T Rapley
Datos Biográficos
| ID | 16202 |
|---|---|
| NOMBRE | T Rapley |
| NOMBRES | T |
| APELLIDO | Rapley |
| FIRMA | RAPLEY T |
| AFILIACIONES | Newcastle University |
| ORCID | 0000-0003-4836-4279 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 32 |
| TOTAL DE CITAS | 214 |
| TOTAL COMO AUTOR | 32 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2001 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 5 |
Interpreters as Epistemic Brokers in Cross-Cultural Primary Care Consultations in Ireland
BACKGROUND: The Russian invasion of Ukraine in February 2022 resulted in the displacement of millions of people of varying ages and diverse health needs, with almost 120,000 granted Temporary Protection in Ireland. In Ireland, there were a number of healthcare adaptations, including the employment of multilingual Ukrainian Beneficiaries of Temporary Protection (BoTP) as interpreters in general practitioner (GP) clinics. There is a lack of researc…
Analysing conversation
Mum feels that the decision has already been made
Towards an Implementation‐STakeholder Engagement Model (I‐STEM) for improving health and social care services
BACKGROUND: The implementation science literature acknowledges a need for engagement of key stakeholders when designing, delivering and evaluating implementation work. To date, the literature reports minimal or focused stakeholder engagement, where stakeholders are engaged in either barrier identification and/or barrier prioritisation. This paper begins to answer calls from the literature for the development of tools and guidance to support compr…
Early Years Physical Activity and Motor Skills Intervention—A Feasibility Study to Evaluate an Existing Training Programme for Early Years Educators
change in Educators' knowledge, intentions and behaviour, and change in children's BMI z-score, PA and FMS. Eight settings were recruited; all Intervention Educators completed the training. Six settings participated at follow-up (four Intervention, two Control). The target for Educator recruitment was met (two per setting, total n = 16). Questionnaires were completed by 80% of Intervention Educators at baseline, 20% at follow-up. Control Educator…
Normative puzzles for local government
A crisis in social care is apparent across the developed world as ageing populations put unprecedented demand on understaffed social care workforces. A recent popular response to this 'care crisis' within the UK involves the 'innovation' of single-handed care (SHC). SHC involves a care package with two or more homecare workers being reduced to one worker using advanced equipment and new moving and handling techniques. In this article, we explore …
A Mixed Method Study
Children and young people with rheumatic diseases and their families are often supported by nurses who may not have had specialist training in paediatric rheumatology. The purpose of our study was to establish the core learning needs of all nurses who may encounter these children and young people in their clinical practice and use this information to inform the content and format of Paediatric Musculoskeletal Matters Nursing (PMM-Nursing) Engagem…
Single‐handed care’ initiatives and reviews of double‐handed homecare packages
International health and social care systems are experiencing unprecedented pressure and demand. 'Single-handed care' initiatives seek to identify whether all or part of a homecare package involving more than one care worker can be safely reduced to a single worker. Little is known about these initiatives across local authorities. The aim of this study was to identify, describe and explain current processes and practices for single-handed care in…
Changing healthcare professionals' non-reflective processes to improve the quality of care
Combining theories of habit and routines has the potential to advance implementation science by providing a fuller understanding of the range of factors, operating at multiple levels of analysis, which can impact on the behaviours of healthcare professionals, and so quality of care provision
Data protection, information governance and the potential erosion of ethnographic methods in health care
With the most recent developments to the European General Data Protection Regulations (GDPR) introduced in May 2018, the resulting legislation meant a new set of considerations for study approvers and health-care researchers. Compared with previous legislation in the UK (The Data Protection Act, 1998), it introduced more extensive and directive principles, requiring anybody 'processing' personal data to specifically define how this data will be o…
Describing pre‐appointment written materials as an intervention in the context of children’s NHS therapy services
CONTEXT: Pre-appointment written materials, including letters and leaflets, are commonly used by healthcare organisations to deliver professional-patient interactions. The written materials potentially change patients' knowledge and behaviour as part of a healthcare intervention but have received little investigation. OBJECTIVE: To describe the content of pre-appointment written materials through a behaviour change intervention perspective. DESIG…
The burden of proof
