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This integrated care study seeks to highlight how voluntary sector “wellbeing co-ordinators” co-located in a horizontally and vertically integrated, multidisciplinary…
This integrated care study seeks to highlight how voluntary sector “wellbeing co-ordinators” co-located in a horizontally and vertically integrated, multidisciplinary community hub within one locality of an Integrated Care Organisation contribute to complex, person-centred, co-ordinated care.
This is a naturalistic, mixed method and mixed data study. It is complementing a before-and-after study with a sub-group analysis of people receiving input from the wider hub (including Wellbeing Co-ordination and Enhanced Intermediate Care), qualitative case studies, interviews, and observations co-produced with embedded researchers-in-residence.
The cross-case analysis uses trajectories and outcome patterns across six client groups to illustrate the bio-psycho-social complexity of each group across the life course, corresponding with the range of inputs offered by the hub.
To consider the effectiveness and mechanisms of complex system-wide interventions operating at horizontal and vertical interfaces and researching this applying co-produced, embedded, naturalistic and mixed methods approaches.
How a bio-psycho-social approach by a wellbeing co-ordinator can contribute to improved person reported outcomes from a range of preventive, rehabilitation, palliative care and bereavement services in the community.
To combine knowledge about individuals held in the community to align the respective inputs, and expectations about outcomes while considering networked pathways based on functional status, above diagnostic pathways, and along a life-continuum.
The hub as a whole seems to (1) Enhance engagement through relationship, trust and activation, (2) Exchanging knowledge to co-create a shared bio-psycho-social understanding of each individual’s situation and goals, (3) Personalising care planning by utilising the range of available resources to ensure needs are met, and (4) Enhancing co-ordination and ongoing care through multi-disciplinary working between practitioners, across teams and sectors.
The purpose of this paper is to examine the definitional debates linked to climate change and their impact on the policy actors ' position and on policy content…
The purpose of this paper is to examine the definitional debates linked to climate change and their impact on the policy actors ' position and on policy content. It is suggested that while discussing about “climate change”, different policy arenas perceive different problems implying different responsibility attributions and different solutions.
The study mobilizes different sources, such as regulations, research reports, and scientific papers, combined with personal interviews with international agents participating in the climate policy negotiations process.
Initially, climate change has been defined as an environmental degradation problem. Progressively, other competing definitions of the problem occupied the public debate. Alternatively, climate change has been discussed as a development issue, a migration issue and a security issue. The paper argues that while this polyphonic discourse persists, the problem definition process remains unaccomplished, new institutional equilibriums cannot be established and, consequently, policymaking cannot follow.
By focusing on the different perceptions and debates of the climate issue, this paper points to the conflicts transcending the international arena. This gives policy actors a wider view of the negotiating process in which they are involved.
Most analyses explain the success or failure of international agreements by pointing to either the presence/lack of governmental compliance or the institutional complexity and need for coordination between enforcement agencies. Less attention is paid to the way public problems are perceived by different policy communities. This paper focuses on the definitional debates accompanying the post-Kyoto negotiations and their impact on the policy making process.
This chapter explores the meanings that human service workers employed in the airline industry and in higher education give to workplace fear, the ways it is expressed…
This chapter explores the meanings that human service workers employed in the airline industry and in higher education give to workplace fear, the ways it is expressed, and perceptions of its consequences. The findings reveal that fear is not a wholly “negative” emotion, as it can contribute to the achievement of desirable outcomes when openly expressed, suggesting that simplistic evaluations of discrete emotions (i.e. positive or negative) and prescriptive organizational norms of emotional expression may block positive as well as negative outcomes (organizationally and personally). This chapter concludes that permitting a greater range of emotional displays at work could significantly improve workers’ wellbeing and the effectiveness of their organizations.
The purpose of this qualitative case study was to explore perceptions of the impact of program participation on parenting styles and behavioral changes using observations…
The purpose of this qualitative case study was to explore perceptions of the impact of program participation on parenting styles and behavioral changes using observations and in-depth semi-structured interviews with Black and Coloured staff and mothers at a community-based organization (CBO) in the Western Cape Province (WCP) in South Africa (SA). Purposive sampling was utilized in this research via the CBO and narratives from a total of twenty-three (twelve mothers and eleven staff) interviews form the basis of this manuscript. Data was collected between January – February 2017 and was analyzed through the phenomenological and inductive thematic analysis approach. The staff interviews revealed that child abandonment and neglect and the abuse of women are the two main environmental contextual factors that impact program participation. According to staff, improved self-esteem and positive life changes were identified as successful outcomes of participant involvement. The parent interviews provided examples of emotional issues such as domestic abuse and personal issues with alcohol and drugs as individual factors that impact their program participation. Changes in parenting styles was identified as successful outcomes among parent participants. The goal of this study was to provide much-needed insight into this community by presenting a variety of voices, specifically Black and Coloured men and women, that are underreported in the literature. Findings from this research adds to the knowledge of community-based parenting programs (CBPPs) for low-income and underserved populations in SA and internationally.
