Living with cardiovascular disease (CVD): Exploring the biggest challenges for people affected by CVD in the UK, and their use (or not) of online resources

Burger, Sarah-Ann; Poots, Alan J; Perris, Anna; Crump, Helen; Thorne, H. V.; Hughes, Sally Smith; West, Jacob

doi:10.35680/2372-0247.1418

Cited by 5 publications

(6 citation statements)

References 37 publications

(48 reference statements)

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“…There is some evidence to show the positive impact of appraisals on quality of care provided by support workers, but it is less clear whether appraisals or mentorship support career development or progression ( 183 , 184 ). There is evidence internationally to show that having opportunities for training, CPD and a supportive work environment, supports employees in their career goals and commitment to stay in home care work ( 133 , 171 , 172 , 185 – 187 ). What is clear is that some provider organisations take a more active approach to career progression than others, emphasising the importance of crafted career pathways for staff advancement and retention of employees and their skills within the organisation ( 188 ).…”

Section: Resultsmentioning

confidence: 99%

Exploring a career pathway for home support workers in Ireland: a systematic scoping review of the international evidence

Morrow,

Kelly,

Killeen

et al. 2024

Front. Health Serv.

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BackgroundIn prosperous nations like Ireland, home support workers (HSWs) play an increasingly vital role in providing person-centred care to ageing populations. However, challenges such as workforce shortages, role ambiguity, low pay, and limited career advancement, hinder workforce development and career building.MethodA scoping review using key terms for “HSWs” and “career pathways” was conducted following the Joanna Briggs Institute Methodology, examining electronic databases (Web of Science, PubMed, MEDLINE, EMBASE, CINAHL, PscyINFO, Social Care Online, Social Sciences Citation Index). Inclusion criteria were applied, and a thematic analysis followed and inductive-deductive approach.ResultsThe review encompassed 261 relevant articles from different countries. Four key themes were identified: (1) Data-driven decision-making on the future workforce, (2) Attracting and developing a competent and motivated home support workforce, (3) Enhancing working lives and retention at every stage of career pathways, and (4) Crafting career pathways to improve quality and impact.DiscussionLeadership, collaboration, and data-driven decision-making across policy, research and practice are pivotal for expanding and enhancing home support. Emphasising a shift towards preventative self-management models, supported by digitally skilled and regulated HSWs, could enhance independence and quality of care. Clear career structures, professional development, and inclusive organisational environments are essential to attract, retain, and empower a competent and motivated workforce, fostering quality and impact.ConclusionThis scoping review provides foundational evidence to establish career pathways for HSWs, identifying key areas for development such as data collection, care model transformation, career progression structures, and systems for safety and quality improvement.

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Section: Resultsmentioning

confidence: 99%

Exploring a career pathway for home support workers in Ireland: a systematic scoping review of the international evidence

Morrow,

Kelly,

Killeen

et al. 2024

Front. Health Serv.

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“…The main concerns regarding the use of telehealth in care from the patient's perspective are related to quality of care [52], privacy [52], challenges with technology [34], a lack of physical contact [25], previsit instructions [34], and the patient's preference for in-person care and sustaining the humanistic, therapeutic aspects of care [36]. Challenges in using online resources include feeling sad or depressed, feeling anxious and uncertain about the future, and having a caregiver to speak to regarding all aspects of care [60]. In addition, senior patients were found to be concerned about a lack of video-enabled devices and internet connectivity, as well as limited technology literacy [50].…”

Section: Risks and Concerns With Telehealthmentioning

confidence: 99%

“…(incl. qualitative and/or quantitative questions) [19,20,[22][23][24][25]28,29,34,40,43,46,[52][53][54][56][57][58]60] Interview [30,32,35,37,42,45,59] Focus group [36,41] Service analysis [31,51] Design methods [44] Reviews [26,39,49] Implementation study [18,21,50,61] Cross-sectional study [27,33] eHealth pilot or trial [38,43,47,48,55] The most frequently used method (i.e., surveys) was applied in 18 papers (see Figure 2). As patient satisfaction was one of the most mentioned aspects affecting PX, patient satisfaction surveys were the most broadly applied.…”

