Jenny Donovan
Dados Biográficos
| ID | 3603848 |
|---|---|
| NOME | Jenny Donovan |
| PRENOMES | Jenny |
| SOBRENOME | Donovan |
| ASSINATURA | DONOVAN J |
| AFILIAÇÕES | University of Bristol |
| ORCID | 0000-0002-6488-5472 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 47 |
| TOTAL DE CITAÇÕES | 567 |
| TOTAL COMO AUTOR | 46 |
| TOTAL COMO EDITOR | 1 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1984 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2023 |
| ÍNDICE H | 13 |
How latent patterns of interprofessional working may lead to delays in discharge from hospital of older people living with frailty – ‘Patient more confused than usual?’
Unnecessarily delayed discharges from hospital of older people living with frailty can have negative consequences for their health and add significant costs to health services. We report on an ethnographic study at two English hospitals and their respective health and social care systems where we followed 37 patient journeys. The study aim was to understand why delays occur. Our findings indicate that working practices in the study hospitals may …
The experience of conducting collaborative and intensive pragmatic qualitative (CLIP-Q) research to support rapid public health and healthcare innovation
A key challenge for qualitative methods in applied health research is the fast pace that can characterize the public health and health and care service landscape, where there is a need for research informed by immediate pragmatic questions and relevant findings are required quickly to inform decision-making. The COVID-19 pandemic accelerated the pace at which evidence was needed to inform urgent public health and healthcare decision-making. This …
What empirical research has been undertaken on the ethics of clinical research in India? A systematic scoping review and narrative synthesis
INTRODUCTION: The post-2005 rise in clinical trials and clinical research conducted in India was accompanied by frequent reports of unethical practices, leading to a series of regulatory changes. We conducted a systematic scoping review to obtain an overview of empirical research pertaining to the ethics of clinical trials/research in India. METHODS: Our search strategy combined terms related to ethics/bioethics, informed consent, clinical trials…
Synthesizing Qualitative Data Sets to Improve the Design of Trials and Complex Health Interventions
Qualitative researchers are increasingly reanalyzing and synthesizing data sets from different studies, and this method has now been used across trials to inform trial methodology and delivery. Despite this work, however, limited guidance exists about how this method should be employed. This article details an example in which interview data collected during three primary care depression trials were brought together to explore trial participants'…
Intensive Triangulation of Qualitative Research and Quantitative Data to Improve Recruitment to Randomized Trials
Randomized controlled trials (RCTs) can provide high quality evidence about the comparative effectiveness of health care interventions, but many RCTs struggle with or fail to complete recruitment. RCTs are built on the principles of the experimental method, but their planning, conduct, and interpretation can depend on complex social, behavioral, and cultural factors that may be best understood through qualitative research. Most qualitative studie…
Experiencing menopause in the UK
We investigated the experience and perspectives of menopause among 48 UK mothers through qualitative in-depth interviews. Interviews were analyzed thematically then explored using social science theories. Three interdependent narratives emerged: menopause as a normal, biological process, distinct from self and social transitions; menopause as struggle, an "idiom of distress" expressing upset, identity loss, shame, and social upheaval; and menopau…
Self‐responsibility, rationing and treatment decision making – managing moral narratives alongside fiscal reality in the obesity surgery clinic
BACKGROUND: Addressing the prevalence of severe obesity and its concomitant morbidities is widely acknowledged as one of the most pressing global health priorities. Nevertheless, a paucity of effective interventions and universal pressure on health-care budgets means that access to obesity treatments is often limited. Although health-care rationing can be conceived as a socially constructed process, little is known about how decisions emerge with…
Community Engagement in Post-Disaster Recovery
‘She believed in me’ . What patients with depression value in their relationship with practitioners. A secondary analysis of multiple qualitative data sets
