Clinical governance : a friend or foe to dental care practice in the UK?

This paper presents a literature review of clinical governance and its impact upon dental health care in the UK. Whilst the value of clinical governance is recognised, the findings illustrate that the concept of clinical governance remains challenging to dental care practitioners, illustrated by lack of knowledge and confidence in its application and evaluation. The study also identifies a distinct paucity of research concerning impact and makes recommendations to enhance clinical governance in practice

Service user experiences of REFOCUS: a process evaluation of a pro-recovery complex intervention

Purpose: Policy is increasingly focused on implementing a recovery-orientation within mental health services, yet the subjective experience of individuals receiving a pro-recovery intervention is under-studied. The aim of this study was to explore the service user experience of receiving a complex, pro-recovery intervention (REFOCUS), which aimed to encourage the use of recovery-supporting tools and support recovery-promoting relationships. Methods: Interviews (n=24) and two focus groups (n=13) were conducted as part of a process evaluation and included purposive sample of service users who received the complex, pro-recovery intervention within the REFOCUS randomised controlled trial (ISRCTN02507940). Thematic analysis was used to analyse the data. Results: Participants reported that the intervention supported the development of an open and collaborative relationship with staff, with new conversations around values, strengths and goals. This was experienced as hope-inspiring and empowering. However, others described how the recovery tools were used without context, meaning participants were unclear of their purpose and did not see their benefit. During the interviews, some individuals struggled to report any new tasks or conversations occurring during the intervention. Conclusion: Recovery-supporting tools can support the development of a recovery-promoting relationship, which can contribute to positive outcomes for individuals. The tools should be used, in a collaborative and flexible manner. Information exchanged around values, strengths and goals should be used in care-planning. As some service users struggled to report their experience of the intervention, alternative evaluation approaches need to be considered if the service user experience is to be fully captured

Clinical governance : a guide to implementation for healthcare professionals, 3rd ed./ McSherry

viii, 207 hal.: ill., tab.; 24 c

Clinical governance : a guide to implementation for healthcare professionals, 3rd ed./ McSherry

viii, 207 hal.: ill., tab.; 24 c

Evaluating the perceived impact of the nurse consultant through the lived experience of healthcare professionals

Aims and objectives: This study aimed to evaluate the perceived impact of the nurse consultant through the lived experience of the staff. Background: Ambiguities exist about the nature, function and value of the nurse consultant role to the individual, nursing and the UK National Health Service. Design: A descriptive qualitative research design was developed to evaluate the perceived impact of the nurse consultant through the lived experience of staff by the use of a 360-degree semi-structured interview framework. Interviews were undertaken with executive, senior managers, medical, nursing and allied healthcare professional colleagues. The study was based on three nurse consultants working at a University Hospital in the North East of England. A collaborative purposive sampling technique was used involving 10 participants to provide detailed, objective and relevant information associated with the nurse consultant role. Findings: Thirty semi-structured interviews were undertaken. A thematic analysis using Bowling’s approach to deciphering interview data revealed nine primary categories. With the exception of the personal qualities, the nurse consultant brings to the role. A series of generalist themes emerged associated with how the role can be enhanced in the future by involving, informing and engaging staff and by developing a phased approach to implementing and evaluating the role. Conclusions: The findings indicate that the continued success of the nurse consultant role is associated with developing a more structured approach to implementation and evaluation within the employing organizations. Relevance to clinical practice: Awareness of the nurse consultant should be raised through communication, clarification of expectations by engaging and supporting the staff in the acceptance of the role. Organizationally there should be a more phased approach to establishing, implementing and evaluating the nurse consultant

Clinical governance: A guide to implementation for healthcare professionals

vi+207hlm.;23c

Three moments

An essay in written and video form which acts as prolegomenon to Photography in the Middle: Dispatches on Media Ecologies and Aesthetics (forthcoming on Punctum Books)

Intervention - Airminded

Since its earliest experiments with ballooning, the rural English county of Lincolnshire has long been ‘airminded’, a phenomenon initially expressed through belief in the socially transformative potential of flight, but one that is expressed today in a celebration of the colonial, defensive and administrative authority of air power. To many people locally, the area is affectionately known as Bomber County. Today, though, the area is also home to the drone pilot, to the specialists who operate a fleet of Unmanned Aerial Vehicles, located in Afghanistan, from a quiet village location. The county is, then, a laboratory for experiments in a new kind of virtual warfare. AIRMINDED maps the strategic contours of this emergent drone culture. Taking an essayistic form, the film is structured around a flight over the Lincolnshire landscape, a flight conducted by following an aerial chart of Waziristan, a turbulent trajectory that intersects this site of contemporary conflict with the various historical sites of the county, from the location where the first flight was made to the place where the first bomb hit. By hijacking the county’s visual culture, AIRMINDED aims to seize upon the new electronic space in which the distinction between ‘here’ and ‘there’ is dissolved. Produced by Rob Coley, Joanna White, David McSherry and Graham Cooper, under the guise of The Society for Ontofabulatory Research

Airminded

Airminded experimentally maps the strategic contours of an emergent drone culture. The film, which takes an essayistic form, is structured around a flight over the Lincolnshire landscape, a flight which is conducted by following an aerial chart of Waziristan, a turbulent trajectory that intersects this site of contemporary conflict with the various historical sites of our county, from the location where the first flight was made to the place where the first bomb hit. By hijacking Lincolnshire’s visual culture, we aim to seize upon a newly collective situation in which the lines between 'here' and 'there' are dissolved. 'Airminded' has been produced by the The Society for Ontofabulatory Research, a group of academics, artists and writers based in Lincolnshire, UK. The film, which takes an essayistic form, explores the phenomenon of 'drone culture'. This phenomenon is especially pertinent to the filmmakers given that Lincolnshire's long historical association with aviation has led to the present situation in which a fleet of Unmanned Aerial Vehicles, located in Afghanistan, are piloted from a Royal Air Force base in a quiet Lincolnshire village. Drone culture is, however, universal, and concerns more than just flight - it is a symptom of a new electronic space in which the distinction between 'here' and 'there' disappears. To explore this idea, the film is structured around aerial footage captured by flying over Lincolnshire, taking a route determined by maps of Afghanistan. This material is intercut with archive film, photographs, and animated sequences, all of which are set to an omnipresent drone soundtrack (scored by David McSherry, formerly of the band Fila Brazillia) and voices from both England and Afghanistan. Taking its inspiration from the bank of monitors used by the drone pilot, Airminded presents the audience with six simultaneous streams of video (embedded in a single screen) which individually switch on and off throughout the running time, juxtaposing the contemporary with the historical. By imagining a system error and temporary reset, the film reprocesses the flows of information upon which drone culture functions