• Easing the transition from classroom to clinical placement

      Hyde, Emma; University of Derby (European First Year Experience conference, 2014-06-11)
      The findings of my research around the transition first year student radiographers undergo when they start their first clinical placement.
    • Easing the transition: the importance of high quality mentorship in placement support

      Hyde, Emma; University of Derby (UK Radiological Congress 2016, 2016-06-06)
      Poster presented at UKRC sharing the findings of my latest research on first year student Radiographers transition to their first clinical placement. As in my previous research, the difference made by high quality mentorship, was found to be key to student's successful transition.
    • The effectiveness of intrapartum ultrasonography in assessing cervical dilatation, head station and position: A systematic review and meta-analysis

      Wiafe, Yaw Amo; Whitehead, Bill; Venables, Heather; Nakua, Emmanuel Kweku; University of Derby (2016-10-06)
    • Enabling occupation at the end of life: A literature review

      Mills, Katherine; Payne, Angela; University of Derby (Cambridge University Press, 2015-06-15)
      Objective: Occupation, or meaningful activity, can contribute to the well-being and quality of life of all individuals. It is thus a logical tautology that occupation should be enabled for those at the end of life. Our present review examines current provision of these processes by Occupational Therapist, who can be much-valued members of multidisciplinary palliative care teams. Method: Following a literature search and critical selection, 10 global papers were identified examining occupation and occupational therapy at the end of life in the acute, hospice, and community environments. Results: Universally, there appeared to be a dearth of therapists working in end-of-life care. Provision of palliative care in hospitals was found to be compensatory or rehabilitative. Hospice therapy emerged as pleasingly occupational, though the number of hospice places was disappointingly few. Community literature was sparse, so it proved challenging to draw definitive conclusions. Promising research refracted light on occupation at home; however, it also revealed stretched domiciliary services, where clients are not well informed about the potential scope of occupational therapy. Significance of Results: A “good death” involving a quality end-of-life experience is the foundational goal overarching all therapy and medicine in the provision of palliative care. Arguably, an occupation-focused approach provided by therapists meets client needs to enable meaningful experiences in the limited time left to them. Current occupational therapy practice environments are not necessarily achieving these goals in commensurate fashion. There is a need to promote the role of occupational therapy and circumscribe what therapists can offer. Further research is necessitated across all environments and future funding for therapist positions in palliative teams. End-of-life care can be complex and challenging; however, therapists can facilitate fulfillment of client-centered occupational goals. In engaging with personally constructed nuances of meaning, quality of life can be improved in those deserving of a significant and emotionally rich daily existence during their final days.
    • Engaging the hard to engage: What contribution can occupational therapy make to an interdisciplinary approach?

      Newberry, Karen; Terrington, Claire; University of Derby; Birmingham and Solihull Mental Health Foundation Trust (Mark Allen Group, 2017-08)
    • Evaluating Unity created teaching simulations within occupational therapy

      Sutton, Greg; Newberry, Karen; Threapleton, Kate; University of Derby; University of Nottingham (Emerald, 2016)
      Purpose – The purpose of this paper is to describe the evaluation of an educational occupational therapy home visit simulation newly built in Unity, compared with a previously created simulation based in the Open Sim platform. The evaluation is based on students’ preferences. Design/methodology/approach – A simulation was built in Unity in which the academic content was identical to the previous Open Sim-based simulation. Student groups used the simulations then completed a questionnaire. Numerical data and descriptive comments were analysed. Findings – Students preferred the simulation built in Unity to the Open Sim simulation. Improvements with the Unity simulation include; reduced time to gain competence to use, ease of use and fewer negative physiological experiences. The small percentage of students experiencing motion sickness is an ongoing concern and warrants further investigation. The Unity simulation may also be useful as an academic assessment tool. Research limitations/implications – Findings are limited by short time usage of the simulations in 3D virtual worlds with confined spaces and no requirement for in-world group interaction, and by some methodological limitations including the research being based within a single higher education institution, and with a profession-specific group of students. Originality/value – This paper highlights student preference for using a purpose built simulation created with Unity over a simulation built in Open Sim, showing where best to spend future development time and funding. Similar comparison research is scarce. Keywords Stroke, Second Life, Higher education, Occupational therapy, Academic assessment, Unity Paper type Research paper
    • Evaluation of shared placements between MSc Pre-Registration and BSc (Hons) Diagnostic Radiography students.

