9 Pages
2245 Words
Introductionn:SH4051 Assessment: Component 001 Asssignment Sample
Research Paper 1
Exploring mental health service user perspectives on targeted violence and abuse in the context of adult safeguarding
In the article of Carr et al, (2019) it has been witnessed that living in fear of abuse and violence creates destructive feelings in an individual. Higher risk and vulnerabilities are experienced by the mental health patient who has been the victim of violence in the past. This in turn creates long-lasting trauma for them, level of vulnerability and risks are different in each case based on the trauma and situation of the service users. Furthermore, people with severe mental health issues are at the risk of targeted violence. The adult safeguarding practitioner and stakeholder response to these mental health patients plays a pivotal role in creating specific support for them. The Care Act 2014 in UK is specifically for guiding safeguarding based on personal reforms aims that suggest adopting a person-centred approach. Lê and Schmid (2022) stated that adult safeguarding refers to the protection of an adult’s right concerning living in safety, free from neglect and abuse. Healthcare professionals who are dealing with mental health patients must focus on their safeguarding as many service users still face violence and abuse to a greater extent. In many cases, there is a threat from the staff and service user in closed environments such as supported housing or the ward and therefore, specific monitoring is required.
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In the study of Carr et al, (2019) both the method primary and secondary has been preferred for collecting data. A literature scoping review has been done along with undertaking user-controlled interviews of mental health service users who have experienced targeted violence and abuse. In this, 23 participants were approached; furthermore, discussion with practitioners was done. Moreover, a stakeholder event that facilitated discussion with regards to the implication of findings and adult safeguarding was attended. The methods derived from the emancipator and survivor research. Thus, it could be stated that detailed presentation of the approach has been for carrying out the research. Clark et al, (2021) revealed that, detailed presentation of methodology and ways in which participants approached results in making research authentic. Henceforth, similar aspect is witnessed in the current study.
Certain insights have been developed via undertaking this approach by the author; nearly all the candidate’s experienced mental health-related targeted violence and abuse. Many of them had experienced it on a consistent note. Multi-factorial abuse and discrimination led to worsening mental health conditions. Due to this experience, it was hard for patients to trust anyone and many of them often had suicidal thoughts in the past (Carr et al, 2019). Adult safeguarding response proves satisfied in some of the cases as their practitioner followed this concept. Many of the service users were even not aware of this practice which was specifically for them. According to their perception safeguarding was for children or those patients who have any kind of learning disabilities. Considering these facts, it could be stated that many of the service user are not even aware of their rights and health and social care fundamentals which are specifically for protecting them. Hence, it highlights the loophole within the healthcare setting, fear of violence and trauma in the patient is a concern of subjective component and there is need to create significant focus so that appropriate support could be assured to them.
The outcomes of the study could be used in health and social care settings as results highlighting the loopholes within care settings. As said by McGill et al, (2021) there is need to emphasise on undertaking person person-centred care approach for providing care to mental health patients. They need to be involved in decision making and most importantly they must be made aware of their safeguarding rights. It is the accountability of healthcare practitioners that they protect service users from any type of neglect or abuse as this worsens their condition. The outcomes can be used in implementing evidence-based decisions in the settings which further led to the development of significant support for the service users.
RESEARCH PAPER 2
Impact of Stigma in Healthcare on People Living with Chronic Illnesses
In the study of Earnshaw and Quinn (2012) it has been identified that chronic illness becoming one of the growing concerns. However, global morbidity rates concerning chronic illness are uncertain. The findings of the paper stated that an anticipated stigma in the healthcare setting led to an influence Quality of Life [QoL] of the people who are suffering from chronic illness. Stigma creates an adverse influence on the lives of individuals while reducing their health outcomes. The strength of the study is that it provided sufficient information regarding internalized stigma while specifying the focus of the intervention. The findings addressed the research question by providing subjective and objective information related to the research area. The study has underscored the significance of targeted anticipated stigma. There are certain interventions designed to reduce prejudice and stereotyping among healthcare workers that further result in a reduction of the extent of stigma perceived by people who are living with chronic illness in the healthcare setting (Earnshaw and Quinn, 2012). The procedure via which stigma impacts quality of life has been targeted and the study suggested that relationship between two contextual variables; internalized experienced and anticipated stigma partially mediated by the care access. Hence, this could be stated that the impact of stigma proves to be negative and research has addressed the research question by emphasising the core aspect.
In order to undertake the research, the author has approached 184 participants who are struggling with chronic illness. Quantitative research has been undertaken by the author which led to support in covering larger participants. However, Liamputtong (2020) argued that the quantitative method is comprised of a lack of flexibility that increases errors in the research. This is the limitation encountered in the study. Apart from this, the presentation of the whole methodological part was done in an effectual manner. Participants have been recruited via a participant pool and primary data has been collected which has enhanced the efficacy of the outcomes. The scale has been used for measuring stigma, focusing on specifications such as HIV and mental illness as these are termed chronic illness. Five groups have been made that are associated with internalised, experienced and anticipated stigma, care access and quality of life. The statistical tool was used to undertake the analysis. However, there was no information concerning the specification of the tool which can be considered as the weakness. Vaughn and Jacquez (2020) commented that it is important to focus on the methodological section to enhance the accuracy of outcomes. However, in current research, they were a lack of in-depth information presented in the methodological section.
The implication of this approach is specifically for evaluating the extent to which stigma influences people with chronic illness. Social stigma related to chronic illness results in a concerned individual in terms of feeling blamed. The harmful impact of the stigma in healthcare settings impacts the quality of life of people. The multipronged approach for intervening with healthcare workers often supports the reduction of negative influence. It is important to increase care access for people as this results in decreasing anticipated stigma and often this helps in the improvement of health outcomes (Earnshaw and Quinn, 2012). It is important to gain an in-depth understanding of the chronic illness stigma in the healthcare setting as this results in improving the quality of life in the people. This could be stated that the key implication of the undertaken approach in the study enabled in gaining insights from participants. As a result, appropriate information has been gathered by the author.
