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1
Holmberg, Nora, and Mikael Toresten. "Tillförlitlig kvalitet – Jämförelse mellan offentlig och privat äldreomsorg." Thesis, Högskolan i Skövde, Institutionen för handel och företagande, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-20024.
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Under början av 1990-talet infördes reformer som än idag påverkar svensk äldreomsorg. Dessa reformer föranledde till stora förändringar i den offentliga sektorn, där privatiseringen av offentliga tjänster är en del av resultatet. I nästan tre decennier har resultatet av dessa reformer varit väl omdiskuterade i både politiska sammanhang och samhället, där äldreomsorgen är en av de stora reformerna som diskuteras. Föreliggande studie jämför och analyserar tillförlitlig kvalitet på given vård i äldreomsorgen mellan den offentliga och privata sektorn eftersom den privata sektorn ibland har ett vinstintresse, vilket den offentliga sektorn saknar. Syftet med studien var att jämföra och analysera hur chefer uppfattar möjligheten att ge tillförlitlig kvalitet i verksamheten. Arbetet i den dagliga verksamheten utförs av chefer och medarbetare tillsammans, vilket föranledde att det i studien intervjuades åtta chefer på äldreboenden i Sverige, där fyra chefer från respektive offentlig eller privat given äldrevård utgjorde studiens empiriska material. Intervjufrågorna var konstruerade utifrån studiens analysmodell som bygger på karaktäristiska egenskaper för organisationer med hög tillförlitlighet. Föreliggande studie visar att cheferna i både den offentliga och privata sektorn uppfattar, utifrån de förutsättningar som finns i äldreomsorgen, möjlighet till tillförlitlig kvalitet. Dock visar resultatet av studien att det finns brister i den tillförlitliga kvaliteten. Studiens vetenskapliga bidrag visar på kvaliteten utifrån de förutsättningar som chefer har att ge en tillförlitlig kvalitet i äldreomsorgen.During the start of the 1990´s reforms were introduced that to this day affect Swedish elderly care. These reforms brought forth large alterations in the public sector where in multiple, previously public services were privatized. In the following three decades have these reforms been regularly discussed in both political contexts and society, where the reforms of the elderly care have been prominent. This study compares and analyze reliable quality of administrated care of elderly between the public and private sectors, because of the private sector´s common profit orientation, which the public sector does not have. The purpose of this study was to compare and analyze how management perceive the opportunity to give reliable quality within the organization. Operational labor is performed by both management and coworkers together which resulted in eight managers within the Swedish elderly care being interviewed wherein four worked in the public sector and private, respectively. These interviews became the empirical basis for the study. The interview questions were constructed using the studies analytical model which is based on characteristic properties within organization with high reliability. The result of this study shows that managers in both the public and private sectors perceive the possibility of reliable quality based on the conditions that exist in elderly care. However, the results of the study show that there are shortcomings in the reliable quality. The study´s scientific contribution indicates the quality based on the conditions that managers have to provide a reliable quality in elderly care.
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Fadayevatan, Reza. "Inpatient hospital care for older people : relationship between comprehensive geriatric assessment (CGA), frailty and outcomes in eldery hospitalized patients." Thesis, University of Sheffield, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.443880.
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Schulte, Megan A. "Kendal at Oberlin: an examination of desires, expectations, and concerns of residents and management and staff in the formation and development of a new continuing care retirement community." Oberlin College Honors Theses / OhioLINK, 1994. http://rave.ohiolink.edu/etdc/view?acc_num=oberlin1314023836.
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Einarsson, Josefin. "Institutionens betydelse för människors hälsa : en livsberättelsestudie om äldres uppfattningar om hur det är att bo på äldreboende." Thesis, Högskolan i Gävle, Avdelningen för kultur-, religions- och utbildningsvetenskap, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-12044.
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Antalet äldre blir idag allt fler och behovet av vård flyttas upp i åldrarna. Det kräver att insatser inom äldrevård och omsorg håller hög kvalité och placerar människan i centrum för att skapa förutsättningar för äldre att leva ett värdigt, meningsfullt liv och känna välbefinnande. Frågan om mat, trygghet, identitet, social interaktion, anpassning och KASAM är faktorer som påverkar äldres tillvaro på äldreboende. Syftet med studien var att få djupare kunskap och förståelse i äldres livsvärld på äldreboende, hur man som boende upplever sin vardag och vilken betydelse äldreboendet som institution har för deras hälsa. Två livsberättelseintervjuer genomfördes under en timme var med två äldre, en man och en kvinna boende på ett äldreboende i Mellansverige. Resultatet tolkades och analyserades utifrån tidigare forskning, salutogent och patogent perspektiv på hälsa och teorier som KASAM, Maslows behovstrappa och immanent pedagogik. Resultatet visade att deltagarna är väldigt nöjda med sin vistelse på äldreboendet och hänvisar till aspekter som uppskattning av hjälp med mat, trygghet och tillit. Tidigare livserfarenheter och livsförhållanden lyfts fram i samband med uppskattningens betydelse. Dock framgår det även att tillvaron består av begränsningar som gör att personernas viktiga, betydelsefulla områden i livet inte fullt tillgodoses, vilket påverkar de äldres möjlighet att uppleva meningsfullhet i tillvaron. De äldres hälsotillstånd, tidsaspekt gällande personalens möjlighet att tillgodose behov, en fråga om mindre spontanitet och de äldres uppfattningar att inte kunna fodra hur mycket hjälp som helst är påverkande faktorer.
