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Dr Amy Lloyd
Research Associate, Wales Centre for Public Policy
Overview
I am a Research Fellow at the Centre for Trials Research (CTR) focusing on developing, implementing and evaluating healthcare improvement initiatives. My main area of interest is in impact - ensuring evidence is used to develop context-appropriate solutions that can be embedded in practice. I am the deputy lead of the qualitative research group in CTR. I am currently on secondment at the Wales Centre for Public Policy, to learn more about the role of evidence in policy development and implementation.
Publication
2023
- Roland, D. et al. 2023. Paediatric early warning systems: not a simple answer to a complex question. Archives of Disease in Childhood 108(5), pp. 338-343. (10.1136/archdischild-2022-323951)
2022
- Allen, D. et al. 2022. Development, implementation and evaluation of an early warning system improvement programme for children in hospital: the PUMA mixed-methods study. Health and Social Care Delivery Research 10(1) (10.3310/CHCK4556)
- Allen, D. et al. 2022. Development, implementation and evaluation of an evidence-based paediatric early warning system improvement programme: the PUMA mixed methods study. BMC Health Services Research 22(1), article number: 9. (10.1186/s12913-021-07314-2)
2021
- Jacob, N., Burton, C., Hale, R., Jones, A., Lloyd, A., Rafferty, A. M. and Allen, D. 2021. Pro-judge study: nurses’ professional judgement in nurse staffing systems. Journal of Advanced Nursing 77(10), pp. 4226-4233. (10.1111/jan.14921)
2019
- Jacob, N. et al. 2019. Optimising paediatric afferent component early warning systems: a hermeneutic systematic literature review and model development. BMJ Paediatrics Open 9(11), article number: e028796. (10.1136/bmjopen-2018-028796)
- Joseph-Williams, N. et al. 2019. A descriptive model of shared decision making derived from routine implementation in clinical practice ('Implement-SDM'): Qualitative study. Patient Education and Counseling 102(10), pp. 1774-1785. (10.1016/j.pec.2019.07.016)
- Williams, D. et al. 2019. The ability of observer and self-report measures to capture shared decision making in clinical practice in the United Kingdom: a mixed-methods study.. BMJ Open 9(8), article number: e029485. (10.1136/bmjopen-2019-029485)
- Trubey, R. et al. 2019. Validity and effectiveness of paediatric early warning systems and track and trigger tools for identifying and reducing clinical deterioration in hospitalised children: a systematic review. BMJ Open 9(5), pp. -., article number: e022105. (10.1136/bmjopen-2018-022105)
2018
- Thomas-Jones, E. et al. 2018. A prospective, mixed-methods, before and after study to identify the evidence base for the core components of an effective paediatric early warning system and the development of an implementation package containing those core recommendations for use in the UK: Paediatric early warning system – utilisation and mortality avoidance– the PUMA study protocol. BMC Pediatrics 18(1), article number: 244. (10.1186/s12887-018-1210-z)
2017
- Elwyn, G. et al. 2017. A three-talk model for shared decision making: multistage consultation process. British Medical Journal (BMJ) 359, article number: j4891. (10.1136/bmj.j4891)
- Joseph-Williams, N. et al. 2017. Implementing shared decision making in the NHS: lessons from the MAGIC programme. British Medical Journal (BMJ) 357, article number: j1744. (10.1136/bmj.j1744)
2016
- Durand, M. et al. 2016. Can we routinely measure patient involvement in treatment decision-making in chronic kidney care? A service evaluation in 27 renal units in the UK. Clinical Kidney Journal 9(2), pp. 252-259. (10.1093/ckj/sfw003)
2015
- Oostendorp, L., Durand, M., Lloyd, A. and Elwyn, G. 2015. Measuring organisational readiness for patient engagement (MORE): an international online delphi consensus study. BMC Health Services Research 15(1), article number: 61. (10.1186/s12913-015-0717-3)
2014
- Elwyn, G. et al. 2014. Collaborative deliberation: a model for patient care. Patient Education and Counseling 97(2), pp. 158-164. (10.1016/j.pec.2014.07.027)
2013
- Lloyd, A., Joseph-Williams, N., Edwards, A. G., Rix, A. and Elwyn, G. 2013. Patchy "coherence": using normalization process theory to evaluate a multi-faceted shared decision making implementation program (MAGIC). Implementation Science : IS 8(1), article number: 102. (10.1186/1748-5908-8-102)
- Elwyn, G., Lloyd, A., Joseph-Williams, N. J., Cording, E., Thomson, R., Durand, M. and Edwards, A. G. 2013. Option grids: shared decision making made easier. Patient Education and Counseling 90(2), pp. 207-212. (10.1016/j.pec.2012.06.036)
2012
- Elwyn, G. et al. 2012. Shared decision making: a model for clinical practice. Journal of General Internal Medicine 27(10), pp. 1361-1367. (10.1007/s11606-012-2077-6)
Articles
- Roland, D. et al. 2023. Paediatric early warning systems: not a simple answer to a complex question. Archives of Disease in Childhood 108(5), pp. 338-343. (10.1136/archdischild-2022-323951)
