Search results

The purpose of this paper is to explore how nurses make decisions to ration care or leave it undone within a clinical environment that is controlled by systems level cost containment. The authors wanted to find out what professional, personal and organisational factors contribute to that decision-making process. This work follows previous international research that explored missed nursing care using Kalisch and Williams’ MISSCARE survey.

The authors drew on the care elements used by Kalisch and Williams, asking nurses to tell us how they decided what care to leave out, the conduits for which could include delaying care during a shift, delegating care to another health professional on the same shift, handing care over to staff on the next shift or leaving care undone.

The findings suggest that nurses do not readily consider their accountability when deciding what care to leave or delay, instead their priorities focus on the patient and the organisation, the outcomes for which are frequently achieved by completing work after a shift.

The actions of nurses implicitly rationing care is largely hidden from view, the consequences for which potentially have far reaching effects to the nurses and the patients. This paper raised awareness to hidden issues facing nurses within a cycle of implicitly rationing care, caught between wanting to provide care to their patients, meeting the organisation’s directives and ensuring professional safety. Rethinking how care is measured to reflect its unpredictable nature is essential.

The purpose of this paper is to outline a conceptual plan for innovative, integrated care designed for people living with long-term conditions (LTCs).

The conceptual plan delivers a partnership between the health system, the person with LTCs (chronic), their family, and the community. The partnership aims to support people at home with access to effective treatment, consistent with the New Zealand Government Health Strategy. This concept of people-owned care is provided by nurses with advanced practice skills, who coordinate care across services, locations and multiple LTCs.

With the global increase in numbers of people with multiple chronic conditions, health services are challenged to deliver good outcomes and experience. This model aims to demonstrate the effective use of healthcare resources by supporting people living with a chronic condition, to increase their self-efficacy and resilience in accordance with personal, cultural and social circumstance. The aim is to have a model of care that is replicable and transferable across a range of health services.

People living with chronic conditions can be empowered to manage their health and well-being, whilst having access to nurse-led care appropriate to individual needs.

Although there are examples of case management and nurse-led coordination, this model is novel in that it combines a liaison nursing role that works in partnership with patients, whilst ensuring that care across a number of primary and secondary care services is truly integrated and not simply interfaced.

Fire-related offences are costly in human and financial terms. Fire education is widely used with juveniles and with adults in forensic psychiatric settings; however, with prison/probation clients there has been a lack of focus on its potential. This study asked participants of a structured fire education programme for adults how they experienced it and its impact on their feelings about firesetting.

Participants were 15 programme completers, including ten males and five females. All were adults that had attended the programme during their sentence, either in the community or whilst in custody.

Using an inductive thematic analysis this study interpreted the following themes: a supportive and responsive approach, impactful learning materials and methods, a new way of thinking, and picking up the pieces. This study proposes that the intervention may activate change through its powerful methods including fact-based arguments and support from legitimate experts.

Firesetters’ Integrated Responsive Educational Programme (FIRE-P) is a novel example of a specialist structured fire education programme for adult firesetters. This is the first paper to outline its structure and content. Understanding how change occurs in FIRE-P has implications for intervention design and delivery with this client group.

To the best of the authors’ knowledge, this is the first qualitative study of a structured fire education programme for adults and provides researchers and practitioners with insight into the ingredients of a successful fire education programme.

The aim of this article is to analyse the opinions (and the differences among them) of golf players, golf courses managers and the general population about the economic and social impact of golf courses in a tourist destination (Alicante province, in Spain) from the data collected in three surveys. Golf players and golf courses managers have a more positive opinion about this economic and social impact than the population in the province. This is due to the knowledge of the first group about golf industry benefits. Therefore, communication about these social and economic benefits of golf courses has to be increased with the population in the area in order to improve their opinion about them.

This study aims to validate a Spanish version of the Glasgow Depression Scale for Learning Disability (GDS-LD) and of the Glasgow Depression Care Supplement Scale (GDS-CS).

