Digital Commons Network^™

Learning Across Borders Through Outbreak Investigation: A Mixed-Methods Evaluation Of An International Collaborative Workshop For Medical Students, Maysa Falah, Michael Dillon, Delphine Kayem, James Edwards, Jonah Fox, Latifa Adarmouch

Faculty of Health Datasets

Public Data set

Co-Production Of A Mobile Application For Parents Of Acutely Ill Children Under Five: ‘Ipoorly Child Symptom Checker’, Sarah Neill, Amy Rathbone, John Downey, Monica Lakhanpaul, Damian Roland, Matt Carey

School of Nursing and Midwifery

Acutely-ill children under five years are increasing users of urgent and emergency care with no increase in acuity of presenting illnesses. This raises concerns about parents' knowledge and confidence in assessing the severity ofsymptoms of acute illness, despite the abundance of digital information available.Method:Weco-designedtheiPoorlychildsymptomcheckerappusingexperience-basedco-designmethodology with seven parents and seven health professional patient and public involvement representatives. The prototype was iteratively developed on a no-code platform, then released for testing on android and iOS app stores for six weeks. The app was downloaded 603 times and 60% of users completed the embedded evaluation form. Results: System usability scale items were all …

Basil Bernstein, Open Concepts, And The Possibility Of Change: Basil Bernstein, Conceptos Abiertos Y La Posibilidad Del Cambio, Brian Barrett, Jim Hordern

School of Law, Humanities and Social Sciences

In this reflection we make the argument that Bernstein’s theory offers an exceptionally powerful resource for analyzing social systems such as education, which critical realists as well as Bernstein have described in similar ways as “open.” Bernstein’s work has two significant features that contribute to this power, namely its capacity to conceptualize deep structures and organizing principles of education, teaching, and learning, as well as the possibilities it opens for imagining and accounting for alternatives and change through “open concepts.” Bernstein’s work is thus especially valuable both for analyzing 10educational inequality as well as for developing and testing measures for …

Mapping The Evidence Base Of Kidney, Prostate And Urinary Tract Tumours To Inform The Who Classification Of Tumours, Sophie Gruber, Karolina Worf, Inga Trulson, Laura Knoblauch, Tobias Gruber, Kirstina Schwamborn, Fiona Campbell, Richard Colling, Alex Inskip, Elena Plans-Beriso, Oana M. Craciun, Magdalena Chechlińska, Magdalena Kowalewska, Kateryna Maslova, Puay Hoon Tan, Harshima Wijesinghe, Ian A. Cree, Dilani Lokuhetty, Blanca Iciar Indave Ruiz, Stefan Holdenrieder

Peninsula Medical School

BackgroundThe project ‘World Health Organization (WHO) Classification of Tumours (WCT): a Living Evidence Gap Map by Tumour Type’ applies the Evidence and Gap Map (EGM) methodology to systematically synthesise evidence to support iterative refinements of the WCT. As part of this work, we created the first EGM for the WCT of Urinary and Male Genital Tumors, covering clear cell renal cell carcinoma, non-clear cell renal cell carcinoma, glandular neoplasms of the prostate and urothelial tumours.MethodsSystematic searches in PubMed and Ovid Embase were conducted and harmonised to a 2020 to 2024 publication time period. Following title and abstract screening, reviewers coded …

Caring For People Who Are At The End Of Their Life, Who Have Children: A Qualitative Study Of Community Nurses Lived Experiences, Catherine Bishop

South West Clinical School Journal

No abstract provided.

Evaluating Patient Engagement And Experience With A Virtual Annual Review Pathway For Coeliac Disease: A Service Evaluation Project Proposal., Mike Persey

South West Clinical School Journal

No abstract provided.

Expiratory Muscle Strength Training After Total Laryngectomy: A People And Communities’ Consultation Report, Sarah Fletcher

South West Clinical School Journal

No abstract provided.