Patient and public involvement in research includes non‐academics working with researchers, on activities from consultative tasks, to joint working, and on user‐led initiatives. Health and social care funding bodies require involvement in research projects. A current debate focuses on a perceived lack of empirical “proof” to demonstrate the impact of involvement upon the quality of research. It is also argued that the working relationships betwee…
Older patients’ experience of primary hypothyroidism
BACKGROUND: Primary hypothyroidism is a common endocrine disorder, more so in an increasing UK ageing population. There is no qualitative research examining the older patient perspective of symptoms, treatment and self-management of hypothyroidism. OBJECTIVE: In this study we explored the experience of hypothyroidism in older people and examined how this may influence their understanding and acceptance of diagnosis, treatment with Levothyroxine a…
Drug breakthrough offers hope to arthritis sufferers
BACKGROUND: Newspaper stories can impact behaviours, particularly in relation to research participation. It is therefore important to understand the narratives presented and ways in which these are received. Some work to date assumes journalism transmits existing medical knowledge to a passive audience. This study aimed to explore how newspaper articles present stories about medical research and how people interpret and use them. DESIGN: Qualitat…
A feasibility study with process evaluation of a preschool intervention to improve child and family lifestyle behaviours
ISRCTN12345678 (16/02/17) retrospectively registered
Being' a ventricular assist device recipient
Perceptions of nursery staff and parent views of healthy eating promotion in preschool settings
There is a need to further explore nursery staff members' personal perceptions of health and how food policies which promote healthier food in preschool settings can be embedded and implemented. Family friendly healthy eating strategies and activities which utilise nudge theory should be developed and delivered in a manner that is sensitive to parents' concerns. Preschool settings may offer an opportunity for delivery of such activities
Talking About Looking
Given the profusion of illness-related information, in this article, we consider how talking about information seeking-and in particular Internet use-is difficult, not because it is necessarily a highly sensitive topic (though it may be), but rather due to the unusual and unfamiliar situation of talking about information seeking. Drawing on interviews conducted as part of a study on the educational needs of carers of people with rheumatoid arthri…
How Men Manage Bulbar Urethral Stricture by Concealing Urinary Symptoms
In this article, we present findings from research conducted as part of a multi-center surgical trial. Bulbar urethral stricture, a narrowing of the middle urethra, is a common cause of urinary problems in men that can have a profound impact on their lives. Semi-structured interviews were conducted with a sample of 19 men seeking treatment for urethral stricture. The findings reveal how men tend to develop routines and tactics to adapt to their s…
Qualitative synthesis in practice
Synthesising qualitative research involves working through difficult practical issues. Drawing upon our collective experience of undertaking three meta-ethnographies, we consider the forms of work - the practical action and practical reasoning - comprising this kind of synthesis and the difference they make to a meta-ethnography. We detail the origins and aims of meta-ethnography, and present a review of existing meta-ethnographies with a specifi…
Study protocol
This study will evaluate the effect of service components of transitional care, rather than evaluation of specific models that may be unsustainable or not generalisable. It has been developed in response to numerous national and international calls for such evaluation
Order, order
In this commentary, initially I return to Schegloff’s ideas about the potential promiscuity of the analyst who works with categories. I then note how Stokoe’s article is centred on working with fragments where speakers explicitly mark themselves or another speaker as a member of a specific category. I close the commentary by arguing for, at times, the inclusion of a more modest and contingent analysis that works to explore both the moments when s…
Normalisation process theory
BACKGROUND: The past decade has seen considerable interest in the development and evaluation of complex interventions to improve health. Such interventions can only have a significant impact on health and health care if they are shown to be effective when tested, are capable of being widely implemented and can be normalised into routine practice. To date, there is still a problematic gap between research and implementation. The Normalisation Proc…
Development of a theory of implementation and integration
BACKGROUND: Theories are important tools in the social and natural sciences. The methods by which they are derived are rarely described and discussed. Normalization Process Theory explains how new technologies, ways of acting, and ways of working become routinely embedded in everyday practice, and has applications in the study of implementation processes. This paper describes the process by which it was built. METHODS: Between 1998 and 2008, we d…
Distributed decision making
