scholarly journals ‘Dale’: an interpretative phenomenological analysis of a service user's experience with a crisis resolution/home treatment team in the United Kingdom

2016 ◽  
Vol 23 (6-7) ◽  
pp. 438-448 ◽  
Author(s):  
L. J. Nelson ◽  
P . K . Miller ◽  
D. Ashman
Keyword(s):  
United Kingdom ◽  
Interpretative Phenomenological Analysis ◽  
Phenomenological Analysis ◽  
Home Treatment ◽  
Treatment Team ◽  
Crisis Resolution ◽  
The United Kingdom

scholarly journals Climbing to freedom on an impossible staircase: Exploring the emancipatory potential of becoming an entrepreneur-employer

2020 ◽  
pp. 026624262096761
Author(s):  
Helen C Williams ◽  
Katrina Pritchard ◽  
Maggie C Miller ◽  
Cara Reed
Keyword(s):  
United Kingdom ◽  
Women Entrepreneurs ◽  
Interpretative Phenomenological Analysis ◽  
Phenomenological Analysis ◽  
Men And Women ◽  
Visual Method ◽  
The United Kingdom ◽  
South Wales ◽  
Catch 22 ◽  
Perceived Constraints

This article contributes to critical discussions questioning the emancipatory potential of entrepreneurship by examining the experiences of men and women entrepreneurs who have recently become employers in South Wales, the United Kingdom. Our research uses a co-creative visual method based in interpretative phenomenological analysis (IPA) to explore transitions from entrepreneur to entrepreneur-employer in everyday contexts. Findings demonstrate how initial emancipatory experiences become increasingly bounded when becoming an entrepreneur-employer. This exposes a Catch-22 of entrepreneuring-as-emancipation as a symptom of neoliberal entrepreneurial discourses that constrain what entrepreneurs are encouraged to do: grow. We find a plurality of particular emancipations, but conclude that within a developed context entrepreneurship, and more specifically, becoming an entrepreneur-employer is a relational step through which perceived constraints become more readily experienced and emancipation never fully realised.

Impacts of organisational role and environmental factors on moral injury and trauma amongst police investigators in Internet Child Abuse Teams

2021 ◽  
pp. 0032258X2110433
Author(s):  
Mark Doyle ◽  
Kit Tapson ◽  
Vasileios Karagiannopoulos ◽  
Peter Lee
Keyword(s):  
Mental Health ◽  
Child Abuse ◽  
United Kingdom ◽  
Environmental Factors ◽  
Interpretative Phenomenological Analysis ◽  
Phenomenological Analysis ◽  
Moral Injury ◽  
Psychological Interventions ◽  
Complex Needs ◽  
The United Kingdom

Little is known about how the effects of moral injury and trauma manifest amongst police Internet Child Abuse Teams. This article reports on the impacts of organisational role and environmental factors on moral injury and trauma amongst this population. Six participants were recruited from two police constabularies in the United Kingdom. Data were analysed using interpretative phenomenological analysis. Findings indicated that the participants’ moral injury and trauma were predominantly attributable to excessive workloads and stigma in relation to mental health within policing. Generic psychological interventions were insufficiently responsive to the complex needs of the police investigators.

scholarly journals Improving quality and assessment of referrals to the Enfield Crisis Resolution and Home Treatment Team (ECRHTT)

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S202-S202
Author(s):  
Margarita Kousteni ◽  
John Cousins ◽  
Ajay Mansingh ◽  
Maja Elia ◽  
Yumnah Ras ◽  
...  
Keyword(s):  
Home Treatment ◽  
Absolute Difference ◽  
List Type ◽  
Treatment Team ◽  
Crisis Resolution ◽  
Post Intervention ◽  
Improvement Project ◽  
Consultant Psychiatrist ◽  
The Impact

