The Journey of Developing, Mandating and Applying the National Quality Standards for Care Homes in Egypt

2021 ◽  
pp. 234930032110448
Author(s):  
Noha Emam Hassanin ◽  
Yosr Wagih Kotb
Keyword(s):  
Quality Of Care ◽  
Quality Standards ◽  
Well Being ◽  
Children And Youth ◽  
Care Homes ◽  
Social Solidarity ◽  
Alternative Care ◽  
National Quality ◽  
The Government

Institutional care is one of the most prevalent alternative care forms in Egypt. There were more than 500 registered care homes when Wataneya Society started its journey in 2008. Care homes in Egypt are managed by civil society and supervised by the government. However, their management system and quality of care vary from one place to another depending on the managers’ background and beliefs. Care homes need intensive and constant technical support to be able to provide a healthy environment that promotes the physical and psychological well-being for children and youth without parental care, an environment that secures their good education, employment and social integration. Therefore, standardising and unifying the care system was crucial to ensure that children received quality of care inside these care homes. As a result, since 2008, Wataneya Society has pioneered the development of the national quality standards for care homes in collaboration with the Egyptian Ministry of Social Solidarity, international and local non-governmental organisations (NGOs and INGOs) working in the alternative care sector. The national quality standards were mandated nationwide by the Ministry of Social Solidarity in 2014. Prior to that, in Egypt there were no standards, there was only a set of outdated guidelines and regulations dating back to 1977. The national quality standards were driven from, (a) UN Guidelines for the Alternative Care of Children (2009); (b) best practices in the field of alternative care; and (c) Wataneya Society’s field experience in piloting the standards with seven care homes for four years starting in the year 2009. Wataneya Society continues to assist care homes to apply the national quality standards to be able to provide a safe environment for children and youth. This article will discuss the journey of developing, mandating and applying the national quality standards for care homes in Egypt.

scholarly journals A randomised controlled trial to evaluate the impact of a human rights based approach to dementia care in inpatient ward and care home settings

2018 ◽  
Vol 6 (13) ◽  
pp. 1-134 ◽  
Author(s):  
Peter Kinderman ◽  
Sarah Butchard ◽  
Ashley J Bruen ◽  
Abbie Wall ◽  
Nia Goulden ◽  
...  
Keyword(s):  
Human Rights ◽  
Quality Of Care ◽  
Assessment Tool ◽  
Well Being ◽  
Care Homes ◽  
Booster Sessions ◽  
Human Rights Based Approach ◽  
Future Work ◽  
The Impact

BackgroundAlthough it is widely recognised that adopting a person-centred approach is beneficial in the care of people living with dementia, a gap remains between the rhetoric and the reality of quality care. Some widely adopted care practices can result in the personhood of this group being threatened and their human rights being undermined.ObjectivesTo evaluate the impact of applying a human rights based approach in dementia inpatient wards and care homes on the quality of care delivered and the well-being of the person living with dementia.DesignA cluster randomised design was employed to compare the impact of implementing a human rights based approach intervention (i.e. training, applying the ‘Getting It Right’ assessment tool and receiving booster sessions) at 10 intervention sites with 10 control sites.SettingEight NHS dementia inpatient wards and 12 care homes in the north-west of England.ParticipantsPeople living with dementia who were residing on dementia inpatient wards or in care homes, and staff working at these sites. The aim was to recruit 280 people living with dementia.InterventionsA sample of staff (an average of 8.9 per site) at each of the sites was trained in a human rights based approach to care, including the application of the ‘Getting It Right’ assessment tool. The tool was then introduced at the site and monthly booster sessions were delivered.Main outcome measuresThe primary outcome measure used in the research was the Quality of Life in Alzheimer’s Disease scale to assess the subjective well-being of the person with dementia. Secondary outcome measures included measures of the quality of care provided (dementia care mapping) and direct measures of the effectiveness of the training in increasing knowledge of and attitudes towards human rights. The study also included an economic evaluation utilising the EuroQol-5 Dimensions, three-level version, and the Adult Social Care Outcomes Toolkit measure.ResultsThe study recruited 439 people living with dementia: 213 to the intervention arm and 226 to the control arm. Primary outcome data were analysed using a linear mixed model. There were no significant differences found in the reported quality of life of residents between the control and intervention groups after the intervention [F(1,16.51) = 3.63;p = 0.074]. The mean difference between the groups was 1.48 (95% confidence interval –7.86 to 10.82).ConclusionsDespite the fact that the training increased staff knowledge of and positive attitudes towards human rights, and although there were some changes in staff decision-making strategies in clinical situations, there was no change in the quality of care provided or in the reported well-being of people living with dementia in these settings. This led to questions about the efficacy of training in bringing about cultural change and improving care practices.LimitationsThere was limited uptake of the training and booster sessions that were integral to the intervention.Future workFuture work could usefully focus on understanding the difficulty in translating change in attitude and knowledge into behaviour.Trial registrationCurrent Controlled Trials ISRCTN94553028.FundingThis project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full inHealth Services and Delivery Research; Vol. 6, No. 13. See the NIHR Journals Library website for further project information.

scholarly journals Sterilization regret in India: Is quality of care a matter of concern?

