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International and interdisciplinary
intensive care research summer school

  Who is behind the summer school?
  Early Career Group
  Dr Susanne Kean, PhD, MSc, Dip in Nursing Management & Education, RN
  Susanne Kean is a nurse and a researcher at the University of Edinburgh, Nursing Studies and the PI for this project. She qualified as a nurse in 1983 in Marburg (Germany). After qualifying she worked in surgical (septic) wards at the University Hospital Zürich (Switzerland) and the University Hospital Kiel (Germany) before moving into intensive care nursing. In 1991 she qualified with a Diploma in Nursing Management & Education and held positions in both areas. In 1998 she graduated with an MSc in Nursing and Health Studies (with Distinction) from the University of Edinburgh and worked as a research assistant before commencing her PhD. Her PhD thesis, ‘The emergence of negotiated family care in intensive care’ at the University of Edinburgh, investigates the experiences of families with children and young people during an acute critical illness of an adult family member that required intensive care and the nurses’ perceptions of families in the intensive care unit.
Susanne held an ESRC Postdoctoral Fellowship (Feb 2008 – Jan 2009), which was mentored by Prof Kathryn Backett-Milburn and Dr Guro Huby. She is a European Academy of Nursing Science (EANS) scholar and the elected Scholars’ representative on the EANS educational committee.
Her research interests relate to families’ – including children and young people - and patients’ experiences of an critical illness event, the recovery from critical illness from a patient’s and a family’s perspective, nurses’ perception of families in intensive care, sociology of families, sociology of childhood and qualitative research methods. Susanne has also an interest in leadership issues in health care.

Recent publications:

Kean S (in press) ‘The experiences of ambiguous loss in families of brain injured ICU patients’, Nursing in Critical Care
Kean S (in press) ‘He’s got so many tubes and stuff going out of him’: Children and Young People visiting an adult ICU, Journal of Advanced Nursing
Kean S (2010) Children and Young People’s strategies to access information during a family members’ critical illness, Journal of Clinical Nursing, Vol 19 (1-2): 266 – 274, online 20.July 2009, doi: 10.1111/j.1365-2702.2009.02837.x.
Critical Care (2007) 11:492 (Supplement II)
  Claire Kydonaki, PhD Student, MSc, RN
  Claire Kydonaki is a final year PhD student at the University of Edinburgh and a critical care nurse working in ICU at the Western General Hospital of Edinburgh. She has working experience both in Greece and Scotland. Claire was employed at the Western General Hospital in 2005 after receiving her UK nursing registration and has been working in ICU since then.
Claire finished her first degree in Nursing in 2002 and graduated from the National and Kapodistrian University of Athens. She worked as a registered nurse in ICU and in a cardiothoracic ward in a private hospital in Athens, Greece until 2003. Then she came to Scotland to undertake her MSc in Nursing at Napier University of Edinburgh, and was awarded
a distinction for her dissertation. Her dissertation looked at ‘Barriers and Facilitators of using evidence-based practice in ICU’.
Claire started her PhD at the University of Edinburgh in 2006. The focus of her PhD study is nurses’ input in clinical decision-making during the weaning from mechanical ventilation of long-term ventilated patients. It is a comparative ethnographic study between Scotland and Greece with many interesting clinical and cultural aspects of decision-making that have an impact on patient care.
As a member of the ICU group, Claire is also involved in a Knowledge Transfer project, which looks at raising the awareness of ICU survivors and rehabilitation after discharge in relation to policy-making. Areas of interest are mechanical ventilation and weaning and impact on prolonged rehabilitation, decision-making and the impact of ICU culture, empowering nurses through education.

Recent conference presentations:

Kydonaki C (2009): Weaning the difficult to wean patient: Criteria that nurses perceive important when assessing the patient’ (Poster), 22nd ESICM conference, Vienna, Austria
Kydonaki C (2009): ‘Observing the weaning of long-term ventilated patients: the approach to weaning in a general ICU’, 10th WFSICCM, 63rd SIAARTI Congresso, 6th WFCCN Congress, Florence, Italy
Kydonaki C (2008) ‘Nurses’ clinical decision-making in weaning: how to access nurses’ mind?’, RCN International Research Conference, Liverpool, UK
Kydonaki C (2008) ‘Nurses’ decision-making in weaning from mechanical ventilation: results from a pilot study’, 3rd EfCCNa Congress & 27th Aniarti Congress, Florence, Italy
  Frances Lin RN, BM, MN (Hons), PhD Candidate, Lecturer, School of Nursing and Midwifery (Gold Coast), Griffith University, Australia
  Frances Lin has been working in the critical care nursing field for many years. She is currently working at Griffith University as the Program Convenor for Master of Advanced Practice – Critical Care Nursing & Emergency Nursing programs. Her research interest is in critical care patient safety and work processes using both quantitative and qualitative methods. She is currently completing her PhD study. Her PhD topic is “exploring the ICU patient discharge process”. Team work, communication, ICU to ward handover, and documentation were the main focus for her PhD study. Frances is an active contributing member of Australian College of Critical Care Nurses (ACCCN), serving as committee member of ACCCN Queensland branch, and on the ACCCN’s national Quality and Safety Panel.

