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Mattie, Kenya B., Linda Campbell, Jack R. Crisler und Cynthia Woodruff. „The Impact of Selected Demographic Variables and Disability Types on Perceptions of Client's Functioning Level“. Journal of Applied Rehabilitation Counseling 23, Nr. 2 (01.06.1992): 29–34. http://dx.doi.org/10.1891/0047-2220.23.2.29.
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Rehabilitation clients and their counselors often perceive the client's level of functioning differently from each other. When incongruence in perceptions exists, treatment goals may be compromised and therapeutic interventions ineffective. The present study investigates counselor and client perceptions of client functioning as a function of demographic variables descriptive of both the clients (n = 41) and the counselors (n = 9). The Client Goal Achievement Instrument (CGAI) was used to measure perception of functioning and paired t tests were used to analyze the scores. Significant differences were found between the counselors and clients on 35 of 50 items. Patterns of significance were shown on individual client demographic variables of age, education, gender, type of disability and race. Significance was also evidenced on counselor variables of age, experience, and education. General findings indicated that clients and their counselors view the client's functioning levels very differently. Implications are for the need to achieve greater congruence between counselors' and clients' perceptions before the development of goals and program implementation.
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Utomo Dwi Hatmoko, Jati, und Riqi Radian Khasani. „Assessing Contractor Satisfaction towards Client Performance in Construction Projects“. Applied Mechanics and Materials 845 (Juli 2016): 338–43. http://dx.doi.org/10.4028/www.scientific.net/amm.845.338.
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While most research looks at the client satisfaction in the construction industry, contractor satisfaction towards client performance is also an important issue. The performance of contractors and clients are inter-reliant, and their interactions fundamentally determine the overall project performance. This research aims to analyze the level of contractor satisfaction towards client performance. The objectives are to determine the contractor satisfaction index (CoSI) towards client performance, and to evaluate performance indicators to improve. Data was collected through questionnaire surveys filled out by 163 respondents. Indicators of client performance include client’s understanding of project requirements, financial, decision making, management skills, supports for contractor and client’s attitude. This research found that the CoSI equals to 69.65%, indicating that in general the contractors are satisfied with the clients’ performance. Further, an importance-performance analysis of client performance (IPACP) classifies the client performance based on the importance and performance, resulting in four categories, i.e. excellent work, areas of improvement, low priority, and disproportionate. Excellent work of clients are mainly related to financial and attitude, while areas of improvement include the understanding of project scope and spesification, ease of payment approval on projects, unity of opinion from client’s team, and administration system. These findings are beneficial for clients for self-evaluation on their performance, particularly on attributes they underperform. Policy makers in the construction industry can also learn from these findings to initiate a strategic program to strengthen client performance. As the performance of clients and contractors are inter-reliant, improving client performance also means enhancing contractor performance for a successful project.
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Weiste, Elina, Sari Käpykangas, Lise-Lotte Uusitalo und Melisa Stevanovic. „Being Heard, Exerting Influence, or Knowing How to Play the Game? Expectations of Client Involvement among Social and Health Care Professionals and Clients“. International Journal of Environmental Research and Public Health 17, Nr. 16 (05.08.2020): 5653. http://dx.doi.org/10.3390/ijerph17165653.
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Contemporary social and health care services exhibit a significant movement toward increasing client involvement in their own care and in the development of services. This major cultural change represents a marked shift in the client’s role from a passive patient to an active empowered agent. We draw on interaction-oriented focus group research and conversation analysis to study workshop conversations in which social and health care clients and professionals discussed “client involvement”. Our analysis focuses on the participants’ mutually congruent or discrepant views on the topic. The professionals and clients both saw client involvement as an ideal that should be promoted. Although both participant groups considered the clients’ experience of being heard a prerequisite of client involvement, the clients deviated from the professionals in that they also highlighted the need for actual decision-making power. However, when the professionals invoked the clients’ responsibility for their own treatment, the clients were not eager to agree with their view. In addition, in analyzing problems of client involvement during the clients’ and professionals’ meta-talk about client involvement, the paper also shows how the “client involvement” rhetoric itself may, paradoxically, sometimes serve to hinder here-and-now client involvement.
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Sanabria Navarro, José Ramón, Yahilina Silveira Pérez, Lisbet Guillen Pereira und Digna Dionisia Pérez Bravo. „Emprendimientos deportivos: Caso Subregión Sabana, Departamento de Sucre, Colombia (Sport entrepreneurship: Sub-region Sabana, Department of Sucre, Colombia)“. Retos, Nr. 35 (03.09.2018): 140–46. http://dx.doi.org/10.47197/retos.v0i35.64124.
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El objetivo del estudio es analizar el estado actual de los emprendimientos deportivos de la subregión Sabana del Departamento de Sucre, Colombia. El año promedio de creación de los emprendimientos es 2016, administrados por hombres de 27- 56 años. Se estudiaron dos muestras, 900 clientes y 64 emprendedores deportivos. La metodología consiste en una investigación aplicada, con intervención en las comunidades, para lo cual se emplean métodos teóricos, empíricos y estadísticos. El diagnóstico inicial permite un análisis comparativo desde la percepción de clientes y emprendedores, a partir de las variables comportamiento, oferta y percepción sobre los emprendimientos deportivos. El procesamiento de datos es realizado mediante pruebas de análisis factorial para comprobar la unidimensionalidad de las variables, un análisis ANOVA para comprobar las hipótesis planteadas y un análisis regresión lineal de clientes para establecer el modelo de emprendimiento deportivo para la región estudiada. En los resultados se obtuvo que la calidad del servicio se relaciona lineal y positivamente con la eficiencia del servicio y el ambiente laboral, que existen diferencias entre la percepción del cliente y el emprendedor sobre la actividad física, en ese sentido, según el cliente percibe el servicio deportivo así es su comportamiento. Además, que la percepción que el emprendedor tienen sobre el servicio está condicionando su oferta y no las necesidades del cliente en la práctica de actividad física. El impacto de los resultados radica en el nuevo conocimiento que brinda para la sociedad en función de su actual aplicación desde la óptica del practicante. Abstract: The objective of the study is to analyze the current state of sporting enterprises in the Sabana subregion of the Department of Sucre, Colombia. Two samples were studies: 900 clients and 64 sports entrepreneurs. The average year of enterprise foundation is 2016, run by males aged 27-56. The methodology consists of applied research, with intervention in the communities, for which theoretical, empirical and statistical methods are used. The initial diagnosis allows a comparative analysis based on the perception of clients and entrepreneurs, the behavior, supply and perception on sporting ventures. Data processing was performed through factorial tests to check the unidimensionality of the variables, an ANOVA analysis to check the hypotheses, and a linear regression analysis of clients to establish the model of sports entrepreneurship for the region studied. The results showed that the quality of the service is linearly and positively related to the efficiency of the service and the work environment demonstrating differences between the perception of the client and the entrepreneur about physical activity. In this sense, client's behavior as a result of the service quality. In addition, entrepreneur’s perception about his services effects his offer; client’s needs regarding PA are not considered. The impact of the results lies in the new knowledge it provides for society based on its current application from the perspective of the practitioner.
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Asthana, Sharad C., und Rachana Kalelkar. „Effect of Client Reputation on Audit Fees at the Office Level: An Examination of S&P 500 Index Membership“. AUDITING: A Journal of Practice & Theory 33, Nr. 1 (01.07.2013): 1–27. http://dx.doi.org/10.2308/ajpt-50572.
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SUMMARY Prior studies have examined the effect of a decline in the auditor's or client's reputation on auditor switching, market shares, and stock prices. We extend these studies by examining the effect of an unexpected increase in a client's reputation on audit fees at the office level. We argue that association with a reputed client will enhance the auditor's reputation and establish a brand name, thus enabling the auditor to charge higher fees from other clients. Using a client's inclusion into the prestigious S&P 500 index as a proxy for the client's change in reputation, we find that the audit fees are discounted for this S&P client when it enters the index. The audit fee for this client increases following its exit from the index. We posit that changes in the audit fees for the S&P 500 clients are attributable to the changes in the reporting quality of these firms following their entry to and exit from the index. We also find increases in the audit fees of non-S&P clients of the audit office around such events. We argue that the presence of S&P clients helps auditors differentiate themselves from other auditors and allows them to extract rents from non-S&P clients. Last, we find no evidence of improvement in the reporting quality of other non-S&P clients, supporting our rent-extraction story.
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Jupp, J. J., und M. Hudson. „Counsellor and client perceptions of client problems“. Queensland Journal of Guidance and Counselling 3 (November 1989): 51–64. http://dx.doi.org/10.1017/s1030316200000170.
