Search results

1 – 10 of 30
Per page
102050
Citations:
Loading...
Access Restricted. View access options
Article
Publication date: 23 January 2009

Martin Rabey, Sharon Morgans and Cathy Barrett

The purpose of this paper is to discuss the scepticism that persists among medics regarding appropriateness of some aspects of services provided by extended scope physiotherapists…

1909

Abstract

Purpose

The purpose of this paper is to discuss the scepticism that persists among medics regarding appropriateness of some aspects of services provided by extended scope physiotherapists (ESPs). This paper aims to highlight the extent and appropriateness of surgical and radiological referrals by ESPs working in an adult orthopaedic service.

Design/methodology/approach

The patient pathway following ESP assessment was audited over 31 months. Parameters explored included ESP referral rates to orthopaedic consultants; the percentage of patients where the entire episode of care was managed by the ESP; whether orthopaedic referrals were appropriate in terms of surgical interventions; and numbers of radiology referrals specifically for knee or lumbar complaints.

Findings

Of the patients, 79 per cent had their entire episode of care managed by ESPs. Of the patients, 9 per cent were referred on for a surgical opinion (of which 42 per cent knees, 20 per cent lumbar). 13 per cent were referred for x‐rays, 10 per cent for magnetic resonance imaging. Of the patients referred on for surgical opinion surgical intervention was appropriate in 89 per cent of cases.

Research limitations/implications

Data from an ESP service with broad guiding protocols in a specific hospital are not readily extrapolated to ESPs elsewhere. Appropriateness of onwards referrals was based on the opinions of consultants to whom patients were referred. The potential benefit of a second opinion even if surgery is not offered is not taken into account by this model.

Practical implications

These audits reinforce the impact ESPs have on efficiency within orthopaedics. They document referral rates for x‐rays and magnetic resonance imaging by ESPs for lumbar and knee complaints that may benefit units proposing new ESP services.

Originality/value

This paper reinforces published data on ESP management of the entire episode of care of the majority of referrals to orthopaedics, and on the highly appropriate nature of onwards referrals. Documented for possibly the first time, data regarding investigations for lumbar and knee disorders highlight low referral rates.

Details

Clinical Governance: An International Journal, vol. 14 no. 1
Type: Research Article
ISSN: 1477-7274

Keywords

Available. Content available
Article
Publication date: 1 January 2009

Cathy Ham

108

Abstract

Details

Strategic HR Review, vol. 8 no. 1
Type: Research Article
ISSN: 1475-4398

Access Restricted. View access options
Article
Publication date: 1 June 2004

Richard Barrett

Although few organizations would claim to have sophisticated and well integrated performance management programs up and running, during the last two years the concept of…

4915

Abstract

Although few organizations would claim to have sophisticated and well integrated performance management programs up and running, during the last two years the concept of performance management has undergone a major transition. Up until the late 1990s, performance management as a concept was being nurtured in business schools and was predominantly concerned with the balanced scorecard. Other than for a few best of breed vendors, it was not something that the software industry got too involved with, as implementing wall‐to‐wall ERP and CRM solutions was far more lucrative. However, things have changed. Performance management has leapt out of its pram and started to scream around the nursery. Just like any toddler, it is making a lot of noise and at times can be very difficult to comprehend. Exactly how, when and in what order events happened is difficult to pin down, but its transformation is certainly manifest. This article discusses the rapid evolution of performance management; the competitive and regulatory pressures that are providing momentum to performance management and concludes by examining how companies are merging individual performance management methodologies into integrated solutions.

Details

Measuring Business Excellence, vol. 8 no. 2
Type: Research Article
ISSN: 1368-3047

Keywords

Access Restricted. View access options
Book part
Publication date: 25 July 2014

Cathy Hall-van den Elsen and Tom Palaskas

This chapter takes an implementation case study approach to inform project planners, senior academics, and academic developers about the design and implementation of a…

Abstract

This chapter takes an implementation case study approach to inform project planners, senior academics, and academic developers about the design and implementation of a professional development (PD) program that prepared 700 faculty in an Australian university to reimagine their teaching practice. The catalyst for this transformation was the move from traditional classrooms to next generation learning spaces (NGLS) in the newly constructed and purpose-built environment of RMIT University’s Swanston Academic Building (SAB). The study identifies the challenges and change management issues faced by the project team, faculty, and other stakeholders.

