At this point in its short history, online information retrieval possesses many of the characteristics of an art. In spite of much that is logical and orderly about it…
At this point in its short history, online information retrieval possesses many of the characteristics of an art. In spite of much that is logical and orderly about it, there are few specific rules of action or well‐defined procedures that are known to apply in all retrieval situations. Except in the simplest of cases, online searching is more uncertain and tentative than this.. It is largely guided by heuristics rather than algorithms.
This paper explores the perceptions of prisoners to the barriers and opportunities for managing long term conditions in a prison setting. A qualitative study using…
This paper explores the perceptions of prisoners to the barriers and opportunities for managing long term conditions in a prison setting. A qualitative study using semi‐structured interviews was conducted with prisoners from two local prisons in England. All the prisoners involved in the study had a long term condition and were attending an Expert Patients Programme (EPP) course, a lay‐led self care programme. A number of themes emerge from the data in relation to the impact prison has had on lifestyle and control of long term conditions. The structured prison regime allowed some to regain control over previously chaotic lifestyles but the lack of access to a healthy diet and exercise facilities as well as lack of opportunities to practice new health behaviours learnt whilst in prison, prevented a healthier lifestyle being adopted. Another main theme was in relation to the ability of prisoners to negotiate access to health care services and professionals. The study found a number of pre‐existing factors which would need to be addressed if prisoners were to become fully engaged in future health initiatives, such as EPP.
Social networks have been a central focus of sociological research on inequalities but less has focused specifically on chronic illness and disability despite a policy…
Social networks have been a central focus of sociological research on inequalities but less has focused specifically on chronic illness and disability despite a policy emphasis on resources necessary to support self-management. In this chapter, we seek to unpack overlaps and distinctions between social network approaches and research on the experience and management of chronic illness. We outline four main areas viewed as central in articulating the potential for future work consistent with a critical realist perspective: (1) body–society connections and realist/relativist tensions; (2) the controversy of ‘variables’ and accounting for social and cultural context in studying networks for chronic illness support; (3) conceptualising social support, network ties and the significance of organizations and technology; and (4) translating theory into method.
In a recent issue of JEIT, Andy and Valerie Stewart drew attention to the possible effect of recent or impending legislation on Selection and Promotions. In this article, the authors take the point a little further.
Recovery is a key organising principle underlying mental health services, but remains under-researched in primary care. The purpose of this paper is to explore what recovery from psychosis means from multiple perspectives, the role of primary care in fostering recovery, and interventions that might enhance its promotion in primary care.
A total of 20 patients who had experienced psychosis and 24 General Practitioners (GPs) with varying expressed interest in mental health participated in semi-structured interviews, and were invited to two subsequent mixed focus groups. Data were analysed using Framework Analysis.
Recovery was conceptualised by GPs without a specialist clinical interest in mental health as improvements in symptomatic outcomes, by GPs with a special interest as improvements in social or functional outcomes, and by patients as a process involving a “whole person” approach. Both GPs and patients highlighted benefits of primary care including continuity, accessibility, and the role primary care professionals can play in supporting patients’ families, and helping patients expand social support networks. Despite feeling “fobbed off” at times, patients desired a shift in responsibility for psychosis from secondary to primary care.
Reflective peer supervision meetings for GPs and patient-led training might improve primary care's ability to provide a more recovery-focused environment.
This study provided original and valuable findings regarding how GPs viewed their own role in promoting recovery from psychosis. This study also provided original findings regarding how patients viewed the role of primary care in promoting recovery from psychosis.
Purpose – This paper aims to explore the ways in which practice nurses engage in identity work in the context of chronic disease management in primary care and assess the…
Purpose – This paper aims to explore the ways in which practice nurses engage in identity work in the context of chronic disease management in primary care and assess the extent to which this is compatible with the identities promoted in government policy. Design/methodology/approach – The paper draws on qualitative interviews with nurses applying the concepts of “identity threat” and Hegel's Master‐Slave dialectic to explore the implications of nurse‐patient interdependence for identity in a policy context which aims to promote self‐management and patient empowerment. Findings – The nurses in the study showed little sign of adapting their identities in line with government policies intended to empower health care “consumers”. Instead, various aspects of identity work were identified which can be seen as helping to defend against identity threat and maintain and reproduce the traditional order. Practical implications – The paper provides information on barriers to self‐management that are likely to inhibit the implementation of government policy. Originality/value – Whilst much has been written on the extent to which patients are dependent on health professionals, the issue of professional dependence on patients has received much less attention. The paper hightlights how viewing the nurse‐patient relationship in the context of a struggle for mastery related to identity represents a departure from traditional approaches and sheds light on hitherto unexplored barriers to self‐management.
Given that current policy in the UK is focused on encouraging individuals with long-term health conditions (LTCs) to work wherever possible, the purpose of this paper is…
Given that current policy in the UK is focused on encouraging individuals with long-term health conditions (LTCs) to work wherever possible, the purpose of this paper is to explore employer’s and manager’s perspectives of supporting those with LTCs as any successful workplace engagement will largely be influenced by their readiness to be supportive.
In total, 40 semi-structured in-depth interviews were conducted with employers’ and managers’ from a range of organisations in the north-west of England during the period March 2011 to January 2012. Comparative analysis of the data was guided and informed by grounded theory principles.
All bar one participant typified their role as one of a difficult “balancing” act of additional and often incompatible demands, pressures and feelings. It was evident that coping with this ambivalent situation incurred an emotional consequence for participants.
Employers’ and managers’ response to ambivalent feelings may serve to undermine their capacity to translate supportive intentions into tangible action and are thus reflected in employee’s perceptions of unsupportive relations. Developing an intervention to raise awareness of the potential for this situation and subsequent impact on the return to work process would be beneficial for all stakeholders – the government, employees and employers alike.
This in-depth study gives voice to employers and managers whose experiences and perceptions of supporting people with LTCs is largely unknown and empirically under-researched. Findings add to the wealth of research from the employee perspective to provide a more nuanced picture of the workplace for those working with and/or supporting those with LTCs.