      Partner, Alexandra; Shiner, Naomi; Hyde, Emma; University of Derby (National Association Educators in Practice (NAEP), 2018-04-20)
      Background A new two year Masters (pre-registration) Diagnostic Radiography programme was introduced in 2016 at the University. It is one of only 4 courses of this type in the country. To date no literature has been published to evaluate the impact of such a course. The Masters students (level 7) share multiple teaching sessions with the undergraduate students (level 4); mixed level teaching is a new development for the current academic team. These cohorts undertake their clinical placement at the same NHS site over the same time period. This has provided an opportunity to evaluate the perceptions, expectations and experiences of the students learning together on placement. Aims To evaluate the shared placement experience of MSc (Pre-Registration) Diagnostic Radiography and BSc (Hons) Diagnostic Radiography from their perspective Method The study used a questionnaire design to gather quantitative and qualitative data from all groups. Both the MSc (n=5) and BSc (n=38) students were included to provide comparative data. This will be enriched with qualitative data gained from small focus groups undertaken at the end of the MSc shared placement block. Analysis: Analysis is ongoing but provisional results from the BSc students is that the presence of level 7 MSc students within the classroom is enjoyable and adds depth to the learning as they pose more challenging questions. Working together on placement has been a positive experience. Conclusion Mixed level teaching enriches discussion within the classroom, is more time and cost efficient. The addition of the MSc Pre-Registration Fast Track Diagnostic Radiography has increased student numbers without significantly impacting on capacity, whilst addressing the local workforce needs. The results of the study will form part of the programme evaluation and provides opportunity to develop the curriculum in close partnership with placement providers.
    • An examination of a recovery group in an adult community mental health team

      Bennett, Claire; Carter, Sarah; Sudan, Anita K.; University of Nottingham; Derbyshire Healthcare NHS Foundation Trust; University of Derby (British Psychological Society, 2016-10)
      The article discusses the working of group in an adult community mental health team. It mentions that many community mental health teams provide help for mental ill health, and states the concept of recovery in community mental health teams. It also mentions that equal power membership for education about healthy lifestyle choices and anxiety management..
    • Exploring well-being and creativity through collaborative composition as part of Hull 2017 city of culture

      Waddington-Jones, Caroline; King, Andrew; Burnard, Pamela; University of Hull; University of Cambridge (Frontiers, 2019-03-22)
      Several studies have highlighted the positive effects of group music-making and have suggested that it may be the creative and social aspects of such activities, which have a positive effect on participants’ well-being. Collaborative composition offers strong examples of both aspects as participants work together to create new material. However, although it seems likely that participants’ influence over and ownership of the creative material contributes to these positive effects, studies have yet to examine these elements in detail. Through analysis of video observations, pre- and post-project interviews, video recall interviews, and questionnaires, this article aims to: (1) evaluate the impact of participation in collaborative composition workshops on the subjective and psychological well-being of older adults and (2) identify skills and approaches employed by the composer-facilitators in order to understand more fully the approach and skills employed to engage participants effectively in the creative process. This second aim is of particular interest given the current movement toward social prescribing and arts and health interventions in the UK. Analysis revealed that all dimensions of the PERMA framework for subjective and psychological well-being were present in this collaborative composition project. The specific nature of collaborative composition is considered in comparison with other forms of group musical engagement. For older adults, collaborative composition has much to offer as an activity encouraging social interaction with others with shared interests, increasing positive affect, and enhancing self-esteem. Analysis of workshop videos and interviews with composers identified various facilitation skills employed by the composers to establish safe creative space and to encourage participants to engage in the process of collaborative composition.
    • Expressing suchness: on the integration of writing into a dance practice

      Collard-Stokes, Gemma; University of Derby (Intellect, 2019-07-01)
      This article details the unique pairing of dance and writing, the likes of which are often considered two very different beasts. It examines how approaches to movement improvisation have been used to form and inform innovative methods of entering into the act of writing from the experience of dance. The argument authenticates the current renewed appreciation for the possibilities of writing to enable further creative critical engagement. Consequently, the meeting of creativity and criticality is one in which the dancer playfully explores and examines the suchness of one’s dancing. Suchness is therefore understood as the unique sum of qualities experienced by the dancer – the point at which clarity and closeness facilitate connection through the images, feelings and sensations evoked by dance. In summary, the article outlines the relationship between dance and writing, before exploring the methods used to facilitate a dancer’s assimilation and validation of what happens for them when they dance.
    • Fairy tales, landscapes and metaphor in supervision: An exploratory study.

