bluuebunny/crossref_metadata_2025_split huggingface dataset:
Further steps to define and deliver high quality care for care clusters: the mental health care clusters and pathways website
Authors: Clark Michael , Hilton Clare , Shiels Wendy , Green Carole , Walters Christina , Stead Miranda , Batty Karen , Smyth Ian , Flahive Joseph 
Published: March 2013

PurposeWith care clusters an established framework for mental health services it is timely to consider how to use them to deliver high quality, evidence based care that is socially inclusive and recovery oriented. This paper aims to describe conceptual thinking about these issues, specifically in relation to the challenges and balances inherent in the care packages approach. It seeks to describe work to develop an internet based, high‐level description of such packages for each care cluster.Design/methodology/approachThe background to the project is described, along with a discussion of the conceptual and practice issues behind the work.FindingsWith mental health care now trying to make sense of local services in terms of care clusters the authors offer a high‐level framework to help people in this sensemaking. Coherent, socially inclusive and recovery oriented packages are set out on the website.Research limitations/implicationsThe work discussed in the article is highly innovative, being the first systematic attempt to provide evidence‐based, high‐level care packages for the care clusters model. Hence, a limitation is the challenge remaining to operationalise the work to real world care contexts.Practical implicationsThe website sets out a framework to help local services and commissioners plan and organise their services, drawing on the best guidance and evidence and developing care packages on the basis of the right ethos of care.Social implicationsIn moving to services fully commissioned and organised around the care clusters model, there remain major conceptual and practice challenges to address including operationalising evidence‐based care packages and means of flexibly delivering individual care.Originality/valueThis is the first view of socially inclusive packages for each of the care clusters that also draw together the best of guidance and standards of care.
Follow‐up study of an integrated weight management and fitness programme
Authors: Cormac Irene , Ferriter Michael , Buchan Sandra 
Published: March 2013

PurposeThe aim of this study was to evaluate the results of 14 cohorts of patients recruited into an integrated weight management and fitness programme in a high secure psychiatric hospital.Design/methodology/approachBody measurements and fitness parameters were measured before commencement and after completion of the programme.FindingsOf the 206 patients recruited for the first time to one of 14 programmes, 120 (58 per cent) patients completed their programme, of these 76/120 (63 per cent) lost weight with a mean weight loss of 1.3 kg (sd 3.7). Statistically significant improvements were recorded for hand strength (p<0.005), flexibility (p<0.0001), peak expiratory flow (p<0.0001) and aerobic capacity (p<0.0001). There were no significant changes in systolic blood pressure and resting heart rate, although there was a significant decrease in diastolic blood pressure (p<0.05).Research limitations/implicationsIt was not possible to undertake an economic analysis. Motivation to lose weight was not assessed. Data were not available on the hours of staff time taken to deliver the programmes and whether patients were smokers or not.Practical implicationsThese programmes complied with NICE guidance for weight management. This service evaluation demonstrates the effectiveness of these specially designed weight management and fitness interventions for patients with complex mental health needs. They could be used in conditions of lesser security and in the community with patients with complex mental health needs.Originality/valueThis is a follow‐up study with significantly more data than presented in an earlier paper which reported on the results of only the first four programmes.
Lessons from the front line: working with offenders with learning disability and personality disorder in a high secure therapeutic community
Authors: Taylor Jon , Trout Sarah 
Published: March 2013

PurposeThe aim of this paper is to provide an overview of the experiences of nursing staff providing a residential treatment programme for high risk offenders with an intellectual disability and personality disorder.Design/methodology/approachThe paper's approach is thematic analysis of focus groups, repeated measures EssenCES.FindingsNursing staff report increased insight into patients' risk factors, improved relationships with patients and enhanced team working.Practical implicationsThis descriptive paper will be of interest to clinicians working with offenders with intellectual disability and personality disorder. Improvements in team functioning may be of interest to managers.Originality/valueThere are few published papers concerning treatment approaches with offenders with intellectual disability and personality disorder. This paper fills some of the gaps.
The contribution of volunteering and a wider asset based approach to active ageing and intergenerational solidarity in Europe
Authors: Robertson Guy 
Published: March 2013

