Browsing by Author "Biju Mathew"

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    A Critical Review of Factors and Challenges Influencing Non-Medical Prescribers in Primary and Urgent Treatment Care Facilities in England
    (Chitkara University Publications, 2022-04-10) Mithun Thampi; Biju Mathew
    Background: Non-medical prescribing in England has empowered allied health professionals such as nurses, paramedics, and pharmacists working in acute and primary care settings to prescribe within their competency area in suitable work settings. The opportunities for non-medical staff to prescribe in respective clinical areas of expertise have increased substantially and continue to do so. Prescribing is now an integral part of advanced clinical practice, which is not limited to just nurses but has expanded to other allied health professionals. Purpose: To analyse the factors and challenges influencing prescribing for non-medical prescribers, during consultations with patients in primary and urgent treatment centre facilities. Methods: This study employed a critical systematic review of relevant articles chosen from electronic databases including CINAHL, Medline, Cochrane library, and Scopus. Keywords were used to formulate a search pattern using Boolean operators and suitable qualitative studies relevant to the inclusion criteria were selected. Results: Thematic analysis of the articles concluded that there were a lot of sub-themes including a lack of protocols to support decision-making, peer support, and difficult patients which were interdependent posing as a potential barrier or acting as a facilitator in certain consultations. Conclusion: The findings have provided adequate reassurance that non-medical prescribers were aware of the facilitators and barriers to non-medical prescribing. Organizational support and continued professional development are key components of the barriers and enablers for non-medical prescribers working in urgent and primary care settings.
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    A Scoping Review ofthe Benefits of Integrated Care at Service User Level in UK Health and Social Care System.
    (Chitkara University Publications, 2021-10-15) Biju Mathew
    Background: The clinical commissioners were constituted to ensure patient centeredness and to tackle health inequalities for the local population. The health and social care act 2012 was a catalyst in the integration and development of the health and social care strategic partnership working. This was aimed to facilitate a major shift from competition to cooperation. Purpose: What are the end-user benefits of the integrated care system developed through health and social care strategic partnership? Methods:A scoping review is conducted to explore the available sources of information on the service user benefits of an integrated form of working at the grass root level. This review is an end user focussed study, specific to the service user perspectives. Results:The individual organisations are still budget driven and the care planning assessments such as decision support tool are complex for the end user to understand. Even though there are several studies and government documents available focussing on macro- level integration with benefits on cost aspects, there are questions on the end user benefits.There is scant information regardingthe benefits of collaboration at the end-user level. Conclusion:The preliminary results conclude that there are strategic gains in strategic-level integration such as financial savings and tackling staff shortages.However, the service user benefit needs to be further explored. The work is conceptual and preliminary and there is scope for further exploration of the issue in discussion empirically.
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    The Adverse Effect of COVID-19 towards UK Healthcare Workers Mental Health: Critical Review of the Literature
    (Chitkara University Publications, 2021-10-16) Boby Leeladhara; Biju Mathew
    Background: The pandemic changed healthcare priorities all over the world, resulting in increased pressure on healthcare workers. Studies conducted in other countries reveal a significant mental health burden of the pandemic on healthcare workers. However, only a few studies have focused on UK healthcare workers, which can demonstrate variations in healthcare systems from one country to another. Purpose: To examine the mental health impacts of COVID-19 on frontline UK healthcare workers and point to interventions to mitigate and minimise mental health problems caused by the pandemic. Methods: This review article used an interpretivist philosophy and an inductive approach. Electronic bibliographic databases were searched using relevant search terms. Primary studies published between 2020 and 2021 were selected. Only studies conducted in the United Kingdom were considered for inclusion. Results: Ten studies were retrieved and critiqued. It was discovered that anxiety, depression, and Post Traumatic Stress Disorder were the most reported mental health issues among frontline UK healthcare workers during the pandemic. Healthcare workers who experienced moral injury, the situation where moral dilemmas make healthcare workers feel incompetent, were at higher risk of developing the above mental health issues. These mental health issues had a negative impact on the healthcare workers’ work performance. This was predominantly due to the burnout, stress, and low motivation. The health workers in UK preferred psychosocial support as the most favourable Mental Health support intervention. However, there were reported disparities in the provision and access of the mental health support intervention at various regions within UK health care system. Conclusions: It was concluded that the COVID-19 pandemic had a significant mental health burden on frontline UK healthcare workers.