Postoperative Wound Cleansing Practice In General Theatres: Compliance With Nice Ng125: A Clinical Audit, Andrei Niga

South West Clinical School Journal

No abstract provided.

Providing Education For Patients With Functional Neurological Disorder: Findings From A Literature Review, Ruth Stamp

South West Clinical School Journal

No abstract provided.

The Occupational Therapist’S Role In Child And Adolescent Mental Health Services, Sue Ritchie

South West Clinical School Journal

No abstract provided.

Regenerating Publics - Developmental Inclusion: Neighborhood Opportunities And Public Realm Obstacles In Plymouth, Uk, Alessandro Aurigi

School of Art, Design and Architecture

The area around Union Street in Plymouth, UK, has been facing processes of decline. Key historical buildings sit empty, with deteriorating fabrics, epitomizing the socio-economic condition of the neighborhood. This paper explores perceptions of ‘inclusion’ in Union Street, and visions to improve it, through interviews with key stakeholders from community groups, the local authority, local businesses, landlords, local health organizations, visitors and designers. Whilst some local actors amplify inclusive processes - for example in the low-cost re-use of spaces to host micro, alternative businesses or community initiatives – these efforts clash with a general perception of a depleted and unsafe …

Exploring The Interactions Between Student–Teacher Relationships, Teacher Passion, And Student Intrinsic Motivation: A Critical Examination Of The Hierarchical Model Of Inspirational Teaching, Stephen W. Rowcliffe

Plymouth Interdisciplinary Education Open Journal

This study critically examines the Hierarchical Model of Inspirational Teaching (Rowcliffe, 2022), a conceptual framework proposing that pedagogical competence, student-teacher relationships, and teacher passion are associated with student intrinsic motivation. Although the model has previously been presented conceptually, it has not been subjected to quantitative scrutiny.

Data were collected from 369 students and 33 teachers across two international post-16 schools. Student questionnaires assessed perceptions of student-teacher relationships, teacher passion, and intrinsic motivation, while teacher questionnaires examined burnout. Exploratory and confirmatory factor analyses were used to examine construct structure, followed by correlation, regression, and mediation analyses to explore relationships among variables. …

A Core Outcome Set For Family-Centered Care In Neonatal Intensive Care Settings: An International Edelphi Study And Online Consensus Meeting, Cansel Kocakabak, Agnes Van Den Hoogen, Aurelia Abenstein, Anna Axelin, Karen M. Benzies, Livia N. Bonnard, Beatrix Callard, Marsha Campbell-Yeo, Linda S. Franck, Mary Anne Ryan, Pernilla Rönnholm, Patricia Schofield, Nicole Van Veenendaal, Eleni Vavouraki, Anna Zanin, Jos M. Latour

School of Nursing and Midwifery

Background/Objectives: Family-centered care (FCC) in neonatal intensive care units (NICUs) can improve infant and family outcomes. Inconsistencies in outcome reporting across FCC trials limits the comparability of findings. Aim: To develop a core outcome set (COS) for evaluating FCC interventions in neonatal intensive care settings. Methods: A list of outcomes was generated through systematic reviews and stakeholder focus groups. A three-round eDelphi study with stakeholders was conducted, followed by an expert consensus meeting. Results: The reviews and focus groups identified 72 outcomes for round 1. Sixty-three healthcare professionals (HCP), 37 parents and five ex-NICU patients completed round 1, with 12 …

Dietary Hermetia Illucens Larvae Meal Enhances Growth Performance, Intestinal Health And Modulates Intestinal Microbiota Of Juvenile Mirror Carp (Cyprinus Carpio), Sahya Maulu, Ben Eynon, Glenn Harper, Owen Day, Leona Emenike, Mark Rawling, Daniel Merrifield