PurposeThe purpose of this paper is to outline learning and good practice across Europe on the deployment of asset based approaches for promoting active ageing and intergenerational solidarity.Design/methodology/approachThe paper draws on a wide ranging review of good practice across Europe distilled from desktop analysis and two European roundtable sessions with key stakeholders.FindingsThe paper analyses the current level of volunteering by older people across Europe and the evidence for its benefits to the health and wellbeing of older people. It then goes on to provide analysis and good practice regarding area and individual based asset approaches, as well those relevant to addressing the social exclusion faced by people with dementia.Practical implicationsThe analysis and good practice examples in the report provide resources for developing effective asset based approaches to promoting active ageing and intergenerational solidarity.Originality/valueThe review of European experience is particularly original. There has been little if any European review of asset based approaches to active ageing and intergenerational solidarity. Learning from practice elsewhere enables more confident initiatives to be taken up and developed.
The best things in life are free: community‐powered advocacy
Authors: Wightman Clare 
Published: March 2013

PurposeThis is an opinion piece about exploring fresh approaches to advocacy for older and disabled people. The purpose of the paper is to suggest a new role for professional advocates. Professional advocacy help can be an important first step to a stronger life or it can be a revolving door. It makes all the difference when we've got people around us who can help us to get over problems, and not feel we're stuck on our own. But most users of services have no one whom they can turn to when things get tough for them. What if we designed advocacy services so they acted on the causes of demand for advocacy, rather than delivered a number of advocacy transactions?Design/methodology/approachThis article uses the experiences of Grapevine in Coventry and draws on the findings of a project conducted with advocacy organisations in the Midlands and South East, many of whom felt that professional advocacy was not getting to the root of the problem.FindingsAdvocacy practice is about being a corrective to failures in other services and an intermediary between service users and providers. It can be very vulnerable at times to being seen as an “add‐on” of unproven value.Practical implicationsThe article asks practitioners to consider the new role advocates might play in developing and connecting networks of local people for mutual help and support. This “community‐powered” advocacy could provide effective root cause help and protect the sector's legitimacy during unprecedented financial austerity.Originality/valueThe paper is of value to practitioners and commissioners of advocacy services.
The role of symbols signalling the product status on online users' information processing
Authors: Gurrea Raquel , Orús Carlos , Flavián Carlos 
Published: March 2013

PurposeThe purpose of this paper is to examine the influence of the presence and type of product symbol on online users' information search behaviour. Adopting an information processing perspective, it gathers objective and self‐reported measures and investigates the relationships between them.Design/methodology/approachAn experiment was conducted with a sample of 174 individuals. The presence of a symbol recommending the product or signalling its popularity within the website was manipulated. Participants' need for cognition was measured.FindingsThe presence of a product symbol positively influenced users' cognitive elaboration and perceptions of information diagnosticity. Significant differences of situational and individual characteristics, related to the type of symbol and the users' motivation to process information, were detected.Research limitations/implicationsDual information processing theories represent an adequate framework to analyse the ways in which online users perceive and process product symbols, and how they incorporate them into their diagnosticity perceptions. The presence and type of product symbols operate through different mechanisms depending on the user's need for cognition. Web designers should consider displaying these cues in online product presentations, given their potential to improve the quality of consumers' thoughts and diagnosticity perceptions.Originality/valueThis is one of the first studies which examines how product symbols affect online users' information processing and evaluations. The paper offers a complete view of online information search behaviour by gathering users' objective and self‐reported measures. In addition the paper stresses the importance of contextual variables related to the messages and individual's characteristics.
Exploring the effect of the human brand on consumers' decision quality in online shopping
Authors: Wook Chae Seong , Chang Lee Kun 
Published: March 2013

