DOCSLIB.ORG

Community Nursing in Ireland

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Community Nursing in Ireland Missed Care: Community Nursing in Ireland Amanda Phelan and Sandra McCarthy Missed Care: Community Nursing in Ireland ISBN: 978-0-9524016-3-6 The report should be cited as: Phelan A. & McCarty S. (2016) Missed Care: Community Nursing in Ireland. University College Dublin and the Irish Nurses and Midwives Organisation, Dublin. Contact details: Dr Amanda Phelan, School of Nursing, Midwifery & Health Systems, University College Dublin Belfield, Dublin 4. Tel: 00353 1 7166482 Email: [email protected] ©UCD and INMO, 2016 Missed Care: Community Nursing in Ireland Acknowledgments The authors are grateful to all the Public Health Nurses and Community Registered General Nurses who gave so generously of their time in order to provide important data for this study. Without their participation, the study would not have been possible. The authors also gratefully acknowledge the following: • The Irish Nurses and Midwives Organisation (INMO) for funding this study and for their ongoing support throughout the research process. • The Institute of Community Health Nursing (ICHN) for their support with the data collection process and their general support of the study. • Dr Ricardo Segurado (CSTAR) for advice and guidance on the statistical design of the study. • The research steering group for their input and support. • Dr Eilis Lawlor (JustEconomics) for her contribution to the health economics component of the study. • Ms. Jessica Walsh for her assistance in the final report preparation. Research Steering Group Dr. Amanda Phelan, Principal Investigator. Ms. Sandra McCarthy, Research Assistant. Ms. Jennifer Bollard, Retired Director of Public Health Nursing. Ms. Joanne Downey, President, Institute of Community Health Nursing. Ms. Virginia Pye, Chair, National Directors of Public Health Nursing (commencement of research project). Ms. Anne Lynott, Chair, National Directors of Public Health Nursing (replaced Ms Virginia Pye). Missed Care: Community Nursing in Ireland Table of Contents Abbreviations i Executive Summary iii Introduction 1 Background 1 Report Structure 1 Chapter One: Review of the Literature 2 1.0 Introduction 2 1.1 Community nursing in Ireland 2 1.1.1 Role of the Public Health Nurse in Ireland 4 1.2 Community nursing and Irish healthcare policy 6 1.2.1 Health policy: Global strategy 7 1.3 Challenges for public health nursing 7 1.3.1 Workforce and workload planning in nursing 8 1.3.2 Workforce and workload planning in community nursing 10 1.3.3 Workload and the role of public health nurses: Previous research 10 1.3.4 Workload and client care 11 1.4 Missed care 12 1.4.1 Conceptualisation and operationalisation 12 1.4.2 Client and nursing outcomes in institutional settings 14 1.5 Missed care in the primary healthcare setting 16 1.5.1 Client outcomes from community nursing and missed care 16 1.5.2 Cost savings from community care 17 1.6. A health economics perspective 18 1.7 Conclusion 19 Chapter Two: Study Design 21 2.0 Introduction 21 2.1 Study aim and objectives 21 2.2 Data collection 21 2.3 Phase 1: Missed care survey 21 2.3.1 Survey with community nursing professionals 22 2.3.2 Design of missed care survey 22 2.3.3 Data collection for missed care survey 24 2.3.4 Data analysis 24 2.3.5 Psychometric testing of the tool 24 2.4 Phase two: Interviews 25 2.4.1 Interviews 25 2.4.2 Data management and analysis 25 2.5 Phase 3: Health economics evaluation 25 2.5.1 Data collection 26 Missed Care: Community Nursing in Ireland 2.6 Ethical considerations 27 2.7 Conclusion 27 Chapter Three: Findings 28 3.1 Introduction 28 3.2 Section One: Findings from missed care survey 28 3.2.1 Characteristics of respondents 28 3.2.2 Working environment 29 3.2.3 PHNs and CRGNs 29 3.3 Prevalence of missed care 33 3.3.1 Results from Section B: Missed care reported by PHNs and CRGNs 33 3.3.2 Results from section C: Missed care reported by