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Draganov, Patricia Bover, Maria Regina Guimarães Silva, Vanessa Ribeiro Neves, and Maria Cristina Sanna. "Journal Club: a group of research experience." Revista Brasileira de Enfermagem 71, no. 2 (April 2018): 446–50. http://dx.doi.org/10.1590/0034-7167-2016-0539.
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ABSTRACT Introduction: the Journal Club (JC) is a teaching and learning strategy developed by individuals who meet to discuss scientific articles in periodicals. Objective: to describe the experience of the JC strategy at the Group for Studies and Research in Health Services Administration and Nursing Management (Gepag). Method: case studies or scientific research demonstration mode of practical experience for the understanding and justification of facts. Results: Gepag JC emerged in 2008 and, in 2014, was computerized with the Google Drive®, in order to increase its scope and optimize the Group›s meetings. From April to May 2014, the instrument was tested and adjusted, resulting in advancements. Final considerations: the advantages involved optimizing the time of meetings, facilitation of access to publications of interest to the Group and creating the database to support future research.
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Das, Devika, Lalan Wilfong, Katherine Enright, and Gabrielle Rocque. "How Do We Align Health Services Research and Quality Improvement?" American Society of Clinical Oncology Educational Book, no. 40 (May 2020): 282–91. http://dx.doi.org/10.1200/edbk_281093.
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Quality improvement (QI) initiatives and health services research (HSR) are commonly used to target health care quality. These disciplines are increasingly important because of the movement toward value-based health care as alternative payment and care delivery models drive institutions and investigators to focus on reducing unnecessary health care use and improving care coordination. QI efforts frequently target medical error and/or efficiency of care through the Plan-Do-Study-Act methodology. Within the QI framework, strategies for data display (e.g., Pareto charts, run charts, histograms, scatter plots) are leveraged to identify opportunities for intervention and improvement. HSR is a multidisciplinary field of study that seeks to identify the most effective way to organize, deliver, and finance health care to maximize the quality and value of care at both the individual and population levels. HSR uses a diverse set of quantitative and qualitative methodologies, such as case-control studies, cohort studies, randomized control trials, and semistructured interview/focus group evaluations. This manuscript provides examples of methodologic approaches for QI and HSR, discusses potential challenges associated with concurrent quality efforts, and identifies strategies to successfully leverage the strengths of each discipline in care delivery.
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Kashiwagi, Dean, and Alfredo Rivera. "Case Study of a Local Government Organization’s IT Project Implementation." Journal for the Advancement of Performance Information and Value 10, no. 2 (December 3, 2018): 102–17. http://dx.doi.org/10.37265/japiv.v10i2.17.
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The delivery of services to government groups have historically been unsatisfactory. Multiple studies have identified these services as low performing. Studies have also found that information communication technology services have been one of the worst performing services over the last 10 years. The Performance Based Studies Research Group (PBSRG) has been testing a delivery model, called the Best Value Approach, for the last 20 years that can ensure government groups receive high performing services. The major issue that the BVA approach encounters is it requires the organization to change their normal way of delivering services. It requires the organization to minimize their management, direction, and control of the vendors and instead, utilize their expertise. This paper will review a case study with a local government organization (LGO) and their issues with trying to apply the BVA to deliver their Peoplesoft software.
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DOĞAN, Beyhan. "A Research on the Prevention of Fatal Child Abuse: 40 Case Studies from News." İnsan ve Toplum Bilimleri Araştırmaları Dergisi 11, no. 3 (September 30, 2022): 1572–602. http://dx.doi.org/10.15869/itobiad.1078041.
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In this article, it is aimed to explain and discuss the multidimensional and complex situation of fatal child abuse through the news (cases) of children killed by their parents and reflected in the media in the last ten years. By revealing the risk factors and triggers for the occurrence of the cases, it will be ensured that the factors causing the fatal child abuse are evaluated correctly. Thus, suggestions will be made for the preventive mechanisms in child protection services and the social policies to be formed in this area to intervene at the right time.Content analysis technique was used as a qualitative method in the research. The news of fatal child abuse was analyzed within the scope of thematic content analysis and the obtained data were synthesized and interpreted. As a result of synthesizing the cases with thematic content analysis, it was determined that the occurrence forms of the cases were largely similar. The division of the cases into certain categories and the compatibility of these categories with the risk factors of child abuse confirms the information in the literature.The study group of the research consists of the cases where fatal child abuse occurs within the scope of 40 news stories about children killed by their parents, 20 of which are from the mother and 20 from the father. In the study, cases older than ten years were excluded in order to present current data to social policies by analyzing current situations. As the data reached saturation, the study group was limited to forty parents.Psychological problems, early marriage and having children, and being in an non-marital relationship are the leading causes of abuse by mothers. Among the factors that cause paternal filicide are problems related to divorce and living apart, economic difficulties and problems related to substance use.As a result, considering the child neglect and abuse checklist, it is concluded that all of these cases are preventable. Families should be supported in risky situations by intervening within the scope of preventive services in child protection practices in these cases where fatal child abuse is experienced.
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Keawkunti, Boonthai. "SATISFACTION WITH SERVICES IN HOMESTAY BUSINESS: THE CASE OF RANONG PROVINCE, THAILAND." EUrASEANs: journal on global socio-economic dynamics, no. 2(9) (March 30, 2018): 58–67. http://dx.doi.org/10.35678/2539-5645.2(9).2018.58-67.
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This research studies the satisfaction with the homestay services on the example Rayong province. Population of this research consists of tourists, questionnaires were collected randomly from 400 people. Data analysis and processing have been applied using the statistical packages, inter alia, this research operates such notions as percentage, average and standard deviation. After data analysis we have found that: 1) the majority of tourists in our group are male, between 31 and 40 y.o., with a bachelor’s degree, managing own business, with income over 30,000 Baht, intending to come to homestay again in the period of nearest 6-12-months; 2) majority of tourists in our group travel on average about 1-2 times a year, selecting a homestay in a city, the key reason for this choice being to save around 1,000-2,000 Baht per person per night. From a homestay venue, the tourists usually need such services as computer, Internet and taking them to sightseeing sites. In the second part of our research we also measured satisfaction with the homestay services using several sets of the related variables.
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Grujić, Bojana. "Research of public libraries audience." Kultura, no. 170-171 (2021): 101–23. http://dx.doi.org/10.5937/kultura2171101g.
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This paper is a proposal for a methodologically based monitoring of the changes in habits and needs of library audiences, i.e. changes in access to library services, in the circumstances of the changed communication models caused by the wide use of information and communication technology. It presents audience research in the context of strategic planning in libraries, and points out terminological categories that could serve as a starting point for further research. Using the case study method of Novi Sad City Library, the paper categorizes the audience in two groups which proved to be right for quantitative and qualitative monitoring: according to the preference of the audience for certain content - permanent, occasional, potential and inaccessible audience types are defined, and according to the methods of addressing - users of funds and services, audiences in the narrow sense and online users are defined. Young people turned out to be a strategically relevant target group. The research has shown that the youth are the widest digital media consumers and that their primary goal is infotainment - a combination of a low percentage of information in highly entertaining packages. Members of young population do not recognize the library as a place of interest, so it is necessary to develop adequate channels of communication with them, in a way typical for this group. The paper shows how the model of the Novi Sad Library can be applied as a strategically based audience research in other public libraries, and gives an example of a user experience testing model (UX) and its final result - designed library services. Previous researches by Leo Appleton and Gina De Alwis were used in the paper. At the core of the designed service is participation, as a model of creating instead of consuming the prepared content.
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Ayorinde, Abimbola A., Iestyn Williams, Russell Mannion, Fujian Song, Magdalena Skrybant, Richard J. Lilford, and Yen-Fu Chen. "Publication and related bias in quantitative health services and delivery research: a multimethod study." Health Services and Delivery Research 8, no. 33 (August 2020): 1–134. http://dx.doi.org/10.3310/hsdr08330.
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Background Bias in the publication and reporting of research findings (referred to as publication and related bias here) poses a major threat in evidence synthesis and evidence-based decision-making. Although this bias has been well documented in clinical research, little is known about its occurrence and magnitude in health services and delivery research. Objectives To obtain empirical evidence on publication and related bias in quantitative health services and delivery research; to examine current practice in detecting/mitigating this bias in health services and delivery research systematic reviews; and to explore stakeholders’ perception and experiences concerning such bias. Methods The project included five distinct but interrelated work packages. Work package 1 was a systematic review of empirical and methodological studies. Work package 2 involved a survey (meta-epidemiological study) of randomly selected systematic reviews of health services and delivery research topics (n = 200) to evaluate current practice in the assessment of publication and outcome reporting bias during evidence synthesis. Work package 3 included four case studies to explore the applicability of statistical methods for detecting such bias in health services and delivery research. In work package 4 we followed up four cohorts of health services and delivery research studies (total n = 300) to ascertain their publication status, and examined whether publication status was associated with statistical significance or perceived ‘positivity’ of study findings. Work package 5 involved key informant interviews with diverse health services and delivery research stakeholders (n = 24), and a focus group discussion with patient and service user representatives (n = 8). Results We identified only four studies that set out to investigate publication and related bias in health services and delivery research in work package 1. Three of these studies focused on health informatics research and one concerned health economics. All four studies reported evidence of the existence of this bias, but had methodological weaknesses. We also identified three health services and delivery research systematic reviews in which findings were compared between published and grey/unpublished literature. These reviews found that the quality and volume of evidence and effect estimates sometimes differed significantly between published and unpublished literature. Work package 2 showed low prevalence of considering/assessing publication (43%) and outcome reporting (17%) bias in health services and delivery research systematic reviews. The prevalence was lower among reviews of associations than among reviews of interventions. The case studies in work package 3 highlighted limitations in current methods for detecting these biases due to heterogeneity and potential confounders. Follow-up of health services and delivery research cohorts in work package 4 showed positive association between publication status and having statistically significant or positive findings. Diverse views concerning publication and related bias and insights into how features of health services and delivery research might influence its occurrence were uncovered through the interviews with health services and delivery research stakeholders and focus group discussion conducted in work package 5. Conclusions This study provided prima facie evidence on publication and related bias in quantitative health services and delivery research. This bias does appear to exist, but its prevalence and impact may vary depending on study characteristics, such as study design, and motivation for conducting the evaluation. Emphasis on methodological novelty and focus beyond summative assessments may mitigate/lessen the risk of such bias in health services and delivery research. Methodological and epistemological diversity in health services and delivery research and changing landscape in research publication need to be considered when interpreting the evidence. Collection of further empirical evidence and exploration of optimal health services and delivery research practice are required. Study registration This study is registered as PROSPERO CRD42016052333 and CRD42016052366. Funding This project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full in Health Services and Delivery Research; Vol. 8, No. 33. See the NIHR Journals Library website for further project information.