      Smith, Margaret E.; Bird, Drew; University of Derby (2013-04-02)
      Objective: Supervision is an important requirement for most health professionals and finding innovative and creative forms of ensuring safe and ethical practice are helpful to practitioners. This paper explores the use of fairy tales, mental landscapes and metaphors to illuminate the therapeutic and supervisory relationship. A therapy case study was used as reference. Design: The design was based on a grounded theory methodology and qualitative‐based collaborative meetings between professionals. Both researchers/participants were from different therapeutic backgrounds; drama therapy and integrative counselling. Findings: Two main themes emerged relating to the therapeutic process: (1) Using Archetypal themes in fairy tales to enhance the clarity of the therapeutic landscape; and (2) The facilitation of the sense system through the use of small objects to reconceptualise the therapeutic dynamic. Conclusion: The use of metaphor and small objects to explore retrospective therapeutic encounters can enhance the role of supervision by broadening the cognitive landscape of the therapist. Implications for the therapist/client and supervisor relationships are considered.
    • Fears of compassion magnify the harmful effects of threat of COVID-19 on mental health and social safeness across 21 countries

      Matos, Marcela; McEwan, Kirsten; Basran, Jaskaran; Gilbert, Paul; University of Derby (Wiley, 2021-04-20)
      The COVID-19 pandemic is a massive global health crisis with damaging consequences to mental health and social relationships. Exploring factors that may heighten or buffer the risk of mental health problems in this context is thus critical. Whilst compassion may be a protective factor, in contrast fears of compassion increase vulnerability to psychosocial distress and may amplify the impact of the pandemic on mental health. This study explores the magnifying effects of fears of compassion on the impact of perceived threat of COVID-19 on depression, anxiety and stress, and social safeness. Adult participants from the general population (N = 4057) were recruited across 21 countries worldwide, and completed self-report measures of perceived threat of COVID-19, fears of compassion (for self, from others, for others), depression, anxiety, stress and social safeness. Perceived threat of COVID-19 predicted increased depression, anxiety and stress. The three flows of fears of compassion predicted higher levels of depression, anxiety and stress and lower social safeness. All fears of compassion moderated (heightened) the impact of perceived threat of COVID-19 on psychological distress. Only fears of compassion from others moderated the effects of likelihood of contracting COVID-19 on social safeness. These effects were consistent across all countries. Fears of compassion have a universal magnifying effect on the damaging impact of the COVID-19 pandemic on mental health and social safeness. Compassion focused interventions and communications could be implemented to reduce resistances to compassion and promote mental wellbeing during and following the pandemic.
    • A feasibility study of non-invasive continuous estimation of brachial pressure derived from arterial and venous lines during dialysis

      Stewart, Jill; Walker, Thomas; Eldehini, Tarek; Horner, Daniela Viramontes; Lucas, Bethany; White, Kelly; Muggleton, Andy; Selby, Nicholas M; Taal, Martin W; Stewart, Paul; et al. (IEEE, 2020)
      Intradialytic haemodynamic instability is a significant clinical problem, leading to end-organ ischaemia and contributing to morbidity and mortality in haemodialysis patients. Non-invasive continuous blood pressure monitoring is not part of routine practice but may aid detection and prevention of significant falls in blood pressure during dialysis. Brachial blood pressure is currently recorded intermittently during haemodialysis via a sphygmomanometer. Current methods of continuous non-invasive blood pressure monitoring tend to restrict movement, can be sensitive to external disturbances and patient movement, and can be uncomfortable for the wearer. Additionally, poor patient blood circulation can lead to unreliable measurements. In this study we performed an initial validation of a novel method and associated technology via a feasibility study to continuously estimate blood pressure using pressure sensors in the extra-corporeal dialysis circuit, which does not require any direct contact with the person receiving dialysis treatment.\\ The paper describes the development of the measurement system and subsequent \emph{in vivo} patient feasibility study with concurrent measurement validation by \emph{Finapres Nova} experimental physiological measurement device. We identify a mathematical function to describe the relationship between arterial line pressure and brachial artery BP, which is confirmed in the patient study. The methodology presented requires no interfacing to proprietery dialysis machine systems, no sensors to be attached to the patient directly, and to be robust to patient movement during treatment and also to the effects of the cyclical pressure waveforms induced by the hemodialysis pump. This represents a key enabling factor to the development of a practical continuous blood pressure monitoring device for dialysis patients.
    • Finding common ground through language and movement: examining the role of the writer in Rosemary Lee’s The Suchness of Heni and Eddie.