PHNs only 38 3.3.3 Not applicable to my current caseload 39 3.3.4 Results from section D: Reasons for missed care 40 3.3.5 Respondents characteristics and missed care levels 40 3.3.6 Section C: PHNs and missed care 46 3.3.7 Summary 47 3.4 Quantifying activities of community nurses 48 3.5 Psychometric evaluation of the missed care survey 48 3.5.1 Summary 50 3.6 Section Two: Findings-context of community nursing in Ireland 50 3.6.1 Lack of national leadership for discipline development 50 3.6.2 Role challenges 52 3.6.3 Need for reform 54 3.7 Section Three: A health economics perspective 58 3.7.1 Older people 59 3.7.2 Breastfeeding 59 3.7.3 Other health promotion 59 3.7.4 Child development and child protection 59 3.7.5 Workforce issues 60 3.8 Conclusion 60 Chapter Four: Discussion and conclusion 62 4.0 Introduction 62 4.1 Irish community nursing 62 4.2 The missed care survey 66 4.2.1 Nursing domains 67 4.3 Reasons for missed care 78 4.4 Conclusion 79 4.5 Limitations of the study 79 4.6 Recommendations 80 References 83 Missed Care: Community Nursing in Ireland Figures Figure 1: Data collection methods 21 Figure 2: Final themes generated in thematic data analysis 25 Figure 3: Case study of where costs might arise for an older person 60 Tables Table 1: Client outcomes and missed care 15 Table 2: Nursing care categories included in missed care survey 23 Table 3: Areas of missed care identified in phase one of the survey 26 Table 4: Age and gender of respondents 28 Table 5: Highest level of education attained 28 Table 6: Years’ experience 29 Table 7: Work environment characteristics 30 Table 8: PHNs and CRGNs-Between group differences characteristics 31 Table 9: PHNs and CRGNs-Between group differences work environment 32 Table 10: 10 categories in section B 33 Table 11: Levels of missed care captured section B 34 Table 12: Health promotion 34 Table 13: Care management 35 Table 14: Disadvantaged groups 35 Table 15: Older people 36 Table 16: Administration 36 Table 17: Family support 37 Table 18: Home nursing care 37 Table 19: Provision of other community services 37 Table 20: Education 38 Table 21: Primary care teams (PCT) 38 Table 22: Levels of missed care captured: Section C 38 Table 23: Child health 38 Table 24: Child protection 39 Table 25: Not applicable to my current caseload 39 Table 26: Other factors relating to missed care 40 Table 27: Relationship between type of community nurse (PHN or CRGN) and levels of missed care reported 42 Table 28a: Association between respondent characteristics and levels of missed care reported 43 Table 28b: Association between respondent characteristics and levels of missed care reported 45 Appendices Appendix 1: Time allocations for each activity within the missed care survey 99 Missed Care: Community Nursing in Ireland Abbreviations ABA An Bord Altranais ADPHN Assistant Director of Public Health Nursing CAG Comptroller and Auditor General CCNCS Community Client Need Classification System CHD Coronary Heart Disease CHO Community Health Organisation CHSRF Canadian Health Services Research Foundation CI Confidence Interval CIHI Canadian Institute for Health Information COPD Congestive Obstructive Pulmonary Disease CPD Continuing Professional Development CRGN Community Registered General Nurse CSO Central Statistics Office CVD Cardiovascular Disease DHSSPS Department of Health, Social Services and Public Safety DoHC Department of Health and Children DoH Department of Health DoJ Department of Justice DPHN Director of Public Health Nursing ECOSOC United Nations Economic and Social Council EFA Exploratory Factor Analysis ESCPI Easley Storfjell Client Classification System GDS Geriatric Depression Score GMS General Medical Service GP General Practitioner HCCI Home Care and Community Care Ireland HIQA Health Information and Quality Authority HPDP Health Promotion and Disease Prevention HREC Human Research Ethics Committee HSE Health Service Executive ICGP Irish College of General Practitioners ICHN Institute