48 results on '"Angus, Neil"'
Search Results
2. Longitudinal study of the relationship between patients’ medication adherence and quality of life outcomes and illness perceptions and beliefs about cardiac rehabilitation
- Author
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Thomson, Patricia, Rushworth, Gordon F., Andreis, Federico, Angus, Neil J., Mohan, Andrea R., and Leslie, Stephen J.
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- 2020
- Full Text
- View/download PDF
3. Understanding and addressing business needs and sustainability challenges: lessons from Devens eco-industrial park
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Veleva, Vesela, Todorova, Svetlana, Lowitt, Peter, Angus, Neil, and Neely, Dona
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- 2015
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4. Economic and cost engineering aspects of wind energy conversion systems
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MacRae, Angus Neil
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621.45 ,Wind power - Published
- 1990
5. Pedagogical Innovation to Establish Partnerships in Adolescent Health Promotion: Lessons From a Scottish Undergraduate Nursing Program
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Kyle, Richard G., Angus, Neil J., Smith, Joanna, Stewart, Ceit, and MacLennan, Fiona
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- 2015
6. Analyzing Walkability Through Biometrics: Insights Into Sustainable Transportation Through the Use of Eye-Tracking Emulation Software.
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Hollander, Justin B., Sussman, Ann, Lowitt, Peter, Angus, Neil, and Situ, Minyu
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VISUAL perception ,TRANSPORTATION of automobiles ,SUSTAINABLE transportation ,URBAN planners ,COMPUTER software - Abstract
Background: Understanding more about the unseen side of our responses to visual stimuli offers a powerful new tool for transportation planning. Traditional transportation planning tends to focus on the mobility of vehicles rather than on opportunities to encourage sustainable transport modes, like walking. Methods: Using eye-tracking emulation software, this study measured the unconscious visual responses people have to designs and layouts in new built environments, focusing on what makes streets most walkable. Results: The study found key differences between the way the brain takes in conventional automobile-oriented residential developments versus new urbanist layouts, with the former lacking key fixation points. Conclusion: The study's discoveries significantly explain why new urbanist layouts promote walking effortlessly and conventional automobile-oriented residential developments cannot. [ABSTRACT FROM AUTHOR]
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- 2020
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- View/download PDF
7. Insights into wayfinding: urban design exploration through the use of algorithmic eye-tracking software.
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Hollander, Justin B., Sussman, Ann, Lowitt, Peter, Angus, Neil, Situ, Minyu, and Magnuson, Aliya
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URBAN planning ,EYE tracking ,EMULATION software ,PLANNED communities ,BUILT environment ,WAYFINDING - Abstract
This paper seeks to use eye-tracking emulation software to understand and forecast the human responses to signage and directional cues in Massachusetts, USA. Using eye-tracking emulation software, this study measured the unconscious visual responses people are projected to have to designs and layouts in new built environments, focusing on what makes streets most walkable. The study found differences between the way the brain takes in conventional automobile-oriented residential developments versus new urbanist layouts, with the former lacking key fixation points. The study's discoveries explain why new urbanist layouts promote walking effortlessly and conventional automobile-oriented residential developments cannot. [ABSTRACT FROM AUTHOR]
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- 2023
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8. Transfer of Knowledge and Skills: Some Implications for Nursing and Nurse Education.
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Lauder, William, Reynolds, William, and Angus, Neil
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In nursing, transfer of knowledge and skills from classroom to clinical practice, among clinical areas, and from community to clinical practice is important. Teaching for transfer requires a context, subject knowledge, and metacognitive strategies. (SK)
- Published
- 1999
9. Perceptions of injectable therapies with cardiovascular benefit: an ACNAP survey of healthcare professionals to explore facilitators and barriers.
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Khatib, Rani, Angus, Neil, Hansen, Tina B, Lambrinou, Ekaterini, Vellone, Ercole, Khan, Mutiba, and Lee, Geraldine A
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INJECTIONS , *ATTITUDES of medical personnel , *MEDICAL care , *CARDIOVASCULAR system , *HEALTH literacy , *QUESTIONNAIRES , *NURSES , *PHYSICIANS - Abstract
Aims Injectable medicines are increasingly used to manage risk factors for cardiovascular (CV) events, such as dyslipidaemia and diabetes. These include proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors and glucagon-like peptide-1 (GLP-1) receptor agonists. Little is known about perceptions of injectable therapies among CV healthcare professionals (HCPs). This study explores their views to identify relevant facilitators and barriers to the use of injectables with CV benefit. Methods and results A 22-question survey was distributed internationally via online channels. In total, 192 anonymous responses were received (43.7% physicians, 32.6% nurses, 16.8% pharmacists, 6.8% others). Among respondents with experience of these medicines, 69.1% had used an injectable PCSK9 inhibitor and 67.0% had used an injectable GLP-1 receptor agonist. Commonly raised issues were resource problems (36.5%), lack of knowledge among colleagues (32.3%), paperwork (32.3%), and lack of patient knowledge (28.1%). Key barriers respondents felt made patients decline these treatments were fear of injection (56.6%), lack of awareness or education (26.4%), and administration issues (15.1%); potential reasons for discontinuation included side effects (46.4%), perceived lack of benefit (28.6%), and local reactions (21.4%). The main topics around injectables requiring further support included managing non-adherent patients (16.2%), troubleshooting with patients (16.2%), and educating colleagues about injectables (12.2%). Preferred educational methods to support HCPs were face-to-face training (43.5%) and online learning (26.1%); favoured formats were based on role playing and case studies. Conclusion Healthcare professionals highlighted various potential barriers to initiation, continuation, and adherence with injectable therapies in CV medicine. Although some require healthcare system changes, many could be addressed through simple measures based primarily on enhanced training and support for patients and HCPs. [ABSTRACT FROM AUTHOR]
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- 2022
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10. Long-Term Conditions in Older People are Linked with Loneliness, but a Sense of Coherence Buffers the Adverse Effects on Quality of Life: A Cross-Sectional Study.
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van Woerden, Hugo C, Angus, Neil, Kiparoglou, Vasiliki, Atherton, Iain, and Leung, Janni
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LONELINESS ,SENSE of coherence ,OLDER people ,QUALITY of life ,LIVING alone ,RURAL population - Abstract
Background: The impact of disability, long-term conditions, rurality, living alone, and being a carer on health has some evidence base, but the extent to which a strong sense of coherence (SoC), a factor hypothesised to promote wellbeing, may moderate these associations is unknown. A model of physical, environmental and social factors on quality of life was tested, with particular emphasis on whether a strong SoC buffered (mitigated) these determinants of quality of life. Material and Methods: A cross-sectional postal survey was undertaken of a random sample of 1471 respondents aged over 65 years, across a population of rural individuals. Physical, environmental, and psychological variables were assessed against quality of life using ANOVA and a generalised linear model including the interaction effects of SoC. Results: ANOVA demonstrated that age, gender, long-term conditions or disability (LTC-D), living alone, > 20 hours unpaid care for others per week, SoC, and loneliness, were associated with lower quality of life (p< 0.01). There were strong correlations (p> 0.01), between age and LTC-D, living alone, and poor SoC. Living alone was correlated with emotional and social loneliness; but those with higher SoC were less likely to experience loneliness. In an adjusted generalised linear model, significant associations with a lower quality of life were observed from: LTC-D, emotional loneliness and social loneliness (B= − 0.44, − 0.30, and − 0.39, respectively, all p< 0.001). The only interaction with SoC that was statistically significant (at p< 0.05) was LTC-D. A stronger sense of coherence buffered the negative effects of long-term condition/disability on quality of life. Discussion: The physical, environmental and social factors examined, identified LTC-D and loneliness to be the strongest factors associated with poor quality of life. Conclusion: SoC somewhat buffered the adverse effect of LTC-D on quality of life, but did not do so for loneliness. [ABSTRACT FROM AUTHOR]
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- 2021
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- View/download PDF
11. Eye-tracking emulation software: a promising urban design tool.
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Hollander, Justin B., Sussman, Ann, Lowitt, Peter, Angus, Neil, and Situ, Minyu
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EMULATION software ,URBAN planning ,EYE tracking ,BUILT environment ,VISUAL perception ,ENVIRONMENTAL psychology - Abstract
The human brain is designed as a social engagement system hard-wired to take in and respond to other people. This study begins to explore how this hidden brain design also directs our engagement with the built environment, in this instance, determining our behaviour around buildings. Using eye-tracking emulation software, this study tracked the unconscious responses people have to new-urbanist and more typical, car-centric suburban American house facades (elevations). It found that this kind of emulation software can help demonstrate how new urbanist homes and streetscapes were implicitly easier for people to take in and focus on, than those in car-centric subdivisions. The implications of these findings are that urban designers and architects can employ eye-tracking emulation software to explore the ways that humans unconsciously handle visual stimuli, subject to validation from alternative data sources. [ABSTRACT FROM AUTHOR]
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- 2021
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12. Psychometric development of the Mental Health Problems Perception Questionnaire
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ANGUS, NEIL J., LAUDER, WILLIAM, and REYNOLDS, WILLIAM
- Published
- 2001
13. The role of district nurses in caring for people with mental health problems who live in rural settings
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LAUDER, WILLIAM, REYNOLDS, WILLIAM, REILLY, VICTORIA, and ANGUS, NEIL
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- 2001
14. Further testing of the Mental Health Problems Perception Questionnaire
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Angus, Neil J., Lauder, William, and Reynolds, William
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- 2001
15. An integrative review on facilitators and barriers in delivering and managing injectable therapies in chronic conditions: A part of the ACNAP project 'injectable medicines among patients with cardiovascular conditions'.