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This study examined the mutual awareness of counsellors and clients about clients' problems and considered the extent to which counsellors and clients agreed about problems. To investigate these issues data were obtained by the administration of questionnaires to 10 school counsellors and their next 10 adolescent clients. Results suggested that counsellors were aware of client problems in 42% of cases. Clients were aware about how counsellors viewed their problems in 17% of cases. There was agreement between counsellor and client about client's problems in 22% of cases. Effects of a number of variables on perceptions about problems were also investigated. Type of referral (self, other) and approach taken by counsellor did not influence perceptions. Having background information about clients appeared to impede counsellors' awareness about problems and degree of agreement between counsellors and clients about the nature of problems. Number of previous interviews with clients and the length of experience of counsellors also affected counsellor/client perceptions.
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Matte, Kenya B., Jack R. Crisler, Linda Campbell und Cynthia Woodruff. „Clients' Functioning Level as Perceived by Clients and Rehabilitation Professionals“. Journal of Applied Rehabilitation Counseling 22, Nr. 2 (01.06.1991): 3–6. http://dx.doi.org/10.1891/0047-2220.22.2.3.
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The purpose of this study was to determine if differences existed in clients', referral counselors', and facility counselors' perceptions of the client's functioning level. A sample of clients, facility counselors at Roosevelt Warm Springs Institute and Georgia Division of Rehabilitation Services counselors were utilized in the study. Perceptions of functioning level were determined by utilization of the Client Goal Achievement Index (CGAI). The data were analyzed using paired t-tests. The following results were obtained: (1) Referral counselors and facility counselors viewed the clients' functioning level significantly differently; (2) Facility counselors and clients viewed the clients' functioning levels as significantly different; and (3) Referral counselors and clients viewed the clients' functioning levels as significantly different.
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Sawada, Tatsunori, Taeko Kitahashi, Ayami Kose, Samantha Ashby, Yu Karamatsu, Kanta Ohno, Masahiro Ogawa und Kounosuke Tomori. „Reliability and validity of the Assessment of Client's Enablement (ACE)“. British Journal of Occupational Therapy 81, Nr. 7 (22.04.2018): 369–75. http://dx.doi.org/10.1177/0308022618763040.
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Introduction Goal-setting in client-centred occupational therapy is often problematic. The Assessment of Client's Enablement was developed to measure the gap between an occupational therapist's and client's ratings of occupational performance. This study examines the reliability and convergent validity of the assessment. Method The assessment was used by 22 occupational therapists with 44 clients. Convergent validity was examined between the assessment (client, occupational therapist and gap scores), Canadian Occupational Performance Measure performance and Functional Independence Measure scores. Test–retest reliability was assessed by intraclass correlation coefficient. Forty-four clients participated in the test–retest reliability study. Findings Good-to-moderate correlation was found in the assessment scores (intraclass correlation coefficients of 0.86, 0.95 and 0.78 for client, occupational therapist and gap scores, respectively). The validation study was completed by 34 clients. The correlation between Canadian Occupational Performance Measure and Assessment of Client's Enablement scores was significant (client score, Spearman’s Rank Order Correlation (rs) = 0.47; occupational therapist score, rs = 0.45). The correlation between Functional Independence Measure and the assessment's occupational therapist scores was significant (rs = 0.43). Conclusion The study confirms the reliability and convergent validity of the Assessment of Client's Enablement. The assessment requires less time to administer than similar instruments and requires no formal training, making it feasible in rehabilitation settings.
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Cloyd, C. Bryan, und Brian C. Spilker. „The Influence of Client Preferences on Tax Professionals' Search for Judicial Precedents, Subsequent Judgments and Recommendations“. Accounting Review 74, Nr. 3 (01.07.1999): 299–322. http://dx.doi.org/10.2308/accr.1999.74.3.299.
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Tax professionals provide valuable services to clients by reducing uncertainty about how clients should report transactions on their tax returns. To reduce uncertainty, tax professionals research applicable authorities (e.g., judicial precedents) and provide assessments to clients of the level of authoritative support for client-favorable positions. Tax professionals have strong incentives to make accurate assessments of the strength of client-preferred positions so that clients will understand the level of risk associated with the reporting position. Further, tax professionals must make accurate assessments of authoritative support in order to maintain compliance with tax professional standards and Federal income tax regulations. Incentives notwithstanding, psychological research on confirmation bias suggests that tax professionals' client advocacy role may inhibit professionals' ability to search objectively for relevant tax authority which, in turn, might inhibit their ability to accurately assess authoritative support. We report the results of two studies that examine causes and effects of confirmation bias in tax information search. In study 1, we find that subjects' information searches emphasized cases with conclusions consistent with the client's desired outcome (i.e., positive cases) over cases inconsistent with the client's desired outcome (i.e., negative cases), despite the fact that positive cases were no more similar to the client's facts. Additional analyses indicate that the extent of this confirmation bias was positively related to their assessments of the likelihood that a neutral court would resolve the issue in the client's favor and this in turn increased the strength with which they recommended the client's preferred tax position. Results of study 2 indicate that confirmation bias induced by client preferences can be strong enough to not only result in inaccurate assessments of authoritative support for the client-favored position, which is problematic in and of itself, but also to lead tax professionals to make overly aggressive recommendations.
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Hasmira, Hasmira, Budi Anna Keliat und Giur Hargiana. „Application of Family Psychoeducation to Client Psychosocial Disorder Anxiety and Body Image Due“. Jurnal Keperawatan Jiwa 8, Nr. 4 (06.09.2020): 485. http://dx.doi.org/10.26714/jkj.8.4.2020.485-490.
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Diabetes mellitus is a metabolic disease that is becoming poses a threat to global health and requires special attention. The prevalence of Diabetes mellitus has increased significantly throughout the world in the last 10 years. Indonesia ranks sixth among people with diabetes worldwide. Anxiety and body image are of the psychosocial effects given from Diabetes mellitus. Anxiety and body image can affect the client’s diet, causing changes in nutrition. Through case report by providing family psychoeducation therapy in the form of stress management that can reduce and even overcome anxiety and body image is very useful for clients and families to reduce the risk of body image for clients who experience nutritional imbalances and family body image that treats clients with Diabetes mellitus. This study aims help to overcome anxiety and body image disorders in diabetes mellitus clients so that diabetes mellitus clients have a good appetite. In addition, families are also able to cope with stress in treating diabetes mellitus clients. Research using case studies shows that clients already have a good appetite, anxiety and impaired body image can be lowered and the family is able to cope with stress and able to treat clients with diabetes mellitus. Family psychoeducation therapy is very useful in reducing the level of anxiety and disruption of the body image of a diabetes mellitus client in supporting the client’s diet and being able to deal with family stress in caring for a diabetes mellitus client.
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Lester, David. „Disagreement between Therapists and Subsequent Suicide of the Patient“. Psychological Reports 64, Nr. 1 (Februar 1989): 104–6. http://dx.doi.org/10.2466/pr0.1989.64.1.104.
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Two cases of suicide are reported for clients whose treating therapists disagreed about treatment. Therapists treating depressed and suicidal clients should be aware of the dangers to the client should such disagreement occur. Therapists should work together to formulate a treatment plan that is in a client's best interest.
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Christl, Bettina, Bibiana Chan, Rachel Laws, Anna Williams, Gawaine Powell Davies, Mark F. Harris und The CN SNAP Trial Research Team. „Clients’ experience of brief lifestyle interventions by community nurses“. Australian Journal of Primary Health 18, Nr. 4 (2012): 321. http://dx.doi.org/10.1071/py11125.
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Lifestyle modification interventions in primary health care settings are an important means of addressing lifestyle risk factors. An essential factor for the success of lifestyle advice is the client’s acceptance. Lifestyle interventions offered in general practice are well accepted by clients. However, little is known about how lifestyle interventions are accepted if offered by community nurses in the client’s home. This study investigates the experience and perspectives of clients who were offered brief lifestyle interventions from community nurses, based on the 5As model. Semi-structured interviews were conducted with 20 clients who had received brief lifestyle interventions from community nurses as part of a larger intervention trial. All clients perceived the provision of lifestyle interventions to be an appropriate part of the community nurses’ role. The advice and support offered was useful only to some, depending on personal preferences, experiences, perceived lifestyle risk and self-rated health. Offering brief lifestyle interventions did not affect the rapport between client and nurse and this puts community nurses in an ideal place to address lifestyle issues that can sometimes be sensitive. However, client-centredness must be emphasised to improve clients’ uptake of lifestyle advice and support.
