scholarly journals Residents' satisfaction with multi-purpose services

2008 ◽  
Vol 32 (2) ◽  
pp. 349 ◽  
Author(s):  
Judith K Anderson ◽  
John B Rae ◽  
Linda E Grenade ◽  
Duncan P Boldy
Keyword(s):  
Quality Improvement ◽  
Performance Improvement ◽  
New South ◽  
Project Design ◽  
Management Styles ◽  
Resident Satisfaction ◽  
Work Processes ◽  
Staff Members ◽  
South Wales ◽  
And Performance

Aim: To establish a system for measuring resident satisfaction in multi-purpose services, benchmarking and performance improvement. Setting: Six multi-purpose services in rural New South Wales were involved in the project. Design: Residents were surveyed and the results benchmarked. Benchmarking included a comparison of results along with an exploration of work processes across participating sites. This preceded quality improvement activities conducted by individual multi-purpose services. Resident surveys were repeated and staff and managers interviewed. Outcomes: Benchmarking was a useful method for identifying performance leaders and enabling the dissemination of better practice. The majority of staff members were comfortable with the PDSA (Plan, Do, Study, Act) quality improvement cycle to guide their improvement efforts. The ability of staff to complete quality improvement cycles was related to the management styles of their supervisors. Resident satisfaction was related to the understanding and confidence of staff. Conclusion: A resident satisfaction survey can provide the direction for effective quality improvement activities. Benchmarking results with other sites not only empowers staff members at those sites recognised as leaders, but can also stimulate dissemination of leading practice. Management styles which empower staff enhance their ability to implement quality improvement projects.

Early Mobility for Critically Ill Patients: Building Staff Commitment Through Appreciative Inquiry

2020 ◽  
Vol 40 (4) ◽  
pp. 66-72
Author(s):  
Michelle M. Fernald ◽  
Nicholas A. Smyrnios ◽  
Joan Vitello
Keyword(s):  
Quality Improvement ◽  
Critically Ill ◽  
Appreciative Inquiry ◽  
Critically Ill Patients ◽  
Staff Members ◽  
Before And After ◽  
Trained Facilitator ◽  
Improvement Method ◽  
And Performance ◽  
Staff Commitment

Background Immobility contributes to many adverse effects in critically ill patients. Early progressive mobility can mitigate these negative sequelae but is not widely implemented. Appreciative inquiry is a quality improvement method/change philosophy that builds on what works well in an organization. Objectives To explore whether appreciative inquiry would reinvigorate an early progressive mobility initiative in a medical intensive care unit and improve and sustain staff commitment to providing regular mobility therapy at the bedside. Secondary goals were to add to the literature about appreciative inquiry in health care and to determine whether it can be adapted to critical care. Methods Staff participated in appreciative inquiry workshops, which were conducted by a trained facilitator and structured with the appreciative inquiry 4-D cycle. Staff members’ attitudes toward and knowledge of early progressive mobility were evaluated before and after the workshops. Performance of early progressive mobility activities was recorded before and 3 and 10 months after the workshops. Results Sixty-seven participants completed the program. They rated the workshops as successfully helping them to understand the importance of early progressive mobility (98%), explain their responsibility to improve patient outcomes (98%), and engender a greater commitment to patients and the organization (96%). Regarding mobility treatments, at 3 months orders had improved from 62% to 88%; documentation, from 52% to 89%; and observation, from 39% to 87%. These improvements were maintained at 10 months. Conclusion Participation in the workshops improved the staff’s attitude toward and performance of mobility treatments. Appreciative inquiry may provide an adjunct to problem-based quality improvement techniques.

Consumer participation at Specialist Homelessness Services: Do the homeless have a say in the services they receive?

2017 ◽  
Vol 61 (6) ◽  
pp. 1095-1115 ◽  
Author(s):  
Darren Phillips ◽  
Ahmed Bawa Kuyini
Keyword(s):  
Thematic Analysis ◽  
New South ◽  
Homeless Persons ◽  
Consumer Participation ◽  
Service Users ◽  
Consumer Group ◽  
Staff Members ◽  
South Wales ◽  
Future Policy ◽  
Policy Direction

This study in the state of New South Wales, Australia, explored what Specialist Homelessness Services are currently implementing in regard to consumer participation, what is working and what barriers to consumer participation have been encountered by both service users and providers. Three staff members, one consumer volunteer and 10 homeless persons from three services were interviewed. The interviews were analysed using thematic analysis. The study found that while consumers have some opportunities to participate, and that participation is beneficial, there were barriers to participation, such as staff attitudes and the nature of the consumer group. The implications of these findings for staff, consumers and future policy direction are discussed.

Growing houses and trees: integrating biodiversity conservation and urbanisation

2014 ◽  
Vol 6 (1/2) ◽  
pp. 152-173
Author(s):  
Peter Williams
Keyword(s):  
Urban Development ◽  
Environmental Planning ◽  
New South ◽  
Content Type ◽  
Effective Implementation ◽  
South Wales ◽  
Australian State ◽  
Planning Tools ◽  
Development Context ◽  
And Performance

Purpose – The purpose of this paper is to examine the framework, operation and prospects of two innovative planning tools – biobanking and biodiversity certification – to protect biodiversity in the context of urbanisation. Design/methodology/approach – Using the Australian State of New South Wales, and its capital Sydney, as a focus, the paper reviews the history and performance of the two planning tools selected for examination. Findings – Through its analysis, this paper supports the use of biobanking and biodiversity certification as tools at the disposal of planners which should be employed to augment the array of tools to manage the impacts on biodiversity of urban development. Indeed, these tools have the potential to increase the level of conserved biodiversity if used appropriately. Originality/value – Biobanking and biodiversity certification are, respectively, examples of market-based and strategic-based statutory planning mechanisms that can be used to protect biodiversity in an urban development context. Creative adaption of environmental planning laws is required to ensure effective implementation of these innovative planning tools. The relevant contemporary statutory enactments that have given effect to these mechanisms are examined in this paper.

