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Health & Social Care in the Community

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https://www.readbyqxmd.com/read/27885738/a-collaborative-exploration-of-the-reasons-for-lower-satisfaction-with-services-among-bangladeshi-and-pakistani-social-care-users
#1
Margaret Blake, Alison Bowes, Valdeep Gill, Fatima Husain, Ghazala Mir
This study explored underlying reasons for the expression of dissatisfaction with services among Bangladeshi and Pakistani social care users in England and investigated, using a collaborative approach, how these could be addressed. In-depth interviews were conducted in Birmingham, Leeds and London during 2012-2013 with 63 Bangladeshi, Pakistani and white British service users and 24 social care managers, social workers and care workers. A further 34 cognitive interviews were conducted within the same study...
November 25, 2016: Health & Social Care in the Community
https://www.readbyqxmd.com/read/27882630/workplace-stress-burnout-and-coping-a-qualitative-study-of-the-experiences-of-australian-disability-support-workers
#2
Megan J Judd, Kate P Dorozenko, Lauren J Breen
Disability support workers (DSWs) are the backbone of contemporary disability support services and the interface through which disability philosophies and policies are translated into practical action. DSWs often experience workplace stress and burnout, resulting in a high turnover rate of employees within the non-professional disability service workforce. The full implementation of the National Disability Insurance Scheme in Australia is set to intensify the current challenges of attracting and retaining DSWs, as the role becomes characterised by greater demands, ambiguity and conflict...
November 23, 2016: Health & Social Care in the Community
https://www.readbyqxmd.com/read/27868259/effectiveness-of-an-experiential-workshop-for-enhancing-helping-professionals-self-competence-in-death-work-in-hong-kong-a-randomised-controlled-trial
#3
Wallace Chi Ho Chan, Agnes Fong Tin, Karen Lok Yi Wong
Helping professionals require self-competence in coping with the existential and emotional challenges of death work. Previous training often focused on knowledge and skills rather than on this competence. This study aimed to examine the effectiveness of a 3-day workshop in Hong Kong to enhance helping professionals' self-competence in death work. A randomised controlled trial was conducted to examine the effects of the training between January and May 2014. Targeted participants were helping professionals who had been doing death work for at least 6 months...
November 21, 2016: Health & Social Care in the Community
https://www.readbyqxmd.com/read/27859862/a-qualitative-exploration-of-responses-to-self-compassion-in-a-non-clinical-sample
#4
Maxine Campion, Lesley Glover
Research suggests that being self-compassionate can have myriad benefits, including life satisfaction, health-promoting behaviours and improved mental health. Given the possible advantages of being self-compassionate, it seems critical to explore how to promote this in the general population. This qualitative study aimed to understand responses to the idea of being compassionate to oneself within the general population. Semi-structured interviews were conducted in the North East of England between October 2014 and February 2015, they were analysed using thematic analysis...
November 17, 2016: Health & Social Care in the Community
https://www.readbyqxmd.com/read/27859813/mastery-matters-consumer-choice-psychiatric-symptoms-and-problematic-substance-use-among-adults-with-histories-of-homelessness
#5
Ronni Michelle Greenwood, Rachel M Manning
Previous research demonstrated the importance of consumer choice and mastery to residential stability and psychiatric functioning for adults with histories of homelessness. In the present study, we investigated whether these relationships hold, even in the context of problem-related substance misuse. Questionnaire data were collected in Ireland from 101 residents of long-term homeless accommodation in 2010. Hayes' PROCESS macro for mediation and moderation analysis in SPSS was employed to test our hypotheses...
