9 results on '"Parry, Jayne"'
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2. Will the NHS continue to function in an influenza pandemic? a survey of healthcare workers in the West Midlands, UK
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Parry Jayne, Ives Jonathan, Greenfield Sheila, Gratus Christine, Draper Heather, Wilson Sue, Damery Sarah, Petts Judith, and Sorell Tom
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Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background If UK healthcare services are to respond effectively to pandemic influenza, levels of absenteeism amongst healthcare workers (HCWs) must be minimised. Current estimates of the likelihood that HCWs will continue to attend work during a pandemic are subject to scientific and predictive uncertainty, yet an informed evidence base is needed if contingency plans addressing the issues of HCW absenteeism are to be prepared. Methods This paper reports the findings of a self-completed survey of randomly selected HCWs across three purposively sampled healthcare trusts in the West Midlands. The survey aimed to identify the factors positively or negatively associated with willingness to work during an influenza pandemic, and to evaluate the acceptability of potential interventions or changes to working practice to promote the continued presence at work of those otherwise unwilling or unable to attend. 'Likelihood' and 'persuadability' scores were calculated for each respondent according to indications of whether or not they were likely to work under different circumstances. Binary logistic regression was used to compute bivariate and multivariate odds ratios to evaluate the association of demographic variables and other respondent characteristics with the self-described likelihood of reporting to work. Results The survey response rate was 34.4% (n = 1032). Results suggest absenteeism may be as high as 85% at any point during a pandemic, with potential absence particularly concentrated amongst nursing and ancillary workers (OR 0.3; 95% CI 0.1 to 0.7 and 0.5; 95% CI 0.2 to 0.9 respectively). Conclusion Levels of absenteeism amongst HCWs may be considerably higher than official estimates, with potential absence concentrated amongst certain groups of employees. Although interventions designed to minimise absenteeism should target HCWs with a low stated likelihood of working, members of these groups may also be the least receptive to such interventions. Changes to working conditions which reduce barriers to the ability to work may not address barriers linked to willingness to work, and may fail to overcome HCWs' reluctance to work in the face of what may still be deemed unacceptable risk to self and/or family.
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- 2009
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3. Healthcare workers' attitudes to working during pandemic influenza: a qualitative study
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Petts Judith I, Gratus Christine, Draper Heather, Parry Jayne M, Greenfield Sheila, Ives Jonathan, Sorell Tom, and Wilson Sue
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Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background Healthcare workers (HCWs) will play a key role in any response to pandemic influenza, and the UK healthcare system's ability to cope during an influenza pandemic will depend, to a large extent, on the number of HCWs who are able and willing to work through the crisis. UK emergency planning will be improved if planners have a better understanding of the reasons UK HCWs may have for their absenteeism, and what might motivate them to work during an influenza pandemic. This paper reports the results of a qualitative study that explored UK HCWs' views (n = 64) about working during an influenza pandemic, in order to identify factors that might influence their willingness and ability to work and to identify potential sources of any perceived duty on HCWs to work. Methods A qualitative study, using focus groups (n = 9) and interviews (n = 5). Results HCWs across a range of roles and grades tended to feel motivated by a sense of obligation to work through an influenza pandemic. A number of significant barriers that may prevent them from doing so were also identified. Perceived barriers to the ability to work included being ill oneself, transport difficulties, and childcare responsibilities. Perceived barriers to the willingness to work included: prioritising the wellbeing of family members; a lack of trust in, and goodwill towards, the NHS; a lack of information about the risks and what is expected of them during the crisis; fear of litigation; and the feeling that employers do not take the needs of staff seriously. Barriers to ability and barriers to willingness, however, are difficult to separate out. Conclusion Although our participants tended to feel a general obligation to work during an influenza pandemic, there are barriers to working, which, if generalisable, may significantly reduce the NHS workforce during a pandemic. The barriers identified are both barriers to willingness and to ability. This suggests that pandemic planning needs to take into account the possibility that staff may be absent for reasons beyond those currently anticipated in UK planning documents. In particular, staff who are physically able to attend work may nonetheless be unwilling to do so. Although there are some barriers that cannot be mitigated by employers (such as illness, transport infrastructure etc.), there are a number of remedial steps that can be taken to lesson the impact of others (providing accommodation, building reciprocity, provision of information and guidance etc). We suggest that barriers to working lie along an ability/willingness continuum, and that absenteeism may be reduced by taking steps to prevent barriers to willingness becoming perceived barriers to ability.
