Journal articles
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Waite MA, Kozlowska O, 'Emotional distress associated with sleep disturbances impacts the quality of life with type 1 diabetes across the lifespan'
Evidence-Based Nursing online first (2022)
ISSN: 1367-6539 eISSN: 1468-9618
Abstract
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O'Connor, S., Waite, M., Duce, D., O'Donnell, A., Ronquillo, C., 'Data visualization in healthcare: the Florence effect [editorial]'
Journal of Advanced Nursing 76 (7) (2020) pp.1488-1490
ISSN: 0309-2402 eISSN: 1365-2648
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Waite M, 'Engaging teenagers with text-message services for glycaemic control.'
Evidence-Based Nursing 23 (3) (2019)
ISSN: 1367-6539
Abstract Commentary on: McGill, D E., Volkening, D.A., Wasserman, R.M., Anderson, B.J., and Laffel, L.M. (2019). Text-message responsiveness is associated with HbA1c benefit in teenagers with Type 1 diabetes. Diabetic Medicine. Diabet Med. 2019 May;36(5):600-605. doi: 10.1111/dme.13929.
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Waite MA, Inness EJ, 'Nociceptor Stimulating Devices Can Help Reduce Pain, Anxiety, and Fear in Children Requiring Regular Injections'
Evidence-Based Nursing 23 (2019)
ISSN: 1367-6539
Abstract Implications for practice and research: 1) Use of ShotBlocker or Buzzy during insulin administration was effective in reducing self-reported, parental and observer assessments of pain in comparison with no intervention. 2) ShotBlocker or Buzzy was effective in lowering self-reported, parental and observer assessments of fear and anxiety prior to and during insulin administration in comparison with no intervention. 3) Further research is needed to examine the effectiveness of the devices over a longer time.
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Franklin R, Waite MA, Martin CE, 'The Use of Mobile Technology to facilitate self-management in adults with Type 1 Diabetes: A qualitative explorative approach'
Nursing Open 6 (3) (2019) pp.1013-1021
ISSN: 2054-1058
Abstract Aims: (a) To explore how mobile technology can support self‐management in adults with type 1 diabetes (T1DM). (b) To inform a usability study in the design of a mobile application to facilitate self‐management of T1DM. Design: Qualitative exploratory design. Methods: Semi‐structured interviews were undertaken with adults with T1DM (N = 8). The data collected were analysed using a thematic analysis approach. Results: Mobile technology has the potential to support adults in their self‐management of T1DM through facilitating their decision‐making, saving time and enabling them to easily share their data with their healthcare professional. Participants identified four main visualization characteristics for technology to aid in decision‐making; relationships between inputs, trends, graphs and colours, and identified essential features such as ease of use, convenience and connectivity.
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McAvoy V, Waite MA, 'Belongingness: Student ODPs’ Learning Experiences in Clinical Placements'
Journal of Perioperative Practice 29 (1/2) (2018) pp.17-23
ISSN: 1750-4589 eISSN: 2515-7949
Abstract The aim of this qualitative study is to explore student Operating Department Practitioners’ experiences of belongingness in clinical placements. Belongingness has been shown to be significant for learning in clinical placements for student nurses and midwives. This study was designed to look specifically at student Operating Department Practitioners’ experiences. Semi-structured interviews were conducted with eight student Operating Department Practitioners. The interviews were transcribed and coded. All student Operating Department Practitioners could describe clinical placement experiences where they felt they belonged and those where they felt they did not belong. Both had a significant impact on students learning experience. Students also described their own sense of responsibility for belonging while in placement. This study provides qualitative data to help understand how belongingness can positively or negatively affect, the learning experiences of student Operating Department Practitioners in clinical placements.
