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5. Point of care testing using rapid automated antigen testing for SARS-COV-2 in care homes – an exploratory safety, usability and diagnostic agreement evaluation

Author

Micocci, Massimo, primary, Buckle, Peter, additional, Hayward, Gail, additional, Allen, A Joy, additional, Davies, Kerrie, additional, Kierkegaard, Patrick, additional, Spilsbury, Karen, additional, Thompson, Carl, additional, Astle, Anita, additional, Heath, Ros, additional, Sharpe, Claire, additional, Akrill, Cyd, additional, Lasserson, Dan, additional, Perera, Rafael, additional, Body, Richard, additional, and Gordon, Adam L, additional

Published
2021
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8. Is point-of-care testing feasible and safe in care homes in England? An exploratory usability and accuracy evaluation of a point-of-care polymerase chain reaction test for SARS-CoV-2

Author

Micocci, Massimo, primary, Gordon, Adam L, additional, Seo, Mikyung Kelly, additional, Allen, A Joy, additional, Davies, Kerrie, additional, Lasserson, Dan, additional, Thompson, Carl, additional, Spilsbury, Karen, additional, Akrill, Cyd, additional, Heath, Ros, additional, Astle, Anita, additional, Sharpe, Claire, additional, Perera, Rafael, additional, Hayward, Gail, additional, and Buckle, Peter, additional

Published
2021
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9. Is Point-of-Care testing feasible and safe in care homes in England? An exploratory usability and accuracy evaluation of Point-of-Care Polymerase Chain Reaction test for SARS-COV-2

Author

Micocci, Massimo, primary, Gordon, Adam, additional, Seo, Mikyung Kelly, additional, Allen, Joy A, additional, Davies, Kerrie, additional, Lasserson, Dan, additional, Thompson, Carl, additional, Spilsbury, Karen, additional, Akrill, Cyd, additional, Heath, Ros, additional, Astle, Anita, additional, Sharpe, Claire, additional, Perera, Rafael, additional, Hayward, Gail, additional, and Buckle, Peter, additional

Published
2020
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10. SEeking AnsweRs for Care Homes during the COVID-19 pandemic (COVID SEARCH)

Author

Spilsbury, Karen, primary, Devi, Reena, additional, Griffiths, Alys, additional, Akrill, Cyd, additional, Astle, Anita, additional, Goodman, Claire, additional, Gordon, Adam, additional, Hanratty, Barbara, additional, Hodkinson, Peter, additional, Marshall, Fiona, additional, Meyer, Julienne, additional, and Thompson, Carl, additional

Published
2020
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13. SEeking AnsweRs for Care Homes during the COVID-19 pandemic (COVID SEARCH).

Author

Spilsbury, Karen, Devi, Reena, Griffiths, Alys, Akrill, Cyd, Astle, Anita, Goodman, Claire, Gordon, Adam, Hanratty, Barbara, Hodkinson, Peter, Marshall, Fiona, Meyer, Julienne, and Thompson, Carl

Subjects
HEALTH facility employees, SOCIAL support, MOBILE apps, UNCERTAINTY, NURSING care facilities, PSYCHOSOCIAL factors, COMMUNICATION, HEALTH, INFORMATION resources, COVID-19 pandemic, GROUP process, MEDICAL research, ELDER care, LONG-term health care
Abstract

The care and support of older people residing in long-term care facilities during the COVID-19 pandemic has created new and unanticipated uncertainties for staff. In this short report, we present our analyses of the uncertainties of care home managers and staff expressed in a self-formed closed WhatsApp™ discussion group during the first stages of the pandemic in the UK. We categorised their wide-ranging questions to understand what information would address these uncertainties and provide support. We have been able to demonstrate that almost one-third of these uncertainties could have been tackled immediately through timely, responsive and unambiguous fact-based guidance. The other uncertainties require appraisal, synthesis and summary of existing evidence, commissioning or provision of a sector- informed research agenda for medium to long term. The questions represent wider internationally relevant care home pandemic-related uncertainties. [ABSTRACT FROM AUTHOR]

Published
2021
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16. Do pay and conditions for nurses working outside the NHS need more attention?

