Factors affecting dementia care practitioners’ decision‐making on moves to a care home for persons living with dementia: A factorial survey

Abstract Background A large number of practices used in health care lack evidence of effectiveness and may be unnecessary or even cause harm. As such, they should be de-implemented. While there are multiple actors involved in de-implementation of such low-value care (LVC) practices, ultimately, the decision to abandon a practice is often made by each health care professional. A recent scoping review identified 6 types of factors affecting the utilization vs. abandonment of LVC practices. These factors concern health care professionals, patients, outer context, inner context, processes, and the characteristics of LVC practice itself. However, it is unclear how professionals weigh these different factors in and how these determinants influence their decisions about abandoning LVC practices. This project aims to investigate how health care professionals account for various factors as they make decisions regarding de-implementation of LVC practices. Methods This project will be carried out in two main steps. First, a factorial survey experiment (a vignette study) will be applied to empirically test the relevance of factors previously identified in the literature for health care professionals’ decision-making about de-implementation. Second, interactive workshops with relevant stakeholders will be carried out to develop a framework for professionals’ decision-making and to offer suggestions for interventions to support de-implementation of LVC practices. Discussion The project has the potential to contribute to improved understanding of the decision-making involved in de-implementation of LVC practices. We will identify which factors are more important when they make judgments about utilizing versus abandoning LVC practices. The results will provide the basis for recommendations concerning appropriate interventions to support de-implementation decision-making processes.

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When the profession becomes personal: dementia care practitioners as family caregivers

International Psychogeriatrics ◽

10.1017/s1041610211002882 ◽

2012 ◽

Vol 24 (6) ◽

pp. 902-910 ◽

Cited By ~ 8

Author(s):

Jill Manthorpe ◽

Kritika Samsi ◽

Joan Rapaport

Keyword(s):

Decision Making ◽

Care Home ◽

Family Members ◽

Legal Framework ◽

Dementia Care ◽

Clinical Supervisors ◽

Professional Activities ◽

Advance Decisions ◽

Mental Capacity Act ◽

The Impact

ABSTRACTBackground: Little is known about the impact of caring experience on the practice of dementia care professionals. Few research studies covering dementia practice ask about personal experiences of providing care or having a family member with dementia. In England and Wales, the Mental Capacity Act (MCA) 2005 provided a new legal framework for planning and decision-making in the event of possible loss of capacity. Professional activities in this area include advice and assistance with arranging proxy decision-making, establishing wishes, and advance decisions. The aim of this paper is to present interview data from dementia care professionals with family experiences of dementia and their reflections on decision-making frameworks.Methods: A total of 123 dementia care professionals working in community and care home settings were interviewed (2007–2010) about their experiences and expectations of the MCA 2005. Additional questions covered experiences of being family members or carers of a person with dementia and any use of the planning and decision-making provisions of the MCA in personal and family contexts. Data were analyzed thematically.Results: Seventy practitioners had experience of family members with dementia and family caring. Decision-making and planning were viewed as easier under the MCA but tensions could arise around loss of decision-making capacity or family dispute. Empathy for caregiving situations and how things could have been different were reflected upon.Conclusions: Trainers, clinical supervisors, and researchers in dementia care may build upon personal experience of some practitioners to promote empathy with other family carers and the provision of timely information and advice.

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Developing an Appropriate Investment Appraisal Model for Strategic Decision Making in the Care Home Sector

10.15396/eres2002_158 ◽

2002 ◽

Keyword(s):

Decision Making ◽

Care Home ◽

Strategic Decision ◽

Strategic Decision Making ◽

Investment Appraisal

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Segments Influencing Individual Investors Behavior And Their Investment Decision

Restaurant Business ◽

10.26643/rb.v118i9.8023 ◽

2019 ◽

Vol 118 (9) ◽

pp. 154-160

Author(s):

Dr. Kartikey Koti

Keyword(s):

