William O'Driscoll, Gill Livingston, Anne Lanceley, Caoimhe Nic a' Bháird, Penny Xanthopoulou, Isla Wallace, Manonmani Manoharan and Rosalind Raine
The purpose of this paper is to explore physical and mental health patients’ experience of multidisciplinary team (MDT) care and decision making in order to highlight factors…
Abstract
Purpose
The purpose of this paper is to explore physical and mental health patients’ experience of multidisciplinary team (MDT) care and decision making in order to highlight factors underlying effective care and to identify areas in which patient experience could be improved.
Design/methodology/approach
Totally, 12 MDTs within the North Thames area participated; the authors recruited 13 patients from physical health MDTs and seven patients from mental health MDTs. The authors conducted semi-structured interviews with each participant and thematically analysed the transcripts.
Findings
The study found a marked contrast in patient experience: physical health patients emphasised their faith in the judgement of MDT clinicians, described experiencing high quality care and expressed a strong preference not to attend MDT meetings; mental health patients highlighted a range of negative experiences, were frequently sceptical about their diagnosis, and expressed a desire to have greater involvement in the decisions directing their care.
Research limitations/implications
It was necessary to revise the initial target of interviewing six patients per MDT due to recruitment difficulties.
Practical implications
In order to improve care, mental health MDTs should focus on promoting a shared understanding of illness by increasing the transparency of the diagnostic process. Key factors underlying effective MDT care in physical health services include enabling patients to determine their level of involvement in decision making and ensuring patients have a clear understanding of their care plan.
Originality/value
The paper highlights the importance of mental health MDTs focusing on developing a shared understanding of illness with their patients.
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Asael Islas-Moreno, Daniel Emigdio Uriza-Ávila, Ana Lieseld Guzmán-Elizalde and Gabriel Aguirre-Álvarez
The study aims to analyze the effect of the previous preparation and the work carried out in the field during a study trip on the development of competencies in agribusiness…
Abstract
Purpose
The study aims to analyze the effect of the previous preparation and the work carried out in the field during a study trip on the development of competencies in agribusiness students.
Design/methodology/approach
The destination was the pineapple area of the Papaloapan Lower Basin in Mexico, and 42 students from 6 different semester levels participated. The students answered a test prior to the trip, received an evaluation for their activities in the field and prepared reports and posters as products of the experience. The relationship between the scores obtained was examined through a comparative analysis.
Findings
The findings are framed in the cyclical model of experiential learning with four stages (feeling, watching, thinking and doing) by Kolb (1984). It is found that the acquisition of specific knowledge about what the experience will entail leads to better preparation, motivation and confidence to live the experience (potentiation of feeling and watching). In turn, specific knowledge and better use of experience promote the development of problem solving, interpersonal and communication skills (potentiation of thinking and doing).
Research limitations/implications
Statistical representativeness is not a quality of the study since it is based on a comparative analysis.
Originality/value
The study analyzes an educational component of great value in the business area, about which little is known in the agribusiness subarea.
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Jerry Lassos and Steven C. Haas
Across the United States, Native Americans1 are often underrepresented in gifted and talented programs. The education publications tend to be replete with literature focused on…
Abstract
Across the United States, Native Americans1 are often underrepresented in gifted and talented programs. The education publications tend to be replete with literature focused on their general failures and challenges in general education, and little attention is placed on those students who are currently in gifted education programs or have the potential for such advanced academic services. This chapter focuses specifically on the underrepresentation of Native American students in gifted programs and how educators could better identify and service this student population in gifted education.
