Healthcare assistants’ experiences on forensic mental health wards

2018 ◽  
Vol 20 (3) ◽  
pp. 179-190
Author(s):  
Stacey Boardman ◽  
Jane Clarbour ◽  
Kelly Rayner
Keyword(s):  
Mental Health ◽  
Clinical Decision Making ◽  
Well Being ◽  
Clinical Decision ◽  
Structured Interview ◽  
Future Research ◽  
Role Clarity ◽  
Forensic Mental Health ◽  
Holistic View ◽  
Content Type

Purpose In forensic mental health wards, patients spend more time with healthcare assistants (HCAs) than qualified nurses. Despite this, there is no universally utilised standardised HCA training. The purpose of this paper is to assess the HCAs’ experiences in the HCA role in order to better understand how to build on the HCA role to ensure safe practice, and enhance staff well-being. Design/methodology/approach HCAs working on low and medium secure NHS forensic mental health units were recruited through purposive methods. HCAs engaged in a semi-structured interview, with questions surrounding their support needs, clinical decision making and perception of risks in the role. Template analysis was used, applying an a priori template based on the existing literature to interview transcripts. Findings The participants described the HCA experience to be defined by two master themes: “HCA factors” and “organisational factors”. HCAs valued a holistic patient view which prized patients’ experiences. The participants described a lack of role clarity which may be defined through ward expectations and professional experience. Originality/value HCAs seek a holistic view of the patient; however, some overlooked patient offences in order to do their job. Future research should address how looking past offences impacts security and HCAs’ well-being long term.

scholarly journals The concerns associated with future prospects of the food cart business in Chittagong, Bangladesh: is the concept of halalan tayyiba missing link?

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ariful Islam ◽  
Sazali Abd Wahab
Keyword(s):  
Food Security ◽  
Urban Areas ◽  
Well Being ◽  
Structured Interview ◽  
Future Research ◽  
Content Type ◽  
Hygiene Practices ◽  
Muslim Countries ◽  
Halal Food ◽  
Role Based

Purpose The informal segment compared to the formal segment is developing rapidly in urban areas of many developing Muslim countries. However, matter of fact, the contribution factor of the food cart business to the economic outline of the country has been vastly overlooked or neglected. The authority, policymakers, social organisations, vendors and the customers together need to play a contributing role based on intervention tactics regarding the major focus areas related to the development of this business segment. As a result, this study aims to explore concerns or issues that are hampering future business prospects considering the philosophy of halalan tayyiba. Design/methodology/approach The study has organised 16 semi-structured interview procedures with relevant food cart vendors of Chittagong, Bangladesh. The study selected participants (food cart vendors) from lower- to medium-income areas occupying at least one high school, one college in relation to several commercial premises (ex-mini shopping malls, offices and small factories) considering 6 out of 41 wards of Chittagong city corporation. All meetings with reflected participants were audiotaped and transcribed verbatim and transcripts were loaded into NVivo for coding and analysis procedure. Findings This investigation revealed that issues with food security, weather, lack of proper legislation, lack of awareness related with halalan tayyiba and erratic policies are the major challenges for the development of the food cart business in Chittagong. This study also advances how street food security well-being and hygiene practices are a piece of the halal idea and should in this way be adjusted by the halal food segment to accomplish halalan tayyiba affirmation. The outcomes also indicate an agenda for future research in this area. Research limitations/implications More reflections from the different stakeholders do have both pertinence and potential for incorporation in suggestions. Practical implications The detected findings may help both authority and other concerned entities to identify the critical dynamics to initiate appropriate strategic activities towards local economic growth considering halalan tayyiba outlines. Social implications It will ensure social well-being and food security. Originality/value This explorative research is one of few studies in the Bangladesh context, which is investigating halalan tayyiba-oriented business development outline for micro entrepreneurs.