of Community Health Nursing INMO Irish Nurses and Midwives Organisation IPA Institute of Public Administration KMO Kaiser Myer Olkin (value) NCNM National Council for the Professional Development of Nursing and Midwifery NFP Nurse Family Partnership NHS National Health Service NICE National Institute for Health and Care Excellence NISRA Northern Ireland Statistics and Research Agency NMBI Nursing and Midwifery Board of Ireland NOCA National Office for Clinical Audit NPOB Nurses Per Occupied Bed NPWT Negative Pressure Wound Therapy OECD Organisation for Economic Co-operation and Development Missed Care: Community Nursing in Ireland i OR Odds Ratio ORC Office of the Refugee Commission PCRC Primary Care Research Committee PCT Primary Care Team PHIT Population Health Information Tool PHN Public Health Nurse PSSRU Personal Social Services Research Unit QALY Quality Adjusted Life Years RCN Royal College of Nursing SPSS Statistical Package for the Social Sciences UCD University College Dublin UK United Kingdom UN United Nations UNHCR United Nations High Commissioner for Refugees US United States WHO World Health Organization ii Missed Care: Community Nursing in Ireland Executive Summary This study examines the context of and demographic changes. Issues such as community nursing (Public Health Nurses fragmented communication between care and Community Registered General Nurses) settings and other disciplines also impacted in Ireland. Despite many reports pointing on missed care. Role boundaries were seen to the need for service reform since 1975, as fluid and community staff did not appear community nursing in Ireland has remained to have control over what constituted static in terms of demographic change, legitimate caseloads under their generalist policy change and structural change within role. The lack of comprehensive leadership health services delivery. This study applies in community nursing and career clinical the concept of missed care and uses a development for community nurses was also health economics approach to generate identified.
Load more

Recommended publications
  • Safety Performance on 20 Construction Sites in Dublin
    Technological University Dublin ARROW@TU Dublin Masters Science 2004-01-01 Safety Performance on 20 Construction Sites in Dublin Paul McEvoy Technological University Dublin Follow this and additional works at: https://arrow.tudublin.ie/scienmas Part of the Environmental Health Commons Recommended Citation McEvoy, P. (2004)Safety Performance on 20 Construction Sites in Dublin. Masters dissertation. Masters dissertation. Technological University Dublin. doi:10.21427/D7KP58 This Theses, Masters is brought to you for free and open access by the Science at ARROW@TU Dublin. It has been accepted for inclusion in Masters by an authorized administrator of ARROW@TU Dublin. For more information, please contact [email protected], [email protected]. This work is licensed under a Creative Commons Attribution-Noncommercial-Share Alike 4.0 License Safety Performance on Twenty Construction Sites in Dublin Paul Mc Evoy Dublin Institute of Technology M Phil Thesis 2007 Safety Performance on Twenty Construction Sites in Dublin Paul Mc Evoy Dublin Institute of Technology Supervisor, Mr. Victor Hrymak Food Science & Environmental Health, Cathal Brugha Street 2007 Abstract The aim of this research was to assess factors affecting safety performance on twenty apartment construction sites in Dublin using qualitative and quantitative risk assessment techniques. The quantitative techniques involved observing compliance with recommended safety procedures. The qualitative techniques involved an assessment of site safety management documentation and semi structured interviews with site management regarding site safety procedures. The field work was carried out between November 2003 and October 2004. The results showed that five sites out of twenty had high standards of safety and prevented all possible falls from heights.
