Search results

The purpose of this paper is to compare the perceived transformational leadership practices of charge and staff nurses. Transformational leadership is effective in promoting change in organisations, with the leader guiding followers towards a common vision.

A quantitative, descriptive, comparative survey design was used. All charge nurses (N = 151) and staff nurses (N = 1,950) in six health entities in Malta were included. A mixed mode survey design was used. Data were collected using the Leadership Practices Inventory and analysed using ANOVA and the Kruskal–Wallis test.

An overall response rate of 15% (n = 315) was achieved. Both staff and charge nurses perceived transformational leadership to be practiced. Charge nurses scored consistently higher than staff nurses. In long-term care environments, charge nurses are more likely to “model the way”, while in acute settings, they were more likely to “enable others to act”.

Transformational leadership appears to be applied by charge nurses in Malta. The response rate achieved was low and may limit the generalisability of the results of the study.

Nurse managers need to adapt their transformational leadership style based on the context in which they work.

Regular feedback from nursing staff should be sought for charge nurses to be aware of the extent to which they are implementing transformational leadership.

This paper draws on findings from a study examining attitudes, practices and policy in relation to charging and assessing older people who were considering entering residential and nursing home care. Its focus is on exploring the views of care managers and legal practitioners towards their work in relation to older people, finances and charging for long‐term care.

This paper aims to provide an invaluable insight into long‐term forecasting of demand for aged care facilities. This will ensure the provision of adequate supply by government bodies, stakeholders and developers in order to meet the anticipated level of demand, without creating an over‐supply or an under‐supply scenario.

Using an innovative approach, different data sources were collectively used to forecast separate individual supply and demand levels, which were then examined together in order to measure the difference between the two variables between 2009‐2020. A case study approach was used for Victoria, Australia.

The paper finds that, although there is excess supply between 2009‐2010 and 2019‐2020, the period between 2010 and 2019 will experience an under‐supply period which cannot be easily rectified over the short term.

The case study was limited to residential care facilities in Victoria, Australia, although some countries have substantially different age profiles and accommodation supply for older residents. Forecasts are based on information sources from various data suppliers and collectively analysed.

The results are also of direct interest to place managers and planning authorities who are charged with providing medium‐ and long‐term visions and plans for specific locations. This type of research is essential when planning for the eventual aging of the population, where the methodology can be replicated in different areas. Most importantly, this research approach provides a solid basis for decisions regarding the supply of residential aged care facilities as opposed to a simple estimate.

The study adopted a unique approach to analysing the individual supply and demand components for aged care facilities over the long term. This approach is able to accurately determine when there will be an under‐supply or over‐supply situation and thus provide the opportunity to address the difference before it occurs. This will allow informed decisions about planning aged care facilities in the future to be made as required.

After salary and wages, facility and real estate expenditure are the largest cost items in the semi‐public sector. Especially, for long‐term care facilities, there is high‐saving potential from more efficient and effective use of property. The main purpose of this paper is an exploratory research study in order to analyse the operating costs of long‐term care facilities.

The survey is based on empirical data questionnaires, data generation and semi‐structured interviews at 18 long‐term care facilities in Tyrol, Austria carried out during Summer 2007. In order to determine the volume and to prioritize the cost drivers computer‐aided real‐estate benchmarking software was used, which was developed by the Institute of Real Estate Benchmarking at the University of Applied Sciences KufsteinTirol, Austria. Statistic analyses were conducted to investigate saving potential, determine the best case of the sample and submit recommendations to the decision makers.

The main findings are the investigation and visualization of saving potential of long‐term care facilities and identification of the volume and structure of the cost drivers and illuminated current best practices in effective building upkeep and operating costs of long‐term care facilities in Tyrol. Furthermore, the study reveals the immense saving potential in the costs of various services.

This survey is based on the operating costs of long‐term care facilities. Other running costs such as costs for healthcare personnel as well as quality indicators are not considered in this survey. Further research activities will be necessary regarding the identification of these cost drivers by the application of regression models.

Professional property management of long‐term care facilities will be shown to decrease the cost share in the healthcare sector. The results should help to establish cost benchmarking increasingly and develop it as a strategic planning tool in order to support management in the healthcare sector in the decision‐making process.

The paper presents a new measuring method, which allows an holistic view of three influencing factors, namely the amount of beds, occupancy and the space consumption, to investigate weak points in cost efficiency on one chart.

This article proposes principles for reforming English adult social care by drawing on the experiences of other countries. These illustrate how the funding, organisation and delivery of services could be reformed, and shed light on the potential political and social factors affecting implementation of reforms.Reforms in other countries are commonly driven by the desire to develop and/or maintain universal access to social care. Formerly fragmented, un‐co‐ordinated and locally variable arrangements are being replaced with universal schemes, with national eligibility arrangements applicable to everyone regardless of age or ability to pay. Cash payments (personal budgets etc) instead of services in kind are widely used. However, such options can have different aims, including supporting family carers and stimulating local provider markets, as well as offering ‘consumer’ choice. Policies for family carers are usually integral to overall long‐term care arrangements. Finally, even in federal systems like Germany, Austria, Spain and Australia, central governments play a crucial role in ensuring universal, equitable and sustainable social care. Central government leadership: maximises risk pooling; enhances budgetary control mechanisms; safeguards equity and quality control; and provides political legitimacy.

The Department of Health's reaction to the Audit Commission's report on charging for home‐care services is considered in the light of its longstanding failure to help local authorities in a clear and unequivocal way to deal with one of the most difficult policy issues in community care.

Knight's Industrial Law Reports goes into a new style and format as Managerial Law This issue of KILR is restyled Managerial Law and it now appears on a continuous updating basis rather than as a monthly routine affair.

Preface The functions of business divide into several areas and the general focus of this book is on one of the most important although least understood of these—DISTRIBUTION. The particular focus is on reviewing current practice in distribution costing and on attempting to push the frontiers back a little by suggesting some new approaches to overcome previously defined shortcomings.