Academic literature on the topic 'Family-centered goals'

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Journal articles on the topic "Family-centered goals"

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Molly, Vincent, Lorraine M. Uhlaner, Alfredo De Massis, and Eddy Laveren. "Family-centered goals, family board representation, and debt financing." Small Business Economics 53, no. 1 (May 7, 2018): 269–86. http://dx.doi.org/10.1007/s11187-018-0058-9.

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Kotlar, Josip, and Alfredo De Massis. "Goal Setting in Family Firms: Goal Diversity, Social Interactions, and Collective Commitment to Family-Centered Goals." Entrepreneurship Theory and Practice 37, no. 6 (September 30, 2013): 1263–88. http://dx.doi.org/10.1111/etap.12065.

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Becerra, Manuel, Cristina Cruz, and Chris Graves. "Innovation in Family Firms: The Relative Effects of Wealth Concentration Versus Family-Centered Goals." Family Business Review 33, no. 4 (September 9, 2020): 372–92. http://dx.doi.org/10.1177/0894486520953700.

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Drawing on agency and behavioral perspectives, we disentangle two critical determinants of innovation strategies among family firms, namely, the family’s wealth concentration (WC) in its business and the family’s emphasis on family-centered goals (FCGs). Our results from a survey of Australian family firms show opposite and completely independent effects of WC and family-centered noneconomic goals on family firms’ innovation strategies. While higher WC is negatively associated with firm innovation, a greater emphasis placed on family-centered noneconomic goals has a positive impact, which seems to be the key determinant of innovation strategies in family firms.
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Chrisman, James J., Jess H. Chua, Allison W. Pearson, and Tim Barnett. "Family Involvement, Family Influence, and Family-Centered Non-Economic Goals in Small Firms." Entrepreneurship Theory and Practice 36, no. 2 (September 7, 2010): 267–93. http://dx.doi.org/10.1111/j.1540-6520.2010.00407.x.

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Teshale, Salom. "THE RAISE COUNCIL'S WORK IN DEVELOPING A NATIONAL FAMILY CAREGIVING STRATEGY." Innovation in Aging 6, Supplement_1 (November 1, 2022): 285. http://dx.doi.org/10.1093/geroni/igac059.1133.

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Abstract Since 2019, the RAISE Family Caregiver Advisory Council (FCAC) has met regularly to carry out its work of developing a national family caregiving strategy. This strategy incorporates five goals to support family caregivers, and key actions that a range of stakeholders can carry out centered around these goals. This overview will describe the RAISE FCAC’s work in developing the national family caregiving strategy, and highlight the development of recommendations and key actions to support the fourth goal, “Family caregivers’ lifetime financial and employment security is protected and enhanced.” This goal’s recommendations include supporting caregivers through flexible workplace policies; supporting affordable long-term services and supports; supporting financial education and planning; and reducing overall negative financial impacts of caregiving short and long-term.
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Resnick, Barbara. "INTERVENTION FIDELITY IN THE FAMILY-CENTERED FUNCTION-FOCUSED CARE INTERVENTION." Innovation in Aging 6, Supplement_1 (November 1, 2022): 96–97. http://dx.doi.org/10.1093/geroni/igac059.384.

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Abstract This session will provide a description of the treatment fidelity (TF) plan from the Family-centered Function-focused Care (Fam-FFC) trial. Components of the TF plan, measures, procedures for implementation, and findings will be presented, and discussed within the context of the COVID-19 pandemic. The components of the Fam-FFC TF plan and results include: 1) Delivery based on completion of the steps in Fam-FFC ; 2) Receipt based on evidence of Staff knowledge of Fam-FFC (percentage of nursing staff that demonstrated test scores above 80%); 3) Enactment based on achievement of goals using the Goal Attainment Scale ; completion of the Fam-Path Audit of bedside goals and treatment plans, post-acute follow-up and plan update ; and evidence of Fam-FFC based on the Fam-FFC Behavior Checklist (80% staff performance of Fam-FFC). The TF plan demonstrated evidence of delivery, receipt and enactment of study activities. Findings will be used to develop an implementation trial.
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Carter, Carolyn S. "Using African-Centered Principles in Family-Preservation Services." Families in Society: The Journal of Contemporary Social Services 78, no. 5 (October 1997): 531–38. http://dx.doi.org/10.1606/1044-3894.823.

