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Ellis, Carolyn. „Sleeping Around, With, and Through Time“. Qualitative Inquiry 23, Nr. 4 (25.10.2016): 287–99. http://dx.doi.org/10.1177/1077800416672698.
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This article includes autoethnographic vignettes that explore the emotional, embodied, relational, communal, and ritualized aspects of sleeping. As a Western, White, upper-middle-class professional woman in a long-term relationship with a partner who has similar characteristics, I describe sleeping in the familiar environment of our primary and vacation homes, where we both define ourselves as sleeping well together. To tease out important aspects of what counts as a good night’s sleep, I contrast sleeping at home to sleeping in other places, such as in an airplane, hotel in a foreign country, and a hospital, and then compare my experience of sleeping in a modern Western environment with sleeping practices in preindustrial society. I examine my definition of “a good night’s sleep” and how it is affected by historical and cultural narratives of normative sleep. Questioning my original conceptions of good sleeping and sleeping ritual, I explore and put into practice alternative storylines regarding how to accomplish a good night’s slumber.
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Horntvedt, May-Elin T., Maria Romøren und Betty-Ann Solvoll. „Ethical problems related to intravenous fluids in nursing homes“. Nursing Ethics 21, Nr. 8 (18.03.2014): 890–901. http://dx.doi.org/10.1177/0969733014521093.
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Background: Intravenous fluids and/or antibiotics are applied to only a limited extent in Norwegian nursing homes, and the patients are often sent to hospital in these situations. A transfer and a stay in hospital may be unnecessary strains for frail older patients. Given this background, a collaborative research project was initiated in a Norwegian county in 2009. A teaching programme was developed, which aimed to strengthen the awareness of ethics, assessments and practical procedures related to intravenous fluid and/or antibiotics among healthcare professionals. Objectives: This qualitative study aimed to increase our knowledge of the ethical problems experienced by nursing home nurses in situations related to the administration of intravenous fluids and/or antibiotics. Research design: An exploratory design was used, and five focus group interviews were conducted with 26 registered nurses. A hermeneutic analytic approach was applied. Ethical considerations: This study was reported to the Norwegian Social Science Data Services in May 2010. The Regional Committee for Medical and Health Research Ethics approved the collaborative research project. Findings: The analysis showed that the nurses experienced difficult decision-making situations, which were interpreted as external pressure and internal pressure. External pressure emerged in interactions with patients and relatives. Organizational factors were also interpreted as external pressure. Internal pressure was interpreted as the nurses’ experience of feeling inadequate in situations where it was difficult to protect the dignity of patients. Discussion: These findings correspond with international studies, which show that ethical problems often arise during decision-making situations. Conclusion: In agreement with the definition of an ethical problem, we found that the nurses experienced uncertainty and disagreements about how situations should be managed. External and internal pressures related to intravenous fluids and/or antibiotics in nursing homes have not been reported in previous studies. Thus, these findings merit further exploration.
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Lee, Eunsil. „Performance Evaluation of LEED-certified Affordable Homes: Case Study of LEED-certified Habitat for Humanity“. Journal of Sustainable Development 12, Nr. 1 (31.01.2019): 120. http://dx.doi.org/10.5539/jsd.v12n1p120.
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Despite the rapid growth in the number of LEED-certified homes, little data is currently available about the actual effects of LEED-certified affordable homes. The purpose of present study is to conduct a comprehensive performance evaluation for LEED-certified Habitat for Humanity residences in terms of (1) energy efficiency, (2) indoor environmental quality, (3) health impact, (4) residential satisfaction, (5) quality of life, and (6) environmental attitudes and behaviors. A case study was conducted with 15 households living in LEED-certified Habitat for Humanity homes in Kent County, Michigan using observation, in-depth interviews, and surveys. Findings revealed overall housing satisfaction was very high although some residents indicated lower satisfaction with their neighborhood. Most of case study homes had 30-50% lower electricity and natural gas bills. Most participants were satisfied with indoor environmental quality (IEQ) including thermal comfort, indoor air quality, amount daylight, quality of artificial lighting, and acoustical condition. Most participants agreed that since moving into their current homes they have experienced improved family relationships, better health conditions, more positive attitudes, and better performance of their children. The major findings of this case study support the positive effects of LEED-certified low-income homes on residents’ behavioral, social, and psychological aspects of well-being.
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Bjerneld, Magdalena, Nima Ismail und Soorej Jose Puthoopparambil. „Experiences and reflections of Somali unaccompanied girls on their first years in Sweden: a follow-up study after two decades“. International Journal of Migration, Health and Social Care 14, Nr. 3 (10.09.2018): 305–17. http://dx.doi.org/10.1108/ijmhsc-03-2018-0018.
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Purpose Unaccompanied asylum-seeking children (UASC) from Somalia are one of the largest groups of UASC in Europe and Sweden. The current study is a follow-up of a Swedish study conducted in 1999, where unaccompanied asylum-seeking girls (UASG) from Somalia were interviewed. In 2013, UASG from the 1999 study were interviewed again, as adults who have settled and found a new life in Sweden. The purpose of this paper is to explore how these women experienced their transition into the Swedish society. Design/methodology/approach A qualitative research design using semi-structured interviews was adopted for this descriptive study. Thematic analysis was used to analyze the data. Findings UASG need support from different groups of adults, ranging from the staff at the group homes to community members, including countrymen, to establish a good life in their new country. The UASG need understanding and knowledgeable staff that can support them through the initial period, when they do not have their parents close to them. All actors in the supporter network need more knowledge about the difficulties in war situations. Former UASC can assist newcomers as well as being informants to authorities in a new country. Both parties involved need to be open and willing to learn from each other. Research limitations/implications UASG who consider themselves successful in being integrated into the Swedish society were interviewed and, therefore, the study mainly describes aspects that promote integration. Originality/value There are limited follow-up studies on how UASG have experienced their life after almost two decades in the new country.
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Shikunova, Inna A., Aleksei I. Chubarov und Pavel P. Shcherbinin. „Medical and social aspects of the social care system for orphans before and after 1917 (based on materials of the Tambov Governorate)“. Tambov University Review. Series: Humanities, Nr. 186 (2020): 193–204. http://dx.doi.org/10.20310/1810-0201-2020-25-186-193-204.
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We examine the various health, epidemiological, and everyday life realities of the life of children’s social institutions pupils, in particular orphans in imperial Russia and in the first decade of Soviet power. Consideration of these aspects of childhood history in the context of morbidity and mortality in the children’s cohort was carried out on the materials of the Tambov Governorate, which made it possible to clarify and reveal little-known facts and manifestations of social policy and the protection of the health of children and adolescents at the governorate and county levels. A comparison of regional data and the capital’s recommendations on combating child morbidity and mortality showed that the central authorities were completely disconnected from the understanding of the processes and realities of the life of the provincial society, as well as neglect of the needs of children’s institutions outside the capital. This phenomenon was not exceptional, but reflected typical trends of contradictions in the socio-economic and health status of the center and regions. A study of childhood morbidity and mortality in the pre-revolutionary period of Russian history made it possible to confirm the hypothesis that the fate and life of foundling children was the most tragic and traumatic. The mortality rate of such “trouble children”, which reached up to 90 %, began to decline only after the transition of children’s shelters to the control and financing of local governments – county administrations. But the most effective and useful was the transfer of foundling children for upbringing to peasant families. This patriarchal tradition of children’s charity, supported by a little financial support from the counties, helped save and socialize most of the unhappy and ill foundlings who became members of the family of their adoptive parents and received food, shelter and living prospects and professional skills. Appeal to the initial period of everyday life and socialization of children and adolescents in orphanages in the Tambov Governorate through reconstruction and analysis of living conditions, nutrition, morbidity and mortality revealed catastrophic problems of these “flowers of life” of Soviet Russia. The shortage of medical personnel, the almost complete lack of drugs and sanitary facilities, the difficult epidemiological situation, hunger and cold caused a widespread morbidity and mortality rate among male and female pupils of children’s homes and children’s social and educational institutions. Comparison of the charity practices of “trouble children” in pre-revolutionary and Soviet Russia cannot be correct and justified, since the general socio-economic, everyday, legal and socio-cultural conditions of life of such children were not comparable, as well as health care in children’s social institutions. We clarify the possibilities of shelters for foundling children at county hospitals, maternity wards, private patronage. The role of medical workers is revealed, whose reports and surveys of children’s educational social institutions were the most reliable indicators of the real situation with the incidence and mortality of orphans. The historiographic approaches and source study traditions of both domestic and foreign historians are analyzed when studying the charity of orphans in the considered chronological period of Russian history. Attraction of primary archival documents made it possible to evaluate the poorly studied medical and social aspects of children’s everyday life in shelters and orphanages in the Tambov Governorate in the turbulent and crucial years of national statehood. We reveal the regional features of the formation of social protection system for orphans through the prism of medical statistics and medical reports before and after 1917. Attention is drawn to the importance of conducting comparative studies on childhood history in the regional, metropolitan, ethno-confessional and sociocultural dimensions.
