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5. Communication of palliative care needs in discharge letters from hospice providers to primary care: a multisite sequential explanatory mixed methods study

Author

Weetman, Katharine, Dale, Jeremy, Mitchell, Sarah J., Ferguson, Claire, Finucane, Anne M., Buckle, Peter, Arnold, Elizabeth, Clarke, Gemma, Karakitsiou, Despoina-Elvira, McConnell, Tracey, Sanyal, Nikhil, Schuberth, Anna, Tindle, Georgia, Perry, Rachel, Grewal, Bhajneek, Patynowska, Katarzyna A., and MacArtney, John I.

Published
2022
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7. 21 Wellbeing of lone working Healthcare Assistants and its impact on staff retention in hospice care at home services

Author

Patynowska, Katarzyna A, primary, Fantoni, Raquel, additional, McConnell, Tracey, additional, Finucane, Anne, additional, Donnelly, Peter, additional, McAtamney, Colette, additional, Walpole, Gillian, additional, Clemo, Jonathan, additional, Wynne, Natasha, additional, Leone, Epiphany, additional, and Hasson, Felicity, additional

Published
2024
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8. 60 Facilitating advance care planning (ACP) conversations in a community setting – a two-phase study to co-design and evaluate a digital ACP resource for community nurses, care recipients and caregivers

Author

O’Neill, Roisin, primary, Jamison, Olivia, additional, Coffey, Alice, additional, Doherty, Julie, additional, Doody, Owen, additional, Finucane, Anne, additional, Green, Julie, additional, Dening, Karen Harrison, additional, Mitchell, Gary, additional, Preston, Nancy, additional, and Brazil, Kevin, additional

Published
2024
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9. The 4AT, a rapid delirium detection tool for use in hospice inpatient units: Findings from a validation study.

Author

Arnold, Elizabeth, Finucane, Anne M, Taylor, Stacey, Spiller, Juliet A, O'Rourke, Siobhan, Spenceley, Julie, Carduff, Emma, Tieges, Zoë, and MacLullich, Alasdair MJ

Subjects
*DIAGNOSIS of delirium, *RESEARCH funding, *RESEARCH methodology evaluation, *MENTAL illness, *CLASSIFICATION of mental disorders, *DESCRIPTIVE statistics, *ODDS ratio, *TERMINALLY ill, *MEDICAL screening, *CONFIDENCE intervals, *HOSPICE care, *HOSPITAL wards
Abstract

Background: Delirium is a serious neuropsychiatric syndrome with adverse outcomes, which is common but often undiagnosed in terminally ill people. The 4 'A's test or 4AT (www.the4AT.com), a brief delirium detection tool, is widely used in general settings, but validation studies in terminally ill people are lacking. Aim: To determine the diagnostic accuracy of the 4AT in detecting delirium in terminally ill people, who are hospice inpatients. Design: A diagnostic test accuracy study in which participants underwent the 4AT and a reference standard based on the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders. The reference standard was informed by Delirium Rating Scale Revised-98 and tests assessing arousal and attention. Assessments were conducted in random order by pairs of independent raters, blinded to the results of the other assessment. Setting/participants: Two hospice inpatient units in Scotland, UK. Participants were 148 hospice inpatients aged ⩾18 years. Results: A total of 137 participants completed both assessments. Three participants had an indeterminate reference standard diagnosis and were excluded, yielding a final sample of 134. Mean age was 70.3 (SD = 10.6) years. About 33% (44/134) had reference standard delirium. The 4AT had a sensitivity of 89% (95% CI 79%–98%) and a specificity of 94% (95% CI 90%–99%). The area under the receiver operating characteristic curve was 0.97 (95% CI 0.94–1). Conclusion: The results of this validation study support use of the 4AT as a delirium detection tool in hospice inpatients, and add to the literature evaluating methods of delirium detection in palliative care settings. Trial registry: ISCRTN 97417474. [ABSTRACT FROM AUTHOR]

Published
2024
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19. Effect of emotion on attentional processing