scholarly journals Use and impact of smartphone apps in mental health

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Amerio ◽  
A Scardoni ◽  
L Bellini ◽  
S Salvati ◽  
S Buttigieg ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Clinical Decision Making ◽  
Healthcare Providers ◽  
Experimental Studies ◽  
Clinical Decision ◽  
Future Research ◽  
Smartphone Apps ◽  
Health Apps ◽  
The Impact

Abstract As smartphone usage is more and more ubiquitous, the app market is flourishing in all fields, including health. Indeed, the availability and use of smartphone apps (SAs) in health has exponentially grown in recent years. It has been estimated that in 2018 there were over 97,000 health apps available and that, 15% and 8% of US phone users aged 18-29 and 30-49 years respectively had health apps installed on their mobile devices. Health apps might potentially support people health paths in multiple ways: channeling health education, enabling personal health data tracking, self-monitoring and goals setting, facilitating access to health records or compliance to treatment, fostering effective communication with healthcare providers and health services, as well as supporting clinical decision-making. Despite such large potential, still scant evidence is available on the impact of SAs on clinical outcomes in different fields of medicine, including mental health. With an estimated prevalence of around 450 million people currently suffering from mental disorders and 1 in 4 people in the world affected at some point in own life, mental disorders are a leading cause of ill-health and disability worldwide whose prevention and care might be enhanced by mHealth technology. The general aim of the presentation is to provide an overview on the use and impact of SAs in the field of mental health. Specific objectives are: i) to present a conceptual framework on how SAs might support mental disorders prevention, diagnosis and treatment, ii) to report on SAs use in mental health in different settings, iii) to collect and pool available evidence from observational and experimental studies on the impact of SAs use on different mental health outcomes, iv) to explore the quality, effectiveness and attributes of top-rated smartphone mental health apps and lastly, v) to suggest gaps in knowledge to be filled by future research.

scholarly journals Including migrant students in the primary school: perspectives of Italian principals

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Michele Biasutti ◽  
Eleonora Concina
Keyword(s):  
Primary School ◽  
School Principals ◽  
Well Being ◽  
Structured Interview ◽  
School Principal ◽  
Migrant Children ◽  
Future Research ◽  
Migrant Students ◽  
Content Type ◽  
Primary School Principals

PurposeThe aim of this article is to examine the perspectives, experiences, roles and values of Italian primary school principals regarding the inclusion of migrant children.Design/methodology/approachThe method of the study is qualitative and consists of a semi-structured interview, which was carried out with 17 primary school principals and examined using content analysis.FindingsThe following six categories emerged: (1) school organisation and services, (2) projects and activities for inclusion, (3) teaching methods and strategies, (4) assessment, (5) networking and (6) challenges. The findings highlighted the complexity of the principals' role; they have to take on several tasks to foster a positive school experience for migrant students. A student-centred approach was considered relevant for intercultural education to promote inclusion and well-being. Curriculum activities were designed according to student needs.Research limitations/implicationsThe number of participants was limited, and they all worked in a small area of northeast Italy. Future research should examine the perspective of other school stakeholders such as teacher coordinators, the Commission for School Inclusion, teachers and tutors.Practical implicationsThe findings could be used as a framework for defining a model of the organisation of the school useful for discussing the relevance of the activities and for comparing schools in different contexts. The development of reflective practice to analyse the activities inside the schools could be considered.Social implicationsStakeholders could consider the findings before making decisions and developing policy actions countrywide.Originality/valueThe key factors included the awareness of the school principal role in managing the school and of the importance of connecting their school with the local community and external agencies.

scholarly journals Work-related wellbeing in UK prison officers: a benchmarking approach

2016 ◽  
Vol 9 (3) ◽  
pp. 290-307 ◽  
Author(s):  
Gail Kinman ◽  
Andrew James Clements ◽  
Jacqui Hart
Keyword(s):  
Mental Health ◽  
Job Satisfaction ◽  
Health And Safety ◽  
Well Being ◽  
Future Research ◽  
Content Type ◽  
Stress Indicator ◽  
Work Related ◽  
Psychosocial Hazards ◽  
The Uk