The GDS-LD was administered to 120 adults with mild and moderate intellectual disabilities and the GDS-CS to the staff from their occupational workshops (n = 120) to detect symptoms of depression. Internal consistency, inter-rater reliability, test-retest reliability, criterion validity, construct validity and the feasibility and applicability of both scales were analysed.

Both scales showed an adequate internal consistency (GDS-LD, a = 0.86) (GDS-CS, a = 0.88). Exploratory factor analysis revealed four well-defined factors in GDS-LD and three in GDS-CS. Pearson correlation analysis data has also been carried out with both tools for test-retest and inter-rater, showing good correlations.

In terms, of limitations, the participants were recruited from the same centre, so this could be a problem in terms of generalisation. In addition, the GDS-LD and GDS-CS scales were developed for people with mild and moderate ID; it would be worth it to develop a version for people with severe and profound disabilities.

From its clinical perspective, it will be possible to have a specific tool that assesses the symptoms of depression in the Spanish population with ID. Furthermore, as it is a user-friendly scale; it can be administrated by both mental health and other professionals working in the field of disability.

The Spanish version of the GDS-LD and GDS-CS showed adequate rates of feasibility and reliability to assess symptoms depression among Spanish speaking adults with mild and moderate ID.

Anxiety disorder is a common mental health problem in people with intellectual disabilities. Although this affects their quality of life, in Spain, there are no validated tools to evaluate the symptomatology of anxiety in people with intellectual disabilities. The aim of this study is to validate the Glasgow Anxiety Scale for people with an intellectual disability (GAS-ID) in the Spanish population.

The Spanish version of the GAS-ID was produced by back translation and was administered to 120 adults with intellectual disabilities. The psychometric analyses included internal consistency using the Cronbach’s alpha coefficient, inter-rater and test-retest reliability were determined using intra class correlation and Pearson correlation coefficients and, finally, factor analysis with Varimax rotation to confirm the construct validity of the questionnaire.

Cronbach’s alpha was 0.86 for the overall questionnaire. The intraclass correlation coefficient showed a good level of agreement in both test-retest (0.90) and inter-rater (0.91) analysis and the Pearson correlation showed a good significance in all dimensions and in the total scale. Varimax rotation factor analysis revealed four well-defined factors.

The GAS-ID is a feasible and reliable instrument for assessing anxiety symptoms in adults with mild and moderate intellectual disabilities, offering better diagnoses and therefore a more accurate treatment for the Spanish population with intellectual disabilities.

The process of bringing Lied Library’s automated storage and retrieval system (ASRS) online consisted of setting up the system and storing materials. Setting up the system required defining specifications, designing a user‐interface between the integrated online library system and the ASRS, training in operation, and preparing for maintenance. Storing materials required selecting and processing the items to be stored, loading them into bins, and retrieving them with the system. Library staff spent countless hours in planning, customizing, preparing data, supplementing existing data, testing, and learning the system. The time was well spent as the load process went smoothly with relatively few problems.

The objective of this research is to know the degree of influence that strategic planning (SP) exerts on the tangible and intangible results of business microenterprises in the state of Guanajuato, Mexico.

The methodological design was quantitative, explanatory, observational and cross-sectional, where a sample of 407 young leaders of microenterprises from the state of Guanajuato, Mexico, was obtained. To evaluate hypotheses, a structural equation model (SEM) was developed. Regarding the goodness and adjustment indices of the SEM, they were absolutely acceptable.

The results obtained through Pearson’s correlation show that there is a positive and significant relationship between SP and the tangible and intangible results of microenterprises. In addition, through the results obtained with the SEM model, it is statistically demonstrated that SP positively and significantly influences the tangible and intangible results of microenterprises in the state of Guanajuato, Mexico.

In this research, only SP was valued as a variable that intervenes in the process of achieving tangible and intangible results to achieve the business objectives of entrepreneurial microenterprises in the state of Guanajuato. It is essential to point out that other variables that intervene in the process must be considered to generate tangible and intangible results. It is recommended to carry out further research under these variables to identify strategies for improving entrepreneurial microenterprises for their growth, sustainability and rapid positioning in a highly competitive market.

