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Health & Social Care in the Community | Page 2

Liselot Kerpershoek, Claire Wolfs, Frans Verhey, Hannah Jelley, Bob Woods, Anja Bieber, Gabriele Bartoszek, Astrid Stephan, Geir Selbaek, Siren Eriksen, Britt-Marie Sjölund, Louise Hopper, Kate Irving, Maria MSc PhD, Manuel Gonçalves-Pereira, Daniel Portolani, Orazio Zanetti, Marjolein Vugt
This paper reports on qualitative data from the Actifcare study investigating experiences, attitudes, barriers and facilitators concerning access to and use of formal care. A total of 85 semi-structured in-depth interviews were conducted in eight European countries. Results were analysed with a deductive content analysis, first within country and then integrated in a cross-national analysis. Overall, analysis of the in-depth interviews revealed two major themes with five subcategories. The results can be summarised in an optimal pathway for access to dementia care...
July 10, 2019: Health & Social Care in the Community
Chelsea Coumoundouros, Lydia Ould Brahim, Sylvie D Lambert, Jane McCusker
Informal caregivers are the primary source of support for cancer patients, providing assistance with household tasks, medical care and emotional support. These responsibilities often result in high levels of emotional, physical, social and financial burden for the caregiver. The aim of this study was to perform a scoping review exploring what is known regarding the financial costs experienced by caregivers and identify gaps in the literature. Seven databases were searched for articles published between May 2008 and May 2018 related to direct and indirect costs of informal cancer care...
July 10, 2019: Health & Social Care in the Community
Siew Tiang Lau, Violeta Lopez, Sok Ying Liaw, Ying Lau
Preparing healthcare students for community care has been emphasised due to the global ageing population. An instrument to measure students' community care competency is lacking. This study aimed to develop and evaluate the psychometric properties of a new scale known as Community Care Competency Scale (CCCS) for measuring nursing students' community care competency. CCCS consists of 21 items derived from literature review and community care standards. Content validity was established through a panel of seven experts in the areas of knowledge with a content validity index of 0...
July 9, 2019: Health & Social Care in the Community
Nalini J Negi, Patrice Forrester, Marilyn Calderon, Katherine Esser, Danielle Parrish
Cities without a prior established history of Latina/o migration are experiencing the fastest rate of growth in new immigrants in the United States (Wainer, A tale of two cities (and a town): Immigrants in the Rust Belt, 2013; Lichter & Johnson, Immigrant gateways and Hispanic migration to new destinations. International Migration Review, 43, 496, 2009). These new immigrant settlement cities experience the challenge of adapting their social care context to become more responsive to the needs of immigrants...
July 1, 2019: Health & Social Care in the Community
Sarah Carr, Trish Hafford-Letchfield, Alison Faulkner, Claudia Megele, Dorothy Gould, Christine Khisa, Rachel Cohen, Jessica Holley
The situation for people with mental health problems as a group of disabled people who experience targeted violence and abuse is a complex one. Disabled people, particularly those with mental health problems, are at higher risk of targeted violence and hostility with few effective evidence-based prevention and protection strategies. Achieving effective safeguarding for adults with mental health problems is characterised by differential attitudes to and understandings of abuse by safeguarding practitioners, as well as systemic issues arising from multi-agency working...
June 30, 2019: Health & Social Care in the Community
Dominic Aitken, Glenda Cook, Allison Lawson
A growing older population worldwide means there is a need to ensure there are sufficient housing options to meet a broad spectrum of need and aspiration. There is little understanding of the relative importance of the "pull factors" that might attract older people to relocate to a new environment. Older people's views of the relative level of attractiveness of potential features of a specialist housing development offering care and support were investigated using Q methodology. Forty-one participants aged 53-89 living in a locality in Northern England rank-ordered 70 statements from April to August 2016...
June 25, 2019: Health & Social Care in the Community
Caraíosa Kelly, Roy McConkey, Sarah Craig
In Europe, many people with intellectual disabilities continue to live in congregated settings. In 2012, Ireland formally introduced a resettlement policy with people moving to live in more personalised arrangements. This longitudinal country case-study aimed to monitor the implementation of this policy and the intra-country variations that arose using the records maintained in the National Intellectual Disability Database. Details of over 4,000 people living in congregated settings were examined in 2007 and again in 2012 and 2017...
