scholarly journals Information and choice of residential care provider for older people: a comparative study in England, the Netherlands and Spain

2017 ◽  
Vol 38 (6) ◽  
pp. 1121-1147 ◽  
Author(s):  
LISA TRIGG ◽  
STEPHANIE KUMPUNEN ◽  
JACQUETTA HOLDER ◽  
HANS MAARSE ◽  
MERITXELL SOLÉ JUVÉS ◽  
...  
Keyword(s):  
Decision Making ◽  
The Netherlands ◽  
Older People ◽  
Residential Care ◽  
Clinical Care ◽  
Quality Information ◽  
Care Providers ◽  
Subjective Experiences ◽  
Structured Interviews ◽  
Decision Making Processes

ABSTRACTThis study compared how older people use quality information to choose residential care providers in England, the Netherlands and Spain (Catalonia). The availability of information varies between each country, from detailed inspection and survey information in the Netherlands, through to a lack of publicly available information in Catalonia. We used semi-structured interviews and group workshops with older people, families and professionals to compare experiences of the decision-making process and quality information, and also to explore what quality information might be used in the future. We found that most aspects of the decision-making experience and preferences for future indicators were similar across the three countries. The use of quality information was minimal across all three, even in England and the Netherlands where information was widely available. Differences arose mainly from factors with the supply of care. Older people were most interested in the subjective experiences of other residents and relatives, rather than ‘hard’ objective indicators of aspects such as clinical care. We find that the amount of publicly available quality information does not in itself influence the decisions or the decision-making processes of older people and their carers. To improve the quality of decisions, more effort needs to be taken to increase awareness and to communicate quality in more accessible ways, including significant support from professionals and better design of quality information.

scholarly journals Governance challenges of mobility platforms: the case of Merwede, Utrecht

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Martijn van den Hurk ◽  
Peter Pelzer ◽  
Rianne Riemens
Keyword(s):  
Decision Making ◽  
The Netherlands ◽  
Development Process ◽  
Organizational Structures ◽  
Development Stage ◽  
Competing Interests ◽  
Governance Challenges ◽  
Decision Making Processes ◽  
Instructive Case ◽  
Empirical Illustration

Abstract Background Merwede is an envisioned neighbourhood in Utrecht (the Netherlands) that provides an instructive case to learn about the governance challenges of digital mobility platforms. Unique about Merwede is how the development of a mobility platform is envisioned to be integrated into the development of a new neighbourhood. Methodology This article discusses the case of Merwede and provides insights into its proposed mobility platform and how it is made. It illuminates governance challenges relevant to the design and operation of an unconventional mobility concept by disentangling outstanding practical issues concerning three key governance dimensions—organizational structures, decision-making processes, and instruments. Results The research provides an empirical illustration of governance questions that come up when mobility becomes a service and is integrated into the urban fabric from the very beginning of a development process. Already in the plan development stage, Merwede illustrates that difficult decisions are to be made and competing interests come to the fore.

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 Healthcare professionals’ practice and interactions in older peoples’ cross-sectoral clinical care trajectories when acutely hospitalized - a qualitative observation study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maiken Hjuler Persson ◽  
Christian Backer Mogensen ◽  
Jens Søndergaard ◽  
Helene Skjøt-Arkil ◽  
Pernille Tanggaard Andersen
Keyword(s):  
Decision Making ◽  
Older People ◽  
New Public Management ◽  
Healthcare Professionals ◽  
Clinical Care ◽  
Research Integrity ◽  
Care Practice ◽  
Observation Study ◽  
Person Centered Care ◽  
Centered Care

