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Article
Publication date: 1 April 2000

Kathryn de Luc

Care pathways are becoming increasingly popular within UK healthcare organisations yet very little is known about the tool. Using the results from a survey of healthcare…

1927

Abstract

Care pathways are becoming increasingly popular within UK healthcare organisations yet very little is known about the tool. Using the results from a survey of healthcare organisations, which are members of the National Pathways Association (NPA), the author suggests that different models of care pathways are being implemented. Four models or different types of care pathways are identified, with different features in each model. The models can be used prospectively by organisations to decide which particular features they may want to include. Alternatively, the models can be used as an assessment tool to identify the type of pathway being developed. This assessment can form the basis for any future evaluations of the effectiveness of the pathways which are developed.

Details

International Journal of Health Care Quality Assurance, vol. 13 no. 2
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 1 June 2010

Anu Kajamaa

This study seeks to challenge the notions of the standardized care pathway and patient‐centred care, both of which provide only a partial view of care as a complex system…

Abstract

Purpose

This study seeks to challenge the notions of the standardized care pathway and patient‐centred care, both of which provide only a partial view of care as a complex system. In exploring and contrasting the care pathway protocol and an actual care pathway, the study aims to analyze the conceptualizations of care that actors involved in the actual care pathway have. The study makes suggestions on how to expand care pathways and thereby improve patient care.

Design/methodology/approach

A care pathway protocol is contrasted with the actual care pathway of a patient at a university hospital in Finland. Observational ethnography is combined with a narrative approach and activity‐theoretical ideas.

Findings

The study depicts the gap between the care pathway protocol and an actual care pathway. The actual care pathway, rather than being a clear‐cut process, is ruptured and unpredictable. The conceptualizations of care (i.e. care‐objects) held by the doctors, nurses and the patient were fragmented and clashed in their practical work activity. The main message to hospital management is that in order to expand care pathways, the multiple care‐objects need to be placed in constructive interplay.

Research limitations/implications

A single actual care pathway is presented and the results are interpreted accordingly.

Originality/value

The study explores the idea of a care pathway and patient‐centred care in the analysis of care‐objects. A new discursive model is introduced that places different care‐objects into interplay and opens up the possibilities for the expansion of care pathways.

Details

International Journal of Public Sector Management, vol. 23 no. 4
Type: Research Article
ISSN: 0951-3558

Keywords

Book part
Publication date: 29 September 2016

Ashton Chapman, Caroline Sanner, Lawrence Ganong, Marilyn Coleman, Luke Russell, Youngjin Kang and Sarah Mitchell

Stepgrandparent-stepgrandchild relationships are increasingly common as a result of relatively high rates of divorce and remarriage and increased longevity. When…

Abstract

Purpose

Stepgrandparent-stepgrandchild relationships are increasingly common as a result of relatively high rates of divorce and remarriage and increased longevity. When relationships are close, stepgrandparents may be valuable resources for stepgrandchildren, but the relational processes salient to the development of these ties remain largely unknown. The purposes of our research were: (1) to explore the complexity of stepgrandparent-stepgrandchild relationships, and (2) to examine processes that affected stepgrandparent-stepgrandchild relationship development.

Methodology/Approach

We present results from four grounded theory projects, which were based on semistructured interviews with 58 stepgrandchildren who provided data about 165 relationships with stepgrandparents. Collectively, these studies highlighted key processes of stepgrandparent-stepgrandchild relationship development operating within four distinct pathways to stepgrandparenthood – long-term, later life, skip-generation, and inherited pathways.

Findings

Stepgrandchildren’s closeness to stepgrandparents was influenced by factors such as timing (the child’s age and when in their life courses intergenerational relationships began), stepgrandparents’ roles in the life of the middle-generation parent and the quality of those relationships, whether or not the stepfamily defined the stepgrandparent as kin (e.g., through the use of claiming language), intergenerational contact frequency, and stepgrandparents’ affinity-building.

Originality/Value

Our study furthers understanding of stepgrandparent-stepgrandchild by attending to the importance of context in examining the processes that affect intergenerational steprelationship development. Exploring processes related to intergenerational steprelationships strengthens our understanding of the benefits and challenges associated with steprelationship development. Our study also sheds light on the “new look at kinship” and the processes that inform the social construction of family in a changing familial landscape.

Details

Divorce, Separation, and Remarriage: The Transformation of Family
Type: Book
ISBN: 978-1-78635-229-3

Keywords

Book part
Publication date: 1 December 2014

Debra D. Bragg

President Obama positions community colleges as a linchpin of federal policy on education and training for citizens adversely affected by the recession. Chief among…

Abstract

Purpose

President Obama positions community colleges as a linchpin of federal policy on education and training for citizens adversely affected by the recession. Chief among recommended reforms is the notion of career pathways that enable students, especially non-traditional age adults, to participate in postsecondary education directed at employment.

Design/methodology/approach

This paper reviews the literature on career pathway reforms to describe these programs and the students who enroll in them. It also presents evidence from two third-party evaluations of federal grants supporting career pathway implementation.

