scholarly journals What Happens to a Nursing Home Chain When Private Equity Takes Over? A Longitudinal Case Study

2017 ◽  
Vol 54 ◽  
pp. 004695801774276 ◽  
Author(s):  
Aline Bos ◽  
Charlene Harrington
Keyword(s):  
Nursing Home ◽  
Quantitative Data ◽  
Private Equity ◽  
Well Being ◽  
Data Sources ◽  
Investment Strategies ◽  
Longitudinal Case Study ◽  
Qualitative And Quantitative ◽  
Staffing Levels

We analyzed what happens to a nursing home chain when private equity takes over, with regard to strategy, financial performance, and resident well-being. We conducted a longitudinal (2000-2012) case study of a large nursing home chain that triangulated qualitative and quantitative data from 5 different data sources. Results show that private equity owners continued and reinforced several strategies that were already put in place before the takeover, including a focus on keeping staffing levels low; the new owners added restructuring, rebranding, and investment strategies such as establishing new companies, where the nursing home chain served as an essential “launch customer.”

scholarly journals Appropriate Nurse Staffing Levels for U.S. Nursing Homes

2020 ◽  
Vol 13 ◽  
pp. 117863292093478 ◽  
Author(s):  
Charlene Harrington ◽  
Mary Ellen Dellefield ◽  
Elizabeth Halifax ◽  
Mary Louise Fleming ◽  
Debra Bakerjian
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Nursing Staff ◽  
Nurse Staffing ◽  
Well Being ◽  
Data Sources ◽  
Care Needs ◽  
Staffing Levels ◽  
Nursing Staffing ◽  
Adequate Staffing

US nursing homes are required to have sufficient nursing staff with the appropriate competencies to assure resident safety and attain or maintain the highest practicable level of physical, mental, and psychosocial well-being of each resident. Minimum nurse staffing levels have been identified in research studies and recommended by experts. Beyond the minimum levels, nursing homes must take into account the resident acuity to assure they have adequate staffing levels to meet the needs of residents. This paper presents a guide for determining whether a nursing home has adequate and appropriate nurse staffing. We propose five basic steps to: (1) determine the collective resident acuity and care needs, (2) determine the actual nurse staffing levels, (3) identify appropriate nurse staffing levels to meet residents care needs, (4) examine evidence regarding the adequacy of staffing, and (5) identify gaps between the actual staffing and the appropriate nursing staffing levels based on resident acuity. Data sources and specific methodologies are analyzed, compared, and recommended. The goal is to assist nursing home nurses and administrators to ensure adequate nursing home staffing levels that protect resident health, safety, and well-being.

scholarly journals Failure to Meet Nurse Staffing Standards: A Litigation Case Study of a Large US Nursing Home Chain

2018 ◽  
Vol 55 ◽  
pp. 004695801878868 ◽  
Author(s):  
Charlene Harrington ◽  
Toby S. Edelman
Keyword(s):  
Nursing Home ◽  
Nurse Staffing ◽  
Well Being ◽  
The United States ◽  
Class Action ◽  
Professional Standards ◽  
For Profit ◽  
Staffing Levels ◽  
Basic Care

Large for-profit nursing home chains in the United States have generally reported low nurse staffing levels. This historical case study examined a class action litigation case regarding staffing levels, resident rights, and quality outcomes in 12 Arkansas nursing homes owned by a large for-profit chain. The questions were as follows: (1) How did the residents’ care needs compare with actual nurse staffing levels? (2) How did the staffing levels compare with federal and state nurse staffing requirements and professional staffing standards? (3) Did the facilities comply with state and federal residents’ rights and quality of care requirements? The findings showed staffing levels marginally above state minimum standards, staffing shortages that violated state standards, staffing levels not adjusted for resident acuity, and shortages that resulted in omitted care. Staffing levels were lower than needed according to nursing directors, lower than average facilities in the state, and lower than professional standards. The findings showed many resident grievances regarding basic care and residents’ rights, clinical measures of poor quality, and state deficiencies. A large settlement was agreed on to compensate the residents. The case shows that chain’s management, as well as the regulatory system, failed to ensure adequate staffing levels that took into account regulatory requirements and professional standards and resulted in violations of residents’ rights, health, safety, and well-being.

