scholarly journals Combating childhood obesity

2016 ◽  
Vol 20 (4) ◽  
pp. 464-472 ◽  
Author(s):  
Lawrence Achilles Nnyanzi
Keyword(s):  
Primary Care ◽  
Primary Schools ◽  
Primary Care Trust ◽  
Structured Interviews ◽  
Weight Category ◽  
North East ◽  
The North ◽  
Weight Problems ◽  
Correct Weight ◽  
The Impact

The aim of this study was to explore the reactions of children aged 10–11 years towards being weighed and measured and subsequently told their correct weight as part of the National Child Measurement Programme (NCMP). The study was undertaken in primary schools in a Primary Care Trust (PCT) in the North East of England, UK. One-to-one semi-structured interviews were conducted post-NCMP measurement (and the feedback) with a sample of 21 children, aged 10–11 years, conveniently sampled from the primary schools in the PCT. Findings from the study indicate that the NCMP, especially the weight feedback letter caused annoyance, panic and worry among children who were indicated to have weight problems and oversensitised all children about weight issues, regardless of their weight category. The NCMP is a potentially useful ‘wake-up call’ to the fact that something needs to be done for children identified to be overweight or obese but needs to be delivered with a sensitivity to the impact of the news on the child.

scholarly journals The Impact on Older People’s Wellbeing of Leaving Heritage Volunteering and the Challenges of Managing this Process

2021 ◽  
Author(s):  
Bruce Davenport ◽  
Andrew Newman ◽  
Suzanne Moffatt
Keyword(s):  
Older People ◽  
Cultural Heritage ◽  
Personal Agency ◽  
Structured Interviews ◽  
Older Volunteers ◽  
North East ◽  
The North ◽  
Age Related ◽  
The Impact

The benefits of volunteering for older volunteers and for the organisations who host them is well-documented. The impact of being obliged to leave volunteering due to age-related conditions, and any challenges that this creates for volunteer managers, are under-researched. This study explored how volunteers and volunteer managers experienced this point in the volunteering lifecycle and whether the topic warranted further research. Semi-structured interviews were carried out with fourteen older people, who were (or had been) volunteers at one of three cultural heritage organisations in the north-east of England alongside seven volunteer managers from those organisations. These represented the diversity of heritage organisations in the region. Volunteers discussed leaving volunteering in terms of loss but also indicated that forms of personal appraisal and agency were possible, ameliorating the impact of leaving. Volunteer managers discussed how organisational frameworks and the relationships they formed with volunteers shaped their practices. These relationships created a sense of organisational reciprocity which led some managers to exceed the rules in order to sustain people in their volunteering. The results suggest that supporting personal agency could ameliorate the impact of leaving volunteering but that organisations would benefit from articulating the extent and the limits of that support.

The Application and Adaptation of a Diffusion of Innovation Framework for Information Systems Research in NHS General Medical Practice

2007 ◽  
Vol 22 (1) ◽  
pp. 44-58 ◽  
Author(s):  
David W Wainwright ◽  
Teresa S Waring
Keyword(s):  
Information Systems ◽  
Diffusion Of Innovation ◽  
Primary Care Trust ◽  
Research Approach ◽  
Structured Interviews ◽  
Healthcare Organizations ◽  
North East ◽  
The North ◽  
Systems Research ◽  
Information Systems Research

This paper proposes an adapted diffusion of innovation (DOI) framework that may be considered relevant and useful to researchers undertaking studies of information systems innovations in healthcare organizations. A particular focus concerns problems and issues associated with professional cultures and powerful organizational control structures. A review of four empirical DOI studies are undertaken to identify candidate frameworks for the retrospective analysis of a pilot study conducted across General Medical Practices based within a Primary Care Trust in the north east of England. A research approach, based on phenomenology, semi-structured interviews and template analysis is adopted in order to conduct and provide a rich analysis of the data. The findings are discussed using the modified DOI framework. Discussion and conclusions relate to the extended use of the DOI framework, its further development and how it may be used to understand how ICT innovation is politically constrained, perceived and motivated within healthcare environments

scholarly journals ‘We do not seem to engage with dentists’: a qualitative study of primary healthcare staff and patients in the North East of England on the role of pharmacists in oral healthcare