Recent publications and conference presentation:
Lin, F., Chaboyer, W., & Wallis, M. (2009). A Literature Review of organisational, individual and teamwork factors contributing to the ICU discharge process. Australian Critical Care, 22, 29-43.
Lin, F., StJohn, W., & McVeigh, C. (2009). Burnout among hospital nurses in China. Journal of Nursing Management, 17(3): (Speical edition on job satisfaction, work environment and burnout), 294-301.
Lin, F., Chaboyer, W., & Wallis, M. (2008). Exploring the ICU patient discharge process-from discharge decision making to clinical handover. Paper presented at the Asia Pacific Critical Care Congress (Sydney).
  Judith Merriweather, MSc, BSc (Hons), SRD
  Judith Merriweather is a dietician working in critical care at the Royal Infirmary of Edinburgh.
She has completed her MSc by Research at the University of Edinburgh and has just been awarded a Doctoral Fellowship from the Chief Scientist Office. Her PhD, at the University of Edinburgh, will draw on contemporary theory of the body and focus on the development of a patient-centred strategy to promote nutritional recovery following critical illness.

Recent publications:
Salisbury LG, Merriweather JL, Walsh T. (in press) Development and feasibility of enhanced ward-based physical and nutritional rehabilitation following prolonged intensive care stay delivered by a generic health care assistant, Clinical Rehabilitation
Salisbury LG, Merriweather JL, Walsh T. (in press) Rehabilitation after critical illness: Could a ward-based generic assistant promote recovery, Nursing in Critical Care
  Pam Ramsay, MSc, BSc, RGN
  Pam Ramsay is Research Manager in Critical Care at the Royal Infirmary of Edinburgh. Her background is in critical care nursing, and she has been involved in critical care research since 2000. She is currently completing a mixed methods PhD at the University of Edinburgh on the use of generic “quality of life” measures among survivors of prolonged critical illness. Her interests include patient-centred outcome measures, “the patient experience” in relation to ward-based care and rehabilitation, and patients’ self management strategies following discharge home.

Recent publications:
Ramsay P, Huby G, Thompson A, Walsh TS. Quality of life among
survivors of prolonged critical illness; a mixed methods study.
Critical Care (2008) 12: 508 (Supplement II)
Walsh TS, Ramsay P, Lapinlampi TP, Särkelä MOP, Viertiö-Oja HE,
Meriläinen PT. An assessment of the validity of spectral entropy as a measure of sedation state in mechanically ventilated critically ill patients. Intensive Care Medicine (2008) 34: 308-315
Ramsay P, Huby G, Thompson A, Walsh TS. ?Quality of life? Following prolonged critical illness; insights from a qualitative approach

  Senior Researcher Steering Group
  Professor Leanne Aitken
  Leanne Aitken is the Chair in Critical Care Nursing at Griffith University and Princess Alexandra Hospital in Brisbane, Australia. This role incorporates conduct and implementation of a range of clinical research, as well as postgraduate teaching and supervision. Mentoring clinical staff through the conduct and implementation of research is also an important component of the role. Leanne’s research focuses on trauma, decision making practices of critical care nurses and a range of clinical practice issues including sedation management and long term recovery within critical care.
Leanne is an Associate Editor of Australian Critical Care and a co-editor of ACCCN’s Critical Care Nursing text. Leanne also peer reviews for multiple international journals as well as for the National Health and Medical Research Council, Queensland Health and the Queensland Nursing Council and is a member of the Queensland Health Clinical Senate.
  Professor Kathryn Backett-Milburn
  Kathryn Backett-Milburn is Professor of the Sociology of Families and Health and Associated Director of the Centre for Research on Families and Relationships (CRFR), University of Edinburgh. She has a cross College appointment between the School of Health in Social Science and Public Health Sciences. Kathryn is a qualitative research specialist currently involved in research into children, families and work life balance using qualitative longitudinal research methods; social class and the adolescent diet; and examining demographic issues
in Scotland. She joined the ICU research group after mentoring Susanne Kean on her post Doctoral fellowship and is involved with research grant applications following on from that work.