Author

Astle, Anita, Charalambous, Liz, Sutton, Claire, and Brady, Louise

Subjects
*WORK environment, *OCCUPATIONAL roles, *RESPONSIBILITY, *NURSES, *WAGES, *JOB satisfaction, *EMPLOYMENT, *PROFESSIONAL autonomy
Abstract

Our panel of nurses and healthcare professionals consider a topical nursing issue and share their views in a personal capacity only [ABSTRACT FROM AUTHOR]

Published
2023
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17. Point of care testing using rapid automated antigen testing for SARS-COV-2 in care homes – an exploratory safety, usability and diagnostic agreement evaluation

Author

Micocci, Massimo, Buckle, Peter, Hayward, Gail, Allen, A Joy, Davies, Kerrie, Kierkegaard, Patrick, Spilsbury, Karen, Thompson, Carl, Astle, Anita, Heath, Ros, Sharpe, Claire, Akrill, Cyd, Lasserson, Dan, Perera, Rafael, Body, Richard, and Gordon, Adam L

Abstract

Introduction Successful adoption of POCTs (Point-of-Care tests) for COVID-19 in care homes requires the identification of ideal use cases and a full understanding of the contextual and usability factors that affect test results and minimise biosafety risks. This paper presents a scoping-usability and test performance study of a microfluidic immunofluorescence assay for COVID-19 in care homes.Methods A mixed-methods evaluation was conducted in four UK care homes to scope usability and to assess the agreement with qRT-PCR. A dry run with luminescent dye was conducted to explore biosafety issues.Results The agreement analysis was conducted on 227 asymptomatic participants (159 staff and 68 residents) and 14 symptomatic participants (5 staff and 9 residents). Asymptomatic specimens showed 50% (95% CI:1.3%−98.7%) positive agreement and 96% (95% CI: 92.5%−98.1%) negative agreement with overall prevalence and bias-adjusted Kappa (PABAK) of 0.911 (95% CI: 0.857−0.965). Symptomatic specimens showed 83.3% (95% CI: 35.9%−99.6%) positive agreement and 100% (95% CI: 63.1%−100%) negative agreement with overall prevalence and bias-adjusted Kappa (PABAK) of 0.857 (95% CI: 0.549−1). The dry run highlighted four main sources of contamination that led to the modification of the standard operating procedures. Simulation post-modification showed no further evidence of contamination.Conclusion Careful consideration of biosafety issues and contextual factors associated with care home are mandatory for safe use the POCT. Whilst POCT may have some utility for ruling out COVID-19, further diagnostic accuracy evaluations are needed to promote effective adoption.

Published
2021
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18. The competencies of registered nurses working in care homes: a modified Delphi study

Author

Stanyon, Miriam, Goldberg, Sarah E., Astle, Anita, Griffiths, Amanda, Gordon, Adam L., Stanyon, Miriam, Goldberg, Sarah E., Astle, Anita, Griffiths, Amanda, and Gordon, Adam L.

Abstract

BACKGROUND: Registered Nurses (RNs) working in UK care homes receive most of their training in acute hospitals. At present the role of care home nursing is underdeveloped and it is seen as a low status career. We describe here research to define core competencies for RNs working in UK care homes. METHODS: A two-stage process was adopted. A systematic literature review and focus groups with stakeholders provided an initial list of competencies. The competency list was modified over three rounds of a Delphi process with a multi-disciplinary expert panel of 28 members. RESULTS: Twenty-two competencies entered the consensus process, all competencies were amended and six split. Thirty-one competencies were scored in round two, eight were agreed as essential, one competency was split into two. Twenty-four competencies were submitted for scoring in round three. In total, 22 competencies were agreed as essential for RNs working in care homes. A further ten competencies did not reach consensus. CONCLUSION: The output of this study is an expert-consensus list of competencies for RNs working in care homes. This would be a firm basis on which to build a curriculum for this staff group.

