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As populations rise and many global health policies point towards community care, it is important that health care delivery meets demand. In Ireland, a study was undertaken on the level and context of missed care in community nursing. The study used a survey to identify the quantity of, and reasons for, missed care; a reference group to develop possible health economic implications for missed care, and a small sample of semi-structured interviews to consider the macro-environment within which missed care occurred. This paper presents the findings of the health economics and qualitative data, and the study's implications for community nursing. [ABSTRACT FROM AUTHOR]

Background/Aims: It is vital that people with spinal cord injury (SCI) maintain a physically active lifestyle to promote health and wellbeing and improve quality of life. Yet, within hospital rehabilitation and upon discharge into the community, people with SCI are largely inactive. Physiotherapists are well placed to promote a physically active lifestyle and have been identified by people with SCI as valued and trusted messengers of physical activity. This study set out to explore the considerations physiotherapists take into account during SCI rehabilitation and investigate how physiotherapists promote physical activity in this patient group. Methods: Initial contact was made with participants through an organisation for professionals currently working in SCI care. Semi-structured interviews were completed with 18 neurological physiotherapists with 3-20 years' experience from spinal rehabilitation units in the UK and Ireland. Framed by ontological relativism and epistemological constructionism, an inductive thematic analysis was conducted on the interview transcripts. Results: The process of analysis resulted in the development of three themes: i) perceived importance of physical activity in rehabilitation and the community; ii) hit and miss physical activity promotion; iii) unease with activity-based rehabilitation. Conclusions: While physiotherapists do value physical activity, active promotion of physical activity remains largely absent I from what they do. Knowledge translation I practices within the macro (physical activity policy), meso (physiotherapy degree courses) and micro (spinal rehabilitation units) levels are needed to more effectively promote a physically active lifestyle for people with SCI. [ABSTRACT FROM AUTHOR]