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Article
Publication date: 5 May 2015

Yim Lun Wong, Rinzi Bhutia, Khalodoun Tayar and Ashok Roy

The purpose of this paper is to examine the trend of admissions and inpatient characteristics in a NHS intellectual disability hospital from 1975 to 2013, in particular…

Abstract

Purpose

The purpose of this paper is to examine the trend of admissions and inpatient characteristics in a NHS intellectual disability hospital from 1975 to 2013, in particular looking at the effect following the Winterbourne View scandal.

Design/methodology/approach

A retrospective review of all admissions over a three-year period (January 2011-January 2013) was completed. This information was compared with admissions to the same hospital in three-year period over the last four decades (1975-1977, 1985-1987, 1995-1997, and 2003-2006). Number of admissions, gender, age, source of admission, length of stay, reasons for admission, type of admission, and diagnosis of psychiatric illnesses were included.

Findings

There were 87 admissions (including 29 from out of area) in the study period of 2011-2013. The number of admissions had varied over the years but male admissions were consistently higher than female. A majority of people stayed over six months. For the first time in five decades, there were more formal inpatients than informal ones. The diagnosis of Autism Spectrum Disorder (ASD) and of Attention Deficit Hyperactivity Disorder had increased.

Originality/value

This study has examined admission trends over five decades. It has highlighted that the Mental Health Act legislation is being used more frequently and that co-morbid mental disorders, such as ASD are commonly associated with those admitted to hospital. A well planned-out community health care system, as well as adequate social provision are keys to maintain people with intellectual disability in the community. Furthermore, a better understanding of the symptomology of challenging behaviours, and appropriate use of mental health legislation are crucial in providing a high-quality service that has clear treatment goals and values. Some of these issues have contributed to the failure of the recent initiative to reduce the size of the inpatient intellectual disability following Winterbourne View scandal.

Details

Advances in Mental Health and Intellectual Disabilities, vol. 9 no. 3
Type: Research Article
ISSN: 2044-1282

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Article
Publication date: 4 January 2013

Dean T. Williams, David Hoare, Guy Shingler, Charlie Fairweather and Christopher Whitaker

Clinical data capture and transfer are becoming more important as hospital practices change. Medical record pro‐formas are widely used but their efficacy in acute settings…

Abstract

Purpose

Clinical data capture and transfer are becoming more important as hospital practices change. Medical record pro‐formas are widely used but their efficacy in acute settings is unclear. This paper aims to assess whether pro‐forma and aide‐memoire recording aids influence data collection in acute medical and surgical admission records completed by junior doctors.

Design/methodology/approach

During October 2007 to January 2008, 150 medical and 150 surgical admission records were randomly selected. Each was analysed using Royal College of Physicians guidelines. Surgical record deficiencies were highlighted in an aide‐memoire printed on all A4 admission sheets. One year later, the exercise was repeated for 199 admissions.

Findings

Initial assessment demonstrated similar data capture rates, 77.4 per cent and 75.9 per cent for medicine and surgery respectively (Z=‐0.74, p=0.458). Following the aide‐memoire's introduction, surgical information recording improved relatively, 70.5 per cent and 73.9 per cent respectively (Z=2.01, p=0.045). One from 11 aide‐memoire categories was associated with improvement following clinical training. There was an overall fall in admission record quality during 2008‐9 vs 2007‐8.

Research limitations/implications

The study compared performance among two groups of doctors working simultaneously in separate wards, representing four months' activity.

Practical implications

Hospital managers and clinicians should be mindful that innovations successful in elective clinical practice might not be transferable to an acute setting.

Originality/value

This audit shows that in an acute setting, over one‐quarter of clinical admission data were not captured and devices aimed at improving data capture had no demonstrable effect. The authors suggest that in current hospital practice, focussed clinical training is more likely to improve patient admission records than employing recording aids.

Details

International Journal of Health Care Quality Assurance, vol. 26 no. 1
Type: Research Article
ISSN: 0952-6862

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Book part
Publication date: 1 June 2021

Adrian Rodgers

This chapter examines a 5-year case (Stake, 2005) which examines the structure and culture of the graduate admissions process of Indonesian applicants to a College of…

Abstract

This chapter examines a 5-year case (Stake, 2005) which examines the structure and culture of the graduate admissions process of Indonesian applicants to a College of Education degree program in the Midwest United States. This chapter focusses on what steps are involved in the sponsorship, application and admission of international applicants to a graduate program. It was determined that the sponsorship of in-bound international students is a highly detailed and complex process engaging multiple agencies on tight timelines. This process is further complicated by single points of failure, slow decision-making and structural barriers. It was determined that because there are internal unpublicised ways to address some challenges, it is helpful to recruit and retain highly knowledgeable advocates to support the process.

