Suchergebnisse

Service user involvement in research can range from the extremes of being the subject, to being the initiator or investigator, of a research study. The activity of the professional researcher can also range from being the person undertaking the research, to being a partner with, or mentor to, service users. This broad scope of levels of involvement is reflected in the contributions in this book, both in the research experiences reported and in the writing of the chapters themselves. With contributions coming from a range of service areas including learning disabilities, cancer care, older peop

This book is aimed at various health and social care practitioners including: nurses, midwives, doctors, social workers, health promotion and public health practitioners, health visitors and hospital managers, and in particular, those who are studying a multidisciplinary research course. There appears to be no single book on the topic of general research issues that is relevant to all of the above. This lack has resulted in requests from a diverse range of research students for the development of a suitable textbook. Thus, the book is intended to complement a multidisciplinary research course

Objectives: To identify the shared research priorities of patients, caregivers and multidisciplinary renal health and social care professionals across Wales for integrated renal health and social care in Wales. Design: Research priority setting exercise adapted from the James Lind Alliance national priority setting partnership framework in UK healthcare. Setting: Two workshops: one in North Wales with patients, caregivers and multidisciplinary renal health and social care professionals and one in South Wales with the Welsh Renal Clinical Network (commissioners of renal services in Wales). Additional input provided from stakeholders via email correspondence and face to face communications. Participants: Academics n=14, patients n=16, family/carers n=6, multidisciplinary renal healthcare professionals n=40, local authority councils n=3, renal charities n=6 wider third sector organisations n=8, renal industries n=4, Welsh government social care n=3, renal service commissioners n=8. Results: 38 research priority questions grouped into 10 themes were agreed. The themes included: (1) integrating health and social care, (2) education, (3) acute kidney injury, (4) chronic kidney disease and cardiovascular disease, (5) transplantation, (6) dialysis, (7) personalised medicines, (8) cross-cutting priorities, (9) specific social contexts and (10) transitional services and children. Research questions were broad and covered a range of health and social care topics. Patient and professional perspectives broadly overlapped. Research priority setting activities revealed gaps in knowledge in overall service provision and potential areas for service improvement. Conclusions: Mapping priorities in health services and social care highlighted the research needed to support renal health services delivery and commissioning in Wales.

Intro -- Contents -- List of figures, tables and boxes -- Contributors -- Acknowledgements -- Abbreviations -- PART 1 Research Preliminaries -- 1 Why Research? -- The Importance of Research -- The Contested Nature of Scientific Knowledge -- The Role of Patronage and Funding -- The Limitations of Evidence-based Practice -- Towards an Optimistic Research Future -- The Rest of the Book -- References -- Notes -- 2 Starting a New Research Project -- Introduction -- Deciding on a Topic -- Formulating a Research Question -- Choosing a Methodology and Appropriate Methods -- Planning the Study -- Seeking and Obtaining Approvals -- Writing a Proposal -- Conclusion -- References -- Notes -- 3 Research Ethics -- Introduction -- Historical Development of Research Ethics -- Theories of Ethics -- Ethical Principles -- Codes of Practice or Research Conduct -- Research Ethics Review -- Conclusions -- References -- Notes -- PART 2 Desk-based Research -- 4 Literature Reviews -- Introduction -- Historical Context -- Current Use -- Main Strengths of Literature Reviews -- Main Weaknesses of Literature Reviews -- Conducting a Literature Review -- An Example of a Literature Review -- Further Reading -- References -- Notes -- 5 Systematic Reviews -- Introduction -- Historical Context -- Current Use -- Main Strengths of Systematic Reviews -- Main Weaknesses of Systematic Reviews -- Conducting a Systematic Review -- An Example of a Systematic Review -- Further Reading -- References -- Notes -- 6 Content Analysis -- Introduction -- Historical Context -- Current Use -- Main Strengths of Content Analysis -- Main Weaknesses of Content Analysis -- Conducting a Content Analysis -- An Example of a Content Analysis Study -- Further Reading -- Acknowledgements -- References -- Notes -- 7 Discourse Analysis -- Introduction -- Historical Context -- Current Use.

Background: The difference between the services provided by day hospitals and day centres is far from clear. The supposition that day hospitals would provide an acute service, while day centres would offer social support for a more chronic population has been contentious and there is little evidence of how they are currently used. Aims: We aimed to ascertain the differences between day hospitals (partial hospitalisation) and social service day centres in functions and roles, as perceived by staff, service users and referrers. Methods: The views of service users and staff at two day hospitals and four day centres were ascertained through questionnaires and interviews, along with those of staff of eight Community Mental Health Teams, who constitute the sole pathway to the two services. Results: Day hospitals were perceived by both referrers and clients to offer short-term, more intensive 'treatment' to more acutely ill people in need of mental health monitoring. Day centres were perceived to offer longer-term support, particularly social support, to people more likely to have longer-term and psychotic illnesses. Conclusion: There is currently a clear distinction between day centres and day hospitals, in key features of their services and client groups. It would be unwise to treat them as interchangeable.

Background: In view of the increasing integration of health and social care, there is an urgent need to know how health service day hospitals and social service day centres are being used, and by whom. Aims: We aimed to compare users of day hospitals and centres in terms of their social networks, needs for care and demographics. Methods: A cross-sectional, comparative study of service users at two day hospitals and four day centres compared their social networks, needs and characteristics. Results: Day centre clients had much larger social networks, including a threefold difference in total contacts and two-fold difference in confidants, but had more needs for care, particularly relating to psychological distress. They were also older on average than day hospital patients and were a more long-term group. Conclusion: It is vital to understand differences between health service day hospitals and social service day centres given the increasing integration of health and social care. The present study shows that the two user groups are significantly different. It is unlikely that the needs of most day care users could be met by either service interchangeably.

"This book explores how, why, and when hermeneutic phenomenology can be used as methodology in health and social research. This book is a valuable resource for all students and academics who wish to explore the meaningfulness of human lived experiences across the multitude of phenomena in health and social care"--

Cover -- Contents -- Acknowledgements -- About the authors -- Foreword -- Introduction -- Section 1: Organisational issues -- Chapter 1: Analysing the need for change -- Chapter 2: Strategic and operational change -- Chapter 3: A contextual approach to change -- Chapter 4: The power of culture -- Section 2: People central to change -- Chapter 5: Leadership roles in change -- Chapter 6: Human factors in change -- Chapter 7: Managing the change process -- Chapter 8: Working with stakeholders -- Section 3: Inter-professional issues and innovation -- Chapter 9: Inter-professional collaboration for change -- Chapter 10: Supporting innovation and change -- Chapter 11: Drawing the strands together -- Further resources.