Myfanwy Morgan
Datos Biográficos
| ID | 79201 |
|---|---|
| NOMBRE | Myfanwy Morgan |
| NOMBRES | Myfanwy |
| APELLIDO | Morgan |
| FIRMA | MORGAN M |
| AFILIACIONES | King's College London |
| ORCID | 0000-0001-5532-8941 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 41 |
| TOTAL DE CITAS | 360 |
| TOTAL COMO AUTOR | 41 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1977 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2022 |
| ÍNDICE H | 8 |
The Personal Sociability and Connections Scale (PeSCS)
Purpose: An individual’s lack of social connections and social isolation is often associated with feelings of loneliness which is regarded as having a negative effect on health. This paper describes the development and assessment of a 10 item ‘Personal Sociability and Connections Scale’ (PeSCS) to measure individual’s disposition and accompanying skills to seek out companionship and engage in interpersonal relations. Methods: The study was conduc…
Approaches to Photoprotection and Normalization in Highly Adherent Families of Children With Xeroderma Pigmentosum in the United Kingdom
In this study, we examine photoprotection for children with Xeroderma pigmentosum (XP), a rare genetic skin disease requiring rigorous photoprotection, to reduce risks of severe burning and skin cancers from exposure to ultraviolet radiation (UVR). We elicit the views and experiences of both children and their parents to inform the care and support provided. Qualitative semistructured interviews were undertaken with 12 child-parent dyads recruite…
Experiences of stigma over the lifetime of people with xeroderma pigmentosum
This study explored experiences of stigma in 25 adults with xeroderma pigmentosum. Analysis of semi-structured interviews revealed the changing nature of stigma over the lifetime. Bullying occurred in childhood, whereas adults were questioned about both their photoprotection and skin damage, often resulting in internalised feelings of stigma. Resilience and rejection of feelings of stigma increased with age and experiences of stigma differed acro…
Understanding kidney transplant patients' treatment choices
Nudging' registration as an organ donor
Thaler and Sunstein's behavioural-economics theory of 'Nudge' aims to achieve beneficial outcomes for individuals and the society through designing the contexts in which choices are made rather than relying on traditional policy levers of restrictions, penalties and education. This article examines Nudge strategies to increase registration as a deceased organ donor among minority ethnic groups based on 22 focus groups that were held with Black an…
Attitudes to deceased organ donation and registration as a donor among minority ethnic groups in North America and the UK
OBJECTIVES: A systematic review and synthesis of quantitative and qualitative research were undertaken to examine attitudes to deceased donation and registration as an organ donor among ethnic minorities in the U.K. and North America. DESIGN: A systematic search and assessments of relevance and quality were conducted. Parallel syntheses were then undertaken of 14 quantitative and 12 qualitative papers followed by their integration. The synthesis …
Having a different conversation around death’
There is scope for greater training and involvement of hospital chaplains in hospital work on organ donation, and in developing new forms of community engagement to promote awareness and debate
Co-construction of chronic illness narratives by older stroke survivors and their spouses
Illness narratives have mainly focused on individual patients' accounts, and particularly those of people experiencing the onset of chronic illness in mid-life. However, a growing number of older people are spending their later life with their partner, with both experiencing complex morbidities. We examine the shared creation of meanings among older stroke survivors and their spouses and the implications for individual and couple identity. Joint …
How far can Foucault take us? An analysis of the changing discourses and limitations of the medical treatment of apoplexy and stroke
This article examines the conditions under which epistemological shifts in medicine have shaped the history of apoplexy and stroke. Our intention is to understand how stroke medicine as a distinct branch of bio-medicine has emerged in its current form. In doing so, we draw on aspects of the work of Michel Foucault as they relate to fabrication of biomedical discourses. The past 300 years of the transformation of the condition is examined using Mi…
Implementing 'translational' biomedical research
Ethnicity and attitudes to deceased kidney donation
Community attitudes in Barbados are favourable to deceased donation based on a system of informed consent. Comparison with south London data supports the hypothesis that the relatively high prevalence of negative attitudes to deceased donation among disadvantaged ethnic minorities in high income countries may reflect feelings of marginalization and lack of belonging
From gluttony to obesity
Current UK medical guidance on the management of stroke includes advice on reducing behavioural factors that place people at risk of the disease. This paper explores the historical background to the construction of this risk; it starts by investigating the connections made between individual behaviours and the causation of apoplexy in the medical discourse during the 18(th) and 19(th) centuries described in English medical textbooks from the 1700…
Attitudes to kidney donation among primary care patients in rural Crete, Greece
Lack of knowledge and information regarding organ donation and negative attitudes related to registration as donors were the main findings of this study. Efforts should be based on targeting the attitudes to organ donation of individuals and population groups
Drawing the experience of chronic vaginal thrush and complementary and alternative medicine
This paper demonstrates a method of collaborative drawing‐based enquiry used to elicit experiential narratives in qualitative research. In the health sciences the method, which uses a drawing strategy embedded within in‐depth interviews, can illuminate experiences of illness, treatment and interaction with health practitioners. Here it is applied to the experience of chronic vaginal thrush and associated use of complementary and alternative medic…