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Chen, Zhiyu. "Knowledge and Perceptions: Chinese Older Adults' Willingness to Use Institutional Elder Care." Digital Archive @ GSU, 2011. http://digitalarchive.gsu.edu/gerontology_theses/22.
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This study explores explanations for Chinese elders’ willingness or lack of willingness to use institutional care. The data is drawn from a survey over intergenerational relationships and age models conducted in Zhenjiang, China, in 2007. Only the responses of interviewees aged 55 and above (310 males and 318 females) were used in this study. Using zero-order correlation and multi-nominal regression analyses, this study examined the factors associated with Chinese elders’ willingness to use institutional care. Study results reveal that Chinese elders’ confidence in availability of familial care was negatively related to their willingness to use institutional care; elders’ knowledge about and impression on elder care homes were positively associated with their willingness. Male interviewees expressed lower levels of willingness compared to female respondents. This study shows that increased knowledge about elder care institution may increase Chinese elders’ willingness to accept institutional elder care.
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Larcombe, Julie Eileen. "Care for the elderly." Thesis, University of Birmingham, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.272569.
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Mason, Jay Roger. "An elder care community." Thesis, Virginia Polytechnic Institute and State University, 1992. http://hdl.handle.net/10919/52122.
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The following exploration represents a search for clarity and meaning in the formative work of a young architectural designer. Solving the design problem to create a viable community of elders integrated into the chosen site was merely the ostensible goal. The deeper task was to become more literate with the materials and tools of the architect's trade and develop a confidence with the language and grammar of architecture.
I wanted to develop an understanding of not just a single building type or a particular site condition, but to grow in more fundamental terms toward learning a way of building. This desire may be inherent in every good design, but I wanted to bring the idea of it to the surface and focus on the principles behind the architectural decisions.
I believe the confidence and vitality which the architect combines with the philosophical, technical and pragmatic constraints of a project to make great architecture are products of a thorough understanding of one's personal beliefs. My own attempt to organize thoughts and attitudes into a body of reference toward an understanding of that belief structure follows on the remaining pages. In the process as well as in the final result I have moved closer to a literacy in architecture, if only by gaining insight into the motivations which have guided my hand.Master of Architecture
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Grainger, Karen Patricia. "The discourse of elderly care." Thesis, Cardiff University, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.309046.
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Travis, Shirley S. "Self-care dependency among elders in long-term care settings." Diss., Virginia Polytechnic Institute and State University, 1985. http://hdl.handle.net/10919/49945.
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General acceptance of a pattern of activities of daily living (ADL) dependency has led to the use of an additive method of determining self-care dependency and need for long-term care. This traditional method of determining ADL levels is convenient, and it is practical to the extent that individuals in a long-term care population do fit a scaled pattern of dependency. This research was based on 3611 cases from the Preadmission Screening Program of the Virginia Medical Assistance Program. Tabular and staged logistic regression analyses examined: 1) characteristics of this group of long-term care elders, 2) the extent of ADL divergence in various recommended care settings, 3) the relationship between rehabilitation status and ADL divergence, 4) other factors influencing divergence from the ADL dependency hierarchy.
The results of this study demonstrated that a large proportion of those screened did not match the original Index of ADL. Therefore, the justification for counting ADL dependency, based on an underlying hierarchy of ADL, was not upheld. Further research was indicated for improving eligibility and placement criteria that would reflect a fluid rather than a static system of long-term care. For example, rehabilitative trajectory could serve as an indicator of projected changes in assistance for self-care.Ph. D.
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Kajonius, Petri. "The Impact of Care Process on Satisfaction with Elderly Care." Licentiate thesis, Högskolan Väst, Avd för psykologi och organisationsstudier, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-8662.
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This licentiate thesis is based on the growing interest in Swedish elderly care. The aim of this thesis is to investigate what generates satisfaction with elderly care among older persons. The dominant ideology in both privately and publically run elderly care is individualized care, also called person-centered care, which holds the older person’s satisfaction as one of the main quality indicators. The proportion of older people is increasing and to maintain high levels of satisfaction with elderly care will require more knowledge. Data from the National Board of Health and Welfare’s (2012) nationwide survey on seniors’ experiences with elderly care was collected. Statistical analyses of this sample formed the basis for the results of the thesis and were reported in two papers. Study I used Donabedian’s (1988) model of quality of care in terms of structure, process, and outcome, and all municipal units in Sweden were included (N = 324). The results showed that structural variables (i.e. budget, staff, and training level) have minimal or no relationships with older persons’ satisfaction with care, while process variables (i.e. experiences of respect, information, and influence) have strong relationships with satisfaction with care. Study II made use of the long-standing person versus situation- model in social psychology, and was analyzed on an individual level (N = 95,000). The results showed that care process factors (i.e. experiences of treatment, safeness, staff- and time-availability) had a stronger relationship, than individual factors (i.e. health, anxiety, and loneliness) with satisfaction with care. The results also showed that older persons with home care generally felt better treated than older persons in nursing homes, but also felt less safe. Mediational analyses, based on this comprehensive elderly data, suggest that the individual aging condition of loneliness can be countered by providing safeness and treatment, resulting in high satisfaction with care. In conclusion, satisfaction with elderly care in Sweden today can largely be explained from a psychological perspective by the older persons’ perception of the care process, not by the amount of structural resources or the conditions of the aging persons. These findings could help facilitate the future quality development in municipalities and care organizations.
