Susan Denman, Jane Reeves and Ian McCafferty
Reports on a trip to St Petersburg and Russian attitudes to healtheducation as well as some of the health problems in Russia. Outlineseducational practices in Russia – looks at…
Abstract
Reports on a trip to St Petersburg and Russian attitudes to health education as well as some of the health problems in Russia. Outlines educational practices in Russia – looks at lack of support with regard to the development of health education policies and the growing desire to press for change. Concludes that, in addition to environmental and economic difficulties, there is a substantial threat from the Western problems of alcohol, illegal drugs and HIV; some of the more pressing concerns related to disease prevention and nutritional health have delayed the resources allocated to health education in the curriculum.
How might the profession of child protection social work be “future proofed”, i.e. remain intact and of value beyond its present existence? The paper aims to discuss this issue.
Abstract
Purpose
How might the profession of child protection social work be “future proofed”, i.e. remain intact and of value beyond its present existence? The paper aims to discuss this issue.
Design/methodology/approach
This is a discussion/“think piece” paper, in which the author argues that foregrounding the art and science of helping relationships is a way forward. Recognising and promoting the centrality of helping relationships is the direction in which the author believes (or is it hopes?) social work should head, because “more of the same” is not, in the author’s view, possible to sustain for much longer. Treading the well-worn but pot-holed path of box-ticking, endless risk assessment and perfunctory statutory visiting is likely to lead to continuing problems retaining social workers and, for those who do stay, increased burnout, compassion fatigue and secondary trauma, each of which interrupts or delays the development of working alliances with family members.
Findings
Growing reliance on thresholds and checklists to assess risk has served to increase referrals. As a result, social workers spend much of their time on triaging and filtering rather than working with the children and families that most need help and protection. Further, it is not what is in the practitioner’s toolkit that matters: rather, it is a defined set of personal skills and qualities that tips the balance to achieve lasting change. Thus, in order to “future proof” social work, we would do well to deepen our understanding of how helping relationships can lead to lasting change. Supporting social workers in this work is not just the responsibility of individual practitioners and their professional bodies, action also needs to be taken at governmental and managerial levels.
Originality/value
This is a discussion/“think piece”.
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Nicola Gregson and Claire Delaney
The purpose of this paper is to present a case study using a systemic team formulation approach, in the context of supporting a women with intellectual disabilities with a history…
Abstract
Purpose
The purpose of this paper is to present a case study using a systemic team formulation approach, in the context of supporting a women with intellectual disabilities with a history of trauma.
Design/methodology/approach
A reflective stance is used to describe the process of assessment, hypothesising, formulation and intervention in a single case study design.
Findings
Feedback from care staff suggests that they found a team formulation approach helpful to improve their understanding of the service user they support.
Practical implications
The paper discusses how systemic team formulation can draw on trauma-informed care principles in the context of supporting an individual with an intellectual disability. Future research should aim to replicate the approach for findings to be applied more broadly. COVID-19 has meant clinical working has had to be adapted, clinicians should carefully consider how collaborative and meaningful work can continue to be facilitated within the current parameters.
Originality/value
This case study contributes to the literature in the use of systemic team formulation interventions within an intellectual disability context, drawing on trauma-informed care principles and reflecting on adapted working within the COVID-19 pandemic.
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The purpose of this interview is to gain insight from the career of policy‐maker and researcher, Jane Oates, on the collaborations between academia and government to effect social…
Abstract
Purpose
The purpose of this interview is to gain insight from the career of policy‐maker and researcher, Jane Oates, on the collaborations between academia and government to effect social change.
Design/methodology/approach
This article is based on an interview with Jane Oates conducted in May of 2007.
Findings
Based on her experiences, she states that social change requires a three‐way partnership between academia, government, and the people they serve. She makes specific recommendations for the ways these groups can find a common language to reach their shared goals.
Originality/value
This account provides the unique perspective of a professional who has spent years in both academia and policy‐making.
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Melissa Jane Carey and Melissa Taylor
The purpose of this review was to explore the literature for evidence of the impact of interprofessional practice models on health service inequity, particularly within community…
Abstract
Purpose
The purpose of this review was to explore the literature for evidence of the impact of interprofessional practice models on health service inequity, particularly within community care settings for diverse ageing populations.
Design/methodology/approach
An integrative systematic literature review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework combined with the EndNote reference management system. Following the collection and comprehensive screening process completion, a thematic analysis of the included articles occurred utilising within NVivo 12 software.
