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1 – 10 of over 72000
Article
Publication date: 31 August 2012

Ursula Hoyningen‐Süess, David Oberholzer, René Stalder and Urs Brügger

This article seeks to describe online tools for surveying and improving quality of life for people with disabilities living in assisted living centers and special…

Abstract

Purpose

This article seeks to describe online tools for surveying and improving quality of life for people with disabilities living in assisted living centers and special education service organizations.

Design/methodology/approach

Ensuring a decent quality of life for disabled people is an important welfare state goal. Using well‐accepted quality of life conceptions, online diagnostic and planning tools were developed during an Institute for Education, University of Zurich, research project.

Findings

The diagnostic tools measure, evaluate and analyze disabled people's quality of life. The planning tools identify factors that can affect their quality of life and suggest improvements.

Research limitations/implications

Instrument validity and reliability are not tested according to the standard statistical procedures. This will be done at a more advanced stage of the project. Instead, the tool is developed, refined and adjusted in cooperation with practitioners who are constantly judging it according to best practice standards.

Practical implications

The tools support staff in assisted living centers and special education service organizations.

Originality/value

These tools offer comprehensive resources for surveying, quantifying, evaluating, describing and simulating quality of life elements.

Details

International Journal of Health Care Quality Assurance, vol. 25 no. 7
Type: Research Article
ISSN: 0952-6862

Keywords

Open Access

Abstract

Details

Designing Environments for People with Dementia
Type: Book
ISBN: 978-1-78769-974-8

Article
Publication date: 9 November 2015

Magdalena Anna Kachniewska

The purpose of this paper is to share information on how the advantages of tourism are both a result and a determinant of the quality of life in rural areas. Consequently…

2596

Abstract

Purpose

The purpose of this paper is to share information on how the advantages of tourism are both a result and a determinant of the quality of life in rural areas. Consequently, it is one of the main factors for sustainable development in the social context.

Design/methodology/approach

Quantitative and qualitative research was undertaken of 36 villages that have been developing rural tourism for at least 20 years in Poland. In-depth interviews were conducted with destination management organizations (DMO) leaders and members of the local communities. Direct observation was used to gain an understanding of the realities in the field. Round table discussions with managers of rural tourism and members of the communities helped to perform the cost-benefit analysis of the development of rural tourism. This study was conducted between the years 2009 and 2014.

Findings

This study monitored patterns and changes in residents’ quality of life and measured their perceptions of rural tourism. The findings showed that negligence and errors during the planning stage results in a negative opinion of tourism, leading to unfavorable effects on future development, causing intolerable material, financial and social costs. Three types of factors influencing tourism were identified: social and technical infrastructure, ecology and lifestyle. These findings are important for local policymakers and rural tourism business.

Research limitations/implications

Readers need to remember that only clearly determined population was considered in the research and specific sampling settings; reference to other settings may have produced different results. The extent to which the findings can be generalized certainly requires further investigation.

Practical implications

The development of rural tourism is considered a viable means to attract tourists to a destination and to enhance residents’ overall quality of life. However, the perception of tourism’s influence on the overall quality of life depended on internal marketing and proper communication. This study yielded interesting conclusions that have practical implications for DMO and tourism leaders who continually evaluate rural tourism initiatives.

Social implications

The experience of 20 years in the Polish modern agrotourism industry represent a set of observations concerning both the improvement within the quality of life of rural residents, as well as the danger of social conflict, depending on the management tools and practices applied at rural tourist destinations. Negligence and errors during the planning stage may result in a negative opinion of tourism, leading to unfavorable effects on future development of tourism and causing intolerable material, financial and social costs.

Originality/value

Although this study referred to communities living in Polish villages, the findings show that detailed planning and the DMO’s communication efforts resulted in positive opinions from local residents with regard to tourism, and helped to avoid high material, financial and social costs. The case studies from Poland offer a universal benchmark in managing rural tourism destinations and show the challenges that needed to be addressed for the development of sustainable rural tourist destinations.

Details

Worldwide Hospitality and Tourism Themes, vol. 7 no. 5
Type: Research Article
ISSN: 1755-4217

Keywords

Article
Publication date: 6 April 2020

Nicola Davies and Teresa Burdett

Integrated healthcare is a central tenant of the NHS Long Term Plan (NHS, 2019). NICE in 2019 published guidelines; advising the integration of multidisciplinary…

Abstract

Purpose

Integrated healthcare is a central tenant of the NHS Long Term Plan (NHS, 2019). NICE in 2019 published guidelines; advising the integration of multidisciplinary professionals which may lead to an improvement in conservative treatment methods of pelvic organ prolapse. Therefore, current literature on the conservative treatments for pelvic organ prolapse needs to be reviewed to ascertain if an integrated approach would improve the symptoms and quality of life for women.

