Search results

An important finding of the Safeguarding Adults Review into events at Cawston Park was that the views of patients and their families were systematically ignored by the hospital. The purpose of this paper is to report on a review of people’s experiences of residential and secure in-patient services in Norfolk for those with learning disabilities and autistic people. It discusses overall reported levels of satisfaction, how well people and their families felt they were listened to by services and what people valued most in services.

The main research tools were visits to services to talk to people and observe them receiving care, along with listening sessions outside homes and interviews with relatives.

Most people spoken to were happy with how they were listened to, but there is room for improvement. People particularly valued connections with staff based on reciprocity, long-term relationships and, for some, family-like relationships, and were unhappy when these were inconsistent or absent. People also enjoyed the opportunity to develop relationships with people outside their service, and especially with non-disabled people, something that was rare for most people. Relatives appreciated transparency of communication and openness to negotiation in home managers, especially when problems or disagreements arose.

The findings suggest that the severe problems with listening at Cawston Park are not more widespread across the sector in Norfolk. However, progress is needed to improve the consistency of listening across services and to develop services informed by what people value most in services around quality relationships, communication and social inclusion.

The purpose of this paper is to understand how digital interventions are mediating the identity work of community health workers (CHWs) in the context of two African countries.

This paper analyzes the everyday work of CHWs in two low- and middle-income country (LMIC) contexts (Uganda and Malawi) and seeks to understand changes in collective identity and the role of Information and Communication Technologies (ICTs) in mediating this “identity work”. As CHWs conduct their everyday tasks of care giving, data reporting and maintaining social interactions, they play two primary roles. One is the care giving role oriented towards the community, and two, is reporting and administrative work by virtue of them being affiliated with the Ministry of Health, either in formal or voluntary capacity. The ambivalence which they experience as they move back and forth between these two worlds of work is significantly now mediated through ICTs. The paper analyzes these dynamics and identifies three key sets of ambivalence in identity work: (1) role embracing-institutional distancing; (2) conformist-resistant and (3) dramaturgical-transformative. The paper makes unique contributions to information systems (IS) and ICT for development (ICT4D) studies in that it focuses on a nonprofessional group, which plays a fundamental role in providing care to underserved populations and also conducts data work which provides the foundation of the national health information system. This contrasts with dominant research in the field which focuses on professional groups, largely based in Western business organizations.

The paper identifies identity related tensions that emerge with the mediation of digital technologies in the work world of CHWs. These include tensions of conformist-resistant; and (3) dramaturgical-transformative. These findings are relevant and unique to the field of IS and ICT4D studies in that it focuses on a nonprofessional group, which plays a fundamental role in providing care to underserved populations and also conducts data work which provides the foundation of the national health information system.

While acknowledging identity construction and negotiation is a function of both work and social lives, in this paper we could only focus on the work lives.

As digital interventions in the health sector of low and middle income countries is becoming increasingly widespread, often the focus is more on the supply side (the supply of the technology) rather than on the demand side (users experiences and aspirations). Identity becomes a lens to understand these demand side dynamics, which helps provides practical guidance on implementation approaches to ensure that the technology adds value to user work processes and there is a seamless and not a disruptive transition.

CHWs are the most neglected cadre in the health system of low and middle income countries, even though they provide the cutting edge in care provision work to the most marginalized populations, living in rural and underserved areas. By focusing on how technologies can be more effectively implemented to support these care processes, the paper provides important social implications both for practice and research.

Analysis of identity construction and negotiation of informal groups in the unorganized sector of low and middle income countries has not received adequate attention in IS research. The paper seeks to fill this important gap.

Due to the projected increase in the older adult population, occupational therapy providers will have an increasing role in supporting health outcomes for older adults in the coming years. The purpose of this systematic review was to determine the effectiveness of occupational interventions to promote home safety in older adults.

This systematic review followed the Preferred Reporting Items of Systematic reviews (PRISMA) guidelines. Articles were double screened by separate researchers, then exported and managed in EndNote. The Risk of Bias Table determined certainty of evidence for themes.

Three main preliminary themes were identified from the 17 included articles. Themes include multimodal interventions (n= 6), exercise interventions (n= 9) and home modifications (n = 2). None of the articles explicitly defined home safety, but distal outcomes related to safety included: increased strength, balance improvement and functional mobility.

