Scottish Home Research Articles

Listening and learning: a qualitative study of Scottish care home staff experiences of managing COVID-19 between March 2020-August 2022

BackgroundThe serious outcomes of outbreaks of COVID-19 in care homes have been described internationally. The experiences of professionals working through outbreaks has received less attention, missing opportunities to acknowledge and learn lessons. Our aim was to explore the experiences of care home staff in Scotland of managing COVID-19 within their homes to help inform understanding and future practice.MethodsFrom April to August 2022, 34 individual semi-structured interviews were conducted with care home staff working in homes which experienced an outbreak(s) of COVID-19. Reflexive thematic methods were used to analyse verbatim deidentified transcripts.FindingsThere was no singular experience of COVID-19 outbreaks within care homes. We identified four broad groupings of homes with outbreaks (significant outbreaks, managed outbreaks, outbreaks in remote/rural homes & outbreaks in homes supporting younger adults), with overlaps in timing and severity and variation in the support received and impact. The national response to the COVID-19 pandemic resulted in fundamental change to care home relationships. Staff responded by adaptation in uncertainty. However, they were challenged by emerging inequalities influencing residents’ care. There were tensions between staff experience and evolving external approaches to regulation and oversight. All this change resulted in psychological impacts on staff. However, there was also widespread evidence of compassionate leadership and teamwork in their responses. Effective sources of support were underpinned by respectful relationships and continuity, tailored to individual contexts.ConclusionsThe lived experiences of care home staff during the COVID-19 pandemic provide valuable insights applicable beyond the pandemic context. This includes: recognition of the specialism, complexity and diversity of care home practice; the value afforded by embedding genuine representation and involvement in planning, policy-making and research; the need for individualising to people in their contexts and the value of fostering respectful relationships across professional groups to support residents.

1223 IDENTIFYING SCOTLAND'S CARE HOME POPULATION LIVING WITH DEMENTIA - IS DATA LINKAGE USEFUL?

Abstract Background People living with dementia are more likely to move into care homes. The true prevalence of dementia among care home residents in Scotland is not known. People living with dementia often interact with multiple social and healthcare services, thus routine data may offer a way to enhance understanding. Aim To compare national health and social care data sources recording dementia status for Scottish care home residents. Methods A retrospective cohort study of adult (≥ 18 years) care home residents in Scotland during financial years 2012/13 and 2013/14. An indexing process linked data from the Scottish Care Home Census (SCHC) to Community Health Index numbers to allow linkage to healthcare datasets. Anonymised individual data was accessed in a secure environment, within the National Safe Haven. A linked dataset with acute/general and psychiatric hospitalisations (SMR01, SMR04), prescriptions (Prescribing Information System), Scottish Patients at Risk of Admission and Readmission (SPARRA) data, and National Records of Scotland (NRS) mortality records was analysed. Dementia recording was studied across these datasets. Results In 2012/13 and 2013/14, 31,589 and 31,504 care home residents were included for analysis. In 2012/13, 17,548 (55.5%) had dementia according to SCHC. PIS and SMR01 confirm 4,701 (26.8%) and 4,254 (24.3%) SCHC dementia records, respectively. SMR04 and SPARRA confirm 1,830 (10.4%) and 964 (5.5%). Among 2012/13 residents, 19,593 (62.0%) have at least one dementia record across datasets. Of these, 10,445 (53.3%) have one record – 83.9% SCHC records, 7.3% SMR01 records, and 5.0% PIS records. Of 15,781 residents who die within 5 years from 2012/13, 6,984 (44.3%) have death records confirming dementia. Results for 2013/14 are similar. Conclusion Routine data enhances dementia ascertainment amongst care home residents, with most confirmation from general hospitalisations and prescriptions. Primary care data and analysis of more financial years would enable further exploration of dementia recording patterns.

Review: Calling the Spirits: A History of Seances, by Lisa Morton

Review: <i>Calling the Spirits: A History of Seances</i>, by Lisa Morton

REVIEWING HOME EDUCATION LITERATURE: DOES IT MATTER WHERE WE LEARN?