Design/methodology/approach

A systematic review of the literature between 2013 and 2018 was implemented. Papers included were written in English, peer-reviewed and consisted of treatments of pelvic organ prolapse in women. Papers containing surgical interventions, postpartum participants, reviews, evaluations, guidelines, follow-up studies, focusing on cost effectiveness, sexual function were excluded.

Findings

Seven studies in total were included, and two overarching themes were identified: quality of life after treatment and the effect of conservative treatment on pelvic organ prolapse symptoms. The literature suggested that integrating care had a more positive outcome on pelvic organ symptoms and quality of life.

Research limitations/implications

To develop a robust enhanced model of care for conservative treatment of pelvic organ prolapse through more mixed method or qualitative research, that incorporates integrative treatment methods with collaboration from multidisciplinary professionals.

Practical implications

The practical implications of integrating the conservative management of pelvic organ prolapse is the communication between the multidisciplinary team must be exceptional to ensure everyone understands and agrees the treatment that is being provided to patient. Also, effective teamwork is important to ensure the patient receives the best care with input from the correct disciplines. The multi-professional team will need to have regular meetings to discuss and implement care plans for patients that might prove difficult to schedule due to differing commitments and priorities. This must be overcome to insure a successful and effective integrated approach to pelvic organ prolapse is delivered.

Social implications

The social implications of integrating the professional approach to women's care of pelvic organ prolapse involves reducing the severity of the symptoms therefore, increasing the quality of life. This may result in the reduction of surgical intervention due to the patient being satisfied with the conservative management. Through integrating the management of the prolapse the patient will receive an accessible individualised care plan pathway that focuses on treating or reducing the impact of the symptoms that are bothersome to the patient whilst managing patient expectations. Patients will also, be reassured by the number of multi-disciplinary professionals involved in their care.

Originality/value

Global integration of conservative treatments and multidisciplinary-professionals specialising in pelvic organ prolapse and pelvic floor dysfunction is needed.

Details

Journal of Integrated Care, vol. 28 no. 2
Type: Research Article
ISSN: 1476-9018

Keywords

Open Access
Article
Publication date: 23 November 2016

Stefan Gebhardt and Martin Tobias Huber

Treatment satisfaction of different mental disorders is still poorly understood, but of high clinical interest. Inpatients of a general psychiatric care hospital were…

121

Abstract

Treatment satisfaction of different mental disorders is still poorly understood, but of high clinical interest. Inpatients of a general psychiatric care hospital were asked to fill out questionnaires on satisfaction and clinical variables at admission and discharge. On the basis of an exploratory approach, differences in treatment satisfaction among diagnostic groups were examined by means of one-way analysis of variance. Potential associated clinical and socio-demographic variables were studied using multi/univariate tests. Patients with personality disorders (n=18) showed a significantly lower treatment satisfaction (ZUF-8, Zurich Satisfaction Questionnaire) and a slightly lower improvement of symptoms (CGI, Clinical Global Impression) and global functioning (GAF, Global Assessment of Functioning scale) than that of other diagnostic groups (n=95). Satisfaction in patients with personality disorders correlated much stronger with the symptom improvement and slightly with the functioning level than in patients without personality disorders. Interestingly, in patients with personality disorders psychopharmacological treatment in general (present versus not present) was independent from satisfaction. This exploratory investigation suggests that a lower satisfaction of patients with personality disorders in a general psychiatric hospital is mainly based on a reduced improvement of the symptoms and of the global functioning level.

Details

Mental Illness, vol. 8 no. 2
Type: Research Article
ISSN: 2036-7465

Keywords

Article
Publication date: 1 April 1992

Rowena Davis

Much has been written in the past 15 years on the rationing of services, quality of life, and quality‐adjusted life years (QALYs). However, there still seems to be much…

Abstract

Much has been written in the past 15 years on the rationing of services, quality of life, and quality‐adjusted life years (QALYs). However, there still seems to be much confusion and controversy as to the meaning of, and use of, the term QALY, by many professional groups. Aims to discuss the nature of QALYs and the use/potential use in the NHS today by referring to the recent literature.

