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Ms Wendy Padley

Job: Research Fellow

School/department: School of Nursing and Midwifery

Address: Edith Murphy Building 羞羞视频 The Gateway Leicester LE1 9BH

T: +44 (0)116 2013917

E: wpadley@dmu.ac.uk

W: /hls

 

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Personal profile

Wendy's particular interests lie in the following fields:
  • Qualitative research
  • Literature reviewing
  • Psychotherapy (practising, qualified and accredited)

Publications and outputs


  • dc.title: What can we learn from Australian patients鈥� journey to mesothelioma diagnosis? A qualitative study. dc.contributor.author: Coleby, Dawn; Oviasu, Osaretin; Padley, Wendy; Hinsliff-Smith, K.; Pamela Logan; Jenny Coles; Carmel Oostveen; Anthony Linton dc.description.abstract: Background: The United Kingdom and Australia are amongst the countries with the highest rate of mesothelioma, a rare cancer due to exposure to asbestos. There is a very low survival rate partly due to delayed diagnosis, and deaths are on the rise. There were 2,446 mesothelioma deaths in Great Britain in 2020, an increase of 6% compared with 2019. While in Australia, there were 701 deaths in 2020, an 3% increase. The aim of the study is to explore the Australian patients鈥� journey from symptoms to diagnosis, to identify key factors that may have contributed to a timely (or delayed) diagnosis. Key learning points relevant to UK practice, will be presented. Methods: Patients with confirmed pleural mesothelioma (PM) diagnosis were invited to take part in an in-depth, semi-structured interview about their pathway to diagnosis. Participants were purposively recruited from a research institute in Australia. A total of ten participants took part in the study. 鈥楾he Model of Pathway to Treatment鈥� (MPT) highlights four time-intervals (Appraisal; Help seeking; Diagnostic; and Pre-treatment), where patients can experience facilitators or delays to diagnosis and treatment plans. MPT was used to develop the interview topic guide and provided the initial coding frame for interview transcriptions. Common themes were then identified within each MPT interval. Results: Our findings identified barriers and facilitators within every interval along the PM patients鈥� journey to diagnosis. Within the 鈥楢ppraisal鈥� interval, workplace medicals and patient鈥檚 knowledge of asbestos exposure, facilitated prompt onward referral. Similarly, healthcare professionals (HCPs) knowledge of mesothelioma, and prompt referrals for medical investigations were facilitators to diagnosis. Facilitators to treatment planning was patients鈥檌nformed decision making and private health cover. Attributing symptoms to advancing age, or underlying or persistent conditions, were reoccurring barriers in 鈥榓ppraisal鈥�, 鈥榟elp seeking鈥� and 鈥榙iagnostic鈥� intervals. A potential delay to treatment plans, was seen in patients with a preference for a specific oncologist or hospital. Conclusion: Overall, Australian patients and HCPs had good knowledge of the dangers of asbestos and related cancers, this may be in part due to awareness campaigns. The UK should aim to produce media campaigns to improve patient and HCP health literacy and raise awareness of mesothelioma. Patients who have workplace medicals or health insurance, or those who have funds to pay for medical treatment, may receive more timely diagnosis and treatment. However, this could worsen health inequalities in the UK, where privatised services are available options. dc.description: Poster presentation.

  • dc.title: Facilitators and barriers to early diagnosis of malignant plural mesothelioma (FILMM): Patients journey towards mesothelioma diagnosis, in England. dc.contributor.author: Oviasu, Osaretin; Coleby, Dawn; Padley, Wendy; Hinsliff-Smith, K. dc.description.abstract: Background: Prognosis with malignant plural mesothelioma (MPM), which is a rare form of cancer, is poor, yet evidence indicates a better chance of survival if earlier diagnosis is provided. Partly due to late presentation and diagnosis of malignant plural mesothelioma (MPM), the survival rate in the United Kingdom is below the European average. Furthermore, there has been little attention to MPM patients鈥� experiences prior to diagnosis as available studies have focused on their lived experiences after diagnosis. This study therefore aims to identify the barriers and facilitators to MPM diagnosis and looks to understand the reasons for any variability in patients鈥� experiences of the pathway to diagnosis and proposed treatment plans. Methods: The theoretical basis for this study is the Model of pathway to treatment (MPT), which highlights four intervals (Appraisal; Help-seeking; Diagnostic; and Pre-treatment) along the pathway to diagnosis where a patient can experience 鈥榙elay鈥� in obtaining a cancer diagnosis. This model was used to develop the interview topic guide. Patients with confirmed MPM diagnosis were invited to take part in an in-depth, semi structured interview about their pathway to diagnosis. To ensure the recruitment of the targeted number of participants, participants were purposively recruited from two specialist MPM outpatient clinics in England, of which, one of these clinics manages the second largest number of MPM patients in the country. A total of seventeen participants took part in the study. The interview data were analysed using framework analysis. The MPT was used for the initial coding framework of the interview transcriptions. Common themes were then identified within each MPT interval. Results: Our findings identified barriers and facilitators within every interval along the MPM patients鈥� journey to diagnosis. Within the Appraisal and Diagnostic intervals, the presentation of vague symptoms that were mistaken for a less serious illness were found to be a barrier. Health literacy regarding MPM appears to have an impact on how soon a patient sought help regarding their symptoms. Good health literacy by healthcare professionals (HCPs) appeared to facilitate placement on an MPM diagnostic pathway which reassured patients about better potential outcomes. Conclusion: Earlier symptom recognition by both patient and HCPs including General Practitioners (GPs) can be used to target significant and avoidable delays along patients鈥� MPM diagnosis pathway, thereby promoting earlier diagnosis and treatment options. dc.description: Poster presentation

