Are reoffense outcomes consistent with inmate and staff perceptions of therapeutic community practice? A mixed-methods analysis

2021 ◽  
pp. 1-20
Author(s):  
Michael Weinrath ◽  
Caroline Tess ◽  
Erika Willows
Keyword(s):  
Mixed Methods ◽  
Therapeutic Community ◽  
Community Practice ◽  
Staff Perceptions

scholarly journals Acute care nurses’ perceptions of leadership, teamwork, turnover intention and patient safety – a mixed methods study

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Shahram Zaheer ◽  
Liane Ginsburg ◽  
Hannah J. Wong ◽  
Kelly Thomson ◽  
Lorna Bain ◽  
...  
Keyword(s):  
Patient Safety ◽  
Mixed Methods ◽  
Turnover Intention ◽  
Interactive Effect ◽  
Mixed Methods Study ◽  
Senior Leadership ◽  
Healthcare Organizations ◽  
Staff Perceptions ◽  
Leadership Support ◽  
The Impact

Abstract Background This study contributes to a small but growing body of literature on how context influences perceptions of patient safety in healthcare settings. We examine the impact of senior leadership support for safety, supervisory leadership support for safety, teamwork, and turnover intention on overall patient safety grade. Interaction effects of predictors on perceptions of patient safety are also examined. Methods In this mixed methods study, cross-sectional survey data (N = 185) were collected from nurses and non-physician healthcare professionals. Semi-structured interview data (N = 15) were collected from nurses. The study participants worked in intensive care, general medicine, mental health, or the emergency department of a large community hospital in Southern Ontario. Results Hierarchical regression analyses showed that staff perceptions of senior leadership (p < 0.001), teamwork (p < 0.01), and turnover intention (p < 0.01) were significantly associated with overall patient safety grade. The interactive effect of teamwork and turnover intention on overall patient safety grade was also found to be significant (p < 0.05). The qualitative findings corroborated the survey results but also helped expand the characteristics of the study’s key concepts (e.g., teamwork within and across professional boundaries) and why certain statistical relationships were found to be non-significant (e.g., nurse interviewees perceived the safety specific responsibilities of frontline supervisors much more broadly compared to the narrower conceptualization of the construct in the survey). Conclusions The results of the current study suggest that senior leadership, teamwork, and turnover intention significantly impact nursing staff perceptions of patient safety. Leadership is a modifiable contextual factor and resources should be dedicated to strengthen relational competencies of healthcare leaders. Healthcare organizations must also proactively foster inter and intra-professional collaboration by providing teamwork educational workshops or other on-site learning opportunities (e.g., simulation training). Healthcare organizations would benefit by considering the interactive effect of contextual factors as another lever for patient safety improvement, e.g., lowering staff turnover intentions would maximize the positive impact of teamwork improvement initiatives on patient safety.

Mixed methods analysis of hospice staff perceptions and shared decision making practices in hospice

2021 ◽  
Author(s):  
Debra Parker Oliver ◽  
Karla T. Washington ◽  
Kyle Pitzer ◽  
Lori Popejoy ◽  
Patrick White ◽  
...  
Keyword(s):  
Decision Making ◽  
Mixed Methods ◽  
Shared Decision Making ◽  
Shared Decision ◽  
Staff Perceptions

Crisis and Confrontation

1968 ◽  
Vol 114 (507) ◽  
pp. 169-174 ◽  
Author(s):  
Maxwell Jones ◽  
Paul Polak
Keyword(s):  
Group Therapy ◽  
Daily Living ◽  
Therapeutic Community ◽  
Individual Psychotherapy ◽  
Community Practice ◽  
Individual Interview ◽  
Therapeutic Tool ◽  
Living Situation ◽  
The Individual

It is part of the magical aura of the physician that he must have some omnipotent tool with which he dramatically makes patients better. In individual psychotherapy the individual interview and the interpretation, like the surgeon's scalpel, provides such an omnipotent instrument. In therapeutic community practice it is often group therapy in the form of the daily ward meeting and the review that plays the role of the omnipotent therapeutic tool. But in our opinion it is the daily living situation and not the formally organized therapeutic meeting which provides the greatest potential for learning and growth on the part of patients and staff. We have found the crisis situation and its resolution to be potentially the most useful of these daily living situations.

scholarly journals Therapeutic community research: past, present and future

2002 ◽  
Vol 26 (2) ◽  
pp. 65-68 ◽  
Author(s):  
Rex Haigh
Keyword(s):  
Therapeutic Community ◽  
Community Research ◽  
Therapeutic Communities ◽  
Outcome Study ◽  
Community Practice ◽  
Action Research Project ◽  
Research Areas ◽  
Continuous Quality ◽  
Cost Offset ◽  
Multi Level

This paper gives an outline of four research areas examining therapeutic community practice: an international systematic review, health economics cost-offset work, a cross-institutional multi-level modelling outcome study and a proposed action research project to deliver continuous quality improvement in all British therapeutic communities. Results of the first two have been published and are summarised here; the third is under way and the fourth is seeking funding.

Using Focus Group Interviews to Understand Staff Perceptions from Training in the Therapeutic Community Model

2003 ◽  
Vol 33 (2) ◽  
pp. 143-157 ◽  
Author(s):  
Anna Tsiboukli ◽  
Kim Wolff
Keyword(s):  
Focus Group ◽  
Training Program ◽  
Stages Of Change ◽  
Drug Users ◽  
Therapeutic Community ◽  
Program Improvement ◽  
Focus Group Interviews ◽  
Staff Perceptions ◽  
Community Model ◽  
Group Interviews

The current article is concerned with the use of focus group interviews in understanding staff perceptions of training to work with drug users during the different stages of change from addiction to rehabilitation in the Therapeutic Community model. The article discusses the use of the focus group interview as the most appropriate method for the scope of this study, based on the assumption that trainees are aware of their own needs and demands from training. Methodological issues relevant to the use of focus groups and the individual responses to the training program are discussed. The content and structure of the training program are also discussed. The article concludes that gaining information on people's own perceptions and experiences from the training process can contribute significantly to program improvement.

Quantitative findings from a mixed methods evaluation of once-weekly therapeutic community day services for people with personality disorder

2010 ◽  
Vol 19 (5) ◽  
pp. 412-421 ◽  
Author(s):  
Wally Barr ◽  
Andrew Kirkcaldy ◽  
Alan Horne ◽  
Suzanne Hodge ◽  
Kate Hellin ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Personality Disorder ◽  
Therapeutic Community ◽  
Mixed Methods Evaluation ◽  
Day Services

One Foot in Eden: A Sociological Study of the Range of Therapeutic Community Practice.

1989 ◽  
Vol 18 (5) ◽  
pp. 805
Author(s):  
Juniper Wiley ◽  
Michael Bloor ◽  
Neil McKeganey ◽  
Dick Fonkert
Keyword(s):  
Therapeutic Community ◽  
Community Practice ◽  
Sociological Study
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