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Posts Tagged ‘Claire Kilpatrick’

whirlwindThe last week has been a complete whirlwind, culminating in an early start tomorrow so I can share my work on Inherent and Elective hand hygiene (Study 3).

Having had my abstract for Infection Prevention 2013 accepted back in July, my planned funding was then delayed which meant I was left with no choice but to sadly pull out of the programme with only a few weeks to go. This was such a disappointment, as I had been really looking forward to Infection Prevention, having got so much out of the conference in Liverpool last year.  However, due to some amazing help from IPS (especially Claire Kilpatrick, Jon Otter and Pat Cattini) within hours of letting them know the news last Monday, I was offered funding support meaning I can join the event tomorrow (30th September). 

Really looking forward to sharing my work, and giving experts in the field the opportunity to comment/get in touch with regard to my plans for future developments!! 

Also have a HUGE sense of excitement building about the chance to hear from Hugo Sax again tomorrow. I was totally blown away by hearing him speak at ICPIC2013, so I’m sure tomorrow’s session will be worth the anticipation.  The programme is bursting with other gems, and I’m particularly looking forward to the EM Cottrell Lecture, given by Martin Kiernan.  Based on previous experience I’m sure this will be entertaining as well as informative…

Will be tweeting as much as possible, but with only one day at the conference, a huge exhibition, lots of posters I want to see, public transport to master, not to mention some #PoshMuffinsonTour to track down, I can’t be sure how much will be done…  Expect a blog in the next few days to wrap up thoughts!

ips 2013

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The past few weeks since finishing data collection have been spent going back over my thesis outline, working out what can be “written up without delay”, what “needs more work”, and what I would ideally like to put in a big box called “never look at again”….

Image from dreamstime.com

Safety deposit box for Dissertation Issues….(Image from dreamstime.com)

Naturally it is that third category that contains rather a lot of the “meat” of the dissertation at the moment, and it takes a lot of self-discipline to ensure that each of the “issues” are logged, so that I can plan to tackle them as I write-up, even if it is not something I can do all at once.  Fortunately I have been able to call on some great sources of assistance so far to help me with each “issue” I have plucked from the box, and therefore I am hoping that over the next few months the balance of what can be “written up without delay and what I’d like to “never look at again” will swing…but one thing is for sure, the whole thesis “needs a lot more work”.

What I have found really useful though, is the use of copious “pictures” to help me translate both my ideas and actions into formats that are easier to communicate – I am now forever drawing process flow diagrams of some kind, showing how my thoughts are flowing, what actions I carried out, and why certain processes were carried out in particular orders.  Whilst these started out as being tools to help me avoid “head-pop“, I have now found that they may well be jolly useful to include in the finished written dissertation, to help the examiner avoid the same fate, and to save the legendary 1,000 words

Learning - Risky Times (Image from ninapaley.com)

Learning – Risky Times (Image from ninapaley.com)

The “head-pop” issue has actually been a serious one this past week, as I’ve succumbed to 2 migraines – which as previously noted are not the best news.  Having to cancel hard to arrange meetings is never a good thing, nor is the time lost to feeling like you’ve just run a marathon. And that’s an analogy I can just about work with these days – except with a migraine you miss out on the shiny medal and cake rewards.  Still, fingers crossed it has just been a blip, and happily I managed to proceed with a re-arranged meeting, during which I learnt some fascinating new information which will help underpin a major theme in my discussion section, and plans for future Post-Doc work.  Well worth the snowy walk up to Warwick Medical School!

I also had a fantastic discussion re: my plans for Post-Doc work, which has really helped clarify the direction I want my research to go in, as well as help motivate me to keep up the pressure to get a thesis draft produced sooner rather than later.  More details on this further down the line, suffice to say Hand Hygiene remains close to my heart!

Icing on the Cake - going literal...

Icing on the Cake – going literal…

Outside the thesis write-up the past few weeks have seen me once again having some great help and advice from Claire Kilpatrick who gave some really useful feedback and encouragement on my ICPIC abstract draft.  ICPIC promises to be an amazing event, with some of the leading experts in the Infection Prevention field coming together, and I am keeping everything crossed that I will be able to attend; being able to take contribute my research in some capacity would only be the icing on the cake.

