A Niroshan Siriwardena
Dados Biográficos
| ID | 4460698 |
|---|---|
| NOME | A Niroshan Siriwardena |
| PRENOMES | A Niroshan |
| SOBRENOME | Siriwardena |
| ASSINATURA | SIRIWARDENA A N |
| AFILIAÇÕES | University of Lincoln |
| ORCID | 0000-0003-2484-8201 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 32 |
| TOTAL DE CITAÇÕES | 0 |
| TOTAL COMO AUTOR | 32 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2010 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 0 |
Navigating Emergency Care After Injury
"It makes me feel happy that we did it and what came out of it"
This paper explores insights from recent Historic England-funded research (Lewis et al. 2022; Pattinson et al. 2023) into how and why heritage participation is associated with wellbeing. The research involved thematic analyses of in-depth post-participation interviews with 35 adults who had volunteered on activities funded to support heritage sites previously deemed to be 'at risk'. This paper reviews the six overarching key themes identified as …
Power relations and role boundaries between community first responders and ambulance clinicians in England
Power relations between clinical volunteers and professionals within health services constitute a key determinant of role relationships and boundaries. Community First Responders (CFRs) are trained lay volunteers who respond to emergencies, interacting with patients and ambulance professionals. We aimed to explore the power relationships between CFRs and ambulance clinicians. We conducted 40 in-depth interviews with 4 ambulance clinicians, 21 CFR…
Exploring mental health emergencies attended by ambulances in rural England during the Covid-19 pandemic
Ambulance data offer novel insight into the mental health impacts of the pandemic in rural areas, which are typically underrepresented in health service use data. This research involved a retrospective observational study of all records of patients experiencing mental health emergencies attended by ambulances in the East Midlands of the United Kingdom between March 11 and December 31, 2020, and patients in regions classified as “rural towns” and …
An exploration of the experiences and self-generated strategies used when navigating everyday life with Long Covid
LISTEN ISRCTN36407216
Community efforts to promote vaccine uptake in a rural setting
Vaccine hesitancy has been identified as one of the top 10 threats to global health. The causes of low vaccine uptake are many and vary at micro and macro levels. However, rural and remote coastal areas in the UK experience unique vaccine inequalities due to high levels of deprivation and their unique and complex access-related problems. This study aimed to explore community efforts to promote vaccine uptake during the COVID-19 pandemic and under…
The effect of specific learning difficulties on general practice written and clinical assessments
Volunteering on Heritage at Risk sites and wellbeing
INTRODUCTION: We explored experiences of volunteering in Heritage at Risk (HAR) projects, intended to mitigate the deterioration to historic assets, and the relationship with wellbeing. We aimed to understand the value of HAR to volunteers' wellbeing and relationships between HAR programme characteristics such as location, asset type and type of activity. METHODS: We used a qualitative design with semi-structured interviews of a purposive sample …
An early warning precision public health approach for assessing Covid-19 vulnerability in the UK
The MHVI identifies regions with known high rates of poor health outcomes prior to the pandemic that case rates or mortality rates alone fail to identify. Pre-hospital early warning measures could be utilised to prevent mortality during a novel pandemic
Exploring the Impact of the Covid-19 Pandemic on Male Mental Health Emergencies Attended by Ambulances During the First National “Lockdown” in the East Midlands of the United Kingdom
The novel coronavirus disease 2019 (COVID-19) pandemic and associated mitigation strategies such as “lockdown” are having widespread adverse psychological effects, including increased levels of anxiety and depression. Most research using self-reported data highlights the pandemic’s impact on the psychological well-being of females, whereas data for mental health emergency presentations may reflect the impact on male mental health more accurately.…
Characterizing Unusual Spatial Clusters of Male Mental Health Emergencies Occurring During the First National Covid-19 “Lockdown” in the East Midlands Region, UK
The widespread psychological effects of contagion mitigation measures associated with the novel coronavirus disease 2019 (COVID-19) are well known. Phases of “lockdown” have increased levels of anxiety and depression globally. Most research uses methods such as self-reporting that highlight the greater impact of the pandemic on the mental health of females. Emergency medical data from ambulance services may be a better reflection of male mental h…