Lay and Professional Constructions of Time
Time permeates all aspects of our everyday lives but its very centrality often renders it invisible. This article examines how temporal understandings and priorities shape and inform lay and professional constructions of illness, understandings of symptoms and help-seeking behaviour, based on semi-structured interviews with 20 GPs and 16 parents of children with asthma. This identifies the significance of a temporal perspective for beliefs about …
Hospital inpatients’ experiences of access to food
Background Hospital surveys indicate that overall patients are satisfied with hospital food. However undernutrition is common and associated with a number of negative clinical outcomes. There is little information regarding food access from the patients’ perspective. Purpose To examine in‐patients’ experiences of access to food in hospitals. Methods Qualitative semi‐structured interviews with 48 patients from eight acute wards in two London teach…
I know he controls cancer
Ethnicity and registration as a kidney donor
Patients’ perceptions and experiences of ‘continuity of care’ in diabetes
Background ‘Continuity of care’ is an important aspect of quality. However, definitions are broad and existing models of continuity are not well grounded in empirical data. Objective To identify patients’ experiences and values with respect to continuity in diabetes care. Methods In‐depth semi‐structured interviews with 25 type 2 diabetic patients from 14 general practices in two inner London boroughs. Interviews were transcribed and responses an…
Barriers to Uptake and Adherence with Malaria Prophylaxis by the African Community in London, England
Much non-adherence is 'intentional' and reflects both beliefs common to all travellers and the particular circumstances and experiences of migrants of African descent. However, there was considerable variability in beliefs and practices among participants that reflects the heterogeneity within the West African community in their socio-economic position and circumstances. Changing behaviours requires a multi-dimensional approach involving communit…
Resisting medicines
Evaluating meta-ethnography
Using meta ethnography to synthesise qualitative research
Objectives: To demonstrate the benefits of applying meta ethnography to the synthesis of qualitative research, by means of a worked example. Methods: Four papers about lay meanings of medicines were arbitrarily chosen. Noblit and Hare's seven-step process for conducting a meta ethnography was employed: getting started; deciding what is relevant to the initial interest; reading the studies; determining how the studies are related; translating the …
What does 'access to health care' mean?
Facilitating access is concerned with helping people to command appropriate health care resources in order to preserve or improve their health. Access is a complex concept and at least four aspects require evaluation. If services are available and there is an adequate supply of services, then the opportunity to obtain health care exists, and a population may 'have access' to services. The extent to which a population 'gains access' also depends o…
Hearing children's voices
Children are increasingly acknowledged to have rights in the determination of decisions that affect them. This has encouraged research to be undertaken with children themselves to understand their own views, experiences and relationships, and has demonstrated a considerable gulf from parental concerns and observations. Methods for research with children are, however, relatively under-developed. This article reflects on our experience of conductin…
Evaluating meta-ethnography
Resisting medicines
Hearing children's voices
Children are increasingly acknowledged to have rights in the determination of decisions that affect them. This has encouraged research to be undertaken with children themselves to understand their own views, experiences and relationships, and has demonstrated a considerable gulf from parental concerns and observations. Methods for research with children are, however, relatively under-developed. This article reflects on our experience of conductin…
Co-construction of chronic illness narratives by older stroke survivors and their spouses
Illness narratives have mainly focused on individual patients' accounts, and particularly those of people experiencing the onset of chronic illness in mid-life. However, a growing number of older people are spending their later life with their partner, with both experiencing complex morbidities. We examine the shared creation of meanings among older stroke survivors and their spouses and the implications for individual and couple identity. Joint …
Acorn group, social class, and child health
A Classification of Residential Neighborhoods (ACORN) and the Registrat General's social class classification were compared on measures of health and service use based on a sample of 5500 primary school children in England. ACORN was shown to differentiate at least as well as social class on the selected outcome measures and to identify small areas with particularly high rates of morbidity. Nevertheless, questions were raised concerning both the …
I know he controls cancer
Anomalous Patients
Variations in the distribution of power have been used to account for and to advocate different types of doctor‐patient relationship. It might be expected that doctors who become patients would have a ‘mutual’ relationship with their treating doctor. Data from interviews with doctors with a recent illness show that this is not necessarily the case and may not even be doctors’ preferred model of doctor‐patient relationship for themselves when they…
Psychosocial support and change in the health status of physically disabled people
Social networks and psychosocial support among disabled people
Implementing 'translational' biomedical research
Lay and Professional Constructions of Time