PurposeThe purpose of this paper is to investigate how employing human brands affects consumers' decision quality in an online shopping environment by analysing visual attention using an eye‐tracking technique.Design/methodology/approachThe experimental design used to examine the effect of human brands in an online shopping environment was a two‐factor repeated measure with two levels for each factor. The first factor of the design was a within‐factor measure of the product type, and the second was a between‐factor measure of the level of perceived decision quality. For this experiment 38 healthy participants were recruited at a university in South Korea.FindingsFirst employing human brands in an online shop influences consumers' perceived decision quality. Second the results support a significant difference in perceived product trust between the two perceived decision quality levels. Finally the product type influences consumers' perceived trust towards the product.Research limitations/implicationsThis research has the limitations of a relatively small sample size and the use of a sample of university students, which may not be representative of the general population. Future researchers could utilise experiments to analyse the message area of the screen for detailed product descriptions and include various samples, which could result in additional insights and generalised experimental results.Practical implicationsEmploying human brands can improve consumers' decision making processes and enhance the quality of their decisions by reducing cognitive effort and appealing to consumers emotionally through heuristic choices. In addition it can increase trust towards products and, furthermore, lead consumers to think positively about the quality of the decisions they make. The paper suggests that companies apply human brands in online shops to improve consumers' decision quality and obtain competitive advantage.Originality/valueOne of this paper's contributions is employing a multi‐method approach, a self‐reported questionnaire and eye‐movement data, to gain a deeper understanding of the data when observing a complex phenomenon, as consumers themselves may not be aware of their reactions in such situations.
Factors affecting the intensity of emotional expressions in mobile communications
Authors: Kwon Ohbyung , Kim Choong‐Ryuhn , Kim Gimun 
Published: March 2013

PurposeThe use of text‐based communications such as instant messaging or social media such as Twitter has been growing significantly as the use of mobile devices increases. Not only do people share information via mobile communication, there are significant implications for advertising and marketing. Due to display limitations, however, the message senders use various conventions in addition to the text‐based message to more clearly and richly express emotions. Since users use a range of expressions to convey these emotions, it would be very useful to verify the relationships between users' emotional expressions and receivers' perceptions of the expressions. The purpose of this paper is to propose an integrated model to examine the relationship between emotional expressions and the emotional intensity of the receivers.Design/methodology/approachThe authors formulated a series of research hypotheses and tested them using empirical survey data. The research model used is based on regression analysis with dummy variables for statistical analyses.FindingsFirst, emotional intensity had a closer relationship to user acceptance than was expected. Second, the use of exclamation marks and emotional messages are far less acceptable in negative messages. Third, the high formalisation group has a more positive emotional intensity in their basic expression.Originality/valueThe authors successfully determined that emotional expressions significantly affect the message receivers' emotional intensity and hence acceptance of the message.
Performance monitoring system for a biomass gasifier
Authors: Sampson Mamphweli Ntshengedzeni , Leroy Meyer Edson 
Published: March 2013

