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Gordon Grant

Publications and source records attributed to Gordon Grant.

2 recordsLinked to original sources
PubMed1998

Defining 'people-centredness': making the implicit explicit.

This paper examines the emerging concept of 'people-centredness' in relation to health care. It raises issues resulting from debates about consumerism within health care to set the parameters for the ensuing analysis. The particular context for the analysis is Welsh health care policy which proclaimed 'health gain', 'resource effectiveness' and 'people-centredness' as the three core objectives of the health service re-focus. Illustrations about the range of meanings of 'people-centredness' are drawn from one of the author's (BW) studies in the field of community mental health. The analysis posits different relationships between 'health gain' and 'people-centredness' and considers the implications for a re-definition and re-working of ideas about people-centredness in health services.

Journal Article↗
PubMed1998

Stress and job satisfaction among social workers, community nurses and community psychiatric nurses: implications for the care management model.

The introduction in April 1993 of new arrangements for assessment and care management following the NHS and Community Care Act 1990 (Department of Health 1990a) heralded a period of major transition for front-line workers in the health and social services. Policy expectations for the development of the purchaser/provider split and the 'new managerialism' have posed unprecedented ideological, organizational and professional challenges. Two years after the full implementation of the reforms a postal survey of the experiences of care managers about policy and practice changes was undertaken in Wales. This paper focuses on the stresses and satisfactions of care management practice among three distinct groups of front-line workers: social workers, community nurses and community psychiatric nurses. The results of multiple regression analyses, corroborated by qualitative data, implicate an increased workload in general and administrative work in particular, combined with reduced opportunities for client contact, as the main sources of stress. Being able to control or shape those factors impinging on the experience of stress and job satisfaction appears to lie at the heart of the dilemma. Practice and policy implications are considered.

Journal Article↗