 

 

And finally, exciting times tomorrow on the Hand Hygiene and Technology front….will post soon…..

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This week has been a true representation of how varied a PhD experience can be, especially one like mine which has a number of different threads  being (carefully…) woven together.  The brief overview of my schedule below should give some insight into how all the topics within my research are currently being explored in parallel, turning me into something akin to a plate-spinner….plates

Monday: (Snow Day) Chapter writing for Thesis on the topic of Hand Hygiene Compliance; Factors Affecting Compliance (especially Intensity  of Patient Care, Ward Context and Patient Type) and Issues of Measurement of Hand Hygiene Compliance (which links with the work for my Study 1, which explores how Hand Hygiene is Audited at an NHS Acute Trust).

Tuesday: (Rescheduled from in-situ study day), instead Paper writing on the topic of Electronic Monitoring Technologies and Hand Hygiene, discussing  their Fit-For-Purpose rating according to established guidelines. This links in with the work for my Study 2, which explores the potential for Technology within the Audit Process at an NHS Acute Trust. Also had good Twitterchat and received support (and Thesis!) from great source of knowledge in Infection Prevention – Microbiology expert Jon Otter.

Wednesday: Very interesting meeting with Engineering company to hear all about Hand Hygiene system which can provide data to Healthcare Professionals about their Hand Hygiene compliance against scientifically sound ‘benchmarks’ (expected compliance rates) based on WHO 5 Moments. So much potential to explore….  Also an opportunity for exciting, motivating and woefully short catch-up with Claire Kilpatrick,  already working on outputs from that session!

Thursday: (Today) Back to collecting data in-situ for Study 3, looking at the effect of Human Behaviour on Hand Hygiene, and then back to writing the Thesis Chapter draft…

Tomorrow I shall be collecting more data, and then next week I am attending a networking event at my University, aiming to bring together Health Research from all departments and schools. Health @ Warwick3should be an interesting and vibrant day, and I am looking forward to sharing my “Why Do You Wash You Hands” poster from IFIC, to give a flavour of the work I have been doing over the past 3 or so years.  I’ll probably Tweet from the day, so if you’re there/interested, make sure you keep an eye out for @CHD05!

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So this is 2013.  The year I will submit my PhD.

7 words that are rather easy to write. It’s the other 70,000 that make up the dissertation that pose the tricky bit….   Over Christmas and New Year, in between the standard giving, receiving, eating and being merry, and not-so-standard but absolute top quality use of NHS services, I had the big old think about what to do next as discussed previously – and came down hard on the side of carrying the research forward.  Always the decision in my heart, it was just the head that needed the additional encouragement, knowing how hard it can be to get research funding and positions, however well-intentioned, planned and necessary future research may be.  Yet despite all this, I decided that I want to try. I have to try. I need to try.  I have had so much interest and encouragement in this topic, from both those working in the field, and those who experience Healthcare from the ‘other side’, that it seems a waste not to try to take it forwards, to see just what we could do next.

So I emailed (a very, very long email….) my champion Claire (Kilpatrick) – Infection Prevention and Hand Hygiene Legend – on Christmas Eve, as you do, and received the most wonderful and encouraging email back within days, which has swept me through the first dark week of January, and literally dragged me out of bed and back to the computer. I have so many future plans, but need the discipline to write-up this work before I can go any further, and that is where the encouragement of others comes in. And it’s brilliant!  Hopefully I will be able to meet up with Claire soon and chat over some ideas, but before that I have promised (to myself) that I will commit another few thousand words to draft, and produce the article abstract which has been haunting me for about a month now. PLAN!