BACKGROUND: Clinical guidance promotes the practitioner-patient relationship as integral to good quality person-centred care for patients with depression. However, patients can struggle to engage with practitioners and practitioners have indicated that they want more guidance on how to establish effective relationships with their patients. OBJECTIVE: To identify what practitioner attributes patients with depression particularly value or find prob…
“I won't call it rationing…”
How clinical rationing works in practice
Patient advocacy and patient centredness in participant recruitment to randomized‐controlled trials
Context With the routinization of evidence‐based medicine and of the randomized‐controlled trial (RCT), more patients are becoming ‘sites of evidence production’ yet, little is known about how they are recruited as participants; there is some evidence that ‘substantively valid consent’ is difficult to achieve. Objective To explore the views and experiences of nurses recruiting patients to randomized‐controlled trials and to examine the extent to …
Vicious Circles
Although there has been extensive research around the etiology of moderate obesity, there are still important questions relating to the development and lived experience of extreme obesity. We present a synthesis of data from two in-depth qualitative studies in which morbidly obese participants ( N = 31) were able to explain the development of the condition in their own terms. We identified consistent themes in the two datasets, and undertook a de…
Designing to Heal
Designing to Heal explores what happens to communities that have suffered disasters, either natural or man-made, and what planners and urban designers can do to give the affected communities the best possible chance of recovery. It examines the relationship that people have with their surroundings and the profound disruption to people's lives that can occur when that relationship is violently changed; when the familiar settings for their lives ar…
The Effect of the School Environment on the Emotional Health of Adolescents
Suicide communication events
P2-34 Association of anthropometric and lifestyle factors with prostate specific antigen (PSA) trajectories in men with localised prostate cancer undergoing active monitoring
Introduction Widespread use of Prostate-specific Antigen (PSA) testing has lead to a rapid increase in the identification of low risk prostate cancer, with PSA trajectories often used to monitor tumour progression after diagnosis. Here we develop novel age-specific multi-level growth curves to assess the effects of lifestyle and anthropometric measures on PSA trajectories. Methods Serial PSA measures from 513 men aged 50–70 years with localised p…
O6-2.5 Alcohol and prostate cancer risk
Introduction Despite alcohol being an established carcinogen and recent prospective studies showing increased prostate cancer risk among heavy drinkers, alcohol is not an established risk factor for prostate cancer. We aimed to investigate the causal role of alcohol on prostate cancer through conventional observational epidemiology techniques and Mendelian randomisation, by using genetic variants influencing the propensity to drink or modifying t…
Implementing 'translational' biomedical research
Medical Proofs, Social Experiments
Will, C. and Moreira, T. ( eds ) Medical Proofs, Social Experiments: Clinical Trials in Shifting Contexts . Farnham, Surrey : Ashgate , 2010 £55.00 (hbk ) 198 pp . ISBN: 978-0-7546-7928-8 This volume provides an interesting and detailed overview of key sociological critiques of randomised controlled trials (RCTs) through a set of empirical and carefully located ethnographic investigations within particular RCTs or groups of trials in particular c…
Part and parcel of teaching? Secondary school staff's views on supporting student emotional health and well‐being
The need for schools to support children and young people's mental and emotional health is increasingly emphasised in policy initiatives, yet the role of teachers in this has been under explored. This paper reports findings from qualitative, semi‐structured interviews with 14 school staff at eight secondary schools in England, examining emotional health and well‐being (EHWB) activities in which they were involved. Three emergent themes are discus…
Tuberculosis Transmission and Use of Methamphetamines in Snohomish County, WA, 1991–2006
Objectives. We investigated a cluster of tuberculosis (TB) cases among persons using methamphetamines in Snohomish County, Washington, to determine the extent of the outbreak, examine whether methamphetamine use contributed to TB transmission, and implement strategies to prevent further infections. Methods. We screened contacts to find and treat persons with TB disease or infection. We then formed a multidisciplinary team to engage substance abus…
“I can see where they're coming from, but when you're on the end of it … you just want to get the money and the drug.”
