Assessing the implementation process and outcomes of newly introduced assistant roles: A qualitative study to examine the utility of the Calderdale Framework as an appraisal tool

Journal of Multidisciplinary Healthcare

Volumn 5, Issue , 2012, Pages 307-317

  Nancarrow, Susan ^a   Moran, Anna ^a   Wiseman, Leah ^b   Pighills, Alison C ^c   Murphy, Karen ^d  

^a SOUTHERN CROSS UNIVERSITY   (Australia)

^b CHARLES STURT UNIVERSITY   (Australia)

^c JAMES COOK UNIVERSITY   (Australia)

^d ACT Government Health Directorate   (Australia)

Author keywords

Allied health; Assistant practitioner; Calderdale Framework; Evaluation; Occupational therapy; Podiatry; Speech pathology; Workforce change

Indexed keywords

ARTICLE; CALDERDALE FRAMEWORK; HEALTH CARE PERSONNEL MANAGEMENT; HUMAN; JOB ANALYSIS; LEADERSHIP; OCCUPATIONAL THERAPY ASSISTANT; OUTCOMES RESEARCH; PARAMEDICAL PERSONNEL; PODIATRY ASSISTANT; PROFESSIONAL COMPETENCE; PROFESSIONAL DEVELOPMENT; PROFESSIONAL PRACTICE; PROFESSIONAL STANDARD; QUALITATIVE RESEARCH; RETROSPECTIVE STUDY; ROLE FLEXIBILITY; ROLE SUSTAINABILITY; SPEECH PATHOLOGY ASSISTANT; STAFF TRAINING; WORKFORCE CHANGE;

EID: 84872415987     PISSN: None     EISSN: 11782390     Source Type: Journal    
DOI: 10.2147/JMDH.S35493     Document Type: Article

References (42)

