Emergency and critical care health services research including: Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decision making and its implementation, including the associated health service systems to support the processes involved and establishing a registry for out of hospital cardiac arrest. Implementation of evidence into practice. Methodologies to test and evaluate the impacts of complex health service interventions, including the use of mixed methods and process evaluation in clinical trials.
I joined the Emergency and Critical Care research group in the Warwick Clinical Trials Unit (WCTU) at Warwick Medical School in January 2015. My current work focuses on cardiac arrest, including developing an evaluation of a new system of embedding Do Not Attempt Cardiopulmonary Emergency Care Treatment Plans and working with the Out of Hospital Cardiac Arrest Registry Outcomes (OHACO) project team. Prior to joining WCTU, I worked as a Research Fellow in the School of Healthcare and Medical Sciences at Bangor University (2009-2015), with the Royal College of Nursing Institute at the University of Warwick (2006-2009) and as a Lecturer in Adult Nursing at Oxford Brookes University (2003-2006). My clinical background is as a critical care nurse in cardiac and general intensive care. My interest in implementation research and methodologies to test and evaluate complex health service interventions stems from my PhD and post-doctoral positions. This work consists of mixed methods evaluations and pragmatic trials of guideline implementation in critical care (implementation of nurse-led extubation in cardiac surgery), surgical (PoISE) and community settings (FIRE, an international collaboration funded by EUFP7 programme).
- Albargi, H., Mallett, S., Berhane, S., Booth, Scott J., Hawkes, Claire, Perkins, Gavin D., Norton, M., Foster, T., Scholefield, B., 2022. Bystander cardiopulmonary resuscitation for paediatric out-of-hospital cardiac arrest in England : an observational registry cohort study. Resuscitation, 170, pp. 17-25
- 'Hawkes, Claire, 'Kander, In?s, 'Contreras, Abraham, 'Ji, Chen, 'Brown, Terry, 'Booth, Scott J., 'Siriwardena, A. Niroshan, 'Fothergill, Rachael T., 'Williams, Julia, 'Rees, Nigel, 'Stephenson, Estelle, 'Perkins, Gavin D., 2022. 'Impact of the COVID-19 pandemic on public attitudes to cardiopulmonary resuscitation and publicly accessible defibrillator use in the UK. Resuscitation Plus, 10
- Eli, Karin, Huxley, Caroline J., Hawkes, Claire, Perkins, Gavin D., Slowther, Anne-Marie, Griffiths, Frances, 2022. Why are some ReSPECT conversations left incomplete? A qualitative case study analysis. Resuscitation Plus, 10
- Eli, Karin, Hawkes, Claire, Perkins, Gavin D., Slowther, Anne-Marie, Griffiths, Frances, 2022. Caring in the silences : why physicians and surgeons do not discuss emergency care and treatment planning with their patients ? an analysis of hospital-based ethnographic case studies in England. BMJ Open, 12 (3)
- Eli, Karin, Hawkes, Claire, Ochieng, Cynthia, Huxley, Caroline J., Baldock, Catherine, Fortune, Peter-Marc, Fuld, Jonathan, Perkins, Gavin D., Slowther, Anne-Marie, Griffiths, Frances, 2021. Why, when and how do secondary-care clinicians have emergency care and treatment planning conversations? Qualitative findings from the ReSPECT evaluation study. Resuscitation, 162, pp. 343-350