Ambulance attendance for substance and/or alcohol use in a pandemic
Rethinking the health implications of society-environment relationships in built areas
An exploration of factors characterising unusual spatial clusters of Covid-19 cases in the East Midlands region, UK
Patient‐reported symptoms and experience following Guillain‐Barré syndrome and related conditions
BACKGROUND: Guillain-Barré syndrome (GBS) is a rare inflammatory peripheral nerve disorder with variable recovery. Evidence is lacking on experiences of people with GBS and measurement of these experiences. OBJECTIVE: We aimed to develop and validate an instrument to measure experiences of people with GBS. DESIGN: We used a cross-sectional design and online self-administered questionnaire survey. Question domains, based on a previous systematic r…
Alcohol and other substance use during the Covid-19 pandemic
Senior clinical and business managers’ perspectives on the influence of different funding mechanisms, and barriers and enablers to implementing models of employing General Practitioners in or alongsid…
Understanding and remedying the performance of doctors in training
How can we enable more comprehensive and holistic assessment of medical performance to support underperforming trainees? This commentary provides a useful mnemonic: SKIPE
Communicating cancer risk in the primary care consultation when using a cancer risk assessment tool
BACKGROUND: Cancer risk assessment tools are designed to help detect cancer risk in symptomatic individuals presenting to primary care. An early detection of cancer risk could mean early referral for investigations, diagnosis and treatment, helping to address late diagnosis of cancer. It is not clear how best cancer risk may be communicated to patients when using a cancer risk assessment tool to assess their risk of developing cancer. OBJECTIVE: …
Exploring the experiences of having Guillain‐Barré Syndrome
BACKGROUND: Guillain-Barré syndrome (GBS) is a rare inflammatory disorder affecting the peripheral nerves. Although typically there is full neurological recovery, some people continue to experience residual physical, psychological or social problems longer term. Evidence describing the experiences of people with GBS is limited. OBJECTIVE: We aimed to explore the experiences of people with GBS in the UK. DESIGN: We used qualitative (face-to-face a…
Proactive Assessment of Obesity Risk during Infancy (ProAsk)
NCT02314494 . Date registered 11th December 2014
The ‘wild and woolly’ world of exercise referral schemes
Exercise Referral Schemes (ERS) are programmes commonly implemented in the United Kingdom to increase physical activity levels and ‘treat’ ‘sedentary’ individuals and those diagnosed with non-communicable chronic disease. The views and interpretations of stakeholders are currently under-researched, however. This paper addresses sociologically this research lacuna, presenting data from interviews with 17 ERS stakeholders (seven exercise profession…
A coproduced patient and public event
BACKGROUND: Patient and public involvement (PPI) is recognized as an important component of high-quality health services research. PPI is integral to the Pre-hospital Outcomes for Evidence Based Evaluation (PhOEBE) programme. The PPI event described in detail in this article focusses on the process of involving patients and public representatives in identifying, prioritizing and refining a set of outcome measures that can be used to support ambul…
Prioritizing novel and existing ambulance performance measures through expert and lay consensus
BACKGROUND: Current ambulance quality and performance measures, such as response times, do not reflect the wider scope of care that services now provide. Using a three-stage consensus process, we aimed to identify new ways of measuring ambulance service quality and performance that represent service provider and public perspectives. DESIGN: A multistakeholder consensus event, modified Delphi study, and patient and public consensus workshop. SETTI…
The effects of improving sleep on mental health (Oasis)
BACKGROUND: Sleep difficulties might be a contributory causal factor in the occurrence of mental health problems. If this is true, improving sleep should benefit psychological health. We aimed to determine whether treating insomnia leads to a reduction in paranoia and hallucinations. METHODS: We did this single-blind, randomised controlled trial (OASIS) at 26 UK universities. University students with insomnia were randomly assigned (1:1) with sim…