School of Biological and Marine Sciences

As global aquaculture expands, sustainable alternative feed ingredients are needed to reduce reliance on fishmeal (FM) and conventional plant proteins. Herein, this study evaluated defatted black soldier fly (BSF; Hermetia illucens) larvae meal as a replacement mainly for soybean meal (SBM) and soy protein concentrate (SPC) in juvenile mirror carp diets. Fish (initial weight: 7.28 ± 0.09 g) were reared in a recirculating aquaculture system and fed for 8 weeks on either a control diet or diets containing 20% (BSF20) or 40% (BSF40) BSF meal. After the trial, growth performance was significantly improved in BSF-fed groups, with higher final weight, …

Crowd-Sourced Glacier Mapping As A Tool For Enhancing Climate Literacy And Data Generation, Caroline Clason, Sally Rangecroft, Shaun Lewin, Gina Kallis, Tom Mullier, Will Blake, Iain Stewart

School of Geography, Earth and Environmental Sciences

Citizen science approaches are increasingly used to support data generation and public engagement across the environmental sciences, yet their wider pedagogical value within physical geography remains underexamined. To explore the value of mapping-based citizen science for both glaciological investigation and geographical learning, we developed GlacierMap, an interactive online tool enabling participants to map glacier change in Peru’s Cordillera Blanca over a 34-year period. GlacierMap was designed not only to assess the feasibility and value of crowd-sourced glacier mapping, but also as a vehicle to support experiential learning of the trends in, and impacts of, tropical mountain glacier retreat. Participants mapped …

Translating Science Into Evidence-Based Policy For The Protection And Restoration Of Essential Fish Habitat, Olivier Le Pape, Benjamin J. Ciotti, Karen E. Van De Wolfshaar, Rochelle D. Seitz, Julia Friese, David Eggleston, Elliot J. Brown, Rachel M. Turnbull, Filipe Martinho, Adam Waugh, Francisco E. Werner, Kenneth A. Rose

School of Biological and Marine Sciences

Coastal and estuarine ecosystems are vital as essential fish habitat (EFH). Given accelerating climate- and human-driven environmental change, conserving these habitats is increasingly urgent to ensure the sustainability of marine populations and their associated fisheries. This paper examines how scientific knowledge is being used to support management of EFH in the USA, Europe, and elsewhere. We find that while scientific knowledge to identify and quantify important habitats has rapidly increased, the transfer of this knowledge to management practice has been limited and slow, resulting in important habitats being vulnerable to degradation. Through an international review of EFH concepts and their …

Examining The Role Of Physical Illustrations Within The Home To Represent Our Connections With The Climate Emergency And Its Potential For Climate Action, Devon Tipping

School of Law, Humanities and Social Sciences

In a time of upheaval and rapid change individuals and society arechallenged emotionally, often expressed as anxiety and a sense of powerlessness.This is particularly relevant in terms of environmental issues and in the context ofthe climate emergency which has contributed to a rise in eco-anxiety. Within thiscontext, illustration can offer valuable tools to inspire climate action. Artwork, acommon feature in most homes, is often viewed daily, yet can it serve a purposebeyond decoration?The project, Floriography, explored how images within domestic spaces can fosterclimate awareness. The focus was to engage people who may find climateconversations overwhelming, using illustration to introduce these …

Transforming Urban Food Systems: Could Food Democracy And Food Citizenship Be Advanced By Personal And Community Impacts Of Co-Production Processes?, Bramble Gardiner, Mary Hickson, Louise Hunt, Amanda Haslam-Lucas, Barbara Diouri, Joanna Ruminska, Laura Dunn, Yve Ashton, Clare Pettinger

School of Health Professions

For complex challenges like food systems transformation, scholars suggest co-production involving multiple actors including citizens is essential. Additionally, some argue for a transformation towards ‘food democracy’. This vision aims for food system decision making to be shared across diverse actors, and people to move from being consumers to citizens (food citizenship). Urban food policy initiatives are examples of innovation in food democracy and food citizenship, but delivering authentic participation is an ongoing challenge and the impacts on those engaged have rarely been studied. Furthermore, personal transformations are essential for societal transformations and similarly receive minimal focus. The need for development …