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Majda, Anna, Joanna Zalewska-Puchała, Kinga Cholewa, Iwona Bodys-Cupak und Alicja Kamińska. „The Impact of Migration on Polish Nurses – Pilot Study“. Pielegniarstwo XXI wieku / Nursing in the 21st Century 17, Nr. 2 (01.06.2018): 5–11. http://dx.doi.org/10.2478/pielxxiw-2018-0009.
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Abstract Introduction. Migration of professional nurses is a global phenomenon. Polish nurses usually migrate to the relatively richer countries, especially in Europe, thanks to the opening of the borders of the European Union (2004) and legal regulations in the field of education of nurses (Directive 2005/36/EC). Aim. The analysis of symptoms and determinants of acculturative stress and acculturative strategies among Polish migrant nurses working in the UK. Material and methods. The study used a proprietary questionnaire and standardized tool the East Asian Acculturation Measure - Scale of Acculturative Strategy. The research was carried out through Internet among 62 people. Statistical analysis was performed using Mann-Whitney test, Kruskal-Wallis test, Dunn test, coefficient Spearman. Results. The main reason for the migration of respondents to the UK was the desire to improve financial situation and professional development. Responders found job as a nurse, including a charge nurse and managers in hospitals and nursing homes. Acculturative stress manifested most often in social functioning, then in the emotional, cognitive and physical aspects. It was characterized by a sense of lack of interest from British people, sadness, feelings of loneliness, lower self-confidence and shyness. It was determined significantly by the age of the respondents, the length of stay in the UK, knowledge of English and maintaining social contacts with the British. The most commonly used acculturation strategy was integration, conditioned by the length of stay in the UK and symptoms of acculturative stress. Conclusions. Working in a foreign country is associated with acculturative stress, implementation of acculturation adaptive and non-adaptive strategies.
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Pohan, Chairil Anwar. „CADANGAN REKLAMASI PERTAMBANGAN SEBAGAI LOOPHOLES PAJAK DALAM PENERAPAN PRINSIP TAXABILITY-DEDUCTIBILITY“. Transparansi Jurnal Ilmiah Ilmu Administrasi 6, Nr. 2 (06.03.2018): 181–98. http://dx.doi.org/10.31334/trans.v6i2.41.
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Ironic look messy mining face in this country and so much troublesome services of government officials, especially in the mining region of area businesses amid rampant mining minerals (Gold, Tin, Copper, Nickel, etc.) and coal were carried out by the Investor, the resultant investment offers little value added contribution on state revenues, whereas post-exploitation or post-mining closure leaves holes gaping tailings left just by miners, resulting in environmental degradation, social inequality and other things that have a negative impact that brings enormous material losses for the country and society, which never should have happened because of the taxation aspects of the government actually had anticipated that the mining activities should be facilitated by the provisioning cost of reclamation in mining production activities are underway, the reserve for reclamation explicitly accommodated as accounts exclusion in Article 9, paragraph 1 of Income Tax Law, that the taxation treatment is a cost that can be a deduction from gross income.
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Garay, Rosemarie, Francis Pfenniger, Miguel Castillo und Consuelo Fritz. „Quality and Sustainability Indicators of the Prefabricated Wood Housing Industry—A Chilean Case Study“. Sustainability 13, Nr. 15 (30.07.2021): 8523. http://dx.doi.org/10.3390/su13158523.
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Wood industrialization provides a contribution to timber-based building. The Chilean market is based on attributes such as the experience and trust of companies. The sales price, meeting deadlines and quality are attributes that have motivated buyers. There are more attributes to assess that are important for the client and market country: building materials and safety, sustainability, and environmental assessment. Some of these valuations are provided by certifications such as life cycle analysis, reduction of energy, water, gas consumption, thermal, acoustic insulation, fire resistance, etc. The objective is to propose an evaluation tool using sustainability indicators for prefabricated lumber-based buildings, using technical benefits of wood as an option for manufacturing prefabricated structures. They constitute references that can be integrated with international construction standards and with it, a process of improvement of the current standards for the housing solution and protection of the environment. The methodology is based on standards compliance levels, according to current, voluntary, or referential regulations, seeking to differentiate the market offer of prefabricated homes through quality indicators, benchmarking and sustainability. The results are an evaluation model synthesized into three tables according to the category evaluated: materials, products, or structures. It concludes that, to meet demand, the market must adapt its offer to new requirements where it does matter how the housing is produced, not only in the economic aspect, but also its impact on the social aspect and the environment and what it offers in terms of quality of life. The lumber-based building sector needs sustainability attributes indicators to potentiate the companies and start a differentiation business.
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Garcia, Sonia Maria da Silva, Marli Teresinha Gimeniz Galvão, Ednaldo Cavalcante de Araújo und Ana Márcia Tenório Souza Cavalcanti. „ASPECTS SOCIOEPIDEMIOLOGICAL AND CLINICALS OF CARRIERS OF ARTERIAL HYPERTENSION“. Revista de Enfermagem UFPE on line 1, Nr. 2 (02.11.2007): 181. http://dx.doi.org/10.5205/reuol.380-8808-1-le.0102200710.
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RESUMOEstudo exploratório e descritivo, com o objetivo de identificar o perfil socioepidemiológico e clínico entre portadores de hipertensão arterial atendidos no Ambulatório de Cardiologia de um Hospital Público de Recife (PE). A amostra constituiu-se de 114 adultos em tratamento ambulatorial, após responderem a um questionário com questões abertas e fechadas, entre maio e julho de 2004. Para o processo de análise, as variáveis foram codificadas, formando-se o banco de dados por meio do software Epi Info 6.4, utilizando-se o programa Statical Package for the Social Sciences (SPSS-11.0). Para interpretar as questões abertas, utilizou-se a análise de conteúdo. Os resultados demonstraram que a idade variou de 24 a 65 anos, 80,7% eram casados; 64,9% tinham o ensino fundamental e a renda per capita variou de R$ 37,14 a R$ 1.300,00; o tempo de diagnóstico estava entre seis a 10 anos; o uso de drogas anti hipertensiva variou entre um a cinco anos; as mulheres foram as menos aderentes ao tratamento; ao se analisar os hábitos saudáveis de vida, as mulheres os informaram mais do que os homens. No entanto, 55,7% do total dos hipertensos informaram ter apresentado alterações em sua vida advindas do diagnóstico de hipertensão arterial. Portanto, conclui-se que os hipertensos mostraram características semelhantes aos doentes do país e apresentam alterações advindas da própria doença ou do processo do envelhecimento.Descritores: Hipertensão arterial; Adulto; Fatores de risco. ABSTRACTExploratory descriptive study, aiming at identifying the profile socioepidemiologycal and clinical arterial among hypertension carriers attended at a Cardiology Ambulatory of a Public Hospital at Recife (PE). The sample from 114 adults in treatment ambulatory was studied after answering a questionnaire with open and closed questions from May to July 2004. For the data analysis process, the variable had been codified, forming the data base through software Epi Info 6.4 using the program Statical Package for the Social Sciences (SPSS-11.0). For interpreting the opened questions, it was used content analysis. The results have demonstrated the age has varied from 24 to 65 years; 80,7% of the hypertensions were married; 64.9% informed have first degree and per capita income varying from R$ 37,14 to R$ 1.300.00; the time of diagnosis varying from six to 10 years; the use of drugs anti-hypertensive among one to five years; the women were the least adherent ones. When analyzing the healthy habits of life the women informed more the healthy habits than the men. Therefore 55,7% of the total of the hypertensions informed to have presented alterations in their life happened of the diagnosis of arterial hypertension. As findings it was concluded that the hypertensions characteristics are shown similar to the patients of the country and they present alterations in the result of the own disease or of the aging. Descriptors: Arterial hypertension; Adult; Risk factors. RESUMENEstudio descriptivo exploratorio, tuvo como objetivo identificar el perfil socioepidemiológicos y clínico entre portadores de hipertensión arterial, atendidos en consultorio de cardiología de un hospital público en Recife (PE). La muestra fue 114 adultos en tratamiento ambulatorio; respondieron a un cuestionario con preguntas abiertas y cerradas entre mayo a julio del 2004. Para el análisis de datos, las variables fueran codificadas, formando la base de datos a través del software Epi-Info 6.4 usando SPSS 11.0. Para interpretar las preguntas abiertas, fue usado el análisis de contenido. Los resultados han demostrado: edad entre 24 a 65 años; 80.7% casados; 64,9% tienen el primer grado; ingreso per capita ha variado entre R$ 37,14 a R$ 1.300.00; el tiempo de diagnóstico varía entre seis a diez años; el uso de las drogas anti-hipertensivas entre uno a cinco años; las mujeres tienen menos adherencia al tratamiento. Al analizar los hábitos sanos de vida las mujeres informaron más que los hombres. En tanto, el 55,7% de los hipertensos informaron haber presentado alteraciones en su vida por causa del diagnóstico de hipertensión arterial. Se concluye que los hipertensos muestran características similares a los pacientes del país y presentan alteraciones propia de la enfermedad o del proceso de envejecimiento.Descriptores: Hipertensión arterial; Adulto; Factores de riesgo.