Cultural perceptions of the zombie have shifted dramatically in the twenty-first century. No longer only associated with anxiety and fear, zombie fiction often appeals to…
Cultural perceptions of the zombie have shifted dramatically in the twenty-first century. No longer only associated with anxiety and fear, zombie fiction often appeals to pleasure. One source of pleasure comes from ludification, the process whereby game-like principals and gameful elements shape non-game activities. Increasingly, print fiction borrows from games and uses ludic elements to shape narratives. As such, it has become embedded in convergence culture, a dynamic media ecology where top down processes compete with bottom up processes. This chapter argues that ludified zombie fiction brings this media ecology into sharp relief, revealing ways that gamification and ludification are just as apt to reinforce capitalist processes of commodification and neo-liberal ideologies of power as they are to dismantle them. Through a close reading of three contemporary zombie fictions, this chapter exposes tensions and contradictions in ludification. The dead body of the zombie, the nihilistic landscape of the post-zombie apocalypse and the futility of human endeavour in the face of walking death are all elements of genre that undercut the gamified pursuit of external utility-oriented goals. The chapter explores these knotty ethical and ideological problems, not only considering the zombie apocalypse as a gameful space for rethinking social organisation, but also recognising it as a platform for the promotion of neo-liberal ideologies that perpetuate existing power inequalities through coercive disciplinary regimes.
Despite a substantial body of research on physician incomes and hours, there has been surprisingly little study of part-time work in the professions or on the…
Despite a substantial body of research on physician incomes and hours, there has been surprisingly little study of part-time work in the professions or on the organizational structures that support or inhibit part-time arrangements. To assess the factors associated with the presence and prevalence of part-time work in radiology practices, we conducted structured interviews with 69 practice administrators and 13 self-employed or retired radiologists. Patterns of part-time work are heavily gendered; men use it as a transition to retirement while women seek it early in their careers to balance work and family needs. As hypothesized, larger practices, academic practices, and those affiliated with larger organizations were significantly more likely to have part-time radiologists. Controlling for level of competition between practices, those that had recently experienced increased competition were less likely to have part-time radiologists. Neither difficulty recruiting radiologists to the practice nor length of the average workweek for full-time radiologists were associated with having part-time radiologists in the practice. Practices that had a senior partner or administrator who supported the concept of part-time work were more likely to offer this option to physicians. We expected that radiology practices would have explicit policies regarding part-time work; however few of the practices had any formal policies on this career option. As a result, radiologists seeking part-time work early in their careers were at a distinct disadvantage in negotiations. Fear of the stigma and related career consequences may restrain male radiologists from seeking part-time work early in their careers. Despite acceptance in some practices and a growing presence of part-time radiologists in the specialty as a whole, there are significant and persistent barriers to part-time work arrangements other than as a transition to retirement.
The money management behaviour of undergraduates is a noteworthy study for many stakeholders, as these students are more likely to carry forward this behaviour into later…
The money management behaviour of undergraduates is a noteworthy study for many stakeholders, as these students are more likely to carry forward this behaviour into later life. The literature on student money management behaviour heavily focuses on financial literacy. However, economic, social and psychological factors also affect undergraduates’ money management behaviour. Therefore, the purpose of this study is to empirically investigate how undergraduates respond to and account for these factors in their money management behaviour.
This study was carried out in Australia. This study adopted a qualitative exploratory approach. The data were collected using six focus group discussions (FGDs) held in one Australian university, in which 40 undergraduates participated.
The key themes identified from the thematic analysis include undergraduates’ understanding of money management and managing economic, social and psychological aspects relating to undergraduates’ money management behaviour. Several subthemes were identified under each theme, which specifically showed how undergraduates manage and respond to each of these factors relating to their money management behaviour.
This study was conducted with the data collected from a relatively small sample of respondents and was limited only to undergraduates. Moreover, this study was conducted in Australia, indicating that some of the results might be specific to the Australian context.
The authors have suggested promoting multiple payment methods and internet usage to undergraduates, and providing them with stress management programmes will help them maintain prudent money management behaviour.
The extant literature on undergraduates’ money management behaviour tends to focus on financial literacy. This study extends the scope of the literature beyond financial literacy and has shown how undergraduates respond to economic, social and psychological aspects relating to money management behaviour. This study has applied a qualitative exploratory approach, in contrast to quantitative methods which have generally been applied for studies relating to undergraduates’ money management behaviour.