26 research outputs found

    ‘Having come to university my care was very much in my hands’ : exploration of university students’ perceptions of health care needs and services using common-sense model of self-regulation

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    Funding: Partial funding for this study was provided by School of Medicine and Enhancement Theme Fund from University of St Andrews.The health care needs and service experiences of higher education students require more research attention, given the increase in students who have a long-term illness, medical condition, or disability (“condition”). It is also important to consider the experiences of rising numbers of international students. This exploratory qualitative study used face-to-face interviews and the common-sense model of self-regulation to investigate students’ perceptions and coping behaviours, in a higher education institution in the UK. Thematic analysis was used to analyse the data. Twenty students who self-identified as having a condition were interviewed. This study adds depth to the understanding of the connections between students’ health-related experiences and their personal, academic, and post-graduation aspirations and the support needs of students, including international students. To optimise institutional support, innovations in partnerships with local care organisations and within the university, staff training about conditions, peer mentorship, and information outreach especially to international students, should be considered.Peer reviewe

    WHAT WORKS FOR ME? An exploration of perinatal mental health interventions in Scotland

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    This video was co-produced in a creative workshop in April 2023 with women from Home Start Dundee, exploring lived experiences of Perinatal Mental Health services in Scotland.The film was developed by Lisa Hastie, Natasha Scott, Shantel Smith, Mkenzie Walsh and Taylor Walsh and facilitated by Camila Biazus-Dalcin, Sara Cumming, Rosey Adams, Estelle Coulthard, Alison Kettles and Andrew Low.Research team:Camila Biazus-Dalcin (MIRU, School of Health Sciences)Sara Cumming (MIRU, School of Health Sciences)Albert Farre (MIRU, School of Health Sciences)Nicola Gray (MIRU, School of Health Sciences)Anna Gavine (MIRU, School of Health Sciences)Rayna Rogowsky (MIRU, School of Health Sciences)Alison McFadden (MIRU, School of Health Sciences)Rosey Adams (PND&me, Expert by experience)Maura Daly (Social Work, School of Humanities, Social Sciences and Law)Mark Smith (Social Work, School of Humanities, Social Sciences and Law)Erin Hardee (Schools Outreach Officer, School of Life Sciences)Organisations involved:Home Start Dundee, https://www.homestart-dundee.org.uk/ PND&me, https://pndandme.co.uk/ Mother, Child and Infant Research Unit (MIRU), School of Health Sciences, University of Dundee, https://www.dundee.ac.uk/mother-infant-research-unit/research School of Humanities, Social Sciences and Law, University of Dundee, https://www.dundee.ac.uk/humanities-social-sciences-law School of Life Sciences, University of Dundee, https://www.dundee.ac.uk/life-sciencesThis video was funded by the Institute of Social Sciences Research (ISSR) at the University of Dundee, https://www.dundee.ac.uk/iss

    Methods of connecting primary care patients with community-based physical activity opportunities : a realist scoping review

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    Funding: NHS Fife Endowment Fund (Grant Number(s): FIF142).Deemed a global public health problem by the World Health Organization, physical inactivity is estimated to be responsible for one in six deaths in the United Kingdom (UK) and to cost the nation's economy £7.4 billion per year. A response to the problem receiving increasing attention is connecting primary care patients with community-based physical activity opportunities. We aimed to explore what is known about the effectiveness of different methods of connecting primary care patients with community-based physical activity opportunities in the United Kingdom by answering three research questions: 1) What methods of connection from primary care to community-based physical activity opportunities have been evaluated?; 2) What processes of physical activity promotion incorporating such methods of connection are (or are not) effective or acceptable, for whom, to what extent and under what circumstances; 3) How and why are (or are not) those processes effective or acceptable? We conducted a realist scoping review in which we searched Cochrane, Medline, PsycNET, Google Advanced Search, National Health Service (NHS) Evidence and NHS Health Scotland from inception until August 2020. We identified that five methods of connection from primary care to community-based physical activity opportunities had been evaluated. These were embedded in 15 processes of physical activity promotion, involving patient identification and behaviour change strategy delivery, as well as connection. In the contexts in which they were implemented, four of those processes had strong positive findings, three had moderately positive findings and eight had negative findings. The underlying theories of change were highly supported for three processes, supported to an extent for four and refuted for eight processes. Comparisons of the processes and their theories of change revealed several indications helpful for future development of effective processes. Our review also highlighted the limited evidence base in the area and the resulting need for well-designed theory-based evaluations.Peer reviewe