The last 20 years has seen a global increase in studies investigating various aspects of Home Education (HE) and the physical location of learning in relation to schooling; the physical location of learning outside of schooling remains under researched. This paper provides a review of some, but not all, of the existing literature, leading us to see where there are potentially gaps in the research as well as gaps in the opportunities for creative methodologies. The review starts with Home Education within the context of Scottish/UK education history and policy. It should be noted that at present there are very few differences between Scottish Home Education Policy and that from Westminster. Then we move to the exploration into Education Capital and how Bourdieu’s theories and ideas may or may not apply in the Home Education context. Firstly, this review finds that there is a very limited body of research that is specifically concerned with the voice of the home-educated children, who experience and live learning, in alternative provision; secondly this review notes the limited number of studies concerned with just what education means, to home educating families, or the value they place upon education in spaces outside of schools. It cannot be assumed that because a family have chosen to home educate, that the decision was entirely ideological. Very briefly, due to the recent lockdown of March 2020 onwards, a small amount of research is included following Covid-19 and the nationwide Home Education of most of the children in the UK. Strikingly, and despite how new this research is, the value of education within the home is still missing from core topics as is for the most part, the coproduction of data with the children’s voices at the heart of Home Education research.&#x0D; &#x0D; &lt;p&gt; &lt;/p&gt;&lt;p&gt;&lt;strong&gt; Article visualizations:&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;&lt;img src="/-counters-/edu_01/0896/a.php" alt="Hit counter" /&gt;&lt;/p&gt;

The effect of indoor thermal and humidity condition on the oldest-old people's comfort and skin condition in winter

In winter, dry indoor air is a common phenomenon which is considered to be the cause for dry skin. A field study was carried out to investigate the thermal and humidity environment and its effect on the oldest-old people (80+ years old) residents' thermal and humidity comfort and skin condition in a Scottish care home in winter. Eleven oldest-old residents participated voluntarily in the research. The room temperature and humidity were measured together with two skin parameters: Transepidermal Water Loss (TEWL) and Stratum Corneum Hydration (SCH). The participants’ personal thermal and humidity comfort was studied by a questionnaire survey and short interviews.The monitoring results show that the average relative humidity (RH) in the bedrooms was lower than 40%, the minimum RH level in winter recommended by the CIBSE Guide A. The SCH appeared to be a good indicator for humidity comfort as it was significantly correlated with the room absolute humidity. The correlation makes it possible to predict the minimum humidity to prevent dry skin. The questionnaire results show the participants perceived a change in the room temperature but did not perceive the humidity changes. These research findings provide evidence-based data that could help to develop the indoor environment standard for these special occupants group of elderly people in care homes.

Scottish Home Prices: Compatible with Euro Membership?

Although the Scottish electorate voted down independence in 2014, Brexit has led to renewed calls from Scottish political leaders for a second referendum. Scottish independence would likely lead to joining the European Union, and this would obligate Scotland to eventually join the euro common currency. If Scottish home prices were not highly cohesive with those in euro zone countries, the ECB’s monetary policy could cause major disruptions for Scottish housing, and, by extension, the Scottish economy. As an example, if most euro-country home values were rising, but those in Scotland were falling, the ECB would likely run a tight monetary policy, which would be devastating to housing conditions in Scotland. We accordingly investigate the co-movement of house prices in Scotland with those in eight major euro zone countries, as well as co-movement between Scottish and UK home prices, using a variety of metrics. The use of methods that are primarily linear indicates that joining the euro may not result in a large loss of co-movement with other regional housing markets, compared to Scotland’s current correlation with UK national home prices. However, the use of a measure that takes into account differences in the magnitude, and not just the phase of cycles yields results indicating Scotland exhibits very little co-movement with other euro housing markets. Indeed Scotland has co-movement metrics within the euro countries at levels similar to those of Spain and Ireland, which both suffered devastating booms and busts. Thus leaving sterling for the euro could be highly problematic.