Importantly, an absent consensus for a definition of home safety limits the results of this systematic review while at the same time providing opportunity for future research.

Exercise combined with nutrition provided the strongest intervention evidence for physical functionality. Additionally, home modifications alone may be insufficient to result in improved home safety.

An occupational therapy’s (OT) holistic approach benefits older adults through evidenced-based interventions improving home safety, independence in functional tasks and overall quality of life.

Findings provide clinicians with information on the effectiveness of interventions within the scope of OT that can be implemented within the home to promote home safety.

In view of the rapid growth of micro vacation trend in post-pandemic era, this study aims to identify the underlying motivational factors for micro vacation by developing and validating a measurement scale, while explore the influence of micro vacation motivation on travel intention.

This research adopts mixed methods. Nine dimensions with 38 items are initially yielded through extensive literature review and in-depth interview (n = 22). Expert panel review filters the scale into eight dimensions with 35 items. Principal component analysis (n = 376) purifies the measures into a 35-item and seven-dimension scale, further confirmed by confirmatory factor analysis (n = 616). Nomological validity test (n = 694) proved the positive effect of micro vacation motivation on travel intention.

The results present a measurement scale of micro vacation motivation and reveals its seven dimensions: self-presentation, spiritual satisfaction, bonding, convenience, sense of rituals, place attachment and perceived risk. All the motivational factors positively influence travel intention for a micro vacation.

Through profound comprehension of micro vacationers’ travel motivation, destination marketers and tourism providers can better design their products based on vacationers’ needs while stimulate potential market’s visiting intention by diverse marketing activities.

This study enriches the literature of micro vacation tourism and deepens the knowledge of travel motivation, filling the research gap of tourists’ motivation in micro vacation market.

鉴于疫情后时代微度假趋势的快速增长, 本研究旨在通过开发和验证测量量表来探索微度假的潜在动机因素, 同时探讨微度假动机对旅游意向的影响。

本研究采用混合方法。通过广泛的文献回顾和深度访谈（n = 22）, 初步得出九个维度 38 个题项。专家小组评审将量表筛选为八个维度, 共 35 个题项。主成分分析（n = 376）将其提纯为 35 个题项、七个维度的量表, 并通过确认性因子分析（n = 616）进一步确认。法则效度测试（n = 694）证明了微观度假动机对旅游意向的积极影响。

研究结果提出了微度假动机的测量量表, 并揭示了其七个维度：自我展示、精神满足、联系、便利、仪式感、地方依恋和感知风险。所有动机因素都会对微型度假的旅行意向产生积极影响。

本研究丰富了微度假旅游的文献, 加深了对旅游动机的认识, 填补了微度假市场中游客旅游动机的研究空白。

通过对微型度假者旅游动机的深刻理解, 旅游目的地营销者和旅游服务提供者可以更好地根据度假者的需求设计产品, 同时通过多样化的营销活动激发潜在市场的旅游意向。

Frente al rápido crecimiento de la tendencia a las microvacaciones en la era post pandemia, esta investigación pretende identificar los factores motivacionales subyacentes de las microvacaciones mediante el desarrollo y la validación de una escala de medición, así como analizar la influencia de la motivación de las microvacaciones en la intención de viajar.

Esta investigación adopta un método mixto. En primer lugar, se obtienen nueve dimensiones con 38 ítems a través de una amplia revisión bibliográfica y una entrevista en profundidad (n = 22). Un panel de expertos filtró la escala en ocho dimensiones con 35 ítems. El análisis de componentes principales (n = 376) depuró las medidas en una escala de 35 ítems y siete dimensiones, confirmada además por el análisis factorial confirmatorio (n = 616). La prueba de validez nomológica (n = 694) demostró el efecto positivo de la motivación microvacacional en la intención de viajar.

Los resultados presentan una escala de medición de la motivación para las microvacaciones y muestran sus siete dimensiones: autopresentación, satisfacción espiritual, vinculación, conveniencia, sentido de los rituales, apego al lugar y riesgo percibido. Todos los factores motivacionales influyen positivamente en la intención de viajar en microvacaciones.