- Huxley, Caroline J., Eli, Karin, Hawkes, Claire, Perkins, Gavin D., George, Rob, Griffiths, Frances, Slowther, Anne-Marie, 2021. General practitioners? experiences of emergency care and treatment planning in England : a focus group study. BMC Family Practice, 22 (1)
- Ji, Chen, Brown, Terry, Booth, Scott J., Hawkes, Claire, Nolan, Jerry P., Mapstone, James, Fothergill, Rachael T., Spaight, Robert, Black, Sarah, Perkins, Gavin D., 2021. Risk prediction models for out-of-hospital cardiac arrest outcomes in England. European Heart Journal, 7 (2), pp. 198-207
- Hawkes, Claire, Brown, T., Noor, U., Carlyon, J., Davidson, N., Soar, J., Perkins, G. D., Smyth, M. A., Lockey, A., 2021. Characteristics of restart a heart 2019 event locations in the UK. Resuscitation Plus, 6
- Eli, Karin, Hawkes, Claire, Fritz, Zoe?, Griffin, James M., Huxley, Caroline J., Perkins, Gavin D., Wilkinson, Anna, Griffiths, Frances, Slowther, Anne-Marie, 2021. Assessing the quality of ReSPECT documentation using an accountability for reasonableness framework. Resuscitation Plus, 7
- Hawkes, Claire, Fritz, Zoe¨, Deas, Gavin, Ahmedzai, Sam H., Richardson, Alison, Pitcher, David, Spiller, Juliet, Perkins, Gavin D., 2020. Development of the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT). Resuscitation, 148 (1), pp. 98-107
- Eldh, A. C., Rycroft-Malone, J., van der Zijpp, T., McMullan, C., Hawkes, Claire, 2020. Using non-participant observation as a method to understand implementation context in evidence-based practice. Worldviews on Evidence-Based Nursing, 17 (3), pp. 185-192
- Eli, Karin, Ochieng, Cynthia, Hawkes, Claire, Perkins, Gavin D., Couper, Keith, Griffiths, Frances, Slowther, Anne-Marie, 2019. Secondary care consultant clinicians' experiences of conducting emergency care and treatment planning conversations in England : an interview-based analysis. BMJ Open, 10
- Hawkes, Claire, Brown, Terry, Booth, Scott J., Fothergill, Rachael, Siriwardena, Niroshan, Zakaria, Sana, Askew, Sara, Williams, Julia, Rees, Nigel, Ji, Chen, Perkins, Gavin D., 2019. Attitudes to cardiopulmonary resuscitation and defibrillator use : a survey of UK adults in 2017. Journal of the American Heart Association, 8 (7)
- Brown, Terry, Booth, Scott J., Hawkes, Claire, Soar, Jasmeet, Julian, Mark, Mapstone, James, Fothergill, Rachel T., Black, Sarah, Pocock, Helen, Bichmann, Anna, Gunson, Imogen, Perkins, Gavin D., 2019. Characteristics of neighbourhoods with high incidence of out-of-hospital cardiac arrest and low bystander cardiopulmonary resuscitation rates in England. European Heart Journal - Quality of Care and Clinical Outcomes, 5 (1), pp. 51-62
- Rycroft-Malone, Jo, Seers, Kate, Eldh, Ann Catrine, Cox, Karen, Crichton, Nicola, Harvey, Gill, Hawkes, Claire, Kitson, Alison, McCormack, Brendan, McMullan, Christel, Mockford, Carole, Niessen, Theo, Slater, Paul, Titchen, Angie, van der Zijpp, Teatske, Wallin, Lars, 2018. A realist process evaluation within the Facilitating Implementation of Research Evidence (FIRE) cluster randomised controlled international trial: an exemplar. Implementation Science, 13 (1)
- Seers, Kate, Rycroft-Malone, Jo, Cox, Karen, Crichton, Nicola, Tudor Edwards, Rhiannon, Eldh, Ann Catrine, Estabrooks, Carole A., Harvey, Gill, Hawkes, Claire, Jones, Carys, Kitson, Alison, McCormack, Brendan, McCullan, Christel, Mockford, Carole, Niessen, Theo, Slater, Paul, Titchen, Angie, Zijpp, Teatske van der, Wallin, Lars, 2018. Facilitating Implementation of Research Evidence (FIRE) : an international cluster randomised controlled trial to evaluate two models of facilitation informed by the Promoting Action in Research Implementation in Health Services (PARIHS) framework. Implementation Science, 13