The intake and performance of cattle grazing irrigated pastures. 2. Effect of pasture length on growth of steers

1973 ◽  
Vol 13 (64) ◽  
pp. 477
Author(s):  
DW Hennessy
Keyword(s):  
Organic Matter ◽  
Growth Rates ◽  
Dry Matter ◽  
New South ◽  
New South Wales ◽  
Cattle Grazing ◽  
High Moisture ◽  
Moisture Contents ◽  
South Wales ◽  
And Performance

The organic matter intakes (OMI) and liveweight of twenty-four weaner steers grazing either short or long irrigated annual pastures were compared during May to November in 1964 and 1965 at Leeton, New South Wales. The OMI were estimated from determinations of faeces organic matter output using chromic oxide dilution, and of digestibility estimated from a faeces nitrogen-digestibility relationship for pen-fed cattle. Weaners that grazed the short or long pasture did not differ significantly in final liveweights (356 v.361 kg respectively, 1964; 357 v.361 kg, 1965) or OMI (4.99 v.5.42 kg day-1, 1964; 5.78 v.6.06 kg day-1, 1965) although available dry matter was less (P < 0.05) in short than in long pastures in both years. The OMI were commensurate with the 0.6 kg mean daily liveweight gains of weaners, which however were smaller than other reported growth rates, and an unsatisfactory production from the costly pastures. The reasons for the small liveweight gains are unknown but it is suggested that high moisture contents (85 per cent) of pastures restricted intake, or that high clover contents (58 per cent) caused bloating and rumen distension which thereby restricted intake.

An analysis of Atriplex inflata populations from western New South Wales

1971 ◽  
Vol 19 (2) ◽  
pp. 191 ◽  
Author(s):  
RA Malik ◽  
DJ Anderson
Keyword(s):  
Water Stress ◽  
Soil Type ◽  
New South ◽  
New South Wales ◽  
Dry Weight ◽  
Solution Culture ◽  
Subsequent Performance ◽  
South Wales ◽  
Type Water ◽  
And Performance

Pattern analyses of density and performance data collected from separate populations of Atriplex inflata in the western Riverine Plain of New South Wales consistentiy indicated two linear scales of contagion at 2-4 and 16 m. The largerscale plant pattern corresponds to a similar pattern of microtopographical variation but regressions of density alone on microtopography are significant, indicating possible alternative mechanisms for establishment (as indicated by density data) and subsequent performance (as indicated by cover data). The performance of A. inflata plants has been assessed experimentally on a range of natural soils and in controlled nutrient solution culture. The results suggest that performance (as estimated by dry weight yield) is significantly affected by soil type, water stress, and a soil type ° water stress interaction. The prime effect of soil variation on yield appears to be mediated by variation in soil cation balance.

scholarly journals Quality improvement in surgery: introduction of the American College of Surgeons National Surgical Quality Improvement Program into New South Wales

2019 ◽  
Vol 89 (5) ◽  
pp. 471-475 ◽  
Author(s):  
Arthur J. Richardson ◽  
Michael R. Cox ◽  
Anthony J. Shakeshaft ◽  
Bruce Hodge ◽  
Gary Morgan ◽  
...  
Keyword(s):  
Quality Improvement ◽  
New South ◽  
New South Wales ◽  
Quality Improvement Program ◽  
Improvement Program ◽  
Surgical Quality ◽  
South Wales ◽  
American College Of Surgeons

Procedural justice and frontline policing: the effects of the police complaints system

2016 ◽  
Vol 18 (3) ◽  
pp. 170-181 ◽  
Author(s):  
Sally Galovic ◽  
Philip Birch ◽  
Margaret H. Vickers ◽  
Michael Kennedy
Keyword(s):  
Police Officers ◽  
New South ◽  
New South Wales ◽  
Unintended Consequences ◽  
Professional Relationships ◽  
Performance Impact ◽  
Content Type ◽  
South Wales ◽  
And Performance ◽  
The Impact

Purpose – The purpose of this paper is to present results from a qualitative study exploring the complaints system within New South Wales Police Force in Australia. The stories shared illustrate the impact of the complaints system on officers currently serving in this force. The study reveals how the complaints system impacts on both the working conditions and workplace environment of police officers, as well as impacting on the professional relationships amongst each other. Design/methodology/approach – The study is qualitative in design, in which in-depth interviews were conducted with a sample of 14 rank and file police officers. The qualitative analysis draws upon a thematic approach and a direct reference to police officer comments and perspectives are illustrated and used to inform the framework of the discussion and implications for further research in this area. Findings – The findings yield three central themes – “police perceptions of accountability”; “the complaints tool – a question of intra institutional justice”; and “performance impact”. These are discussed in direct relation to what police officers revealed about their experiences and thoughts on the current complaints process in New South Wales. Practical implications – To review the complaints process in order to develop a more transparent process; to recognise the critiques of the complaints process, both by the general public and police officers, as valuable information to be used to inform improving the process; to consider restorative justice practices employed by other police forces as a means of finalising some complaint processes; to develop a more swift complaints process with more timely conclusions in order to minimise long-term issues such as sustained sick leave. Originality/value – This paper examines the link between accountability and performance, and the unintended consequences the complaints process has on police officers at work. This examination is conducted by drawing on current rank and file police officers lived experiences.

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