    [Show full text]
  • Workplace Health and Well-Being Strategy Report of Expert Group
    Workplace Health and Well-Being Strategy Report of Expert Group Workplace Health and Well-Being Strategy Report of Expert Group Vision: A working-age population which values work for its contribution to health and well-being. A workplace environment and culture which values employee health for its contribution to work. Published in May 2008 by the Health and Safety Authority, The Metropolitan Building, James Joyce Street, Dublin 1. ©All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission of the Health and Safety Authority. Contents Foreword 4 Executive Summary 5 1. Introduction – The Changing Nature of the Irish Workplace 15 2. Why We Need a Strategy – The Case for Action 17 3. Workplace Health and Well-being – A Model for Action 28 4. Health Issues Affecting Workplaces 43 Appendix I 57 Appendix II 58 List of Figures Figure 2.1: Breakdown of employment by sector, 2006............................................................................................19 Figure 2.2: The ageing population.............................................................................................................................21 Figure 2.3 Expenditure on illness and disability, 2000 to 2005.................................................................................23 Figure 2.4 Number of recipients of illness, disability and unemployment payments, 1998 to 2005 ........................24
    [Show full text]
  • State of the Nation's Children 2006
    State of the Nation’s Children Ireland 2006 State of the Nation’s Children Ireland 2006 Office of the Minister for Children Copyright © Minister for Health and Children 2006 Office of the Minister for Children St. Martin’s House Waterloo Road Dublin 4 Tel: +353 (0)1 242 0000 Fax: +353 (0)1 664 1929 E-mail: [email protected] Web: www.omc.gov.ie Published by The Stationery Office, Dublin ISBN: 0755774779 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission in writing of the copyright holder. For rights of translation or reproduction, applications should be made to the Head of Communications, Office of the Minister for Children, St. Martin’s House, Waterloo Road, Dublin 4, Ireland. FOrewOrd As Minister for Children, it is my great pleasure to publish the first State of the Nation’s Children report. This report fulfils a commitment in the National Children’s Strategy to the publication of a regularly updated statement of key indicators of children’s well-being. As the first such report on children in Ireland, it provides us with a benchmark for the future and gives us a clear picture of the progress we have made and the challenges that lie ahead. The report is an important resource for all those who seek to understand the experience of childhood in Ireland. It covers many different aspects of children’s lives, including their health, behavioural and educational outcomes, their relationships with their parents and their friends, and the services available to and accessed by them.
    [Show full text]
  • Transport Infrastrucure
    9. NATIONAL ANTI- POVERTY STRATEGY AND INCLUSION STRATEGY (NAP/INCLUSION) The ten year National Anti-Poverty strategy (NAP) was launched 9.1 in 1997 to help achieve the objective of eliminating poverty in Introduction Ireland. This was revised and further developed in the NAP Building an Inclusive Society: Review of the National Anti-Poverty Strategy (2002). The Lisbon Strategy, which is outlined above, also refers to social cohesion goals and required Member States to produce Action Plans against Poverty and Social Exclusion (NAP/inclusion). Two NAP/inclusion plans, 2001-2003 and 2003-2005 have already been completed. The second NAP/inclusion plan was recently reviewed and the Office for Social Inclusion, which was set up to co-ordinate the Anti-Poverty and Social Inclusion policy, has produced a report on the consultation for the next NAP/inclusion for the period 2006-2009. The overall goal of the NAP/inclusion process is to “…reduce substantially and ideally eliminate poverty in Ireland and to build a socially inclusive society”, where poverty is defined in the following way: People are living in poverty if their income and resources (material, cultural and social) are so inadequate as to preclude them from having a standard of living, which is regarded as acceptable by Irish society generally. As a result of inadequate income and resources, people may be excluded and marginalised from participating in activities, which are considered the norm for other people in society. The overall goal of the strategy is to be achieved through more
    [Show full text]
  • Construction and Housing in Ireland
    Published by the Stationery Office, Dublin, Ireland. To be purchased from the: Central Statistics Office, Information Section, Skehard Road, Cork, Government Publications Sales Office, Sun Alliance House, Molesworth Street, Dublin 2, or through any bookseller. Prn A6/1233 Price €10.00 July 2006 © Government of Ireland 2006 Material compiled and presented by the Central Statistics Office. Reproduction is authorised, except for commercial purposes, provided the source is acknowledged. ISBN 0-7557-7147-8 Contents Page Chapter 1 Introduction 5 Chapter 2 Output and Structure of the Construction Industry 9 Chapter 3 Earnings, Hours Worked and Employment 15 Chapter 4 Working Conditions, Training and Pensions 23 Chapter 5 Investment, Taxation and Revenue 27 Chapter 6 House Completions and Housing Stock 33 Chapter 7 House Prices and Construction Costs 37 Chapter 8 Mortgages, Interest Rates and Affordability 43 Chapter 9 Planning Permissions and Land 49 Chapter 10 Regional Analysis 53 Chapter 11 The European Construction Industry 59 3 Chapter 1 Introduction Overview This report presents an overview of the Irish construction industry. The information is sourced from statistics compiled by the Central Statistics Office, from other producers of construction statistics and from administrative data sources. The report aims to present a comprehensive picture of the Irish construction industry and also includes some international comparisons. Some key points presented from the report are as follows: Output and Structure of the Construction Industry • In 2005, it was estimated that the value of output in the construction industry was almost €32 billion. This compares to €17.6 billion in 2000. • In 2005 construction was estimated to have accounted for 20% of Gross Domestic Product or 23% of Gross National Product.
