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Health & Social Care in the Community

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https://www.readbyqxmd.com/read/28215055/occupational-hazards-for-home-care-nurses-across-the-rural-to-urban-gradient-in-ontario-canada
#1
Matthew Wong, Margaret Saari, Erin Patterson, Martine Puts, Ann E Tourangeau
The purpose of this paper was to describe occupational hazards for nurses working in home care (HC) and explore how they differ across the rural-to-urban gradient. Responses (n = 823) from a cross-sectional survey conducted in 2012 of HC nurses registered to practise nursing in the Province of Ontario, Canada were used. Using chi-square analysis and posthoc pairwise tests with a Bonferroni correction, 14 occupational hazards were individually tested for differences between four geographical settings (rural, town, suburban or urban areas)...
February 19, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28215048/unmet-home-healthcare-needs-and-quality-of-life-in-cancer-patients-a%C3%A2-hospital-based-turkish-sample
#2
Gülsen Ataman, Tugrul Erbaydar
Home healthcare services in Turkey are provided primarily to patients that are bedridden or seriously disabled. There are no such services integrated with hospital services that are specifically designed for cancer patients. The present study aimed to explore the home healthcare needs of cancer patients and their experiences related to unmet home healthcare needs. The study included 394 adult cancer patients who were followed up at the surgical oncology department of a university hospital. A 37-item, study-specific questionnaire and the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire for cancer patients (EORTC-QLQ-C30) were administered, and patient clinical records were evaluated...
February 19, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28215044/developing-caring-conversations-in-care-homes-an-appreciative-inquiry
#3
Belinda Dewar, Tamsin MacBride
Relationship-centred practice is key to delivering quality care in care homes. Evidence is strong about the centrality of human interaction in developing relationships that promote dignity and compassion. The Caring Conversations framework is a framework for delivering compassionate care based on human interactions that was developed in the acute healthcare setting. The key attributes are: be courageous, connect emotionally, be curious, consider other perspectives, collaborate, compromise and celebrate. This paper reports on a study to explore its relevance to the care home setting and the development of an educational intervention, based on the framework, to enhance development of human interaction...
February 19, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28178751/a-study-on-the-factors-influencing-the-community-participation-of-older-adults-in-china-based-on-the-charls2011-data-set
#4
Wenyi Lin
Many communities provide older people with various opportunities to participate in the society. The 2010 Chinese census reveals that the majority of the older adults in China are still healthy, but research shows that older adults have relatively low levels of community participation. This study aims to determine the factors that affect the community participation of older adults in China using data collected from the 2011 China Health and Retirement Longitudinal Study (CHARLS). The CHARLS survey used a multistage sampling strategy to select respondents from 450 resident or village communities in China...
February 8, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28147452/an-open-trial-of-equine-assisted-therapy-for-children-exposed-to-problematic-parental-substance-use
#5
Menka Tsantefski, Lynne Briggs, Jessica Griffiths, Anne Tidyman
Children exposed to problematic parental substance use (PPSU) often face a number of deleterious developmental outcomes, yet these children are less likely to become known to child protection and welfare services. Although there is a growing evidence base for equine-assisted therapy (EAT) as an effective treatment modality for atypically developing children and adolescents, scant research has explored the benefit of EAT for children exposed to PPSU. The current study is the first to explore the benefit of EAT for children exposed to PPSU in Victoria, Australia...
February 1, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28147433/cost-effectiveness-of-aftercare-services-for-people-with-severe-mental-disorders-an-analysis-parallel-to-a-randomised-controlled-clinical-trial-in-iran
#6
Maziar Moradi-Lakeh, Mohsen Yaghoubi, Ahmad Hajebi, Seyed Kazem Malakouti, Mohamad Ghadiri Vasfi
Aftercare services are not part of the usual care for people with severe mental disorders in Iran. This study was performed to assess the cost-effectiveness of aftercare services, including telephone follow-up or home visit, in addition to caregivers' education and training of social skills, for all subjects during the 20 months after hospital discharge. An economic evaluation was performed along with a registered randomised controlled trial (IRCT201009052557N2) on two groups of 60 persons recruited between 2010 and 2012...
February 1, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28138985/exploring-physical-activity-engagement-and-barriers-for-asylum-seekers-in-australia-coping-with-prolonged-uncertainty-and-no-right-to-work
#7
Lisa Hartley, Caroline Fleay, Marian E Tye
This paper explores the engagement in physical activity as a potential coping strategy for asylum seekers living in the Australian community without the right to work and with prolonged uncertainty, and benefits or barriers to undertaking such activity. Semi-structured in-depth interviews were held with 29 asylum seekers who had arrived to Australia by boat and were living in the community in the cities of Perth, Sydney or Melbourne in July-October 2013 after their release from immigration detention. The ratio of the numbers of men and women interviewed (23 men and 6 women) was comparable to the ratio of men and women who came by boat to Australia seeking asylum in 2012-2013...
