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  • Patient reported burden of asthma on resource use and productivity across 11 countries in Europe

    Date Published: 26-04-2015

    Written by: Fletcher M, Jha A, Dunlop W, Heron L, Wolfram V, Van der Molen T, Price D. Adv Ther. 2015 32(4):370-80

    Asthma affects 30 million people in Western Europe, leading to substantial burden on healthcare systems and economies. REcognise Asthma and LInk to Symptoms and Experience (REALISETM) was a large European survey across 11 countries assessing patient attitudes and behaviors towards their asthma. The present study utilizes REALISETM data to understand resource use and absenteeism in asthma.
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  • Vital signs: Taking the temperature of health and care services for people living with Long Term Conditions

    Date Published: 01-03-2015

    Written by: The Richmond Group of Charities

    There are 15 million people living with at least one long term health condition in England today, and £7 in every £10 spent on health and social care is spent on managing these conditions. Long term conditions account for half of all GP appointments and 70% of hospital bed days.
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  • Effectiveness of asthma principles and practice course in increasing nurse practitioner knowledge and confidence in the use of asthma clinical guidelines

    Date Published: 01-04-2015

    Written by: Taylor-Fishwick, J. C., Okafor, M. and Fletcher, M. (2015), Effectiveness of asthma principles and practice course in increasing nurse practitioner knowledge and confidence in the use of asthma clinical guidelines. American Assoc Nurse Prac, 27: 197–204. doi: 10.1002/2327-6924.12147

    The Asthma Principle and Practice (APP) course, an evidence-based blended distance-learning educational encounter, was designed to aid in the dissemination of the 2007 asthma clinical guidelines (EPR-3) and priority messages, increase knowledge of content of the guidelines as well as create an environment to enable participants to apply knowledge and skills into clinical practice. Students received a self-study binder 6-week period prior to attendance at an interactive study day. The APP is grounded in adult education principle and practices. For a full copy of this paper, visit http://onlinelibrary.wiley.com/doi/10.1002/2327-6924.12147/pdf
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  • ‘‘Education is the passport to the future’’: enabling today’s medical teachers to prepare tomorrow’s respiratory health practitioners

    Date Published: 01-09-2014

    Written by: Sharon Mitchell et al, including Monica Fletcher

    Editorial, European Respiratory Journal 2014; 44: 578–584 Number of pages/format: 7/PDF ISBN: DOI: 10.1183/0903193
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  • Guidance on the use of emergency salbutamol inhalers in schools

    Date Published: 21-09-2015

    Written by: SCLGCP / CMHI / IDC /14100

    From 1st October 2014 the Human Medicines (Amendment) (No. 2) Regulations 2014 will allow schools to keep a salbutamol inhaler for use in emergencies. Target audience: Schools, school governors, parents, pharmacists Number of pages/format: 21
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  • Why asthma still kills: The National Review of Asthma Deaths (NRAD)

    Date Published: 01-05-2014

    Written by: Dr Mark L Levy et al

    The National Review of Asthma Deaths (NRAD) is commissioned by the Healthcare Quality Improvement Partnership (HQIP) on behalf of NHS England, NHS Wales, the Health and Social Care Division of the Scottish Government, and the Northern Ireland Department of Health, Social Services and Public Safety (DHSSPS). The NRAD is delivered by the Clinical Effectiveness and Evaluation Unit (CEEU) of the Clinical Standards Department at the Royal College of Physicians (RCP). Education for Health were involved in this report, supplying expert reviewers and other collaborators, and are listed as a supporter. Number of pages/format: 115/PDF ISBN: 978-1-86016-531-3
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  • Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study

    Date Published: 26-02-2014

    Written by: Prof Linda H Aiken PhD et al

    An increase in a nurses’ workload by one patient increased the likelihood of an inpatient dying within 30 days of admission by 7% (odds ratio 1·068, 95% CI 1·031–1·106), and every 10% increase in bachelor’s degree nurses was associated with a decrease in this likelihood by 7% (0·929, 0·886–0·973). These associations imply that patients in hospitals in which 60% of nurses had bachelor’s degrees and nurses cared for an average of six patients would have almost 30% lower mortality than patients in hospitals in which only 30% of nurses had bachelor’s degrees and nurses cared for an average of eight patients. Number of pages/format: 7
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  • Delivering better services for people with long-term conditions, Building the house of care

    Date Published: 01-10-2013

    Written by: Coulter et al

    This paper published by The King's Fund describes a co-ordinated service delivery model – the ‘house of care’ – that aims to deliver proactive, holistic and patient-centred care for people with long-term conditions. It incorporates learning from a number of sites in England that are working to achieve these goals, and makes recommendations on how key stakeholders can work together to improve care for people with long-term conditions. Number of pages/format: 28/PDF ISBN: 978-1-909029-17-0
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  • Using eLearning to improve the quality of education for practice nurses