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Lambrinou, Ekaterini, Kyriakou, Martha, Lakatamitou, Ioanna, Angus, Neil, Khatib, Rani, Vellone, Ercole, Barrowcliff, Abigail, Hansen, Tina Birgitte, and Lee, Geraldine A
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CARDIOVASCULAR diseases ,CHRONIC diseases ,CINAHL database ,HEALTH services accessibility ,INFORMATION storage & retrieval systems ,MEDICAL databases ,PSYCHOLOGY information storage & retrieval systems ,INTRAVENOUS therapy ,MEDICAL care ,MEDLINE ,ONLINE information services ,SYSTEMATIC reviews ,DATA analysis software ,DESCRIPTIVE statistics - Abstract
Introduction: Although preventive health and therapeutics have benefited from advances in drug development and device innovation, translating these evidence-based treatments into real-world practice remains challenging. Aim: The current integrative review aims to identify facilitators and barriers and perceptions in delivering and managing injectable therapies from patient perspectives. Methods: An integrative review was conducted in the databases of PubMed, CINAHL, PsycINFO and Cochrane. Keywords were used "Injectable therapy", "IV therapy", "SC therapy", "long term injectable therapies", "self-administered injectable therapy", "patients", "caregivers", "family", "carers", "facilitators", "barriers", "perspectives", "needs", "expectations", "chronic disease", "cardiovascular disease" linked with the words "OR" and "AND". The search was limited from January 2000 to July 2019. Inclusion and exclusion criteria were used. Results: Twenty studies were identified from the literature search. Studies followed qualitative, quantitative methodology and mixed methods. Facilitators included: health improvement, prevention of disease complications, taking control of their disease, effectiveness of the medication and convenience in management. Barriers included: fear of needles, insulin will cause harm, poor perception of the benefits of injectable therapies on their quality of life, inconvenience in self-management, social stigma, impact on daily living, financial barriers, lack of education. Perceptions included: 'treatment of last resort', 'life becomes less flexible', 'injectables were punishment/restriction', 'personal failure of self-management'. Conclusion: Evidence shows how to create effective communication and shared decision-making relationships to provide best possible care to patients who need injectable therapy and support for self-management. Future research might help guide response to the fears and barriers of the patients using patients' perspectives. [ABSTRACT FROM AUTHOR]
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- 2020
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16. Building a framework for getting evidence into critical care education and practice
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Thomson, Patricia, Angus, Neil J., and Scott, Julia
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- 2000
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17. Assessment and treatment of cutaneous leishmaniasis in the emergency department.
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McGhee, Stephen, Angus, Neil, Finnegan, Alan, Lewis-Pierre, LaToya, and Ortega, Johis
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LEISHMANIASIS diagnosis , *NURSING education , *SKIN diseases , *OCCUPATIONAL roles , *LEISHMANIASIS , *HOSPITAL emergency services , *COMMUNICABLE diseases , *SOCIAL support , *PREVENTION of communicable diseases , *SKIN care , *TRAVEL , *PARASITIC diseases , *EPIDEMICS , *NURSES , *MEDICAL history taking , *NURSING assessment , *EMERGENCY nursing , *HEALTH promotion , *WOUND care , *INFECTIOUS disease transmission , *SYMPTOMS - Abstract
AUTH Why you should read this article: • To understand how the Leishmania parasite is transmitted to humans • To familiarise yourself with the patient groups who are most at risk of contracting cutaneous leishmaniasis • To recognise how to prevent, diagnose and manage cutaneous leishmaniasis Cutaneous leishmaniasis is endemic in more than 70 countries worldwide. It is a non-fatal disease caused by the Leishmania parasite that is transmitted to humans via bites of infected female sandflies. Cutaneous leishmaniasis causes skin lesions on areas of exposed skin, such as the face and limbs, which often produce scarring and atrophy. If untreated, cutaneous leishmaniasis can develop into mucocutaneous leishmaniasis, which is potentially life-threatening. Furthermore, patients with cutaneous leishmaniasis commonly experience psychosocial issues such as anxiety, distress, stigma and rejection. Cutaneous leishmaniasis is spreading outside of its traditional endemic areas because of the effects of environmental changes such as urbanisation and climate change. In the UK, healthcare professionals may encounter the disease in migrants from endemic areas, members of the armed forces, tourists and expatriates. Therefore, emergency nurses need to be able to assess and support patients who present with symptoms suggestive of cutaneous leishmaniasis. This article provides an overview of the epidemiology, aetiology, pathophysiology, clinical presentation, diagnosis, treatment and prevention of the disease. [ABSTRACT FROM AUTHOR]
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- 2020
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18. Evaluating emotional distress and health-related quality of life in patients with heart failure and their family caregivers: Testing dyadic dynamics using the Actor-Partner Interdependence Model.
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Thomson, Patricia, Howie, Kate, Leslie, Stephen J., Angus, Neil J., Andreis, Federico, Thomson, Robert, Mohan, Andrea R. M., Mondoa, Catherine, and Chung, Misook L.
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QUALITY of life ,BURDEN of care ,CAREGIVERS ,HEART failure patients ,BRIEF Symptom Inventory ,STRUCTURAL failures - Abstract
Purpose: 1) To compare levels of emotional symptoms and health-related quality of life between patients with heart failure and their family caregivers; and 2) to examine whether patients' and caregivers' emotional symptoms were associated with their own, as well as their partner's health-related quality of life. Method: In this cross-sectional study, 41 patients-caregiver dyads (78% male patients, aged 68.6 years; and 83% female caregivers, aged 65.8 years) completed all nine dimensions of the Brief Symptom Inventory and the Minnesota Living with Heart failure Questionnaire. Dyadic data were analysed for 6 sub-scales of the Brief Symptom Inventory, using the Actor–Partner Interdependence Model. Results: There were no statistically significant differences in emotional symptoms and health-related quality of life between patients with heart failure and their caregivers. Patients' and caregivers' emotional symptoms were associated with their own health-related quality of life. Caregivers' anxiety, phobic anxiety, obsession-compulsion, depression and hostility negatively influenced their partner's (i.e. the patient's) health-related quality of life. There were no partner effects of patients' emotional symptoms on the health-related quality of life of caregivers. Conclusions: The results of this study suggest that patients may be particularly vulnerable to the emotional distress, i.e. thoughts, impulses and actions of their caregivers. It may be possible to improve patients' health-related quality of life by targeting specific detrimental emotional symptoms of caregivers. [ABSTRACT FROM AUTHOR]
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- 2020
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19. Responding to nerve agent poisoning: a guide for emergency nurses. Part 2.
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McGhee, Stephen, Finnegan, Alan, Angus, Neil, and Clochesy, John Michael
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ATROPINE ,ENVIRONMENTAL exposure prevention ,AIRWAY (Anatomy) ,CHEMICAL safety ,DECONTAMINATION (From gases, chemicals, etc.) ,EMERGENCY medical services ,EMERGENCY medicine ,ISOLATION (Hospital care) ,NEUROTOXICOLOGY ,ORGANOPHOSPHORUS compounds ,SYNDROMES ,MEDICAL triage ,OCCUPATIONAL hazards ,SOCIAL support ,NURSING ,SYMPTOMS ,THERAPEUTICS - Abstract
The release of chemical agents can cause loss of life and result in major incidents. Chemical agent-related major incidents require a modified response by emergency services due to the chemicals' transmissibility, lethality, latency and persistence. In general, modifications to casualty flow, triage and treatment are made to reduce transmissibility, and lethality of chemical hazards. This article, the second of a two-part series on nerve agents, describes the adapted response and explains how emergency nurses must be familiar with principles of care including incident and casualty management. [ABSTRACT FROM AUTHOR]
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- 2019
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20. Nerve agents: a guide for emergency nurses. Part 1.
