What are the main challenges faced by mature students studying Healthcare courses in Higher Education? A narrative review
Title: What are the main challenges faced by mature students studying Healthcare courses in Higher Education: A narrative review Degree: physiotherapy Date of submission: 14th febuary 2011 What are the main challenges faced by mature students studying Healthcare courses in Higher Education: A narrative review Abstract Background and aim: From an exhaustive literature search, it would appear that the amount of peer reviewed articles in this area is still in its infancy and sparse. Therefore this review will explore relevant literature to identify, extract and evaluate current knowledge of the main issues or obstacles faced by healthcare students in Higher Education. Methods: A narrative review of literature was conducted, utilising peer reviewed journal articles that passed validity checks, utilising Casp analysis tools and that met strict inclusion criteria. In conducting the narrative review medical and associated databases, such as EBSCO, Google Scholar and Web of science were searched using key words and phrases and additionally resources from Keele University libraries and the internet were also searched for relevant material that fit the search criteria. All the available evidence was searched objectively and systematically. Results: Mature students had more financial difficulties, less social support, more relationship problems and more illness
Today's healthcare environment dictates that management decisions are clinically sound, operationally efficient, financially responsible and supportive of current health service strategic initiatives and policies.
INTRODUCTION Today's healthcare environment dictates that management decisions are clinically sound, operationally efficient, financially responsible and supportive of current health service strategic initiatives and policies. Furthermore, it is also recognised that clinical decisions should be based on the best possible evidence of effectiveness (National Health Service Executive, NHSE 1998). However, there has been increasing recognition that many practices in health care are based on tradition or local circumstances. Some commentators assert that healthcare suffers from a lack of relevant, comparative information based on clinical outcome measures (Teisberg, Porter and Brown, 1994). The National Health Service in the United Kingdom (UK) is being encouraged to ensure uniform provision of high quality health care (Department of Health, DoH 1997). According to Ellis (2000a), the concept of quality as it relates to health care is a complex, seldom defined and requires constant analysis and clarification. Notwithstanding this, the modern health service has extended the requirements for assured quality of care by introducing the notion of clinical governance (DoH 1998) which suggests that quality can be identified, evaluated and managed (NHSE 1998). Ellis (1995) put forward the idea that clinical practice benchmarking might be one evaluative technique available to nurses
This project will be a detailed analysis on the NHS' Electronic Patient Record (EPR) implementation programme.
CONTENTS Introduction to the Project and Definition of the organisational Change Problem being addressed by the Project 1 .1 Project Rationale 1 .2 Definition of Organisation Change Problem 1 2 Analysis of the Problem situation 1 2.1 Strategic Problems in the NHS 1 2.1.1 Criticism of the NHS 1 2.1.2 Waiting Lists 2 2.1.3 Quality Control Problems 2 2.1.4 Failure to Exploit Information Technology 2 2.2 Operational Problems in the NHS 2 3 Definition of the IS solution to the chosen business problem (s) 3 3.1 EPR, EHR, ICRS and NPfIT 3 3.2 Electronic Record Development and Implementation Programme (ERDIP) 4 4 Identifying the correct organisational change issues 5 4.1 Overview 5 4.2 Changes to NHS Structures 5 4.2.1 Creation Of Primary Care Trusts (PCTs) 6 4.2.2 Creation Of Strategic Health Authorities 6 4.2.3 Regional Directors of Health and Social Care 7 4.3 Ensuring Quality of Service Delivery 7 4.3.1 National Institute for Clinical Excellence (NICE) 7 4.3.2 Commission for Healthcare Audit and Inspection (CHAI) 7 4.4 Improvements to Operational Procedures 8 4.5 Changes Needed to Procure and Operate the New Information Systems 8 4.5.1 Changes in NHS Structures 8 4.5.2 Service Providers and Clusters 8 5 Process Models 9 5.1 Primary Care Information Flows 9 5.2 Winchester Direct Cataract Referral 10 6 Evaluating what business improvement occurred 13 7
Unit 10 care practice and provision
Pippa Douglas Unit 10 care practice and provision National organisations like National health service (NHS) that provide health care fit for the 21st century, is designed around the service user, so that they get the individual care they need. It is divided into 'primary' and 'secondary' services, Primary services are usually the first place people contact for health advice or treatment, the service is provided locally to the particular person's home by GPs, nurses or therapists and secondary health services are based in hospitals which provide medical or surgical care. They are provided and supported by the NHS national organisations called primary care trusts (PTCS). PCTS research areas from national websites such as statistics finding the census population numbers, and find out what the people of a particular area are lacking regarding health care, they deal with providing primary and community services, and commission secondary services. They do this in order to determine what the area needs to make sure that it can provide the people with adequate services to improve the health of the local people within the area. The national PCT received back over 140,000 of completed questionnaires, surveys and listening events form where they got some opinions, feedback and statistics. Local PCTS, working with the national PCTS, the NHS, and the council work together, to