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Stewart, Stephanie. "Elderly preferences for alternative care settings." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/MQ63069.pdf.
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Yeung, Hung-kay Keith, and 楊鴻基. "Residential care home for the elderly." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1996. http://hub.hku.hk/bib/B31983133.
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Yeung, Hung-kay Keith. "Residential care home for the elderly." Hong Kong : University of Hong Kong, 1996. http://sunzi.lib.hku.hk/hkuto/record.jsp?B2595166x.
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Coe, Norma B. "Long-term care and the elderly." Thesis, Massachusetts Institute of Technology, 2005. http://hdl.handle.net/1721.1/33837.
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Thesis (Ph. D.)--Massachusetts Institute of Technology, Dept. of Economics, 2005."September 2005."
Includes bibliographical references.
Long-term care expenditures represent one of the largest uninsured financial risks facing the elderly. Medicaid provides incomplete insurance against these costs: unlimited nursing home benefits with a deductible equal to the savings and income above the means-testing limits. While private insurance is available, fewer than 10 percent of the elderly are currently covered. This thesis explores how the elderly prepare for future nursing home use and the interactions between the private and public insurance systems. Chapter one exploits the state-variation in Medicaid generosity to study the financial response of the elderly to perceived future nursing home needs. I find that the elderly shift their consumption and savings decisions in response to Medicaid. Single households have lower net worth through the median of the distribution due to Medicaid policy. On the other hand, I find that married households do not lower total net worth, but they change their relative holdings of protected and non-protected assets. Chapter two explores the crowd-out effect of the public Medicaid program on demand for private long-term care insurance coverage. We estimate the impact of Medicaid program rules on private long-term care insurance coverage for the elderly. We find small but statistically significant marginal crowd-out effects.
(cont.) Our estimates imply that even a $67,000 decrease in the asset disregard for couples would only increase private long-term care insurance ownership among the elderly by 1.9 percentage points. These findings underscore that marginal reforms to the existing Medicaid program are unlikely to be an effective way of increasing private long-term care insurance coverage among the elderly. Chapter three explores individuals' expectations for future nursing home use. I compare self-reported probabilities to the statistical probability computed with a state-of-the-art model used by the long-term care insurance industry. I find that respondents tend to overestimate unlikely outcomes and underestimate likely outcomes. On average, though, the expectations are very accurate. I find that expectations for nursing home use evolve with health conditions in similar ways as the statistical probability. While I find that expectations include private information, they do not account for all information available to the individual, especially the individual's demographic characteristics.
by Norma B. Coe.
Ph.D.
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Bengtsson, Robin. "Security creating technology for elderly care." Thesis, Tekniska Högskolan, Jönköping University, JTH, Industridesign, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-50760.
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The aging population is growing and as more elderly need nursing the demand on elderly care is increasing. There is a risk of not having enough staff in an industry that already lacks educated staff. Many of the employees also complain that they are stressed out. This has led to an increasing number of gadgets and tools used within elderly care but not without problems. The technologies have been criticized for being designed to fit the need of the people in control rather than the elderly and the caregivers. This thesis has mapped the situation within todays elderly care and provided a solution to those needs and problems found. The focus has been to make a design that is fit for the elderly and the caregivers. The project has been made with a human centered design approach by letting elderly and caregivers participate in the process. A keystone has been to make the solution emit a sense of coherence for the elderly. The result is a radar unit which scans for blood pressure, respiration, pulse, and falls. The radar can be complimented with a camera to provide even more security. The achieved result can bring a sense of coherence for the elderly but needs to be further tested in order to prove it. This work can be used for future studies.
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Chika, Hirano, and Jing Jing. "Research for online marketing strategy in Japanese elder care facilities : Learn form Swedish elder care facilities." Thesis, Linnéuniversitetet, Institutionen för marknadsföring (MF), 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-43986.