November 17, 2016: Health & Social Care in the Community
https://www.readbyqxmd.com/read/27860034/understanding-help-seeking-in-older-people-with-urinary-incontinence-an-interview-study
#6
Natalie Vethanayagam, Alison Orrell, Lena Dahlberg, Kevin J McKee, Susan Orme, Stuart G Parker, Mary Gilhooly
The prevalence of urinary incontinence (UI) increases with age and can negatively affect quality of life. However, relatively few older people with UI seek treatment. The aim of this study was to explore the views of older people with UI on the process of seeking help. Older people with UI were recruited to the study from three continence services in the north of England: a geriatrician-led hospital outpatient clinic (n = 18), a community-based nurse-led service (n = 22) and a consultant gynaecologist-led service specialising in surgical treatment (n = 10)...
November 16, 2016: Health & Social Care in the Community
https://www.readbyqxmd.com/read/27862572/how-do-frequent-users-of-crisis-helplines-differ-from-other-users-regarding-their-reasons-for-calling-results-from-a-survey-with-callers-to-lifeline-australia-s-national-crisis-helpline-service
#7
Aves Middleton, Alan Woodward, Jane Gunn, Bridget Bassilios, Jane Pirkis
Crisis helplines are designed to provide short-term support to people in an immediate crisis. However, there is a group of users who call crisis helplines frequently over an extended period of time. The reasons for their ongoing use remain unclear. The aim of this study was to investigate the differences in the reasons for calling between frequent and other users of crisis helplines. This was achieved by examining the findings from a brief survey completed by callers to Lifeline Australia at the end of their call between February and July 2015...
November 15, 2016: Health & Social Care in the Community
https://www.readbyqxmd.com/read/27782344/the-role-of-social-support-in-the-experience-of-fibromyalgia-narratives-from-south-africa
#8
Silvie Cooper, Leah Gilbert
This paper focuses on the role of 'social support' in the experience of fibromyalgia (a musculoskeletal pain disorder) in South Africa. In-depth semi-structured interviews were used to collect narratives from 15 participants. Sources of social support constitute important mechanisms for coping with the illness experience of fibromyalgia. In providing a space for consultation and validation of the diagnosis of fibromyalgia, and the person living with the condition, people giving support fulfil a critical role in shaping the experience...
October 26, 2016: Health & Social Care in the Community
https://www.readbyqxmd.com/read/27782342/a-qualitative-follow-up-study-of-diabetes-patients-appraisal-of-an-integrated-diabetes-service-in-primary-care
#9
Letitia H Burridge, Michele M Foster, Maria Donald, Jianzhen Zhang, Anthony W Russell, Claire L Jackson
As the prevalence of type 2 diabetes continues to escalate, health system reform is seeking better patient outcomes through new models of care that aim to provide the most appropriate care when needed. Patients' experiences of service innovations can shed light on the successes and challenges of implementing change. This paper explores patients' views of a new model of integrated care for patients with type 2 diabetes. A mixed-methods, randomised control trial evaluated a beacon clinic model of care for complex type 2 diabetes led by specialist general practitioners (GPs) in primary care settings in Brisbane, Australia...
October 26, 2016: Health & Social Care in the Community
https://www.readbyqxmd.com/read/27753162/informal-care-giving-and-mental-ill-health-differential-relationships-by-workload-gender-age-and-area-remoteness-in-a-uk-region
#10
Stefanie Doebler, Assumpta Ryan, Sally Shortall, Aideen Maguire
Informal care-giving can be a demanding role which has been shown to impact on physical, psychological and social well-being. Methodological weaknesses including small sample sizes and subjective measures of mental health have led to inconclusive evidence about the relationship between informal care-giving and mental ill-health. This paper reports on a study carried out in a UK region which investigated the relationship between informal care-giving and mental ill-health. The analysis was conducted by linking three data sets, the Northern Ireland Longitudinal Study, the Northern Ireland Enhanced Prescribing Database and the Proximity to Service Index from the Northern Ireland Statistics and Research Agency...
