: This paper presents a research team's experience using a virtual steering group to manage a research project. The main research project was concerned with the evaluation and development of ...interprofessional working among health and social care staff across primary and secondary care in the United Kingdom, with a focus on older people receiving intermediate care. Intermediate care is a service aimed at preventing unnecessary hospital admission; supporting early discharge from hospital; and reducing or delaying the need for residential care in the community. Intermediate care covers multi‐agency and interprofessional working across the continuum of care. We examine one aspect—the use of a virtual steering group, which is an innovative approach aimed at facilitating user and carer participation in the research in a supportive and less intimidating way. The research team includes academics, practitioners, older people and carers, and representatives from the voluntary sector—all are equal members. The team believes it is important to actively involve clients and their carers in the development and direction of research because they can provide a unique perspective ensuring that the research addresses issues of importance to them as service users. We examine and discuss the importance of preparation, support, and training to meaningfully engage in the virtual steering group and the direction of this research. The paper concludes by making recommendations about this model of involving service users in research.
Poverty has become an ever growing challenge for communities across our country including in the metropolitan area. It’s impact has major implications for school and district leaders to be able to ...effectively educate impoverished students, especially in schools and districts where poverty is concentrated. In this paper, the research team aims to determine which leadership strategies are the highest leverage for schools and districts with high concentrations of poverty and of these strategies, which ones are being implemented in schools and districts and whether or not districts are providing support to implement them. The geographical area of focus for this research is in the city, county, and surrounding county. Building principals in these areas were asked to complete a survey based on Eric Jensens, S.H.A.R.E. Framework from the text, Teaching with Poverty in Mind. The survey data collection was focused on determining how many of the highest leverage leadership practices for high poverty schools were being implemented and of the ones being implemented, how many leaders were receiving district provided professional development to implement them. This paper includes an analysis of the findings as reported by building principals and 5 recommendations for changes that school and district leaders can make to better serve students in high poverty schools.
When individuals embark on their careers, they may not only become acculturated into their occupational sectors' day-to-day norms and practices, but also their taxpaying ones. To date, previous ...research studies on occupational taxpaying cultures have adopted a quantitative approach. Evidence is provided to support the existence of distinct occupational taxpaying cultures using large scale survey data with 11 occupational groups in Australia. The differences between members of stereotypically male and female job groups are examined in their taxpaying attitudes and behaviors. It appears that it is not necessarily being male or female, per se which matters, but rather belonging to a stereotypically male or female job group. Overall, the study advises Australian Tax Authorities to manage occupational groups in different ways depending on their taxpaying culture.
Poverty has become an ever growing challenge for communities across our country including in the metropolitan area. It’s impact has major implications for school and district leaders to be able to ...effectively educate impoverished students, especially in schools and districts where poverty is concentrated. In this paper, the research team aims to determine which leadership strategies are the highest leverage for schools and districts with high concentrations of poverty and of these strategies, which ones are being implemented in schools and districts and whether or not districts are providing support to implement them. The geographical area of focus for this research is in the city, county, and surrounding county. Building principals in these areas were asked to complete a survey based on Eric Jensens, S.H.A.R.E. Framework from the text, Teaching with Poverty in Mind. The survey data collection was focused on determining how many of the highest leverage leadership practices for high poverty schools were being implemented and of the ones being implemented, how many leaders were receiving district provided professional development to implement them. This paper includes an analysis of the findings as reported by building principals and 5 recommendations for changes that school and district leaders can make to better serve students in high poverty schools.
The first national audit of intermediate care in England, published in September 2012, highlighted the need for more intermediate care services. In the UK, the term 'intermediate care' describes a ...layer of care between primary and specialist services that is intended to prevent unnecessary hospital admission, support early discharge and reduce the need for long-term residential care. Intermediate care requires effective interprofessional working across health and social care. Interprofessional education is believed to help the different professions work together successfully, however, there is little information in the literature about what should be taught and how. This article discusses a study day, which was designed as part of a research project into the development of interprofessional working in intermediate care. It includes an overview of the literature, a detailed description of the educational content and process, and participants' responses to that content and process. This helped to identify the characteristics of successful interprofessional education so that others can use them.
This thesis focuses on the voices of older people as they describe their experiences of health crisis and subsequent care in one primary care trust and its partner health and social care providers in ...the United Kingdom. The significance of listening to older people to inform care delivery is recognised as healthcare organisations respond to meeting the needs of this increasing population. Developed countries are reconfiguring their healthcare services by moving care traditionally delivered in acute hospitals to community settings; a term adopted is 'care closer to home.' However advocates of older people have recognised disparity between service provision and older people's needs. Achieving participation from the oldest old of the UK population, this qualitative research utilises an embedded multi-case study design, incorporating a convenience sample of six older people aged seventy five years and over. Led by the older person and their respective care pathway this research, by application of a snowballing technique, further expounds on surrounding carers, healthcare professionals and organisational information to contextualise the older person's experience. Multiple data collection included forty three semi-structured interviews, extracts from documents and medical records and nonparticipant observation. Application of a developed intrinsic analytical framework conSisting of situational and dimensional analysiS maintains a focus on the older person's perspective of their experience whilst achieving contextualisation of their sudden and potentially complex pathway of care. The findings revealed contributing factors influencing positive and negative experiences and perceptions of older people when experiencing unplanned healthcare; leading to the development of a salutogenic model. This salutogenic approach may improve the older person's ability to cope at a time when active involvement in care is crucial to support recovery, future life choices and expectations. This. research re-affirms the importance of facilitating inclusion of older people in research to inform person-centred care.
This thesis focuses on the voices of older people as they describe their experiences of health crisis and subsequent care in one primary care trust and its partner health and social care providers in ...the United Kingdom. The significance of listening to older people to inform care delivery is recognised as healthcare organisations respond to meeting the needs of this increasing population. Developed countries are reconfiguring their healthcare services by moving care traditionally delivered in acute hospitals to community settings; a term adopted is 'care closer to home.' However advocates of older people have recognised disparity between service provision and older people's needs. Achieving participation from the oldest old of the UK population, this qualitative research utilises an embedded multi-case study design, incorporating a convenience sample of six older people aged seventy five years and over. Led by the older person and their respective care pathway this research, by application of a snowballing technique, further expounds on surrounding carers, healthcare professionals and organisational information to contextualise the older person's experience. Multiple data collection included forty three semi-structured interviews, extracts from documents and medical records and nonparticipant observation. Application of a developed intrinsic analytical framework conSisting of situational and dimensional analysiS maintains a focus on the older person's perspective of their experience whilst achieving contextualisation of their sudden and potentially complex pathway of care. The findings revealed contributing factors influencing positive and negative experiences and perceptions of older people when experiencing unplanned healthcare; leading to the development of a salutogenic model. This salutogenic approach may improve the older person's ability to cope at a time when active involvement in care is crucial to support recovery, future life choices and expectations. This. research re-affirms the importance of facilitating inclusion of older people in research to inform person-centred care.