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Background: Since aging population keeps increasing, more and more private elderly care facility companies emerged in elderly care market, and this industry gradually became one of the pillar industries in Japan. However, a strange phenomenon is that private elderly care facilities in Japan fails to attract elderly customers while there are society demand to expand the number of facility. This leads to bankruptcies of private elderly care facilities. On the other hand, Sweden enjoys a high reputation of elderly care. Also Swedish elderly care industry is more mature than Japan, therefore this research takes Sweden as an objective of Japan. Purpose: Identifying the root cause of why elders do not choose private facilities even though there are social demand to expand elderly care facilities; from online-marketing perspective, take Swedish companies as examples, find out the way to apply online marketing strategy to Japanese elderly care facilities. Method: This is a qualitative research, with inductive approach, from interpretivist epistemology and constructionism ontology perspective. Structured phone interviews are conducted with 11 Japanese elders and their general view towards private and public elderly care facilities in Japan are studied; then, researchers choose 2 companies in Sweden and Japan respectively as cases and analyze online marketing strategy; following the "strategy exploring model" logic, analyze the development of online marketing strategy for Japanese private elderly care facilities. Results, conclusions: Elders in Japan choose public elderly care facilities instead of private, because of the high cost and lack of reliability. Therefore, marketing strategy ii goal is to lower the deposit and establish an image of security and safety of industry. According to the result of online marketing research, authors will give advice for Japanese elder care industry to achieve this goal.
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Bohlin, Elin, and Linn Müller. "Designing Virtual Reality Experiences for Elderly : A qualitative study focusing on VR suppliers operating within the elder care sector." Thesis, Linnéuniversitetet, Institutionen för marknadsföring (MF), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-96639.
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Abstract This thesis provides an in-depth research of five VR suppliers working with creating VR experiences targeted to elderly within the elder care sector in Sweden. Furthermore, a technological knowledge gap between elderly and VR technology are researched. The focus of this thesis is therefore how VR suppliers, as early adopters, design VR experiences to elderly, as digital immigrants. To investigate the chosen topics, two research questions was formulated; RQ1. How do VR suppliers design a VR experience targeted to digital immigrants within the elderly care sector? RQ2. How do VR suppliers, as early adopters, bridge the digital gap between VR-technology and digital immigrants? This thesis constitutes of a qualitative research where the empirical findings are based on interviews with the VR suppliers. The research took an inductive approach in order to get close to the respondents and interpret their realities. Theories about Customer experience, Value, Value Co-creation, Digital immigrants and Early and Late adopters, have thereafter helped to connect the empirical findings with aspects within these theories, to further understand important aspects for the VR suppliers when they design their VR experiences. The results of the study present the aspects that are important to take under consideration when VR suppliers design their VR experiences towards elderly within the elder care sector. A model showing the steps when designing the VR experience has been provided and constitutes of identifying needs, customize the service, create trust and security, set the environment, inform and educate personnel, handling impairments and bridging the gap. Furthermore, the participants confirmed a knowledge gap within technology amongst elderly and that there is a need to bridge the gap in order for the VR service to be successfully implemented.
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Fransson, Ann-Catrin, and Camilla Persson. "Lex Sarah inom kommunal äldreomsorg : En kvalitativ studie utifrån enhetschefers perspektiv på anmälningar vid missförhållanden." Thesis, Linnéuniversitetet, Institutionen för socialt arbete, SA, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-12755.
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The purpose of this study has been to examine the unit manager’s perspective on making Lex Sarah-notifications. The study has been carries out by six semi structured interviews with persons in leading positions of the elderly from three different municipalities. They were asked about different circumstances that affects the problems with Lex Sarah. The results indicates that the unit manager’s act on elder abuse from the complex mechanisms that exist within the organization. The study results shows that the unit manager’s in the daily tasks are doing their work and solve problems regarding the risk of elder abuse that occur over time, but circumstances will determine if its documented prescribed by a Lex Sarah. The conclusion is that the unit manager’s of the elderly is limited by the circumstances and processes within the organization and that it affects them to lift up and report abuse among the elderly.
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Wiebe, Valerie M. "Examining self-care among the elderly using Orem's self-care framework." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape9/PQDD_0001/MQ45165.pdf.
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Flores, Cristina. "The quality of care in residential care facilities for the elderly." Diss., Search in ProQuest Dissertations & Theses. UC Only, 2007. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3261238.
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Garg, Lalit. "Unified modelling for care of the elderly." Thesis, University of Ulster, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.554238.
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The overall objective of this thesis was to develop and validate mathematical and statistical methods to aid informed healthcare decision making to help hospital staff, managers and policy makers to ensure the quality of elderly care while at the same time reducing the cost. As the result of the work of this thesis, holistic methods are proposed to facilitate understanding of the healthcare process dynamics and management, monitoring and performance measurement of healthcare systems. These models are illustrated and validated using three different datasets: a historical dataset on geriatric patients from an administrative database of a London hospital, a nationwide dataset available from the English Hospital Episode Statistics database on stroke- related patients, and a 5 years' retrospective dataset of stroke-related patients admitted to the Belfast City Hospital. In this thesis we first present a non-homogeneous Markov model to compute key performance measures for the whole patient care system, including both hospital and community components. We then describe different ways of modelling patients' length of stay and clustering patients into meaningful groups and a novel mixture distribution is proposed to have a significantly improved fit to length of stay data. We propose two novel techniques based on survival trees; phase-type survival trees and mixed distribution survival trees, to cluster the patients with respect to their length of stay considering the importance and effect of various patient characteristics, such as gender, age at the time of admission and disease diagnosed and their interrelation with patients' length of stay. We then illustrate how these models can be used for better understanding the care system and extracting exceptional or interesting patient pathways based on a given criterion of interest in terms of probability of occurrence, cost or duration. Based on this work, a novel application of data mining technique called sequential pattern mining is proposed to identify anomalous sequential patterns which require attention for efficiently managing scarce healthcare resources. We present two novel models for optimally scheduling patient admissions to satisfy resource restrictions, resource requirement forecasting, budgetary estimations, and/or comparing different admission scheduling strategies for a care system. First, a model based on sequential pattern mining technique, which is simple, easy to implement, has better explainability. The second model is a more sophisticated non- homogeneous discrete time Markov model and can be used for more complex admission scheduling such as a variable number of admissions each day to allocate resources to satisfy the fluctuating demand for care services or resource constraints. In addition, we describe an extension of our phase type survival tree based analysis to examine the relationship between length of stay in hospital and destination on discharge among these patient groups and illustrate applications of this approach to patient pathway prognostication, capacity planning and modelling discharge delay and its detrimental effects on length-of-stay and cost of care of patients whose discharge have been delayed. In summary this thesis proposes models to provide useful information readily available to make strategic decisions for effective care management and improvement.