Este estudio enriquece la literatura del turismo de microvacaciones y profundiza en el conocimiento de la motivación para viajar, llenando la laguna existente en la investigación de la motivación de los turistas en el mercado de las microvacaciones.

Mediante una comprensión profunda de la motivación de viaje de los microvacacionistas, los comercializadores de destinos y los proveedores turísticos pueden diseñar mejor sus productos basándose en las necesidades de los turistas, así como estimular la intención de visita del mercado potencial mediante diversas actividades de marketing.

Research-based knowledge on homecare nursing is scarce and further information is warranted about citizens’ perceptions of receiving home care under existing conditions. The purpose of this study was to investigate citizen experiences with health-care professionals in the time allotted for home care.

A questionnaire survey was distributed to 348 citizens receiving home care. The questionnaire consisted of questions whether the citizens experienced that enough time was available during the homecare visit and how the conversation and care relationship with the health-care professionals were experienced. The differences in responses were analysed using Fisher’s Exact Tests.

Overall, 94% of the citizens reported that sufficient time had been available and that care relationship and conversation with the health-care professionals had been positive during the homecare visit. However, the findings indicated that citizens aged more than +76 years and citizens with a high educational level were more prone to report that the nurses did not spend enough time during the home visit.

The findings offer useful insights for the professionals in delivering appropriate home care. Listening to citizens’ wishes and needs for home care could lead to better individualised care. Especially the youngest and oldest of the citizens seem to have specific experiences that call for further investigation.

This paper aims to contribute to research on hybrid organisations operating within the information and communication technology for development paradigm to foster socio-economic inclusion through the capacity building of marginalised individual youth to enable their entry and participation in the formal labour market.

Using a qualitative research design, the authors investigated impact sourcing service providers and their beneficiaries to unpack how hybrid organisations fulfil their social mission and to provide a nuanced understanding of their needed capabilities. Data triangulation through document analysis, participant observation and semi-structured interviews were conducted for the empirical findings’ robustness and in-depth analysis.

This paper illuminates how hybrids strived to build beneficiaries' capabilities through empirically grounded approaches of “standardised” and “individualised” skills development, which were strongly connected to the perceived capabilities among the beneficiaries. Organisations that practiced the “individualised” approach imparted technical knowledge and, depending on individual needs, relevant social skills. Critically, the empirical findings call into question the effectiveness of the scalability model, as the results showed that the creation of standardised, low-skilled and low-paid jobs contradicts the idealised self-help status that employment advocates. In addition, the findings underline the central role of constant experimentation, resilience and organisational learning in revamping capabilities of hybrid organisations. Remarkably, compared to organisations committed to the “standardised” technical competency path, the results underscored the difficulties that organisations taking an “individualised" approach face in developing organisational capabilities for their financial sustainability. Further, organisations engaged in standardised” skills development were found to readapt their business model to the economic value and kept the wording of dual mission as a narrative.

The paper makes a conceptual and empirical contribution bringing together two separately developed literature strands – the organisational capability approach and – the individual capability approach, to enhance a more profound understanding of how both capabilities are connected to each other in the dual-mission orientation of hybrids embedded in resource-poor environments, global value chains, Global South, hybrid organisations, organisational and individual capability building.

Home-based commercial hospitality (HBCH) is the focus of this study. This community-based tourism (CBT), which has received little research attention, is examined to reveal the meaning of commercially hosting visitors in private homes for experiential meetings on a variety of topics such as food, art, culture, folklore and various workshops.

A qualitative research method was adopted, using semi-structured, in-depth interviews with HBCH providers in the desert town of Arad, located in southern Israel.

The study reveals the impact of this unusual occupation on the host's quality of life, the factors that encourage and suppress involvement in this entrepreneurship, as well as the positive and negative consequences of HBCH on the local environment.

The findings could offer important guidelines to municipalities and local governments seeking to encourage CBT and sustainable micro-enterprises.

HBCH is a recent phenomenon and, as such, has been little researched. This study of one community raises issues that may be shared by HBCH enterprises. The findings could contribute to developing such initiatives elsewhere, avoiding the obstacles faced in this pioneering effort.

This study aims to characterize the experiences of health professionals participating in an exploratory randomized controlled trial designed to improve hearing and vision among older adults without dementia receiving the in-home health services provided by Norwegian municipalities.

