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Articles 1 - 21 of 21
Full-Text Articles in Medicine and Health Sciences
Modelling Stress Constructs With Biomarkers: The Importance Of The Measurment Model, Joanne Bradbury
Modelling Stress Constructs With Biomarkers: The Importance Of The Measurment Model, Joanne Bradbury
Joanne Bradbury
Background The transactional model of stress describes a psychological and physiological stress response that is elicited when an environmental demand is perceived to out-weigh the ability to cope with the demand. With perception at its core, this theory explains large variances in human stress responses. A frequently cited measure of stress perception is the Perceived Stress Scale (PSS). A two-step approach to structural equation modelling (SEM) necessitates that a valid measurement model for stress be first established through confirmatory factor analysis (CFA), and then the impact of stress on the biomarkers be assessed. Methods The aims of this study were …
Mechanisms For Successful Workforce Change: Spotlight On Allied Health Assistants Working With Older People In The Community, Susan Nancarrow, Anna Moran
Mechanisms For Successful Workforce Change: Spotlight On Allied Health Assistants Working With Older People In The Community, Susan Nancarrow, Anna Moran
Susan Nancarrow
No abstract provided.
The Relationship Between Workforce Flexibility And The Costs And Outcomes Of Older Peoples Services, Susan Nancarrow, Pamela Enderby, Anna Moran, Simon Dixon, Stuart Parker, Michael Bradburn, Caroline Mitchell
The Relationship Between Workforce Flexibility And The Costs And Outcomes Of Older Peoples Services, Susan Nancarrow, Pamela Enderby, Anna Moran, Simon Dixon, Stuart Parker, Michael Bradburn, Caroline Mitchell
Susan Nancarrow
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The Relationship Between Workforce Flexibility And The Costs And Outcomes Of Older Peoples' Services, Susan Nancarrow, Pamela M. Enderby, Anna Moran, Simon Dixon, Stuart Parker
The Relationship Between Workforce Flexibility And The Costs And Outcomes Of Older Peoples' Services, Susan Nancarrow, Pamela M. Enderby, Anna Moran, Simon Dixon, Stuart Parker
Susan Nancarrow
No abstract provided.
Looking Inside The Black Box Of Community Rehabilitation And Intermediate Care Teams In The United Kingdom: An Audit Of Service And Staffing Configuration, Susan Nancarrow, Anna Moran, Jenny Freeman, Pamela Enderby, Simon Dixon, Stuart Parker, Mike Bradburn
Looking Inside The Black Box Of Community Rehabilitation And Intermediate Care Teams In The United Kingdom: An Audit Of Service And Staffing Configuration, Susan Nancarrow, Anna Moran, Jenny Freeman, Pamela Enderby, Simon Dixon, Stuart Parker, Mike Bradburn
Susan Nancarrow
OBJECTIVE:To generate a picture of the range, configuration and staffing of community and intermediate care services in the United Kingdom (UK) and to ascertain whether any relationships exist between service configuration and staffing models.METHOD:A service audit tool was sent to members of the Community Therapist's Network (CTN) and to chief executives of primary care and National Health Service trusts in the UK. Data were collected from the CTN and chief executives of primary care trusts (PCTs) and NHS trusts between late 2005 and early 2006.RESULTS:The overall response rate to the two audits was 37% (n …
Challenges, Benefits And Weaknesses Of Intermediate Care: Results From Five Uk Case Study Sites, Emma Regan, Graham Martin, Jon Glasby, Graham Hewitt, Susan Nancarrow, Hilda Parker
Challenges, Benefits And Weaknesses Of Intermediate Care: Results From Five Uk Case Study Sites, Emma Regan, Graham Martin, Jon Glasby, Graham Hewitt, Susan Nancarrow, Hilda Parker
Susan Nancarrow
The authors explore the views of practitioners and managers on the implementation of intermediate care for elderly people across England, including their perceptions of the challenges involved in its implementation, and their assessment of the main benefits and weaknesses of provision. Qualitative data were collected in five case study sites (English primary care trusts) via semistructured interviews (n = 61) and focus group discussions (n = 21) during 2003 to 2004. Interviewees included senior managers, intermediate care service managers, clinicians and health and social care staff involved in the delivery of intermediate care. The data were analysed thematically …
Re:Cap - Identifying The Evidence Base For Research Capacity Development In Health And Social Care, Jo Cooke, Andrew Booth, Susan Nancarrow, Anna Wilkinson
Re:Cap - Identifying The Evidence Base For Research Capacity Development In Health And Social Care, Jo Cooke, Andrew Booth, Susan Nancarrow, Anna Wilkinson
Susan Nancarrow
To map the literature on Research Capacity Development (RCD) interventions: at individual, institutional, organisational, and policy levels; to identify the extent of research based knowledge; to note gaps in the evidence; and to make recommendations for future research.