Causes of stress in the workplace and the effect on the staff as well as the clients
Part two 4d Discuss how staff feel empowered in the workplace Within the Environmental Health Department, the head of Public Protection encourages, supports and inspires the rest of the team of officers and recognises people for who they are, and helps them find their own way forward by making best use of their strengths and abilities. By doing this, achievement, development and recognition becomes quite natural to the staff, and it is these things which are the true fuels of personal motivation. The employees and management solve problems and make decisions that were traditionally reserved to higher levels of the department. All of the staff are treated as adults and are consulted before decisions are made, that may affect them. The staff want to do an outstanding job at all times and be proud of their work, and commitment to positive outcomes are facilitated by getting barriers out of the way. Within the Department, management makes the other staff feel empowered by routinely delegating authority to individuals along with responsibility , routinely using corrective, cross functional process improvement and self directed teams, devoting resources to education and training, recognising and rewarding improvement efforts and success, consulting and coaching employees and removing barriers that prevents outstanding performance. Trust and commitment are paramount as
Communicating in Health and Social Care.
Communicating in Health and Social Care Introduction For this unit I am going to gain knowledge and practice communication skills within a Health, Social Care or Early Years Setting. The setting or organisation I am going to complete this unit is the LSU (Learning Support Unit) in a secondary school. The LSU is committed to working with the school, parents, and students to support the learning of young people trough environments in which they can achieve physical and emotional well-being, and become productive members of their families, schools and communities. The staff in the LSU do this by providing direction and support. The LSU provides support for clients that have just joined the secondary school, aged between 10 and 11, which have learning difficulties, these difficulties include: * Clients with emotional and behavioural difficulties; many clients with emotional and behavioural difficulties have poor literacy skills as a result of their inability to maintain concentration and stay on task. * Pupils with communication difficulties; many pupils with communication difficulties face particular challenges with literacy. These clients will be working well below national expectations for their age groups. Some of the client's vital foundation skills are missing, and even where clients have achieved a particular level in literacy; they may not be able to transfer
The aim of this assignment is to critically evaluate the biopsychosocial perspectives and influences on the health and well being of a patient, a 38 year old gentleman who is dependent on alcohol.
The aim of this assignment is to critically evaluate the biopsychosocial perspectives and influences on the health and well being of a patient, a 38 year old gentleman who is dependent on alcohol. This is in order to gain an insight into the pathophysiological effects of alcohol and the psychology and social influences on his drinking. To comply with the NMC The Code (2008) on confidentiality I have called my patient Jack. The World Health Organisation (WHO) (1948) defines health as 'a state of complete physical, mental and social well-being and not merely the absence of disease', (World Health Organisation, WHO, 1946, pg 100). This definition which was believed to be forward for its time is recognised as being an achievement with the 'absence of disease' (Taylor 2006), however the definition has also been criticised for being unrealistic as Godlee (2011) states, this definition explains health to be flawless, which would be impossible to achieve for the majority of the population, making us all unhealthy with Huber (2011) agreeing stating that giving the rise of chronic diseases the word 'complete' would leave most people unhealthy'. Canguilhem (1991) believed the definition from the WHO was considered to be an idealistic goal rather than a realistic one as he states that health could not be defined as a state, but seen as a process of continuous adjustment to the
Medicine is the science and art of healing. Medicine is a science because it is based on knowledge gained through careful study and experimentation.