Selected recent publications:

Rankin, D., Backett-Milburn, K, & Platt, S. (2009) Practitioner perspectives on tackling health inequalities: Findings from an evaluation of healthy living centres in Scotland. Social Science & Medicine 68 925–932.
Wills, W., Backett-Milburn, K., Gregory, S. & Lawton, J. (2008) ‘If the food looks dodgy I dinnae eat it’: Teenagers’ accounts of food and eating practices in socio-economically disadvantaged families. Sociological Research Online. 13(1).
Backett-Milburn, K., Wilson, S., Bancroft, A., & Cunningham-Burley, S. (2008) Challenging childhoods: Young people’s accounts of ‘getting by’ in families with substance use problems. Childhood 15(4):461-479.
Backett-Milburn,K; Airey, L; McKie, L; Hogg,G. (2008) Family comes first
or open all hours?: How low paid women working in food retailing manage webs of obligation at home and work. The Sociological Review, 56 (3) 474-496
  Professor Wendy Chaboyer
  Professor Wendy Chaboyer is the foundation Director of the Research Centre for Clinical and Community Practice Innovation and an Adjunct Professor at the Patient Safety Centre, Queensland Health. She has been very active in the Australian College of Critical Care Nurses (ACCCN), having sat on the National and State Boards of Directors for several terms. She has been the Chair of their Research Advisory Panel and is currently the Chair of the Quality Advisory Panel. She also sits on the Quality and Safety Committee of the Australian and New Zealand Intensive Care Society. Her research interests focus on acute and critical care nursing practices, with work on ICU discharge practices, clinical handover and continuity of care for ICU patients.

Selected recent publications:
Chaboyer, W., McMurray, A., Johnson, J., Hardy, L., Wallis, M. & Chu, S. (2009). Bedside Handover; One Quality Improvement Strategy to “Transform Care at the Bedside”. Journal of Nursing Care Quality, 24 (2), 136-142.
Endacott, R., Eliot, S., & Chaboyer, W. (2009). An Integrative Review and Meta-Synthesis of The scope and impact of intensive care liaison and outreach services. Journal of Clinical Nursing, 18, 3225–3236
Chaboyer, W. , Thalib, L., Foster, M., Ball, C. & Richards, B. (2008) Predictors of Adverse Events in Patients after Discharge from ICU, American Journal of Critical Care, 17(3), 255-263.
Lee, B.-O, Chaboyer, W. & Wallis, M. (2008). Predictors of health-related quality of life 3 months after traumatic injury, Journal of Nursing Scholarship, 40(1), 83-90.
Wallen, K., Chaboyer, W., Thalib, L. & Creedy, D. (2008). Acute post-traumatic stress disorder symptoms after intensive care. American, Journal of Critical Care, 17, 534-544.
  Dr Guro Huby, PhD
  Guro Huby is CIHR (Centre for Integrated Health Care Research) Reader in the School of Health in Social Science at the University of Edinburgh. CIHR is one of three University and NHS collaborations across Scotland which aim to enhance research capacity among nurses, midwives and allied health professionals. Guro leads the CIHR “Maximising Recovery from Acute Illness and Trauma” Programme. She has a background in social anthropology, and her main area of research is the organisation of care, quality improvement and workforce change, with a focus on integration of services. She has a particular interest in practice based research and development. She directs the MSC Programme Integrated Service Improvement, Health and Social Care, which supports managers of health and social care to apply theory and research skills to service improvement.

Selected recent publications:
Law J, Huby G, Irving AM, Pringle AM, Smith M, Conochie D, Haworth C, Burston A 2009 Reconciling the Perspective of Practitioner and Service User: Findings from the Aphasia in Scotland Study International Journal of Language and Communication Disorders.early on-line 17th December 2009
Huby G, Guthrie B, Grant S, Watkins F, Checkland K, McDonald R, Davies H 2008 ‘Whither British general Practice after the 2004 GMS Contract? Stories and realities of change in four UK General Practices. Journal of Health Organization and Management 22, 63-78
Bell K, Kinder T, Huby G 2008 ‘What Comes Around Goes Around: On the Language and practice of “Integration” in Health and Social Care in Scotland Journal of integrated Care 16:
40 - 48
Huby G, Hart E, McKevitt C, Sobo E. 2007 Addressing the Complexity of Health Care: the practical potential of ethnography Journal of Health Services Research and Policy; 12:
193 – 194
  Dr Marion Mitchell, PhD, RN, BN (Hon), Grad Cert (Higher Ed).
  Dr Marion Mitchell was appointed as a Senior Research Fellow with Griffith University and Princess Alexandra Hospital in Brisbane, Australia in January, 2009. Prior to this appointment, Marion was the Deputy Head of School of Nursing and Midwifery, Griffith University (Logan Campus). Marion is a member of the Research Centre for Clinical Practice Innovation at Griffith University. She was recently re-appointed National Vice-President of the Australian College of Critical Care Nurses and the educationalist on the Queensland Nursing Council Education Committee. Marion is on the editorial board for Australian Critical Care and reviews for five other journals. Marion has over 14 years of clinical experience in general ICUs and her research areas include the psychosocial care of the critically ill, delirium in ICU, family-centred care and nursing education.