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McGhee, Stephen, Finnegan, Alan, Angus, Neil, and Clochesy, John
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PUBLIC health ,CHEMICAL warfare agents ,EMERGENCY management ,EMERGENCY nursing ,HAZARDOUS substances ,ORGANOPHOSPHORUS compounds ,TERRORISM ,MEDICAL triage ,OCCUPATIONAL hazards ,ENVIRONMENTAL exposure ,OCCUPATIONAL roles - Abstract
Recent incidents in the UK and the alleged chemical attacks in Syria by the Bashar al-Assad regime have brought the subject of chemical weapons back into the public domain. To date these types of event have been relatively rare because terrorist plans to harm large numbers of people have mostly been thwarted. This is the first part of a two-part article on nerve agents. Part one gives an overview of these agents, their historical background and manufacture, and how the agents affect physiology. Part two, which will appear in the next issue, considers the pre-hospital response to the use of nerve agents, including effective triage and decontamination, and in-hospital treatment. [ABSTRACT FROM AUTHOR]
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- 2019
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21. Patient Focused internet-based approaches to cardiovascular rehabilitation - a systematic review
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Munro, Julie, Angus, Neil J, and Leslie, Stephen
- Abstract
Cardiac rehabilitation (CR) has been shown to improve health behaviours and risk factors and the evidence suggests that home CR is as effective as hospital-based CR. Telemedicine offers the potential for more patients to engage in CR. We reviewed the evidence for patient focused Internet-based approaches to cardiovascular rehabilitation. Searches were performed in PubMed, EMBASE, Scopus and the Cochrane Controlled Trials Register (CCTR). In total, 9 studies involving 830patients with heart disease that compared Internet-based cardiac rehabilitation to usual care were identified. The quality of trials was assessed using the Jadad scale. Outcome data were pooled under four subheadings: compliance; physical activity outcomes; clinical outcomes; psychosocial outcomes. Compliance rates were high but dropped over time in all studies. Physical activity measures were generally improved, as were clinical outcomes. Changes in psychosocial measures were positive, with two studies noting no change. No interventions noted a negative effect on outcomes. Despite the relatively small number of trials and the limited outcome measures, the results appeared to be positive with regard to patient outcomes and patient feedback. However, none had progressed to a clinical service.
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- 2013
22. Home-based cardiac rehabilitation: A review
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Munro, Julie, Leslie, Stephen, Thompson, David, and Angus, Neil J
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Heart Diseases Patients Rehabilitation ,cardiac rehabilitation ,cardiovascular system ,community-based ,rural ,remote ,home-based - Abstract
Cardiac rehabilitation has positive effects on mortality, morbidity, quality of life and many cardiac risk factors. Cardiac rehabilitation is usually delivered within a hospital or 'centre' setting, however, home-based programmes may offer greater accessibility and choice to patients. While there have been fewer studies of home-based cardiac rehabilitation, the available data suggest that it is acceptable, safe and effective and has comparable results to hospital-based programmes. Furthermore, home-based cardiac rehabilitation results in longer-lasting maintenance of physical activity levels in patients compared with hospital programmes. It has the potential to be more cost-effective for patients who cannot easily access their local hospital or centre. Home-based cardiac rehabilitation may be particularly useful in patients in a remote or rural setting. Despite the options available and the evidence based benefits, the uptake of cardiac rehabilitation remains low. It is the responsibility of all cardiac health-care workers to ensure that the uptake of cardiac rehabilitation improves.
- Published
- 2010
23. Benchmarking eco-industrial park development: the case of Devens.
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Veleva, Vesela, Lowitt, Peter, Angus, Neil, and Neely, Dona
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INDUSTRIAL districts ,SUSTAINABLE development ,ECONOMIC indicators ,TRANSPORTATION ,WASTE recycling - Abstract
Purpose – The purpose of this paper is to review and update Devens eco-industrial park sustainability indicators and benchmark progress made since 2000 in the seven key areas of its sustainability vision. Design/methodology/approach – The authors examined publicly available data for Devens, Massachusetts, and obtained additional data from Devens Enterprise Commission and a survey of 29 local organizations. Findings – Of the 43 indicators adopted by Devens eco-industrial park in 2012, 29 demonstrate progress, seven show lack of progress, six point to a potential progress, and for one no information was available in 2000 to evaluate progress. Most progress has been made in the areas of transportation, business and economic sustainability, governance and natural resources. Research limitations/implications – For some proposed indicators no data were available to evaluate progress (e.g. waste generation, recycling, compositing, and landfill diversion) yet these are among the key measures for an eco-industrial park. Practical implications – Proposed framework, indicators and lessons learned are of value for researchers and practitioners at other eco-industrial parks (EIPs) interested in benchmarking progress toward sustainable local development. Social implications – The case provides insights on integrating sustainability in local economic development. Originality/value – The study is paving the way toward development of a standardized set of sustainability indicators for EIPs in the USA. [ABSTRACT FROM AUTHOR]
- Published
- 2016
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24. The influence of non-modifiable illness perceptions on attendance at cardiac rehabilitation.
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Blair, Julie, Angus, Neil J, Lauder, William J, Atherton, Iain, Evans, Josie, and Leslie, Stephen J
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AGE distribution , *ATTITUDE (Psychology) , *ATTRIBUTION (Social psychology) , *DEMOGRAPHY , *DISEASES , *CARDIAC rehabilitation , *MATHEMATICAL statistics , *NONPARAMETRIC statistics , *PATIENT compliance , *SENSORY perception , *QUESTIONNAIRES , *SEX distribution , *SOCIAL isolation , *SURVEYS , *PARAMETERS (Statistics) , *SOCIOECONOMIC factors , *EDUCATIONAL attainment - Published
- 2014
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25. Cardiac misconceptions in healthcare workers.
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Angus, Neil, Patience, Fiona, Maclean, Elizabeth, Corrigall, Helen, Bradbury, Ian, Thompson, David R, Atherton, Iain, and Leslie, Stephen J
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WORK experience (Employment) , *HOSPITALS , *ANALYSIS of variance , *ATTITUDES of medical personnel , *CROSS-sectional method , *CARDIOVASCULAR diseases , *ANGINA pectoris , *OCCUPATIONS , *PEARSON correlation (Statistics) , *CLINICAL competence , *QUESTIONNAIRES , *CARDIAC rehabilitation , *EMPLOYMENT , *SCALE analysis (Psychology) , *DESCRIPTIVE statistics , *RESEARCH funding , *STATISTICAL sampling , *PATIENT-professional relations , *RURAL population - Abstract
Background: Cardiac misconceptions are common and may have a detrimental effect on patients. Such misconceptions may be introduced or reinforced by vague and inconsistent advice from healthcare staff and can adversely affect health outcomes. Aim: To assess whether level of cardiac misconceptions significantly differs between groups of healthcare staff based on occupation. Methods: The 22-item York Cardiac Beliefs Questionnaire (YCBQ) was administered to a convenience sample of healthcare staff (n = 263) in direct contact with cardiac patients. Data was also collected on the occupation of healthcare staff and years worked. Results: Medical staff had the lowest mean score (17.5, CI 15.6–19.4), indicating fewest misconceptions, and unqualified healthcare workers had the highest mean score (32.1, CI 28.4–35.7). Analysis by ANOVA indicated differences between staff groups to be statistically significant (F = 17.66, p < 0.001). Length of time worked was found to be significantly associated with cardiac misconception score (Pearson's r = − 0.243, p < 0.001). Further analysis demonstrated that significant differences between mean group scores remained when years worked was defined as a covariate, F = 15.68, p < 0.001). Conclusion: There is significant variability in cardiac misconceptions in different groups of healthcare staff. Education to correct cardiac misconceptions should be particularly targeted at unqualified healthcare staff. The importance of maintaining appropriate ratios of qualified to unqualified healthcare staff in the care of cardiac patients is supported by this study. [ABSTRACT FROM AUTHOR]
- Published
- 2012
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26. Nursing knowledge of hepatitis – 25 years later.
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MacLean, Alison, Angus, Neil J, Evans, Roger, Hay, Andrew J, and Ho-Yen, Darrel O
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INFECTIOUS disease transmission , *FISHER exact test , *HEPATITIS , *NURSES , *NURSES' aides , *NURSING , *NURSING students , *QUESTIONNAIRES , *T-test (Statistics) , *INFORMATION needs - Abstract
This is a survey of nurses’ and nursing students’ knowledge about hepatitis A and B and the results are compared with a similar survey of 25 years ago. Questionnaires were given to registered nurses, healthcare assistants and first and third year student nurses during May 2009. In 2009, more participants knew about the transmission of hepatitis B compared with those in 1984. However, in 1984 and 2009, there was ignorance about hepatitis B’s long incubation period and faecal-oral transmission of hepatitis A. Third year students demonstrated better understanding than first years in their knowledge of hepatitis A, B and C. It is encouraging that there has been an increase in the knowledge about hepatitis B transmission. Knowledge about hepatitis A remains poor and it is still being confused with hepatitis B. The overall knowledge about the hepatic viruses remains low and highlights an educational need among today’s nurses. [ABSTRACT FROM PUBLISHER]
- Published
- 2012
- Full Text
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27. Home-based cardiac rehabilitation: A review.
- Author
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Blair, Julie, Leslie, Stephen, Thompson, David R., and Angus, Neil
- Abstract
Cardiac rehabilitation has positive effects on mortality, morbidity, quality of life and many cardiac risk factors. Cardiac rehabilitation is usually delivered within a hospital or 'centre' setting, however, home-based programmes may offer greater accessibility and choice to patients. While there have been fewer studies of home-based cardiac rehabilitation, the available data suggest that it is acceptable, safe and effective and has comparable results to hospital-based programmes. Furthermore, home-based cardiac rehabilitation results in longer-lasting maintenance of physical activity levels in patients compared with hospital programmes. It has the potential to be more cost-effective for patients who cannot easily access their local hospital or centre. Home-based cardiac rehabilitation may be particularly useful in patients in a remote or rural setting. Despite the options available and the evidence based benefits, the uptake of cardiac rehabilitation remains low. It is the responsibility of all cardiac health-care workers to ensure that the uptake of cardiac rehabilitation improves. [ABSTRACT FROM AUTHOR]
- Published
- 2010
- Full Text
- View/download PDF
28. Cardiac rehabilitation: A Euro postcode lottery?
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Leslie, Stephen and Angus, Neil
- Abstract
The article discusses a cross-sectional EUROASPIRE survey on the use and effects of cardiac rehabilitation programmes (CRPs) in European countries. The study reveals that the CR, though it is an inexpensive and cost-effective intervention, it is not delivered in a consistent, comprehensive or equitable way. The article presents some evidence in support of CR remaining controversial by some.