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STASICKA, Julianna, and Igor SZYMAŃSKI. "Factors of choice of private medical services in Poland." Scientific Papers of Silesian University of Technology. Organization and Management Series 2021, no. 154 (2021): 305–17. http://dx.doi.org/10.29119/1641-3466.2021.154.23.
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Purpose: The main purpose of this article was to explore main factors of choice of private medical services by Polish patients. Design/methodology/approach: In the theoretical part of the article, the current situation in health care sector in Poland was discussed. Also, based on the literature authors introduced their own classification of factors of choice of private medical services. The empirical research was conducted in August 2021. Finally, 122 participants were included in a research sample. Findings: The biggest number of respondents indicated the availability of appointments as the most fundamental aspect. Also, the study revealed other factors, especially choosing a particular physician, previous positive experiences, the transparency of treatment and the quality of care as important for patient’s choice. Research limitations/implications: Research was limited to the private sector which results from the fact that its share on the market grows and is increasingly popular among foreigners. It is worth considering to further deepen the research including studying factors in public health care sector to compare them or to expand the research group to a larger population. Due to technical development forced by recent epidemiological situation of SARS-CoV-2019 pandemic, also it is worth to include telemedicine into future studies. Practical implications: Private sector operates on the laws of economy which allow the implication of research findings to gain competitive advantage in areas which are most important for patients treated as customers. Outcomes of this article have practical implications for private medical entities. They could enhance operation areas which were chosen by patients. Social implications: Polish health care sector is one of the national economy segments. Providing access to medical services for citizens is one of important government’s activities. In case of insufficient access, private sector may be able to support public health care system. Originality/value: It is crucial to conduct such a research among Polish patients because these factors may differ due to a particular country and its specific determinants like political solutions, culture, functioning of health care system, types of medical insurance and other specific conditions. Moreover, in the theoretical part of the article, authors built their own classification of factors of choice of private medical services.
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Smith, Lucinda, and Richard Newton. "Systematic Review of Case Management." Australian & New Zealand Journal of Psychiatry 41, no. 1 (January 2007): 2–9. http://dx.doi.org/10.1080/00048670601039831.
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The purpose of the present paper was to review the current state of evidence for types of case management, focusing on the last 10 years since publication of the Cochrane Systematic Reviews of case management and assertive community treatment. A literature review of electronic databases from 1995 to the present to identify recent research on psychiatric case management, both original studies and reviews, was carried out. Original articles were organized on basis of year of study, experimental group and outcome variables to determine patterns. Sixty relevant papers were located. Thirty-nine are reports of experimental trials of types of case management and 21 are reviews or discussion papers. The focus of research is on assertive community treatment or intensive case management, with only five papers on other forms of less intense case management. Numerous outcomes have been examined, of those examined often enough to draw meaningful conclusions only one, engagement with services, has been consistently positive. All other outcomes have produced mixed results. The strength of findings in favour of case management has weakened over time. A heterogeneous group of experimental designs limits comparisons. Numerous issues with methodology and definitions of types of case management have beset research in this field. Assertive types of case management (including assertive community treatment and intensive case management) are more effective than standard case management in reducing total number of days spent in hospital, improving engagement, compliance, independent living and patient satisfaction. More important than the type of service configuration is to understand the clinical criteria of the services provided and their effectiveness.
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Doyle, Caroline, Sophie Yates, and Jen Hargrave. "Reflecting on the Value of Community Researchers in Criminal Justice Research Projects." Social Sciences 11, no. 4 (April 6, 2022): 166. http://dx.doi.org/10.3390/socsci11040166.
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While the importance of community researchers has long been acknowledged in disability studies, inclusive research practices such as these are less common in research about another marginalised group: people who are in prison or have spent time in prison. Over the past decade in Australia, the number and rate of people imprisoned has risen rapidly, and recidivism rates remain high, indicating a need for improved services. In this article, we draw on methodological reflections from two case studies on research with marginalised communities, one in disability studies and one in post-prison research. We apply insights from disability research to argue the importance of incorporating community researchers in qualitative research projects seeking to explore the experiences of people involved with the criminal justice system, such as people who have been released from prison.
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Taylor, Rachel M., Lorna A. Fern, Julie Barber, Faith Gibson, Sarah Lea, Nishma Patel, Stephen Morris, et al. "Specialist cancer services for teenagers and young adults in England: BRIGHTLIGHT research programme." Programme Grants for Applied Research 9, no. 12 (November 2021): 1–82. http://dx.doi.org/10.3310/pgfar09120.
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Background When cancer occurs in teenagers and young adults, the impact is far beyond the physical disease and treatment burden. The effect on psychological, social, educational and other normal development can be profound. In addition, outcomes including improvements in survival and participation in clinical trials are poorer than in younger children and older adults with similar cancers. These unique circumstances have driven the development of care models specifically for teenagers and young adults with cancer, often focused on a dedicated purpose-designed patient environments supported by a multidisciplinary team with expertise in the needs of teenagers and young adults. In England, this is commissioned by NHS England and delivered through 13 principal treatment centres. There is a lack of evaluation that identifies the key components of specialist care for teenagers and young adults, and any improvement in outcomes and costs associated with it. Objective To determine whether or not specialist services for teenagers and young adults with cancer add value. Design A series of multiple-methods studies centred on a prospective longitudinal cohort of teenagers and young adults who were newly diagnosed with cancer. Settings Multiple settings, including an international Delphi study of health-care professionals, qualitative observation in specialist services for teenagers and young adults, and NHS trusts. Participants A total of 158 international teenage and young adult experts, 42 health-care professionals from across England, 1143 teenagers and young adults, and 518 caregivers. Main outcome measures The main outcomes were specific to each project: key areas of competence for the Delphi survey; culture of teenagers and young adults care in the case study; and unmet needs from the caregiver survey. The primary outcome for the cohort participants was quality of life and the cost to the NHS and patients in the health economic evaluation. Data sources Multiple sources were used, including responses from health-care professionals through a Delphi survey and face-to-face interviews, interview data from teenagers and young adults, the BRIGHTLIGHT survey to collect patient-reported data, patient-completed cost records, hospital clinical records, routinely collected NHS data and responses from primary caregivers. Results Competencies associated with specialist care for teenagers and young adults were identified from a Delphi study. The key to developing a culture of teenage and young adult care was time and commitment. An exposure variable, the teenagers and young adults Cancer Specialism Scale, was derived, allowing categorisation of patients to three groups, which were defined by the time spent in a principal treatment centre: SOME (some care in a principal treatment centre for teenagers and young adults, and the rest of their care in either a children’s or an adult cancer unit), ALL (all care in a principal treatment centre for teenagers and young adults) or NONE (no care in a principal treatment centre for teenagers and young adults). The cohort study showed that the NONE group was associated with superior quality of life, survival and health status from 6 months to 3 years after diagnosis. The ALL group was associated with faster rates of quality-of-life improvement from 6 months to 3 years after diagnosis. The SOME group was associated with poorer quality of life and slower improvement in quality of life over time. Economic analysis revealed that NHS costs and travel costs were similar between the NONE and ALL groups. The ALL group had greater out-of-pocket expenses, and the SOME group was associated with greater NHS costs and greater expense for patients. However, if caregivers had access to a principal treatment centre for teenagers and young adults (i.e. in the ALL or SOME groups), then they had fewer unmet support and information needs. Limitations Our definition of exposure to specialist care using Hospital Episode Statistics-determined time spent in hospital was insufficient to capture the detail of episodes or account for the variation in specialist services. Quality of life was measured first at 6 months, but an earlier measure may have shown different baselines. Conclusions We could not determine the added value of specialist cancer care for teenagers and young adults as defined using the teenage and young adult Cancer Specialism Scale and using quality of life as a primary end point. A group of patients (i.e. those defined as the SOME group) appeared to be less advantaged across a range of outcomes. There was variation in the extent to which principal treatment centres for teenagers and young adults were established, and the case study indicated that the culture of teenagers and young adults care required time to develop and embed. It will therefore be important to establish whether or not the evolution in services since 2012–14, when the cohort was recruited, improves quality of life and other patient-reported and clinical outcomes. Future work A determination of whether or not the SOME group has similar or improved quality of life and other patient-reported and clinical outcomes in current teenage and young adult service delivery is essential if principal treatment centres for teenagers and young adults are being commissioned to provide ‘joint care’ models with other providers. Funding This project was funded by the National Institute for Health Research (NIHR) Programme Grants for Applied Research programme and will be published in full in Programme Grants for Applied Research; Vol. 9, No. 12. See the NIHR Journals Library website for further project information.
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Oduola, Sherifat, Til Wykes, Dan Robotham, and Tom K. J. Craig. "What is the impact of research champions on integrating research in mental health clinical practice? A quasiexperimental study in South London, UK." BMJ Open 7, no. 9 (September 2017): e016107. http://dx.doi.org/10.1136/bmjopen-2017-016107.
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ObjectivesKey challenges for mental health healthcare professionals to implement research alongside clinical activity have been highlighted, such as insufficient time to apply research skills and lack of support and resources. We examined the impact of employing dedicated staff to promote research in community mental health clinical settings.DesignQuasiexperiment before and after study.SettingSouth London and Maudsley National Health Service Foundation Trust.Participants4455 patients receiving care from 15 community mental health teams between 1 December 2013 and 31 December 2014.Outcome measuresThe proportion of patients approached for research participation in clinical services where research champions were present (intervention group), and where research champions were not present (comparison group).ResultsPatients in the intervention group were nearly six times more likely to be approached for research participation (Adj. OR=5.98; 95% CI 4.96 to 7.22).ConclusionsInvesting in staff that promote and drive research in clinical services increases opportunities for patients to hear about and engage in clinical research studies. However, investment needs to move beyond employing short-term staff.
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Booth, Andrew, Louise Preston, Susan Baxter, Ruth Wong, Duncan Chambers, and Janette Turner. "Interventions to manage use of the emergency and urgent care system by people from vulnerable groups: a mapping review." Health Services and Delivery Research 7, no. 33 (September 2019): 1–46. http://dx.doi.org/10.3310/hsdr07330.
