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1 – 10 of over 3000Annette Bilfeldt and Marianne Mahler
The purpose of this paper is to discuss participatory action research with staff, residents and relatives contributed to the residents’ quality of life through the development of…
Abstract
Purpose
The purpose of this paper is to discuss participatory action research with staff, residents and relatives contributed to the residents’ quality of life through the development of an inclusive praxis in a public nursing home in Denmark. The project addressed the residents’ reports about a lack of influence in their everyday lives.
Design/methodology/approach
The project used future-creating workshops as an important methodological tool. Theoretical concepts about developing a social reflexive and colletive morally obliging praxis were central to frame democratic learning and acting. The theoretical concepts of empowerment and capability were also applied. This paper will outline the methods and the results obtained.
Findings
Learning processes were initiated, enabling staff to respectfully engage in dialogue with residents and their relatives about their needs and wishes. The development of a democratic knowledge-building process was established based on the perspectives of the residents, relatives and staff. In conclusion, the project contributed to the development of a more reflective and democratic praxis focused on empowering the residents as the primary “stakeholders” in the daily life of the nursing home.
Originality/value
The research paper is based on the authors’ own research.
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Mariona Espaulella-Ferrer, Felix Jorge Morel-Corona, Mireia Zarco-Martinez, Alba Marty-Perez, Raquel Sola-Palacios, Maria Eugenia Campollo-Duquela, Maricelis Cruz-Grullon, Emma Puigoriol-Juvanteny, Marta Otero-Viñas and Joan Espaulella-Panicot
Older people living in nursing homes have complex care needs and frequently need specialists’ advice and support that can be challenging to deliver in a rural setting. The aim of…
Abstract
Purpose
Older people living in nursing homes have complex care needs and frequently need specialists’ advice and support that can be challenging to deliver in a rural setting. The aim of this paper is to describe a model of integrated care in a rural area supported by a nurse case manager.
Design/methodology/approach
A real-world evidence study of people living in Ribes de Freser nursing home, was conducted between specific timeframes in 2019 and 2022, comparing the casemix and outcomes of a traditional care model with the integrated interdisciplinary model.
Findings
The integrated care model led to a significant reduction in transfers to the emergency department, hospitalisations, outpatient medical visits and a reduction in the number of medicines. In addition, the number of residents receiving end-of-life care at the nursing home showed a substantial increase.
Originality/value
This case study contributes valuable evidence supporting the implementation of an integrated model of nurse case manager support in nursing homes, particularly in the rural contexts, where access to specialist medical staff may be limited. The findings highlight the potential benefits of person-centred integrated care for older adults, addressing their complex needs and improving end-of-life care in nursing home settings.
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Paul J. Magnuson, Özge Hacıfazlıoğlu, Steven Carber and Rae Newman
A boarding school research center annually invites students, professors, and others to collaborate with faculty members, forming interconnected communities of practice. The…
Abstract
A boarding school research center annually invites students, professors, and others to collaborate with faculty members, forming interconnected communities of practice. The authors interviewed visitors to determine how their experience contributed to their identity as a scholar and the extent to which they felt part of a community of practice. Categorizing emergent themes according to Wenger's (1998) categories of communities of practice, we identified six subthemes that characterize their experience. All participants valued their stay and expressed a desire to remain connected to the school, visiting scholars, and other people they met and now consider part of their network.
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The goal of integrated, multidisciplinary and person-centered care is on the welfare policy agenda in many countries, but how about integrated service delivery in action? This…
Abstract
Purpose
The goal of integrated, multidisciplinary and person-centered care is on the welfare policy agenda in many countries, but how about integrated service delivery in action? This paper describes a three-year service journey of an elderly person from home to a nursing home through home care, specialized hospital and inpatient care. The aim of this viewpoint paper is to consider how customer orientation and integration are realized when an older lady living an active life becomes seriously ill and loses the ability to conduct daily functions.
Design/methodology/approach
The service path will be described from the perspective of a relative.
Findings
The paper raises questions related to governance as well as multidisciplinary and customer orientation in integrated care.
Originality/value
The paper discusses a real-life experience of an elderly care journey from active senior life to a nursing home in Finland. When making visible an elderly care journey, this gives real-life information about the challenges and the needs for development. Better practical understanding helps to remove inter-organizational barriers toward more integrated and patient safe care.