2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Anjali Bansal ◽  
Laxmi Kant Dwivedi
Keyword(s):  
Quality Of Care ◽  
Family Planning ◽  
Health Facility ◽  
Fold Increase ◽  
Well Being ◽  
Poor Quality ◽  
Public Health Facility ◽  
The Family ◽  
Planning Methods

Abstract Background According to United Nations, 19% of females in the world relied only on the permanent method of family planning, with 37% in India according to NFHS-4. Limited studies tried to measure the sterilization regret, and its correlated factors. The study tried to explore the trend of sterilization regret in India from 1992 to 2015 and to elicit the determining effects of various factors on sterilization regret, especially in context to perceived quality of care in the sterilization operations and type of providers. Data and methods The pooled data from NFHS-1, NFHS-3 and NFHS-4 was used to explore the regret by creating interaction between time and all the predictors. Predicted probabilities were calculated to show the trend of sterilization regret amounting to quality of care, type of health provider at the three time periods. Results The sterilization regret was increased from 5 % in NFHS-1 to 7 % in NFHS-4. According to NFHS-4, for those whose sterilization was performed in private health facility the regret was found to be less (OR-0.937; 95% CI- (0.882–0.996)) compared to public health facility. Also, the results show a two-fold increase in regret when women reported bad quality of care. The results from predicted probabilities provide enough evidence that the regret due to bad quality of care in sterilization operation had increased with each subsequent round of NFHS. Conclusion Many socio-economic and demographic factors have influenced the regret, but the poor quality of care contributed maximum to the regret from 1992 to 2015. The health facilities have seriously strayed from improving the health and well-being of women in providing the family planning methods. In addition, to public facilities, the regret amounting to private facilities have also increased from NFHS-1 to 4. The quality of care provided in the family planning operation should be standardized in every hospital to strengthen the health systems in the country. The couple should be motivated to adopt more of spacing methods.

scholarly journals Understanding the Link between Family Caregiver Quality of Life and the Care Provided to Older People With Dementia

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 153-154
Author(s):  
Afeez Hazzan
Keyword(s):  
Quality Of Life ◽  
Quality Of Care ◽  
Older People ◽  
Family Caregivers ◽  
Family Caregiver ◽  
Well Being ◽  
The United States ◽  
People With Dementia ◽  
The Impact

Abstract Dementia is one of the most rapidly growing diseases in the United States. In 2018, the direct costs to American society of caring for older people with dementia was approximately $277 billion. Primary informal caregivers are mainly responsible for the care of older people with dementia including Alzheimer’s disease. Caregivers perform a myriad of duties ranging from shopping for their loved ones’ groceries, helping with medications, and managing finances. The caregiving role becomes more demanding as the disease progresses over time, and studies have shown that the quality-of-life (QoL) experienced by caregivers of older adults who have dementia is lower than the QoL of caregivers for older people who do not have dementia. To the best of our knowledge, there has been no research conducted to investigate whether lower caregiver QoL affects the level or quality of care that caregivers provide to persons with dementia. In the current study, we interviewed family caregivers living in Rochester, New York to inquire about their quality of life and the care provided to older people living with dementia. Further, caregivers completed the 36-item Short Form Health Survey (SF-36) as well as a draft questionnaire for measuring the quality of care provided to older people living with dementia. Both quantitative and qualitative findings from this study reveals important relationships between family caregiver QoL and the care provided, including the impact of social support and financial well-being. The study findings could have significant impact, particularly for the provision of much needed support for family caregivers.

scholarly journals Physical Activity as a Predictor of the Level of Stress and Quality of Sleep during COVID-19 Lockdown

2021 ◽  
Vol 18 (11) ◽  
pp. 5811
Author(s):  
Anna Lipert ◽  
Remigiusz Kozłowski ◽  
Dariusz Timler ◽  
Michał Marczak ◽  
Kamila Musiał ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sleep Quality ◽  
Online Survey ◽  
Short Form ◽  
Well Being ◽  
Poor Quality ◽  
Quality Of Sleep ◽  
Low Level ◽  
The Government

Background: The coronavirus pandemic and the government restrictions significantly disturbed the daily functioning of people, thereby influencing healthy behaviors, such as physical activity—the core indicator of well-being. This study evaluates the associations between physical activity (PA), the level of stress and quality of sleep during the COVID-19 pandemic lockdown. Methods: An online survey was distributed during the governmental lockdown in April 2020 and included measures for assessing physical activity, stress and sleep. The surveyed participants included all adults aged 18 years and over. The final data were collected from the 1959 respondents using: International Physical Activity Questionnaire-Short Form (IPAQ-SF), Perceived Stress Scale (PSS) and Pittsburgh Sleep Quality Index (PSQI). Findings: Almost half of the respondents indicated a low level of PA, performing only 60 min of PA daily. Most of the participants reported a moderate or high level of stress (57% and 29%, respectively) and 64% of them reported poor quality of sleep. People with low levels of stress performed on average 85.1 min/day of walking (WPA), 40.9 min/day of moderate PA (MPA) or 52.6 min/day of vigorous PA (VPA). People with good quality of sleep performed 82.9 min/day of WPA, 43.6 min/day MPA and 40.5 min/day VPA. Interpretation: The results from the study indicate that the volume of daily PA may be a predictor of the level of stress and sleep quality in adults during the COVID-19 pandemic lockdown. To retain a low level of stress and good quality of sleep, a lifestyle that allows to achieve a moderate level of physical activity should be maintained. The optimal daily dose of PA is at least 70 min per day, involving different intensities.