    Date Published: 21-06-2013

    Written by: Julia Neal

    This article outlines Education for Heath’s approach to eLearning. It discussed the benefits of eLearning, the developing theory within the context of technology, evaluate the approach as well as describing feedback from students and a case study on a commissioned learning resource. Director of Education Julia Neal outlines Education for Heath’s approach to eLearning. Originally published in Practice Nurse, now available as a pdf. Number of pages/format: 4/PDF
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  • Expanding nursing practice in COPD: key to providing high-quality, effective, and safe patient care? Prim Care Respir J 2013

    Date Published: 22-03-2015

    Written by: Fletcher MJ, Dahl BH

    The prevalence of chronic obstructive pulmonary disease (COPD), a common and preventable chronic disease, is on the increase, and so are the financial and social burdens associated with it. This article was written for the Primary Care Respiratory Journal, by Education for Health Chief executive Monica Fletcher, and Birthe Dahl, of the Center of Public Health and Quality Improvement, Århus, Denmark and an Education for Health trainer. http://dx.doi.org/10.4104/pcrj.2013.00044 Number of pages/format: 4/PDF
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  • A Guide to Performing Quality Assured Diagnostic Spirometry

    Date Published: 01-04-2013

    Written by: Primary Care Commissioning (PCC)

    Education for Health Chief Executive Monica Fletcher and Clinical Lead Chris Loveridge helped to develop this guidance.
    Number of pages/format: 28/PDF
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  • Managing multi-morbidity in practice…what lessons can be learnt from the care of people with COPD and co-morbidities?

    Date Published: 01-03-2013

    Written by: Gruffydd-Jones K, Poduval S

    This document was endorsed by Education for Health, alongside the RCGP and PCRS-UK, and Clinical Lead Chris Loveridge was on the project committee.
    ©NHS Improvement 2013 | All Rights Reserved Publication Ref: NHSIMP/Lung0006 - March 2013
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  • SIGN/BTS British guideline on the management of asthma, Asthma priorities: influencing the agenda

    Date Published: 01-02-2013

    Written by: Scottish Intercollegiate Guidelines Network

    Includes Asthma priorities for Scotland  in detail. Number of pages/format: 19/PDF
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  • Change drivers: multi-stakeholder education and collaboration

    Date Published: 01-11-2012

    Written by: Zoe Healey PhD

    Sources: 1. Horne R, Weinman J. 'Patients’ Beliefs about Prescribed Medicines and their Role in Adherence to Treatment in Chronic Physical Illness'. J Psychosom Res 1999;47(6):555–67; Barbara J Turner and Christine Laine. 'Differences between Generalists and Specialists Knowledge, Realism, or Primum Non Nocere?' J Gen Intern Med 2001;16(6):422–4 2. Friberg L, Hammar N, Ringh M et al. 'Stroke Prophylaxis in Atrial Fibrillation: Who Gets it and Who Does Not?' Report from the Stockholm Cohort Study on Atrial Fibrillation (SCAF study). Eur Heart J 2006;27:1954–64. 3. Barter-Godfrey S, Taket A, Rowlands G. 'Evaluating a Community Lifestyle Intervention: Adherence and the Role of Perceived Support' Primary Health Care Research and Development, 2007;8 (4):345–54; Taket A, Crichton NJ, Gauvin S, Barter-Godfrey S. 'Evaluation of Flora Fit Street: A Community-based Healthy Living Initiative.' (2007) London: Institute of Primary Care and Public Health, London South Bank University. [Peer reviewed research report]; Taket A, Gauvin S, Crichton N. 'A community-based ‘Healthy Heart’ Initiative to Modify Lifestyle: An Intervention Study'. UK Public Health Association Conference, Edinburgh, UK March 2007 [Poster presentation]). 4. Fletcher MJ, Upton J, Taylor-Fishwick J et al. 'COPD Uncovered: An International Survey on the Impact of Chronic Obstructive Pulmonary Disease [COPD] on a Working Age Population'. BMC Public Health 2011;11:612
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  • Training People to undertake CVD Risk Assessment; an Evaluation from Education for Health

    Date Published: 01-01-2012

    Written by: Westerby R, Fletcher MF

    Education for Health research assessing the impact that our training can have upon management and diagnosis of CVD. Presented at the Royal College of Nursing, Harrogate, February 2012.
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  • Atrial Fibrillation: Assessment and Diagnosis

