scholarly journals Themes for evaluating the quality of initiatives to engage patients and family caregivers in decision-making in healthcare systems: a scoping review

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e050208
Author(s):  
Clayon B Hamilton ◽  
Maryam Dehnadi ◽  
M Elizabeth Snow ◽  
Nancy Clark ◽  
Michelle Lui ◽  
...  
Keyword(s):  
Decision Making ◽  
Family Caregivers ◽  
Scoping Review ◽  
Healthcare Quality ◽  
Healthcare Systems ◽  
Decision Making Process ◽  
Journal Articles ◽  
Rich Description ◽  
Literature Reviews

ObjectiveTo identify the key themes for evaluating the quality of initiatives to engage patients and family caregivers in decision-making across the organisation and system domains of healthcare systems.MethodsWe conducted a scoping review. Seven databases of journal articles were searched from their inception to June 2019. Eligible articles were literature reviews published in English and provided useful information for determining aspects of engaging patients and family caregivers in decision-making to evaluate. We extracted text under three predetermined categories: structure, process and outcomes that were adapted from the Donabedian conceptual framework. These excerpts were then independently open-coded among four researchers. The subsequent themes and their corresponding excerpts were summarised to provide a rich description of each theme.ResultsOf 7747 unique articles identified, 366 were potentially relevant, from which we selected the 42 literature reviews. 18 unique themes were identified across the three predetermined categories. There were six structure themes: engagement plan, level of engagement, time and timing of engagement, format and composition, commitment to support and environment. There were four process themes: objectives, engagement approach, communication and engagement activities. There were eight outcome themes: decision-making process, stakeholder relationship, capacity development, stakeholder experience, shape policy/service/programme, health status, healthcare quality, and cost-effectiveness.ConclusionsThe 18 themes and their descriptions provide a foundation for identifying constructs and selecting measures to evaluate the quality of initiatives for engaging patients and family caregivers in healthcare system decision-making within the organisation and system domains. The themes can be used to investigate the mechanisms through which relevant initiatives are effective and investigate their effectiveness.

scholarly journals Quality of patient, family, caregiver and public engagement in decision-making in healthcare systems: a scoping review protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e032788
Author(s):  
Clayon Hamilton ◽  
M Elizabeth Snow ◽  
Nancy Clark ◽  
Shannon Gibson ◽  
Maryam Dehnadi ◽  
...  
Keyword(s):  
Decision Making ◽  
Scoping Review ◽  
Family Caregiver ◽  
Research Question ◽  
Grey Literature ◽  
Healthcare Systems ◽  
Evaluation Framework ◽  
Bibliographic Databases ◽  
Scientific Article

IntroductionTo advance person- and family-centred healthcare, government initiatives have supported the engagement of patients and family caregivers in decision-making in healthcare systems. There is, however, no consensus on how to define success for such initiatives. This scoping review aims to identify the key elements for defining the quality of patient and family caregiver engagement in decision-making across the engagement domains (individual, community/organisation, system) of British Columbia’s healthcare system. We will use those elements to develop a conceptual evaluation framework.Methods and analysisThis scoping review follows Arskey and O’Malley’s methodology. (1) The research question was identified through team discussions. (2) Articles for data source will be identified using a librarian-informed search strategy for seven bibliographic databases as well as grey literature sources. (3) Selected articles will be relevant to the evaluation of patient and family caregiver engagement in healthcare systems. (4) Two researchers will independently extract data into predefined and emerging categories. (5) The researchers will reconcile and organise the identified elements. The research team’s collective perspective will then refine the elements, and select, interpret and summarise the results. (6) Persons from key stakeholder groups will be consulted to refine the emergent conceptual framework.Ethics and disseminationWe will seek ethics approval for the stakeholder consultation. This study follows an integrated knowledge translation approach. The results will inform evaluation of the Patients as Partners Initiative of the British Columbia Ministry of Health, and will be disseminated as a scientific article, a research brief, and presentations at conferences and stakeholder meetings.

scholarly journals Participatory decision-making for cancer care in a high-risk sample of low income Mexican-American breast cancer survivors: The role of acculturation

