Carol Munn-Giddings

A participatory approach to the promotion of well-being in the workplace: lessons from empirical research

Workplace stress and burnout are recognized phenomena which impact negatively on the delivery of care by health and social work organizations. In an attempt to address the negative consequences of stress in the workplace, a collaborative Participatory Action Research project (PAR), involving two large organizations, namely a Healthcare Trust and a Social Services Organization in the United Kingdom (England) was conducted. The project involved a team of professionals from Anglia Polytechnic University working with senior managers and employees of a health care organization and latterly with managers of a Social Services Organization (SSD) to develop a mental well-being strategy in each of these workplaces. This involved organizing and running of a series of five workshops in each of the two organizations and additionally surveys to determine the extent of the problem on staff and effects on their working and personal lives. An overview of the processes and reflective critique of the strengths and weaknesses of participatory action research methodology is provided. The short, medium and long-term strategies formulated by the active engagement of staff in the workshops, and the challenges in delivering and responding to these issues are carefully detailed. Recommendations are made for future collaborative work within hierarchical organizations and more importantly, the implications of delayed response to governmental policies.

Self-help groups challenge health care systems in the US and UK

Purpose – This research considers how self-help groups (SHGs) and self-help organizations (SHOs) contribute to consumerist trends in two different societies: United States and United Kingdom. How do the health care systems and the voluntary sectors affect the kinds of social changes that SHGs/SHOs make? Methodology/approach – A review of research on the role of SHGs/SHOs in contributing to national health social movements in the UK and US was made. Case studies of the UK and the US compare the characteristics of their health care systems and their voluntary sector. Research reviews of two community level self-help groups in each country describe the kinds of social changes they made. Findings – The research review verified that SHGs/SHOs contribute to national level health social movements for patient consumerism. The case studies showed that community level SHGs/SHOs successfully made the same social changes but on a smaller scale as the national movements, and the health care system affects the kinds of community changes made. Research limitations – A limited number of SHGs/SHOs within only two societies were studied. Additional SHGs/SHOs within a variety of societies need to be studied. Originality/value of chapter – Community SHGs/SHOs are often trivialized by social scientists as just inward-oriented support groups, but this chapter shows that local groups contribute to patient consumerism and social changes but in ways that depend on the kind of health care system and societal context.

Social media use by patients with glaucoma: what can we learn?

Much health‐related information is available on the internet but its quality is known to be variable. This research aimed to analyse the ophthalmic content of social media platforms which has yet to be formally assessed.

Exploring the development of action research in nursing and social care in the UK: A comparative bibliometric review of action research designs in social work (2000–2010)

Action research is promoted in the UK as a vehicle for practice development in health and social care, but its application has not been evaluated. This study reviews research designs in published social work studies, 2000–2010. Applying the analytic strategy of Munn-Giddings et al. (2008) also enabled comparison to be made with nursing action research. Action research has a strong presence in social work. Studies were highly collaborative, mainly qualitative and largely focused on practice or educational development, though user-focused change had a presence. Participant groups generally were ‘active’ in the research process, but participation by academics was low. In contrast, authorship was dominated by academics. External funding suggested an attractiveness of action research to funders. Action research in social work shared similarities with nursing. Main differences were involvement of the voluntary sector, the favouring of interactive group working, and a greater likelihood of service users being co-researchers. Of most concern is the lack of authorship (and by implication, ownership) by practitioners or service users. This is contrary to the underpinning inclusive philosophy, and researchers should be more proactive in acknowledging the contribution of individuals, groups or organizations, as appropriate, and so evidence their growth in research capability and capacity.

Workplace stress interventions using participatory action research designs

Purpose – Complex collaborative interventions are increasingly applied for stress management but outcomes are inconsistent. “Collaboration” is most highly developed in participatory action research (PAR). Future research might be guided by understanding features integral to successful PAR designs. The purpose of this paper is to present a review of PAR studies which had predominantly positive outcomes, in order to identify features of their designs.Design/methodology/approach – In total, 48 collaborative intervention studies (1982‐2010) were identified, and filtered according to positive outcomes (improved working environment, job performance, absenteeism, and stress levels), and PAR criteria for stakeholder engagement: 11 studies from six countries were selected for scoping review.Findings – Organization size and sector was not important for PAR, but the extent of uptake of an intervention/change is and a “unit” of up to 100 employees was engaged in most of the studies reviewed. Study aims should not be ...

