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Nursing

Permanent URI for this collectionhttps://eresearch.qmu.ac.uk/handle/20.500.12289/24

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    Involving Older People: lessons for Community Planning.
    (Scottish Executive Social Research, 2004) Dewar, Belinda; Jones, C.; O'May, Fiona; Scottish Executive Social Research; CoSLA
    The study was commissioned by the Scottish Executive and CoSLA to provide information about the current ways in which older people are involved in the planning, delivery, monitoring and evaluation of public services throughout Scotland, and to draw some lessons for the future involvement of older people in the Community Planning process.
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    Contextual effects in suicidal behaviour: evidence, exploration and implications.
    (Oxford University Press, 2005) Platt, S.; Pavis, S.; Sharpe, M.; O'May, Fiona; Hawton, K.
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    Bolder and Wiser: Participatory Appraisal for Older People.
    (Queen Margaret university College, 2005) O'May, Fiona; Petrie, M.; Wilsdon, D.
    NHS Health Scotland funded The Royal Bank of Scotland Centre for the Older Person’s Agenda to offer a further course with older people on developing participatory appraisal skills, following the successful course run in May and June 2004. Participatory approaches to research, learning and action can help people to find out about issues in their own communities and to develop solutions with their local communities to bring about change. The use of this approach demonstrates an understanding that older people are the best experts – they are wiser - about the problems that face older people. It enables the initiation of peer research and community solutions by older people themselves. Participatory appraisal also encourages people to be bolder - to take action and to speak out about the issues that concern them. This Bolder and Wiser course was held during June of 2005. The aim of the course was to engage older people in a participatory appraisal process which is enjoyable, wholly accessible and stimulates ongoing interest and involvement in research and development activity. The objectives of the course were: 1. To identify key issues of concern for older people that can be investigated further using participatory appraisal methods. 2. Offer experiential and practical training in participatory appraisal principles and methods. 3. Develop the confidence and skills of older people to use at least five participatory appraisal methods to engage in peer research, learning and action. 4. Take the first steps towards establishing a network of older people who are adequately prepared to engage in research and development work. This report summarises the Bolder and Wiser course, giving an outline of activities, and identifying learning. Challenges and outcomes are summarised, and recommendations for further work with this group, as well as for any similar courses in the future, are presented.
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    External evaluation of the Dumfries and Galloway Better Neighbourhood Services Fund (BNSF) Vulnerable Older People's Pathfinder.
    (Queen Margaret University College, 2005) Newall, Elinor; Gilloran, Alan; O'May, Fiona; Donaldson, Caroline
    In January 2001, the Better Neighbourhood Services Fund (BNSF) was set up by the Scottish Executive to enable local authorities and their community planning partners to improve services in Scotland in accordance with the Social Justice initiative. Twelve local authorities were asked to put forward strategies for the delivery of better services within neighbourhoods in their pathfinder area. Dumfries and Galloway council developed a strategy for older people called the Vulnerable Older People Pathfinder (VOPP), known locally as ‘Guid Services for Older Folk’, which was funded by BNSF for a three year period. The VOPP, together with the Scottish Executive, developed a Local Outcome Agreement (LOA), with a headline aim, or outcome, to: “Enable more vulnerable people to stay living in their own homes for longer, by increasing the range, quality and accessibility of preventative services”. To that end BNSF has funded a number of projects providing preventative services for older people. This approach is underpinned by a wealth of research that highlights the benefits of low-level preventative services to older people’s quality of life (e.g. Clark,et al. 1998).
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    Direct payments: the views of older people from rural communities and ethnic minority groups.
    (Queen Margaret University College, 2005) Dewar, Belinda; O'May, Fiona; Donaldson, Caroline
    The origins of the direct payments scheme lie with the Disabled People’s movement and the revolutionary idea of providing disabled people with cash to pay directly for their assessed care and support needs. Authorisation was given in 1997 to local authorities in England to offer cash payments to purchase care and support services through the implementation of The Community Care 1996 (Direct Payments) Act. This scheme was initially restricted to those aged between the ages of 18-65 years. However since February 2000 (July 2000 in Scotland) this has been extended to include disabled people aged 65 and over, and further expanded in 2001 to include young disabled people between the ages of 16 and 18 years. Prior to the implementation of the Community Care Act, procedures following a community care assessment placed the local authority in complete control regarding arranging and coordinating an individual’s care package. The local authority arranged when and where services were provided, and who would provide them. The direct payments scheme could offer an alternative, more flexible approach, with the potential to empower individuals choosing to opt into this scheme. Individuals in receipt of direct payments have control in making arrangements for the provision of services that work with their lifestyle as opposed to their lifestyle ‘fitting around’ local authority organised care and support services. Direct payments position the individual at the centre of control for their own service provision. Initially, direct payments as a scheme was relaxed and local authorities were not obliged to offer direct payments as an alternative to everyone. However, since April 2003 (June 2003 in Scotland), local authorities are now obliged to offer direct payments to all those eligible. Key criteria for eligibility to opt into this scheme are that direct payments in the form of cash can only be offered to those deemed able to consent and manage the direct payment, either alone or with support
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    Binge Drinking: a Commentary.
    (Nova Publishers, 2009-03) Gill, Jan; Murdoch, J.; O'May, Fiona; DiGuarde, Kevin I.
    Binge drinking is now usually used to refer to heavy drinking over an evening or similar time span - sometimes also referred to as heavy episodic drinking. Binge drinking is often associated with drinking with the intention of becoming intoxicated and, sometimes, with drinking in large groups. It is sometimes associated with physical or social harm.
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    Healthcare graduates for the 21st century; Knowledge and attitudes relating to alcohol and brief interventions.
    (2009-11-27) Gill, Jan; Nicol, Maggie; Gibson, Caroline; O'May, Fiona
    Final year students studying a variety of healthcare courses (involving inter-professional education), at six Scottish universities completed a questionnaire (spring 2009). While changes in current health policy endorse graduate attributes promoting shared responsibility, an overlapping of roles, analysis of findings revealed differences between the professions in terms of level of understanding of health guidelines, acceptance of role and perceived confidence in personal knowledge relating to alcohol misuse. Two professions were predominantly viewed as key to this area of practice only by their own students (OT and pharmacy) while three (speech and language, radiography, dietetics) doubted the importance of their role.
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    New Role, New Country: introducing US physician assistants to Scotland
    (BioMed Central, 2007-05-04) Buchan, James; O'May, Fiona; Ball, Jane
    This paper draws from research commissioned by the Scottish Executive Health Department (SEHD). It provides a case study in the introduction of a new health care worker role into an already well established and mature workforce configuration It assesses the role of US style physician assistants (PAs), as a precursor to planned piloting of the PA role within the National Health Service (NHS) in Scotland. The evidence base for the use of PAs is examined, and ways in which an established role in one health system (the USA) could be introduced to another country, where the role is new and unfamiliar, are explored. The history of the development of the PA role in the US also highlights a sometimes somewhat problematic relationship between P nursing profession. The paper highlights that the concept of the PA role as a 'dependent practitioner' is not well understood or developed in the NHS, where autonomous practice within regulated professions is the norm. In the PA model, responsibility is shared, but accountability rests with the supervising physician. Clarity of role definition, and engendering mutual respect based on fair treatment and effective management of multi-disciplinary teams will be pre-requisites for effective deployment of this new role in the NHS in Scotland.