Findings

Results suggest career pathway programs are spreading throughout the United States through unprecedented levels of federal funding. Adult learners are a primary target group, but more data are needed to determine on a deeper level who these students are and whether they are being well served.

Originality/value

This paper offers new information to help readers consider whether President Obama’s agenda will achieve its goals and positively impact college completion and economic recovery.

Details

The Obama Administration and Educational Reform
Type: Book
ISBN: 978-1-78350-709-2

Keywords

Article
Publication date: 29 June 2022

Julio César Acosta-Prado, Rodrigo Arturo Zárate-Torres, Arnold Alejandro Tafur-Mendoza, Ricardo Prada-Ospina and Claudia Fabiola Rey Sarmiento

While the relationship between some leadership styles and emotional intelligence has been studied, leadership practices and emotional intelligence have not been studied…

Abstract

Purpose

While the relationship between some leadership styles and emotional intelligence has been studied, leadership practices and emotional intelligence have not been studied for an understanding of how both variables enable a leader to look for pathways to goal attainment. This study aims to examine the impact of leadership practices on pathways to goal attainment while considering the mediating effect of emotional intelligence.

Design/methodology/approach

This study was empirical with an associative strategy. The type of study was explanatory, and latent variables design was followed. The sample consists of 496 Colombian managers, obtained through a non-probability sampling (purposive sample), who work in companies located in Bogota, Colombia. For measuring the variables, three instruments were used, Leadership Practices Inventory, Adult Dispositional Hope Scale and Wong and Law Emotional Intelligence Scale.

Findings

Results from this study suggest that the relationship between leadership practices (model the way, inspire a shared vision and enable others to act) and pathways to goal attainment is mediated by emotional intelligence. Also, leadership practices and emotional intelligence explained 45.60% of the variability of the pathways to goal attainment.

Originality/value

The effectiveness of leadership practices can be explained through the hope they have about the future by using emotional intelligence as an influencing strategy. This study aims to explain how emotional intelligence helps leaders to look for pathways to goal attainment.

Details

International Journal of Organizational Analysis, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1934-8835

Keywords

Article
Publication date: 11 November 2021

Juliana Thompson, Glenda Cook, Claire Masterman, Mark Parkinson and Lesley Bainbridge

Different pathways of frailty care to prevent or delay progression of frailty and enable people to live well with frailty are emerging in primary and community care in the…

Abstract

Purpose

Different pathways of frailty care to prevent or delay progression of frailty and enable people to live well with frailty are emerging in primary and community care in the UK. The purpose of the study is to understand effective frailty care pathways and their components to inform future service development and pathway evaluation in primary- and community-care services.

Design/methodology/approach

A rapid evidence review was conducted: 11 research publications met the inclusion criteria and were analysed using narrative thematic synthesis.

Findings

There is strong evidence that resistance-based exercise, self-management support, community geriatric services and hospital at home (HAH) improve patient health and function. In general, evaluation and comparison of frailty care pathways, components and pathway operations is challenging due to weaknesses, inconsistencies and differences in evaluation, but it is essential to include consideration of process, determinant and implementation of pathways in evaluations.

Originality/value

To achieve meaningful evaluations and facilitate comparisons of frailty pathways, a standardised evaluation toolkit that incorporates evaluation of how pathways are operated is required for evaluating the impact of frailty pathways of care.

Details

International Journal of Health Governance, vol. 27 no. 1
Type: Research Article
ISSN: 2059-4631

Keywords

Article
Publication date: 8 October 2021

Rehema Namono, Ambrose Kiplimo Kemboi and Joel Chepkwony

Although a burgeoning body of literature has established the influence of hope and employee creativity, the debate on the relative importance of hope and its components of…

Abstract

Purpose

Although a burgeoning body of literature has established the influence of hope and employee creativity, the debate on the relative importance of hope and its components of pathway and agency on its outcomes has not been clarified. Literature has it that hope and its individual components of pathway and agency have a varying magnitude of influence on its outcomes. Some scholars argue that agency and pathway components better predict its outcomes than overall hope. The current study establishes the relative importance of hope and its components on creativity using evidence from Makerere University, Uganda.

Design/methodology/approach

The study adopted a cross-sectional quantitative survey design to collect data from the academic staff of Makerere University. The study used usefulness analysis to establish the relative importance of the predictor variables on the dependent variable.

Findings

The study findings revealed that agency and hope components of hope significantly predicted creativity. Overall, hope also significantly predicted creativity. Regarding relative importance, hope turned out to be the most “useful” predictor of creativity, followed by its components of agency and pathway.

Research limitations/implications

The study was conducted in a public university setting located in urban areas. The findings may not be generalizable to private settings due to variations in the teacher's creative behaviour with variation in the creative environment. The study was also cross-sectional, which may not yield results of changing employee creativity over time. Further studies should establish the link between hope and creativity using a longitudinal survey to compare employee creativity using data collected at different intervals.

Originality/value

The value of the current study is both theoretical and empirical. Theoretically, the study findings enrich the hope theory by revealing the relative importance of hope on its outcomes over and above its components. The study also confirms the assertions of the dual pathway to creativity model by revealing that employees who are rich in hope components of agency and pathway have the cognitive flexibility to pursue creative goals and, when faced with failure, can generate alternative solutions to solve work problems.