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Higham, Patricia. "Relationships of elderly people in residential care." Thesis, Cranfield University, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.309590.
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Habjanic, A. (Ana). "Quality of institutional elderly care in Slovenia." Doctoral thesis, University of Oulu, 2009. http://urn.fi/urn:isbn:9789514291869.
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Abstract
Elderly people, because of the frail health condition and consequent problems, have in most cases substantial difficulties living at home. Despite the need for widened nursing home custody, the field of quality institutional elderly care in Slovenia in the past did not undergo comprehensive research.
The purpose of this two-part study was to investigate the quality of institutional elderly care and elderly care offered in Slovenian nursing homes. Additional purpose was to evaluate nursing staff members about their willingness, knowledge, skills and importance to meet residents’ physical and psychosocial nursing care needs. Also, a part of this research was bound for recognition of maltreatment and nursing staff members’ well-being.
The qualitative and quantitative research methods were used. The quality of institutional elderly care and elderly care offered were researched by interviewing the parties involved in elderly care, residents, relatives and nursing staff members (N=48). The data for quantitative research was collected by surveying nursing staff by using a structured questionnaire (N=148). All data have been collected in three public and one private nursing home located in two major cities of Ljubljana and Maribor. Collected data was examined by content analysis method and statistical analysis, to corroborate findings across data sets, reducing the impact of potential biases that can exist in a single study. Triangulation was used to approach to data analysis to synthesize data from multiple sources.
Main categories of quality institutional elderly were formulated as attentive care, optimal custody and holistic approach. The most important issue of quality institutional elderly care was formulated as meeting needs on time. Nursing staff members were found to be better skilled in meeting physical than psychosocial needs of residents. Maltreatment was recognised as neglect of care due to postponed duties or hastiness in nursing interventions resulting in discomfort of residents. Factors in connection to quality of institutional elderly care were expressed as quality of nursing care, friendly relationship, meaningful activities, pleasant dwelling environment and versatile assistance.
The obtained findings were presented in form of proposals to improve quality of institutional elderly care in Slovenian nursing homes, and could be used to develop institutional elderly care and improve dwelling. In addition many specific terms have been extracted during the analysis process that may contribute to development of gerontological nursing care rationale in Slovenia.
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Börjesson, Ulrika. "Everyday Knowledge in Elder Care : An Ethnographic Study of Care Work." Doctoral thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för beteendevetenskap och socialt arbete, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-23778.
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This dissertation is about how knowledge is constructed in interactions and what knowledge entails in practical social work. It is about how a collective can provide a foundation for the construction and development of knowledge through the interactions contextualized in this study on Swedish elder care, organized by the municipality. This study follows a research tradition that recognizes knowledge as socially constructed, and focuses on the practice of knowledge within an organizational context of care. This is an ethnographic study. The empirical material consists primarily of field notes from participant observations at two elder care units in a midsized city in Sweden. Moreover, the collected materials include national and municipal policy documents, local policy documents and guidelines, and notes from observations in staff meetings and interviews with care workers and managers. This thesis uses Institutional Ethnography as a departure point for analyzing the contextual factors for workers in elder care, mainly women, and the situational factors for acquiring knowledge. The overall aim of this dissertation was to explore knowledge in elder care practice by analyzing the construction and application of knowledge for and by staff in elder care. This sheds light to the Mystery of Knowledge in Elder Care Practice: Locally Enabled and Disabled. In order to pursue this aim, two questions were addressed in the study: 1. How and what kind of knowledge is expressed and made visible in daily elder care practice? 2. How is knowledge shared interactively in the context of elder care? The findings shed light to the situation for care workers in elder care and the conditions for using and gaining knowledge. This situation is problematic as the local conditions both enables and disables knowledge use and sharing of knowledge. Contributing challenging factors are lack of recognition and equal valuing of various forms of knowledge; the organizational cultures and a limiting reflective work to the individual. The main findings in this thesis are presented in three areas: - a way of understanding tacit knowledge, which refers to knowledge gained by care workers through working in elder care; - the connection between an organizational culture and the knowledge shared within the organizational culture; - reflective practice in elder care work and the imbalance between individual and collective reflectivity. These findings have implications for specific knowledge in social work practice and the need for education linked to this knowledge. Formal knowledge alone is insufficient for effective elder care practice; however, informal knowledge is also insufficient alone. Both are needed, and they should be linked to create synergy between the two types of knowledge.