La Question du Home Rule écossais, 1880-1914

Les debats parlementaires qui eurent lieu pour examiner les motions et propositions de lois sur le Home Rule ecossais entre 1889 et 1914 constituent une remarquable source d’information sur les arguments qui furent avances. L’etude des interventions des parlementaires permet de comprendre pourquoi le Home Rule s’imposa sur la scene politique ecossaise a la fin du XIXeme siecle. L’article tente egalement de determiner la place et l’importance du sentiment nationaliste ecossais dans les revendications formulees par les Home Rulers. Une partie importante de cette etude est consacree a l’analyse des contours du dispositif propose par les Home Rulers et notamment l’articulation entre le parlement imperial et les parlements nationaux et leurs competences respectives. Sont egalement etudies les principaux arguments et contre arguments developpes par les partisans et les opposants au Home Rule : la correlation entre Home Rule irlandais et Home Rule ecossais ainsi que la question fondamentale de l’Union, preservee pour les uns et menacee pour les autres, figurent au centre de cette analyse. La conclusion de l’article mentionne certaines des raisons pouvant expliquer l’echec des Home Rulers.

Review: An inquiry into what organised difficult advance care planning conversations in a Scottish residential care home using institutional ethnography.

Review: An inquiry into what organised difficult advance care planning conversations in a Scottish residential care home using institutional ethnography.

An inquiry into what organised difficult advance care planning conversations in a Scottish residential care home using institutional ethnography.

This paper provides an institutional ethnographic analysis of how advance care planning discussions, which included advance decisions about serious illness, hospital admission and Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) forms, were systematically placed into the hands of senior social care workers (SSCWs) in a residential care home (RCH). RCHs are care settings where there are no on-site nurses, and access to hospital and/or community doctors and nurses is limited. The paper traces the organising features of day-to-day work gathered from interviews with SSCWs (n = 4) and others (n = 6) whose (well-intentioned) work shaped what happened in the RCH. It shows how the experience of SSCWs was socially organised to happen as it did as they (and others) complied with powerful organising texts such as national and local policy documents, care plans and audit forms. The paper concludes that although SSCWs decision-making conversations were out of alignment with the national DNACPR policy, they cannot simply be described as poor practice. This is because they were socially organised by a complex web of institutional practices related to the occupancy rate in the RCH, the inspection process of the care home scrutiny body, the quality assurance process of the RCH company, the funding of palliative care education, and powerful political and fiscal drives to reduce spending on over-75s. These practices had little to do with the actual care needs of RCH residents or the actual support needs of RCH staff. The paper points towards necessary policy changes. It also highlights how 'competent' work driven by ideological institutional practices can result in ethically troubling situations in day-to-day working life. This emphasises the importance of carefully examining the social organisation of situations typically described as poor practice if we are to understand how they are (re)produced. It also offers a different account of care home deaths than is typically presented in the professional literature.

Afterword: 2014 and after: The Changing Anatomy of Civil Society and the Media in Scotland

The Scottish press and media have been credited with keeping alive and amplifying Scottish national identity, and with it, the Scottish Home Rule project. And yet, the Scottish press has undergone a massive decline in sales and readership in the last fifty years. This brief commentary addresses the apparent anomaly that the press, the ostensible carriers of the Scottish political project, are no longer vital to its development in the 21st century.

“The vice of distant knowledge”: Licensing and the geography of jurisdiction on the Scottish wartime Home Front

This article considers how licensing law conceives and practices jurisdiction. It examines the limits of attempts to define and exploit jurisdiction in the regulation of social problems connected to alcohol. Using the case study of a prohibition on the sale of spirits in the Scottish town of Motherwell during the First World War, it analyses how ‘vertical’ legal appeals through higher courts intersected with everyday ‘horizontal’ challenges to the jurisdiction of the local licensing magistrates as the ban pushed drinkers and the problems of drunkenness onto neighbouring authorities. Those higher court challenges importantly confirmed the localness of licensing, but they could not guarantee the effectiveness of the magistrates’ policy. By showing the potentially disruptive daily habits of ordinary citizens and urban infrastructure, the article promotes a social and material legal geography of licensing. In conclusion, it calls for a critical examination of the ‘local’ in local government, and the political geographies that result from appeals to space and scale in the division of governance functions.

