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PubMed2004

Partnerships: panacea or pretence?

This article seeks to explore the centrality and reality of partnerships or partnership working in current British social policy. The article will investigate the rhetoric and reality of partnerships using research based on the Early Years Development and Childcare Partnerships (EYDCPs) as an exemplar to critically question whether partnerships have become more pretence than panacea? In so doing the article will suggest that partnerships are deserving of greater critical analysis and research as their rhetorical force potentially represents another metaphor for social control.

Child↗
PubMed2004

Social services and the Single Assessment Process: early warning signs?

Following the publication of policy documents such as the NHS Plan and the National Service Framework for Older People, health and social care agencies in the UK have been charged with devising and implementing a Single Assessment Process by April 2004. Although service users and carers are often frustrated at having to give the same information to many different professionals, this paper cites research which raises significant doubts about the present capacity of social services departments to deliver on this government initiative. Based on telephone interviews with 25 local authorities, this paper describes the findings of research into the use of dependency measures in residential and nursing care. Although this research was conducted prior to the introduction of the Single Assessment Process, the study suggests that some local agencies may lack the expertise and skills to develop effective assessment tools/scales and that considerable Developmental work may be required to prepare organisations for April 2004.

Aged↗
PubMed2005

Multi-agency voices: a thematic analysis of multi-agency working practices within the setting of a Child and Adolescent Mental Health Service.

This qualitative study aims to explore the types and purpose of discourse emerging when professionals from a Child and Adolescent Mental Health Service meet with professionals from other agencies to discuss cases. The aim reflects current political and contextual agendas influencing agencies to work more closely together and obstacles to achieving this goal highlighted in the literature such as the need for agencies to develop a common language to discuss children of concern. Data were collected through eight audio-taped meetings involving CAMHS and members of other agencies such as social services and education. A thematic analysis identified nine themes, defined according to their discourse type, including: single agency discourse; case complexity discourse and multi-agency discourse. Results indicate that agencies are hindered from working more closely together and developing a common language for use in multi-agency meetings, because they tend to have different understandings of the terminology used and a common consensus about language and meaning is not usually negotiated within the meeting. There is a need for greater awareness amongst staff from different professional groups and agencies that meaning given by one group will often need to be clarified by others and assumptions about common understandings should not be made.

Adolescent↗
PubMed2006

Shared learning in primary care: participants' views of the benefits of this approach.

This is a study exploring participants' views regarding a series of shared or interprofessional learning sessions carried out in a primary care setting in Bradford, UK. One-hundred-and-twenty-four participants including doctors, practice nurses, nurse practitioners and health visitors attended six expert-led, case-based learning sessions on clinical topics relevant to their work. The evaluation of the sessions is presented, from questionnaire feedback including open responses. Participants had high expectations of shared learning, which was largely met in terms of sharing ideas regarding professional roles and sharing clinical knowledge and skills. Variations between professionals, and between sessions, are noted and discussed. It was concluded that shared or interprofessional learning in the workplace is valued by clinicians, can help improve understanding of professional roles and also enhance clinical learning.

Adult↗
PubMed2006

Domestic violence fatality review teams: an interprofessional model to reduce deaths.

In an effort to reduce injuries and prevent deaths from violence, interprofessional domestic violence fatality review teams (DVFRT) have developed across the United States and globally to study factors that contribute to intimate partner injury and deaths. Drawing upon knowledge from the disciplines of health, education, criminal justice, social services, and policy, these teams review and analyze domestic violence homicide cases to uncover basic knowledge about causes, factors that increase or decrease the risk for death and injury, and specific ways to prevent further injury and death. Through interprofessional collective recommendations and cooperative actions, these teams are developing promising practices and systems' changes that offer better services, learning, and interventions to reduce injury and death from domestic violence.

Criminal Law↗
PubMed2004

Overcoming barriers to effective community-based participatory research in US medical schools.