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- 2012
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29. The improvement of Environmental Impact Assessment Report quality for Solar Photovoltaic projects in South Africa
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Scheepers, Elmarie Yolandé, Steenkamp, C.S., Morrison-Saunders, A., 13177389 - Steenkamp, Carli Stephani (Supervisor), 21168032 - Morrison-Saunders, Angus Neil (Supervisor), and 13177389 - Steenkamp, Carli Stephani (Supervisor)||21168032 - Morrison-Saunders, Angus Neil (Supervisor)
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Environmental impact assessment report ,South Africa ,Lee & Colley review package ,Improvement ,Quality ,Photovoltaic solar projects - Abstract
Master of Environmental Management, North-West University, Potchefstroom Campus The quality of Environmental Impact Assessment Reports (EIARs) plays a critical role in a well-functioning Environmental Impact Assessment (EIA) system as EIARs are the key tool used by decision makers. Several studies have been conducted locally and abroad regarding the quality of EIARs across various sectors. This research presents the results of a comparative analysis of the report quality of EIARs between 2011 and 2017, compiled for Solar PV projects in South Africa. The aim of the study was to determine whether report quality for such projects improved over the stipulated timeframe. In order to do so, the Lee & Colley review package was adapted to the South African context and used to evaluate seven EIARs. The outcome of the study suggests minor improvements in EIAR quality for Solar PV projects over time. In particular, it was found that the methodology used and quantification of information (magnitude/significance) improved over the years. The two main contributing factors identified were the experience of environmental assessment practitioners (EAPs) that conducted the studies, and the introduction of environmental legislation, such as Environmental Impact Assessment (EIA) regulations and/or sectoral guidelines. Masters
- Published
- 2019
30. Adoption of Sustainable Development Goals (SDG) implementation targets by South African companies
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Dukas, Philip Reno, Morrison-Saunders, A.N., Retief, F.P., 21168032 - Morrison-Saunders, Angus Neil (Supervisor), and 12307807 - Retief, Francois Pieter (Supervisor)
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Sustainability reporting ,Sustainable development ,Environmental and social governance (ESG) ,Sustainable development goals (SDGs) ,Implementation targets - Abstract
M (Environmental Management), North-West University, Potchefstroom Campus Sustainable development is defined as "development that meets the needs of the present without compromising the ability of future generations to meet their own needs" (Brundtland, 1987). In 2015 a suite of seventeen international Sustainable Development Goals (SDGs) were developed and agreed upon by 193 countries to form The Agenda 2030 for Sustainable Development (Pedersen, 2018) and included 169 implementation targets and 231 indicators. The SDGs were born on the back of the eight Millennium Development Goals (MDGs) which spanned a period of fifteen years from 2000 until 2015 in which global leaders came together to shape a broad vision of fighting poverty in its many dimensions (United Nations, 2015). The aim of this research was based on the perceived problem facing the successful adoption of the SDGs (in particular the implementation targets) by South African companies which lay in the strategic integration, alignment and effective reporting (PwC, 2019). Private sector companies are increasingly becoming a key player in the global achievement of the SDGs (Pedersen, 2018) and whom could capitalise on an estimated $12 trillion per annum market that is linked to the SDGs (Scott & McGill, 2018). Therefore, this dissertation set out to answer the following research question: “To what degree are South African companies adopting the SDG implementation targets, and what are some of the drivers and/or barriers they face?” To answer this research question, an in-depth literature review was conducted on the SDG implementation targets, their varying degrees of adoption and the role they play in achieving the SDGs within the private sector. This was followed by identifying and outlining the research methodology which considered, by way of documents analysis, the degree to which South Africa’s Johannesburg Stock Exchange (JSE) Top 40 listed companies are reporting their adoption of the SDG implementation targets; and to understand through a qualitative survey, the drivers and/or barriers that these organizations face with regards to adopting and reporting on the SDG implementation targets. The results revealed a similar trend of adoption outcomes to that of PwC (2019) in that an impressive 80% of the JSE Top 40 companies mentioned the SDG goals in their Annual Reports; however a dramatic decline in the degree of SDG adoption was discovered thereafter with only 10% of the companies mentioning the SDG implementation targets; and a further 2.5% mentioning the SDG indicators in their annual reporting. Furthermore, the quality of the SDG implementation target adoption was evaluated with 7.5% of the companies mentioning the implementation targets with no ambition, and the remaining 2.5% with quantitative reporting against ambitions. The top three drivers (opportunities) facing these companies with regards to SDG adoption were meeting investor and/or stakeholder expectations (50%), environmental and social risk mitigation (40%), and achieving resilience and long-term success (40%); whilst the top three barriers (challenges) were that the companies were financially focused, in other words the cost of investing in environmental and social sustainability (such as the SDGs) was a key barrier (60%), lack of leadership understanding of the SDGs (40%), and a mis-aligned of the company’s corporate strategy with regards to the SDGs (30%). In light of the above, it can be concluded that the degree (and quality) of SDG implementation target adoption, by South African companies, namely in this case the JSE Top 40, is minimal, and leaves significant room for improvement over the next ten years. From the literature review, it is evident that many SDG adoption tools, frameworks and guidelines exist with which to support private sector companies in adopting, achieving and reporting on the SDGs, therefore in order for South African companies to significantly contribute to achieving the SDGs, it is paramount that they do more than just mention the SDGs in their annual reporting, and instead integrate the SDGs into their corporate strategy, include specific SDG implementation targets and indicators into their performance scorecards, implement the required actions and report against the SDG implementation targets and indicators (GRI, UN Global Compact and the WBCSD, 2015). Further research could be done to understand why South African companies are struggling to achieve the above components of SDG adoption and thereby contributing towards achieving the SDGs. Whilst global progress in achieving the SDGs was already lagging prior to COVID-19, the global pandemic over the course of 2020 has unfortunately halted much of the progress to date, even calling for a post COVID-19 review of the SDGs in their current form (Nature, 2020), however on a positive note, there is still time to achieve the SDGs as humanity is poised on what the United Nations (2020) describes as the start of a ‘Decade of Action’, and while this research primarily focused on the degree of SDG implementation target adoption, the majority of the JSE Top 40 companies have adopted other sustainability frameworks such as the Global Reporting Initiative (GRI) in which they include and report on numerous targets and indicators under the auspices of environmental and social governance. Masters
- Published
- 2021
31. Factors influencing compliance with waste management licence at selected wastewater treatment plants
- Author
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Mzantsi, Bonke, Morris-Saunders, A., Retief, F.P., 21168032 - Morris-Saunders, Angus Neil (Supervisor), and 12307807 - Retief, Francois Pieter (Supervisor)
- Subjects
Waste Management License ,South-Africa ,Wastewater Treatment plants ,Compliance - Abstract
MSc (Environmental Management), North-West University, Potchefstroom Campus Studies show that in developing countries the concentrations of pollutants discharged into water bodies are still very high; thus, several attempts have been made to address this phenomenon and eventually achieve compliance. South Africa made it mandatory for wastewater treatment plants to be licenced and thus achieve compliance in terms of the National Environment Management: Waste Act (Act no 59 of 2008). Compliance to regulations are spelt out under section 24(5) of the NEMA. This compliance is critical for wastewater entities to operate. Thus municipalities are mandated to comply with the waste management licence requirements. This study aimed to evaluate factors that influence compliance with waste management licenses in selected wastewater treatment plants in Chris Hani District Municipality. This was achieved through a combination of literature review, document analysis and semi-structured interviews with 19 municipal employees comprised of process controllers, environmental control officers, engineers, and managers. Data were analysed using thematic analysis, which is a qualitative data analysis procedure that identifies key themes in an attempt to answer research questions posed by the study. Results shows that factors affecting compliance with waste management licence by wastewater treatment plants are population growth, design capacity, discharge effluent flow, human resource factors (management, recruitment, and capacity building), site security, budget, infrastructure (ageing infrastructure, outsourcing of municipal service, lack of scheduled maintenance) and resources. Most respondents cited budget as one of the main factors impacting negatively on the ability to comply with waste management licences. This may impact on the effectiveness of the wastewater treatment plant operations. Masters
- Published
- 2021
32. Understanding the challenges of multiple regulatory processes for photovoltaic (PV) solar power projects
- Author
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Shomang, Benedictor Busisiwe, Steenkamp, C.S., Morrison-Saunders, A., 13177389 - Steenkamp, Carli Stephani (Supervisor), and 21168032 - Morrison-Saunders, Angus Neil (Supervisor)
- Subjects
Photovoltaic solar power projects ,Multiple regulatory processes ,Coordination ,Challenges ,Alignment - Abstract