Acute Practitioners’ Experiences Of Implementing Frailty Same Day Emergency Care: A Researcher-In-Residence Study, John Downey, Kieran Green, Sheena Asthana, Joanne Watson

School of Nursing and Midwifery

Introduction: NHS policy promotes Frailty Same Day Emergency Care (F-SDEC) units to alleviate pressure on emergency departments (ED) and improve care for frail people through comprehensive geriatric assessment and same-day discharge. However, evidence remains limited on how such services are implemented in practice, particularly in resource-constrained and geographically peripheral settings. This study aimed to examine how implementation barriers are experienced and negotiated during the day-to-day delivery of an F-SDEC pilot.Methods: Using a Researcher-in-Residence approach, a researcher embedded in a coastal hospital in Torbay, South-West England, collected field notes from prior observations to inform the interview guide, conducted semi-structured interviews with …

Counterfactual Thinking And Aging: The Role Of Executive Function., Clare Walsh, Catherine Deeprose, Raluca A. Briazu, Alison Bacon

School of Psychology

People frequently think about how events in the past might have happened differently and these thoughts play a central role in their cognitive, emotional and social functioning. Our study examined how these processes change with age. A group of 56 younger (mean age 22.34) and 50 older (mean age 71.96) adults completed tasks measuring the spontaneous generation of counterfactual thoughts, the generation of counterfactual thoughts when cued and the Counterfactual Inference Test which taps into the ease with which salient counterfactual thoughts come to mind. They also completed a Counterfactual Seeking Task to measure their motivation to seek out counterfactual …

Driving Innovation: Transatlantic Attitudes To The Bionics Bus As A Vehicle For Health Transformation And Stem Engagement, Christopher James, Sarang Shankar, Madeleine Dale, Bhathika Perera, Richard Laugharne, Matthew Allen, Maria Feijoo‐Renones, Rohit Shankar

Peninsula Medical School

Emerging mobile health and STEM engagement platforms are increasingly recognised as catalysts for improving public understanding of biomedical technologies and supporting digitally enabled models of healthcare delivery. The Bionics Bus (https://bionicsbus.org/) is a novel mobile laboratory designed to democratise access to robotics, artificial intelligence, prosthetics and digital diagnostics by delivering hands-on experiences directly to schools, communities and healthcare settings. This study provides the first transatlantic comparison of public attitudes toward the Bionics Bus within the United Kingdom and the United States of America (USA), two countries with contrasting healthcare systems and digital transformation priorities. Using a mixed-methods cross-sectional design, 78 …

A Taxonomy Of Children And Young People's Social Prescribing Models: A Multi-Site Implementation Case Study In England, Vashti Berry, Siobhan Mitchell, Joe Coombes, Marcello Bertotti, Daniel Hayes, Lucy Cartwright, Kerryn Husk

Peninsula Medical School

Introduction.Social prescribing for children and young people (CYP) is expanding across England, yet there is limited understanding of how local services interpret and configure its core components—individual need, referrer, linking function and community activity—particularly for CYP presenting with mental health difficulties.Methods.Using a multi-site case study design, we examined five CYP-focused social prescribing pathways selected for their diversity of institutional anchors and implementation maturity. Data collection included pathway visualization with site leads and 34 semi-structured interviews with referrers, link workers, managers and practitioners. Thematic analysis was used to compare pathway structures and functions across cases to support development of an empirically …

The Behavioral Ethical Lens Of Generative Ai Application In Organizations: From Corporate Reputation, Leadership, And Technological Sustainability Perspectives, Rajat Subhra Chatterjee, Irfan Hameed, Sumana Chaudhuri, Sheshadri Chatterjee