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Waite MA, Martin CE, Franklin R, Duce D, Harrison R, 'Human factors and data logging processes with the use of advanced technology for adults with type 1 diabetes (T1DM): A systematic integrative review'
Journal of Medical Internet Research 5 (1) (2017)
ISSN: 1439-4456 eISSN: 1438-8871
Abstract
Background: People with T1DM are confronted with self-management tasks and for which they need to develop strategies to balance the risks of long-term complications with those of hypoglycemic events. The potential of advanced and evolving technology to address these issues involves consideration of psychological and behavioral constructs alongside evaluation of the usability of devices. Access and uptake of advanced technology is further influenced by economic factors and health care provider capacity to support such interventions. Previous reviews have either focused upon clinical outcomes or descriptively scoped the literature. In addition, some have synthesized studies on adults with those on children and young people where human factors are different. Objective: The objective of this review was to describe the relationship between
human factors and adherence with technology for data logging processes in adults with T1DM and to explore the factors which influence this association. Methods: A systematic search of the literature was undertaken in accordance with the PRISMA guidelines. Quality appraisal of each study was undertaken. Data were abstracted and categorized into the themes that underpinned the human factor constructs that were examined. Results: Eighteen studies were included in the review. Six constructs emerged from the data analysis: The relationship between adherence to data logging and measurable outcomes; Satisfaction with the transition to advanced technology for self-management; Use of advanced technology and time spent on diabetes related activities; Strategies to mediate the complexities of diabetes and the use of advanced technology; Cognition in the wild and, Meanings, views and perspectives from the users of technology. Conclusions: evidence of increased treatment satisfaction was found on transition from traditional to advanced technology use (insulin pump and continuous glucose monitoring (CGM)); the most significant contributing factor was when blood glucose (BG) levels were consistently < 7.00mmol/l (P =.009). However, participants spent considerable time on their diabetes self-care. There was
evidence that logging of data was positively correlated with increasing age when using an app that provided meaningful feedback (regression coefficient = 55.8 recordings/ year; P = 0.009). Furthermore, there were benefits of CGM for older people in mediating complexities and their fears of hypoglycemia with reported significant differences in well-being (P= .009). Qualitative studies within the review aimed to explore the use and uptake of technology within the context of everyday lives. There were ‘frustrations’ with CGM, continuous subcutaneous insulin infusion (CSII), calibration of devices and alarms. This created implications for “body image” and the way in which “significant others” impacted on the behavior and attitude of the individual towards technology use. There were wide variations in the normal use of and interaction with technology across a continuum of sociocultural contexts, which has implications for the way in which future technologies should be designed. Many of the quantitative studies in the review were limited by small sample sizes. This may make it difficult to generalize findings to other contexts. This is further limited by a sample that was predominantly Caucasian, well-controlled and engaged with their self-care. However, the use of critical appraisal frameworks has highlighted areas where research into human factors and data logging processes of individuals could be improved. This includes engaging people in the design of the technology especially hard-to- reach or marginalized groups.
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Thoma JE, Waite M, 'Experiences of nurse case managers within a central discharge planning role of collaboration between physicians, patients and other healthcare professionals: a sociocultural qualitative study'
Journal of Clinical Nursing 27 (5/6) (2017) pp.1198-1208
ISSN: 0962-1067 eISSN: 1365-2702
Abstract Aims and objectives. Purpose of this study was to gain knowledge of Nurse Case Managers’ (NCM) experiences within the German acute care context of collaboration with patients and physicians in a discharge planning role. Further to learn about patients’ assignment to the management of the NCMs. Explicitly, to explore critical incidences of interactions between NCM, patients and health care practitioner in discharge planning to understand the factor that contributes to effective collaboration.
Background and Purpose. The defined role of Nursing Case Manager (NCM) in many contexts is a patient-centred responsibility for a central task of discharge management of patients with complex physical and social needs. Some studies have indicated that the general impact of the role reduces readmission rates. Given the necessity to work interprofessionally to achieve a safe discharge little is known about how NCMs achieve this collaboratively.
Methods. A qualitative case study within a German teaching hospital of NCMs (N=8). Data were collected through semi-structured interviews prompted by a critical incident technique and rigorously analysed through the lenses of sociocultural theory.
Results. Consistent object being worked upon was a safe and effective discharge from hospital with a focus on patient advocacy. Significant themes were a self-value or recognition by others of professional expertise, reciprocal value on the capabilities of others thorough relational expertise and negotiation with patients and an identification of case trajectories.
Conclusion. More continuity of NCMs’ care and management, clarity of role and transparency to peers, physicians and other professionals would be beneficial in ensuring appropriate referral of complex patients to NCM responsibility.
Relevance to clinical practice. Clearer role description and benefit realisation of the NCM could be achieved by interventions that are interprofessional and focus on the tasks that matter from a collaborative perspective. This could lead to refinement of available indicators and policy developments.Website
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Foley Finnan A, Gibbs CL, Waite M, Davison-Fischer J, 'Students as Producers'
Journal of Educational Innovation, Partnership and Change 1 (1) (2015) pp.193-
ISSN: 2055-4990
Abstract
This paper reports on a pilot project in which two postgraduate students were supported to function in the role of teaching assistants (TAs) as part of their learning experience. The project embraced the notion of students as producers rather than consumers. Using a reflective approach, this case study was jointly written by TAs and their teaching staff. It incorporates feedback from other students collected through an anonymous module feedback survey, which was analysed by attribution to themes. The role of TAs benefitted others students, staff, and the TAs; the project is a strong affirmation of the principle of treating students as producers. The impact of the role on both the students undertaking the TA role and the tutors was profound, and student experience was enhanced as a result. TAs can assist in bridging student-teacher communication gaps and support students’ learning through sharing their knowledge by creating resources. This article is written from the perspectives of both the TAs and the tutors.