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The author discusses African-centered family preservation services and the use of a strengths perspective in work with African American families, focusing on the heterogeneous structure of African American families and critical issues facing African American communities. African traditions and ways of integrating these traditions into family-preservation work with African American families are described. Integrating African traditions reflects a holistic approach to family-preservation services, improves the breadth and cultural relevance of services, protects children, and empowers families within the natural context of their communities. These outcomes complement the goals of family-preservation services and enhance the chances of families remaining intact.
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Alwadani, Rawa, and Nelson Oly Ndubisi. "Sustainable family business." International Journal of Manpower 41, no. 7 (October 25, 2019): 945–65. http://dx.doi.org/10.1108/ijm-08-2019-0359.

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Purpose Family centered non-economic (FCNE) goals, such as environmental and social goals, are sometimes strenuous to “sell” to non-family members in a family business, and are often open to resistance. The purpose of this paper is to identify socio-psychological mechanisms for achieving FCNE goals because, in addition to economic goals, they are the other two components of the triple bottom line. Design/methodology/approach Through a juxtaposition of the literature on family businesses, and the theories of mindfulness and psychological ownership, this paper argues for the facilitating roles of family involvement and mindful organizing in the achievement of FCNE goals. An example of how a Kuwaiti oil company implements these ideas is appended. Findings A moderated link between family involvement, mindful organizing and FCNE goal of environmental sustainability. Besides its direct effect on environmental sustainability, mindful organizing also has a potential mediating role in the relationship between family involvement and environmental sustainability. Psychological ownership, environmental sensitivity and individual mindfulness will moderate the relationship between mindful organizing and the achievement of environmental sustainability goals. Research limitations/implications The paper presents ten propositions and argues that three types of family involvement (ownership, management and inter-generational), together with non-family engagement (through mindful organizing) would lead to success in achieving the FCNE goal of environmental sustainability. Psychological ownership, environmental sensitivity and individual mindfulness are potential moderators. Practical implications The paper suggests some key drivers of FCNE goal of environmental sustainability as well as several contingent factors. Applicable to family businesses, owners and/or managers of similar firms can apply knowledge from this study in the pursuit of environmental sustainability. Originality/value The paper’s model advances the current understanding of the link between family involvement, mindful organizing, environmental sustainability, psychological ownership, environmental sensitivity and individual mindfulness in the context of family business. The paper further suggests new future research directions.
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Chrisman, James J., Kristen Madison, and Taewoo Kim. "A Dynamic Framework of Noneconomic Goals and Inter-Family Agency Complexities in Multi-Family Firms." Entrepreneurship Theory and Practice 45, no. 4 (April 4, 2021): 906–30. http://dx.doi.org/10.1177/10422587211005775.

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Multi-family firms represent an important and complex type of family firm that is not as well understood as single-family firms. We develop a governance-based framework of the agency complexities in multi-family firms, theorizing that divergent family-centered noneconomic goals between the owning families create complex inter-family agency problems that are intensified by evolving family dynamics. We propose governance mechanisms that address these problems by limiting opportunistic behavior associated with the pursuit of noneconomic goals related to firm control, family altruism, social capital, and transgenerational succession. We then present a future research agenda that can expand our knowledge of multi-family firms.
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Epperly, Ted. "Person-Centered Care at the End of Life." International Journal of Person Centered Medicine 3, no. 3 (February 12, 2014): 205–9. http://dx.doi.org/10.5750/ijpcm.v3i3.423.

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Person-centered care at the end of life is an area of medicine we must all be familiar and comfortable with. This is the case as it will involve not only the people we care for but also our own family members, loved ones, and eventually ourselves. Forty percent of all health care dollars in the United States health care system are spent in the last two years of a person’s life unless meaningful person-centered discussions occur. Providing person-centered care for the remaining months of a person’s life is of extreme importance in helping people achieve their wishes and goals, maximize palliation, comfort, dignity, and quality of life. This paper will focus on maximizing person-centered approaches of active listening and discussion, advanced care planning, clear communication, timely engagement of support services, family support, and compassion. Our goal with person-centered care at the end of life is to allow as many people as possible a good death.
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Books on the topic "Family-centered goals"

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Lincoln, Taylor, Shannon Haliko, and Jane Schell. Palliative Care Interventions: Role in Rapid Response Team Events (DRAFT). Edited by Raghavan Murugan and Joseph M. Darby. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190612474.003.0023.

