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THE DECISION TO TEST THE NEW MODEL
2. AIMS AND OBJECTIVES
EXISTING SERVICE DATA
QUALITATIVE INTERVIEWS AND FOCUS GROUPS
HOW ARE COMMUNITY NURSES ORGANISED?
WHAT DO COMMUNITY NURSES DO?
WHAT DO COMMUNITY NURSES THINK OF THEIR WORK?
WHAT IS THE PERCEIVED IMPACT OF THEIR WORK FROM THE PERSPECTIVE OF:
MANAGERS, NURSES' THEMSELVES AND PATIENTS AND CLIENTS?
What are nurses' perceptions of the proposed model of Nursing in the Community?
WHAT THE MODEL WILL LOOK LIKE
ATTITUDES TOWARDS IMPLEMENTATION AND CHANGE
KEY AREAS OF CURRENT PRACTICE
LESSONS LEARNT FROM BASELINE ASSESSMENT
To what extent do community nurses already work in ways that are proposed by the new model?
RECOMMENDATIONS FOR FOLLOW-UP EVALUATION
ANNEX ONE - LITERATURE REVIEW WHICH INFORMED THE SURVEY INSTRUMENT
ANNEX TWO - SURVEY QUESTIONNAIRE
ANNEX THREE - PROTOCOL AND TOPIC SCHEDULES FOR QUALITATIVE INTERVIEWS
ANNEX FOUR - Current activities of community nurses as reported by focus group participants
LIST OF TABLES
Table 3.1 Number of questionnaires sent and received by development site
Table 3.2 Status of each development site
Table 3.3 Nurse participants involved in focus groups and interviews
Table 4.1 Survey sample characteristics
Table 4.2 Post by development site
Table 4.3 Size of Nursing Teams
Table 4.4 Composition of District Nursing Team
Table 4.5 Composition of Health Visiting Team
Table 4.6 Composition of Staff Nursing Teams
Table 4.7 Composition of Multiple Role Nursing Teams
Table 4.8 Composition of School Nursing Teams
Table 4.9 Work with individuals across the lifespan
Table 4.10 Child protection
Table 4.11 Coordinating services for those with complex needs
Table 4.12 Addressing health inequalities
Table 4.13 Working with other professionals
Table 4.14 Affect on service users, service delivery, and partnership working
Table 4.15 Assessing health and support needs
Table 4.16 Protecting from harm and neglect
Table 4.17 Enabling self management and self care (or with communities improving public health)
Table 4.18 Coordinating services on behalf of those with complex needs.
Table 4.19 Health inequalities
Table 4.20 Mean job satisfaction score by post
Table 4.21Correlation co-efficients for engagement and confidence
Table 4.22 Support for the new model
Table 4.23 Support for the new model by post
Table 4.24 Understanding how the new model affects their role
Table 4.25 Understanding how the new model affects their position as part of a multidisciplinary team
Table 4.26 Understanding how the new model affects service users
Table 4.27 Whether nursing staff felt fully consulted
Table 4.28 Whether leaders are fully aware of what is required.
Table 4.29 Some nurses will leave the service.
Professor Catriona Kennedy, Napier University
Professor Lawrie Elliott, The Centre for Integrated Health Care Research ( CIHR) Napier University
Dr Robert Rush,CIHR Queen Margaret University
Dr Rhona Hogg,CIHR and NHS Lothian
Dr Shona Cameron, Queen Margaret University
Dr Margaret Currie, Centre for Rural Health UHI Millennium Institute
Steph Hall, Centre for Rural Health University of Aberdeen
Martine Miller, Napier University
Charlene Plunkett,CIHR Queen Margaret University
Professor William Lauder, University of Dundee
The views expressed in this report are those of the researcher and
do not necessarily represent those of the Department or Scottish Ministers.