scholarly journals Quality of care and the quality of life in care homes

2012 ◽  
Vol 41 (4) ◽  
pp. 426-427 ◽  
Author(s):  
J. R. F. Gladman ◽  
C. E. Bowman
Keyword(s):  
Quality Of Life ◽  
Quality Of Care ◽  
Care Homes

scholarly journals Cross-Sector Partnerships in Human Services: Insights and Organizational Dilemmas

2018 ◽  
Vol 47 (4_suppl) ◽  
pp. 119S-138S ◽  
Author(s):  
Michal Almog-Bar ◽  
Hillel Schmid
Keyword(s):  
Mixed Method ◽  
Human Services ◽  
Well Being ◽  
Organizational Characteristics ◽  
Added Value ◽  
Quality Of Services ◽  
Joint Decision ◽  
The Government ◽  
Business Sectors

The article presents a mixed-method study of 15 cross-sector partnerships (CSPs) in human services. The study sought to examine the activities, organizational characteristics, and relationships among organizations from the government, nonprofit, and business sectors at three interrelated stages of the partnership: inputs, processes, and outcomes. The findings indicate that socialization prior to entering CSPs is an important component of building the partnership and attaining its espoused goals. Power struggles inhibit the achievement of goals in CSPs, whereas joint decision making and reaching a consensus contribute to achieving goals and added value in terms of improving the quality of services and clients’ well-being. The article presents insights and highlights the dilemmas that CSPs face with regard to their operation and processes. The implications of these dilemmas for establishing and managing effective CSPs as well as for nonprofit policy are discussed.

Global Core Indicators for Measuring WHO’s Paediatric Quality- of-care Standards in Health Facilities: Development and Expert Consensus

2021 ◽  
Author(s):  
Moise Muzigaba ◽  
Tamar Chitashvili ◽  
Allysha Choudhury ◽  
Wilson M Were ◽  
Theresa Diaz ◽  
...  
Keyword(s):  
Quality Of Care ◽  
World Health Organization ◽  
Quality Standards ◽  
Health Facilities ◽  
World Health ◽  
Young Adolescents ◽  
World Health Organization Quality ◽  
Children And Young Adolescents ◽  
Health Organization

Abstract BackgroundThere are currently no global recommendations on a parsimonious and robust set of indicators that can be measured routinely or periodically to monitor quality of hospital care for children and young adolescents. We describe a systematic methodology used to prioritize and define a core set of such indicators and their metadata for progress tracking, accountability, learning and improvement, at facility, (sub) national, national, and global levels.MethodsWe used a deductive methodology which involved the use of the World Health Organization Standards for improving the quality-of-care for children and young adolescents in health facilities as the organizing framework for indicator development. The entire process involved 9 complementary steps which included: a rapid literature review of available evidence, the application of a peer-reviewed systematic algorithm for indicator systematization and prioritization, and multiple iterative expert consultations to establish consensus on the proposed indicators and their metadata. ResultsWe derived a robust set of 25 core indicators and their metadata, representing all 8 World Health Organization quality standards, 40 quality statements and 520 quality measures. Most of these indicators are process-related (64%) and 20% are outcome/impact indicators. A large proportion (84%) of indicators were proposed for measurement at both outpatient and inpatient levels. By virtue of being a parsimonious set and given the stringent criteria for prioritizing indicators with “quality measurement” attributes, the recommended set is not evenly distributed across the 8 quality standards. ConclusionsTo support ongoing global and national initiatives around paediatric quality-of-care programming at country level, the recommended indicators can be adopted using a tiered approach that considers indicator measurability in the short-, medium-, and long-terms, within the context of the country’s health information system readiness and maturity. However, there is a need for further research to assess the feasibility of implementing these indicators across contexts, and the need for their validation for global common reporting.

PERGURUAN TINGGI BERBASIS RISET

2021 ◽  
Author(s):  
Muhamad Fatih Rusydi Syadzili
Keyword(s):  
Quality Standards ◽  
Work Readiness ◽  
Tertiary Institution ◽  
Tertiary Institutions ◽  
Quality Of Teaching ◽  
World Class ◽  
The Government ◽  
The Times ◽  
Quality Of Research

In this chapter provides an overview of research-based tertiary institutions. In order to achieve the research-based tertiary institution, there are many things that the government can do such as providing incentives and grants, including financing facilities and infrastructure so that universities can meet quality standards. Requirements that must be met to enter World Class University. The Times Higher Education Supplement (London) requires four things, namely the quality of research with a weight of 60%, graduate work readiness (10%), international outlook (10%), and quality of teaching (20%).

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