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e032261 ◽  
Author(s):  
Andrew Sturrock ◽  
Philip M Preshaw ◽  
Catherine Hayes ◽  
Scott Wilkes
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Oral Health ◽  
Healthcare Staff ◽  
Structured Interviews ◽  
Specific Patient ◽  
North East ◽  
The North ◽  
Health Advice

ObjectiveTo explore the attitudes towards, and perceptions of, primary care healthcare staff and patients, regarding the role of clinical pharmacists in the provision of oral health advice and collaboration with dentists in general practice.DesignInterpretivist methodology using qualitative semi-structured interviews and focus groups.Participants22 participants; 10 pharmacists; 3 general practitioners; 2 nurses; 1 practice manager; 6 patients.SettingPrimary care general medical practices in the North East of England and the University of Sunderland Patient Carer and Public Involvement group.MethodsOne-to-one semi-structured interviews were performed with primary care healthcare staff. An iterative approach using constant comparative analysis facilitated the ongoing enrichment of data; salient themes were identified using Framework Analysis and related back to extant literature. A focus group was held with patients to further explore key themes.ResultsFour salient and inter-related themes emerged: enhanced clinical roles; indicating rapidly changing roles of pharmacists working in general practice, increased responsibility and accountability of pharmacist prescribers and the delivery of advanced clinical services; limited knowledge; indicating basic understanding of appropriate oral health advice, but limited insight and provision of advice to patients with regards to links with systemic diseases and medication; geographical/situational isolation of the dental team; indicating the disparate contexts and challenges of multidisciplinary working in oral health, and patients’ attitudes towards dental care; integration of oral health advice; indicating the potential of pharmacists to integrate oral health advice into current roles and to target specific patient groups in practice.ConclusionsThe lack of integration between oral and general healthcare services potentially impacts negatively on patient care, requiring further interprofessional oral health education. The developing role of the pharmacist in general practice represents an opportunity to integrate oral health advice and/or interventions into the management of patients in this setting.

If you want to change the world you have to start with yourself: The impact of staff reflective practice within the Offender Personality Disorder pathway

2020 ◽  
Vol 67 (3) ◽  
pp. 283-296 ◽  
Author(s):  
Nicole Webster ◽  
Laura Doggett ◽  
Stephanie Gardner
Keyword(s):  
Personality Disorder ◽  
Reflective Practice ◽  
Workforce Development ◽  
Structured Interviews ◽  
North East ◽  
The North ◽  
Client Group ◽  
Service Staff ◽  
Probation Service ◽  
The Impact

The offender personality disorder (OPD) pathway was implemented in 2012 to help improve services for people with personality difficulties within the criminal justice system. The OPD pathway acknowledges the importance of supervision, training and reflective practice for staff working with this client group and such activities have therefore been embedded within this initiative. Despite the research from this pathway identifying benefits to both staff and service users, there is a gap in knowledge about the impact of reflective practice. This study aims, therefore, to increase this knowledge base by exploring staff’s experience and perception of reflective practice as part of the OPD pathway programme. Focus groups and semi-structured interviews were completed with 32 members of National Health Service and National Probation Service staff within offender management teams and approved premises in the North East of England. Thematic analysis was used to analyse the data, resulting in the emergence of four key themes relating to the utility of reflective practice sessions. The findings suggest that reflective practice is useful, however, there are some barriers to attending sessions. The findings have implications for service delivery and workforce development within the OPD pathway programme and more widely within NPS.

scholarly journals Improving employee engagement and distributed leadership through lean systems process mapping