scholarly journals ESG Factor Integration into Private Equity

2020 ◽  
Vol 12 (14) ◽  
pp. 5725 ◽  
Author(s):  
Maria Cristina Zaccone ◽  
Matteo Pedrini
Keyword(s):  
Risk Management ◽  
Value Creation ◽  
Mixed Method ◽  
Quantitative Data ◽  
Private Equity ◽  
Clear Understanding ◽  
Investment Strategies ◽  
Qualitative And Quantitative ◽  
Current Trends ◽  
Method Approach

Although more and more private equity (PE) firms are integrating environmental, social, and governance (ESG) factors into their investment strategies, there is no clear understanding of their reasons, the details of their activities, the tools they use or the barriers they face. Our study covers these gaps and provides an overview of current trends. We adopted a mixed-method approach, using both qualitative and quantitative data. We first interviewed ESG and PE experts and then submitted a survey to top PE players. Most PE firms integrate ESG issues because investors and other stakeholders pay increasing attention to them. We found that the tools used to assess ESG factors are checklists and that only a few PE firms used external advice from industry experts. Among the main barriers that PE firms face are difficulties in finding information and the lack of a comprehensive way to measure ESG issues. Our findings reveal that PE firms have two main approaches to ESG integration—risk management and value creation—and that the former is dominant. We contribute to the literature by explaining ESG integration in the PE industry and showing that an opportunity for value creation is being missed.

Sthoulya w.s.r. to Obesity Management - A Case Study

2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Dr. Navyashree KL ◽  
Dr. Manjunatha Adiga
Keyword(s):  
Daily Living ◽  
Quantitative Data ◽  
Metabolic Disorders ◽  
New World ◽  
Obesity Management ◽  
Qualitative And Quantitative ◽  
Results Management ◽  
Individual Disease

Background: New world syndrome like obesity is one of the world’s oldest metabolic disorders is heading for the rocks with various reasons like urbanization and modernization. Though obesity and over weight is not affecting much to a person for daily living, the complication of which has become burning issue in the society. Aim and Objective: To assess the efficacy of Shamanoushadi along with Pathya Ahara Vihara. Methods: Guduchi Bhadraadi Kashaya, Hareetaki Churna and Pathya Ahara Vihara. Results: Management of Sthoulya with Pathya Ahara Vihara along with Shamanoushadi was effective in all qualitative and quantitative data. Discussion: The drug possessing Rooksha Guna, Kaphahara property counteracts Sthoulya. Conclusion: Our classics with variety of treatment to individual disease suggest the stages or condition that disease can cross over

Developing dementia: The existential experience of the quality of life with young-onset dementia – A longitudinal case study

Dementia ◽  
2018 ◽  
Vol 19 (3) ◽  
pp. 878-893 ◽  
Author(s):  
Kirsten Thorsen ◽  
Marcia Cristina Nascimento Dourado ◽  
Aud Johannessen
Keyword(s):  
Quality Of Life ◽  
Well Being ◽  
Single Individual ◽  
Longitudinal Case Study ◽  
Young Onset ◽  
People With Dementia ◽  
Treatment Support ◽  
Young Onset Dementia

BackgroundCognition and the ability to take care of daily activities and oneself gradually declines among people with dementia. Studies are scarce, especially regarding how people with young-onset dementia (YOD) (<65 years) experience the quality of their lives with the progression of dementia. People with dementia living alone face special challenges.AimTo examine the experience of the quality of life with YOD as a single person.MethodThe study presents a longitudinal case study with in-depth interviews exploring the experiences of a person with YOD. Individual interviews were conducted seven times over a period of three years from 2014 to 2017.FindingsWe examined if and how seven themes concerning the quality of life and well-being were fruitful for understanding the experiences of dementia in the everyday life of a single individual. The study explored needs and challenges during the development of dementia, and how the person reacted over time, set in context. The themes significant for well-being are: identity, connectedness, security, autonomy, meaning, growth and joy.ConclusionThe study shows how treatment, support, and services must be individualized when dementia develops in order to support identity, resources and mastering capacity, and promote well-being.

scholarly journals Application of pure aspect-oriented design patterns in the development of AO frameworks: A case study

