Browsing by Person "Rhodes, Jenna"
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Item ''It sounded a lot simpler on the job description'': A qualitative study exploring the role of social prescribing link workers and their training and support needs (2020)(Wiley, 2021-03-24) Rhodes, Jenna; Bell, SadieSocial prescribing is an increasingly popular approach to promoting health and well‐being, by addressing the wider determinants of health such as physical inactivity, social isolation and financial insecurity. Social prescribing link workers (SPs) connect people to local, non‐clinical services. As part of the NHS Long Term Plan, NHS England aims to recruit 1,000 SPs across England by 2021. Understanding the role of SPs, including challenging aspects of the role and the types of training and support needed by SPs is crucial to optimising the effectiveness of social prescribing. Semi‐structured qualitative interviews were conducted with nine SPs from five NHS and voluntary sector organisations in London to explore the role of SPs and identify SP training and support needs. Interviews were analysed thematically and three key themes emerged for which SPs needed particular support: defining and promoting their role; supporting clients with complex needs and coping with the emotional demands of their role. SP perceptions of training and future training needs is presented as a fourth theme. Most SPs felt that the initial training received for their role did not prepare them for the most demanding aspects of their roles. The findings of this study support the assertion that the social prescribing link worker role is complex and challenging. SPs are required to have in‐depth knowledge of local services, which is built over time and makes retention in the role of high importance. Steps have been taken to develop online resources to support SPs, however, there may be a need for more comprehensive training, especially in mental health. SPs benefit from access to peer or one‐to‐one support to help them manage the emotional demands of the role and could benefit from the formation of local networks, especially for SPs working in isolation.Item Level of diagnostic agreement in musculoskeletal shoulder diagnosis between remote and face‐to‐face consultations: A retrospective service evaluation(2024-04-21) Cockburn, Louise; Baer, Gill; Rhodes, JennaBackground and Aims: To determine the level of diagnostic agreement between remote and face‐to‐face consultation in assessing shoulder complaints. Methods: A retrospective service evaluation with three groups of patient data; those assessed only face‐to‐face (group 1), remotely then face‐to‐face (group 2), remotely only (group 3). Patient data were extracted from 6 secondary care shoulder Advanced Physiotherapy Practitioner's (APPs) records, covering six sites. Three‐hundred‐and‐fifty‐nine sets of patient data were included in the final evaluation. The main outcome measure was the percentage of agreement between diagnosis at initial and follow‐up consultation, when assessed by APPs across the three groups. A Pearson χ2 test was used to assess the relationship between the method of consultation and the level of diagnostic agreement. Diagnoses were categorized as either the same, similar, or different by an independent APP. Secondary outcome measures investigated whether age or the length of time between appointments had any effect in determining the level of diagnostic concordance. Results: There was exact agreement of 77.05% and 85.52% for groups 1 and 3, respectively, compared with 34.93% for patient data in group 2. Similar clinical impressions across both initial and follow‐up were seen 16.39% of the time in group 1, 7.24% of the time in group 3, and 36.99% in group 2. Lastly, the percentage of times a diagnosis was changed between initial and review appointments occurred in only 6.56% of group 1 contacts, 7.24% of group 3 contacts, but 28.08% of the time in group 2. Conclusion: There was a large mismatch in the diagnosis of musculoskeletal shoulder complaints, when patients are initially assessed remotely and then followed‐up in‐person. This has implications for the future provision of shoulder assessment in physiotherapy.Item Promoting wellbeing in physiotherapy students on placement: The Placement Wellbeing Project. A pilot study.(Coventry University, 2024-06-28) Rhodes, Jenna; Gill, Louise; Thoms, AliciaBackground The current healthcare workforce crisis in the United Kingdom has highlighted the need to equip graduates with the skills to maintain their personal wellbeing whilst working in increasingly pressurised environments. The Placement Wellbeing Project is an intervention designed to support the wellbeing of physiotherapy students during their studies, while on placement and as they enter the workforce. Methods This project used a single group, repeated measures design. A convenience sample of 14 participants were recruited and provided with the Placement Wellbeing Toolkit (PWT) and took part in pre-placement facilitated group discussions and a post-placement de-briefing session. Outcomes measured were perceived coping abilities and self-efficacy, using the Placement Coping Scale (PCS) and the General Self-Efficacy Scale (GSE). The PCS was measured on recruitment, before and after placement and the GSE on recruitment and after placement. Results Significant improvements were observed in the total PCS score (Friedman's test χ2(2) = 19.75, p<0.001) and all individual items of the PCS from baseline to post-placement. Post hoc analysis detected significant improvements between baseline and pre-placement total PCS scores (p = 0.005). Total GSE scores improved significantly from baseline to final measure (Wilcoxon sum-rank test Z = 2.105, p =0.035). Conclusion To develop a resilient future workforce, students should be supported to prepare for a variety of placement challenges and supported to maintain their wellbeing on placement. The results of this study indicate that physiotherapy students may benefit from interventions to develop positive coping strategies for placement.