Purpose The purpose of this paper is to examine the well-being of UK prison officers by utilising a benchmarking approach. Design/methodology/approach The Health and Safety Executive (HSE) Stress Indicator Tool is widely used in the UK to assess key psychosocial hazards in the workplace encompassing demands, control, support from managers and co-workers, relationship quality, role and change management. This study utilises this approach to examine the extent to which a sample of UK prison officers meets the HSE recommended minimum standards for the management of work-related well-being. Levels of mental health and job satisfaction in the sector are also assessed using measures with extensive occupational norms. The psychosocial hazards that make the strongest contribution to mental health and job satisfaction are also considered. Findings Respondents reported lower levels of well-being for all of the hazard categories than recommended. Moreover, mental health and job satisfaction were considerably poorer among prison officers than other occupational groups within the emergency and security services in the UK. Considerable variation was found in the psychosocial hazards that predicted mental health and job satisfaction. Practical implications The high levels of stressors and strains experienced by UK prison officers gives serious cause for concern. Priority areas for interventions to enhance well-being in the sector are considered and areas for future research discussed. Originality/value This study highlights the wide-ranging benefits of a benchmarking approach to investigate work-related stressors and strains at the sector level.

Review of global mental health research in the construction industry

2019 ◽  
Vol 27 (2) ◽  
pp. 385-410
Author(s):  
Janet M. Nwaogu ◽  
Albert P.C. Chan ◽  
Carol K.H. Hon ◽  
Amos Darko
Keyword(s):  
Mental Health ◽  
Construction Industry ◽  
Global Mental Health ◽  
Well Being ◽  
Mental Health Research ◽  
Future Research ◽  
Work Systems ◽  
Content Type ◽  
Research Areas ◽  
Bibliographic Records

Purpose The demanding nature of the construction industry poses strain that affects the health of construction personnel. Research shows that mental ill health in this industry is increasing. However, a review mapping the field to determine the extant of research is lacking. Thus, the purpose of this paper is to conduct a scientometric review of mental health (MH) research in the construction industry. Design/methodology/approach A total of 145 bibliographic records retrieved from Web of Science and Scopus database were analyzed using CiteSpace, to visualize MH research outputs in the industry. Findings Top co-cited authors are Helen Lingard, Mei-yung Leung, Paul Bowen, Julitta S. Boschman, Peter E.D. Love, Martin Loosemore and Linda Goldenhar. Previous studies focused on healthy eating, work efficiency, occupational stress and workplace injury. Emerging research areas are centered around physiological health monitoring, work ability, and smart interventions to prevent and manage poor MH. Research limitations/implications Result is influenced by the citations in retrieved articles. Practical implications The study found that researchers in the construction industry have intensified efforts to leverage information technology in improving the health, well-being, and safety of construction personnel. Future research should focus on developing workplace interventions that incorporate organizational justice and flexible work systems. There is also a need to develop psychological self-reporting scales specific to the industry. Originality/value This study enhances the understanding of researchers on existing collaboration networks and future research directions. It provides information on foundational documents and authors whose works should be consulted when researching into this field.

scholarly journals Psychometric evaluation of the Perinatal Illness Perceptions Scale (PIPS)

2019 ◽  
Vol 14 (2) ◽  
pp. 74-85 ◽  
Author(s):  
Julie Jomeen ◽  
Colin Robert Martin ◽  
Patricia Mary Jarrett
Keyword(s):  
Mental Health ◽  
Psychometric Properties ◽  
Clinical Decision Making ◽  
Illness Perceptions ◽  
Illness Perception ◽  
Psychometric Evaluation ◽  
Clinical Decision ◽  
Public Health Issue ◽  
Cross Sectional ◽  
Content Type

