scholarly journals Promoting the consumer voice: the role of Healthwatch Salford's Enter and View programme

2019 ◽  
Vol 21 (11) ◽  
pp. 621-624 ◽  
Author(s):  
Jacqueline Leigh ◽  
Delana Lawson ◽  
Safia Griffin ◽  
Natalie Yates Bolton
Keyword(s):  
User Experience ◽  
Care Home ◽  
Constructive Feedback ◽  
Consumer Voice

The daily business of running a care home means that, outside of regulatory inspections, assessing and improving the user experience can often be forgotten. Healthwatch Salford discuss their process of gaining constructive feedback using their innovative Enter and View programme

scholarly journals Is area deprivation associated with greater impacts of COVID-19 in care homes across England? A preliminary analysis of COVID-19 outbreaks and deaths

2021 ◽  
pp. jech-2020-215039 ◽  
Author(s):  
Anders Malthe Bach-Mortensen ◽  
Michelle Degli Esposti
Keyword(s):  
Negative Binomial ◽  
Care Home ◽  
Negative Binomial Regression ◽  
Population Characteristics ◽  
Care Homes ◽  
Future Research ◽  
Area Deprivation ◽  
Binomial Regression ◽  
Index Of Multiple Deprivation

IntroductionThe COVID-19 pandemic has disproportionately impacted care homes and vulnerable populations, exacerbating existing health inequalities. However, the role of area deprivation in shaping the impacts of COVID-19 in care homes is poorly understood. We examine whether area deprivation is linked to higher rates of COVID-19 outbreaks and deaths among care home residents across upper tier local authorities in England (n=149).MethodsWe constructed a novel dataset from publicly available data. Using negative binomial regression models, we analysed the associations between area deprivation (Income Deprivation Affecting Older People Index (IDAOPI) and Index of Multiple Deprivation (IMD) extent) as the exposure and COVID-19 outbreaks, COVID-19-related deaths and all-cause deaths among care home residents as three separate outcomes—adjusting for population characteristics (size, age composition, ethnicity).ResultsCOVID-19 outbreaks in care homes did not vary by area deprivation. However, COVID-19-related deaths were more common in the most deprived quartiles of IDAOPI (incidence rate ratio (IRR): 1.23, 95% CI 1.04 to 1.47) and IMD extent (IRR: 1.16, 95% CI 1.00 to 1.34), compared with the least deprived quartiles.DiscussionThese findings suggest that area deprivation is a key risk factor in COVID-19 deaths among care home residents. Future research should look to replicate these results when more complete data become available.

scholarly journals Cultural and Institutional Issues in ACP for Care Home Residents: Perspectives of Loved Ones

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 754-754
Author(s):  
Brian de Vries ◽  
Gloria Gutman ◽  
Helen Kwan ◽  
Katrina Jang ◽  
Shimae Soheilipour ◽  
...  
Keyword(s):  
South Asian ◽  
Care Home ◽  
Decision Makers ◽  
Loved One ◽  
Targeted Interventions ◽  
Traditional Family ◽  
Institutional Issues ◽  
Bisexual And Transgender ◽  
Advance Care

Abstract Focus groups were held with family/decision makers of residents in an exclusively Chinese (EC; N=7) and a multi-ethnic (ME; N=8) care home, as well as South Asian (SA; n = 5) and lesbian, gay, bisexual and transgender caregivers (LGBT; n = 5) who had/have a loved one in a care home. Shared themes across groups included the role of the care home in Advance Care Planning (ACP) discussions, the timing of such discussions (i.e., at admission), and the extent to which another person was available and appropriate for such discussions. Issues unique to groups included superstition and the equation of ACP with funeral planning (EC), family history and regrets about not having planned (ME), gender differences and the need for education about ACP (SA) and the absence of traditional family among LGBT older adults. These themes highlight the challenges in ACP among diverse populations and the need for targeted interventions.