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Hao, Huili, Devon Eulie und Allison Weide. „An Integrative Approach to Assessing Property Owner Perceptions and Modeled Risk to Coastal Hazards“. ISPRS International Journal of Geo-Information 9, Nr. 4 (23.04.2020): 275. http://dx.doi.org/10.3390/ijgi9040275.
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Coastal communities are increasingly vulnerable to changes in climate and weather, as well as sea-level rise and coastal erosion. The impact of these hazards can be very costly, and not just in terms of property damage, but also in lost revenue as many coastal communities are also tourism-based economies. The goal of this study is to investigate the awareness and attitudes of full-time residents and second-home property owners regarding the impact of climate and weather on property ownership and to identify the factors that most influences these attitudes in three coastal counties (Brunswick, Currituck, and Pender) of North Carolina, USA. The majority of previous studies have focused on only full-time residents’ risk perceptions. Given the fact that these coastal communities have a high percentages of second homes, this study fills that research gap by including second-home owners. This study integrates both social (survey data) and physical (geospatial coastal hazards data) aspects of vulnerability into a single assessment to understand the determinants of property owners’ risk perceptions and compare their perceived risks with their physical vulnerability. The study also compared the utility of a global ordinary least square (OLS) model with a local geographically weighted regression (GWR) model to identify explanatory variables in the dataset. The GWR was found to be a slightly better fit for the data with an R2 of 0.248 (compared to 0.206 for the OLS). However, this was still relatively low and indicated that this study likely did not capture all of the factors that influence the perceptions of vulnerability in patterns of property ownership (whether full-time residents or second-home owners). The geospatial variables used to determine coastal vulnerability were found not to significantly impact perceptions related property ownership, but did provide additional insight in explaining spatial patterns of the response variable within each county.
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Verulava, Tengiz, Revaz Jorbenadze, Leila Karimi, Beka Dangadze und Temur Barkalaia. „Evaluation of Patient Satisfaction with Cardiology Services“. Open Public Health Journal 11, Nr. 1 (22.05.2018): 201–8. http://dx.doi.org/10.2174/1874944501811010201.
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Background: Patient satisfaction is widely used as an important component in evaluating quality of health care. The current study aimed to evaluate patient satisfaction with the quality of healthcare. Methods: The study was carried out by a cross-sectional method for evaluation of hospitalized patient satisfaction with provided services. Participants of this research include patients who have been hospitalized during the last 5 years (2012-2016). Research tools were prepared on the basis of specially developed “Medical Outcomes Study, Patient Satisfaction Questionnaire” (MOS PSQ-III). Results: Most of the patients positively evaluated financial accessibility and quality of health services, even though some aspects of health care need improvement. This may be related to the introduction of the Universal Health Care Program in 2013, which increased population coverage. The international quality accreditation of the Emergency Cardiology Center has also played an important role in raising patient's satisfaction levels and in achieving higher standards in the sectors of patient safety and quality management. However, the study indicated, that there was a moderate level of satisfaction with the accessibility of healthcare services. So the further revisions and actions are needed to expand and refine the Universal Health Care Program. We also found an evidence that gender, age and education act as the socioeconomic determinants of satisfaction with healthcare quality. Conclusion: The patient satisfaction study, as one of the most important quality indicators, should be developed throughout the country. It will promote the development of healthy competitive environment among medical organizations and will improve the quality of medical services.
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Apolloni, Bruno, Luca Marconi, Francesco Epifania, Marco Mesiti, Stefano Valtolina, Serena Di Gaetano, Alberto Schiaffino und Roberto Pellegrini. „Social Appliances for Sustainable Smart Homes“. Journal of Business and Economics 10, Nr. 4 (20.04.2019): 287–301. http://dx.doi.org/10.15341/jbe(2155-7950)/04.10.2019/003.
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We discuss a Cloud-based Collective Intelligence model and its in-progress implementation to direct users toward an optimal usage of their home appliances as a way of getting both personal advantage and an overall reduction of pollution and energy consumption. In this model sustainability is considered with respect to two types of resources: natural ones, to be mostly preserved, as indicated above, and brain resources, in terms of intention and knowledge, to be convoyed to a common target. Having the first aspect for a given, in this paper we focus on the secondby examining three distinct factors: user experience, knowledge achievement and business model. Our service paradigm is rooted on a Social Networks of Facts that requires experts’ know, like that owned by the appliance manufacturer, but exploits it in an autonomous way so as to comply with the specific intentions of the individual users. While cloud architectural and communication aspects are solved in a standard, though advanced, way, the interplay between user and expertsisconsidered variously within a range of business models. As the success of these models is related to the network population, here we discuss some preliminary simulations based on an effectively implemented infrastructure and on the extrapolation of early collected data.
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Sowa, Grzegorz, und Alina Marchlewska. „The Internet of Things: Technological and Social Aspects“. Journal of Applied Computer Science Methods 8, Nr. 1 (01.06.2016): 17–27. http://dx.doi.org/10.1515/jacsm-2016-0002.
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Abstract The basic idea of is the Internet of Things is presence around us of a variety of things – such as RFID tags, sensors, actuators, mobile phones, etc. – which are able to interact with each other and cooperate with their neighbors to reach common goals. Semantic oriented IoT visions have also been proposed. The number of items involved in the future Internet is destined to become extremely high. Therefore, issues pertaining how to represent, store, interconnect, search, and organize information generated by the IoT will become very challenging. In this context, semantic technologies will play a key role. And creative approaches to visualizing data – humans are far better than computers at seeing patterns –frequently prove integral to the process of creating knowledge. From a privacy perspective, IoT is challenging because it operates in private settings, like homes, and presents an attack target that is harder to secure.
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O’Sullivan, Roger. „Research partnerships – embracing user involvement: practical considerations and reflections“. Quality in Ageing and Older Adults 19, Nr. 4 (10.12.2018): 220–31. http://dx.doi.org/10.1108/qaoa-08-2018-0039.
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Purpose Academic researchers are increasingly required, and rightly so, to demonstrate the impact of their work beyond the gates of the university. This has led to an increasing focus, especially in response to funded calls, on developing research partnerships that cross disciplines, sectors and borders to help address our grand societal challenges. The purpose of this paper is to set out learning from the work of the organisation the Centre for Ageing Research and Development in Ireland (CARDI) and reflections on how to bring forward effective research partnerships involving users. Design/methodology/approach This paper is based on reflections and learning from the organisation CARDI which delivered a highly successful programme of interdisciplinary, cross-sectoral and cross-country research partnerships in both rural and urban areas between 2007 and 2015, across the island of Ireland. Findings Research partnerships that wish to involve users require time, commitment, support, understanding and a willingness to change and be challenged. This paper highlights that there are methodological, philosophical, moral, economic and of course, practical aspects to be considered. Research limitations/implications This reflective paper is based on a case study from the island of Ireland during the period 2007–2015 working in the area of ageing and older people. Practical implications The author emphasises that for research partnerships involving users to be successful, they need to not only consider the most effective research methods but also focus on the overarching purpose of the work and adopt an ethos and practice that maximises each partner’s knowledge and expertise to their full potential. Social implications This reflective paper focused on the characteristics associated with partnership success, i.e. communication style, values, philosophy and practice and argues that establishing effective and inclusive partnerships requires time, the appropriate framework and reviewing the process on an ongoing basis. Originality/value The issue of user involvement in research partnerships requires much more consideration. Researchers, government, funders, businesses and service providers are increasingly recognising the benefits of “user” involvement to help design programmes and services that are most effective. Nowhere is this more important than in planning and delivering services, policy and programmes for our ageing population.