Time permeates all aspects of our everyday lives but its very centrality often renders it invisible. This article examines how temporal understandings and priorities shape and inform lay and professional constructions of illness, understandings of symptoms and help-seeking behaviour, based on semi-structured interviews with 20 GPs and 16 parents of children with asthma. This identifies the significance of a temporal perspective for beliefs about …
Experiences of stigma over the lifetime of people with xeroderma pigmentosum
This study explored experiences of stigma in 25 adults with xeroderma pigmentosum. Analysis of semi-structured interviews revealed the changing nature of stigma over the lifetime. Bullying occurred in childhood, whereas adults were questioned about both their photoprotection and skin damage, often resulting in internalised feelings of stigma. Resilience and rejection of feelings of stigma increased with age and experiences of stigma differed acro…
How far can Foucault take us? An analysis of the changing discourses and limitations of the medical treatment of apoplexy and stroke
This article examines the conditions under which epistemological shifts in medicine have shaped the history of apoplexy and stroke. Our intention is to understand how stroke medicine as a distinct branch of bio-medicine has emerged in its current form. In doing so, we draw on aspects of the work of Michel Foucault as they relate to fabrication of biomedical discourses. The past 300 years of the transformation of the condition is examined using Mi…
Drawing the experience of chronic vaginal thrush and complementary and alternative medicine
This paper demonstrates a method of collaborative drawing‐based enquiry used to elicit experiential narratives in qualitative research. In the health sciences the method, which uses a drawing strategy embedded within in‐depth interviews, can illuminate experiences of illness, treatment and interaction with health practitioners. Here it is applied to the experience of chronic vaginal thrush and associated use of complementary and alternative medic…
Changes in diet and coronary heart disease mortality among social classes in Great Britain
Coronary heart disease (CHD) mortality has declined in Britain since the early 1970s and followed a reduction in dietary fat intake in the population. We attempted to determine whether there have been changes in dietary fat intakes by social classes and to see whether they correspond to social class changes in CHD mortality, where the greatest reduction has been in the upper social class groups. Dietary fat intake was specially obtained by social…
Managing hypertension
Lay beliefs and responses to antihypertensive therapy were examined through tape recorded interviews held with European respondents, who were predominately English and referred to as ‘white’, and people born in the West Indies. Respondents were aged 35–55 years, of manual social class and currently being treated for hypertension by their general practitioner. Nearly one‐half of the respondents identified stress or worry as a cause of their high b…
Can hospital use be a measure of need for health care
To achieve an equitable distribution of health service resources between geographical areas requires a measure of the relative needs of populations. For 11 years the methods of the Resource Allocation
Sociological Approaches to Health and Medicine
From gluttony to obesity
Current UK medical guidance on the management of stroke includes advice on reducing behavioural factors that place people at risk of the disease. This paper explores the historical background to the construction of this risk; it starts by investigating the connections made between individual behaviours and the causation of apoplexy in the medical discourse during the 18(th) and 19(th) centuries described in English medical textbooks from the 1700…
Ethnicity and registration as a kidney donor
Barriers to Uptake and Adherence with Malaria Prophylaxis by the African Community in London, England
Much non-adherence is 'intentional' and reflects both beliefs common to all travellers and the particular circumstances and experiences of migrants of African descent. However, there was considerable variability in beliefs and practices among participants that reflects the heterogeneity within the West African community in their socio-economic position and circumstances. Changing behaviours requires a multi-dimensional approach involving communit…
Ethnic Differences in Behavioural Risk Factors for Stroke
Strategies to reduce behavioural risk factors for heart attack and stroke need to emphasise different risk foctors among ethnic groups, especially in relation to alcohol use in the White population and weight in the Black Caribbean population. Influencing the change of these behaviours requires working in partnership with local community' groups
Immigrant Families in an Industrial City
Marital status and hospital use
Published data from the Hospital In-Patient Enquiry (1973) are used to examine the relationship between hospital use and marital state. Non-married men and women are shown to have higher discharge rates and longer mean durations of stay than married patients in the corresponding age groups, and to account, on average, for about 24 000 additional beds each day in non-psychiatric hospitals. Hospital Activity Analysis data from one region suggest th…
Marital status and hospital use
Published data from the Hospital In-Patient Enquiry (1973) are used to examine the relationship between hospital use and marital state. Non-married men and women are shown to have higher discharge rates and longer mean durations of stay than married patients in the corresponding age groups, and to account, on average, for about 24 000 additional beds each day in non-psychiatric hospitals. Hospital Activity Analysis data from one region suggest th…
Immigrant Families in an Industrial City
Marital status, health, illness andservice use
Marital status, health, illness and service use
Acorn group, social class, and child health
