Sue Smith, Ann Casey, Keith Hurst, Katherine Fenton and Hilary Scholefield
This paper aims to explains how relatively simple nurse staffing formulas from “best practice” ward dependency‐acuity data can be used for nursing workforce planning and…
Abstract
Purpose
This paper aims to explains how relatively simple nurse staffing formulas from “best practice” ward dependency‐acuity data can be used for nursing workforce planning and development.
Design/methodology/approach
The paper combines literature, detailed ward surveys, workshop and expert group/stakeholder information to generate and test care levels/nurse multipliers for setting ward establishments.
Findings
The paper finds that professional‐judgement based ward staffing can be abandoned, while complex acuity‐quality, timed‐task and regression‐based nurse staffing algorithms for setting ward establishments may be unnecessary since the new multipliers, underpinned by robust validity and reliability testing, seem to be remarkably accurate nurse‐staffing determiners at a fraction of the cost.
Research limitations/implications
As care levels and multipliers stand they are suitable only for UK National Health Service acute wards. Primary care, mental health, learning disability and other specialist group care levels and multipliers need developing.
Practical implications
Users, at a minimum, can adopt care level data and multiplier staffing recommendations for benchmarking purposes. Ultimately, the algorithms can be used to: adjust ward establishments according to workload; or set staffing for new, inpatient services.
Originality/value
The paper offers a simple system for assessing patients' nursing needs and setting ward staffing accordingly.
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Kelly Fenton, Katherine Kidd and Alex Lord
The purpose of this study is to assess if the new community-enhanced rehabilitation team reduced anxiety and readmissions in service users discharged from an inpatient…
Abstract
Purpose
The purpose of this study is to assess if the new community-enhanced rehabilitation team reduced anxiety and readmissions in service users discharged from an inpatient rehabilitation setting.
Design/methodology/approach
The study used both qualitative and quantitative methodology. Service user’s anxiety level was measured before being discharged and at the end of the Community Enhanced Rehabilitation Team (CERT) transition intervention. Six service users were interviewed to gain further understanding of their experiences of anxiety.
Findings
Findings showed the anxiety score was significantly lower (M = 1.5, 95% CI [0.051,2.99], t(20) = 2.159, p = 0.043) following the CERT intervention (M = 8.6, SD = 6.4) compared to before (M = 10.1, SD = 7.0). No service user receiving the CERT intervention was readmitted to hospital within 12 weeks of discharge from the inpatient setting, compared to three service users (15% of those discharged) who were discharged to other community services.
Research limitations/implications
Community rehabilitation pathways would benefit from having interventions to aid patient transitions from inpatient to the community. The National Health Service (NHS) trusts develop community rehabilitation teams as recommended by the National Institute for Health and Care Excellence (NICE), and they should consider including transitional support as part of their model.
Practical implications
It is recommended that as NHS trusts design and implement community mental health teams, they should consider including transition support as part of their model.
Social implications
People with severe and enduring mental health difficulties who have been in an inpatient rehabilitation setting would benefit from community transitional support. This study suggests that such support helps reduce anxiety and readmission.
Originality/value
Community rehabilitation teams are currently being developed across the NHS as part of the NHS long-term plan. These teams are new, and as such, there is a dearth of information regarding their effectiveness. To the best of the authors’ knowledge, this is one of the first studies to evaluate outcomes in these new teams.
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Natalie Fenton, Andrew Passey and Les Hems
Looks at the development of the voluntary sector into a semi‐professional area undertaking more work which was previously seen as the State’s responsibility. Considers the amount…
Abstract
Looks at the development of the voluntary sector into a semi‐professional area undertaking more work which was previously seen as the State’s responsibility. Considers the amount of trust invested in these charities and the damage that new fundraising techniques may inflict. Outlines the recent political influences on society and the individual together with the resulting attitudes to charity. Briefly outlines the local and global perspectives including mass media communication.