Author

Finucane, Anne Margaret, Whiteman, Martha., and Power, Michael

Subjects
150.724, emotion, attention, ANT
Abstract

Previous research on the relationship between emotion and attention has focused primarily on attention to emotionally valenced stimuli; trait anxiety and attentional biases for threat; or the relationship between emotion and attention in clinical contexts. Few studies have investigated the effect of emotion on attentional processing irrespective of the valence of the stimuli that is being attended. However, such studies are important as they shed light on issues central to emotions theory such as whether the experience of discrete emotions is associated with distinct patterns of attentional processing. In this thesis six experiments and one correlational study are described. The experimental studies investigate whether the experience of discrete emotions - specifically amusement, happiness, sadness and fear - influence attentional processing in comparison to a neutral condition. Film clips, emotional images and music were used to elicit a target emotional state. A modified version of the Attention Network Test (ANT) was used to assess three forms of attention – phasic alerting, covert exogenous orienting and executive attention. The correlational study required participants to complete a set of emotion-related questionnaires including the Basic Emotion Scale (BES) and to perform the ANT. The results suggest that: i) fear reduces executive attention costs, ii) sadness reduces intrinsic alerting, but does not influence alerting, orienting or executive attention, iii) amusement and happiness do not differentially influence alerting, orienting or executive attention, iv) individual differences in the tendency to experience high arousal negative emotions are associated with phasic alerting, i.e. faster mobilisation of attentional resources in response to an impending stimulus and v) exogenous orienting of attention may be impervious to the influence of emotion, at least in context of neutrally valenced stimuli. Results relating to anxiety, emotion regulation and attention network performance are also discussed. Taken together these findings provide only limited support for the broaden-and-build theory (Fredrickson, 1998) of positive emotions. Amusement and happiness did not result in broadening (as assessed by executive attention costs) in the present studies. An attentional narrowing effect was found for fear but not for sadness. It is proposed that fear, but not sadness, facilitates inhibition and reduces executive attention costs, indicative of more focused attention. The results here also suggest a relationship between negative emotions characterised by high arousal and phasic alerting – an aspect of attention which has received little coverage in emotions research to date. Implications relating to the use of the ANT as a measure of attentional performance, and the challenges associated with manipulating emotion in a lab setting are discussed.

Published
2009

20. Exploring the costs, consequences and efficiency of three types of palliative care day services in the UK: a pragmatic before-and-after descriptive cohort study

Author

Mitchell, Paul Mark, Coast, Joanna, Myring, Gareth, Ricciardi, Federico, Vickerstaff, Victoria, Jones, Louise, Zafar, Shazia, Cudmore, Sarah, Jordan, Joanne, McKibben, Laurie, Graham-Wisener, Lisa, Finucane, Anne M., Hewison, Alistair, Haraldsdottir, Erna, Brazil, Kevin, and Kernohan, W. George

Published
2020
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27. sj-docx-1-pcr-10.1177_26323524231182724 – Supplemental material for Inpatient hospice admissions. Who is admitted and why: a mixed-method prospective study

Author

Haraldsdottir, Erna, Lloyd, Anna, Bijak, Martyn, Milton, Libby, and Finucane, Anne M.

Subjects
Aged Health Care
Abstract

Supplemental material, sj-docx-1-pcr-10.1177_26323524231182724 for Inpatient hospice admissions. Who is admitted and why: a mixed-method prospective study by Erna Haraldsdottir, Anna Lloyd, Martyn Bijak, Libby Milton and Anne M. Finucane in Palliative Care and Social Practice

Published
2023
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28. sj-docx-3-pcr-10.1177_26323524231182724 – Supplemental material for Inpatient hospice admissions. Who is admitted and why: a mixed-method prospective study

Author

Haraldsdottir, Erna, Lloyd, Anna, Bijak, Martyn, Milton, Libby, and Finucane, Anne M.

Subjects
Aged Health Care
Abstract

Supplemental material, sj-docx-3-pcr-10.1177_26323524231182724 for Inpatient hospice admissions. Who is admitted and why: a mixed-method prospective study by Erna Haraldsdottir, Anna Lloyd, Martyn Bijak, Libby Milton and Anne M. Finucane in Palliative Care and Social Practice

Published
2023
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29. sj-docx-4-pcr-10.1177_26323524231182724 – Supplemental material for Inpatient hospice admissions. Who is admitted and why: a mixed-method prospective study

Author

Haraldsdottir, Erna, Lloyd, Anna, Bijak, Martyn, Milton, Libby, and Finucane, Anne M.

Subjects
Aged Health Care
Abstract

Supplemental material, sj-docx-4-pcr-10.1177_26323524231182724 for Inpatient hospice admissions. Who is admitted and why: a mixed-method prospective study by Erna Haraldsdottir, Anna Lloyd, Martyn Bijak, Libby Milton and Anne M. Finucane in Palliative Care and Social Practice

Published
2023
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30. sj-docx-2-pcr-10.1177_26323524231182724 – Supplemental material for Inpatient hospice admissions. Who is admitted and why: a mixed-method prospective study

Author

Haraldsdottir, Erna, Lloyd, Anna, Bijak, Martyn, Milton, Libby, and Finucane, Anne M.

