Change in clinical practice in Australia: impact of participation in MHPN webinars
Journal of Integrated Care, Ahead of Print. Purpose The Mental Health Professionals ’ Network (MHPN) was established to enhance collaborative care among health professionals working in mental health care in Australia. The MHPN has two primary arms: face-to-face network meetings and online webinars. The purpose of this paper is to investigate practice changes in health professiona ls who participated in one of MHPN’s live webinars. Design/methodology/approach Practice change was assessed by online survey with attendees from three MHPN webinars held in 2016. The survey link was e-mailed to webinar attendees three month...
Source: Journal of Integrated Care - December 29, 2017 Category: International Medicine & Public Health Source Type: research
Change in mental health collaborative care attitudes and practice in Australia
Journal of Integrated Care, Ahead of Print. Purpose The Mental Health Professionals Network (MHPN) was established to support and enhance collaborative care among health professionals working in primary mental healthcare. The MHPN has two primary arms: face-to-face network meetings and online webinars. The purpose of this paper is to investigate attitudinal and practice changes amongst health professionals after participation in MHPN ’s network meetings. Design/methodology/approach In April 2016, an online survey was e-mailed to health professionals who had attended at least one network meeting during 2015. The survey ...
Source: Journal of Integrated Care - December 29, 2017 Category: International Medicine & Public Health Source Type: research
The perceptions regarding social workers from within an integrated trust in an age of austerity
This study presents specific areas of concern for social workers and for integrated social car e and health as a whole, revealing a number of themes present across the integration journey. While the majority of comments were negative, analysis reveals concerns shared by significant numbers of respondents: conceptual confusion in respect of organising integrated care within a health organisati on, a lack of shared socialisation and the development of a shared culture within the integrated organisation, and the impact of economic austerity on integration. (Source: Journal of Integrated Care)
Source: Journal of Integrated Care - December 29, 2017 Category: International Medicine & Public Health Source Type: research
Service integration through medical leadership in England ’s NHS
Journal of Integrated Care, Ahead of Print. Purpose The purpose of this paper is to explore the current interest in leadership within the National Health Service (NHS), especially within medicine, as a solution to the slow rate of integration of health and social care services. Design/methodology/approach This paper is a conceptual analysis of policy documents and professional statements about leadership. Findings Leadership is a new common sense, promoted despite the limited evidence that it actually delivers. Leaders take risks, develop organisational vision and involve others in change using influence rather than hie...
Source: Journal of Integrated Care - December 19, 2017 Category: International Medicine & Public Health Source Type: research
Improving visiting nurses ’ post-hospital medication management
Journal of Integrated Care, Ahead of Print. Purpose Employing a participatory approach, the purpose of this paper is to identify possible areas for improvement in visiting nurses ’ post-hospital medication management and to facilitate suggestions for changes in future practices. Design/methodology/approach Based on a previous study on visiting nurses’ post-hospital medication management, two workshops were conducted in a visiting nurse department in a Danish municipali ty. Findings The visiting nurses emphasised knowledge of patients’ basic needs and prioritised their performance of context-specific nursing assess...
Source: Journal of Integrated Care - December 19, 2017 Category: International Medicine & Public Health Source Type: research
Service integration through medical leadership in England ’s NHS
Journal of Integrated Care, Ahead of Print. Purpose The purpose of this paper is to explore the current interest in leadership within the National Health Service (NHS), especially within medicine, as a solution to the slow rate of integration of health and social care services. Design/methodology/approach This paper is a conceptual analysis of policy documents and professional statements about leadership. Findings Leadership is a new common sense, promoted despite the limited evidence that it actually delivers. Leaders take risks, develop organisational vision and involve others in change using influence rather than hie...
Source: Journal of Integrated Care - December 19, 2017 Category: International Medicine & Public Health Source Type: research
Improving visiting nurses ’ post-hospital medication management
Journal of Integrated Care, Ahead of Print. Purpose Employing a participatory approach, the purpose of this paper is to identify possible areas for improvement in visiting nurses ’ post-hospital medication management and to facilitate suggestions for changes in future practices. Design/methodology/approach Based on a previous study on visiting nurses’ post-hospital medication management, two workshops were conducted in a visiting nurse department in a Danish municipali ty. Findings The visiting nurses emphasised knowledge of patients’ basic needs and prioritised their performance of context-specific nursing assess...