2020 ◽  
Vol 26 (12) ◽  
pp. 1-9
Author(s):  
Joanne Harris ◽  
Ian C Elliott
Keyword(s):  
Employee Engagement ◽  
Distributed Leadership ◽  
Process Mapping ◽  
Structured Interviews ◽  
Healthcare Settings ◽  
North East ◽  
The North ◽  
Team Working ◽  
Stress Levels ◽  
The Impact

Background/Aims Evidence of the impact and effectiveness of lean systems thinking in healthcare settings remains mixed. This study explores the impact of participation in a process mapping activity on employee engagement and distributed leadership in the NHS. Methods A qualitative study was undertaken using semi-structured interviews with nine employees within an NHS trust in the north east of England. Questions explored participants' experiences of process mapping. A thematic analysis was then carried out. Findings Following the implementation of process mapping, staff appeared more engaged and there was a closer relationship between teams and management. The end result of process mapping was increased employee engagement, greater team working, well-distributed leadership, increased job satisfaction and reduced stress levels. Conclusions Participation in process mapping can have a number of positive impacts, including improved team working, reduced staff stress levels and improved relationships between staff and management. Using process mapping could help NHS trusts to implement a more distributed method of leadership.

A general practice provider federation in a mixed health economy in England: a case study investigation

2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X696929
Author(s):  
Jill Mitchell
Keyword(s):  
General Practice ◽  
Shared Vision ◽  
Health Economy ◽  
Structured Interviews ◽  
The North ◽  
Common Strategy ◽  
Common Purpose ◽  
Collaborative Working ◽  
The Impact

BackgroundThere is an emerging debate that general practice in its current format is out-dated and there is a requirement to move to a federated model of provision where groups of Practices come together. The emergence of federations has developed over the past 5 years but the factors that influence how federations develop and the impact of this new model is an under researched area.AimThe study explored the rationale around why a group of independent GP practices opted to pursue an alternative business venture and the benefits that this strategy offered.MethodA single organisational case study of a federation in the North of England was conducted between 2011–2016. Mixed methods data collection included individual and group semi-structured interviews and quantitative surveys.ResultsFederations promote collaborative working, relying on strategic coherence of multiple individual GP practices through a shared vision and common purpose. Findings revealed many complexities in implementing a common strategy across multiple independent businesses. The ability of the federation to gain legitimacy was two dimensional – externally and internally. The venture had mixed successes, but their approach to quality improvement proved innovative and demonstrated outcomes on a population basis. The study identified significant pressures that practices were experiencing and the need to seek alternative ways of working but there was no shared vision or inclination to relinquish individual practice autonomy.ConclusionOrganisational development support is critical to reform General Practice. Whether central funding through the GP Five Year Forward View will achieve the scale of change required is yet to be evidenced.

scholarly journals EVALUATION OF THE IMPACT OF ENVIRONMENTAL CONDITIONS ON THE STATUS OF THE BODY OF YOUNG PEOPLE OF 17-19 YEARS OF DIFFERENT ETHNIC GROUPS OF THE NORTH-EAST RUSSIA

2019 ◽  
Vol 96 (8) ◽  
pp. 766-769 ◽  
Author(s):  
Inessa V. Averyanova ◽  
S. I. Vdovenko ◽  
A. L. Maksimov
Keyword(s):  
Gas Exchange ◽  
Climatic Conditions ◽  
The Body ◽  
External Respiration ◽  
Adaptive Responses ◽  
Northeast Russia ◽  
North East ◽  
The North ◽  
Magadan Region ◽  
The Impact