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Morrison, Laura C. D. "Understanding subjective family burden in elder care." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp05/MQ62803.pdf.
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Hannigan, Pamela Ann. "The psychological impact of a community care project on elderly care recipients and their care givers." Thesis, University of Ulster, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.274102.
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Lee-Treweek, Geraldine Anne. "Discourse, care and control : an ethnography of residential and nursing home elder care work." Thesis, University of Plymouth, 1994. http://hdl.handle.net/10026.1/362.
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This thesis presents the notion that paid elder care work is often more involved with ordering individuals, than caring for them. It discusses this issue via ethnographic data about care assistant and nursing auxiliary work, which was collected in two elder care homes: Hazelford Lodge residential home and Bracken Court nursing home. The thesis uses care, control, and knowledge as the main themes for the discussion of work in both homes. The first chapter sites the thesis within the context of the academic literature on the discourses of the body, the nature of care work and residential care. It focuses especially upon care work as body labour. Chapter two presents the ethnographic methodological approach of the thesis, in two sections. Firstly, the use of the Foucauldian notion of discourse is explained, and secondly, the research process and research relationships are explored through a reflexive account. Chapters two and three present social, structural and spatial aspects of the two settings. They discuss the different ways in which the homes were organised, and that spaces were utilised and had different meanings, within the homes. Chapters four and five are based upon data from Hazelford Lodge residential home, and illustrate the care assistants' work as centred upon created order in the home, based upon the typification of residents and others. Chapters six and seven explore the auxiliaries' work in Bracken Court and present three control issues as central to their jobs. Firstly the overt ordering of patients around spaces in the home. Secondly, the normalisation of individuals into patient, and objects, of body work. Thirdly, the auxiliaries' resistance to heir role and status. Chapter eight compares the work of the assistants and auxiliaries in terms of resident and patient construction, the nature of the two forms of work, their knowledge, and lastly, their constructions of place and status. The thesis argues that both groups of workers are involved in ordering bodies that they perceive to be problematic and degenerating. In Hazelford Lodge order and discipline is practised as care and in Bracken Court the auxiliaries use more overt forms of control, but both 'caring' and controlling are effective methods of creating order. By introducing notions of body labour and ordering, the thesis presents a unique critique of paid care.
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Graham, Erin L. D. "Rural-urban differences in self-care behaviours of older Canadians: the effects of access to primary care /." Burnaby B.C. : Simon Fraser University, 2005. http://ir.lib.sfu.ca/handle/1892/2346.
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Salminen, Helena. "Osteoporosis in elderly women in primary health care /." Stockholm, 2007. http://diss.kib.ki.se/2007/978-91-7357-371-9/.
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King, Nigel. "Innovation in elderly care organizations : process and attitudes." Thesis, University of Sheffield, 1989. http://etheses.whiterose.ac.uk/1830/.
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The importance of innovation as an academic research field and for society in general is stated, and existing definitions of the concept discussed. A new definition is proposed emphasizing the social nature of innovation and distinguishing it from creativity and non-innovative change. The innovation research literature is reviewed in relation to the two main approaches: 'antecedent factors' and 'process'. Conclusions from these reviews, and from a preliminary study of experiences of innovation, guide the design of the main research program. Three field studies are described. The first, carried out in two Homes for the Elderly, examines the sequence of the innovation process, influences on it, and staff attitudes towards it. Data are collected through semi-structured interviews, incorporating verbally administered questionnaires. Findings regarding the effect of involvement in the innovation process upon attitudes towards innovations are followed up in the second study, again in two Homes for the Elderly. A longitudinal questionnaire design is used. The third study is in a psycho-geriatric ward, using a participant observation methodology to follow the development of innovations as they occur. An overview of all the findings is presented in the final discussion chapter. Three areas are highlighted. (1) Attitudes to innovation: the primary importance of involvement in change processes is emphasized. (2) Influences on the innovation process: differences in perceptions according to phase of the process, and between staff groups, are interpreted in terms of individual and group role in the process. Possibilities of attributional bias are also raised. (3) The development of the process: the problems in identifying discrete stages are discussed and variations in the process for different innovation types are described. Building on these findings, especially in the third area, a general model of the innovation process is proposed. Its implications for future research are outlined.
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Varma, Sumanthra. "Pharmaceutical care of elderly congestive heart failure patients." Thesis, Queen's University Belfast, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.388199.
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Sturgess, Ian K. "Pharmaceutical care provision to community dwelling elderly patients." Thesis, Queen's University Belfast, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.268313.
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Chawewan, Sriburapapirom Veena Sirisook. "Self care practice of the elderly in Bangkok /." Abstract, 2000. http://mulinet3.li.mahidol.ac.th/thesis/2543/43E-Chawewan-S.pdf.
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Knight, Julie. "Dignity in elderly care : meaning and legal protection." Thesis, University of Reading, 2018. http://centaur.reading.ac.uk/77334/.