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Fontaine, Richard, und Claude Pilote. „Clients' Preferred Relationship Approach with their Financial Statement Auditor“. Current Issues in Auditing 6, Nr. 1 (01.12.2011): P1—P6. http://dx.doi.org/10.2308/ciia-50116.
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SUMMARY Our published study, “An Empirical Study of Canadian Companies to Determine Clients' Preferred Relationship Approach with Their Financial Auditor” (Fontaine and Pilote 2011), examines the type of relationship that clients prefer to have with their financial auditors. We surveyed 306 Canadian financial executives (clients); in general, clients prefer more of a relational approach (i.e., an ongoing process based on cooperation, communication, and trust) than a transactional approach (i.e., competition and self-interest, resulting in an arm's-length relationship). Further, clients seek information and advice beyond core audit services. However, despite clients' desire for close relationships, they also want to remain at arm's length from their auditor, as required by the auditor's code of ethics. Our study contributes to audit practice by providing direct evidence of client relationship preferences, which could help auditors to enhance client relationships. In addition, evidence of the client's desire to remain at arm's length (i.e., respecting auditor independence) could be of interest to audit practitioners and audit standard setters.
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Sullins, Carolyn D. „Suspected Repressed Childhood Sexual Abuse“. Psychology of Women Quarterly 22, Nr. 3 (September 1998): 403–18. http://dx.doi.org/10.1111/j.1471-6402.1998.tb00165.x.
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This article explores therapists' responses to clients' suspicions that they have repressed memories of childhood sexual abuse (CSA). Each participant was randomly assigned one of two vignettes, varied for gender, each concerning a client who suspects that he/she is a victim of CSA. Following the vignette, a series of questions regarding the client assesses the participants' ratings of diagnoses, treatment goals, treatment plans, appropriate responses, and validity of suspicions. Participants were significantly more likely to endorse a diagnosis of borderline personality disorder and endorse treatments focusing on present symptoms over treatments focusing on the client's past. Participants were unlikely to endorse controversial treatments, suggestive statements, or strong opinions regarding the client's suspicions of CSA. The client's gender had a significant effect on diagnoses only. These results do not support reports that many therapists neglect clients' current symptoms and instead focus on memories, use controversial techniques, make suggestive statements regarding abuse, or immediately assume that their clients have repressed memories.
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Sumsion, Thelma. „Facilitating Client-Centred Practice: Insights from Clients“. Canadian Journal of Occupational Therapy 72, Nr. 1 (Februar 2005): 13–20. http://dx.doi.org/10.1177/000841740507200106.
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Background. This paper adds to the established importance of client-centred practice in mental health programs by reporting on the outcome of client interviews in one community setting in England. Purpose. The purpose of these interviews was to determine the opportunities for, and barriers to, the application of a definition of client-centred practice. Methods. Purposive sampling was used to obtain 9 clients who participated in structured interviews. A combination of methods, including template analysis and the editing approach, were employed to determine themes and sub themes that are presented within the context of the clients' reasons for attending these programs. Results. These themes included initiating client-centred practice with the sub themes of providing information to enable choice, participate in negotiating goals, overcoming fear and the severity of illness. Other themes related to the therapist's response to the client's illness and the clients knowledge about client-centred practice. Practice Implications. It was clear from these interviews that client-centred practice was important to this group of clients and there were both opportunities and barriers to be considered by therapists.
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Fontaine, Richard, Soumaya Ben Letaifa und David Herda. „An Interview Study to Understand the Reasons Clients Change Audit Firms and the Client's Perceived Value of the Audit Service“. Current Issues in Auditing 7, Nr. 1 (01.04.2013): A1—A14. http://dx.doi.org/10.2308/ciia-50476.
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SUMMARY Audit firms are concerned that clients perceive the audit service as a commodity, with little value added, resulting in clients switching to firms that offer lower fees. However, the auditing literature lacks qualitative insight from clients on the reasons that they change audit firms and their perceptions of the value of audit services. To better understand the client's perspective, we conducted interviews with 20 financial managers who participate in audit firm appointment decisions. Our results suggest that the quality of the auditor-client relationship is the key determinant of auditor switching and audit value. Interestingly, price becomes an important factor only when the auditor-client relationship is mismanaged (e.g., when clients perceive that their auditor is not available to them).
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Weiste, Elina, Nanette Ranta, Melisa Stevanovic, Henri Nevalainen, Annika Valtonen und Minna Leinonen. „Narratives about Negative Healthcare Service Experiences: Reported Events, Positioning, and Normative Discourse of an Active Client“. Healthcare 10, Nr. 12 (12.12.2022): 2511. http://dx.doi.org/10.3390/healthcare10122511.
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Narratives about clients’ service experiences in healthcare organizations constitute a crucial way for clients to make sense of their illness, its treatment, and their role in the service process. This is important because the client’s role has recently changed from that of a passive object of care into an active responsible agent. Utilizing Bamberg’s narrative positioning analysis as a method, and 14 thematic interviews of healthcare clients with multiple health-related problems as data, we investigated the expectations of the client’s role in their narratives about negative service experiences. All the narratives addressed the question of the clients’ “activeness” in some way. We identified three narrative types. In the first, the clients actively sought help, but did not receive it; in the second, the clients positioned themselves as helpless and inactive, left without the care they needed; and in the third, the clients argued against having to fight for their care. In all these narrative types, the clients either demonstrated their own activeness or justified their lack of it, which—despite attempts to resist the ideal of an “active client”—ultimately just reinforced it. Attempts to improve service experiences of clients with considerable service needs require a heightened awareness of clients’ moral struggles.
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Shekho, Zhian Mueen, und Kareem Aziz Fatah. „Client’s Satisfaction toward Communication Skills among Doctors in Primary Health Care Centers in Erbil City“. Journal of University of Raparin 7, Nr. 4 (01.12.2020): 13–26. http://dx.doi.org/10.26750/vol(7).no(4).paper2.
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Back ground and Objectives: Effective communication is important at all steps of human life, most especially in healthcare organizations because it enables good relationships between doctors and clients and helps them in challenging healthcare choices. This study aimed to identify level of satisfaction of clients with communication of doctors in primary health care centers and to find out the association between client’s satisfaction and their socio-demographics.
Methods: Quantitative design, cross-sectional descriptive study was conducted to determine the level of client’s satisfaction toward communication skills of doctors in four primary health care centers. The data were collected at the period of 15th of April, 2019 to 1st of July, 2019. So, 300 clients were chosen randomly.
Result: The mean age + SD was 35.0 + 10.8 years, ranging from 19 to 70 years. The median was 33 years. The majority (71%) of the clients aged less than 40 years. Around two thirds (64.3%) of the clients were females, and 80.3% of the clients were Muslims. Around one third (34.3%) of the clients attended the PHC centers for immunization, 32% for checkup, and 23% for medical treatment. 34.4% of the clients visit the PHC center more than four times per year, 26% visit the center four times per year, and 25% of the clients visit the center three times per year. There was no significant association between the communication skills of doctors with the following variables: age of the client (p = 0.096), gender (p = 0.315), religion (p = 0.653), educational level (p = 0.615), type of health care services (p = 0.469), and number of visits per year (p = 0.089).
Conclusion: study revealed that 26% of clients who were very satisfied with physician’s communication skills, and 36.3% were satisfied, and 6.7 % dissatisfied. There were no significant association between the client satisfactions of doctors with their socio-demographical characteristics.
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Muhamad Halil, Faridah, Mohamad Suffian Hasim und Siti Mazuen Kamaruddin. „The Concept of Inter-Firm Partnering Practice Between Client and Contractor In The Construction Projects“. ADVANCES IN BUSINESS RESEARCH INTERNATIONAL JOURNAL 7, Nr. 1 (31.05.2021): 94. http://dx.doi.org/10.24191/abrij.v7i1.11446.
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Interfirm collaboration is a cooperation between business organizations that allow achieving their common goals more effectively. Through partnering concept of collaboration, the organization will gain the benefits in terms of the project successfully run according to the time, cost and quality. The understanding of this concept of partnering is crucial for the clients in the construction project, without this knowledge of partnering concept the client will suffer cost overruns, delay, more variation order and dispute in the project implementation. The study conducted using a quantitative approach and involved the sampling from public and private clients. The main result indicates that that the public clients and private client understood the concept of partnering. Public clients agreed that specific projects require partnering with contractors. Suitability of the projects is complex projects, critical project and long term development. High impact projects in the public clients are given to the contractors that shows the capabilities and good reputation from the previously completed project. However, Private clients stated that projects that are critical to the client's business are suitable for the partnering concept.