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19. The competencies of registered nurses working in care homes: a modified Delphi study

Author

Stanyon, Miriam, Goldberg, Sarah E., Astle, Anita, Griffiths, Amanda, Gordon, Adam L., Stanyon, Miriam, Goldberg, Sarah E., Astle, Anita, Griffiths, Amanda, and Gordon, Adam L.

Abstract

BACKGROUND: Registered Nurses (RNs) working in UK care homes receive most of their training in acute hospitals. At present the role of care home nursing is underdeveloped and it is seen as a low status career. We describe here research to define core competencies for RNs working in UK care homes. METHODS: A two-stage process was adopted. A systematic literature review and focus groups with stakeholders provided an initial list of competencies. The competency list was modified over three rounds of a Delphi process with a multi-disciplinary expert panel of 28 members. RESULTS: Twenty-two competencies entered the consensus process, all competencies were amended and six split. Thirty-one competencies were scored in round two, eight were agreed as essential, one competency was split into two. Twenty-four competencies were submitted for scoring in round three. In total, 22 competencies were agreed as essential for RNs working in care homes. A further ten competencies did not reach consensus. CONCLUSION: The output of this study is an expert-consensus list of competencies for RNs working in care homes. This would be a firm basis on which to build a curriculum for this staff group.

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20. The competencies of registered nurses working in care homes: a modified Delphi study

Author

Stanyon, Miriam, Goldberg, Sarah E., Astle, Anita, Griffiths, Amanda, Gordon, Adam L., Stanyon, Miriam, Goldberg, Sarah E., Astle, Anita, Griffiths, Amanda, and Gordon, Adam L.

Abstract

BACKGROUND: Registered Nurses (RNs) working in UK care homes receive most of their training in acute hospitals. At present the role of care home nursing is underdeveloped and it is seen as a low status career. We describe here research to define core competencies for RNs working in UK care homes. METHODS: A two-stage process was adopted. A systematic literature review and focus groups with stakeholders provided an initial list of competencies. The competency list was modified over three rounds of a Delphi process with a multi-disciplinary expert panel of 28 members. RESULTS: Twenty-two competencies entered the consensus process, all competencies were amended and six split. Thirty-one competencies were scored in round two, eight were agreed as essential, one competency was split into two. Twenty-four competencies were submitted for scoring in round three. In total, 22 competencies were agreed as essential for RNs working in care homes. A further ten competencies did not reach consensus. CONCLUSION: The output of this study is an expert-consensus list of competencies for RNs working in care homes. This would be a firm basis on which to build a curriculum for this staff group.

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21. The competencies of registered nurses working in care homes: a modified Delphi study

Author

Stanyon, Miriam, Goldberg, Sarah E., Astle, Anita, Griffiths, Amanda, Gordon, Adam L., Stanyon, Miriam, Goldberg, Sarah E., Astle, Anita, Griffiths, Amanda, and Gordon, Adam L.

Abstract

BACKGROUND: Registered Nurses (RNs) working in UK care homes receive most of their training in acute hospitals. At present the role of care home nursing is underdeveloped and it is seen as a low status career. We describe here research to define core competencies for RNs working in UK care homes. METHODS: A two-stage process was adopted. A systematic literature review and focus groups with stakeholders provided an initial list of competencies. The competency list was modified over three rounds of a Delphi process with a multi-disciplinary expert panel of 28 members. RESULTS: Twenty-two competencies entered the consensus process, all competencies were amended and six split. Thirty-one competencies were scored in round two, eight were agreed as essential, one competency was split into two. Twenty-four competencies were submitted for scoring in round three. In total, 22 competencies were agreed as essential for RNs working in care homes. A further ten competencies did not reach consensus. CONCLUSION: The output of this study is an expert-consensus list of competencies for RNs working in care homes. This would be a firm basis on which to build a curriculum for this staff group.

