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Article
Publication date: 7 June 2019

Josie Evans, Karen Methven and Nicola Cunningham

As part of a pilot studyassessing the feasibility of record-linking health and social care data, the purpose of this paper is to examine patterns of non-delivery of home care…

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Abstract

Purpose

As part of a pilot studyassessing the feasibility of record-linking health and social care data, the purpose of this paper is to examine patterns of non-delivery of home care among older clients (>65 years) of a social home care provider in Glasgow, Scotland. The paper also assesses whether non-delivery is associated with subsequent emergency hospital admission.

Design/methodology/approach

After obtaining appropriate permissions, the electronic records of all home care clients were linked to a hospital inpatient database and anonymised. Data on home care plans were collated for 4,815 older non-hospitalised clients, and non-delivered visits were examined. Using case-control methodology, those who had an emergency hospital admission in the next calendar month were identified (n=586), along with age and sex-matched controls, to determine whether non-delivery was a risk factor for hospital admission.

Findings

There were 4,170 instances of “No Access” non-delivery among 1,411 people, and 960 instances of “Service Refusal” non-delivery among 427 people. The median number of undelivered visits was two among the one-third of clients who did not receive all their planned care. There were independent associations between being male and living alone, and non-delivery, while increasing age was associated with a decreased likelihood of non-delivery. Having any undelivered home care was associated with an increased risk of emergency hospital admission, but this could be due to uncontrolled confounding.

Research limitations/implications

This study demonstrates untapped potential for innovative research into the quality of social care and effects on health outcomes.

Originality/value

Non-delivery of planned home care, for whatever reason, is associated with emergency hospital admission; this could be a useful indicator of vulnerable clients needing increased surveillance.

Details

Quality in Ageing and Older Adults, vol. 20 no. 2
Type: Research Article
ISSN: 1471-7794

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Article
Publication date: 18 April 2023

Sarah Parker, Tony Ward and Amelia Baldwin

This research aimed to explore individuals with intellectual disabilities (ID) experiences of the therapeutic relationship.

257

Abstract

Purpose

This research aimed to explore individuals with intellectual disabilities (ID) experiences of the therapeutic relationship.

Design/methodology/approach

Six individuals with ID were recruited who were currently having 1:1 therapy. Semi-structured interviews focused on their experiences of the therapeutic relationship.

Findings

Using interpretative phenomenological analysis, six personal experiential themes were identified. These were labelled as a person-centred experience, the importance of adaptions, “I feel like I know you”, a secure base is offered, change does occur and an overlap of subjective experience. The results indicate that participants’ accounts of their experiences indicated that the relationship was important to them. This research also demonstrated that the benefits and value of involving individuals with ID in qualitative research.

Originality/value

To the best of the authors’ knowledge, exploring the therapeutic relationship from the perspective of individuals with ID has not been previously explored in the literature. This research highlights considerations for therapists working with this population to help them facilitate positive therapeutic outcomes.

Details

Advances in Mental Health and Intellectual Disabilities, vol. 17 no. 2
Type: Research Article
ISSN: 2044-1282

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Article
Publication date: 25 May 2022

Tula Brannelly, Steven Trenoweth and Josie Tuck

The purpose of this paper is to present the findings of a discussion between people who use crisis services and academics about the development of a mental health digital…

221

Abstract

Purpose

The purpose of this paper is to present the findings of a discussion between people who use crisis services and academics about the development of a mental health digital technology app.

Design/methodology/approach

The approach is underpinned by participatory methods that centralise the voice of lived experience in the development or delivery of mental health responses.

Findings

The people who contributed to the conversation identified that the app may reflect a recovery approach to mental health whilst also supporting self-management. The app design was a central repository with links to other apps for self-monitoring or interventions.

Originality/value

The app was designed with people with lived experience with an explicit aim to understand what people with lived experience would want from a mental health digital technology.

Details

Mental Health and Social Inclusion, vol. 26 no. 4
Type: Research Article
ISSN: 2042-8308

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Article
Publication date: 29 August 2008

Cheryl A. Lapp and Adrian N. Carr

To show the reader that storytelling can be seen as a form of seduction based on emotional response and thereby preventing a change process within the organisation.

3007

Abstract

Purpose

To show the reader that storytelling can be seen as a form of seduction based on emotional response and thereby preventing a change process within the organisation.

Design/methodology/approach

Case study in relation to a psychoanalytic approach to text as a place for emotional control.

Findings

Storytelling without psychodynamic analysis becomes easily storyselling.

Research limitations/implications

Text is seen as carrier of emotions that can be corrected through psychodynamics which implies that there remains hope for enlightment by the text.

Practical implications

Every form of storytelling is a form of addressing an audience that needs to be made aware of the psychodynamics of the text as part of the author.

Originality/value

The worst stories that are sold are those we sell best to ourselves.

Details

Journal of Organizational Change Management, vol. 21 no. 5
Type: Research Article
ISSN: 0953-4814

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Book part
Publication date: 24 October 2011

Josie Kelly

Since the 1980s UK government enthusiasm for market reforms has reconfigured the nature and scope of public services. Initially the marketisation of public services changed how…

Abstract

Since the 1980s UK government enthusiasm for market reforms has reconfigured the nature and scope of public services. Initially the marketisation of public services changed how public services were provided, increasingly market reforms and pro business policies have also modified the formation and understanding of public policy problematics and how they ought to be resolved. This is particularly noticeable when markets work imperfectly or even fail. UK governments have shown their reluctance to employ regulatory instruments to change the behaviour of companies preferring instead to make use of softer interventions, by focusing on providing advice for consumers and urging individuals to act responsibly. The dilemmas of this approach are explored by discussing the UK's former Labour government's (1997–2010) response to the increase in the incidence of obesity and related health complications.