October 18, 2016: Health & Social Care in the Community
https://www.readbyqxmd.com/read/27753195/access-to-therapy-services-for-people-with-disability-in-rural-australia-a-carers-perspective
#11
Gisselle Gallego, Angela Dew, Michelle Lincoln, Anita Bundy, Rebecca Jean Chedid, Kim Bulkeley, Jennie Brentnall, Craig Veitch
In Australia and around the world, people with disability and their carers living in rural areas face additional challenges compared to their urban-dwelling counterparts. This cross-sectional study explored current access to therapy services for people with disability living in western New South Wales as reported by their primary carers. Data were collected using an online and paper survey distributed to carers, from December 2012 until June 2013. Information was sought about the carers, the person they care for, access to physiotherapy, speech pathology, occupational therapy and psychology services...
October 17, 2016: Health & Social Care in the Community
https://www.readbyqxmd.com/read/27747961/inequity-in-cardiovascular-care-in-the-english-national-health-service-nhs-a-scoping-review-of-the-literature
#12
Sheena Asthana, Graham Moon, Alex Gibson, Trevor Bailey, Paul Hewson, Chris Dibben
There is a general understanding that socioeconomically disadvantaged people are also disadvantaged with respect to their access to NHS care. Insofar as considerable NHS funding has been targeted at deprived areas, it is important to better understand whether and why socioeconomic variations in access and utilisation exist. Exploring this question with reference to cardiovascular care, our aims were to synthesise and evaluate evidence relating to access to and/or use of English NHS services around (i) different points on the care pathway (i...
October 16, 2016: Health & Social Care in the Community
https://www.readbyqxmd.com/read/27739158/making-the-links-between-domestic-violence-and-child-safeguarding-an-evidence-based-pilot-training-for-general-practice
#13
Eszter Szilassy, Jess Drinkwater, Marianne Hester, Cath Larkins, Nicky Stanley, William Turner, Gene Feder
We describe the development of an evidence-based training intervention on domestic violence and child safeguarding for general practice teams. We aimed - in the context of a pilot study - to improve knowledge, skills, attitudes and self-efficacy of general practice clinicians caring for families affected by domestic violence. Our evidence sources included: a systematic review of training interventions aiming to improve professional responses to children affected by domestic violence; content mapping of relevant current training in England; qualitative assessment of general practice professionals' responses to domestic violence in families; and a two-stage consensus process with a multi-professional stakeholder group...
October 14, 2016: Health & Social Care in the Community
https://www.readbyqxmd.com/read/27730698/prevention-of-falls-malnutrition-and-pressure-ulcers-among-older-persons-nursing-staff-s-experiences-of-a-structured-preventive-care-process
#14
Christina Lannering, Marie Ernsth Bravell, Linda Johansson
A structured and systematic care process for preventive work, aimed to reduce falls, pressure ulcers and malnutrition among older people, has been developed in Sweden. The process involves risk assessment, team-based interventions and evaluation of results. Since development, this structured work process has become web-based and has been implemented in a national quality registry called 'Senior Alert' and used countrywide. The aim of this study was to describe nursing staff's experience of preventive work by using the structured preventive care process as outlined by Senior Alert...
October 12, 2016: Health & Social Care in the Community
https://www.readbyqxmd.com/read/27723175/older-uk-sheltered-housing-tenants-perceptions-of-well-being-and-their-usage-of-hospital-services
#15
Glenda Cook, Cathy Bailey, Philip Hodgson, Joanne Gray, Emma Barron, Christine McMillan, Roy Marston, Eleanor Binks, Joanne Rose
The aim of this study was to examine sheltered housing tenants' views of health and well-being, the strategies they adopted to support their well-being, and their use of health and social care services through a Health Needs Assessment. Sheltered housing in the UK is a form of service-integrated housing for people, predominantly over 60. The study used a parallel, three-strand mixed method approach to encompass the tenants' perceptions of health and well-being (n = 96 participants), analysis of the service's health and well-being database, and analysis of emergency and elective hospital admissions (n = 978 tenant data sets for the period January to December 2012)...
