Changes in the organization and funding of health services and in the education and training of NHS staff have placed increased influence in the hands of employers and individual students as users of continuing professional development. Against this policy context an interview study was carried out with students participating in a range of continuing professional development activities. The sample included 89 participants attending a range of courses. Approximately half of the sample had children. Many of the participants were attending courses in their own rather than in their employers' time and several were self-funding. The influence of domestic responsibilities on motivations, along with the impact of course participation on home and family life, were examined. Results revealed that those with children were less likely to perceive continuing education in a positive light compared to those without. The impact of course participation on home and family life was invariably negative and for some the consequences were serious. The policy implications of findings are discussed.
Citation: Haith-Cooper, M. and Bradshaw, G. (2013) Meeting the health and social needs of pregnant asylum seekers; midwifery students' perspectives. Part 3; The pregnant woman within the global context; an inclusive model for midwifery education to address the needs of recently arrived migrant women in the UK. Nurse Education Today, 33 (9) 1045-1050Copyright statement: © 2013 Elsevier. Reproduced in accordance with the publisher's selfarchiving policy.Meeting the health and social care needs of pregnant asylum seekers; midwifery students' perspectives Part 3; "The pregnant woman within the global context"; an inclusive model for midwifery education to address the needs of asylum seeking women in the UK Aim: to describe the conceptualisation and development of an inclusive educational model. The model is designed to facilitate pre-registration midwifery students' learning around the health and social care needs of pregnant women seeking asylum in the United Kingdom. Background: current literature has identified a concern about the standard of maternity care experienced by asylum seeking women accessing maternity services in the United Kingdom. In response to this, a doctorate study was undertaken which focused on examining the way in which a group of midwifery students approached the provision of care for asylum seekers. This study revealed difficulties that these students had both in identifying these women's needs and also in the wider care issues in practice. Consequently, one of the recommendations was to ameliorate these difficulties through midwifery education. Methods: the key findings from this study were used together with relevant supporting literature to construct "the pregnant woman within the global context" model for midwifery education. Results: The model is designed to facilitate a holistic assessment of need rather than focusing on the physical assessment at the expense of other aspects of care. It incorporates wider factors, on a global level, which could impact on the health and social care needs of a pregnant woman seeking asylum. It also prompts students to consider the influence of dominant discourses on perceptions of asylum seeking and is designed to encourage students' to question these discourses. Recommendations: this model can be used in midwifery education to prepare students in caring for pregnant women seeking asylum. It may be especially helpful when students have close contact with pregnant women seeking asylum, for example through caseloading. Further research is recommended to evaluate the effectiveness of this model in enhancing the care of asylum seeking women in the United Kingdom.
This paper examines the factors leading to the introduction of a competitive market in the British National Health Service (NHS). It can be seen that this most radical overhaul in the 45 years of the service was precipitated by economic but also ideological factors. Competition was seen as a means to producing the efficiency that would lead to better health care. The competitive market was introduced without public debate or reference to similar experiences in health care provision in the USA. Little consideration was given to the strengths and weaknesses of such a system. The purchaser-provider model chosen has been expensive to introduce. It has failed to stimulate competition amongst providers and the formal economic evaluation of its performance has so far been minimal. At first sight the separation of purchaser-provider functions has done little to disturb the traditional bureaucratic features of the NHS. The scope exists, however, to open up competition to a much greater extent. Depending on political feasibility, competition would be the necessary mechanism to prepare the NHS for sale into private ownership.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.