Search results

The purpose of this paper is to describe Norfolk and Suffolk NHS Foundation Trust's journey of developing more recovery-focused services from two perspectives: that of the Trust project lead for recovery and that of a Recovery College Student and Peer Support Worker.

First person, narrative account from the Trust project lead for recovery and that of a Recovery College Student and Peer Support Worker.

Reflective account describing process and progress made towards establishing a Recovery College and Peer Support Worker Posts in Clinical Teams.

An original viewpoint on the process of developing more recovery-focused services.

AT this time of the year librarians take their holidays. They will need the break this year as much as in any year since the end of the war. There are many problems to be faced in the autumn and winter, among them the continuous rising prices of everything, and the diversion of public funds to rearmament, which must have some repercussions upon the library service. Whether it is yet a fact that the pound is worth little more than five shillings in real money, we are not prepared to say, but it is certain that every cost has increased, and is continuing to increase. Especially is this so in connection with book production and bookselling; even, as our correspondent on another page suggests, in some cases the royalties of authors are in jeopardy. How far this will go it is impossible to say. At the same time the rates everywhere promise to increase still further, and in spite of the advances, it is unlikely that libraries will be exempt from the stringencies of the time. Such predictions have, however, been frequently contradicted by our past experience. Some of the real advances libraries have made have seemed to be the direct result of bad times. This is hardly a holiday meditation, but we think our readers will need all the physical and mental refreshment they can get before they face the possibilities that may follow.

The purpose of this paper is to report on the decision process that the authors follow in applying mixed methods research to evaluate the benefits and costs of conducting sponsored clinical trials in a publicly funded New Zealand hospital.

A simultaneous parallel mixed method design was adopted. This design builds on a health outcomes study that involves a retrospective cohort study of changes in participants' health status and mortality rates. Although a team of medical researchers conducted that study (i.e. the current authors were not involved), it is one of the three strands of the current research as it forms the platform for the other two strands, namely the multiple stakeholder perception strand and the economic outcomes strand. In the multiple stakeholder perceptions strand, qualitative methods were used to explore the benefits and costs perceived by stakeholders. In the economic outcomes strand, quantitative methods were used to estimate the benefits and costs of clinical trials.

The economic outcomes strand and the multiple stakeholder perceptions strand are complementary. Each strand delivers dimensions to the analysis that are not apparent from the other.

The value of the paper lies in improved understanding of the process of mixed method research through communicating choices and decisions made in response to the challenges faced.