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  • 1
    Electronic Resource
    Electronic Resource
    Assessment: identifying the barriers to good practice (1996)
    Oxford, UK : Blackwell Publishing Ltd
    Health & social care in the community 4 (1996), S. 0 
    Details
    ISSN: 1365-2524
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Although much has been written about the concept of assessment, there is still no clear consensus on the characteristics of good practice. Moreover, recent studies have highlighted the fact that frameworks for assessment are often heavily influenced by particular professional perspectives, and consequently the holistic assessment of need envisaged in the National Health Service (NHS) and Community Care Act 1990 has yet to emerge. This paper identifies some of the contradictions inherent in the practice guidance relating to assessment and discusses the results of early evaluations of the implementation of the new assessment process. A possible model to structure this process is outlined and suggestions made as to the benchmarks of good assessment practice.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1365-2524.1996.tb00050.x
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    Paper (German National Licenses)
    Fulltext
  • 2
    Electronic Resource
    Electronic Resource
    Informal carers: sources and concomitants of satisfaction (1993)
    Oxford, UK : Blackwell Publishing Ltd
    Health & social care in the community 1 (1993), S. 0 
    Details
    ISSN: 1365-2524
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Empirical and conceptual explorations of informal care have concentrated largely on the difficulties and problems of carers to the virtual exclusion of the gratifications and rewards that can be experienced. Whilst not seeking to minimize the undoubted problems which carers face, this paper attempts to redress the balance by providing evidence that caring can be a source of personal satisfaction for many individuals and that such satisfaction can co-exist with high levels of stress. It begins by highlighting some common conceptual elements from the available literature on the satisfactions of informal carers. Qualitative data from an investigation by the authors are used to illustrate the range of rewards and satisfactions experienced by informal carers. Analysis of the presence of rewards and satisfactions suggest that factors in the social context of care rather than the personal or dependency characteristics of the cared-for are important concomitants. Theoretical, methodological, policy and practice implications are considered in turn.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1365-2524.1993.tb00210.x
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    Paper (German National Licenses)
    Fulltext
  • 3
    Electronic Resource
    Electronic Resource
    Book Review (1998)
    Oxford UK : Blackwell Science Ltd
    Journal of advanced nursing 28 (1998), S. 0 
    Details
    ISSN: 1365-2648
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1046/j.1365-2648.1998.00004.x
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    Paper (German National Licenses)
    Fulltext
  • 4
    Electronic Resource
    Electronic Resource
    ‘I don’t have any other choice’: spouses’ experiences of placing a partner in a care home for older people in Sweden (2000)
    Oxford UK : Blackwell Science Ltd
    Journal of advanced nursing 32 (2000), S. 0 
    Details
    ISSN: 1365-2648
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: ‘I don’t have any other choice’: spouses’ experiences of placing a partner in a care home for older people in Sweden The main aim of this paper is to consider the experiences of Swedish spouses who have placed a partner in a care home for older people. Data were gathered from semi-structural interviews with 14 spouses (11 wives and 3 husbands) who had been involved in a care home placement within the previous 6 months. The results reported here are from the first component of a larger grounded theory study, the aim of which is to explore, describe and understand the experience of care home placement from a variety of perspectives and to identify the implications for policy and practice in Sweden. The focus here is on the experience of spouses, relating to the decision-making process, the move into care and subsequent contact with the care home. Four themes emerged from the data – making the decision, making the move, adjusting to the move and reorientation. The results show a lack of planning for the elder person’s entry to a care home, and professional dominance of this stage of the process. The largely ambivalent emotional responses to the move that spouses experience and the difficulties in initiating and sustaining relationships with staff in the home are discussed in the light of previous research.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1046/j.1365-2648.2000.01588.x
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    Paper (German National Licenses)
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  • 5
    Electronic Resource
    Electronic Resource
    ‘I really feel I’ve let him down’: supporting family carers during long-term care placement for elders (2000)
    Oxford UK : Blackwell Science Ltd
    Journal of advanced nursing 31 (2000), S. 0 
    Details
    ISSN: 1365-2648
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: ‘I really feel I’ve let him down’: supporting family carers during long-term care placement for elders This paper considers placing a relative in a nursing home from a carer’s perspective. A largely structured, interviewer-administered, questionnaire survey was conducted with 48 carers in the United Kingdom and 54 carers in the United States of America. While the data highlight differences between the two countries, shared experiences emerge which suggest that carers often have to make difficult decisions without adequate support. Implications for practice are considered. The need to develop more robust support mechanisms is stressed.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1046/j.1365-2648.2000.01346.x
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    Paper (German National Licenses)
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  • 6
    Electronic Resource
    Electronic Resource
    Rehabilitation, chronic illness and disability: the missing elements in nurse education (1999)
    Oxford UK : Blackwell Science Ltd
    Journal of advanced nursing 29 (1999), S. 0 
    Details
    ISSN: 1365-2648
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Rehabilitation, chronic illness and disability: the missing elements in nurse education¶Chronic illnesses represent one of the most significant health challenges in all developed countries and currently there is considerable debate about how to meet the rehabilitative needs of chronically ill and disabled people. The literature suggests that nursing has a potentially significant, but largely unrealized, role to play in addressing areas of current deficit. However, to fulfil this potential it is vital that the educational preparation of nurses at both qualifying and post-qualifying levels equips them with the necessary knowledge and skills. This paper describes a study which analysed curriculum documents from an extensive range of courses in the United Kingdom (UK) in order to determine the emphasis placed on rehabilitation, chronic illness and disability. The results reveal the overall lack of attention given to these important areas and the superficial manner in which key concepts are addressed. The need to identify more clearly the nursing contribution to rehabilitation is highlighted and indicative areas of knowledge and skill required to develop an expanded role are presented.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1046/j.1365-2648.1999.00972.x
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    Paper (German National Licenses)
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  • 7
    Electronic Resource
    Electronic Resource
    ‘Part of the family’: sources of job satisfaction amongst a group of community-based dementia care workers (2004)
    Oxford, UK : Blackwell Science Ltd
    Health & social care in the community 12 (2004), S. 0 
    Details
    ISSN: 1365-2524
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: The development of community-based services for people with dementia brings new challenges for health and social care providers, not least that of sustaining an enthusiastic workforce who are motivated to provide care and support under potentially isolating and difficult conditions. The present paper, based on interview data gathered from a group of community-based dementia care workers, seeks to identify their sources of job satisfaction and reward. Interviews were conducted with seven workers at two points in time and the data were analysed using a case by theme matrix approach. The results indicate that there were high levels of job satisfaction amongst the group, which were enhanced by several factors, including: good organisational support; day-to-day autonomy; the ability to maintain relationships with people with dementia and their families; and staffs’ feelings of contributing to and improving the status and quality of life of people with dementia. Implications for workforce development are briefly considered.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.0966-0410.2004.00471.x
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    Paper (German National Licenses)
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  • 8
    Electronic Resource
    Electronic Resource
    Impacts on practitioners of using research-based carer assessment tools: experiences from the UK, Canada and Sweden, with insights from Australia (2003)
    Oxford, UK : Blackwell Publishing Ltd.
