scholarly journals “Traditionally you would be passing them from pillar to post”: an evaluation exploring the Life Rooms model of partnership working

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Joanne Worsley ◽  
Clare Rotheram ◽  
Rhiannon Corcoran
Keyword(s):  
Health Economy ◽  
Local Health ◽  
City Region ◽  
Structured Interviews ◽  
Community Based ◽  
Staff Members ◽  
Health And Wellbeing ◽  
Wide Range ◽  
Voluntary Community

Abstract Background NHS systems are under increasing, unsustainable pressure. In the context of rising demand, limited resources and changing population needs, partnership working across sectors is crucial. The Liverpool City Region has a richness of voluntary organisations and community based assets that the Life Rooms innovation draws upon to widen the base of health and wellbeing support. The Life Rooms therefore aims to facilitate the collaboration of NHS systems with arts, voluntary and community organisations in the local health economy. This evaluation explores the Life Rooms model of partnership working spread over in excess of one hundred partnerships with voluntary, community, and corporate sector organisations. Methods The evaluation drew on thematic analysis of semi-structured interviews with Life Rooms staff members (n = 10), partner organisations (n = 16), and users of the Life Rooms (n = 7). Results Five overarching themes were identified: Quality of partnerships; Benefits of partnership working; Facilitators; Challenges within the Life Rooms model; and Making things even better. Conclusions One of the significant successes of the Life Rooms partnership working model is the way in which the service collaborates with a wide range of organisations with the aim of providing more effective and holistic support. The success of this approach illustrates how, led by NHS Trust innovation, multiple bodies can play a role in supporting health care by bringing unique skills, expertise and programmes together to ensure multiple options to support the multiple different aspects of people’s health. These insights may be useful to other NHS organisations that may be considering a similar integration agenda.

scholarly journals Care-seeking and managing diabetes in rural Bangladesh: a mixed methods study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hannah Maria Jennings ◽  
Joanna Morrison ◽  
Kohenour Akter ◽  
Hassan Haghparast-Bidgoli ◽  
Carina King ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Health Care Providers ◽  
Low Income ◽  
Diabetes Management ◽  
Local Health ◽  
Care Seeking ◽  
Care Providers ◽  
Structured Interviews ◽  
Rural Bangladesh

Abstract Background Type 2 diabetes mellitus poses a major health challenge worldwide and in low-income countries such as Bangladesh, however little is known about the care-seeking of people with diabetes. We sought to understand the factors that affect care-seeking and diabetes management in rural Bangladesh in order to make recommendations as to how care could be better delivered. Methods Survey data from a community-based random sample of 12,047 adults aged 30 years and above identified 292 individuals with a self-reported prior diagnosis of diabetes. Data on health seeking practices regarding testing, medical advice, medication and use of non-allopathic medicine were gathered from these 292 individuals. Qualitative semi-structured interviews and focus group discussions with people with diabetes and semi-structured interviews with health workers explored care-seeking behaviour, management of diabetes and perceptions on quality of care. We explore quality of care using the WHO model with the following domains: safe, effective, patient-centred, timely, equitable and efficient. Results People with diabetes who are aware of their diabetic status do seek care but access, particularly to specialist diabetes services, is hindered by costs, time, crowded conditions and distance. Locally available services, while more accessible, lack infrastructure and expertise. Women are less likely to be diagnosed with diabetes and attend specialist services. Furthermore costs of care and dissatisfaction with health care providers affect medication adherence. Conclusion People with diabetes often make a trade-off between seeking locally available accessible care and specialised care which is more difficult to access. It is vital that health services respond to the needs of patients by building the capacity of local health providers and consider practical ways of supporting diabetes care. Trial registration ISRCTN41083256. Registered on 30/03/2016.

scholarly journals The Breakfast Club – co-creational meal practices as rehabilitation strategies in nursing homes

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
L Justesen ◽  
U Walter ◽  
N H Kristensen ◽  
A M Beck
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
Nursing Homes ◽  
Photo Elicitation ◽  
Structured Interviews ◽  
Mean Values ◽  
Staff Members ◽  
Public Health Activity ◽  
Analysis Strategy

