scholarly journals An Exploratory Study Investigating the Non-Clinical Benefits of Evidence-Based Veterinary Medicine

2017 ◽  
Vol 2 (2) ◽  
Author(s):  
Elizabeth Jackson ◽  
Sarah Hauser
Keyword(s):  
Veterinary Medicine ◽  
Employee Engagement ◽  
Exploratory Study ◽  
Client Satisfaction ◽  
Current Knowledge ◽  
Evidence Based ◽  
Client Retention ◽  
Clinical Benefits ◽  
The Uk ◽  
The Impact

<p><strong>Objective: </strong>As little prior research exists about the non-clinical benefits of evidence-based veterinary medicine (EBVM), this exploratory study was conducted to identify non-clinical benefits of EBVM to veterinary practices, as well as highlighting the barriers to further implementation, and ways to overcome them.</p><p><strong>Background:</strong> A PICO-based literature review (Hauser and Jackson, 2016) was conducted to establish current knowledge about the non-clinical benefits of EBVM. It found that while there are some papers suggesting a link between the practice of EBVM and better non-clinical benefits such as client satisfaction and client retention, a single study, focusing on the non-clinical benefits of EBVM, had yet to be conducted.</p><p><strong>Evidentiary value:</strong> This exploratory study provides a solid basis for the further development of a confirmatory study of the themes identified in the interviews. The impact on practice from our findings is significant as it details the key areas where the use of EBVM can yield commercial benefits from the perspective of a group of EBVM experts via interview. It is entirely possible that international veterinary environments which mirror that of the UK will find this research beneficial.</p><p><strong>Methods: </strong>Due to the paucity of data about the non-clinical benefits of EBVM, an exploratory, qualitative approach was taken to this research in order to build a platform for further confirmatory, quantitative investigation (Zikmund, 2003). In February and March 2016 interviews with 16 RCVS Knowledge Group chairs<a name="_ftnref1" href="#_ftn1"></a>[1] were conducted. The interview guide contained broad, open-ended questions to explore existing tacit knowledge about the non-commercial benefits of EBVM. The interviews were audio recorded and transcribed <em>verbatim</em> and subsequently analysed using NVivo 11 software.</p><p><strong>Results:</strong> This qualitative enquiry showed that the key areas where the use of EBVM can yield non-clinical benefits are through increased client satisfaction and retention, improved reputation and confidence of the veterinarian,  as well as employee engagement. In order to yield these benefits the two main barriers, time and resources, need to be overcome.</p><p><strong>Conclusion: </strong>The themes highlighted in this paper provide a solid, real world base for further, quantitative study of the non-clinical benefits of practising EBVM.  </p><p><strong>Application:</strong> The results of this research are applicable to practicing veterinarians, nurses and other practice staff. It is clear that practising EBVM not only leads to better clinical outcomes, but can also result in commercial benefits, such as better client retention and employee engagement</p><br /> <img src="https://www.veterinaryevidence.org/rcvskmod/icons/oa-icon.jpg" alt="Open Access" /> <img src="https://www.veterinaryevidence.org/rcvskmod/icons/pr-icon.jpg" alt="Peer Reviewed" />

Disease and Trauma in the Children from Roman Britain

2018 ◽  
Author(s):  
Mary E. Lewis
Keyword(s):  
Iron Deficiency Anaemia ◽  
Metabolic Diseases ◽  
Current Knowledge ◽  
Skeletal Remains ◽  
Future Research ◽  
Roman Britain ◽  
Deficiency Anaemia ◽  
Roman World ◽  
The Uk ◽  
The Impact

This chapter explores our current knowledge of pathology and trauma in Romano-British non-adult samples focusing on the children from the late Roman cemetery of Poundbury Camp, Dorset. Evidence for metabolic diseases (rickets, scurvy, iron deficiency anaemia), fractures, thalassemia, congenital disorders and tuberculosis, are presented with emphasis on what their presence tells us about the impact of the Romans in Britain. Many of the large Roman sites from the UK were excavated long before diagnostic criteria for recognizing pathology in child remains were fully developed, and European studies tend only to focus on anaemia and its link to malaria. A lack of environmental evidence for the sites from which our skeletal remains are derived is also problematic, and this chapter hopes to set the agenda for future research into the health and life of children living in the Roman World.

scholarly journals A Survey of the Non-clinical Benefits of EBVM

2017 ◽  
Vol 2 (3) ◽  
Author(s):  
Sarah Hauser ◽  
Elizabeth L Jackson
Keyword(s):  
Employee Engagement ◽  
Online Survey ◽  
Client Satisfaction ◽  
Quantitative Evidence ◽  
Journal Clubs ◽  
Survey Participation ◽  
Clinical Benefits ◽  
Survey Responses ◽  
Training Opportunities ◽  
Intellectual Challenge