Website
Conference papers
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Duce, D. and Martin, C. and Russell, a. and Brown D. and Aldea, A. and Alshaigy, B. and Harrison, R. and Waite, M. and Leal, Y. and Wos, M.and Fernandez-Balsells, M. and Real, J. and Nita, L. and López, B. and Massana, J. and Avari, P. and Herrero, P. and Jugnee, N. and Oliver, N. and Reddy, M., 'Visualizing Usage Data from a Diabetes Management System'
(2020)
ISBN: 9783038681229
Abstract This article explores the role for visualization in interpreting data collected by a customised analytics framework within a healthcare technology project. It draws on the work of the EU-funded PEPPER project, which has created a personalised decision-support system for people with type 1 diabetes. Our approach was an exercise in exploratory visualization, as described by Bergeron's three category taxonomy. The charts revealed different patterns of interaction, including variability in insulin dosing schedule, and potential causes of rejected advice. These insights into user behaviour are of especial value to this field, as they may help clinicians and developers understand some of the obstacles that hinder the uptake of diabetes technology.
Website
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Waite , M. Aldea A. Avari, P , Leal Y, Martin, C. Duce , D, Fernández-Balsells, M. Fernández-
Real J.M. , Herrero , P.,Jugnee , N, Lui, C., 1 , López, B., Massana, J. Russell, A , Reddy, M., Wos , M,
Oliver, N., 'TRUST AND CONTEXTUAL ENGAGEMENT WITH THE PEPPER SYSTEM: THE QUALITATIVE FINDINGS OF A CLINICAL FEASIBILITY STUDY'
(2020)
Abstract Background and aims. PEPPER (Patient Empowerment through Predictive PERsonalised decision support) is an EU-funded research project which aims to improve self-management of type 1 diabetes (T1D). The system comprises an AI insulin bolus recommender, coupled with a safety system. The aim of the qualitative arm of this clinical feasibility study was to examine the context of participants’ interaction with the PEPPER system and identify incidents where bolus recommendations were trusted and accepted.
Methods. This was a multicentre (UK and Spain) non-randomised open-labelled 6-week pilot study. Thirteen adults with T1D participated in weekly telephone interviews to explore the context of their interactions and responses to PEPPER. Data was thematically analysed through conceptual frameworks for engagement with healthcare digital behaviour change interventions.
Results. Participants reported their key interactions as responding to PEPPER bolus recommendations, inputting carbohydrate values, interpreting continuous glucose monitoring (CGM) values through visualization of personal data and dealing with safety alarms. Two themes were associated with trust and engagement with the system; ‘feeling monitored’ and ‘feeling in control’. The incidents where participants trusted PEPPER also enhanced personal expertise of T1D through insights provided by the safety system such as low glucose basal insulin for pump users. Benefits were balanced against technical challenges of the system, which were used to improve the PEPPER application and enhance user experience.
Conclusion. Some participants suggested that even access to PEPPER for a temporary period could positively influence self-management strategies. Contextual interviewing is a valuable tool in mobile application development for diabetes decision support systems.
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Martin C, Aldea A, Duce D, Harrison R, Waite M, 'The Role of Usability Engineering in the Development of an Intelligent Decision Support System'
(2018)
Abstract We describe the role of human factors in the development of a personalised
clinical decision support system for type 1 diabetes self-management.
The tool uses artificial intelligence (AI) techniques to provide insulin bolus
dose advice and carbohydrate recommendations that adapt to the individual.
Website
Other publications
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Waite MA, 'It's my research I have written it so, I'm entitled to an opinion- Transitions in Academic Research Writing Development.'
(2018)
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Brown D, Duce D, Franklin R, Harrison R, Martin C, Waite M, 'SWiFT Seeing the Wood From the Trees: helping people make sense of their health data'
(2015)
Peer Reviewed Publications:
Foley, A. Gibbs, C. Waite, M & Davison-Fischer, J. (2015). Students as Producers: The Postgraduate Teaching Assistant Pilot. Journal of Educational Innovation, Partnership & Change. 1 (1). https://journals.gre.ac.uk/index.php/studentchangeagents/article/view/183
Alyzood, M. Lansdown, G. Okoli, J & Waite, M. (2014). Supervisory Relationships. The Experiences of International Masters Students. The Brookes eJournal of Learning and Teaching. 6. (2) http://bejlt.brookes.ac.uk/paper/supervisory-relationships-the-experiences-of-international-masters-students/
Godden, J & Waite, M. (2014) Medicines Management in the Community: A HF Specialist Nurse Prescriber's Experience. British Journal of Cardiac Nursing. (In press.)
