Marianne Wind, Stef Kremers, Carel Thijs and Johannes Brug
To assess the impact of a school‐based toothbrushing intervention aimed at encouraging primary school children to brush their teeth daily at school, on cognitions, toothbrushing…
Abstract
Purpose
To assess the impact of a school‐based toothbrushing intervention aimed at encouraging primary school children to brush their teeth daily at school, on cognitions, toothbrushing behaviour and habit strength.
Design/methodology/approach
The effects of an intervention were examined in a quasi‐experimental trial among 296 fifth‐graders in seven schools. The schools were randomly assigned to be an intervention group or a control group. Children in the intervention schools brushed their teeth at school under supervision. Effects on toothbrushing behaviour were assessed with written questionnaires before, during, immediately after, and one year after the intervention period. Effects on cognitions and habit strength were assessed one year after the intervention period. Analyses of variance were conducted to detect differences in frequency of toothbrushing, cognitions about toothbrushing, and habit strength.
Findings
During the intervention period, brushing teeth at school resulted in a significant increase in frequency of toothbrushing. However, these effects had not been maintained at one‐year follow‐up. No effects on cognitions about toothbrushing or on habit strength were found.
Research limitations/implications
When supports that facilitate healthy behaviour are implemented we recommend evaluating effects on habit strength, by assessment both before and after the intervention.
Originality/value
This paper suggests that when habit‐inducing supports and cues cease then people find it hard to sustain change. This may be of importance when designing and evaluating health‐promoting interventions.
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John William Adie, Wayne Graham, Ryan O'Donnell and Marianne Wallis
The purpose of this paper is to determine which factors are associated with 6,065 patient presentations with non-life-threatening urgent conditions (NLTUCs) to an after-hours…
Abstract
Purpose
The purpose of this paper is to determine which factors are associated with 6,065 patient presentations with non-life-threatening urgent conditions (NLTUCs) to an after-hours general practice, an urgent care clinic (UCC) and an emergency department (ED) on Sundays in Southeast Queensland (Qld).
Design/methodology/approach
A retrospective, comparative and observational study was conducted involving the auditing of medical records of patients with NLTUCs consulting three medical services between 0,800 and 1,700 h, on Sundays, over a one-year period. The study was limited to 6,065 patients.
Findings
There were statistically significant differences in choice of location according to age, number of postcodes from the patient's residence, time of the day, season, patient presentations for infection and injury, non-infectious, non-injurious conditions of the circulatory, gastrointestinal and genitourinary systems, and need for imaging, pathology, plastering/back-slab application, splinting and wound closure. Older adults were more likely to be admitted to the hospital and Ed Short Stay Unit, compared with other age groups.
Research limitations/implications
Based on international models of UCC healthcare systems in United Kingdom (UK), USA and New Zealand (NZ) and the results of this study, it is recommended that UCCs in Australia have extended hours, walk-in availability, access to on-site radiology, ability to treat fractures and wounds and staffing by medical practitioners able to manage these conditions. Recommendations also include setting a national standard for UCC operation (National Urgent Care Centre Accreditation, 2018; NHS, 2020; RNZCUC, 2015) and requirements for vocational registration for medical practitioners (National Urgent Care Centre Accreditation, 2018; RNZCUC, 2015; The Royal College of Surgeons of Edinburgh, 2021a, b).
Practical implications
This study has highlighted three key areas for future research: first, research involving general practitioners (GPs), emergency physicians, urgent care physicians, nurse practitioners, urgent care pharmacists and paramedics could help to predict the type of patients more accurately, patient presentations and associated comorbidities that might be encouraged to attend or be diverted to Urgent Care Clinics. Second, larger studies of more facilities and more patients could improve the accuracy and generalisability of the findings. Lastly, studies of public health messaging need to be undertaken to determine how best to encourage patients with NLTUCs (especially infections and injuries) to present to UCCs.
Social implications
The Urgent Care Clinic model has existed in developed countries since 1973. The adoption of this model in Australia close to a patient's home, open extended hours and with onsite radiology could provide a community option, to ED, for NLTUCs (especially patient presentations with infections and injuries).
Originality/value
This study reviewed three types of medical facilities for the management of NLTUCs. They were an after-hours general practice, an urgent care clinic and an emergency department. This study found that the patient choice of destination depends on the ability of the service to manage their NLTUCs, patient age, type of condition, postcodes lived away from the facility, availability of testing and provision of consumables. This study also provides recommendations for the development of an urgent care healthcare system in Australia based on international models and includes requirements for extended hours, walk-in availability, radiology on-site, national standard and national requirements for vocational registration for medical professionals.
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Mari Svendsen and Hans Erik Næss
While it has been argued that sport organizations are a socially integrative factor in societies, research on sport and social inclusion is short on the role of leadership…
Abstract
Purpose
While it has been argued that sport organizations are a socially integrative factor in societies, research on sport and social inclusion is short on the role of leadership. Therefore, the purpose of this study is to investigate the degree to which inclusive leadership enables social mobility for participants in a social inclusion program through sport.
