• Professional Development, competence and education

      Drozd, Mary; Hahessey, Sinead (Wiley Blackwell, 2014-09)
      This chapter provides an overview of issues relating to professional development of orthopaedic and trauma practitioners alongside the vital role of mentorship and reflective practice. Ongoing professional development is essential for the delivery of high quality, evidence‐based orthopaedic and trauma nursing practice. Specialist orthopaedic and trauma competences will be discussed and the need for specialist knowledge and skills will be explored. A robust system of mentorship is necessary to support the development of all practitioners in orthopaedic and trauma care.
    • The use of patient reported outcome measures (PROMs) in clinical assessment.

      Jester, Rebecca; Santy-Tomlinson, Julie; Drozd, Mary (Elsevier, 2018-02-13)
    • Chronic venous leg ulcer care: Putting the patient at the heart of leg ulcer care. Part 1: exploring the consultation

      Green, Julie; Jester, Rebecca; McKinley, Robert; Pooler, Alison; Queen's Nurse, Royal College of Nursing, Professional Nursing Committee member, Royal College of Nursing, District Nurse, Forum Chair and member of the Association of District Nurse Educators: Director of Postgraduate Studies and Senior Lecturer, Keele University School of Nursing and Midwifery, Clinical Education Centre, University Hospitals of North Midlands NHS Trust, Royal Stoke University Hospital, Newcastle Road, Stoke-on-Trent ST4 6QG; Professor of Nursing, Faculty of Education, Health and Wellbeing, Institute of Health, University of Wolverhampton, WV1 1LY; Professor of Nursing, Faculty of Education, Health and Wellbeing, Institute of Health, University of Wolverhampton, WV1 1LY; Lecturer, Director of Learning and Teaching, School of Nursing and Midwifery, Keele University, Staffordshire, ST4 6QG (Mark Allen Publishing, 2018-03-02)
      This article, the first of two, summarises a study that explored the lived experiences of patients with leg ulcers and the impact of this condition on their quality of life. The study had four study phases; phases 1 and 2 employed qualitative methods and are reported here. Initially, unstructured interviews were held; these revealed significant issues for the patients including the dominance of pain, issues relating to exudate and odour, social isolation and psychological effects. A checklist based on these issues was completed by the researcher during observations of routine care for these same patients; this revealed the extent and depth to which these matters were addressed. On many occasions, significant issues were not disclosed or explored during consultations. These findings confirmed that participants with chronic venous leg ulcers have concerns far beyond wound care.
    • Employability Skills and Graduate Attributes

      Hadley, Jane (University of Wolverhampton, 2017-09)
      There are a number of government reviews and white papers, which discuss how universities have a major role in providing students with employability and graduate attributes. By embarking on a literature review to assess these requirements and an examination of the research undertaken with employers, students and universities, this review was able to identify that universities must continually monitor their programmes and assessment methods to ensure they are delivering the employability skills and graduate attributes required by local employers. This suggests that universities should consider undertaking research in their region to identify the specific needs within their local business communities.
    • Mental Health Issues in United Kingdom Higher Education Students

      Groves, Marc (University of Wolverhampton, 2017-09)
      Higher Education (HE) Students are increasing diverse, with larger numbers participating from none traditional backgrounds. Factors such as: finance, employment commitments, family and carer responsibilities, academic pressures and coping with student life, all impact on a student’s mental health. Higher Education Institutions (HEI) offer support services to students, for both moral and legislative reasons. This article explores from the academic literature, the factors that students face, and how HEI support students with mental health issues. The analysis uses a UK university to investigate how support is incorporated in practice. It further recommends a research project should be undertaken, into level 4 students, and their perceptions of MHI in students, and support services provided by HEI. From the finding of this research more effective ways of engagement with students can be considered.
    • The impact of personalisation on people from Chinese backgrounds: qualitative accounts of social care experience

