Public Health - Reports
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Item Report of the Health Impact Assessment on the Core Strategy of the Cork City Development Plan (2022-2028)(University College Cork, 2024) O'Mullane, Monica; Kenny, Tara; Nash, Kirsty; Ryan, Marie; O’Mahony, Karen; Fitzsimmons, Jeanette; Health Research BoardThe purpose of this Health Impact Assessment (HIA) on the Core Strategy of the Cork City Development Plan (2022-2028) has been to identify potential likely and significant health impacts on population health, and to identify opportunities to strengthen health gain and to reduce potential adverse health impacts across population groups. The scope or remit of the HIA has been on the 15-Minute City objective within the vision for Compact Liveable Growth in the Cork City Development Plan (2022-2028). The scope for the HIA includes the potential health impacts on three identified population groups, namely older people, young people and people living on low-income, across the determinant of health, Safe and Cohesive Communities. Within this determinant the focus has been on six subdeterminants of health including housing, neighbourhood design, access to public spaces, modes of travel, walkability and accessible workplaces. Findings indicate that the implementation of the 15-Minute City can have a positive health impact on both the general population, and on population groups across the six subdeterminants of health when implemented in an appropriate and tailored manner. We have developed eleven recommendations at the conclusion of our HIA process, categorised into four sections: 1. Informing the process of creating future Cork City Development Plans in Cork City Council. 2. Community and Stakeholder Engagement in Formulating and Drafting Future Cork City Development Plans 3. HIA and Future Cork City Development Plans 4. Research and Evidence base Development This HIA process and the compilation of this report has reiterated to us the need for agencies who are working to promote health and wellbeing across all sectors and within communities in Cork city to prioritise action on tackling the widening health inequalities experienced by people living in Cork.Item Report on the public engagement event for the HIA on the Core Strategy of the Cork City Development Plan (2022-2028)(University College Cork, 2024) Nash, Kirsty; O'Mullane, Monica; Health Research BoardItem Clinical and economic systematic literature review to support the development of an integrated care programme for chronic disease prevention and management for the Irish health system(Health Service Executive, 2015-07) Savage, Eileen; Hegarty, Josephine; Weathers, Elizabeth; Mulligan, Lydia; O'Reilly, Anthony; Cronly, Jennifer; Condon, Carol; McCarthy, Vera; Lehane, Elaine; Hartigan, Irene; Horgan, Aine; Bradley, Colin; Browne, John; Murphy, Aileen; Cronin, Jodi; Flynn, Maura; Drennan, Jonathan; Health Service ExecutiveBased on a clinical and economic systematic review of the international literature, this report presents the evidence on integrated care programmes and generic models of care designed for chronic disease prevention and management. This evidence will support the work of integrated clinical care programmes in Ireland through the Clinical Strategy and Programmes Division of the HSE.Item Evaluation of the pilot implementation of the Framework for Safe Nurse Staffing and Skill-Mix in Emergency Care Settings - Report 2(University College Cork, 2021-05) Drennan, Jonathan; Savage, Eileen; Hegarty, Josephine; Murphy, Aileen; Brady, Noeleen; Murphy, Ashling; McCarthy, Vera; Loughnane, Croia; Kelly, Gearóid; Dahly, Darren; Griffiths, Peter; Ball, Jane; Crouch, Rob; Duffield, Christine; Scott, Anne; Health Research Board; Department of Health, IrelandArising from efforts to introduce a systematic approach to the determination of safe and appropriate nurse staffing levels in the Irish healthcare system, where historical need and legacy issues were often key determinants in staffing decisions, the Department of Health published a policy document titled: A Framework for Safe Nurse Staffing and Skill Mix in General and Specialist Medical and Surgical Care Settings in Ireland (Department of Health 2018) (henceforth referred to as the Framework). Based on the research undertaken by a research team from University College Cork, the University of Southampton, University of Technology Sydney, and National University of Ireland Galway (Drennan at al. 2018), this report outlined a number of recommendations to ensure staffing levels in medical and surgical wards in acute hospitals were safe and effective in the delivery of care. In a continuation of this evidence-based approach, the Department of Health made the decision to extend the model to develop a framework for emergency care settings; this resulted in the publication of a draft document titled: A Pilot to Implement the Framework for Safe Nurse Staffing and Skill Mix in Emergency Care Settings (Department of Health, 2018). This document outlined a number of recommendations to ensure the safe staffing of emergency care settings. Central among these recommendations was the introduction of a systematic approach to the determination of staffing levels, the adjustment of skill mix to ensure that care was delivered by 85% RN and 15% HCA, and to ensure that the CNM 2 role was 100% supervisory. The research in this report provides data on the implementation of the recommendations of the Draft Framework in three emergency departments (EDs) and one injury unit (IU). Exploring the extent to which changes in staffing within the selected departments have had an impact on patientsâ experience within the emergency care setting, as well as on the experience of the nursing and healthcare assistant workforce and on organisational factors, this report outlines the methods and results of the programme of research examining the impact of introducing a pilot safe staffing framework to emergency care settings.Item The 2019-20 Irish National Drug and Alcohol Survey: Main findings(Health Research Board, 2021) Mongan, Deirdre; Millar, Seán R.; Galvin, Brian; Department of Health, Ireland