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Khasanah, Faizatul, Ni�matin Muyassaroh und Muhamad Rifa�i Subhi. „Penerapan Teori Sosial Kognitif Karir pada Bimbingan Karir dalam Upaya Membantu Pengambilan Keputusan Karir“. Jurnal Inovatif Ilmu Pendidikan 2, Nr. 1 (10.02.2021): 65–72. http://dx.doi.org/10.23960/jiip.v2i1.21813.
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This article explores the notion of the cognitive social theory of careers. The social theory of cognitive careers is a theory about a career that adopts the behavioral theory of bandura to take a career decision. The purpose of the social in this theory is the client's expectations of career decisions taken, while the intent of cognitive is the belief of the client. To help one's career decision making can be done by using a career's social cognitive theory, because this theory can assist clients in developing, transforming, teaching the careers that their clients demand. This theory also relates to self efficacy, ie individual beliefs about his ability to perform tasks or actions necessary to achieve certain results. This article focuses on individuals who are still in their early adolescence. The career guidance done by the author succeeds in assisting clients in making career decisions in accordance with the client's belief. The client decides to make a career as a doctor, the client is sure to be able to live his career well because the client has a lot of experience in the field of medicine. Keywords: social cognitive social theory, career decision making, early adolescence, career guidande results
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Lomykin, Dmitrii U. „Passive-Aggressive Clients“. Transactional Analysis in Russia 4, Nr. 1 (04.04.2024): 26–29. http://dx.doi.org/10.56478/taruj20244126-29.
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This article talks about the formation of passive-aggressive personality adaptation in a client, a supposed family system in which he grew up, the role of passivity in the client’s life and his favorite roles in communication with others. Passive-aggressive clients are among the most difficult in the therapist’s work, as they do not seek to achieve results in therapy, but rather to devalue the therapist’s work and avoid any changes. Avoidance and devaluation are the result of the fact that the active energy of such clients, which could have been directed at growth and development, was somehow blocked in their childhood. This article suggests a review of the views of several authors on a passive-aggressive client, allowing you to see better the hidden benefits of a person and his or her loved ones. In particular, the author draws on the works of Francis Bonвs-White, Aaron Wolfe Schiff and Jackie Lee Schiff, Ian Stewart and Van Joines. The article also describes the first steps in establishing contact with passive-aggressive clients in a session.
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Zhang, Zhiqiang, Funa Zhou, Chaoge Wang, Chenglin Wen, Xiong Hu und Tianzhen Wang. „A Multiscale Recursive Attention Gate Federation Method for Multiple Working Conditions Fault Diagnosis“. Entropy 25, Nr. 8 (04.08.2023): 1165. http://dx.doi.org/10.3390/e25081165.
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Federated learning (FL) is an effective method when a single client cannot provide enough samples for multiple condition fault diagnosis of bearings since it can combine the information provided by multiple clients. However, some of the client’s working conditions are different; for example, different clients are in different stages of the whole life cycle, and different clients have different loads. At this point, the status of each client is not equal, and the traditional FL approach will lead to some clients’ useful information being ignored. The purpose of this paper is to investigate a multiscale recursive FL framework that makes the server more focused on the useful information provided by the clients to ensure the effectiveness of FL. The proposed FL method can build reliable multiple working condition fault diagnosis models due to the increased focus on useful information in the FL process and the full utilization of server information through local multiscale feature fusion. The validity of the proposed method was verified with the Case Western Reserve University benchmark dataset. With less local client training data and complex fault types, the proposed method improves the accuracy of fault diagnosis by 23.21% over the existing FL fault diagnosis.
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Muntigl, Peter, Naomi Knight, Adam O. Horvath und Ashley Watkins. „Client Attitudinal Stance and Therapist-Client Affiliation: A View from Grammar and Social Interaction“. Research in Psychotherapy: Psychopathology, Process and Outcome 15, Nr. 2 (17.02.2013): 117–30. http://dx.doi.org/10.4081/ripppo.2012.119.
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Although it is widely acknowledged in psychotherapy research that the de-velopment and maintenance of positive relational bonds are central to the therapeutic process, the ways that therapists and clients become affiliated through discourse and interaction has not received very much attention. Taking up this concern from a conversation analytic perspective, this paper explores how therapists and clients negotiate affiliation around clients’ affective and evaluative talk or attitudinal stance. In order to illustrate the application of our method, we have chosen to analyze audio- and video-recordings of two clinically relevant interactional contexts in which client stance constructions frequently occur: (1) client narratives; (2) client disagreements with therapists. We show that therapist responses to client attitudinal stances play an important role not only in securing affiliation and positive relational bonds with clients, but also in moving the interaction in a therapeutically relevant direction.
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Lamichhane, Basu Dev. „Client Satisfaction: Key Factors to Sustainability of Microfinance Institutions (MFIs)“. Interdisciplinary Journal of Management and Social Sciences 2, Nr. 1 (29.04.2021): 32–42. http://dx.doi.org/10.3126/ijmss.v2i1.36739.
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This paper describes the analytical picture of client protection strategy. This is descriptive research design. Client's is an important part for instutional governace which interact different parties i.e. policy makers, political leaders, social leader/activist and gurdians of microfinance members. Responsible financing helps to Neplease microfinance institutions (MFIs) to retain clients in microfinance institutions. MFIs needs clear vision and policy regarding client's retention. MFIs need to create the healthy and favaurable environment of microfinance sector. Responsible financial inclusion focus on transprant in the pricing, terms and condition of all financial products. It works with clients so they do not borrow more money than they can repay or use products that they do not need. The conclusions of the study shows that an appropriate product design and delivery, preventation of over-indebtedness, transparency, responsible pricing, fair and respectful treatment of clients, privacy of client data and mechanisms for complaint resolution is best way for the operational and financial sustainability of microfinance institutions. The findings of the study will benefited policy makers and leader of microfinance institutions. Accodingly, this paper explores the state of responsible financial knowledge and practices, with a focus on client protection and client's satisfaction strategies on the basis of review of best practices.
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Verbruggen, Marijke, Nicky Dries und Koen Van Laer. „Challenging the Uniformity Myth in Career Counseling Outcome Studies“. Journal of Career Assessment 25, Nr. 1 (03.08.2016): 159–72. http://dx.doi.org/10.1177/1069072716657797.
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This study aimed to challenge the “uniformity myth” in career counseling outcome studies—that is, a tendency toward studying career counseling clients as homogenous, implicitly assuming that the same outcomes would be beneficial to all clients. To this end, we examined the role of clients’ initial career counseling goals. We hypothesized that a client’s career counseling goals would affect (1) which outcomes the client is likely to attain through career counseling and (2) which outcomes he or she would most benefit from (in terms of improved well-being). Hypotheses were tested using data from a three-wave study with Flemish adult career counseling clients. We included six potential career counseling goals and corresponding outcomes: (1) increasing self-awareness, (2) increasing opportunity awareness, (3) making a career decision, (4) finding a new job, (5) improving work–family balance, and (6) improving work relationships. We found that clients were more likely to attain outcomes that matched their initial career counseling goals and less likely to attain other outcomes. In addition, goal attainment (i.e., the attainment of outcomes that match a client’s initial goals)—but not nongoal attainment (i.e., the attainment of outcomes that do not correspond to a client’s initial goals)—related to clients’ subsequent career and life satisfaction. Implications for career counseling research and practice are discussed.
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Kim, Nancy S., und Stefanie T. LoSavio. „Causal explanations affect judgments of the need for psychological treatment“. Judgment and Decision Making 4, Nr. 1 (Februar 2009): 82–91. http://dx.doi.org/10.1017/s1930297500000723.
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AbstractKnowing what event precipitated a client's abnormal behaviors makes the client appear more normal than if the event is not known (Meehl, 1973). Does such knowledge also influence judgments of the need for psychological treatment, and if so, does it matter whether the precipitating event was inside or outside the client's control? We presented undergraduates with cases of hypothetical clients exhibiting abnormal behaviors and manipulated whether they were also told of a precipitating event explaining those behaviors. Knowing the precipitant significantly reduced perceptions of clients’ need for treatment, but only when the precipitating event was outside the client's control. These findings call into question the notion that it need always be beneficial for an outside reasoner to uncover the root cause of a client's psychological problems, particularly when the root cause is still unknown to the client. The rationality of the effect and additional implications for decision-making are discussed.