Details

Continuity & Resilience Review, vol. 3 no. 3
Type: Research Article
ISSN: 2516-7502

Keywords

Article
Publication date: 2 September 2021

Ha Minh Hai Thai, Quentin Stevens and Judy Rogers

This paper presents a mixed methodology to map and analyse the spatial connectivity of the everyday pathways that link the doorway of an individual's home–work locations…

Abstract

Purpose

This paper presents a mixed methodology to map and analyse the spatial connectivity of the everyday pathways that link the doorway of an individual's home–work locations to the local main commercial street. These pathways include public streets, semi-private lanes, alleys and stairs.

Design/methodology/approach

Pathways within different morphological areas in Hanoi, Vietnam, are used as examples to illustrate the development and application of the methodology. The methodology, adapted from Conzenian, typological, and space syntax methods, combined with observations and interviews, seeks to overcome several identified limitations of each of these approaches for understanding pedestrians' horizontal and vertical movement patterns within urban settings.

Findings

Analytical diagrams of pathways are developed on figure-ground maps of the neighbourhoods and three-dimensional projections of circulation spaces within buildings. Scatter plots are used to analyse the distribution of collected samples according to their business types and distances to local main streets. Field observations and interviews with homeowners revealed the critical influence of the pathways' spatial characteristics on home-based businesses' operations.

Originality/value

The methods developed here are potentially useful for urban morphologists and urban designers in decoding the intricacies of informal urban settings and understanding their socio-economic significance for users.

Details

Archnet-IJAR: International Journal of Architectural Research, vol. 16 no. 1
Type: Research Article
ISSN: 2631-6862

Keywords

Open Access
Article
Publication date: 24 March 2021

Syaribah Noor Brice, Paul Harper, Tom Crosby, Daniel Gartner, Edilson Arruda, Tracey England, Emma Aspland and Kieran Foley

The study aims to summarise the literature on cancer care pathways at the diagnostic and treatment phases. The objectives are to find factors influencing the delivery of…

1141

Abstract

Purpose

The study aims to summarise the literature on cancer care pathways at the diagnostic and treatment phases. The objectives are to find factors influencing the delivery of cancer care pathways; to highlight any interrelating factors; to find gaps in the literature concerning areas of research; to summarise the strategies and recommendations implemented in the studies.

Design/methodology/approach

The study used a qualitative approach and developed a causal loop diagram to summarise the current literature on cancer care pathways, from screening and diagnosis to treatment. A total of 46 papers was finally included in the analysis, which highlights the recurring themes in the literature.

Findings

The study highlights the myriad areas of research applied to cancer care pathways. Factors influencing the delivery of cancer care pathways were classified into different albeit interrelated themes. These include access barriers to care, hospital emergency admissions, fast track diagnostics, delay in diagnosis, waiting time to treatment and strategies to increase system efficiency.

Originality/value

As far as the authors know, this is the first study to present a visual representation of the complex relationship between factors influencing the delivery of cancer care pathways.

Details

Journal of Health Organization and Management, vol. 35 no. 9
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 3 October 2019

Julie Trebilcock, Manuela Jarrett, Tim Weaver, Colin Campbell, Andrew Forrester, Julian Walker and Paul Moran

The purpose of this paper is to explore the views of NHS England (NHSE) and Her Majesty’s Prison and Probation Service (HMPPS) commissioners about the Offender Personality…

Abstract

Purpose

The purpose of this paper is to explore the views of NHS England (NHSE) and Her Majesty’s Prison and Probation Service (HMPPS) commissioners about the Offender Personality Disorder (OPD) pathway.

Design/methodology/approach

A thematic analysis of four semi-structured interviews with NHSE and HMPPS commissioners is conducted.

Findings

Commissioners offered a cautious but confident assessment of the potential effectiveness of the OPD pathway, drawing particular attention to its potential to enhance the confidence and competency of staff, offer better value for money and provide enhanced progression routes for offenders with personality disorders. Additionally, commissioners identified a number of potential risks for the pathway including wider system flux, funding availability, multi-agency working, offender engagement and the need to evidence effectiveness.

Research limitations/implications

The analysis is based on a small number of interviews. However, there are only a limited number of commissioners involved with the OPD pathway.

Practical implications

While the stronger focus on progression in the OPD pathway is a welcome departure from a narrow focus on high security Dangerous and Severe Personality Disorder (DSPD) services, the foundations of the OPD pathway ultimately lie with the DSPD programme and similar challenges are likely to follow. The system within which the pathway operates is subject to a great deal of flux and this inevitably poses significant challenges for pathway services, staff and offenders, as well as for those of us charged with its evaluation.

Originality/value

There has been limited empirical work with commissioners in the mental health field. The paper offers a unique insight into the perspectives of those responsible for commissioning the OPD pathway.

Details

Mental Health Review Journal, vol. 24 no. 4
Type: Research Article
ISSN: 1361-9322

Keywords

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