Source: Journal of Integrated Care - December 19, 2017 Category: International Medicine & Public Health Source Type: research
Looking down the right end of the integration telescope
Journal of Integrated Care,Volume 25, Issue 4, Page 234-236, October 2017. (Source: Journal of Integrated Care)
Source: Journal of Integrated Care - October 9, 2017 Category: International Medicine & Public Health Source Type: research
The emotional labour of boundary spanning
Journal of Integrated Care,Volume 25, Issue 4, Page 288-300, October 2017. Purpose Within public services there is a widely recognised role for workers who operate across organisational and professional boundaries. Much of this literature focusses on the organisational implications rather than on how boundary spanners engage with citizens. An increased number of public service roles require boundary spanning to support citizens with cross-cutting issues. The purpose of this paper is to explicate the emotional labour within the interactions that boundary spanners have with citizens, requiring adherence to display rules and...
Source: Journal of Integrated Care - October 9, 2017 Category: International Medicine & Public Health Source Type: research
Joining up dementia: not as easy as it sounds
Journal of Integrated Care,Volume 25, Issue 4, Page 280-287, October 2017. Purpose The purpose of this paper is to discuss the different meanings of integration as expressed in dementia care practice and service organisation in England. Dementia is frequently complicated by concurrent illnesses or long-term conditions at the end of life. Design/methodology/approach This is a policy discussion. Findings The paper describes three forms of integration: linkage, co-ordination of care, and full integration. Each form or level is related to dementia as a progressive neurological disorder with multiple symptoms, which also ove...
Source: Journal of Integrated Care - October 9, 2017 Category: International Medicine & Public Health Source Type: research
Integration as a scientific paradigm
Journal of Integrated Care,Volume 25, Issue 4, Page 271-279, October 2017. Purpose Integration is policy, practice as well as object of systematic investigation. What we do not know is whether or not integration can be understood as a science. In his book The Structure of Scientific Revolutions, Thomas Kuhn formulated a notion of (natural) sciences based on the emergence of commitments amongst a community of scientists to a set of logics, model and exemplars. He called this a paradigm. The purpose of this paper is to assess the scientific nature of integration by perceiving it as a paradigm in Kuhn ’s sense. Design/met...
Source: Journal of Integrated Care - October 9, 2017 Category: International Medicine & Public Health Source Type: research
A new health and social care context in Wales
Journal of Integrated Care,Volume 25, Issue 4, Page 265-270, October 2017. Purpose The Social Services and Wellbeing (Wales) Act 2014 and the Well-being of Future Generations (Wales) Act 2015 provide a direction of travel for all public services in Wales and a framework for delivering the aspirations in the legislation. Although specifically referring to social care, both pieces of legislation are as relevant to the NHS as they are to other public bodies, providing an opportunity for NHS Wales and local government, in particular, to be equal partners in making a difference to the people and communities they serve. The pap...
Source: Journal of Integrated Care - October 9, 2017 Category: International Medicine & Public Health Source Type: research
Shifting the balance of care …and making the money add up
Journal of Integrated Care,Volume 25, Issue 4, Page 256-264, October 2017. Purpose A critical commentary on policy and practice over time in English health and social care. The paper aims to discuss these issues. Design/methodology/approach Personal reflections based on prior experience as a senior leader in the English health and care system, combined with insights and relevant evidence from other senior leaders and health and care “think-tanks”. Findings Shifting the balance of care from a hospital to a community setting can potentially be cost-effective as well as improving quality for service users. However, it ...
Source: Journal of Integrated Care - October 9, 2017 Category: International Medicine & Public Health Source Type: research
Professionals ’ views on integrated care
Journal of Integrated Care,Volume 25, Issue 4, Page 247-255, October 2017. Purpose Integrated care policies have been at the heart of recent health reforms in many European countries. The purpose of this paper is to study the integration from the perspective of health care personnel working in primary health care clinics. Design/methodology/approach The study employs data from interviews collected in a research project examining patient choice and integrated care in primary health care clinics in Finland. The interviews were conducted in five cities in Southern Finland in 17 primary health care clinics in Autumn 2014. Am...
Source: Journal of Integrated Care - October 9, 2017 Category: International Medicine & Public Health Source Type: research
Implementing a collaborative mental health care model: the MHPN
Journal of Integrated Care,Volume 25, Issue 4, Page 237-246, October 2017. Purpose The purpose of this paper is to describe the development and experience of the Mental Health Professionals ’ Network (MHPN) in building and supporting a national interdisciplinary professional development platform in community mental health to enhance practitioner response to the needs of consumers. Design/methodology/approach The key components of the MHPN model are described highlighting effective ways of engaging practitioners and supporting interdisciplinary practice. The MHPN has two key programs – Face-to-Face Interdisciplinary P...
Source: Journal of Integrated Care - October 9, 2017 Category: International Medicine & Public Health Source Type: research
