ORCID Profile
0000-0001-7989-9263
Current Organisation
University of Southampton
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Publisher: Springer Science and Business Media LLC
Date: 13-02-2009
Publisher: Springer Science and Business Media LLC
Date: 10-07-2017
Publisher: Springer Science and Business Media LLC
Date: 08-2018
Publisher: Springer Science and Business Media LLC
Date: 12-2010
Publisher: Springer Science and Business Media LLC
Date: 27-11-2012
Abstract: Increasing demands for podiatry combined with workforce shortages due to attrition, part-time working practices and rural healthcare shortages means that in some geographic areas in Australia there are insufficient professionals to meet service demand. Although podiatry assistants have been introduced to help relieve workforce shortages there has been little evaluation of their impact on patient, staff and/or service outcomes. This research explores the processes and outcomes of a ‘trainee’ approach to introducing a podiatry assistant (PA) role to a community setting in the Australian Capital Territory (ACT) Government Health Service Directorate. A qualitative methodology was employed involving interviews and focus groups with service managers, qualified practitioners, the assistant, service users and consumer representatives. Perspectives of the implementation process the traineeship approach the underlying mechanisms that help or hinder the implementation process and the perceived impact of the role were explored. Data were analysed using the Richie and Spencer Framework approach. Although the impact of the PA role had not been measured at the time of the evaluation, the implementation of the PA traineeship was considered a success in terms of enabling the transfer of a basic foot-care service from nursing back to podiatry releasing Enrolled Nurses (ENs) from foot-care duties an increase in the number of treatments delivered by the podiatry service and high levels of stakeholder satisfaction with the role. It was perceived that the transfer of the basic foot-care role from nursing to podiatry through the use of a PA impacted on communication and feedback loops between the PA and the podiatry service the nursing-podiatry relationship clinical governance around the foot-care service and continuity of care for clients through the podiatry service. The traineeship was considered successful in terms of producing a PA whose skills were shaped by and directly met the needs of the practitioners with whom they worked. However, the resource intensiveness of the traineeship model was acknowledged by most who participated in the programme. This research has demonstrated that the implementation of a PA using a traineeship approach requires good coordination and communication with a number of agencies and staff and substantial resources to support training and supervision. There are added benefits of the new role to the podiatry service in terms of regaining control over podiatric services which was perceived to improve clinical governance and patient pathways.
Publisher: Springer Science and Business Media LLC
Date: 12-2013
Publisher: Springer Science and Business Media LLC
Date: 14-06-2018
Publisher: Mark Allen Group
Date: 09-2008
DOI: 10.12968/IJTR.2008.15.9.30822
Abstract: The health workforce has undergone unprecedented change over the past decade. Several countries have introduced substantial workforce changes to address staffi ng shortages in medicine, nursing and the allied health professions, and in some cases, to improve the productivity and effi ciency of health services. This raft of changes, with various labels, including workforce redesign and re-engineering, has facilitated possibly the largest transformation in professional role boundaries in the history of the development of the professions. The result has been the introduction of new types of workers and new roles for several existing staff. The impact of these changes on service effectiveness and effi ciency remains largely unknown.
Publisher: Springer Science and Business Media LLC
Date: 09-07-2012
Publisher: Informa UK Limited
Date: 13-06-2018
Publisher: Springer Science and Business Media LLC
Date: 11-11-2009
Abstract: Journal of Foot and Ankle Research was launched one year ago, and a number of its key achievements are highlighted in this editorial. Although the journal is underpinned by professional bodies associated with the podiatry professions in the UK and Australasia, its content is aimed at the wider foot and ankle research community. Nevertheless, the journal's achievements over the past year reflect the development of research in the profession of podiatry. From this perspective, the journal may be viewed as contributing to the overall attainment of some of the profession's key goals and strategic aims over the last decade, across the UK and Australasia. The journal has also witnessed policy changes in the last year, and these are discussed - notably, the decision not to accept case reports for publication. We also report on a few of the key metrics, providing readers with a summary of the journal's performance over the last year.
Publisher: Springer Science and Business Media LLC
Date: 05-02-2015
Publisher: Informa UK Limited
Date: 02-04-2019
Publisher: Springer Science and Business Media LLC
Date: 28-07-2008
Publisher: Wiley
Date: 11-2005
DOI: 10.1111/J.1467-9566.2005.00463.X
Abstract: The healthcare professions have never been static in terms of their own disciplinary boundaries, nor in their role or status in society. Healthcare provision has been defined by changing societal expectations and beliefs, new ways of perceiving health and illness, the introduction of a range of technologies and, more recently, the formal recognition of particular groups through the introduction of education and regulation. It has also been shaped by both inter-professional and profession-state relationships forged over time. A number of factors have converged that place new pressures on workforce boundaries, including an unmet demand for some healthcare services neo-liberal management philosophies and a greater emphasis on consumer preferences than professional-led services. To date, however, there has been little analysis of the evolution of the workforce as a whole. The discussion of workforce change that has taken place has largely been from the perspective of in idual disciplines. Yet the dynamic boundaries of each discipline mean that there is an interrelationship between the components of the workforce that cannot be ignored. The purpose of this paper is to describe four directions in which the existing workforce can change: ersification specialisation and vertical and horizontal substitution, and to discuss the implications of these changes for the workforce.
Publisher: Springer Science and Business Media LLC
Date: 05-01-2010
Publisher: Informa UK Limited
Date: 11-06-2015
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for Alan Borthwick.