M (Environmental Management), North-West University, Potchefstroom Campus A complex web of regulatory processes from different government entities governs current photovoltaic (PV) solar power project authorisations. For a regulatory system to be suitable, it must include efficient institutional, regulatory and policy structures. There is great benefit in the seamless alignment of policies and programmes. A guiding principle for sound policy-making is to develop policies that are aligned and coherent to ensure feasibility and effectiveness. The objective of the study is to understand the project developers and regulators challenges inherent to multiple regulatory processes for PV solar power projects. This study followed a qualitative approach, using case studies and interviews to obtain research data about the multiple authorisations required for PV solar power projects. The research sample included eight case studies of authorised projects in the Northern Cape province between 2014 and 2016. Interviews were also conducted with regulators and project developers involved in the authorisation process of PV solar power projects. Some of the challenges identified include the fragmentation, alignment, non-integration of processes and lack of coordination among the three levels of government involved: national, provincial and local. The issuance of different required permits and licenses is separate for the different agencies/departments and some regulatory requirements are, in fact, contradictory to those of other State Entities. Although the study highlights a numbers of challenges for multiple regulatory processes, recommendations on addressing identified challenges are suggested. These recommendations include regulatory coherence, cooperation and coordination, which can assist the different agencies / departments to communicate and coordinate their processes in order to align multiple regulatory processes of PV solar power projects. Masters
- Published
- 2020
33. Understanding community perceptions of an urban stream before and after a discussion of revitalization possibilities using photo-elicitation
- Author
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Simone Lima da Costa Preuss, Jaime Joaquim da Silva Pereira Cabral, Ana Bárbara de Araújo Nunes, Michael Hughes, Angus Morrison-Saunders, and 21168032 - Morrison-Saunders, Angus Neil
- Subjects
Sustainable development ,Economics and Econometrics ,Urban stream ,Public perception ,media_common.quotation_subject ,Geography, Planning and Development ,Photo elicitation ,0211 other engineering and technologies ,Revitalization ,02 engineering and technology ,010501 environmental sciences ,Management, Monitoring, Policy and Law ,01 natural sciences ,Local community ,Social desirability bias ,Perception ,Restoration ,Situated ,Structured interview ,Photo-elicitation ,021108 energy ,Sociology ,Environmental planning ,0105 earth and related environmental sciences ,media_common - Abstract
Understanding local community perceptions is an important first step in seeking ways to revitalize degraded urban streams. This research sought to understand community perceptions of the highly modified Parnamirim stream in the city of Recife, Brazil and to solicit perspectives on potential for revitalization of the stream before and after discussion of such possibilities using a photo-elicitation-based approach. Structured interviews were conducted with 167 residents situated close to the stream using three photographs of urban streams in various stages of modification and revitalization to prompt responses regarding preferences and opportunities for stream revitalization. While a majority of respondents overall indicated that the Parnamirim stream currently looks like a degraded stream (as depicted in one photograph), these perceptions generally matched the characteristics of the stream in their particular area of residence, indicating that people’s perceptions are influenced by the quality of their immediate environment. However, after the brief discussion of urban stream revitalization practices, there was overall positive response for Parnamirim stream to become like the photograph of the revitalized stream shown to participants. Our findings point to the power and utility of the photo-elicitation method in terms of provoking emotional and cognitive responses to local environmental conditions and in promoting changed community perceptions of possible Parnamirim stream revitalization and its future potential. The potential for social desirability bias to influence community perceptions is acknowledged regarding the post-discussion preferences and comments regarding the potential for revitalization of Parnamirim stream. Nevertheless, the research demonstrates the value of engagement in discussion and ideas sharing with community members through the use of photo-elicitation and such approaches may represent an important first step in realizing urban stream revitalization.
- Published
- 2020
34. The quality of mine closure and financial provision disclosure in corporate reporting for the South African mining sector
- Author
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De Koker, C., Steenkamp, C., Morrison-Saunders, A., 13177389 - Steenkamp, Carli Stephani (Supervisor), and 21168032 - Morrison-Saunders, Angus Neil (Supervisor)
- Subjects
Financial provision ,South Africa ,Corporate reporting ,Disclosure ,Mine closure - Abstract
North-West University, Potchefstroom Campus MSc (Environmental Management), North-West University,Potchefstroom Campus The transparency of mine closure and financial provision disclosure aims to reflect the performance of a mining organisations’ ability to meet its environmental liabilities at the end of closure. Corporate entities discloses information annually in their corporate reports, each reflecting its mandatory and voluntary obligation duties. By applying a qualitative research approach which is based on the thematic content analysis methodology and social constructivist approach to textual analysis, the research aims to evaluate the change in mine closure and financial provision disclosure quality in the mining sector by using four publically listed gold or coal producers with major operations in South Africa. Through performing a qualitative review of disclosure between the periods 2016 to 2018, the research reflected that disclosures are primarily presented to meet the organisation’s disclosure obligations in terms of mine closure and financial provisions rather than presenting a holistic or transparent view of the performance. By using the argument from McHenry, Morrison-Saunders, Gorey, Rita Sequeira, Mtegha and Doepel (2015) the current disclosures only provide a pieces of information, presented in a series of financial reporting and management disclosure formats, resulting in a disorientation of information to provide a clear reflection the organisations true ability to achieve the desired mine closure outcomes. Due to the significant influence of disclosure guidance on the information reflected in corporate reports, it is recommended that there should be development in more robust guidance on the nature and extent of information being disclosures in order to address the apparent lack in quality disclosures with regards to mine closure and financial provisions. Masters
- Published
- 2020
35. To what extent can mine rehabilitation restore recreational use of forest land? Learning from 50 years of practice in southwest Australia
- Author
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Josianne Claudia Sales Rosa, Angus Morrison-Saunders, Michael Hughes, Luis Enrique Sánchez, Davide Geneletti, and 21168032 - Morrison-Saunders, Angus Neil
- Subjects
Geography, Planning and Development ,Beneficiaries ,0211 other engineering and technologies ,02 engineering and technology ,010501 environmental sciences ,Management, Monitoring, Policy and Law ,01 natural sciences ,Ecosystem services ,Mine restoration ,Cultural ecosystem services ,Forest ecology ,Ecosystem services assessment ,Southwest Australia ,Restoration ecology ,Recreation ,Ecological restoration ,0105 earth and related environmental sciences ,Nature and Landscape Conservation ,Jarrah forest ,Land use ,business.industry ,Environmental resource management ,021107 urban & regional planning ,Forestry ,Land-use planning ,Ecological indicator ,Geography ,business - Abstract
When mining affects natural or semi-natural ecosystems such as forests, rehabilitation often aims at restoring biodiversity. However, to what extent does rehabilitation also restore cultural ecosystem services? This paper investigates the perception of two groups of recreationists that use rehabilitated bauxite mine areas in southwest Australia, bushwalkers and mountain bikers. The area has been continuously mined and progressively rehabilitated for over 50 years. Research was developed through: (i) mapping the distribution of recreation trails, mined areas and rehabilitated areas; (ii) conducting in-depth interviews with recreationists regarding perceptions and usage of forest areas and; (iii) an online survey to gauge forest characteristic preferences for recreational use. The data was subjected to statistical and qualitative analysis. Results showed that bushwalkers usually avoid mined areas while mountain bikers do not and that the recreationists’ perception of rehabilitated areas is largely shaped by the absence of large and old trees and natural landforms. We found that meeting regulatory requirements for rehabilitation, as measured by ecological indicators, does not automatically correlate with acceptable social outcomes. Conclusions highlight the value of reframing mine rehabilitation practices to accommodate cultural services in post-mining land use planning considerations alongside the well-established ecological goals so as to explicitly demonstrate the social benefits of rehabilitation.
- Published
- 2019
36. Investigating the effectiveness of strategic environmental assessment in Thailand
- Author
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Angus Morrison-Saunders, Alan Bond, Chaunjit Chanchitpricha, 21168032 - Morrison-Saunders, Angus Neil, and 23920084 - Bond, Alan James
- Subjects
Sustainable development ,Knowledge management ,Procedural ,business.industry ,Transactive ,Geography, Planning and Development ,0211 other engineering and technologies ,Strategic environmental assessment (SEA) ,021107 urban & regional planning ,Effectiveness ,02 engineering and technology ,Substantive ,010501 environmental sciences ,Management, Monitoring, Policy and Law ,01 natural sciences ,Pluralism (political theory) ,Political science ,Transactive memory ,Strategic level ,Normative ,business ,Strategic environmental assessment ,Legitimacy ,0105 earth and related environmental sciences - Abstract
Strategic environmental assessment (SEA) was introduced in Thailand in 2005, aiming to direct decision making at the strategic level (policy, programme, plan) towards sustainable development (SD). Given reforms to the SEA requirements in 2018, it is timely to evaluate emerging SEA experience in the Thai context to inform future practice. The effectiveness of 14 SEAs was investigated based on a version of a recently published framework which substitutes ‘legitimacy’ for normative effectiveness and pluralism, modified through the addition of disaggregated sub-criteria associated with each dimension of effectiveness (procedural, substantive, transactive and legitimacy), to facilitate a richer understanding of the effectiveness of practice. This more detailed effectiveness framework enabled a comprehensive evaluation of practice, and should be transferable to other contexts. The findings suggest that SEA in Thailand currently partially achieves procedural, substantive, and transactive effectiveness. Achieving some elements of substantive effectiveness where practice is currently weak is considered to be particularly challenging, and also determinative in the achievement of legitimacy. Consequently, the majority of SEAs evaluated in this study failed to achieve legitimacy.
