Cross-boundary working: a generic worker for older people in the community

Hek, Gill; Singer, Lorna; Taylor, P

doi:10.12968/bjcn.2004.9.6.13118

Cited by 16 publications

(18 citation statements)

References 9 publications

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“…Semantic ambiguity prevails around non‐professionally qualified workers. A recent study described a generic health and social care worker for older adults as ‘a cross between a nursing auxiliary, health care assistant and a community support worker’ (Hek et al. 2004, p. 237).…”

Section: Introductionmentioning

confidence: 99%

An extra pair of hands? A case study of the introduction of support workers in community mental health teams for older adults

McCrae

Banerjee²,

Murray

et al. 2008

Journal of Nursing Management

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Promoting diversity of skills in the mental health workforce is a progressive move in tuning services to the heterogenous needs of clients in the community. However, introducing unqualified workers into multi-disciplinary teams necessitates clear guidance to prevent their activity being confined within existing professional models. Support workers offer much potential in innovative service delivery.

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Section: Introductionmentioning

confidence: 99%

An extra pair of hands? A case study of the introduction of support workers in community mental health teams for older adults

McCrae

Banerjee²,

Murray

et al. 2008

Journal of Nursing Management

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“…, Hek et al . ). This is facilitated by promoting skill sharing and translation of these skills into confidence and competence in delivering an interprofessional role.…”

Section: Discussionmentioning

confidence: 97%

“…Job satisfaction of assistants in CBRS is associated with levels of autonomy, career development opportunities (Nancarrow ) and the content and level of supervision and training they receive (Hek et al . , Hancock et al . , Spilsbury & Meyer ).…”

Section: Introductionmentioning

confidence: 99%

“…The impact of assistant roles in CBRS includes improved service capacity and efficiency (Hart et al 2005, Stanmore et al 2005, Moran et al 2012b, Nancarrow et al 2013, increased staff satisfaction with assistant roles (Anderson 1997, Saunders 1998, Daykin & Clarke 2000, Lindsay 2004, Cattrell et al 2005, Mackey & Nancarrow 2005, McCartney et al 2005, Moran et al 2012b, client satisfaction (Brown et al 2000, Hek et al 2004, Mackey & Nancarrow 2004, Hart et al 2005, Stanmore et al 2005 and job satisfaction of assistants (Mackey & Nancarrow 2004, Moran et al 2012c. One study found that better client outcomes were associated with a higher proportion of treatment by assistants in CBRS, although associated with increased service costs (Nancarrow et al 2010b).…”

Section: Introductionmentioning

confidence: 99%

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Mechanisms to enhance the effectiveness of allied health and social care assistants in community-based rehabilitation services: a qualitative study

Moran

Nancarrow

Enderby

2014

Health Soc Care Community

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This research aims to describe the factors associated with successful employment of allied health and social care assistants in community-based rehabilitation services (CBRS) in England. The research involved the thematic analysis of interviews and focus groups with 153 professionally qualified and assistant staff from 11 older people's interdisciplinary community rehabilitation teams. Data were collected between November 2006 and December 2008. Assistants were perceived as a focal point for care delivery and conduits for enabling a service to achieve goals within interdisciplinary team structures. Nine mechanisms were identified that promoted the successful employment of assistants: (i) Multidisciplinary team input into assistant training and support; (ii) Ensuring the timely assessment of clients by qualified staff; (iii) Establishing clear communication structures between qualified and assistant staff; (iv) Co-location of teams to promote communication and skill sharing; (v) Removing barriers that prevent staff working to their full scope of practice; (vi) Facilitating role flexibility of assistants, while upholding the principles of reablement; (vii) Allowing sufficient time for client-staff interaction; (viii) Ensuring an appropriate ratio of assistant to qualified staff to enable sufficient training and supervision of assistants; and (ix) Appropriately, resourcing the role for training and reimbursement to reflect responsibility. We conclude that upholding these mechanisms may help to optimise the efficiency and productivity of assistant and professionally qualified staff in CBRS.

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“…The selected study is an evaluation of the introduction of a new generic‐worker role in the UK 38 . This paper was based on a project set up between a community NHS Trust and social services, against a backdrop of the need for better interagency working.…”

Section: Selected Studymentioning

confidence: 99%

Supporting evidence-based service delivery and organisation: a comparison of an emergent realistic appraisal technique with a standard qualitative critical appraisal tool

Satherley

Allen

Lyne

2007

International Journal of Evidence-Based Healthcare

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A major component of current policies aimed at promoting the delivery of an effective health service is to ensure that practitioners base their practice on research findings. Considerable attention has been focussed on the research community and developing appropriate methods and tools to support these objectives at the national and international level. The appraisal needs of individual practitioners, who might wish to inform local service delivery and organisation and who are often not methodological experts, has been hitherto ignored. This paper reports on the application and testing of a technique for the appraisal of evaluation studies, which is being developed for use by practitioners to inform local service delivery. This technique has previously been applied to a quantitative evaluation. In this paper we report on its application to the appraisal of a qualitative paper. Our aim is to compare it with a standard tool to establish which generates more meaningful information for use by practitioners for the purposes of informing service delivery and organisation. The emergent technique successfully extracted relevant methodological and contextual information, with developmental issues being identified.

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Cross-boundary working: a generic worker for older people in the community

Cited by 16 publications

References 9 publications

An extra pair of hands? A case study of the introduction of support workers in community mental health teams for older adults

An extra pair of hands? A case study of the introduction of support workers in community mental health teams for older adults

Mechanisms to enhance the effectiveness of allied health and social care assistants in community-based rehabilitation services: a qualitative study

Supporting evidence-based service delivery and organisation: a comparison of an emergent realistic appraisal technique with a standard qualitative critical appraisal tool

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