scholarly journals Development and Feasibility Testing of a Play-Based Psychosocial Intervention for Reduced Patient Stress in a Paediatric Care Setting: Experiences from Pakistan

2020 ◽  
Author(s):  
Muneera Rasheed ◽  
Vardah Bharuchi ◽  
Waliyah Mughis ◽  
Ayesha Hussain
Keyword(s):  
Human Resource ◽  
Parental Stress ◽  
Psychosocial Intervention ◽  
Theory Of Change ◽  
Key Factors ◽  
Play Intervention ◽  
Psychology Trainees ◽  
Patient Stress ◽  
Reducing Stress ◽  
Great Stress

Abstract Background: Hospitalization can be a source of great stress for children and their families. In high-income countries there are specialized staff to help children cope using different techniques including play. However, it is a major challenge in LMIC due to lack of financial and untrained human resource. The objective of study was to develop and test the feasibility and acceptance of a psychology trainee-delivered model postulated on reducing stress of hospitalized children and their caregivers. The paper describes the development of the model and feedback from the stakeholders.Methods: This feasibility study was conducted in the Paediatrics ward of a quaternary care private hospital in Pakistan. Intervention was developed using a theory of change model after surveying parental stress in relation to their child’s illness. At baseline, most parental negative emotions were identified to stem from the fear of the child relapsing, and seeing their child irritable, distressed or in pain. The package was a play-based psychosocial intervention informed by principles of Nurturing Care Framework and play therapy delivered by psychology trainees. The trainees were supervised by clinical psychologists. Children between birth to 6 years admitted in the general ward (non-intensive unit) and their parents were eligible for the intervention. Parents receiving the intervention were interviewed for their stress and feedback about the service using surveys. The trainees delivering the intervention presented their feedback as a written qualitative open-ended narrative.Results: The findings indicated the intervention when delivered on the bedside was feasible and acceptable to both parents and trainees. 45% of parents reported play intervention to be one of 3 key factors in improving their experience during hospital stay. Only 5% of parents reported feeling stressed about the child illness after the intervention. 90-96% parents felt respected, listened to, and understood by the therapists. Thematic analysis of the feedback by trainees and physicians indicated the internship to be a useful experience and a new avenue for professional life. Conclusions: The authors conclude that psychology trainees can feasibly deliver a play-based intervention under supervision for reduced stress in children and their parents during hospitalization with mutual benefits. A trainee delivered model could be a strategy to deal with shortage of trained human resource in LMICs.

scholarly journals Development and feasibility testing of a play-based psychosocial intervention for reduced patient stress in a pediatric care setting: experiences from Pakistan

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Muneera A. Rasheed ◽  
Vardah Bharuchi ◽  
Waliyah Mughis ◽  
Ayesha Hussain
Keyword(s):  
Parental Stress ◽  
Psychosocial Intervention ◽  
Tertiary Care ◽  
Theory Of Change ◽  
Pediatric Care ◽  
Clinical Psychologist ◽  
Play Intervention ◽  
Middle Income ◽  
Psychology Trainees ◽  
Parent Interactions

Abstract Background Hospitalization can be a source of great stress for children and their families. In high-income countries, there are specialized staff to help children cope using different techniques including play. However, it is a major challenge in low and middle-income countries (LMIC) due to financial constraints and untrained human resource. The objective of study was to develop and test the feasibility and acceptance of a psychology trainee-delivered model postulated on employing play as a means of enhancing child-parent interactions leading to reduced stress during hospitalization. Methods This study was conducted in the paediatric ward of a tertiary care private hospital in Pakistan. Pre-intervention survey revealed that parental stress stemmed mainly from seeing their child irritable, distressed, or in pain. Using a theory of change model, a play-based psychosocial intervention was developed to address these factors. The intervention approach was informed by principles of Nurturing Care Framework and play therapy. Children between birth and 6 years admitted in the acute care ward were eligible. The intervention was delivered between March 2019 and December 2020 by psychology trainees who were supervised by a clinical psychologist. The play-based sessions were delivered at the bedside and ranged from 20 to 40 min. Parents receiving the intervention were later interviewed for their stress, child emotions, and feedback about the service using structured surveys administered by psychology graduates. The trainees delivering the intervention were requested to provide their feedback as a written qualitative open-ended narrative. These narratives were analyzed using an inductive approach. Results The survey was conducted with 223 families with about half of the sample having children under 2 years of age. Forty-five percent of parents reported play intervention to be one of 3 key factors in improving their experience during hospital stay. Only 5% of parents reported feeling stressed about the child illness after the intervention. Ninety to 96% parents felt respected, listened to, and understood by the therapists. Thematic analysis of the feedback by trainees indicated the internship to be a useful experience and a new avenue for professional life whereas physicians appreciated the interventions. Conclusions The authors conclude that psychology trainees can feasibly deliver a play-based intervention under supervision for reduced stress in children and their parents during hospitalization with mutual benefits.