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Sari, Yuli Afmi Ropita, Rahmi Khalida, Ilham Akerda Edyyul und Rexsy Taruna. „Profile of Language Disorders in Clients of Motor Transcortical Aphasia“. Proceedings of the International Conference on Nursing and Health Sciences 3, Nr. 2 (28.11.2022): 341–46. http://dx.doi.org/10.37287/picnhs.v3i2.1379.
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Aphasia is a language disorder that occurs due to an injury to the brain. The classification of aphasia is divided into fluent aphasia and nonfluent aphasia. One of the non-fluent aphasia is transcortical motor aphasia. The characteristics that distinguish Broca's aphasia from other aphasia are disorders in receptive language, difficulty in answering questions, difficulty understanding spoken language, difficulty understanding written language, difficulty writing, accompanied by linguistic symptoms such as ecolalia. The implementation of this research starts from the assessment (observation, interview, and test). The purpose of this research is to find out the language disorder that exists in the client. To see the language disorder that exists in clients, interviews with families and clients are carried out. Then an observation of the client's activity is carried out and a test is carried out to determine the language disorder in the client. The conclusion of this study is that clients experience problems in understanding spoken and written language, clients also have difficulty starting to talk to other people. So the authors recommend that clients get treatment for language disorders.
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De Kesel, Evelyn, und Ann Dingemans. „Hybrid Home Care Pilot Project“. International Journal of Integrated Care 23, S1 (28.12.2023): 448. http://dx.doi.org/10.5334/ijic.icic23509.
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1.The ‘Hybrid Home Care’ pilot project offers remote monitoring through video calls to eighty home care clients. The aim is to create an achievable and feasible ecosystem that integrates remote monitoring and home care services. The latter includes all types of non-medical support at home (e.g. cooking, personal hygiene) that help clients to live independently at home for as long as possible. The project is organised by three home care organizations (Familiehulp, Zorgband Leie & Schelde and i-mens) and Remote Carecenter Z-plus. It was funded by the Flemish Department of Welfare and the three participating organizations.
2.Eighty home-care clients have received a tablet or television with an internet connection. Each client is contacted at least once a week through video call by one our caregiver. In addition to these weekly scheduled calls, the client can contact us 24/7 for a video conversation with a Z-plus operator. The device also allows clients to keep in touch with their family. However, participating clients often lacked digital skills. Therefore, we opted for a 'warm installation'. Our partner Zorg & Meer visited each client at home to install and demonstrate the hardware and software. Additional support is available.
3.Our partner Artevelde University of Applied Sciences is researching the added value of Hybrid Home Care. Interim results are very encouraging and strengthen our believe that this hybrid form of care can be of tremendous value in many different ways.
The newly acquired digital skills open many doors for them and amongst other things reduces loneliness by providing them with a new way to be connected to relatives. Relatives worry less about their loved one. Participating clients say they feel heard and generally feel better supported.
The fact that our caregivers can see the client (as opposed to a telephone call) allows them to better assess the client's situation. This ensures that any needs will be picked up on sooner and any necessary preventive care measures can be implemented in time.
Not only the clients benefit from hybrid care. Our (video)team is very enthusiastic about the project as it allows them to combine their job as home-based care provider with less physically demanding desk work. They indicate that they enjoy really listening to the client, rather than engaging in superficial conversation while doing other tasks in the client’s home. Hybrid Home Care also allows caregivers to work from home.
4.Hybrid Home Care proves to be an opportunity to improve the quality of life for our clients, their loved ones and our employees. Our clients feel more connected to their caregivers and their family. Our employees can combine physically demanding work with working from home, improving their work-life balance.
5. Hybrid Care requires a reconsideration of how public care fundings are allocated. For that reason we are in consultation with the government throughout the project. While this pilot project has promising first results, we have yet to learn how clients will evaluate this remote care when it is no longer free.
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Nihayati, Hanik Endang, Dwi Adinda Mukhalladah und Ilya Krisnana. „Pengalaman Keluarga Merawat Klien Gangguan Jiwa Pasca Pasung“. Jurnal Ners 11, Nr. 2 (30.11.2016): 283–87. http://dx.doi.org/10.20473/jn.v11i2.2988.
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Introduction: Post restraint is a person who is free from restraint. This study aims to describe about family experience in taking care of client mental disorders post restraint. The biggest problem in the family who has experience taking care of client mental disorders post restraint, among others, always assisting client in their daily activities and ensuring client are already taking the drugs. Method: This study used phenomenology design with six partisipan using indepth interview. The participant of this study was a member family caring for client mental disorders post restraint. This study employs the purposive sampling method. Result: After his release restraint , clients of mental disorders has also increased compared to when the restraint. Despite progress, the family still observe physical development , provide activities to ODGJ , and bring to healthcare. Families experiencing barriers for taking care of client mental disorders post restraint and some are not experiencing barriers. During the care of the clients , the family hopes a change in the client's health status and health change. The family also supports so that clients with mental disorders speedy recovery. Discussion: Family experience in taking care of client mental disorders post restraint are grateful that after restraint off the client state is getting better. The family also regularly check the client to the health worker. In addition, families will no longer restraint clients such mental disorders. Family need an intervention for strengthen coping mechanisms for dealing with various problems in caring for clients with mental disorders after restraint. These activities can be realized through the provision of counseling services and health workers always control the family as well as the client.
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Nihayati, Hanik Endang, Dwi Adinda Mukhalladah und Ilya Krisnana Krisnana. „PENGALAMAN KELUARGA MERAWAT KLIEN GANGGUAN JIWA PASCA PASUNG“. Jurnal NERS 11, Nr. 2 (30.11.2016): 283. http://dx.doi.org/10.20473/jn.v11i22016.283-287.
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Introduction: Post restraint is a person who is free from restraint. This study aims to describe about family experience in taking care of client mental disorders post restraint. The biggest problem in the family who has experience taking care of client mental disorders post restraint, among others, always assisting client in their daily activities and ensuring client are already taking the drugs. Method: This study used phenomenology design with six partisipan using indepth interview. The participant of this study was a member family caring for client mental disorders post restraint. This study employs the purposive sampling method Result: After his release restraint , clients of mental disorders has also increased compared to when the restraint. Despite progress, the family still observe physical development , provide activities to ODGJ , and bring to healthcare. Families experiencing barriers for taking care of client mental disorders post restraint and some are not experiencing barriers. During the care of the clients , the family hopes a change in the client's health status and health change. The family also supports so that clients with mental disorders speedy recovery. Discussion: Family experience in taking care of client mental disorders post restraint are grateful that after restraint off the client state is getting better. The family also regularly check the client to the health worker. In addition, families will no longer restraint clients such mental disorders. Family need an intervention for strengthen coping mechanisms for dealing with various problems in caring for clients with mental disorders after restraint. These activities can be realized through the provision of counseling services and health workers always control the family as well as the client. Key words: Family Experience, Mental Disorders
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Muntigl, Peter, Naomi Knight und Ashley Watkins. „Working to keep aligned in psychotherapy“. Dialogue and Representation 2, Nr. 1 (12.05.2012): 9–27. http://dx.doi.org/10.1075/ld.2.1.01mun.
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We examine therapist nods in terms of how they display and maintain affiliation with clients in contexts in which therapists reformulate clients’ prior talk. We found that therapist nods functioned to maintain affiliation with clients irrespective of whether clients aligned (e.g., confirmed) or disaligned (e.g., disconfirmed) with the therapist’s prior reformulation. Further, we found that the sequential placement of a therapist’s nod was influenced by the quality of alignment; that is, in aligning contexts, nods were found to be contiguous to the client’s confirmation. In disaligning contexts, by contrast, therapists delayed the production of nods to a point at which the client either ‘fully’ disconfirmed or displayed an affectual stance regarding a personal event. We argue that these forms of delay index a practice in which therapists may successfully secure realignment with clients.
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Joseph Abdelmesseh, Salma Abdelmoteleb, Salma Ramadan, Waguih William IsHak, Judith A Debonis, Wendy J Ashley und Eli E Bartle. „The role of life purpose in the therapeutic relationship“. International Journal of Life Science Research Archive 6, Nr. 1 (28.02.2024): 028–40. http://dx.doi.org/10.53771/ijlsra.2024.6.1.0110.