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We are living increasingly longer in a society that is struggling to define how to treat the very old, particularly those in care homes. The concept of dignity can guide how an older individual in care ought to be treated. In this dissertation I argue for an understanding of dignity that is built around the views of the persons cared for, and for the introduction of laws and policies aimed at creating conditions amenable to its realisation. Dignity must be viewed as rooted in our concrete autonomy, one that sees us embodied and embedded in the connections we make with others throughout our lives. Dignity, understood according to the views of the individual cared for, is aligned with this relational view of autonomy, one that prompts us to understand the individual through dialogical engagement. In order to realise the kind of dignity that matters to elderly individuals in care, it is essential to address a number of negative factors, including through law and policies. Addressing these factors means taking concrete steps towards converting potential dignity into actual dignity. One of these 'conversion factors' of dignity is vulnerability. In order for this personal conversion factor to be conducive to dignity, vulnerability ought to be conceptualised as inherent, universal and relational. Another conversion factor, this time environmental, is the regulatory system that controls care homes: for dignity to flourish, those affected by this system must be involved in its elaboration and monitoring. On a social level exists the conversion factor of ageism. Generational rapprochement is one way in which to help reduce it. This dissertation examines whether and how legal means responsive to these conversion factors help or hinder the creation of conditions amenable to dignity in long term aged care.
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Stickney, Remington Bigelow, and Remington Bigelow Stickney. "Transitional Care of Elderly Frequent Emergency Department Users." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/626348.
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Background: Frequent ED users are generally over the age of 65 years, Medicare beneficiaries, sicker and have more health issues than non-frequent users. Elderly patients suffer a 20% mortality rate upon admission and a 30% decrease in activities of daily living (ADL) after discharge. Transitional care programs (TCP) decrease ED visits and readmission rates, improves ADLs, and increases event-free survival.
Purpose: To evaluate the need of an ED TCP in the ED. Aims are to assess ED providers’, nurses’ and managers’ perceptions of elderly frequent ED users’ discharge needs, resources, and potential role of a TCP.
Methods: Conducted within one community based ED in Tucson, Arizona. Survey content determined by a review of the literature focused upon elderly transitional care. Recruitment of nurses, providers, and managers following verbal consent. Inclusion criteria: willingness to participate in a 10-minute survey and work two shifts a month minimum within the ED. The survey is comprised of 19 questions focused on patient needs, current resources and the role of a TCP. Surveys were followed by a 5-minute post-survey session to review questions regarding content. Questions structured using a Likert scale format and categorical answers. Data analyzed using descriptive statistics. A needs assessment (NA) executive summary was presented to the ED staff and management.
Results: One hundred providers, nurses, and managers completed the survey of which 79% were female, 73% registered nurses, 14% physicians, and 10% advanced practice providers. The majority of respondents believed elderly patients are discharged unsafely, additional resources were needed, more time was spend caring for elderly patients, and TCPs were a viable supportive option. “What is a transitional care team (TCT)?” was the most asked question during question and answer session.
Implications: This NA revealed providers’, nurses’, and managers’ perceptions of elderly frequent ED user needs and the role of a TCP. Concerns identified are consistent with the literature. This NA provided information about ED staff perceptions of elderly frequent users and addressed transitional care while laying the groundwork for the potential future implementation of a TCP initiated in the ED.
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Turrell, Adrian R. "Consensus, collaboration and community care for elderly people." Thesis, Loughborough University, 1990. https://dspace.lboro.ac.uk/2134/12205.
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This Chapter introduces the key issues addressed by this Thesis, and the method by which they are explored, The Thesis was stimulated by experiences of statutory carers as a volunteer supporting elderly people living in the community, My observations of these carers (such as social workers, district nurses, home helps and G.P.s) and the support they provided to elderly people in the community suggested .that there as a fundamental contradiction between, on the one hand, their avowal of the virtue of maintaining elderly people at home for as long as possible (in the 'spirit' of community care policy) and, on the other hand, their ability and willingness to collaborate to achieve this end, To explain this situation, this Thesis explores three aspects of the theory and practice of community care for elderly people: I the historical and conceptual diversity of community care policies in England and Wales as revealed by government publications over the period 1800-1982 and a range of professional and academic literature; I the degree to which community care policies have been officially regarded as dependent upon inter-agency and inter-professional collaboration, and whether in practice community care practitioners have lent such policies their support and agreed on their meaning and implications
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Glynn, Caroline. "Aspects of pharmaceutical care provision by the community pharmacist." Thesis, Queen's University Belfast, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.337033.
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Ferguson, Peter J. S. "A novel method for remote care." Thesis, University of Kent, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.342163.
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Porter, Alison Patricia. "Providing care to the disabled elderly in the community : a study of elderly caregivers." Thesis, University of Ulster, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.287229.
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Lim, Byungwoo. "Towards the development of care management in community care for elderly people in Korea." Thesis, Boston Spa, U.K. : British Library Document Supply Centre, 1999. http://ethos.bl.uk/OrderDetails.do?did=1&uin=uk.bl.ethos.264574.
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McNamee, Paul. "The resource implications of care for frail older people." Thesis, University of Newcastle Upon Tyne, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.270586.