Plymouth Business School

Purpose – The rapid expansion of generative artificial intelligence (AI) is reshaping organizational processes and competitive dynamics across industries. Although scholarly interest in AI adoption is increasing, there remains a lack of research on how ethical leadership and technological sustainability affect organizational outcomes related to generative AI. This study investigates the role of virtue ethics in guiding the implementation of generative AI in HR-driven customer service contexts and examines how leadership perspectives influence the responsible and sustainable adoption of technology. Design/methodology/approach – This study draws on normative ethical theory and dynamic capability theory to develop a conceptual framework explaining how …

Community Optometrist–Led Monitoring Of Quiescent Neovascular Age-Related Macular Degeneration: The Fenetre Randomized Clinical Trial, Anitta Sharma, Aljazy Jaber, Bishwanath Pal, John G. Lawrenson, Robert A. Harper, Adnan Tufail, Annastazia E. Learoyd, Emily Robinson, Abdel Douiri, Rachel Burman, Ashleigh Kernohan, Sofia Vougioukalou, Simon Read, Judit Csontos, Aled Jones, Sajjad Mahmood, Martin Mckibbin, Janet L. Peacock, Richard Gale, Praveen J. Patel, Pearse A. Keane, Robin Hamilton, Luke Vale, Catey Bunce, Konstantinos Balaskas

School of Nursing and Midwifery

Importance Hospital-based ophthalmology faces increasing demand for long-term monitoring of neovascular age-related macular degeneration (nAMD). Safe redistribution of routine monitoring to community clinicians is relevant to integrated community (primary)–secondary care models.   Objective To examine whether community optometrist–led monitoring of nAMD is noninferior to hospital-based monitoring for detecting disease activity requiring treatment.   Design, Setting, and Participants This multicenter, noninferiority randomized clinical trial was conducted from October 8, 2019, to January 31, 2024, at secondary centers (17 hospitals) and primary centers (60 community optometry practices) with 12-month follow-up. Statisticians were masked to patient grouping. Adults 55 years or older with quiescent AMD …

Encountering The Blue Economy Through Event Ethnography: A Methodological Reflection On The Geographies Of Policymaking, Carlo Ceglia

School of Engineering, Computing and Mathematics

This article offers a methodological reflection on adopting a particular type of ethnography—event ethnography—to engage with the production and circulation of policy realities. Responding to recent geographical calls asking us to critically investigate the Blue Economy (BE)—a recent policy paradigm supposedly ensuring economic development, social well-being, and environmental sustainability—I detail my choice of event ethnography as the primary methodological choice informing my encounter with one such paradigm in the archipelagic state of the Republic of Seychelles. In doing so, this article expands on current qualitative methodological approaches for the study of the BE by foregrounding the potentialities of event ethnography …

Outcomes Of A Penicillin Allergy De-Labelling Implementation Intervention In A Uk Hospital: A Prospective, Single Centre, Type 2 Hybrid Effectiveness-Implementation Study Evaluated Using Mixed Methods, Neil Powell, Daniel Hearsey, Robert West, Mathew Upton, Bridie Kent, Sarah Tonkin-Crine, Jonathan Sandoe

School of Biomedical Sciences

Background: Non-allergy specialist healthcare workers removing low-risk penicillin allergy (penA) records, enabling patients to receive penicillin antibiotics, is safe but not common practice. We developed a behavioural change implementation intervention to support non-allergist healthcare workers to remove incorrect penA records from adult inpatients (penicillin allergy de-labelling; PADL). This study aimed to evaluate the effectiveness of the implementation intervention strategy and its impact on delabelling and antibiotic prescribing. Methods: The implementation intervention was launched 10^th June 2024. This prospective, single centre, type 2 hybrid effectiveness-implementation study was evaluated using mixed methods: process evaluation, qualitative and quantitative study designs. The proportion …

The Effect Of Face Masks On The Perception Of Trustworthiness And Competence In Individuals With Autistic Traits, Farid Pazhoohi, Maryam Rostami-Aghoui, Leilani Forby, Keina Aoki, Alan Kingstone

