scholarly journals Exploring power shifts as an enabler for a strengthened patient role in quality improvements: a Swedish survey study

2021 ◽  
Vol 10 (1) ◽  
pp. e001185
Author(s):  
Ida Gremyr ◽  
Mattias Elg ◽  
Erik Eriksson ◽  
Árni Halldórsson ◽  
Frida Smith ◽  
...  

ObjectivesThis study examined the relationship between professionals’ perceptions of a strengthened role for the patient and of patient involvement in quality improvement (QI) and whether professionals’ experiences in improvement science were a moderator on such a relationship.DesignFrom a predominantly close-ended, 44-item questionnaire, 4 questions specifically concerning professionals′ perception on patient involvement in QI were analysed.SettingThree Swedish regions.Participants155 healthcare professionals who had previously participated in courses in improvement science.ResultsThe covariate patient involvement was significantly related to a perceived strengthened patient role. There was also a significant interaction effect between degree of patient involvement and professionals’ experience in the area of improvement science on a strengthened patient role. The result shows that there is a relationship between the perceived level of patient involvement in improvements and professionals’ perceptions of a strengthened patient role. In this study, the covariate, perceived patient involvement, was significantly related to experiences of more equal relationships between patients and healthcare professionals. There was also a significant interaction effect between the degree of patient involvement and professionals’ experience in the area of improvement science, for a more equal relationship between patients and healthcare professionals.ConclusionIncreased patient involvement in QI is a means of strengthening the patient role and supporting a more equal relation between patients and healthcare professionals. Furthermore, empirical evidence shows that the healthcare professionals’ experiences in the area of improvement science support a strengthened patient role and a more equal power relationship, but for this to happen, the mindset of professionals is key. Future research is needed to capture and investigate the experiences from patients and relatives about being involved in QI in healthcare, and to study the effects on quality in care processes.

2001 ◽  
Vol 49 (3) ◽  
pp. 293-297
Author(s):  
S. O. Bakare ◽  
M. G. M. Kolo ◽  
J. A. Oladiran

There was a significant interaction effect between the variety and the sowing date for the number of productive tillers, indicating that the response to sowing date varied with the variety. A significant reduction in the number of productive tillers became evident when sowing was delayed till 26 June in the straggling variety as compared to sowing dates in May. Lower numbers of productive tillers were also recorded when the sowing of the erect variety was further delayed till 10 July. The grain yield data showed that it is not advisable to sow the straggling variety later than 12 June, while sowing may continue till about 26 June for the erect variety in the study area.


2004 ◽  
Vol 19 (8) ◽  
pp. 494-498 ◽  
Author(s):  
Laurence Claes ◽  
Walter Vandereycken ◽  
Hans Vertommen

AbstractObjective.– The family environment is known to be an important contributor to the course of psychiatric disorders. In this study, we examined the family context of eating disordered (ED) patients with and without self-injurious behaviors (SIB).Method.– A Dutch adaptation of the Family Environment Scale ‘Sci Eng 57(9-B):1997;5927’ was completed by 131 ED patients of whom 47% showed at least one form of SIB (e.g., cutting, burning, hair pulling, etc.).Results– Results showed a significant difference in family environment between patients with and without SIB. The family environment of self-injuring ED patients was less cohesive, expressive and socially oriented, and more conflictual and disorganized than the family environment of those without SIB. No significant differences in perceived family environment were found with respect to the number or form of SIB and the subtype of ED. Neither did we find a significant interaction effect between ED subtype and presence/absence of SIB.


Author(s):  
María Vicent ◽  
M. P. Aparicio Flores ◽  
Cándido J. Inglés ◽  
Mª Isabel Gómez-Núñez ◽  
Aitana Fernández-Sogorb ◽  
...  