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Objective: Positive psychological interventions have proven to help clients make life plans that give them a sense of fulfillment and importance. Such interventions help clients with goals, essential life factors, their sense of purpose or belonging, and their belief that life is worth living. Specifically, this research explored how mental health professionals addressing the topic of life purpose with those seeking treatment may affect a therapeutic relationship. Methods: Six individual interviews were conducted with mental health clinicians to investigate patterns involving a clients’ life purpose and therapy. Clinicians discussed in the interviews how a client's life purpose, transcendence of a higher power, external factors and interpretation of their sense of happiness affect the therapeutic relationship and mental health outcomes. Results: The study found that when the therapist consistently examined those topics with the client, it affected the therapeutic relationship by focusing the treatment plan, creating a smoother therapy process, providing motivation for therapy, and more effective treatment. Conclusion: The focused approach on the importance of a client's life purpose in the scope of the therapeutic relationship, provided psychological fulfillment to the client and gave the therapist a better understanding of the client.
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Harris, Alex H. S. „Incidence of Critical Events in Professional Practice: A Statewide Survey of Psychotherapy Providers“. Psychological Reports 88, Nr. 2 (April 2001): 387–97. http://dx.doi.org/10.2466/pr0.2001.88.2.387.
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The goal was to tabulate the incidences of clients' suicide, attack by a client, and sexual contact with clients in an Alaskan sample of masters and doctoral-level psychotherapy providers (excluding psychiatrists) and to assess which, if any, demographic or professional characteristics were associated with each critical event. Results from 151 respondents (response rate 43.5%) indicated that 42.7% of providers had experienced at least one client's suicide, 28% had been physically attacked by a client, 4% reported having had sexual contact with a then current client, and 6% reported sexual contact with a former client. Areas for research are outlined, specifically the importance of using methods other than surveys and exploring variables other than standard demographic data.
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Mirick, Rebecca G. „Teaching a Strengths Perspective in Child Protection Work“. Journal of Baccalaureate Social Work 21, Nr. 1 (01.05.2016): 13–22. http://dx.doi.org/10.18084/1084-7219.21.1.13.
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This article describes a pedagogical strategy that provides an opportunity for BSW students to think critically about their interpretations of child protection clients and begin to engage with a strengths perspective. This teaching strategy uses reactance theory to introduce a nonpathologizing approach to client resistance. By reframing client resistance and reconsidering assumptions, this approach lays the groundwork for the use of a strengths perspective with involuntary clients and the development of collaborative relationships. Students' written feedback before and after the class (N=56) describes their experiences with this teaching strategy. The feedback suggests that while a deficits-based approach seems deeply rooted in some students' assumptions about clients, perhaps especially in child protection where the consequences of parental resistance are significant, many students found this teaching strategy facilitated their consideration of alternative explanations of the client's behavior and empathy toward the client. Implications of this are discussed.
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Šuľová, Michaela. „SOCIAL WORK WITH A DEPRESSED CLIENT“. EUREKA: Social and Humanities 3 (31.05.2019): 9–16. http://dx.doi.org/10.21303/2504-5571.2019.00892.
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Mental health is a fragile area. One of the frequent psychical illnesses is depression which means decline, uneasiness, anxiety. Many people develop a psychical illness during their life, whereby the triggering mechanism can be different stressful situation. Thus, many people with psychical illness become clients of social services facilities. This way the client comes into contact with social workers, which should be ready for their work (or rather mission) professionally and personally. They should be familiar with a range of approaches, methods and techniques, which they can implement based on the client’s individual needs within social intervention, in order to improve the client’s quality of life. The aim of our research is to determine what approaches and methods are used in social work with depressed clients. As a research method we use the analysis of professional materials and case studies, which focused on the application of methods of social work with clients with depression. The article has theoretical and research parts. In the theoretical part we introduce the diagnostics and symptoms of depression. In the research part we analyze the approaches and methods, used in social work with a depressed client. Then we present case studies, which are focused on the application of methods of social work with clients with depression.
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Ibrahim, Nazlan, Mohamad Isa Amat und Abdul Rashid Abdul Aziz. „The Use of Motivational Interviewing (Mi) in Preventing Relapse on Methamphetamine Drug User“. ‘Abqari Journal 25, Nr. 2 (23.12.2021): 21–35. http://dx.doi.org/10.33102/abqari.vol25no2.463.
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Methamphetamine (MA) is a potent stimulant with a high potential for abuse that can be smoked, inhaled, injected or taken orally. It is easily being relapse among drug abuse. Thus, this study aims to investigate the impact of drug addiction therapy utilizing the Motivational Interviewing (MI) approach. This is a qualitative study using interview sessions as a study design. The subject is a drug misuse client undergoing imprisonment in Kajang Prison, Selangor. Client’s progression was assessed through direct observations using the Mental State Examination (MSE), client records, and client speech changes. The study revealed that client has gained mental literacy and the client needs to change his behaviors so that the misery does not recur. The use of MI strategies in treatment sessions has been able to help clients eliminate ambiguities related to addictive behaviors, clients are confident to stay recovering and now have concrete plans to not re -addict in the future. The implications of the findings of this case study suggest the MI strategy is a treatment option that counselors can use in assisting drug abuse clients.
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Bahrudin, Siti Suria, und Ku Suhaila Ku Johari. „THE APLICATION OF SANDTRAY THERAPY IN DEALING WITH ADULT CONFLICTS“. International Journal of Education, Psychology and Counseling 5, Nr. 35 (05.06.2020): 01–09. http://dx.doi.org/10.35631/ijepc.535001.
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Sandtray Therapy is one of the most effective approaches to help clients explore themselves and solve emotional problems. This study is a case study that discusses the use of Sandtray Therapy as a creative intervention in the counseling process. This study aims to identify the effect of using Sandtray Therapy in counseling sessions on conflict issues experienced by adult clients. The study participant involved a 19-year-old client who was experiencing family and personal conflicts. Three individual counseling sessions with Sandtray Therapy approach have been implemented to explore the client’s issues. Each session takes an hour and runs once a week. The results show that Sandtray Therapy helps the client to express feelings more openly. The client also gains insight on how to solve their problems and conflicts. Sandtray Therapy also has a positive effect on the client’s emotions, behavior, and thoughts. Sandtray Therapy can expand its use as it has a positive impact on the client during therapy.
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Ravichandran, S., M. Umamaheswari und S. Lakshminarayanan. „Design and Development of an Improved Scheme for Automated Analysis of User Behaviour Profiles on Web Search Engine“. Asian Journal of Science and Applied Technology 6, Nr. 1 (05.05.2017): 22–27. http://dx.doi.org/10.51983/ajsat-2017.6.1.941.
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All business web crawlers give back similar results for a similar inquiry, paying little respect to the client’s genuine intrigue. Since inquiries submitted to web indexes have a tendency to be short and uncertain, they are not liable to have the capacity to express the client’s exact needs. They make discovering data on the web fast and simple. A noteworthy inadequacy of non-specific web indexes is that they take after the ”one size fits all” model and are not versatile to individual clients. Distinctive clients have diverse foundations and interests. In any case, successful personalization can’t be accomplished without precise client profiles. Various grouping calculations have been utilized to arrange client related data to make precise client profiles. In this paper, it presents develops client conduct profile naturally as a methods for the execution internet searcher that is gone for building on the web, versatile shrewd frameworks that have both their structure and usefulness advancing in time.
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Nova, Renny, Achir Yani Syuhaimie Hamid und Novy Helena Catharina Daulima. „Family’s experience in caring for clients with suicidal risk in Indonesia“. Enfermería Global 18, Nr. 1 (31.12.2018): 445–63. http://dx.doi.org/10.6018/eglobal.18.1.337751.