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Yoko Ishida, Bhim Kumar Shrestha, Uma Thapa and Khagendra Subba
This study aims to determine how school-based management (SBM) capacity developed through international cooperation functioned to overcome challenges during the coronavirus…
Abstract
Purpose
This study aims to determine how school-based management (SBM) capacity developed through international cooperation functioned to overcome challenges during the coronavirus disease 2019 (COVID-19) pandemic in Nepal.
Design/methodology/approach
The research structure was designed based on the success case method. The researchers conducted a questionnaire survey of head teachers to understand schools’ responses during the COVID-19 pandemic period, identified likely success-case schools, held workshops at the likely success-case schools and conducted in-depth interviews with head teachers and school management committee (SMC) members to understand how SBM functioned and contributed to the success cases.
Findings
Storytelling from the success-case schools provided reliable evidence that the localised approaches of SBM are effective for planning and implementing suitable responses at school. The reviews of the head teachers showed that both head teachers and teachers had strong leadership and understood the importance of collaboration with teachers, SMC members, Parent Teacher Association (PTA), guardians and students. Although the research could not show clear evidence of a causal relationship between their achievement and Japan’s project input, the success-case schools clearly benefited from the head teachers’ appropriate execution of SBM with their strong leadership as well as the collaborative efforts of the stakeholders.
Originality/value
The research tries to clarify the influence of the effects of SBM capacity development projects by analysing the changes of head teachers and teachers through the storytelling aspect of the success case method with in-depth consideration of actual school responses during the emergency period of the COVID-19 pandemic.
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Sundeep Sahay and Esther N. Landen
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.
Abstract
Purpose
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.
Design/methodology/approach
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.
Findings
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.
Research limitations/implications
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.
Practical implications
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.
Social implications
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.
Originality/value
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.
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This research aims to analyze, from the perspective of family life trajectories, the intergenerational changes in the reproductive strategies of Costa Rican households. The four…
Abstract
This research aims to analyze, from the perspective of family life trajectories, the intergenerational changes in the reproductive strategies of Costa Rican households. The four strategies explored are fertility and marriage, educational, economic, social and symbolic. Pierre Bourdieu’s theory of social reproduction strategies is the frame of reference to study these strategies. Also, the second demographic transition (SDT) is used to contextualize intergenerational changes. The family life trajectories of three generations in different geographic locations and socioeconomic contexts were reconstructed through interviews. A generational triad was chosen for the interviews; the generational triad refers to three generations of the same consanguineous family. One interview was conducted per generation in each triad, 3 per triad, and 15 in total. Generationally, changes in the types and forms of households are identified; they are dynamic households that change their composition as part of the kinship and family support networks undertaken. The first generation with a single marriage, secondary economic role, not least, but within the priority household. Second generations of one or more unions, in the cases of second unions, unlike the first ones, are unions with shared responsibilities. And the third generation with an independent life, living in an apartment with roommates, or who at their parents’ age still live in the dwelling with them, at ages when they already had families and independent life. Finally, this work seeks to discuss whether the dynamics of household transformations are influenced by the socioeconomic context of each household and each generation.
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Julius Atuhurra, Yoonjung Kim-Hines and Mikiko Nishimura
This research explores the impact of the locally grown strategies for learning support, as a positive deviance (PD) study, during the COVID-19 pandemic in rural Uganda.
Abstract
Purpose
This research explores the impact of the locally grown strategies for learning support, as a positive deviance (PD) study, during the COVID-19 pandemic in rural Uganda.
Design/methodology/approach
The researchers employed a randomized control trial (RCT) as an original design whereby 50 schools received a full package of SMS and WhatsApp peer groups of head teachers, 50 schools received SMS only and another 50 served as a control group. As an analytical method, this study adopted a difference-in-difference (DID) model to analyze the impact of the radio talk shows promoted through SMS followed by discussion among WhatsApp peer groups. The data collected in June 2021 and February 2022 were used due to the COVID-19-related data limitation of the baseline survey collected in 2019.
Findings
The authors found that the local radio talk shows as a PD intervention had a humble impact on preventing pupils’ dropout during the school closures for two years in Uganda. However, the authors did not obtain a significant result on the impact of the PD intervention on pedagogical support or learning outcomes at the school level. The authors also found that the pupils have significantly dropped their level of proficiencies in literacy and numeracy during the pandemic.
Originality/value
The findings could be of value for the leaders, educators and policymakers to understand the most recent update of learning situation in Uganda and the potential impact of locally grown strategies for learning which does not require external inputs.
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