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Eduardo Parra-López and José Alberto Martínez-González
The purpose of this study is to synthesize the published works about tourism in the island. Island destinations, especially smaller ones, suffer the negative effects of tourism…
Abstract
Purpose
The purpose of this study is to synthesize the published works about tourism in the island. Island destinations, especially smaller ones, suffer the negative effects of tourism more than other destinations. This is because of the characteristics of island destinations and the negative impacts arising from their inadequate management by different stakeholders. For these reasons, and conversely because tourism favors the social and economic development of islands, there has been a great deal of research published on insular tourism in the literature at a global level. Despite the number of studies carried out from different approaches, none have synthesized this scientific production. Thus, the main contribution of this paper is the use of a bibliometric and descriptive approach to carry out a thorough review of studies published on tourist development in island destinations.
Design/methodology/approach
The authors use a bibliometric and descriptive approach to carry out a comprehensive review of the published studies on tourism development in island destinations in the past decade with special emphasis on the items analyzed, places of analysis and scientific journals that have addressed this topic.
Findings
The results of the analysis of the literature show the interest of the study of tourism in island destinations. This interest is partly due to the attraction that tourists have for this type of destinations and the need to promote their sustainable management as tourism destinations (Cusick, 2009, Hall, 2011, Cave and Brown, 2012, López, Orgaz, Marmolejo and Alector, 2016). In addition, tourism in island destinations constitutes an opportunity for economic development and benefits both the local population and its visitors (Fabinyi, 2010; Porter et al., 2015).
Research limitations/implications
The main limitation of this paper is the great diversity of tourist destinations made up of islands, the complex nature of these destinations and tourism and the quantity and diversity of research carried out into them. This aspect has already been highlighted by other authors and makes it complex to determine which research should be included or excluded in this review.
Practical implications
Importantly, the results allow researchers and decision-makers to identify the main areas of interest in the study of island tourism and the reasons for this interest. They also indicate new areas of interest and in-depth studies. Thus, professionals have a map that shows the most relevant factors in tourism development for this type of destination and the variables that, both from a positive and a negative point of view, influence its development.
Social implications
This research shows that the main areas of interest is island destination are the quality of life of the local community, stakeholder collaboration, sustainability, diversification and seasonality, marketing, consumer behavior/perception and segmentation, planning of tourism activity, information and technology, competitiveness and efficiency.
Originality/value
As evidenced by the amount of research carried out, there is a great deal of interest in tourism in island destinations. This interest arises from the specific characteristics and the interest of tourists themselves in this type of destination, as well as from the negative impacts and opportunities generated by island tourism. Nevertheless, the number of references obtained for tourism in island destinations (N = 949) represents only 0.2 per cent of the total number of studies referring to only “island” in the SCOPUS consultation (339,607 studies). Thus, one of the contributions of this paper has been to highlight the need to continue studying and reviewing in greater depth research on insular tourism.
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Current orthodoxy in management text and training is the humanresource management model which has its origins in the excellence andquality models of US business writings…
Abstract
Current orthodoxy in management text and training is the human resource management model which has its origins in the excellence and quality models of US business writings. Investigates the failure of “Jurassic management”: visioning, consensus value systems, proactively created teams, and development planning. Just as Jurassic Park failed, so will self‐managing schools and colleges unless they recognize that certain management development programmes are leading them into disaster. Argues that organizations should not be seeking stability with the environment and meeting the needs of customers, but should be creating the environment and celebrating professional competence. Shows that Chaos Theory can be applied to educational institutions in order to identify that survival in turbulent times is based on the capacity of educational managers to make rather than control the future. Management development is at a critical point whereby the choices will create the future: the key learning outcome from Chaos Theory is that self‐organization and micropolitics are essential to understanding organizational survival and development.
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George S. Rousseau and Roger A. Hambridge
DAVID HERBERT (1830–99), classical tutor, journalist and aficionado of eighteenth‐century literature and history, was born on 15 April 1830 in Glasgow, at the home of his parents…
Abstract
DAVID HERBERT (1830–99), classical tutor, journalist and aficionado of eighteenth‐century literature and history, was born on 15 April 1830 in Glasgow, at the home of his parents on Castle Street. He spent his early life in Glasgow where his father, James Herbert, worked in a shop.