    Progressing social prescribing:a recommendation for schemes involving link workers

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    New research by Kathryn B Cunningham and colleagues presents three key elements concerning the process of connection in indirect route social prescribing schemes (those involving link workers)

    Connecting primary care patients to community-based physical activity : a qualitative study of health professional and patient views

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    Funding: NHS Fife Endowment Fund Grant which was awarded as part of a larger project (FIF142).Background Inconclusive evidence supporting referrals from health professionals to gym-based exercise programmes has raised concern for the roll-out of such schemes, and highlights the importance of developing links between healthcare settings and community-based opportunities to improve physical activity (PA) levels. Aim This study aimed to identify methods, and explore barriers and facilitators, of connecting primary care patients with PA opportunities from the perspectives of both health professionals (HPs) and patients, using the example of jogs cotland. Design & setting An exploratory study utilising semi-structured interviews with primary care patients (n = 14) and HPs (n = 14) from one UK NHS board was conducted. Method Patient and HP transcripts were analysed separately using thematic analysis. Potential methods of connection were identified. The Capability, Opportunity, Motivation, behavioural (COM-B) model and theoretical domains framework (TDF) were employed to facilitate identification of barriers and facilitators for connecting primary care to community jogscotland groups. Results Three methods of connecting patients to community-based groups were identified: informal passive signposting, informal active signposting, and formal referral or prescribing. Barriers and facilitators for patient connection fell into five TDF domains for HPs and two COM-B model components for patients. Conclusion For patients, HPs raising the topic of PA can help to justify, facilitate, and motivate action to change. The workload associated with connecting patients with community-based opportunities is central to implementation by HPs. Integrative resource solutions and social support for patients can provide a greater variety of PA options and the vital information and support for connecting with local opportunities, such as jogscotland.Peer reviewe

    Why are dominant suicidology approaches failing nurses? A call for a feminist critical suicidology perspective

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    In the UK, 90% of nurses are female, a figure replicated at the global level. A significant proportion are also from the global ethnic majority (NMC, 2023; ONS, 2019). Notably, the risk of suicide among female nurses is 23% higher compared to women in other occupational groups (NCISH, 2020). Despite this significant finding, our understanding of this phenomenon remains limited, in part due to how we interpret suicide in certain contexts. This has clear implications for potential solutions

    Increasing physical activity levels:connecting primary care to community-based jogscotland groups

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    Background/purpose: Existing evidence on exercise referral schemes suggests that referral to activities based outside of the of the gym may be linked to increased attendance. We aimed to design and pilot a process of connecting patients attending primary care to community-based jogscotland groups and to examine barriers and facilitators of such a pathway for health professionals and patients.Methods: A realist scoping review of methods of connecting primary care patients with physical activity opportunities was conducted in conjunction with exploratory interviews with primary care health professionals (n=14) and patients (n=14) to investigate effective and acceptable methods of connecting primary care to community-based physical activity.Results: Three acceptable/effective methods of connection were identified from the review and interviews: 1) passive advertising; 2) formal referral or prescribing; 3) informal signposting. These three methods were then implemented in a feasibility study across NHS Fife GP practices where practices employed one of three connection pathways; poster advertisement in practice, practice issued letter to patient, verbal signposting during consultations each providing details for a local jogscotland group.Conclusions and implications: This project provided a unique opportunity to develop a partnership between primary care and community-based physical activity groups, signposting patients to a structured and volunteer-led physical activity programme in their community. Given these factors, this example of social prescribing has the strong potential of being successful in promoting behaviour change and achieving positive health outcomes for patients
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