Decision Making ◽

Social Factors ◽

Stock Markets ◽

Investment Decision ◽

Individual Investors ◽

Factors Affecting ◽

The Social ◽

Karnataka State ◽

Essential Idea

The essential idea of this assessment is investigate the social factors affecting particular theorists' decisions making limit at Indian Stock Markets. In the examination coordinated standard of direct is Classified subject to two estimations the first is Heuristic (Decision making) and the resulting one is prospect.. For the assessment coordinated the data used is basic natured which is assembled through a sorted out survey from 100 individual money related authorities based out in Hubli and Dharwad city, Karnataka State in India on an accommodating way. The respondents were both sex and overwhelming part male were 68% . These theorists were having a spot with the age bundle between35-45 which is 38%. These respondents have completed their graduation were around 56%. These respondents had work inclusion of 5 to 10 years which is 45% and the majority of which were used in government portion which is 56%. Their compensation was between 4 to 6 Lakh and were fit for placing assets into business areas. The money related experts were widely masterminded placing assets into different portfolios like 32% in Share market and 20 % in Fixed store. These examiners mode to known various endeavor streets were through News, family and allies.

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A Study on the Factors Affecting the Decision-making in Family Business Succession

Accounting Information Review ◽

10.29189/kaiaair.35.2.2 ◽

2017 ◽

Vol 35 (2) ◽

pp. 27-57

Author(s):

Sang-soon Nam ◽

Jung-hwa Hong ◽

Jin-hwa Cha

Keyword(s):

Decision Making ◽

Family Business ◽

Factors Affecting ◽

Business Succession ◽

Family Business Succession

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The Paradox of Poverty: Socio-Economic Aspects of Population Growth.— By T. Scarlett Epstein and Darrell Jackson. The Macmillan of India Limited Delhi, 1975. pp.127.

The Pakistan Development Review ◽

10.30541/v17i3pp.380-382 ◽

1978 ◽

Vol 17 (3) ◽

pp. 380-382

Author(s):

M. Javed Akbar Zaki

Keyword(s):

Decision Making ◽

Social Situation ◽

Economic Security ◽

Rural India ◽

Factors Affecting ◽

Number Of Children ◽

Economic Progress ◽

The Poor ◽

Fertility Decision ◽

The Social

To many social theoreticians, the population explosion, particularly in the developing nations presents a crippling threat to their developmental pro¬cesses. Their argument's validity rests mainly on the assumption that expected economic progress is swallowed up by unbalanced rise of numbers in the population. The book being reviewed deals mainly with this subject matter and is divided into two parts, each containing three articles contributed by various researchers. Part one, 'The Social context of Fertility Decision' is focused on analyzing the role of factors affecting fertility at the micro-level decision making process. The first article 'Fertility decision in rural India' by Vinod Jainath, examines the applicability to rural India of various models of the process of fertility decision making and finds most of these wanting with respect to the Indian social situation. While analyzing the fertility patterns of Rural India, he points out the positive need for larger families among the poor small farmers mainly due to labour supply considerations. The author argues that unemployment and under¬employment actually motivate the poor to have more children as it better ensures their economic security in their old age. As the chances of gaining employ¬ment for their offspring diminish, they are induced to increase the total number of children in order that atleast one will be able to support them. Thus a vicious circle of poverty arises in large families because of each of the parents wanting to increase their children's chances of employment by ultimately reducing the overall employment opportunities even further and exacerbating their poverty.

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Analyzing Factors Affecting the Sustainability of Land Management Practices in Mecha Woreda, Northwestern Ethiopia

Sustainability ◽

10.3390/su13137007 ◽

2021 ◽

Vol 13 (13) ◽

pp. 7007

Author(s):

Habtamu Nebere ◽

Degefa Tolossa ◽

Amare Bantider

Keyword(s):

