scholarly journals Identifying policies and strategies for general practitioner retention in direct patient care in the United Kingdom: a RAND/UCLA appropriateness method panel study

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Rupa Chilvers ◽  
Suzanne H. Richards ◽  
Emily Fletcher ◽  
Alex Aylward ◽  
Sarah Dean ◽  
...  

Abstract Background The United Kingdom (UK) is experiencing a general practitioner (GP) workforce retention crisis. Research has focused on investigating why GPs intend to quit, but less is known about the acceptability and effectiveness of policies and strategies to improve GP retention. Using evidence from research and key stakeholder organisations, we generated a set of potential policies and strategies aimed at maximising GP retention and tested their appropriateness for implementation by systematically consulting with GPs. Methods 28 GP Partners and GPs working in national stakeholder organisations from South West England and London were purposively sampled, and asked to take part in a RAND/UCLA Appropriateness Method panel. Panellists were asked to read an evidence briefing summary, and then complete an online survey on two occasions. During each round, participants rated the appropriateness of policies and strategies aimed at improving GP retention using a nine point scale (1 ‘extremely inappropriate’ to 9 ‘extremely appropriate’). Fifty-four potential policies and strategies (equating to 100 statements) were tested, focusing on factors influencing job satisfaction (e.g. well-being, workload, incentives and remuneration, flexible working, human resources systems). Ratings were analysed for panel consensus and categorised based on appropriateness (‘appropriate’, ‘uncertain’, ‘inappropriate’). Results 12/28 GPs approached agreed to take part, 9/28 completed two rounds of the online survey between February and June 2018. Panellists identified 24/54 policy and strategy areas (41/100 statements) as ‘appropriate’. Examples included providing GP practices ‘at risk’ of experiencing GP shortages with a toolkit for managing recruitment and retention, and interventions to facilitate peer support to enhance health and wellbeing, or support portfolio careers. Strategies to limit GP workload, and manage patient demand were also endorsed. Conclusions The panel of experienced GPs identified a number of practical ways to improve GP retention through interventions that might enhance job satisfaction and work-life balance. Future research should evaluate the impact of implementing these recommendations.

2019 ◽  
Vol 40 (2) ◽  
pp. 356-372 ◽  
Author(s):  
Peter Hosie ◽  
Piyush Sharma ◽  
Russel P.J. Kingshott

Purpose The purpose of this paper is to extend the “Happy-Performing Managers” thesis to show that managers’ job-related affective well-being and affective job satisfaction mediate the impact of their role stressors (ambiguity, conflict and overload) on their contextual job performance. Design/methodology/approach Results from an online survey of 305 managers from the private, public and third sectors in Western Australian support most of the hypotheses. The psychometric properties of all the scales were analysed using confirmatory factor analysis and the conceptual model was tested using structural equation modelling. Findings Role stressors have a direct negative effect on the managers’ affective well-being and affective job satisfaction, which, in turn, mediate the negative effects of the three role stressors on the managers’ contextual performance. Research limitations/implications Conceptual and managerial contributions along with methodological limitations and future research directions are discussed. Originality/value Contemporary managers face a wide range of intrinsic and extrinsic role and environmental stressors. This research suggests that organisations may need to redesign manager roles to reduce their role stressors (ambiguity, conflict and overload) in order to optimise their contextual performance.


Author(s):  
Dhruva Pathak ◽  
Vijayakumar Bharathi S. ◽  
Padma Mala E.

The study investigated the impact of mandatory work from home due COVID-19 on personal and professional lives of people with different demographics. Statistical analysis of an online survey data (N=237) reveals that the impact on personal life dimensions—healthy lifestyle, family bonding, and physical stress—does not differ across people within different demographics. However, impact on emotional well-being is sensitive to gender and industry groups. Family size is also an important demographic factor impacted upon personal life dimensions. Professional dimensions related to work productivity and adopting new ways of working does not differ across demographics except for occupational role. Dimensions related to new skill development and change in professional attitude does differ across occupational roles. The study concludes by stating future research directions for mandatory work from home situation, and prescription to post-COVID-19 strategies for organizations.


Dementia ◽  
2021 ◽  
pp. 147130122098538
Author(s):  
Anthea Innes ◽  
Helen F Scholar ◽  
Jana Haragalova ◽  
Monika Sharma

Promoting access to heritage settings has been acknowledged as a way to promote well-being in the United Kingdom for people living with dementia and their care partners. Yet there is a lack of information available internationally on the contribution of heritage sites to promote well-being and social inclusion for those living with dementia. This study addresses this gap by reporting on the impact for 48 people of participating in the ‘Sensory Palaces’ (SP) programme run by Historic Royal Palaces at Hampton Court and Kew Palaces in the United Kingdom. Two primary data sources were used; post-session interviews involving 30 participants (the person living with dementia and/or their care partners), and 131 sets of self-complete pre- and post-session mood questionnaires administered directly before and after SP session attendance. Analysis of the data sets is presented under three themes: enjoyment and engagement; connecting and learning and place, space and time. The findings demonstrate that participants highly valued the heritage sessions and reported positively on the impact this had for their individual well-being and their relationships with one another. This study highlights the opportunity for heritage sites to contribute to promoting well-being for people living with dementia.