Selected recent publications:
Mitchell, M., Chaboyer, W., Burmeister, L. & Foster, M. (2009). The positive effects of a nursing intervention on Family-Centered-Care in adult critical care. American Journal of Critical Care,
18, (6), 543-552.
Fan, M-I., Mitchell, M. & Cooke, M. (2009). Patients’ management of Glycerine Trinitrate. Australian Journal of Advanced Nursing, 26, (3), 32-38.
Link to: Research Centre for Clinical Community and Practice Innovation, Griffith University, Brisbane, Australia
http://www.griffith.edu.au/health/research-centre-clinical-community-practice-innovation
  Dr Janice Rattray, PhD, MN, Dip.N, RGN, SCM
  Janice Rattray is a Senior Lecturer in the School of Nursing & Midwifery at the University of Dundee in Scotland (UK). The focus of her clinical and academic career has been acute and critical care nursing. Her main research interest is in recovery from critical illness. In particular she is interested in the patient’s experience of critical illness, subsequent emotional outcome and quality of life. She has been involved in a number of funded studies assessing outcome from intensive care, and the effectiveness of a post-ICU rehabilitation programme. Work with the critical care research group includes the ESRC funded summer school for early career critical care researchers, the RECOVER study looking at in-hospital rehabilitation, and grant applications exploring the impact of ICU on families of ICU patients and the RELINQUISH study exploring patient needs after discharge.

Selected recent publications:
Rattray J, Crocker C, Jones M, Connaghan, J. 2010 Patients’ perceptions of and emotional outcome after intensive care: a multi-centre study. Nursing in Critical Care (in press).
Cuthbertson B., Rattray J. Campbell MK., Gager M., Roughton S., Smith, A., Hull A., Breeman S., Norrie J., Jenkinson D., Hernandez R., Johnston M., Wilson E., Waldmann C. 2009: A Randomised Controlled Trial evaluating the effectiveness of a nurse-led intensive care follow-up review service. BMJ doi: 10.1136/bmj.63723 (Published 16 October 2009).
Rattray J, & Hull A. 2008 Emotional Outcome after Intensive Care: literature review. Journal of Advanced Nursing 64(1) 2-13.
Paul F. & Rattray J. 2008 Relatives of intensive care patients – a review of the literature. Journal of Advanced Nursing 62(3) 276-292.
  Lisa Salisbury
  Lisa Salisbury is physiotherapist and currently works as a post-doctoral research fellow within the Centre for Integrated Healthcare Research (CIHR) based at Edinburgh University. Her research interests include rehabilitation and the evaluation of physiotherapy interventions. At present the main focus of work is around the evaluation of rehabilitation following a prolonged critical illness. She is a co-applicant on the RECOVER study, an evaluation of enhanced rehabilitation after critical illness, that will commence in May 2010. In addition, she is involved in stroke rehabilitation research including the evaluation of treadmill training, functional electrical stimulation and patient experience.

Selected recent publications:
Salisbury L, Merriweather J & Walsh T (2010) The development and feasibility of a ward-based physiotherapy and nutritional rehabilitation package for people experiencing critical
illness. Clinical Rehabilitation (in press)
Salisbury L, Merriweather J & Walsh T (2010) Rehabilitation after critical illness: Could a
ward-based generic rehabilitation assistant promote recovery? Nursing in Critical Care (in press)
  Professor Timothy Simon Walsh, BSc(Hons) MBChB(Hons) FRCP FRCA MD MRes
  Tim Walsh is consultant and Honorary Professor in Critical Care at Edinburgh Royal Infirmary, Edinburgh, Scotland. He undertook his MD studies in the Scottish Liver Transplant Unit, studying oxygen transport during liver transplantation and in acute liver failure. He was appointed consultant in transplantation anaesthesia and intensive care at Edinburgh Royal Infirmary in 1999. He leads a multidisciplinary clinical research group with interests including weaning from mechanical ventilation, sedation monitoring in the critically ill, recovery from critical illness and the epidemiology and prevention of ICU acquired infection. His particular interest is transfusion medicine in the critically ill, including the epidemiology of anaemia and coagulation disturbances, and how to use blood products effectively. He founded and chairs the Scottish Critical Care Trials Group, which has a portfolio of multicentre studies in intensive care. He is also Chairman of the UK CRN specialty group for Critical Care.
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