- Allen, D. et al. 2022. Development, implementation and evaluation of an early warning system improvement programme for children in hospital: the PUMA mixed-methods study. Health and Social Care Delivery Research 10(1) (10.3310/CHCK4556)
- Allen, D. et al. 2022. Development, implementation and evaluation of an evidence-based paediatric early warning system improvement programme: the PUMA mixed methods study. BMC Health Services Research 22(1), article number: 9. (10.1186/s12913-021-07314-2)
- Jacob, N., Burton, C., Hale, R., Jones, A., Lloyd, A., Rafferty, A. M. and Allen, D. 2021. Pro-judge study: nurses’ professional judgement in nurse staffing systems. Journal of Advanced Nursing 77(10), pp. 4226-4233. (10.1111/jan.14921)
- Jacob, N. et al. 2019. Optimising paediatric afferent component early warning systems: a hermeneutic systematic literature review and model development. BMJ Paediatrics Open 9(11), article number: e028796. (10.1136/bmjopen-2018-028796)
- Joseph-Williams, N. et al. 2019. A descriptive model of shared decision making derived from routine implementation in clinical practice ('Implement-SDM'): Qualitative study. Patient Education and Counseling 102(10), pp. 1774-1785. (10.1016/j.pec.2019.07.016)
- Williams, D. et al. 2019. The ability of observer and self-report measures to capture shared decision making in clinical practice in the United Kingdom: a mixed-methods study.. BMJ Open 9(8), article number: e029485. (10.1136/bmjopen-2019-029485)
- Trubey, R. et al. 2019. Validity and effectiveness of paediatric early warning systems and track and trigger tools for identifying and reducing clinical deterioration in hospitalised children: a systematic review. BMJ Open 9(5), pp. -., article number: e022105. (10.1136/bmjopen-2018-022105)
- Thomas-Jones, E. et al. 2018. A prospective, mixed-methods, before and after study to identify the evidence base for the core components of an effective paediatric early warning system and the development of an implementation package containing those core recommendations for use in the UK: Paediatric early warning system – utilisation and mortality avoidance– the PUMA study protocol. BMC Pediatrics 18(1), article number: 244. (10.1186/s12887-018-1210-z)
- Elwyn, G. et al. 2017. A three-talk model for shared decision making: multistage consultation process. British Medical Journal (BMJ) 359, article number: j4891. (10.1136/bmj.j4891)
- Joseph-Williams, N. et al. 2017. Implementing shared decision making in the NHS: lessons from the MAGIC programme. British Medical Journal (BMJ) 357, article number: j1744. (10.1136/bmj.j1744)
- Durand, M. et al. 2016. Can we routinely measure patient involvement in treatment decision-making in chronic kidney care? A service evaluation in 27 renal units in the UK. Clinical Kidney Journal 9(2), pp. 252-259. (10.1093/ckj/sfw003)
- Oostendorp, L., Durand, M., Lloyd, A. and Elwyn, G. 2015. Measuring organisational readiness for patient engagement (MORE): an international online delphi consensus study. BMC Health Services Research 15(1), article number: 61. (10.1186/s12913-015-0717-3)
- Elwyn, G. et al. 2014. Collaborative deliberation: a model for patient care. Patient Education and Counseling 97(2), pp. 158-164. (10.1016/j.pec.2014.07.027)
- Lloyd, A., Joseph-Williams, N., Edwards, A. G., Rix, A. and Elwyn, G. 2013. Patchy "coherence": using normalization process theory to evaluate a multi-faceted shared decision making implementation program (MAGIC). Implementation Science : IS 8(1), article number: 102. (10.1186/1748-5908-8-102)
- Elwyn, G., Lloyd, A., Joseph-Williams, N. J., Cording, E., Thomson, R., Durand, M. and Edwards, A. G. 2013. Option grids: shared decision making made easier. Patient Education and Counseling 90(2), pp. 207-212. (10.1016/j.pec.2012.06.036)
- Elwyn, G. et al. 2012. Shared decision making: a model for clinical practice. Journal of General Internal Medicine 27(10), pp. 1361-1367. (10.1007/s11606-012-2077-6)
Research
For the last 7 years I have been study manager of large multi-site healthcare improvement studies, comissioned by the National Institute of Health research (PUMA) and Royal College of Nursing Foundation (Pro-Judge). PUMA - Paediatric Early Warning System - Utilisation and Mortality Avoidance developed, implemented and evaluated an innovative approach to improving detection of deterioraton in children in UK hospitals. Pro-Judge is analysing the use of professional judgement in nurse staffing decisions. Prior to joining the Centre for Trials Research (CTR), I was involved in a large-scale shared decision making implementation programme, funded by the Health Foundation ' MAGIC - Making Good Decisions in Collaboration with Patients'. All projects have involved woeking at the interface between academia and practitioners to translate research findings into practice.
My work at the Wales Centre for Public Policy involves supporting the development and delivery of projects with a focus on health and social care and governance and implementation.
Biography
Education and Qualifications
- PhD in Health Services Research, Cardiff University, School of Medicine
- Masters in Public Health, University of Wales, College of Medicine
- BA Sociology, Lancaster University