2020 ◽  
Vol 6 (2) ◽  
pp. 35
Author(s):  
Maribel Cervantes-Ortega ◽  
Senxi Du ◽  
Kelly A. Biegler ◽  
Sadeeka Al-Majid ◽  
Katelyn C. Davis ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Decision Making ◽  
Quality Of Care ◽  
Cancer Survivors ◽  
Mexican American ◽  
Breast Cancer Survivors ◽  
Healthcare Quality ◽  
Decision Making Process ◽  
Latina Women

Background: Despite declining cancer incidence and mortality rates, Latina patients continue to have lower 5-year survival rates compared to their non-Hispanic white counterparts. Much of this difference has been attributed to lack of healthcare access and poorer quality of care. Research, however, has not considered the unique healthcare experiences of Latina patients.Methods: Latina women with prior diagnoses of stage 0-III breast cancer were asked to complete a cross-sectional survey assessing several socio-demographic factors along with their experiences as cancer patients. Using a series of linear regression models in a sample of 68 Mexican-American breast cancer survivors, we examined the extent to which patients’ ratings of provider interpersonal quality of care were associated with patients’ overall healthcare quality, and how these associations varied by acculturation status.Results: Findings for Latina women indicated that both participatory decision-making (PDM) (β = 0.62, p < .0001) and trust (β = 0.53, p = .02) were significantly associated with patients’ ratings of healthcare quality. The interaction between acculturation and PDM further suggested that participating in the decision-making process mattered more for less acculturated than for more acculturated patients (β = -0.51, p ≤ .01).Conclusions: The variation across low and high acculturated Latinas in their decision-making process introduces a unique challenge to health care providers. Further understanding the relationship between provider-patient experiences and ratings of overall healthcare quality is critical for ultimately improving health outcomes.

scholarly journals Questioning Facilities Management in Higher Education in Egyptian Context for Better Decision-Making Process of Funding Allocation

2017 ◽  
Vol 12 (7) ◽  
pp. 129
Author(s):  
Mona Mohamed Abd Elghany ◽  
Reem Aly Elharakany
Keyword(s):  
Higher Education ◽  
Decision Making ◽  
Public Universities ◽  
Quality Of Education ◽  
Decision Making Process ◽  
Facilities Management ◽  
Structured Interviews ◽  
Decision Making Processes ◽  
Strategic Relationships

The quality of education is influenced by the managerialization of the universities, which refers to the introduction of substantial changes in the decision-making processes of the academic institutions, and the application of renewed information systems along with new managerial methodologies to restructure the organisational strategic relationships with stakeholders. This paper proposes a questionnaire to assess the importance of facilities in universities according to their financial budget consumed value. Semi Structured Interviews were conducted with the heads of logistic and financial departments in Egyptian universities, twenty public universities and twenty-three private universities, in order to identify criteria for the most significant university's facilities and appealing infrastructure that contributes to the quality of education.

scholarly journals The Quality of the Decision-Making Process in Road Transport

2019 ◽  
Vol 1 (1) ◽  
pp. 85-92
Author(s):  
Robert Sałek
Keyword(s):  
Decision Making ◽  
Transport Process ◽  
Road Transport ◽  
Quality Of Services ◽  
Decision Making Process ◽  
Factors Affecting ◽  
Management Level ◽  
Transport Services ◽  
Preparatory Stage

Abstract The issue of quality is a very important aspect of the operation of transport companies. In relation to the area of their activity it primarily focuses on the quality of services provided, which can be verified e.g. on the basis of timeliness of deliveries or accepted complaints. This allows for examining the quality after providing the service in order to take future pro-quality actions. However, is it possible to affect the quality of services provided before their provision? The transport process itself is preceded with a range of actions taken within the framework of detailed planning and organization, which can significantly influence the quality of services. The decisions made at the management level are conditioned by many factors determining the course of future events, however, this is not always enough to make the process run uninterruptedly. Therefore, it is important to structure basic actions at the initial stage so as to allow the smooth conduct of the decision-making process for the specific task in order to subsequently focus on the detailed analysis of the actions planned. In the paper, the author attempts to characterize the fundamental factors affecting the decisions taken during the planning and organization of the transport process. The objective of the conducted research is to verify initial decisions and their significance for the improvement in the quality of transport services provided. There was conducted the algorithmization of actions and interpretation of their importance for the quality of decisions taken at the preparatory stage and during transport.