      Collard-Stokes, Gemma; University of Derby (Taylor and Francis, 2012-05-14)
      Since the development of interdisciplinary practice, dance has fashioned and cultivated many relationships with other art forms. In this search to uncover new territory choreographers often merge art forms to facilitate the broadening of their field. Writing has always been a successful tool in the communication and critique of dance performance. However, writing has also played a considerable role in the process of creating dance, yet this association remains under-represented. This writing aims to demonstrate some of the ongoing and recent perspectives that dance and writing have nurtured, paying particular attention to the act of creative writing and dance in a collaborative partnership. This investigation concerns itself with the act of writing as creative discourse, presenting the argument for the writer to be considered an invaluable partner in the creative process. Through practical research, a case study was carried out examining the ongoing collaboration between choreographer Rosemary Lee and writer Niki Pollard. The findings from this research provide evidence of how modes of writing can contribute to choreographic investigation, providing a performative research bridge between practical and theoretical negotiations.
    • Fitness to practise: Incident reporting and professional behaviour

      Partner, Alexandra; Hyde, Emma; University of Derby (College of Radiographers, 2016-11-25)
      Fitness to Practise is a complex, multi-faceted issue which impacts on both clinical and academic staff. It can be challenging to manage Fitness to Practise issues and reach a satisfactory outcome for all parties. Fitness to Practise issues are often complicated by a lack of evidence, or a failure to follow the correct process for managing the case. A key element of this is ‘Failing to Fail’ clinical assessments. This can lead to cases being taken to appeal with the Office for the Independent Adjudicator (OIA). This workshop will discuss the issues affecting Fitness of Practise cases, and share ideas and strategies for managing these situations more effectively. The experience of participating in a HCPC Fitness to Practise panel will be shared, in order help workshop participants understand the Fitness to Practise issues from the regulatory perspective.
    • Formulating a model for personal and professional development using a research methodology in solo autobiographical performance

      Bird, Drew; University of Derby (European Federation of Dramatherapy Conference 2016, Bucharest., 2016-05-07)
      The workshop will offer an autobiographical performance by the presenter followed by a workshop and discussion that will explore the potential for using solo performance for personal and professional development using the rigor of a research methodology. The workshop will be of particular interest for those who want to make clearer links with practice as a Drama Therapist, artist and researcher. The model utilises specific research methodologies to explore the synthesis of research and performance. The performance is an ongoing development using heuristic research methodology and an action research style approach to explore practice as a therapist and Dramatherapy trainer. Ethrington (2002) suggests that heuristic research offers the opportunity for therapeutic development whilst offering a critical gaze on therapist’s practice that can mirror supervision practice. Action research explores our own story in the company of others, who are also exploring their story (McNiff, 2007). In respect of both research approaches the audience, participants and witnesses of the performance help inform the development of the model using solo autobiographical performance. The post show workshop will explore the synthesis of three disciplines of Drama Therapist, artist and researcher to explore personal themes and obstacles that might impact on practice as a Drama Therapist. Yalom (2002) makes a clear link with personal themes and professional themes, suggesting where one is stuck personally one is also stuck professionally. The workshop will be co-facilitated to develop participant reflection; focusing on archetypal motifs and myth elicited from the performance; the impact of theatre and how the imagination can be cultivated specifically for personal and professional development using the characteristics of heuristic research.
    • Gender representation, power and identity in mental health and art therapy.

      Hogan, Susan; University of Derby (Routledge, 2018-12-14)
    • The good things in urban nature: A thematic framework for optimising urban planning for nature connectedness

      McEwan, Kirsten; Ferguson, Fiona J; Richardson, Miles; Cameron, Ross; University of Derby (2019-11-06)
      Green interventions which connect people with nature to improve wellbeing are increasingly being applied to tackle the current crisis in mental health. A novel Smartphone app intervention was evaluated amongst adults (n = 228) including (n = 53) adults with common mental health problems, with the aim to improve wellbeing through noticing the good things about urban nature. The app prompted participants once a day over 7 days to write notes about the good things they noticed in urban green spaces. Notes were thematically analysed and ten themes emerged. The three themes with the greatest representation were: i) wonder at encountering wildlife in day-to-day urban settings; ii) appreciation of street trees; and iii) awe at colourful, expansive, dramatic skies and views. Through combining the above themes with the pathways to nature connectedness this paper provides an extended framework of activities to inform activity programming, nature engagement media content, and ‘green health’ interventions. Moreover, the findings have strong implications for optimising city planning, design and management for the wellbeing of both humans and wildlife.
    • A heuristic model of supervision using small objects to develop the senses

      Bird, Drew; University of Derby (Iris Publishers, 2019-07-31)
      The research explores how the conceptual frame of Heuristic inquiry can inform non-verbal exploration in psychotherapy supervision practices. The author explores their practice as a dramatherapist and how small objects can broaden the awareness of the supervisees own relationship patterns. Small objects helped to re-conceptualise the therapeutic dynamic using metaphor and make conscious parts of the supervisee experience they had been unaware.