Experiences

A severe burn injury affects not only the skin but also how the body uses energy. Many patients have increased energy needs during recovery, and healthcare professionals use a method called indirect calorimetry to measure the body's energy expenditure and help provide appropriate nutritional treatment. During the measurement, the patient rests comfortably while wearing a transparent canopy over the head for approximately 10 to 30 minutes. The equipment measures oxygen consumption and carbon dioxide production to estimate the body's energy needs. Although indirect calorimetry is commonly used in burn care, little is known about how patients experience the procedure. The aim of this study is to explore patients' experiences of undergoing indirect calorimetry after a burn injury. Participants will be interviewed about their experiences of the measurement. By analyzing these interviews, we hope to gain a better understanding of patients' perspectives and identify ways to improve information, preparation, comfort, and overall care related to the procedure. Ultimately, this may help make the assessment more comfortable for patients and support high-quality individualized nutritional treatment.

This PhD explores the views of clinical research nurses (CRNs) and research-patients as they take part in clinical research within their respective roles, i.e., as a specialised staff member and as a patient volunteer. Clinical research is supported by NHS England as the best way to improve patient care by finding out whether a new treatment is better than what is available. CRNs are specialist nurses who manage and coordinate clinical research. CRNs are responsible for the safe running of research; they ensure the right information is collected for the research/trial to be successful. CRNs support the well-being of research-patients, by taking note of any new, or existing healthcare needs of research-patients while they take part in research. CRNs coordinate the activities that research requires, biological samples, scans, documentation. Balancing their responsibility towards research-patients, on the one hand, and research management, on the other, can bring unique challenges for the CRN. CRNs can feel conflicted between these two responsibilities, e.g., when they think that a drug trial, or the research activities in a study is at odds with the research-patient's best interest despite the research-patient's consent to take part in research. CRNs are tasked with maintaining/facilitating recruitment of research-patients, this can be a challenging aspect of their role especially if they feel pressured to approach patients to take part in research. Currently, we know little about how CRNs balance these two responsibilities, or what other problems CRNs have in their everyday role when balancing these responsibilities. Finding out more about these aspects of the CRN role is important because it may not only improve job experience but can also give a better understanding of what can be changed to improve how CRN perform their role which could ultimately improve research-patients' experience of taking part in research. To address this issue, this PhD will explore CRNs and research-patients' views about clinical research, the challenges CRNs face, how CRNs balance their responsibilities, and what role does the relationship between CRNs, and research-patients play overall in what they say about their experience of taking part in clinical research. The researcher will interview and shadow CRNs and research-patients at a central NHS Hospital. This is a LISS/ESRC funded PhD at King's College London and supported by Guy's and St Thomas NHS Foundation Trust.