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Rapid response team (RRT) activation identifies hospitalized patients with acute illness who have a high symptom burden and are at increased risk for mortality and psychosocial distress. For many patients, the rapid response event presents itself as a final opportunity to avoid aggressive therapies that are unlikely to achieve patient-centered goals. Accumulating evidence supports an important role of the RRT in end-of-life care and the potential benefits of palliative care interventions by identifying at-risk patients who may benefit from readdressing goals of care (GOC) and facilitating a transition toward care that is most consistent with their preferences. This chapter outlines key palliative care skills that can be employed in the context of the RRT event including GOC discussion, patient/family support, and symptom management.
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Shneiderman, Ben. Human-Centered AI. Oxford University Press, 2022. http://dx.doi.org/10.1093/oso/9780192845290.001.0001.

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Researchers, developers, business leaders, policy makers, and others are expanding the technology-centered scope of artificial intelligence (AI) to include human-centered AI (HCAI) ways of thinking. This expansion from an algorithm-focused view to embrace a human-centered perspective can shape the future of technology so as to better serve human needs. Educators, designers, software engineers, product managers, evaluators, and government agency staffers can build on AI-driven technologies to design products and services that make life better for people and enable people to care for each other. Humans have always been tool builders, and now they are supertool builders, whose inventions can improve our health, family life, education, business, the environment, and much more. The remarkable progress in algorithms for machine and deep learning have opened the doors to new opportunities, and some dark possibilities. However, a bright future awaits AI researchers, developers, business leaders, policy makers, and others who build on their working methods by including HCAI strategies of design and testing. This enlarged vision can shape the future of technology so as to better serve human needs. As many technology companies and thought leaders have said, the goal is not to replace people, but to empower them by making design choices that give humans control over technology.
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Meyer, Abbye E. From Wallflowers to Bulletproof Families. University Press of Mississippi, 2022. http://dx.doi.org/10.14325/mississippi/9781496837561.001.0001.

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With play and complication between adolescence and disability, young adult disability narratives demonstrate their inherent political and literary possibilities; the power that disability-centered readings offer young adult literature evolves through five types of representation: as the voice of adolescence itself, as a literary metaphor, as a catalyst for growth, as a politicized identity, and as a powerful, familial identity. Marked by traumatic events and language, adolescent narrators display unmistakable symptoms of mental illness, which can be traced back to Salinger’s The Catcher in the Rye and Plath’s The Bell Jar. Following analyses examine representations of disability in young adult literature—and more importantly, the ways that young adult narratives are able to expose these tropes and explicitly challenge the harmful messages they reinforce. Traditionally, two-dimensional characters allow literary metaphors to work, while forcing texts to ignore reality and reinforce harmful assumptions; when metaphors combine adolescence with disability, their complexity enables radical retellings of familiar stories. In young adult narratives, freak characters—marked as disabled, which are generally used for the self-realization and self-congratulation of others—are able to push boundaries, experiment with identities, and at times, destroy them. Further, the derided genre of problem novels become texts that empower disabled characters and introduce the goals of disability-rights movements. Ultimately, these analyses include narratives in other, digital media, which are able combine elements of literary criticism, narrative expression, disability theory, and political activism to create and represent the powerful solidarity of family-like communities.
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Book chapters on the topic "Family-centered goals"

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Campopiano, Giovanna, Alfredo De Massis, and Josip Kotlar. "Environmental Jolts, Family-Centered Non-economic Goals, and Innovation: A Framework of Family Firm Resilience." In The Palgrave Handbook of Heterogeneity among Family Firms, 773–89. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-77676-7_28.

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Pongelli, Claudia, Salvatore Sciascia, and Tommaso Minola. "Do We Really Want to Cut Out the Deadwood? Family-Centered Noneconomic Goals, Restructuring Aversion, and Escalation of Commitment." In The Palgrave Handbook of Heterogeneity among Family Firms, 485–505. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-77676-7_18.

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Mooney, Stefanie N., and Marinel Olivares. "The Family Meeting." In Psycho-Oncology, edited by Matthew J. Loscalzo, 578–86. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780190097653.003.0073.

