323,872 research outputs found
The Ten Essential Shared Capabilities: a framework for mental health practice
The 10 Essential Shared Capabilities (ESC) are a
description of the core aspects of practice that
support effective implementation and delivery of
mental health care. The ESC have been derived
directly from work with users, carers and mental
health personnel. To support their introduction a
learning pack was developed giving examples of the
10 ESC as they relate to current practice.
A pilot programme across England was developed
to test the acceptability and potential utility of these
materials and this paper reports on the evaluation of
that pilot programme. Facilitators (n=75) and learners (n=579) were asked to rate each of the seven modules
contained in the learning pack. A number of
recommendations have been made to improve the materials that are being acted upon
Values and behaviours: using the Ten Essential Shared Capabilities to support policy reform in mental health practice
This paper will review aspects of current policy in mental health with specific reference to policy that has a values focus. In this context, values refers to the standards and expectations we hold and which we use to guide aspects of practice performance. Service users state that core values that support, respect choice, collaboration, and customer service are critical foundation stones of a trusting therapeutic relationship. Attending to these foundations for practice has merit in ensuring the quality of care delivery in mental health. This paper will analyse what this means for the mental health workforce in their engagement with service users and delivery of policy priorities. Finally, the paper will explore resources, such as the Ten Essential Shared Capabilities (see Appendix 1), which support engagement and ongoing promotion of person-centred mental health care
Older people and research partnerships
Increasing consumer consultation is a priority for those involved in health and social care research and practice, with promoting greater public participation being widely accepted as 'a good thing' (Reason, 1994: 3). However, whilst such consultation may improve the quality of research and practice, there is a need to recognise the considerable investment of time and energy that is required for success (Baxter et al., 2001). Given the extra resources needed, it is important to understand how consultation and user involvement can work to benefit all parties.
This paper describes our experiences of working together on a research project exploring people's involvement in decision-making processes when using care services in later life. When we started the project in March 2001 each of us could draw on a range of experiences that we hoped would make a valuable contribution. We have now worked together for over two years and this paper describes how our combined efforts have not only enhanced the overall quality of the research but also had personal benefits that we did not anticipate when we started ou
Recommended from our members
Chemical Compositions, Spring 2014
The newsletter of the Department of Chemistry, published once or twice a year, highlights people, events, and facilities. Content includes brief articles on new faculty hires, faculty and staff retirements, obituaries, major facilities and equipment upgrades, scholarship and award recipients, historical features, alumni updates, news from the Mallet Library, and a message from the Chair.Chemistr
Recommended from our members
Chemical Compositions, Fall 2013
The newsletter of the Department of Chemistry, published once or twice a year, highlights people, events, and facilities. Content includes brief articles on new faculty hires, faculty and staff retirements, obituaries, major facilities and equipment upgrades, scholarship and award recipients, historical features, alumni updates, news from the Mallet Library, and a message from the Chair.Chemistr
The Economic Status of Women of Color: A Snapshot
[Excerpt] Facts cannot completely describe the challenges faced by working women. But facts are important in painting a picture of the lives of working women and informing policies and actions needed. These fact sheets provide a picture of Black, Hispanic, and Asian working women in the United States in the following areas:
⢠womenâs contribution to family income;
⢠unemployment and the effects of the recession;
⢠families in poverty;
⢠educational attainment and likelihood of unemployment;
⢠the impact of educational attainment on womenâs pay;
⢠occupational distribution and impact on pay;
⢠the wage gap between men and women;
⢠the real cost of the wage gap; and
⢠the impact of the gender wage gap on the retirement income of older women
Preparing young people with complex needs and their families for transition to adult services
Š RCN Publishing Company Limited 2018Improving survival rates for children and young people with complex health needs requires a robust system for transition to adult services. Effective planning is essential to ensure a smooth transition process that is in the best interests of the young person and their family. This article discusses the needs and requirements for planned and purposeful transition processes to support young people with complex healthcare needs and their families. It considers the preparation of adult services, the team, the young person and their parents in line with an integrated approach and the nurseâs role. Recommendations for practice include the necessity for an integrated approach to ensure optimum outcomes and ascertaining the potential value of a nurse-led service in delivering the transition process. A carefully tailored planning strategy should be developed to prepare and support young people with complex health needs through transition