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Background The NHS currently faces increasing demands on accident and emergency departments. Concern has been expressed regarding whether the needs of vulnerable groups are being handled appropriately or whether alternative methods of service delivery may provide more appropriate emergency and urgent care services for particular groups. Objective Our objective was to identify what interventions exist to manage use of the emergency and urgent care system by people from a prespecified list of vulnerable groups. We aimed to describe the characteristics of these interventions and examine service delivery outcomes (for patients and the health service) resulting from these interventions. Review methods We conducted an initial mapping review to assess the quantity and nature of the published research evidence relating to seven vulnerable groups (socioeconomically deprived people and families, migrants, ethnic minority groups, the long-term unemployed/inactive, people with unstable housing situations, people living in rural/isolated areas and people with substance abuse disorders). Databases, including MEDLINE and the Cumulative Index to Nursing and Allied Health Literature, and other sources were searched between 2008 and 2018. Quantitative and qualitative systematic reviews and primary studies of any design were eligible for inclusion. In addition, we searched for UK interventions and initiatives by examining press reports, commissioning plans and casebooks of ‘good practice’. We carried out a detailed intervention analysis, using an adapted version of the TIDieR (Template for Intervention Description and Replication) framework for describing interventions, and an analysis of current NHS practice initiatives. Results We identified nine different types of interventions: care navigators [three studies – moderate GRADE (Grading of Recommendations, Assessment, Development and Evaluations)], care planning (three studies – high), case finding (five studies – moderate), case management (four studies – high), front of accident and emergency general practice/front-door streaming model (one study – low), migrant support programme (one study – low), outreach services and teams (two studies – moderate), rapid access doctor/paramedic/urgent visiting services (one study – low) and urgent care clinics (one systematic review – moderate). Few interventions had been targeted at vulnerable populations; instead, they represented general population interventions or were targeted at frequent attenders (who may or may not be from vulnerable groups). Interventions supported by robust evidence (care navigators, care planning, case finding, case management, outreach services and teams, and urgent care clinics) demonstrated an effect on the general population, rather than specific population effects. Many programmes mixed intervention components (e.g. case finding, case management and care navigators), making it difficult to isolate the effect of any single component. Promising UK initiatives (front of accident and emergency general practice/front-door streaming model, migrant support programmes and rapid access doctor/paramedic/urgent visiting services) lacked rigorous evaluation. Evaluation should therefore focus on the clinical effectiveness and cost-effectiveness of these initiatives. Conclusions The review identified a limited number of intervention types that may be useful in addressing the needs of specific vulnerable populations, with little evidence specifically relating to these groups. The evidence highlights that vulnerable populations encompass different subgroups with potentially differing needs, and also that interventions seem particularly context sensitive. This indicates a need for a greater understanding of potential drivers for varying groups in specific localities. Limitations Resources did not allow exhaustive identification of all UK initiatives; the examples cited are indicative. Future work Research is required to examine how specific vulnerable populations differentially benefit from specific types of alternative service provision. Further exploration, using primary mixed-methods data and potentially realist evaluation, is required to explore what works for whom under what circumstances. Rigorous evaluation of UK initiatives is required, including a specific need for economic evaluations and for studies that incorporate effects on the wider emergency and urgent care system. Funding The National Institute for Health Research Health Services and Delivery Research programme.
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Currow, David Christopher, Hiromichi Matsuoka, Samuel Allingham, Belinda Fazekas, Linda Brown, Zac Vandersman, Katherine Clark, and Meera Agar. "Comparability of the Cancer Supportive Care Clinical Studies Collaborative (CSCCSC) study population to national referrals to other specialist palliative care services." Journal of Clinical Oncology 36, no. 34_suppl (December 1, 2018): 63. http://dx.doi.org/10.1200/jco.2018.36.34_suppl.63.
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63 Background: There are no agreed national nor international criteria for referral to palliative care. Key population characteristics have been defined to aid the generalizability of research findings in palliative care clinical studies. To codify differences in key demographic factors between patients with cancer participating in the Australian national Cancer Supportive Care Clinical Studies Collaborative (CSCCSC) phase III symptom control studies and the population referred to other Australian palliative care services. Methods: This study compares two contemporaneous consecutive cohorts generated through clinical trial participation and the national palliative care clinical quality improvement registry in Australia. Age, sex, cancer diagnosis, language, and socio-economic status were compared. Results: Cohorts were people with cancer: enrolled in CSCCSC phase III clinical studies (n=902; 17 sites); and registered by the Australian national Palliative Care Outcomes Collaboration (PCOC; n=75,240; 117 sites). Participants in CSCCSC studies were younger than those of PCOC (median 71 (IQR 62, 79) versus median 73 (IQR 63, 81); p=0.003 respectively). There was no significant difference in sex (p=0.483). Patients who spoke English accounted 95.0% of enrollees in the CSCCSC group and 92.2% in the PCOC group (p = 0.004). Clinical study participants had higher socioeconomic status that the PCOC group (p=0.022). Conclusions: Overall, the slightly different demographic patterns are reflective of the differences often seen between phase III trials and the populations to whom the results will be applied. Age differences particularly need to be taken into account when considering the best way to apply each study’s findings.
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Supartini, Yupi, and Ratna Ningsih. "Pengaruh Intervensi Peer Group terhadap Kemampuan Koping Anak yang Menghadapi Abuse dan Neglect." JKEP 3, no. 1 (May 31, 2018): 15–24. http://dx.doi.org/10.32668/jkep.v3i1.197.
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The purpose of this research to assess the influence of the peer group on coping abilities of teenagers who face abuse and neglect. Design studies used Quasi experiment. The population was children aged adolescents at high school, which was potentially facing abuse and neglect, in East Jakarta. The methode of sample selection was purposive sampling, determination of sample selection methdos have been due to a case of child abuse is a case that does not come to the surface/an iceberg phenomenon, so that a relatively small number reported. Methodes of data collection using questionnaires that have been tested. The results showed no significant effect of group therapy activities against child coping skills in the face of abuse and neglect (p value=0,019). The implications of this study can give an idea of how carers can provide care to children potentially exposed to violence and neglect, especially in school and can be input for health services, especially in health centers School health programs in designing the program in anticipation of or prevention of abuse and neglect in children school environment. This program provide feedback on the guidance counselor to develop a counseling program using a model of peer group. For the future studies it is advisabled to involve the parents as respondents.
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St John, Winsome, Heather James, and Shona McKenzie. "Health Service Provision for Community-Dwelling People Suffering Urinary Incontinence: A Case Study of Neglect." Australian Journal of Primary Health 7, no. 3 (2001): 31. http://dx.doi.org/10.1071/py01043.
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Access to health services for common health problems is a fundamental principle of primary health care. Although there have been few Australian prevalence studies, it is estimated that about 900,000 adult Australians suffer from incontinence (National Health and Medical Research Council, 1994). The purpose of this study was to investigate urinary continence services for community-dwelling people in the Gold Coast region of Australia, prior to implementing new services. A case study design was used, including: a survey of general medical practitioners, specialist medical practitioners, physiotherapists, hospitals, and home visiting agencies in the region; a focus group with key stakeholders; and a critical review of the literature in relation to prevalence, treatment-seeking behaviour and service provision. Health practitioners were asked about services provided, policies, clinical pathways, referrals, and their views on what services they would like to see offered in the region. Results showed that while there were some existing continence-specific services in the region, they were inadequate to provide for the numbers of people in need. Many generalist health practitioners demonstrated a lack of interest in and knowledge of the plight of those suffering from incontinence. Links between services were found to be ad hoc, with inconsistent referral patterns between health professionals. These findings are consistent with international studies. It was concluded that, in general, community-dwelling people suffering incontinence were poorly served by health professionals due an inability of available services to meet demand, and a lack of knowledge and/or interest by many generalist health practitioners.
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Powell, John, Helen Atherton, Veronika Williams, Fadhila Mazanderani, Farzana Dudhwala, Steve Woolgar, Anne-Marie Boylan, et al. "Using online patient feedback to improve NHS services: the INQUIRE multimethod study." Health Services and Delivery Research 7, no. 38 (October 2019): 1–150. http://dx.doi.org/10.3310/hsdr07380.
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Background Online customer feedback has become routine in many industries, but it has yet to be harnessed for service improvement in health care. Objectives To identify the current evidence on online patient feedback; to identify public and health professional attitudes and behaviour in relation to online patient feedback; to explore the experiences of patients in providing online feedback to the NHS; and to examine the practices and processes of online patient feedback within NHS trusts. Design A multimethod programme of five studies: (1) evidence synthesis and stakeholder consultation; (2) questionnaire survey of the public; (3) qualitative study of patients’ and carers’ experiences of creating and using online comment; (4) questionnaire surveys and a focus group of health-care professionals; and (5) ethnographic organisational case studies with four NHS secondary care provider organisations. Setting The UK. Methods We searched bibliographic databases and conducted hand-searches to January 2018. Synthesis was guided by themes arising from consultation with 15 stakeholders. We conducted a face-to-face survey of a representative sample of the UK population (n = 2036) and 37 purposively sampled qualitative semistructured interviews with people with experience of online feedback. We conducted online surveys of 1001 quota-sampled doctors and 749 nurses or midwives, and a focus group with five allied health professionals. We conducted ethnographic case studies at four NHS trusts, with a researcher spending 6–10 weeks at each site. Results Many people (42% of internet users in the general population) read online feedback from other patients. Fewer people (8%) write online feedback, but when they do one of their main reasons is to give praise. Most online feedback is positive in its tone and people describe caring about the NHS and wanting to help it (‘caring for care’). They also want their feedback to elicit a response as part of a conversation. Many professionals, especially doctors, are cautious about online feedback, believing it to be mainly critical and unrepresentative, and rarely encourage it. From a NHS trust perspective, online patient feedback is creating new forms of response-ability (organisations needing the infrastructure to address multiple channels and increasing amounts of online feedback) and responsivity (ensuring responses are swift and publicly visible). Limitations This work provides only a cross-sectional snapshot of a fast-emerging phenomenon. Questionnaire surveys can be limited by response bias. The quota sample of doctors and volunteer sample of nurses may not be representative. The ethnographic work was limited in its interrogation of differences between sites. Conclusions Providing and using online feedback are becoming more common for patients who are often motivated to give praise and to help the NHS improve, but health organisations and professionals are cautious and not fully prepared to use online feedback for service improvement. We identified several disconnections between patient motivations and staff and organisational perspectives, which will need to be resolved if NHS services are to engage with this source of constructive criticism and commentary from patients. Future work Intervention studies could measure online feedback as an intervention for service improvement and longitudinal studies could examine use over time, including unanticipated consequences. Content analyses could look for new knowledge on specific tests or treatments. Methodological work is needed to identify the best approaches to analysing feedback. Study registration The ethnographic case study work was registered as Current Controlled Trials ISRCTN33095169. Funding This project was funded by the National institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full in Health Services and Delivery Research; Vol. 7, No. 38. See the NIHR Journals Library website for further project information.
