1,721,556 research outputs found
Creating learning environments for compassionate care (CLECC) : a programme to promote compassionate care by health and social care teams
No full textListening makes sense: understanding the experiences of older people and relatives using urgent care services in England
No full textHelp combat ageism
No full textIt is more than a decade since the National Service Framework for Older People set the goal of ending age discrimination in the NHS in England; making clear that services should be provided on the basis of clinical need, not age. However, there is growing evidence to show age is a factor in decision making about cancer treatment. Why this should be the case is complex, but it is clear that nurses with expertise in assessing and caring for older people have an important part to play in delivering the solutions
Exploring the effectiveness of action research as a tool for organisational change in health care
No full textThis paper acknowledges the similarities between action research and successful strategies for planned organizational change, and uses an action research case study to explore the extent to which democratic and participatory approaches to organizational change, such as action research, can flourish in a context of externally imposed targets, as is characteristic of the UK National Health Service. Using case study findings, the authors claim that some practice changes are possible, but that locally devised targets may not be achievable if managers' attention is distracted by other priorities or if targets are in conflict with externally set targets. The authors emphasise the value of engaging managers as well as practitioners in action research, and identify that an action research approach not only has the potential for positive organizational change, but can also provide a unique data set on how central policy translates into practice and patient outcomes. Whether or not planned change occurs, with action research there is always potential for new understandings to emerge
An action research study into the organisation of care for older people in the A&E department
No full textDignity and significance in urgent care: older people's experiences
No full textIn this paper we report the role that a sense of significance plays in the experiences of older patients in urgent care settings, and explore the factors that influence these experiences. The paper draws on findings from a UK study in which 69 patients and 27 relatives from 31 English NHS Trusts were interviewed about their urgent care experiences using semi-structured qualitative interviews. Key among the findings was that older patients experienced a diminished sense of their individual significance. Some questioned the legitimacy of their presence in the urgent care setting and believed that they mattered little in relation to other patients and the other tasks which health professionals were undertaking. The three key features of this diminished sense of significance were: the primacy of technical, medical care; an imbalance of power; and the subordination of patients’ non-medical needs. These features suggest that interventions to enhance care delivery that promotes a sense of significance will need to target practitioners and the wider organisational cultur
Achieving dignity for older people with dementia in hospital
No full textThe quality of care for people with dementia in general hospital settings has attracted widespread concern. While organisation-wide strategies are needed to address many of the issues, the nursing role is critical to articulating and promoting good practice. This article focuses on promoting dignity for older people with dementia and offers a number of strategies to help individual nurses and nursing teams reflect on and promote good practice
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