scholarly journals Sistem Pendukung Keputusan Penyeleksian Colour Guard Pada Marching Band Ginada Dengan Menggunakan Metode Vikor Dan Borda

2020 ◽  
Vol 2 (1) ◽  
pp. 35-48
Author(s):  
Nurjannah ◽  
Dito Putro Utomo
Keyword(s):  
High School ◽  
Decision Making ◽  
Decision Support ◽  
Decision Support System ◽  
Support System ◽  
Body Language ◽  
Routine Activity ◽  
Decision Making Process ◽  
Marching Band

Decision support system for selecting color guard with VIKOR and Borda methods. It has been made as a tool to select color guard at the Sei Rampah High School. The criteria used in the decision support system for color guard selection are: height, weight, agility, stamina, and body language. Color guard selection activities are a routine activity every year, so GINADA marching band coach Sei Rampah hereby selects to select permanent members in the marching band. Decision Support System in an organization can be seen as important in supporting the smooth running of activities and achieving an organizational goal. SPK can come in various forms, ranging from simple forms of data processing to complex application forms, and can also be used to accelerate and improve the quality of the decision-making process in the organization.

scholarly journals Investment analysis of plum brandy production – methodology approach

2008 ◽  
Vol 2 (1-2) ◽  
pp. 103-105
Author(s):  
Lari Hadelan
Keyword(s):  
Decision Making ◽  
Planning Process ◽  
Investment Decision ◽  
Investment Analysis ◽  
Decision Making Process ◽  
Investment Appraisal ◽  
Financial Decision ◽  
Plum Brandy

The major prerequisite of successful entrepreneurship venture is quality of decision-making process. Decision in investment is the most important financial decision. It is a part of both long-term business planning process and strategic business definition. Using available investment appraisal methods, entrepreneur should make positive or negative investment decision. Within the development of the economic theory and the practice many of methods made decision-making process rational and gave the scientific and practical base for successful project evaluation.

Model to Estimate the Human Factor Quality in FLOSS Development

2015 ◽  
pp. 219-236
Author(s):  
Zulaima Chiquin ◽  
Kenyer Domínguez ◽  
Luis E. Mendoza ◽  
Edumilis Méndez
Keyword(s):  
Decision Making ◽  
Human Resources ◽  
Open Source ◽  
Open Source Software ◽  
Human Factor ◽  
Three Dimensions ◽  
Decision Making Process ◽  
Self Evaluation ◽  
Systemic Quality

This chapter presents a Model to Estimate the Human Factor Quality in Free/Libre Open Source Software (FLOSS) Development, or EHFQ-FLOSS. The model consists of three dimensions: Levels (individual, community, and foundation), Aspects (internal or contextual), and Forms of Evaluation (self-evaluation, co-evaluation, and hetero-evaluation). Furthermore, this model provides 145 metrics applicable to all three levels, as well as an algorithm that guides their proper application to estimate the systemic quality of human resources involved in the development of FLOSS, guide the decision-making process, and take possible corrective actions.

Youth Development Through Participation in Decision Making

2019 ◽  
pp. 35-53
Author(s):  
Sharon Thabo Mampane
Keyword(s):  
Decision Making ◽  
Youth Development ◽  
Qualitative Approach ◽  
Youth Participation ◽  
Decision Making Process ◽  
Literature Reviews ◽  
Participation In Decision Making

The purpose of this chapter is to argue that there is a need for youth development for participation in decision makings of the country. Programs for youth development should be geared towards changing the behavior of the youth from undesirable to desirable conduct. This chapter follows a qualitative approach in understanding and explaining in detail what youth development and participation in decision making in the society, entails. Data were collected via literature reviews on youth development and participation and on factors contributing to the importance of how laws, most notably laws on youth participation in matters, concern them. These factors are important, but key to developing the youth for participative decision-making and for ensuring that children's right to participate is implemented. The aim of this paper is to ensure that the youth are involved as partners in communities because they are deemed to be assets in the decision-making process of the country.

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