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Improving the lives of people with dementia and their carers: The Prime Minister's challenge and a challenge for us all 改善痴呆症患者及其照护者的生活:首相面临的挑战，也是我们所有人面临的挑战
Journal of care services management Pub Date : 2012-04-01 DOI: 10.1179/1750168712Y.0000000007
S. Pickup
{"title":"Improving the lives of people with dementia and their carers: The Prime Minister's challenge and a challenge for us all","authors":"S. Pickup","doi":"10.1179/1750168712Y.0000000007","DOIUrl":"https://doi.org/10.1179/1750168712Y.0000000007","url":null,"abstract":"The profile of adult social care has probably never been higher and one of the biggest questions is how to manage demographic pressures on services as resources reduce, while aiming to improve outcomes and maintain quality. One group which brings these issues into sharp focus is the rising number of people with dementia and their carers. In this particular instance we have the additional focus given by the launch of the Prime Minister's dementia challenge. The challenge seeks to move further and faster in achieving the aims of the national dementia strategy focusing particularly on creating dementia-friendly communities, improving care and health and better research. This article sets out the context for the challenge, the logic behind extending the particular objectives set out in the challenge to better encompass social care and describes the action plan put together by the champion group for improving health and care. The article goes on to suggest that while the objectives of the Prime Minister's chal...","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"6 1","pages":"3-9"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/1750168712Y.0000000007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65653717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
How do Dutch residential care homes and home care organizations improve their quality? A description of quality improvement activities and the influence of organization characteristics on quality improvement 荷兰的养老院和家庭护理机构如何提高质量?描述质量改进活动和组织特征对质量改进的影响
Journal of care services management Pub Date : 2012-04-01 DOI: 10.1179/1750168712Y.0000000004
S. W. D. Meer, Marloes Cornelissen, R. Kool, N. Klazinga, R. Huijsman
{"title":"How do Dutch residential care homes and home care organizations improve their quality? A description of quality improvement activities and the influence of organization characteristics on quality improvement","authors":"S. W. D. Meer, Marloes Cornelissen, R. Kool, N. Klazinga, R. Huijsman","doi":"10.1179/1750168712Y.0000000004","DOIUrl":"https://doi.org/10.1179/1750168712Y.0000000004","url":null,"abstract":"AbstractObjectiveThis study describes the quality improvement (QI) activities, triggers, and strategies between 2007 and 2009 of Dutch residential care homes and home care organizations. It investigates how geographical location (North, East, South, and West), type of services (residential homes, nursing homes, and home care), capacity (expressed in number of residents), and the size of the corporate structure influence the process of QI.MethodsA descriptive survey, conducted in 193 residential care homes and home care organizations. A web-based questionnaire was developed based on a literature search and an expert panel. The questionnaire was pilot tested.ResultsOrganizations reported on average 15 (s.d. 5.9) QI activities. Significant differences in the nature of QI activities and the triggers for implementation were found between the types of services, the geographical location, capacity, and the size of the corporate structure.DiscussionMost organizations implemented generic QI activities involving ma...","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"6 1","pages":"35-60"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/1750168712Y.0000000004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65653044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
The use of professional ‘agency’ social workers: some findings and recommendations from recent research in England 专业“代理”社会工作者的使用:英国最近研究的一些发现和建议
Journal of care services management Pub Date : 2011-10-01 DOI: 10.1179/175016811X13134916956840
M. Carey
{"title":"The use of professional ‘agency’ social workers: some findings and recommendations from recent research in England","authors":"M. Carey","doi":"10.1179/175016811X13134916956840","DOIUrl":"https://doi.org/10.1179/175016811X13134916956840","url":null,"abstract":"AbstractThis paper looks at some of the findings from empirical research exploring the impact of the increased use of agency staff within statutory social work sectors in England. Alongside the long-term expansion of contingent employees in the delivery of social work the article also acknowledges the more recent greater regulation of the agency social work role. Research clearly indicates that there remain both benefits and drawbacks to the use of contingent labour. Professional locum staff can provide a rapid and reliable response to ongoing staff shortages within core areas of social work; however, they can also pose potential risks and their use suggests an evasion of underlying structural problems relating to staff retention and recruitment. With more regulation of contingent staff and less demand for qualified social workers the period of expansion of professional agency employees appears to be at an end. Nevertheless at least sporadic demand is likely to always remain and the article concludes with...","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"5 1","pages":"184-189"},"PeriodicalIF":0.0,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/175016811X13134916956840","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65653189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Managing medical crises: the experiences of people affected by Motor Neurone Disease and their carers 管理医疗危机:运动神经元疾病患者及其护理人员的经历