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A.R. Altamimi, Anas, Ali A. Al-Omari, Saeed Al-Naser, Firas Al-Dabouby, Mahmoud Al-Balas und Odai Masarweh. „Change in Orthopedic Trauma Practice under Strict Lockdown due to COVID-19 Pandemic“. Open Public Health Journal 14, Nr. 1 (20.04.2021): 196–205. http://dx.doi.org/10.2174/1874944502114010196.
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Introduction: The COVID-19 pandemic has led to remarkable changes in several aspects of medical practice. Elective surgeries, including orthopedic surgery, were deferred worldwide, allowing hospitals to accommodate higher numbers of COVID-19 patients and reduce the possible risk of infection among healthcare workers. However, healthcare systems aimed to continue providing emergency services at similar standards. In this study, we aim to highlight the impact of lockdowns secondary to the pandemic on orthopedic trauma practice in a country that was described to have one of the strictest lockdowns worldwide. We aim to examine the trends of change in number and type of orthopedic trauma cases and the changes to decision making and patient care among orthopedic surgeons. Methods: This cross-sectional study is based on a survey that was designed and delivered to orthopedic surgeons from different health sectors i.e. governmental, military, private and university hospitals. The questionnaire was distributed through the official Jordan orthopedic association WhatsApp group by the end of the 4th week of strict lockdown. A total of 256 orthopedic surgeons were invited to participate and responses were limited to one per participant. 147 replies were received with a response rate of 57.4%. Data were analyzed using the Statistical Package for the Social Sciences Version 23 (SPSS Inc., Chicago, IL) statistical software. Results: A total of 147 surgeons participated in the study with a response rate of 57.4%. The mean age of the participants was 39.8 years, with the majority being between 30 and 40 years (n=70; 48%). There was a significant decline in the number of trauma cases admitted to the Emergency Departments (ER), especially cases with polytrauma. During this period, the most common reported fractures were proximal femur fractures (47.6%) followed by distal radius fracture (17%). 30% of participants used to perform more than 10 trauma operations per week. This percentage dropped to 7.5% during the pandemic lockdown. 25% did not operate at all during the lockdown period. Outpatients practice was significantly affected with almost 40% of orthopedic surgeons not managing any single patient. Regarding the use of Personal Protective Equipment (PPE), 85% of the surgeons used face masks and gloves only during their patient's encounter. Inside the operating room, only 9.5% of surgeons used fully protective PPEs. Regarding the changes in practice, 62% of surgeons reported an increased tendency toward non-operative management with a significant delay in follow up of patients. The use of telemedicine was effective in the management of less than 50% of patient encounters, according to our participants. Private practice respondents reported more than 50% drop in their income during the lockdown. Conclusion: Strict lockdown in Jordan led to significant changes to orthopedic trauma practice in terms of the number and type of cases. Emergency and outpatient services were similarly affected. Orthopedic surgeons developed a tendency towards more conservative management and less surgical treatment. There is a need for stricter implementation of guidelines regarding the use of PPE especially in the operating theatre. Telemedicine use in management and follow up of trauma patients needs further assessment in terms of its efficacy and efficiency to patients and to healthcare professionalswith regards to its medico-legal aspects.
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Delarue, V. V., G. V. Kondratyev, O. I. Shutova und T. I. Guba. „ETHICAL AND PSYCHOLOGICAL COLLISIONS ON REFERRAL OF VIII TYPE INSTITUTIONS LEAVERS TO NURSING HOMES FOR CHRONIC MENTAL PATIENTS“. Bioethics 26, Nr. 12 (02.11.2020): 50–52. http://dx.doi.org/10.19163/2070-1586-2020-2(26)-50-52.
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Former research showed that up to 20–25 % of those who leave schools of type VIII (schools for children with cognitive development disorders) are referred to nursery homes for chronic mental patients not due to medical problems but because of social ones. According to the authors’ opinion, such social practice has more positive than negative aspects. However, this issue requires extensive discussions. Organizing special post-diploma training courses of 16–24 hours on ethical-psychological aspects of referral various categories of patients (not only leavers of type VIII institutions) to nursery homes for chronic mental patients also seems to be reasonable.
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White, Zachary M., und Cristina M. Gilstrap. „Inside Patients’ Homes“. OMEGA - Journal of Death and Dying 72, Nr. 4 (04.03.2015): 302–15. http://dx.doi.org/10.1177/0030222815575282.
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This study examined the metaphors used by home hospice nurses when describing their experiences working with dying patients. In-depth, semistructured interviews were conducted with 24 home hospice nurses from a midsize for-profit hospice organization that provides services to approximately 230 patients each year. The interviews revealed four main metaphors emphasizing how home hospice nurses conceive and communicate their experiences working with patients: a calling, hallowed ground, going with the flow, and life lessons. These metaphors highlight how home hospice nurses transcend organizational role descriptions, feel empowered to make a difference, appreciate the inevitable unpredictability of their work, and draw upon patient interactions for self-reflection. The findings reveal a consistent emphasis on the positive and rewarding aspects of hospice work and prescriptions about how nurses should perform their role. Metaphors identified in this study could be used to recruit prospective home hospice nurses and strengthen training or education programs.
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Azumah, Francess Dufie. „Street Homes and Its Security Implications in Kumasi Metropolis-Ghana“. International Journal of Social Science Studies 7, Nr. 2 (26.02.2019): 83. http://dx.doi.org/10.11114/ijsss.v7i2.4094.
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The study sought to identify the risk factors associated with street homes and the security implications of street homes. The study adopted a social survey design where a probability sampling, specifically the systematic sampling and simple random sampling techniques were used to select 200 respondents consisting of 120 children who lived in street homes, 60 parents who stayed in street homes and 20 police personnel. Interview questionnaire was the main tool for the data collection. Quantitative approach was used for the data analysis. The study found that risk factors associated with street homes included; victims of rape and sexual assault, engagement in all social vices, school drop-out, engagement in child labour, health problems, teenage pregnancy, victim of child prostitution, engagement in robbery and stealing, engagement in drug addiction, environmental pollution and influence by bad peers. Security personnel considered street homes as a major national security threat which had many security implications in the country; hence the researcher recommended that government should provide accommodation for parent/s who live in street homes with their family.
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SOARE, Ovidiu Dănuț. „SOCIAL AND SPIRITUAL ASPECTS OF THE ROMANIAN VILLAGE INTERWAR“. International Multidisciplinary Scientific Conference on the Dialogue between Sciences & Arts, Religion & Education 4, Nr. 1 (07.12.2020): 129–36. http://dx.doi.org/10.26520/mcdsare.2020.4.129-136.
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Sociological research during the interwar period was meant to be a way through which the country could be known better, in other words, to make the Romanian realities better known, especially through monographic research, initiated by sociologist D. Gusti, considered to be the starting point of the Romanian Sociological School. After the achievement of the national ideal through the Great Union of 1918, a new ideal was necessary, that could complete the former. The nation was in the process of finding itself. The social problems of the country would be understood by knowing the country. All the enthusiastic forces were called forth to help to raise awareness of the nation, which were to become part of the monographic research teams: school teachers, priests, secondary teachers and professors, doctors, agronomists, mayors and praetors, members of the community centres, and even “the superior religious and civil rulers of the Nation, cultivating an Ethics and a Politics of Truth.” This study presents some aspects of the activity of the Community Centres in the rural area, the presence of the Royal Student Teams and the compulsoriness of the Social Service in the villages.
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Ilyashenko, V. V. „Financial and economic aspects of corporate social responsibility“. SHS Web of Conferences 89 (2020): 07002. http://dx.doi.org/10.1051/shsconf/20208907002.
