Options
Paul, Gillian
Preferred name
Paul, Gillian
Official Name
Paul, Gillian
Research Output
Now showing 1 - 4 of 4
- PublicationConceptualising a model to guide nursing and midwifery in the community guided by an evidence review(BioMed Central, 2017-06-29)
; ; ; ; ; ; ; ; ; Background: Successful models of nursing and midwifery in the community delivering healthcare throughout the lifespan and across a health and illness continuum are limited, yet necessary to guide global health services. Primary and community health services are the typical points of access for most people and the location where most care is delivered. The scope of primary healthcare is complex and multifaceted and therefore requires a practice framework with sound conceptual and theoretical underpinnings. The aim of this paper is to present a conceptual model informed by a scoping evidence review of the literature. Methods: A scoping evidence review of the literature was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement. Databases included CINAHL, MEDLINE, PsycINFO and SocINDEX using the EBSCO platform and the Cochrane Library using the keywords: model, nursing, midwifery, community, primary care. Grey literature for selected countries was searched using the Google 'advanced' search interface. Data extraction and quality appraisal for both empirical and grey literature were conducted independently by two reviewers. From 127 empirical and 24 non-empirical papers, data extraction parameters, in addition to the usual methodological features, included: the nature of nursing and midwifery; the population group; interventions and main outcomes; components of effective nursing and midwifery outcomes. Results: The evidence was categorised into six broad areas and subsequently synthesised into four themes. These were not mutually exclusive: (1) Integrated and Collaborative Care; (2) Organisation and Delivery of Nursing and Midwifery Care in the Community; (3) Adjuncts to Nursing Care and (4) Overarching Conceptual Model. It is the latter theme that is the focus of this paper. In essence, the model depicts a person/client on a lifespan and preventative-curative trajectory. The health related needs of the client, commensurate with their point position, relative to both trajectories, determines the nurse or midwife intervention. Consequently, it is this need, that determines the discipline or speciality of the nurse or midwife with the most appropriate competencies. Conclusion: Use of a conceptual model of nursing and midwifery to inform decision-making in primary/community based care ensures clinical outcomes are meaningful and more sustainable. Operationalising this model for nursing and midwifery in the community demands strong leadership and effective clinical governance.251Scopus© Citations 2 - PublicationColliding worlds: Family carers’ experiences of balancing work and care in Ireland during the COVID‐19 pandemic(Wiley, 2022-05)
; ; ; ; ; ; ; ; The COVID-19 pandemic public health and social protective measures imposed globally resulted in partial or full closure of key services and supports for people with a disability, chronic illness or age-related dependency. This caused huge disruption to care provision and family carers were relied upon to assume this care at home. Many family carers, including those in employment, found themselves navigating additional care responsibilities without ‘usual levels’ of support from family, friends, work, school, day care services, homecare and community services. The purpose of this study was to examine the impact of the COVID-19 pandemic on family carers, their employment and caregiving responsibilities, through the lens of the Conservation of Resources (COR) theory (Hobfoll, 1989). Adopting a qualitative research approach, sixteen family carers (14 females, 2 males) who were in employment prior to the onset of or during the pandemic, participated in an in-depth, semi-structured telephone or online video interview between June and September 2020. Interviews lasted between 45 and 100 minutes, were audio-recorded and transcribed verbatim. A thematic analysis of the interview data identified four main themes: colliding worlds; navigating unchartered waters alone; opportunity despite adversity; and the relentless unknowing. Findings indicate that the onset of the pandemic resulted in the sudden loss of valued resources, which disrupted routines and caused care and work life domains to become intrinsically intertwined. Consistent with the main principles of the COR theory, adapting and transitioning to different ways of working and caring with depleted resources and supports, generated considerable stress for family carers and impacted their wellbeing. The implications for employers, healthcare providers, policy makers and other key stakeholders are considered, to enable family carers to successfully reconcile work with care and protect their wellbeing, as the pandemic continues to unfold and in the event of future societal crises.207Scopus© Citations 9 - PublicationSubmission to the Department of Justice and Equality Public Consultation on Flexible Working(Carewell Project, 2020-01-31)
; ; ; ; ; ; ; ; As part of Future Jobs Ireland, Minister for Business, Enterprise and Innovation, Heather Humphreys TD, and Minister of State David Stanton TD, launched a public consultation on flexible working to inform the development of a national flexible working policy. The consultation is seeking the views of employees, employers, trade unions and the general public to help inform the future employment policy. In the face of changing demographics and an aging population, the provision of flexible work arrangements is becoming an increasingly pertinent issue for family carers who balance paid work with caregiving responsibilities for a person with a disability, chronic illness or frailty. This submission, by the CAREWELL team, aims to highlight the importance of flexible working options for these family carers.89 - PublicationAddressing Health and Wellbeing Challenges for Homeless Children and Families Living in Temporary and Emergency Accommodation(UCD School of Nursing, Midwifery and Health Systems, 2020-03-20)
; ; ; Data from homeless charities and service organisations suggest that the number of homeless families with young children has been increasing in Ireland, and particularly in Dublin, in recent years. In October 2019 in Ireland, 1700 families including almost 1000 single parents and 3826 children were in this situation. In Dublin this accounted for 1270 families, 700 single parents and 2795 children.121