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dc.contributor.authorAmador, Sarah
dc.contributor.authorGoodman, Claire
dc.contributor.authorMathie, Elspeth
dc.contributor.authorNicholson, Caroline
dc.date.accessioned2017-06-26T15:24:17Z
dc.date.available2017-06-26T15:24:17Z
dc.date.issued2016-06-03
dc.identifier.citationAmador , S , Goodman , C , Mathie , E & Nicholson , C 2016 , ' Evaluation of an Organisational Intervention to Promote Integrated Working between Health Services and Care Homes in the Delivery of End-of-Life Care for People with Dementia : Understanding the Change Process Using a Social Identity Approach ' , International Journal of Integrated Care , vol. 16 , no. 2 , 14 . https://doi.org/10.5334/ijic.2426
dc.identifier.otherPURE: 10709410
dc.identifier.otherPURE UUID: bd6c8a66-7028-4cb4-bf8f-432b0e538a43
dc.identifier.otherPubMed: 27616969
dc.identifier.otherScopus: 84973365120
dc.identifier.urihttp://hdl.handle.net/2299/18540
dc.description©The Authors, 2016 This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/
dc.description.abstractIn the United Kingdom, approximately a third of people with dementia live in long-term care facilities for adults, the majority of whom are in the last years of life. Working arrangements between health services and care homes in England are largely ad hoc and often inequitable, yet quality end-of-life care for people with dementia in these settings requires a partnership approach to care that builds on existing practice. This paper reports on the qualitative component of a mixed method study aimed at evaluating an organisational intervention shaped by Appreciative Inquiry to promote integrated working between visiting health care practitioners (i.e. General Practitioners and District Nurses) and care home staff. The evaluation uses a social identity approach to elucidate the mechanisms of action that underlie the intervention, and understand how organisational change can be achieved. We uncovered evidence of both (i) identity mobilisation and (ii) context change, defined in theory as mechanisms to overcome divisions in healthcare. Specifically, the intervention supported integrated working across health and social care settings by (i) the development of a common group identity built on shared views and goals, but also recognition of knowledge and expertise specific to each service group which served common goals in the delivery of end-of-life care, and (ii) development of context specific practice innovations and the introduction of existing end-of-life care tools and frameworks, which could consequently be implemented as part of a meaningful bottom-up rather than top-down process. Interventions structured around a Social Identity Approach can be used to gauge the congruence of values and goals between service groups without which efforts to achieve greater integration between different health services may prove ineffectual. The strength of the approach is its ability to accommodate the diversity of service groups involved in a given area of care, by valuing their respective contributions and building on existing ways of working within which practice changes can be meaningfully integrated.en
dc.format.extent11
dc.language.isoeng
dc.relation.ispartofInternational Journal of Integrated Care
dc.rights/dk/atira/pure/core/openaccesspermission/open
dc.titleEvaluation of an Organisational Intervention to Promote Integrated Working between Health Services and Care Homes in the Delivery of End-of-Life Care for People with Dementia : Understanding the Change Process Using a Social Identity Approachen
dc.contributor.institutionDepartment of Adult Nursing and Primary Care
dc.contributor.institutionSchool of Health and Social Work
dc.contributor.institutionCentre for Research in Public Health and Community Care
dc.contributor.institutionOlder People's Health and Complex Conditions
dc.contributor.institutionNursing, Midwifery and Social Work
dc.contributor.institutionPatient Experience and Public Involvement
dc.description.statusPeer reviewed
dc.relation.schoolSchool of Health and Social Work
dc.description.versiontypeFinal Published version
dcterms.dateAccepted2016-05-18
rioxxterms.versionVoR
rioxxterms.versionofrecordhttps://doi.org/10.5334/ijic.2426
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue
herts.rights.accesstypeopenAccess


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