Workforce Dynamics Questionnaire, Susan Nancarrow
Workforce Dynamics Questionnaire, Susan Nancarrow
Susan Nancarrow
No abstract provided.
Assistant Practitioners: Issues Of Accountability, Delegation And Competence, Hazel Mackey, Susan Nancarrow
Assistant Practitioners: Issues Of Accountability, Delegation And Competence, Hazel Mackey, Susan Nancarrow
Susan Nancarrow
The NHS Modernisation Agenda, alongside workforce shortages in health care professions, has led to increasing interest in the role of assistant practitioners in the delivery of health and social care. This paper describes the introduction and evaluation of assistant practitioners in occupational therapy who were empowered to work independently in a limited number of interventions and services within an NHS Trust. The evaluation involved focus groups with four groups of key stakeholders, the assistant practitioners, their supervisors, managers and service users. Key themes included ambiguity about who takes responsibility for the outcomes of care and uncertainty about challenging the role …
Report On The Introduction And Evaluation Of An Assistant Practitioner, Susan Nancarrow, Hazel Mackey
Report On The Introduction And Evaluation Of An Assistant Practitioner, Susan Nancarrow, Hazel Mackey
Susan Nancarrow
No abstract provided.
'The Squeaky Wheel Gets The Grease': A Case Study Of Service User Engagement In Service Development, Susan Nancarrow, Wesley Vernon, Anna Johns
'The Squeaky Wheel Gets The Grease': A Case Study Of Service User Engagement In Service Development, Susan Nancarrow, Wesley Vernon, Anna Johns
Susan Nancarrow
This paper discusses the practicalities and limitations of establishing a service user consultation group to guide service developments, based on the evaluation of a ‘Podiatry Patient Panel’ in South Yorkshire. It describes the specific difficulties recruiting a representative panel of service users, and the gradual acculturation of the panel from a group of ‘challenging activists’ to unpaid members of the podiatry department.
Dynamic Role Boundaries In Intermediate Care Services, Susan Nancarrow
Dynamic Role Boundaries In Intermediate Care Services, Susan Nancarrow
Susan Nancarrow
This paper examines the impact of intermediate care service delivery on the role boundaries of service providers. Two intermediate care teams were selected as case studies to explore the roles of workers in the context of an admission avoidance and assisted discharge service. Data were collected through semi-structured interviews with 26 intermediate care staff, including physiotherapists, occupational therapists, nurses, a social worker and support workers. The study found that therapists' roles were most closely aligned with each other, whilst nurses perceived their roles as being distinct from therapists, with a more medical emphasis. Therapists and nurses delegate a range of …
The Development Of Support Workers In Allied Health Care: A Case Study Of Podiatry Assistants, Fiona Webb, Lisa Farndon, Alan Borthwick, Susan Nancarrow, Wesley Vernon
The Development Of Support Workers In Allied Health Care: A Case Study Of Podiatry Assistants, Fiona Webb, Lisa Farndon, Alan Borthwick, Susan Nancarrow, Wesley Vernon
Susan Nancarrow
The aim of this study was to investigate why support workers were introduced, the development of the role and the impact this had on the UK podiatry profession. A documentary analysis was used to explore this subject over a 25 year time period, from 1977, when assistants were introduced, to 2002. All documents referring to podiatry assistants were studied and analysed using the framework approach. Analysis revealed that assistants were introduced to supplement a profession which was experiencing recruitment and retention problems at the time. Their training was given in-house as this was cost-effective and could accommodate local departmental needs. …
Promoting Flexibility In The Intermediate Care Workforce, Susan Nancarrow
Promoting Flexibility In The Intermediate Care Workforce, Susan Nancarrow
Susan Nancarrow
This paper discusses the pressures on intermediate care services to provide a flexible approach to staffing, including a constantly changing policy context, winter pressures, and different service remits. It suggests three ways that managers can address the issue of flexibility; the adoption of flexible team structures, flexible worker roles and flexible employment structures.
