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Health & Social Care in the Community

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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
#1
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
#2
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
#3
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
https://www.readbyqxmd.com/read/27976426/men-s-perspectives-on-fall-risk-and-fall-prevention-following-participation-in-a-group-based-programme-conducted-at-men-s-sheds-australia
#4
Jeannine L M Liddle, Meryl Lovarini, Lindy M Clemson, Haeyoung Jang, Karen Willis, Stephen R Lord, Catherine Sherrington
Research on older men's views regarding fall prevention is limited. The purpose of this qualitative study was to explore the experiences and perspectives of older men regarding fall risk and prevention so that fall prevention programmes can better engage older men. Eleven men who had taken part in a group-based fall prevention programme called Stepping On conducted at Men's Sheds in Sydney, Australia, participated in semi-structured interviews during June and July 2015 which were audio-recorded and transcribed...
December 15, 2016: Health & Social Care in the Community
https://www.readbyqxmd.com/read/27933681/evaluating-a-primary-care-psychology-service-in-ireland-a-survey-of-stakeholders-and-psychologists
#5
Mark Corcoran, Michael Byrne
Primary care psychology services (PCPS) represent an important resource in meeting the various health needs of our communities. This study evaluated the PCPS in a two-county area within the Republic of Ireland. The objectives were to (i) examine the viewpoints of the service for both psychologists and stakeholders (healthcare professionals only) and (ii) examine the enactment of the stepped care model of service provision. Separate surveys were sent to primary care psychologists (n = 8), general practitioners (GPs; n = 69) and other stakeholders in the two counties...
December 8, 2016: Health & Social Care in the Community
https://www.readbyqxmd.com/read/27885738/a-collaborative-exploration-of-the-reasons-for-lower-satisfaction-with-services-among-bangladeshi-and-pakistani-social-care-users
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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/26750619/how-do-people-with-dementia-utilise-primary-care-physicians-and-specialists-within-dementia-networks-results-of-the-dementia-networks-in-germany-demnet-d-study
#15
Markus Wübbeler, Jochen René Thyrian, Bernhard Michalowsky, Pia Erdmann, Johannes Hertel, Bernhard Holle, Johannes Gräske, Susanne Schäfer-Walkmann, Wolfgang Hoffmann
Outpatient dementia healthcare is predominantly fragmented, and dementia networks (DNs) represent an integrated care concept to overcome this problem. Little is known about the patients of these networks with regard to utilisation of physicians and associated factors. We interviewed 560 caregivers of people with dementia in 13 different DNs in Germany in 2013 and assessed socio-demographics, clinical data and physician utilisation. Networks were categorised in predominantly medical DNs and community-oriented DNs...
January 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/26601659/the-relationship-between-living-environment-well-being-and-lifestyle-behaviours-in-young-women-in-shiraz-iran
#16
Asiyeh Salehi, Neil Harris, Bernadette Sebar, Elisabeth Coyne
There has been increasing interest in understanding the influence of the living environment on individual and population health. While our understanding of the connection is growing, there has been limited published research focusing on socially and economically transitioning countries such as Iran or specific populations such as young women. This study explores the relationship between the physical and social living environment with well-being outcomes and lifestyle behaviours of young women in Shiraz, Iran, in 2013...
January 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/26511110/symptoms-functioning-and-quality-of-life-after-treatment-in-a-residential-sub-acute-mental-health-service-in-australia
#17
Kerry A Thomas, Debra J Rickwood, Patricia M Brown
The aim of this study was to assess clients' and service providers' perspectives on changes in mental health after an admission to a residential recovery-focused, sub-acute service, in Australia. Clients were either step-up clients, entering the service directly from the community, or step-down clients who were transitioning from an inpatient unit to home. During the 30-month period of data collection (August 2011 to January 2014) all clients (N = 102) were invited to participate in the longitudinal study and 41 clients consented to be involved (38% response rate)...
January 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/26508668/disabled-and-elderly-citizens-perceptions-and-experiences-of-voluntarism-as-an-alternative-to-publically-financed-care-in-the-netherlands
#18
Ellen Grootegoed, Evelien Tonkens
Many European welfare states are replacing comprehensive welfare schemes with selective and conditional entitlements. Such changes affect the recognition of vulnerable citizens' needs, which are increasingly framed as private responsibilities to be met by the voluntary sector. Repeated interviews with 30 clients affected by cutbacks to publicly financed (day)care in the Netherlands show that although disabled and elderly citizens are often hesitant to open their doors to volunteers, they do experiment with voluntarism to reduce their social isolation, both by receiving voluntary care and by engaging in volunteer work themselves...
January 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/26503715/a-qualitative-exploration-of-how-canadian-informal-caregivers-in-medical-tourism-use-experiential-resources-to-cope-with-providing-transnational-care
#19
Rebecca Whitmore, Valorie A Crooks, Jeremy Snyder
Canadians travelling abroad for privately arranged surgeries paid for out-of-pocket are engaging in what has come to be known as medical tourism. They are often accompanied by friends or family members, who we call caregiver-companions. Caregiver-companions provide care in and across a variety of formal and informal settings, such as in hotels, airplanes and at home. This qualitative study examines the experiences of informal caregivers in medical tourism to learn more about the lived experiences or 'experiential resources' they draw upon to cope with providing care and avoiding caregiver burden...
January 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/26500161/how-would-case-managers-practice-change-in-a-consumer-directed-care-environment-in-australia
#20
Emily Chuanmei You, David Dunt, Colleen Doyle
The aim of this study was to explore case managers' perceived changes in their practice in the future when consumer-directed care (CDC) is widely implemented in Australia's community aged care system. Purposeful sampling was used and semi-structured individual and group interviews were conducted between September 2012 and March 2013. Participants were drawn from a list of all case managers who administered publicly funded community aged care packages in Victoria, Australia. Empowerment theory was used to guide the analysis and interpretation of the data...
January 2017: Health & Social Care in the Community
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