Abstract. CHILD PERFECTIONISM: DIFFERENCES ACROSS SEX AND AGE The aim of this study was to analyze the sex and age differences in the levels of child perfectionism, considering the dimensions: Socially Prescribed Perfectionism (SPP), Self-Oriented Perfectionism Criticism (SOP-C) and Self-Oriented Perfectionism Strivings (SOP-S). The sample was composed by 804 Primary Education students from Spain, aged between 8 and 11 years old (Mage = 9.57; SD = 1.12). The Spanish version of the Child and Adolescent Perfectionism Scale was used to assess the perfectionist dimensions. The results of the variance analysis revealed statistically significant differences in favor of males for SOP-C and SOP-S dimensions. However, these differences had no practical relevance because their associated magnitude (d index) were below .20. Similarly, no statistically significant differences were observed across age for perfectionist dimensions. Moreover, a significant interaction effect (sex x age) was not found.Keywords: child perfectionism, sex, age, Child and Adolescent Perfectionism Scale, Primary Education.Resumen.El objetivo de este estudio consistió en analizar las diferencias en función del sexo y la edad en los niveles de perfeccionismo infantil, atendiendo a las dimensiones: Perfeccionismo Socialmente Prescrito (PSP), Perfeccionismo Auto-Orientado Críticas (PAO-C) y Perfeccionismo Auto-Orientado Esfuerzos (PAO-E). La muestra se compuso de 804 alumnos españoles de Educación Primaria con edades comprendidas entre 8 y 11 años (Medad = 9.57; SD = 1.12). Las dimensiones perfeccionistas fueron evaluadas a través de la versión española de la Child and Adolescent Perfectionism Scale. Los resultados del análisis de varianza revelaron diferencias estadísticamente significativas en favor de los varones para las dimensiones PAO-C y PAO-E. Sin embargo, dichas diferencias carecieron de relevancia práctica puesto que la magnitud asociada (índice d) fue inferior a .20. Similarmente, no se observaron diferencias estadísticamente significativas en función de la edad para ninguna de las dimensiones perfeccionistas ni se encontró un efecto de interacción (sexo x edad) significativo.Palabras clave: perfeccionismo infantil, sexo, edad, Child and Adolescent Perfectionism Scale, Educación Primaria


Author(s):  
Agus Ramdani

The objective of this research is to find out the effect of Personality (P) and knowledge students about ecosystem (KS) on environmental behaviour (EB). An expost facto method has been used by selecting 8 sample for each cell. Reliability of P was  .964, KS was .937 and EB was .95. Data analyzed by two-way ANOVA. Research results revealed that there was environmental behaviour significant difference between those students who have most extraversion personality compared to introversion personality. Moreover, there was significant interaction effect between personality and knowledge students about ecosystem on environmental behaviour. 


Games ◽  
2018 ◽  
Vol 9 (3) ◽  
pp. 72 ◽  
Author(s):  
Lorenzo Spadoni ◽  
Jan Potters

We investigate, theoretically and experimentally, the effect of competition on risk taking in a contest in which players only decide on the level of risk they wish to take. Taking more risk implies a chance of a higher performance, but also implies a higher chance of failure. We vary the level of competition in two ways: by varying the number of players (2 players versus 8 players), and by varying the sensitivity of the contest to differences in performance (lottery contest versus all-pay auction). Our results show that there is a significant interaction effect between the two treatments, suggesting that players are particularly prone to take more risks if both the number of players and the sensitivity to performance are higher.


2020 ◽  
Vol 78 (2) ◽  
pp. 573-585
Author(s):  
Hyemin Jang ◽  
Hee Jin Kim ◽  
Yeong Sim Choe ◽  
Soo-Jong Kim ◽  
Seongbeom Park ◽  
...  

Background: As Alzheimer’s disease (AD) and cerebral small vessel disease (CSVD) commonly coexist, the interaction between two has been of the considerable interest. Objective: We determined whether the association of Aβ and tau with cognitive decline differs by the presence of significant CSVD. Methods: We included 60 subcortical vascular cognitive impairment (SVCI) from Samsung Medical Center and 82 Alzheimer’s disease-related cognitive impairment (ADCI) from ADNI, who underwent Aβ (florbetaben or florbetapir) and tau (flortaucipir, FTP) PET imaging. They were retrospectively assessed for 5.0±3.9 and 5.6±1.9 years with Clinical Dementia Rating-sum of boxes (CDR-SB)/Mini-Mental State Examination (MMSE). Mixed effects models were used to investigate the interaction between Aβ/tau and group on CDR-SB/MMSE changes. Results: The frequency of Aβ positivity (45% versus 54.9%, p = 0.556) and mean global FTP SUVR (1.17±0.21 versus 1.16±0.17, p = 0.702) were not different between the two groups. We found a significant interaction effect of Aβ positivity and SVCI group on CDR-SB increase/MMSE decrease (p = 0.013/p < 0.001), and a significant interaction effect of global FTP uptake and SVCI group on CDR-SB increase/MMSE decrease (p < 0.001 and p = 0.030). Finally, the interaction effects of regional tau and group were prominent in the Braak III/IV (p = 0.001) and V/VI (p = 0.003) not in Braak I/II region (p = 0.398). Conclusion: The association between Aβ/tau and cognitive decline is stronger in SVCI than in ADCI. Therefore, our findings suggested that Aβ positivity or tau burden (particularly in the Braak III/IV or V/VI regions) and CSVD might synergistically affect cognitive decline.