January 30, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28132415/older-people-receiving-family-based-support-in-the-community-a-survey-of-quality-of-life-among-users-of-shared-lives-in-england
#8
Lisa Callaghan, Nadia Brookes, Sinead Palmer
Shared Lives (adult placement) is a model of community-based support where an adult who needs support and/or accommodation moves into or regularly visits the home of an approved Shared Lives carer, after they have been matched for compatibility. It is an established but small service which has been used mainly by people with learning disabilities but which has the potential to offer an alternative to traditional services for some older people. However, there is little research on the outcomes for older users of Shared Lives...
January 29, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28122414/value-for-money-an-examination-of-the-relationship-between-need-and-cost-in-intellectual-disability-services
#9
Jodi Cronin, Jane Bourke
The recent economic crisis along with changing demographic trends has stimulated an increased interest in the value obtained from social care expenditure so as to ensure the sustainability of systems in the future. In Ireland, the Department of Health, further to a recent review of its disability services, commited to a new approach that will reshape and redesign its service provision. It specifically outlined a reorganisation of financing services, from a model of prospective block grant funding to a system of individualised budgeting based on an assessment of need...
January 25, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28122408/personal-goals-and-factors-related-to-qol-in-dutch-homeless-people-what-is-the-role-of-goal-related-self-efficacy
#10
Jorien van der Laan, Sandra N Boersma, Barbara van Straaten, Gerda Rodenburg, Dike van de Mheen, Judith R L M Wolf
Very little is known about the personal goals of homeless people and how these relate to their quality of life (QoL). By using survey data on 407 homeless adults upon entry to the social relief system in 2011, we examined the personal goals of homeless adults and the association between their perceived goal-related self-efficacy and their QoL. A hierarchical regression analysis was used to analyse the association between QoL and goal-related self-efficacy, relative to factors contributing to QoL, such as demographic characteristics, socioeconomic resources, health and service use...
January 25, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28118683/care-co-ordination-for-older-people-in-the-third-sector-scoping-the-evidence
#11
REVIEW
Michele Abendstern, Jane Hughes, Rowan Jasper, Caroline Sutcliffe, David Challis
The third sector has played a significant role internationally in the delivery of adult social care services for many years. Its contribution to care co-ordination activities for older people, however, in England and elsewhere, is relatively unknown. A scoping review was therefore conducted to ascertain the character of the literature, the nature and extent of third sector care co-ordination activity, and to identify evidence gaps. It was undertaken between autumn 2013 and summer 2014 and updated with additional searches in 2016...
January 24, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28116847/sexual-health-service-providers-perceptions-of-transgender-youth-in-england
#12
Ayla R F Lefkowitz, Jenevieve Mannell
Transgender youth often face difficulties when accessing sexual health services. However, few studies investigate health service providers' perceptions of transgender youth, and fewer focus on sexual health. To fill this gap, our study draws on social representations theory to examine sexual health service providers' perceptions of transgender youth and how this influences the provision of health services for this marginalised population in England. A thematic analysis of 20 semi-structured interviews with service providers, conducted between March and June 2014, resulted in five main themes centred on: binary representations of transgender; transgender as homosexuality; uncertain bodies; unstable mental states; and too young to know...
January 23, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28105790/a-qualitative-study-of-patients-knowledge-and-views-of-about-oral-health-and-acceptability-of-related-intervention-in-an-australian-inpatient-alcohol-and-drug-treatment-facility
#13
Alison Li Sun Cheah, Ram Pandey, Mark Daglish, Pauline J Ford, Sue Patterson
Social factors, health behaviours and the direct effects of substances contribute to the poor oral health and restricted access to dental services experienced by people who are dependent on drugs and/or alcohol. Admission for inpatient withdrawal management provides an opportunity for intervention to promote oral health but to be effective it must be acceptable to patients. To support intervention design, we examined patients' views about oral health, practices and treatment access, and appropriateness of health-promoting intervention in this context...
January 20, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28105776/patient-companions-in-the-turkish-healthcare-system-the-role-expectations-and-problems
#14
Yusuf Çelik, Neşet Hikmet, Fatih Şantaş, Abide Aksungur, Gülsen Topaktaş, İlkay Sevinç Turaç
The purpose of this study was to determine the roles, expectations and problems of patient companions and to develop solutions to the difficulties encountered by the nurses, patients and their companions. A qualitative approach with semi-structured face-to-face interviews was used during May and June 2014 to collect data. A convenience sample of participants was selected from the nurses, patients and their companions. Content analysis was used for the data. The results of this study revealed that the need for companions is important to the current Turkish healthcare system, but it has many drawbacks...