scholarly journals How to Achieve the Desired Outcomes of a Complex Intervention in Nursing Homes: A Theory of Change

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 383-383
Author(s):  
Martin Dichter ◽  
Jonas Hylla ◽  
Almuth Berg ◽  
Daniela Eggers ◽  
Ralph Möhler ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Psychosocial Intervention ◽  
Sleep Disturbances ◽  
Intervention Development ◽  
Psychosocial Interventions ◽  
Causal Chain ◽  
Theory Of Change ◽  
Expert Survey ◽  
People With Dementia ◽  
Individual Knowledge

Abstract Background Recent systematic reviews suggest the effectiveness of complex psychosocial interventions to reduce sleep disturbances in people with dementia (PwD) living in nursing homes. However, it is unclear how and under which circumstances these interventions work and which components and processes are crucial determinants for effectiveness. Objectives To develop a Theory of Change (ToC) that describes a causal chain for the reduction of sleep disturbances. Design and Methods The ToC approach is a participatory method in intervention development to generate knowledge about how, why, and under which circumstances interventions are effective. We conducted two expert workshops, a subsequent expert survey (n=12), a systematic literature review, and expert interviews (day and night nurses). Results Necessary preconditions for the reduction of sleep disturbances were identified on staff, management and cultural levels of nursing homes. Intermediate goals like “individual knowledge on PwD is available”, “a specific institutional concept to promote sleep is implemented”, “person-centred care is implemented” and “sleep preferences of PwD are fulfilled” were defined. The intermediate goals, interventions, promoting and inhibiting factors as well as rationales were sorted into a causal chain. All intermediate goals were rated as relevant or highly relevant based on the expert survey. Conclusions The ToC model displays how a complex psychosocial intervention is likely to be effective in reducing sleep disturbances and meeting sleep preferences of PwD in nursing homes. The model is the basis for the development and evaluation of a planned complex psychosocial intervention to prevent and reduce sleep disturbances in PwD.

Efficacy of Integrative Body-Mind-Spirit Group Intervention for Parents of Children With Eczema: A Randomized, Wait-List Controlled Clinical Trial

2020 ◽  
Vol 30 (6) ◽  
pp. 623-632
Author(s):  
Yat-Lui Fung ◽  
Hiu-Tin Leung ◽  
Celia H. Y. Chan ◽  
Bobo H. P. Lau ◽  
Cecilia L. W. Chan
Keyword(s):  
Psychosocial Intervention ◽  
Group Intervention ◽  
Controlled Trial ◽  
Intervention Group ◽  
Empirical Support ◽  
Well Being ◽  
Control Group ◽  
Controlled Clinical Trial ◽  
Wait List ◽  
Reducing Stress

Objectives: This randomized controlled trial evaluated the effects of a psychosocial intervention developed based on the Integrative Body-Mind-Spirit (IBMS) model that aimed to enhance the well-being of parents of children with eczema. Methods: Ninety-one families were randomly allocated to either the six-session intervention group ( n = 48) or the wait-list control group ( n = 43) and completed the randomized trial. For both groups, a range of psychosocial outcome measures were taken before the intervention (T0), postintervention (T1), and 6 weeks after the intervention (T2). Results: Relative to the control group, the intervention group was significantly improved over time in their levels of perceived stress, depression, and a number of holistic well-being measures, including nonattachment, afflictive ideation, and general vitality. Discussion: The results provided empirical support for an IBMS-informed psychosocial intervention in reducing stress and depression and enhancing well-being among parents of children with eczema.