Section: Case Studies Qualitative Research Surveysmentioning

confidence: 99%

Patient Experience from an eHealth Perspective: A Scoping Review of Approaches and Recent Trends

et al. 2022

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Objectives: Patients’ experiences are increasingly gaining interest in multiple research fields. Researchers have applied various approaches to studying patient experience (PX); however, there is no commonly agreed-upon definition of PX. This scoping review focuses on PX from an eHealth perspective. Our aim was to: 1) describe how PX has been defined, 2) investigate which factors influencing PX and components of PX have been identified and researched, 3) explore the methods used in studying PX, and 4) find out the recent trends in PX research from an eHealth perspective. Methods: We selected six major journals covering the fields of health informatics, PX, and nursing informatics. Using the search terms “patient experience” and technology-related terms (e.g., digital, eHealth), we searched for articles published between 2019 and 2021. From 426 articles, 44 were included in the analysis. Results: Multiple concepts and meanings are used to refer to PX. Few articles include vague descriptions of the concept. Numerous eHealth factors are influencing PX, as well as components considering PX. The influencing factors were related to eHealth solutions’ type and quality, and care process, when the components of PX were related to communication, remote interaction, risks and concerns, and patients’ attitudes towards telehealth. Surveys were the main method used to study PX, followed by interviews. Conclusions: PX is a complex and multifaceted phenomenon, and it is described as a synonym for patient satisfaction and telehealth experiences. Further multidisciplinary research is needed to understand PX as a phenomenon and to outline a framework for the research.

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“…Despite existing resources related to meeting these needs of older adults, with and without dementia, in residential and nursing home [ 8 , 9 ], care staff are often not aware of them or where to seek guidance [ 10 , 11 ]. Additionally, staff training in care homes is varied, inconsistent and fragmented [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Feasibility and acceptability of an education and training e-resource to support the sexuality, intimacy and relationship needs of older care home residents: a mixed methods study

et al. 2022

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Background sexuality, intimacy and relationship needs are often a neglected aspect of the care of older adults in residential care facilities. Improving awareness, knowledge and improving attitudes about these needs among care staff could enhance quality of care and lead to better outcomes for residents. Objective to evaluate the feasibility and acceptability of a co-designed education and training e-resource to help care staff support their residents’ sexuality, intimacy and relationship needs. Methods we delivered the education and training e-resource to five UK care homes over a 6-month period in a pre-post mixed methods study using surveys, focus groups and individual interviews. Results fifty-nine members of staff from participating care homes undertook the education and training e-resource. 18/59 (31%) of participants completed all six modules and the pre-post surveys. Eleven participants participated in focus groups/interviews to explore experiences of using the e-resource. The e-resource was successfully implemented in the study homes and found to be acceptable. We found preliminary evidence of positive changes in staff attitudes. Factors that facilitated implementation included support from the care home manager. Barriers identified included IT infrastructure and technology. Conclusions the findings provide initial evidence that a co-designed education and training e-resource raised awareness of, and improved attitudes towards, older adults’ sexuality and intimacy needs. This work provides the foundation for a next phase to establish the effectiveness of the e-resource on staff practice and resident outcomes.

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Living with cardiovascular disease (CVD): Exploring the biggest challenges for people affected by CVD in the UK, and their use (or not) of online resources

Cited by 5 publications

References 37 publications

Exploring a career pathway for home support workers in Ireland: a systematic scoping review of the international evidence

Exploring a career pathway for home support workers in Ireland: a systematic scoping review of the international evidence

Patient Experience from an eHealth Perspective: A Scoping Review of Approaches and Recent Trends

Feasibility and acceptability of an education and training e-resource to support the sexuality, intimacy and relationship needs of older care home residents: a mixed methods study

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