Decision Making ◽

Land Management ◽

Land Degradation ◽

Quantitative Data ◽

Management Practices ◽

Short Term ◽

Factors Affecting ◽

Decision Making Processes ◽

Household Heads ◽

The Impact

In Ethiopia, the practice of land management started three decades ago in order to address the problem of land degradation and to further boost agricultural production. However, the impact of land management practices in curbing land degradation problems and improving the productivity of the agricultural sector is insignificant. Various empirical works have previously identified the determinants of the adoption rate of land management practices. However, the sustainability of land management practices after adoption, and the various factors that control the sustainability of implemented land management practices, are not well addressed. This study analyzed the factors affecting the sustainability of land management practices after implementation in Mecha Woreda, northwestern Ethiopia. The study used 378 sample respondents, selected by a systematic random sampling technique. Binary logistic regression was used to analyze the quantitative data, while the qualitative data were qualitatively and concurrently analyzed with the quantitative data. The sustained supply of fodder from the implemented land management practices, as well as improved cattle breed, increases the sustainability of the implemented land management practices. While lack of agreement in the community, lack of enforcing community bylaws, open cattle grazing, lack of benefits of implemented land management practices, acting as barrier for farming practices, poor participation of household heads during planning and decision-making processes, as well as the lack of short-term benefits, reduce the sustainability of the implemented land management practices. Thus, it is better to allow for the full participation of household heads in planning and decision-making processes to bring practical and visible results in land management practices. In addition, recognizing short-term benefits to compensate the land lost in constructing land management structures must be the strategy in land management practices. Finally, reducing the number of cattle and practicing stall feeding is helpful both for the sustainability of land management practices and the productivity of cattle. In line with this, fast-growing fodder grass species have to be introduced for household heads to grow on land management structures and communal grazing fields for stall feeding.

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Evaluating the E-Health Cloud Computing Systems Adoption in Taiwan’s Healthcare Industry

Life ◽

10.3390/life11040310 ◽

2021 ◽

Vol 11 (4) ◽

pp. 310

Author(s):

Shih-Chia Chang ◽

Ming-Tsang Lu ◽

Tzu-Hui Pan ◽

Chiao-Shan Chen

Keyword(s):

Decision Making ◽

Cloud Computing ◽

Multiple Criteria Decision Making ◽

Cloud Service ◽

Computing System ◽

Healthcare Industry ◽

Computing Systems ◽

Factors Affecting ◽

Cloud Computing System ◽

Health Cloud

Although the electronic health (e-health) cloud computing system is a promising innovation, its adoption in the healthcare industry has been slow. This study investigated the adoption of e-health cloud computing systems in the healthcare industry and considered security functions, management, cloud service delivery, and cloud software for e-health cloud computing systems. Although numerous studies have determined factors affecting e-health cloud computing systems, few comprehensive reviews of factors and their relations have been conducted. Therefore, this study investigated the relations between the factors affecting e-health cloud computing systems by using a multiple criteria decision-making technique, in which decision-making trial and evaluation laboratory (DEMATEL), DANP (DEMATEL-based Analytic Network Process), and modified VIKOR (VlseKriterijumska Optimizacija I Kompromisno Resenje) approaches were combined. The intended level of adoption of an e-health cloud computing system could be determined by using the proposed approach. The results of a case study performed on the Taiwanese healthcare industry indicated that the cloud management function must be primarily enhanced and that cost effectiveness is the most significant factor in the adoption of e-health cloud computing. This result is valuable for allocating resources to decrease performance gaps in the Taiwanese healthcare industry.

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Variation in LOD Across SARS-CoV-2 Assay Systems: Need for Standardization

Laboratory Medicine ◽

10.1093/labmed/lmaa103 ◽

2020 ◽

Author(s):

Youvraj Sohni

Keyword(s):

Decision Making ◽

Clinical Decision Making ◽

Limit Of Detection ◽

Clinical Decision ◽

International Standards ◽

Performance Characteristics ◽

Clinical Testing ◽

Factors Affecting ◽

Diagnostic Assays ◽

Technology Platforms

Abstract Multiple SARS-CoV-2 emergency use authorization (EUA) tests are being used for clinical testing across various clinical testing laboratories for meeting the diagnostic challenges of the ongoing pandemic. However, cross-assay variations in performance characteristics need to be recognized. A better understanding is needed of the clinical implications of cross-assay variation in performance characteristics, particularly in the limit of detection (LOD) of the SARS-CoV-2 assays used for clinical testing. Herein, a snapshot of the diversity of SARS-CoV-2 EUA analytical assay systems including methodologies, assay designs, and technology platforms is presented. Factors affecting the variations in LOD are discussed. Potential measures that may standardize across the various assay systems are suggested. Development of international standards and reference materials for the establishment of performance characteristics may substantially alleviate potential clinical decision-making challenges. Finally, cross-assay variation in LODs among the diverse SARS-CoV-2 diagnostic assays impacts clinical decision-making with multiple assay systems in use and lack of standardization across platforms. International standards in parallel with continued cross-platform studies and collaborative efforts across pertinent healthcare entities will help mitigate some of the clinical decision-making challenges.

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