SP represents one of the tools to achieve the success of microenterprises through tangible and intangible results. However, microenterprises show a need to involve the use and application of SP to define clear indicators that contribute to obtaining satisfactory tangible and intangible results.

The findings are relevant and of great value, because there is currently not enough research that focuses on the variables analyzed, in this sense, SP and the tangible and intangible results of young entrepreneurial leaders of microenterprises in the Mexican context. The limitations of this study lie in the low participation and interest of young microenterprise entrepreneurs in the state of Guanajuato, Mexico.

El objetivo de esta investigación es conocer el grado de influencia que ejerce la planificación estratégica sobre los resultados tangibles e intangibles de las microempresas empresariales en el estado de Guanajuato, México.

El diseño metodológico fue cuantitativo, explicativo, observacional y transversal, donde se obtuvo una muestra de 407 jóvenes líderes de microempresas del estado de Guanajuato, México. Para evaluar hipótesis, se desarrolló un modelo de ecuación estructural (SEM). En cuanto a los índices de bondad y ajuste del SEM resultaron absolutamente aceptables.

Los resultados obtenidos mediante la correlación de Pearson muestran que existe una relación positiva y significativa entre la planificación estratégica y los resultados tangibles e intangibles de las microempresas. Además, a través de los resultados obtenidos a través del modelo SEM, se demuestra estadísticamente que la planificación estratégica influye positiva y significativamente en los resultados tangibles e intangibles de las microempresas del estado. de Guanajuato, México.

La planeación estratégica representa una de las herramientas para lograr el éxito de las microempresas a través de los resultados tangibles e intangibles. Sin embargo, las microempresas muestran necesidad en el involucramiento del uso y aplicación de la planeación estratégica para la definición de indicadores claros que contribuyan a obtener resultados tangibles e intangibles satisfactorios. En base a lo anterior, resulta ser motivante para los académicos, empresarios y legisladores para motivar el uso de la planificación estratégica en las microempresas debido a las bondades que atrae en garantizar el éxito de la microempresa como lo ha sugerido el Instituto del fracaso, así como también el Desarrollo de la Competitividad Empresarial. Asimismo, la planeación estratégica identifica y analiza los factores relevantes que pueden servir como apoyo a las microempresas así como a los diferentes modelos de emprendimiento que se desarrollan a través de la literatura, ofreciendo una alternativa en el enfoque de su estudio, mismos que se van ajustando a las nuevas tendencias que van surgiendo desde ámbitos nacionales como internacionales, y en particular, en el estado de Guanajuato (México) que representa uno de los estados importantes debido a su actividad económica en los sectores de agroindustria, manufactura (especialmente automotriz) y de servicios del país.

Los hallazgos son relevantes y de gran valor, pues actualmente no existe suficiente investigación que se enfoque en las variables analizadas, en este sentido, la planificación estratégica y los resultados tangibles e intangibles de jóvenes líderes emprendedores de microempresas en el contexto mexicano. Las limitaciones de este estudio radican en la baja participación e interés de los jóvenes emprendedores de microempresas del estado de Guanajuato. México

o objetivo desta pesquisa é conhecer o grau de influência que o planejamento estratégico exerce sobre os resultados tangíveis e intangíveis das microempresas empresariais do estado de Guanajuato, México.

O desenho metodológico foi quantitativo, explicativo, observacional e transversal, onde foi obtida uma amostra de 407 jovens líderes de microempresas do estado de Guanajuato, México. Para avaliar as hipóteses, foi desenvolvido um modelo de equações estruturais (SEM). Com relação aos índices de bondade e ajuste do SEM, eles foram absolutamente aceitáveis.

Os resultados obtidos por meio da correlação de Pearson mostram que existe uma relação positiva e significativa entre o planejamento estratégico e os resultados tangíveis e intangíveis das microempresas. Além disso, pelos resultados obtidos por meio do modelo SEM, é estatisticamente demonstrado que o planejamento estratégico influencia positiva e significativamente os resultados tangíveis e intangíveis das microempresas no estado. de Guanajuato, México.