2020 ◽  
Vol 6 (4) ◽  
pp. 205630512097837
Author(s):  
Giulia Ranzini ◽  
Gemma E. Newlands ◽  
Christoph Lutz

Parental sharing of child-related content on social network sites, termed “sharenting,” is often the target of criticism. Yet, through sharenting, parents can find support systems, a way to stay in touch with relevant others, and even an opportunity for additional income. This study contributes to knowledge on antecedents of sharenting. It explores the impact of parents’ privacy concerns on the sharing of child-related content, as well as on their general Instagram sharing. In this study, we differentiate between general and situational privacy. Moreover, we investigate whether parents’ privacy self-efficacy and the support of their peers influence parental sharing practices. Drawing on a rich body of literature on privacy and information sharing, we discuss the results of an online survey distributed among 320 Instagram users who are parents of children younger than 13 and reside in the United Kingdom. We find that parents’ privacy concerns are uncorrelated to sharenting and only situational concerns marginally correlate to parents’ general sharing. Parents’ reported privacy self-efficacy also did not play a role in parents’ sharing of either personal or children-related content. On the contrary, both Instagram sharing and having a network supportive of parental sharenting positively predict sharenting. Our results indicate that (a) neither situational nor general privacy concerns influence parents’ sharenting behavior, and (b) a parent’s supportive network and frequent sharing habits make frequent sharenting more likely.


2016 ◽  
Vol 26 (4) ◽  
pp. 330-345 ◽  
Author(s):  
Jacqueline H. Watts ◽  
Joyce Cavaye

In the United Kingdom, policy has formalized the role of carers through the introduction of new rights and entitlements to support. However, this support is directed only at current carers with the needs of former carers being unacknowledged. Yet, when caregiving comes to an end, the transition to a life as a “former” carer can be challenging. This article reports findings from a small-scale qualitative study about the experiences of former carers conducted in the United Kingdom. Findings highlight the impact of caregiving on the health and well-being of former carers with feelings of loss and distress associated with the end of caregiving. The need for support in the post-caregiving phase emerges as a significant issue with former carers feeling abandoned, lacking purpose and motivation to move forward in their lives. Findings suggest that the needs of former carers are not being met.


Animals ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. 1862
Author(s):  
Jane M. Williams ◽  
Hayley Randle ◽  
David Marlin

COVID-19 was declared a global pandemic on 11 March 2020; the United Kingdom (UK) implemented quarantine measures shortly afterward, resulting in rapid changes in how owners managed and interacted with their horses. This study provides a rapid analysis of the initial impact of the COVID-19 outbreak on the management of UK leisure and competition horses. A 17 question online survey was distributed via equestrian social media sites to ascertain the impact of COVID-19 on horse and yard management and on human–horse interactions. Frequency analysis combined with Chi-squared and thematic analyses identified the impact of COVID-19 on UK horse owners. Major changes within horse management and horse–human interactions were reported for the majority of horse owners (>65%), regardless of the establishment type or region. Social distancing and visiting restrictions were implemented at most yards, but nearly half were not providing hand sanitization or disinfection protocols for the shared areas/equipment to prevent cross-contamination between users. The financial impact of the pandemic combined with restricted access to veterinary professionals resulted in owners expressing concerns that horse health and welfare may be compromised as a result. Horse owners also felt that the reduced opportunities for horse–human interactions were negatively affecting their mental health and wellbeing.


Author(s):  
Christoph Pieh ◽  
Thomas Probst ◽  
Sanja Budimir ◽  
Elke Humer

This study investigated the association of relationship quality with several well-being measures during the COVID-19 lockdown in the United Kingdom. An online survey was conducted on a study sample (n = 682) measuring relationship quality with the Quality of Marriage Index, and well-being measures including quality of life (WHO-QoL BREF), well-being (WHO-5), perceived stress (PSS-10), depressive (PHQ-9), and anxiety (GAD-7) symptoms. Good relationship quality goes along with higher scores in well-being (WHO-5), quality of life (WHO-QoL BREF), psychological domain, physical health, social relationships, environment, and reduced scores in stress (PSS-10), depressive (PHQ-9) and anxiety (GAD-7) symptoms compared with poor relationship quality (p < 0.001). Moreover, 21% of participants living in relationships with poor quality stated that they drink significantly more alcohol since the initial COVID-19 restrictions, compared to 10% of participants with good quality (p = 0.002). Living in a good relationship seems to be an advantage, whereas those with poor relationship quality are particularly more burdened and drink significantly more alcohol during the COVID-19 lockdown.


2020 ◽  
Vol 14 (S 01) ◽  
pp. S44-S49
Author(s):  
Misha Patel ◽  
Payvand Menhadji ◽  
Serena Mayor

Abstract Objective The coronavirus disease 2019 (COVID-19) pandemic has affected professionals in all fields; none more so than medical and dental professionals. As dental core trainees (DCT) working in hospitals, we have been at the forefront of the crisis and one of the first in line for redeployment. Therefore, we decided to investigate the impact of COVID-19 on the redeployment of DCTs across the UK. Materials and Methods  Data for this study was collected and shared between three project researchers. All researchers were undergoing dental core training in Oral Surgery and Restorative dentistry at Guy’s Hospital, London. An online survey was sent out via email and online social media platforms to reach as many DCTs as possible in the United Kingdom. Implied consent was obtained by respondents on submission of the survey.The survey consisted of five sections and was branched, with respondents answering different sections depending on their redeployment status. No qualitative data was collected, as all questions included in the survey were dichotomous or multiple-choice questions. The last two questions were in the form of a 5-point Likert scale, inviting respondents to rate five statements from strongly agree to strongly disagree. Results A total of 150 participants responded, of which 34% had been redeployed due to the pandemic. The majority of DCTs were redeployed to an intensive care unit or similar setting, and over 75% of those redeployed were working with either COVID-19 positive/suspect patients. Additionally, 23.8% of respondents had stopped patient contact due to their medical status. Conclusion Many DCTs have been deployed to departments outside of their specialty and expressed some anxiety as a result. Inevitably, this has resulted in disruption to their training program and education over the last few months. The response across the United Kingdom has been understandably variable due to the differing demands of the hospital trusts within which the DCTs work.


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