scholarly journals Everyday Use of the City Cemetery: A Study of Environmental Qualities and Perceived Restorativeness in a Scottish Context

Urban Science ◽  
2019 ◽  
Vol 3 (3) ◽  
pp. 72 ◽  
Author(s):  
Ka Yan Lai ◽  
Iain Scott ◽  
Ziwen Sun

As the number of historical urban cemeteries where interment is no longer available continues to grow, the everyday use and restorative benefit of these spaces (beyond commemoration and remembrance) is worthy of further exploration. This study primarily investigates the everyday use of two historical urban cemeteries in Edinburgh through behavioural observation (N = 185). We also explore further the relationships between cemetery qualities and perceived restorativeness through an interviewer-administered survey (N = 134) and face-to-face interviews (N = 24) at the sites. The survey findings showed that usage and aesthetics in the cemeteries were both significantly and positively associated with various restorative qualities including ‘being away’, ‘fascination’ and ‘compatibility’. The data provided from the interviews and behavioural observations complement the survey findings that the everyday use of urban cemeteries (i.e., using them as an alternative route for pedestrian journeys or simply walking the dog) could facilitate users’ mental restorative process. After controlling for sociodemographic characteristics, provision of facilities (e.g., benches and toilets) was found to have no significant association with any restorative qualities. Using a mixed method approach, this study provides a novel understanding of how the urban population uses, and perceives, old urban cemeteries in contemporary Scotland.

2020 ◽  
Author(s):  
Antony S Willman

ABSTRACTIntroductioneConsult has been recently introduced into Defence Primary Healthcare to allow patients electronic access to healthcare. Using mixed methods, this service evaluation sought the views of primary care clinicians using eConsult.MethodsA two-phase sequential exploratory mixed-method approach was used. An inductive thematic analysis of feedback from primary care clinicians in the Salisbury Plain Area identified themes around eConsult use. These were used to construct an 18-item survey instrument. This was then distributed to primary care clinicians in Defence Primary Healthcare to assess the broader applicability of the themes.ResultsFour themes were identified: the impact on accessibility, the effects on working practices, the impact on the dynamics of the consultation and the effect of training and administrative support. eConsult did not save time for clinicians but was generally more convenient for patients. eConsult was often used in conjunction with telephone and face to face follow up, forming a ‘blended consult’. Accessibility was improved, but cultural factors may affect some patients engaging.ConclusionseConsult improves accessibility and can reduce telephone and face to face consultations but does not reduce workload. It should be used alongside conventional access methods, not instead of. It is useful for straightforward clinical and administrative problems but is less useful for more complex cases unless part of a ‘blended consult’. Future use could be modified to provide greater data gathering for occupational health and chronic disease monitoring and should be monitored to ensure it is inclusive of all demographic groups.KEY MESSAGESThe increased accessibility to a clinician that eConsult offered for patients was positive.There was no workload saving for clinicians using eConsult.EConsult was often the first part of a ‘blended consult’ which subsequently involved telephone and face to face consults.While the dynamics of the consultation were changed, this was generally perceived as positive.EConsult should exist alongside current systems for accessing primary care.The efficiency of the eConsult system could be improved with better administrative support and training.


2018 ◽  
Vol 2 (1) ◽  
pp. 5-16
Author(s):  
Syed Gohar Abbas ◽  
◽  
Jalil Ahmed ◽  
Zainab Fakhr

2020 ◽  
Vol 70 (suppl 1) ◽  
pp. bjgp20X711569
Author(s):  
Jessica Wyatt Muscat

BackgroundCommunity multidisciplinary teams (MDTs) represent a model of integrated care comprising health, social care, and the voluntary sector where members work collaboratively to coordinate care for those patients most at risk.AimThe evaluation will answer the question, ‘What are the enablers and what are the restrictors to the embedding of the case study MDT into the routine practice of the health and social care teams involved in the project?’MethodThe MDT was evaluated using a mixed-method approach with normalisation process theory as a methodological tool. Both quantitative and qualitative data were gathered through a questionnaire consisting of the NoMAD survey followed by free-form questions.ResultsThe concepts of the MDT were generally clear, and participants could see the potential benefits of the programme, though this was found to be lower in GPs. Certain professionals, particularly mental health and nursing professionals, found it difficult to integrate the MDT into normal working patterns because of a lack of resources. Participants also felt there was a lack of training for MDT working. A lack of awareness of evidence supporting the programme was shown particularly within management, GP, and nursing roles.ConclusionSpecific recommendations have been made in order to improve the MDT under evaluation. These include adjustments to IT systems and meeting documentation, continued education as to the purpose of the MDT, and the engagement of GPs to enable better buy-in. Recommendations were made to focus the agenda with specialist attendance when necessary, and to expand the MDT remit, particularly in mental health and geriatrics.


Author(s):  
Yotam Ophir ◽  
Dror Walter ◽  
Daniel Arnon ◽  
Ayse Lokmanoglu ◽  
Michele Tizzoni ◽  
...  

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