Research to improve the health of communities benefits from the involvement of community members. Accordingly, major federal and foundation funding agencies are soliciting health promotion/disease prevention programme proposals that require active community participation. However, creating such partnerships is difficult. Communities often perceive conventional research as paternalistic, irrelevant to their needs, manipulative, secretive and invasive of privacy. Many institutions and researchers view community knowledge as lacking in value. Community-based participatory research (CBPR) is a collaborative partnership approach to research that equitably involves community members, organizational representatives and researchers in all aspects of the research process. In this article the authors consider the barriers to institutional change and faculty participation in CBPR, and propose some steps for overcoming the barriers and making CBPR an integral part of a medical institution's research agenda. Training and supporting faculty in the philosophy and methods of this approach is the cornerstone of improved community-based research.

Community Health Planning↗
PubMed2005

Christian bioethics, secular bioethics, and the claim to cultural authority.

Though the papers in this volume for the most part address the question, "What is Christian about Christian Bioethics", this paper addresses instead a closely related question, "How would a Christian approach to bioethics differ from the kind of secular academic bioethics that has emerged as such an important field in the contemporary university?" While it is generally assumed that a secular bioethics rooted in moral philosophy will be more culturally authoritative than an approach to bioethics grounded in the contingent particularities of a religious tradition, I will give reasons for rejecting this assumption. By examining the history of the recent revival of academic bioethics as well as the state of the contemporary moral philosophy on which it is based I will suggest that secular bioethics suffers from many of the same liabilities as a carefully articulated Christian bioethics. At the end of the paper I will turn briefly to examine the question of how, in light of this discussion, a Christian bioethics might best be pursued.

Bioethics↗
PubMed2005

Implementation of functional assessment scales in geriatric practice: a feasibility study.

AIM: A study was undertaken to evaluate the feasibility of functional assessment scales regarding completion rate and ability to document functional changes in geriatric rehabilitation patients. METHODS: Five functional assessment scales were implemented, and used on admission and discharge as part of standard care. RESULTS: Of 2,812 patients, 90 patients (3.2%) had no scales administered, 2,330 patients (82.9%) had between one and six scales administered and 392 (13.9%) had a complete data set (seven scales). The percentage of inpatients who were independent or almost independent in basic ADL functions improved from 30% to 60% during hospitalization; 53% had cognitive impairment, while 19% expressed depressive thoughts or depression on admission. CONCLUSION: Functional assessment scales were feasible in the clinical routine, gave important information on patients' functional status at baseline, and showed that patients improved their physical function considerably during hospitalization. Interdisciplinary teamwork and management affect the success of the implementation of assessment scales.

Aged↗
PubMed2004

Swedish Council on Technology Assessment in Health Care (SBU). Chapter 3. Causes of sickness absence: research approaches and explanatory models.

Research on sickness absence, emanating from different theoretical perspectives and questions, is carried out within several different scientific disciplines. Studies are often based on explanatory models addressing the causes of sickness absence. Here, a brief summary of the various approaches and explanatory models used in sickness-absence research is presented. Also explanatory models for changes over time in sickness absence are briefly discussed.

Absenteeism↗
PubMed2003

An experimental environment for the production, exchange and discussion of fused radiology images, for the management of patients with residual brain tumour disease.

The present work aims to display the use of groupware as a tool for better management of the available resources (human, computing and imaging) within the University Hospital of Patras, Greece for the task of managing patients with postoperative residual brain tumour. Emphasis is given to the additional information that can be revealed and taken into account from novel image processing techniques, developed by our group, and the central role of the Medical Physicist in the groupware. Fused images, produced by the combination of CT, MR and SPECT representations of the brain, contain both anatomical and functional information and comprise a new representation of reality. Medical experts, unfamiliar with this new representation, form a groupware for the task of interpreting them and providing better services to the patient. Groupware procedures, facilitated by modern network technology, bring experts' tacit knowledge to the surface and facilitate its exchange.

Brain Neoplasms↗
PubMedDate not supplied

The seven-year itch.

Explore the source record for details and available documents.

Bioethics↗