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The article shows the importance of corporate social responsibility (CSR) in ensuring sustainable development of the country. The types of CSR and its features in various states are considered. The author describes the economy of the Russian Federation and its impact on the system of corporate social responsibility in the country. The high profitability of resource-extractive industries and their use of the country’s national wealth defines their special role in CSR not only towards their employees through wages and the allocation of social benefits from profit, but also to the society. It is shown that the established country’s political system significantly influences the possibility of implementing a system of corporate social responsibility. The author characterizes the significant regulatory and stimulating role of the state in social development through taxation and the structure of government spending. When assessing the financial conditions of CSR, the author analyses the impact of capital outflow on its development. Corporate social responsibility also includes the responsibility of organizations to the environment. The author provides a rating assessment of Russian oil and gas, mining and metallurgical companies openness in terms of environmental responsibility.
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Celebi, Merve, und Deniz Hasirci. „Childhood homes of interior architects in Turkey“. Global Journal of Arts Education 10, Nr. 1 (28.02.2020): 93–102. http://dx.doi.org/10.18844/gjae.v10i1.5331.
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The design of home interiors is important for an individual, especially in childhood, when one’s character and psychological development is in progress. In this study, the aim is to explore the social and physical aspects of childhood homes of interior architects and their effects on their professional lives, and to understand the possible reflections of these special places on their current designs. Within this framework, the study was conducted with eight internationally recognised Turkish interior architects, with online interviews and sketchbooks, depending on the memories of the participants’ childhood homes, and data were obtained regarding the interpretation of these special places, as well as their influence on their current design approaches and productions. Findings included understanding which aspects of the participants’ homes were conveyed to their current productions in terms of preferences, approach and style. The results have implications on the interior architecture profession as well as interior architecture education.
Keywords: Childhood home environment, Turkish interior architects.
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Holmgren, Jessica. „A Visual Analysis on How the Physical Environment Conditions Relatives’ Involvement in Nursing Homes“. SAGE Open 7, Nr. 4 (Oktober 2017): 215824401774039. http://dx.doi.org/10.1177/2158244017740398.
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This study seeks to describe how the composition of the physical care environment conditions relatives’ involvement in nursing home institutions. It is well known that the physical care environment in institutions has a significant impact on the well-being of residents and the work satisfaction of nursing staff. Less explored is how physical care environmental factors are related to the involvement of relatives in nursing homes. A visual analysis of 52 photographs from three nursing homes in Sweden shows how the physical environment acts to condition the involvement of relatives through the use of design, information displays, and cultural symbols. Although various aspects of the physical environment promoted participation of relatives, that engagement was based on certain limited concepts of involvement. This suggests that other conceptual frameworks of involvement in nursing homes are possible, and that these might encourage other aspects of involvement from the relatives of nursing home residents.
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Ferreira, Fabiane Ribeiro, Cibele Comini César, Fabíola Bof de Andrade, Paulo Roberto Borges de Souza Junior, Maria Fernanda Lima-Costa und Fernando Augusto Proietti. „Aspects of social participation and neighborhood perception“. Revista de Saúde Pública 52, Suppl 2 (29.01.2019): 18s. http://dx.doi.org/10.11606/s1518-8787.2018052000647.
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OBJECTIVE: To determine the impact of the physical and social surroundings of the neighborhood, which are presented as facilitators or barriers for the social participation of Brazilian older adults. METHODS: The study was conducted in a probabilistic representative sample of the Brazilian population aged 50 years and older and who lived in urban areas (n = 7,935). The response variable was social participation, which was defined from two questions about activities performed with other persons: visited friends or relatives in their homes in the last 12 months (yes, no); went out with other persons to public places, such as restaurant, movies, club, park, in the last 12 months (yes, no). The explanatory variables included fear of falling because of defects in sidewalks, concern about the difficulty to get on a bus, subway, or train, difficulty to cross streets, and perception of violence in the neighborhood. Potential confounding variables included age, marital status, education level, self-rated health, living in an asphalted or paved street, time living in the municipality, and socioeconomic position score. Prevalence ratios and respective confidence intervals were estimated using Poisson regression. RESULT: Difficulty to cross streets presented an independent association with restricted social participation (PR = 0.95; 95%CI 0.93–0.98) among both women (PR = 0.96; 95%CI 0.92–0.99) and men (PR = 0.94; 95%CI 0.90–0.99). Concern about the difficulty to get on a bus, subway, or train was associated with the outcome only among men (PR = 0.95; 95%CI 0.91–0.99). The fear of falling because of defects in sidewalks and the perception of violence in the neighborhood were not associated with social participation. CONCLUSIONS: Urban characteristics that hinder the crossing of streets and accessibility to public transport can be inferred as important barriers for the social participation of Brazilian older adults.
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BONADIO, Enrico, Luke MCDONAGH und Christopher ARVIDSSON. „Intellectual Property Aspects of Robotics“. European Journal of Risk Regulation 9, Nr. 4 (Dezember 2018): 655–76. http://dx.doi.org/10.1017/err.2018.58.
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The field of robotics is remarkably wide, with many social settings now entailing and increasingly requiring the use of robots to support a variety of human activities. Unsurprisingly, robots’ form and shape, their level of intelligence and intended purpose can vary significantly depending on the relevant industry.1 Domestic robots are already a reality in a growing number of family homes. They include both humanoid robots which support those in need (such as the elderly, people with disabilities or children) and robots for household consumer markets, including domestic vacuum cleaners and grass-trimmers. Humanoid robots only account for a small fraction of the industry, with robotic arms for industrial automation being instead widespread.2
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Ruddick, William. „Transforming Homes and Hospitals“. Hastings Center Report 24, Nr. 5 (September 1994): S11. http://dx.doi.org/10.2307/3563508.
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Mahir, Isma Lebbe Mohamed, und Thaseem Mohamed Fathima Wazeema. „Social Aspects of Drug Addiction in Sri Lanka“. Journal of Politics and Law 13, Nr. 2 (19.05.2020): 54. http://dx.doi.org/10.5539/jpl.v13n2p54.
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Social problems are rapidly increasing in modern societies due to various reasons. One of these is drug addiction, which has become a major issue in the contemporary world, as it is proving to be a serious social problem in both developing and underdeveloped countries. This review article that focuses on the social aspects of drug addiction in Sri Lanka is based on secondary data obtained from the published works of different authors; they provide details about the identity of drugs, drug addiction and the increasing number of addicts in Sri Lanka. Drug addiction has become an important issue due to its severe impact on public health, its tendency to encourage crime, cause diseases, poverty and destruction of family life in Sri Lanka. Heroin and cannabis (marijuana) are found to be the most commonly used drugs in Sri Lanka. Laws and policies designed to control drug abuse and regulations on drug addicts have not brought any major change or desired outcome in the Sri Lankan drug scene. Drug users in Sri Lanka get their supply of drugs from the underground drug market, which has its internal and external sources. Rehabilitation of drug addicts has become an urgent need in the country to protect its valuable citizens who are needed to build a sustainable nation that is free from drugs. Drug addiction is preventable and can be managed successfully if every citizen of the country gives his/ her full support and contribution.
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Berendonk, Charlotte, und Vera Caine. „Life story work with persons with dementia in nursing homes: A Grounded Theory study of the perspectives of care staff“. Dementia 18, Nr. 1 (15.09.2016): 282–302. http://dx.doi.org/10.1177/1471301216669236.
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In Germany, the use of life story work as an approach to care in nursing homes has not been implemented successfully. Using Grounded Theory, we explored care staff’s understandings of life story work when caring for persons with dementia. Thirty-six staff from seven nursing homes participated in semi-structured interviews or group discussions. In this paper we discuss new aspects and theoretical connections between understandings and practices of life story work. For some participants, obtaining ‘true facts’ about a resident’s course of life was considered the most important topic. Others highlighted the importance of narratives as well as embodied stories told by persons with dementia, as aspects that generated emotionally meaningful situations. Delivering sound life story work can be challenging for care staff working with persons with dementia. To enhance care in nursing homes, the importance of life story work needs to be further developed.
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Manthorpe, Jill. „Social work“. Ageing and Society 18, Nr. 6 (November 1998): 713–19. http://dx.doi.org/10.1017/s0144686x98217156.
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Alison J. Hirschel, 1996. Setting the stage: the advocates' struggle to address neglect in Philadelphia nursing homes. Journal of Elder Abuse and Neglect, 8, 3, 5–20.Raymond Jack and Stephen Mosley, 1997. The client group preferences of Diploma in Social Work students. British Journal of Social Work, 27, 2, 893–912.Ruth Landau, 1997. Ethical judgement and decision making orientation in social work. Issues in Social Work Education, 17, 2, 66–81.The abuse of older people has seized the imagination of social workers, and conferences or training on the subject are frequently well subscribed. For many, the concept appears to have brought together aspects of their concerns about older people, while perhaps helping to justify their professional or academic interest. The reality of abuse remains generally unreported so any material derived from ‘real’ events that is well documented and carefully analysed is likely to be thought-provoking and influential.