2011 ◽  
Vol 56 ◽  
pp. 146-155
Author(s):  
Žilvinas Vaira ◽  
Albertas Čaplinskas
Keyword(s):  
Hot Spots ◽  
Quantitative Data ◽  
Design Patterns ◽  
Object Oriented ◽  
Application Framework ◽  
Qualitative And Quantitative

The paper discusses results of a case study on the advantages applying pure aspect design patterns in the development of aspect-oriented (AO) application frameworks. By an AO application framework we mean a framework which, alongside with traditional object-oriented (OO) framework customization mechanisms, provides also abstract aspects as hot spots. We have tested the hypothesis that pure AO design patterns should promote the ease of designing collaborating abstract aspects representing hot spots. To this end, we studied the process of reworking of the OO simulation application framework into the AO framework. During this study, appropriate qualitative and quantitative data have been collected. The paper presents the generalization of the collected data and concludes that the above hypothesis has been proven.Objektinio karkaso pertvarkymas naudojant aspektinius projektavimo šablonusŽilvinas Vaira, Albertas Čaplinskas SummaryStraipsnyje pateikiami aspektinių projektavimo šablonų naudojimo aspektiniams dalykiniams karkasams projektuoti eksperimentinio tyrimo rezultatai. Aspektinis dalykinis karkasas – tai toks karkasas, kuriame greta tradicinių objektinio karkaso riemonių naudojami ir abstraktūs aspektai. Atliekant tyrimą siekta išsiaiškinti, kokiu mastu aspektiniai projektavimo šablonai palengvina abstrakčiųjų aspektų ansamblių projektavimą tokiuose karkasuose. Eksperimentas atliktas kaip atvejo analizė. Analizuotas imitacinio modeliavimo uždavinių sprendimo karkaso pertvarkymas iš objektinio į aspektinį. Straipsnyje iškeltos kelios hipotezės apie aspektinių projektavimo šablonų naudojimo rezultatus ir pateikti tas hipotezes patvirtinantys šiame eksperimentiniame tyrime surinkti kokybiniai ir kiekybiniai duomenys.: 18px;"> 

scholarly journals Towards an Anatomy of Software Craftsmanship

2022 ◽  
Vol 31 (1) ◽  
pp. 1-49
Author(s):  
Anders Sundelin ◽  
Javier Gonzalez-huerta ◽  
Krzysztof Wnuk ◽  
Tony Gorschek
Keyword(s):  
Software Engineering ◽  
Literature Review ◽  
Software Development ◽  
Financial Market ◽  
Agile Methods ◽  
Longitudinal Case Study ◽  
Qualitative And Quantitative ◽  
Quantitative Results

Context: The concept of software craftsmanship has early roots in computing, and in 2009, the Manifesto for Software Craftsmanship was formulated as a reaction to how the Agile methods were practiced and taught. But software craftsmanship has seldom been studied from a software engineering perspective. Objective: The objective of this article is to systematize an anatomy of software craftsmanship through literature studies and a longitudinal case study. Method: We performed a snowballing literature review based on an initial set of nine papers, resulting in 18 papers and 11 books. We also performed a case study following seven years of software development of a product for the financial market, eliciting qualitative, and quantitative results. We used thematic coding to synthesize the results into categories. Results: The resulting anatomy is centered around four themes, containing 17 principles and 47 hierarchical practices connected to the principles. We present the identified practices based on the experiences gathered from the case study, triangulating with the literature results. Conclusion: We provide our systematically derived anatomy of software craftsmanship with the goal of inspiring more research into the principles and practices of software craftsmanship and how these relate to other principles within software engineering in general.

scholarly journals Respon Masyarakat Lokal Terhadap Aktivitas Hiburan Malam Di Legian, Kuta

2018 ◽  
Vol 6 (1) ◽  
pp. 199
Author(s):  
Juliyanti Panjaitan ◽  
I Made Bayu Ariwangsa
Keyword(s):  
Economic Growth ◽  
Quantitative Data ◽  
Secondary Data ◽  
Local Communities ◽  
Data Sources ◽  
Primary Data ◽  
Qualitative And Quantitative ◽  
Tourism Sector ◽  
Depth Interview ◽  
Different Types