Findings
The review found that there was a paucity of evidence related to the relationship between interprofessional practice models (IPM) and health service equity for ageing populations. There is a need to improve collaborative practices between social care, public health care and health service providers to more clearly define team member roles. Key aspirations included the need for future innovations in health service delivery to place health service equity as a goal for interprofessional practice. There is a need to find ways to measure and articulate the impact for vulnerable populations and communities.
Research limitations/implications
The review offers insight into the need for health care delivery models to place health service equity at the centre of the model design. In practice settings, this includes setting interprofessional team goals around achieving equitable care outcomes for, and with, vulnerable populations. Implications for practice relate to improving how interprofessional teams work with communities to achieve health care equity.
Originality/value
There is a consensus across the literature that there continues to be health service inequity, yet IPE and interprofessional collaborative practice (IPC) have been growing in momentum for some time. Despite many statements that there is a link between interprofessional practice and improved health service equity and health outcomes, evidence for this is yet to be fully realised. This review highlights the urgent need to review the link between education and practice, and innovative health models of care that enable heath care professionals and social care providers to work together towards achieving health equity for ageing populations. It is clear that more evidence is required to establish evidence for best practice in interprofessional care that has the mitigation of health care inequity as a central objective.
Richard Dusenbury, Gregory J. Gerard and Jane L. Reimers
Research in the area of competence suggests that familiarity with a domain affects decision making. We extend Heath and Tversky's (1991) competence hypothesis research by…
Abstract
Research in the area of competence suggests that familiarity with a domain affects decision making. We extend Heath and Tversky's (1991) competence hypothesis research by examining the following propositions: (1) competence increases the propensity to take credit for success and place blame for failure, and (2) professional accountants' feelings of competence can be altered, as measured by the propensity to take credit for success and place blame for failure, by calling attention to what others know relative to what they know. Participants in the experimental study were accountants with varying levels of tax experience. Results indicated that more competent participants took more credit for being right, and placed more blame externally for being wrong, than did less competent participants. Also, participants who were told about an applicable tax regulation that was not available during the experiment took more blame for being wrong, suggesting that competence is affected by features of the context in which professional tasks are performed.
Jacques van der Meer, Jane Skalicky and Harriet Speed
Increasingly, universities are involved in providing leadership development opportunities that support students’ academic endeavours and their personal and professional…
Abstract
Increasingly, universities are involved in providing leadership development opportunities that support students’ academic endeavours and their personal and professional development, including employability and citizenship skills. Leadership experiences are beneficial not only for students, but also for universities, the wider community, and future employers. To develop a greater understanding of students’ perceived benefits of their involvement in peer leadership activities, a group of Australasian universities participated in a pilot survey based on the United States National Survey of Peer Leadership. Overall, the results suggest students believe they benefit from peer leadership experiences across a range of key outcomes areas, most prominently creative problem solving, appreciation of diversity, and a sense of belonging and contributing to the university community.
Steven Cranfield, Jane Hendy, Barnaby Reeves, Andrew Hutchings, Simon Collin and Naomi Fulop
The purpose of this paper is to better understand how and why adoption and implementation of healthcare IT innovations occur. The authors examine two IT applications, computerised…
Abstract
Purpose
The purpose of this paper is to better understand how and why adoption and implementation of healthcare IT innovations occur. The authors examine two IT applications, computerised physician order entry (CPOE) and picture archiving and communication systems (PACS) at the meso and micro levels, within the context of the National Programme for IT in the English National Health Service (NHS).
Design/methodology/approach
To analyse these multi-level dynamics, the authors blend Rogers’ diffusion of innovations theory (DoIT) with Webster’s sociological critique of technological innovation in medicine and healthcare systems to illuminate a wider range of interacting factors. Qualitative data collected between 2004 and 2006 uses semi-structured, in-depth interviews with 72 stakeholders across four English NHS hospital trusts.
Findings
Overall, PACS was more successfully implemented (fully or partially in three out of four trusts) than CPOE (implemented in one trust only). Factors such as perceived benefit to users and attributes of the application – in particular speed, ease of use, reliability and flexibility and levels of readiness – were highly relevant but their influence was modulated through interaction with complex structural and relational issues.
Practical implications
Results reveal that combining contextual system level theories with DoIT increases understanding of real-life processes underpinning implementation of IT innovations within healthcare. They also highlight important drivers affecting success of implementation, including socio-political factors, the social body of practice and degree of “co-construction” between designers and end-users.
Originality/value
The originality of the study partly rests on its methodological innovativeness and its value on critical insights afforded into understanding complex IT implementation programmes.