A Classification of Residential Neighborhoods (ACORN) and the Registrat General's social class classification were compared on measures of health and service use based on a sample of 5500 primary school children in England. ACORN was shown to differentiate at least as well as social class on the selected outcome measures and to identify small areas with particularly high rates of morbidity. Nevertheless, questions were raised concerning both the …
Social networks and psychosocial support among disabled people
Sociological Approaches to Health and Medicine
Psychosocial support and change in the health status of physically disabled people
Can hospital use be a measure of need for health care
To achieve an equitable distribution of health service resources between geographical areas requires a measure of the relative needs of populations. For 11 years the methods of the Resource Allocation
Sociological Approaches to Health and Medicine
Social Support and Health (Book)
Managing hypertension
Lay beliefs and responses to antihypertensive therapy were examined through tape recorded interviews held with European respondents, who were predominately English and referred to as ‘white’, and people born in the West Indies. Respondents were aged 35–55 years, of manual social class and currently being treated for hypertension by their general practitioner. Nearly one‐half of the respondents identified stress or worry as a cause of their high b…
Changes in diet and coronary heart disease mortality among social classes in Great Britain
Coronary heart disease (CHD) mortality has declined in Britain since the early 1970s and followed a reduction in dietary fat intake in the population. We attempted to determine whether there have been changes in dietary fat intakes by social classes and to see whether they correspond to social class changes in CHD mortality, where the greatest reduction has been in the upper social class groups. Dietary fat intake was specially obtained by social…
Handbook of Life Stress, Cognition and Health (Book)
Anomalous Patients
Variations in the distribution of power have been used to account for and to advocate different types of doctor‐patient relationship. It might be expected that doctors who become patients would have a ‘mutual’ relationship with their treating doctor. Data from interviews with doctors with a recent illness show that this is not necessarily the case and may not even be doctors’ preferred model of doctor‐patient relationship for themselves when they…
Ethnic Differences in Behavioural Risk Factors for Stroke
Strategies to reduce behavioural risk factors for heart attack and stroke need to emphasise different risk foctors among ethnic groups, especially in relation to alcohol use in the White population and weight in the Black Caribbean population. Influencing the change of these behaviours requires working in partnership with local community' groups
Using meta ethnography to synthesise qualitative research
Objectives: To demonstrate the benefits of applying meta ethnography to the synthesis of qualitative research, by means of a worked example. Methods: Four papers about lay meanings of medicines were arbitrarily chosen. Noblit and Hare's seven-step process for conducting a meta ethnography was employed: getting started; deciding what is relevant to the initial interest; reading the studies; determining how the studies are related; translating the …
What does 'access to health care' mean?
Facilitating access is concerned with helping people to command appropriate health care resources in order to preserve or improve their health. Access is a complex concept and at least four aspects require evaluation. If services are available and there is an adequate supply of services, then the opportunity to obtain health care exists, and a population may 'have access' to services. The extent to which a population 'gains access' also depends o…
Hearing children's voices
Children are increasingly acknowledged to have rights in the determination of decisions that affect them. This has encouraged research to be undertaken with children themselves to understand their own views, experiences and relationships, and has demonstrated a considerable gulf from parental concerns and observations. Methods for research with children are, however, relatively under-developed. This article reflects on our experience of conductin…
Evaluating meta-ethnography
Barriers to Uptake and Adherence with Malaria Prophylaxis by the African Community in London, England
Much non-adherence is 'intentional' and reflects both beliefs common to all travellers and the particular circumstances and experiences of migrants of African descent. However, there was considerable variability in beliefs and practices among participants that reflects the heterogeneity within the West African community in their socio-economic position and circumstances. Changing behaviours requires a multi-dimensional approach involving communit…
Resisting medicines
Patients’ perceptions and experiences of ‘continuity of care’ in diabetes
Background ‘Continuity of care’ is an important aspect of quality. However, definitions are broad and existing models of continuity are not well grounded in empirical data. Objective To identify patients’ experiences and values with respect to continuity in diabetes care. Methods In‐depth semi‐structured interviews with 25 type 2 diabetic patients from 14 general practices in two inner London boroughs. Interviews were transcribed and responses an…
Hospital inpatients’ experiences of access to food
Background Hospital surveys indicate that overall patients are satisfied with hospital food. However undernutrition is common and associated with a number of negative clinical outcomes. There is little information regarding food access from the patients’ perspective. Purpose To examine in‐patients’ experiences of access to food in hospitals. Methods Qualitative semi‐structured interviews with 48 patients from eight acute wards in two London teach…
I know he controls cancer
Medicine (35 obras) · Psychology (26 obras) · Sociology (21 obras) · Family medicine (12 obras) · Social Psychology (12 obras) · Demography (11 obras) · Psychiatry (11 obras) · Political science (10 obras) · Environmental health (9 obras) · Gerontology (9 obras)