Abstract Background A growing aging population demands new welfare public health activities in nursing homes. Involving residents in meal activity through a co-creational approach as part of a rehabilitation strategy has been suggested as a solution, but knowledge is limited. This project explore how co-creational meal practices in a breakfast club might improve residents’ food related functionality and quality of life. Methods The project is designed as a three-year complex intervention study in a Danish nursing home. A breakfast club is held with 4-5 residents (16 all together) and 2-6 staff members on a weekly basis during a period of 10 month. Residents are on shift hosting the club and all members are preparing the meal together. The degree of food related functionality is assessed after each club and is analyzed through paired t-test on mean values. Semi-structured interviews in combination with Research Driven Photo-Elicitation is conducted with 16 residents and 8-10 staff members before, during and after holding the clubs in order to evaluate quality of life and potentials for implementing meal practices to everyday practices. A hermeneutic analysis strategy is applied. Results Preliminary results from 12 breakfast clubs finds an increase in residents food related functionality. Data will be presented in November 2019. All residents express impact on quality of life independent of physical or mental state. Improved functionality is not the main value for participation in the breakfast club. Staff became aware of utilizing residents food related functionality. Conclusions The study will contribute with new knowledge about whether co-creational meal activities could have a positive effect on functional abilities and improve health-related quality of life in residents in nursing homes. A meal practice based on co-creation has potential to become implemented as a public health activity in nursing homes and increase residents’ quality of life and food related functionality.

A Community-Based Evaluation of Brief Guided Mindfulness in the Management of Stress and Difficult Emotions

2020 ◽  
pp. 1-18
Author(s):  
Shaya MacDonald ◽  
Susan Korol ◽  
Todd Vassallo ◽  
Cathy MacDougall
Keyword(s):  
Well Being ◽  
Mindfulness Practice ◽  
Practical Training ◽  
Structured Interviews ◽  
Depression Anxiety Stress Scale ◽  
Community Based ◽  
Perceived Quality Of Life ◽  
Before And After

The current study evaluated the effectiveness of a novel three-hour Guided Mindfulness Program on participants’ management of depression, anxiety and stress. The intervention included an educational component emphasizing the psychological value of mindfulness practice combined with a practical training component in mindfulness techniques. The Depression Anxiety Stress Scale was administered at three points in time before and after participation in the program. Additionally, semi-structured interviews were conducted to explore perceived quality of life, happiness, and stress 4 to 8 weeks following the program. All participants reported improvements in overall well-being and reported significant decreases in negative affect when comparing pre-program scores (baseline) to follow-up scores. Notably, qualitative interview results indicated that participants attributed most positive post-program results to informal mindfulness practice.

scholarly journals Musical Connections: A Descriptive Study of Community-Based Choirs for Persons with Dementia and their Caregivers

2017 ◽  
Vol 8 (1) ◽  
pp. 72-81
Author(s):  
Zach Anderson ◽  
Debra Sheets
Keyword(s):  
Cost Effective ◽  
Descriptive Study ◽  
Lessons Learned ◽  
Structured Interviews ◽  
Public Performance ◽  
Community Based ◽  
Caregiver Support ◽  
Key Characteristics ◽  
Music Programming

This descriptive qualitative study explores the key characteristics, benefits, and lessons learned from community-based choirs for persons with dementia (PwD) and their caregivers based on reports from choir administrators and directors. Although there is growing interest in choirs for PwD, there has been no synthesis of information on these choirs. Semi-structured interviews were conducted between December 2016 and February 2017 with six administrators and/or directors of community-based choirs for PwD and their caregivers. The interviews were audio-recorded and transcribed. Content analyses indicated that choirs had many similarities in membership (e.g., early to mid-stage dementia), establishing formal sections (e.g., soprano, alto, tenor, bass), administration (e.g., leadership, fees), and music programming (e.g., public performance, duration, and length of practice sessions). Benefits of the choir include enjoyment, sense of purpose, empowerment, caregiver support and respite, and increased awareness of dementia by others. In conclusion, this descriptive study suggests that community-based choirs are a cost effective and valuable program that improve quality of life for PwD and caregivers.

scholarly journals Grabbing Dignity

2017 ◽  
Vol 1 (1) ◽  
pp. 1313
Author(s):  
Cristian Felipe Roa Pilar
Keyword(s):  
Quality Of Life ◽  
Sense Of Place ◽  
Human Dignity ◽  
Human Beings ◽  
Structured Interviews ◽  
Community Based ◽  
Individual Perception ◽  
Material Goods ◽  
Chilean Government