    [Show full text]
  • Mammal Review © 2010 Mammal Society, Mammal Review, 41, 313–325 314 R
    Mammal Rev. 2011, Volume 41, No. 4, 313–325. Printed in Singapore. REVIEW Distribution and range expansion of deer in Ireland Ruth F. CARDEN* National Museum of Ireland – Natural History, Merrion Street, Dublin 2, Ireland. E-mail: [email protected] Caitríona M. CARLIN Applied Ecology Unit, Centre for Environmental Science, Environmental Change Institute, National University of Ireland Galway, Ireland. E-mail: [email protected] Ferdia MARNELL National Parks and Wildlife Service, Department of the Environment, Heritage & Local Government, 7 Ely Place, Dublin 2, Ireland. E-mail: [email protected] Damian MCELHOLM The British Deer Society, Northern Ireland Branch, c/o The British Deer Society, The Walled Garden, Burgate Manor, Fordingbridge, Hampshire SP6 1EF, Britain. E-mail: [email protected] John HETHERINGTON The British Deer Society, Northern Ireland Branch, c/o The British Deer Society, The Walled Garden, Burgate Manor, Fordingbridge, Hampshire SP6 1EF, Britain. E-mail: [email protected] Martin P. GAMMELL Department of Life and Physical Sciences, Galway-Mayo Institute of Technology, Dublin Road, Galway, Ireland. E-mail: [email protected] ABSTRACT 1. Throughout Europe, the range of many deer species is expanding. We provide current distribution maps for red deer Cervus elaphus, sika Cervus nippon, fallow deer Dama dama and muntjac deer Muntiacus sp. in Ireland, and estimates of range expansion rates for red deer, sika and fallow deer. 2. There was a considerable expansion in the ranges of red deer, sika and fallow deer between 1978 and 2008. The compound annual rate of expansion was 7% for red deer, 5% for sika and 3% for fallow deer.
    [Show full text]
  • Changing Cardiovascular Health National Cardiovascular Health Policy 2010 – 2019
    Changing Cardiovascular Health National Cardiovascular Health Policy 2010 – 2019 MAY 2010 DEPARTMENT OF HEALTH AND CHILDREN Copyright © Minister for Health and Children, 2010 Department of Health and Children Hawkins House Hawkins Street Dublin 2 Tel: +353 (0)1 635 4000 Fax: +353 (0)1 635 4001 E-mail: [email protected] Web: www.dohc.ie Published by Government Publications, Dublin ISBN 0-7557-7639-9 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission in writing of the copyright holder. For rights of translation or reproduction, applications should be made to the Head of Communications, Department of Health and Children, Hawkins House, Hawkins Street, Dublin 2, Ireland. ContentS Minister’s Foreword vii Acknowledgements ix Membership of the Cardiovascular Health Policy Group x Executive Summary 1 Introduction to the Cardiovascular Health Policy (Chapter 1) 2 Cardiovascular Disease – Trends in Ireland (Chapter 2) 2 Prevention and Health Promotion (Chapter 3) 3 Primary Care (Chapter 4) 6 Hospital and Emergency Care Services (Chapter 5) 11 Cardiac and Stroke Rehabilitation and Continuing Care (Chapter 6) 22 Workforce Planning (Chapter 7) 28 National Framework for Quality in Cardiovascular Health (Chapter 8) 31 1. Introduction 35 Cardiovascular Health Policy Group 36 Background 36 A vision for cardiovascular health 37 Structure of report 38 2. Cardiovascular Disease – Trends in Ireland 39 Life expectancy and healthy life years 40 Cardiovascular disease 40 Heart failure 46 Peripheral arterial disease 47 Sudden cardiac death 48 Congenital heart disease and grown-up congenital heart (GUCH) disease 48 Diabetes 48 Cardiovascular targets and trends in risk factor prevalence 49 Explaining changes in cardiovascular mortality from 2000-2006 50 Population projections and emerging cardiovascular disease trends 51 Costs 51 Summary 52 3.