- Seers, Kate, Rycroft-Malone, Jo, Cox, Karen, Crichton, Nicola, Edwards, Rhiannon Tudor, Eldh, Ann Catrine, Estabrooks, Carole A., Harvey, Gill, Hawkes, Claire, Jones, Carys, Kitson, Alison, McCormack, Brendan, McMullan, Christel, Mockford, Carole, Niessen, Theo, Slater, Paul, Titchen, Angie, van der Zijpp, Teatske, Wallin, Lars, 2018. Facilitating Implementation of Research Evidence (FIRE): an international cluster randomised controlled trial to evaluate two models of facilitation informed by the Promoting Action on Research Implementation in Health Services (PARIHS) framework. Implementation Science, 13 (1)
- Rycroft-Malone, Jo, Seers, Kate, Eldh, Ann Catrine, Cox, Karen, Crichton, Nicola, Harvey, Gill, Hawkes, Claire, Kitson, Alison, McCormack, Brendan George, McMullan, Christel, Mockford, Carole, Niessen, Theo, Slater, Paul, Titchen, Angie, van der Zijpp, Teatske, Wallin, Lars, 2018. A realist process evaluation within the Facilitating Implementation of Research Evidence (FIRE) cluster randomised controlled international trial : an exemplar. Implementation Science, 13
- Williams, Nefyn H., Roberts, Jessica L., Din, Nafees Ud, Charles, Joanna M., Totton, Nicola, Williams, Michelle, Mawdesley, Kevin, Hawkes, Claire, Morrison, Val, Lemmey, Andrew, Edwards, Rhiannon T., Hoare, Zoe, Pritchard, Aaron W., Woods, Robert T., Alexander, Swapna, Sackley, Catherine, Logan, Pip, Wilkinson, Clare, Rycroft-Malone, Jo, 2017. Developing a multidisciplinary rehabilitation package following hip fracture and testing in a randomised feasibility study : Fracture in the Elderly Multidisciplinary Rehabilitation (FEMuR). Health Technology Assessment, 21 (44), pp. 1-528
- Rajagopal, Sangeerthana, Booth, Scott J., Brown, Terry, Ji, Chen, Hawkes, C. M., Siriwardena, A. Niroshan, Kirby, Kim, Black, Sarah, Spaight, Robert, Gunson, Imogen, Brace-McDonnell, Samantha J., Perkins, Gavin D., 2017. Data quality and 30-day survival for out-of-hospital cardiac arrest in the UK out-of-hospital cardiac arrest registry : a data linkage study. BMJ Open, 7 (11)
- Roberts, Jessica Louise, Din, Nafees Ud, Williams, Michelle, Hawkes, Claire, Charles, Joanna M., Hoare, Zoe, Morrison, Val, Alexander, Swapna, Lemmey, Andrew, Sackley, Catherine, Logan, Phillipa, Wilkinson, Clare, Rycroft-Malone, Jo, Williams, Nefyn H., 2017. Development of an evidence-based complex intervention for community rehabilitation of patients with hip fracture using realist review, survey and focus groups. BMJ Open, 7 (10)
- Hawkes, C. M., Booth, Scott J., Ji, Chen, Brace-McDonnell, Samantha J., Whittington, Andrew, Mapstone, James, Cooke, Matthew, Deakin, Charles D., Gale, Chris P., Fothergill, Rachael, Nolan, Jerry P., Rees, Nigel, Soar, Jasmeet, Siriwardena, A. Niroshan, Brown, Terry, Perkins, Gavin D., 2017. Epidemiology and outcomes from out-of-hospital cardiac arrests in England. Resuscitation, 110, pp. 133-140
- Van der Zjjpp , T. J., Niessen, T., Eldh, Ann Catrine, Hawkes, C. M., McMullan, Christel, Mockford, Carole, Wallin, Lars, McCormack, Brendan, Rycroft-Malone, Jo, Seers, Kate, 2016. A bridge over turbulent waters : illustrating the interaction between managerial leaders and facilitators when implementing research evidence. Worldviews on Evidence Based Nursing, 13 (1), pp. 25-31
