Private and local authority children's homes in Wales : What helps and hinders inter professional practice?
Cardiff Metropolitan University
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Aim: To identify factors that help and hinder interprofessional practice in children's homes in Wales. Method: 40 staff were interviewed in two private children's homes. They were asked to rate the quality of their relationship with 7 key others on three rating scales based on work by Loxley and Leathard. They were then asked to describe what helped and hindered practice and to make suggestions for improvements. These were grouped into "themes". Results: Staff rated their relationship with the Specialist Nurses highest; relationships with CAMHS were problematic and few staff had any contact; their were clear differences between private and local authority staff in their relationship with both the LAC Education Coordinator and the Specialist Nurse. The majority of staff in all the homes were either qualified or undertaking qualifications; and staff rated their involvement in a range of tasks with varying degrees of conformity and diversity. Conclusions: The factors that were seen as helpful to interprofessional working were often attributed to positive attitudes and skills; good communication and good home management; both resources and the Looked After Children systems were seen as less important. A number of recommendations are made with regard to both skills training and systems improvements.
MSc Interprofessional Studies (Quality Assurance)
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