- Published
- 2019
37. The potential contribution of environmental impact assessment (EIA) to responsible tourism: the case of the Kruger National Park
- Author
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Angus Morrison-Saunders, Jenny Pope, Jan-Albert Wessels, Michael Hughes, Anneli Douglas, 24889717 - Pope, Jennifer Margaret, and 21168032 - Morrison-Saunders, Angus Neil
- Subjects
Sustainable development ,Responsible tourism ,National park ,05 social sciences ,Sustainable tourism ,Legislation ,Environmental impact assessment (EIA) ,Kruger National Park (KNP) ,SANS1162 ,Tourism, Leisure and Hospitality Management ,Political science ,0502 economics and business ,Sustainability ,050211 marketing ,Environmental impact assessment ,South African National Parks (SANParks) ,Environmental planning ,050212 sport, leisure & tourism ,Tourism - Abstract
Environmental impact assessment (EIA) and responsible tourism both aspire to contribute to sustainable development. EIA is the process of identifying, assessing and managing the potential impacts of new developments and is legally mandated in most countries of the world. Tourism developments are subject to EIA under South African legislation, which requires consideration of the full range of sustainable development objectives. This paper highlights the parallels found in the discourses of EIA and responsible tourism, identified through a focused literature review, and develops a framework comprising five characteristics that EIA should embody to maximize its contribution to responsible tourism. It tests the framework by evaluating three EIAs conducted in the Kruger National Park since 2011, when South African National Parks (SANParks) formally committed to responsible tourism. The evaluation process confirmed the utility of the framework and highlighted areas in which responsible tourism principles could be more explicitly reflected in SANParks EIAs.
- Published
- 2019
38. Embracing evolutionary change to advance impact assessment (IA)
- Author
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Angus Morrison-Saunders, Megan Jones, and 21168032 - Morrison-Saunders, Angus Neil
- Subjects
Sustainable development ,Revolution ,Impact assessment ,Plane (geometry) ,Evolution ,Geography, Planning and Development ,0211 other engineering and technologies ,Evolutionary change ,021107 urban & regional planning ,Effectiveness ,02 engineering and technology ,010501 environmental sciences ,Management, Monitoring, Policy and Law ,01 natural sciences ,Political science ,Sustainability ,Environmental planning ,0105 earth and related environmental sciences - Abstract
Impact assessment (IA) originated as, and continues to be, an instrument that contributes towards sustainable development. In response to the considerable sustainability challenges facing our planet this article argues for the acceleration of IA’s evolutionary approach through focusing on effective practice
- Published
- 2019
39. Analysing the factors that influence the procedural efficiency of the Environmental Impact Assessment (EIA) Process in the Western Cape Province
- Author
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Botha, H.E., Steenkamp, C.S., Morrison-Saunders, A., 13177389 - Steenkamp, Carli Stephani (Supervisor), 21168032 - Morrison-Saunders, Angus Neil (Supervisor), and Morrison-Saunders, A., Prof
- Subjects
timeframes ,improvements ,efficiency ,delays ,EIA process - Abstract
Master of Environmental Management, North-West University, Potchefstroom Campus The Environmental Impact Assessment (EIA) process have been criticised for being costly and time-delaying to the development of countries and service provisions. Internationally, various authors have researched how the efficiency of the process can be improved by refining and streamlining the process. To improve the procedural efficiency of the EIA process, knowledge needs to be gained on what factors challenge the efficiency of the process. This research aims to critically analyse the influencing factors and to determine the efficiency of the EIA process in the Western Cape, South Africa. To achieve the aim, three research objective were set: determining the efficiency of EIA processes in the Western Cape with respect to whether applications submitted where finalised within the timeframes stipulated in the NEMA, 2010 in comparison to the NEMA, 2014 regulations; identifying the factors which may influence the procedural efficiency of the EIA process, either positively or negatively; and identifying means for improving the EIA procedural efficiency. To achieve the research objectives, EIA applications submitted in the Western Cape were compared to the timeframes in the regulations. Thereafter, Environmental Assessment Practitioners and government officials were interviewed and the interviews were analysed to identify themes. This research indicated that 1285 applications were submitted from 2010 to 2014, in terms of the NEMA, 2010 Regulations. Of the approved applications, 31.1% were classed as efficient, 39.7% were mostly efficient and the remaining 29.2% were classed as inefficient. When comparing the applications submitted under the NEMA, 2014 Regulations, it is evident that stipulated timeframes for consultants, and not just for the competent authority as with the 2010 regulations, led to significant improvement in terms of finalising the applications within the stipulated timeframes. The results showed that 98% of the approved applications were efficient, 0% was mostly efficient and the remaining 2% were inefficient. During the interviews with government officials and consultants, communication and cooperation between all parties involved, experience and knowledge of consultants and case officers, stipulated timeframes and the flexibility thereof as well as updated, published interpretations of regulations lead to procedural inefficiencies. Possible improvements by interviewees emphasised combined pre-application meetings with involved authorities, updated guidelines, improved communication between authorities and the integration of application processes. Finally, the outcome of the research is summarised in relation to the three main factors for success, also known as the Efficiency Triangle. The findings are discussed by indicating how the shortcomings influence the different factors and the efficiency of the process, and how it can be improved. Masters
- Published
- 2018
40. Investigating South African Environmental Practitioners’ perceptions on the integration of specialist studies in EIA reports
- Author
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Sehaole, T.P., Wessels, J.A., Dr, Morrison-Saunders, A., Prof, 21168032 - Morrison-Saunders, Angus Neil (Supervisor), 11832509 - Wessels, Johannes Albertus (Supervisor), Wessels, J.A., and Morrison-Saunders, A.
- Subjects
Environmental Impact Assessment ,problems ,integration ,specialist studies ,Environmental Assessment Practitioners & specialists - Abstract
Magister in Environmental Management, North-West University, Potchefstroom Campus Environmental Impact Assessment (EIA) is an important tool used globally to manage the impact of human activities on the environment, by identifying, predicting, evaluating and introducing mitigation measures for sustainable development. Therefore, EIA need inputs of expert specialist studies within the EIA reports. Despite EIA’ many benefits, many problems are experienced in EIA practice; these include EIA reports being inadequately detailed, thus resulting in reports which are poorly integrated. The aim of this study was to investigate South African Environmental Practitioners’ perspectives of the integration of specialist studies into EIA reports. Specific Objectives were to identify problems associated with the integration, investigate perspectives of practitioners on the integration and make recommendations on the integration of specialist studies into EIA reports in South Africa. A literature review, self-administered survey questionnaire, IAIAsa poster session as well as panel discussion were used for data collection. The key findings of the literature review were that lack of experience and regulatory bodies allows people from different fields without relevant experience to start practising as EAPs. Limited budget allocated to carry out the EIA process, unclear term of reference and insufficient time leaves room for omission of important assessment phases. The way inputs from different practitioners are managed and communicated in EIA reports makes it difficult to understand the contents of the report. Some of the key problems identified by specialists associated with the integration was lack of knowledge from practitioners, limited allocation of budget to carry out specialist studies, time, misinterpretation of specialist studies and specialists not having access to the final EIA report. However, EAPs were of the opinion that receiving specialist studies reports late and complex findings is one of the major problems. Specialists disagreed that their studies were successfully integrated into EIA reports. They also agreed that important information is often omitted from the EIA reports. However, EAPs were of the opinion that specialist studies were successfully integrated and information is accurately communicated into EIA reports. According to the practitioners, the most successful ways of integrating specialist studies into EIA reports are to have integration meetings which can be used to integrate specialist findings to the reports, the person carrying out this task should understand the work sharing of executive summaries and that specialists should be allowed to review their part in EIA reports prior to submission to Competent Authority. It can be concluded that despite the development of EIA in this country, there is still room for improvement in report writing to address these problems. Therefore, in order to achieve an effective integration of specialist studies into EIA reports, there needs to be clear communication between specialists and EAPs regarding relevant information which needs to be in the EIA report. Masters
- Published
- 2016
41. Towards sustainability follow-up : the Port of Ngqura evaluation
- Author
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Robbetze, Yolandi, Retief, F P, Morrison-Saunders, A, 12307807 - Retief, Francois Pieter (Supervisor), and 21168032 - Morrison-Saunders, Angus Neil (Supervisor)
- Subjects
Evaluation matrix ,Post-approval phase ,Volhoubaarheid assessering ,Sustainability assessment ,Sustainability assessment follow-up ,Volhoubaarheid assessering beginsels ,Post-goedkeuring fase volhoubaarheid assessering follow-up ,Sustainability assessment principles ,Follow-ups ,Evaluering matriks ,Vervolg - Abstract