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- 2009
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4. Healthcare workers' attitudes towards working during pandemic influenza: A multi method study
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Petts Judith, Parry Jayne, Greenfield Sheila, Gratus Christine, Ives Jonathan, Wilson Sue, Draper Heather, and Sorell Tom
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Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background Healthcare workers (HCWs) will be key players in any response to pandemic influenza, and will be in the front line of exposure to infection. Responding effectively to a pandemic relies on the majority of medical, nursing, laboratory and hotel services staff continuing to work normally. Planning assumes that during a pandemic normal healthcare service levels will be provided, although it anticipates that as caseloads increase only essential care will be provided. The ability of the NHS to provide expected service levels is entirely dependent upon HCWs continuing to work as normal. Methods/design This study is designed as a two-phase multi-method study, incorporating focus groups and a questionnaire survey. In phase one, qualitative methods will be used to collect the views of a purposive sample of HCWs, to determine the range of factors associated with their responses to the prospect of working through pandemic influenza. In phase two, the findings from the focus groups, combined with the available literature, will be used to inform the design of a survey to determine the generalisability of these factors, enabling the estimation of the likely proportion of HCWs affected by each factor, and how likely it is that they would be willing and/or able to continue to work during an influenza pandemic. Discussion There are potentially greater than normal health risks for some healthcare workers working during a pandemic, and these workers may be concerned about infecting family members/friends. HCWs will be as liable as other workers to care for sick family members and friends. It is vital to have information about how motivated HCWs will be to continue to work during such a crisis, and what factors might influence their decision to work/not to work. Through the identification and subsequent management of these factors it may be possible to implement strategies that will alleviate the concerns and fears of HCWs and remove potential barriers to working.
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- 2008
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5. Parent and child perceptions of school-based obesity prevention in England: a qualitative study
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Clarke, Joanne L., Griffin, Tania L., Lancashire, Emma R., Adab, Peymane, Parry, Jayne M., and Pallan, Miranda J.
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Adult ,Male ,Parents ,Pediatric Obesity ,education ,Intervention ,Health Promotion ,Process evaluation ,Humans ,Child ,Life Style ,Qualitative Research ,School Health Services ,Primary school ,Motivation ,Schools ,Parenting ,Physical activity ,Public Health, Environmental and Occupational Health ,Focus Groups ,Child obesity ,England ,Healthy eating ,Female ,Perception ,Stakeholder views ,Attitude to Health ,Research Article - Abstract
Background Schools are key settings for childhood obesity prevention, and the location for many intervention studies. This qualitative study aims to explore parent and child experiences of the WAVES study obesity prevention intervention, in order to gain understanding of the mechanisms by which the intervention results in behaviour change, and provide context to support interpretation of the main trial results. Methods Focus groups were held with 30 parents and 62 children (aged 6-7 years) from primary schools in the West Midlands, UK. Data analysis (conducted using NVivo 10) was guided by the Framework Approach. Results Three over-arching themes were identified: ‘Impact’, ‘Sustainability’ and ‘Responsibilities’, under which sub-themes were determined. Participants were supportive of the school-based intervention. Parental involvement and the influential role of the teacher were seen as key ingredients for success in promoting consistent messages and empowering some parents to make positive behavioural changes at home. Parents recognised that whilst they held the primary responsibility for obesity prevention in their children, they faced a number of barriers to healthier lifestyles, and agreed that schools have an important role to play. Conclusions This study enabled us to better understand aspects of the WAVES study intervention programme that have the potential to initiate positive behaviour changes in families, and indicated that a combination of pathways influenced such changes. Pathways included: increasing capability through improving knowledge and skills of children and parents; increasing motivation through parental empowerment and role modelling; and the direct provision of opportunities to lead healthier lifestyles. Strategies to sustain behaviour changes, and the school role in supporting these, are important considerations.
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- 2015
6. A cluster-randomised controlled trial to assess the effectiveness and cost-effectiveness of a childhood obesity prevention programme delivered through schools, targeting 6–7 year old children: the WAVES study protocol
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Adab, Peymane, primary, Pallan, Miranda J, additional, Lancashire, Emma R, additional, Hemming, Karla, additional, Frew, Emma, additional, Griffin, Tania, additional, Barrett, Timothy, additional, Bhopal, Raj, additional, Cade, Janet E, additional, Daley, Amanda, additional, Deeks, Jonathan, additional, Duda, Joan, additional, Ekelund, Ulf, additional, Gill, Paramjit, additional, McGee, Eleanor, additional, Parry, Jayne, additional, Passmore, Sandra, additional, and Cheng, Kar Keung, additional
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- 2015
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7. Will the NHS continue to function in an influenza pandemic? a survey of healthcare workers in the West Midlands, UK
- Author
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Damery, Sarah, primary, Wilson, Sue, additional, Draper, Heather, additional, Gratus, Christine, additional, Greenfield, Sheila, additional, Ives, Jonathan, additional, Parry, Jayne, additional, Petts, Judith, additional, and Sorell, Tom, additional
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- 2009
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8. Healthcare workers' attitudes to working during pandemic influenza: a qualitative study
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Ives, Jonathan, primary, Greenfield, Sheila, additional, Parry, Jayne M, additional, Draper, Heather, additional, Gratus, Christine, additional, Petts, Judith I, additional, Sorell, Tom, additional, and Wilson, Sue, additional
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- 2009
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9. Healthcare workers' attitudes towards working during pandemic influenza: A multi method study
- Author
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Draper, Heather, primary, Wilson, Sue, additional, Ives, Jonathan, additional, Gratus, Christine, additional, Greenfield, Sheila, additional, Parry, Jayne, additional, Petts, Judith, additional, and Sorell, Tom, additional
- Published
- 2008
- Full Text
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