Abstract Background Healthcare services have become more complex, globally and nationally. Denmark is renowned for an advanced and robust healthcare system, aiming at a less fragmented structure. However, challenges within the coordination of care remain. Comprehensive restructures based on marketization and efficiency, e.g. New Public Management (NPM) strategies has gained momentum in Denmark including. Simultaneously, changes to healthcare professionals’ identities have affected the relationship between patients and healthcare professionals, and patient involvement in decision-making was acknowledged as a quality- and safety measure. An understanding of a less linear patient pathway can give rise to conflict in the care practice. Social scientists, including Jürgen Habermas, have highlighted the importance of communication, particularly when shared decision-making models were introduced. Healthcare professionals must simultaneously deliver highly effective services and practice person-centered care. Co-morbidities of older people further complicate healthcare professionals’ practice. Aim This study aimed to explore and analyse how healthcare professionals’ interactions and practice influence older peoples’ clinical care trajectory when admitted to an emergency department (ED) and the challenges that emerged. Methods This qualitative study arises from a hermeneutical stand within the interpretative paradigm. Focusing on the healthcare professionals’ interactions and practice we followed the clinical care trajectories of seven older people (aged > 65, receiving daily homecare) acutely hospitalized to the ED. Participant observations were combined with interviews with healthcare professionals involved in the clinical care trajectory. We followed-up with the older person by phone call until four weeks after discharge. The study followed the code of conduct for research integrity and is reported in accordance with the Standards for Reporting Qualitative Research (SRQR) guidelines. Results The analysis revealed four themes: 1)“The end justifies the means – ‘I know what is best for you’”, 2)“Basic needs of care overruled by system effectiveness”, 3)“Treatment as a bargain”, and 4)“Healthcare professionals as solo detectives”. Conclusion Dissonance between system logics and the goal of person-centered care disturb the healthcare practice and service culture negatively affecting the clinical care trajectory. A practice culture embracing better communication and more person-centered care should be enhanced to improve the quality of care in cross-sectoral trajectories.

Naming Crime Suspects in the News

2017 ◽  
pp. 207-225
Author(s):  
Robin Blom
Keyword(s):  
United States ◽  
Decision Making ◽  
The Netherlands ◽  
News Media ◽  
The United States ◽  
Online Search ◽  
Ethics Codes ◽  
Search Results ◽  
Crime News ◽  
Decision Making Processes

Whereas some news outlets fully identify crime suspects with name, age, address, and other personal details, other news outlets refuse to fully identify any crime suspect—or even people who have been convicted for a crime. News media from a variety of countries have accused and fully identified people of being responsible for crimes, although those persons turned out to be innocent. Yet, when someone types the names of those people in online search engines, for many, stories containing the accusations will turn up at the top of the search results. This chapter examines the positive and negative aspects from those practices by examining journalistic routines in a variety of countries, such as the United States, Nigeria, and The Netherlands. This analysis demonstrates that important ethical imperatives—often represented in ethics codes of professional journalism organizations—can be contradictory in these decision-making processes. Journalists need to weigh whether they would like to “seek truth and report it” or “minimize harm” when describing crime suspects.

Access to residential care in Beijing, China: making the decision to relocate to a residential care facility

2011 ◽  
Vol 32 (8) ◽  
pp. 1277-1299 ◽  
Author(s):  
YANG CHENG ◽  
MARK W. ROSENBERG ◽  
WUYI WANG ◽  
LINSHENG YANG ◽  
HAIRONG LI
Keyword(s):  
Decision Making ◽  
Older People ◽  
Residential Care ◽  
Comparative Method ◽  
Information Access ◽  
Family Members ◽  
Care Facility ◽  
Decision Making Process ◽  
Residential Care Facility ◽  
Geographical Access

ABSTRACTThe demand for residential care by older people is increasing in Beijing as a result of dramatic demographic and socio-economic transformations. Little is known about the way older people access residential care in the context of Beijing. In this research, qualitative data collected from 46 in-depth semi-structured interviews with residential care facility (RCF) managers, older residents, and their family members in six RCFs in Beijing were transcribed and analysed using the constant comparative method. The findings included the following themes: access to residential care as geographical access, information access, economic access, socio-cultural access, and the socio-managerial environment. Geographical access is influenced by location, distance, and the micro-physical environment and amenities of RCFs. Information access refers to the capability to acquire related information on available resources. Economic access is the financial affordability for the resources. Socio-cultural access is affected by individual attitudes and aggregative cultural values on ageing and care of older people. Additionally, the social-managerial environment such as reputations of RCFs, quality of services, and management mechanisms are also important to the decision-making process. All these factors influence older people and their family members’ decision-making process of which RCF to choose. The research provides a multi-perspective analysis of access to residential care and suggestions on improving the accessibility of residential care for older people in Beijing.

Experiences of nursing in older care facilities in New Zealand

2010 ◽  
Vol 34 (1) ◽  
pp. 11 ◽  
Author(s):  
Jenny Carryer ◽  
Chiquita O. Hansen ◽  
Judy A. Blakey
Keyword(s):  
New Zealand ◽  
Older People ◽  
Registered Nurses ◽  
Residential Care ◽  
Nurse Practitioners ◽  
Clinical Care ◽  
Nursing Services ◽  
The Impact ◽  
Care For Older People