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El suicidio es una de las emergencias psiquiátricas que requieren atención integral porque los individuos corren el riesgo de ponerse en peligro a sí mismos, a los demás y al entorno. El suicidio en Indonesia está aumentando. Las familias tienen un papel importante en el cuidado de los clientes y la prevención del suicidio, pero las cargas familiares no se han estudiado profundamente. El objetivo del estudio fue obtener una visión general de la experiencia familiar en el cuidado de clientes con riesgo de suicidio. El diseño de la investigación fue cualitativo con un enfoque de fenomenología descriptiva que involucró a seis participantes. Los datos fueron recolectados por entrevista en profundidad y analizados utilizando el método Colaizzi. Los resultados del estudio encontraron cinco temas; los intentos de suicidio son una carga compleja para las familias, los cambios de comportamiento como un signo de suicidio, la preocupación como una forma de apoyo familiar y comunitario, las percepciones familiares sobre las causas y consecuencias del intento de suicidio y las estrategias de supervivencia de las familias superando el impacto del intento de suicidio. Los resultados del estudio recomiendan que la familia como unidad social de prevención del suicidio sea más sensible a los cambios en el comportamiento de clientes y enfermeras, ya que los consejeros pueden proporcionar intervenciones para mejorar el estado de salud mental de los clientes y las familias, como la educación sanitaria. terapia de psicoterapia familiar, manejo del estrés y grupo de autoayuda. La conclusión que puede extraerse de los cinco temas anteriores es que la carga de la familia que brinda cuidados al cliente con el riesgo de suicidio es mayor cuando la familia no puede reconocer los signos de suicidio del cliente, por lo que es necesario un sistema de apoyo. y afrontamiento constructivo. Suicide is one of the psychiatric emergencies that require comprehensive care because individuals are at risk of endangering themselves, others and the surrounding. Suicide in Indonesia is increasing. Families have a major role in caring for clients and preventing suicide but family burdens have not been studied profoundly. The aim of the study was to get an overview of family experience of caring for clients with suicide risk. The research design was qualitative with descriptive phenomenology approach involving six participants. Data was collected by in depth interview and analyzed using Colaizzi method. The results of the study found five themes; suicide attempts is a complex burden for families, behavioral changes as a suicide sign, concern as a form of family and community support, family perceptions about the causes and consequences of attempted suicide and coping strategies of families overcoming the impact of attempted suicide. The results of the study recommend that the family as the front social unit of suicide prevention can be more sensitive to changes in the behavior of clients and nurses as counselors can provide interventions to improve the mental health status of clients and families such as health education, family psycoeducation therapy, stress management and self help group. The conclusion that can be drawn from the five themes above is the burden of the family who provide caring for the client with the risk of suicide is heavier when the family is unable to recognize the client's suicide signs so there is a need for a support system and constructive coping.
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Crocker, Peter J., und Margo S. George. „Participation and Utilization: Assessing the Skills Training Needs of the Chronically Mentally Ill“. Canadian Journal of Community Mental Health 4, Nr. 2 (01.09.1985): 73–82. http://dx.doi.org/10.7870/cjcmh-1985-0016.
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Utilization-focused and stakeholder-based approaches to evaluation attempt to enhance utilization through the participation of individuals with a vested interest in evaluation outcomes. The present study sought to determine the skills training needs of the chronically mentally ill, and involved program participants (clients and staff) in measurement and design issues. Client interview, nominal group, and key informant strategies were used to obtain a variety of perspectives on client needs. Program clients were given a voice in decision-making and program planning, and research results were used to develop a skills training program relevant to client's needs.
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Mian, Maha N., Betty Lin, Julia M. Hormes und Mitch Earleywine. „Establishing Safety and Stability for Enhanced Treatment Engagement With the Unified Protocol: A Case Study“. Clinical Case Studies 19, Nr. 6 (27.08.2020): 473–90. http://dx.doi.org/10.1177/1534650120952883.
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Despite the vast array of empirically validated treatments for psychopathological problems, interventions still require considerable client resources for engagement and success. For clients lacking safety and stability outside of therapy, numerous barriers to treatment can prevent improvement and lead to disengagement. In such cases, therapists can seek to understand clients’ difficulties with safety and stability. Developing both rapport and the client’s problem-solving abilities can instill a sense of agency, keeping clients in treatment for better outcomes overall. This case study describes the modified application of the Unified Protocol following safety planning and crisis management. “Mary,” a 23-year old female, presented to a training clinic with fluctuating mood episodes, trauma symptoms, and problem substance use; pre, post, and routinely collected session data with clinical report indicate symptom improvement and increased treatment engagement following client gains in safety, employment, and housing. This case illustrates the importance of the therapeutic alliance in establishing client safety to effectively deliver a transdiagnostic treatment to address core mechanisms underlying emotion dysregulation.
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Nagalapatti, Lokesh, und Ramasuri Narayanam. „Game of Gradients: Mitigating Irrelevant Clients in Federated Learning“. Proceedings of the AAAI Conference on Artificial Intelligence 35, Nr. 10 (18.05.2021): 9046–54. http://dx.doi.org/10.1609/aaai.v35i10.17093.
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The paradigm of Federated learning (FL) deals with multiple clients participating in collaborative training of a machine learning model under the orchestration of a central server. In this setup, each client’s data is private to itself and is not transferable to other clients or the server. Though FL paradigm has received significant interest recently from the research community, the problem of selecting the relevant clients w.r.t. the central server's learning objective is under-explored. We refer to these problems as Federated Relevant Client Selection (FRCS). Because the server doesn't have explicit control over the nature of data possessed by each client, the problem of selecting relevant clients is significantly complex in FL settings. In this paper, we resolve important and related FRCS problems viz., selecting clients with relevant data, detecting clients that possess data relevant to a particular target label, and rectifying corrupted data samples of individual clients. We follow a principled approach to address the above FRCS problems and develop a new federated learning method using the Shapley value concept from cooperative game theory. Towards this end, we propose a cooperative game involving the gradients shared by the clients. Using this game, we compute Shapley values of clients and then present Shapley value based Federated Averaging (S-FedAvg) algorithm that empowers the server to select relevant clients with high probability. S-FedAvg turns out to be critical in designing specific algorithms to address the FRCS problems. We finally conduct a thorough empirical analysis on image classification and speech recognition tasks to show the superior performance of S-FedAvg than the baselines in the context of supervised federated learning settings.
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Semigina, Tetyana, und Olha Stoliaryk. „Circles of hell or circles of support? (Using the «person-in-environment» concept in social work practice)“. Social work and education 10, Nr. 2 (30.05.2023): 178–94. http://dx.doi.org/10.25128/2520-6230.23.2.3.
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Modern trends in the development of client-centered approaches in social work, which rely on the client’s internal resources and his strengths, although they consider a person as an expert in his own life situation and one who is able to cope with life challenges, emphasize the influence of the environment in which the client is. This paper is based on the theoretical analysis of the "person-in-environment" concept and reflection of the experience of using tools based on this concept in the authors’ structured interventions focused on the clients' strengths development. The analysis of the academic literature confirmed that the “person-in-environment", developed in the 1980s, remains a popular concept of eco-system social work. It suggests considering the client's experience and life situation through the lenses of dependence on the external environment. An individual's environment affects how a person evaluates the surrounding reality and the processes occuring in their life, way of thinking, and behavior patterns in response to difficulties. From the viewpoint of this concept, the social work objective is to understand the needs and problems of clients through the study of environmental influences, finding and assessing the resourcefulness of social systems that affect the clients’ well-being, and working to strengthen them. The "person-in-nvironment" concept is used to obtain a holistic view of the impact of the environment on clients, it can be applied as a basis for practical interventions, focused on the use of strengths, which allows you to resist social pressure, to defend own interests and needs, and will strengthen faith in own ability. The experience of piloting of techniques based on the "person-in-environment" concept gives reason to say that they help clients to understand their dependence on environmental systems, to identify a "toxic environment", to realize the possibility of control over their own lives, to strengthen faith in their own strength and ability to make decisions about desired relationships in a person's life.
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Yin, Lijuan, und Naoko Muramatsu. „Physical Activity, Outcome Expectations, and Social Support in Dyads of Frail Older Adults and Their Home Care Aides“. Innovation in Aging 4, Supplement_1 (01.12.2020): 404. http://dx.doi.org/10.1093/geroni/igaa057.1299.
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Abstract Frail community-dwelling older adults increasingly receive home care and continue to face barriers to participating in physical activity (PA) that could help maintain their function. Home care aides (HCAs) are well-positioned to promoting PA among older home care recipients because of their established relationship and regular interpersonal exchanges; yet, the role of HCAs in promoting and supporting PA in home care settings is seldomly studied. Using the quantitative and qualitative data from a 4-month home-based gentle PA intervention delivered by HCAs to their clients in a Medicaid-funded home care setting, the current study examined whether outcome expectations for exercise (OEE) held by HCAs led to client PA outcomes (i.e. functional limitations and physical performance) through social support for exercise (SSE) provided by HCAs. Longitudinal mediation analysis of 46 HCA-client dyads showed that higher baseline OEE held by HCAs were related to greater SSE reported by clients after the intervention (p<.05; bootstrapped standard errors), controlling for client-level covariates, including baseline OEE, age, gender, comorbidity, and whether HCA was client’s family member. Unexpectedly, SSE did not have significant association with client PA outcomes nor mediated the relationship between OEE held by HCAs and client PA outcomes. Qualitative data suggested alternative factors may explain the results, such as clients’ family beliefs in the intervention and clients’ participation experiences (such as expectation fulfillment). Future research should consider older home care clients’ family contexts to enhance our understanding of HCAs’ roles in preserving the function of growing numbers of older home care recipients.