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Fisac, Ramon, und Ana Moreno-Romero. „Understanding social enterprise country models: Spain“. Social Enterprise Journal 11, Nr. 2 (03.08.2015): 156–77. http://dx.doi.org/10.1108/sej-02-2014-0012.
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Purpose – The purpose of this paper is to describe the historical institutional context of Spain in the past 40 years and to analyze the influence of institutional factors in the current model of social enterprise existing in the country. Design/methodology/approach – This study draws on the theory of historical institutionalism, national-level empirical data and Kerlin conceptual framework (2013) that informs models of social enterprise. Findings – This paper describe some traits of Spain’s social enterprise that can be explained by the evolution of its institutional context in the past 40 years. It helps to validate, from a historical institutionalistic perspective, aspects of the Kerlin framework for social enterprise models. It also begins to show that the analysis of regional differences in the context should be taken into consideration when examining a country’s social enterprise space. Research limitations/implications – This discussion paper encourages academics to analyze regional differences in the emergence of social enterprise within a country. The main limitation of the paper is the lack of an “official” definition of social enterprise in Spain. Originality/value – This paper applies a valuable framework to a country with a unique political and economic history in the past 40 years. It contributes to enrich the research on the emergence and development of social enterprises in a variety of contexts and advances understanding of how regional differences inside a country influence the development of social enterprises.
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Steiner, B. „Professional profile of social work in homes for the elderly“. Zeitschrift für Gerontologie und Geriatrie 31, Nr. 5 (1998): 343. http://dx.doi.org/10.1007/s003910050057.
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Wagner, Laura M., Barbara L. Brush, John B. Engberg, Nicholas G. Castle und Elizabeth Capezuti. „Quality Care Outcomes in Nursing Homes: The Effects of a Nurse’s Country of Origin and Education“. Journal of Nursing Regulation 5, Nr. 4 (Januar 2015): 49–56. http://dx.doi.org/10.1016/s2155-8256(15)30032-6.
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Koopmans, Raymond T. C. M., Sytse U. Zuidema, Roeslan Leontjevas und Debby L. Gerritsen. „Comprehensive assessment of depression and behavioral problems in long-term care“. International Psychogeriatrics 22, Nr. 7 (15.09.2010): 1054–62. http://dx.doi.org/10.1017/s1041610210000736.
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ABSTRACTBackground:The IPA Taskforce on Mental Health Issues in Long-Term Care Homes seeks to improve mental health care in long-term care (LTC) homes. The aim of this paper is to provide recommendations on comprehensive assessment of depression and behavioral problems in order to further stimulate countries and professionals to enhance their quality of care.Methods:Existing guidelines on comprehensive assessment of depression or behavioral problems in nursing home (NH) patients or patients residing in LTC homes were collected and a literature review was carried out to search for recent evidence.Results:Five guidelines from several countries all over the world and two additional papers were included in this paper as a starting point for the recommendations. Comprehensive assessment of depression in LTC homes consists of a two-step screening procedure: an investigation to identify factors that influence the symptoms, followed by a formal diagnosis of depression according to DSM-IV-TR or the Provisional Diagnostic Criteria for Depression in Alzheimer Disease in cases of dementia. Comprehensive assessment of behavioral problems encompasses three steps: description and clarification of the behavior, additional investigation, and assessment of probable causes of the behavior. The procedure starts in the case of moderate behavioral problems.Conclusion:The recommendations given in this paper provide a useful guide to professional workers in the LTC sector, but clinical judgment and the consideration of the unique aspects of individual residents and their situations is necessary for an optimal assessment of depression and behavioral problems. The recommendations should not be rigidly applied and implementation will differ from country to country.
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Daly, Sharon, und Mary D. Carpenter. „Adjustment of Vietnamese Refugee Youths: A Self-Report“. Psychological Reports 56, Nr. 3 (Juni 1985): 971–76. http://dx.doi.org/10.2466/pr0.1985.56.3.971.
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Structured interviews explored the problems of 41 Vietnamese refugee youths in foster homes in New York State. Refugees in this country 3 years or more and 1 1/2 years or less were compared. Self-reports indicated the youths were adapting well, and their social adjustment increases significantly over time.
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Real, Carlos Sediles. „Pentecostalisms in Nicaragua: General Aspects of their Foundations, Growth and Social Participation“. Exchange 36, Nr. 4 (2007): 386–96. http://dx.doi.org/10.1163/157254307x225043.
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AbstractThis article approaches the topic of Pentecostal movements in Nicaragua, taking into account their origin, establishment and development in the country. Deep questions are posited that allow to widen the discussion on some controversial aspects with regard to Pentecostalism, such as their numeric growth in a relatively short time; their most important theological foundations that have brought many to characterize them as a fundamentalist movement; and their recent participation in the political life of the country. These and other elements are open to a discussion to be developed in a wider and more systematic investigation.
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Voznyak, Halyna, und Iryna Zherebylo. „Social aspects of Ukrainian economy development: current state and new challenges“. Socio-Economic Problems of the Modern Period of Ukraine, Nr. 5(139) (2019): 33–41. http://dx.doi.org/10.36818/2071-4653-2019-5-5.
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Modern changes in the economy of Ukraine caused by the socio-political situation in the country as well as a number of initiated reforms encourage scientific exploration of the socio-economic development of the country. The purpose of the article is to conduct a problem-oriented analysis of the social component of the economy of Ukraine. The article presents the results of a study of socio-economic development of Ukraine during the past five years. The following areas of analysis were selected: labor markets, poverty, unemployment, income / expenditures of the population. Low growth rates of the subsistence level are proven to be causing a decrease in social standards, which negatively affects the living standards of the population in Ukraine; a significant drop in real income of the population in 2014-2015 aggravated the purchasing power of the population; the increase in the share of wages and social benefits in the structure of the population's income during the analyzed period is an indication of the excessive dependence of the population's well-being on state support, as well as the absence of the so-called middle class in the country. The visible growth in the unemployment rate is caused by the military actions in the East of Ukraine, the deepening of the financial and economic crisis and the deterioration of the socio-political situation in the country. Emphasis is placed on differentiation in wages in economic sectors. Low level of the average salary in the budget sphere is proven to be caused by the peculiarities of calculating the size of the minimum salary on the basis of the subsistence minimum, which ultimately leads to the “depreciation” of the work of employees of the budgetary sphere and the reduction of the cost of highly skilled labor. Challenges to further development of Ukraine have been identified, such as excessive unemployment, poor level of remuneration, the level of social protection, military conflict in Eastern Ukraine among the key ones.
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Kesseiba, Karim. „A Study of the Client Culture Influences on the Creation of Tailored Design Homes in New Communities Around Cairo“. European Journal of Economics and Business Studies 8, Nr. 1 (19.05.2017): 16. http://dx.doi.org/10.26417/ejes.v8i1.p16-22.
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The design process of residential homes is one of the most dynamic ones, due to its strong interrelation with the life patterns, economical strategies, needs and cultural traits of the clients. This is relevant in the case of tailored design homes in the new suburbs around Cairo, where the client aims to fulfill several of his life goals and visions, in addition to the possible freedom of design creations which are not as much bounded to the limitations inside the city. Accordingly, the architect has to deal with twofold aspects, first is aiming to understand and react to the clients culture and second to produce accepted architectural values and qualities. Although both aspects appear to be intertwined, however, case studies reflected that in several aspects, the clients’ culture affects the production of the aspired design vision. Thus, the paper aims to discuss the dilemma through two case studies in one of the gated communities around Cairo, based on qualitative analysis of how the designer managed to mediate the design of tailored homes between the clients’ culture and the production of valued architectural quality. This study will be based on the brief and anonymous explanation of the social profile of the clients’ social background which acted as the motivator in the design process, based on interviews with architect who worked in the design development process.
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Fjær, Eivind Grip, und Mia Vabø. „Shaping social situations: A hidden aspect of care work in nursing homes“. Journal of Aging Studies 27, Nr. 4 (Dezember 2013): 419–27. http://dx.doi.org/10.1016/j.jaging.2013.10.002.
