Emma Louise Barrett, Zachary W. Adams, Erin V. Kelly, Natalie Peach, Rachel Hopkins, Bronwyn Milne, Sudie E. Back and Katherine L. Mills
Post-traumatic stress disorder (PTSD) and substance use disorder (SUD) frequently co-occur (PTSD+SUD). The onset of these disorders often occurs during adolescence. There is…
Abstract
Purpose
Post-traumatic stress disorder (PTSD) and substance use disorder (SUD) frequently co-occur (PTSD+SUD). The onset of these disorders often occurs during adolescence. There is limited understanding of the perspectives of service providers working with this population. The purpose of this paper is to identify the practices, attitudes, experiences and training needs of Australian service providers treating adolescents with PTSD+SUD.
Design/methodology/approach
Service providers in Australia were invited to complete an anonymous online survey regarding their experiences working with adolescents who have PTSD+SUD. Ninety participants completed the 48-item survey that comprised multiple choice and open-ended questions.
Findings
Service providers estimated that up to 60 per cent of their adolescent clients with PTSD also have SUD. They identified case management, engaging with caregivers and difficult client emotions as specific challenges associated with working with this population. Despite this, providers rated treating PTSD+SUD as highly gratifying for reasons such as teaching new coping skills, developing expertise and assisting clients to achieve their goals. There were mixed perspectives on how to best treat adolescents with PTSD+SUD, and all participants identified a need for evidence-based resources specific to this population.
Originality/value
This is the first survey of Australian service providers working with adolescents who experience PTSD+SUD. The findings improve our understanding of the challenges and rewards associated with working with this population, and provide valuable information that can enhance clinical training and guide the development of new treatment approaches for this common and debilitating comorbidity.
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Jonesmus Mutua Wambua, Regina Mbayaki, Paul Musya Munyao, Mark Mugo Kabue, Rose Mulindi, Patrick Mose Change, Rudia Ikamati, Ruth Jahonga, Rachel Ambalu, Wamae Maranga and Mildred Mudany
In Kenya, gaps exist in health service provision to slum residents, especially service availability and access to quality care. There is also little information on the health…
Abstract
Purpose
In Kenya, gaps exist in health service provision to slum residents, especially service availability and access to quality care. There is also little information on the health status of people living in slums other than in Nairobi. The purpose of this paper is to generate evidence for use in designing interventions to improve health services in four mid-sized slums in Embu, Nyeri and Thika, Kenya.
Design/methodology/approach
A cross-sectional survey of clients receiving services in health facilities was conducted in the targeted slums. Data were collected through face-to-face interviews. Factor scores were generated using the Rasch model; simple and multivariate logistic regression analyses were done using the R statistical software.
Findings
Overall, 81 per cent of the 203 participants reported being satisfied with health services. Most clients (89 per cent) reported that health facility staff greeted them warmly; 82 per cent said their consultation was private. The facility type, waiting time and client experience with service providers determined their satisfaction (p < 0.05).
Practical implications
Healthcare managers can improve client satisfaction levels by understanding the client flow in their facilities and addressing causes of client dissatisfaction, such as long waiting times, while at the same time promoting facilitating factors.
Originality/value
The authors use latent variable modelling to compute client satisfaction scores, which were dichotomised into two categories and fitted into a logistic regression model to identify factors that influence client satisfaction. Health facility clients in the four slums are satisfied with services and have confidence the providers will serve them in a friendly and professional manner that promotes respect and quality care. The paper recommend healthcare managers in similar settings carry out client flow analysis and institute remedial measures to address long waiting times. Qualitative studies are recommended to determine the reasons behind the high satisfaction levels reported in this study.
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This paper synthesizes existing experimental research in the area of investor perceptions and offers directions for future research. Investor-related experimental research has…
Abstract
This paper synthesizes existing experimental research in the area of investor perceptions and offers directions for future research. Investor-related experimental research has grown substantially, especially in the last decade, as it has made valuable contributions in establishing causal links, examining underlying process measures, and examining areas with little available data. Within this review, I examine 121 papers and identify three broad categories that affect investor perceptions: information format, investor features, and disclosure credibility. Information format describes how investors are influenced by information salience, information labeling, reporting and accounting complexity, financial statement recognition, explanatory disclosures, and proposed disclosure changes. Investor features describes investors’ use of heuristics, investor preferences, and the effect of investor experience. Disclosure credibility is influenced by external and internal assurance, management credibility, disclosure characteristics, and management incentives. Using this framework, I summarize the existing research and identify areas that would benefit from additional research.