Supporting adolescent emotional health in schools
Staff and students identified several ways in which schools can improve their support of adolescent emotional health, both within and outside the curriculum. However, such changes should be introduced as part of a wider consideration of how the whole school environment can be more supportive of students' emotional health. Clearer guidance at policy level, more rigorous evaluation of current interventions, and greater dissemination of good practic…
Public involvement in suicide prevention
The study will inform interventions to promote public mental health awareness and will provide a basis on which to develop community-focussed suicide prevention strategies
Evaluating meta-ethnography
Patient non-compliance
The significance and consequences of having painful and disabled joints in older age
This paper examines the meanings of symptoms for people with osteoarthritis. The study comprised 27 in-depth interviews with men and women aged between 51 and 91 years (median age = 76) and draws on previous sociological work about experiences of chronic illness, disability and ageing. In particular, the distinction proposed by Bury between 'meaning as significance' (the significance and connotations associated with illness) and 'meaning as conse…
Explaining non-help-seeking amongst young adults with mental distress
Mental disorder is common amongst young adults and is associated with many adverse outcomes. Data, however, indicate that young adults are particularly unlikely to seek help for such distress. This paper describes a qualitative study of 23 young adults (aged 16 to 24 years) with mental distress. Interviewing was used to obtain detailed narratives of illness behaviour and to explore reasons for non-help-seeking. Help-seekers and non-help-seekers w…
The public is too subjective
"Why don't they just tell me straight, why allocate it?" The struggle to make sense of participating in a randomised controlled trial
Making Sense of Sickness and Care
The paper presents findings from an investigation into individual perceptions of health and health care. The investigation employed an ethnographic or qualitative approach and was located in a theoretical framework deriving from Schutz and Heller. While Heller's study of everyday life is used to note how people make sense through constructing 'stories', Schutz's notions on scientific constructs are employed to demonstrate the need for, and proble…
Tales of biographical disintegration
Suicide research relies heavily on accounts provided by bereaved relatives, using a method known as the psychological autopsy. Psychological autopsy studies are invariably quantitative in design and their findings reinforce the medical model of suicide, emphasising the role of mental illness. They largely ignore the meanings that narrators attach to events, the nature of the sense-making task and the influences bearing upon it. This study drew on…
Ethnicity, socio-economic position and gender-do they affect reported health-care seeking behaviour
Normal disruption
Research in Black and White
The authors consider the methodological, interpretative, and practical issues that arise when there is a difference in ethnicity between researcher and informant in qualitative research by drawing on the academic literature and their fieldwork experiences as White researchers undertaking studies with individuals of African/Caribbean and South Asian descent. Some contemporary issues raised by 'researching the other' in the context of pragmatic hea…
Suicide communication events
It's not just what you say, it's also how you say it
Part and parcel of teaching? Secondary school staff's views on supporting student emotional health and well‐being
The need for schools to support children and young people's mental and emotional health is increasingly emphasised in policy initiatives, yet the role of teachers in this has been under explored. This paper reports findings from qualitative, semi‐structured interviews with 14 school staff at eight secondary schools in England, examining emotional health and well‐being (EHWB) activities in which they were involved. Three emergent themes are discus…
Assessing the need for health status measures
If there were a war tomorrow, we'd find the money
Sexual satisfaction, quality of life and the transaction of intimacy in hospital patients' accounts of their (hetero)sexual relationships
Twenty-three people attending hospitals in a city in southern England were interviewed to explore their perceptions and experiences of sexual dysfunction and satisfaction, and the relationship between these issues and subjective understandings of quality of life. Their responses are examined to inform theories concerning the relationship between intimacy and sexuality in heterosexual relationships. Disturbances to sexual function are framed by wi…
Medical Proofs, Social Experiments
Will, C. and Moreira, T. ( eds ) Medical Proofs, Social Experiments: Clinical Trials in Shifting Contexts . Farnham, Surrey : Ashgate , 2010 £55.00 (hbk ) 198 pp . ISBN: 978-0-7546-7928-8 This volume provides an interesting and detailed overview of key sociological critiques of randomised controlled trials (RCTs) through a set of empirical and carefully located ethnographic investigations within particular RCTs or groups of trials in particular c…
