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Article
Publication date: 18 October 2019

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…

423

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.

Details

Advances in Dual Diagnosis, vol. 12 no. 4
Type: Research Article
ISSN: 1757-0972

Keywords

Available. Content available
Article
Publication date: 25 November 2013

6

Abstract

Details

Reference Services Review, vol. 41 no. 4
Type: Research Article
ISSN: 0090-7324

Available. Content available
Article
Publication date: 5 August 2014

158

Abstract

Details

Reference Services Review, vol. 42 no. 3
Type: Research Article
ISSN: 0090-7324

Available. Content available
Article
Publication date: 4 February 2014

164

Abstract

Details

Reference Services Review, vol. 42 no. 1
Type: Research Article
ISSN: 0090-7324

Available. Content available
Article
Publication date: 3 June 2014

144

Abstract

Details

Reference Services Review, vol. 42 no. 2
Type: Research Article
ISSN: 0090-7324

Available. Open Access. Open Access
Article
Publication date: 10 August 2015

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…

4565

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.

Details

International Journal of Health Care Quality Assurance, vol. 28 no. 7
Type: Research Article
ISSN: 0952-6862

Keywords

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Article
Publication date: 15 November 2019

Rachel Martin

This paper synthesizes existing experimental research in the area of investor perceptions and offers directions for future research. Investor-related experimental research has…

629

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.

Details

Journal of Accounting Literature, vol. 43 no. 1
Type: Research Article
ISSN: 0737-4607

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Article
Publication date: 12 September 2016

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.

453

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.

Details

The Journal of Mental Health Training, Education and Practice, vol. 11 no. 4
Type: Research Article
ISSN: 1755-6228

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Article
Publication date: 6 July 2020

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…

157

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.

Details

Journal of Integrated Care, vol. 29 no. 1
Type: Research Article
ISSN: 1476-9018

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Article
Publication date: 25 November 2024

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…

32

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.

Details

Journal of Professional Capital and Community, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2056-9548

Keywords

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