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ORE, AHMED ABDIKADIR, DR EMMANUEL AWUOR, and JUSTER GATUMI NYAGA. "Factors Influencing Health Service Provision In Pastoral Communities In Kenya: A Case Study Of Wajir County." GIS Business 14, no. 4 (July 5, 2019): 138–54. http://dx.doi.org/10.26643/gis.v14i4.5436.
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The study seeks to find out factors affecting health service provision in pastoral communities, it is focusing Wajir County. The County Government is mandated to provide services including the health services which have been enabled by devolution functions such as transfer of funds. However, Counties especially within the patrol communities have been faced with myriad of challenges in obtaining the standard services from the County offices such as medical and education services. Some of the mentioned causes of poor services to the community from the literature has been leaders who are not objective in practicing the best human resource practices, poor communication facilities in the County thus community are not able to access the needed services in timely manner and lot of corruptions in the County offices. In addition, there is lack of proper structures or systems put in place to account for the resources allocated. From the past studies in the related fielded also present a methodological gap where most analysis is based on County reports lacking quantitative analysis while others uses only descriptive statistics to analyze the data. This study thus, fills the gap by looking at broad construct which give a broader picture of the health service provision. In addition, this study combines both descriptive and inferential statistics to determine the relationships between the study variables. The study therefore hypothesizes that: There is no relationship between devolved resource allocation and quality of health services provision (H01) and there is no relationship between human resource practices and quality of health services provision (H02); Research study was anchored on institutional theory. Descriptive survey was used; The findings of the research will be used by other researcher’s as a reference to what they will do in future not forgetting that it was used as a source of literature review to their studies. 65 respondents were chosen through random sampling that was stratified. The research questionnaires were administered by the researcher himself to the respondents. Focus group discussion was also done to the community members. Data was analyzed through f(n) and descriptive statistics and presented using tables and graphs. The research study established that resource allocation and human resource practices have a great influence in the provision of health services. The study recommends that Governor of Wajir County should develop and formulate guidelines, governing structure and strategic plans for effective implementation of county resources and revenue that will enable provision of quality healthcare.
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Frank, Marion. "Theatre in the Service of Health Education: Case Studies from Uganda." New Theatre Quarterly 12, no. 46 (May 1996): 108–15. http://dx.doi.org/10.1017/s0266464x00009933.
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International organizations are increasingly turning to theatre as a means of raising development issues, exploring options, and influencing behaviour. This paper examines some structures and techniques inherent in this type of applied theatre, analyzing two plays used to supplement AIDS education programmes in Uganda. One is a video production by a typical urban popular theatre group, while the second production analyzed exemplifies the Theatre for Development approach through its sub-genre, Campaign Theatre, used to raise awareness on health issues, hygiene, sanitation, child care, and the environment. The study analyzes the performance of the two plays and addresses some contradictions arising from the involvement and influence of external organizations. Marion Frank is a graduate of Bayreuth University in Germany, whose extensive field research has resulted in the publication of AIDS Education through Theater (Bayreuth African Studies Series, Bayreuth, 1995). Dr. Frank is currently living in the US, where as a Visiting Scholar at Duke University she is now working on a research project aiming to establish a closer link between literary/cultural studies and medicine/medical anthropology.
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Lipskaya-Velikovsky, Lena, and Terry Krupa. "Closing the Gap: From Research to Practice in Mental Health Interventions." International Journal of Environmental Research and Public Health 20, no. 3 (January 24, 2023): 2141. http://dx.doi.org/10.3390/ijerph20032141.
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Evidence-based practice is critical but challenging in mental health. Rigorous research-proven interventions often do not yield expected results in the clinical practice. This study aimed to explore factors contributing to the effectiveness of Occupational Connections (OC)—an intervention for promotion of engagement in meaningful occupations in serious mental illness (SMI)—based on case series study of three quasi-experimental studies. The studies focused on people with SMI (), admitted to intensive mental health services participated in the OC, as well as on a control condition group. Similar evaluation procedures throughout these studies addressed primary outcomes of participation dimensions and recovery orientation, as well as secondary outcomes of functional capacity, cognition, and symptom severity. Patterns of changes in outcome measures varied between the three studies as to direction and extension. In the OC groups, 29–60% of the outcome measurements were changed, in comparison to 29–43% of measurements in the control groups. The secondary outcomes were consistently improved in the OC (18–100% of measurements) in comparison to the control (18–67%). The analysis of the studies revealed that clinical effectiveness of participation-oriented intervention varied dependent on interplay between the clinical context, clinician actions, served persons’ characteristics, and evidence-building process. These factors should be considered to maximize research benefits for practice.
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Lee, Song Hee, Bogcheon Choi, and Seungju Hong. "Exploratory Study on Care Support Policy in Seoul and Role of Local Government in the Pandemic Era Using Delphi Method." Korea Academy of Care Management 45 (December 31, 2022): 97–123. http://dx.doi.org/10.22589/kaocm.2022.45.97.
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The aim of this study was to seek policy tasks and future improvement measures to support care services, focusing on children with disabilities in Seoul during the pandemic era. As a research method, cases of domestic and foreign care support for children with disabilities in the pandemic era and previous studies were considered. Three Delphi surveys with 20 expert panels were also conducted to analyze the demand for care service policies for children with disabilities in Seoul, the impact on service recipients and providers, and the importance and urgency of the final detailed implementation tasks.
As a result of the study, it was found that responding to social death was the most urgent issue for families raising children with disabilities in the pandemic era. Based on this result, this study has the following implications. First, it is necessary to expand the support services target, such as resolving blind spots among care systems for children with disabilities. Second, it is necessary to diversify the types and contents of care services. Third, in the case of care services for children with disabilities, service participation must be through a group activity program. Additionally, support for families responsible for the growth and development of children with disabilities should be provided comprehensively.
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Sulastri, Sri, Hetty Krisnani, Diah Puspita Sari, and Rindang Ekawati. "PENANGANAN UNMET NEED KB DI KAMPUNG KB: STUDI KASUS DI DUA KAMPUNG KB DI KABUPATEN CIANJUR." Jurnal Kependudukan Indonesia 14, no. 2 (May 14, 2020): 119. http://dx.doi.org/10.14203/jki.v14i2.376.
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One of the tasks of  Kampung KB (Keluarga Berencana) is to reduce the proportion of unmet need for family planning by utilizing family planning field officers and gaining support from related institutions. This study aims to analyze the process of handling the unmet need for family planning in two Kampung KB in Cianjur Regency. The research used a qualitative approach in forms of individual in-depth interviews and focus group discussions. Data are analyzed descriptively based on case studies. The findings indicate that data recording instruments used daily in the research sites have not been able to identify groups of women with unmet need for family planning. Therefore, the existing services of family planning information have not been based on the needs of the target group. After the formation of Kampung KB, family planning information services and contraception services were more vigorous. While all of the services ease couples of childbearing age with unmet need for family planning to get related information and contraception, monitoring and evaluation activities still cannot be carried out because of the unavailability of officers as well as the target group and post-service data. In addition, there is no clear division of labor between the board Kampung KB and other family planning field officers in each stage of the handling of unmet need for family planning.
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Liou, Chih-Ling, and Mary Dellmann-Jenkins. "Exploring the Organizational Culture in Adult Day Services (ADS) and Its Effect on Healthcare Delivery in Taiwan." Current Gerontology and Geriatrics Research 2020 (February 13, 2020): 1–11. http://dx.doi.org/10.1155/2020/4934983.
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Studies conducted in nursing homes/hospitals have shown that organizational culture plays an important role in care delivery and group culture leads to better quality of care. To explore the organizational culture and care delivery in adult day services (ADS) centers in Taiwan, we used both quantitative and qualitative research methods. Quantitative data from the Competing Values Framework (CVF) assessment showed that the group culture was dominant at all three centers. Qualitative data from observation and staff interviews uncovered both group and nongroup cultural elements. The group cultural elements, such as flexible management, teamwork environment, and sharing the same values, contributed to good care; however, the nongroup cultural elements, such as the staff-centered view, hierarchy, and conflicts within the leadership, led to negative staff-staff and staff-clients interactions. Further research is needed to untangle the complexity between quality care delivery and organizational culture.
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Hardin-Ramanan, Sarita, Loga Devi Balla Soupramanien, and David DeLapeyre. "Project #NuKapav: a Mauritian service-learning case study." Equality, Diversity and Inclusion: An International Journal 37, no. 2 (March 14, 2018): 167–81. http://dx.doi.org/10.1108/edi-01-2017-0008.
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Purpose Prompted by the enlarging skills gap between the university graduate and the desired employee in Mauritius, the Charles Telfair Institute embarked its students on the #NuKapav project for an authentic work integrated learning (WIL) experience which endeavours to fight for the societal inclusion of Persons with Disabilities. The purpose of this paper is to examine the impact of this service-learning project on the students from professional, civic engagement and social justice perspectives. Design/methodology/approach This research used a focus group methodology, allowing the 23 students who participated on the #NuKapav project to share their experiences. Findings This paper recommends that universities in Mauritius and other regional countries consider incorporating service-learning into their WIL programmes to reinforce graduate employability skills and encourage good citizenship through lasting allegiance to community causes. Research limitations/implications The higher education system in Mauritius operates within a broader context facing constant mutations influenced by socio-economic and political factors. As such, research on service-learning cannot be conducted in isolation but should instead include the perspective of various stakeholders on both the demand and supply side of community learning projects. The main limitation of this research relates to its focus on capturing student participants’ perspective alone. Further research is, therefore, recommended to examine how other stakeholders, including employees, employers and community service project supervisors, value service-learning for a more comprehensive view. Originality/value The main contribution of this paper is the examination of how service-learning can help equip graduates with crucial career skills, while bringing an enduring mind-set shift in the future workforce for sustained commitment to social change and inclusion.