January 20, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28105764/supporting-women-with-postpartum-anxiety-exploring-views-and-experiences-of-specialist-community-public-health-nurses-in-the-uk
#15
Miriam T Ashford, Susan Ayers, Ellinor K Olander
Anxiety is common among postpartum women and can have adverse effects on mother's and child's somatic and psychological health if left untreated. In the UK, nurses or midwifes with a specialisation in community public health nursing, also called health visitors (HVs), work with families who have children younger than 5 years of age and are therefore in a key position to identify and support women with postpartum mental health issues. Until recently, postpartum mental health support provided by HVs mainly focused on identifying and managing depression, but the updated clinical guidance by the National Institute for Health and Care Excellence also includes guidance regarding screening and psychological interventions for perinatal anxiety...
January 20, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28105761/walking-sustainability-and-health-findings-from-a-study-of-a-walking-for-health-group
#16
Gordon Grant, Kasia Machaczek, Nick Pollard, Peter Allmark
Not only is it tacitly understood that walking is good for health and well-being but there is also now robust evidence to support this link. There is also growing evidence that regular short walks can be a protective factor for a range of long-term health conditions. Walking in the countryside can bring additional benefits, but access to the countryside brings complexities, especially for people with poorer material resources and from different ethnic communities. Reasons for people taking up walking as a physical activity are reasonably well understood, but factors linked to sustained walking, and therefore sustained benefit, are not...
January 20, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28098398/depression-and-discrimination-in-the-lives-of-women-transgender-and-gender-liminal-people-in-ontario-canada
#17
Charmaine C Williams, Deone Curling, Leah S Steele, Margaret F Gibson, Andrea Daley, Datejie Cheko Green, Lori E Ross
This article uses an intersectionality lens to explore how experiences of race, gender, sexuality, class and their intersections are associated with depression and unmet need for mental healthcare in a population of 704 women and transgender/gender liminal people from Ontario, Canada. A survey collecting demographic information, information about mental health and use of mental healthcare services, and data for the Everyday Discrimination Scale and the PHQ-9 Questionnaire for Depression was completed by 704 people via Internet or pen-and-paper between June 2011 and June 2012...
January 18, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28088845/-%C3%A2-it-shows-that-there-s-no-limits-the-psychological-impact-of-co-production-for-experts-by-experience-working-in-youth-mental-health
#18
Claire Mayer, Karen McKenzie
Co-production is commonly conceptualised as a more equal sharing of power and decision-making between a dichotomy of service user and service provider, each bringing valuable and different assets to the process. Experts by experience lie in the overlap between this conceptually created duality, providing the services they now do by virtue of having once used services themselves. Previous related studies suggest that their involvement in co-production could impact positively on their social capital, self-esteem, self-efficacy and life skills...
January 15, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28052482/an-extra-care-community-s-perceived-priorities-for-whole-system-relationships-a-q-methodological-study
#19
Paul Grimshaw, Linda McGowan, Elaine McNichol
Health and social care settings worldwide need to sustainably improve the quality of relationships across communities or 'whole systems'. This research informs the development of a relational framework based on stakeholder perspectives. It is grounded in an action research project with practitioners, and draws on a previous literature review, to present the underpinning elements of quality relationships as statements, organised under the headings of integrity, respect, fairness, compassion and trust. Using Q methodology, 27 participants, comprising a range of stakeholders (staff, residents, family and service providers), rank-ordered 48 statements based on perceptions of the importance of differing aspects of relationships...
January 3, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28024313/utilisation-of-home-based-physician-nurse-and-personal-support-worker-services-within-a-palliative-care-programme-in-ontario-canada-trends-over-2005-2015
#20
Zhuolu Sun, Audrey Laporte, Denise N Guerriere, Peter C Coyte
With health system restructuring in Canada and a general preference by care recipients and their families to receive palliative care at home, attention to home-based palliative care continues to increase. A multidisciplinary team of health professionals is the most common delivery model for home-based palliative care in Canada. However, little is known about the changing temporal trends in the propensity and intensity of home-based palliative care. The purpose of this study was to assess the propensity to use home-based palliative care services, and once used, the intensity of that use for three main service categories: physician visits, nurse visits and care by personal support workers (PSWs) over the last decade...
December 26, 2016: Health & Social Care in the Community
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