Journal of care services management Pub Date : 2011-10-01 DOI: 10.1179/175016811X13020827976843
Jacqueline Hill, E. Wilson
{"title":"Managing medical crises: the experiences of people affected by Motor Neurone Disease and their carers","authors":"Jacqueline Hill, E. Wilson","doi":"10.1179/175016811X13020827976843","DOIUrl":"https://doi.org/10.1179/175016811X13020827976843","url":null,"abstract":"AbstractMotor neurone disease (MND) is a non-curative neurodegenerative disorder that has a rapidly progressive course. Due to the direct and indirect symptoms of the disease, people living with MND can suffer from a range of acute medical emergencies throughout the course of their illness. The majority of people are cared for at home and during an acute incident need to access crisis intervention services, i.e., out-of-hours doctors/nurses, or ambulance services. There is limited knowledge and literature on the experiences of patients and carers of using these services.This qualitative study explored the experiences of people with MND and their family carers who had accessed a crisis intervention service during a medical emergency. Semi-structured interviews were conducted with seven people with MND; five family carers, and two bereaved family carers. The majority of participants were satisfied with the service they received. Issues relating to negative experiences included a lack of clear information ab...","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"5 1","pages":"190-199"},"PeriodicalIF":0.0,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/175016811X13020827976843","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65652877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Whose risk is it anyway? Risk and regulation in an era of personalisation 这到底是谁的风险?个性化时代的风险与监管
Journal of care services management Pub Date : 2011-10-01 DOI: 10.1179/1750168712Y.0000000001
J. Glasby
{"title":"Whose risk is it anyway? Risk and regulation in an era of personalisation","authors":"J. Glasby","doi":"10.1179/1750168712Y.0000000001","DOIUrl":"https://doi.org/10.1179/1750168712Y.0000000001","url":null,"abstract":"The advent of personalisation in adult social care and beyond poses a series of questions about future risk and regulation. Will this approach make people safer by giving them greater choice and control, or could it put people at greater risk by fragmenting public services and leaving people insufficiently supported? Against this background, this paper offers a personal view based on experience of working with policy makers, managers, practitioners, and service users in health and social care. Overall, the paper argues that the current system does not keep people sufficiently safe and that personalisation – if implemented in a manner true to its underlying principles – could significantly help the situation.","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"5 1","pages":"173-183"},"PeriodicalIF":0.0,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/1750168712Y.0000000001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65653042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 14
Investing in relationships – An extract from the SCA Presidential Address, March 2011 投资于关系——摘自SCA主席演讲，2011年3月
Journal of care services management Pub Date : 2011-10-01 DOI: 10.1179/1750168712Y.0000000002
Nancy J. Hamilton
{"title":"Investing in relationships – An extract from the SCA Presidential Address, March 2011","authors":"Nancy J. Hamilton","doi":"10.1179/1750168712Y.0000000002","DOIUrl":"https://doi.org/10.1179/1750168712Y.0000000002","url":null,"abstract":"This article is an extract from a presidential address given by Nancy Hamilton of Salvation Army Housing Association to the Social Care association Annual Seminar in March 2011. Through her year of office Nancy Hamilton had come to recognize the vital importance of relationships up, down, and across the social care sector. She asserts that relationship failure is the source of demand of most social care services and action to improve their maintenance could lead to significant savings. She also recognizes the role of relationships in the provision, commission, and management of social care services","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"5 1","pages":"200-205"},"PeriodicalIF":0.0,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/1750168712Y.0000000002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65653115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dutch large-scale dementia-care environments: A village within the community 荷兰大型痴呆症护理环境:社区内的村庄
Journal of care services management Pub Date : 2011-07-01 DOI: 10.1179/175016811X13020827976681
William J. van der Eerden, Gemma M. M. Jones
{"title":"Dutch large-scale dementia-care environments: A village within the community","authors":"William J. van der Eerden, Gemma M. M. Jones","doi":"10.1179/175016811X13020827976681","DOIUrl":"https://doi.org/10.1179/175016811X13020827976681","url":null,"abstract":"The scope of this article is as follows. First, it summarizes the development of, and some characteristics of Dutch large-scale residential/nursing care homes, and dementia care, from the perspective of the changing landscape of policy on housing, home-care services, and financial priorities. Second, it provides a short description (to supplement a PowerPoint photo tour) of the largest care home in the Netherlands, designed by Herman Hertzberger, 35 years ago. It has 520 beds, and pioneered the ‘village within the community’ concept of care. The features of this prizing winning care home setting will be described as they relate to current thinking about good dementia care, and against the backdrop of concerns coming out of the pilot projects introducing ‘small-scale group living dementia care environments’. The view taken in this article is that the traditional large-scale accommodation can offer a safe and valuable home-like environment, as well as other advantages, and that there will always be a need f...","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"5 1","pages":"137-146"},"PeriodicalIF":0.0,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/175016811X13020827976681","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65652843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Improving care home design for people with dementia 改善老年痴呆症患者的养老院设计
