Publications by authors named "Luisa Wigg"

Unlabelled: This systematic review and meta-analysis investigated the frequency of teaching by humiliation (TBH) in medical science education and its impact on the mental health outcomes of medical trainees. TBH is defined as teaching activities by educators resulting in feelings of humiliation amongst trainees. Seven databases were searched.

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Background: The Australian Liver FaIlurE (ALFIE) trial, a multicentre, randomised controlled trial, assessed the efficacy of a nurse-coordinated model of care to reduce liver-related emergency admissions (LREAs) in patients with decompensated cirrhosis. The model of care was delivered by a specialist nurse, including intensive postdischarge monitoring, linkage to multidisciplinary care, rapid access to care pathway, enhanced education and self-management support.

Objective: To examine the experiences of participants and practitioners in the ALFIE trial to understand its impact, barriers and areas for improvement.

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A nurse-led cirrhosis clinic model for management of stable, compensated cirrhotic patients is practised in our unit since 2013, wherein these patients are reviewed every six months by specialist nurses in community clinics under remote supervision of hepatologists. We evaluated the experiences of patients and healthcare providers involved in the model to understand the acceptability, strengths, and limitations of the model and obtain suggestions to improve. A qualitative design using in-depth interviews was employed, followed by thematic analysis of eight patients, one attending physician both nurse and hospital clinics, four hepatologists, and three experienced specialist nurses running the nurse-led cirrhosis clinic.

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