Police Amalgamation and Reform in Scotland: The Long Twentieth Century

This article examines shifting debates about police amalgamation and governance reform in Scotland since the mid-nineteenth century in the light of the creation of a single police service (Police Scotland) in 2013. From a proliferation of 89 separate police forces in 1859, the number had been reduced to 48 by 1949 and eight in 1975. Yet the move towards a single police service was far from inevitable, as comparison with England and Wales demonstrates. The idea of a ‘single’ or national force was mooted from the 1850s onwards in moments of unrest, disorder and emergency, but for most of the twentieth century it remained anathema. For the Scottish Office and Home Office as well as for many police officers, the move towards larger policing units was seen as desirable on the grounds of economy, efficiency, and professionalisation. Yet the assumption that ‘local’ control of police forces through municipal and county councils best enabled accountability and hence legitimacy remained intact until the 1960s, whilst the regional model set up in 1975 persisted for forty years. The article explores the reasons for this, focusing on the changing dynamics of the relationship between central and local government across the last 150 years.

Michael Patrick Ryan

Michael Patrick Ryan (“Mike”) studied at the London School of Economics and graduated BSc in economics with first class honours in 1959. Many of us will consider it our good...

The arts and crafts movement in Scotland: a history

This authoritative book is the most detailed account to date of the Arts and Crafts movement in Scotland. Arts and Crafts ideas appeared there from the 1860s, but not until after 1890 did they emerge from artistic circles and rise to popularity among the wider public. The heyday of the movement occurred between 1890 and 1914, a time when Scotland's art schools energetically promoted new design and the Scottish Home Industries Association campaigned to revive rural crafts. Across the country the movement influenced the look of domestic and church buildings, as well as the stained glass, metalwork, textiles, and other furnishings that adorned them. Art schools, workshops, and associations helped shape the Arts and Crafts style, as did individuals such as Ann Macbeth, W. R. Lethaby, Robert Lorimer, M. H. Baillie Scott, Douglas Strachan, Phoebe Traquair, and James Cromar Watt, among other well-known and previously overlooked figures. These architects, artists, and designers together contributed to the expansion and evolution of the movement both within and beyond Scotland's borders.

Becoming National? G. M. Trevelyan: The dilemmas of a liberal (inter)nationalist, 1900–1945

On the face of it, biography, with its focus on intimate, personal identity, seems an unpromising genre for addressing the public, collective idioms of nationalism. But arguably the national is but One dimension in which a general theory of identity... can be investigated'.1 And the biographical mode may offer insights into specificities, complexities and antinomies occluded in broader, impersonal studies of national identity.George Macaulay Trevelyan was not a profound thinker about nationalism. He was primarily a narrative historian, a celebrant not an analyst of nationalist movements, but his career, nevertheless, illustrates some of the dilemmas of a liberal (inter)nationalist in the period 1900-45. Son of George Otto Trevelyan, a leading liberal of the Victorian era, great nephew of Lord Macaulay, he had an identity firmly rooted in the interlocking family networks of England's political and intellectual aristocracy. He grew up primarily at Wallington, the ancestral home on the edge of the Northumbrian moors. In the writing room stood the desk where Macaulay wrote his History of England; in the study, the table where his father completed his Life and Letters of Lord Macaulay weeks before Trevelyan's birth. Its vast central hall was decorated with scenes of local history from Roman times to the 1860s, 'interspersed with portrait medallions of famous Northumbrians, starting with the Emperor Hadrian and culminating with midnineteenth century Trevelyans'.2Houses like Wallington provided tangible moorings for elite Victorian families like the Trevelyans, enshrining family archives, memories and emotions, linking its inhabitants to the neighbourhood and to similar families throughout the country; they were palimpsests of local and national history.3 The same was true of the grounds and surrounding countryside, whose history Trevelyan evoked in some of his early essays. For, like many such families, the Trevelyans cared as much for the rural setting as for the house itself. 'Trevy' was himself one of those late-Victorian 'pilgrims of scenery', for whom 'landscape theology' served as a substitute for religion. So, when he thought of Wallington, he thought immediately of the Northumbrian moors and 'the sheep runs that sweep up to the Scottish border', which he walked obsessively. For him, walking, especially hill and mountain walking, was both a daily tonic and a spiritual experience: 'the best means whereby a man might regain possession of his own soul, by rejoining him in sacred union with nature.'4 And the appeal was not just to the 'solitude [and] silence of primeval nature', but to its literary, historical associations. Thus, Wallington for him also connoted Hadrian's Wall, the Middle Marches, the Border ballads and a heroic Anglo-Scottish warrior past. His devotion to English literature - apparent in everything he wrote - was an essential part of his sense of place and his feeling for nature, history, and local and national identity. Richly chronicled in prose and verse, the English countryside for him was a 'storied landscape', filled with associations and attachments.5But the very naturalness of his privileged national belonging prevented him from asking searching questions. Englishness, like history and liberal politics, was an almost invisible environment of which he was barely aware. It was only in later life, when the social fabric, the environment and England itself were under threat, that he became a self-conscious celebrant of his own national identity - notably in his English Social History, a work explicitly 'confined to the social history of England', written between 1940 and 1941, though only published in 1944.6Before 1914, his Englishness was underscored and a broader British patriotism repressed by political radicalism and dislike of empire. Though not unusual, this was family tradition, too: his father was a fierce critic of the post -Mutiny Raj and, unusually, a supporter of Scottish home rule. …