Natural and climatic conditions of the environment of Northeast Russia and particularly Magadan region are the very factor mostly influencing adaptive responses by individuals inhabiting the region. Compensatory and adaptive responses in indigenes and newcomers of the region can be assumed to have their specific features. In 2009 there was executed the examination of the cardiovascular and respiratory systems and gas exchange in 392 cases aged of 17-19 years, including Europeans (Caucasians) born in the North in the 1st-2nd generation and indigenes. The methodologically similar study was carried out in 2014 in 265 persons, referred to the same cohorts of North-born Caucasians and Indigenes from the Magadan region. The results of the study executed in 2009 testified to a small number of physiological parameters that were reliably different in Caucasians vs. Indigene subjects. In 2014 no difference was found between the two examined cohorts throughout the observed parameters. The revealed changes in gas exchange, external respiration and cardiovascular systems demonstrated by modern young Indigenes of Northeast Russia testified to the fall in the effectiveness of their breathing. All that makes them farther from the classic “polar metabolic type” and their morphofunctional status becomes closer to European male subjects of Northeast Russia. Thus, we can observe a clear tendency towards “convergence in programs” of the adaptive changes between populations of the North residents undergoing similar natural, environmental and social factors.

scholarly journals 'Greenfields' and 'Brownfields': automotive industrial development in the UK and in Portugal

Finisterra ◽  
2012 ◽  
Vol 31 (62) ◽  
Author(s):  
Andrew Pike ◽  
Mário Vale
Keyword(s):  
Industrial Policy ◽  
Automobile Industry ◽  
Industrial Development ◽  
Development Strategies ◽  
North West ◽  
Demonstration Effect ◽  
North East ◽  
The North ◽  
The Uk ◽  
The Impact

The industrial policy in the UK and in Portugal, as in most EU countries, seeks to attract new investment capacity, to create jobs and to promote the impact of the so-called "demonstration efect" of "greenfield" development strategies pursued in the new plants of inward investors on existing or "brownfield" plants. This industrial policy focus is particularly evident in the automobile industry.This paper compares the industrial policy oriented towards the automobile industry in the UK and in Portugal. Two recent "greenfield" investments are analised: Nissan in the North-East region (UK) and Ford/VW in the Setúbal Peninsula (Portugal), as well as three "brownfield" plants: Ford Halewood and GM Vauxhall Ellesmere Port in the North-West region (UK) and Renault in Setúbal (Portugal). The first part starts with a discussion of industrial policy in the automobile sector, the role of "greenfield" development strategies and the "demonstration effect" on "brownfield" plants. Then, the limits of new inward investment are pointed out, basically their problems and restrictions. Afterwards, the structural barriers to the "demonstration effect" within "brownfield" plants are outlined and some possabilities for alternative "brownfield" development strategies are presented.

scholarly journals Using RE-AIM to examine the potential public health impact of an integrated collaborative care intervention for weight and depression management in primary care: Results from the RAINBOW trial

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248339
Author(s):  
Megan A. Lewis ◽  
Laura K. Wagner ◽  
Lisa G. Rosas ◽  
Nan Lv ◽  
Elizabeth M. Venditti ◽  
...  
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Collaborative Care ◽  
Health Impact ◽  
Public Health Impact ◽  
Integrative Approach ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Care Intervention ◽  
The Impact

Background An integrated collaborative care intervention was used to treat primary care patients with comorbid obesity and depression in a randomized clinical trial. To increase wider uptake and dissemination, information is needed on translational potential. Methods The trial collected longitudinal, qualitative data at baseline, 6 months (end of intensive treatment), 12 months (end of maintenance treatment), and 24 months (end of follow-up). Semi-structured interviews (n = 142) were conducted with 54 out of 409 randomly selected trial participants and 37 other stakeholders, such as recruitment staff, intervention staff, and clinicians. Using a Framework Analysis approach, we examined themes across time and stakeholder groups according to the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework. Results At baseline, participants and other stakeholders reported being skeptical of the collaborative care approach related to some RE-AIM dimensions. However, over time they indicated greater confidence regarding the potential for future public health impact. They also provided information on barriers and actionable information to enhance program reach, effectiveness, adoption, implementation, and maintenance. Conclusions RE-AIM provided a useful framework for understanding how to increase the impact of a collaborative and integrative approach for treating comorbid obesity and depression. It also demonstrates the utility of using the framework as a planning tool early in the evidence-generation pipeline.

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