The value of the use of participatory arts activities in residential care settings to enhance the well-being and quality of life of older people: A rapid review of the literature

This rapid review of the literature explores the value of using participatory arts activities in residential care settings to enhance the health and well-being of older people. A rapid review of the literature published between 2000 and 2013 was undertaken and focused on participants aged 65 years and over living in residential care settings participating in arts activities such as music, dance, singing and the visual arts. The research methods used in the studies were varied, and a range of outcome measures were used, making overall synthesis of the studies difficult. Despite the methodological limitations of the studies, there is some suggestion that in the short term participating in arts activities improves mood, engagement and memory. There is some evidence that participating in arts-based activities has a role to play in improving the quality of life of older people living in residential care settings.

Ethical Review of Action Research: The Challenges for Researchers and Research Ethics Committees

Action research has repeatedly demonstrated how it can facilitate problem solving and change in many settings through a process of collaboration which is driven by the community at the heart of the research. The ethical review of action research can be challenging for action researchers and research ethics committees. This paper explores how seven ethical principles can be used by action researchers and research ethics committees as the basis for ethical review. This paper concludes by offering some suggestions for a way forward for both action researchers and research ethics committees.

Tackling race inequalities: community development, mental health and diversity

This paper describes some findings from an evaluation of the effectiveness of a community development project that aimed to overcome inequalities in mental health care experienced by members of the local black and minority ethnic (BME) communities. A participatory action research design was used, involving people from BME communities who had experienced mental health problems and external stakeholders. The study relied largely on qualitative methodology. Findings reported here indicate that participants in the project valued the culturally and spiritually relevant support they received, but felt that more opportunities were needed for training and employment, greater representation on the projects management committee, and greater awareness of the project in the community. External stakeholders felt that the project gained credibility from its community base and valued its ability to work across faith traditions and cultures. It was also seen as successful in acting as a bridge between the communities and statutory services, although there were concerns about the projects relationship with frontline services. The paper proposes two models of community development that primary care trusts may wish to adopt ‐ radical or consensus, or a mixture of both ‐ in order to address inequalities in mental health service provision.

The Management Standards Indicator Tool and evaluation of burnout.

BACKGROUND Psychosocial hazards in the workplace can impact upon employee health. The UK Health and Safety Executives (HSE) Management Standards Indicator Tool (MSIT) appears to have utility in relation to health impacts but we were unable to find studies relating it to burnout. AIMS To explore the utility of the MSIT in evaluating risk of burnout assessed by the Maslach Burnout Inventory-General Survey (MBI-GS). METHODS This was a cross-sectional survey of 128 borough council employees. MSIT data were analysed according to MSIT and MBI-GS threshold scores and by using multivariate linear regression with MBI-GS factors as dependent variables. RESULTS MSIT factor scores were gradated according to categories of risk of burnout according to published MBI-GS thresholds, and identified priority workplace concerns as demands, relationships, role and change. These factors also featured as significant independent variables, with control, in outcomes of the regression analysis. Exhaustion was associated with demands and control (adjusted R (2) = 0.331); cynicism was associated with change, role and demands (adjusted R (2) =0.429); and professional efficacy was associated with managerial support, role, control and demands (adjusted R (2) = 0.413). CONCLUSIONS MSIT analysis generally has congruence with MBI-GS assessment of burnout. The identification of control within regression models but not as a priority concern in the MSIT analysis could suggest an issue of the setting of the MSIT thresholds for this factor, but verification requires a much larger study. Incorporation of relationship, role and change into the MSIT, missing from other conventional tools, appeared to add to its validity.

Beyond the therapeutic: A Habermasian view of self-help groups’ place in the public sphere

Self-help groups in the United Kingdom continue to grow in number and address virtually every conceivable health condition, but they remain the subject of very little theoretical analysis. The literature to date has predominantly focused on their therapeutic effects on individual members. And yet they are widely presumed to fulfil a broader civic role and to encourage democratic citizenship. The article uses Habermas’ model of the public sphere as an analytical tool with which to reconsider the literature on self-help groups in order to increase our knowledge of their civic functions. In doing this it also aims to illustrate the continuing relevance of Habermas’ work to our understanding of issues in health and social care. We consider, within the context of current health policies and practices, the extent to which self-help groups with a range of different forms and functions operate according to the principles of communicative rationality that Habermas deemed key to democratic legitimacy. We conclude that self-help groups’ civic role is more complex than is usually presumed and that various factors including groups’ leadership, organisational structure and links with public agencies can affect their efficacy within the public sphere.