Accountability And Accreditation In The Australian Allied Health Context, Susan Nancarrow, Julie Clark
Accountability And Accreditation In The Australian Allied Health Context, Susan Nancarrow, Julie Clark
Susan Nancarrow
This paper examines the professional accreditation systems developed by five allied health associations in Australia. Professional accreditation is potentially a powerful tool because it can describe both the attributes of a health service provider and aspects of the quality of their care. This information is of value to patients, regulatory bodies and funding organizations to guide their health service decision making. However, the lack of consistency in the approaches used by the allied health disciplines means that the term 'accreditation' has a different value for each profession. Additionally, patient and purchaser preferences have received little consideration in the development of …
The Evaluation Of An Intervention To Prevent The Early Introduction Of Solids To Babies, Susan Nancarrow
The Evaluation Of An Intervention To Prevent The Early Introduction Of Solids To Babies, Susan Nancarrow
Susan Nancarrow
Aim: To report on the evaluation of a nutrition intervention that was designed to prevent the early introduction of solids to infants and to ensure food texture and variety were age appropriate. Method: A "Nutrition Screening Tool", was administered to consecutive parents for three months by Maternal and Child Health nurses (MACH) at the two and six-month immunisation schedules. At the two-month immunisation, parents were asked to predict the age at which they proposed to introduce solids to their child and discus the factors that influenced their decision making. At the six-month immunisation schedule, parents were asked to report the …
Employment And Career Development Opportunities Of Foot Care Assistants In The Nhs, Susan Nancarrow
Employment And Career Development Opportunities Of Foot Care Assistants In The Nhs, Susan Nancarrow
Susan Nancarrow
Aim: To describe employment patterns of foot care assistants (FCAs) and podiatrists working in the NHS. Background: Support workers represent the fastest growing component of the health care workforce in the UK at present. FCAs are one constituent of this workforce, yet little is known about their numbers, employment patterns, clinical roles, career development opportunities, pay scales or training. Similarly, the patterns of the podiatry workforce, in terms of specialisms and professional structures have not been described elsewhere. Method: A questionnaire survey sent to all NHS podiatry heads of service (243) across the UK. Results: One hundred and fifty-nine (65%) …
Practical Barriers To The Collection Of Health Outcomes Data In A Clinical Setting Using Non-Casted Innersoles As A Case Study, Susan Nancarrow
Practical Barriers To The Collection Of Health Outcomes Data In A Clinical Setting Using Non-Casted Innersoles As A Case Study, Susan Nancarrow
Susan Nancarrow
No abstract provided.
Can Footwear Retailers Play A Role In Primary Care Prevention?, Susan Nancarrow
Can Footwear Retailers Play A Role In Primary Care Prevention?, Susan Nancarrow
Susan Nancarrow
The aim of this project was to investigate whether footwear retailers can play a role in the prevention of foot problems through the early identification of problems and referrals to health professionals. Footwear related injury accounts for up to one third of hospitalisations for diabetic foot disease (Payne, 1998). Footwear is a risk factor in many falls, although the exact extent of this risk is unknown (Robbins et al, 1997, Chipman, 1981, Connell and Wolf, 1997). The presence of corns or bunions has been found to be an independent risk factor for falling in older people (Dolinis et al, 1997). …
The Footwear Suitability Scale: A Measure Of Shoe-Fit For People With Diabetes, Susan Nancarrow
The Footwear Suitability Scale: A Measure Of Shoe-Fit For People With Diabetes, Susan Nancarrow
Susan Nancarrow
Footwear has been found to be a precipitating cause of injury leading to lower extremity ulceration and amputation in people with diabetes. This study determined footwear suitability in one hundred diabetic outpatients in south-east Queensland using ten criteria including the fit of the shoe and the ability of the shoe to prevent injury to the foot. Footwear suitability was analysed in the context of the price, place of purchase and quality of shoes purchased. In this study, overall shoe quality was poor. Over one quarter of all participants and one third of participants with peripheral neuropathy wore shoes that caused …
Reported Rates Of Foot Problems In Rural South-East Queensland, Susan Nancarrow
Reported Rates Of Foot Problems In Rural South-East Queensland, Susan Nancarrow
Susan Nancarrow
The purpose of this study was to determine the prevalence of self-reported foot problems in a rural region of south-east Queensland and establish the type of treatment sought by respondents. In December 1995, the West Moreton Regional Health Authority commissioned a health needs assessment of the semi-rural and rural land occupants in the region (n=600). Participants were asked questions relating to their general health, health practices and health services use. A series of questions about foot health were included in the survey. One quarter (25.7%) of respondents reported that they had foot related problems which had affected them within the …