- Williams, Nefyn H, Roberts, Jessica L., Din, Nafees Ud, Totton, Nicola, Charles, Joanna M, Hawkes, C. M., Morrison, Val, Hoare, Zoë, Williams, Michelle, Pritchard, Aaron W, Alexander, Swapna, Lemmey, Andrew, Woods, Robert T, Sackley, Catherine, Logan, Pip, Edwards, Rhiannon T, Wilkinson, Clare, 2016. Fracture in the Elderly Multidisciplinary Rehabilitation (FEMuR): a phase II randomised feasibility study of a multidisciplinary rehabilitation package following hip fracture. BMJ Open, 6 (10)
- Chandler-Oatts, Jacqueline, Rycroft-Malone, Jo, Hawkes, C. M., Noyes, Jane, 2016. Application of simplified Complexity Theory concepts for healthcare social systems to explain the implementation of evidence into practice. Journal of Advanced Nursing, 72 (2), pp. 461-480
- Perkins, Gavin D., Griffiths, Frances, Slowther, Anne, George, R., Fritz, Zoe?, Satherley, P., Williams, B., Waugh, Norman, Cooke, Matthew, Chambers, Sue, Mockford, Carole, Freeman, Karoline, Grove, Amy L., Field, R., Owen, S., Clarke, B., Court, Rachel A., Hawkes, Claire, 2016. Do-not-attempt-cardiopulmonary-resuscitation decisions : an evidence synthesis. Health Services and Delivery Research, 4 (11)
- Williams, Nefyn H., Hawkes, C. M., Din, Nafees Ud, Roberts, Jessica L., Charles, Joanna M., Morrison, Val L., Hoare, Zoë, Edwards, Rhiannon T., Andrew, Glynne, Alexander, Swapna, Lemmey, Andrew B., Woods, Bob, Sackley, Catherine, Logan, Pip, Hunnisett, David, Mawdesley, Kevin, Wilkinson, Clare, 2015. Fracture in the elderly multidisciplinary rehabilitation (FEMuR) : study protocol for a phase II randomised feasibility study of a multidisciplinary rehabilitation package following hip fracture [ISRCTN22464643]. Pilot and Feasibility Studies, 1 (1)
- Rycroft-Malone, Jo, Seers, Kate, Chandler-Oatts, Jacqueline, Hawkes, C. M., Crichton, Nicola, Allender, Charlotte J., Bullock, Ian, Strunin, Leo, 2013. The role of evidence, context, and facilitation in an implementation trial : implications for the development of the PARIHS framework. Implementation Science, 8 (28)
- Seers, Kate, Cox, Karen, Crichton, Nicola J., Edwards, Rhiannon, Eldh, Ann, Estabrooks, Carole A., Harvey, Gill, Hawkes, C. M., Kitson, Alison L., Linck, P., McCarthy, Geraldine, McCormack, Brendan, Mockford, Carole, Rycroft-Malone, Jo, Titchen, Angie, Wallin, Lars, 2012. FIRE (facilitating implementation of research evidence) : a study protocol. Implementation Science, Vol.7 (No.1)
- Rycroft-Malone, Jo, Seers, Kate, Crichton, Nicola, Chandler, Jackie, Hawkes, C. M., Allen, Claire, Bullock, Ian, Strunin, Leo, 2012. A pragmatic cluster randomised trial evaluating three implementation interventions. Implementation Science, Vol.7 (No.1)
- Hawkes, C. M., Foxcroft, David R., Yerrell, Paul, 2010. Clinical guideline for nurse-led early extubation after coronary artery bypass : an evaluation. Journal of Advanced Nursing, 66 (9), pp. 2038-2049
- Vital, Flávia MR, Saconato, Humberto, Ladeira, Magdaline T, Sen, Ayan, Hawkes, C. M., Soares, Bernardo, Burns, Karen E. A., Atallah, Álvaro N, 2008. Non-invasive positive pressure ventilation (CPAP or bilevel NPPV) for cardiogenic pulmonary edema. Cochrane Database of Systematic Reviews, 3
- Albargi, Hussin, Mallett, Susan, Booth, Scott J., Hawkes, Claire, Perkins, Gavin D., Scholefield, Barnaby, 2020. Impact of bystander cardiopulmonary resuscitation for paediatric out-of-hospital cardiac arrest in England. ERC congress, Virtual conference, 22-24 Oct 2020, Published in Resuscitation, pp. s17-s18
