Healthcare providers’ images of refugees and their use of health services: an exploratory study

2019 ◽  
Vol 15 (3) ◽  
pp. 201-213
Author(s):  
Nellie Van den Bos ◽  
Galia Sabar ◽  
Shiri Tenenboim

Purpose In 2017, the WHO presented a framework of priorities and guiding principles to promote the health of refugees and migrants (WHO, 2017). The purpose of this paper is to analyze a crucial but understudied aspect for the implementation of this framework, namely, healthcare providers’ images of refugees and their use of health services. Design/methodology/approach A preliminary study first addresses images of refugees and their use of health services derived from the literature. This is followed by an empirical case study of antenatal and delivery service to Eritrean refugee women in Israel. The case study explores providers’ (n=8) images of Eritrean women and their use of services as well as Eritrean women’s (n=10) reflections on their own use of these services, examining the degree to which providers’ images correspond with Eritrean women’s realities. Findings The preliminary study shows how the literature largely tends to picture refugees as medicalized and disempowered. The case study illustrates that providers of Israeli antenatal and delivery services embrace similar images, although they are more nuanced. The reflections of Eritrean women show that providers’ images partially reflect their realities. However, Eritrean women attribute these images to external constraints, whereas providers attribute these images to innate characteristics of Eritrean women. Together, these findings suggest that implementation of the recently introduced WHO framework is at stake. Originality/value This study raises awareness of a crucial but understudied aspect regarding implementation of a recently introduced universal framework for promoting the health of refugees and migrants.

2018 ◽  
Vol 46 (4) ◽  
pp. 578-586
Author(s):  
Jason M. Vance

Purpose This case study provides a new methodology for examining patron-initiated noise complaints in academic libraries by mining virtual reference chat transcript logs. The purpose of this study is to illustrate how noise complaints can be identified, analyzed and mapped to create a visual representation of the library’s soundscape. Design/methodology/approach This study reviewed 4,494 reference chat logs taken over four semesters at a large public university between August 2015 and May 2017. From these transcripts, the author identified 330 unique noise complaints and analyzed them by content, time of day, day of week, week of semester and floor of library. Complaints were also plotted on a library map to determine noise complaint hot spots. Findings Analysis of the noise complaints showed that 82 per cent of the reported incidents originated in designated quiet study zones and 55 per cent of the complaints occurred in the evenings when the library was more lightly staffed. Mapping the noise complaints revealed that most infractions were reported in areas where public computing areas and group study rooms were situated directly adjacent to designated quiet study areas. Originality/value Although there are numerous studies on noise in libraries and many published analyses of reference chat transcripts, this paper is the first to analyze chat transcripts for the purpose of studying noise complaints in the library. This paper is an expansion of a preliminary study presented at the 2016 Library Assessment Conference in Arlington, VA.


2018 ◽  
Vol 17 (4) ◽  
pp. 224-227
Author(s):  
Jan Cassidy ◽  
Woody Caan

Purpose This study of HMP Birmingham was part of a much larger investigation of health needs assessment (HNA), in the context of a new “HNA Toolkit” developed by Public Health England for use in the prison service. The paper aims to discuss this issue. Design/methodology/approach In 2015, details of prison healthcare in HMP Birmingham had figured in the authors’ analysis of documents. In 2018, a crisis in Birmingham typified problems developing more widely in England and Wales. Was the crisis predictable from the initial HNA? Findings Recommendations embodied in the 2015 HNA were not acted upon; the eventual problems that combined to overwhelm the running of HMP Birmingham were predictable. Originality/value Lessons from this case study could inform more coherent commissioning of prison health services. This in turn could promote timely developments for improved health and morale in the prison, amongst prisoners and staff. Longer term, this might help to avoid future crises.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Stacey Withington ◽  
Jerome Carson

