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The purpose of this paper is to explore the concept of homelikeness from the perspective of family members and friends of nursing home residents across different models of nursing homes.

This mixed-methods study examined survey data collected from 397 family members and friends of residents living in 23 nursing homes representing three models of care (traditional, new augmented, and full scope). Participants completed a homelikeness scale and a measure of the importance of nursing home spaces to family members and friends. This study also involved conducting three focus groups with 20 family members and friends to provide further insights into the findings.

Analysis of survey data indicated quite high levels of homelikeness overall. Significant differences did emerge between traditional model nursing homes compared to new full-scope and new augmented models for all items in the homelikeness scale and for many items about nursing home spaces. Qualitative results provided insights into how homelikeness can be fostered through public and private spaces and through care and relationships.

As this study was conducted in one Canadian province, the results may not be applicable to other geographic areas. In addition, there are limitations in survey response rate.

Homelikeness can be supported across models of care by fostering relationships between residents and staff, ensuring that that family and friends feel welcome, and creating public and private physical spaces that are conducive to new and ongoing relationships.

The results provide evidence to nursing home decision makers about how to foster a homelike environment in various models of nursing homes.

This study aims to identify the patient characteristics that may influence family involvement in a family-centered care program during detention.

Little is known about the needs of incarcerated adolescents and their families. This exploratory study used a cross-sectional design to collect data from incarcerated adolescents with conduct disorder followed in a French outpatient psychiatric department. Logistic regression models were used to identify the sociodemographic, clinical and family characteristics of these incarcerated adolescents that could predict family involvement in their care.

Among 44 adolescents with conduct disorder, the probability of family involvement during the adolescent’s detention was 9.6 times greater (95% CI 1.2–14.4, p = 0.03) for adolescents with no than for those with cannabis substance use disorder, and family involvement decreased with the age of the adolescent (OR = 0.22, 95% CI 0.1–0.9, p = 0.04).

Increased knowledge of the characteristics of these adolescents and their families is needed to develop programs that will increase family interventions by specialty treatment services during detention.

No study has yet been published on French incarcerated adolescents with conduct disorder. As conduct disorder is one of the most important mental health disorders among delinquent adolescents, this study provides knowledge about these adolescents and the need to involve their parents in their care to prevent the further escalation of problem behaviors.

By the end of this chapter, you should be able to demonstrate an understanding of:

The theories of diffusion.

Diffusion and social movements.

Diffusion and the #MeToo campaign.

In this chapter, we explore the use of participatory and community-based research (CBR) strategies within institutional ethnography. Reflecting on our current, past, and future projects, we discuss the utility of community-based and participatory methods for grounding one’s research in the actualities of participants’ lives. At the same time, we note ontological and practical differences between most community-based participatory action research (PAR) methodologies and institutional ethnography. While participants’ lives and experiences ground both approaches, people’s perspectives are not considered as research findings for institutional ethnographers. In an institutional ethnography, the objects of analysis are the institutional relations, which background and give shape to people’s actualities. The idea is to discover something through the research process that is useful to participants. As such, the use of community-based and participatory methods during analysis suggests the greatest utility of this sociological approach for people.

Whole Foods and Wild Oats were both natural- and organic-food stores that competed for similar customers on values such as high-quality and healthy products, excellent customer service, knowledge of products, and an enjoyable shopping experience. In February 2007, Whole Foods announced that it would purchase a smaller but formidable competitor, Wild Oats. There was tremendous geographic complementarity involved: The merger would give Whole Foods the largest footprint within the natural- and organic-grocery industry in North America.

This action research study reports on an important unit of study having evidence of success. The paper discusses how students in a social studies classroom setting may be encouraged to develop and display empathy for individuals who are impacted by hurricane disasters. It uses aspects of the documentary “When the Levees Broke” in collaboration with the “Teaching the Levees Module” and several technology based classroom resources. The findings indicate that as students contextualized the impact of Hurricane Katrina and similar natural disasters on human populations they begin to develop and display empathy. The students who were involved in this investigation also were able to apply principles of social justice which facilitated reflective thinking as they used hindsight to analyze and discuss the context of this natural disaster

This paper aims at the implementation and early evaluation of a comprehensive, formative annual physician performance feedback process in a large academic health-care organization.