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Cancer is a challenging experience for the clinical team, the patient’s family, and especially the patient. Important medical decisions are often made without the patient completely understanding their condition and options, as well as without the clinical team fully appreciating the patient’s values that go into making healthcare choices. Family meetings are one way to address these concerns. This chapter will review the importance and benefits to holding a structured family meeting, explore appropriate timing to have a meeting, and discuss the key participants. A detailed discussion follows on how to prepare for the meeting, highlighting an exploration of patient and family values and goals, as well as a premeeting among clinical team members. The structure of the meeting itself is then described, including introductions between the medical team and family, gauging the patient and family’s understanding, providing clinical information and recommendations, giving psychosocial support, reconciling medical recommendations with values, and postmeeting debriefing. Throughout the text, specific advice is provided on how to ensure the family meeting is as successful as possible so that patient-centered care is the ultimate priority.
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Mullin, Jonathan, Rachael Burgess, and Justin Baker. "Advance Care Planning Along the Care Continuum." In Interdisciplinary Pediatric Palliative Care, edited by Joanne Wolfe, Pamela S. Hinds, and Barbara M. Sourkes, 177–98. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780190090012.003.0014.

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Advance care planning has been defined as a process of understanding and sharing values, goals, and preferences regarding current and future medical care, which occurs among patient, family, and healthcare providers. Advance care planning allows children, families, and providers to think ahead about future medical care, including care at the end-of-life. This process commonly includes discussions of resuscitation preferences, medical technologies, location of care (including hospice), and legacy-making, and it can also include discussions of organ donation and autopsy. Advance care planning offers care providers the ability to provide anticipatory guidance and partner with parents and patients to implement goal-concordant care in serious illness in pediatrics. These discussions merit a deliberate and compassionate patient- and family-centered approach.
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Glajchen, Myra, and Christine Wilkins. "Enhanced Communication Skills." In Palliative and Serious Illness Patient Management for Physician Assistants, edited by Nadya Dimitrov and Kathy Kemle, 44–59. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780190059996.003.0005.

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Good communication is considered fundamental to high-quality palliative care. Communication includes serious illness conversations with patients and family caregivers, collaborative communication across teams and disciplines, and communication with community providers. This chapter explores definitions, evidence-based research, training, and best clinical practices in three areas of enhanced communication. Narrative medicine promotes empathy, patient-centered listening, and life review through reflective journaling, writing, and self-reflection. Goals-of-care discussions, which may include advance care planning, ensure that providers align care with what matters most to the patient. The family meeting is used to facilitate communication, discuss the illness experience, present treatment choices, and facilitate end-of-life decision-making. Quality healthcare mandates training for healthcare clinicians in communication using a systematic approach.
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Boyle, Anne B., and David Henderson. "Palliative care in the community." In Palliative Medicine: A Case-Based Manual, 302–8. Oxford University Press, 2021. http://dx.doi.org/10.1093/oso/9780198837008.003.0027.

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Studies have shown that 70% of people would like to die at home, however most do not for various reasons. Knowing that so many people would like the option to die at home, it is very important we have the knowledge base and skill set to help facilitate this. This chapter will explore initiating a palliative approach early in a disease trajectory. This allows for a relationship to develop between patient, family and health care provider, advance directives to be discussed, and goals of care (including preferred place of death) to be established. The importance of anticipating needs and developing plans to meet these needs are explored to enable a well supported, compassionate, patient and family centered death at home.
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Kearney, Julia A., and Megan Gilman. "Psychiatry in Multidisciplinary Pediatric Palliative Care." In Handbook of Psychiatry in Palliative Medicine 3rd edition, edited by Harvey Max Chochinov and William Breitbart, 668—C44.P66. 3rd ed. Oxford University Press, 2022. http://dx.doi.org/10.1093/med/9780197583838.003.0044.

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Abstract Pediatric palliative care (PPC) is multidisciplinary, child- and family-centered, developmentally informed, holistic care for children, adolescents, and their families facing life-threatening illness. Child and adolescent psychiatrists in PPC contribute valuable skills in the assessment and management of emotional and behavioral symptoms, family dynamics, communication, and interventions. Symptom management with psychotropic medications is appropriate to provide comfort and relief from physical or emotional distress. A developmental understanding of children’s conceptualization of death can assist in providing tailored support for children and their caregivers. Communication with children and adolescents about their own death and dying should be done in conjunction with parent psychoeducation and support in the context of a therapeutic relationship and should be careful, individualized, and child-led. Adolescents and young adults should be increasingly included in goals-of-care discussions, as appropriate. Evidence-based therapeutic interventions and communication tools such as advance care planning guides and therapeutic games are invaluable tools at the bedside in PPC. Expertise in palliative communication is shown to be closely correlated with child quality of life outcomes and parent bereavement outcomes after the death of a child. Family support and bereavement care is in the scope of pediatric palliative care.
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Li, Kelly, and Mark Brown. "Active Medical Management Without Dialysis for Patients With Advanced Chronic Kidney Disease." In Palliative Care in Nephrology, edited by Alvin H. Moss, Dale E. Lupu, Nancy C. Armistead, and Louis H. Diamond, 136–47. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780190945527.003.0014.