Waite, M. Martin, C & Curtis, S. (2013) Mobile Phone Applications and Type 1 Diabetes: A mixed methodology approach to explore usability issues and potential for self management. Diabetes and Primary Care. 15 (1)
Waite, M., Mackness, J., Roberts, G., & Lovegrove, E. 2013). Liminal participants & skilled orienteers: A case study of learner participation in a MOOC for new lecturers. Journal of Online Teaching
Mackness, J. Waite, M. Roberts, G & Lovegrove, E. (2013) Learning in a small, task–oriented, connectivist MOOC: Pedagogical issues and implications for higher education. The International Review of Research in Open and Distance Learning, v. 14, n4.
Roberts, G., Mackness, J., Waite, M., & Lovegrove, E. (i2013). x v c: Hybrid learning in, through and about MOOCs. OER13/JIME
Conference Presentations:
Waite, M. (2014). A Virtual and Collaborative Writing Group for Alumni, Learners & Lecturers. WDHE 2014. Future Directions in Academic Writing. University of Coventry
Waite, M. (2007). Online discussions, the student experience: a study of a blended learning non-medical prescribing course.ALT-C 2007, Beyond Control.University of Nottingham.
Waite, M & Keenan, J. (2010). Creating a resource for CPD and prescribing.Prescribing for Success Conference.Mancheste North West NHSr.
Waite, M. Lansdown, G. Butcher, D. Goodman-Brown, J & Schutz, S. (2010) Evidence Based Practice, Threshold Concepts and Troublesome Knowledge: The perspectives and experiences of postgraduate nursing students in the UK and Hong Kong. Evidence 2010. London. British Medical Association.
Waite, M. Schutz, S. Miley, J. Goodman-Brown, J & Huppe, I. (2011) This House Believes that Full Scale Online Education Will Inevitably Become … Mainstream Education. Teaching and Learning Conference 2011. Oxford Brookes University.
Waite, M & Burholt, S. (2011). Persuading the decision-makers: the journey from online course design to creating reusable objects and publishing them as OERs. eLearning in Health 2011, Collaboration, Sharing and Sustainability in The Current Environment. Higher Education Academy. Aston University.
Benfield, G. Waite, M. Owen, L. Beamish, S & Wright, A. (2011). Digital and Information Literacy: a Brookes Graduate Attribute.
C. Martin, D. Flood, D. Sutton, A. Aldea, R. Harrison, M. Waite (2011). A Systematic Evaluation of Mobile Applications for Diabetes
Management. LNCS 6949 Human-Computer Interaction – INTERACT 2011 13th IFIP TC 13 International Conference, Lisbon, Portugal, September 5-9, 2011, Proceedings, Part IV DOI: 10.1007/978-3-642-23768-3 p466-470
Roberts, G., Mackness, J., Waite, M., & Lovegrove, E. (2012). What is necessary and what is contingent in design for a massive open online course? In Open Horizons: Sharing the Future. Aston University, Birmingham: Higher Education Academy. Retrieved from
https://www.slideshare.net/georgeroberts/what-is-necessary-and-what-is-contingent-in-mooc-design
Roberts, G., Mackness, J., Waite, M., & Lovegrove, E. (2012). Not just moocin’ about. In ALT-C 2012: A confrontation with reality. Presented at the ALT-C, Manchester, UK. Retrieved from https://www.slideshare.net/georgeroberts/not-just-moocin-about
Waite, M & Osterrieder, A. (2013). Blogging for healthcare and life sciences: What is the potential for academic development, research and teaching? Faculty of Health & Life Sciences, Research Conference, 2013. Oxford Brookes University.
Roberts, G & Waite, M. (2013). Falsifiability of hybrid learning is through and about MOOCs. OER 13. University of Nottingham.
Books
Waite, M. (2004) The Nurse Prescribing Programme. Abingdon. Radcliffe Medical Publishing
Waite, M & Keenan, J. (2010) (eds.) CPD for Non-Medical Prescribers- a practical guide. Oxford. Wiley-Blackwell
Reports
Waite M & Bingham, H. (2008) Best Practice Guidance for Blended Learning Approaches to CPD Education for NHS staff. Winchester. NESCNormal0011271oxford brookes university118711.1282000
Publications from RADAR
- Foley Finnan, A, Gibbs, C, Waite, M, Davison-Fischer, J (2015) Students as Producers: The Postgraduate Teaching Assistant Pilot Project. Journal of Educational Innovation, Partnership and Change, 1 (1). [summary page]