Purpose The purpose of this paper is to provide a profile of Stacey Withington. Design/methodology/approach In this case study, Stacey provides a short account of her life and is then interviewed by Jerome. Findings Stacey details how she was able to transform her life, despite the traumas experienced in her life. Research limitations/implications Although many of us will not have experienced the difficulties that Stacey has, we are all able to empathise with her story. We now have the gift of her story, to borrow the phrase from Dr Julie Leibrich (Leibrich, 1999). Practical implications How many times must people complain about the delay in accessing counselling and mental health services before something is done to tackle the problem? Social implications A mother, a partner and a son, backed up by wonderful tutors and friends, helped Stacey find the strength and talent that she possessed within. Originality/value Stacey is the first person featured in this series to be called a SHEro. In truth and as Patricia Deegan has stated, “try and see the person with mental health problems that you are working with as a hero” (Deegan, 1996). As Pat also says, “Could you have survived what that person has survived?” Stacey has not just survived, she is now flourishing!


2018 ◽  
Vol 24 (2) ◽  
pp. 134-151
Author(s):  
El Mehdi Semma ◽  
Ahmed Mousrij ◽  
Hassan Gziri

Purpose The purpose of this paper is to develop the different phases of the implementation of vibration-based maintenance (VBM). Then, the focus will be on the first two stages, namely, the inventory and feasibility study where each step will be translated into a very detailed implementation process through an industrial case study. Design/methodology/approach The study is based on a state of art on the implementation of the VBM; a survey of national and international experts in the field of VBM and finally an analysis of 30 years of VBM practice in a large Moroccan company in the field of chemical processing, via a collective approach called Diagnostic Court Autonome. Findings The study showed that improving productivity by reducing downtimes due to vibration defects through effective vibration monitoring is possible and investment in equipment and vibration monitoring personnel is largely justified in the company studied. Originality/value This paper presents in detail the two preliminary phases with all procedures describing in a practical way the operating rules to apply and organize the roles of different actors. The work will be useful both to researchers and maintenance managers interested in structuring their vibration monitoring cells.


2016 ◽  
Vol 2 (4) ◽  
pp. 210-214 ◽  
Author(s):  
Sue Larch

Purpose The purpose of this paper is to describe the experiences of a mother of a son who was diagnosed with Asperger syndrome and psychosis in adulthood, the impact of this on his behaviour, and her quest to obtain healthcare. Design/methodology/approach Case study. Findings While a striking story in its own right, the experiences described have a number of wider implications for the treatment of mental ill heath in ASD, the exclusion of families and carers from the care of their adult children in services, and the impact of this on the individuals directly affected. Research limitations/implications The paper offers a number of practical recommendations for the understanding and management of autism in generic mental health services, and the involvement of families and carers in the care of their relative. Originality/value This is the first paper to describe mental ill health and offending behaviour in ASD, from the perspective of a mother.


2018 ◽  
Vol 25 (2) ◽  
pp. 81-91
Author(s):  
Kerstin Kuyken ◽  
Mehran Ebrahimi ◽  
Anne-Laure Saives

Purpose This paper aims to develop a better understanding of intergenerational knowledge transfer (IKT) practices by adopting a context-related and comparative perspective. Design/methodology/approach A qualitative case study design involving 83 interviews and non-participative observation in German and Quebec organizations has been chosen. Findings Two distinctive archetypes of IKT emerge from both national contexts: “we-individualizing” (Germany) and “I-connecting” (Quebec), leading to an eightfold taxonomy of IKT practices. Research limitations/implications This research is limited to young and senior workers and to high-tech sectors. Originality/value Comparative and inductive study of IKT, adaptation of IKT practices to national contexts, retaining younger workers. This inductive and comparative study allows a better adaptation of IKT practices to national contexts and therefore a better retention of younger workers.