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This chapter outlines the management of patients with advanced chronic kidney disease for whom dialysis may not be beneficial or desired. Active medical management without dialysis should be offered to patients through a shared-decision making process as a viable alternative to dialysis. This is important as patients and families wish to consider not only survival, but also symptom control and QoL in their decision to pursue a dialysis or nondialysis pathway. A multidisciplinary team delivering good quality, active, and patient-centered care that combines chronic kidney disease management with the principles of palliative care can help patients achieve good symptom management and quality of life. Active and early planning for the end-of-life phase facilitates appropriate care for patients in acute and/or unexpected deterioration and helps achieve patient and family goals.
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Holley, Jean L., and J. April Yasunaga. "Advance Care Planning to Elicit and Respect Patient Values and Preferences." In Palliative Care in Nephrology, edited by Alvin H. Moss, Dale E. Lupu, Nancy C. Armistead, and Louis H. Diamond, 98–107. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780190945527.003.0010.

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Advance care planning (ACP) is a patient-centered process to elicit patient and family goals and values that shape medical decision-making and form the basis for completing written advance directives. Advance directives such as healthcare power of attorney, surrogate decision-maker identification, and living wills are executed by the patient. These may be supplemented by provider orders such as resuscitation status (do not resuscitate/do not attempt resuscitation) and provider orders for life-sustaining treatment. Provider input into ACP is required as patients and families need information on prognosis and risks and benefits of interventions to make informed decisions. Because health states influence decisions for ongoing care, ACP is a process that requires revisiting wishes and goals via discussions at stages throughout a patient’s life. All healthcare systems through which a patient passes will need to be involved and cognizant of advance directives to ensure a patient’s wishes are honored. Dialysis units are an integral part of the healthcare system for end-stage kidney disease patients and need to be engaged in the ACP process. Consensus statements, guidelines, and tools exist to facilitate ACP in end-stage kidney disease and chronic kidney disease patients.
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Dutton, Paul V. "Infant and Child Health in the United States and France." In Beyond Medicine, 28–64. Cornell University Press, 2021. http://dx.doi.org/10.7591/cornell/9781501754555.003.0002.

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This chapter examines French infant and child health programs that laid the foundation for France's family-centered social democracy. Throughout, it compares French developments to US policies and programs that sought similar child health goals in order to explain why the two nations' outcomes diverged. The comparison begins in the 1870s, when France's infant mortality rate was similar to that of the United States. During these early years, French and American social reformers, physicians, and public health experts collaborated to craft policies aimed at the reduction of maternal and infant mortality, the improvement of child health, and the alleviation of disparities between population subgroups. Ultimately, however, France proved more successful in achieving and sustaining its gains in infant and child health, even as the country experienced dramatic demographic shifts after 1950 due to immigration from its former colonial empire in Southeast Asia, Africa, and the Middle East. The chapter then identifies what lessons American policy makers might learn, adopt, or adapt from the French experience.
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Conference papers on the topic "Family-centered goals"

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Viviani, Sara, Rocco Furferi, and Alessandra Rinaldi. "The hospitalization experience design using gamification applied to a pediatric 3d scanner for compound fractures." In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1002114.

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Physical, social and mental well-being is the basic assumption which allows children to experience hospitalization positively. In this age of medical-scientific progress and technological development on hospital equipment, the designers of instruments for healthcare focus their activities on developing a coherent patient-centered approach which aims to consider the person globally. Currently, the rigors of the humanization of pediatric care are elaborating products which have both technological innovation and effective design specifications on children’s implicit needs and expectations. Mainly, the active, collaborative, and coordinated presence and accessibility of the family and of the pediatric patient in the care setting are unachieved goals in this field. The article presents the research project Oplà, a 3D acquisition system, as a demonstration of how emerging technologies, culture, communication and collaboration can help significantly in mapping out new diversification measures in standard clinical practice, to enhance the assistance services, by adopting a Human-centered approach strengthened by the iterative process of design thinking.
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Cadwalladera, Jason, Steve Mellemab, and Nancy J. Lightnera. "Using Simulation to Provide Insights into the Concept Development of Patient-Centered Care Services." In Applied Human Factors and Ergonomics Conference. AHFE International, 2021. http://dx.doi.org/10.54941/ahfe100495.