How clinical rationing works in practice
Vicious Circles
Although there has been extensive research around the etiology of moderate obesity, there are still important questions relating to the development and lived experience of extreme obesity. We present a synthesis of data from two in-depth qualitative studies in which morbidly obese participants ( N = 31) were able to explain the development of the condition in their own terms. We identified consistent themes in the two datasets, and undertook a de…
Implementing 'translational' biomedical research
Effects of Emotional Disclosure on Psychological and Physiological Outcomes in Patients with Rheumatoid Arthritis
The effects of an exploratory, home-based emotional disclosure intervention on psychological and physiological outcomes were assessed in patients with rheumatoid arthritis. Patients were randomly assigned to a disclosure group ( n = 19) in which they wrote/talked about traumatic personal experiences, or to a control group ( n = 15) in which they wrote/talked about the events of a particular day. Participants undertook these tasks for periods of 2…
Synthesizing Qualitative Data Sets to Improve the Design of Trials and Complex Health Interventions
Qualitative researchers are increasingly reanalyzing and synthesizing data sets from different studies, and this method has now been used across trials to inform trial methodology and delivery. Despite this work, however, limited guidance exists about how this method should be employed. This article details an example in which interview data collected during three primary care depression trials were brought together to explore trial participants'…
Intensive Triangulation of Qualitative Research and Quantitative Data to Improve Recruitment to Randomized Trials
Randomized controlled trials (RCTs) can provide high quality evidence about the comparative effectiveness of health care interventions, but many RCTs struggle with or fail to complete recruitment. RCTs are built on the principles of the experimental method, but their planning, conduct, and interpretation can depend on complex social, behavioral, and cultural factors that may be best understood through qualitative research. Most qualitative studie…
How latent patterns of interprofessional working may lead to delays in discharge from hospital of older people living with frailty – ‘Patient more confused than usual?’
Unnecessarily delayed discharges from hospital of older people living with frailty can have negative consequences for their health and add significant costs to health services. We report on an ethnographic study at two English hospitals and their respective health and social care systems where we followed 37 patient journeys. The study aim was to understand why delays occur. Our findings indicate that working practices in the study hospitals may …
Ethnicity and health
Making Sense of Sickness and Care
The paper presents findings from an investigation into individual perceptions of health and health care. The investigation employed an ethnographic or qualitative approach and was located in a theoretical framework deriving from Schutz and Heller. While Heller's study of everyday life is used to note how people make sense through constructing 'stories', Schutz's notions on scientific constructs are employed to demonstrate the need for, and proble…
Patient non-compliance
Assessing the need for health status measures
Adolescents' Attitudes and Beliefs About Pregnancy and Parenthood
This paper reports on a small, randomised controlled trial involving a school-based intervention targeting adolescents' idealised beliefs about pregnancy and parenthood. An intervention group of adolescents were assessed two weeks before and two weeks after viewing and discussing a video of three adolescent mothers describing the consequences of their pregnancies and parenthood. A control group was assessed on 2 occasions 4 weeks apart. Both the …
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 …
Research in Black and White
The authors consider the methodological, interpretative, and practical issues that arise when there is a difference in ethnicity between researcher and informant in qualitative research by drawing on the academic literature and their fieldwork experiences as White researchers undertaking studies with individuals of African/Caribbean and South Asian descent. Some contemporary issues raised by 'researching the other' in the context of pragmatic hea…
"Why don't they just tell me straight, why allocate it?" The struggle to make sense of participating in a randomised controlled trial
If there were a war tomorrow, we'd find the money
The public is too subjective
The significance and consequences of having painful and disabled joints in older age