Master of Environmental Management), North-West University, Potchefstroom Campus, 2016 Sustainability assessment has become more prominent in recent years, in the wake of the general requirement to introduce sustainability thinking into environmental assessment (EA). Although sustainability assessment practice has expanded globally, there has been very little follow-up research on the outcomes of sustainability assessment. The aim of this research is therefore, to conduct sustainability assessment follow-up through the application of the eight sustainability assessment principles described by Gibson (2006). This was achieved by evaluating a particular EIA case study in the South African context, namely the EIA for the development of the Port of Ngqura. An evaluation matrix was developed based on the fundamentals of the eight sustainability assessment principles. The results suggest that sustainability thinking was reflected in the EIA and that six of the eight principles were addressed to some extent however, two of the principles were unacceptable. The best performing principles related to ‘1. socio-ecological system integrity’, ‘6. socio-ecological civility and democratic governance’ and ‘7. precaution and adaptation’. The weakest results related to ‘resource maintenance and efficiency’, ‘2. livelihood sufficiency and opportunity’ as well as ‘8. immediate and long-term integration’. This research succeeded in taking the first steps towards advancing sustainability assessment follow-up, especially within the South African context. The results suggest the following main contributions to knowledge in relation to the main research aim: 1. The research results seem to support those who have suggested that Environmental Assessments in South Africa is, due to our broad definition of the environment, similar to what is internationally understood to be sustainability assessment; 2. There seems to be a clear focus on the social impacts and implications of the particular development, with provided support to the notion that the brown agenda is, as least in the South African context, central to EIA; and 3. The research results suggest that longer term thinking and dealing with the uncertainties it raises remains a constant challenge for EIA. The research concludes by making recommendations for future research. Masters
- Published
- 2016
42. Understanding independent environment control officers : learning from major South African construction projects
- Author
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Wessels, Johannes Albertus, Retief, F.P., Morrisson-Saunders, A.N., 21168032 - Morrisson-Saunders, Angus Neil (Supervisor), and 12307807 - Retief, Francois Pieter (Supervisor)
- Subjects
Environmental Impact Assessment ,Major construction projects ,EIA follow-up ,Verification ,Independent Environmental Control Officer ,Environmental governance - Abstract
PhD (Geography and Environmental Management), North-West University, Potchefstroom Campus, 2015 An independent industry of Environmental Control Officers (ECOs) is active on various construction sites across South Africa. It forms part of a global network of verifiers, such as Environmental Impact Assessment (EIA) and EIA follow-up verifiers. This network authenticates statements about and the implementation of sustainability commitments made during the planning phase of major construction projects. International studies show that the construction industry is experiencing many challenges to deliver sustainability commitments, including inadequate collaboration between role players, ill defined roles and responsibilities, and insufficient use of environmental governance approaches. On-site verifiers like ECOs may aid in restraining these challenges by bridging ineffective governance approaches, such as classic EIA with new governance approaches, for instance self-responsibility (e.g. Environmental Management Systems (EMSs)) and involvement of third parties. Moreover, an “independent from all” verification function may be vital in developing countries such as South Africa, where trust between the government, market and public is particularly fragile due to historical injustices. Interestingly, limited learning has been drawn and shared from this function’s real-world experience. There are also differing views on the role, independence and value of ECOs, due to roles, frequent interaction with persons responsible for delivering sustainability commitments, and collaboration with third parties being ill-defined. The overarching purpose of this study is to advance understanding of independent ECOs in major South African construction projects. Three lines of inquiry are followed. The first is to define what the role is, or ideally should be, of an ECO in the South African compliance monitoring and enforcement effort. The second is to identify what factors might influence the independence of verifiers. The third is to appraise how and to what extent independent EIA follow-up verifiers add value in major construction projects in the developing country context of South Africa. This study’s research assumptions are based on the real world of ECOs and uses a mixed method research approach to draw knowledge from the industry. The strategies of inquiry include a survey, interviews, and multiple case study evaluations. The methods for data collection include literature review, a self-administered survey questionnaire, semi-structured interviews, video material, observations of practice at case studies, and the collection of project documentation. The methods used for data analysis are the categorisation and measuring of opinions and statements of survey participants, the analysis of video material and project documentation, and the nominal categorisation and ordinal scaling of case study results. Three journal articles capture the essence of the research results and form part of the thesis report, as prescribed by the North-West University’s rules for doctoral theses in article format. All three articles were peer-reviewed and published in journals aimed at international audiences. Article 1 of the thesis highlights that an industry of ECOs fulfills numerous roles at various construction sites across South Africa. The results identify the importance of ECOs functioning independently of all role-players, but warn that obsessing about independence may compromise the ability of ECOs to fulfill their roles. The results also show that industry is in need of competence and the regulation thereof, as well as support from all role players. By drawing from the research results, the thesis defines an ECO. Article 2 of the thesis reiterates that independence is central to internationally acclaimed verification fields and important to ensure the credibility of EIA. The study identifies 18 factors that might influence the independence of EIA follow-up verifiers and divides the factors into five categories: financial, commercial, professional, personal, and other. By identifying and sharing these factors, this thesis aids in anticipating and avoiding potential conflict of interest between environmental role players. Article 3 strengthens the continuum between environmental governance approaches by conceptualising a framework for appraising the value of independent EIA follow-up verifiers. The framework provides for inter-linking principles and objectives of sustainability to the performance areas of EIA, EIA follow-up and the EMS. The appraisal results indicate that independent verifiers add most value when they are involved in screening, checking compliance, influencing decisions, community engagement, and integrating environmental governance approaches. The study confirms the benefits of adaptable, proactive, experienced, and independent EIA follow-up verifiers, such as ECOs, on major South African construction projects. Doctoral
- Published
- 2015
43. Reflections on impact assessment research scholarship from editor and academic perspectives
- Author
-
Angus Morrison-Saunders, Francois Retief, 21168032 - Morrison-Saunders, Angus Neil, and 12307807 - Retief, Francois Pieter
- Subjects
multi-disciplinary ,Multi disciplinary ,Impact assessment ,media_common.quotation_subject ,Geography, Planning and Development ,Management, Monitoring, Policy and Law ,Audience measurement ,Scholarship ,Impact assessment research, multi-disciplinary, writing skills ,Writing skills ,Impact assessment research ,writing skills ,Research studies ,Quality (business) ,Engineering ethics ,Sociology ,Research writing ,media_common - Abstract
Reflections on impact assessment research scholarship are presented drawn from our experiences as journal editors and academics with respect to the nature of impact assessment research and the quality of impact assessment research writing. We support the call for more empirical impact assessment research studies, especially large and longer-term studies. While the international field of impact assessment research is healthy overall, we would like to see better international and multi-disciplinary collaboration. We also urge careful attention be given by impact assessment research writers to having clear aims, robust methods accounts and to write rigorously and insightfully for the international impact assessment journal readership.
- Published
- 2015
44. Investigating the relationship between the characteristics of Environmental Management Systems and International Cyanide Management Code
- Author
-
Smuts, André, Wessels, J.A., Morrison-Saunders, A.N., 11832509 - Wessels, Johannes Albertus (Supervisor), and 21168032 - Morrison-Saunders, Angus Neil (Supervisor)
- Subjects
Standards ,Themes ,Participants ,International Cyanide Management Code ,Environmental Management Systems ,Characteristic framework ,Principles - Abstract
MSc (Environmental Management), North-West University, Potchefstroom Campus, 2015 Environmental Management Systems (EMS) and the International Cyanide Management Code (ICMC) also known as the Cyanide Code are both voluntary management systems to assist management in an organisation to control the impact that they may have on the environment. The focus of the research was to investigate the relationship between the characteristics of an EMS and that of the ICMC. In order to determine the relationship between the characteristics two research questions had to be answered. Research question 1: What are the key characteristics of an Environmental Management System? and Research question 2: How do the characteristics of an Environmental Management system relate to the characteristics of the International Cyanide Management Code? The information gathering for the first research question was done by studying different articles and websites obtained from the literature. From this information an EMS framework was developed. In order to answer the second research question a three-step process was followed. Firstly, Cyanide Code characteristics were obtained from the literature. From this information a Cyanide Code framework was developed. Secondly, this framework was then enriched from information gathered from participants’ in the research. For the purpose of enrichment, a qualitative approach was used with a questionnaire link that was sent to research participants’ via e-mail in order to collect the information. The participants’ were purposefully selected from a single gold mine in South Africa. Finally, the characters of the enriched frameworks were compared to that of the EMS framework to answer the second research question. The study established that the EMS and Cyanide Code show very similar characteristics across multiple themes. However, some unique characteristics were also highlighted. Firstly, Cyanide Code is a management system that has to comply with set standards and principles. Secondly, the Cyanide Code is designed to manage the impact that cyanide has on the environment, as well as to protect the workforce through safe handling and storage of cyanide. As a result the Cyanide Code can also be defined as an Occupational Health and Safety system for cyanide handling. Furthermore, the Cyanide Code has specific contractual requirements for the manufacturers, transporters and the mine. These contractual agreements are prerequisites for the compliance certification. Finally, the Cyanide Code has explicit requirements for the design of facilities that ensure the safe handling and storage of cyanide. The EMS is designed to manage the environmental impact of all types of organisations, while the Cyanide Code is limited to gold mines that use cyanide as an extractive method. In this context, the Cyanide Code is limited to the effect that cyanide has on people and the environment, and does not manage or comply with any other environmental or safety conditions that might exist on a mine. Although the Cyanide Code can be regarded as a more comprehensive system, it is limited to a specific application in the Gold mining industry and can be described as a sub-system of an EMS. Masters