Moving into a care home: the role of adult children in the placement process

2002 ◽  
Vol 39 (3) ◽  
pp. 353-362 ◽  
Author(s):  
Jonas Sandberg ◽  
Ulla Lundh ◽  
Mike Nolan
Keyword(s):  
Adult Children ◽  
Care Home

Exploring the lived experience of endoscopy trainees and their perceptions of nurse endoscopists as trainers

2021 ◽  
Vol 19 (Sup8) ◽  
pp. S14-S21
Author(s):  
Leigh Donnelly ◽  
Alison Steven
Keyword(s):  
Lived Experience ◽  
Emotional Impact ◽  
Training Experience ◽  
Endoscopy Training ◽  
Constructive Feedback ◽  
Self Confidence ◽  
Therapeutic Procedures ◽  
Emerging Themes ◽  
Increasing Demand

Background UK endoscopy services face considerable workforce pressures from an increasing demand for procedures. To meet this need, health services have introduced the role of nurse endoscopist (also known as clinical, non-medical or non-physician endoscopist). These roles have grown and developed to include performing many complex diagnostic and therapeutic procedures, as well as the provision of endoscopy training. Aims This study examines the lived experiences of (nurse and medical) endoscopy trainees, especially regarding being trained by nurse endoscopists. Methods The study employed interpretive phenomenological analysis (IPA). Data were collected through semi-structured in-depth interviews of 10 participants, who were selected from a sample of trainees attending a basic colonoscopy skills course. Interviews were preceded by observations to gain contextual insights into the training experience. The data were analysed in stages through a process of reading and re-reading the transcripts, making initial descriptive observations and then annotating with discursive, linguistic and conceptual comments. Findings Four emerging themes were identified. A lack self-confidence was a barrier to progression, compounded by the emotional impact of making mistakes without comprehensible constructive feedback. Attitudes of trainers and other endoscopy staff, as well as their relationships with trainees, had an impact on self-confidence and educational experience. Pressure on endoscopy units to perform procedures led to a tendency to treat training like a burden, although training was seen as an important investment. Trainees sought to differentiate nurse endoscopist and medical endoscopist roles and justify their skills and value, with comparisons between different nurse and medical trainers. Conclusion The emerging themes illustrate the requirement for a collegiate approach to endoscopy training.

Sepsis in the older person

2021 ◽  
Vol 23 (8) ◽  
pp. 1-7
Author(s):  
Tony Conner ◽  
Juliana Thompson ◽  
Sue Tiplady
Keyword(s):  
Care Home ◽  
Signs And Symptoms ◽  
Common Condition ◽  
Older Person ◽  
Valuable Contribution ◽  
Older Population ◽  
Care Home Staff ◽  
Treatment And Prevention ◽  
Effective Care

Background: Sepsis is a common condition, with an estimated 30 million cases worldwide each year, resulting in 6 million sepsis-related deaths. Some 60% of all sepsis events and 80% of sepsis-associated deaths occur in the older population. This is because the ageing process, and the presence of multiple comorbidities, make many older people vulnerable to developing, and dying from, sepsis. However, serious illness and death from sepsis can be avoided if the signs and symptoms are identified quickly, and interventions started early. Methods: This article explains current research and guidelines with regard to the causes, recognition, treatment and prevention of sepsis in the older population, and considers the role of care home staff in supporting effective care of residents as risk of developing sepsis. Conclusions: Care home staff are well-positioned to recognise sepsis and contribute to treatment, as their in-depth knowledge of residents makes it easier for them to identify changes in residents' behaviours and health status, which may indicate sepsis. By taking steps to ensure the risk of developing infections is reduced, care home staff can make a valuable contribution to the prevention of sepsis.

Use of three techniques in an Insight Group

1975 ◽  
Vol 42 (2) ◽  
pp. 49-53
Author(s):  
Linda Perem ◽  
Rebecca Renwick
Keyword(s):  
Occupational Therapists ◽  
Group Processes ◽  
Role Playing ◽  
Major Group ◽  
Therapeutic Group ◽  
Feedback Group ◽  
Constructive Feedback ◽  
Group Goals

The three techniques of Role Playing, Paralleling, and Empathy are defined and illustrated as to their functions in an “Insight Group”, in relation to the three major group goals of: Heightening Openness and Self-Awarness Provision of Constructive Feedback. Group as a Ground for Using Constructive Feedback. It is hoped that the article will made its readers aware that Occupational Therapists are moving more intensively into the role of group therapists, and that the three techniques can be powerful tools for stimulating therapeutic group processes, and deepening insights.