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22. The competencies of registered nurses working in care homes: a modified Delphi study

Author

Stanyon, Miriam, Goldberg, Sarah E., Astle, Anita, Griffiths, Amanda, Gordon, Adam L., Stanyon, Miriam, Goldberg, Sarah E., Astle, Anita, Griffiths, Amanda, and Gordon, Adam L.

Abstract

BACKGROUND: Registered Nurses (RNs) working in UK care homes receive most of their training in acute hospitals. At present the role of care home nursing is underdeveloped and it is seen as a low status career. We describe here research to define core competencies for RNs working in UK care homes. METHODS: A two-stage process was adopted. A systematic literature review and focus groups with stakeholders provided an initial list of competencies. The competency list was modified over three rounds of a Delphi process with a multi-disciplinary expert panel of 28 members. RESULTS: Twenty-two competencies entered the consensus process, all competencies were amended and six split. Thirty-one competencies were scored in round two, eight were agreed as essential, one competency was split into two. Twenty-four competencies were submitted for scoring in round three. In total, 22 competencies were agreed as essential for RNs working in care homes. A further ten competencies did not reach consensus. CONCLUSION: The output of this study is an expert-consensus list of competencies for RNs working in care homes. This would be a firm basis on which to build a curriculum for this staff group.

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23. The competencies of registered nurses working in care homes: a modified Delphi study

Author

Stanyon, Miriam, Goldberg, Sarah E., Astle, Anita, Griffiths, Amanda, Gordon, Adam L., Stanyon, Miriam, Goldberg, Sarah E., Astle, Anita, Griffiths, Amanda, and Gordon, Adam L.

Abstract

BACKGROUND: Registered Nurses (RNs) working in UK care homes receive most of their training in acute hospitals. At present the role of care home nursing is underdeveloped and it is seen as a low status career. We describe here research to define core competencies for RNs working in UK care homes. METHODS: A two-stage process was adopted. A systematic literature review and focus groups with stakeholders provided an initial list of competencies. The competency list was modified over three rounds of a Delphi process with a multi-disciplinary expert panel of 28 members. RESULTS: Twenty-two competencies entered the consensus process, all competencies were amended and six split. Thirty-one competencies were scored in round two, eight were agreed as essential, one competency was split into two. Twenty-four competencies were submitted for scoring in round three. In total, 22 competencies were agreed as essential for RNs working in care homes. A further ten competencies did not reach consensus. CONCLUSION: The output of this study is an expert-consensus list of competencies for RNs working in care homes. This would be a firm basis on which to build a curriculum for this staff group.

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24. The competencies of registered nurses working in care homes: a modified Delphi study

Author

Stanyon, Miriam, Goldberg, Sarah E., Astle, Anita, Griffiths, Amanda, Gordon, Adam L., Stanyon, Miriam, Goldberg, Sarah E., Astle, Anita, Griffiths, Amanda, and Gordon, Adam L.

Abstract

BACKGROUND: Registered Nurses (RNs) working in UK care homes receive most of their training in acute hospitals. At present the role of care home nursing is underdeveloped and it is seen as a low status career. We describe here research to define core competencies for RNs working in UK care homes. METHODS: A two-stage process was adopted. A systematic literature review and focus groups with stakeholders provided an initial list of competencies. The competency list was modified over three rounds of a Delphi process with a multi-disciplinary expert panel of 28 members. RESULTS: Twenty-two competencies entered the consensus process, all competencies were amended and six split. Thirty-one competencies were scored in round two, eight were agreed as essential, one competency was split into two. Twenty-four competencies were submitted for scoring in round three. In total, 22 competencies were agreed as essential for RNs working in care homes. A further ten competencies did not reach consensus. CONCLUSION: The output of this study is an expert-consensus list of competencies for RNs working in care homes. This would be a firm basis on which to build a curriculum for this staff group.

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