- Brown, Terry, Smyth, Michael A., Perkins, Gavin D., Hawkes, Claire, Booth, Scott J., de Paeztron, Adam, 2020. Admission to cardiac arrest centres in England. ERC congress, Virtual conference, 22-24 Oct 2020, Published in Resuscitation
- Brown, Terry, Smyth, Michael A., Perkins, Gavin D., Hawkes, Claire, Booth, Scott J., de Paeztron, Adam, 2020. Survival in out-of-hospital cardiac arrests presenting with an initial non-shockable rhythm in England. ERC congress, Virtual conference, 22-24 Oct 2020, Published in Resuscitation
- Brown, Terry, Booth, Scott J., Hawkes, Claire, Fothergill, Rachel T., Black, Sarah, Pocock, Helen, Gunson, Imogen, Soar, Jasmeet, Mark, Julian, Perkins, Gavin D., 2018. Who receives bystander CPR in a witnessed out-of-hospital cardiac arrest in England. ERC congress, Bologna, Italy, 20-22 Sep 2018, Published in Resuscitation
- Benson, Madeleine, Brown, Terry, Booth, Scott J., Achana, Felix A., Price, Gill, Ward, Matt, Hawkes, Claire, Perkins, Gavin D., 2018. Locations of out-of-hospital cardiac arrests and public-access defibrillators in relation to schools in an English ambulance service region. ERC congress, Bologna, Italy, 20-22 Sep 2018, Published in Resuscitation
- Hawkes, Claire, Couper, Keith, Griffin, James M., Skilton, Emma, Perkins, Gavin D., 2018. Variation in do not attempt cardiopulmonary resuscitation orders and emergency care and treatment plan use in English acute hospitals : a national survey. ERC congress, Italy, 20-22 Sep 2018, Published in Resuscitation
- Brown, Terry, Booth, Scott J., Lockey, Andrew, Askew, Sara, Hawkes, Claire, Fothergill, Rachel, Black, Sarah, Pocock, Helen, Gunson, Imogen, Soar, Jasmeet, Mark, Julian, Perkins, Gavin D., 2018. Bystander cardiopulmonary resuscitation : impact of training initiatives. ERC congress, Bologna, Italy, 20-22 Sep 2018, Published in Resuscitation
- Brown, Terry, Hawkes, Claire, Booth, Scott J., Fothergill, Rachael, Black, Sara, Bichmann, Anna, Pocock, Helen, Soar, Jasmeet, Mark, Julian, Benger, Jonathan, Perkins, Gavin D., 2017. Identification of characteristics of neighbourhoods with high incidence of out-of-hospital cardiac arrest and low bystander cardiopulmonary resuscitation rates. ERC congress, Germany, 28-30 Sep 2017, Published in Resuscitation, pp. e67-e68
- Hawkes, Claire, Booth, Scott J., Brown, Terry, Fothergill, Rachael, Zakaria, Sana, Askew, Sara, Siriwardena, A. Niroshan, Williams, Julia, Rees, Nigel, Perkins, Gavin D., 2017. Attitudes to CPR and public access defibrillation : a survey of the UK public. ERC congress, Germany, 28-30 Sep 2017, Published in Resuscitation
- Brown, Terry, Hawkes, Claire, Booth, Scott J., Fothergill, Rachael, Black, Sara, Bichmann, Anna, Pocock, Helen, Soar, Jasmeet, Mark, Julian, Benger, Jonathan, Perkins, Gavin D., 2017. Temporal changes in bystander cardiopulmonary resuscitation rates in England. ERC congress, Germany, 28-30 Sep 2017, Published in Resuscitation
- Rajagopal, Sangeerthana, Booth, Scott J., Brown, Terry, Ji, Chen, Hawkes, Claire, Siriwardena, A. Niroshan, Kirby, Kim, Black, Sarah, Spaight, Robert, Gunson, Imogen, Brace-McDonnell, Samantha J., Perkins, Gavin D., 2017. Improving data quality in a UK out-of-hospital cardiac arrest registry through data linkage between the Out-of-Hospital Cardiac Arrest Outcomes (OHCAO) project and NHS Digital. ERC congress, Freiburg, Germany, 28-30 Sep 2017, Published in Resuscitation