Subjects
Aged Health Care
Abstract

Supplemental material, sj-docx-2-pcr-10.1177_26323524231182724 for Inpatient hospice admissions. Who is admitted and why: a mixed-method prospective study by Erna Haraldsdottir, Anna Lloyd, Martyn Bijak, Libby Milton and Anne M. Finucane in Palliative Care and Social Practice

Published
2023
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33. A randomised, phase II, unblinded trial of an Exercise and Nutrition-based Rehabilitation programme (ENeRgy) versus standard care in patients with cancer: feasibility trial protocol

Author

Hall, Charlie C., Norris, Lucy, Dixon, Liz, Cook, Jane, Maddocks, Matthew, Graham, Catriona, Tuck, Sharon, Haraldsdottir, Erna, Brown, Duncan, Lloyd, Anna, Finucane, Anne, Hall, Peter, Diernberger, Katharina, Skipworth, Richard J. E., Fallon, Marie, and Laird, Barry J.

Published
2018
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37. P-178 Improving pain intervention chart (PIC) completion: A quality improvement project (QIP)

Author

Aston, Olivia, primary, Taylor, Stacey, additional, Geary, Audrey, additional, Walmsley, Claire, additional, Finucane, Anne, additional, Morrison, Rosie, additional, Sutherland, Aaron, additional, Arnold, Elizabeth, additional, McCall-Smith, Emily, additional, Spiller, Juliet, additional, Sampey, Libby, additional, Marshall, Louisa, additional, and Kemp, Rachel, additional

Published
2022
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40. Exploration of delirium assessment and management in a hospice inpatient unit:A mixed methods study

Author

Arnold, Elizabeth, Fairfield, Catherine, Spiller, Juliet, and Finucane, Anne

Subjects
delirium, palliative, hospice, mixed methods, interviews, assessment, screening, management
Abstract

Background: Delirium is common across all palliative care settings. Guidelines exist to support the care of terminally ill people who develop delirium; yet the evidence base is limited. Recent surveys of palliative care specialists have suggested clinical practice is variable. Aim: To explore delirium assessment and management in a hospice inpatient setting. Methods: A mixed-methods study comprising a retrospective case note review of 21 patients admitted to a hospice inpatient unit and semi-structured interviews with seven hospice inpatient doctors and nurses. Results: A total of 62% of patients were screened for delirium on admission using the 4 As tool (4AT). The period prevalence of delirium was 76% during the 2-week study period. The term 'delirium' was documented infrequently in case notes, compared to other more ambiguous terms. Interview data suggested that nurses were unfamiliar with delirium screening tools. Conclusion: Lack of awareness about delirium screening tools and the infrequent use of the term 'delirium' may suggest that delirium goes under-recognised and under-treated. Further education and research are required to support the care of terminally ill people with delirium.

Published
2022

41. Acceptance and Commitment Therapy (ACT) for people with advanced progressive illness, their caregivers and staff involved in their care: a scoping review protocol

Author

Gibson-Watt, Tilly, Finucane, Anne, Gillanders, David, and Spiller, Juliet

Subjects
Mental and Social Health, Palliative Care, Medicine and Health Sciences, Medical Specialties
Abstract

The overall objective of our scoping review is to comprehensively examine the literature related to Acceptance and Commitment therapy and people with advanced progressive illness and their carers. Our scoping review will adhere to the PRISMA extension for scoping reviews checklist.

Published
2022
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42. ‘There’s something about admitting that you are lonely’ – prevalence, impact and solutions to loneliness in terminal illness: An explanatory sequential multi-methods study

Author

Hanna, Jeffrey R, primary, McConnell, Tracey, additional, Harrison, Craig, additional, Patynowska, Katarzyna A, additional, Finucane, Anne M, additional, Hudson, Briony, additional, Paradine, Sharon, additional, McCullagh, Angela, additional, and Reid, Joanne, additional

Published
2022
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44. The Effect of Happiness and Sadness on Alerting, Orienting, and Executive Attention

Author

Finucane, Anne M., Whiteman, Martha C., and Power, Mick J.

Abstract

Objective: According to the attention network approach, attention is best understood in terms of three functionally and neuroanatomically distinct networks--alerting, orienting, and executive attention. An important question is whether the experience of emotion differentially influences the efficiency of these networks. Method: This study examines 180 participants were randomly assigned to a happy, sad, or control condition and undertook a modified version of the Attention Network Test. Results: The results showed no effect of happiness or sadness on alerting, orienting, or executive attention. However, sad participants showed reduced intrinsic alertness. Conclusion: This suggests that sadness reduces general alertness rather than impairing the efficiency of specific attention networks. (Contains 2 notes, 2 tables, and 1 figure.)

