Nursing, Midwifery & Health Systems Research Collection
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Browsing Nursing, Midwifery & Health Systems Research Collection by Type "Conference Publication"
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- PublicationA Scoping Review to Map the Evidence on Family Carers Who Combine Work with Care(Ubiquity Press, 2022-11-04)
; ; ; ; ; ; ; ; ; Introduction: Family carers provide a wide range and significant amount of assistance to relatives, friends and neighbours who are ill or disabled. Statistical data from the Organisation for Economic Co-operation and Development (OECD) indicates that at least 1 in 10 adults is involved in informal, and most often unpaid care. About half of the proportion of those who participate in a caring role combine this with paid employment and balancing both roles can be a challenge. Consequently, there is increased demand for the introduction of measures to reconcile paid work and care-provision. Unfortunately, much remains unknown about the lives of family carers who balance work with care. Aim: The present work endeavours to illuminate this topic by scoping the extent, range and nature of available evidence on ‘family carers who are in paid employment’. Methods: Steps followed when carrying out the scoping review included: i) Clarifying the research purpose and question; ii) Identifying relevant research studies from various electronic databases, reference lists of identified studies, and grey or unpublished literature; iii) Selection of studies by two independent reviewers; iv) Collating data using an excel data sheet; and v) Analysing and summarising data using qualitative thematic analysis. Results: Two-hundred-and-sixty-three publications were incorporated, and these comprised a variety of research study designs, which were based in different countries. Six themes were emergent from the scoping review findings. The first was the compound carer’s experience who is a working family carer; subthemes relevant to this group were coping, health outcomes and employment outcomes. A subsequent theme was health outcomes for working family carers; health outcomes were subdivided into mental health, physical health, and health behaviour outcomes. The theme on the profile of characteristics for working family carers comprised of subthemes indicative that caring was largely a gendered activity, with age as another important variant — caring increasing at older ages. The economic impact of caring on working family carers was an eminent theme with a clear personal economic impact and national economic impact. A significant finding was the theme on conflicting priorities among working family carers; subthemes related to this were either work-to-family conflict or family-to-work conflict. The most important theme in the present work was that on employment outcomes among working family carers with subthemes characterised by employment participation, employment-related disadvantages, work-place provisions in place for this group and positive employment impacts. Finally, it was clear that there were support services for working family carers and thus this was an apparent theme; subthemes related to this were the formal services and social support services. Conclusions: Evidence on working family cares is vast and covers a wide range of topics such as compound caring, health, demographic profile, conflicting priorities, finances, employment, and support services. Working family carers face the difficult task of balancing work with care which could lead to negative outcomes related to employment, finances, and health. Implications for applicability: The pressures associated with the dual responsibility can be alleviated via the introduction of support services and policies to support working carers.26 - PublicationDeveloping a Measure of Intellectual Capital fit: an Approach to Improve Business ProcessesAccounting standards acknowledge the importance of Intangible Assets in evaluating a Company Value. In this period of turbulent markets, the capacity of a company to resist is strictly connected to its ability to leverage and develop its Intellectual Capital. This article makes a point in the literature about Intangible assets as a strategic asset for companies' development. We will show how the adoption of proper Knowledge Management practices can help the exploitation of the intangible asset as a key competitive factor. Intellectual capital is an asset difficult to measure. However, the intellectual capital is relevant when producing value for an organization. The approach that we have developed at Corvinus University, and we are testing in different business contexts is promising to provide an indication of the real fit of competencies between individuals and the required knowledge necessary to run an organization.
133 - PublicationEnhancing GP care of mental health disorders post-Covid 19: A scoping review of interventions(2021-09-28)
; ; ; ; ; ; An abundance of literature is being published reporting the negative mental health sequelae of the COVID-19 pandemic. This surge in mental health problems will likely present to primary care over the coming months. Initiatives are being proposed nationally and internationally to tackle this problem. It is of utmost importance for general practitioners to have interventions in place which can improve care of these mental illnesses. This research aims to undertake a scoping review of the literature to examine interventions which could be implemented in general practice post COVID-19 to improve care of mental health disorders arising from the pandemic.81 - PublicationHigher Diploma in Mental Health Nursing(2019-10-17)
; ; ; ; ; ; ; The Higher Diploma in Mental Health Nursing was launched in 2017 and is now entering its fourth year. On successful completion of this 53-week programme, participants are entitled to register with the NMBI in the psychiatric nurse division.126 - PublicationHow effective are General Nurses in recognising and preventing delirium in hospitalised patients?(2020-03-07)