Details

Global Perspectives on Recruiting International Students: Challenges and Opportunities
Type: Book
ISBN: 978-1-83982-518-7

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Article
Publication date: 17 December 2020

Brian Richardson

This study aims to explore the character and attainment of an effective URL system by expanding the concept of URL normalization, originally connected to machine-reading…

Abstract

Purpose

This study aims to explore the character and attainment of an effective URL system by expanding the concept of URL normalization, originally connected to machine-reading access of web pages, to form a broader understanding of URL systematization that includes user-focused cognitive and practical elements.

Design/methodology/approach

A revised understanding of URL normalization will be used to critically analyzed URLs of main admissions pages from M1 universities, as designated by the Carnegie Foundation.

Findings

The study found that very few institutions implemented well-organized systems of Uniform Resource Locators (URLs) and redirects and that many included unintelligible and impractical URLs that would hinder the effective use of their websites.

Practical implications

A broader understanding of URL systematization will result in more effective website design. URLs must serve an indexical function pointing to a unique web resource, whatever the URL's format. However, URLs should also consider human usability issues and strive to be simple, short, communicable, intelligible and ultimately useful as part of social interactions. Poorly designed URLs create frustration, if not failure, by being difficult to use, confusing or interminable. An effective URL system should also include redirects to anticipate alternate, meaningful URLs that are different from the canonical path. The framework and recommendations arising from this study are applicable to many website structures.

Originality/value

The expanded understanding of the concept of URL normalization and subsequent evaluation principles can be used to assess the overall coherence and completeness of the website in general, thus improving website usability.

Details

International Journal of Web Information Systems, vol. 17 no. 1
Type: Research Article
ISSN: 1744-0084

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Article
Publication date: 4 August 2020

Bikram Jit Singh, Harsimran Singh Sodhi and Rippin

The growth and prosperity of a nation depends upon its ability to innovate technologically and engineering has erupted as a fundamental chauffer of this essence, since…

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Abstract

Purpose

The growth and prosperity of a nation depends upon its ability to innovate technologically and engineering has erupted as a fundamental chauffer of this essence, since last couple of eras. But recent decline in engineering admissions triggers the downfall in skilled labor, which can cause recession in industries or can ultimately lead to economic crisis. This study tries to illustrate the present status of engineering-related education, particularly in India and tends to skim the various parameters that affect the enrollment of students among higher education institutes, directly or indirectly.

Design/methodology/approach

A unique approach had been unleashed to tackle the nuisance of low admission among Indian engineering colleges or universities. Factors reviewed from the literature were further prioritized quantitatively after distributing suitable questionnaires among a relevant set of engineering aspirants. The “survey form” used was tactically designed on the basis of response surface methodology (RSM), which analyzed the data captured in Minitab statistical software and deducted logical inferences to optimize the “critical-to-admission” (CTA) factors, applicably.

Findings

A case study was successfully executed in a North Indian state to prove the efficacy of proposed methodology as far as downtrend in admission was concerned. This study was a rare blend of questionnaire-based work, where design of experiments principles had been utilized exclusively. It provided significant findings on how to earmark different admission-decisive factors along with their required prioritization.

Practical implications

It can further help the universities and higher education institutes to draft their indispensable professional policies and vision–mission statements, appropriately.

Originality/value

Quantitative studies in the service sector (like higher education) are quite rare to see. The present work is not only providing a roadmap for engineering institutions to boost their admissions in upcoming challenging times but it also acts as a light house for new students as it provides necessary guidelines for shortlisting colleges or universities while seeking admission for higher studies.

Details

Journal of Applied Research in Higher Education, vol. 13 no. 3
Type: Research Article
ISSN: 2050-7003

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Article
Publication date: 1 April 1993

Edward Yeh and George Munchus

Introduction Critics have levelled charges of bias, claiming that admission policies have been aimed specifically at slowing down the influx of Asian Americans into…

Abstract

Introduction Critics have levelled charges of bias, claiming that admission policies have been aimed specifically at slowing down the influx of Asian Americans into medical schools and have therefore discriminated against them. They point to Asian American admission rates (the number of Asian Americans offered admission divided by the number of Asian American applicants) that have been lower than those of Caucasians, despite Asian American performances as measured by standardised test scores and college grade point averages that appears to be equal to and at times superior to that of Caucasians. A downward turn in Asian American admission rates at some institutions has raised the additional concern that admission officers have put informal numerical limits on the number of Asian Americans they admit. However, most admissions officers deny such.