Journal of care services management Pub Date : 2011-07-01 DOI: 10.1179/175016811X13020827976726
Fiona Kelly, A. Innes, Ozlem Dincarslan
{"title":"Improving care home design for people with dementia","authors":"Fiona Kelly, A. Innes, Ozlem Dincarslan","doi":"10.1179/175016811X13020827976726","DOIUrl":"https://doi.org/10.1179/175016811X13020827976726","url":null,"abstract":"With more people with dementia living in care homes in the UK than ever before, there is growing recognition that the design of such internal and external spaces should meet dementia friendly principles. This paper reports on one part of a study to evaluate the reliability and validity of two tools: The Design Audit Tool and the Environmental Audit Tool developed to audit how dementia-friendly internal and external environments (specifically care homes) are for people with dementia, and presents a qualitative analysis of the reports presented to care homes following each audit. Thirty care homes took part in the study to evaluate the design audit tools and, following good practice, received a home report detailing up to five design strengths and five limitations following the audit. Analysis of the home reports identifies variation and variability in meeting dementia-friendly principles as specified by both tools. Areas of variability included wayfinding, the use of colour and contrast, access to outside spaces, individualization of personal and communal spaces, lighting and opportunities to engage with the environment. This paper provides valuable insights into variability in care home design and identifies common areas of weakness and strength in care homes of different type, ownership and localities.","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"11 1","pages":"147-155"},"PeriodicalIF":0.0,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/175016811X13020827976726","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65652488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 19
Designing balconies, roof terraces, and roof gardens for people with dementia 为痴呆症患者设计阳台、屋顶露台和屋顶花园
Journal of care services management Pub Date : 2011-07-01 DOI: 10.1179/175016811X13020827976762
M. Marshall
{"title":"Designing balconies, roof terraces, and roof gardens for people with dementia","authors":"M. Marshall","doi":"10.1179/175016811X13020827976762","DOIUrl":"https://doi.org/10.1179/175016811X13020827976762","url":null,"abstract":"As more care homes become multi-storeyed, it will be increasingly hard for people with dementia to go outside unless balconies, roof terraces, or roof gardens are provided. This paper emphasizes the importance of going outside for everyone and especially for people with dementia, examines issues of risk/benefit, and presents some recommended features for the design of balconies, roof terraces, and roof gardens.","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"5 1","pages":"156-159"},"PeriodicalIF":0.0,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/175016811X13020827976762","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65652651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
The policy environment of dementia care: The role of a regional dementia strategy 痴呆症护理的政策环境:区域痴呆症战略的作用
Journal of care services management Pub Date : 2011-07-01 DOI: 10.1179/175016811X13020827976645
L. McCabe
{"title":"The policy environment of dementia care: The role of a regional dementia strategy","authors":"L. McCabe","doi":"10.1179/175016811X13020827976645","DOIUrl":"https://doi.org/10.1179/175016811X13020827976645","url":null,"abstract":"AbstractThe policy environment of dementia care is influential on how care and treatment are delivered to people with dementia and the outcomes experienced by people with dementia and their carers. This article focuses on national and regional dementia strategies that provide guidance and recommendations for improving dementia care. Currently, there appears to be a drive in many European countries to develop dementia strategies at the national level. This is in response to a growing awareness of the needs of people with dementia and to the significant predicted increases in prevalence in coming years. This article focuses on a regional strategy developed in Scotland and examines the processes of strategy development and implementation, reflecting on the influence of the strategy on dementia care and treatment and the ‘success’ of the strategy in Fife. It is clear that local and regional strategies for dementia care will influence outcomes for people with dementia but this may not be as a direct result of ...","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"5 1","pages":"128-136"},"PeriodicalIF":0.0,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/175016811X13020827976645","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65652636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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