June 25, 2019: Health & Social Care in the Community
Yadlapalli S Kusuma, Bontha V Babu
The poor often experience illness and the treatment costs are high and even catastrophic for the poor. This paper reports the extent of illness, treatment-seeking behaviour and out of pocket healthcare expenditures and the determinants of treatment-seeking behaviour and healthcare expenditures among the urban poor living in Delhi. A total of 2,998 households participated in the study. Socio-demographic details, illness experiences (episodic illness in the past 3 months, hospitalisation in the past 1 year and any chronic illness), treatment seeking and healthcare expenditures were collected for all household members through a pretested, interviewer-administered questionnaire...
June 25, 2019: Health & Social Care in the Community
Diptajit Das, Vinay Suresan, Avinash Jnaneswar, Charu Khurana, Upendra S Bhadauria, Deep Saha
The study was aimed to assess the oral health status and treatment needs of Juang tribe residing in Bansapal taluk of Northern Odisha. A cross-sectional survey was carried out among 1,412 Juangs using a cluster random sampling procedure. Bansapal taluk is subdivided into six Gram Panchayat's (GP) with each GP considered as a cluster. From each of the six GP's, equal number of villages was chosen randomly using lottery method in order to get uniform representation. A total of 16 villages were chosen using this method...
June 24, 2019: Health & Social Care in the Community
Ivaylo Vassilev, Rebecca Band, Anne Kennedy, Elizabeth James, Anne Rogers
Social networks have been found to have a valuable role in supporting the management of long-term conditions. However, the focus on the quality and how well self-management interventions work focus on individualised behavioural outcomes such as self-efficacy and there is a need for understanding that focuses on the role of wider collective processes in self-management support. Collective efficacy presents a potentially useful candidate concept in the development and understanding of self-management support interventions...
June 24, 2019: Health & Social Care in the Community
Rebecca Ganann, Annette Weeres, Annie Lam, Harjit Chung, Ruta Valaitis
Nurses are among the largest providers of home care services thus optimisation of this workforce can positively influence client outcomes. This scoping review maps existing Canadian literature on factors influencing the optimisation of home care nurses (HCNs). Arskey and O'Malley's five stages for scoping literature reviews were followed. Populations of interest included Registered Nurses, Registered/Licensed Practical Nurses, Registered Nursing Assistants, Advanced Practice Nurses, Nurse Practitioners and Clinical Nurse Specialists...
June 24, 2019: Health & Social Care in the Community
Annerieke Stoop, Manon Lette, Paul F van Gils, Giel Nijpels, Caroline A Baan, Simone R de Bruin
In many integrated care programs, a comprehensive geriatric assessment (CGA) is conducted to identify older people's problems and care needs. Different ways for conducting a CGA are in place. However, it is still unclear which CGA instruments and procedures for conducting them are used in integrated care programs, and what distinguishes them from each other. Furthermore, it is yet unknown how and to what extent CGAs, as a component of integrated care programs, actually reflect the main principles of integrated care, being comprehensiveness, multidisciplinarity and person-centredness...
June 21, 2019: Health & Social Care in the Community
Cancan Yuan, Yiwen Ding, Keruo Zhou, Yuankai Huang, Xiaoyu Xi
Community pharmacy services (CPS) have been shown to be positive in many disease management and patient care programs, but clinical outcomes were followed by process indicators and methodological flaws in previous researches made it difficult to prove the effectiveness of clinical outcomes of CPS. Therefore, this study attempted to review the clinical outcomes of CPS. Interventions included are provision of medication review, patient education, adherence assessment, health/lifestyle advice, physical assessment, monitoring, prescribing, or adjusting and administering therapy from community pharmacists...
June 21, 2019: Health & Social Care in the Community
Francesco Longo, Rita Faria, Gillian Parker, Kate Gridley, Fiona Aspinal, Bernard Van den Berg, Helen Weatherly
Carers contribute essential support to enable people with dementia to continue living within the community. Admiral Nurses provide specialist dementia support for carers of people with dementia, including offering expert emotional support and guidance, and work to join up different parts of the health and social care system to address needs in a co-ordinated way. The cost-effectiveness of this service is not clear. We undertook a feasibility study to explore related outcomes and costs for these carers. A cross-sectional, clustered survey was undertaken in England in 2017, in areas with and without Admiral Nursing (AN)...