- Published
- 2015
45. How can the quality of South African environmental management programmes be determined?
- Author
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Van Schalkwyk, Ebenhaezer, Retief, F., Morrison-Saunders, A., 12307807 - Retief, Francois Pieter (Supervisor), and 21168032 - Morrison-Saunders, Angus Neil (Supervisor)
- Subjects
Environmental management programmes (EMPrs) ,Programme quality - Abstract
Thesis (M. Environmental Management)--North-West University, Potchefstroom Campus, 2013. At the heart of Environmental Impact Assessment (EIA) lies the focus of identification and assessment of predicted impacts, with the management actions (i.e. Environmental Management Programmes) (EMPr) often being described only in illustrative terms. In order to promote effective Environmental Management (EM) it is important that the management actions arising from EIAs are clearly defined and translated into a good quality EMPr. The thesis had three aims, (1) to determine what is regarded as high-quality criteria for EMPrs (i.e. develop an EMPr review package), (2) to determine the quality of a sample of 20 South African EMPrs by applying the EMPr review package and (3) to provide feedback on the utility of the review package. The EMPr review package was developed by converting high quality criteria for EMPrs into a review package. The EMPr review package has been structured around five (5) Review Areas each with between two and six review categories. Review categories contain between one and eight review sub-categories informing the criteria. The EMPrs were reviewed by applying the EMPr review package. Key shortfalls of EMPrs were found to be: •A lack of project detail and overview to place the EMPr in context; •Insufficient descriptions of the receiving environment and baseline environmental conditions; •Lack of maps, layouts and facility illustrations prescribing where activities must or must not take place; •In most cases no objectives and targets were set for management measures; •The stakeholder engagement process was not clearly defined (who, how, when); •The document and record keeping process was unclear; •The process of managing emergency situations and subsequent remediation were lacking; •No implementation time frames were set for the implementation of mitigation measures; and •The rehabilitation process was not described in detail. The use of, and overall utility of the EMPr review package is simple and straight forward. A shortfall of the EMPr review package, however, is that results are likely to differ from one reviewer to another based on the reviewer's experience with EMPrs. The application of the EMPr review package might improve the quality of EMPrs and over time contribute to improved environmental performance. Masters
- Published
- 2013
46. Patient focused Internet-based approaches to cardiovascular rehabilitation--a systematic review.
- Author
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Munro J, Angus N, and Leslie SJ
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- Evidence-Based Medicine, Humans, Internet, Motor Activity, Patient Compliance, Psychology, Return to Work, Cardiac Rehabilitation, Patient-Centered Care methods, Telemedicine methods
- Abstract
Cardiac rehabilitation (CR) has been shown to improve health behaviours and risk factors and the evidence suggests that home CR is as effective as hospital-based CR. Telemedicine offers the potential for more patients to engage in CR. We reviewed the evidence for patient focused Internet-based approaches to cardiovascular rehabilitation. Searches were performed in PubMed, EMBASE, Scopus and the Cochrane Controlled Trials Register. In total, nine studies involving 830 patients with heart disease that compared Internet-based cardiac rehabilitation to usual care were identified. The quality of trials was assessed using the Jadad scale. Outcome data were pooled under four subheadings: compliance; physical activity outcomes; clinical outcomes; psychosocial outcomes. Compliance rates were high but dropped over time in all studies. Physical activity measures were generally improved, as were clinical outcomes. Changes in psychosocial measures were positive, with two studies noting no change. No interventions noted a negative effect on outcomes. Despite the relatively small number of trials and the limited outcome measures, the results appeared to be positive with regard to patient outcomes and patient feedback. However, none had progressed to a clinical service.
- Published
- 2013
- Full Text
- View/download PDF
47. Home versus hospital-based cardiac rehabilitation: a systematic review.
- Author
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Blair J, Corrigall H, Angus NJ, Thompson DR, and Leslie S
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- Humans, Patient Acceptance of Health Care, Quality of Life, Rural Health Services, Treatment Outcome, United Kingdom, Coronary Disease rehabilitation, Home Care Services economics, Outpatient Clinics, Hospital economics
- Abstract
Comprehensive cardiac rehabilitation has positive effects on many cardiac risk factors (physical activity, smoking status, cholesterol, anxiety and depression) and can lead to improvements in mortality, morbidity and quality of life. Most formal cardiac rehabilitation in the UK is offered within a hospital or centre setting, although this may not always be convenient or accessible for many cardiac patients, especially those in remote areas. The proportion of eligible patients who successfully complete a cardiac rehabilitation program remains low. There are many reasons for this but geographical isolation and transport issues are important. This systematic review examines the current evidence for home- versus hospital-based cardiac rehabilitation. Home-based cardiac rehabilitation offers greater accessibility to cardiac rehabilitation and has the potential to increase uptake. While there have been fewer studies of home-based cardiac rehabilitation, the available data suggest that it has comparable results to hospital-based programs. Many of these studies are small and heterogeneous in terms of interventions but home-based cardiac rehabilitation appears both safe and effective. Available evidence suggests that it results in longer lasting maintenance of physical activity levels compared with hospital-based rehabilitation and is equally effective in improving cardiac risk factors. Furthermore, it has the potential to be a more cost-effective intervention for patients who cannot easily access their local centre or hospital. Currently home-based cardiac rehabilitation is not offered routinely to all patients but it appears to have the potential to increase uptake in patients who are unable, or less likely, to attend more traditional hospital-based cardiac rehabilitation programs.
- Published
- 2011
48. Mixed-method exploratory study of general practitioner and nurse perceptions of a new community based nurse-led heart failure service.
- Author
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MacKenzie E, Smith A, Angus N, Menzies S, Brulisauer F, and Leslie SJ
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- Chronic Disease, Communication, Community Health Services standards, Guideline Adherence, Health Knowledge, Attitudes, Practice, Humans, Program Evaluation, Referral and Consultation, Scotland, Surveys and Questionnaires, Telemedicine, Workforce, Community Health Services organization & administration, Heart Failure nursing, Nurse's Role, Physicians, Family psychology
- Abstract
Introduction: The treatment of patients with chronic heart failure (CHF) remains sub-optimal. Specialist CHF nurses are proven to improve care and reduce admission but developing such services, especially in remote areas, can be difficult. This study aimed: first, to assess the perceived acceptability and effectiveness of a new community based nurse-led heart failure service by general practitioners (GPs) in an area with a dispersed population; second, to assess the knowledge and learning needs of GPs; and third, to assess perceptions of the use of national guidelines and telehealth on heart failure management., Methods: The study was conducted in the Scottish Highlands, a large geographical area in the north of the UK which includes both rural and urban populations. The area has a total population of 240 000, approximately 60% of whom are within 1 hour travel time of the largest urban centre. A postal survey of all GPs (n = 260) and structured email survey of all CHF specialist nurses (n = 3) was performed. All responses were entered into a Microsoft Excel spreadsheet, summarised and subjected to thematic analysis. Differences between GPs in 'rural', 'urban' or both 'urban & rural' was investigated using an F-test for continuous variables and a three-sample test for equality of proportions for nominal data., Results: Questionnaires were returned from 83 GPs (32%) and all three CHF specialist nurses. In this sample there were only a few differences between GPs from 'rural', 'urban' and 'urban & rural'. There also appeared to be little difference in responses between those who had the experience of the CHF nurse service and those who had not. Overall, 32 GPs (39%) wished better, local access to echocardiography, while 63 (76%) wished access to testing for brain natriuretic peptide (BNP). Only 27 GPs (33%) referred all patients with CHF to hospital. A number of GPs stated that this was dependant on individual circumstances and the patient's ability to travel. The GPs were confident to initiate standard heart failure drugs although only 54 (65%) were confident in the initiation of beta-blockers. Most GPs (69%) had had experience of the CHF specialist nurse service and the responses were mixed. The GPs who had experienced the service appeared less confident that it would lead to reduced admission of patients to hospital (51% vs 77%, p = 0.046). Three main themes emerged from the nurse responses: service planning, communication and attitudinal changes after service embedment., Conclusions: This study demonstrates that a community based heart failure nurse service was not universally valued. Differences between urban and rural localities (communication) suggest that models of care derived from evidence based practice in urban areas may not be directly transferable to remote areas. Clearly, good communication among staff groups at all stages of implementation is important; however, despite best efforts and clinical trial evidence, specialist nurse services will not be welcomed by all doctors. Service providers and commissioners should be cognisant of the different roles of urban and rural GPs when designing such services. Among GPs there was a high degree of confidence with initiation and titration of drugs for heart failure with the exception of beta-blockers so clearly this is an area of ongoing educational need and support. Education and support should focus on ensuring that all doctors who care for patients with CHF have the skills and confidence to use medical therapies and specialist services as appropriate.
- Published
- 2010
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