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Drawing on Bourdieu's field, habitus, and capital, I show how disparate experiences and “dispositions” shaped several departments’ development in the organization behind the…
Abstract
Drawing on Bourdieu's field, habitus, and capital, I show how disparate experiences and “dispositions” shaped several departments’ development in the organization behind the annual Burning Man event. Observations and interviews with organizers and members indicated that in departments with hierarchical professional norms or total institution-like conditions, members privileged their capital over others’ capital to enhance their authority and departmental solidarity. For another department, the availability of multiple practices in their field fostered disagreement, forcing members to articulate stances. These comparisons uncover conditions that exacerbate conflicts over authority and show how members use different types of capital to augment their authority.
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THE new library building has been open for six months now. It is pleasantly situated in an area of new buildings, and occupies a prominent island site just on the edge of the…
Abstract
THE new library building has been open for six months now. It is pleasantly situated in an area of new buildings, and occupies a prominent island site just on the edge of the shopping centre. The old library was in the middle of a shopping area, and it has been interesting to note that our removal from that site has had a more considerable effect on the traffic pattern than one would have thought.
Gina Costello, Christopher Cox, Alice L. Daugherty, Connie Haley, Millie Jackson, S.G. Ranti Junus and Fu Zhuo
To highlight content of interest to this journal’s readership that promotes current thinking and activities in Information Technology.
Abstract
Purpose
To highlight content of interest to this journal’s readership that promotes current thinking and activities in Information Technology.
Design/methodology/approach
Selective conference report of the annual meeting of the American Library Association and pre‐conference.
Findings
The largest conference of librarians, the variety of programs, activities, exhibit halls, creates one of the best professional development opportunities for librarians. Attracting librarians from all sectors and work environments from around the globe, this conference is hard to describe in a brief way except to say it is an experience. The article documents relevant programs about information technology was the goal of this contribution.
Originaligy/value
Contains information of particular interest to readers who did not attend these sessions. Introducers them to presenters and important hot topics. Provides an alternative to not being present while gaining some information and coverage.
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Vibha Kapuria-Foreman and Charles R. McCann
Prior to the passage of the 20th amendment to the US Constitution in 1920, several states had extended the suffrage to women. Helen Laura Sumner (later Woodbury), a student of…
Abstract
Prior to the passage of the 20th amendment to the US Constitution in 1920, several states had extended the suffrage to women. Helen Laura Sumner (later Woodbury), a student of John R. Commons at Wisconsin, undertook a statistical study of the political, economic, and social impacts of the granting of voting rights to women in the state of Colorado, and subsequently defended the results against numerous attacks. In this paper, we present a brief account of the struggle for women’s equality in the extension of the suffrage and examine Sumner’s critical analysis of the evidence as to its effects, as well as the counterarguments to which she responded.
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Exploring subjective experiences of people living with dementia through qualitative research has become increasingly common in recent decades. Nonetheless, researchers have shared…
Abstract
Exploring subjective experiences of people living with dementia through qualitative research has become increasingly common in recent decades. Nonetheless, researchers have shared a number of ethical challenges in involving people living with dementia in research. A concept that has been influential in discussions about ethics within the field of dementia care, in particular, is person-centredness. A person-centred approach reflects values of respect for personhood and the rights of a person and of building mutual trust and understanding. This chapter presents my experience of adopting person-centred ethical practices in a sensory ethnographic study involving older adults living with dementia. I highlight person-centred ethical considerations at the design stage of my study and occasions during the conduct of my research when research methods and processes were adapted to further meet the needs of the participants. A person-centred approach required that I continually assessed the need to make ethical decisions in every aspect of the research process throughout its duration. Building and drawing on positive researcher–participant relationships to inform those decisions and an adaptable research design allowing research practices to be adapted in situ were therefore essential.
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To report on the Coalition for Networked Information (CNI) held the Fall 2005 Task Force Meeting for its Task Force representatives and other participants in Phoenix, Arizona on…
Abstract
Purpose
To report on the Coalition for Networked Information (CNI) held the Fall 2005 Task Force Meeting for its Task Force representatives and other participants in Phoenix, Arizona on December 5‐6, 2005.
Design/methodology/approach
Provides a concise review of the conference.
Findings
The meeting offered a wide variety of timely presentations that advanced and reported on CNI’s programs, projects and issues from Task Force member institutions and emphasized significant activities on the national and international arenas.
Originality/value
This paper is a useful summary of a conference of interest to library and information management professionals.