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McDonald, Ruth, Lisa Riste, Simon Bailey, Fay Bradley, Jonathan Hammond, Sharon Spooner, Rebecca Elvey, and Kath Checkland. "The impacts of GP federations in England on practices and on health and social care interfaces: four case studies." Health Services and Delivery Research 8, no. 11 (February 2020): 1–118. http://dx.doi.org/10.3310/hsdr08110.
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Background General practices have begun working collaboratively in general practitioner federations, which vary in scope, geographical reach and organisational form. Objectives The aim was to assess how federating affects practice processes, workforce, innovations in practices and the interface with health and social care stakeholders. Design This was a structured cross-sectional comparison of four case studies, using observation of meetings, interviews and analysis of documents. We combined inductive analysis with literature on ‘meta-organisations’ and networks to provide a theoretically informed analysis. Results All federations were ‘bottom-up’ voluntary membership organisations but with formal central authority structures. Practice processes were affected substantially in only one site. In this site, practices accepted the rules imposed by federation arrangements in a context of voluntary participation. Federating helped ease workforce pressures in two sites. Progress regarding innovations in practice and working with health and social care stakeholders was slower than federations anticipated. The approach of each federation central authority in terms of the extent to which it (1) sought to exercise control over member practices and (2) was engaged in ‘system proactivity’ (i.e. the degree of proactivity in working across a broader spatial and temporal context) was important in explaining variations in progress towards stated aims. We developed a typology to reflect the different approaches and found that an approach consisting of high levels of both top-down control and system proactivity was effective. One site adopted this ‘authoritative’ approach. In another site, rather than creating expectations of practices, the focus was on supporting them by attempting to solve the immediate problems they faced. This ‘indulgent’ approach was more effective than the approach used in the other two sites. These had a more distant ‘neglectful’ relationship with practices, characterised by low levels of both control over members and system proactivity. Other key factors explaining progress (or lack thereof) were competition between federations (if any), relationship with the Clinical Commissioning Group, money, history, leadership and management issues, size and geography; these interacted in a dynamic way. In the context of a tight deadline and fixed targets, federations were able to respond to the requirements to provide additional services as part of NHS Improving Access to General Practice policy in a way that would not have been possible in the absence of federations. However, this added to pressures faced by busy clinicians and managers. Limitations The focus was on only four sites; therefore, any federations that were more active than those federations in these four sites will have been excluded. In addition, although patients were interviewed, because most were unaware of federations, they generally had little to say on the subject. Conclusions General practices working collaboratively can produce benefits, but this takes time and effort. The approach of the federation central authority (authoritative, indulgent or neglectful) was hugely influential in affecting processes and outcomes. However, progress was generally slower than anticipated, and negligible in one case. Future work Future work would benefit from multimethod designs, which provide in-depth, longitudinal, qualitative and quantitative methods, to shed light on processes and impacts. Funding This project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full in Health Services and Delivery Research; Vol. 8, No. 11. See the NIHR Journals Library website for further project information.
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Westrup, Ulrika. "The potential of service-dominant logic as a tool for developing public sector services." International Journal of Quality and Service Sciences 10, no. 1 (March 19, 2018): 36–48. http://dx.doi.org/10.1108/ijqss-02-2016-0013.
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Purpose The purpose of this paper is to analyse and discuss the potential of the service-dominant logic (SDL) as a tool for developing more effective public sector services in practice. Design/methodology/approach One case concerning a public sector service organization has been studied – a contact centre in a Swedish municipality. The material consists of descriptions of managers’ and co-workers’ experiences of how day-to-day operations are performed to manage services provided to citizens. The material has been gathered via interviews and focus group interviews. Findings The study found that SDL has something to offer as a tool. SDL indicates that the distinctive features of different kinds of services, the exchange of knowledge and the dependency between actors do not have a high priority in the day-to-day work done at the contact centre. However, SDL cannot actually guarantee that public services will be more effective without including the politicians. Research limitations/implications The findings only originate from one organization. No service users have participated. Practical implications When using SDL as a tool for developing public sector services, the role of the politician is crucial. Public service managers must therefore find ways of including politicians in the service system as important and committed actors. Originality/value SDL, in the context of public sector services, has only previously been studied to a very limited degree empirically.
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Hannigan, Ben, Deborah Edwards, Sally Anstey, Michael Coffey, Paul Gill, Mala Mann, and Alan Meudell. "End-of-life care for people with severe mental illness: the MENLOC evidence synthesis." Health and Social Care Delivery Research 10, no. 4 (March 2022): 1–206. http://dx.doi.org/10.3310/ulti9178.
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Background People with severe mental illness have significant comorbidities and a reduced life expectancy. This project answered the following question: what evidence is there relating to the organisation, provision and receipt of care for people with severe mental illness who have an additional diagnosis of advanced incurable cancer and/or end-stage lung, heart, renal or liver failure and who are likely to die within the next 12 months? Objectives The objectives were to locate, appraise and synthesise relevant research; to locate and synthesise policy, guidance, case reports and other grey and non-research literature; to produce outputs with clear implications for service commissioning, organisation and provision; and to make recommendations for future research. Review methods This systematic review and narrative synthesis followed international standards and was informed by an advisory group that included people with experience of mental health and end-of-life services. Database searches were supplemented with searches for grey and non-research literature. Relevance and quality were assessed, and data were extracted prior to narrative synthesis. Confidence in synthesised research findings was assessed using the Grading of Recommendations, Assessment, Development and Evaluation and the Confidence in the Evidence from Reviews of Qualitative Research approaches. Results One hundred and four publications were included in two syntheses: 34 research publications, 42 case studies and 28 non-research items. No research was excluded because of poor quality. Research, policy and guidance were synthesised using four themes: structure of the system, professional issues, contexts of care and living with severe mental illness. Case studies were synthesised using five themes: diagnostic delay and overshadowing, decisional capacity and dilemmas, medical futility, individuals and their networks, and care provision. Conclusions A high degree of confidence applied to 10 of the 52 Grading of Recommendations, Assessment, Development and Evaluation and Confidence in the Evidence from Reviews of Qualitative Research summary statements. Drawing on these statements, policy, services and practice implications are as follows: formal and informal partnership opportunities should be taken across the whole system, and ways need to be found to support people to die where they choose; staff caring for people with severe mental illness at the end of life need education, support and supervision; services for people with severe mental illness at the end of life necessitate a team approach, including advocacy; and the timely provision of palliative care requires proactive physical health care for people with severe mental illness. Research recommendations are as follows: patient- and family-facing studies are needed to establish the factors helping and hindering care in the UK context; and studies are needed that co-produce and evaluate new ways of providing and organising end-of-life care for people with severe mental illness, including people who are structurally disadvantaged. Limitations Only English-language items were included, and a meta-analysis could not be performed. Future work Future research co-producing and evaluating care in this area is planned. Study registration This study is registered as PROSPERO CRD42018108988. Funding This project was funded by the National Institute for Health Research (NIHR) Health and Social Care Delivery Research programme and will be published in full in Health and Social Care Delivery Research; Vol. 10, No. 4. See the NIHR Journals Library website for further project information.
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Rose, Miriam, Farida Ejaz, and Courtney Reynolds. "Predictors of Depression in Healthcare Patients at Risk of Self-Neglect." Innovation in Aging 5, Supplement_1 (December 1, 2021): 273. http://dx.doi.org/10.1093/geroni/igab046.1061.
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Abstract More than half of reports to Adult Protective Services agencies nationwide involve allegations of self-neglect. An intensive case management intervention for preventing self-neglect was evaluated in a longitudinal study conducted collaboratively by a large healthcare system, Adult Protective Services, and a gerontological research institute. Patients (444) who were older (60+ years) and/or disabled (18+ years) were randomly selected for participation from 19 primary-care clinics if they had risk factors for self-neglect, including depression, substance abuse, dementia, and/or impairment in activities of daily living. Average age was 68 years (SD=12.5), 68% were Hispanic, 68% had monthly income of less than $1,361, and 67% were female. Clinics were randomized into intervention and control groups. Intervention clinic patients received intensive case management services; control clinic patients received usual care, including social work services. Subjects were interviewed at baseline and four months later. The Stress Process Model guided a multiple regression analysis. Domains of background characteristics, primary and secondary stressors, and support (patients in intervention or control group) were entered in blocks to predict depression levels at post-test. While no significant differences were found in post-test depression levels between intervention and controls, the final model was statistically significant (adjusted R2=.452). Significant predictors of depression were: younger age (disabled adults), poorer self-rated physical and emotional health, greater loneliness, and less social support. Future analyses will examine effects of moderating variables on post-test depression levels. Practice implications of preliminary analyses include addressing disabled adults’ mental health needs, especially if they are isolated and lack social support.
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Swan, Lauren, Niamh Martin, N. Frances Horgan, Austin Warters, and Maria O’Sullivan. "Assessing Sarcopenia, Frailty, and Malnutrition in Community-Dwelling Dependant Older Adults—An Exploratory Home-Based Study of an Underserved Group in Research." International Journal of Environmental Research and Public Health 19, no. 23 (December 2, 2022): 16133. http://dx.doi.org/10.3390/ijerph192316133.
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Background: Adults of advanced age, with functional dependency, socioeconomic disadvantage, or a need for home care, are expected to be at high risk of sarcopenia, frailty and malnutrition, yet are likely to be underrepresented in research. We aimed to explore the assessment of sarcopenia, frailty, and malnutrition in-home, and to describe the practicality of performing these assessments. Methods: Home-based health assessments and post-study feedback surveys were conducted among community-dwelling older adults ≥65 years in receipt of state-funded home care (n = 31). Assessments included probable sarcopenia [hand-grip strength (HGS), chair rise-test, and SARC-F case-finding tool], the Mini Nutritional Assessment (MNA), and the Clinical Frailty Scale (CFS). Results: The study group was of mean age 83.2 ± 8.2 years, 74% were female and 23% lived in socioeconomically disadvantaged areas. Almost all met the criteria for probable sarcopenia (94%, n = 29/31), were frail or vulnerable by the CFS (97%, n = 30/31), and over a quarter were at risk of malnutrition (26%, n = 8). Participants had low physical activity (71.0%, n = 22/31), with a mean daytime average of 11.4 ± 1.6 h spent sitting. It was possible to assess probable sarcopenia (by HGS and SARC-F, but not the chair rise test), malnutrition (MNA), and frailty (CFS). Home-based research was a complex environment, and unearthed significant unmet need, prompting referrals to health services (36%, n = 11), in addition to technology assistance. The majority of participants (93%) reported a willingness to partake in future research. Conclusions: Most community-dwelling older people in receipt of home support, assessed in this exploratory study, were at risk of probable sarcopenia, frailty, and low physical activity, with over a quarter were at risk of malnutrition. Our initial findings provide practical data for large scale studies and may inform the development of intervention studies aiming to support ageing in place.
