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1 – 10 of over 124000
Article
Publication date: 1 July 2014

Mélanie Levasseur, Nadine Larivière, Noémie Royer, Johanne Desrosiers, Philippe Landreville, Philippe Voyer, Nathalie Champoux, Hélène Carbonneau and Andrée Sévigny

– This paper aims to explore the match between needs and services related to participation for frail older adults receiving home care.

Abstract

Purpose

This paper aims to explore the match between needs and services related to participation for frail older adults receiving home care.

Design/methodology/approach

A qualitative multiple case study was conducted with 11 triads each involving an elder, a caregiver and a healthcare provider working in a Health and Social Services Centers (HSSCs).

Findings

Although HSSCs in Québec are supposed to promote social integration and participation of older adults, services provided to the older adults in this study focused mainly on safety and independence in personal care, dressing, mobility and nutrition, without fully meeting older adults’ needs in these areas. Discrepancies between needs and services may be attributable to the assessment not covering all the dimensions of social participation or accurately identifying older adults’ complex needs; older adults’ and their caregivers’ difficulties identifying their needs and accepting their limitations and the assistance offered; healthcare providers’ limited knowledge and time to comprehensively assess needs and provide services; guidelines restricting the types and quantity of services to be supplied; and limited knowledge of older adults, caregivers and healthcare providers about services and resources available in the community.

Originality/value

To improve and maintain older adults’ participation, a more thorough assessment of their participation, especially in social activities, is required, as is greater support for older adults and their families in using available community resources. It is also important to review the services provided by HSSCs and to optimize partnerships with community organizations.

Details

Leadership in Health Services, vol. 27 no. 3
Type: Research Article
ISSN: 1751-1879

Keywords

Article
Publication date: 4 March 2022

Edel Tierney, Leonor Rodriguez, Danielle Kennan, Carmel Devaney, Bernadine Brady, John Canavan, Cormac Forkan, Anne Cassidy, Pat Malone and Caroline McGregor

Participation is the active involvement of children and young people in decision-making regarding issues that affect their lives. It is crucial in the context of child protection…

Abstract

Purpose

Participation is the active involvement of children and young people in decision-making regarding issues that affect their lives. It is crucial in the context of child protection and welfare systems and how they respond to the needs of children and young people. The purpose of this paper is to report on the evaluation of child and family participation in an early intervention and prevention programme implemented by the Irish Child and Family Agency. It provides an analysis of a comprehensive, “whole organization” approach to understand how participation is embedded in policy and practice.

Design/methodology/approach

This paper reports on a comparative qualitative case study of the perspectives of managers and practitioners about participation practice, identifying the facilitators and barriers, as well as their perspectives of the sustainability of participation within the agency and its partners. The authors draw on two complementary, theoretically informed studies evaluating participatory practice within the Agency using qualitative interviews with participants.

Findings

Overall, managers and practitioners had a positive attitude towards participation and identified examples of best practices. Facilitators included training, access to resources and the quality of relationships. Challenges for meaningful participation remain, such as the need to engage, hard to reach populations. Differences were identified regarding how embedded and sustainable participation was.

Originality/value

This paper provides a critical understanding of participation in practice and how to embed a culture of participation in child protection and welfare.

Details

Journal of Children's Services, vol. 17 no. 1
Type: Research Article
ISSN: 1746-6660

Keywords

Article
Publication date: 12 October 2010

Karin Axelsson, Ulf Melin and Ida Lindgren

The purpose of this research is to investigate if, and in that case, how and what the e‐government field can learn from user participation concepts and theories in general…

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Abstract

Purpose

The purpose of this research is to investigate if, and in that case, how and what the e‐government field can learn from user participation concepts and theories in general information systems (IS) research. It aims to contribute with further understanding of the importance of citizen participation and involvement within the e‐government research body of knowledge and when developing public e‐services in practice.

Design/methodology/approach

The analysis in the paper is made from a comparative, qualitative case study of two e‐government projects. Three analysis themes are induced from the literature review; practice of participation, incentives for participation, and organization of participation. These themes are guiding the comparative analysis of our data with a concurrent openness to interpretations from the field.

Findings

The main results in this paper are that the e‐government field can get inspiration and learn from methods and approaches in traditional IS projects concerning user participation, but in e‐government, methods are also needed to handle the challenges that arise when designing public e‐services for large, heterogeneous user groups. Citizen engagement cannot be seen as a separate challenge in e‐government, but rather as an integrated part of the process of organizing, managing, and performing e‐government projects. Analysis themes of participation generated from literature; practice, incentives and organization can be used in order to highlight, analyze, and discuss main issues regarding the challenges of citizen participation within e‐government. This is an important implication based on this paper that contributes both to theory on and practice of e‐government.