I also had a great email of encouragement from NursingTimes, after contacting them re: writing an article for them about the work we’ve been doing at my Case Study Site. I think it would be great to share this with the Nursing Community, and they’ve been really supportive, and also added that Hand Hygiene will be a topic they want to look at a lot this year – which is great for everyone. Another nod of encouragement!  I must also add a note to a great IPC Healthcare Professional@Mimsiebel at this point who always gives me lots of motivation for my work via Twitter, and has added her voice to the encouragement for an NT article – thank you!

Finally I also have a meeting with the Chief Nurse at the Case Study site later this month to update him on my research, and explore potential areas for future work. As a fellow academic as well as clinical expert I am very much looking forward to gaining insight from both ‘sides’ of his expertise, and am really excited to hear his views on ideas for ways in which we could translate this research into practical, measurable, and Patient Safety conscious practice.

The plan, therefore, is now to write this week – and then start the practical aspect of Study 3 on-site next week – which I will blog about once it is up and running. Got an email through about IFIC applications at the back-end of last week too, and that has given me a massive boost of encouragement….definitely, definitely want to be presenting my work in Buenos Aires in October!

IFIC

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Haven’t written a post for a while, as it has been somewhat difficult to think of what to write….half of me is very excited about the direction my research is potentially taking, whilst the other half is so hung up on the ‘potentially’ aspect, that I find myself getting tied up in knots and fighting waves of panic…..  And no one wants to read a blog post about that (but they might want to look at a picture….)

SO, a brief update as to all things research, to help me clear the mind, and reassure those who are asking that work is still continuing.

  • Study 3 – the revised version – is currently in the recruitment stage.  This will be investigating Inherent and Elective Hand Hygiene in an NHS setting, and will be on a pilot scale, hopefully giving me the grounds for future Post-Doc development, exploring themes of training and technology/process development all centred around the WHO 5 Moments.
  • Studies 1 and 2 – the data collected from these studies are being analysed, using thematic coding (for interviews) with a mixture of both inductive and deductive analysis.  A process map, based on how Auditing works within the Case Study site has been produced, showing areas of perceived ‘confusion’, and it is here that analysis is being concentrated – is there a potential role for technology to help reduce this confusion?
  • I am now looking forwards to the time after my PhD (only 8 months left) and have had some great conversations about the potential to extend the PhD work, to develop the emergent themes. A number of NHS sites have potentially shown an interest in collaborating, which is excellent, and I believe we have in place some excellent (relatively short-term) study designs that could help us explore issues surrounding the understanding and use of the WHO 5 Moments further.  My main decisions to make are how to fund (applying for an independent Fellowship…?) and where to base myself (Academic Institution…?).  These are big decisions to make, and always harder at a time when trying to finish a PhD. A recognised and shared worry I’m sure.

What else is happening?

  • I had an amazing conversation with Claire Kilpatrick and Jules Storr at IFIC 2012.  I cannot say too much about it (because I’ll sound far too over-excited), but suffice to say their encouragement and support about my work was immeasurable. Well timed and simply perfect.  As a researcher working without a ‘team’ (I am the only member of my department working on Infection Prevention) it is often a disappointment not to be able to become passionate about the work with other people; this conversation certainly gave me a strong shot of that passion!  Cannot thank them enough.
  • Have also been asked to share my work at my host NHS site’s ICT study day (November 14th), which I’m really looking forward to.  I’ve been given free range to talk on anything related to the work we’ve been doing, and I’m really eager to share what we’ve been upto – especially as the ICT often (it seems) get a bit of a ‘bad press’ within hospital circles, by nature having to appear mainly at times of crises, and often being seen to be ‘telling people off’. Will be great to share the story of how the work on Hand Hygiene is preventative, looking to stop these crises happening, and how the new work (Study 3) is trying to explore an angle the audience may not have heard about before.  We can but see….
  • In off topic news, I’ve also been testing out the NHS as a Patient, as I’m sporting a knee injury post-marathon. This has left me unable to run, and may be in someway linked to my ‘PhD blues’ state.  Fingers crossed I will be able to get some more answers tomorrow at the next check.  The only good thing is I get to play one of my favourtie games, where I see the Doctor’s face when I tell them what I do for a living……cue instant fear, and sudden Hand washing….!

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