promotED study

  • Research type

    Research Study

  • Full title

    What are the barriers to health promotion advice delivered by staff working in urgent care and emergency departments? – promotED study

  • IRAS ID

    322930

  • Contact name

    Behnaz Schofield

  • Contact email

    behnaz.schofield@uwe.ac.uk

  • Sponsor organisation

    University of West of England Bristol

  • Duration of Study in the UK

    1 years, 2 months, 30 days

  • Research summary

    To find out:
    if ambulance paramedics and emergency department nurses carry out health promotion activities, e.g. giving advice on diet or exercise.
    what affects these activities Pre-submission
    the views of staff and patients on possible health promotion opportunities when giving or receiving urgent and emergency care.
    Background to the research
    The NHS is committed to helping patients reduce their risk of disease whenever they see healthcare staff. This could reduce early deaths, years spent in ill-health and costs to the health and care system.
    Emergency nurses and paramedics are in a unique position to communicate with a wide range of people and to use these interactions to help people improve their health, especially when patients are not critically unwell. Design and methods
    We will:
    Send an online questionnaire to emergency nurses and paramedics to find out how they help patients to improve their health. We will invite some of these staff to take part in one-to-one interviews to explore their answers in more detail.
    Invite patients who have been treated in an emergency department or by a paramedic at home to a one- to-one interview to discuss their views on emergency nurses and paramedics delivering health promotion activities.
    Patient and public involvement (PPI)
    We have worked with two PPI groups:
    1. A dedicated PPI group with recent experience of attending the emergency department;
    2. An ambulance service user PPI group.
    Members have contributed to: development of the study aims and objectives; writing the plain English summary and reviewing this funding application. Because of PPI advice we have decided to concentrate on patients treated and discharged by paramedics at home, and patients discharged from the emergency department.
    We will create a study PPI group and will work with a community advocate to reach out and build trust with ethnic minority communities. Using a combination of meetings and community engagement activities, public contributors will:
    co-produce participant facing documents;
    contribute to the ethics application;
    help to develop the interview and survey questions;
    advise on data analysis and interpretation (training and support will be provided);
    advise and participate in dissemination.
    The study steering committee will include two PPI members who will represent the views of the PPI group. We will hold quarterly PPI meetings.
    Dissemination
    Findings will be presented at relevant events for healthcare policymakers, commissioners, researchers, and staff. The PPI group will help plan ways to communicate and share our findings with the wider public. The findings will help us design further research that will focus on interventions to support and encourage nurses and paramedics to deliver health promotion activities in a way that works for both patients and staff.

  • REC name

    East Midlands - Leicester Central Research Ethics Committee

  • REC reference

    22/EM/0283

  • Date of REC Opinion

    6 Mar 2023

  • REC opinion

    Further Information Favourable Opinion