Night entertainments become a special attraction for tourists to fulfill their holidays in Bali with just listening to the music’s or enjoying drinks provided in bars, discotheque/cafes. By these facilities, Bali become a magnet of both domestic and foreign tourists. The types of data used are qualitative and quantitative data, while the data sources used are primary data and secondary data. The data collecting is done with the observation field, in-depth interview, and questionnaires. Then the data were analyzed using descriptive qualitative with the record and explain the results cleary based on the formulation of a problem that has been determined, as well as questionnaires are analyzed using quantitative data as data supporters of the research.   The results of this research explains that there are several different types of activities that can be done in place of evening entertainment, including dancing, enjoy music, and enjoy drinks and meals are offered in the café/restaurant. Then from the results of the questionnaire obtained the results that the response of local communities included in the stages of Apathy, which previously accepted as tourism sector economic growth but this time its presence was felt not to mention everything. People living in the surroundings feel uncomfortable and insecure due to the activity of the night until the early hours Keywords :Response of Local People, Night Entertainment, Legian Kuta

Understanding donor preferences to optimise charity marketing and communications

2021 ◽  
pp. 147078532110356
Author(s):  
Kimberley Ferguson
Keyword(s):  
Quantitative Data ◽  
Market Research ◽  
Communication Strategies ◽  
Real Life ◽  
British Heart Foundation ◽  
Marketing Communications ◽  
The Public ◽  
Qualitative And Quantitative ◽  
Heart Foundation

This case study explores how a leading charity, the British Heart Foundation (BHF), used research to ensure that the focus of its marketing and communications contributed to a story that people found engaging and were compelled to support. Amongst some staff, there was a view that the methodology of some of the BHF’s previous market research was not robust enough and that studies often lacked the quantitative data needed to develop marketing and communication strategies with confidence. Behavioural economics shows that there is usually a disconnect between what people say they will do and what they do in real life, the BHF wanted to develop a methodology that would interrogate this paradox. In doing so, it hoped to identify the areas of its work the public found most engaging and which would encourage people to support them. This insight would then be used to inform their new marketing communications plans. This note explains what the BHF learnt from involving explicit and implicit testing via a mix of qualitative and quantitative techniques.

scholarly journals Psychomotor Dance Therapy Intervention (DANCIN) for people with dementia in care homes: a multiple-baseline single-case study

2016 ◽  
Vol 28 (10) ◽  
pp. 1695-1715 ◽  
Author(s):  
A. Guzmán ◽  
M. Freeston ◽  
L. Rochester ◽  
J. C. Hughes ◽  
I. A. James
Keyword(s):  
Nursing Home ◽  
Dance Therapy ◽  
Single Case ◽  
Well Being ◽  
Care Homes ◽  
Multiple Baseline ◽  
Single Case Study ◽  
People With Dementia ◽  
Therapy Intervention

ABSTRACTBackground:A Psychomotor DANCe Therapy INtervention (DANCIN) using Latin Ballroom (Danzón) in care homes has previously been shown to enhance well-being for both residents with dementia and staff. The aim of this study was to understand the effect of this approach on the mood and behavior of individual people living with mild to moderate dementia.Method:A multiple-baseline single-case study across two care homes and one nursing home with 3–6 weeks baseline, 12-weeks DANCIN (30 minutes/twice-weekly sessions), and 12-weeks follow-up was conducted. Seventeen items from the Dementia Mood Assessment Scale (DMAS) outcome measure were adapted with input from senior staff to match participants’ behavior and mood symptoms. Daily monitoring diaries were collected from trained staff on reporting individualized items for ten residents. Data were analyzed, using a non-parametric statistical method known as Percentage of All Non-Overlapping Data (PAND) which provides Phi effect size (ES). Medication use, falls, and life events were registered.Results:Seven residents participated throughout DANCIN whilst three became observers owing to health deterioration. One participant showed adverse effects in three DMAS items. Nine participants, dancers and observers, showed a small to medium magnitude of change (PAND) in 21 DMAS items, indicating a decrease in the frequency of behavior and mood indices which were regarded as problematic; eight items showed no change.Conclusion:Despite methodological challenges, the DANCIN model has the potential to facilitate and sustain behavior change and improve mood (e.g. decrease irritability, increase self-esteem) of the residents living with dementia. The study was conducted in two care homes and one nursing home, strengthening the interventions’ validity. Findings suggest DANCIN is appropriate for a larger controlled feasibility study.

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