; The literature indicates that delirium is a common problem among hospitalized patients in the acute hospital settings. The prevalence of delirium is reported to be 20-30% on medical wards within the acute setting (NICE, 2010). It is also reported by the HSE (2015) that it is being missed up to 67% of the time. METHODS: The study design was a descriptive cross-sectional survey of practicing nurses in the general ward setting, using an anonymized questionnaire. The questionnaire was divided into two sections, part A provided demographic characteristics and part B provided the level of knowledge the nurse will demonstrate on delirium. RESULTS: The questionnaire had a completion rate of 75% of the target population. Both electronic 30% and paper versions 70% of the questionnaire were used. Professional status was broken into three sections, Staff Nurse 62%, Nurse Specialist 17% and Nursing Management 21%. Years of experience was segregated into four sections, 0-5 years (9%), 6-10 years (10%), 11-20 years (43%) and finally 20 years or greater (38%). The participant’s level of knowledge on delirium was assessed by the 69 questions. The scores attained by the nurses from the knowledge questionnaire regarding delirium varied from 0 the lowest to 60 the highest, 41.31 +/- 12.883 being the average score. Scores were also viewed from professional status. Staff nurses (n=65) had a mean score of 41.25, +/- 13.552, Nurse Specialist Group (n=18) had a mean score of 42.83, +/- 12.803 and Nursing Management (n=22) had a mean score of 40.27, +/- 12.803. CONCLUSION: This under-recognition, along with increasing evidence regarding delirium treatment opinions emphasises the importance of a prompt accurate diagnosis. Improving delirium assessment to ensure early identification is critical for timely and effective management, yet delirium prevention, screening, recognition, and treatment are challenging for all levels of nurses.243 - PublicationThe impact of COVID-19 on attendance for reduced fetal movements during pregnancy(2022-03-10)
; ; ; ; Background: The World Health Organisation (WHO) declared a global pandemic on the 11th of March 2020. The Irish government subsequently imposed the first national lockdown and stringent measures to curb the spread of COVID-19 between March-May 2020. Concerns were raised about whether women were fearful of accessing maternity services during the lockdown. Maternal perception of reduced fetal movements (RFM) in pregnancy is a common reason for self-referral to maternity services. International guidelines recommend that women perceiving RFM attend their maternity unit for fetal assessment. Objectives: We sought to determine the impact of the first global pandemic lock-down on attendances for reduced fetal movements (RFM) during pregnancy in a large urban maternity unit. Methods: All women with a singleton pregnancy, presenting to the emergency department (ED) of the National Maternity Hospital, Dublin with a primary presentation of perceived reduced fetal movements after 24 weeks’ gestation between 1st January 2020 and 30th April 2020 were included. Findings: Between January 1 and February 29, 2020 there were 2135 total attendances to the ED; 264 of these were for RFM (12.4%). From March 1- April 30, we observed a significant decline in the number of attendances to ED, totalling 1458; 231 of these were for RFM (15.8%). During the first lock-down period (March-April 2020) overall attendances to the ED decreased by 31.7%, however referrals for RFM increased by 27.4%. Conclusions: There was a significant decrease in the number of attendances to the ED during the first lockdown of the COVID-19 pandemic, however referrals for RFM increased.61 - PublicationThe PIPPIN Project; Paediatric Intensive care Public Patient INvolvement, Where we started…(2018-12-05)
; ; ; ; The benefits of involving patients, families and service users in developing, implementing and evaluating healthcare services and research are being increasingly recognised. These include enhanced health outcomes, increased satisfaction with services and adherence to treatment. However, despite growing effectiveness of Paediatric Intensive Care (PIC) treatment and outcomes, there is a deficit in published evidence demonstrating the involvement of children and young people cared for in the Paediatric Intensive Care Unit (PICU) in developing research that matters to them. In this context PIPPIN was developed with the aim of promoting Paediatric Intensive Care Public and Patient involvement.135 - PublicationQueer Expressions: Creating inclusive healthcare approaches for Irish Gay Men(2022-06-25)An interpretive phenomenological analysis involving 12 Irish gay men between the ages of 19 and 60. Participants included a broad range of professional and educational backgrounds from both city and rural dwellers in Ireland and (UK).
59 - PublicationQueer Expressions: What’s important for Irish Gay Men in healthcare encounters(2021-11-27)An interpretive phenomenological analysis, involving 12 Irish gay men between the ages of 19 and 60. Participants included a broad range of professional and educational backgrounds from both city and rural dwellers in Ireland and (UK).
52 - PublicationThe role of line managers and co-workers in mediating informal flexibility for working family carers(2023-08-25)
; ; ; ; ; ; ; ; Purpose: Our paper identifies the enabling mechanisms through which carer-friendly informal flexibility is enacted in the workplace and explores whether these enabling mechanisms help working carers remain in the workforce and avoid taking leave from employment. Methodology: Twenty-six working carers in Ireland were interviewed. Interviews were semi-structured, and questions were formulated around three broad themes: participants’ caregiving role; their employment situation; and the services and supports available to them. Findings: The findings highlight three mechanisms through which carer-friendly informal flexibility is enacted: reassurance and pre-emptive support; carer advocacy; and idiosyncratic deal making (i-deals). In the absence of informal flexibility, disruption to working arrangements is likely in the form of intermittent periods of leave from the workplace. Research limitations/implications: Greater diversity in the profile of our study participants could be helpful, particularly the inclusion of more male carers and those working in the private sector. Practical implications: A greater emphasis on informal, locally negotiated, flexible working arrangements would facilitate carers to remain in employment. Originality/value: Our research explores the enabling mechanisms through which carer-friendly informal flexibility is enacted. Our study uncovered the pivotal mediating role played by line managers and co-workers in supporting carers to secure access to these informal flexible working arrangements.49