- Fritz, Zoe, Pitcher, David, Hawkes, C. M., Nolan, J. P., 2016. Development of a national approach to resuscitation decisions : the recommended summary plan for emergency care and treatment (ReSPECT). European Resuscitation Congress 2016, Published in Resuscitation
- Hawkes, C. M., Chambers, Sue, Satherley, Philip, Slowther, Anne, Perkins, Gavin D., Booth, Scott, 2015. DNACPR incidents and complaints. European Resuscitation Congress 2015, Prague, Published in Resuscitation
- Hawkes, C. M., Griffiths, Frances, Slowther, Anne, Chambers, Sue, Perkins, Gavin D., 2015. Do not attempt cardiopulmonary resuscitation (DNACPR) decisions : Clinical experiences and ethical considerations. European Resuscitation Congress 2015, Prague, Published in Resuscitation
- Hawkes, Claire, Chambers, Sue, Satherley, Philip, Slowther, Anne, Perkins, Gavin D., Booth, Scott J., 2015. DNACPR incidents and complaints. ERC congress, Prague, Czech Republic, 29-31 Oct 2015, Published in Resuscitation
- Sackley, Cath M., Hawkes, C. M., Roberts, Jess, Williams, Nefyn, 2014. Development of an enhanced multidisciplinary rehabilitation package following hip fracture in the elderly ? A feasibility study. The Society for Research in Rehabilitation (SRR) Summer meeting 2014, Glasgow Caledonian University, Scotland, 10 Jun 2014
- Chandler-Oatts, Jacqueline, Hawkes, C. M., Rycroft Malone, J., Allen, C., Seers, Kate, Bullock, Ian, Crichton, Nicola, Strunin, Leo, 2009. The patients' priorities for care when fasting for elective surgery. The 2009 RCN International Nursing Research Conference, Cardiff, 24-27 Mar 2009
- Rycroft Malone, J., Hawkes, C. M., Chandler-Oatts, Jacqueline, Seers, Kate, Bullock, Ian, Crichton, Nicola, Allen, C., Strunin, L., 2009. Peri-operative fasting guideline implementation study evaluation. International forum on quality and safety 2009, Berlin, 17-20 Mar 2009
- Hawkes, C. M., Rycroft-Malone, Jo, Seers, Kate, Bullock, Ian, Chandler-Oatts, Jacqueline, Crichton, Nicola, Strunin, Leo, Allen, Claire, Smith, Tanya A., 2008. Peri-operative fasting guideline implementation study evaluation. Knowledge Translation 08: Forum for the Future, Banff, Canada, Jun 2008
- Chandler-Oatts, Jacqueline, Hawkes, C. M., Rycroft-Malone, Jo, Seers, Kate, Bullock, Ian, 2008. Improving the evaluation of complex healthcare interventions : the contribution of theory. The 2008 International Nursing Research Conference, Liverpool, UK, 08-11 Apr 2008
Title | Funder | Award start | Award end |
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NIHR HSDR - Stage 2: Facilitating Access to CPR Training in High Risk Areas (FACT study) | National Institute for Health Research (NIHR DoH) | 01 Nov 2021 | 31 Jan 2025 |
BHF Application - 3 year extension to OHCAO | British Heart Foundation | 01 Oct 2018 | 31 Mar 2024 |
Evaluating the ReSPECT process in the community setting. | National Institute for Health Research (NIHR DoH) | 01 May 2021 | 30 Apr 2023 |
NIHR HS&DR Full stage. Termination of resuscitation in UK ambulance services PROTECTED | National Institute for Health Research (DoH) | 01 Sept 2019 | 31 Aug 2022 |
To investigate why people in areas of high cardiac arrest incidence and low bystander CPR rates are less likely to help resuscitate someone who has a cardiac arrest | National Institute for Health Research (NIHR DoH) | 26 Aug 2020 | 25 Aug 2021 |
Survey and Analysis of the Restart a Heart Day Network | Resuscitation Council (UK) | 26 Nov 2019 | 26 Nov 2020 |
Resusitation Council- Emergency Care and Treatment Plan | Resuscitation Council (UK) | 01 Nov 2015 | 31 Oct 2016 |