Literature review service user involvement

Literature review service user involvement

Service user involvement: impact and participation: a survey of service user and staff perspectives,9 Citations

WebThis literature review focuses on exploring issues of service users and carer involvement in the assessment of students‟ practice. Recommendations are made to inform the Webtransferred within the organization. This paper provides a review to the literature surrounding user involvement in product and service development. The findings of a WebJul 29,  · This review looks at the involvement of people who have experienced mental health difficulties in teaching mental health students communication skills. A WebFeb 1,  · This literature review provides an opportunity to explore how service user involvement in classroom settings can impact on student learning, and describes WebAlso, no studies evaluated its effect on social work practice or on outcomes for future service users and carers. It is vital that involvement, and indeed every other aspect of ... read more

Method: A structured search of the literature on service user involvement in Higher Education healthcare curricular activity was undertaken July February Papers were screened and data extracted and synthesized according to the aspect of the curriculum enhanced by involvement and level of impact evaluation. Results: Thirty papers addressed interventions in pre- and 11 in post-registration education. Thirty studies reported on evaluation. Students and service users both benefited from service user involvement in health care programmes.

Members of the service user reference group worked with the research team to advise on key messages for dissemination to different audiences. Results: Information was gained about contextual factors, drivers, concepts, approaches and outcomes of service user involvement in nursing, midwifery and health visiting research, as well as developments in other research fields. Synthesis of this information shows that there are different purposes and domains for user involvement, either as part of researcher-led or user-led research, or as part of a partnership approach. A number of issues were identified as being important for future research. These include: linking different reasons for service user involvement with different outcomes; understanding the relationship between research data and service user involvement, and developing conceptualisations of user involvement that are capable of accommodating complex research relationships.

Suggestions for the development of practice include: consideration of diversity, communication, ethical issues, working relationships, finances, education and training. Stickley , B. Rush Education. Nurse education today. View 1 excerpt, cites background. Examining validity and reliability of objective structured clinical examination for evaluation of clinical skills of midwifery undergraduate students: a descriptive study M. Kolivand , Marzieh Esfandyari , S. Heydarpour Medicine. BMC medical education. The Validity and Reliability of the Objective Structured Clinical Examination OSCE in Pre-internship Nursing Students Z.

Sabzi , M. Modanloo , K. Yazdi , S. Kolagari , M. Aryaie Medicine. Haycock-Stuart Education. how is a for. Mentors' and students' perspectives of feedback in practice assessment: a literature review. Pollock , A.

BMC Health Services Research volume 14 , Article number: Cite this article. Metrics details. Over the last 20 years governments around the world have promoted user involvement in an effort to improve the quality of health services. Despite the growing emphasis placed on user involvement in England, there is a paucity of recent studies looking at how service users and professionals perceive the outcomes of user involvement policies. This study aimed to examine the overall levels of participation in service user involvement in mental health services among professionals and service users and ascertain their views on the impact of involvement activity on various areas of service delivery. A cross-sectional survey of service users and providers within community mental health services.

A questionnaire with closed and open ended questions was used to gather the responses of service users and frontline professionals. As a mixed methods study, the analysis consisted of both quantitative and qualitative approaches. One hundred and forty three frontline mental health professionals, Although there were some differences in the responses of service users and frontline professionals, both groups reported that service user involvement was having a positive impact. The findings show that, within the three mental health trusts examined in this study, service user involvement has become widespread and is perceived by both staff and service users to be a good policy.

The study had some important limitations. The questionnaire used was based on existing literature, however it was not subjected to psychometric testing. In addition, response rates were low, particularly among professionals. Despite the limitations, the findings are encouraging, offering important of insight into views and experiences of service users and healthcare staff. Further studies are needed to assess and investigate the topic on a national level. Peer Review reports. In the last three decades governments across Europe and North America have placed increased emphasis on service user involvement and its role in the planning and delivery of healthcare services. User involvement has been promoted by the World Health Organisation and several countries have developed legislation strengthening the influence of service users and giving them greater control over the services they receive [ 1 ]-[ 4 ].

This has been especially true in mental health. A number of studies have highlighted the benefits of user involvement. It has been credited for improving the information and accessibility of services [ 5 ]. Improvements have also been observed in the coordination of care and in the relationships between clinicians and those receiving treatment [ 6 ]-[ 9 ]. User involvement has also been associated with positive clinical outcomes, such as improved self esteem and confidence, as well as therapeutic benefits resulting from increased social interaction [ 10 ]. Despite this rapid increase in awareness, service user involvement has struggled to overcome significant challenges associated with translating the rhetoric of empowerment and participation into practice [ 11 ].