Practical implications

Lessons to learn from this paper concern that many e‐government projects have a public e‐service as one outcome and an internal e‐administration system as another outcome. A dominating internal, agency perspective in such projects might imply that citizens as the user group of the e‐service are only seen as passive receivers of the outcome – not as active participants in the development. By applying the analysis themes, proposed in this paper, citizens as active participants can be thoroughly discussed when initiating (or evaluating) an e‐government project.

Originality/value

The paper addresses challenges regarding citizen participation in e‐government development projects. User participation is well researched within the IS discipline, but the e‐government setting implies new challenges that are not explored enough.

Details

Transforming Government: People, Process and Policy, vol. 4 no. 4
Type: Research Article
ISSN: 1750-6166

Keywords

Article
Publication date: 1 June 2005

Denis Loveridge and Penny Street

Most public foresight programmes in the 1990s limited participation to technological experts in the identified fields. However, almost all the programmes had an implied social

1464

Abstract

Purpose

Most public foresight programmes in the 1990s limited participation to technological experts in the identified fields. However, almost all the programmes had an implied social dimension and several concluded that more inclusive participation was needed in future programmes. The paper aims to discuss how inclusiveness might be achieved.

Design/methodology/approach

At first sight extending participation seems eminently possible. Inclusiveness is a matter of definition and process that has been encountered in other foresight style activities where the opinions of the polity need to be taken into account. Definitions and processes form the core of our approach, using ideas from human behaviour, sustainability and corporate governance.

Findings

Learning how to extend participation has started through the German FUTUR programme and the creation of some online discussion forums. Some other programmes in The Netherlands (1996) and the UK (from 1998 onwards) have attempted to become more inclusive, with varying degrees of success.

Research limitations/implications

The discussion is restricted to exploring some general principles related to making foresight programmes more inclusive. Some of the detail has been worked out but is not complete enough to be discussed.

Practical implications

Inclusiveness introduces specific management and process needs, if foresight programmes are to be extended into the social sphere without their becoming chaotic. The principles discussed imply a need for a change in mind‐set for foresight sponsors and practitioners.

Originality/value

None of these ideas have been used in practice and to that extent are original.

Details

Foresight, vol. 7 no. 3
Type: Research Article
ISSN: 1463-6689

Keywords

Article
Publication date: 1 March 2006

David Palmer

This article is concerned with strategies for combating health inequalities for refugees. It explores a service provider's (St Pancras Refugee Centre) response to the mental…

Abstract

This article is concerned with strategies for combating health inequalities for refugees. It explores a service provider's (St Pancras Refugee Centre) response to the mental health and social care needs of refugees in the London Borough of Camden. Drawing on primary and secondary research, the article presents relevant findings and theoretical discourse in this area. It also draws on my own experience of working with refugees, providing a holistic approach to their social care requirements. The main focus is an examination of how social care and mental health needs are addressed. The article argues that providers need to develop services which engage with users on a mutually beneficial level in order to combat health inequalities and provide adequate health and social care provision.

Details

International Journal of Migration, Health and Social Care, vol. 2 no. 1
Type: Research Article
ISSN: 1747-9894

Keywords

Book part
Publication date: 23 February 2010

James Hanrahan

Sustainable development may best be achieved by enhancing the commitment of local communities. Stewart and Hams (1991) argue that the requirements of sustainable development…

Abstract

Sustainable development may best be achieved by enhancing the commitment of local communities. Stewart and Hams (1991) argue that the requirements of sustainable development cannot merely be imposed but that active participation by local communities is needed. However, the terms ‘community’, ‘host community’ and ‘participation’ can be interpreted in a myriad of ways. Before entering a full discussion of host community participation in tourism planning, it is first necessary to explore the various potential interpretations of these terms and to define their meaning and function. This chapter therefore clarifies some of the issues surrounding the terms community, host, host community and participation. The major typologies and available models in relation to host communities’ participation in sustainable planning for tourism are also reviewed.

Details

Global Ecological Politics
Type: Book
ISBN: 978-1-84950-748-6

Article
Publication date: 5 June 2007

Ruud van der Helm

Arguably the most distinguishing characteristic of the current rise of foresight for dealing with the long term is the explicit mention and involvement of actors and actor

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Abstract

Purpose

Arguably the most distinguishing characteristic of the current rise of foresight for dealing with the long term is the explicit mention and involvement of actors and actor networks, i.e. participation. In general, this participation dimension is considered a valuable contribution to better anticipation and anticipatory behavior. However, participation should not be seen as the solution for the conceptual and practical difficulties of anticipation. This paper seeks to argue that, although participation is a necessary requirement for foresight, it contributes a number of new problems, which one prefers to see as dilemmas (since there is no solution to these “problems”). Understanding these “ten insolvable dilemmas of participation” is the main objective of this contribution.

Design/methodology/approach

This article employs theories and practice dealing with participatory approaches.

Findings

Although an important dimension of foresight, participation is often trivialized. However, using participation means also having to address new challenges for which no default design answer is possible.

Practical implications

Futures practitioners will be aware of the consequences of incorporating a participatory dimension into a foresight exercise.