<p><strong>Objective: </strong>This study aims to add non-clinical benefits to the virtues for adopting Evidence-based Veterinary Medicine (EBVM). The objective is to quantify the commercial benefits of EBVM through an online survey of veterinary professionals, giving clear indications of the key areas of non-clinical benefits of EBVM. Further, the study aims to outline barriers to the wider implementation of EBVM and find preferred ways of overcoming those barriers.</p><p><strong>Background:</strong> A PICO-based literature review (Hauser and Jackson, 2016) found that while there are some papers suggesting a link between the practice of EBVM and better non-clinical benefits such as client satisfaction, a single study, focusing on the non-clinical benefits of EBVM, had yet to be conducted. This study builds on the findings of an exploratory study (Jackson and Hauser, 2017) outlining key areas of non-clinical benefits of EBVM: increased client satisfaction and retention, improved reputation, confidence, as well as employee engagement.</p><p><strong>Evidentiary value:</strong> This online survey of veterinary professionals (n=407) provides evidence for practitioners, universities and other veterinary staff regarding the non-clinical benefits of EBVM, the barriers to a wider adoption of the practice and ways of overcoming those barriers.</p><p><strong>Methods: </strong>The online survey of veterinary professionals was conducted during September – October 2016 and contained 23 questions. Survey participation was voluntary and the data used for analysis were de-identified.</p><p><strong>Results:</strong> The survey responses of 407 veterinary professionals provide quantitative evidence of how EBVM is put into practice, how EBVM is perceived to impact client behaviour and employee engagement, what the barriers are to practising EBVM and how these could be overcome. Key findings are that veterinary professionals are more likely to practise EBVM if they have been taught how to do so at vet school. EBVM is a way to provide value to and build trust with clients. Survey respondents who practise EBVM are more likely to find their workplace inspiring and to be an intellectual challenge and the main barriers to EBVM are: time and access to information. Respondents, especially those who were employees suggested overcoming these barriers through attending journal clubs and other training opportunities.</p><p><strong>Conclusion: </strong>The study provides the view of veterinary professionals on the non-clinical benefits of EBVM, the barriers to wider implementation and ways of overcoming those barriers. Further research is needed to obtain the perspective of clients and more detailed cost effectiveness analyses could shed more light on specific practices of EBVM.</p><p><strong>Application:</strong> Findings are applicable to universities, veterinarians and vet nurses seeking to increase the practice of EBVM. The ultimate beneficiaries are those vets who seek additional non-clinical reasons for the adoption of EBVM in their practice.</p><br /> <img src="https://www.veterinaryevidence.org/rcvskmod/icons/oa-icon.jpg" alt="Open Access" /> <img src="https://www.veterinaryevidence.org/rcvskmod/icons/pr-icon.jpg" alt="Peer Reviewed" />

The UK drugs strategy 2017: contexts and analysis

2017 ◽  
Vol 17 (4) ◽  
pp. 205-217
Author(s):  
Blaine Stothard
Keyword(s):  
Economic Policy ◽  
Drug Use ◽  
Design Methodology ◽  
Drug Misuse ◽  
Close Reading ◽  
Evidence Based ◽  
Specific Content ◽  
Content Type ◽  
The Uk ◽  
The Impact

Purpose The purpose of this paper is to examine the content of the strategy and assess its claims to be evidence based. Design/methodology/approach This study is a close-reading of the text with commentary on specific content and reference to wider contexts. Findings The strategy makes use of evidence in its sections on treatment. Much evidence, including that of the UK ACMD, is dismissed or ignored. The issue of funding in times of austerity is not considered in the strategy. The range and complexity of drug use and users are not fully considered. Research limitations/implications The strategy can be seen as an idealised ambition with little basis in reality without funding to support its aims. Social implications There is no consideration of the impact of macro-economic policy on the extent of drug misuse. Originality/value Other commentaries on the strategy are emerging. This paper is a more extensive consideration than has so far appeared.