Published
2010
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45. sj-pdf-1-pmj-10.1177_02692163221122269 – Supplemental material for ‘There’s something about admitting that you are lonely’ – prevalence, impact and solutions to loneliness in terminal illness: An explanatory sequential multi-methods study

Author

Hanna, Jeffrey R, McConnell, Tracey, Harrison, Craig, Patynowska, Katarzyna A, Finucane, Anne M, Hudson, Briony, Paradine, Sharon, McCullagh, Angela, and Reid, Joanne

Subjects
FOS: Clinical medicine, 111702 Aged Health Care, FOS: Health sciences, 110308 Geriatrics and Gerontology
Abstract

Supplemental material, sj-pdf-1-pmj-10.1177_02692163221122269 for ‘There’s something about admitting that you are lonely’ – prevalence, impact and solutions to loneliness in terminal illness: An explanatory sequential multi-methods study by Jeffrey R Hanna, Tracey McConnell, Craig Harrison, Katarzyna A Patynowska, Anne M Finucane, Briony Hudson, Sharon Paradine, Angela McCullagh and Joanne Reid in Palliative Medicine

Published
2022
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46. Additional file 1 of Communication of palliative care needs in discharge letters from hospice providers to primary care: a multisite sequential explanatory mixed methods study

Author

Weetman, Katharine, Dale, Jeremy, Mitchell, Sarah J., Ferguson, Claire, Finucane, Anne M., Buckle, Peter, Arnold, Elizabeth, Clarke, Gemma, Karakitsiou, Despoina-Elvira, McConnell, Tracey, Sanyal, Nikhil, Schuberth, Anna, Tindle, Georgia, Perry, Rachel, Grewal, Bhajneek, Patynowska, Katarzyna A., and MacArtney, John I.

Abstract

Additional file 1. Data extraction form.

Published
2022
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47. Additional file 4 of Communication of palliative care needs in discharge letters from hospice providers to primary care: a multisite sequential explanatory mixed methods study

Author

Weetman, Katharine, Dale, Jeremy, Mitchell, Sarah J., Ferguson, Claire, Finucane, Anne M., Buckle, Peter, Arnold, Elizabeth, Clarke, Gemma, Karakitsiou, Despoina-Elvira, McConnell, Tracey, Sanyal, Nikhil, Schuberth, Anna, Tindle, Georgia, Perry, Rachel, Grewal, Bhajneek, Patynowska, Katarzyna A., and MacArtney, John I.

Abstract

Additional file 4. Aggregated special category data.

Published
2022
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48. Additional file 1 of Implementing and evaluating online advance care planning training in UK nursing homes during COVID-19: findings from the Necessary Discussions multi-site case study project

Author

Cousins, Emily, Preston, Nancy, Doherty, Julie, Varey, Sandra, Harding, Andrew, McCann, Adrienne, Harrison Dening, Karen, Finucane, Anne, Carter, Gillian, Mitchell, Gary, and Brazil, Kevin

Subjects
ComputingMilieux_MISCELLANEOUS
Abstract

Additional file 1. Graphics taken from the Necessary Discussions training and information website intervention. This file provides images of the following: the website landing page; information for family members; training units for care staff.

Published
2022
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49. Additional file 5 of Communication of palliative care needs in discharge letters from hospice providers to primary care: a multisite sequential explanatory mixed methods study

Author

Weetman, Katharine, Dale, Jeremy, Mitchell, Sarah J., Ferguson, Claire, Finucane, Anne M., Buckle, Peter, Arnold, Elizabeth, Clarke, Gemma, Karakitsiou, Despoina-Elvira, McConnell, Tracey, Sanyal, Nikhil, Schuberth, Anna, Tindle, Georgia, Perry, Rachel, Grewal, Bhajneek, Patynowska, Katarzyna A., and MacArtney, John I.

Abstract

Additional file 5. Corpus linguistics outputs.

Published
2022
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50. Additional file 2 of An analysis of the construct validity and responsiveness of the ICECAP-SCM capability wellbeing measure in a palliative care hospice setting

Author

Myring, Gareth, Mitchell, Paul Mark, Kernohan, W. George, McIlfatrick, Sonja, Cudmore, Sarah, Finucane, Anne M., Graham-Wisener, Lisa, Hewison, Alistair, Jones, Louise, Jordan, Joanne, McKibben, Laurie, Muldrew, Deborah H. L., Zafar, Shazia, and Coast, Joanna

Abstract

Additional file 2. Analysis of the ICECAP-SCM using alternative scoring mechanisms.

Published
2022
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