School of Psychology

Facial expressions play a crucial role in social communication, influencing judgments of trustworthiness and competence. While previous research has examined how face masks affect trust and competence in general populations, little is known about their impact on individuals with high autistic traits, who often rely more on the mouth region for social cue interpretation. The present study investigates the effects of face masks on perceptions of trustworthiness and competence as a function of high and low autistic traits. Results show that masked faces are generally perceived as more trustworthy and competent than unmasked faces. The effect of mask wearing on …

Brain Reward Function In Young People With Cannabis Use Disorder: A Functional Magnetic Resonance Imaging Study, Martine Skumlien, Lisa‐Marie Greenwood, Arush Honnedevasthana Arun, Isabella Goodwin, Anastasia Paloubis, Tribikram Thapa Rana, Marianna Quinones Valera, Eugene Mctavish, Gabrielle Abbott, Suraya Dunsford, Antonio Verdejo‐Garcia, Jessica Ramamurthy, Mark M. Schira, Nadia Solowij, Chao Suo, Valentina Lorenzetti

School of Psychology

Background and Aims: Cannabis use disorder (CUD) affects ~50 million people globally. Neuroscientific theories suggest that a blunted neural response to non-drug rewards is a hallmark of substance use disorders; however, this remains untested in CUD. The current study tested whether brain reward system responses to the anticipation and feedback of monetary rewards differed in people with CUD and controls. Design: Observational study using functional magnetic resonance imaging (fMRI). Setting: Participants were recruited from universities and the community in Wollongong, Australia. Participants: Sixty-four individuals with CUD (20 female) and 28 controls (9 female), aged 18–32 years. Measurements: Participants completed a …

Effect Of Implementing An Evidence-Based Clinical Practice Intra-Hospital Transport Guideline For Hospitalized Children: A Type Iii Hybrid Implementation-Effectiveness Study, Yang Li, Yuxia Yang, Jing Hu, Wenchao Wang, Yun Jin, Weijie Shen, Yanhong Zhang, Yingfeng Zhou, Ye Cheng, Jos M Latour, Ying Gu

School of Nursing and Midwifery

BACKGROUND: Intra-hospital transfers (IHT) of hospitalized children are unavoidable practices often performed with emergency patients and postoperative patients. Standardizing IHT processes to minimize adverse events might improve children's outcomes. We developed an evidence-based clinical practice IHT guideline for hospitalized children. The aim of this study was to evaluate the implementation process and the effectiveness of the implementation of this guideline on patient outcomes, healthcare professionals' knowledge and behavior, and hospital organizational context.

METHODS: A type III hybrid effectiveness-implementation design was adopted, using a pre-post intervention trial (January-December 2024). Data of patient demographics, transport-related outcomes, and healthcare providers' knowledge and compliance …

‘Wala Kaming Alam Sa Stroke Care’ (We Don’T Know Anything About Stroke Care): Experiences Of Care Providers Delivering Stroke Rehabilitation Care In The Philippines, Fiona Leggat, Sarah Ann Buckingham, Aira Patrice Rueda Ong, Bridie Kent, Nena Marie Santos, Annah Teves, Vergil Boac, Paula Melizza Valera, Elda Anota, Maria Mercedes Barba, Myrna Estrada, Neil Bryan Pita, Alyssa Dar Juan, Lorraine Faeldon, Fiona Jones

School of Nursing and Midwifery

BackgroundIn the Philippines, rising stroke prevalence and healthcare inequalities present a concerning outlook. While acute stroke care is prioritised, rehabilitation remains undervalued. The experiences of healthcare providers who deliver stroke support are also under-researched.Objective(s)Our study aimed to explore the experiences and needs of care providers across multiple regions of the Philippines to inform the development of stroke support initiatives and programmes.MethodsForming part of the Tulong, Ugnayan ng Lingap At gabaY (TULAY) project, a qualitative descriptive design involving semi-structured interviews was used. Care providers with professional or voluntary community healthcare service delivery roles were recruited. Data were analysed using reflexive thematic …