To examine issues related to the working life of registered nurses in residential care for older people in New Zealand, 48 registered nurses completed surveys (n = 28) or participated in discussions (n = 26) regarding their work roles, continuing education and interactions with specialist nurse services when providing care for older people living with chronic illnesses. This nursing workforce is characterised by ageing, relative isolation, reduced confidence and few opportunities for induction of new graduates. Registered nurses reported their struggle to deliver the appropriate quality of care to residents as acuity increases, general practitioner availability decreases and the opportunities for increasing their knowledge and competence remain limited. The provision of nursing services in residential care for older people is an area of growing concern to many Western countries. Nurse practitioners offer opportunities to improve the quality of residential care. What is known about the topic?The lack of registered nurses generally and the more critical shortage in residential care is well known. What does this paper add?This paper explains the impact on the current and future viability and the quality of registered nurse services in an area of service where acuity continues to rise and the demand for nursing services is increasing. What are the implications for practitioners?Nurses in older care settings often express a sense of isolation and note limited career development despite their passion for serving the frail older person. The establishment of nurse practitioner (gerontology) roles offers the potential for improved quality of clinical care for residents and clinical champions for development of nursing services.

Does regular listening to preferred music have a beneficial effect on symptoms of depression and anxiety amongst older people in residential care? The qualitative findings of a mixed methods study.

2018 ◽  
Vol 10 (2) ◽  
pp. 54
Author(s):  
Fiona Costa ◽  
Adam Ockelford ◽  
David J Hargreaves
Keyword(s):  
Mixed Methods ◽  
Older People ◽  
Residential Care ◽  
Qualitative Data ◽  
Care Home ◽  
Management Style ◽  
Depression And Anxiety ◽  
Structured Interviews ◽  
Research Procedure ◽  
Foot Tapping

This article presents the qualitative findings of a mixed-methods evaluation of the effects of listening to preferred music on depression and anxiety in older people in residential care. One hundred and seventeen participants were recruited from nine care homes, all but one in Greater London. The homes varied in size and management style, and participants came from a range of socio-economic backgrounds. In addition to their usual routine, each participant listened to a daily 30-minute programme of their preferred music for three weeks. Both quantitative and qualitative data relating to anxiety and depression were collected during once-weekly semi-structured interviews. Findings from the qualitative data showed that listening to preferred music resulted in relaxation, positive reminiscence, less depression and less boredom. Physical reactions, such as ‘chills’ or tears, demonstrated emotional arousal; others, such as foot-tapping were beneficial to the most disabled participants. The use of preferred and favourite music was the principal facilitator of its effectiveness, whilst declines in memory, confidence and energy were barriers to the research procedure. It was concluded that listening to preferred music can bring some relief to depression and anxiety amongst older care home residents but that not all will benefit to the same degree.

scholarly journals Beyond the Rhetoric of Participation: A Case Study of Participatory Practices and Power in East Nusa Tenggara, Indonesia

2021 ◽  
Author(s):  
◽  
Cynthia Ecclestone
Keyword(s):  
Decision Making ◽  
Filial Piety ◽  
Skills Training ◽  
Training Programme ◽  
Participatory Development ◽  
Power Dynamics ◽  
Structured Interviews ◽  
Decision Making Processes ◽  
Local Ngo

<p>This study looks critically at the practices of participatory development by a local NGO in East Nusa Tenggara, Indonesia. In doing so, the Life Skills Training programme is chosen as a case study of potentially participatory development. By exploring people’s experiences, perceptions, and feelings about their participation, the study examines the power dynamics in the programme. To gather data, the study used semi-structured interviews and observations. Interviews were conducted with 14 research participants, who were purposively selected from different backgrounds.   The study finds that the approaches of the programme point to lower-level forms of participation, with local people having both minimal involvement and little role in decision-making. Despite the use of the rhetoric of participation, doubts about the quality of participation are raised particularly in relation to gender, age, and religious differences. By scrutinising the ways in which issues of power manifest in the programme, the study demonstrates that issues of power and power relations in participatory development are quite complex. Using the frameworks of power analysis, I argue that issues related to inequalities of power are manifested in the NGO’s domination of decision-making processes, and that these issues were also contributed to by a patriarchal culture and filial piety. More importantly, I argue that people’s participation in the programme is less likely lead to meaningful outcomes if the issues of power imbalances are not addressed.  The study provides useful insights into ways to improve the practices of participatory development. An increased understanding of various forms of power and their implications will be useful for development practitioners to exercise their power to make a difference. Moreover, efforts to reduce power imbalances in participatory development will be inadequate without critically examining and attending to power and its dynamics. Without a deeper understanding of power, development programmes that make claims about participation may be less effective in achieving transformative goals for the intended beneficiaries.</p>

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