October 10, 2016: Health & Social Care in the Community
https://www.readbyqxmd.com/read/27723160/implementing-personal-health-budgets-in-england-a-user-led-approach-to-substance-misuse
#16
Elizabeth Welch, Karen Jones, James Caiels, Karen Windle, Rosalyn Bass
Personal health budgets (PHBs) in England have been viewed as a vehicle for developing a personalised patient-based strategy within the substance misuse care pathway. In 2009, the Department of Health announced a 3-year pilot programme of PHBs to explore opportunities offered by this new initiative across a number of long-term health conditions, and commissioned an independent evaluation to run alongside as well as a separate study involving two pilot sites that were implementing PHBs within the substance misuse service...
October 10, 2016: Health & Social Care in the Community
https://www.readbyqxmd.com/read/27709717/changing-the-balance-of-social-care-for-older-people-simulating-scenarios-under-demographic-ageing-in-new-zealand
#17
Roy Lay-Yee, Janet Pearson, Peter Davis, Martin von Randow, Ngaire Kerse, Laurie Brown
The demographic ageing of New Zealand society, as elsewhere in the developed world, has dramatically increased the proportion of older people (aged 65 years and over) in the population. This has major policy implications for the future organisation of social care. Our objective was to test the effects on social care use, first, of putative changes in the overall disability profile of older people, and second, of alterations to the balance of their care, i.e. whether it was community-based or residential. In order to undertake these experiments, we developed a microsimulation model of the later life course using individual-level data from two official national survey series on health and disability, respectively, to generate a synthetic version which replicated original data and parameter settings...
October 6, 2016: Health & Social Care in the Community
https://www.readbyqxmd.com/read/27709714/using-longitudinal-mixed-methods-to-study-the-development-of-professional-behaviours-during-pharmacy-work-based-training
#18
Samuel D Jee, Ellen I Schafheutle, Peter R Noyce
Recent longitudinal investigations of professional socialisation and development of professional behaviours during work-based training are lacking. Using longitudinal mixed methods, this study aimed to explore the development of professional behaviours during a year of intensive work-based (pre-registration) training in pharmacy. Twenty trainee pharmacists and their tutors completed semi-structured interview and professional behaviour questionnaires at four time points during 2011/2012: months 1, 4 and 9 during training and 4 months after registration; tutors participated in months 1 and 9...
October 6, 2016: Health & Social Care in the Community
https://www.readbyqxmd.com/read/27696541/factors-promoting-resident-deaths-at-aged-care-facilities-in-japan-a-review
#19
Kentaro Sugimoto, Yasuko Ogata, Masayo Kashiwagi
Due to an increasingly ageing population, the Japanese government has promoted elderly deaths in aged care facilities. However, existing facilities were not designed to provide resident end-of-life care and the proportion of aged care facility deaths is currently less than 10%. Consequently, the present review evaluated the factors that promote aged care facility resident deaths in Japan from individual- and facility-level perspectives to exploring factors associated with increased resident deaths. To achieve this, MEDLINE, CINAHL, Web of Science and Ichushi databases were searched on 23 January 2016...
October 3, 2016: Health & Social Care in the Community
https://www.readbyqxmd.com/read/27653756/informal-caregivers-of-people-with-an-intellectual-disability-in-england-health-quality-of-life-and-impact-of-caring
#20
Vasiliki Totsika, Richard P Hastings, Dimitrios Vagenas
There is wide variation in reported impact of caring on caregiver well-being, and often a negative appraisal of caregiving. Researchers are beginning to question the robustness of the evidence base on which negative appraisals are based. The present study aimed to draw on data from a population-representative sample to describe the health, quality of life and impact of caring of informal caregivers of people with an intellectual disability. Informal carers of people with intellectual disability (N = 260) were identified among 2199 carers in the English Survey of Carers in Households 2009/10...
September 22, 2016: Health & Social Care in the Community
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