      Partridge, Martin; Irvine, Fiona; Yeung, Echo; Simcock, Peter (Wiley, 2016-09)
      The limited research that considers people from black and minority ethnic communities experiences of personalisation tends to focus on personal budgets rather than personalisation per se. This article provides an opportunity to hear the voices of people from Chinese backgrounds and their experiences of personalisation. The study used individual semi-structured interviews and focus groups to collect data from physically disabled people from Chinese backgrounds who lived in England, were aged between 18 and 70, and received social care. Data were analysed using an iterative and thematic approach, with early analysis informing the subsequent analytical rounds. The findings reveal that personalisation has the potential to transform the lives of people from Chinese backgrounds, especially when tailored support is available for people to understand and access personal budgets and put them to creative use. However, the impact of personalisation is barely evident because few eligible individuals access personal budgets or participate in coproduction. This is related to a lack of encouragement for service users to become genuine partners in understanding, designing, commissioning and accessing a diverse range of social care services to meet their cultural and social care needs
    • Meta analysis investigating the efficacy of drug treatment and non drug treatment of depression in patients with brain injury

      Bellingham-Young, Denise; Kashif, Mohammed (Journal of Health and Social Care Improvement, 2015-03)
      Objectives: Brain injury may cause different physical and psychological problems, with depression being one of the commonest illnesses associated with brain injury. The aim of this research study is to analyse the effectiveness of non-pharmacological therapies in the treatment of depression in patients following brain injury. Study Design: This is a meta-analysis comparing pharmacological and non-pharmacological treatment of depression in patients with brain injury. Methods: Electronic data-base search, hand searching of journals and snowballing method was used to collect relevant data for the study. The only studies that have focused on treatment of depression in brain injury patients between the age of 16 - 64 years were included in this research. Results: Data analysis indicated that both modes of treatment are effective. There was no significant difference between pharmacological studies (pooled effect size d+ value is -0.37) and non-pharmacological studies (pooled effect size d+ value of -0.48). Test for heterogeneity is significant for both sets of data and no publication bias is detected for included studies. Conclusion: The results of the study suggest there is no difference in the efficacy of alternative therapies and pharmacological treatments for depression in patients with brain injury.
    • Success of a sports-club led-community X-PERT Diabetes Education Programme

      Morgan, Angela; Drew, Dee; Clifford, Angela; Hull, Katrina (Routledge: Taylor and Francis Group, 2016-04-21)
      This study examined the effectiveness of a sports-club-led X-PERT Diabetes Programme, measuring changes to participants’ physical condition, knowledge of diabetes, psychological well-being, activity level, diabetes self-management and participants’ rating of the programme. In this mixed-method, repeated measures evaluative study, data were gathered at baseline (T0), six weeks (T1) and 6 months (T2) using the Diabetes Health Profile, General Practice Physical Activity Questionnaire, Diabetes Empowerment Scale – Short Form, Participant Evaluation Questionnaire and focus groups. Over three years, 260 individuals with type 2 diabetes provided data for the evaluation. The sports-club-led X-PERT Diabetes Education Programme was successful in achieving its targets with improvement in clinical outcomes including significant reductions in BMI, waist circumference, total cholesterol, LDL cholesterol, triglycerides and glycated haemoglobin by T2. Positive changes were also evident in relation to participants’ health profile, self-management and empowerment. This study illustrates the important role that European sports stadia can play in community health through delivering targeted programmes beyond general health promotion activities.
    • The attitudes of student nurses towards obese patients: A questionnaire study exploring the association between perceived causal factors and advice giving.

      Nicholls, Wendy; Pilsbury, Linda; Blake, Marcia; Devonport, Tracey J (Elsevier, 2015-11-14)
      Nurses acting in primary care roles are central in addressing obesity as a public health priority. Nurses with a lower Body Mass Index have been shown to have negative attitudes towards obesity. Additionally, where the patient is perceived as being responsible for their excess weight, a negative attitude may also be held. The extent to which negative attitudes may influence the advice provided by nurses to obese patients is unknown.
    • Policy Responses to Honor-Based Violence: A Cultural or National Problem?

