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Abstract

Details

Journal of Integrated Care, vol. 22 no. 3
Type: Research Article
ISSN: 1476-9018

Article
Publication date: 16 June 2014

Juliet MacArthur

The purpose of this paper is to explore the concept of brokerage as a vehicle for integrating research and practice within the mentor role in the Practitioner Research: Older…

1656

Abstract

Purpose

The purpose of this paper is to explore the concept of brokerage as a vehicle for integrating research and practice within the mentor role in the Practitioner Research: Older People Programme.

Design/methodology/approach

The main component is a reflective analysis of the experience of mentoring three practitioners working within an NHS acute hospital environment.

Findings

Mentors played a key role integrating research into the practitioner ' s work environment as well as supporting achievement of the programme objectives. Personal reflection highlighted four components: being a research advisor; supporting the practitioner; quality assuring the process; and championing practitioner-research. A key element linking each of these components was that of being a knowledge broker, which accorded with the concept of “boundary-spanning”, whereby the practitioners fulfilled a new role of being both practitioners and researchers. Mentors adopted different approaches, which were partly influenced by geographical proximity and their relative position in the partner organisation.

Practical implications

Mentors fulfil a crucial role brokering the worlds of research and practice and need to be able to tailor their support to individual needs.

Originality/value

The notion of brokerage as a way of integrating the practitioner-researcher role is a useful way to conceptualise the mentor role.

Details

Journal of Integrated Care, vol. 22 no. 3
Type: Research Article
ISSN: 1476-9018

Keywords

Article
Publication date: 16 June 2014

Rebecca Gamiz and Abenet Tsegai

The purpose of this paper is to look beyond the data and findings of a joint practitioner-research project to illustrate how joint practitioner-research can influence practice and…

807

Abstract

Purpose

The purpose of this paper is to look beyond the data and findings of a joint practitioner-research project to illustrate how joint practitioner-research can influence practice and stimulate meaningful partnership working from the bottom up within a social care setting. The impact of this integrated approach to practice and learning can enable improved outcomes for people.

Design/methodology/approach

The authors outline the research and explore the reflective process underlying the project including the subsequent phase of implementation. This examines what the authors, as practitioner-researchers, understood from the practice, heard from carers and fellow workers, and learnt from each other.

Findings

The authors consider the project in the wider context of evidence-based practice. Key enablers and challenges are identified to the production of joint practitioner-research and more broadly to outcomes for carers. The authors also examine the reflective process of joint working between individuals and the impact this can have on facilitating integrated working, at both a practice and service level.

Originality/value

The learning from this project evidences the value of meaningful joint working between practitioners and the impact this can have at different levels of integration. It also looks beyond the practitioner-research project to the stages of implementing findings and planning for ongoing joint working. It is therefore pertinent to many organisations looking to integrate and orientate towards a focus on outcomes for people.

Details

Journal of Integrated Care, vol. 22 no. 3
Type: Research Article
ISSN: 1476-9018

Keywords

Article
Publication date: 16 June 2014

Abenet Tsegai and Rebecca Gamiz

The purpose of this paper is to explore the role of carers as coordinators of care in their own right. It outlines how statutory and voluntary agencies can work together to…

1688

Abstract

Purpose

The purpose of this paper is to explore the role of carers as coordinators of care in their own right. It outlines how statutory and voluntary agencies can work together to support carers in this role, yet also help them work towards personal outcomes to sustain their own quality of life. It also proposes that approaches to working with carers can reveal lessons for integration.

Design/methodology/approach

The research analysed data from focus groups and document analysis to examine how carers and professionals experienced two different approaches to engaging with carers: the Midlothian carer ' s assessment and VOCAL ' s outcomes focused approach. From this, several themes emerged which are relevant to the current debate on integration.

Findings

Carers were found to be key co-ordinators of care who play a role in the integration of services. Approaches to working with carers can better enable personal outcomes, and integrate carers as equal partners. In addition, improved integration between services can also improve outcomes for carers.

Research limitations/implications

Approaches to working with carers should be carer and outcome focused, and partnership working can mean that carers feel more empowered and included. This helps to achieve personal outcomes, as well as enhance integrated working between other services. However, differentiation between services might, in places, contribute to better outcomes for people.

Originality/value

This paper shifts the focus of integration to look the role of carers as equal partners, and also illustrates how statutory and voluntary services can work better together, while preserving their distinct identities.

Details

Journal of Integrated Care, vol. 22 no. 3
Type: Research Article
ISSN: 1476-9018

Keywords

Article
Publication date: 16 June 2014

Janice Caine

The purpose of this paper is to reflect upon the method of using a participatory action research (PAR) approach and offer some insight into the processes of integrated working…

4725

Abstract

Purpose

The purpose of this paper is to reflect upon the method of using a participatory action research (PAR) approach and offer some insight into the processes of integrated working with service users and carers. The Public Bodies (Joint Working) (Scotland) Bill, 2013 (The Scottish Government, 2013) is focused on integrated and partnership working within the systems of health and social care. The author begins with a person-centred approach and explore the value of placing service user engagement for successful integrated practice. Through these reflections on PAR, the author offers some new lessons about what integration means to practitioners at the front line of service delivery.

Design/methodology/approach

This paper offers insights from a practitioner-research project which the author conducted within the author ' s own practice. It is a reflection on the process of using PAR with five people with dementia and their carers in a research project on the use of music to increase wellbeing for both the person with dementia and their carer. PAR helps to gain service user views but supports service users and providers to work in an integrated way.

Findings

This paper offers insights from a practitioner-research project which the author conducted within the author ' s own practice. It is a reflection on the process of using PAR with five people with dementia and their carers in a research project on the use of music to increase wellbeing for both the person with dementia and their carer. PAR helps to gain service user views but supports service users and providers to work in an integrated way.

Originality/value

A person-centred approach to service user participation in the research process has valuable insights for the integration of service users in the design and delivery of health and social care. The insights offered here highlight the complex processes which make-up effective engagement with service users and carers. It offers concrete details on the challenges which practitioners may face when they work to integrate service users and carers into the planning process. It also highlights the benefits of shared problem-solving and control. Practitioners already play an invaluable role in providing integrated care. This paper serves a reminder of much of what we already know and do. It also asks us to reconsider the focus of integration as a person-centred process.

Details

Journal of Integrated Care, vol. 22 no. 3
Type: Research Article
ISSN: 1476-9018

Keywords

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