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1 – 10 of 82Armando Calabrese, Antonio D'Uffizi, Nathan Levialdi Ghiron, Luca Berloco, Elaheh Pourabbas and Nathan Proudlove
The primary objective of this paper is to show a systematic and methodological approach for the digitalization of critical clinical pathways (CPs) within the healthcare domain.
Abstract
Purpose
The primary objective of this paper is to show a systematic and methodological approach for the digitalization of critical clinical pathways (CPs) within the healthcare domain.
Design/methodology/approach
The methodology entails the integration of service design (SD) and action research (AR) methodologies, characterized by iterative phases that systematically alternate between action and reflective processes, fostering cycles of change and learning. Within this framework, stakeholders are engaged through semi-structured interviews, while the existing and envisioned processes are delineated and represented using BPMN 2.0. These methodological steps emphasize the development of an autonomous, patient-centric web application alongside the implementation of an adaptable and patient-oriented scheduling system. Also, business processes simulation is employed to measure key performance indicators of processes and test for potential improvements. This method is implemented in the context of the CP addressing transient loss of consciousness (TLOC), within a publicly funded hospital setting.
Findings
The methodology integrating SD and AR enables the detection of pivotal bottlenecks within diagnostic CPs and proposes optimal corrective measures to ensure uninterrupted patient care, all the while advancing the digitalization of diagnostic CP management. This study contributes to theoretical discussions by emphasizing the criticality of process optimization, the transformative potential of digitalization in healthcare and the paramount importance of user-centric design principles, and offers valuable insights into healthcare management implications.
Originality/value
The study’s relevance lies in its ability to enhance healthcare practices without necessitating disruptive and resource-intensive process overhauls. This pragmatic approach aligns with the imperative for healthcare organizations to improve their operations efficiently and cost-effectively, making the study’s findings relevant.
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Benjamin Thomas Gray and Matthew Sisto
The purpose of this study is to describe peer support work in a men’s mental health unit from a lived experience and service user’s perspective. The intertwining of process (a…
Abstract
Purpose
The purpose of this study is to describe peer support work in a men’s mental health unit from a lived experience and service user’s perspective. The intertwining of process (a lived experience perspective) and subject (the therapeutic value of peer support) leads to greater knowledge and insight into peer support for people with mental health problems.
Design/methodology/approach
This service user narrative draws on the extracts from a reflective journal of interactions and conversations with people with mental health problems as well as feedback from service users and staff about the value of peer support. These methods allow a first-person, service user’s, reflective and narrative account of peer support work.
Findings
Peer support work, particularly hearing voices sessions, are found to be highly therapeutic and worthwhile. They promote insight and create feelings of safety and hope in what can sometimes be a frightening and hostile ward environment. Peer support provides emotional and practical support. Sharing stories and experiences of mental illness with people leads to trust, feelings of being valued, heard and accepted as well as better experiences of care and being seen as a person first. Due to their shared experiences, peer support workers are able to befriend people with mental health problems on the ward. Peer support work bridges the gap and vacuum of care between people with mental health problems and staff. It compensates for understaffing to provide more holistic and person-centred care and support.
Originality/value
Lived experience/ service user perspectives and narratives on peer support are rare, particularly in a hospital setting. This article provides a rich, perhaps overlooked and hidden narrative on the nature of peer support work. People with mental health problems, like Ben, are often excluded from society, health and social care, education, employment and research. This narrative opens up a pathway to understanding peer support from a service user perspective.
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Emma Audrey Adams, Desmond Hunter, Joanne Kennedy, Tony Jablonski, Jeff Parker, Fiona Tasker, Emily Widnall, Amy Jane O'Donnell, Eileen Kaner and Sheena E. Ramsay
This study aims to explore the experiences of living through the COVID-19 pandemic for people who faced homelessness and dealt with mental health and/or substance use challenges.
Abstract
Purpose
This study aims to explore the experiences of living through the COVID-19 pandemic for people who faced homelessness and dealt with mental health and/or substance use challenges.
Design/methodology/approach
This qualitative study was comprised of 26 1:1 interviews (16 men and 10 women), conducted between February and May 2021 with people who experienced homelessness in North East England during the COVID-19 pandemic. An inductive reflexive thematic analysis was undertaken, with input from individuals with lived experience who were involved throughout the study.