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UTKUGÜN, Ceren. "Virtual Museums from the Perspective of Social Studies Pre-service Teachers." International Journal of Psychology and Educational Studies 9 (October 23, 2022): 1069–84. http://dx.doi.org/10.52380/ijpes.2022.9.4.831.
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This study aims to investigate the perspectives of pre-service social studies teachers on virtual museums. The research employed a case study, one of the qualitative research designs. The study group consists of thirty pre-service teachers enrolled in a state university's Department of Social Studies Education, Faculty of Education. Individual online interviews were conducted with each participant using a semi-structured interview form. The method of content analysis was used to analyze the research data, and the data gathered from the research were presented with their frequencies using diagrams incorporating themes, sub-themes- themes, and codes. As a result of the research, Social Studies pre-service teachers who stated that they may encounter technical, virtual environment-related, teacher or student-related problems while using virtual museums suggested that virtual museum applications should be adapted to the level of students in terms of the effective use of virtual museums and technical impossibilities in schools should be eliminated.
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Pędzierska, Małgorzata, and Tomasz Kamiński. "The use of simulator studies to assess the impact of ITS services on road users behaviour." MATEC Web of Conferences 231 (2018): 02009. http://dx.doi.org/10.1051/matecconf/201823102009.
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The subject of this publication is the use of top-of-the-range driving simulators to study the impact of ITS services on the road safety. The aim of the article is to describe the assumptions of simulation studies carried out as part of the RID 4D project and to present the method of building research scenarios. The article discusses the catalogue of ITS services of the greatest importance to the Road Traffic Safety and traffic efficiency developed under the project. Then, services from the catalogue were specified, which were tested on the driving simulator of the Motor Transport Institute. The tests included sections of a dual-lane expressway. As a result of the work, four scenarios were created containing various dangerous events and variable message boards informing drivers about the danger and/or limiting the permitted speed. During the simulation, a set of several dozen parameters related to vehicle motion was recorded, in particular the distance to the vehicle ahead, time to collision with another vehicle or object on the road, speed, intensity of braking and acceleration. The tests were performed for good and bad weather conditions on a 60-person study group. The division into age groups 18-24, 25-50 and above 50 years was applied. The research showed a difference in the way drivers of static signs and speed limits on the variable message signs affect drivers. For variable messages signs, there was a greater decrease in speed than in the case of static signs.
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Glicksman, Allen, Lauren Ring, and Norah Keating. "Aging in Context: The Importance of Comparative Studies for Understanding the Lives of Older Adults." Innovation in Aging 4, Supplement_1 (December 1, 2020): 561. http://dx.doi.org/10.1093/geroni/igaa057.1847.
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Abstract Access and use patterns of both formal and informal services for older migrants are often examined in a dyadic framework where one group of older persons (or their caregivers) is studied in relation to their use of a program or service. A comparative approach, that might also examine the reasons that some persons may (or may not) use a service, may yield important findings that place the dyadic studies within a larger social and policy context. By using a comparative approach, we can also consider influences of the culture of origin for older adults and their caregivers, as well as the policies and programs offered in the destination country. The four papers on this panel explore these issues. The first paper will frame the discussion, and the remaining three will focus on informal care, formal care, and the point of contact between aging services professionals and older immigrants. The first paper (Torres) takes a broad look at social exclusion mechanisms that bar access to services due to racism in the host societies. The second presentation (Diederich, et. al.) examines how place of origin can influence caregiving behavior. The third paper, (Thiamwong) examines a single program that is used to serve multiple ethnic minority/immigrant groups. Finally, (Ring et. al.,) will examine trust or its absence in the attitudes of older migrants toward use of formal aging services in two migrant populations. The four papers also demonstrate how different research methods (qualitative, quantitative, scoping review) can be used to illuminate these issues. International Aging and Migration Interest Group Sponsored Symposium.
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Traxler, Elizabeth G., Amy L. Morgan, Jessica E. Kiss, and Mary-Jon Ludy. "Animated Case Study Videos: A Creative Approach for Exploring Health in the High School to College Transition." Health Promotion Practice 21, no. 1 (September 27, 2019): 16–19. http://dx.doi.org/10.1177/1524839919874053.
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While the college years present an ideal time for chronic disease prevention, students often do not seek services or perceive themselves to be at health risk. Researchers at Bowling Green State University have been exploring the health patterns of first-year university students for several years, initially as a health-based research study (August 2012 to May 2016) and currently through a first-year seminar course for students transitioning from high school to college (August 2016 to present). This article describes the evolution of data sharing techniques from passively presented paper feedback sheets (focusing on individual health assessments) to highly interactive classroom discussions stemming from viewings of animated case study videos (designed based on whole group themes). Qualitative feedback from students and faculty has been positive, suggesting that animated case study videos are an effective strategy for engaging students in critical thinking about physical and mental health concerns affecting their peer group. Practical recommendations for using animated case studies in diverse educational settings are provided.
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Lyness, Emily, Jennifer Parker, Merlin L. Willcox, and Hajira Dambha-Miller. "Experiences of out-of-hours task-shifting from GPs: a systematic review of qualitative studies." BJGP Open 5, no. 4 (June 22, 2021): BJGPO.2021.0043. http://dx.doi.org/10.3399/bjgpo.2021.0043.
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BackgroundThe current GP workforce is insufficient to manage rising demand in patient care within out-of-hours (OOH) primary care services. To meet this challenge, non-medical practitioners (NMPs) are employed to fulfil tasks traditionally carried out by GPs. It is important to learn from experiences of task-shifting in this setting to inform optimal delivery of care.AimTo synthesise qualitative evidence of experiences of task-shifting in the OOH primary care setting.Design & settingSystematic review of qualitative studies and thematic synthesis.MethodElectronic searches were conducted across CINAHL (Cumulative Index of Nursing and Allied Health Literature), PsychINFO, Cochrane, MEDLINE, Embase, and OpenGrey for qualitative studies of urgent or OOH primary care services, utilising task-shifting or role delegation. Included articles were quality appraised and key findings collated through thematic synthesis.ResultsA total of 2497 studies were screened, of which six met the inclusion criteria. These included interviews with 15 advanced nurse practitioners (ANPs), three physician assistants (PAs), two paramedics, and a focus group of 22 GPs, and focus groups with 33 nurses. Key findings highlight the importance of clearly defining and communicating the scope of practice of NMPs, and of building their confidence by appropriate training, support, and mentoring.ConclusionWhile NMPs may have the potential to make a substantial contribution to OOH primary care services, there has been very little research on experiences of task-shifting. Evidence to date highlights the need for further training specific to OOH services. Mentorship and support to manage the sometimes challenging cases presenting to OOH could enable more effective OOH services and better patient care.
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Di Carlo, Emiliano. "Related party transactions and separation between control and direction in business groups: the Italian case." Corporate Governance 14, no. 1 (January 28, 2014): 58–85. http://dx.doi.org/10.1108/cg-02-2012-0005.
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Purpose – Under IAS 24 a related party transaction (RPT) is a “transfer of resources, services or obligations between related parties, regardless of whether a price is charged” (IASB). The purpose of this paper is to consider the interest of the business group and the directing activity of the parent company for the interpretation of the RPT. Considering the interest of the group means to interpret the intra-group transactions not as isolated transactions, as usually done by the empirical studies, but in a wider perspective, that of the group. Design/methodology/approach – This paper builds on explanatory multiple case studies in order to answer the following research questions: why the interest of the business group and the directing activity of the subsidiaries by the parent company are important in the interpretation of RPTs. How RPTs can be interpreted in the light of the directing activity of the holding company. Findings – Dominant shareholder tends to demonstrate that the group it is not managed as a single economic entity and sometimes that subsidiaries are not really controlled. The case studies show that a regulation that imposes the transparency of the directing activity has at least two effects: the controlling shareholder finds it convenient to delegate the decision-making power and to not carry out RPTs among firms that do not present clear economic links. Thus, the transparency of the directing activity seems to be a disincentive to the establishment of a pyramidal group with expropriation purposes. Research limitations/implications – It is appropriate that the interpretation of the RPT take into account not only the disclosure of the RPT (e.g. type and nature), but also the following disclosure: the reason and the business purpose that lead to RPT; the interest of the company in engaging such transactions; and the procedures for their approval. The independence of subsidiaries directors is necessary to ensure the management autonomy of the boards, and in the case of directing activity they have to protect outsiders in the case of detrimental transactions ordered by the controlling and directing company that are not carried out in the interest of the group. Originality/value – Unlike what has been done so far by the literature on RPT, this paper considers the interest of the group to interpret the intra-group transactions and the separation between control and direction. It means do not interpret RPT as isolated transactions, as usually done by the empirical studies, but in a wider perspective, that of the group.
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Fithriyana, Arina. "The Implementation of Chatting as the Medium in Cyber Group Counseling." KONSELING EDUKASI "Journal of Guidance and Counseling" 6, no. 2 (November 10, 2022): 170. http://dx.doi.org/10.21043/konseling.v6i2.17119.
