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A portrait of district nursing: its contribution to primary health care
- Authors:
- GOODMAN Claire, te al
- Journal article citation:
- Journal of Interprofessional Care, 17(1), February 2003, pp.97-108.
- Publisher:
- Taylor and Francis
Explores the role and contribution of district nursing within primary health care. Uses examples of how this service is organised within different health care systems (Australia, the USA and Far East) to discusses the context-dependent nature and challenges of the work. Argues that significance and potential of district nursing services are frequently overlooked. Recommends that a research strategy for district nursing should build on the profession's comprehensive understanding of the needs and families and communities and should aim to provide evidence for practice that will further improve patient and client outcomes.
Leading culture change in long-term care: a map for the road ahead
- Author:
- RONCH Judah L.
- Journal article citation:
- Journal of Social Work in Long-Term Care, 2(1/2), 2003, pp.65-79.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Leaders of culture change in long-term care should have a plan to guide the entire process before they begin. This optimizes the human and financial resources devoted to ongoing culture change programmes and prevents the serious mistakes that are usually visual with hindsight. An eight stage process for creating major change is presented as a basis of mapping culture change programmes in long-term care that aspire to be humanistic in nature and involve all stakeholder groups in ongoing, empowering activity.
Managing organisational culture change: the case of long-term care
- Authors:
- GIBSON Donald E., BARSADE Sigal G.
- Journal article citation:
- Journal of Social Work in Long-Term Care, 2(1/2), 2003, pp.11-33.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Recent research has focused on organisations as continuously confronted by forces for change. These forces may cause organisations to rethink their deeply held cultural values and beliefs in order to survive in the changing landscape. Using the long-term care industry as an exemplar, the authors argue that effective change requires understanding what organisational culture means, and understanding how organisational change typically occurs. Though some scholars emphasize that change is largely out of the control of organisation leaders and primarily the result of evolutionary and revolutionary forces, it is argued that culture change can be effectively managed.
Models for individuals with Alzheimer disease: beyond the special care framework
- Authors:
- HOLMES Douglas, RAMIREZ Mildred
- Journal article citation:
- Journal of Social Work in Long-Term Care, 2(1/2), 2003, pp.175-181.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
For the past two decades much attention has been given to the definition and evaluation of special care units for nursing home residents with dementia. Beyond their potential as a marketing device, the controversy rages regarding the qualities, qualifications and benefits of special care. Inasmuch as 80-90% of nursing home residents suffer from some form of cognitive impairment, the debate would be better focussed on the quality of care and living for all residents. In that regard a fundamental restructuring of all nursing home care and life is a more appropriate direction than the continued debate on this more narrow theme.
Health visitors and older people: thinking out of the box
- Author:
- ROGERS Elizabeth
- Journal article citation:
- Community Practitioner, 76(10), October 2003, pp.381-385.
- Publisher:
- Community Practitioners' and Health Visitors' Association
Reports on a qualitative study of 19 health visitors which examined the impact of management and bureaucracy on the professional autonomy and initiative of health visitors working with the older people. Observation and semi-structured interviews were used in the study. Discusses the positive and negative factors that influence their work and the power of an organisation in releasing resources and creating jobs. Suggests the important facilitating factors influencing a health visitor's professional autonomy and initiative are professional skills, motivation and personality, confidence in developing their role and developing innovative programmes.
Modern Social Services a commitment to the future: the 12th Annual Report of the Chief Inspector of Social Services 2002-2003
- Author:
- GREAT BRITAIN. Department of Health. Social Services Inspectorate
- Publisher:
- Great Britain. Department of Health. Social Services Inspectorate
- Publication year:
- 2003
- Pagination:
- 116p.
- Place of publication:
- London
The report draws on a range of inspection and performance review activity of the Social Services Inspectorate to provide an assessment of performance of councils with social services responsibilities across England. The report illustrates regional highlights and provides information about the activities of SSI.
The health and social service needs of gay and lesbian elders and their families in Canada
- Authors:
- BROTMAN Shari, RYAN Bill, CORMIER Robert
- Journal article citation:
- Gerontologist, 43(2), April 2003, pp.192-202.
- Publisher:
- Oxford University Press
This article reports the findings of a study, undertaken in 2000, whose purpose was to gather information about the experiences and realities of gay and lesbian seniors and their families from across Canada in accessing a broad range of health and social services in the community, and to examine the role of health care and social service organizations in shaping access and service delivery. This study used a qualitative exploratory design based on focus group interviews. Perspectives of older gay men and lesbians and their families involved in organizations addressing these issues, as well as professionals from both gay and lesbian health organizations and mainstream elder care organizations were sought. Specific reference was made to the impact of discrimination on the health and access to health services of these populations. Issues relating to invisibility, historic and current barriers to care, and the nature of service options are identified. Recommendations for change are highlighted, including those related to best practice programmes and policies in the long-term care sector.
Effectiveness of continuing education in long-term care: a literature review
- Authors:
- AYLWARD Sandra, et al
- Journal article citation:
- Gerontologist, 43(2), April 2003, pp.259-271.
- Publisher:
- Oxford University Press
This review of the literature examines the effectiveness of continuing education programs in long-term care facilities. A comprehensive literature search was made for evaluation studies and included computerized bibliographic databases, manual searches of journals, the bibliographies of retrieved articles, and information from key informants. Results:Forty-eight studies met our selection criteria. Rigorous research in this area has been limited. Because of the lack of follow-up evaluation, there is minimal evidence that knowledge gained from training programs is sustained in the long term. Most studies do not consider organizational and system factors when planning and implementing training initiatives. This may account for difficulties encountered in the sustained transfer of knowledge to practice. There is a need for further rigorous research on the effectiveness of continuing education in long-term care, with systematic attention to the role of organisational and system factors.
Knowledge dissemination and utilization in gerontology: an organising framework
- Author:
- FARKAS Marianne
- Journal article citation:
- Gerontologist, 43(Special Issue), March 2003, pp.37-46.
- Publisher:
- Oxford University Press
Enabling valuable research findings to be used by the field requires a strategic approach to dissemination and utilization rather than simply making constituencies aware of the information. The framework described identifies dissemination and utilization goals of exposure, experience, expertise, and embedding ("4 E") and relates each goal to strategies targeted for specific users. Researchers exposed the field to information through presentations, print- and Web-based information, provided consumers and family members with new findings through motivational videotapes, developed expertise-level training programs, and embedded the new findings within organizations and systems. The 4 E framework can translate critical research outcomes into useful information to assist the field to better care and support available for individuals in late life.
Contradictions in elderly care: a descriptive study of politicians' and managers' understanding of elderly care
- Authors:
- HENRIKSEN E., ROSENQVIST U.
- Journal article citation:
- Health and Social Care in the Community, 11(1), January 2003, pp.27-35.
- Publisher:
- Wiley
The care of older people in Sweden has undergone several major reorganisations during the past decade. The healthcare organisation, governed by the county councils, previously had the responsibility of providing care services for elderly people. However, the local municipalities have taken over that duty since 1992. The obligation of the health services is now restricted solely to medical issues. The present study focused on the understanding that politicians and managers have about caring for older people. A section of Stockholm with a population of 320,000 inhabitants was studied. The authors hypothesised that differences in understanding might have an impact on the services of care which older people receive. Interviews were conducted with eight leading politicians and 12 managers responsible for elderly care services. The main focus of inquiry concerned the participants' understanding of caring for older people. The results indicate that politicians and managers in elderly care sometimes have divergent views on how the care should be developed and produced to best serve older people.