Semistructured individual and paired interviews were conducted by nine health professionals from five municipalities to explore health professionals’ experiences with the intervention. The data were analyzed using content analysis.

Three main categories of experiences were identified: (1) participating in the intervention, (2) emerging new knowledge and (3) developing in-home health services. The mutual collaboration between health professionals and service recipients during the screening process led to a more-thorough understanding of the service recipients’ needs and resources, enabling personalized advice and guidance.

In-home interventions have the potential to improve the quality of life of older adults with hearing and vision impairments. Given the promising outcomes of such interventions, future research should (1) investigate their effects on changes in behaviors and attitudes, (2) integrate technological advancements and (3) explore environmental modifications to further enhance the quality of life of older adults in various settings.

The health professionals in this study enjoyed assisting the service recipients in receiving in-home health services by screening their hearing, vision and indoor lighting conditions. The trial enabled the health professionals to provide personalized advice, and to motivate and guide the service recipients toward actions to remedy their impairments.

The health professionals recommended hearing, vision and indoor lighting screening to be a routine municipal service because it would safeguard independence, prevent falling and maintain the quality of life of service recipients. However, additional resources are needed to implement these recommendations.

In-home interventions have the potential to improve the quality of life of older adults with hearing and vision impairments.

To map nurses’ actions performed during the care transitions from hospital to home of Covid-19 patients.

A scoping review based on the Joanna Briggs Institute guidelines was carried out. We searched in seven databases: PubMed/MEDLINE, BDENF, LILACS, SciELO, Embase, Scopus, Web of Science and Google Scholar. A two-step screening process and data extraction was performed independently by two reviewers. The findings were summarized and analyzed using a content analysis technique.

Of the total 5,618 studies screened, 21 were included. The analysis revealed nurses’ actions before and after patient’ discharge, sometimes planned and developed with the interprofessional team. The nurses’ actions included to plan and support patients’ discharge, to adapt the care plan, to use screening tools and monitor patients’ clinical status and needs, to provide health orientation to patients and caregivers, home care and face-to-face visiting, to communicate with patients, caregivers and other health professionals with phone calls and virtual tools, to provide rehabilitation procedures, to make referrals and to orient patients and families to navigate in the health system.

The results provide a broader understanding of the actions taken and challenges faced by nurses to ensure a safe care transition for Covid-19 patients from hospital to home. The interprofessional integration to discharge planning and the clinical nursing leadership in post-discharge monitoring were highlighted.

The nurses’ actions for Covid-19 patients performed during care transitions focused on coordination and discharge planning tailored to the needs of patients and caregivers at the home setting. Nurses monitored patients, with an emphasis on providing guidance and checking clinical status using telehealth tools.

This paper aims to explore the outcomes of an analysis on day by day task – journey planning conduct of senior citizens by using a modern dynamic model and a family unit travel overview, gathered in Bhubaneswar, Odisha, of India in 2018. The task-journey planning display assumes an unique time–space-constrained planning development.

The main commitment of this paper is to reveal day by day task – journey planning conduct through a comprehensive dynamic framework. Numerous behavioural subtleties are revealed by the subsequent empirical model. These incorporate the role that income plays in directing outside time consumption decisions of senior citizens. Senior citizens in the most elevated and least salary classes will in general have minor varieties in time consumption decisions than those in middle pay classifications. Generally speaking, the time consumption decisions become progressively steady with expanding age, demonstrating that more task durations and lower task recurrence become progressively predominant with increasing age.

Day by day task-type and area decisions reveal a reasonable irregular utility-amplifying level headed conduct of senior residents. Unmistakably expanding spatial availability to different task areas is an urgent factor in characterizing every day outside task interest of senior residents. It is likewise evident that the assorted variety of outside task-type decisions decreases with rise in age and senior citizens are major touchy to auto journey hour than to travel or non-mechanized journey hour.

The fundamental constraint to the dynamic structure is that the mode decision model was viewed as exogenic to the demonstrating framework. The essential purpose behind this supposition that was that senior citizens in the Bhubaneswar are overwhelmingly customers of the local car. Coordination of the mode decision display part inside this structure would deliver a full task-based journey request model that could catch trip age, starting times, outing circulation and mode decision using a solitary demonstrating framework.