Several studies have examined how user involvement is conducted in health services [ 12 ]-[ 16 ]. Research has shown that service users have found it difficult to influence service providers and have a real impact on decision-making across all levels of service delivery. Kent and Read [ 12 ] suggested that service user involvement may be progressing faster at the level of individual treatment than at a wider organisational level. Similar findings were made by Storm et al. They concluded that service user involvement was occurring on an individual level and service users were involved in decisions about their own treatment; however, there was still considerable progress to be made in involving service users at a departmental level.

Other studies have highlighted issues, such as staff and organisational resistance, as significant barriers to effective user involvement [ 2 ],[ 17 ]-[ 19 ]. In a study evaluating the outcomes of a service user involvement initiatives, Storm et al. Similarly, service improvement initiatives designed to increase awareness of user involvement and enhance participation are not always effective in influencing professional knowledge, practice or attitudes towards user involvement [ 21 ]. In a UK based study, carried out by Rutter et al. Successive governments have emphasised the involvement of service users as a means of increasing the acceptability and quality of services [ 24 ]-[ 26 ]. The NHS and Community Care Act established formal requirements for service user involvement in the planning of services.

The New Labour government continued these developments with the National Service Framework for Mental Health [ 4 ] which positioned service user involvement as one of its central tenets. Developments such as the Social Care Act, further consolidated the increased focus on user involvement by setting out requirements for all NHS organisations to ensure active participation in treatment decision-making, as well as the planning and evaluation of services. In recent years the coalition government has continued to make changes in the structure of the NHS, emphasising strategies which may give people more choice and control over how their support needs are met [ 27 ].

Despite the rapid growth and mainstreaming of user involvement in recent years, the impact of these policies on the experiences and perceptions of mental health service users and providers has rarely been examined. Given this relative paucity of recent empirical research it is important to understand how the concept of user involvement is perceived by service users and frontline mental health professionals. This study examines the overall levels of participation in service user involvement across three mental health trusts in the UK. The study also explores the views of service users and professionals on the impact of service user involvement on various areas of service delivery.

The main research questions were:. What are the overall levels of participation in service user involvement initiatives among service users and frontline professionals social workers and psychiatric nurses? What are the perceptions of service users and mental health professionals on the impact of service user involvement on key areas of service planning and delivery? What positive and negative aspects do service users and mental health professionals associate with service user involvement? Social Workers are more likely to participate in user involvement and associate benefits with user involvement than psychiatric nurses. High levels of service user involvement are more difficult to achieve in mostly rural, compared to mostly urban areas.

We conducted a cross-sectional survey of service users and professionals within community mental health services. The survey was carried out in three mental health trusts covering a combined area of over 4. The two inner city Trusts A and B service a younger and more ethnically diverse population with greater mental health needs than in other parts of England [ 28 ]. Trust C covered a larger, predominantly rural area. The sampling of the three trusts was conceptual with all study locations selected on the basis of their characteristics. Both collective and individual forms of involvement were of interest, as well as the impact of factors, such as organisational change and service reorganisation, topical concerns considering the significant changes in the structure of the NHS implemented by the UK coalition government since Trust A had been undergoing significant service reorganisation.

Trust B had also undergone recent restructuring and had begun placing significant emphasis on service user representation on the Trust Board. A third location Trust C , was added to include the perspectives of service users and staff living in rural areas, as rurality may impact on the nature and outcomes of user involvement. Trust C encompassed an area of about 1, square miles including 2 county councils, one city council and three separate social services authorities. The rural setting and size create a number of logistical problems, such as overcoming the difficulty of geographic dispersal and creating opportunities for service users to meet amongst themselves and trust officials and third sector providers. Based on data obtained from trust managers, all three organisations held similar strategic approaches to user involvement.

Structures of service user involvement were present at individual, service and organizational level. Each trust had service user representatives on their boards. The numbers of governors in the three trusts studied were:. In addition, all of the trusts continued to commission a small number of user led organizations for the purposes of consultancy, monitoring and providing additional services such as vocational courses, advocacy and peer support. Fieldwork began in July and was completed in April A questionnaire with closed and open ended questions was used to collect the responses of both service users and frontline professionals. Professionals were invited to participate using a self-completion online questionnaire, while service users were approached directly by a member of the research team.

