Caring for frail patients: best practice

Wallace, C; Chandler, Lynda; Rogers, Audrey; Crosby, Kate; Joshi, Nimisha; Spriggs, Tanya; Hill, Chris

doi:10.7748/ns2012.03.26.28.50.c8995

Cited by 6 publications

(3 citation statements)

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“…However, policies within the UK have been encouraging the management and delivery of services from hospital to the community (Department of Health, 2010; NHS Wales, 2006; Welsh Assembly Government (WAG), 2007a, b, 2011; Welsh Government (WG), 2011). In Gwent, this shift has led to the delivery of multi‐agency and multi‐professional assessment to avoid hospital admission and to speed up hospital discharge (Wallace et al , 2012). In order to achieve this approach, configuration theory tells us that there should be a unifying theme which brings together multiple organisational views to consider their inter relationships.…”

Section: Contextmentioning

confidence: 99%

“Happily independent” – configuring the Gwent frailty support and wellbeing worker

Barber

Wallace

2012

Journal of Integrated Care

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PurposeThis article aims to report on the configuration of the integrated Support and Wellbeing Worker (SWB) role in an innovative Gwent Frailty programme from 2009 until 2011.Design/methodology/approachThe health and social care Gwent Frailty programme used a configuration approach by adopting “frailty” as its unifying theme across the seven agencies involved. In order to configure this role, the Frailty Workforce Group (FWG) identified three tasks; staff engagement, identifying the SWB worker training needs, and scoping the employment options for the new role.FindingsFor others facing the same challenges there are three key principles. The first is that having a unifying concept underpinned by the commissioned “Happily independent” study legitimately enabled the FWG to deliver on its three tasks identified by the Frailty Board. The second was that time spent on early staff and trade union engagement gave positive messages about their value within the role configuration. Finally, that developing an integrated role meant that core training and development had to be consistent so that registered staff were confident they could delegate safely.Originality/valueThe number of articles on developing an integrated support worker role in health and social care is sparse. The value of this article is that it reports on the configuration of an innovative new integrated health and social care role working with frail people. This was based on what older people wanted from services in order to be “happily independent”.

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Section: Contextmentioning

confidence: 99%

“Happily independent” – configuring the Gwent frailty support and wellbeing worker

Barber

Wallace

2012

Journal of Integrated Care

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“…The first challenge in developing this new geriatrics course was to address the complexities associated with decision‐making in geriatrics. An approach that is centered on individual preferences and goals was focused on, rather than on an approach that used traditional disease‐centered education . Radboud University Medical Center Nijmegen—which is similar in many respects to most medical schools that use problem‐based learning curricula—relies on disease‐centered education.…”

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confidence: 99%

“…An approach that is centered on individual preferences and goals was focused on, rather than on an approach that used traditional disease-centered education. 14…”

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confidence: 99%

Teaching Geriatrics Using an Innovative, Individual‐Centered Educational Game: Students and Educators Win. A Proof‐of‐Concept Study

Pol¹,

Lagro²,

Fluit

et al. 2014

J American Geriatrics Society

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Given the increasingly aging population, nearly every doctor will encounter elderly adults who present with multiple complex comorbidities that can challenge even experienced physicians. This may explain why many medical students do not have a positive attitude toward elderly adults and find the complexity of their problems overwhelming. It was hypothesized that a recently developed medical school geriatrics course, based on the game GeriatriX and designed specifically to address the complexities associated with decision-making in geriatrics, can have a positive effect on attitudes toward geriatrics and on perceived knowledge of geriatrics. The effects of this game-based course were evaluated as a proof of concept. The assessment was based on the Aging Semantic Differential (ASD) and a validated self-perceived knowledge scale of geriatric topics. The usability of (and satisfaction with) GeriatriX was also assessed using a 5-point Likert scale. After completion of the course, the ASD changed significantly in the geriatrics course group (n = 29; P = .02) but not in a control group that took a neuroscience course (n = 24; P = .30). Moreover, the geriatrics course group had a significant increase in self-perceived knowledge for 12 of the 18 topics (P = .002), whereas in the control group self-perceived knowledge increased significantly for one topic only (sensory impairment) (P = .04). Finally, the geriatrics students reported enjoying GeriatriX. This proof-of-concept study clearly supports the hypothesis that a 4-week course using a modern educational approach such as GeriatriX can improve students' self-perceived knowledge of geriatrics and their attitudes toward elderly adults.

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Developing and implementing the Community Nursing Research Strategy for Wales

Kenkre

Wallace

Davies³

et al. 2013

Br J Community Nurs

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In order to obtain the best patient outcomes in community nursing, practice needs to be underpinned by robust research-based evidence. This article describes a Community Nursing Research Strategy developed and implemented in Wales to provide the nursing profession with the evidence to support future organisational and professional change in achieving excellence in the community. This was developed in partnership with education, research, health services, workforce planning and Government using consensus methodology (specifically, a nominal group technique). Consequently, the process was inclusive and included three steps: escalating presentation of ideas, topic debate and topic rating. The result was a strategy with four implementation strands, including a virtual network, research portfolio, application to practice and leadership.

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Caring for frail patients: best practice

Cited by 6 publications

References 0 publications

“Happily independent” – configuring the Gwent frailty support and wellbeing worker

“Happily independent” – configuring the Gwent frailty support and wellbeing worker

Teaching Geriatrics Using an Innovative, Individual‐Centered Educational Game: Students and Educators Win. A Proof‐of‐Concept Study

Developing and implementing the Community Nursing Research Strategy for Wales

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