Ewch i’r prif gynnwys

Previous Projects

Mae'r cynnwys hwn ar gael yn Saesneg yn unig.

Below is information on projects undertaken in the last few years.

The main purpose of this scoping study is to find out how findings from research are currently used to inform and improve healthcare practice in Wales in order to inform future knowledge transfer and exchange initiatives.

Lead contactAlison Bullock
FunderAneurin Bevan and Cwm Taf University Health Boards
Start date1 January 2013
KT Wales Infographic
A visual summary of our KT Wales Scoping report

As of January 2013 the General Optical Council states that all optometrists must engage in at least one case-based discussion (CbD) per cycle. 

The purpose of the re-accreditation case discussions is to improve the optometric management of WEHE/ PEARS cases with an emphasis on reporting and referrals to secondary care and GPs.

AIMS:

The aim of this project was to explore the acceptability, effectiveness and long-term impact-on-practice of the method as a mode of continuing education delivery.

DATA SOURCES:

The focus of the evaluation was all participants in their first CbD groups in the two month period January to February 2012, the knowledge they develop and how this is applied to their practice. Participants attended an evening session comprising a lecture and a group discussion. Three questionnaires were completed: prior to the session (demographic information, self-rating of current knowledge and opinions on attending the session), immediately post-session (items of learning and future learning needs, planned changes to practice and views on participating in the session) and 3-4 months post-session (learning from the session and changes made to practice). All questionnaires were individually coded to allow matching.

FURTHER INFORMATION:

The project was funded by The General Optometry Council and carried out in collaboration with Wales Optometry Postgraduate Education Centre (WOPEC).

The Maturity Matrix (MM) was originally designed as a self-evaluation practice development tool for Primary Care and Pharmacy teams.

The MM was designed as a means of measuring current practice, allowing the practice team to identify key areas for improvement, prioritise any interventions and support improvements in quality.

AIMS:

To adapt the Maturity Matrix for dentistry, creating the Maturity Matrix Dentistry (MMD), a clinical governance tool for general dental practices.

DATA SOURCES:

The MMD grid was developed by a multi-organizational dental steering group, the domains being informed by GDC core topics, and run from within the Dental Section, PGMDE Wales. It was piloted with 31 practices (212 participants) and rolled out in phase 2 with 36 practices (351 participants, 104 using the MMD for the 2nd time). After the session each participant completed a feedback questionnaire which asked for views on refining the MMD matrix and the group sessions, its usefulness and for those who were using it for the second time, what changes had occurred in their practice since using the MMD.

Mandatory registration with the General Dental Council (GDC) was introduced in July 2008, to bring dental nurses (DNs) in line with other health personnel.

As a requirement of registration DNs have to complete a set number of hours of continuing professional development (CPD) annually.

AIMS:

 To seek the views of Registered Dental Nurses (RDNs) in Wales regarding CPD and registration. To identify perceived barriers that may impact on participation and engagement.

DATA SOURCES:

Letters were sent to all dental nurses throughout Wales (general practice and hospital and community dental services) on the mailing list held by the Wales Deanery, Dental section, Cardiff University inviting them to complete a paper questionnaire (returned via FREEPOST) or an online version.

Changing patterns of disease and patient care needs have prompted a review of dental care delivery. 

Changes in roles provide potential for dentists to focus on complex therapeutic activities while dental hygienists/therapists, for example, deliver preventive, educational and general health promotion services. However, studies have shown that role-extension and delegation of tasks is not widespread within the UK.

AIMS:

This study aimed to examine the use of extended duties for DCPs within general dental practices in Wales. We explored patterns of DCP employment, their range of duties and reasons for, and barriers to, role extension.

DATA SOURCES:

 All dental practices holding an NHS contract within Wales were invited by email to complete a survey. Participants were requested to submit only one survey per practice.

The Wales Deanery has provided trainee doctors with a Smartphone device enabling access to accurate medical information

BACKGROUND: The Wales Deanery has provided trainee doctors (between October 2009 and March 2011) with a Smartphone device and a micro SD card and software application containing 17 medical textbooks, enabling access to accurate medical information such as the BNF, Netter’s Atlas of Human Anatomy and the Oxford Handbook of the Foundation Year.

AIMS: The project aims are:

  1. for Trainees to use the device for information gathering which may in turn lead to improvements in patient care
  2. to assess the usefulness of the device and to guide further improvement in both information delivery and just-in-time learning

DATA SOURCES: Data will be drawn from literature and internet search, on-line surveys, baseline and exit questionnaires, case reports, oral and poster presentation days.

FURTHER INFORMATION: This project was funded by the Wales Deanery and is led by Dr. Mark Stacey, Associate Dean for New Initiatives, in collaboration with Professor Alison Bullock.

Continuing Professional Development (CPD) is essential to the maintenance of dentists' knowledge and skills, underpinning safe clinical practice. 

However, there is no harmonisation on the 'essential' content or regulation of CPD for graduate dentists in the EU. CPD is provided by a variety of enterprises, including dental schools in higher education institutions (HEIs), as well as public sector organisations and industry.  Not all are subject to quality management.  

AIMS AND OUTCOMES:

This project aimed to identify agreed essential CPD requirements of an EU graduate dentist and provide guidelines for the management and delivery of high quality CPD by European dental schools. The specific objectives were to:

  1. produce an inventory of existing CPD programs and providers, agreeing essential components and identifying areas of best practice;
  2. develop guidelines for dental schools on organization and quality management of CPD programs, including methodology, innovative delivery modes and desired learning outcomes;
  3. provide guidelines for dental schools to deliver competence-based CPD, employing modern technological advances in pedagogy and develop an exemplar teaching  module on a core CPD topic;

DATA SOURCES:

 An extensive literature/internet search collected data on dentists' engagement in CPD, delivery methods, topic preferences and effectiveness. A survey, circulated widely to dental educational stakeholders gathered data on existing CPD programmes, requirements, providers, accreditation and opinions about CPD provision in European countries. A consensus process, including Special Interest Groups at ADEE conferences, sought agreement on core dental CPD topics.

FURTHER INFORMATION:

Part-funded (75%) by the European Commission, this project was led by Cardiff University (Cowpe and Bullock) and undertaken in collaboration with partners from National and Kapodistrian University of Athens,  University of Helsinki, Finland, Academic Centre for Dentistry, Amsterdam, Association for Dental Education in Europe and Rīga Stradiņš University.

The dental therapists scheme is designed to support consolidation of skills and aid transition to work.

BACKGROUND:  There is considerable scope to delegate routine treatments to dental therapists.  In the UK the full extent of permitted duties is not widely used in practice.  Under-use of the skills of therapists affects their confidence and risks de-skilling.  Similar to foundation training for dentists (DFT), the dental therapists scheme (TFT) is designed to support consolidation of skills and aid transition to work. 

AIMS:  Two evaluations of this scheme have been undertaken. The first provided a formative evaluation of the new TFT programme in its first year of operation (when it was referred to as TVT), identifying strengths and areas for development. A follow on evaluation updates that earlier evaluation, drawing comparison between the 2010/11 and 2008/09 cohorts and providing a longitudinal review from contact with previous cohorts, reporting on their current work and retrospective reflections on the value of the scheme.  Suggestions for further development are included.

DATA SOURCES: Both evaluations drew on interviews with the Associate Dean and Scheme Adviser; questionnaire to all course participants (n=9) distributed face-to-face on a study day and group discussion; extracts from portfolios on treatments undertaken. The first evaluation included interviews with the trainers (n=9) and the follow-on evaluation contacted participants who had completed the programme in 2009 and 2010.