  • dc.title: Facilitators and barriers to early diagnosis of pleural mesothelioma: A qualitative study of patients鈥� experiences towards getting a diagnosis dc.contributor.author: Oviasu, Osaretin; Coleby, Dawn; Padley, Wendy; Rakesh Panchal; Hinsliff-Smith, K. dc.description.abstract: Purpose: Prognosis with pleural mesothelioma (PM) is poor, yet evidence indicates a better chance of survival and quality of life if diagnosed earlier. There has been little attention to PM patients鈥� experiences prior to diagnosis as available studies have focused on their lived experiences after diagnosis. This study aims to qualitatively explore and identify the barriers and facilitators to PM diagnosis and looks to understand the reasons for any variability in patients鈥� experiences along their diagnosis journey and proposed treatment plans. Methods: Seventeen participants with confirmed PM diagnosis took part in in-depth, semi-structured interviews about their journey to diagnosis. Participants were purposively recruited from two specialist PM outpatient clinics in England. The interview data were analysed using framework analysis underpinned by the Model of Pathway to treatment. Results: Our findings identified 15 different barriers and facilitators across the four intervals within the model. Within the appraisal and diagnostic intervals, the presentation of vague symptoms that were mistaken for a less serious illness were a considerable barrier. Health literacy regarding PM had an impact on how soon a patients sought help regarding their symptoms and how quickly they were placed on a PM diagnostic pathway by the healthcare professionals (HCP), and this was impacted the HCP鈥檚 knowledge of PM. Conclusion: Earlier symptom recognition by both patient and those in initial contact such as General practitioners (GPs) and other HCPs, can be used to target significant and avoidable delays along the pathway, thereby promoting earlier diagnosis and treatment options. dc.description: open access article

  • dc.title: Creative approaches towards protecting the planet in clinical skills and simulation in nursing education dc.contributor.author: Arden, Catherine; Taylor-Rollings, Hannah; Tremayne, Penny; Padley, Wendy; Hinsliff-Smith, K. dc.description.abstract: As we ponder the bigger picture of environmental issues, sustainability and global challenges as a society, we note that planetary health and sustainability is a theme at the next NET/NEP conference to be held in Singapore, Oct 2024 (Elsevier 2024). We have been reviewing some of our practices, particularly within our undergraduate nursing programmes and the materials we use in our clinical skills labs to set one context and to hopefully trigger some discussion for the reader. We are also responding to the Royal College of Nursing positioning statement (2019) 鈥渞ecognising climate change undermines the very foundations of our health鈥� linked to the WHO equally stating that climate change is the 鈥渄efining health challenge of our time鈥� (WHO, 2023). Within all UK undergraduate nursing programmes, the Nursing and Midwifery Council (NMC), our professional body requires all candidates to undertake 50% theory and 50% clinical practice in their curricula and this approach is common across a wide range of programmes outside of the UK (Morgan et al., 2024). We are all aware that within our programmes an element of preparation is required for the acquisition of clinical skills prior to learners going into their mandatory clinical placements. Many Faculties also provide opportunities in purpose-built simulation or clinical skills labs (Borneuf & Haigh, 2010).