Originality/value

Although participation has become a key feature of many contemporary foresight activities, generic design questions are either ignored or dealt with on a case‐to‐case basis. This paper is an attempt to employ the body of theories on participation and participatory approaches in order to frame the participatory dimension in foresight.

Details

Foresight, vol. 9 no. 3
Type: Research Article
ISSN: 1463-6689

Keywords

Article
Publication date: 29 September 2023

Mark Scott, Jonothan Neelands, Haley Beer, Ila Bharatan, Tim Healey, Nick Henry, Si Chun Lam and Richard Tomlins

It is well known that culture is a catalyst for change, helping economies respond to societal problems and demands and that culture is where people turn to in moments of crisis…

Abstract

Purpose

It is well known that culture is a catalyst for change, helping economies respond to societal problems and demands and that culture is where people turn to in moments of crisis. In this case study around designing and implementing evaluation methodologies/frameworks for Coventry UK City of Culture 2021, it is suggested that in English public policy and within publicly invested arts there is a maturation of thinking around recognising/measuring the public value of culture including its social value. The purpose of this paper is to chart the recent policy of justifying cultural expenditure with social value claims and highlight challenges for evaluating activity within Coventry UK CoC 2021 as a change in wider policy is taking place.

Design/methodology/approach

This paper provides creative insights into the design and implementation of the evaluation methodologies/frameworks for Coventry UK City of Culture 2021. The authors of this paper as the collective team undertaking the evaluation of Coventry's year as UK City of Culture 2021 bring first-hand experiences of challenges faced and the need for a cultural mega-event to evidence its value.

Findings

The case study aims to address the concepts of measuring value within cultural events and argues that a paradigm shift is occurring in methods and concepts for evidencing the aforementioned value.

Research limitations/implications

The case study within this paper focuses on the build-up period to the UK City of Culture 2021 year and the thinking and logic behind the creation of the evaluation/measurement framework and therefore does not include findings from the actual cultural year.

Originality/value

It is acknowledged that there are papers examining measuring and evidencing the “value” of cultural mega-events, the authors bring real-life first-hand experience of the concepts being utilised by them on the ground in the delivery and evaluation design of Coventry, UK City of Culture 2021.

Article
Publication date: 1 June 1993

Yin Cheong Cheng

Aims to develop the conception and theory of school‐basedmanagement and map its characteristics of school functioning forfacilitating the ongoing discussion and effort for school…

Abstract

Aims to develop the conception and theory of school‐based management and map its characteristics of school functioning for facilitating the ongoing discussion and effort for school management reforms in local or international contexts. School‐based management employs theories of “equifinality” and “decentralization”, assumes that “school is a self‐managing system” and regards “initiative of human factor” and “improvement of internal process” as important. When compared with externally‐controlled schools, the characteristics of school‐based managing schools are very different in school functioning. They should have clear school mission and strong organizational culture. In these schools, managing strategies should encourage participation and give full play to members′ initiative; there should also be considerable autonomy of procuring and using resources to solve problems in time; the role of people concerned should be active and developmental; human relationship is open, co‐operative with mutual commitment; administrators should be high quality and always learning; and evaluation of school effectiveness should include multilevel and multi‐facet indicators of input, process and output in order to help the school learn to improve.

Details

International Journal of Educational Management, vol. 7 no. 6
Type: Research Article
ISSN: 0951-354X

Keywords

Article
Publication date: 25 June 2019

David John Sheard, Gregory Clydesdale and Gillis Maclean

A key question in the provision of public health concerns how that provision is governed. The purpose of this paper is to examine the governance structure of a public health board…

Abstract

Purpose

A key question in the provision of public health concerns how that provision is governed. The purpose of this paper is to examine the governance structure of a public health board and its perceived impact on the efficacy of clinical operations.

Design/methodology/approach

Structural issues examined the level of centralisation and public participation, and whether governance should occur through elected boards or appointed managers. These issues were examined through multiple lenses. First was the intention of the structure, examining the issues identified by parliament when the new structure was created. Second, the activities of the board were examined through an analysis of board meetings. Finally, hospital clinicians were surveyed through semi-structured interviews with both quantitative and qualitative questioning.

Findings

A contradiction was revealed between intention, perception and actual activities. This raises concerns over whether the public are significantly informed to elect the best-skilled appointees to governance positions.

Practical implications

This research holds implications for selecting governance structures of public health providers.

Originality/value

Few studies have looked at the role of a publicly elected healthcare governance structure from the perspective of the clinicians. Hence, this study contributes to the literature on healthcare structure and its impact on clinical operations, by including a clinician’s perspective. However, this paper goes beyond the survey and also considers the intention of the structure as proposed by parliament, and board activities or what the board actually does. This enables a comparison of intention with outcomes and perception of those outcomes.

Details

Journal of Health Organization and Management, vol. 33 no. 4
Type: Research Article
ISSN: 1477-7266

Keywords

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