Nursing
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Item Indicators of integration: a conceptual analysis of refugee integration (version 5.7): a report to the Home Office on behalf of Michael Bell Associates(Queen Margaret University, 2001) Ager, Alastair; Strang, Alison; O'May, Fiona; Garner, PaulItem Involving Older People: lessons for Community Planning.(Scottish Executive Social Research, 2004) Dewar, Belinda; Jones, C.; O'May, Fiona; Scottish Executive Social Research; CoSLAThe 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.Item Contextual effects in suicidal behaviour: evidence, exploration and implications.(Oxford University Press, 2005) Platt, S.; Pavis, S.; Sharpe, M.; O'May, Fiona; Hawton, K.Item 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.Item 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, CarolineIn 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).Item 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, CarolineThe 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 supportItem Survey among small businesses in Scotland of the levels of adoption and views regarding workplace alcohol and drug policies. A report to the Scottish Centre for Healthy Working Lives, commissioned by Alcohol Focus Scotland.(Queen Margaret University, 2008-12) Gill, Jan; O'May, Fiona; Maclean, FionaItem 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.Item 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, FionaFinal 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.Item White Cider Consumption and Heavy Drinkers: A Low-Cost Option but an Unknown Price(Oxford Journals, 2014) Black, Heather; Michalova, L.; Gill, Jan; Rees, C.; Chick, Jonathan; O'May, Fiona; Rush, Robert; McPake, BarbaraAims: To compare characteristics of heavy drinkers who do, or do not, drink white cider during their typical drinking week and to contrast white cider drinkers' behaviour with a similar group recruited in comparable settings 4 years previously. To consider if excessive white cider consumption poses a specific health risk. Methods: Cross-sectional survey of alcohol purchasing and consumption by heavy drinkers consuming white cider in Edinburgh and Glasgow during 2012; comparison of purchasing patterns within Edinburgh in 2008-2009 and 2012. Participants were 639 patients (in- and out-patient settings) with serious health problems linked to alcohol, 345 in Glasgow, 294 in Edinburgh in 2012, and 377 in Edinburgh in 2008-2009. Results: In 2012 white cider consumption was reported by 25% of participants (median consumption (all alcohol) was 249 UK units per week-1 UK unit being 8 g of ethanol). They were more likely to be male and younger. They drank more units of alcohol than non-white cider drinkers and reported more alcohol-related problems. The median price paid for white cider in 2012 was 17 ppu. The period 2008-2012 was associated with decreasing affordability of alcohol, but consumption levels amongst the heaviest drinkers were maintained, associated with an increased proportion of units purchased as white cider. Conclusion: White cider makes an important contribution to the weekly intake of heavy drinkers in Scotland, likely facilitated by low price per unit of alcohol. We suggest these characteristics permit this drink to act as a buffer, supporting the continuation of a heavy drinking pattern when affordability of alcohol falls.