Details

New Steering Concepts in Public Management
Type: Book
ISBN: 978-1-78052-110-7

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Book part
Publication date: 7 June 2022

Michael Wilson

Abstract

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Storytelling
Type: Book
ISBN: 978-1-83909-756-0

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Book part
Publication date: 17 March 2010

Suzanne S. Hudd

This paper reports on the ways in which a group of middle school students who received character education in elementary school define and experience character. The research was…

Abstract

This paper reports on the ways in which a group of middle school students who received character education in elementary school define and experience character. The research was designed to improve our understanding of the meanings that the children ascribe to their character lessons in the long term, and to determine whether they see connections between these lessons and their experiences with character in middle school. The data come from interviews with 24 children who attended five different elementary schools in one town that used the Character Counts! curriculum at the time of the study. The students were questioned about their understanding of the curriculum and their own personal experiences with character-related issues in middle school. The results demonstrate that the elementary school character lessons are carried forward. Children are able to recall the formal meaning of many of the character traits that they studied. As they graduate to middle school, however, peer culture assumes an increasingly important role and their lived experience of character become more complex. Thus, the preteens studied here are actively working to reconcile the differences between character as a “learned,” and then a “lived” experience. While maturation and character lessons received beyond school may confound these findings, the results presented here suggest the need to bridge, and then perhaps adapt character programming to empower adolescent input and embrace the role of peer culture in defining and then redefining character.

Details

Children and Youth Speak for Themselves
Type: Book
ISBN: 978-1-84950-735-6

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Article
Publication date: 1 March 1987

K.G.B. Bakewell

Some libraries and information services are quite definitely user‐centred; some think they are but are not always; some seem to be designed for librarians rather than users. The…

502

Abstract

Some libraries and information services are quite definitely user‐centred; some think they are but are not always; some seem to be designed for librarians rather than users. The purpose of this monograph is to encourage the development of libraries to meet the perceived needs of users — I hope it will be found useful by librarians and information workers as well as by students.

Details

Library Management, vol. 8 no. 3
Type: Research Article
ISSN: 0143-5124

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Article
Publication date: 30 December 2019

Susan Griffin, Leigh McGrath, Gregory T. Chesnut, Nicole Benfante, Melissa Assel, Aaron Ostrovsky, Marcia Levine, Andrew Vickers, Brett Simon and Vincent Laudone

The purpose of this paper is to determine the impact of having a patient-designated caregiver remain overnight with ambulatory extended recovery patients on early postoperative…

162

Abstract

Purpose

The purpose of this paper is to determine the impact of having a patient-designated caregiver remain overnight with ambulatory extended recovery patients on early postoperative clinical outcomes.

Design/methodology/approach

This was a retrospective cohort study of patients undergoing surgery requiring overnight stay in a highly resourced free-standing oncology ambulatory surgery center. Postoperative outcomes in patients who had caregivers stay with them overnight were compared with outcomes in those who did not. All other care was standardized. Primary outcomes were postoperative length of stay, hospital readmission rates, urgent care center (UCC) visits within 30 days and perioperative complication rates.

Findings

Among patients staying overnight, 2,462 (57 percent) were accompanied by overnight caregivers. In this group, time to discharge was significantly lower. Readmissions (though rare) were slightly higher, though the difference was not statistically significant (p=0.059). No difference in early (<30 day) complications or UCC visits was noted. Presence of a caregiver overnight was not associated with important differences in outcomes, though further research in a less well-structured environment is likely to show a more robust benefit. Caregivers are still recommended to stay overnight if that is their preference as no harm was identified.

Originality/value

This study is unique in its evaluation of the clinical impact of having a caregiver stay overnight with ambulatory surgery patients. Little research has focused on the direct impact of the caregiver on patient outcomes, especially in the ambulatory setting. With increased adoption of minimally invasive surgical techniques and enhanced recovery pathways, a larger number of patients are eligible for short-stay ambulatory surgery. Factors that impact discharge and early postoperative complications are important.

Details

International Journal of Health Care Quality Assurance, vol. 33 no. 1
Type: Research Article
ISSN: 0952-6862

Keywords

Available. Open Access. Open Access
Article
Publication date: 12 August 2024

Amos Shibambu and Mpho Ngoepe

This study aims to explore how service delivery can be enhanced through digital transformation in the public sector in South Africa.

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Abstract

Purpose

This study aims to explore how service delivery can be enhanced through digital transformation in the public sector in South Africa.

Design/methodology/approach

This case study used a qualitative research approach to obtain data through semi-structured interviews. The units of analysis were made up of individual professionals limited to purposive sampling to select chief information officers, investigators and administrative officers from national government departments and state-owned enterprises. The collected data from 12 participants was thematically analysed. The findings revealed that the government lacks legislation and strategy for digital transformation, leading to inconsistent implementation of digital transformation that enhances service delivery in the public sector of South Africa.

Findings

The findings revealed that the government lacks legislation and strategy for digital transformation, leading to inconsistent implementation of digital transformation that enhances service delivery in the public sector of South Africa.

Research limitations/implications

The study was limited to the public sector of South Africa; however, its recommendations are applicable to all organisations that need to provide their services using digital transformation.

Practical implications

Practically, the implications of this study will serve as a resourceful benchmark for the public sector and other organisations.

Social implications

Socially, the implications of this study ensure proper implementation of its recommendations to enhance service delivery in the public sector and other organisations.

Originality/value

Regarding the value that this study brings, it proposes an amendment of the current legislative framework in favour of one that covers digital transformation, which has become dominant in today’s enhanced provision of service delivery.

Details

Global Knowledge, Memory and Communication, vol. 74 no. 11
Type: Research Article
ISSN: 2514-9342

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