Conceptualising the doctor-patient relationship has been a central project for both medicine and medical sociology. This paper seeks to show how an understanding of thedistributednature of medical practice can help us research the decision-making process in doctor-patient encounters. I draw on a range of empirical studies of medical interaction, knowledge, technology and work in primary and secondary care. I describe the 'ethno-methods' (Garfinke…
The art(fulness) of open-ended interviewing
Considerable analytic attention has focused on interviewees' talk as 'accounts', or 'versions', rather than as direct reports of attitudes or perceptions. However, despite recognition of the 'co-construction of accounts', little analytic attention has been given to the interviewer as central in the production of the talk. With this attention, we are left with an analysis of some decontextualized-features-of-talk (or discourse/identities/narrative…
Technogovernance
Technological solutions to problems of knowledge and practice in health care are routinely advocated. This paper explores the ways that new systems of practice are being deployed as intermediaries in interactions between clinicians and their patients. Central to this analysis is the apparent conflict between two important ways of organizing ideas about practice in primary care. First, a shift away from the medical objectification of the patient, …
Distributed decision making
Conceptualising the doctor-patient relationship has been a central project for both medicine and medical sociology. This paper seeks to show how an understanding of thedistributednature of medical practice can help us research the decision-making process in doctor-patient encounters. I draw on a range of empirical studies of medical interaction, knowledge, technology and work in primary and secondary care. I describe the 'ethno-methods' (Garfinke…
Qualitative synthesis in practice
Synthesising qualitative research involves working through difficult practical issues. Drawing upon our collective experience of undertaking three meta-ethnographies, we consider the forms of work - the practical action and practical reasoning - comprising this kind of synthesis and the difference they make to a meta-ethnography. We detail the origins and aims of meta-ethnography, and present a review of existing meta-ethnographies with a specifi…
Doctor-patient interaction in a randomised controlled trial of decision-support tools
Still a difficult business? Negotiating alcohol-related problems in general practice consultations
Changing healthcare professionals' non-reflective processes to improve the quality of care
Combining theories of habit and routines has the potential to advance implementation science by providing a fuller understanding of the range of factors, operating at multiple levels of analysis, which can impact on the behaviours of healthcare professionals, and so quality of care provision
Single‐handed care’ initiatives and reviews of double‐handed homecare packages
International health and social care systems are experiencing unprecedented pressure and demand. 'Single-handed care' initiatives seek to identify whether all or part of a homecare package involving more than one care worker can be safely reduced to a single worker. Little is known about these initiatives across local authorities. The aim of this study was to identify, describe and explain current processes and practices for single-handed care in…
Data protection, information governance and the potential erosion of ethnographic methods in health care
With the most recent developments to the European General Data Protection Regulations (GDPR) introduced in May 2018, the resulting legislation meant a new set of considerations for study approvers and health-care researchers. Compared with previous legislation in the UK (The Data Protection Act, 1998), it introduced more extensive and directive principles, requiring anybody 'processing' personal data to specifically define how this data will be o…
Normative puzzles for local government
A crisis in social care is apparent across the developed world as ageing populations put unprecedented demand on understaffed social care workforces. A recent popular response to this 'care crisis' within the UK involves the 'innovation' of single-handed care (SHC). SHC involves a care package with two or more homecare workers being reduced to one worker using advanced equipment and new moving and handling techniques. In this article, we explore …
Being' a ventricular assist device recipient
How Men Manage Bulbar Urethral Stricture by Concealing Urinary Symptoms
In this article, we present findings from research conducted as part of a multi-center surgical trial. Bulbar urethral stricture, a narrowing of the middle urethra, is a common cause of urinary problems in men that can have a profound impact on their lives. Semi-structured interviews were conducted with a sample of 19 men seeking treatment for urethral stricture. The findings reveal how men tend to develop routines and tactics to adapt to their s…
Order, order