    Date Published: 01-02-2012

    Written by: Cottrell, C

    Education for Health clinical lead Chris Cottrell investigates and analyses the epidemiology of atrial fibrillation and takes a look at the associated risks and causes. Originally published in Practice Nursing.
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  • Atrial Fibrillation: Pathophysiology

    Date Published: 01-01-2012

    Written by: Cottrell, C

    Education for Health clinical lead Chris Cottrell discusses the physiological basis of atrial fibrillation and considers associated risks and causes.
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  • Atrial Fibrillation 3: Management

    Date Published: 01-01-2012

    Written by: Cottrell, C

    In the third installment of Chris Cottrell's series on atrial fibrillation she outlines two approaches underpinning the management of the condition. Along with this she also examines the management of stroke risk and of rate and/or rhythm.
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  • An Investigation into Practice Nurses’ need for further education in Musculoskeletal Care

    Date Published: 01-12-2011

    Written by: Fletcher MJ, Oliver S, Cook A, Albrow H

    In this wide ranging survey we examine the skills and education gap that exists in the area of musculoskeletal care and discover a lack of confidence in the healthcare workforce when it comes to dealing with these issues. Article was originally published in Practice Nursing Journal.
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  • Evidence submitted to the Health Select Committee

    Date Published: 01-11-2011
    Evidence submitted by Education for Health for consideration in the government's consultation on health education and workforce planning.
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  • Dementia; Early Recognition and Diagnosis

    Date Published: 01-10-2011

    Written by: Westerby R and Howard S

    Education for Health's CVD Prevention clinical lead Ruth Westerby, along with Community Health Specialist Sue Howard, outline the latest clinical developments in dementia.
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  • COPD uncovered: an international survey on the impact of chronic obstructive pulmonary disease [COPD] on a working age population

    Date Published: 01-08-2011

    Written by: Fletcher MJ, van der Molen T, Salapatas M, Walsh J

    Monica J Fletcher, Jane Upton, Judith Taylor-Fishwick, Sonia A Buist, Christine Jenkins, John Hutton, Neil Barnes, Thys Van Der Molen, John W Walsh, Paul Jones and Samantha Walker BMC Public Health 2011, 11:612 doi:10.1186/1471-2458-11-612 Number of pages/format: 22
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  • Shared decision making or paternalism in nursing consultations? A qualitative study of primary care asthma nurses’ views on sharing decisions with patients regarding inhaler device selection

    Date Published: 01-03-2011

    Written by: Upton J, Fletcher MJ, Madoc-Sutton H, Sheikh A, Caress A-L, Walker S

    A new study on nurses' attitudes to shared decision-making, published online in Health Expectations (doi:10.1111/j.1369-7625.2010.00653.x)1 confirms the gap between publicly stated policy and day to day clinical practice. The study, which focuses on nurses' approach to decision making in inhaler choice and long-term inhaler use, highlights the challenge of implementing the patient centred approach featured in the Government's new Health White Paper.2 The study reveals the first qualitative data on primary care asthma nurses attitudes to shared decision-making, and makes recommendations on how sharing decisions with patients can be improved. Semi-structured interviews, with 20 qualified nurses who routinely undertook asthma consultations, allowed investigation of the difference between shared decision-making as presented in the academic literature and NHS policy, and the nurses' actual experiences.
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  • The null hypothesis: there’s nothing in it!

    Date Published: 01-02-2010

    Written by: Upton J, McCutcheon E, Education for Health

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  • Hypothesis testing – just an ‘educated guess’?

    Date Published: 01-02-2010

    Written by: Walker S, Upton J, Education for Health

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  • What is a ‘double dummy’ trial?

    Date Published: 01-02-2010

    Written by: Upton J, Education for Health

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  • Sources of bias: differences between groups at baseline

    Date Published: 01-02-2010

    Written by: Upton J, Education for Health

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  • Specific and non specific effects in randomised controlled trials

    Date Published: 01-02-2010

    Written by: Upton J, Education for Health

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  • The control of knowledge in randomised controlled trails: blinding

    Date Published: 01-02-2010

    Written by: Upton J, Education for Health

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  • Double blind randomised controlled trials

    Date Published: 01-02-2010

    Written by: Upton J, Education for Health

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  • The difference between quantitative and qualitative research methods

    Date Published: 01-02-2010

    Written by: Upton J, Walker S, Education for Health

    Taken from a series of articles designed to help you understand research concepts by breaking them down into bite-sized chunks.  They were written by Education for Health staff and published in the British Journal of Primary Care Nursing.
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  • Levels of evidence

    Date Published: 01-02-2010

    Written by: Upton J, Education for Health

    Taken from a series of articles designed to help you understand research concepts by breaking them down into bite-sized chunks.  They were written by Education for Health staff and published in the British Journal of Primary Care Nursing.
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  • Living well with COPD – New online resource