Design/methodology/approach
This study is based on a fieldwork study composed of focused, multi-sited and collaborative ethnography principles. It draws upon data from four sport clubs that are members of the Norwegian Equestrian Federation (NEF) and associated with a social inclusion program for people with a history of substance abuse disorders (SUD).
Findings
Through the enabling of participants’ agency capabilities through prototypicality, shared leadership and cognitive efforts, incentives for utilizing inclusive leadership are presented. The study also presents perspectives on social mobility that are less prone to inflexible categorization and more attuned to people’s sense of belonging and identities.
Originality/value
By coupling unique fieldwork data with theories on subjective social mobility, leadership and meaningfulness, the study presents novel insights into how inclusive leadership play a pivotal role in empowering people with SUD to enhance their social mobility capabilities.
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Tatiana Domingues Almeida, Marianne Costa Avalone and Diego Castro Fettermann
Previous studies have identified a variety of Internet of Things (IoT) business models and have recognised the complexity related to the application of IoT technologies in…
Abstract
Purpose
Previous studies have identified a variety of Internet of Things (IoT) business models and have recognised the complexity related to the application of IoT technologies in business, along with the potential of the modularity concept application in organisational design. The purpose of this paper is to identify the main building blocks for the development of a business model canvas for companies that adopt the IoT in their business.
Design/methodology/approach
First, the authors carried a systematic literature review to identify theoretical, experimental and practical IoT business model canvas recorded in the literature. Then, the authors identified and analysed the characteristics of the building blocks present in these canvas using a statistical cluster technique. Based on the outcomes, the authors proposed a framework with standard and optional modules to allow flexible arrangements and suit different IoT business goals.
Findings
The results revealed that the IoT business model canvas recorded in the literature had been grossly designed to attend two drivers: manufacture and service organisations. Therefore, based on the frequency of building blocks present in IoT business model canvas recorded in the literature, it has been proposed two flexible frameworks which can be tailored to accommodate the immense variety of possibilities offered by IoT technologies in manufacture and service business.
Practical implications
The business model frameworks proposed in this research can support entrepreneurs structuring new IoT businesses or upgrading existing businesses.
Originality/value
This research offers a comprehensive IoT business model framework with their respective building blocks built from an extensive literature review.
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John Adie, Wayne Graham, Kerron Bromfield, Bianca Maiden, Sam Klaer and Marianne Wallis
This case study describes a community-based urgent care clinic in a general practitioner (GP) super clinic in South East Queensland.
Abstract
Purpose
This case study describes a community-based urgent care clinic in a general practitioner (GP) super clinic in South East Queensland.
Design/methodology/approach
This retrospective chart audit describes patient demographic characteristics, types of presentations and management for Sundays in 2015.
Findings
The majority of patients (97%) did not require admission to hospital or office investigations (95%) and presented with one condition (94%). Of the presentations, 66.5% were represented by 30 conditions. Most patients received a prescription (57%), some were referred to the pathology laboratory (15%) and some were referred to radiology (12%). A majority (54%) of patients presented in the first three hours. Approximately half (51%) of patients presenting were aged under 25. More females (53%) presented than males. A majority (53%) lived in the same postcode as the clinic. The three most common office tests ordered were urinalysis, electrocardiogram (ECG) and urine pregnancy test. Some patients (19%) needed procedures, and only 3% were referred to hospital.
Research limitations/implications
The study offers analysis of the client group that can be served by an urgent care clinic in a GP super clinic on a Sunday. The study provides an option for emergency department avoidance.
Originality/value
Despite calls for more research into community-based urgent care clinics, little is known in Australia about what constitutes an urgent care clinic. The study proposes a classification system for walk-in presentations to an urgent care clinic, which is comparable to emergency department presentations.
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Frøydis Vasset, Lisbeth Fagerstrøm and Marianne Louise Frilund
The purpose of this study is to emphasise nurses’ experiences of nurse leaders' changing roles over 25 years.
Abstract
Purpose
The purpose of this study is to emphasise nurses’ experiences of nurse leaders' changing roles over 25 years.
Design/methodology/approach
A qualitative study was performed with individual interviews of eight nurse managers. From Norway and Finland, all nurse managers with more than 25 years of experience and working in specialist health care and primary health care were included in the study.
Findings
These nurse managers have a lot of knowledge and resolved conflicts using improved methods and have experienced continuous change. The role of nurse manager ranges from bedside to exclusive administrative work. The organisations have become more extensive, and the staff has grown. These changes have led to many challenges and more complex organisations.
Research limitations/implications
Nurse managers who have worked for over a 25-year period had useful experience and could handle many new challenges. They can change themselves and their organisation tasks over time and follow the development of society.
Originality/value
Based on their experiences as novices at the beginning of their career, the informants demonstrate their development to the level of expert manager.