2019 ◽  
Vol 22 (4) ◽  
pp. 744-752
Author(s):  
Sisira Dharmasri Jayasekara ◽  
Iroshini Abeysekara

Purpose The purpose of this paper is to discuss the role of digital forensics in an evolving environment of cyber laws giving attention to Bay of Bengal Initiative for Multi-Sectoral Technical and Economic Cooperation (BIMSTEC) countries, comprising Bangladesh, India, Myanmar, Sri Lanka, Thailand, Nepal and Bhutan, in a dynamic global context. Design/methodology/approach This study uses a case study approach to discuss the digital forensics and cyber laws of BIMSTEC countries. The objective of the study was expected to be achieved by referring to decided cases in different jurisdictions. Cyber laws of BIMSTEC countries were studied for the purpose of this study. Findings The analysis revealed that BIMSTEC countries are required to amend legislation to support the growth of information technology. Most of the legislation are 10-15 years old and have not been amended to resolve issues on cyber jurisdictions. Research limitations/implications This study was limited to the members of the BIMSTEC. Originality/value This paper is an original work done by the authors who have discussed the issues of conducting investigations with respect to digital crimes in a rapidly changing environment of information technology and deficient legal frameworks.


2020 ◽  
Vol 122 (7) ◽  
pp. 2089-2103
Author(s):  
Rosario Michel-Villarreal ◽  
Eliseo Luis Vilalta-Perdomo ◽  
Martin Hingley

PurposeThe purpose of this study is to explore food producers' motivations and challenges whilst participating in short food supply chains (SFSCs). This paper compares findings with previous literature and investigates the topic in the context of producers' motivations.Design/methodology/approachThe paper includes a literature review concerning producers' motivations to engage in SFSCs. A case study was designed to investigate motivations underlying producers' engagement in SFSCs, as well as the challenges that they face. Semi-structured interviews were conducted in a farmers' market located in Mexico. Thematic analysis is used to identify the principal issues for producers'. Propositions based on findings are presented.FindingsFindings suggest that small, large, part-time and full-time producers are willing to engage with farmers' markets for diverse primary economic and non-economic motivations. Individual and collective challenges were also identified.Originality/valueThis research helps to explain producers' motivations and challenges within SFSCs in an under-researched context, namely a focus on producers' and in the Global South.


2014 ◽  
Vol 13 (3) ◽  
pp. 123-126
Author(s):  
Bev White ◽  
Gary Browning ◽  
Javier Bajer

Purpose – Ten years ago Penna, the global HR services group, needed a radical business and culture re-invention if it was to survive. This article aims to tell the story behind Penna's journey and describe how a sustainable culture change intervention became the cornerstone of a successful business. Design/methodology/approach – This case study is the result of an initial ethnographical research followed by concrete and systemic interventions. Findings – The case study identifies four elements that sustained the business impact of a culture change program over a significant period of time. Originality/value – This longitudinal case study follows a culture change program in an organizational context over a period of ten years.


2016 ◽  
Vol 76 (1) ◽  
pp. 119-139 ◽  
Author(s):  
Marie-Christine Bélanger

Purpose – This paper is based on a crop insurance implementation currently undergoing in Haiti. The purpose of this paper is to present the development of a program tailored to rice production in the Artibonite Valley, the challenges and opportunities that are arising from the exercise as well as pitfalls and ways to avoid them. Design/methodology/approach – The Système de Financement et d’Assurances Agricoles en Haïti’s approach for the development of crop insurance is in accordance with 13 concepts considered essential in the implementation of agricultural insurance programs. The case study is presented through each of these 13 fundamental concepts. Findings – The paper provides an insight on challenges any organization will face when implementing crop insurance for smallholder farmers. It points out notably that close collaboration of executing agencies with local partners is essential from data collection through insurance development and delivery and that all participants should receive a specific training tailored to their level of education and understanding. Social implications – Haiti is one of the poorest countries on the planet. Smallholder farmers could benefit a lot from crop insurance. It could help them stabilize their income when facing crop losses due to natural hazards or uncontrollable natural events. Originality/value – This paper fulfills an identified need to share real case studies exposing challenges faced when implementing crop insurance for smallholder farmers.


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