Default teaching styles for many tertiary teachers can replicate the “best” and “worst” practices from their own student experience. As actors in their own classrooms tertiary teachers autonomously create learning environments that they consider appropriate to communicate the content, context, and culture of their particular discipline. The design and implementation of the PD and transition plan took into account the needs and perceptions of staff from each discipline area, the affordances of the new learning spaces, and their associated technologies.

This chapter contributes to a growing body of knowledge about the experience of academic and teaching staff during transition from traditional to NGLS, providing a description of the process undertaken in one university, the outcomes achieved, and the lessons learnt.

Details

The Future of Learning and Teaching in Next Generation Learning Spaces
Type: Book
ISBN: 978-1-78350-986-7

Keywords

Access Restricted. View access options
Article
Publication date: 1 November 2006

Zarrina Kurtz and Cathy Street

Research has highlighted problems in accessing mental health services for people from minority ethnic groups. Much of this literature is focused on adults. The Minority Voices…

911

Abstract

Research has highlighted problems in accessing mental health services for people from minority ethnic groups. Much of this literature is focused on adults. The Minority Voices study aimed to identify and describe the perceptions and use of mental health services from the viewpoint of black and minority ethnic (BME) young people aged between 12 and 25 in England and Wales, and to examine initiatives designed to improve the access to, and acceptability of, services for these young people. It used a mixed methods approach, including a literature review, national service mapping, in‐depth interviews and focus groups in four sample areas and action research in preparing materials designed by BME young people. A number of issues that impede access to services, and that are specific to them, were identified and explored with young people from BME groups. These include concerns related to discrimination and racism, confidentiality, family and community pressures, uncertainty about any help they may receive, and marked fears of the stigma that surrounds mental health difficulties. Within services, a lack of capacity of targeted services and of cultural competence were highlighted. The research concluded that there is a need to improve awareness of mental health and information about services among BME communities, and for child and adolescent mental health services (CAMHS) to work with these communities to explore ways in which acceptable and appropriate mental health expertise can be made more readily available through both informal and mainstream provision.

Access Restricted. View access options
Book part
Publication date: 30 October 2024

Sophia Lin, Cathy Sherry, Tema Milstein, Seema Mihrshahi and Sara Grafenauer

The chapter highlights the growing phenomenon of hunger in affluent nations among vulnerable groups, such as university students. It draws on the results of two studies on food…

Abstract

The chapter highlights the growing phenomenon of hunger in affluent nations among vulnerable groups, such as university students. It draws on the results of two studies on food insecurity in the student body at an Australian university in Sydney. It highlights the need and desire of students for increased food literacy at a formative stage of their lives, noting the absence of food growing skills as a recognised part of current understanding of food literacy. The chapter discusses the way in which urbanisation and modern food systems have created such a profound disconnect between people and food production that it no longer occurs to governments and institutions in the Global North that people could grow their own food. The chapter explores historical and global examples of urban agriculture producing meaningful quantities of supplementary food, particularly in times of crisis. Urban agriculture can augment access to safe and nutritious foods (SDG2.1), increase productivity of small producers through knowledge dissemination (SDG2.3), create resilient agricultural practices, maintain ecosystems (SDG2.4), and genetic diversity of seeds through seed-saving practices (SDG2.5). The chapter concludes with a case study of a campus food garden used to increase student food literacy, providing an exemplar for higher education institutions that want to engage with the aims of SDG2 in the context of their own campus.

Details

Higher Education and SDG2: Zero Hunger
Type: Book
ISBN: 978-1-83608-458-7

Keywords

Access Restricted. View access options
Article
Publication date: 1 January 1983

Janet L. Sims‐Wood

Life studies are a rich source for further research on the role of the Afro‐American woman in society. They are especially useful to gain a better understanding of the…

313

Abstract

Life studies are a rich source for further research on the role of the Afro‐American woman in society. They are especially useful to gain a better understanding of the Afro‐American experience and to show the joys, sorrows, needs, and ideals of the Afro‐American woman as she struggles from day to day.