Enhancing User Experience in Financial Services

2014 ◽  
Vol 6 (2) ◽  
pp. 12-22
Author(s):  
Fatma Molu ◽  
Nur Findik ◽  
Mustafa Dalci
Keyword(s):  
User Experience ◽  
Financial Services ◽  
Return On Investment ◽  
Customer Relationship ◽  
Specific Context ◽  
User Research ◽  
Banking Service ◽  
Digital Environments

The domain of User Experience (UX) involves studying, designing for and evaluating the experiences that people have through the use of a system. This use takes place in a specific context, which has an impact on, or contributes to, the UX. As enterprises make a focus on the customer integral to their strategies, they need to recognize that technology developments are changing the customer relationship. In today's world, a great number of interactions between financial services and their customers have moved to digital environments and as a result a user interface design's significance increases in shaping the digital, financial experience.Based on this increasing importance, this paper proposes the role of usability studies for return on investment, along with a case study carried out in Kuveyt Turk Participation Bank. It involves an extended user research of online bank services which resulted with new specifications to be applied in the new corporate online banking service.

scholarly journals 102 Online Supportive Conversations & Reflection Sessions [OSCARS] with Care Home Staff Following A Resident’s Death: Improving Coping Mechanisms, Team Cohesion and Communication

2021 ◽  
Vol 50 (Supplement_1) ◽  
pp. i12-i42
Author(s):  
J Hockley ◽  
L Johnston ◽  
J Watson ◽  
S D Shenkin
Keyword(s):  
Care Home ◽  
Coping Mechanisms ◽  
Team Cohesion ◽  
Online Support ◽  
Frontline Staff ◽  
Care Home Staff ◽  
Team Working ◽  
Staff Wellbeing ◽  
Future Education

Abstract Introduction COVID-19 Trauma Guidance suggests opportunities for structured, time-limited discussions about challenging experiences should be offered. It is unknown if such discussions can be effectively delivered online by palliative care specialists to support care home (CH) staff in relation to death/dying. Funded by Scotland’s Chief Scientist Office COVID-19 “rapid research” fund, online OSCaRS is being piloted. Methods Fortnightly OSCaRS delivered to small groups of CH staff via a secure online platform in three local CHs over 10 weeks. Sessions are digitally recorded. The shortened version of the Chesney coping self-efficacy questionnaire is completed by all staff pre/post. Additional post-study questions asked of OSCaRS participants and in-depth staff interviews will be undertaken (n = 10). Thematic analysis of the recorded sessions and interviews will be undertaken and related to the staff questionnaire and context of each CH. Results New learning on the feasibility and acceptability of providing OSCaRS to frontline staff. The benefit of OSCaRS to CH staff coping mechanisms, team cohesion and communicaton with relatives during the COVID-19 pandemic will be presented. Initial results show that OSCaRS are feasible, valued by all care home staff and support staff in coping with the challenges of COVID-19/. Key Conclusions The analysis will inform future practice, and an Implementation Guide for OSCaRS in CHs will be produced. Key learning on the potential for online support in relation to death/dying during the pandemic and beyond will contribute to future education, training and staff wellbeing resources. It will also inform the role of such sessions in developing individual coping mechanisms and team working alongside communication with relatives during lockdown.

Interactions of shame: violence against children in residential care

2020 ◽  
pp. 99-118
Author(s):  
Marie Demant ◽  
Friederike Lorenz
Keyword(s):  
Young People ◽  
Residential Care ◽  
Negative Impact ◽  
Care Home ◽  
Institutional Setting ◽  
Violence Against Children ◽  
Seeking Help ◽  
Empirical Material ◽  
Independent Inquiry

Within their chapter Marie Demant and Friederike Lorenz discuss the role of shame in the context of violence against children in residential care. Their work is based on two empirical projects and includes reports of survivors of sexual violence, who reported their experiences in hearings conducted by the German ‘Independent Inquiry into Child Sexual Abuse’, which started its work in 2016. It furthermore includes empirical material from a research project on systematic violence by a team of professionals in a residential care home for children with disabilities. Both perspectives indicate how young people experience shame and humiliation as part of the institutional setting. Furthermore, it shows the negative impact these practices have on children and adolescents in situations of dependency, seeking help, and disclosure. It points out practices of humiliation as a part of the violence and shows to which extent shame can affect the possibilities for young people in these situations to be heard and to get help.

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