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Evans, Amelia L., und Jennifer Koenig Nelson. „The Value of Adapting Counseling to Client’s Spirituality and Religion: Evidence-Based Relationship Factors“. Religions 12, Nr. 11 (01.11.2021): 951. http://dx.doi.org/10.3390/rel12110951.
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There is a strong tradition of attention to relationship factors in the field of counseling. The research on the importance of the relationship and adapting to client factors continues to grow, supporting the importance of professional multicultural competence. The field of counseling, specifically within the United States context, has focused on Multicultural Counseling Competencies with more recent emphasis on social justice through the Multicultural and Social Justice Counseling Competencies. Within these competencies, spirituality and religion are mentioned as multicultural components to consider as potentially salient to clients. Yet, there has been less emphasis on ways to adapt counseling to a client’s spirituality and religion compared to other multicultural components of one’s identity, such as race, gender, and culture. Historically, a lack of training, fear of causing offense, or concerns about influencing clients, resulted in clients’ spirituality and religion being overlooked far too often in counseling. Despite this tendency, recent clinical evidence on relational responsiveness identifies the adaptation of counseling to a client’s spirituality and religion as highly effective. In this article, the authors discuss how adapting counseling to a client’s spirituality and religion, in relation to all multicultural factors salient to the client, enhances relational responsiveness and treatment effectiveness. The authors also discuss the implications for training, supervision, and practice.
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Okoye, Peter Uchenna. „Factors Influencing Clients’ Commitment to Sustainable Construction Practices“. International Journal of Sustainable Development and Planning 16, Nr. 1 (28.02.2021): 39–48. http://dx.doi.org/10.18280/ijsdp.160104.
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The success of every construction projects largely depends on the level of commitment of the clients. This study examined the factors influencing the level of clients’ commitment to sustainable construction practices in Nigeria. A questionnaire survey was use to collect data from the public and private construction clients on the level of influence of 16 factors extracted from the literature. A total of 182 valid questionnaires were used for analysis. The result revealed that nine factors with weighted average (W) 0.8≤W≤1 have a high level of influence, whereas seven factors with 0.6≤W≤0.8 have a high-medium level of influence on the clients’ commitment. However, the five most influential factors were: client knowledge and awareness, Cost implication and mechanism of financial involvement, economic value and return on investment, end-user/client perception and preference, and health and safety implications. The result further revealed that there is significant difference on how these factors influence the level of commitment of sustainable construction practices of the public and private clients. The study suggested that the disparity was due to the differences in the level of knowledge, awareness, involvement and commitment of the public and private clients to sustainable construction concept. Hence, it is important to optimize the level of knowledge and awareness of the clients, about the cost, benefits/profits, and health and safety implications of sustainable construction practices so as to promote the level of client’s commitment to sustainable construction practices. It recommended for adequate client involvement throughout the sustainable construction life cycle and a sustained awareness campaign, championed by relevant government agencies and professional organizations through different public programs so as to increase the clients’ commitment and desirability to demand for more sustainable construction projects.
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Tutty, Leslie M. „The Response of Community Mental-Health Professionals to Clients' Rights: A Review And Suggestions“. Canadian Journal of Community Mental Health 9, Nr. 1 (01.04.1990): 5–22. http://dx.doi.org/10.7870/cjcmh-1990-0001.
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Client's rights is an issue which resurfaces periodically in professional journals, but which is ever-present in the minds of consumers of mental-health facilities. While some of the most striking pleas for adherence to rights have centred in the past on inpatient mental-health facilities, similar issues related to client treatment continue to exist in community mental-health centres. This paper reviews the literature on outpatient clients' rights from the perspective of both clients and professionals. The paper provides suggestions for mental-health professionals to more adequately address the rights of their clients in terms of the workplace, the organization of their agencies, and through legal/legislated means.
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Ebunoluwa, Esther Ilori, und Grace Kehinde Ojo. „External Marketing Relationship Practice of Quantity Surveying Firms in the Selected States in Nigeria“. Built Environment Journal 18, Nr. 2 (27.07.2021): 97. http://dx.doi.org/10.24191/bej.v18i2.13029.
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It has been established that marketing is very significant to the success of any organization, especially in a competitive environment. In the Quantity surveying profession, marketing might be more relevant than other professions because it is less known. The significance of marketing and competitive business environment calls for effective marketing practice by Quantity Surveying Firms (QSFs). One of the effective ways is to build a strong external marketing relationship, which exists between a firm and its client. Therefore, this paper investigated the external marketing relationship practice of QSFs with a view to enhancing firms’ productivity and client satisfaction. Forty-six (46) registered QSFs and fifty-nine (59) corporate clients in Lagos, Oyo, and Ondo States were assessed through questionnaire survey. Data were collected on the attributes of parties involved in external marketing. The collected data were analysed using Mean Item Scores (MIS) and Analysis of Variance (ANOVA). The results reveal important attributes of clients to include “pay on time (MS=4.59)”, “willingness and readiness to take advice from the firm (MS=4.59)”, and “make expectations known clearly to the firm (MS=4.54)”. From the findings, clients averagely displayed these attributes. The result of ANOVA shows that firms viewed the importance of these clients’ attributes in the same way at p>0.05 except for one of these attributes (making expectations known clearly to the firm), which firms viewed its importance differently at p<0.05. Furthermore, results show the important attributes of firms to include: “ability to give clients value for their money (MS=4.51)”, “knowing clients’ requirements (MS=4.51)”, and “being attentive (MS=4.47)’. Findings show that these attributes were adequately displayed by QSFs. The perceptions of clients on the importance of these firms’ attributes were the same at p>0.05. The study concluded by establishing attributes for strong external marketing relationship to include: “readiness of a client to take advice from the firm”, “ability of a client to pay on time”, “ability of a firm to satisfy the client”, and “knowing the client’s requirements”. The study recommended that QSFs and clients should endeavour to possess and display these attributes for the enhancement of service delivery in terms of firms’ productivity and clients’ satisfaction.
Keywords: Attributes, Clients, External Marketing Relationship, Quantity Surveying Firms
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Masyfahani, Muhammad Afif Hilmi, Titin Sukartini und Ririn Probowati. „GAMBARAN SELF EFFICACY DAN PENGETAHUAN PADA KLIEN TUBERKULOSIS“. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) 6, Nr. 1 (31.03.2020): 93–101. http://dx.doi.org/10.33023/jikep.v6i1.441.
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ABSTRACT
Background : Tuberculosis is a contagious disease that is spread throughout the world and is a public health problem due to high morbidity and mortality. Along with the increasing prevalence of Tuberculosis events. Objective: To determine the self efficacy picture and knowledge of Tuberculosis clients in Bangil General Hospital. Method: Descriptive research with cross sectional approach. The research sample of 70 respondents with purposive sampling which inclusion and exclusion criteria. The instrument uses a questionnaire. Results: The results showed that tuberculosis clients had good self efficacy as many as 41 people (58.6%),%), quite as many as 20 people (28.6%) and the rest had less self efficacy as many as 9 people (12.9%) . and have good knowledge as many as 36 people (51.4%). Tuberculosis clients also have good knowledge as many as 36 people (51.4%), quite as many as 24 people (34.3%) and the rest have less knowledge as many as 10 people (14.3%). Conclusion: Clients' beliefs about self-care management can increase and be able to generate enthusiasm to seek knowledge, positive attitudes and self-management skills to improve and the client's health behavior in general. Client knowledge by providing information and understanding through a module media to the Tuberculosis client regarding Tuberculosis disease so as to increase the client's knowledge regarding management of her care.
Keywords: Self efficacy, Knowledge, Tuberculosis
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Ranabhat, Deepesh, Sabina Subedi und Mala Ranabhat. „Factors Measuring Client Satisfaction on Stock Broker Services in Pokhara Valley“. Journal of Nepalese Business Studies 15, Nr. 1 (28.12.2022): 60–71. http://dx.doi.org/10.3126/jnbs.v15i1.50383.
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Customer satisfaction is very important for the success of the business. This study measured the client satisfaction with broker services in Pokhara valley. Convenience sampling technique is used for selection of sample and 385 respondents who were trading stock in secondary market were taken as sample. Different twelve items were used to measure the clients’ satisfaction. Means score, Exploratory Factor Analysis (EFA), and Confirmatory Factor Analysis (CFA) were used for data analysis. The study found majority of the clients are satisfied with the stock brokers’ services in Pokhara valley. Further, responsiveness and trustworthiness were found as the major factors related to clients' satisfaction with stockbroker services. This study concluded that stockbrokers should be more responsive to the clients and their services should be trustworthy to increase the client's satisfaction.