Details

International Journal of Health Care Quality Assurance, vol. 5 no. 4
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 1 December 2001

Glen Riecken and Ugur Yavas

Proposes to determine the relative importance of factors on which people rely in choosing a place to live and their assessments of a local area in the Southeastern USA…

Abstract

Proposes to determine the relative importance of factors on which people rely in choosing a place to live and their assessments of a local area in the Southeastern USA. Presents recommendations to aid local authorities in improving quality of life in the region. Concludes that this should be done in partnership with non‐governmental entities such as Parent/Teacher Associations or trustees of local art councils for effective changes to be made.

Details

International Journal of Public Sector Management, vol. 14 no. 7
Type: Research Article
ISSN: 0951-3558

Keywords

Article
Publication date: 28 September 2012

Somsri Sumet, Nawarat Suwannapong, Nopporn Howteerakul and Chuthipat Thammarat

This study seeks to use a knowledge management (KM) model as a tool to improve the quality of service in a hemodialysis unit.

Abstract

Purpose

This study seeks to use a knowledge management (KM) model as a tool to improve the quality of service in a hemodialysis unit.

Design/methodology/approach

A quasi‐experimental, one group pre‐test‐post‐test study was conducted over a period of ten months at a hemodialysis unit. All of the staff in the unit, and all of the patients who came for hemodialysis at the outpatient department during the study period, were invited to participate. Self‐administered questionnaires were used to measure staff job satisfaction and patient satisfaction. SF‐36v2 was used to assess patient quality of life (QoL). Wilcoxon's matched pairs test and paired t‐test were used to compare staff job satisfaction, and patient satisfaction with service quality, before and after implementing KM. A within‐subject repeated‐measure analysis of variance (ANOVA) was used to assess changes in patient QoL. The chi‐square test was used to compare rates of hemodialysis complications before and after implementing KM.

Findings

After implementing KM, staff job satisfaction and patient satisfaction with services, increased significantly. Three QoL domains – role limitations due to physical and emotional problems, and vitality – at three and six months post‐intervention applying KM to daily work, had improved significantly. Complications per hemodialysis episode had also reduced.

Originality/value

The paper focuses on intervention that applied KM to staff providing care for patients with hemodialysis to improve care and outcomes.

Details

Leadership in Health Services, vol. 25 no. 4
Type: Research Article
ISSN: 1751-1879

Keywords

Article
Publication date: 28 January 2020

Silviya Atanasova Topleva and Tsvetko Velchev Prokopov

The ecological footprint of the food industry and the requirements of the bio-based economy result in the need for deepening the concept of corporate sustainability. CSR…

1399

Abstract

Purpose

The ecological footprint of the food industry and the requirements of the bio-based economy result in the need for deepening the concept of corporate sustainability. CSR provokes the implementation of eco-innovation with high value added. A main source of value added and sustainability is the integrated implementation of ecodesign practices . The purpose of this paper is to systemize an integrated model for the product ecodesign implementation, which combines not only the industrial and process ecodesign but also the overall organizational and socio-economic context of SMEs in food industry, reflected in CSR and value added for stakeholders.

Design/methodology/approach

The methodology for implementation of business model for sustainability of the SMEs in the food industry through ecodesign is based on vertical and horizontal integration of well-known self-relevant environmental, social and economic tools such as corporate social responsibility, life-cycle assessment, MET matrix, ecolabelling and stakeholder approach for production and marketing of high-value-added eco-products.

Findings

This study proposes an algorithm for implementation of an integrated business model for SMEs sustainability in the food industry, focusing on high-value-added delivery for stakeholders, based on corporate social responsibility, functional innovation and eco-efficiency. The ecodesign based on CSR business practice in food industry allows simultaneous optimization of environmental aspects and cost structure of products in conditions of improved quality and functionality. Thus, ecodesign contributes to the diversification not only of the company’s product portfolio, but also to opening of new marketplaces and the implementation of new market strategies by increasing the value added.

Practical implications

The research identifies actions, which SMEs in food industry can follow to achieve ecological redesign of their business and production processes that simultaneously enhance product functionality and resource efficiency.

Originality/value

The academic and the social value of the research is the focus on ecodesign and its implementation in SMEs in the food industry as a tool for creation of multidimensional high value added for stakeholders in bio-based economy.

Details

British Food Journal, vol. 122 no. 5
Type: Research Article
ISSN: 0007-070X

Keywords

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