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<p class="06IsiAbstrak"><strong>The Implementation of Chatting as the Medium in Cyber Group Counseling</strong><strong>. </strong>The purpose of this study is to find out an overview of the implementation of cyber group counseling through chat media, the advantages of cyber group counseling through chat media, and the obstacles or disadvantages of using chat media in the implementation of online group counseling. This research was carried out on the basis of the need to develop guidance and counseling services, especially group counseling services in the digital era. This research uses qualitative descriptive analysis method. The research setting was carried out in the Islamic Education Guidance and Counseling Study Program, Faculty of Tarbiyah IAIN Kudus in the even semester of the 2020/2021 academic year. The subject of this study is a student of the Islamic Education Guidance and Counseling study program, Faculty of Tarbiyah IAIN Kudus semester IV who took the Group Counseling course in the even academic year 2020/2021. The focus of this research is to find out an overview of the implementation of cyber group counseling through chat media. The authors used two data sources in this study, namely primary data and sequence data. Primary data were obtained through observations and interviews with respondents who practiced cyber group counseling. Meanwhile, secondary data were obtained through documentation studies/literature studies from literature books and scientific articles in journals related to the focus of this research. Data analysis is carried out through three stages, namely data reduction, data presentation, and conclusion drawing. The result is that the implementation of cyber group counseling through chat media is carried out through four stages, namely the formation stage, the transition stage, the activity stage, and the termination stage. In this case, the group leader and group members exchange conversations with each other by writing down text messages in the group chat room. The advantage of implementing cyber group counseling through chat media is that it can provide speaking opportunities to group members who are less comfortable if they convey their problems or opinions directly, and are considered more practical, efficient, and flexible in their implementation. The disadvantages are the presence of unstable signal network constraints, group dynamics are not well formed, group leaders have difficulty seeing the expressions of group members because group members' expressions are limited to the use of emoticons, and require a lot of time to write down conversations via text messages.</p><strong>Keywords:</strong> Cyber Group Counseling, Chat Media
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Erdmann, Pia, and Martin Langanke. "The Ambivalence of Early Diagnosis – Returning Results in Current Alzheimer Research." Current Alzheimer Research 15, no. 1 (December 21, 2017): 28–37. http://dx.doi.org/10.2174/1567205014666170908101237.
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Objectives: Based on an analysis of the potential consequences of disclosing AD suspicions from respective research and using the research ethical principle of non-maleficence, the authors of this paper argue for the thesis that the benefits of early AD detection in research outweigh the risk of potential adverse effects only in cases where studies are conducted with symptomatic people actively seeking for support, e.g. as they utilize the services of memory clinics. Conclusion: In the case of non-symptomatic volunteers, the result of the risk-benefit-assessment seems to be less distinctive. Given that disclosing results can, at least initially, cause severe distress and harm and taking into account that research examinations have a significantly increased risk of producing false-positive findings, we suggest to make use of a research-ethical “princple of caution” that supports a restrictive disclosure policy for the second group of potential study participants. This differentiated view on the benefits of disclosed findings in AD research is reflected in recommendations for the set-up of return of result processes.
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Shaw, Jenny, Sarah Conover, Dan Herman, Manuela Jarrett, Morven Leese, Paul McCrone, Caroline Murphy, et al. "Critical time Intervention for Severely mentally ill Prisoners (CrISP): a randomised controlled trial." Health Services and Delivery Research 5, no. 8 (February 2017): 1–138. http://dx.doi.org/10.3310/hsdr05080.
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BackgroundThe transition from prison to community is difficult for prisoners with mental illness. Critical time intervention (CTI) is designed to provide intensive support to meet health, social care and resettlement needs through close working between client and key worker pre, and up to 6 weeks post, release.ObjectivesTo establish whether or not CTI is effective in (1) improving engagement of discharged male prisoners who have mental illness with community mental health teams (CMHTs) and (2) providing practical support with housing, finance and re-establishing social networks.Trial designA multicentre, parallel-group randomised controlled trial, with follow-up at 6 weeks and at 6 and 12 months. A subset of prisoners and case managers participated in a complementary qualitative study.SettingEight English prisons.ParticipantsOne hundred and fifty adult male prisoners, convicted or remanded, cared for by mental health in-reach teams and diagnosed with severe mental illness, with a discharge date within 6 months of the point of recruitment.InterventionParticipants were randomised to either the intervention or the control (treatment as usual). The intervention group was assigned a case manager who assessed mental and physical health before and following release, made appropriate links to health, housing and financial services and supported the re-establishment of family/peer contact.OutcomeThe primary outcome measure was engagement with a CMHT 6 weeks post discharge. Secondary outcomes included contact with mental health services at 6 and 12 months. A health economic evaluation was undertaken using service contact at the follow-up time points. We were unable to assess the intervention’s effect on reoffending and longer-term health-care use because of study delays.ResultsOne hundred and fifty prisoners were recruited: 72 were randomised to the intervention and 78 were randomised to the control. Engagement with teams at 6 weeks was 53% for the intervention group compared with 27% for the control group [95% confidence interval (CI) 0.13% to 0.78%;p = 0.012]. At 6 months’ follow-up, intervention participants showed continued increase in engagement with teams compared with control participants (95% CI 0.12% to 0.89%;p = 0.029); there were no significant differences at 12 months. Increased engagement resulted in higher levels of service use and costs for the intervention than for the control. Qualitative data showed the intervention group reporting better continuity of care and improved access to services.ConclusionThe intervention significantly improved contact with services at 6 weeks, although at a higher cost than the control. This is important as, in the days and weeks following release, recently released individuals are at a particularly high risk of suicide and drug overdose. Further research is required to establish how teams can better maintain contact with clients when the intervention ends.Future workFurther studies are indicated for groups with different needs, for example women, young prisoners and those in police custody, and at other transition points, for example following arrest and short-term custody, and at points of transition between different mental health services.Trial registrationCurrent Controlled Trials ISRCTN98067793.FundingThis project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full inHealth Services and Delivery Research; Vol. 5, No. 8. See the NIHR Journals Library website for further project information.
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Belal, H. M., Kunio Shirahada, and Michitaka Kosaka. "Infrastructure Innovation to Attain Service Value Sustainability." International Journal of Service Science, Management, Engineering, and Technology 5, no. 2 (April 2014): 19–35. http://dx.doi.org/10.4018/ijssmet.2014040102.
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This paper proposes a resource integration (RI) model to achieve infrastructure innovation in terms of organizational knowledge creation processes that guarantee sustainable dealings that are service oriented. Innovative infrastructures accomplished by beneficial changes in business platforms to create customer values have been attracting a great deal of attention. Therefore, a method of recognizing growth in infrastructures is needed. Collaboration with suitable partners, while integrating resources, is one of the core tools to improve organizational knowledge creation processes, thereby achieving infrastructure innovation that is able to offer contemporary services. However, there have been few studies on infrastructure innovation from the viewpoint of knowledge creation followed by modes of corporate collaboration. Two case studies, viz., Nike-Apple and Telenor-Grameen Group Corporation are presented in our study. Results demonstrated our mentioned concept. This research contributes to creating strategic corporate policies for organizations to succeed in the global business market by ensuring value sustainability.
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Perkins, Rachel E., and Len A. Rowland. "Sex Differences in Service Usage in Long-Term Psychiatric Care." British Journal of Psychiatry 158, S10 (May 1991): 75–79. http://dx.doi.org/10.1192/s0007125000292039.
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There is a paucity of research concerning service usage and needs of female long-term psychiatric patients. A series of studies comparing the provisions for chronically mentally ill men and women in a south London community-focused rehabilitation and continuing care service indicate marked differences in the services received by men and women, and raise questions concerning whether the needs of female patients are adequately served. As a group the women had been in contact with services for longer, had received less intensive input from services, and it appeared that the services had been less responsive to their changing needs. Among those in high contact with the services, the functioning of men and women did not differ, yet women were over-represented in workshops designed for those functioning at a lower level. Women over 45 years of age seemed to be particularly badly served by the organised activities offered.
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Place, Charlie. "Alcohol related brain damage – a case of neglect?" Advances in Dual Diagnosis 7, no. 3 (August 12, 2014): 129–36. http://dx.doi.org/10.1108/add-02-2014-0008.
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Purpose – The purpose of this paper is to argue that alcohol-related brain damage (ARBD) is a neglected problem. ARBD is a term that has begun to be used over the past decade to describe prolonged cognitive impairment caused by alcohol use, including Wernicke's encephalopathy and Korsakoff syndrome, alcohol dementia and alcohol-related brain injury. Design/methodology/approach – The paper provides an overview of ARBD describing the research around its prevalence and prognosis. There is a consensus in the literature that there is little research and a lack of awareness of this condition. The author uses case studies from his own experience working with people with ARBD to describe the difficulties in accessing appropriate assessment and care for this group, and suggests that they are often excluded in a way that is familiar from the experience of the person with “dual diagnosis”. Findings – Recommendations are made including raising awareness, improving screening for cognitive impairment and developing specialist services. Originality/value – ARBD appears to have been neglected in the “dual diagnosis” world and this paper attempts to address this, and so should be of interest to a wide range of professionals working with substance use, mental health, homelessness and social work.
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Beard-Blackband, Kayleigh, and Jerome Carson. "Kayleigh Beard-Blackband in conversation with Jerome Carson." Mental Health and Social Inclusion 20, no. 4 (November 14, 2016): 208–11. http://dx.doi.org/10.1108/mhsi-07-2016-0019.
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Purpose The purpose of this paper is to provide a profile of Kayleigh Beard-Blackband. Design/methodology/approach Kayleigh provides a short biographical description of her life. She is then interviewed by Jerome. Findings Kayleigh achieved so much while under intense domestic and academic pressure. This gives her hope that she will be able to recover from recurrent depression. Research limitations/implications Single case studies are of course only one person’s story. However, they can offer key personal insights and provide encouragement to others. Practical implications Kayleigh’s comments “It is easy to fall off the radar in mental health services”, suggest services need to ensure that all referrals are followed up. Social implications Services need to offer individuals the help that they want. Many will have a preference for individual over group treatments. People should be offered a choice. Originality/value Kayleigh’s story is a remarkable account of survival and growth against all the odds.
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Hogan, Louise, and Anita O'Donovan. "Older people’s experience of radiotherapy services." Advances in Modern Oncology Research 2, no. 2 (June 16, 2016): 111. http://dx.doi.org/10.18282/amor.v2.i2.107.