June 21, 2019: Health & Social Care in the Community
Chu Hyun Kim, Tae Han Kim, Sang Do Shin, Kyoung Jun Song, Young Sun Ro, Ki Ok Ahn, Ki Jeong Hong, Yu Jin Lee, Eui Jung Lee, So Young Ha
High-quality bystander cardiopulmonary resuscitation (CPR) and early defibrillation in the community are important for survival in out-of hospital-cardiac-arrest, but maintaining the quality of CPR in bystanders is difficult. We aimed to determine the effect of an automated external defibrillator (AED) with real-time feedback on the quality of bystander CPR in a community setting. A before-and-after simulation study was designed. Trainees of basic life support education were recruited for the simulation experiment...
June 21, 2019: Health & Social Care in the Community
Gemma Carey, Eleanor R Malbon, Megan Weier, Helen Dickinson, Gordon Duff
Personalisation schemes and associated markets for social care have been a growing trend in industrialised countries over recent decades. While there is no single approach to marketisation of social care and personalisation, often funds are devolved to clients of care services to be used to purchase services directly from market. Such arrangements are vulnerable to market failures and 'thin' markets, causing the need for stewardship of the social care markets. We present findings from a 2018 survey of 626 care service providers in the Australian National Disability Insurance Scheme market on their experience of market conditions...
June 18, 2019: Health & Social Care in the Community
Hsiang-Yun Huang, Kuang-Ming Kuo, I-Cheng Lu, Hsing Wu, Chi-Wei Lin, Ming-Ta Hsieh, Yu-Ching Lin, Ru-Yi Huang, I-Ting Liu, Chi-Hsien Huang
The aim of this study was to investigate the relationships between health literacy and hospice knowledge, attitude and decision in community-dwelling elderly participants. This cross-sectional study enrolled 990 community-dwelling elderly participants in three residential areas, with a mean age of 71.53 ± 7.22 years. Health literacy was assessed using the Mandarin version of the European Health Literacy Survey Questionnaire. Knowledge, attitude and decision towards hospice care were assessed using an interviewer-administered questionnaire...
June 18, 2019: Health & Social Care in the Community
Danielle Kelly, Artur Steiner, Helen Mason, Simon Teasdale
Although men have a lower life expectancy than women, and are more susceptible to illness, they have been found to be less likely to engage in health-seeking behaviour. Men's Sheds, as a gendered intervention, has been identified as an effective way to engage men in meaningful activity and gain social support from others. However, links between sheds and health and well-being are not well-documented, and evidence is lacking of the potential causal pathways to health generation. This study aims to develop a plausible empirically based causal theory of how Men's Sheds influence the health and well-being of their participants and to set out future research directions to test this theory...
June 17, 2019: Health & Social Care in the Community
Nicola Clibbens, Kathryn Berzins, John Baker
Approximately 5% of the UK population live with serious mental health problems. Data show that informal caregivers of people with mental illness provide care for the highest number of hours compared to other illness and the economic cost of this care is highest in the UK when compared internationally. People living with serious mental health problems make transitions between different intensities of service as their needs fluctuate, including referral, admission, transfer or discharge. Although caregiving is associated with both stress and positive reward, service transitions are particularly associated with increased stress...
June 17, 2019: Health & Social Care in the Community
Cheryl Zlotnick, Hadass Goldblatt, Daphna Birenbaum-Carmeli, Yael Dishon, Omer Taychaw, Efrat Shadmi
The two components of hope (i.e., hope-agency defined as the ability to envision and believe in one's ability to achieve goals; hope-pathway defined as belief in one's ability to devise strategies to achieve one's goals) propel adolescents toward well-being, academic achievement and personal fulfillment. This study compares levels of hope and its components, for different groups of immigrant and ethnic non-immigrant youths, while adjusting for and measuring the impact of racism, school and family characteristics, and the youth's unique individual attributes...
June 17, 2019: Health & Social Care in the Community
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