In this commentary, initially I return to Schegloff’s ideas about the potential promiscuity of the analyst who works with categories. I then note how Stokoe’s article is centred on working with fragments where speakers explicitly mark themselves or another speaker as a member of a specific category. I close the commentary by arguing for, at times, the inclusion of a more modest and contingent analysis that works to explore both the moments when s…
The art(fulness) of open-ended interviewing
Considerable analytic attention has focused on interviewees' talk as 'accounts', or 'versions', rather than as direct reports of attitudes or perceptions. However, despite recognition of the 'co-construction of accounts', little analytic attention has been given to the interviewer as central in the production of the talk. With this attention, we are left with an analysis of some decontextualized-features-of-talk (or discourse/identities/narrative…
Clinical reasoning, clinical trials and risky drinkers in everyday primary care
Alcohol and other substance misuse problems have historically been seen as refractory in primary care, but in the past 20 years Brief Interventions have come to be seen as an important and effective response to a range of problems around ‘risky drinking’. Proponents of brief interventions have argued that these interventions are best accomplished in the community, but that primary health care professionals resist using them. This qualitative stud…
Doctor-patient interaction in a randomised controlled trial of decision-support tools
Still a difficult business? Negotiating alcohol-related problems in general practice consultations
Technogovernance
Technological solutions to problems of knowledge and practice in health care are routinely advocated. This paper explores the ways that new systems of practice are being deployed as intermediaries in interactions between clinicians and their patients. Central to this analysis is the apparent conflict between two important ways of organizing ideas about practice in primary care. First, a shift away from the medical objectification of the patient, …
Doing Conversation, Discourse and Document Analysis
Out of Joint. A Private and Public Story of Arthritis - by Felstiner, M
Felstiner, M. Out of Joint. A Private and Public Story of Arthritis . Lincoln : University of Nebraska Press 2005 . xv+369pp £16.95 . ISBN 0 8032 2030 8 (hbk) Medical sociology owes a great debt to arthritis. We have learnt from observing, questioning and listening to patients with arthritis and some of our taken-for-granted ideas about trajectories, chronic illness and biographical work have emerged from studies of this group. Moreover, in some …
Distributed decision making
Conceptualising the doctor-patient relationship has been a central project for both medicine and medical sociology. This paper seeks to show how an understanding of thedistributednature of medical practice can help us research the decision-making process in doctor-patient encounters. I draw on a range of empirical studies of medical interaction, knowledge, technology and work in primary and secondary care. I describe the 'ethno-methods' (Garfinke…
Development of a theory of implementation and integration
BACKGROUND: Theories are important tools in the social and natural sciences. The methods by which they are derived are rarely described and discussed. Normalization Process Theory explains how new technologies, ways of acting, and ways of working become routinely embedded in everyday practice, and has applications in the study of implementation processes. This paper describes the process by which it was built. METHODS: Between 1998 and 2008, we d…
Normalisation process theory
BACKGROUND: The past decade has seen considerable interest in the development and evaluation of complex interventions to improve health. Such interventions can only have a significant impact on health and health care if they are shown to be effective when tested, are capable of being widely implemented and can be normalised into routine practice. To date, there is still a problematic gap between research and implementation. The Normalisation Proc…
Order, order
In this commentary, initially I return to Schegloff’s ideas about the potential promiscuity of the analyst who works with categories. I then note how Stokoe’s article is centred on working with fragments where speakers explicitly mark themselves or another speaker as a member of a specific category. I close the commentary by arguing for, at times, the inclusion of a more modest and contingent analysis that works to explore both the moments when s…
Study protocol
This study will evaluate the effect of service components of transitional care, rather than evaluation of specific models that may be unsustainable or not generalisable. It has been developed in response to numerous national and international calls for such evaluation
How Men Manage Bulbar Urethral Stricture by Concealing Urinary Symptoms
In this article, we present findings from research conducted as part of a multi-center surgical trial. Bulbar urethral stricture, a narrowing of the middle urethra, is a common cause of urinary problems in men that can have a profound impact on their lives. Semi-structured interviews were conducted with a sample of 19 men seeking treatment for urethral stricture. The findings reveal how men tend to develop routines and tactics to adapt to their s…
Qualitative synthesis in practice