The importance of understanding epidemiology in order to inform financial decisions: A lesson from the Scottish Home Oxygen Service

To ensure that decisions on the future planning of the Scottish Home Oxygen Service reflect population needs by examining the epidemiology of the main conditions that require home oxygen therapy and trends in their management. Analysis of routinely available vital event and health service data supplemented by published literature. Use of linked data to provide person-based analyses. Consideration of trends in key risk factors, disease incidence, prevalence and mortality for chronic neonatal lung disease, cystic fibrosis, chronic interstitial lung disease in adults and chronic obstructive pulmonary disease. Examination of trends in management of these conditions including hospital admissions, length of stay and re-admissions. The prevalence of all the conditions studied has increased in Scotland over recent years due to a combination of increased incidence, increased survival, more active case finding and demographic changes. There have been changes in management with trends towards shorter hospital stays. The clinical need for home oxygen therapy is likely to continue to increase over the next 10-20 years. It will encompass all age groups and a complex range of conditions. Public health needs to be proactive in providing relevant needs assessment information to ensure that planning within financial constraints is appropriately informed on population needs.

The ambulance service: the past, present and future

Journal of Paramedic PracticeVol. 4, No. 5 College of ParamedicsThe ambulance service: the past, present and futureAndy NewtonAndy NewtonSearch for more papers by this authorAndy NewtonPublished Online:16 Aug 2013https://doi.org/10.12968/jpar.2012.4.5.303AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article References Baskett PJ, Diamond AW, Cochrane DF (1976) Urban mobile resuscitation-training and service. Br J Anaesth 48(4): 377–85 Crossref, Google ScholarBBC Panorama (1963) The ambulance services are under fire www.bbc.co.uk/archive/nhs/5161.shtml (accessed 22 April 2012) Google ScholarBurr ML (1969) Concise History of the Ambulance Service. Medical Officer (Reprinted in Ambulance UK (2001) 16: 161–81) Google ScholarCarney CJ (1999) Prehospital care—a UK Perspective. Br Med Bull 55(4): 757–66 Crossref, Google ScholarChamberlain DA, Brown PM, Briggs RS et al.(1976) The Brighton Resuscitation Ambulances: a continuing experiment in pre-hospital care by ambulance staff.BMJ 2(6045):1161–5 Crossref, Google ScholarDepartment of Health England NHS Executive(1996) Review of Ambulance Performance Standards; Final report of the Steering Committee. DH Google ScholarEMS (2009) EMS makes a difference: Improving clinical outcomes and downstream healthcare savings. A Position Statement of the National EMS Advisory Council www.ems.gov/pdf/nemsac-dec2009.pdf (accessed 24 April 2012) Google ScholarHadfield H (1903) Municipal Ambulance Work.The Windsor Magazine 18(3): 339–47 Google ScholarHeightman AJ, McCallion T (2011) Management lessons from Pinnacle.JEMS 36(10): 50–4 Google ScholarJudge TP (2004) “Reforming Emergency Care” and the