O planejamento estratégico representa uma das ferramentas para alcançar o sucesso das microempresas por meio de resultados tangíveis e intangíveis. No entanto, as microempresas mostram a necessidade de envolver o uso e a aplicação do planejamento estratégico para definir indicadores claros que contribuam para a obtenção de resultados tangíveis e intangíveis satisfatórios. Com base no exposto, acaba sendo motivador para acadêmicos, empresários e legisladores motivar a utilização do planejamento estratégico nas microempresas pelos benefícios que atrai para garantir o sucesso da microempresa sugeridos pelo Instituto do Fracasso, também bem como o Desenvolvimento da Competitividade Empresarial. Da mesma forma, o planejamento estratégico identifica e analisa os fatores relevantes que podem servir de suporte às microempresas, bem como os diferentes modelos de empreendedorismo que se desenvolvem na literatura, oferecendo uma alternativa no foco de seu estudo, que são ajustando-se às novas tendências que estão surgindo nas esferas nacional e internacional, e em particular, no estado de Guanajuato (México) que representa um dos estados importantes pela sua atividade econômica no agronegócio, manufatura (especialmente automotiva) serviços do país.

Os achados são relevantes e de grande valor, uma vez que atualmente não há pesquisas suficientes que enfoquem as variáveisanalisadas, neste sentido, o planejamento estratégico e os resultados tangíveis e intangíveis de jovens líderes empreendedores de microempresas no contexto mexicano . As limitações deste estudo residem na baixa participação e interesse dos jovens empreendedores da microempresa no estado de Guanajuato. México

The purpose of this paper is to investigate whether sheltered employment centers (CEEs) which have a higher rate of professionalization of their managers have better economic returns than those that have a lower one.

A questionnaire has been drawn up for their managers. After collecting the answers, an index of professionalization classifies the CEEs with managers of high, medium and low levels of professionalism. This index is then correlated with the main financial ratios of companies.

The results show that companies with the highest level of managers’ professionalization, on average, have higher economic returns than companies with medium and low rates, although the difference is not very high. This study is an important contribution to academic literature, as it is the first to examine the professionalization of CEE managers.

Finally, this paper is not short of limitations. The number of responses is small but there are similar studies with similar response rates. Additionally, the scarcity of responses may suggest that there is a lack of interest about the utility of professionalization by some CEEs managers because, perhaps, they do not have the necessary competences to understand its importance in management.

This study has some main implications for stakeholders: first, CEEs must pay more attention to the professionalization of their management team, because professionalization can lead to meeting its goals and guaranteeing the firm’s growth. Second, training programs in skills and attitudes should be designed to strengthen these competencies. Moreover, managers of social firms should know that the establishment of strategic plans will be useful to identify new opportunities in the market.

Given the important role of these social firms for the employment of people with disabilities, training programs should be promoted by government in order to ensure the professionalization of these companies.

This research is an important contribution to the literature on this subject because there are no studies about the level of professionalization of CEEs, companies that represent an important value for the economy of a country.

The purpose of this paper is to help to understand the influence of the media and political issues in the perceptions of Turkey as a tourism destination. The study is conducted from the perspective of Spanish people.

The research is based on the responses provided to a web survey. The data were analyzed using descriptive statistics and Pearson's correlations.

The views of the Spanish people on the Turkish political situation were not found to be related to the perceptions of the destination, except for those regarding Turkey's candidacy to the European Union. However, an indirect relationship between the political views and the perceptions of the destination through the influence of the former on the image of the host community is proposed. Television and the written press are determined as the most significant information sources, other than word of mouth and experience.

The research points to the fact that political views regarding the country may not affect the perceptions regarding that destination. However, certain political issues seem to have a greater effect on the perceptions of the destination. Therefore, for conclusive evidence a more extensive investigation is required.

The difference between the destination's image and the political views of the country is of practical interest to developing countries, which are dependent on tourism, but generally suffer from political instability and image problems.

The dichotomy between different perceptions regarding a country is investigated. Moreover, the importance of the media in creating perceptions of a destination is analyzed.