    Health & social care in the community 11 (2003), S. 0 
    Details
    ISSN: 1365-2524
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Researchers and practitioners in several Western countries have recently developed tools for assessing the situation of the carers of adults who are ill, elderly or have disabilities. The present article describes the impact of three such assessment tools, from Canada, the UK and Sweden, on the professional practice of assessors. All tools were tested in agency-based studies. Focus groups, workshops and interviews with assessors were employed to understand the impact on professionals and their practice. An Australian researcher and case manager comments on these experiences from her unique perspective. The results reveal that the use of carer assessments can lead to changes in the appropriateness of intervention by informing practitioners of issues which are given little attention, but which impact on the adequacy of interventions to the service user. Across the projects, most workers found that the tools facilitated a more comprehensive, in-depth and carer-focused assessment. Experience across all the projects suggests that, used sensitively, such tools and approaches can play a key role in transforming the relationship between carers, and the health and social care system. Giving carers a legitimate voice, acknowledging their perspective and expertise, and making them central to assessment processes accords them status both as active partners, and as individuals with their own needs and aspirations, rather than seeing them primarily as resources. As a result of their experiences, many workers and administrators concluded that home-care programmes must change their mandate to include carers among their clients, raising the issue of available monetary and human resources to meet the needs of this group. In addition, as our Australian colleague points out, time, efficiency, relevance, benefit and minimal intrusiveness are important factors for practitioners which influence their use of assessment tools.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1046/j.1365-2524.2003.00434.x
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    Paper (German National Licenses)
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  • 9
    Electronic Resource
    Electronic Resource
    ‘Making the move’: relatives’ experiences of the transition to a care home (2004)
    Oxford, UK : Blackwell Science Ltd
    Health & social care in the community 12 (2004), S. 0 
    Details
    ISSN: 1365-2524
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Despite a growing awareness of the significance of helping a relative to relocate to a care home as a key phase in the caregiving career, relatively few studies in the UK have explored this experience in depth. The research on which the present paper is based sought to better understand experiences of nursing home placement from the viewpoint of relatives. The study was informed by a constructivist perspective. Data were collected in 37 semi-structured interviews involving 48 people who had assisted a close relative to move into a nursing home. Data analysis revealed three phases of the transition from the relatives’ perspective: ‘making the best of it’; ‘making the move’; and ‘making it better’. The relatives’ experiences across these phases were understood in terms of five continua, reflecting the extent to which they felt they were: operating ‘under pressure’ or not; ‘working together’ or ‘working alone’; ‘supported’ or ‘unsupported’, both practically and emotionally; ‘in the know’ or ‘working in the dark’; and ‘in control of events’ or not. This paper reports on the findings which relate to the second phase of the transition, ‘making the move’, which relates to experiences around the time of relocation to the care home environment. The findings suggest that health and social care practitioners have enormous potential to influence relatives’ experiences of nursing home entry. Experiences are enhanced if family carers perceive that they are able to work in partnership with care staff in order to ease the transition for the older person.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1365-2524.2004.00535.x
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    Paper (German National Licenses)
    Fulltext
  • 10
    Electronic Resource
    Electronic Resource
    Younger onset dementia: developing a longitudinal model as the basis for a research agenda and as a guide to interventions with sufferers and carers (1994)
    Oxford, UK : Blackwell Publishing Ltd
    Journal of advanced nursing 19 (1994), S. 0 
    Details
    ISSN: 1365-2648
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: With the current emphasis on community care, the importance of dementia as an area for the interventions of community practitioners, especially nurses, cannot be overemphasized. However, despite being the subject of increasing research over recent times, a comprehensive model of the dementia experience from either the sufferer's or carer's perspective has yet to be developed. This is particularly noticeable in the case of people suffering from dementia below the age of 65. This situation is exacerbated by the lack of representative epidemiological studies which relate to the incidence or prevalence of younger onset dementia. In this paper, the current epidemiological literature on younger onset dementia is considered and the findings from previous work are used to suggest prevalence figures for Wales. A longitudinal model of the dementia experience from a sufferer's perspective is then presented as the basis for a research agenda. It is also suggested that this model, subject to empirical testing and refinement, could be used as a guide to interventions for practitioners working with the sufferers and their carers.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1365-2648.1994.tb01136.x
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    Paper (German National Licenses)
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