Author(s):  
Hsiang-Ming Lee ◽  
Ya-Hui Hsu ◽  
Tsai Chen

The tobacco epidemic is one of the most serious public health issues in the world. Tobacco use starts and becomes established primarily during adolescence, and nearly 9 out of 10 cigarette smokers first tried smoking by age 18, with 99% first trying by age 26. This study employed a 2 (advertising appeal: emotional vs. rational) by 2 (self-referencing: analytical vs. narrative) factorial design in Study 1; and a 2 (relational-interdependent self-construal: high and low) by 3 (social relational cue: self, friend, and family) factorial design in Study 2. The behavior intention of anti-smoking acted as the measured dependent variable. Samples of 192 (Study 1) and 222 (Study 2) were collected from one of the biggest high schools in northern Taiwan. The results showed advertising appeal and self-referencing had a significant interaction effect on behavior intention (p = 0.040). The results also showed rational appealing advertising is suitable for analytical self-referencing (p = 0.022) and emotional appealing advertising is suitable for narrative self-referencing (p = 0.067). However, the social relationship cue and relational-interdependent self-construal had no significant interaction effect on behavior intention, and only relational-interdependent self-construal significantly affected behavior intention (p < 0.001). Regardless of whether the relational-interdependent self-construal is high or low, when the anti-smoking advertising is from the family perspective to persuade adolescents not to smoke, both influence the adolescent more than the other two social relationship cues (self and friend).


2015 ◽  
Vol 38 (9) ◽  
pp. 1262-1287 ◽  
Author(s):  
Jennifer J. Chen ◽  
Peizhen Sun ◽  
Zuwei Yu

The goal of this questionnaire-based study was to compare the relative endorsement of specific parenting patterns among two ethnic Chinese groups rearing preschool children: Chinese parents in China ( N = 117) and first-generation Chinese immigrant parents in the United States ( N = 94). A significant interaction effect was found between country and gender on the nonreasoning/punitive dimension of authoritarian parenting, revealing that Chinese fathers endorsed this pattern more strongly than both Chinese immigrant fathers and Chinese mothers. There was also a significant interaction effect between country and gender on the practice of shaming/love withdrawal, indicating that Chinese fathers espoused this pattern more strongly than Chinese immigrant fathers and Chinese mothers, but Chinese immigrant mothers endorsed it more strongly than Chinese immigrant fathers. Furthermore, it was revealed that Chinese immigrants endorsed beliefs about maternal involvement more strongly than their Chinese counterparts. The results are discussed in the context of cultural and contextual influences.


1994 ◽  
Vol 79 (1) ◽  
pp. 265-266
Author(s):  
Richard A. Hudiburg

Research designs with two factors having a significant interaction effect are analyzed for simple main effects using MYSTAT. The coding used performs a series of one-way analyses of variance for each main-effect factor at only one level of the second factor.


2016 ◽  
Vol 3 (4) ◽  
Author(s):  
Biplob Kumar Dey ◽  
Abdur Rahman ◽  
Mst. Sabiha Sultana ◽  
Sahila Sadaf

The present study attempted an empirical investigation to explore the job stress and mental health of garment workers as a function of gender and salary. A total of 120 respondents constituted the sample of the study were selected purposively of Chittagong district Bangladesh. Among them 60 workers were male (20 were salary ranges of 4000-8000├, 20 were salary ranges of 8100-12000├ and 20 were salary ranges of above 12000├) and 60 workers were female (20 were salary ranges of 4000-8000├, 20 were salary ranges of 8100-12000├ and 20 were salary ranges of above 12000├). An adapted Bengali version (Rahman and Sorcar, 1990) of ‘Job Stress’ scale and Bengali version (Sorcar and Rahman, 1989) of “Mental Health” scale were used. Data were analyzed by mean, standard deviation, Pearson Product Moment Correlation and two-way analysis of variance (ANOVA). The findings of the present study showed that female workers had significantly more job stress (F=72.07, df =1, p<.00) than male workers and lowest salary ranges workers had significantly more job stress (F=20.78, df =2, p<.00) than highest salary ranges workers. No significant interaction effect found between gender and salary according to job stress. On the other hand, gender had no significant effect on mental health and highest salary ranges workers had significantly more mental health (F =5.71, df =2, p<.00) than lowest salary ranges workers. No significant interaction effect found between gender and salary according to mental health. Results also showed that job stress was negatively correlated (r = -.35, p<.01) with mental health.


Sign in / Sign up

Export Citation Format

Share Document