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Parents' beliefs about appropriate infant size, growth and feeding behaviour
There are a number of barriers to early intervention with parents of infants at risk of developing obesity. Parents are receptive to prevention prior to weaning and need better support with best practice in infant feeding. In particular, this should focus on helping them understand the physiology of breast feeding, how to differentiate between infant distress caused by hunger and other causes and the timing of weaning. Some parents also need guid…
UK health visitors' role in identifying and intervening with infants at risk of developing obesity
Childhood obesity is associated with a number of modifiable risk factors that can be identified during infancy or earlier. In the UK, health visitors advise parents about infant feeding, but little is known about their role in obesity prevention. The aim of this study was to investigate the beliefs and current practices of UK health visitors in relation to recognising and intervening with infants at risk of developing obesity. Thirty members of t…
Meet the editors
It is challenging nowadays for many authors to write and submit a scientific paper to peer reviewed journals due to strict editorial and reviewer evaluation processes and the competitive environment. For the dissemination of scientific papers (original research, literature review, case presentation, position paper etc.) relevant to Primary Health Care and General Practice it is important that authors understand the perspective of journal editors …
A meta-synthesis of clinicians’ experiences and perceptions of benzodiazepine prescribing
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Development of an evidence-based practice guideline for UK public health nurses (health visitors) to use with parents of infants at risk of obesity
Reassurance as a key outcome valued by emergency ambulance service users
BACKGROUND: There is an increasing need to assess the performance of emergency ambulance services using measures other than the time taken for an ambulance to arrive on scene. In line with government policy, patients and carers can help to shape new measures of ambulance service performance. OBJECTIVE: To investigate the aspects of emergency ambulance service care valued by users. DESIGN: Qualitative interview study. SETTING: One of 11 ambulance …
Patients' and clinicians' experiences and perceptions of the primary care management of insomnia
BACKGROUND: Insomnia is common leading to patients with sleep problems often presenting to primary care services including general practice, community pharmacies and community mental health teams. Little is known about how health professionals in primary care respond to patients with insomnia. AIM: We aimed to explore health professionals' and patients' experiences and perceptions of the management of insomnia in primary care. DESIGN: We used a q…
The effects of improving sleep on mental health (Oasis)
BACKGROUND: Sleep difficulties might be a contributory causal factor in the occurrence of mental health problems. If this is true, improving sleep should benefit psychological health. We aimed to determine whether treating insomnia leads to a reduction in paranoia and hallucinations. METHODS: We did this single-blind, randomised controlled trial (OASIS) at 26 UK universities. University students with insomnia were randomly assigned (1:1) with sim…
The ‘wild and woolly’ world of exercise referral schemes
Exercise Referral Schemes (ERS) are programmes commonly implemented in the United Kingdom to increase physical activity levels and ‘treat’ ‘sedentary’ individuals and those diagnosed with non-communicable chronic disease. The views and interpretations of stakeholders are currently under-researched, however. This paper addresses sociologically this research lacuna, presenting data from interviews with 17 ERS stakeholders (seven exercise profession…
A coproduced patient and public event
BACKGROUND: Patient and public involvement (PPI) is recognized as an important component of high-quality health services research. PPI is integral to the Pre-hospital Outcomes for Evidence Based Evaluation (PhOEBE) programme. The PPI event described in detail in this article focusses on the process of involving patients and public representatives in identifying, prioritizing and refining a set of outcome measures that can be used to support ambul…
Prioritizing novel and existing ambulance performance measures through expert and lay consensus
BACKGROUND: Current ambulance quality and performance measures, such as response times, do not reflect the wider scope of care that services now provide. Using a three-stage consensus process, we aimed to identify new ways of measuring ambulance service quality and performance that represent service provider and public perspectives. DESIGN: A multistakeholder consensus event, modified Delphi study, and patient and public consensus workshop. SETTI…