Synthesising qualitative research involves working through difficult practical issues. Drawing upon our collective experience of undertaking three meta-ethnographies, we consider the forms of work - the practical action and practical reasoning - comprising this kind of synthesis and the difference they make to a meta-ethnography. We detail the origins and aims of meta-ethnography, and present a review of existing meta-ethnographies with a specifi…
Perceptions of nursery staff and parent views of healthy eating promotion in preschool settings
There is a need to further explore nursery staff members' personal perceptions of health and how food policies which promote healthier food in preschool settings can be embedded and implemented. Family friendly healthy eating strategies and activities which utilise nudge theory should be developed and delivered in a manner that is sensitive to parents' concerns. Preschool settings may offer an opportunity for delivery of such activities
Talking About Looking
Given the profusion of illness-related information, in this article, we consider how talking about information seeking-and in particular Internet use-is difficult, not because it is necessarily a highly sensitive topic (though it may be), but rather due to the unusual and unfamiliar situation of talking about information seeking. Drawing on interviews conducted as part of a study on the educational needs of carers of people with rheumatoid arthri…
Drug breakthrough offers hope to arthritis sufferers
BACKGROUND: Newspaper stories can impact behaviours, particularly in relation to research participation. It is therefore important to understand the narratives presented and ways in which these are received. Some work to date assumes journalism transmits existing medical knowledge to a passive audience. This study aimed to explore how newspaper articles present stories about medical research and how people interpret and use them. DESIGN: Qualitat…
A feasibility study with process evaluation of a preschool intervention to improve child and family lifestyle behaviours
ISRCTN12345678 (16/02/17) retrospectively registered
Being' a ventricular assist device recipient
Older patients’ experience of primary hypothyroidism
BACKGROUND: Primary hypothyroidism is a common endocrine disorder, more so in an increasing UK ageing population. There is no qualitative research examining the older patient perspective of symptoms, treatment and self-management of hypothyroidism. OBJECTIVE: In this study we explored the experience of hypothyroidism in older people and examined how this may influence their understanding and acceptance of diagnosis, treatment with Levothyroxine a…
The burden of proof
Patient and public involvement in research includes non‐academics working with researchers, on activities from consultative tasks, to joint working, and on user‐led initiatives. Health and social care funding bodies require involvement in research projects. A current debate focuses on a perceived lack of empirical “proof” to demonstrate the impact of involvement upon the quality of research. It is also argued that the working relationships betwee…
Describing pre‐appointment written materials as an intervention in the context of children’s NHS therapy services
CONTEXT: Pre-appointment written materials, including letters and leaflets, are commonly used by healthcare organisations to deliver professional-patient interactions. The written materials potentially change patients' knowledge and behaviour as part of a healthcare intervention but have received little investigation. OBJECTIVE: To describe the content of pre-appointment written materials through a behaviour change intervention perspective. DESIG…
A Mixed Method Study
Children and young people with rheumatic diseases and their families are often supported by nurses who may not have had specialist training in paediatric rheumatology. The purpose of our study was to establish the core learning needs of all nurses who may encounter these children and young people in their clinical practice and use this information to inform the content and format of Paediatric Musculoskeletal Matters Nursing (PMM-Nursing) Engagem…
Single‐handed care’ initiatives and reviews of double‐handed homecare packages
International health and social care systems are experiencing unprecedented pressure and demand. 'Single-handed care' initiatives seek to identify whether all or part of a homecare package involving more than one care worker can be safely reduced to a single worker. Little is known about these initiatives across local authorities. The aim of this study was to identify, describe and explain current processes and practices for single-handed care in…
Changing healthcare professionals' non-reflective processes to improve the quality of care
Combining theories of habit and routines has the potential to advance implementation science by providing a fuller understanding of the range of factors, operating at multiple levels of analysis, which can impact on the behaviours of healthcare professionals, and so quality of care provision
Medicine (20 obras) · Psychology (20 obras) · Nursing (15 obras) · Computer Science (14 obras) · Sociology (14 obras) · Health care (9 obras) · Qualitative research (9 obras) · Health Policy Implementation Science (8 obras) · Mental Health and Patient Involvement (8 obras) · Political science (8 obras)