Impact on the Student Experience of Extending Problem-Based and Enquiry-Based Learning

2006 ◽  
Vol 20 (5) ◽  
pp. 359-370 ◽  
Author(s):  
Rysia Reynolds ◽  
David Saxon ◽  
Graham Benmore
Keyword(s):  
Resource Management ◽  
Human Resource Management ◽  
Human Resource ◽  
Quantitative Data ◽  
Independent Learning ◽  
Key Factors ◽  
Qualitative And Quantitative ◽  
Ability Levels ◽  
Undergraduate Programme ◽  
Small Group Interaction

This article reports on extended research into the use of enquiry-based learning (EBL) and problem-based learning (PBL) in a human resource management undergraduate programme. The authors have collected and analysed qualitative and quantitative data over a three-year period, some of which have been previously reported (Reynolds and Benmore, 2003, 2006). Here they present their analysis of the most recent data. They present further evidence that EBL/PBL activities have a significant role to play in the development of independent learning, teamworking skills and the acquisition of deeper knowledge. However, the extent to which these benefits are realized will be influenced by key factors such as cohort culture, small group interaction and student ability levels.

scholarly journals "Consciousness of Yoga in Reducing Stress among Adolescents "

2017 ◽  
Vol 10 (1) ◽  
Author(s):  
Samson R Victor
Keyword(s):  
Response Pattern ◽  
The Body ◽  
Personal Life ◽  
Physical Education Teachers ◽  
Social Unrest ◽  
Special Concern ◽  
Adolescent Student ◽  
Reducing Stress ◽  
Great Stress

In spite of extensive research all over the globe, decreasing quality of life, increasing health hazards, social unrest, student unrest, etc. are all different expressions of stress. Selye and Levi (1975) defined "stress as a nonspecific, conventional and phylogenetic basic response pattern, the primary function of which is to prepare the body for physical activity such as resistance or flight". Stanley Hall describes the period of adolescence as "a period of great stress and strain, storm and strife." Developmentally, adolescents are not initially too capable of handling much stress in their lives and it affects their academic and personal life. But, more & more researches reveal that yoga is an important tool for reduction of stress. With special concern it is helping teenagers in dealing with stress and thus is one of the foremost objectives of Yoga. In this aspect there is a need to create consciousness of Yoga to reduce stress during adolescence in academic and personal life among adolescents. Secondary physical education teachers have to take initiatives in imparting and practicing yoga in school, in addition a separate Yoga subject can be incorporated at secondary level; supportively suitable curriculum should be structured by the concerned organization in the view of adolescent-student to help them in reducing anxiety and stress.

Trauma-Focused Presence

2019 ◽  
pp. 002216781988065
Author(s):  
Anthony Cameron
Keyword(s):  
Meaning Making ◽  
Medical Model ◽  
Therapeutic Interventions ◽  
Theory Of Change ◽  
Integrative Approach ◽  
Key Factors ◽  
Model Framework ◽  
Strict Adherence ◽  
Psychotherapy Outcome Research ◽  
Trauma Therapist

The purpose of this article is to capture and illuminate a trauma-focused presence in psychotherapy treatment. The goal is to highlight an integrative approach that centers on the trauma survivor’s battle with freedom and limitation. Both the expansive and the constrictive tendencies of many traumatized clients are exemplified, focusing on the dichotomous or polarized positions that clients present. Key factors of evidence-based therapeutic relationships that can guide therapist stances and engagement efforts are explored. This approach moves away from an overemphasis on and strict adherence to the medical model framework and toward a contextual standard grounded in a humanistic blanket and characterized by a person-centered and relationally driven therapeutic approach. The trauma therapist chiefly fosters engagement and makes space or pathways for an assortment of therapeutic interventions that are congruent with the client’s theory of change and take shape organically. Developing intrapersonal and interpersonal presence are primary focal points that correlate with the importance of personal and interactive processes in successful psychotherapy outcome research. Meaning making is at the core of a trauma-focused presence and takes place through client and therapist dialogue.

scholarly journals An Improved Random Forest Algorithm for Predicting Employee Turnover

2019 ◽  
Vol 2019 ◽  
pp. 1-12 ◽  
Author(s):  
Xiang Gao ◽  
Junhao Wen ◽  
Cheng Zhang
Keyword(s):  
Random Forest ◽  
Human Resource ◽  
Turnover Intention ◽  
Employee Turnover ◽  
Random Forest Algorithm ◽  
Monthly Income ◽  
Key Factors ◽  
Employee Turnover Intention ◽  
Salary Increase ◽  
F Measure