AimsTriaging referrals to crisis resolution and home treatment teams is a significant undertaking requiring experienced and dedicated staff. We observed that the volume of inappropriate referrals to ECRHTT was high, and that staff processing these often felt inexperienced or lacking in confidence to discharge them back to the referrers and signpost them to appropriate services.The aims of this quality improvement project (QIP) were: a)to reduce the number of inappropriate referrals received by the teamb)to reduce the number of inappropriate referrals accepted by the teamThis would significantly improve access and flow to the service and facilitate better patient care.MethodA pilot study was first completed of the quality (appropriateness/ inappropriateness) and source of all referrals to ECRHTT in January 2019 (n = 177).Subsequently, the consultant psychiatrist for ECRHTT based himself within the assessment team. He was able to closely monitor the referrals, at the same time as providing medical input to patients at their first point of contact. To evaluate the impact of this intervention, the percentage of inappropriate referrals accepted pre- and post-change was compared by re-auditing all referrals received in February 2019 (n = 175).Further interventions were instigated to improve referral quality. These included continuation of psychiatric medical input to the assessment team, teaching sessions for GPs and the crisis telephone service, and weekly meetings with psychiatric liaison and community mental health teams (CMHTs). Change was measured by reassessing the quality of all referrals made to ECRHTT in February 2020 (n = 215).Result46.9% of inappropriate referrals to ECRHTT were accepted in January 2019 compared to 16.9% in February 2019 following the addition of medical input to the assessment team. The absolute difference was 30% (95% CI: 14%–44%, p < 0.001).71% of referrals from GPs were inappropriate in January 2019 compared to 36% in February 2020 post-intervention (difference 35%, 95% CI: 8.84%–55.4%, p < 0.05). Inappropriate referrals from CMHTs decreased from 55.5% to 12% (difference 43.5%, 95% CI: 9.5%–70.3%, p < 0.05). Overall, the percentage of inappropriate referrals fell from 38% to 27.4%, a difference of 10.6% (95% CI: 1.3%–19.8%, p < 0.05). The percentage of inappropriate referrals from liaison teams did not change significantly.ConclusionThis piece of work shows that better engagement with referral sources significantly improved the quality of referrals made to ECRHTT. Interventions included medical input at the point of referral, teaching sessions for general practitioners as well as ongoing liaison with referring teams.

scholarly journals The ethics of service work in a neoliberal healthcare context: doing embodied and “dirty” emotional labor

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Lilith Arevshatian Whiley ◽  
Gina Grandy
Keyword(s):  
Emotional Labor ◽  
Interpretative Phenomenological Analysis ◽  
Design Methodology ◽  
Well Being ◽  
Phenomenological Analysis ◽  
Service Work ◽  
Dirty Work ◽  
Service Workers ◽  
Content Type ◽  
The United Kingdom

PurposeThe authors explore how service workers negotiate emotional laboring with “dirty” emotions while trying to meet the demands of neoliberal healthcare. In doing so, the authors theorize emotional labor in the context of healthcare as a type of embodied and emotional “dirty” work.Design/methodology/approachThe authors apply interpretative phenomenological analysis (IPA) to their data collected from National Health Service (NHS) workers in the United Kingdom (UK).FindingsThe authors’ data show that healthcare service workers absorb, contain and quarantine emotional “dirt”, thereby protecting their organization at a cost to their own well-being. Workers also perform embodied practices to try to absolve themselves of their “dirty” labor.Originality/valueThe authors extend research on emotional “dirty” work and theorize that emotional labor can also be conceptualized as “dirty” work. Further, the authors show that emotionally laboring with “dirty” emotions is an embodied phenomenon, which involves workers absorbing and containing patients' emotional “dirt” to protect the institution (at the expense of their well-being).

scholarly journals The use of digital legacies with people affected by motor neurone disease for continuing bonds: An interpretative phenomenological analysis study

2019 ◽  
Vol 33 (7) ◽  
pp. 812-822 ◽  
Author(s):  
Oliver Clabburn ◽  
Katherine Knighting ◽  
Barbara A Jack ◽  
Mary R O’Brien
Keyword(s):  
Young People ◽  
Interpretative Phenomenological Analysis ◽  
Young Person ◽  
Phenomenological Analysis ◽  
Motor Neurone ◽  
Motor Neurone Disease ◽  
Continuing Bonds ◽  
The United Kingdom ◽  
Psychotherapeutic Approach ◽  
Ethical Approval

Background: Motor neurone disease is a progressive neurodegenerative disease without cure. Little is known about how young people are affected when a family member has the illness and subsequently dies, resulting in a gap in understanding of how best to support them. One psychotherapeutic approach involves creating a legacy to pass onto the young person, but little research has investigated the use of an emerging format, digital legacies, where videos document a person’s life, memories and achievements. Aim: To investigate the views, perceptions and experiences of digital legacies with people affected by motor neurone disease. Design: A qualitative study underpinned by interpretative phenomenological analysis. Setting/participants: People living with motor neurone disease (n = 4) and bereaved young people (n = 3) in the United Kingdom. Open-ended interviews were conducted in person. Ethical approval was granted by a University ethics committee. Results: Five key themes emerged exemplifying mutual challenges and benefits for people with motor neurone disease and bereaved young people. Creating a digital legacy provides a sense of purpose for people with motor neurone disease and a way to convey personality and life experiences. Bereaved young people can modify disease-related memories of the person and gain comfort from hearing and seeing videos. Conclusion: This study expands the existing continuing bonds model of grief to include an ‘autobiographical chapter’, creating ‘The Model of Reciprocal Bonds Formation’.

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