‘Grabbing Dignity’ explores how marginalised women perceive their dignity during a relocation process from an illegal settlement to subsidised housing in Santiago, Chile, in 2016.Through an ethnographic-based approach, the film experiments with different audiovisual language techniques, where observational cinema, semi-structured interviews and voice over are combined to build a reflective storytelling about a year-long fight for housing rights.This film points out that the fight for dignity is not driven by seeking material goods for improving their quality of life, but rather as finding a legitimate and embodied sense of place where the locals are accepted by the wider Chilean society, and by that acceptance also recognised as human beings. I portray that this fight is contrasted by how the relocation is carry out by the Chilean government where house and home are inaccurately taken as equals. With this in mind, the film enlarges the discussion about human dignity as not only an individual perception, but also as a community-based phenomenon. From this perspective, I suggest that a collective sense of place is paramount in achieving a better understanding of what human dignity might encompass.

scholarly journals Crème de la Crème: The Teach For All Experience and Its Lessons for Policy-Making in Latin America

2015 ◽  
Vol 23 ◽  
pp. 46 ◽  
Author(s):  
Belen Cumsille R. ◽  
Ariel Fiszbein
Keyword(s):  
Latin America ◽  
Learning Outcomes ◽  
Policy Making ◽  
Training And Development ◽  
Structured Interviews ◽  
Staff Members ◽  
Quality Of Teaching ◽  
Recruitment And Selection ◽  
Selection Of

This paper analyzes the experience of Teach For All partners in different countries around the globe in three areas: (a) Recruitment and Selection; (b) Training and Development; and (c) Placement. Using information from semi-structured interviews with Teach For All staff members and national partners, we analyze the key elements of the Teach For All approach in these areas. Based on that analysis we argue that Teach For All’s active recruitment and rigorous selection of candidates, emphasis of quality over length in training, the continued support offered to teachers and the heavy emphasis on data and evaluation constitute practices that, if pursued at the systems level, could enhance the quality of teaching and, consequently, learning outcomes in Latin America.

scholarly journals PARTICIPANTS’ PERCEPTIONS OF A COMMUNITY-BASED DANCE PROGRAM

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S142-S143
Author(s):  
Megan R Bewernitz ◽  
Cari Freiberger
Keyword(s):  
Quality Of Life ◽  
Nervous System ◽  
Progressive Disease ◽  
Qualitative Approach ◽  
Structured Interviews ◽  
Community Based ◽  
Program Content ◽  
Emerging Themes ◽  
Future Program

Abstract Parkinson’s disease (PD) is a progressive disease that targets many aspects of the nervous system, both motor and non-motor functions. Dance as an intervention provides a creative outlet that can be more motivating than other interventions by allowing people an opportunity for not only increased movement and activity, but also socialization. Creative expression through dance also has the potential to improve not only motor capabilities like balance, but also non-motor aspects like self-efficacy, cognition, and quality of life. For the community program described in this presentation, dance faculty led the dance and choreography components of the program while an occupational therapist (OT) served to maximize options for adaptations, safety, and accessibility. OT faculty also led efforts in gathering and analyzing data regarding community participation and program design utilizing a qualitative approach by conducting semi-structured interviews with five participants (four with PD, one with hydrocephalus, all over age 65) in the program. Content analysis of the data suggests some emerging themes which include: 1) forming common bonds and making friendships within the class due to PD diagnosis and similar enjoyment of the class, 2) increased appreciation and enjoyment of music, 3) appreciation of dance instruction, and 4) how transportation options, or lack thereof, impact participation in the class. These themes will assist in informing future program delivery with the hopes of reaching a larger contingent of the community who may also be interested in dance.