Findings
Four themes were developed. The first theme, lack of support and exacerbation of mental health and substance use difficulties, highlighted how the lack of in-person support and increased isolation and loneliness led to relapses or new challenges for many people’s mental health and substance use. The second theme, uncertainty and fear during the pandemic, explored how the “surreal” experience of the pandemic led to many people feeling uncertain about the future and when things would return to normal. The third theme, isolation and impacts on social networks, discussed how isolation and changes to relationships also played a role in mental health and substance use. Finally, opportunity for reflection and self-improvement for mental health and substance use, explored how some people used the isolated time to re-evaluate their recovery journey and focus on self-improvement.
Practical implications
The experiences shared within this study have important implications for planning the future delivery and commissioning of health and social care services for people facing homelessness, such as sharing information accessibly through clear, consistent and simple language.
Originality/value
As one of the few papers to involve people with lived experience as part of the research, the findings reflect the unique narratives of this population with a focus on improving services.
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Ganghua Chen, Chenyue Zhao and Chaoran Li
This paper aims to review research on mental health and well-being (MHW) in tourism, which the United Nations addresses in Sustainable Development Goal No. 3 (SDG 3). The authors…
Abstract
Purpose
This paper aims to review research on mental health and well-being (MHW) in tourism, which the United Nations addresses in Sustainable Development Goal No. 3 (SDG 3). The authors also pinpoint future directions regarding how tourism can contribute to this goal from theoretical and practical standpoints.
Design/methodology/approach
The authors review the literature on MHW in tourism from the perspectives of tourists, residents and tourism workers.
Findings
Researchers have predominantly analysed tourists’ MHW outcomes through the lenses of positive psychology and tourism therapy; only a small number of studies have focused on MHW-related benefits and challenges in terms of tourism development for residents and tourism workers. Investigations of MHW in tourism require interdisciplinary approaches to reveal how tourism promotes diverse stakeholders’ mental health. Practically, there is an urgent need to incorporate tourism products and services into mental health care, and design tourism experience with positive psychology principles.
Originality/value
This study offers insights into fostering MHW through tourism. It specifically proposes theoretical and practical ways in which tourism might enhance MHW for various industry stakeholders, contributing to SDG 3.
目标
本文基于联合国可持续发展目标中的第三个目标(SDG 3), 对旅游中的心理健康和幸福感研究进行了回顾, 并就旅游如何助推这一目标的实现指明了未来的研究和实践方向。
设计/方法
本文从游客、居民和旅游从业者的角度对与旅游中的心理健康和幸福感相关的文献进行了回顾和评估。
研究结果
当前研究主要从积极心理学和旅游疗法的视角分析了游客的心理健康和幸福感, 有关旅游业发展对居民和旅游从业者心理健康和幸福感的积极影响及挑战的研究尚不多见。因此, 需采用跨学科进路来揭示旅游业对不同利益相关者心理健康的促进作用。在实践方面, 亟需将旅游产品和服务纳入到心理健康护理体系中, 并依据积极心理学原理来开展旅游体验设计。
原创性/价值
本文为通过旅游发展来促进心理健康与幸福感这一主题提供了见解。本文为旅游业如何提高各利益相关者的心理健康与幸福感提供了理论方面和实践方面的进路, 从而助推联合国可持续发展目标中第三个目标的实现。
Objetivo
Este artículo revisa los estudios y las investigaciones sobre la salud mental y el bienestar en el turismo (MHW por sus siglas en inglés, basándose en el Objetivo de Desarrollo Sostenible 3 (ODS 3) de las Naciones Unidas, y explora las futuras direcciones de investigación y práctica en el impulso del logro de este objetivo a través del turismo.
Diseño/metodología/enfoque
Se revisa la literatura relevante sobre la salud mental y el bienestar en el turismo desde la perspectiva de los turistas, residentes y trabajadores del sector turístico.