This paper examines the meanings of symptoms for people with osteoarthritis. The study comprised 27 in-depth interviews with men and women aged between 51 and 91 years (median age = 76) and draws on previous sociological work about experiences of chronic illness, disability and ageing. In particular, the distinction proposed by Bury between 'meaning as significance' (the significance and connotations associated with illness) and 'meaning as conse…
Sexual satisfaction, quality of life and the transaction of intimacy in hospital patients' accounts of their (hetero)sexual relationships
Twenty-three people attending hospitals in a city in southern England were interviewed to explore their perceptions and experiences of sexual dysfunction and satisfaction, and the relationship between these issues and subjective understandings of quality of life. Their responses are examined to inform theories concerning the relationship between intimacy and sexuality in heterosexual relationships. Disturbances to sexual function are framed by wi…
Risk constructions among people who have a first-degree relative with cancer
Semi-structured exploratory interviews were carried out with informants who had at least one relative with a potentially heritable cancer (breast, prostate or colon) to investigate their risk perceptions towards a family history of cancer. The findings reveal that informants did not appear to feel at risk of cancer as a result of having a living first-degree relative with the disease. They often undertook an active and supportive interest in thei…
Evaluating meta-ethnography
Ethnicity, socio-economic position and gender-do they affect reported health-care seeking behaviour
Normal disruption
Effects of Emotional Disclosure on Psychological and Physiological Outcomes in Patients with Rheumatoid Arthritis
The effects of an exploratory, home-based emotional disclosure intervention on psychological and physiological outcomes were assessed in patients with rheumatoid arthritis. Patients were randomly assigned to a disclosure group ( n = 19) in which they wrote/talked about traumatic personal experiences, or to a control group ( n = 15) in which they wrote/talked about the events of a particular day. Participants undertook these tasks for periods of 2…
Remapping the Body
Surgery for esophageal cancer offers the hope of cure but might impair quality of life. The operation removes tumors obstructing the esophagus but frequently leaves patients with eating difficulties, leading to weight loss. Maintaining or increasing body weight is important to many patients, both as a means of returning to “normal” and as a means of rejecting the identity of the terminal cancer patient, but surgery radically alters embodied sensa…
Narrative Accounts of Hereditary Risk
In this study, the authors sought to examine how risk information is articulated in relation to health problems that people identify as personally important and relevant. The respondents were receptive to health education messages, using different types of information in relation to its personal relevance and as a resource for managing and exercising control over perceived risk. People were not fatalistic about disease risk, as reported in previo…
Explaining non-help-seeking amongst young adults with mental distress
Mental disorder is common amongst young adults and is associated with many adverse outcomes. Data, however, indicate that young adults are particularly unlikely to seek help for such distress. This paper describes a qualitative study of 23 young adults (aged 16 to 24 years) with mental distress. Interviewing was used to obtain detailed narratives of illness behaviour and to explore reasons for non-help-seeking. Help-seekers and non-help-seekers w…
Tales of biographical disintegration
Suicide research relies heavily on accounts provided by bereaved relatives, using a method known as the psychological autopsy. Psychological autopsy studies are invariably quantitative in design and their findings reinforce the medical model of suicide, emphasising the role of mental illness. They largely ignore the meanings that narrators attach to events, the nature of the sense-making task and the influences bearing upon it. This study drew on…
“I can see where they're coming from, but when you're on the end of it … you just want to get the money and the drug.”
Supporting adolescent emotional health in schools
Staff and students identified several ways in which schools can improve their support of adolescent emotional health, both within and outside the curriculum. However, such changes should be introduced as part of a wider consideration of how the whole school environment can be more supportive of students' emotional health. Clearer guidance at policy level, more rigorous evaluation of current interventions, and greater dissemination of good practic…
Public involvement in suicide prevention
The study will inform interventions to promote public mental health awareness and will provide a basis on which to develop community-focussed suicide prevention strategies
It's not just what you say, it's also how you say it
Medicine (39 obras) · Psychology (35 obras) · Sociology (21 obras) · Nursing (19 obras) · Political science (17 obras) · Qualitative research (13 obras) · Social Psychology (13 obras) · Health care (12 obras) · Public health (10 obras) · Psychiatry (9 obras)