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Article
Publication date: 1 June 2004

Ian Cunningham

442

Abstract

Details

Employee Relations, vol. 26 no. 3
Type: Research Article
ISSN: 0142-5455

Available. Open Access. Open Access
Article
Publication date: 2 May 2022

Claire O’Brien, Laura Hogan, Peter Ward, William Howard, Rebecca Mooney, Paul Bernard and Grace Corcoran

Emergency Department (ED) presentations in older people are associated with a wide range of adverse events, which increase the risk of lengthy hospitalisation and poor outcomes…

1957

Abstract

Purpose

Emergency Department (ED) presentations in older people are associated with a wide range of adverse events, which increase the risk of lengthy hospitalisation and poor outcomes. Pathfinder is an inter-organisational initiative delivered in partnership between Beaumont Hospital Occupational Therapy and Physiotherapy departments and the National Ambulance Service. Pathfinder responds to non-serious and non-life-threatening emergency medical service (EMS) calls. This study aims to demonstrate how Pathfinder can safely treat a proportion of older people at home by using alternative care pathways (ACPs), therefore avoiding unnecessary ED presentations. Once a decision has been reached to treat the person at home, the Pathfinder follow-up team delivers functional rehabilitation and case management in the persons’ home over the subsequent days.

Design/methodology/approach

This paper outlines the Pathfinder assessment, management and interventions in one clinical case example. Outcome measures include the level of patient satisfaction obtained via routine telephone feedback questionnaire and re-presentation to Beaumont Hospital within 30 days.

Findings

This paper illustrates through a case example the benefit of a collaborative multi-disciplinary rapid response team for non-serious and non-life-threatening EMS calls in older adults. The patient in this case example had no further EMS calls or ED presentations for 30 days after Pathfinder intervention and reported a high level of satisfaction with the service.

Research limitations/implications

ED presentation was avoided through comprehensive multi-disciplinary assessment, including immediate access to intensive follow-up support in the person’s own home.

Practical implications

The Pathfinder service is improving access to ACPs for older people in the Beaumont Hospital catchment area. Pathfinder will now be spread nationally, with local adaptation, so that older people in other parts of Ireland will also benefit from this integrated model of care.

Originality/value

Patient feedback surveys confirm older adults want access to alternative care pathways.

Details

Irish Journal of Occupational Therapy, vol. 50 no. 1
Type: Research Article
ISSN: 2398-8819

Keywords

Available. Content available
Article
Publication date: 1 June 2002

40

Abstract

Details

Pigment & Resin Technology, vol. 31 no. 3
Type: Research Article
ISSN: 0369-9420

Available. Content available
Book part
Publication date: 8 September 2022

Stephen Turner

Free Access. Free Access

Abstract

Details

Mad Hazard
Type: Book
ISBN: 978-1-80382-670-7

Available. Content available
Book part
Publication date: 3 December 2016

Paul R. Carlile, Steven H. Davidson, Kenneth W. Freeman, Howard Thomas and N. Venkatraman

Free Access. Free Access

Abstract

Details

Reimagining Business Education
Type: Book
ISBN: 978-1-78635-368-9

Available. Content available
Book part
Publication date: 19 December 2016

Abstract

Details

Celebrating the James Partridge Award: Essays Toward the Development of a More Diverse, Inclusive, and Equitable Field of Library and Information Science
Type: Book
ISBN: 978-1-78635-933-9

Available. Open Access. Open Access
Article
Publication date: 13 February 2019

Shani Pindek, David J. Howard, Alexandra Krajcevska and Paul E. Spector

Surprisingly, most studies have failed to demonstrate a strong correlation between organizational constraints (conditions at work that make doing a job difficult) and job…

33457

Abstract

Purpose

Surprisingly, most studies have failed to demonstrate a strong correlation between organizational constraints (conditions at work that make doing a job difficult) and job performance. The purpose of this paper is to challenge the view that constraints are a direct barrier on performance and take an alternative approach whereby constraints have an indirect effect via decreased motivation and increased workload. Further, differential effects of various constraints are examined.

Design/methodology/approach

Qualitative and quantitative data were collected from 660 engineers licensed in the state of Florida using a single online survey.

Findings

Qualitative results showed that the most commonly experienced constraints were from coworkers and organizational rules and procedures. Constraints identified as having a greater detrimental effect on motivation are from the supervisor, and organizational rules and procedures. Quantitative results supported an indirect effects model that includes an indirect path via motivation, and a path via workload, which had a curvilinear component.

Originality/value

This is one of few studies to explain the relationship between constraints and performance, rather than simply estimate it. The use of mixed methods allows us to gain an in-depth understanding of constraints, and the convergence of findings across the methods increases confidence in this study’s results.

Details

Journal of Managerial Psychology, vol. 34 no. 2
Type: Research Article
ISSN: 0268-3946

Keywords

Available. Content available
Book part
Publication date: 3 December 2016

Paul R. Carlile, Steven H. Davidson, Kenneth W. Freeman, Howard Thomas and N. Venkatraman

Free Access. Free Access

Abstract

Details

Reimagining Business Education
Type: Book
ISBN: 978-1-78635-368-9

Available. Content available
Book part
Publication date: 17 September 2020

Abstract

Details

War, Peace and Organizational Ethics
Type: Book
ISBN: 978-1-83982-777-8

Available. Content available
Book part
Publication date: 29 March 2021

Free Access. Free Access

Abstract

Details

Advances in Industrial and Labor Relations
Type: Book
ISBN: 978-1-83982-132-5

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