      Eshareturi, Cyril; Lyle, Christine; Morgan, Angela (Taylor & Francis, 2014-04-30)
      The UK government has consistently sidelined honor-based violence from mainstream political discourse and has chosen to present the issue as a problem that is embedded in the culture of minority communities. This inevitably leads to a sense of heightened cultural sensitivity and the pressure to be viewed as culturally competent. It is argued that for honor-based violence to be managed effectively, it must first be dissociated from culture and from mainstream domestic violence discourse and recognized as a national problem that requires serious and specific policy intervention. Although it is acknowledged that all policy responses to complex social problems should reflect multicultural sensitivity, we argue in this critical review that this should not become an excuse for nonintervention.
    • The experiences of orthopaedic and trauma nurses who have cared for adults with a learning disability

      Drozd, Mary; Clinch, Christine (Elsevier, 2015-09)
      Background There is no published empirical research about the experiences of orthopaedic and trauma nurses who have cared for people with a learning disability, however adults with a learning disability sustain more injuries, falls and accidents than the general population and because of their increased health needs there has been a corresponding increase in their numbers attending general/acute hospitals. The 6 C's is a contemporary framework and has been used to gauge how orthopaedic and trauma nurses rate the Care, Communication, Competence, Commitment, Courage and Compassion for patients with a learning disability in orthopaedic and trauma hospital settings compared to patients without a learning disability. Aim The aim of the study was to explore the experiences of orthopaedic and trauma nurses who have cared for people with a learning disability. Design The study is based on a descriptive survey design and used a questionnaire to elicit data from participants. Methods Thirteen Registered Nurses completed a questionnaire. The study was explained to delegates attending a concurrent session on the topic of acute hospital care for people with a learning disability at a conference and the questionnaire was left on a table for participants to take if they wished. Potential participants were asked to return the questionnaire in a pre-prepared enveloped to the reception area of the hotel where the conference was held by the end of the 2 day conference. It was a convenience sample. Findings All participants that completed the questionnaire 100% (n=13) had cared for a patient with a learning disability. Using the 6 C's as a framework suggested that care, communication and competence of nurses were worse for people with a learning disability than for people without a learning disability. 3 main themes emerged regarding areas of good practices, 1. Promoting a positive partnership with patients and carers; 2. Modifying care and interventions; 3. Supporting the healthcare team. Conclusion There was evidence of good practices within orthopaedic and trauma settings such as the active involvement of family or a paid carer who is known to the patient and the modification of care and interventions along with specialist advice and support from the Acute Liaison Learning Disability Nurse. There were areas of concern such as the lack of use of Hospital Passports and the inconsistent implementation of reasonable and achievable adjustments. Alongside this it is unknown if the care for patients with a learning disability is adequate. However, the themes that have emerged accord with the key domains in ‘A competency framework for orthopaedic and trauma practitioners’ (RCN 2012) and therefore could be considered for inclusion in future orthopaedic and trauma competencies to enable sharing of best practices.
    • British English translation of the Food Craving Inventory (FCI-UK).

      Nicholls, Wendy; Hulbert-Williams, Lee (Elsevier, 2013-08)
      There is evidence for cultural variation in the foods that may be craved. We have designed and tested, in a sample of 234 participants, a UK-specific version of the Food Craving Inventory. A four-factor structure comprising of sweet foods, fast foods, high fat, and complex carbohydrates was extracted. The final scale was analogous with the original US scale, and shared similar associations with external eating and dietary restraint, although no association was found with BMI. The measure has potential to contribute to the development of theoretical understanding of food craving, and to measuring outcomes in intervention studies and clinical samples.
    • Mission impossible? Critical practice in social work.

      Stepney, Paul M. (Oxford: Oxford University Press, 2006)
      In recent years, the capacity of social work to be a force for progressive policy and social change has been significantly eroded. Social work in the UK has been re-branded and reshaped within New Labour’s modernized welfare state, only to become politically compromised and compliant: ‘the dog that didn’t bark’ even when its soul appeared to be stripped out. This article offers a response to this predicament informed by a structural modernist analysis revitalized by elements of critical postmodernism (Fook, 2002). Without wishing to offer any definitive prescriptions, the concept of critical practice is worthy of consideration, as it offers the potential for combining the role of protection with prevention whilst embodying possibilities for critical reflection and change. This became the focus of a recent conference organized around the theme of celebrating social work (Torfaen, 2002). Further, it offers practitioners a means for critical engagement with the issues that lie at the root of injustice and exclusion, to develop a more emancipatory approach, whilst resisting pressures for more enforcement and control.
    • Mental Health, Social inclusion and the green agenda: an evaluation of a land based rehabilitation project designed to promote occupational access and inclusion of service users in North Somerset, UK.