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Yesina, О. О. „Charity as social phenomena: theoretical aspect of the analysis“. Ukrainian Society 30, Nr. 3 (09.10.2009): 114–18. http://dx.doi.org/10.15407/socium2009.03.114.
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The present article deals with the theoretic and methodological aspects of the phenomenon of charity. The peculiarities of using the word «Charity» are analyzed from the different aspects. It is said that the phenomenon of charity is considered as a part of social politics of the country and an institute of the civic society.
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Rand, Stacey, Nick Smith, Karen Jones, Alan Dargan und Helen Hogan. „Measuring safety in older adult care homes: a scoping review of the international literature“. BMJ Open 11, Nr. 3 (März 2021): e043206. http://dx.doi.org/10.1136/bmjopen-2020-043206.
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BackgroundSafety is a key concern in older adult care homes. However, it is a less developed concept in older adult care homes than in healthcare settings. As part of study of the collection and application of safety data in the care home sector in England, a scoping review of the international literature was conducted.ObjectivesThe aim of the review was to identify measures that could be used as indicators of safety for quality monitoring and improvement in older adult residential or nursing care homes.Sources of evidenceSystematic searches for journal articles published in English language from 1 January 1970, without restriction to the study location or country, were conducted in Web of Science, Scopus and PubMed on 28 July 2019.Eligibility criteriaInclusion criteria were: peer-reviewed journal articles; qualitative or quantitative studies of older adult nursing and/or residential care homes; and related to any aspect of safety in care homes, including the safety of healthcare provision in the care home. A total of 45 articles were included after review of the title/abstract or full text against the inclusion criteria.Charting methodsKey information was extracted and charted. These findings were then mapped to the Safety Measurement and Monitoring Framework in healthcare (SMMF), adapted by the research team to reflect the care home context, to determine the coverage of different aspects of safety, as well as potential gaps.Results and conclusionsSystematic searches for journal articles published in English language from 1 January 1970, without restriction to the study location or country, were conducted in Web of Science, Scopus and PubMed on 28 July 2019. Inclusion criteria were: peer-reviewed journal articles; qualitative or quantitative studies of older adult nursing and/or residential care homes; and related to any aspect of safety in care homes, including the safety of healthcare provision in the care home.A total of 45 articles were included after review of the title/abstract or full text against the inclusion criteria. Key information was extracted and charted. These findings were then mapped to the Safety Measurement and Monitoring Framework in healthcare (SMMF), adapted by the research team to reflect the care home context, to determine the coverage of different aspects of safety, as well as potential gaps.The findings indicate that there are a range of available safety measures used for quality monitoring and improvement in older adult care homes. These cover all five domains of safety in the SMMF. However, there are potential gaps. These include user experience, psychological harm related to the care home environment, abusive or neglectful care practice and the processes for integrated learning. Some of these gaps may relate to challenges and feasibility of measurement in the care home context.
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de Boer, B., H. C. Beerens, S. M. G. Zwakhalen, F. E. S. Tan, J. P. H. Hamers und H. Verbeek. „Daily lives of residents with dementia in nursing homes: development of the Maastricht electronic daily life observation tool“. International Psychogeriatrics 28, Nr. 8 (23.03.2016): 1333–43. http://dx.doi.org/10.1017/s1041610216000478.
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ABSTRACTBackground:Daily life is a dynamic and multidimensional concept, for which appropriate assessment tools are lacking. This study describes the development of the Maastricht Electronic Daily Life Observation tool (MEDLO-tool), a freely accessible, easy to use, electronic observation tool to assess relevant daily life aspects for nursing home residents with dementia.Methods:(1) Determining relevant aspects of daily life for nursing home residents with dementia based on a literature search and expert interviews; (2) pilot testing observation procedures and operationalizations of the aspects of daily life; and (3) exploring inter-rater reliability and feasibility of the tool in a nursing home facility with 16 residents (56% female, mean age: 77).Results:The following aspects of daily life are assessed with the MEDLO-tool: (1) activity (activity performed by resident, engagement in this activity, and the degree of physical effort); (2) physical environment (location of the resident and interaction with the physical environment); (3) social interaction (the level and type of social interaction, and with whom this social interaction took place); and (4) emotional well-being (mood and agitation). Each aspect of daily life is observed and scored using standardized scoring options. Agreement on the aspects is high with an average absolute agreement of 86%. Users of the MEDLO-tool indicated that it was feasible in practice and contained clear operationalization of the aspects of daily life.Conclusions:The MEDLO-tool is a promising tool to gain real time insight into the aspects of the daily lives of nursing home residents with dementia.
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Kołodziej, Łukasz. „Damage reduction and alcohol drinking reduction programs in social welfare homes as an alternative to traditional abstinence interventions“. Praca Socjalna 34, Nr. 3 (30.06.2019): 93–116. http://dx.doi.org/10.5604/01.3001.0013.5703.
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Introduction. At present, there is only one social welfare home (DPS) in Poland for alcohol addicts, and two units of this type have wards specializing in alcohol addiction, so few have a chance to stay in a DPS. Alcohol addicted residents of DPS often have had many unsuccessful attempts to take addiction therapy, so the likelihood that another stay in a specialized center will bring a permanent change in stopping alcohol consumption is low. The purpose of the article is to popularise knowledge among social welfare homes workers about the programs of reducing alcohol consumption and reducing the caused damage. Method. In order to provide knowledge about these programs, the traditional goal of addiction therapy and prevention, which is to achieve long-term abstinence, has been compared with damage reduction and alcohol consumption programs. Results. Although employees of social welfare homes are already implementing elements of the damage reduction program, for example by skipping the administration of drugs to drunk residents or looking after the health status of alcohol intoxicated residents, there is still a lack of systematic actions aimed at the full implementation of programs to reduce drinking and health and social damage caused by alcohol problems in DPS. Conclusions. An alternative to the limited number of places for addicted residents of social welfare homes in specialized types of centers may be the implementation of programs to reduce alcohol consumption and reduction of alcohol-related damage in various types of social welfare homes throughout the country. Their implementation may also increase the effectiveness of therapeutic interventions against alcohol addicted residents of DPS.
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Tuominen, Leena, Helena Leino-Kilpi und Riitta Suhonen. „Older people’s experiences of their free will in nursing homes“. Nursing Ethics 23, Nr. 1 (08.12.2014): 22–35. http://dx.doi.org/10.1177/0969733014557119.
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Background: Older people in institutional care should be allowed to live a meaningful life in a home-like environment consistent with their own free will. Research on actualisation of older people’s own free will in nursing home context is scarce. Objectives: The purpose of this study was to describe older people’s experiences of free will, its actualisation, promoters and barriers in nursing homes to improve the ethical quality of care. Research design: Fifteen cognitively intact older people over 65 years in four nursing homes in Southern Finland were interviewed. Giorgi’s phenomenological method expanded by Perttula was used to analyse the data. Ethical considerations: Chief administrators of each nursing home gave permission to conduct the study. Informants’ written informed consent was gained. Findings: Older people described free will as action consistent with their own mind, opportunity to determine own personal matters and holding on to their rights. Own free will was actualised in having control of bedtime, dressing, privacy and social life with relatives. Own free will was not actualised in receiving help when needed, having an impact on meals, hygiene, free movement, meaningful action and social life. Promoters included older people’s attitudes, behaviour, health, physical functioning as well as nurses’ ethical conduct. Barriers were nurses’ unethical attitudes, institution rules, distracting behaviour of other residents, older people’s attitudes, physical frailty and dependency. Discussion: Promoting factors of the actualisation of own free will need to be encouraged. Barriers can be influenced by educating nursing staff in client-orientated approach and influencing attitudes of both nurses and older people. Conclusion: Results may benefit ethical education and promote the ethical quality of older people’s care practice and management.
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Naylor, Jeremy. „A Sense of Home: From East Kentucky to the Indigenous Southwest“. Practicing Anthropology 40, Nr. 4 (01.09.2018): 10–11. http://dx.doi.org/10.17730/0888-4552.40.4.10.
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Abstract This article discusses the connection between health and homes in two diverse parts of the country. I discuss cases and observations in Central Appalachia and the Southwest where inadequate housing can have impacts on the individual and community level. Finally, I discuss the similarities between these cases and how these impacts affect social belonging and health of the individuals.
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Yarkova, Mikhailovna. „Basic aspects of rural social infrastructure development“. International Review, Nr. 3-4 (2020): 98–104. http://dx.doi.org/10.5937/intrev2003098y.
