I worked for the NHS between 1996 - 2009 as an Operating Department Practitioner. In that time I've been responsible for a Day Surgery Unit, maternity provisions for the anaesthetic department and the manager for a busy Post Anaesthetic Care Unit.
University roles and responsibilities
- Hospital Link Tutor
- Lead for Simulation Education
- Module Organiser
- Personal Tutor
- Programme Leader for BSc (Hons) Paramedic Science
My research interests have two main areas, education and acute care. Specifically I'm interested in:
- Emergency and Trauma Care
- Theatre processes
- Patient Safety
Surrey Crisis Resource Management (SCReaM) project
In collaboration with The Royal Surrey County Hospital NHS Trust, Ashford and St Peter's Hospitals NHS Trust & Health Education Kent Surrey and Sussex (HEKSS).
- Physical Health Sciences
- Clinical Practice inc. Simulation
Operating Department Practice DipHE:
- Practice Module 2
- Post Anaesthetic Care
- Consolidated Practice
- Peri-operative Anaesthetics
- Peri-operative Surgical
- Applied Anaesthesia
- Post Anaesthetic Care
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
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.
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.