Medicine is the science and art of healing. Medicine is a science because it is based on knowledge gained through careful study and experimentation. It is an art because it depends on how skilfully doctors and other medical workers apply this knowledge when dealing with patients. The goals of medicine are to save lives, to relieve suffering, and to maintain the dignity of ill individuals. For this reason, medicine has long been one of the most respected professions. Many thousands of men and women who work in the medical profession spend their lives caring for the sick. When disaster strikes, hospital workers rush emergency aid to the injured. When epidemics threaten, doctors and nurses work to prevent the spread of disease. Researchers continually search for better ways of fighting disease. Human beings have suffered from illnesses since they first appeared on the earth about 21/2 million years ago. Throughout most of this time, they knew little about how the body works or what causes disease. Treatment was based largely on superstition and guesswork. Medicine has made tremendous progress in the last several hundred years. Today, it is possible to cure, control, or prevent hundreds of diseases. People live longer than they did in the past as a result of new drugs, machines, and surgical operations. Medical progress in the control of infectious diseases,
Pain Assessment. The implementation and rationale for using pain assessment tools is focused on within this essay, with limitations of use being discussed and analysed.
Pain is a common experience for most people (Kingdon et al, 1998). McCaffery (1980) states “pain is what the patients says it is and exists when the patient says it does”. This is one of the most widely used definitions of pain (Cunningham, 2001) however, if a patient does not say they are in pain how can a nurse identify their pain? Seers (1987) argues that patients do not always tell the nurse that pain has arisen and that they often expect the nurse to know. Therefore effective assessment of pain is a vital part of nursing care. Lawler (1997) maintains that good communication skills are vital in assessing pain in patients. The implementation and rationale for using pain assessment tools is focused on within this essay, with limitations of use being discussed and analysed. Pain management is optimised by increasing our understanding of the neurobiology of pain, combined alongside interactions with the patient, coupled with science and knowledge combined with empathy and humanity (Ducharme, 2000). Since the publication of Melzack & Walls (1965) gate control theory of pain, psychology has been accepted as an integral discipline in the study of pain (Skevington, 1995). The physiological and pharmacological aspects of acute pain, and its management are discussed and analysed within this essay. Acute pain management is more than a collection of interventions, it is
Analyse and evaluate the changes to both the welfare state and the National Health Service from their beginnings to the present. Ensure that you focus particularly on the changes under the Conservative Government
Sociology Assignment: The Development of the Welfare state and the National Health Service in Britain Task 1 * In pairs produce an A3 poster describing the key developments linked with poverty during the years 1600-1940 See attached sheet * Individually, describe in more detail two of these key developments Key Development 1: The Elizabethan Poor Law of 1601 ('Old Poor Law') The Poor Law of 1601was introduced as a response by the Government to rising levels of concern over how 'the poor' should be supported. As a result of several poor harvests, and soldiers returning from war there was increased vagrancy which concerned the Government who were increasingly worried about the possibility of social disorder and revolt. Under The Poor Law of 160, each parish was made responsible for its own parishioners that were impoverished, frail or handicapped and in need of support. Each parish became obliged to relieve the old and the helpless, to provide work for those deemed capable but who were finding it difficult to find work in their usual trade. The parishes also became responsible for helping to support unprotected children, often by introducing them into apprenticeships at a young age. The funding for providing this was collected by a 'Parish Administrative Unit' which was responsible for collecting poor-rates from the other parishioners. This was a form of revised
