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6 results on '"Gould, Charlotte"'

1. How do healthcare professionals make sense of the barriers and facilitators to care for transgender women living with HIV?

Author

Gould, Charlotte

Abstract

Prior research demonstrates that transgender women living with HIV (TGWLH) may face unique barriers to gender-affirming HIV care resulting in reduced engagement across all stages of the continuum of care (CoC). In the UK, TGWLH have been largely ignored in the research literature, and inferences about their care likely have been made from the wider global literature. TGWLH often report prejudiced and hostile attitudes from healthcare professionals, and little is known about how clinicians view this patient group. Seven semi-structured interviews with Consultant Physicians (n=6) and a Clinical Nurse Specialist (n= 1) working in urban UK Sexual Health and HIV services were conducted. Interpretive Phenomenological Analysis found seven interrelated themes relating to their experiences of care provision: (1) Connecting with the patient, (2) Identifying the needs of trans women, (3) Making sense of healthcare systems, (4) The 'ripple effect', (5) Acknowledging insufficient professional knowledge, (6) Unhelpful perspective and the limits of 'knowledge', and (7) Finding solutions to improve care. The findings suggest that professionals had an adequate level of knowledge regarding gender inclusive care for TGWLH but expressed concerns at a lack of mandatory and routine training for working with this patient group. Harmful societal, institutional, and internalised attitudes were considered a barrier to care. Intersectional identities among TGWLH, and fears surrounding interactions between hormone therapy and ART were cited as a further impediment to care. Appropriate knowledge and the ability to foster positive patient-professional relationships with specific knowledge in providing trans-competent care were important. Future research should seek to corroborate the findings from TGWLH to establish if their experiences map onto the views of professionals. Different types of training on gender-affirming and transinclusive care would be useful for all healthcare professionals who work regularly or infrequently with transgender women accessing HIV services. This would have implications for reducing anti-trans and HIV-related stigma whilst improving the quality of care in multiple healthcare settings.

Published
2022

2. Art, Performance, and Outsourcing in Corporate Art Commissioning: An American Scenario

Author

Gould, Charlotte

Subjects
corporate art commissioning, performance art, sponsorship, Post-Fordism, Taylorism
Abstract

At a time when corporate sponsorship of contemporary art has become increasingly widespread, allowing sponsors to enhance their brands and receive return on investment in the shape of tax breaks and publicity, business has maximized this association by also capitalizing on what it perceives as the work ethic and entrepreneurial skills of the art world. The art world has indeed become a benchmark of production and management for the business world which praises its ever-youthful energy, its inventiveness, hipness, and sense of freedom, its flexible working hours and short-term or zero-hour contracts. Following the success of the creative industries, private companies have been keen to embrace this post-Fordist work model and link it to the global neoliberal market economy. This article looks into the way different performance artists have engaged with a corporate environment, but also more generally at the way art has navigated new relations with its economic context in recent years. And since performance management is largely the result of the export of American business models to Western Europe since World War II, it makes sense to look for the roots of this phenomenon on that side of the Atlantic.

Published
2023

3. Family involvement with care homes following placement of a relative living with dementia: a review.

Author

Hayward, Janine K., Gould, Charlotte, Palluotto, Emma, Kitson, Emily C., and Spector, Aimee

Subjects
*TREATMENT of dementia, *PSYCHOLOGY information storage & retrieval systems, *CINAHL database, *VISITING the sick, *MEDICAL quality control, *PATIENT advocacy, *SYSTEMATIC reviews, *MEDICAL personnel, *NURSING care facilities, *FAMILY-centered care, *DEMENTIA patients, *PATIENTS' families, *INTERPROFESSIONAL relations, *PATIENT-family relations, *DECISION making, *MEDLINE, *THEMATIC analysis
Abstract

This review updated a previous review [Gaugler JE (2005) Family involvement in residential long-term care: a synthesis and critical review. Aging and Mental Health 9 , 105–118] and focused on dementia. Fourteen years of development in family involvement with care homes following placement of a relative was explored. The review aimed to investigate two questions: (1) What types of involvement do families have with care homes following placement of people living with dementia? (2) Which factors influence family involvement with care homes? PsycINFO, MEDLINE and CINAHL Plus were searched for publications between January 2005 and December 2018. Thirty-three papers representing 30 studies were included. Papers were appraised using a quality rating tool designed for use with mixed study designs. Studies were of a reasonable quality though some weaknesses included single-site samples, high attrition rates and poor reporting. Twenty-eight papers highlighted types of involvement including collaboration, family–staff relationship development, decision making and visiting. Twenty-five papers pertained to factors influencing involvement, which included outcome of care quality evaluation, wish for recognition and sense of integration into the care team. Type of family involvement has changed over time with increased emphasis on families' desire for partnership, to be active rather than passive advocates, and to focus on care monitoring and evaluation. Seven themes of family involvement activities are featured and a non-linear process is proposed. When compared to patient and family-centred care principles, an analysis of family involvement types found good fit overall and potential for framework improvements. Over 30 diverse factors influence inter-family variation in the level and nature of family involvement. Consideration of these factors and resolution of the gaps in evidence, including intergenerational and cultural concerns, can improve care home facilitation of family participation. This dementia-specific review is a comprehensive timely complement to Gaugler's seminal work about older adults in care. [ABSTRACT FROM AUTHOR]

Published
2023
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6. Interventions promoting family involvement with care homes following placement of a relative with dementia: A systematic review.

Author

Hayward, Janine K, Gould, Charlotte, Palluotto, Emma, Kitson, Emily, Fisher, Emily R, and Spector, Aimee

Subjects
PSYCHOLOGY information storage & retrieval systems, CINAHL database, SYSTEMATIC reviews, MEDICAL personnel, NURSING care facilities, FAMILY roles, PATIENTS' families, DEMENTIA, QUALITY of life, COMMUNICATION, MEDLINE, SYMPTOMS
Abstract

There is a wealth of literature investigating the role of family involvement within care homes following placement of a relative with dementia. This review summarises how family involvement is measured and aims to address two questions: (1) which interventions concerning family involvement have been evaluated? And (2) does family involvement within care homes have a positive effect on a resident's quality of life and behavioural and psychological symptoms of dementia? After searching and screening on the three major databases PsycINFO, MEDLINE and CINAHL Plus for papers published between January 2005 and May 2021, 22 papers were included for synthesis and appraisal due to their relevance to family involvement interventions and or family involvement with resident outcomes. Results show that in 11 interventions designed to enhance at least one type of family involvement, most found positive changes in communication and family–staff relationships. Improvement in resident behavioural and psychological symptoms of dementia was reported in two randomised controlled trials promoting partnership. Visit frequency was associated with a reduction of behavioural and psychological symptoms of dementia for residents with moderate dementia. Family involvement was related to positive quality of life benefits for residents. Contrasting results and methodological weaknesses in some studies made definitive conclusions difficult. Few interventions to specifically promote family involvement within care homes following placement of a relative with dementia have been evaluated. Many proposals for further research made over a decade ago by Gaugler (2005) have yet to be extensively pursued. Uncertainty remains about how best to facilitate an optimum level and type of family involvement to ensure significant quality of life and behavioural and psychological symptoms of dementia benefits for residents with dementia. [ABSTRACT FROM AUTHOR]

Published
2022
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