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The social infrastructure of rural areas is of particular importance when considering issues of both an economic and social nature. Both production and non-production rural areas necessitate the availability of social facilities. The main purpose of social infrastructure facilities nowadays and in the past of rural and urban areas development is to meet the needs of the population. At the same time, social infrastructure defines the basis for the level and quality of life of civil society. Its condition is an indicator of the territorial development and provides opportunities for innovative development and investment attraction. For many years now, the rural social infrastructure has been in poor condition in Russia. Problems are observed in the living conditions of citizens, in elements of residential properties improvement, undeveloped system of medical and educational services, unavailability of cultural and leisure facilities, and so on. Due to such a negative state of the rural social sphere, problems arise with the demographic situation and the production sphere in terms of the inability to attract highly qualified personnel. The Program for the Sustainable Development of Rural Territories developed by the Government of Russia holds back the general, intensively negative situation, and is fundamentally changing it in some regions of the country. The paper presents the results of the implementation of the main Program directions and gives some recommendations on its further implementation and development of the rural social infrastructure.
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Anjankar Ashish P, Anjankar Vaibhav P, Anjankar Anil J und Kanyal Lata. „Positive Aspects of COVID 19 Pandemic: A Blessing in Disguis“. International Journal of Research in Pharmaceutical Sciences 11, SPL1 (06.07.2020): 187–91. http://dx.doi.org/10.26452/ijrps.v11ispl1.2371.
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COVID 19 is undeniably one of the deadliest diseases that humanity has ever seen. It continues to affect the lives and livelihood of people appallingly across the world. Maximum discussions focus towards the apprehension of catching the infection, dwelling in homes, overpopulated nursing homes and shut down of all kinds. But, here let’s discuss the positive side of COVID 19 pandemic.As COVID 19 has spread its influence all over the world, affected countries have either announced lockdown or have implemented severe restrictions in their respective countries. Because of this, everyone dwells in their homes. Thus, exercising social distancing and functioning from home. All of the above is directed at restricting the transmission of coronavirus and expectantly ostracising the fatality from COVID 19. These transformations have also brought about some unanticipated emanations; some good things have come out of the pandemic as well. Positive effects of COVID 19 are seen on reduced road traffic, and road traffic accidents lowered levels of air pollution which has to lead to lowered heart attack rates and rejuvenating environment. Crime rates have fallen, and expenses are reduced in most places. Community action, communication amongst families, behaviour, sanitation, hygiene, online and distance education has positively impacted by COVID 19 pandemic. COVID 19 despite a bane for humans, can be thought of a boon for living beings. The habitats and elements have been purified with the stringent use of petrochemical products. To breathe fresh air and to consume purified water is a boon by itself. Now, it is time for humans to lead a caring life to every bounty bestowed on them by Nature. This thoughtful and considerate life will give hope for a healthy, stress-free life.
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Anders, Eli Osterweil. „“So delightful a temporary home”: The Material Culture of Domesticity in Late Nineteenth-century English Convalescent Institutions“. Journal of the History of Medicine and Allied Sciences 76, Nr. 3 (18.06.2021): 264–93. http://dx.doi.org/10.1093/jhmas/jrab017.
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Abstract This article examines the material culture of domesticity in late nineteenth-century English convalescent institutions. Convalescent homes drew on powerful Victorian ideas about the physical and moral benefits of “home-like” domestic comfort, which they contrasted with the “institutional” environment of hospitals and the degrading surroundings of urban slums. Administrative records, press accounts, photographs, and patient letters reveal how convalescent homes cultivated temporary home-like environments through architecture, interior decoration, and behavioral expectations and routines. Convalescent homes drew on heterogeneous models of domesticity, including the grand architecture of country estates, the possession-packed spaces of middle-class homes, and the recreational spaces of male social clubs. Nevertheless, they shared a belief in the power of domestic spaces, comforts, and practices to support the recovery of convalescents and to influence their identity and behavior. The material culture and practices of domesticity deployed in convalescent homes encouraged reflection, self-improvement, and self-control—qualities essential to the cultivation of respectable, self-governing, liberal citizens. Nevertheless, the meanings and experiences of these spaces were also shaped by inmates, whose expectations and experiences did not always align with the ideal image of home that authorities wished to create.
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MAKUSHINA, Elena Yu, Dar'ya M. KARMANOVA und Aleksei S. KUCHER. „Tax reform initiated by D. Trump: Economic and social aspects“. Finance and Credit 27, Nr. 3 (30.03.2021): 693–720. http://dx.doi.org/10.24891/fc.27.3.693.
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Subject. The article addresses the tax reform of 2017, initiated by D. Trump. Objectives. The aim is to determine the relationship between the total volume of tax revenues to the budget of the U.S. Government and the growth of U.S. GDP in the long run. Methods. To identify the impact of the tax reform on the investment climate in the country and the subsequent GDP growth, we formulate a hypothesis and propose a regression model. The quarterly data from 04.01.1960 to 07.01.2019 serve as a statistical sampling, published by financial departments of the U.S. Office of Management and Budget and the U.S. Bureau of Economic Analysis. The study rests on the econometric analysis enabling to identify the impact of the volume of tax revenues from the corporate income tax and individual income taxes on the level of the GDP of the United States. Results. In the short term, we observe a decrease in tax revenues and a subsequent increase in the budget deficit, in the long term – an increase in business activity of the country, a growth in foreign direct investment, and, consequently, an increase in the GDP. The paper offers a model for assessing the economic growth of the GDP of the United States, in which tax predictors were used in combination with macroeconomic indicators. Conclusions. The experience of the United States and the results of this study may be used by the governments of developing countries and experts in the field of taxation for tax policy development.
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Md.Nazri, Haslinda. „Social and Cultural Aspects of the Iban Community in Sarawak“. Idealogy Journal 3, Nr. 2 (07.09.2018): 199–208. http://dx.doi.org/10.24191/idealogy.v3i2.59.
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Sarawak is the largest country in the Malaysian Federation, having a rich and colorful cultural heritage from the diversity of customs and traditions of its multi-ethnic population. Culture is a comprehensive value system consisting of various material and immaterial aspects. Culture needs to be documented to maintain the nation's cultural heritage so that it is not forgotten or lost. Even though they have achieved independence and lives in modernization, the clash between various forms of traditional culture and the new cultural values persists. However, the traditional cultural values must be preserved as the nation's cultural heritage.
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Chang, Ik Young, Michael P. Sam und Steven J. Jackson. „Transnationalism, return visits and identity negotiation: South Korean-New Zealanders and the Korean national sports festival“. International Review for the Sociology of Sport 52, Nr. 3 (09.06.2015): 314–35. http://dx.doi.org/10.1177/1012690215589723.
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Migration has commonly been theorised as a process that ends with settlement in a new country and thus return visits have not been conceptualised as part of the migration experience. As has been noted in the literature, the return visit is a temporary visit to an individual’s place of birth (or the ‘external homeland’) from a current country of residence which may help immigrants to construct and negotiate a transnational identity between the new and old homes. This study focuses on how one government, South Korea, uses sport as a part of a wider strategy to encourage return visits in order to maintain cultural, economic and political connections with overseas citizens. More specifically, this paper examines the experiences of Korean immigrants living in New Zealand who return to Korea to participate in the annual National Sports Festival. Drawing upon document analysis, interviews and participant observation data, three different types of experiences emerged: (1) athletic experiences through the event itself; (2) nostalgic experiences from reconnecting with families and friends or enjoying forms of culture and entertainment difficult to access in the receiving country; and (3) political and economic experiences through interactions with politicians and business people which may contribute to mutual benefits between their old and new homes. Overall, the paper discusses the experience and implications of Koreans who represent New Zealand in an (inter)national sport and cultural festival and its influence on their transnational lives and identities.
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Ferrero, Andrea. „Social responsability in vocational guidance in Argentina“. International Journal of Psychological Research 2, Nr. 1 (30.06.2009): 73–78. http://dx.doi.org/10.21500/20112084.880.
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The beginning of the vocational guidance in Argentina was based on detecting personal characteristics regarding working abilities, and many social aspects were considered in the assessment process. In this country, increasing social exclusion as a product of poverty, lack of opportunities, unemployment and poor level of education, have introduced new aspects in vocational guidance considerations related to this new set of high level structural complexity. The professional responsibility in providing vocational guidance in such context is analyzed considering two kinds of sources: ethical standards of psychology, and specific competencies of vocational guidance.