of Studies for BSc (Hons) Paramedic Science
  • Senior Lecturer
  • Hospital Link Tutor
  • Module Organiser
  • Personal Tutor

    My qualifications

    Masters in Research in Health and Social Care Simulation Education
    University of Surrey


    Research interests

    Research collaborations



    A. Halls, M. Kanagasundaram, M. Lau-Walker, H. Diack, S. Bettles (2019)Using in situ simulation to improve care of the acutely ill patient by enhancing interprofessional working: a qualitative proof of concept study in primary care in England, In: BMJ Open2019(9)e028572pp. 1-9 BMJ Publishing Group

    Objectives Acutely unwell patients in general practice are uncommon, but their management requires intervention from staff (clinical and non-clinical) working as a team. Despite the advantages of interprofessional education being well documented, there is little research evidence of this in the primary care setting. This study aimed to improve care of the acutely ill patient by enhancing interprofessional working, using in-situ simulation. Methods Mixed methods evaluation study. Phase 1 scoped education provision in GP practices within Health Education England Kent, Surrey and Sussex (HEEKSS) via questionnaire to 668 practices. In Phase 2 a simulation of cardiac arrest occurred in three HEEKSS practices; all staff participated in interviews. Results Phase 1 showed the majority of practices ran sessions involving all staff, predominantly focusing on basic life support (BLS) (63 practices) and practice-specific areas such as managing difficult patients (28 practices). 61 said simulation was not used; 41 responded that it was, 37 specifying for BLS training. Qualitative thematic analysis identified four themes: 1) apprehension, anxiety, and (un)willing participation, 2) reflection on the simulation design, 3) experiences of the scenario and 4) training. Conclusions Practices made changes in their workplace, potentially benefitting the future management of acutely ill patients. The use of actors and involvement of clinical and non-clinical members of staff contributes to a fuller understanding of how in-situ simulation can benefit both workforce and patients.

    A Schneider, G Kotronoulas, C Papadopoulou, Lisa McCann, M Miller, Jacqueline McBride, Zoe Polly, Simon Bettles, Alison Whitehouse, N Kearney, Roma Maguire (2016)Trajectories and predictors of state and trait anxiety in patients receiving chemotherapy for breast and colorectal cancer: results from a longitudinal study, In: European Journal of Oncology Nursing24(Oct)pp. 1-7 Elsevier

    Purpose To examine the trajectories and predictors of state and trait anxiety in patients undergoing chemotherapy for breast or colorectal cancer. Methods Secondary analysis of data collected as part of a large multi-site longitudinal study. Patients with breast or colorectal cancer completed validated scales assessing their state and trait anxiety levels (State-Trait Anxiety Inventory) and symptom burden (Rotterdam Symptom Checklist) at the beginning of each chemotherapy cycle. Longitudinal mixed model analyses were performed to test changes of trait and state anxiety over time and the predictive value of symptom burden and patients’ demographic (age, gender) and clinical characteristics (cancer type, stage, comorbidities, ECOG performance status)Results Data from 137 patients with breast (60%) or colorectal cancer (40%) were analysed. Linear time effects were found for both state (χ 2=46.3 [df=3]; p

    C Papadopoulou, G Kotronoulas, A Schneider, M Miller, Jacqueline McBride, Zoe Polly, Simon Bettles, Alison Whitehouse, Lisa McCann, N Kearney, Roma Maguire (2017)Patient-reported self-efficacy, anxiety and health-related quality of life during chemotherapy: results from a longitudinal study., In: Oncology Nursing Forum44(1)pp. 127-136 Oncology Nursing Society

    Purpose/Objectives: To explore changes over time in self-efficacy and the predictive ability of changes in state anxiety and health-related quality of life during chemotherapy.
 Design: Secondary analysis of a longitudinal dataset derived from a larger, multicenter study.
 Setting: Outpatient oncology clinics across eight general hospitals in England, Scotland, and Northern Ireland.
 Sample: 137 patients scheduled to receive adjuvant chemotherapy for breast or colorectal cancer.
 Methods: At the beginning of each of six chemotherapy cycles, participants completed the Strategies Used by People to Promote Health questionnaire, the State-Trait Anxiety Inventory, and the Functional Assessment of Cancer Therapy–Breast or –Colorectal questionnaire. Multilevel model analysis was used to analyze longitudinal data, adjusted for demographic and clinical variables.
 Main Research Variables: Self-efficacy, anxiety, and health-related quality of life.
 Findings: No significant time effects were found for patients’ overall perceived self-efficacy or self-efficacy parameters. A trend toward greater self-efficacy was evident as chemotherapy progressed. Self-efficacy was significantly associated with decreased state anxiety throughout chemotherapy. Increases in overall self-efficacy and perceived ability to maintain a positive attitude were significantly associated with over-time increases in physical, emotional, and functional well-being, as well as with fewer cancer-related concerns.
 Conclusions: Findings highlight the importance of clinical assessments throughout treatment that focus on patients’ perceived self-efficacy as a positive regulator of mood and well-being. 
 Implications for Nursing: The current study suggests self-efficacy enhancement should be a key component of psycho-behavioral programs designed to support patients with cancer throughout chemotherapy.

    S Bettles (2011)Is simulation a useful teaching tool? Views of ODP students, In: Technic: The Journal of Operating Department Practice2(5)pp. 11-14 Tens Alps Creative