Beyond evidence-based policy and practice

2013 ◽  
Vol 16 (2) ◽  
pp. 20-36
Author(s):  
Mike Fisher
Keyword(s):  
North America ◽  
Practice Research ◽  
Evidence Based ◽  
Policy And Practice ◽  
Research And Practice ◽  
Social Work Research ◽  
Recent Developments ◽  
The Uk ◽  
The Impact ◽  
The Relationship

This paper concerns the impact of social work research, particularly on practice and practitioners. It explores the politics of research and how this affects practice, the way that university-based research understands practice, and some recent developments in establishing practice research as an integral and permanent part of the research landscape. While focusing on implications for the UK, it draws on developments in research across Europe, North America and Australasia to explore how we can improve the relationship between research and practice.

scholarly journals In-ger-land, In-ger-land, In-ger-land! Exploring the impact of soccer on the sense of belonging of those seeking asylum in the UK

2016 ◽  
Vol 52 (8) ◽  
pp. 940-954 ◽  
Author(s):  
Donna Woodhouse ◽  
Dom Conricode
Keyword(s):  
Identity Formation ◽  
Host Country ◽  
Asylum Seeker ◽  
Exploratory Study ◽  
Sense Of Belonging ◽  
Sense Of Control ◽  
Self Identity ◽  
The Status ◽  
The Uk ◽  
The Impact

Utilising research conducted in Sheffield (UK) with people seeking asylum, this article explores the ways in which soccer might be used to create a sense of belonging in the host country. It explores participant feelings about soccer and its potential to alleviate the pressures that the status of being an ‘asylum seeker’ brings. The ways in which soccer may play a role in the identity formation of those seeking asylum is considered in relation to both self-identity and the perceptions of others. The findings of this exploratory study suggest that the various ways of interacting with soccer can provide participants with a sense of control, identity and belonging.

scholarly journals Scenario-led modelling of broadleaf forest expansion in Wales

2019 ◽  
Vol 6 (5) ◽  
pp. 190026
Author(s):  
Syed Amir Manzoor ◽  
Geoffrey Griffiths ◽  
James Latham ◽  
Martin Lukac
Keyword(s):  
Land Cover ◽  
Forest Cover ◽  
The State ◽  
Evidence Based ◽  
Forest Expansion ◽  
Broadleaf Forest ◽  
Alternative Policy ◽  
The Uk ◽  
The Impact ◽  
Policy Scenarios

Significant changes in the composition and extent of the UK forest cover are likely to take place in the coming decades. Current policy targets an increase in forest area, for example, the Welsh Government aims for forest expansion by 2030, and a purposeful shift from non-native conifers to broadleaved tree species, as identified by the UK Forestry Standard Guidelines on Biodiversity. Using the example of Wales, we aim to generate an evidence-based projection of the impact of contrasting policy scenarios on the state of forests in the near future, with the view of stimulating debate and aiding decisions concerning plausible outcomes of different policies. We quantified changes in different land use and land cover (LULC) classes in Wales between 2007 and 2015 and used a multi-layer perceptron–Markov chain ensemble modelling approach to project the state of Welsh forests in 2030 under the current and an alternative policy scenario. The current level of expansion and restoration of broadleaf forest in Wales is sufficient to deliver on existing policy goals. We also show effects of a more ambitious afforestation policy on the Welsh landscape. In a key finding, the highest intensity of broadleaf expansion is likely to shift from southeastern to more central areas of Wales. The study identifies the key predictors of LULC change in Wales. High-resolution future land cover simulation maps using these predictors offer an evidence-based tool for forest managers and government officials to test the effects of existing and alternative policy scenarios.

The impact of 2013 UK NICE guidelines on the management of varicose veins at the Heart of England NHS Foundation Trust, Birmingham, UK

2016 ◽  
Vol 31 (9) ◽  
pp. 612-616 ◽  
Author(s):  
Huw OB Davies ◽  
Matthew Popplewell ◽  
Gareth Bate ◽  
Lisa Kelly ◽  
Katy Darvall ◽  
...  
Keyword(s):  
Varicose Veins ◽  
Health Care Expenditure ◽  
Evidence Based ◽  
Foam Sclerotherapy ◽  
Number Of Patients ◽  
Group 2 ◽  
Uk National Health Service ◽  
The Uk ◽  
The Impact ◽  
Group 1

Objective Although varicose veins are a common cause of morbidity, the UK National Health Service and private medical insurers have previously sought to ration their treatment in a non-evidence based manner in order to limit health-care expenditure and reimbursement. In July 2013, the UK National Institute for Health and Care Excellence published new national Clinical Guidelines (CG168) to promote evidence-based commissioning and management of varicose veins. The aim of this study was to evaluate the impact of CG168 on the referral and management of varicose veins at the Heart of England NHS Foundation Trust, Birmingham, UK. Methods Interrogation of a prospectively gathered database, provided by the Heart of England NHS Foundation Trust Performance Unit, of patients undergoing interventions for varicose veins since 1 January 2012. Patients treated before (group 1) and after (group 2) publication of CG168 were compared. Results There were 253 patients, 286 legs (48% male, mean (range) age 54 (20–91) years) treated in group 1, and 417 patients, 452 legs, (46% male, mean (range) age 54 (14–90) years) treated in group 2, an increase of 65%. CG168 was associated with a significant reduction in the use of surgery (131 patients (52%) group 1 vs. 127 patients (30%) group 2, p = 0.0003, χ2), no change in endothermal ablation (30 patients (12%) group 1 vs. 45 patients (11%) group 2), a significant increase in ultrasound-guided foam sclerotherapy (92 patients (36%) group 1 and 245 patients (59%) group 2, p = 0.0001, χ2) and an increase in treatment for C2/3 disease (53% group 1 and 65.2% group 2, p = 0.0022, χ2). Conclusions Publication of National Institute for Health and Care Excellence CG168 has been associated with a significant increase (65%) in the number of patients treated, referral at an earlier (CEAP C) stage and increased use of endovenous treatment. CG 168 has been highly effective in improving access to, and quality of care, for varicose veins at Heart of England NHS Foundation Trust.

