Welcome to the RWT Staff Publications Repository
The repository contains the records of published and unpublished research authored by NHS staff working for the Royal Wolverhampton NHS Trust and its partners. The repository is managed by the Library and Knowledge Services of the Trust and supported by the Non-Medical Research Leads Network Group and the Research and Development Directorate.
If you are a member of RWT staff and you would like to submit an item to the repository, please fill in this online form.
If you have a list of publications you'd like to submit, please e-mail the repository rwh-tr.rwtrepository@nhs.net admin team.
For more information contact the library on 01902 695322 or email or take a look at our website. You will also find guidance on the webpage about publishing your work.
Recent Submissions
Item Informational video impact before caesarean delivery on anxiety and satisfaction: a systematic review and meta-analysis.(Taylor & Francis., 2025-03-01)Background: Anxiety prior to caesarean section can lead to a negative birth experience, which may affect different aspects of woman’s life in the long term. Improving preoperative information may result in lower anxiety leading to a more positive birth experience. Thus, we aimed to evaluate the impact of informational video before planned caesarean delivery on maternal anxiety and satisfaction. Methods: Four different databases were searched from inception till March 2023. We selected randomised controlled trials (RCTs) that compared educational or informative videos about the aspects of the expected caesarean delivery process versus no preoperative information in the control group. No language restrictions were imposed. We used Revman software during performing our meta-analysis. Our main outcomes were preoperative and postoperative anxiety as well as maternal satisfaction post-procedure. Results: Six RCTs were retrieved with a total number of 702 patients. Informative video significantly reduced the anxiety level before caesarean delivery in comparison with the control group (MD = −4.21, 95% CI [−5.46, −2.95], p<0001). Moreover, the postoperative anxiety level was significantly improved in the informational video group (MD = −4.71, 95% CI [−7.06, −2.36], p<0001). In addition, there was a significant improvement in maternal satisfaction score after caesarean delivery among the informational video group (p = 0.001). Conclusions: Informational video prior to caesarean delivery decreases preoperative and postoperative anxiety levels with improvement in maternal post-procedure satisfaction. However, the existing evidence is limited by several shortcomings, chiefly small sample size. More trials with larger sample size are required to confirm our findings.Item Small bowel obstruction secondary to Meckel's Diverticulum: a rare complication.(Cureus., 2024-11-01)Appendicitis is defined as an inflammation of the appendix and is one of the most common presentations to the general surgical team. The presence of right iliac fossa pain associated with a rise in inflammatory markers raises the suspicion of appendicitis in young, healthy patients. Colitis and bowel obstruction would be considered lower down on the list of differentials. Other common differentials to take into consideration include ovarian pathology and pelvic inflammatory disease in females and diverticulitis in the other population. Investigation for these patients includes ultrasound scans, computed tomography, magnetic resonance imaging or diagnostic laparoscopy. Imaging modality can help narrow down differentials; however, diagnostic laparoscopy can prove to be fruitful when there is diagnostic uncertainty. Meckel's diverticulum is commonly encountered within general surgery, more so within the paediatric population. Complications include bleeding, inflammation and obstruction, although this is less common in the adult population. We present a rare case of small bowel obstruction with the transition point noted to be at the location of a Meckel's diverticulum masquerading as possible appendicitis.Item The challenges and needs of international nurses who are assimilating to healthcare systems in the United Kingdom: experience from the field.(Wiley Online., 2025-03-01)Aim: The paper explores the barriers and enablers for international nurses who are assimilating to new healthcare systems in the United Kingdom and implications for the global healthcare context. Background: The worldwide shortage of nurses has led to high levels of global mobility. It is therefore essential to acknowledge the international nature of healthcare and the diversity of experience within the nursing workforce. The paper reflects on the authors’ experiences of designing and delivering acculturation and communication skills training for Internationally Educated Nurses (IENs) who work in the National Health Service in the United Kingdom. Discussion: The paper highlights the challenges of assimilating to a new healthcare environment, the importance of support and the value of ‘two-way learning’. The author discusses the hidden processes of social and personal adjustment, which are not widely reported. Conclusion: Successful cultural integration should be multifaceted and include opportunities for two-way learning. Nurses require ongoing and directed support to deliver high-quality care in diverse and changing health systems. Implications for nursing policy. As healthcare in the UK is and continues to become increasingly international, the benefits and challenges this presents need to be acknowledged by both government and healthcare management in the form of policy recommendations, guidelines and regulatory frameworks which go beyond testing clinical and linguistic skills on arrival and aims to promote well-being, retention, and reduced stress at work.Item Concise Recommendations for EDitorials: Enhancing Narratives and Composition Effectively (CREDENCE).(The Korean Academy of Medical Sciences., 2024-12-30)An editorial article is a type of scholarly communication providing expert views and critical analysis of issues. It may reflect the view of the author(s) or of the organization/journal on a certain topic. An editorial may also comment on a published paper. Editorials are expected to be objective, evidence-based, and informative focusing attention on recent developments and matters of current societal/disciplinary concern. This format allows for timely dissemination of expert insight and facilitates ongoing scholarly discourse. The structure of editorials varies: critical, explanatory, and commendatory types serve varied purposes. Authors of editorials should follow certain principles of academic writing. The aim should be provided in an introductory paragraph. Thereafter, a constructive and balanced critique of the index article and/or a detailed yet concise analyze of the subject of matter should be provided. The conclusion paragraph should include brief take-home messages. Critical arguing should be supported by relevant references. A declaration of any potential conflicts of interests is essential to maintain objectivity and fairness. The current article aims to provide a primer, along with a checklist, on writing editorials.Item Improving the consent process for superficial abscesses through pre-printed consent forms.(Cureus., 2024-11-11)Introduction Informed consent is essential to ensure that patients are appropriately educated about proposed procedures, including associated risks and potential benefits, to make a valid decision. Incision and drainage of an abscess is a common procedure performed by various healthcare professionals. Inconsistent practices in the consent process can lead to misunderstandings among the patient and have financial and legal complications for both the clinician and the hospital. This study aims to improve the consent process for the incision and drainage of a superficial abscess via the implementation of pre-printed consent forms. Method We conducted a retrospective, single-centre study to evaluate existing consent forms, found in patients' notes, for the incision and drainage of superficial abscesses. The goal was to assess these forms for standardisation, ultimately developing a pre-printed consent form suitable for use by a diverse range of healthcare professionals. Results This study revealed significant inconsistencies in consent documentation. While 20 out of 22 (91%) consent forms included infection as a documented risk, only 11 out of 22 (50%) mentioned COVID-19 as a potential risk. The study found that 22 of our 22 (100%) consent forms were documented in black ink. Providing patients with copies of the consent forms can enhance their understanding by allowing them to review the information at home. Eight out of 22 (36%) patients were offered a copy, and 13 out of 22 consent forms (59%) were noted to have abbreviations, both of which may limit understanding and comprehension of the procedure. After implementing a pre-printed consent form, 14 clinicians surveyed (100%) reported that the forms were effective, with 12 out of 14 (86%) indicating they would use these pre-printed forms in their future practice. Conclusion The identified variations and inconsistencies in the consent process prompted the creation of a standardised pre-printed consent form. Feedback on this form has been positive, indicating its potential to transform the consent process. The sample size was small, so early results are positive; however, further ongoing work would be required to draw a more definitive conclusion.
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