A different method was adopted for both groups as we aimed to include a wide range of service users including those who may not have had regular internet access. The data collection research team consisted of 5 members including 3 research assistants from the Mental Health Research Network. Survey interviews with service users were carried out on a 1 to 1 basis. During the initial phase of the interview respondents were screened for eligibility and provided with information about the study. Verbal consent was sought before proceeding with the survey questions. Considerable care was taken to avoid exerting pressure when eliciting responses from the survey participants. Participants were assured about the anonymity of their information and were encouraged to express themselves freely and independently when completing the questionnaire.

Some respondents preferred to give verbal responses to the open ended questions of the survey. In order to minimise the possibility of misinterpretation, the researchers transcribed the responses verbatim, and gave the participant the opportunity to review the transcribed text and request changes if necessary. Professionals were contacted by email one week prior to the distribution of the electronic survey, giving them the opportunity to review the informational material and opt out of receiving the electronic questionnaire.

Basic demographic information was collected but no respondent could be identified. We aimed to collect responses from service users and 42 frontline professionals 21 Community Psychiatric Nurses and 21 Social Workers per Trust. Broad criteria for the selection of service users were applied. Service users in inpatient settings were not included in the sampling for this study. A purposive sampling method was used and service user participants were recruited from community mental health clinics and local day centres and community based substance misuse services. Quotas were not applied for the recruitment distributions across age groups, gender, ethnicity or diagnosis.

It was hoped that by identifying service users through ordinary clinical settings, such as waiting rooms in outpatient clinics it would be possible to obtain the views of a wide range of people attending services in the sampled trusts. The sampling frame for the survey of frontline mental health professionals was drawn up using data from the human resources departments of each Trust. The survey was targeted at social workers and psychiatric nurses, the main professional groups in community mental health services in England. We were interested in their views, seeing them as relevant informants considering their day-to-day involvement with service users and participation in a wide range of activities including therapeutic work, care planning and management.

The survey was part of a wider research project which included in depth interviews with psychiatrists, senior clinicians, managers and commissioners. These findings will be reported elsewhere. Emails were sent to a random sample of psychiatric nurses and social workers asking them to complete the on-line survey. Due to the lower than expected response rate a number of Social Workers and Psychiatric Nurses were approached in person and asked to complete a paper version of the questionnaire. A further 7 participants were recruited following visits to mental health clinics, which had not been covered in the original sampling for the study.

We predicted that social workers would be more likely than community psychiatric nurses to 1 have participated in service user involvement initiatives and 2 associate a positive benefit with such activity. There is support in the literature for this [ 12 ] and user involvement is a mandatory part of social work education. The sample size was based on the ability to test the hypothesis of a difference in mean outcome scores between two independent groups; social workers and community psychiatric nurses. We therefore estimate the sample size to be able to detect a standardised effect size of 0.

The survey questionnaire was based on a core set of questions derived from reviews of the literature conducted by Rose et al. Section 1 of the questionnaire contained a series of examples of user involvement activities and service users were asked to identify which, if any, forms of involvement they had participated in.

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WebFeb 1,  · This literature review provides an opportunity to explore how service user involvement in classroom settings can impact on student learning, and describes WebFeb 1,  · This literature review provides an opportunity to explore how service user involvement in classroom settings can impact on student learning, and describes WebThis literature review focuses on exploring issues of service users and carer involvement in the assessment of students‟ practice. Recommendations are made to inform the WebAlso, no studies evaluated its effect on social work practice or on outcomes for future service users and carers. It is vital that involvement, and indeed every other aspect of WebService users and carers service user involvement literature review were involved in a range of projects, mainly on the level of consultation or collaboration. The findings of a literature review are visualized into a framework where different product and service development processes and the stages of involvement are depicted Webplanning and implementing user involvement in change management are given based on Crawford et al‟s review: 1. Be clear about the aims and scope of involvement before ... read more

A third location Trust Cwas added to include the perspectives of service users and staff living in rural areas, as rurality may survey on the nature and outcomes of user involvement. Publication types Research Support, Non-U. Publication types Research Support, Non-U. Both service user and professionals highlighted the potential for service user involvement to harm service users. Log in. The Occupational Health and Safety Management System OHSAS

Nicholls V: Surviving User-led Research: Reflections on Supporting User-led Research Projects. Table 7 Benefits and disadvantages of literature review service user involvement user involvement reported by service users and staff Full size table. There is a special section for plastic injection and run for others where we have the following Molyneux J, Irvine J: Service user and carer involvement in social work training: a long and winding road?. The findings suggest that service user involvement has become a mainstream policy across the three trusts examined in the study. In addition participants were asked about the overall impact of user involvement.