scholarly journals The Need for an Evidence-Based Encyclopaedia in Health Services Research in Pharmacy

2020 ◽  
Vol 17 (7) ◽  
pp. 2549 ◽  
Author(s):  
Zaheer-Ud-Din Babar
Keyword(s):  
Health Services Research ◽  
Health Services ◽  
Pharmacy Practice ◽  
Practice Research ◽  
Evidence Based ◽  
Global Level ◽  
Services Research ◽  
The Uk ◽  
The Impact

Pharmacy practice research (PPR) is a specialty field within the wider area of health services research and it focuses on studies of how and why people access pharmacy services. This stream of research is also referred to as more universally recognized term such as health services research in pharmacy. The health services research in pharmacy has increased manifold; however, the impact of this research is not visible at the global level. The editorial explains several issues on quality and quantity of evidence produced including how evidence produced could contribute to improve quality of care and patients’ health outcomes. It also narrates examples from the UK and Australia showing how health services research in pharmacy has made an impact on healthcare service delivery. The editorial argues that building an encyclopaedia in health services research in pharmacy is vital to enhance the visibility and impact of this research.

scholarly journals Death from COVID-19 in a Hispanic postpartum woman and review of the literature

2021 ◽  
Vol 14 (7) ◽  
pp. e242819
Author(s):  
Janardhan Mydam ◽  
Laila Younes ◽  
Mohammed Siddiqui ◽  
Thana Tarsha
Keyword(s):  
Pregnancy Outcomes ◽  
Current Knowledge ◽  
Obese Woman ◽  
Clinical Care ◽  
Current Evidence ◽  
Postpartum Woman ◽  
Postpartum Women ◽  
Evidence Based ◽  
Review Of The Literature ◽  
The Impact

There is still much we do not know about the impact of COVID-19 on the health of pregnant and postpartum women and pregnancy outcomes. Current evidence suggests that there is biological plausibility for worse outcomes among this population. This case report details the clinical care given to a postpartum Hispanic and obese woman diagnosed with COVID-19 in April 2020. We report the care she and her newborn received and her progression through the virus. We discuss the current knowledge surrounding COVID-19 among pregnant and postpartum women. While research supports COVID-19 outcomes being comparable to the general population, there is limited research in this area. Clinical trials, acting on the side of caution, have tended to exclude pregnant women from participation. Therefore, there is a need for further research that can inform evidence-based policy decisions related to COVID-19 in pregnant and postpartum women.

scholarly journals UK-Based Police Officers' Perceptions of, and Role in Investigating, Cyber-Harassment as a Crime

2019 ◽  
pp. 113-130
Author(s):  
Catherine M. Millman ◽  
Belinda Winder ◽  
Mark D. Griffiths
Keyword(s):  
Thematic Analysis ◽  
Police Officers ◽  
Exploratory Study ◽  
Structured Interviews ◽  
Cyber Harassment ◽  
The United Kingdom ◽  
The Uk ◽  
The Impact ◽  
Detrimental Impact ◽  
Insight Into

Within the UK, cyber-harassment is a criminal act and perpetrators can be prosecuted if the crime is reported to the police. Cyber-harassment has a detrimental impact and causes psychological distress to victims but due to its online nature, complaints made may not be taken seriously and the impact may not be fully acknowledged. Police officers' perceptions of this crime and its victims are crucial as this will impact on how the crime is investigated and whether perpetrators are prosecuted. The present exploratory study aimed to gain insight into how cyber-harassment is investigated and identify issues and barriers. Eight police officers based in the United Kingdom were recruited using a snowball technique to participate in semi-structured interviews. The data were analyzed using thematic analysis and three themes were identified: online accessibility, threat, and the unhelpful victim. Each theme is discussed in relation to theory, policy and legislation within the UK.

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