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Laura Rachel Freeman, Michelle Waldman, Judith Storey, Marie Williams, Claire Griffiths, Kevin Hopkins, Elizabeth Beer, Lily Bidmead and Jason Davies
The purpose of this paper is to outline the work of a service provider, service user and carer group created to develop a strategy for service user and carer co-production.
Abstract
Purpose
The purpose of this paper is to outline the work of a service provider, service user and carer group created to develop a strategy for service user and carer co-production.
Design/methodology/approach
A reflective narrative account is given of the process through which the group formed and began to develop a working model aimed at shaping a cultural shift towards more co-produced services. The paper has been co-produced and includes the collaborative voices of service users, carers, multi-disciplinary staff, third-sector representatives, managers and colleagues from associated services.
Findings
The model developed outlines three stages for services to work through in order to achieve meaningful and sustainable co-produced services. The importance of developing associated policies related to such areas as recruitment, payment, support and training is also outlined. Challenges to co-production are noted along with suggested approaches to overcoming these.
Originality/value
The ethos of co-production is relatively new in the UK and so knowledge of the process and model may help guide others undertaking similar work.
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Josephine S.F. Chow, Andrew Hopkins, Hany Dimitri, Hui Tie, Rachael Williams, Rohan Rajaratnam, Sumana Gopinath, Suzana Lazarovska, Stanica Andrijevic, Upul Premawardhana, Veronica E. Gonzalez-Arce and Alan McDougall
This study has demonstrated how technology may contribute to integrated care solutions by comparing conventional ward telemetry (WT) to a wearable ECG monitor (S-Patch) to detect…
Abstract
Purpose
This study has demonstrated how technology may contribute to integrated care solutions by comparing conventional ward telemetry (WT) to a wearable ECG monitor (S-Patch) to detect atrial fibrillation (AF) in patients with stroke.
Design/methodology/approach
51 patients admitted for stroke workup were recruited across two major tertiary centres to compare WT monitoring for two days versus S-Patch for four days in the detection of AF. The efficacy to detect AF using both technologies was assessed via data extractions and medical officer review. A matrix was used to measure nursing/patient satisfaction and setup/resource times were assessed.
Findings
Patients (84–94%) and nursing staff (75–95%) preferred the S-Patch wearable technology. Non-parametric tests indicated significant time saving for removal of S-Patch versus WT [2.2 min vs 5.1 min (p = 0.00)]. Efficacy of S-Patch to detect AF following medical officer review was greater than WT, with seven patients identified with AF by S-Patch versus one using WT. The S-patch had a false positive rate of 78%.
Research limitations/implications
The S-Patch is sensitive in the detection of AF; however, it showed a high false-positive rate with automated reporting. This study has provided insight into the details of delivery of integrated healthcare using wearable technology.
Originality/value
The technology and partnership were the first-in-kind in Australia. The S-Patch had a higher detection rate of AF compared to WT which allows patients to be anti-coagulated appropriately for the prevention of further stroke. The results of this study will be ideally placed to inform future policy in integrated healthcare using new technologies.
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Yi-Hwa Liou, Claire Sinnema, Joelle Rodway, Ling-Hui Su, Alan J. Daly and Rachel Cann
Driven by the need to deepen understanding of the mechanisms driving teacher collaboration for enhancing teacher learning and practices, this study aims to investigate the…
Abstract
Purpose
Driven by the need to deepen understanding of the mechanisms driving teacher collaboration for enhancing teacher learning and practices, this study aims to investigate the influence of collaborative organizational conditions, network intentionality and efficacy for leading curriculum learning on teachers’ professional growth within the context of New Zealand’s Communities of Learning-Kahui Ako (CoL) policy.
Design/methodology/approach
The study employs survey design collecting perceptual data from teachers within two CoLs comprising 12 schools in New Zealand. Structural equation modeling is used to analyze the relationships between collaborative organizational conditions, teachers’ network intentionality, leadership efficacy and teacher professional growth.
Findings
The findings reveal that collaborative organizational conditions significantly impact teachers’ professional growth such as their new learning and enhanced practices. Furthermore, teachers’ network intentionality and efficacy for leading curriculum learning serve as mediators, amplifying the effects of collaborative organizational conditions on teacher professional growth. Specifically, teachers who are more confident in their leadership abilities and intentionally build professional relationships are better at using collaborative opportunities to address teaching challenges and bring innovation to their schools.
Originality/value
This study contributes to the existing literature by examining the interplay between organizational conditions, internal motivational drive for collaboration, and teacher professional growth within the context of CoL policy in New Zealand. It sheds light on the mechanisms driving teacher professional growth and offers insights for enhancing teacher collaboration and professional learning experiences within CoL networks.