Ambulance Service.Emerg Med J 21(1):4 Crossref, Google ScholarKouwenhoven WB, Jude JR, Knickerbocker GG (1960) Closed chest cardiac massager. JAMA 173:1064–7 Crossref, Google ScholarLakhani M, Fernandes A, Archard D (2007) Urgent Care: A Position Statement from the Royal College of General Practitioners. Royal College of General Practitioners Google ScholarMinistry of Health (1966) Report by the working party on ambulance training and equipment: Part 1—training. Scottish Home and Health Department,HMSO Millar ELM Google ScholarMinistry of Health, Scottish Home and Health Department (1967) Millar Report—Report by the working party on ambulance training and equipment: Part 2 equipment. HMSO Google ScholarMunjal KG, Silverman RA, Freese J (2011) Utilization of Emergency Medical Services in a large Urban Area: Description of Call Types and Temporal Trends. Pre-hosp Emerg Care 15(3): 371–80 Crossref, Google ScholarPalazzo FF, Warner OJ, Harron M et al. (1998) Misuse of the London ambulance Service: how much and why? J Accid Emerg Med 15(6): 368–70 Crossref, Google ScholarPost C, Treber M (2002) History chapter 1 Pre-Hospital Systems and Medical Oversight (3rd edn). National Association of Emergency Medical Service Physicians,Iowa Google ScholarRasmus W (2009) Listening to the Future, why it's everybody's business; Microsoft Executive Leadership Series Wiley,New Jersey. Google ScholarRichardson R (1974) Larrey Surgeon to Napoleon's Imperial Guard. Quller Press,London Google ScholarSafer P, Elam J (1958) Manual versus mouth to mouth methods of artifcial respiration.Anaestbesiology 19:111–2 Crossref, Google ScholarSanders J (2000) A review of health professional attidudes and patient perceptions on ‘inappropriate’ accident and emergency attendances. The implications for current minor injury service provision in England and Wales.J Adv Nurs 31(5): Crossref, Google Scholar FiguresReferencesRelatedDetailsCited byDisruptive innovation: barriers, opportunities and differences internationallyAndy Newton, Barry Hunt, Julia Williams27 September 2020 | International Paramedic Practice, Vol. 10, No. 3The paramedic profession: disruptive innovation and barriers to further progressAndy Newton, Barry Hunt, Julia Williams8 April 2020 | Journal of Paramedic Practice, Vol. 12, No. 4Work intensification and ambidexterity - the notions of extreme and ‘everyday’ experiences in emergency contexts: surfacing dynamics in the ambulance service23 August 2019 | Public Management Review, Vol. 22, No. 1Examining the type and frequency of incidents attended by UK paramedicsTristan Henderson, Ruth Endacott, Jonathan Marsden, Sarah Black11 September 2019 | Journal of Paramedic Practice, Vol. 11, No. 9Why do paramedics have a high rate of self-referral?Anna van der Gaag, Robert Jago, Zubin Austin, Magdalena Zasada, Sarah Banks, Ann Gallagher, Grace Lucas4 May 2018 | Journal of Paramedic Practice, Vol. 10, No. 5Future Perspectives for the UK Ambulance Services: Evolution Rather than Revolution20 September 2015 5 May 2012Volume 4Issue 5ISSN (print): 1759-1376ISSN (online): 2041-9457 Metrics History Published online 16 August 2013 Published in print 5 May 2012 Information© MA Healthcare LimitedPDF download

