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Dr Alejandra Recio Saucedo PhD

Research Fellow

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Dr Alejandra Recio-Saucedo is a Research fellow within Health Sciences. As member of the Health work and systems research group she is currently working on studies funded by the NIHR Health Services & Delivery Research programme (HS&DR). The study “Nurse staffing levels, missed vital signs observations and mortality in hospital wards: modelling the consequences and costs of variations in nurse staffing and skill mix: Retrospective observational study using routinely collected data” is looking at associations between nurse staffing and mortality mediated by the completion of vital signs observations. This project is generating international interest as it is designed to model the associations between fundamental care and patient outcomes. The study “Identifying nurse-staffing requirements using the Safer Nursing Care Tool (SNCT)” will analyse the efficacy of the SNCT in determining the nurse establishment in adult hospital wards. Given the wide use of the SNCT in NHS trusts, results of this study are of great interest to organisations across the UK.

One of the best uses of technology is when it supports patients, of all ages, to make decisions about their journey to self-manage any condition.


Alejandra collaborates in the CLAHRC Wessex research group and recently completed a study exploring factors that influence monitoring of vital signs of patients in general medical and surgical wards during the night shift, when Electronic Surveillance Systems are in place. This work aimed at devising strategies to enhance adherence of night-time observations following a protocol based on the National Early Warning scores.

After joining Health Sciences in the Cancer, Palliative and End of Life Care research group, Alejandra completed a study to develop an online interactive decision aid designed specifically for young women diagnosed with early stage breast cancer. This work has continued with a second study, which developed a decision aid to support young women’s decisions around having genetic testing.

As part of the Electronics and Software Systems group within Physics and Applied Science, Alejandra was involved in projects to develop a Virtual Research Environment for a group of orthopaedic surgeons at the Royal National Orthopaedic Hospital and a study to explore the use of mobile devices to identify population at-risk of developing osteoporosis.


Research interests

  • Research into development and effectiveness of patient decision aids
  • Use of interactive technologies in the development of multimodal literacies
  • Use of mobile devices to support delivery of health services
  • Support services for young people living with and/or beyond cancer
  • Use of data to generate evidence that informs health policy

Research Projects

ECS projects

Virtual Research Integraton Collaboration (VRIC)

The aim of the project was to build a framework for the integration of basic science and clinical research to manage research lifecycles and allow for integration of scientific approaches throughout these lifecycles into the everyday work practice of the consortia that manage translational clinical research.


The project extends the uses of VRIC to meet the needs of communities external to hospital-based research centres.

OpenMentor Technology Transfer (OMTetra)

The OMtetra project aims to exploiting technology-enhanced assessment and feedback to enable more authentic and more useful feedback on assignment performance, thus improving assessment quality, enhancing the student experience, and supporting staff.

Catch Before a Fall (CBaF) 

Catch Before a Fall (CBaF) is a clinical research project aimed at calculating patients' risk factor of developing osteoporosis and of having an osteoporosis related fracture within the next 10 years. Calculation of risk factor was made via an app distributed on mobile devices.

Health Sciences projects

Development and pilot study of an online interactive surgical decision aid for young women newly diagnosed with cancer

Decision aids are tools that help to convey disease and treatment information to patients with the aim of supporting the decision making process. This pilot study will use age-specific outcome data to formulate a decision aid aimed specifically at young women with early-stage breast cancer.

Macmillan Survivorship Research Group - 5 year research programme

Collaboration for Leadership in Applied Health Research and Care (CLAHRC) - Fundamental Care

The project aims to improve the quality of fundamental care delivered by nurses and care assistants to adult patients in general wards of acute hospitals.

Study of the knowledge, beliefs and behaviours of hospital staff involved in patient monitoring to identify factors affecting performance of scheduled night time observations

Reviews for the National Institute for Health and Care Excellence (NICE) for the development of guidelines on safe and efficient staffing in acute adult inpatient wards.

The outcomes of the project are two reviews focused on:

"The association between patient safety outcomes and nurse/healthcare assistant skill mix and staffing levels & factors that may influence staffing requirements" and "Effectiveness of management approaches and organisational factors on nurse staffing sensitive outcomes"

Colorectal Well-being Study (CREW)

A cohort study to explore recovery of health and well-being following primary treatment of colorectal cancer.

Nurse staffing levels, missed vital signs observations and mortality in hospital wards:  modelling the consequences and costs of variations in nurse staffing and skill mix


Research group

Health Work

Affiliate research groups

Electronic and Software Systems Group, Health Technologies and Population Health

Research project(s)

Identifying nurse-staffing requirements using the Safer Nursing Care Tool. Modelling the costs and consequences of real world application to address variation in patient need on hospital wards

The study will examine how patients' need for nursing care, varies from day to day. This will allow us to see how well staffing matches need and to explore the costs and consequences of different ways of deploying nurses to meet varying need.

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Book Chapter




Research supervision of postgraduate students

Qualitative methods module

Dr Alejandra Recio Saucedo
Health Sciences University of Southampton Highfield Southampton SO17 1BJ

Room Number: 92 Chilwth Alpha

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