Search results

The purpose of this paper is to explore perceptions of quality of life (QoL) of people with a dual diagnosis of learning disability and autism to facilitate a better understanding for clinical practice and service provision.

Mixed methods were used to gain perceptions of QoL from 20 individuals referred to their local diagnostic service. Individuals completed questionnaires and participated in in-depth interviews which were thematically analysed.

Subjective wellbeing scores were lower than those found in previous research. Social interaction was raised extensively with participants describing both positive and negative perceptions. The need for tailored social support and the value of individual control over environment were raised.

The study was small in scale and limited to subjects who had been referred for a diagnostic service. The study identified the need for further investigation, particularly in relation to the social relationships domain of QoL, and the impact of stress and anxiety.

This study demonstrated that it is possible to access views from this group and that these views are nuanced. It suggests differences between reported QoL in people with learning disabilities who are and who are not autistic. Service design and individual approaches could be improved by a better understanding of these differences.

Future waste management in the UK will have to address the problem of rising costs of waste disposal. The current financial costs of landfill disposal represent an under pricing of the waste assimilative capacity of the environment. Economic, social and political pressures over the coming decade will serve to force up disposal costs closer to the “true” economic cost to society. The cost rise will have important positive ramifications for waste minimisation and waste recycling. It is argued that rational decision making in the waste management context has been made more difficult in the UK because of a series of failures: information failure; lack of “systems” thinking; institutional failure; lack of economic cost‐benefit thinking.

This paper report on the evaluation of a project that aimed to improve the integration of care homes with health and social care services and with the wider community.

The evaluation adopted a mixed methods approach, combining quantitative performance data with semi‐structured stakeholder interviews and emergency bed use costings.

The evaluation suggests that the project made significant steps towards integrating care homes with the health and social care community and demonstrated cost savings through reduced hospital bed use.

Health and social care interventions aimed at upskilling care home staff can increase standards of care and quality of life for residents; they are also likely to highlight unmet needs.

The project demonstrated the need for better integration of health and social care services with care homes in order to improve quality of life for residents.

The purpose of this study is to assess the use of digital collections created via the large-scale digitization of archival collections. The large-scale digitization method specifically examined is the reuse of archival description from finding aids to create digital collections that consist mainly of compound digital objects, equivalent to a folder of items, minimally described at the aggregate level. This paper compares Web analytics data for two large-scale digital collections and one digital collection with rich, item-level description.

This study analyzed one year of Web analytics for three digital collections. The main research question of this study is: Are digital collections of minimally described compound objects used less than digital collections of richly described single objects?

This study found that the large-scale digital collections analyzed received less use than the traditional item-level collection, when examined at the item level. At the object level, the large-scale collections did not always receive less use than the traditional item-level collection.

This study is limited to three different digital collections from one institution. Web analytics also represent a limited interpretation of “use.”

This study presents a method for other institutions to assess their own large-scale digitization efforts and contributes to the profession’s understanding of the impact of large-scale digitization.

This paper is unique because it uses Web analytics to compare the use of large-scale digital collections to the use of traditional boutique digital collections.

The purpose of this paper is to discuss three potential contributions from implementation science that can help clinicians and researchers to design and evaluate more effective integrated care programmes for older people with frailty.

This viewpoint paper focuses on three contributions: stakeholder engagement, using implementation science frameworks, and assessment of implementation strategies and outcomes.

Stakeholder engagement enhances the acceptability of interventions to recipients and providers and improves reach and sustainability. Implementation science frameworks assess provider, recipient and wider context factors enabling and hindering implementation, and guide selection and tailoring of appropriate implementation strategies. The assessment of implementation strategies and outcomes enables the evaluation of the effectiveness and implementation of integrated care programmes for this population.

Implementation science provides a systematic way to think about why integrated care programmes for older people with frailty are not implemented successfully. The field has an evidence base, including how to tailor implementation science strategies to the local setting, and assess implementation outcomes to provide clinicians and researchers with an understanding of how their programme is working. The authors draw out implications for policy, practice and future research.

Different models to deliver integrated care to support older people with frailty exist, but it is not known which is most effective, for which individuals and in which clinical or psychosocial circumstances. Implementation science can play a valuable role in designing and evaluating more effective integrated care programmes for this population.

The purpose of this review was to explore the literature for evidence of the impact of interprofessional practice models on health service inequity, particularly within community care settings for diverse ageing populations.

An integrative systematic literature review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework combined with the EndNote reference management system. Following the collection and comprehensive screening process completion, a thematic analysis of the included articles occurred utilising within NVivo 12 software.

The review found that there was a paucity of evidence related to the relationship between interprofessional practice models (IPM) and health service equity for ageing populations. There is a need to improve collaborative practices between social care, public health care and health service providers to more clearly define team member roles. Key aspirations included the need for future innovations in health service delivery to place health service equity as a goal for interprofessional practice. There is a need to find ways to measure and articulate the impact for vulnerable populations and communities.

The review offers insight into the need for health care delivery models to place health service equity at the centre of the model design. In practice settings, this includes setting interprofessional team goals around achieving equitable care outcomes for, and with, vulnerable populations. Implications for practice relate to improving how interprofessional teams work with communities to achieve health care equity.

There is a consensus across the literature that there continues to be health service inequity, yet IPE and interprofessional collaborative practice (IPC) have been growing in momentum for some time. Despite many statements that there is a link between interprofessional practice and improved health service equity and health outcomes, evidence for this is yet to be fully realised. This review highlights the urgent need to review the link between education and practice, and innovative health models of care that enable heath care professionals and social care providers to work together towards achieving health equity for ageing populations. It is clear that more evidence is required to establish evidence for best practice in interprofessional care that has the mitigation of health care inequity as a central objective.

Now in its fifty‐sixth year, Jane's has yet again increased its coverage of the aerospace field. This year there is more text matter than in any previous edition, with a total of 533 pages of editorial matter and a 25‐page index covering the last ten editions. There are about 1,200 illustrations, of which some 650 are new this year. In spite of this, and the upward spiral in production costs, the price remains unchanged.

The authors use concepts from the “communication constitutes organizations” (CCO) literature in combination with Cooren’s (2010, 2012) ventriloquism to demonstrate the symbolic uses of texts and shifting interpretations of authority during a negotiation regarding the future of a nonprofit educational institution. The two sides negotiating over how to resolve a fiscal crisis struggled to achieve legitimacy through competing institutional logics, and this paper captures this process through a detailed account. The paper aims to discuss these issues.

This study emerged from a multi-year full immersion ethnography undertaken by the second author, who spent over 5,000 hours as a participant observer at the organization. The quotes and observations come form field notes taken during this time.

Communication constitutes the nonprofit institution through two communication flows – self-structuring processes and institutional positioning – and these flows symbolically and materially unified the opposing negotiation parties during the negotiation process as each side struggled to gain legitimacy through competing institutional logics. The process of ventriloquism was the mechanism through which different actors and texts negotiated their levels of authority.

This case demonstrates how oppositional groups used and viewed texts throughout a negotiation process, revealing the agency, authority, legitimacy, and symbolic power of texts. This case also highlights the political struggle between institutional logics backed by financial models and professional logics backed by traditional organizational values.

At a material level, this case is a detailed examination of organizational members navigating the negotiation process during a fiscal crisis, but on a symbolic level this case demonstrates the communicative means through which oppositional groups negotiate core organizational values, and whether past values can lead organizations to a sustainable future. The observational depth of this case study was only possible through long term, full immersion ethnography, and this depth provides clarity to abstract concepts from CCO, ventriloquism, and institutional theory.