Raising educational standards for the paramedic profession

Journal of Paramedic PracticeVol. 4, No. 4 College of ParamedicsRaising educational standards for the paramedic professionJim Petter, Ewan ArmitageJim PetterSearch for more papers by this author, Ewan ArmitageSearch for more papers by this authorJim Petter; Ewan ArmitagePublished Online:16 Aug 2013https://doi.org/10.12968/jpar.2012.4.4.241AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article References Department of Health (2005) Taking Healthcare to the Patient: Transforming NHS Ambulance ServicesUK. DH Google ScholarDepartment of Health (2008) High Quality Care for All: NHS Next Stage Review Final Report www.dh.gov.uk/prod_consum_dh/groups/ dh_digitalassets/edh/een/documents/digitalasset/ dh_085828.pdf (accessed 5 February 2012) Google ScholarDepartment of Health (2010a) Equity and excellence: liberating the NHS, www.dh.gov.uk/en/Publicationsandstatistics/Publications/ PublicationsPolicyAndGuidance/DH_117353 (accessed March 13 2011) Google ScholarDonaghy J (2008) Higher education for paramedics— why? Journal of Paramedic Practice 1(1): 31–5 Link, Google ScholarEdexcel (2010) About us. www.edexcel.com/Aboutus/who-we-are/our-history/Pages/ourhistory.aspx (accessed 22 May 2012) Google ScholarGrundy L (2001) Pathways to fitness for practice:National Vocational Qualifications as a foundation of competence in nurse education. Nurse Educ Today21(4): 260–5 Crossref, Google ScholarHealth Professions Council (2007) Standards of Proficiency. Paramedics. www.hpc-uk.org/ publications/standards/index.asp?id=48 (accessed 10 March 2012) Google ScholarHealth Professions Council (2008) Standards of conduct, performance and ethics. www.hpc-uk.org/aboutregistration/standards/standardsofconductperformanceandethics/ (accessed 10 March 2012) Google ScholarHealth Professions Council (2009) The Standards of Education and Training. www.hpc-uk.org/ aboutregistration/standards/sets/ (accessed 8 March 2012) Google ScholarHMSO (1997) Higher Education in the Learning Society (Dearing Report). London, HMSO Google ScholarKilner T (2004) Desirable attributes of the ambulance technician, paramedic and clinical supervisor: Findings of a Delphi study. Emerg Med J 24(3): 239–43 Google ScholarMartin J, Swinburn A (2012) Paramedic clinical leadership. Journal of Paramedic Practice 4(3): 181–2 Link, Google ScholarMinistry of Health, Scottish Home and Health Department (1966) Report by the working party on ambulance training and equipment: Part 1 training.London, HMSO Google ScholarMorrow G, Burford B, Rothwell C et al. (2011)Professionalism and conscientiousness in healthcare professionals Study 1 – Perceptions of Professionalism.www.hpc-uk.org/assets/documents/1000361AProfessionalismandconscientiousnessinhealthcareprofessionals-fnalreportstudy1.pdf (accessed 8 March 2012) Google Scholar FiguresReferencesRelatedDetailsCited byAlternatives to direct emergency department conveyance of ambulance patients: a scoping review of the evidence6 January 2021 | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Vol. 29, No. 1 6 April 2012Volume 4Issue 4ISSN (print): 1759-1376ISSN (online): 2041-9457 Metrics History Published online 16 August 2013 Published in print 6 April 2012 Information© MA Healthcare LimitedPDF download

P1-373 Using epidemiological data to inform service planning: a lesson from the Scottish home oxygen service

IntroductionIncreasing demand for home oxygen in Scotland has resulted in a shortfall in the budget for this service. In 2009, discussions began to identify financial solutions. There was a lack...

Cultural diversity and dementia in Scottish care homes

theoretical guidance and policy directives emphasize the necessity of considering the culturally-specific needs of health and social care service users as part of 'person-centred' approaches to care. This article outlines the ideas underpinning an ongoing PhD study of the interactions between care staff and residents which is aimed at gaining insights into how person-centred care is fulfilled for people with dementia in Scottish care homes. certain dynamics may constrain the deployment of culturally-meaningful care approaches for certain service users in Scottish care homes. These include limited understandings of the nature of cultural diversity in modern Scotland, failure to recognize the import of 'inter-generational' cultural change, lack of research around the interactions between staff and service users from different cultural backgrounds, and a sketchy demographic picture of the ethnic/cultural composition of Scottish care home populations. Groups of service users in particular settings (such as older people with dementia in long-term care) may be especially vulnerable to the effects of care processes constituted under such circumstances. poorly recognized gaps in understanding of the sociocultural and historical influences which help constitute 'the person' in many Scottish care home residents may exist. If these are found to constrain 'knowing the person', can the term 'person-centred' be meaningfully applied to care?