    [Show full text]
  • Calling Time on Sexual Violence and Alcohol: the FACTS
    Calling Time on Sexual Violence and Alcohol: THE FACTS 76% of all rape defendants had been drinking at the time of the alleged rape* *RAJI Study, 2009 The extent of the problem in Ireland FACTSHEET 1 In 2009, the Rape and Justice in Ireland Report (RAJI) revealed very high levels of alcohol involvement in rape in Ireland. Although alcohol does not cause sexual violence it may be used to excuse violent behaviour, to blame victims, and to incapacitate victims. Alcohol may also contribute to situations in which sexual violence is more likely to occur. Alcohol Involvement in incidences of rape: • 76% of all rape defendants in the RAJI study had been drinking at the time of the alleged rape.1 • 70% of women in the RAJI study reported drinking at the time they were raped.2 • Alcohol was involved in over 45% of adult women’s unwanted sexual experiences.3 Irish Drinking Habits: • 26% of those who had consumed alcohol in a 30 day period had consumed five or more drinks compared to EU average of 10%.4 • The frequency of binge drinking in Ireland is the highest in Europe: 44% of Irish respondents who had consumed alcohol in the past 12 months indicating that they had been binge drinking at least once a week.5 • Patterns for youth alcohol consumption in Ireland echo adult patterns: 42% of boys and 44% of girls aged 15-16 reporting binge-drinking during the previous month.6 Images in this publication are for illustrative purposes only, any person depicted in the image is a model.
    [Show full text]
  • The Top-30 of Economists in Ireland
    Working Paper No. 349 July 2010 www.esri.ie The Impact of Tax Reform on New Car Purchases in Ireland Hugh Hennessya and Richard S.J. Tola,b,c,d Abstract: We examine the impact of recent tax reforms in Ireland on private car transport and its greenhouse gas emissions. A carbon tax was introduced on fuels, and purchase (vehicle registration) and ownership (motor) taxes were switched from engine size to potential emissions. We use a demographic model of the car stock (by age, size, and fuel) and a car purchase model that reflects the heterogeneous distribution of mileage and usage costs across various engine sizes. The model shows a dramatic shift from petrol to diesel cars, particularly for large engines. The same pattern is observed in the latest data on car sales. This has a substantial impact on tax revenue as car owners shift to the lower tax rates. The tax burden has shifted from car ownership to car use, and that the overall tax burden on private car transport falls. As diesel engines are more fuel efficient than petrol engines, carbon dioxide emissions fall modestly or, if we consider the rebound effect of travel costs on mileage, minimally. From the perspective of the revenue, the costs per tonne of carbon dioxide avoided are (very) high. Key words: Private car transport, Republic of Ireland, carbon dioxide emissions, fiscal policy Corresponding Author: [email protected] a Economic and Social Research Institute, Dublin, Ireland b Institute for Environmental Studies, Vrije Universiteit, Amsterdam, The Netherlands c Department of Spatial Economics, Vrije Universiteit, Amsterdam, The Netherlands d Department of Economics, Trinity College, Dublin, Ireland ESRI working papers represent un-refereed work-in-progress by researchers who are solely responsible for the content and any views expressed therein.
    [Show full text]
  • Centennial-Scale Climate Change in Ireland During the Holocene
    Centennial-scale climate change in Ireland during the Holocene Swindles, G. T., Lawson, I. T., Matthews, I. P., Blaauw, M., Daley, T. J., Charman, D. J., Roland, T. P., Plunkett, G., Schettler, G., Gearey, B. R., Turner, T. E., Rea, H. A., Roe, H. M., Amesbury, M. J., Chambers, F. M., Holmes, J., Mitchell, F. J. G., Blackford, J., Blundell, A., ... Armit, I. (2013). Centennial-scale climate change in Ireland during the Holocene. Earth-Science Reviews, 126, 300-320. https://doi.org/10.1016/j.earscirev.2013.08.012 Published in: Earth-Science Reviews Document Version: Peer reviewed version Queen's University Belfast - Research Portal: Link to publication record in Queen's University Belfast Research Portal Publisher rights NOTICE: this is the author’s version of a work that was accepted for publication in Earth-Science Reviews. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Earth-Science Reviews, [VOL126, (2013)].¨ General rights Copyright for the publications made accessible via the Queen's University Belfast Research Portal is retained by the author(s) and / or other copyright owners and it is a condition of accessing these publications that users recognise and abide by the legal requirements associated with these rights. Take down policy The Research Portal is Queen's institutional repository that provides access to Queen's research output. Every effort has been made to ensure that content in the Research Portal does not infringe any person's rights, or applicable UK laws.