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The United States’ Institute of Medicine established patient-centered care as an aim for the 21st-century health care system. Patient-centered care focuses on the patient, their family members and staff experience, while ensuring patient safety and high clinical quality. A medical center in the Veterans Affairs healthcare system approached the Veterans Affairs Center for Applied Systems Engineering to assist in the redesign of the facility that provides medical cancer care. Their goals were to design a patient-centered, state-of-the-art center. Discrete event simulation provided rough order of magnitude estimates for facility and resource planning. Primary metrics of concern were patient length of stay, patient wait time, and room and staff utilization. The simulation included an animated visualization of ‘a day in the life’ of a patient. It also collected metrics on patient experience and center efficiency. Watching the patient flow animation provided two primary insights to the stakeholders. First, it was evident that the patient care process was patient-centered in that it limited patient movement. Second, observations of traffic flow indicated that the design can accommodate the desired patient demand. The visualization showed that increasing the number of providers resulted in reductions in patient wait times and that reducing the number of exam rooms did not significantly affect patient wait time. This exercise demonstrated the value of simulation in the planning and analysis of facility configurations when considering patient-centered design.
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Letherwood, Michael D., and David D. Gunter. "Spatial, Multibody Modeling and Vehicle Dynamics Analysis of an Interim Armored Vehicle." In ASME 2002 International Mechanical Engineering Congress and Exposition. ASMEDC, 2002. http://dx.doi.org/10.1115/imece2002-32962.

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The US Army vision, announced in October of 1999, encompasses people, readiness, and transformation. The goal of the Army vision is to transition the entire Army into a force that is strategically responsive and dominant at every point of the spectrum of operations. The transformation component will be accomplished in three ways: the Objective Force, the Legacy (current) Force, and the Interim Force. The objective force is not platform driven, but rather the focus is on achieving capabilities that will operate as a “system of systems.” As part of the Interim Force, the US Army plans to begin production of the Interim Armored Vehicle (IAV) in FY02 and field the first unit by May 2002 and complete first unit fielding by 2003 to address the current force’s operational shortfall. The intent is to get forces on the ground quickly with enough combat power to influence a potential situation, so the Army is converting six to eight combat brigades into Interim Brigade Combat Teams (IBCTs). These teams will be a rapidly deployable combat brigade task force that will be centered around the IAV (figure 1), which was recently selected during a source selection. The IAV program is a family of medium armored vehicles intended to equip the Army’s IBCTs.
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Reports on the topic "Family-centered goals"

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Ndhlovu, Lewis. Quality of care and utilisation of MCH and FP services at Kenyan health facilities. Population Council, 1999. http://dx.doi.org/10.31899/rh1999.1017.

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Quality of services is playing an increasingly important role in many family planning (FP) programs. In 1995, a national Situation Analysis Study of 254 health facilities was conducted in Kenya to assess the status and quality of FP services in the country. An in-depth survey of a subsample of 28 health facilities was conducted the following year. From these facilities, 1,834 women were interviewed about their experiences with services at facilities when they sought antenatal, child health, and FP services. The goal of the survey was to examine the links between quality of care in FP services and contraceptive behavior. A key focus was directed at information and counseling as elements of service quality. Further, the subject of quality was explored in the context of how women switched facilities for the same and different services of antenatal care, child health, and FP. As noted in this report, this study highlights the gap that exists in the provision of quality reproductive health services. Despite the call for client-centered services, there is evidence that a wide gap still remains in providing relevant information to clients.
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A client-centered approach to reproductive health: A trainer's manual. Population Council, 2005. http://dx.doi.org/10.31899/rh16.1015.

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This training manual grew out of a project to improve the quality of care rendered by public-sector providers of reproductive health services. Implemented by the Population Council in collaboration with the Ministries of Population, Welfare, and Health, in Pakistan, the project extended beyond improving the quality of care provided by family planning workers and incorporated health workers who provided maternal and child health services. The success of all efforts made by the service delivery system in attracting and keeping clients depends upon the content and quality of interaction when the client comes in contact with the provider—whether the client is visiting a clinic or being visited by a community-based worker at home. To offer good quality of care, the provider should treat the client with dignity and respect, assess her reproductive health needs by asking questions rather than making assumptions based on her profile, and help her negotiate a solution appropriate to her circumstances. This training manual is oriented toward improving providers’ interpersonal skills. Emphasis is placed on the client and helping her meet her own needs rather than on meeting artificial goals or targets.
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