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<p>The highest prevalence of cancer is seen in the older population. With an increase in average life expectancy, the age demographics of cancer patients have also increased. Studies have shown that health professionals are often unaware of the fact that older patients present different needs as compared to younger patients. Radiotherapy departments may also lack the necessary facilities to cater for additional care and support for older patients. The aim of this study was to investigate the experience of elderly cancer patients undergoing radiotherapy. A qualitative approach was used in this experimental research. One focus group (n = 4) and two individual interviews were conducted with participants who had previously undergone radiotherapy in Ireland. The question schedule investigated key areas of care: travelling to care, emotional difficulties, information needs, financial costs and follow-up care. A thematic long table method was used to analyse the data. Department delays, radiotherapy staff, car-parking, embarrassment and lack of self-confidence, information overload, as well as poor emphasis on support groups were the impact themes identified. One of the main issues identified was in relation to the timing of information and “information overload”. Further investigation is required to elucidate this area.</p>
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Schädler, Johannes, and Martin F. Reichstein. "Sektoralisierung Sozialer Dienste als kommunales Koordinationsproblem – Empirische Befunde am Beispiel der Behindertenhilfe, Pflege und Sozialpsychiatrie." Sozialer Fortschritt 68, no. 10 (October 1, 2019): 819–38. http://dx.doi.org/10.3790/sfo.68.10.819.
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Zusammenfassung Der Beitrag stellt Ergebnisse empirischer Untersuchungen zu den Feldern der Behindertenhilfe, Pflege und Sozialpsychiatrie zur Diskussion, die im Rahmen des zweijährigen Forschungsprojekts KoKoP durch eine Forschungsgruppe des ZPE der Universität Siegen durchgeführt wurden. Diese bestätigen Annahmen über Sektoralisierungsprobleme in der Erbringung von Unterstützungsleistungen im Einzelfall, aber auch auf der Ebene des kommunalen Angebotssystems. Sektoralisierungsphänomene ergeben sich vor allem aus leistungsrechtlichen Zuordnungen, fest verankerten fachlichen Annahmen, Berufsgruppenprofilen sowie aus praktizierten Routinen der jeweiligen organisationalen Felder, die in den ihnen zugehörigen Organisationen institutionalisiert sind. Abschließend werden Implikationen für die kommunale Planungspraxis dargestellt sowie weitergehender Forschungsbedarf skizziert. Abstract: Results from Empirical Studies on Local Fields of Disability Services, Long-Term Nursing Care and Mental Health Services This paper presents results from empirical studies on local fields of disability services, long-term nursing care and mental health services which were carried out by a research group of the ZPE, University of Siegen. Results support assumptions about sectoralization problems in the provision of services at both individual and service system level. Sectoralization phenomena stem primarily from the assignment of services to legal categories of funding systems, from taken-for-granted assumptions in use, but also from professional traditions and routines practiced in each field. Finally, challenges and options for local communal planning practice are presented, while further research needs are outlined.
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Herz, Thomas Ph, Florian Hamel, Falk Uebernickel, and Walter Brenner. "A Multisourcing Maturity Model as an IT Governance Mechanism for Business Groups." International Journal of IT/Business Alignment and Governance 2, no. 2 (July 2011): 1–14. http://dx.doi.org/10.4018/jitbag.2011070101.
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Implementing multisourcing in business groups is challenging, and linear-extension of dyadic information technology (IT) outsourcing literature is insufficient to cope with multisourcing specifics. By pursuing design science research (DSR) as the research orientation and utilizing expert interviews, action research and case studies as individual research methods, the authors propose a multisourcing maturity model as an IT governance mechanism. This article contributes in four areas: first, it derives requirements for IT governance mechanisms intended to support the implementation of multisourcing in business groups; second, it identifies the research gap by analyzing current concepts; third, it develops a maturity model; and fourth, it demonstrates the application of the model with two real-life case examples of leading financial services providers. Moreover, the maturity model provides practical guidance for coping with the challenges of implementing multisourcing by identifying the required capabilities, illustrates a desired evolution path to effectively and efficiently utilize multisourcing, and can be employed for steering multisourcing in business groups.
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Wasco, Sharon M., and Rebecca Campbell. "Emotional Reactions of Rape Victim Advocates: A Multiple Case Study of Anger and Fear." Psychology of Women Quarterly 26, no. 2 (June 2002): 120–30. http://dx.doi.org/10.1111/1471-6402.00050.
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This research explores the emotional reactions of a rarely studied group of women who work closely with survivors of sexual violence: rape victim advocates. Women who assist rape victims in obtaining medical, criminal justice, and mental health services were interviewed about their experiences, and qualitative analysis was used to delineate the situational context of the advocates' emotional reactions. Results indicate that respondents experienced anger and fear in response to both individual (e.g., a perpetrator's menacing glare) and environmental (e.g., community denial of a problem) cues. Additionally, some experienced rape victim advocates perceived their emotional reactions to be an important part of their work with rape victims. These findings suggest that intense emotional reactions, previously conceptualized within a vicarious trauma framework, may at times serve as resources for women working with rape survivors.
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Lusmilasari, Lely, Yupin Aungsuroch, Widyawati Widyawati, Sunisa Sukratul, Joko Gunawan, and Melyza Perdana. "NURSING RESEARCH PRIORITIES IN INDONESIA AS PERCEIVED BY NURSES." Belitung Nursing Journal 6, no. 2 (April 28, 2020): 41–46. http://dx.doi.org/10.33546/bnj.1055.
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Background: To promote excellence in nursing research, setting research priorities is needed to meet the need of community aligned with the national context. Unfortunately, limited number of studies has examined nursing research priorities in Indonesia.Objective: To identify nursing research priorities in Indonesia from the perspectives of nursing experts.Methods: This was a descriptive qualitative study. Focus group discussion was conducted among participants who were purposively selected (n = 13). Data were analyzed using a consensus-based method.Results: The top ten research priority lists were identified. The priorities were nurse competence, quality of nursing care in nursing services, nursing policy, nurse work environment, nurse mobility, interprofessional education and collaboration, teaching learning evaluation, nursing career, complementary therapy in nursing, and technology and informatics in nursing.Conclusion: Findings of this study could be used as the basis of direction for development of future research in Indonesia.
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Rizaev, Zhasur Alimdzhanovich, Rahimberdiev Rustam Abdunosirovich, and Nazarova Nodira Sharipovna. "Ways To Improve The Organization Of Dental Services For Chemical Industry Workers." American Journal of Medical Sciences and Pharmaceutical Research 02, no. 12 (December 28, 2020): 35–39. http://dx.doi.org/10.37547/tajmspr/volume02issue12-07.
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In recent years, research has been carried out to study the problems of improving the organization of dental care for both the General population and individual categories of industrial workers4,6. However, to date not carried out in-depth studies on the problems of improvement of dental care to employees of the chemical industry in the new socio-economic conditions of development of industrial complex and reform of the health system, there is no comprehensive study of the current status of dental service medical-sanitary unit (MSCH) large enterprises, comparison of availability and quality of dental care to employees at the place of residence and place of work. The purpose of this review is to study the dental morbidity of chemical workers, develop measures to improve their dental health and improve the quality of life. At the present stage of development of the industrial complex of our country, a number of large enterprises have the opportunity to organize dental care for employees, primarily with harmful working conditions, at a higher level. At the same time, the implementation of the preventive orientation in dental care for the working population remains an unsolved problem2,3. The successful functioning of any medical service in modern conditions is possible only with the optimal interaction of all parts, all elements of the health system depends largely on the level of organization and management of medical institutions to optimize their work7,8. Keywords: Condition of the mucous membrane of the oral cavity, the hard tissues of teeth and paradontium, taste analyzer, unfavorable factors of production. Material And Methods Of Research: It is planned to conduct a study of 120 workers of JSC "samarkandkime" - the main group, as well as 115 patients who applied to polyclinic No. 10 and are not related to the chemical industry - the control group. The data that was received was subjected to statistical processing using the Microsoft Excel application package. The reliability of the difference in parameters was determined by the student's criterion. Results and discussion.Currently, the issues of dental health for workers in various industries are relevant. Various harmful factors of production can have a negative impact on human health, including on the tissues of the teeth, periodontal, oral and lip mucosa.
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Lingens, Solveigh P., Holger Schulz, and Christiane Bleich. "Evaluations of psychosocial cancer support services: A scoping review." PLOS ONE 16, no. 5 (May 4, 2021): e0251126. http://dx.doi.org/10.1371/journal.pone.0251126.
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Background A diagnosis of cancer leaves most patients with cancer and their relatives with an increased psychological burden. Throughout the course of the illness, social, occupational or legal changes may lead to psychological distress. Psychosocial cancer support services offer psychological, social and legal support. However, little is known about the effectiveness of psychosocial support services implemented in health care. Therefore, this scoping review aims to provide an overview of current literature evaluating out-patient psychosocial support services. Methods Databases searched were PubMed, PsycINFO, PSYNDEX, PsycArticle, Medline, Web of Science, Google Scholar, Cochrane, and Embase. Two independent researchers conducted the systematic search. We included studies that were published in English and assessed at least one patient reported outcome measure. Studies that assessed psychotherapy, online support or telephone counselling were excluded. The review was reported according to PRISMA-ScR guidelines. A search of the databases identified 2104 articles. After excluding duplicates, screening titles, abstracts and full-texts, 12 studies matching the criteria were identified. Results One study was an RCT, six were prospective with no control group and five studies were cross-sectional with one measurement point. The most common outcome measures across studies were well-being, concerns and satisfaction with the support services. Conclusion While the included studies indicate some improvements to well-being for patients with cancer, the low number and lack of high quality of studies indicate these findings should be interpreted with caution. However, high-quality research on the effectiveness of psychosocial support services is needed to determine that the interventions are effective.
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Crisp, Ross. "Rehabilitation Counselling Theory and Quality Practice Reported in The Australian Journal of Rehabilitation Counselling." Australian Journal of Rehabilitation Counselling 7, no. 2 (2001): 65–73. http://dx.doi.org/10.1017/s1323892200000739.
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In this study, the author reviewed 32 studies, published in The Australian Journal of Rehabilitation Counselling (AJRC) from 1995 to 2000, that examined the authors' theoretical perspectives and how the authors and/or rehabilitation counsellors (RCs) as research participants defined quality practice. Their theoretical perspectives ranged from systems, psychological and psychosocial theories and specific disability or minority group issues. These theoretical perspectives were examined in relation to the methods of quality practice advocated by AJRC authors and/or their RC-research participants, these being: relationship building, assessment, goal setting, affective and vocational counselling, case management, self-care, and evaluation of services. Notwithstanding a commendable diversity in the range of theory and quality practice reported, several AJRC authors observed a lack of clarity regarding the professional identity of RCs; and the research papers lacked consistency and clarity in defining the characteristics of RC-participants. There were also opposing views concerning where RCs stood in relation to other stakeholders in the rehabilitation process. Further research is recommended to better understand the diversity evident in the roles and functions of Australian RCs in different rehabilitation settings.