      Stepney, Paul M.; Davis, Paul (New York: Haworth Press, 2005)
      The current debate about social inclusion in the field of mental health reveals a tension between the political and economic objectives of social policy. The former utilises the language of citizen empowerment and rights, whilst the latter is concerned with reducing welfare dependency through labour market activation. A central question here is whether a suitable programme of therapeutic work, training and support will produce better outcomes than those predicted by either a clinical diagnostic assessment or indeed open employment in the labour market. This article evaluates a research project with mental health users designed to develop pathways towards inclusion. The principal means for achieving this was a programme of 'green' land-based activities, training and social support. The researchers employed a mixed method approach, utilising a quasi-experimental design with a hypothetical control and standardised testing. This was followed by interviews with users, staff and focus group discussion. The evaluation produced some unexpected findings; for example, it was found that no strong correlation existed between diagnosis and performance. Many users performed better than had been predicted by their diagnostic assessment. However, the reasons for this remained unclear until the qualitative interviews enabled users to give accounts of the problems they faced, explain what inclusion meant for them, and outline how the project had brought gains in confidence, motivation and self belief. The data gathered during the research derived from different epistemological positions. This can be seen as representing two ways of 'slicing the reality cake' rather than producing one complete view of mental health users reality. One construction related to how 'the system' diagnosed, processed, and 'objectively' managed them. The other was about how users' responded to their situation, utilised the opportunities available, and made 'subjective' sense of their experience.
    • Social Work and the Community: a critical context for practice.

      Popple, Keith; Stepney, Paul M. (Basingstoke: Palgrave Macmillan, 2008)
      How important is the notion of community to skilled social work? This book explores how the concept relates to policy, theory and professional practice. With analysis of contemporary social problems throughout a variety of community settings, this book demonstrates how important community-based approaches are to all social workers today.
    • Hospital discharge and the citizenship rights of older people: will the UK become a test-bed for Europe?

      Ford, Dierdre; Stepney, Paul M. (Carfax (Taylor & Francis), 2003)
      The authors are both experienced social workers and teachers in the field of community care. They draw on their UK and European experiences as well as the growing body of research on hospital discharges of older people to illustrate how citizenship rights and social justice cannot be upheld without ethical good practice in this field. Community Care in the UK now contains in-built tensions and potential conflicts between health and social services staff over continuing care. Entitlements and ethical considerations can be obscured by the economic interests of the agencies involved. These developments which are already evident in other European welfare states provide a warning to Eastern Europe about the dangers of importing managerial and market principles into the field of care for older people. Research evidence supported by case studies is used to illustrate how rights to health care and even human rights can be overridden when policies of cost containment combined with efficiency targets begin to shape decisions about care. Further, the recent proposal to fine UK social services departments 100 (140 Euros) per day for delayed discharge will only exacerbate the problem. The authors argue that research can provide guidance on the essential elements for good practice in inter-professional work, especially concepts of well-being that include justice, fairness, participation and autonomy to counteract the jeopardised citizenship of older people.
    • The Sexual Health of Men

      Serrant-Green, Laura; McLuskey, John (Radcliffe Publishing, 2008)
      This challenging critique explores the current constraints and opportunities for addressing and promoting the sexual health of men. It redresses the balance between society's traditional views and expectations of men's sexual health, compared to the sexual health of women. The wide-ranging approach critically considers all aspects of sexual health, including historic developments, social considerations, personal issues and political climates. (Radcliffe Publishing)
    • Developing Culturally Sensitive Skills in Health and Social Care with a Focus on Conducting Research with African Caribbean Communities in England

      Higginbottom, Gina Marie Awoko; Serrant-Green, Laura (Nova Southeastern University, 2005)
      Researchers may not feel equipped to conduct qualitative research with ethnic minority communities in England because they may lack of culturally sensitive research skills. The aim of this paper is to explore how researchers might integrate culturally sensitive research skills into their work. This paper draws on our own experiences of conducting research with African Caribbean communities in England, and from workshops we facilitated with researchers and community representatives. The purpose of the workshops was to establish the most pertinent issues in conducting research with ethnic minority communities in England. We gathered data from the participants and created themes based on the discussions: establishing the need for an inclusive approach to research, issues around recruitment, respecting cultural norms, and dealing with disclosure