Improving skills and care standards in the support workforce for older people: a realist synthesis of workforce development interventions

Overview of attention for article published in BMJ Open, August 2016
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  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (91st percentile)
  • High Attention Score compared to outputs of the same age and source (87th percentile)

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Title
Improving skills and care standards in the support workforce for older people: a realist synthesis of workforce development interventions
Published in
BMJ Open, August 2016
DOI 10.1136/bmjopen-2016-011964
Pubmed ID
Authors

L Williams, J Rycroft-Malone, C R Burton, S Edwards, D Fisher, B Hall, B McCormack, S M Nutley, D Seddon, R Williams, Williams, L, Rycroft-Malone, J, Burton, C R, Edwards, S, Fisher, D, Hall, B, McCormack, B, Nutley, S M, Seddon, D, Williams, R

Abstract

This evidence review was conducted to understand how and why workforce development interventions can improve the skills and care standards of support workers in older people's services. Following recognised realist synthesis principles, the review was completed by (1) development of an initial programme theory; (2) retrieval, review and synthesis of evidence relating to interventions designed to develop the support workforce; (3) 'testing out' the synthesis findings to refine the programme theories, and establish their practical relevance/potential for implementation through stakeholder interviews; and (4) forming actionable recommendations. Stakeholders who represented services, commissioners and older people were involved in workshops in an advisory capacity, and 10 participants were interviewed during the theory refinement process. Eight context-mechanism-outcome (CMO) configurations were identified which cumulatively comprise a new programme theory about 'what works' to support workforce development in older people's services. The CMOs indicate that the design and delivery of workforce development includes how to make it real to the work of those delivering support to older people; the individual support worker's personal starting points and expectations of the role; how to tap into support workers' motivations; the use of incentivisation; joining things up around workforce development; getting the right mix of people engaged in the design and delivery of workforce development programmes/interventions; taking a planned approach to workforce development, and the ways in which components of interventions reinforce one another, increasing the potential for impacts to embed and spread across organisations. It is important to take a tailored approach to the design and delivery of workforce development that is mindful of the needs of older people, support workers, health and social care services and the employing organisations within which workforce development operates. Workforce development interventions need to balance the technical, professional and emotional aspects of care. CRD42013006283.

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Attention Score in Context

This research output has an Altmetric Attention Score of 22. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 17 October 2016.
All research outputs
#326,395
of 7,410,208 outputs
Outputs from BMJ Open
#677
of 5,116 outputs
Outputs of similar age
#19,737
of 241,748 outputs
Outputs of similar age from BMJ Open
#48
of 390 outputs
Altmetric has tracked 7,410,208 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 95th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 5,116 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 16.9. This one has done well, scoring higher than 86% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 241,748 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 91% of its contemporaries.
We're also able to compare this research output to 390 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 87% of its contemporaries.