    Date Published: 01-02-2010

    Written by: Fletcher, MJ

    COPD is one of the most prevalent diseases not just in the UK, but across Europe. In fact the latest figures from the World Health Organisation (WHO), estimates that 210 million people suffer from COPD worldwide. Obviously, this has a huge impact on healthcare systems, patients and society, for example in the UK alone, there are at least twice as many doctor visits for COPD as for angina. By working together, the European Lung Foundation and Education for Health have developed a simple, easy to read factsheet which aims to show people with chronic obstructive pulmonary disease (COPD) and their friends and family how they can live a full life with this disease. It aims to educate the general public, patients and healthcare professionals alike, with focus on educating less developed countries. It explains the causes, how to help the condition through diet and exercise, prescribed treatments, monitoring the illness, worsening of symptoms and exacerbations, but with the ultimate aim of living well with COPD. Download the ‘Living well with COPD’ factsheet for you and your patients here. This factsheet is one of a series which the European Lung Foundation regularly produces on a wide range of subjects related to lung health which includes allergic rhinitis, asthma, spirometry, smoking and TB. They have been reviewed by members of the ERS who are experts in the field. The full range is freely available to download in a range of European languages at: http://www.european-lung-foundation.org/index.php?id=1037 This factsheet is based on a publication by Respirar, a part of the Spanish pulmonary group (SEPAR) and on ‘Living with COPD’ (http://www.library.nhs.uk/respiratory/ViewResource.aspx?resID=187257) written by Monica Fletcher, Chief Executive of Education for Health.
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  • How to quote references

    Date Published: 01-01-2010

    Written by: Education for Health

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  • How to literature search

    Date Published: 01-01-2010

    Written by: Education for Health

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  • Assessment of key influences on asthma inhaler device selection

    Date Published: 01-02-2009

    Written by: Madoc-Sutton H, Hardy A, Fletcher M, Walker S

    To identify factors that influence trained asthma practice nurses’ inhaler device selection and the relative importance they placed on these factors in clinical practice. Link to paper: http://nursingstandard.rcnpublishing.co.uk/resources/archive/GetArticleById.asp?ArticleId=6827
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  • National Survey on the roles and training of primary care respiratory nurses in the UK in 2006: are we making a difference?

    Date Published: 01-10-2007

    Written by: Upton J, Madoc-Sutton H, Sheikh A, Frank TL, Walker SM & Fletcher MJ

    Describes nurse-led UK general practice asthma and chronic obstructive pulmonary disease (COPD) care, and the training undertaken to support it, and finds many nurses with an advanced role did not have accredited training and are under-supervised, particularly those working with COPD patients. Link to paper: www.nature.com/articles/pcrj200768.pdf
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  • Seasonal allergic rhinitis is associated with a detrimental impact on exam performance in UK teenagers: case-control study

    Date Published: 01-07-2007

    Written by: Walker S, Khan-Wasti S, Fletcher M, Cullinan P, Harris J & Sheikh A

    Seasonal allergic rhinitis is common globally, and symptoms have been shown to impair learning ability in children in laboratory conditions. Critical examinations in children are often held in the summer during the peak grass pollen season. Link to paper: http://www.jacionline.org/article/PIIS009167490700632X/abstract
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  • Evidence-Based Asthma Training Improves Asthma Management Skills in General Practice: A Community-Based Survey

    Date Published: 01-12-2006

    Written by: Fletcher MJ, Coomber J & Walker S

    Fletcher MJ, Coomber J & Walker S. Evidence-Based Asthma Training Improves Asthma Management Skills in General Practice: A Community-Based Survey. Proceedings of the British Thoracic Society December 2006: ii125
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  • Structured allergy training for health professionals improves quality of life in patients with perennial rhinitis: randomised controlled trial

    Date Published: 01-12-2006

    Written by: Sheikh A, Khan-Wasti S, Price D, Smeeth L, Fletcher M & Walker S

    Background Perennial rhinitis is common and often results in substantial, potentially avoidable, impairment of quality of life. Quality of rhinitis care has been shown to be sub-optimal in general practice. Rigorous evaluation of educational interventions for healthcare professionals using randomized controlled trials is very uncommon... Link to paper: http://www.blackwell-synergy.com/doi/full/10.1111/j.1365-2222.2006.02619.x
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  • Frequency of pulse palpation by practice nurses

    Date Published: 01-12-2006

    Written by: Pearson E, Maddoc-Sutton H, Upton J

    Research poster detailing a survey of approaches to pulse palpation as AF screening amongst nurses.
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