Lean manufacturing as a way to optimize costs: Principles, tools, and implementation practices

2021 ◽  
Vol 22 (11) ◽  
pp. 1243-1261
Author(s):  
Anna A. VEKSHINA
Keyword(s):  
Lean Manufacturing ◽  
Staff Members ◽  
Economic Entity ◽  
Study Results ◽  
Wide Range ◽  
Tabular Method ◽  
Entire Country ◽  
Quality Of Products ◽  
Methodological Aspects

Subject. This article deals with the tools of lean manufacturing concept that seek to eliminate losses or minimize them as much as possible while improving the quality of products provided. Objectives. The article aims to examine the theoretical and methodological aspects of the lean concept, and describe the foreign experience of using lean technologies. Methods. For the study, I used the methods of analysis, retrospection, comparison, and generalization. To present the study results, I used the tabular method. Results. The article defines the notion of Loss (Muda) and types of losses specified in dedicated sources. It describes the techniques that help companies eliminate losses and maximize market orientation through their staff members’ participation. The article defines the content and discusses the implications of implementing various key tools of the lean concept. Conclusions. Lean technologies can be implemented both individually and in combination with one another. When combined, the technologies can help both optimize labor and tangible costs, and meet the needs of customers. The use of a wide range of lean concepts can contribute to solving socioeconomic challenges faced by an individual economic entity and the entire country.

“They really hear you out”: Lessons on providing contraceptive care from a community-based sexual health clinic

2021 ◽  
pp. e20210018
Author(s):  
Karyn Fulcher ◽  
Amber Archibald ◽  
Jenny Francoeur
Keyword(s):  
Sexual Health ◽  
Best Practice ◽  
Family Doctor ◽  
Health Clinic ◽  
Task Sharing ◽  
Structured Interviews ◽  
Community Based ◽  
Sexual Health Care ◽  
Supportive Environment

Individuals in Canada may obtain prescription contraception from a family doctor, a walk-in clinic, or sexual health clinic. While there are guidelines for best practice in contraceptive care, the quality of this care varies widely. Access to any contraceptive care is also a concern, partly due to increasing pressures on physicians’ time. These issues have led to calls to expand contraceptive care into the purview of nurses and other qualified health professionals, a ‘task-sharing’ approach. Here, we use data from semi-structured interviews with providers and patients at a sexual health clinic in British Columbia to examine the benefits of such an approach as implemented in this particular clinic. We conducted semi-structured interviews with physicians, nurses, volunteer peer contraceptive educators, and patients about their experience providing or obtaining care at the clinic, and thematically analyzed the resulting data. Interviewees identified four key benefits in the clinic’s approach: the value of a specialized sexual health clinic where providers had a wealth of experience providing sexual health care; the time and attention given by providers relative to practitioners at other types of clinics; the increased efficiency facilitated by a task-sharing approach; and the inclusive and supportive environment. Although some aspects of this clinic’s strategy are not transferrable to all settings, implementing elements of this model in other settings could increase access to quality contraceptive care.

scholarly journals Mental illness in Bwindi, Uganda: Understanding stakeholder perceptions of benefits and barriers to developing a community-based mental health programme

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Kristen L. Sessions ◽  
Lydia Wheeler ◽  
Arya Shah ◽  
Deenah Farrell ◽  
Edwin Agaba ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health Workers ◽  
Psychiatric Disease ◽  
Structured Interviews ◽  
Community Members ◽  
Community Based ◽  
Significant Treatment ◽  
Middle Income ◽  
Wide Range

Background: Mental illness has been increasingly recognised as a source of morbidity in low- and middle-income countries and significant treatment gaps exist worldwide. Studies have demonstrated the effectiveness of task sharing through community-based treatment models for addressing international mental health issues.Aim: This paper aims to evaluate the perceptions of a wide range of mental health stakeholders in a Ugandan community regarding the benefits and barriers to developing a community-based mental health programme.Setting: Bwindi Community Hospital (BCH) in south-west Uganda provides services through a team of community health workers to people in the Kanungu District.Methods: Thematic analysis of 13 semi-structured interviews and 6 focus group discussions involving 54 community members and 13 mental health stakeholders within the BCH catchment area.Results: Stakeholders perceived benefits to a community-based compared to a hospital-based programme, including improved patient care, lower costs to patients and improved community understanding of mental illness. They also cited barriers including cost, insufficient workforce and a lack of community readiness.Conclusions: Stakeholders express interest in developing community-based mental health programmes, as they feel that it will address mental health needs in the community and improve community awareness of mental illness. However, they also report that cost is a significant barrier to programme development that will have to be addressed prior to being able to successfully establish such programming. Additionally, many community members expressed unique sociocultural beliefs regarding the nature of mental illness and those suffering from a psychiatric disease.

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