    [Show full text]
  • Winners and Losers? the Equality Impact of the Great Recession in Ireland Winners and Losers?
    Equality Research Series Winners And Losers? The Equality Impact Of The Great Recession in Ireland Great The Equality Impact Of The And Losers? Winners Winners And Losers? The Equality Impact of the Great Recession in Ireland The Equality Authority The Economic and Social Research Institute Frances McGinnity, Helen Russell, Dorothy Watson, Birchgrove House Roscrea Whitaker Square Gillian Kingston & Elish Kelly Co. Tipperary Sir John Rogerson’s Quay Phone: (0505) 24126 Dublin 2 Fax: (0505) 22388 www.esri.ie Jervis House Jervis Street Dublin 1 Phone: (01) 417 3336 Fax: (01) 417 3331 Public Information Centre Lo Call: 1890 245 545 Email: [email protected] www.equality.ie This publication is supported by the European Union's PROGRESS Programme (2007–2013) EA_131_A4_02.indd 1-2 08/05/2014 16:00 This report can be downloaded at: www.equality.ie/research and www.esri.ie WINNERS AND LOSERS? THE EQUALITY IMPACT OF THE GREAT RECESSION Frances McGinnity, Helen Russell, Dorothy Watson, Gillian Kingston and Elish Kelly Frances McGinnity is a Senior Research Officer, Helen Russell is an Associate Research Professor, Dorothy Watson is an Associate Research Professor, Gillian Kingston is a Research Assistant and Elish Kelly is a Research Analyst at the Economic and Social Research Institute. The views expressed in this report are those of the authors and do not necessarily represent those of the Equality Authority, the Economic and Social Research Institute, or the European Commission. © Copyright Equality Authority and Economic and Social Research Institute, 2014 ISBN: 978-1-908275-67-7 Cover design by form Produced in Ireland by Print Services CONTENTS Figures ...................................................................................................................................
    [Show full text]
  • The Impact of Tax Reform on New Car Purchases in Ireland
    A Service of Leibniz-Informationszentrum econstor Wirtschaft Leibniz Information Centre Make Your Publications Visible. zbw for Economics Hennessy, Hugh; Tol, Richard S. J. Working Paper The impact of tax reform on new car purchases in Ireland ESRI Working Paper, No. 349 Provided in Cooperation with: The Economic and Social Research Institute (ESRI), Dublin Suggested Citation: Hennessy, Hugh; Tol, Richard S. J. (2010) : The impact of tax reform on new car purchases in Ireland, ESRI Working Paper, No. 349, The Economic and Social Research Institute (ESRI), Dublin This Version is available at: http://hdl.handle.net/10419/50152 Standard-Nutzungsbedingungen: Terms of use: Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Documents in EconStor may be saved and copied for your Zwecken und zum Privatgebrauch gespeichert und kopiert werden. personal and scholarly purposes. Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle You are not to copy documents for public or commercial Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich purposes, to exhibit the documents publicly, to make them machen, vertreiben oder anderweitig nutzen. publicly available on the internet, or to distribute or otherwise use the documents in public. Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, If the documents have been made available under an Open gelten abweichend von diesen Nutzungsbedingungen die in der dort Content Licence (especially Creative Commons Licences), you genannten Lizenz gewährten Nutzungsrechte. may exercise further usage rights as specified in the indicated licence. www.econstor.eu Working Paper No. 349 July 2010 www.esri.ie The Impact of Tax Reform on New Car Purchases in Ireland Hugh Hennessya and Richard S.J.
    [Show full text]