Employee turnover is considered a major problem for many organizations and enterprises. The problem is critical because it affects not only the sustainability of work but also the continuity of enterprise planning and culture. Therefore, human resource departments are paying greater attention to employee turnover seeking to improve their understanding of the underlying reasons and main factors. To address this need, this study aims to enhance the ability to forecast employee turnover and introduce a new method based on an improved random forest algorithm. The proposed weighted quadratic random forest algorithm is applied to employee turnover data with high-dimensional unbalanced characteristics. First, the random forest algorithm is used to order feature importance and reduce dimensions. Second, the selected features are used with the random forest algorithm and the F-measure values are calculated for each decision tree as weights to build the prediction model for employee turnover. In the area of employee turnover forecasting, compared with the random forest, C4.5, Logistic, BP, and other algorithms, the proposed algorithm shows significant improvement in terms of various performance indicators, specifically recall and F-measure. In the experiment using the employee dataset of a branch of a communications company in China, the key factors influencing employee turnover were identified as monthly income, overtime, age, distance from home, years at the company, and percent of salary increase. Among them, monthly income and overtime were the two most important factors. The study offers a new analytic method that can help human resource departments predict employee turnover more accurately and its experimental results provide further insights to reduce employee turnover intention.

scholarly journals Human Resource Case Analysis – The Students’ Perspective

2021 ◽  
Vol 9 (4) ◽  
pp. 35
Author(s):  
Marija Runic Ristic ◽  
Menatalla Hosam Korany Ahmed Ali ◽  
Shareefa Reda Alkhateeb ◽  
Cam Caldwell ◽  
Verl Anderson
Keyword(s):  
Critical Thinking ◽  
Resource Management ◽  
Human Resource Management ◽  
Human Resource ◽  
Case Analysis ◽  
Teaching Tool ◽  
Key Factors ◽  
Application Analysis

Case analysis is a powerful teaching tool that requires students to demonstrate the higher-level application, analysis, evaluation, and synthesis skills essential to effective critical thinking. Human Resource Management (HRM) professionals must develop these skills and incorporate them into their day-to-day practices in serving organizations and the employees with whom they work. This paper presents HRM students’ perspectives about ten key factors essential to developing case analysis competencies essential to prepare them for successful careers.

scholarly journals Transformation and Innovation of Human Resource Management in the Era of Big Dataunder the Background of Industry Intelligence

CONVERTER ◽  
2021 ◽  
pp. 192-197
Author(s):  
Shuchen Liu
Keyword(s):  
Big Data ◽  
Resource Management ◽  
Human Resource Management ◽  
Human Resource ◽  
Key Factors ◽  
Modern Management ◽  
Positive Effects ◽  
Management Concepts ◽  
Remarkable Advance ◽  
Management Work

In the context of industry intelligence, modernization in management has achieved remarkable advance. Management concepts and management methods are two key factors in determining the effects of human resource management (HRM). The application of big data in HRM not only drives the modernization of management concepts, but also promotes the innovation of management methods, making the management work better match the needs of the organization's operation. This paper explores how human resource management is delicately conducted in an information-based and intelligent society in terms of the shift in management concepts, the optimization of the flow of the management, the benefits of innovation in management. In the meantime, corresponding strategies and suggestions on how to bring full play to the positive effects of big data in HRM are put forward to meet the needs of modern management goals.

scholarly journals Development scenario of collaborative management at Bantimurung Bulusaraung National Park, South Sulawesi Province

2017 ◽  
Vol 6 (1) ◽  
pp. 31
Author(s):  
Abdul Kadir Wakka ◽  
San Afri Awang
Keyword(s):  
Human Resource ◽  
National Park ◽  
Management Strategy ◽  
Local Communities ◽  
Collaborative Management ◽  
Prospective Analysis ◽  
Key Factors ◽  
Collaborative Development ◽  
South Sulawesi ◽  
The Future

Collaborative management is the most appropriate strategy in an effort to accommodate the interests of local communities in the management of protected areas. Success of collaborative management is highly dependent on the extent of  identification of key factors for strategy success  to compile scenarios into operational recommendations. This study aimed to formulate a collaborative management strategy for Bantimurung Bulusaraung National Park (Babul NP) based on scenarios that may occur in the future. The study was conducted by observation, interviews and questionnaires to a number of expert informants and literature studies. Data was analyzed using a prospective analysis. The results showed that the development of collaboration in the future is an optimistic scenario with the increasing awareness of the interdependence of interests, improving human resource competencies, collaboration, the ability to build networks with other stakeholders, improving the ability to coordinate with relevant stakeholders and the ability to establish cooperation with them and the adequation of goverment policies to give a place to people in the utilization of the Babul NP. Application of collaborative development scenario is expected to improve Babul NP management.

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