Partnership between Primary Health and Social Care Services in the Long-Term Care of Older People with Dementia: A Vignette Study

Background. Dementia is considered to be a significant cause of disability and dependency for older people worldwide and it raises difficulties in providing adequate formal and informal assistance. Research on the experience of long-term care (LTC) services for older people with dementia is scarce in Eastern European countries. This study aimed to understand the system of care for older people with dementia from the perspective of health and social care workers providing LTC services in Lithuania. Methods. A total of 72 primary health care and social care professionals from public and private institutions in Kaunas city participated in this study. One-to-one interviews were conducted with family physicians, community nurses, psychiatrists, psychiatric nurses, and social workers. A vignette situation of two fictitious patients with dementia and their informal caregiver was discussed during the interviews. Data were analyzed using thematic analysis by induction approach.Results. Thematic analysis of the data revealed two main themes: LTC provision trajectory, and three-dimensional relationship perception in realization of LTC activities. LTC provision trajectory reflected activities performed as a response to the described situation embracing formal procedures for the endorsement of LTC needs as well as the range of LTC services. Three-dimensional relationship perception in realization of LTC activities mirrored the participants’ relationships with themselves, with each other, and with the informal caregiver.Conclusions. Our study revealed the potential of complex measures that could be instrumental for the refinement of the caregiving process. First, a change in the special needs’ endorsement logic is needed, shifting focus from medical diagnosis to functional abilities assessment. Second, establishing clear procedures for formal cooperation between the health and social care sectors in the trajectory of LTC service provision. Finally, finding an adequate balance between LTC and institutional care by creating a wider range of LTC services. A more consistent and coordinated delivery of services by both health and social care sectors seems to be an untapped resource for the improvement of the LTC potential.

Perception of Nursing Work Satisfaction in Patient Safety Culture

Health service mistakes can result in thousands of people dying annually. One strategy to improve patient safety is to create the safety culture of patients with the satisfaction of nursing work. The dissatisfaction of nurses work can lead to a decline in hospital service quality. Objective: This study aims to know the relationship perception of nurse work satisfaction to patient safety culture. The studies used are descriptive-analytic with a cross-sectional approach. The sample number of 137 nurses taken at Padang in the 2020 period with total sampling techniques. There is a significant link between salary satisfaction, supervision, additional benefits, motivation, technical procedures, communication, and nursing work satisfaction with the safety culture of the patient. The most significant relationship is supervision with the safety culture of the patient.

Partnership between primary health and social care services in the long-term care of older people with dementia: a vignette study

Background Dementia is considered to be a significant cause of disability and dependency for older people worldwide and it raises difficulties in providing adequate formal and informal assistance. Research on the experience of long-term care (LTC) services for older people with dementia is scarce in Eastern European countries. This study aimed to understand the system of care for older people with dementia from the perspective of health and social care workers providing LTC services in Lithuania. Methods A total of 72 primary health care and social care professionals from public and private institutions in Kaunas city participated in this study. One-to-one interviews were conducted with family physicians, community nurses, psychiatrists, psychiatric nurses, and social workers. A vignette situation of two fictitious patients with dementia and their informal caregiver was discussed during the interviews. Data were analyzed using thematic analysis by induction approach. Results Thematic analysis of the data revealed two main themes: LTC provision trajectory, and three-dimensional relationship perception in realization of LTC activities. LTC provision trajectory reflected activities performed as a response to the described situation embracing formal procedures for the endorsement of LTC needs as well as the range of LTC services. Three-dimensional relationship perception in realization of LTC activities mirrored the participants’ relationships with themselves, with each other, and with the informal caregiver. Conclusions Our study revealed the potential of complex measures that could be instrumental for the refinement of the caregiving process. First, a change in the special needs’ endorsement logic is needed, shifting focus from medical diagnosis to functional abilities assessment. Second, establishing clear procedures for formal cooperation between the health and social care sectors in the trajectory of LTC service provision. Finally, finding an adequate balance between LTC and institutional care by creating a wider range of LTC services. A more consistent and coordinated delivery of services by both health and social care sectors seems to be an untapped resource for the improvement of the LTC potential.

HUBUNGAN ANTARA KARAKTERISKTIK PRIBADI, PERSEPSI, DAN DORONGAN DARI PIHAK LAIN TERHADAP MAHASISWA UNTUK MEMILIH JURUSAN AKUNTANSI DI POLITEKNIK NEGERI BATAM

This research aimed to analyze the influence towards personal characteristic, preseption and encouragement from other parties towards to Students to select the majors in Accounting department in Politeknik Negeri Batam. This is supported by the number of students in choosing Accounting department in Politeknik Negeri Batam. Moreover, this study used primary data by taking data from Students in the first of semester from Accounting department. The results showed there is a relationship between personal characteristics and encouragement from other parties. Meanwhile, showed 1 hypothesis not supported in this study that there is no relationship perception of students to choose the department of Accounting in Politeknik Negeri Batam. Furthermore, this research can be an input for Politeknik Negeri Batam to see how much interest of student in choosing accounting majors and also for as input for in the future. Based on the study results, the conclusions and contribution for vocational education institutions, is important to improve the quality of applied Accounting department to be able to attract more students interest in choosing this department and to make qualified accounting graduates.Keywords: personal characteristic, preseption, encouragement from other partiesAbstrakPenelitian ini bertujuan untuk meneliti Hubungan antara karakterisktik pribadi, persepsi, dan dorongan dari pihak lain terhadap mahasiswa untuk memilih jurusan Akuntansi di Politeknik Negeri Batam. Hal ini didukung oleh bahwa banyaknya jumlah mahasiswa dalam memilih Jurusan akuntansi di Politeknik Negeri Batam. Penelitian ini menggunakan data primer dengan mengambil data dari Mahasiswa semester awal dari jurusan Akuntansi di Politeknik Negeri Batam. Hasil penelitian menunjukkan terdapat hubungan antara karakteristik pribadi dan dorongan dari pihak lain. Sementara itu menunjukkan 1 hipotesis tidak terdukung dalam penelitian ini yaitu tidak terdapat hubungan presepsi terhadap mahasiswa untuk memilih jurusan Akuntansi di Politeknik Negeri Batam. Penelitian ini bisa menjadi masukan bagi Politeknik Negeri Batam untuk melihat seberapa besar minat mahasiswa dalam memilih jurusan akuntansi dan juga untuk sebagai masukan untuk di kedepan hari. Kesimpulan dan kontribusi hasil dari penelitian ini, bagi institusi pendidikan vokasi, penting untuk meningkatkan mutu jurusan Akuntansi terapan untuk dapat menarik lagi minat mahasiswa dalam memilih jurusan ini dan menjadikan lulusan akuntansi yang berkualitas.Kata kunci: Karakteristik Pribadi, Presepsi, Dorongan dari Pihak lain