scholarly journals The Impact of Organizational Innovations in Nursing Homes on Staff Perceptions: A Secondary Data Analysis

2017 ◽  
Vol 49 (1) ◽  
pp. 54-62 ◽  
Author(s):  
Joost Adams ◽  
Hilde Verbeek ◽  
Sandra M. G. Zwakhalen
2021 ◽  
Vol 14(63) (2) ◽  
pp. 19-26
Author(s):  
Alina Petronela Pricope (Vancia) ◽  
◽  
Codruța Adina Băltescu ◽  

The aim of this paper is to analyse the effects of the COVID-19 pandemic on leveraging technology to generate new opportunities for travel companies. Tourism is one of the sectors most affected by the Covid-19 pandemic, companies in this sector have never faced such a dramatic situation and their challenge has been to survive and find new ways to generate profit. In this context, the pandemic has become an accelerator of digitalisation and has made digital technologies vital. The study is based on secondary data analysis and the research objectives are to examine the impact of COVID - 19 on travel companies and to highlight the importance of developing digitalisation during the pandemic. To achieve these goals, the authors analysed the actions during the pandemic of the world's largest tour operator, Tui Group


2020 ◽  
Author(s):  
David N. Fisman ◽  
Amy L. Greer ◽  
Ashleigh R. Tuite

AbstractBackgroundEpidemiological data from the COVID-19 pandemic has demonstrated variability in attack rates by age, and country-to-country variability in case fatality ratio (CFR).ObjectiveTo use direct and indirect standardization for insights into the impact of age-specific under-reporting on between-country variability in CFR, and apparent size of COVID-19 epidemics.DesignPost-hoc secondary data analysis (“case studies”), and mathematical modeling.SettingChina, global.InterventionsNone.MeasurementsData were extracted from a sentinel epidemiological study by the Chinese Center for Disease Control (CCDC) that describes attack rates and CFR for COVID-19 in China prior to February 12, 2020. Standardized morbidity ratios (SMR) were used to impute missing cases and adjust CFR. Age-specific attack rates and CFR were applied to different countries with differing age structures (Italy, Japan, Indonesia, and Egypt), in order to generate estimates for CFR, apparent epidemic size, and time to outbreak recognition for identical age-specific attack rates.ResultsSMR demonstrated that 50-70% of cases were likely missed during the Chinese epidemic. Adjustment for under-recognition of younger cases decreased CFR from 2.4% to 0.8% (assuming 50% case ascertainment in older individuals). Standardizing the Chinese epidemic to countries with older populations (Italy, and Japan) resulted in larger apparent epidemic sizes, higher CFR and earlier outbreak recognition. The opposite effect was demonstrated for countries with younger populations (Indonesia, and Egypt).LimitationsSecondary data analysis based on a single country at an early stage of the COVID-19 pandemic, with no attempt to incorporate second order effects (ICU saturation) on CFR.ConclusionDirect and indirect standardization are simple tools that provide key insights into between-country variation in the apparent size and severity of COVID-19 epidemics.FundingThe research was supported by a grant to DNF from the Canadian Institutes for Health Research (2019 COVID-19 rapid researching funding OV4-170360).


2020 ◽  
Vol 32 (S1) ◽  
pp. 145-145
Author(s):  
Kathrin Schmüdderich ◽  
Daniela Holle ◽  
Armin Ströbel ◽  
Diana Trutschel ◽  
Rebecca Palm

Abstract:Background: Agitation is common in nursing home residents with dementia and is associated with high burden for the residents, their relatives and their caregivers. These consequences increase if symptoms of agitation are severe. Although it is assumed that agitation and quality of life are related, knowledge about severe agitation and its relation to single dimensions of quality of life is limited.Objective: To examine the relationship between the severity of agitation and social isolation as a dimension of quality of life in people with dementia living in German nursing homes.Methods: An explorative secondary data analysis of data from an observational study with 1947 residents from 66 German nursing homes was conducted. Agitation was defined as a construct of the items agitation/aggression, irritability and disinhibition of the Neuropsychiatric-Inventory Questionnaire (NPI-Q). Social isolation, as one of the dimensions of quality of life, was measured with a subscale of the short version of the QUALIDEM-instrument. First, a matching procedure was carried out to choose two groups with similar baseline characteristics, one with residents with severe agitation and one with residents with mild or no agitation. Second, a linear regression model and Mann-Whitney U tests were calculated to determine differences in the dimension of social isolation and its single items.Results: A significant relationship was found between the severity of agitation and the dimension of social isolation (-1.92 (CI 95%: -2.41, -1.43)). Besides the finding in the total score of the dimension of social isolation, significant differences were found in all three items defining this dimension (calls out; openly rejects contact with others; is rejected by other residents). In particular, the item ‘is rejected by other residents’ was often rated as applicable for people with dementia with severe agitation.Conclusion: Severe agitation is associated with lower values of quality of life in the dimension of social isolation and its defining items. In daily practice and in research, more attention should be paid to severe agitation. Furthermore, interventions that aim to influence both the severity of agitation and the quality of life should have a stronger focus on causes of social isolation.


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