A mixed methods approach was used to introduce a formative feedback process to provide physicians with comprehensive feedback on performance and to support professional development. This initiative responded to organization-wide engagement surveys through which physicians identified effective performance feedback as a priority. In 2013, physicians primarily affiliated with the organization participated in a performance feedback process, and physician satisfaction and participant perceptions were explored through participant survey responses and physician leader focus groups. Training was required for physician leaders prior to conducting performance feedback discussions.

This process was completed by 98 per cent of eligible physicians, and 30 per cent completed an evaluation survey. While physicians endorsed the concept of a formative feedback process, process improvement opportunities were identified. Qualitative analysis revealed the following process improvement themes: simplify the tool, ensure leaders follow process, eliminate redundancies in data collection (through academic or licensing requirements) and provide objective quality metrics. Following physician leader training on performance feedback, 98 per cent of leaders who completed an evaluation questionnaire agreed or strongly agreed that the performance feedback process was useful and that training objectives were met.

This paper introduces a physician performance feedback model, leadership training approach and first-year implementation outcomes. The results of this study will be useful to health administrators and physician leaders interested in implementing physician performance feedback or improving physician engagement.

Fused filament fabrication of continuous-fiber-reinforced polymers is a promising technique to achieve customized high-performance composites. However, the off-axis tensile strength (TS) and Mode I fracture toughness of fused filament fabricated (FFFed) continuous-glass-fiber-reinforced (CGFR) nylon are unknown. The purpose of this paper is to investigate the mechanical and fracture behavior of FFFed CGFR nylon with various fiber content and off-axis fiber alignment.

Tensile tests were performed on FFFed CGFR-nylon with 9.5, 18.9 and 28.4 fiber vol. %. TS was tested with fiber orientations between 0^∘ and 90^∘ at 15^∘ intervals. Double cantilever beam tests were performed to reveal the Mode I fracture toughness of FFFed composites.

TS increased with increasing fiber vol. % from 122 MPa at 9.5 vol. % to 291 MPa at 28 vol. %. FFFed nylon with a triangular infill resulted in 37 vol. % porosity and a TS of 12 MPa. Composite samples had 11–12 vol. % porosity. TS decreased by 78% from 291 MPa to 64 MPa for a change in fiber angle θ from 0^∘ (parallel to the tensile stress) to 15^∘. TS was between 27 and 17 MPa for 300 < θ < 900. Mode I fracture toughness of all the composites were lower than ∼332 J/m2.

Practical applications of FFFed continuous-fiber-reinforced (CFR) nylon should be limited to designs where tensile stresses align within 15^∘ of the fiber orientation. Interlayer fracture toughness of FFFed CFR composites should be confirmed for product designs that operate under Mode I loading.

To the best of the authors’ knowledge, this is the first study showing the effects of fiber orientation on the mechanical behavior and effects of the fiber content on the Mode I fracture toughness of FFFed CGFR nylon.

Serious and persistent mental illness has posed a significant social problem for a majority of cultures across most historical periods. Most recently in the United States, the aftermath of the deinstitutionalization policies of the 1950–1970s has resulted in many individuals who in the past might have spent the majority of their adult lives living in hospitals roaming city streets homeless, impoverished, and vulnerable to victimization or to being arrested for minor offenses. This paper reviews the changes both in the population of individuals with serious mental illness and in the systems that care for them over the last 25 years, and suggests that a “Tower of Babel” scenario has resulted inadvertently from the shift from hospital to community care. Following the dissolution of the monolithic hospitals (i.e. Towers of Babel), mental health providers have been dispersed among a myriad of community agencies, each with its own vision and standards of community care. Without a shared map to guide their work, community systems have become characterized by disarray, paralysis, and a lack of integration and coordination of care for a population of individuals who typically require more than one service from more than one provider at any given time. To address these issues, we offer a core set of “principles of care” developed by one local service system in an attempt to (re-)constitute a common map for their shared territory. We closed with a discussion of the issues that remain unresolved despite this collaborative process, and with suggestions for future directions to explore.