  • dc.title: Facilitators and barriers to early diagnosis of malignant mesothelioma (FILMM): a qualitative study of patient experiences living in England, UK dc.contributor.author: Oviasu, Osaretin; Coleby, Dawn; Padley, Wendy; Hinsliff-Smith, K. dc.description.abstract: BACKGROUND Partly due to late presentation and diagnosis of malignant mesothelioma (MM), UK鈥檚 survival rate is below the European average [1]. To date, there has been little attention given to patients鈥� experiences prior to MM diagnosis as available studies have focused on their lived experiences after diagnosis [2], [3]. Therefore, to improve survival through earlier diagnosis, there is an urgent need to understand decision-making points prior to patients鈥� MM diagnosis. OBJECTIVES This UK based study aims to explore patients鈥� experiences from the moment they notice the first symptom until they receive a MM diagnosis. Primary objective 鈥� To explore the factors which affect mesothelioma patients鈥� diagnosis pathway from their first symptom to confirmed diagnosis from their perspective. Secondary objective 鈥� To explore patients鈥� understanding of the development of their symptoms, reasons for seeking medical help and the process of interaction with health care professionals METHODS This is a qualitative study using one-to-one interviews and was conducted with participants who live in England, UK. Recruitment was via two regional specialist MM outpatient clinics using a purposive sample. A total of 17 patients were recruited, consented and interviewed. The data from the interviews were analysed using framework analysis. We utilised a model of pathway to treatment [4] as a conceptual framework for conducting the interviews and for the analysis of the findings. This model identifies four stages/intervals where delay can occur in the pathway to diagnosis - Appraisal, Help-seeking, Diagnostic, and Pre-treatment intervals and provides a useful framework to describe the participants鈥� journey to diagnosis and clinical interventions. RESULTS Preliminary findings indicates that there were barriers and facilitators within each interval identified along the MM patients鈥� journey to diagnosis. Within the appraisal and diagnostic intervals, the presentation of vague symptoms that were mistaken for a less serious illness were found to be a barrier. Both the patients that presented with these symptoms and their health care professional (HCP) failed to investigate for MM at the onset thereby leading to a delayed diagnosis. CONCLUSION Our findings identify, from the patients鈥� perspective, areas for improvement in the interactions and decision points along the clinical pathways to confirmed MM diagnosis. Earlier symptom recognition by both patient and HCP including GPs can be used to target significant and avoidable delays along patients鈥� MM diagnosis pathway, thereby promoting earlier diagnosis and treatment options. REFERENCE LIST [1] Cancer Research UK, 鈥淢esothelioma statistics,鈥� Statistics by cancer type, 2018. https://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/mesothelioma (accessed Feb. 24, 2020). [2] A. Arber et al., 鈥淎 research study exploring the patient鈥檚 experience during the first three months following a diagnosis of Malignant Pleural Mesothelioma,鈥� Surrey, 2010. [Online]. Available: s.surrey.ac.uk/id/eprint/2517. [3] C. Warnock, K. Lord, B. Taylor, and A. Tod, 鈥淧atient experiences of participation in a radical thoracic surgical trial: Findings from the Mesothelioma and Radical Surgery Trial 2 (MARS 2),鈥� Trials, vol. 20, no. 598, 2019, doi: 10.1186/s13063-019-3692-x. [4] F. Walter, A. Webster, S. Scott, and J. Emery, 鈥淭he Andersen Model of Total Patient Delay: a systematic review of its application in cancer diagnosis,鈥� J Heal. Serv Res Policy, vol. 17, no. 2, pp. 110鈥�118, 2012, doi: 10.1258/jhsrp.2011.010113.

  • dc.title: 鈥榃e went from understanding, to disappointment, resentment and often grief all in the space of 6 months鈥� A qualitative study of the stories of family carers of care home residents during COVID-19 pandemic in 2020. East Midlands Research into Ageing Network (EMRAN) Discussion Paper Series dc.contributor.author: Hinsliff-Smith, K.; de Vries, Kay; Padley, Wendy; Brown, Jayne; Griffiths, Sarah Ellen dc.description.abstract: When the WHO announced a global pandemic in response to COVID-19, individual countries reacted in a similar way with care homes closing their doors to visits, including visits from family members. The UK was no different, initially they closed to protect care home residents during a period of uncertainty, particularly as many were frail, with complex health needs and classed as vulnerable to the virus. This did however, create a sustained period of uncertainty for family members as well as the wider UK care home community. During 2020, 13 family carers in the UK shared their experiences through this period of COVID related enforced lockdowns, in total 27 interviews were conducted. Our findings and three themes narrate to time points when we were conducting interviews and were often linked to key changes in policy, often in the wider society but not conveyed into care home practices or visiting policies. Three overarching themes are described: Understanding and Acceptance, Disappointment and Resentment, Grief and Sense of Loss