Proactive Assessment of Obesity Risk during Infancy (ProAsk)
NCT02314494 . Date registered 11th December 2014
Understanding and remedying the performance of doctors in training
How can we enable more comprehensive and holistic assessment of medical performance to support underperforming trainees? This commentary provides a useful mnemonic: SKIPE
Communicating cancer risk in the primary care consultation when using a cancer risk assessment tool
BACKGROUND: Cancer risk assessment tools are designed to help detect cancer risk in symptomatic individuals presenting to primary care. An early detection of cancer risk could mean early referral for investigations, diagnosis and treatment, helping to address late diagnosis of cancer. It is not clear how best cancer risk may be communicated to patients when using a cancer risk assessment tool to assess their risk of developing cancer. OBJECTIVE: …
Exploring the experiences of having Guillain‐Barré Syndrome
BACKGROUND: Guillain-Barré syndrome (GBS) is a rare inflammatory disorder affecting the peripheral nerves. Although typically there is full neurological recovery, some people continue to experience residual physical, psychological or social problems longer term. Evidence describing the experiences of people with GBS is limited. OBJECTIVE: We aimed to explore the experiences of people with GBS in the UK. DESIGN: We used qualitative (face-to-face a…
Alcohol and other substance use during the Covid-19 pandemic
Senior clinical and business managers’ perspectives on the influence of different funding mechanisms, and barriers and enablers to implementing models of employing General Practitioners in or alongsid…
Exploring the Impact of the Covid-19 Pandemic on Male Mental Health Emergencies Attended by Ambulances During the First National “Lockdown” in the East Midlands of the United Kingdom
The novel coronavirus disease 2019 (COVID-19) pandemic and associated mitigation strategies such as “lockdown” are having widespread adverse psychological effects, including increased levels of anxiety and depression. Most research using self-reported data highlights the pandemic’s impact on the psychological well-being of females, whereas data for mental health emergency presentations may reflect the impact on male mental health more accurately.…
Characterizing Unusual Spatial Clusters of Male Mental Health Emergencies Occurring During the First National Covid-19 “Lockdown” in the East Midlands Region, UK
The widespread psychological effects of contagion mitigation measures associated with the novel coronavirus disease 2019 (COVID-19) are well known. Phases of “lockdown” have increased levels of anxiety and depression globally. Most research uses methods such as self-reporting that highlight the greater impact of the pandemic on the mental health of females. Emergency medical data from ambulance services may be a better reflection of male mental h…
Ambulance attendance for substance and/or alcohol use in a pandemic
Rethinking the health implications of society-environment relationships in built areas
An exploration of factors characterising unusual spatial clusters of Covid-19 cases in the East Midlands region, UK
Patient‐reported symptoms and experience following Guillain‐Barré syndrome and related conditions
BACKGROUND: Guillain-Barré syndrome (GBS) is a rare inflammatory peripheral nerve disorder with variable recovery. Evidence is lacking on experiences of people with GBS and measurement of these experiences. OBJECTIVE: We aimed to develop and validate an instrument to measure experiences of people with GBS. DESIGN: We used a cross-sectional design and online self-administered questionnaire survey. Question domains, based on a previous systematic r…
Community efforts to promote vaccine uptake in a rural setting
Vaccine hesitancy has been identified as one of the top 10 threats to global health. The causes of low vaccine uptake are many and vary at micro and macro levels. However, rural and remote coastal areas in the UK experience unique vaccine inequalities due to high levels of deprivation and their unique and complex access-related problems. This study aimed to explore community efforts to promote vaccine uptake during the COVID-19 pandemic and under…
The effect of specific learning difficulties on general practice written and clinical assessments
Medicine (27 obras) · Psychology (14 obras) · Psychiatry (12 obras) · Qualitative research (12 obras) · Nursing (10 obras) · Environmental health (7 obras) · Pandemic (7 obras) · Medical emergency (6 obras) · Business (5 obras) · Computer Science (5 obras)