Resultados
Actualmente, las investigaciones se centran principalmente en el análisis de la salud mental y el bienestar de los turistas desde la perspectiva de la psicología positiva y la terapia de turismo. Sin embargo, hay una falta de investigación sobre el impacto positivo y los desafíos del desarrollo turístico en la salud mental y el bienestar de los residentes y trabajadores del turismo. Por lo tanto, se requiere un enfoque interdisciplinario para revelar el papel del turismo en la promoción de la salud mental para diferentes partes interesadas. En cuanto a la práctica, se debe explorar activamente la integración de productos y servicios turísticos en el cuidado de la salud mental y diseñar actividades turísticas basadas en los principios de la psicología positiva.
Originalidad/valor
Este estudio ofrece perspectivas sobre el papel del turismo en la promoción de la salud mental y el bienestar. Al proponer rutas teóricas y prácticas para mejorar la salud mental y el bienestar de las partes interesadas en el turismo, este artículo tiene como objetivo contribuir al logro del Objetivo de Desarrollo Sostenible 3 (ODS 3) de las Naciones Unidas.
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Keywords
- Tourists
- Positive psychology
- Sustainable development goals
- Residents
- Tourism workers
- Mental health and well-being (MHW)
- Tourism therapy
- 心理健康和幸福感
- 可持续发展目标
- 游客
- 居民
- 旅游从业者
- 积极心理学
- 旅游疗法
- Salud mental y bienestar (MHW)
- Objetivos de desarrollo sostenible (ODS)
- Turistas
- Residentes
- Trabajadores del turismo
- Psicología positiva
- Terapia de turismo
Elizabeth Hutton, Jason Skues and Lisa Wise
This study aims to use the dual-continuum model of mental health to explore mental health in Australian construction apprentices from the perspective of key stakeholders in the…
Abstract
Purpose
This study aims to use the dual-continuum model of mental health to explore mental health in Australian construction apprentices from the perspective of key stakeholders in the apprenticeship model. In particular, this study explored how construction apprentices, Vocational Education and Training (VET) teachers, industry employers and mental health workers understood the construct of mental health, factors associated with the dimension of psychological distress/symptoms of mental illness, and factors associated with the dimension of mental wellbeing.
Design/methodology/approach
This study used an exploratory qualitative research design. Data from 36 semi-structured interviews were analysed using thematic analysis. Participants comprised 19 Australian construction apprentices, 5 VET teachers, 7 industry employers and 5 mental health workers.
Findings
In total, 14 themes were generated from the data set. Participants across stakeholder groups reported a limited understanding about mental health. Participants cited a range of negative personal, workplace and industry factors associated with psychological distress/symptoms of mental illness, but only reported a few factors associated with mental wellbeing.
Originality/value
To the best of the authors’ knowledge, this study is one of the first to use the dual-continuum model of mental health to explore the mental health of Australian construction apprentices, and to explore the factors associated with both dimensions of this model from the perspective of key stakeholders in the Australian construction apprenticeship model.
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Jonah Duckworth, Abid Hasan and Imriyas Kamardeen
Data from different countries suggest a higher prevalence of anxiety, depression and suicides among manual and trade workers in the construction industry than in the general…
Abstract
Purpose
Data from different countries suggest a higher prevalence of anxiety, depression and suicides among manual and trade workers in the construction industry than in the general population. The present review examines the causes and effects of poor mental health and the effectiveness of interventions to improve manual and trade workers' mental health in the construction industry. It also identifies gaps in research and makes several suggestions for practice and future research.
Design/methodology/approach
A systematic literature review was conducted to examine and consolidate evidence reported in 54 relevant journal articles published between 2010 and 2021 on the mental health of manual and trade workers.
Findings
Three major themes emerged in the review of the 54 journal articles: causes of poor mental health, effects of poor mental health and interventions to improve mental health. The leading causes of poor mental health among construction manual and trade workers are poor work-life balance, high job demand, poor cultural norms and mental health stigma, chronic bodily pain, lack of social support, workplace injustice and job insecurity. The prominent effects of poor mental health are suicidality, drug and alcohol addiction, poor workplace safety and poor work performance. Moreover, the study found that some of the strategies recently implemented in the construction industry to improve mental health are deemed ineffective, or their effectiveness remains inconclusive.
Research limitations/implications
The review's scope is limited to research on manual and trade workers, and it did not investigate the mental health of construction professionals and construction management students.