Purpose Perinatal mental health (PMH) is acknowledged as a significant public health issue associated with significant personal, family, social and economic burden. Research demonstrates that healthcare practitioners lack knowledge and confidence in this area but there is likely to be a complexity of factors that may influence practitioner behaviours, including negative attitudes towards people with mental health and inaccurate illness perceptions. The purpose of this paper is to evaluate the psychometric properties of the Perinatal Illness Perceptions Scale (PIPS), a conceptual derivation of the Illness Perception Questionnaire – Revised. Design/methodology/approach A cross-sectional and exploratory instrument development design, using exploratory factor analysis, was employed. Findings The scale demonstrated good psychometric properties revealing three sub-scales: causes, consequences (mother); consequences (baby). Originality/value The findings implicate the PIPS as the first robust psychometric measure, which can be used to in the assessment of practitioner knowledge of the causes and consequences of PMH. The PIPS could offer the opportunity to assess these domains within both educational and training context and identify practitioner attitudes which may affect clinical decision making and referral decisions.

scholarly journals Paramedic experiences of providing care in wales (UK) during the 2020 COVID-19 pandemic (PECC-19): a qualitative study using evolved grounded theory

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e048677
Author(s):  
Nigel Rees ◽  
Lauren Smythe ◽  
Chloe Hogan ◽  
Julia Williams
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Grounded Theory ◽  
Qualitative Study ◽  
Health Services ◽  
Clinical Decision Making ◽  
Social Process ◽  
Well Being ◽  
Clinical Decision ◽  
The Impact

ObjectiveTo explore paramedic experiences of providing care during the 2020 COVID-19 pandemic and develop theory in order to inform future policy and practice.DesignQualitative study using constructivist evolved grounded theory (EGT) methodology. One-to-one semistructured interviews were conducted using a general interview guide. Voice over Internet Protocol was used through Skype.SettingConducted between March 2020 and November 2020 in the Welsh Ambulance Services National Health Services Trust UK which serves a population of three million.ParticipantsParamedics were recruited through a poster circulated by email and social media. Following purposive sampling, 20 Paramedics were enrolled and interviewed.ResultsEmergent categories included: Protect me to protect you, Rapid disruption and adaptation, Trust in communication and information and United in hardship. The Basic Social Process was recognised to involve Tragic Choices, conceptualised through an EGT including Tragic personal and professional choices including concerns over personnel protective equipment (PPE), protecting themselves and their families, impact on mental health and difficult clinical decisions, Tragic organisational choices including decision making support, communication, mental health and well-being and Tragic societal choices involving public shows of support, utilisation and resourcing of health services.ConclusionsRich insights were revealed into paramedic care during the COVID-19 pandemic consistent with other research. This care was provided in the context of competing and conflicting decisions and resources, where Tragic Choices have to be made which may challenge life’s pricelessness. Well-being support, clinical decision making, appropriate PPE and healthcare resourcing are all influenced by choices made before and during the pandemic, and will continue as we recover and plan for future pandemics. The impact of COVID-19 may persist, especially if we fail to learn, if not we risk losing more lives in this and future pandemics and threatening the overwhelming collective effort which united society in hardship when responding to the COVID-19 Pandemic.Trial registration numberIRAS ID: 282 623.

scholarly journals Schwartz Centre Rounds: qualitative exploration of panel members’ experiences within a forensic mental health service

2022 ◽  
pp. 1-6
Author(s):  
Emma Groves ◽  
Rachel Collinson ◽  
Amy Hegarty ◽  
Elshiema Hamad ◽  
Tyler-Dee Asadi ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Well Being ◽  
Future Research ◽  
Forensic Mental Health ◽  
Structured Interviews ◽  
Social Challenges ◽  
Qualitative Exploration ◽  
Schwartz Centre Rounds

Schwartz Centre Rounds (SCRs) provide a structured forum for staff from all disciplines to meet and discuss the difficult emotional and social challenges that arise in caring for patients. Research into the implementation of SCRs has shown that staff who attend report increased insight into the emotional and social aspects of care; greater understanding of the roles of their colleagues; improved teamworking and decreased feelings of isolation and stress. However, little research has explored the implementation of SCRs within forensic settings, and no research has focused solely on the experiences of panel members. Three focus groups were facilitated with participants who had participated in a SCR panel within a forensic mental health service. Semi-structured interviews were carried out, audio-recorded and subsequently transcribed. Interpretive phenomenological analysis was utilised to analyse the transcripts, and four key themes were identified. These themes were: feeling vulnerable, the importance of validation, exposure to intense emotional experiences and improved understanding and connection. We conclude that SCRs can be an emotionally challenging but rewarding experience, with the potential to enhance teamworking and general well-being. Limitations and recommendations for future research are also discussed.