1. Australian Institute of Health and Welfare. Life Expectancy and Disability in Australia 1998 to 2003. Canberra: Australian Institute of Health and Welfare; 2006.
2. Department of Human Services, State Government of Victoria. Better Skills, Best Care: Department of Human Services Workforce Design Strategy. Melbourne: Department of Human Services; 2005.
3. Nancarrow SA, Borthwick AM. Dynamic professional boundaries in the healthcare workforce. Sociol Health Illn. 2005;27(7):897-919.
4. Moran A, Enderby P, Nancarrow S. Defining and identifying common elements of and contextual influences on the roles of support workers in health and social care: a thematic analysis of the literature. J Eval Clin Pract. 2011;17(6):1191-1199.
5. Lizarondo L, Kumar S, Hyde L, Skidmore D. Allied health assistants and what they do: a systematic review of the literature. J Multidiscip Healthc. 2010;3:143-153.
6. Moran A, Nancarrow S, Enderby P, Bradburn M. Are we using support workers effectively? The relationship between patient and team characteristics and support worker utilisation in older people's community-based rehabilitation services in England. Health Soc Care Community. 2012;20(5):537-549.
7. Nancarrow SA, Enderby P, Moran AM, etal. The Relationship Between Workforce Flexibility and the Costs and Outcomes of Older Peoples' Services. London: National Institute of Health Research; 2010.
8. Nancarrow SA, Moran A. Mechanisms For Successful Workforce Change: Spotlight On Allied Health Assistants Working With Older People In The Community. Paper presented at: Primary Health Care Research Conference; July 18-20, 2012; Canberra, Australia.
9. Nancarrow S, Mackey H. The introduction and evaluation of an occupational therapy assistant practitioner. Aust Occup Ther J. 2005;52(4):293-301.
10. Mackey H, Nancarrow S. Report on the Introduction and Evaluation of an Occupational Therapy Assistant Practitioner. Stoke-on-Trent: North Staffordshire Combined Healthcare Trust; 2004.
11. Taylor L, Birch J. Chemotherapy support worker role-a one-year pilot. Cancer Nurs Pract. 2004;3(10):23-27.
12. Nancarrow S. Dynamic role boundaries in intermediate care services. J Interprof Care. 2004;18(2):141-151.
13. Ottley E, Clarke G, McGill M, Tongue A; Changing Workforce Programme. The Accelerated Development Programme for Support Workers in Intermediate Care. London: NHS Modernisation Agency; 2004.
14. Wheatley I. The nursing practice of taking level 1 patient observations. Intensive Crit Care Nurs. 2006;22(2):115-121.
15. Baldwin J, Roberts JD, Fitzpatrick JI, While A, Cowan DT. The role of the support worker in nursing homes: a consideration of key issues. J Nurs Manag. 2003;11(6):410-420.
16. Hancock H, Campbell S, Ramprogus V, Kilgour J. Role development in health care assistants: the impact of education on practice. J Eval Clin Pract. 2005;11(5):489-498.
17. Brandon D, Morris L. Changing Light Bulbs? Research Into the Role of Mental Health Support Workers in East Suffolk: Executive Summary. London: Mental After Care Association; 2002.
18. Shield F. Developing a therapy-led community rehabilitation team. J Integr Care. 1998;6(4):160-168.
19. Ellis B, Connell N. Factors determining the current use of physiotherapy assistants: views on their future role in the South and West UK region. Physiotherapy. 2001;87(2):73-82.
20. Hek G, Singer L, Taylor P. Cross-boundary working: a generic worker for older people in the community. Br J Community Nurs. 2004;9(6):237-244.
21. Ormandy P, Long AF, Hulme CT, Johnson M. The role of the senior health care worker in critical care. Nurs Crit Care. 2004;9(4):151-158.
22. Mackey H. Assistant practitioners: issues of accountability, delegation and competence. Int J Ther Rehabil. 2005;12(8):331-338.
23. Stanmore E, Waterman H. Crossing professional and organizational boundaries: the implementation of generic rehabilitation assistants within three organizations in the northwest of England. Disabil Rehabil. 2007;29(9):751-759.
24. Spilsbury K, Meyer J. Making claims on nursing work: exploring the work of healthcare assistants and the implications for registered nurses' roles. J Res Nurs. 2005;10(1):65-83.
25. Bowman S, Bray K, Leaver G, Pilcher T, Plowright C, Stewart L. Health care assistants' role, function and development: results of a national survey. Nurs Crit Care. 2003;8(4):141-148.
26. Chang AM, Lam LW. Evaluation of a health care assistant pilot programme. J Nurs Manag. 1997;5(4):229-236.
27. Perry M, Carpenter I, Challis D, Hope K. Understanding the roles of registered general nurses and care assistants in UK nursing homes. J Adv Nurs. 2003;42(5):497-505.
28. Warne T, McAndrew S. The mental health assistant practitioner: an oxymoron? J Psychiatr Ment Health Nurs. 2004;11(2):179-184.
29. Johnson M, Ormandy P, Long A, Hulme C. The role and accountability of senior health care support workers in intensive care units. Intensive Crit Care Nurs. 2004;20(3):123-132.
30. McKenna HP, Hasson F, Keeney S. Patient safety and quality of care: the role of the health care assistant. J Nurs Manag. 2004;12(6):452-459.
31. Carr SM, Pearson PH. Delegation: perception and practice in community nursing. Prim Health Care Res Dev. 2005;6(1):72-81.
32. Mackey H. An extended role for support workers: the views of occupational therapists. Int J Ther Rehabil. 2004;11(6):259-266.
33. Duffin C. Accountability and skill mix "at risk" in new job. Nurs Stand. 2003;18(5):6.
34. Storey L. Delegation to health care assistants. Pract Nurs. 2005; 16(6):294-296.
35. Wainwright TA. The perceived function of health care assistants in intensive care: nurses views. Intensive Crit Care Nurs. 2002;18(3): 171-180.
36. Alfred Health. Guidelines to Scope and Introduce New Allied Health Assistant Roles. Melbourne: Department of Health; 2012.
37. Wilson M. East Midlands Assistant Practitioner Project: Assistant Practitioner Toolkit. Sandiacre: NHS East Midlands; 2010.
38. Nancarrow S, Enderby P, Ariss S, Parker SG, Campbell M. Enhancing the Effectiveness of Interdisciplinary Team Working. London: National Institute for Health Research; 2012.
39. Smith R, Duffy J. Developing a competent and flexible workforce using the Calderdale Framework. Int J Ther Rehabil. 2010;17(5):254-262.
40. Kaltner M, Pighills A, Wilson J. A Controlled Clinical Trial Evaluation Of Shared Competencies And Delegation Practice In An Acute Medical Setting. Paper presented at: 7th Health Services Research and Policy Conference; December 5-7, 2011; Adelaide, Australia.
41. Skills for Health; 2010. Available from: www.skillsforhealth.org.uk. Accessed November 7, 2012.
42. Ritchie J, Spencer L. Qualitative data analysis for applied policy research. In: Bryman A, Burgess RG, editors. Analyzing Qualitative Data. London: Routledge; 1995:174-194.