Details

Equal Opportunities International, vol. 12 no. 4
Type: Research Article
ISSN: 0261-0159

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Article
Publication date: 8 December 2010

Evan Yacoub

Low security is a poorly understood concept, particularly in relation to people with an intellectual disability. Characteristics of patients offered an admission to low…

Abstract

Low security is a poorly understood concept, particularly in relation to people with an intellectual disability. Characteristics of patients offered an admission to low secure intellectual disability settings have not been robustly demonstrated. The same applies to staff perceptions of low security. The aims of the study were to ascertain the characteristics of patients referred to a low secure intellectual disability unit which lead to an offer of admission, identify the views of staff working on the unit on the concept of low security, and use both sets of data to discuss low secure provision for people with intellectual disability. A case‐controlled study was carried out for 33 patients referred to the unit over 42 months. The characteristics of 18 patients offered an admission were compared with those of 15 patients not offered an admission, and five of the staff working on the unit were interviewed about the concept of low security. Patients offered an admission were more able than those not offered an admission, posed more risks and were more complex diagnostically. Staff working on the unit agreed that their patients were complex, but felt that they were appropriately placed overall. The challenges of low secure provision were discussed by staff. Patients sampled were complex and heterogeneous, but not necessarily ‘forensic’. Their complexity requires sophisticated care plans and management strategies. This study has implications for referrers, staff, patients and managers, and highlights areas for future research.

Details

Advances in Mental Health and Intellectual Disabilities, vol. 4 no. 4
Type: Research Article
ISSN: 2044-1282

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Article
Publication date: 1 September 2002

Diane Seddon, Kate Jones and Mari Boyle

This article presents the key findings from a collaborative study about the experiences and support needs of carers whose relatives are admitted into a nursing or…

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963

Abstract

This article presents the key findings from a collaborative study about the experiences and support needs of carers whose relatives are admitted into a nursing or residential care home. Drawing upon data from carers' qualitative accounts, it considers carers' post‐admission roles, responsibilities and profiles, and the contribution carers make to the continued care of their relative. Carers' post‐admission caring experiences are described in detail and differences between spouse carers and carers involved in looking after a parent are identified. A temporal model depicting the complex and dynamic nature of carers' postadmission experiences is presented. The implications for policy and practice are discussed.

Details

Quality in Ageing and Older Adults, vol. 3 no. 3
Type: Research Article
ISSN: 1471-7794

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Article
Publication date: 1 May 2007

Steven Pharr and John J. Lawrence

To examine the efficacy of admission requirements as predictors of academic success in core business coursework, and as a rationing mechanism for limited course capacity…

Abstract

Purpose

To examine the efficacy of admission requirements as predictors of academic success in core business coursework, and as a rationing mechanism for limited course capacity, for both transfer and non‐transfer students following integration of the core business curriculum.

Design/methodology/approach

Regression analysis is used to test the efficacy of admission standards in explaining transfer and non‐transfer student performance in the core business curriculum, before and after substantial curricular revision. Fisher's r‐to‐z transformation is used to test differences between student groups and core curriculum formats. Stepwise regression was used to identify an accurate predictor of transfer student performance for the integrated business core.

Findings

Efficacy of the admission standard decreased for transfer students following introduction of the new curriculum. While adequate for all students taking the traditional business core, it is a much less effective predictor of success for transfer students under the new curriculum. A modified admission standard for transfer students restored efficacy to previous levels.

Research limitations/implications

The paper considers only one school's experience with revision of its core curriculum.

Practical implications

Re‐examination of admission standards following curricular revision is necessary to ensure effective screening of transfer students. The root problem, however, may not be addressed in its entirety by a unique transfer student admission standard. Non‐transfer students benefit from acculturation as freshman and sophomores, as well as prerequisite courses specifically modified to prepare them for the integrated curriculum.

Originality/value

This paper documents a potential problem for business schools that have, or are considering, significant curricular revisions.

Details

Quality Assurance in Education, vol. 15 no. 2
Type: Research Article
ISSN: 0968-4883

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Article
Publication date: 28 December 2018

Francine Washington, Samantha Bull and Ceri Woodrow

The purpose of this paper is to evaluate whether two regional intellectual disability (ID) assessment and treatment (A&T) units in England were meeting the recommended…

Abstract

Purpose

The purpose of this paper is to evaluate whether two regional intellectual disability (ID) assessment and treatment (A&T) units in England were meeting the recommended length of stay stipulated by the Learning Disability Professional Senate, in line with the Transforming Care (TC) agenda. A secondary purpose of the study was to evaluate the reasons for admissions and delayed discharges in order to inform how to reduce these.

Design/methodology/approach

A retrospective evaluation of 85 admissions across two A&T units was conducted over a three-year period (2013–2016) following publication of the TC agenda.

Findings

There were 85 admissions compared to 71 discharges. Of the 85 admissions, 11 were readmissions. The most common factors thought necessary to prevent admission were early support for care providers or alternative service provision. There were barriers to discharge in over half of admissions; the main reason was a lack of suitable service provision.

Practical implications

The study suggests that providing specific support or training to care providers could prevent (re)admission and ensure shorter admissions. Further research to establish reasons for the reported lack of suitable providers would be beneficial.

Originality/value

This study provides current admission and discharge rates for regional A&T units, as recommended by the TC national guidance. It also provides potential reasons underlying preventable admissions and delayed discharges and therefore indicates what might be necessary to prevent admissions and reduce the length of inpatient stays for people with ID and/or autism.

Details

Tizard Learning Disability Review, vol. 24 no. 1
Type: Research Article
ISSN: 1359-5474

Keywords

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