The outcomes of the research could be implied in evidence-based decision-making within clinical setting. As stated by Lo et al, (2020) Evidence-Based Decision-making [EBDM] is delineated as the deliberate method to imply empirical knowledge while focusing on research-based principles for taking decisions in care setting. In order to undertake EBD, it is essential to prioritise evidence-based research then only evidence-based practices could be implied in health and social care practice. Based on the analysis this could be stated that outcomes of the study specify improving care access to reducing the influence of stigma. Considering this factor, health and social care practitioner needs to focus on providing extra care to people suffering from chronic illness so this results in reducing negative thoughts in them and further supports in enhancing overall health outcomes. Thus, it is mandatory to train health and social care workers so they do not behave in a negative manner with patient as this contributes in development of stigma. Thus, appropriate care needs to be given to service user by identifying their needs and assuring consistent support to them.
RESEARCH PAPER 3
The sound of silence: evidence of the continuing under reporting of abuse in care homes
The paper of Moore (2019) specified that, attempt of abuse has been occurring with older patient, in care homes, aged people have been facing abuse to greater extent and they are not even able to share about it in open manner. The findings prevailed about the true nature of organisational culture at the care homes. Staff is accountable for providing quality care to the patient. However, abuse by these staff led to create long lasting trauma for the service users. The current safeguarding practices and guiding policies has not been prioritised in the care homes and consistent abuse has been faced by older age people. The statutory regulator and service commissioners of health and social care are still facing issue in reducing extent of abuse in care homes (Moore, 2019). The major reason behind this is that service users are not able to speak about this context. This creates long lasting trauma for them and often impacts their health in negative manner.
The author has conducted survey and an anonymously completed questionnaire has been used among the staff of 11 new care homes. Qualitative and quantitative both the data has been gathered for allocating wider data. The question was asked to the staff member’s relation to their previous workplace where cases related to abuse has occurred. There were 391 questionnaires send and in return 285 was received. The author focused on maintaining ethics to greater extent by performing the concept of informed consent (Moore, 2019). All the participants have been made aware about the research context and afterwards their opinion has been taken in consideration. There was no information regarding the process followed for analysing the data. It is important to mention about data analysis framework as this results in enhancing the over-all presentation of the methodological section.
The research has revealed about experience of continued underreporting of abuse in the care home. Insights related to abuse among staff members has also been witnessed, when staff members faced abuse then, this often results in creating aggression in them due to which adverse consequences experienced by the service users. The abuse with the older people in care homes within England remains a major concern (Moore, 2019). Aged individuals at care homes are seeks for social and emotional support and when they experience abuse then, it led to create long lasting impact on their health. Prevalence of abuse is high due to lack of monitoring in the care homes, furthermore patient does not share about their experience due to which many abuse are underreported. These aspects are the major contextual elements that contribute in increasing abuse at the care homes.
The findings of the research could be implied in health and social care practices; it was based on identifying the factors leading to abuse in care homes. It has been analysed that many staff face abuse due to which they get triggered and as a result service user targeted by them. Considering these facts, it could be stated that there is need to establish specific monitoring system at the setting so that appropriate analysis could be done (Moore, 2019). Furthermore, there is need to develop significant interaction with service user at the care so their issues could be analysed. This communication can help in identifying about the abuse experienced by them. However, it is important to gain the trust of patient only afterwards; they are going to share about their negative experiences.
REFERENCES
Books and Journals
- Carr, S., Faulkner, A., Hafford-Letchfield, T., Megele, C., Gould, D., Khisa, C., Cohen, R. and Holley, J., 2019. Keeping Control: Exploring Mental Health Service User Perspectives on Targeted Violence and Hostility in the Context of Adult Safeguarding.
- Clark, T., Foster, L., Bryman, A. and Sloan, L., 2021.em>Bryman's social research methods. Oxford university press.
- Earnshaw, V.A. and Quinn, D.M., 2012. The impact of stigma in healthcare on people living with chronic illnesses.em>Journal of health psychology,em>17(2), pp.157-168.
- Lê, J.K. and Schmid, T., 2022. The practice of innovating research methods.em>Organizational Research Methods,em>25(2), pp.308-336.
- Liamputtong, P., 2020.em>Qualitative research methods.
- Lo, F.Y., Rey-Martí, A. and Botella-Carrubi, D., 2020. Research methods in business: Quantitative and qualitative comparative analysis.em>Journal of Business Research,em>115, pp.221-224.
- McGill, E., Er, V., Penney, T., Egan, M., White, M., Meier, P., Whitehead, M., Lock, K., de Cuevas, R.A., Smith, R. and Savona, N., 2021. Evaluation of public health interventions from a complex systems perspective: a research methods review.em>Social Science & Medicine,em>272, p.113697.
- Moore, S., 2019. The sound of silence: evidence of the continuing under reporting of abuse in care homes.em>The Journal of Adult Protection,em>22(1), pp.35-48.
- Vaughn, L.M. and Jacquez, F., 2020. Participatory research methods–choice points in the research process.em>Journal of Participatory Research Methods,em>1(1).
Author Bio
My name is Alex and I have acquired my PhD in Engineering from the University of Cambridge. I received A+ grades in all my semesters and always got appreciated for my assignments. I am also the author of several engineering research papers that have received quite good recognition. I am a expert writer who wants to guide students in writing excellent engineering assignments.