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Kucher, Kostiantyn, and Danny Weyns. "A Self-Adaptive Software System to Support Elderly Care." Linnéuniversitetet, Institutionen för datavetenskap (DV), 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-25924.
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Stalenhoef, Paulus Antonius. "Falls in the elderly a primary care-based study /." [Maastricht] : Maastricht : Datawyse/Universitaire Pers Maastricht ; University Library, Maastricht University [Host], 1999. http://arno.unimaas.nl/show.cgi?fid=8632.
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Saletti, Anja. "Nutritional status and mealtime experiences in elderly care recipients /." Stockholm, 2007. http://diss.kib.ki.se/2007/978-91-7357-121-0/.
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Orsini, Chiara. "Essays on informal and formal care for the elderly." College Park, Md. : University of Maryland, 2007. http://hdl.handle.net/1903/7286.
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Thesis (Ph. D.) -- University of Maryland, College Park, 2007.Thesis research directed by: Economics. Title from t.p. of PDF. Includes bibliographical references. Published by UMI Dissertation Services, Ann Arbor, Mich. Also available in paper.
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Buiyan, Salmah, and Nongfei Sheng. "Experience of Oral Care among Elderly in Nursing Homes." Thesis, Umeå universitet, Tandläkarutbildning, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-97910.
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Life expectancy among the elderly has been improving for decades and edentulousness is constantly decreasing among the senior citizens. The steady decrease of tooth loss among the elderly is a challenge to the dental profession due to the increased demand of oral care. This study aims to explore the perspectives regarding oral health and oral care among the elderly living in nursing homes. Ten subjects from two nursing homes in Umeå were interviewed based on a defined interview guide. The interview guide contained open-ended questions regarding oral health and oral care. The subjects were interviewed, all the interviews were recorded and transcribed verbatim. Categories, subcategories and codes were created using qualitative content analysis. Two categories and six subcategories were established based on qualitative content analysis. The two categories revealed opposing attitudes, the first promoted oral care and the second disfavored oral health. The oral care promoted factors included general satisfaction with the elderly’s’ present oral status, positive experiences associated with oral care and strong desire to maintain their own oral hygiene. The most notable negative factors for good oral health was the lack of thorough oral examinations and individually adapted assistance with daily oral hygiene. The informants took oral hygiene as a part of their integrity and expressed wishes to be independent. In general, the informants held positive attitudes toward their current oral status and understood that proper oral care is a prerequisite to good oral health. However, it should be noted that assistance with oral hygiene is not practiced in either of the two nursing homes on a regular basis. This may be attributed to staff shortages and the residents desire to maintain their independence.
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Loftin, M. Phillips (Marion Phillips). "Expanding the continuum of care in subsidized elderly housing." Thesis, Massachusetts Institute of Technology, 1992. http://hdl.handle.net/1721.1/68272.
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Moses, Sarah. "Agency and the Elderly: A Christian Ethic of Care." Thesis, Boston College, 2011. http://hdl.handle.net/2345/3707.
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Thesis advisor: Lisa S. CahillInformed by Gaudium et Spes and Ron Thiemann's "public theology," this dissertation examines the role of the church in responding to the contemporary ethical challenge of providing long-term care for the elderly in a manner that respects and promotes their human dignity. Biblical sources and the theological concepts of discipleship and friendship found in Karl Barth and Paul Wadell insist on the agency of older people as called by God and as participating members of the community. This vision complements and connects with secular visions of justice such as Martha Nussbaum's "capabilities approach" and the concept of justice as participation found in United Nations' documents. Two concrete examples--the Community of Sant'Egidio and the Green House project--provide important models of long-term care that foster the agency of older people and their ongoing participation in human community and fellowship. An ethical vision based upon the elderly themselves as subjects with ongoing agency and purpose demands the church's engagement with the wider society to reform the United States' current long-term care system so that care is provided at a level and in a manner that overcomes marginalization of the frail elderly
Thesis (PhD) — Boston College, 2011
Submitted to: Boston College. Graduate School of Arts and Sciences
Discipline: Theology
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Bansell, Marianne. "Smartwatches in the elderly care - a design intervention approach." Thesis, Malmö universitet, Fakulteten för kultur och samhälle (KS), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-21694.
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This thesis project is exploring future smartwatch use within elderly care. The user-centered designing phase uses a design intervention approach, where design and research happen simultaneously.The research question is: “How can a smartwatch be used within the elderly care, based on the existing TES mobile phone app, and how can these interactions be designed as smartwatch features?”. The results are four iteratively explored design opportunities, presented as design propositions with concept sketches, and two prototypes.The main participants in the field studies and workshops are end-users, caregivers within the elderly home care and an elderly care center. The outcome shows they are positive towards an imagined future containing smartwatches as a work tool. They see advantages with the wearable and glanceable technology, like freed hands, less to carry and simpler interactions in comparison to a smart phone.The study also shows positive effects of using interaction design for a company’s design process, and exploration of new technology.
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Harper, Gillian Jane. "Stress and adaptation among elders in life-care communities /." The Ohio State University, 1998. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487949150070604.
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