Details

Reference Services Review, vol. 11 no. 1
Type: Research Article
ISSN: 0090-7324

Access Restricted. View access options
Article
Publication date: 1 July 2001

Cath McGrother, Cathy Thorp, Nick Taub and Orlando Machado

Evidence from a variety of sources suggests that there has been an increase of around 1% per annum in the prevalence of learning disability (LD) in adults over the last 35 years…

317

Abstract

Evidence from a variety of sources suggests that there has been an increase of around 1% per annum in the prevalence of learning disability (LD) in adults over the last 35 years, due mainly to increases in survival. This trend is likely to continue for at least another ten years. Ninety‐six percent of adults notified to the Leicestershire LD register have an estimated IQ below 50 or need supervision every day to remain safe. Three‐quarters have additional significant disabilities including behaviour problems, psychological symptoms, physical dependencies or epilepsy. In one quarter the behaviour problem poses a major challenge to the achievement of an ordinary life. Two‐thirds indicate a need for help from one or other specialist. Informal carers are actively providing care for nearly half the adults, but a quarter are not content with care‐giving. Carers Report 40% more limiting health problems than their counterparts in the general population, in particular depression in women and cardiovascular problems in men. The specific areas of unmet need among carers Reporting depression are for financial help, long‐term social support and medical advice. Resource allocation for this client group needs to be reviewed in the light of substantial and unrecognised increases in prevalence which are continuing to occur, and the need for long‐term support.

Details

Tizard Learning Disability Review, vol. 6 no. 3
Type: Research Article
ISSN: 1359-5474

Access Restricted. View access options
Article
Publication date: 24 May 2013

Cathy M. Natukunda, Michael Pitt and Amir Nabil

This study is aimed at analysing the current procurement practice of facilities management services in Uganda, from which the growth of facilities management in Uganda may be…

1475

Abstract

Purpose

This study is aimed at analysing the current procurement practice of facilities management services in Uganda, from which the growth of facilities management in Uganda may be projected.

Design/methodology/approach

Survey questionnaires were carried out, along with self‐administered surveys.

Findings

It was discovered that although some organisations insource a number of facilities management services, the majority is outsourced. The analysis showed that the most popularly outsourced services are security and catering. The most common driver for outsourcing was the necessity to gain quality services from another organisation's expertise. For the organisations that procure services in‐house, the most common motivation to do so was the desire to control the service quality and response time.

Originality/value

One of the key conclusions drawn is that the facilities management industry in Uganda – though not officially recognised – exists in a capacity separate to property management. It is a field that shows steady growth in line with the economy.

Details

Journal of Corporate Real Estate, vol. 15 no. 2
Type: Research Article
ISSN: 1463-001X

Keywords

Access Restricted. View access options
Article
Publication date: 17 January 2025

Rebecca Lyndsey Hardiman and Cathy Harding

This paper aims to describe the approach taken to identify areas for development and to enhance positive practice, in line with a preventative tier 1 positive behaviour support…

29

Abstract

Purpose

This paper aims to describe the approach taken to identify areas for development and to enhance positive practice, in line with a preventative tier 1 positive behaviour support (PBS) approach. The work was conducted within a supported living service, where 10 individuals with a learning disability reside.

Design/methodology/approach

The intervention was provided through a dedicated behavioural clinical specialist role over nine months. An initial assessment included measures evaluating PBS, active support and staff culture. Narrative themes were also noted from discussions with staff to deepen the understanding of informal staff culture. Together, this informed a programme of work guided by the setting of both individual and service-wide goals. Input included practice leadership, staff training, review of PBS plans and delivery of case workshops. Assessments were then repeated to evaluate the work completed.

Findings

There were indications of improvements in staff culture and practice following the intervention.

Originality/value

This practice example may be useful for other organisations to consider when thinking about how to use resources effectively to improve people’s quality of life and implement tier 1 of PBS provision.

Details

Tizard Learning Disability Review, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1359-5474

Keywords

1 – 10 of 30
Per page
102050