  • dc.title: 2021 Report of the Evaluation of the Work.Live.Leicestershire Programme dc.contributor.author: Blair, Krista; McGill, George; Gkiontsi, Dimitra; de Vries, Kay; Brown, Jayne; Clayton, David; Coleby, Dawn; Dunn, Andrew; Oviasu, Osaretin; Padley, Wendy dc.description.abstract: The Work.Live.Leicestershire (WiLL) programme provided help to economically inactive or unemployed people in Leicestershire to move into job search, training, or employment. The programme aimed to help people into work or learning by improving their health and wellbeing, social engagement, and skills and work experience, and by supporting people as they volunteered, job searched or started a business. The programme was open to residents of rural Leicestershire who were economically inactive or unemployed, and targeted the areas of Hinckley and Bosworth, North West Leicestershire, Melton, and Harborough. As of November 2020, the programme had registered details of 535 participants1 (263 men and 266 women) across all age groups. 152 participants were 24 or under, and 158 participants were 51 or over. Of the participants registered, some will have just joined the programme, some will be part way through the programme, and some will have left the programme at various points after their initial engagement with WiLL. This report discusses findings from the second year of 羞羞视频鈥檚 evaluation, focussing on programme results and how the programme supported people to address barriers to moving into work or learning. The programme is ongoing, and this report draws on data from both participants who had left the programme and those whose support was in progress.

  • dc.title: Development of a tool to support managers in planning and evaluating staff training dc.contributor.author: Padley, Wendy; Long, Jaqui; Welyczko, Nikki; Dowsett, Deborah; Salter, Nick; Ford, Karen; Greenway, Carol; Brown, Jayne dc.description.abstract: Aim To explore decision-making and evaluation strategies used by healthcare managers in relation to staff training and education, and to develop a tool to support managers with these tasks. Method Using snowball sampling, 30 healthcare managers in a variety of healthcare settings were recruited and interviewed using semi-structured interviews. Data were transcribed and analysed using thematic analysis. Findings Four overarching themes were identified in relation to decision-making regarding staff training: the nature and characteristics of courses relevant to practice; the effect of practice requirements for education and training; staff motivation and interest; and the process of staff selection for training. Managers did not use formal, structured processes to make decisions about staff selection for training, nor to evaluate the outcomes of the training. Instead, they largely relied on their personal experience, knowledge and professional judgements. Based on these findings, the study team developed the Assessment, Planning and Evaluation of Training (APET) tool to support the planning and evaluation of training, and they invited feedback from healthcare managers. Positive feedback suggests that this tool could support managers鈥� decision-making in relation to planning and evaluating staff training. Conclusion Healthcare managers鈥� decision-making in relation to the planning and evaluation of staff training relied on judgements based on their personal experience and knowledge. The APET tool developed by the study team has the potential to ensure vital resources such as time and money are used optimally, which would improve outcomes for staff, patients and healthcare organisations.

  • dc.title: Development of a tool to support managers鈥� decision-making and evaluation of staff education and training dc.contributor.author: Padley, Wendy; Long, J.; Welyczko, N. dc.description.abstract: Managers have a key role in ensuring staff are trained effectively so they can carry out their work to a high standard (Alvarez et al 2004, Duffield et al 2011). However, within the last five years, a number of high profile reports in England have identified significant failings in healthcare delivery and made recommendations to improve workforce education and training to enhance safety, quality and patient outcomes (Keogh 2013, Francis 2013, Cavendish 2013, Imison et al 2016). Indeed the UK Health Select committee in January 2018 stated that 鈥楬ealth Education England must reverse cuts to nurses鈥�(House of Commons 2018) continuing professional development budgets. Funding allocated to trusts should be specifically ring-fenced for continuing professional development (CPD) for nurses, and specific funding should be made available to support CPD for nurses working in the community.鈥� They indicated they had heard 鈥榓 clear message (鈥�) that access to continuing professional development plays an important role in retention鈥� (House of Commons 2018). Operating in a climate where both time and financial resources are limited, it is important that managers make informed decisions about staff education and training which demonstrate value for money as well as improved service quality. However, factors such as competing organisational priorities and managers鈥� own time constraints may impact on their ability to make such decisions and to evaluate the outcomes of training attended. Decision making takes place in a variety of ways which include, but are not limited to, appraisals. This can result in choices which do not best serve staff, the patient or the organisation. In this context, a tool to aid managers鈥� decision-making regarding staff training may be valuable.

