I have an interest in clinical decision-making and how tacit knowledge is formulated through experience. My PhD research explored how staff used experience and acquired tacit knowledge to construct a typology of cardiac arrest categories. I teach across a broad range of under and postgraduate modules and have a particular interest in interactive teaching and simulation.
I am currently developing the new MSc in Advanced Clinical Practice (ACP). This course is multidisciplinary and designed to accommodate the needs of students, across a broad range of clinical settings. I am also module leader for elective modules on the ACP, Managing the Acutely Unwell Patient and Minor Illness Management.
My main teaching areas are acute care, Life Support and resuscitation training including end of life care in acute and emergency situations, trauma resuscitation and qualitative research methods. I support dissertation and thesis work for under and postgraduate learners
I recently led a qualitative arm of a larger feasibility study exploring the effectiveness of nurse led telephone contact with COPD patients to review respiratory symptoms, using interviews to explore the patient experience of the intervention. I also completed a REF Fellowship, and led a study exploring emerging roles in lung cancer care, collaborating with the National Lung Cancer Forum for Nurses (NLCFN). This service evaluation employed mixed methods, comprising a survey and qualitative interviews with lung cancer clinical nurse specialists.
My PhD was with the University of Nottingham and investigated resuscitation practices within emergency care using an ethnographic approach, combing participant-observation and interactive interviews. In resuscitation decision making, specialist, explicit knowledge when applied through the conduit of tacit know-how helps emergency staff to navigate decision making and reach consensus decisions regarding how long resuscitation should continue or when it should be withdrawn.
- BSc Nursing
- MSc Advanced Clinical Practice (Co-Course Leader)
- Consolidating the Science and Practice of Nursing (UG)
- Integrating the Science and Practice of Nursing (UG)
- Managing the Acutely Unwell Patient (PG) Module Leader
- Minor Illness Management (PG) Module Leader
- Researching for Practice (PG)
I am currently applying for funding as co-applicant for two qualitative studies, firstly: investigating how perceptions of frailty impact on treatment decision making in lung cancer treatment, secondly: exploring the preferences, acceptability and the factors influencing the different forms of hydration with patients entering last days of life, among patients, family carers and health care professionals.
In previous studies I have explored developing roles in lung cancer care and evaluated the patient experience and acceptability of a nurse led telephone-based intervention to review respiratory symptoms in patients with COPD.
National Lung Cancer Forum for Nurses (NLCFN)
Doncaster and Bassetlaw Hospitals NHS Foundation Trust, Conisbrough Group Practice, University of Manchester.
BRUMMELL, Stephen P, SEYMOUR, Jane and HIGGINBOTTOM, Gina (2016). Cardiopulmonary resuscitation decisions in the emergency department : an ethnography of tacit knowledge in practice. Social Science and Medicine, 156, 47-54.
JOHNSON, Matthew, TOD, Angela, BRUMMELL, Stephen and COLLINS, Karen (2015). Prognostic communication in cancer : a critical interpretive synthesis of the literature. European Journal of Oncology Nursing, 19 (5), 554-567.
BRUMMELL, Stephen, TOD, Angela M, MCDONNELL, Ann, GUERIN, Maria, BEATTIE, Vanessa and IBBOTSON, Rachel (2014). An evaluation of the role of support workers in lung cancer. Cancer Nursing Practice, 14 (1), 22-27.
My main areas of interest are qualitative methods, particularly ethnography, decision making and advanced practice. I am currently supervising Doctoral students undertaking thesis work, (titles below) one is using a qualitative approach and case study design to explore how disclosure of risk of recurrence is communicated to patients with lung cancer, and another student is using an ethnographic approach by participant observation and interviews, to explore clinical decision making by advanced nurse practitioners.
I am currently supervising the following studies:
- 'The process of disclosure of the risk of cancer recurrence in patients following potentially curative lung cancer surgery: a multiple case study'
- `An ethnography of clinical decision-making by Advanced Nurse Practitioners on Acute Medical Admission
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