Defect characterisations in the Malaysian affordable housing

PurposeThe successive Malaysian government aims to provide housing to households earning the median income and below. However, there has been continuous criticism and complaints from the media and literature on the magnitude of the defects in affordable housing. Therefore, this research has investigated the defects in affordable housing for the users’/occupants' perspectives.Design/methodology/approachWith a response rate of 69%, the research developed a questionnaire instrument that included twenty-one defects in buildings based on literature and observation. These were scored on a 5-point Likert scale ranging from very common to least common. Twelve causes of defects measured on a five-point scale were included in the survey. Thirteen additional items that had to do with remedial actions to reduce defects were included. These were scored on a 5-point Likert scale ranging from strongly agree to least agree. The survey forms were administered to all the 152 home occupants in a Program Perumahan Rakyat (PPR) housing estate through hand delivery in a northern state in Malaysia.FindingsThe data revealed that broken doors, damaged roofs, damp walls and broken tiles in rooms were the most common defects in the housing development. It was found that defects in the buildings were caused by poor workmanship, defective materials, poor designs and bad weather. Additionally, to rectify the defects, adequate supervision is required during maintenance, the repairs must be conducted on time and there is a need to have competent maintenance organisations. Through factor analysis, the 21 defects were structured into six factors, the 12 causes were grouped into 5 factors and the 13 remedial actions were grouped into 6 factors.Practical implicationsThe information on the nature, degree and kinds of defects from the users' perspectives will dictate when repair work is to be undertaken and allow future work to be programmed and financed as part of a maintenance rolling programme.Originality/valueThis research focused specifically on “Program Perumahan Rakyat” housing development. Furthermore, none of the previous research on defects conducted attempted to categorise the defects in the buildings. The categorisation is very important for systemic decision-making because there are continuous interactions amongst the defects, causes and remedial actions.

Consumer and carer leadership in palliative care academia and practice: A systematic review with narrative synthesis

Background: Contemporary health policies call for consumers to be part of all aspects of service planning, implementation, delivery and evaluation. The extent to which consumers are part of the systemic decision-making levels of palliative care appears to vary between and within services and organisations. Aim: The aim of this systematic review is to develop understandings about consumer and carer leadership in palliative care. Design: A systematic, narrative synthesis approach was adopted due to the heterogeneity of included studies. The review was registered on PROSPERO prospectively (PROSPERO 2018 CRD42018111625). Data sources: PubMed, Scopus and PsycINFO were searched for all studies published in English specifically focusing on consumers’ leadership in palliative care organisations and systems. Articles were appraised for quality using a modified JBI-QARI tool. Results: Eleven studies met the inclusion criteria and quality assessment. Consumers are currently involved in leadership of palliative care teaching, research and services. Findings highlight the benefits of consumer leadership in palliative care including more relevant, higher-quality services, teaching and research. Across the included studies, it was not clear the extent to which consumer leaders had influence in relation to setting agendas across the palliative care sector. Conclusion: The findings suggest that more could be done to support consumer leadership within palliative care. Academics and clinicians might improve the relevance of their work if they are able to more meaningfully partner with consumers in systemic roles in palliative care.

Organizational Metaphors and the Evaluation of Higher Education Programs, Management Practices, and Change Processes

Utilizing a conceptual framework based on Morgan's (1998) organizational metaphors, this chapter reports on a qualitative study conducted with faculty members to evaluate their experience of a new program and influence change processes in a teacher-training higher educational institution in Abu Dhabi, UAE, during a period of major educational restructuring. With respect to metaphors generated in response to overall perceptions of organizational dynamics, management practices, and change processes, the study demonstrates tensions surrounding access to channels of communication and decision making within the local educational context; however, no overt concerns on culture shock are found. Moreover, many metaphors are consistent with Morgan's original constructs, whereas a number are unique to the localized context. Organizational metaphors may thus be used as a feedback mechanism to guide systemic decision making around change initiatives within this institution, and to stimulate management research in this region and other higher educational settings.