  • dc.title: Do surgical care bundles reducethe risk of surgical site infectionsin patients undergoing colorectalsurgery? A systematic review andcohort meta-analysis of 8,515 patients dc.contributor.author: Tanner, Judith; Padley, Wendy; Assadian, O.; Leaper, David; Kiernan, Martin dc.description.abstract: BACKGROUND: Care bundles are a strategy that can be used to reduce the risk of surgical site infection (SSI), but individual studies of care bundles report conflicting outcomes. This study assesses the effectiveness of care bundles to reduce SSI among patients undergoing colorectal surgery. METHODS: We performed a systematic review and meta-analysis of randomized controlled trials, quasi-experimental studies, and cohort studies of care bundles to reduce SSI. The search strategy included database and clinical trials register searches from 2012 until June 2014, searching reference lists of retrieved studies and contacting study authors to obtain missing data. The Downs and Black checklist was used to assess the quality of all studies. Raw data were used to calculate pooled relative risk (RR) estimates using Cochrane Review Manager. The I(2) statistic and funnel plots were performed to identify publication bias. Sensitivity analysis was carried out to examine the influence of individual data sets on pooled RRs. RESULTS: Sixteen studies were included in the analysis, with 13 providing sufficient data for a meta-analysis. Most study bundles included core interventions such as antibiotic administration, appropriate hair removal, glycemic control, and normothermia. The SSI rate in the bundle group was 7.0% (328/4,649) compared with 15.1% (585/3,866) in a standard care group. The pooled effect of 13 studies with a total sample of 8,515 patients shows that surgical care bundles have a clinically important impact on reducing the risk of SSI compared to standard care with a CI of 0.55 (0.39-0.77; P = .0005). CONCLUSION: The systematic review and meta-analysis documents that use of an evidence-based, surgical care bundle in patients undergoing colorectal surgery significantly reduced the risk of SSI. dc.description: open access article

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Key research outputs

Coleby, D., Oviasu, O., Padley, W., Hinsliff-Smith, K., Logan, P., Coles, J., Oostveen, C., and Linton, A. (2025) P80 What can we learn from Australian patients’ journey to mesothelioma diagnosis? A qualitative study. Journal of Epidemiology and Community Health, 79 (Suppl 1), A76

Oviasu, O., Coleby, D., Padley, W., Panchal, R.K., Hinsliff-Smith, K. (2025) Facilitators and Barriers to Early Diagnosis of Pleural Mesothelioma: A Qualitative Study of Patients’ Experiences Towards Getting a Diagnosis. European Journal of Oncology Nursing, 77, 102927

Williamson, I.R., Fish,J., Wildbur, D., Bell, K., Padley, W. & Brown, J. (2018) Towards LGBTQ-affirmative cancer care and support: Barriers and opportunities [Oral Presentation]. 32nd Conference of European Health Psychological Society, Galway, Ireland, August 2018.

Fish, J., Williamson, I., Brown, J., Padley, W., Bell, K. and Long, J. (2018) Promoting good outcomes in Lesbian, Gay and Bisexual cancer care: a qualitative study of patients’ experiences in clinical oncology. Leicester: 羞羞视频.

Tanner, J., Padley W., Kiernan M., Leaper D., Norrie, P., Baggott R. (2013) A benchmark too far: findings from a national survey of surgical site infection surveillance.

Tanner J., Padley W., Davey S., Murphy K., Brown B. (2012) Patients' experiences of surgical site infection.

Tanner J., Padley W., Davey S., Brown B., Murphy K. (2012) Patient narratives of surgical site infection patient narratives of surgical site infection.

Tanner J., Padley W., Davey S., Brown B., Murphy K. (2012) Utter despair: patients’ experiences of surgical site infection.

 

Research interests/expertise

Qualitative methods,  thematic analysis, interviewing in sensitive subjects, mental health; psychotherapy.

Areas of teaching

Literature searching, reviewing.

Qualifications

MA Psychotherapy, MBACP

MSc Library and Information Studies

Membership of professional associations and societies

Chartered Member, Chartered Institute of Library and Information Professionals

Accredited Member, British Association of Counselling and Psychotherapy

Externally funded research grants information

  • The patient experience of surgical site infection: Infection Prevention Society, qualitative interview based project, March 2011 - March 2012, research assistant (literature search, interviewing, writing up/dissemination).
  • Prototype skin preparation solution clinical trial: Molnlycke Health Care, clinical trial, July 2011 - November 2011, research assistant (lab work, carrying out trial work).

Internally funded research project information

Infection Control in the Ambulance Service: RIF award, background information audit, June 2011 - January 2012, research assistant (carrying out information audit and scoping exercise).