Learning from contract change in primary care dentistry: a qualitative study of stakeholders in the north of England
The aim of this research was to explore and synthesise learning from stakeholders (NHS dentists, commissioners and patients) approximately five years on from the introduction of a new NHS dental contract in England. The case study involved a purposive sample of stakeholders associated with a former NHS Primary Care Trust (PCT) in the north of England. Semi-structured interviews were conducted with 8 commissioners of NHS dental services and 5 NHS general dental practitioners. Three focus group meetings were held with 14 NHS dental patients. All focus groups and interviews were audio recorded and transcribed verbatim. The data were analysed using a framework approach. Four themes were identified: âcommissionersâ views of managing local NHS dental servicesâ; âthe risks of commissioning for patient accessâ; âcosts, contract currency and commissioning constraintsâ; and âlocal decision-making and future prioritiesâ. Commissioners reported that much of their time was spent managing existing contracts rather than commissioning services. Patients were unclear about the NHS dental charge bands and dentists strongly criticised the contract's target-driven approach which was centred upon them generating âunits of dental activityâ. NHS commissioners remained relatively constrained in their abilities to reallocate dental resources amongst contracts. The national focus upon practitioners achieving their units of dental activity appeared to outweigh interest in the quality of dental care provided
Learning from safeguarding adult reviews on self-neglect: addressing the challenge of change
Abstract
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Purpose â One purpose is to update the core data set of self-neglect safeguarding adult reviews and accompanying thematic analysis. A second purpose is to address the challenge of change, exploring the necessary components beyond an action plan to ensure that findings and recommendations are embedded in policy and practice.
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Design/methodology/approach â Further published reviews are added to the core data set from the web sites of Safeguarding Adults Boards. Thematic analysis is updated using the four domains employed previously. The repetitive nature of the findings prompts questions about how to embed policy and practice change, to ensure impactful use of learning from SARs. A framework for taking forward an action plan derived from SAR findings and recommendations is presented.
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Findings â Familiar, even repetitive findings emerge once again from the thematic analysis. This level of analysis enables an understanding of both local geography and the national legal, policy and financial climate within which it sits. Such learning is valuable in itself, contributing to the evidence-base of what good practice with adults who self-neglect looks like. However, to avoid the accusation that lessons are not learned, something more than a straightforward action plan to implement the recommendations is necessary. A framework is conceptualised for a strategic and longer-term approach to embedding policy and practice change.
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Research limitations/implications â There is still no national database of reviews commissioned by SABs so the data set reported here might be incomplete. The Care Act 2014 does not require publication of reports but only a summary of findings and recommendations in SAB annual reports. This makes learning for service improvement challenging. Reading the reviews reported here enables conclusions to be reached about issues to address locally and nationally to transform adult safeguarding policy and practice.
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Practical implications â Answering the question âhow to create sustainable changeâ is a significant challenge for safeguarding adult reviews. A framework is presented here, drawn from research on change management and learning from the review process itself. The critique of serious case reviews challenges those now engaged in safeguarding adult reviews to reflect on how transformational change can be achieved to improve the quality of adult safeguarding policy and practice.
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Originality/value â The paper extends the thematic analysis of available reviews that focus on work with adults who self-neglect, further building on the evidence base for practice. The paper also contributes new perspectives to the process of following up safeguarding adult reviews by using the findings and recommendations systematically within a framework designed to embed change in policy and practice. Â
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Keywords: Safeguarding adult reviews, change, self-neglect, action plans
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Paper type: Research pape
Nontraditional Occupations for Women in 2004
nontra2003.pdf: 203 downloads, before Oct. 1, 2020
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