Originality/value
The review provides valuable insights into the causes and effects of poor mental health among manual and trade workers and the effectiveness of mental health interventions in the construction industry.
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Kristin Stewart, Glen Brodowsky and Donald Sciglimpaglia
Many believe that any social media harms kids because of frequent use. This study aims to examine these assumptions. It proposes and tests a model that considers two alternative…
Abstract
Purpose
Many believe that any social media harms kids because of frequent use. This study aims to examine these assumptions. It proposes and tests a model that considers two alternative pathways – one negative and one positive – through which social media affects teens’ self-reported subjective well-being.
Design/methodology/approach
This research used Preacher and Hayes process modeling to conduct path analysis on data collected on 585 teenagers from across the USA.
Findings
Results showed that along a negative pathway, frequent social media use leads to greater risky social media engagement that ultimately diminishes adolescent’s sense of well-being. Also, and perhaps simultaneously, frequent social media use leads to socially-connected social media use that enhances adolescent’s sense of well-being.
Practical implications
The research recommends ways parents, policymakers and platforms can encourage teens to use social media to connect with friends while guiding them away from pathways exposing them to risky behaviors.
Originality/value
Findings show more social media use is not necessarily harmful, but more of some types is bad, while more of others is good.
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This study aims to explore the gendered nature of housing insecurity by investigating how gender affects women’s experience moving from transitional to market housing. By…
Abstract
Purpose
This study aims to explore the gendered nature of housing insecurity by investigating how gender affects women’s experience moving from transitional to market housing. By describing women’s pathways out of supportive or transitional housing support, the authors show how patriarchal forces in housing policies and practices affect women’s efforts to find secure housing. The authors argue that gender-neutral approaches to housing will fail to meet women’s needs.
Design/methodology/approach
This study explores the narratives from women accessing support services in Halifax, Canada. The first author conducted deep narrative interviews with women seeking to move from transition to market housing.
Findings
This research sheds light on the effects of gendered barriers to safe, suitable and affordable housing; how women’s experiences and expectations are shaped by these barriers; and, how housing-based supports must address the uniquely gendered experiences women face as they access market housing. In addition, this research reveals the importance of gender-responsive services that empower women facing a sexist housing market.
Originality/value
Little research has explored questions related to gender and housing among those seeking to move from transitional to marker housing, and existing research focuses on women’s housing insecurity as it relates to domestic violence. The sample of women included those having housing insecurity for a variety of reasons, including substance use and young motherhood.
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Wen Wang, Roger Seifert and Matthew Bamber
This study examines potential ways to break the inequality reproduction circle faced by ethnic minority health workers and sustained by key performance indicators (KPIs)-centred…
Abstract
Purpose
This study examines potential ways to break the inequality reproduction circle faced by ethnic minority health workers and sustained by key performance indicators (KPIs)-centred management in the National Health Service (NHS) in England. It does so through the lens of signalling theory.
Design/methodology/approach
Three years panel data for 2018–2020 covering 207 hospitals was compiled from the annual NHS staff survey and matched with relevant administrative records. Structural equation modelling was used to test the proposed hypotheses at the organisational level.
Findings
The moderated mediating model reveals that persistent racial discrimination by managers and coworkers can disadvantage the career progression of ethnic minority health workers, which in turn reinforces and reproduces economic and health inequalities among them. More importantly, we show how the collective agreement that the senior management team acts (SMTA) on staff feedback can break this vicious circle.
Research limitations/implications
While our research focuses on the not-for-profit health care sector, it opens important opportunities to extend the proposed model to understand organisational inequality and how to address it.
Practical implications
Perceived SMTA can send strong signals to reduce deep-rooted discrimination (race, gender, age, etc.) through resource allocations and instrumental functions. This is also a way to address the current staff burnout and shortage issues in the healthcare sector.
Social implications
This article reveals why the purpose of organisations that provide public service to reduce social inequality was comprised during their business-like operations and more importantly, how to reflect their foundational purpose through management practice.
Originality/value
This study offers a way forward to resolve one of the unintended consequences of KPI-centred management in the not-for-profit sector through unpacking the process of inequality reproduction and, more importantly, how it is possible to break this vicious circle.
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