Transitioning towards official clinical guidelines for the diagnostics and treatment of severe behavioural problems in children across Europe: current state and future directions.

2017 ◽  
Author(s):  
Alexandra-Raluca Gatej ◽  
Audri Lamers ◽  
Robert Vermeiren ◽  
Lieke van Domburgh
Keyword(s):  
Mental Health ◽  
Clinical Guidelines ◽  
Clinical Decision Making ◽  
Daily Practice ◽  
Clinical Decision ◽  
European Guidelines ◽  
Current State ◽  
Assessment And Treatment ◽  
Evidence Based Treatments ◽  
Multifactorial Approach

Severe behaviour problems (SBPs) in early childhood include oppositional and aggressive behaviours and predict negative mental health outcomes later in life. Although effective treatments for this group are available and numerous clinical practice guidelines have been developed to facilitate the incorporation of evidence-based treatments in clinical decision-making (NICE, 2013), many children with SBPs remain unresponsive to treatment (Lahey & Waldman, 2012). At present, it is unknown how many countries in Europe possess official clinical guidelines for SBPs diagnosis and treatment and what is their perceived utility. The aim was to create an inventory of clinical guidelines (and associated critical needs) for the diagnostics and treatment of SBPs in youth mental health across Europe according to academic experts and mental health clinicians’ opinions. To investigate the aim, two separate online semi-structured questionnaires were used, one directed at academics (N=28 academic experts; 23 countries), and the other at clinicians (N=124 clinicians; 24 countries). Three key results were highlighted. First, guidelines for SBPs are perceived as beneficial by both experts and clinicians. However, their implementation needs to be reinforced and content better adapted to daily practice. Improvements may include taking a multifactorial approach to assessment and treatment, involving the systems around the child, and multidisciplinary collaboration. Second, academic experts and clinicians support the need for further developing national / European guidelines. Finally, future guidelines should address current challenges identified by clinicians to be more applicable to daily practice.

Religion and Medicine

2020 ◽  
Author(s):  
Jeff Levin ◽  
Stephen G. Post
Keyword(s):  
Clinical Decision Making ◽  
Well Being ◽  
Clinical Decision ◽  
Religion And Medicine ◽  
Physical And Mental Health ◽  
Faith Based ◽  
Baylor University ◽  
Wide Range ◽  
History Of ◽  
The Impact

In Religion and Medicine, Dr. Jeff Levin, distinguished Baylor University epidemiologist, outlines the longstanding history of multifaceted interconnections between the institutions of religion and medicine. He traces the history of the encounter between these two institutions from antiquity through to the present day, highlighting a myriad of contemporary alliances between the faith-based and medical sectors. Religion and Medicine tells the story of: religious healers and religiously branded hospitals and healthcare institutions; pastoral professionals involved in medical missions, healthcare chaplaincy, and psychological counseling; congregational health promotion and disease prevention programs and global health initiatives; research studies on the impact of religious and spiritual beliefs and practices on physical and mental health, well-being, and healing; programs and centers for medical research and education within major universities and academic institutions; religiously informed bioethics and clinical decision-making; and faith-based health policy initiatives and advocacy for healthcare reform. Religion and Medicine is the first book to cover the full breadth of this subject. It documents religion-medicine alliances across religious traditions, throughout the world, and over the course of history. It summarizes a wide range of material of relevance to historians, medical professionals, pastors and theologians, bioethicists, scientists, public health educators, and policymakers. The product of decades of rigorous and focused research, Dr. Levin has produced the most comprehensive history of these developments and the finest introduction to this emerging field of scholarship.

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