PurposeThe aim of this research is to build a low‐cost gas and temperature profiling system for data acquisition at a biomass gasifier.Design/methodology/approachA gas and temperature profiling system was developed from NDIR sensors, Pd/Ni sensor, a number of type K thermocouples and a data logger interfaced to a computer.FindingsThe results obtained using the system were in agreement with the results obtained using a gas chromatograph for gasses. The temperature recorded during the testing also followed the expected temperature of the gasifier used.Research limitations/implicationsThe lifetime of the developed system depends on the lifetime of the sensors used. NDIR sensors have a lifetime of three years working on a continuous basis and the Pd/Ni sensor has a lifetime of ten years. Replacement of the Pd/Ni sensor after ten years is not a problem as the payback period of biomass gasifier systems is around eight to ten years.Practical implicationsThe major implication for this research was that low‐cost gas and temperature measuring systems could be developed. These could be useful particularly for PhD students and other researchers who need to get onsite data on gas and temperature profiles at a gasifier system for a period of three years.Social implicationsBiomass gasifier technologies can be used to provide power in rural areas that are outside the national utility grid but endowed with biomass resources. The provision of electricity to these communities could solve social challenges such as exposure to smoke in open fire normally used by rural women for cooking. The developed data acquisition system is therefore necessary to conduct research on gasification.Originality/valueThe findings of this paper are of importance to researchers who need online data but do not have funding to purchase bulky and expensive equipment's for gas analysis at biomass gasifier systems.
In‐housing or out‐sourcing on‐site materials handling in housing?
Authors: Lindén Samuel , Josephson Per‐Erik 
Published: March 2013

PurposeThe purpose of this paper is to discover whether on‐site materials handling should be performed in‐house or out‐sourced. This is done by studying visible and hidden costs related to materials handling and of the managers' awareness of these costs.Design/methodology/approachThe data have been gathered through 15 interviews, a number of short discussions on construction sites, and direct observations on six occasions in four housing projects in Scandinavia.FindingsIndirect and waste costs for materials handling on construction sites are unknown and are often underestimated during budgeting, planning, scheduling and organizing construction projects.Practical implicationsThe short case‐studies indicate that the benefits of out‐sourcing on‐site materials handling outweigh the costs.Originality/valueThe solution for materials handling in practice studied in the paper is undergoing rapid development in Scandinavia.
Vendor managed inventory (VMI): evidences from lean deployment in healthcare
Authors: Machado Guimarães Cristina , Crespo de Carvalho José , Maia Ana 
Published: March 2013

PurposeUnderstanding how VMI benefits serve lean purposes in healthcare and why its outcomes can be difficult to achieve in healthcare settings is the main purpose of this study.Design/methodology/approachAn in‐depth case study of VMI is presented in the perspective of the downstream member, a public general multi‐site hospital, operating as a small scale consolidated service centre in terms of material management, exploring such dimensions as: VMI benefits, risks, barriers and enablers.FindingsDespite some unawareness of VMI benefits in healthcare, it can present a waste reduction solution not only in costs but in the quality of care for freeing clinical professionals to clinical tasks, among other savings. The multiple benefits are better explored, as in any relationship building, by investing in partnership creation and overcoming the idiosyncratic barriers of the healthcare sector.Research limitations/implicationsAlthough findings of a single case study are difficult to generalize, the protocol and methodology presented allow replication in other units of analysis with the same inclusion criteria.Practical implicationsThis paper brings the lean deployment discussion out of the organization's boundaries, showing the interconnections and pointing to the need for future work that would allow healthcare managers to build a lean supply chain.Originality/valueBy considering VMI an outsourcing alternative, this paper identifies the lean thinking intent behind such options and enhances the idiosyncratic difficulties in full deployment in the healthcare sector, a less studied setting.
Vendor managed inventory in the blood supply chain in Germany
Authors: Stanger Sebastian H.W. 
Published: March 2013

PurposeThe purpose of this paper is to develop a generic framework for the assessment of VMI implementation. The framework is used for the analysis of multiple case studies in German hospitals to discuss the feasibility of VMI in the German blood supply chain.Design/methodology/approachThe methodology is twofold. In a first step, the literature is reviewed and a generic theoretical VMI framework is developed. In a second step, the case study methodology is applied to 13 cases to assess the feasibility of VMI in the German blood supply chain.FindingsThe paper contributes a generic framework for assessing the implementation of VMI in seven steps. The research proposed that hospitals hesitate to enter a VMI relationship for critical resources such as blood. Hospitals fear losing control over critical resources.Research limitations/implicationsThe unit of analysis is hospitals in Germany and the case studies do not target the suppliers in the supply chain. The paper contributes three propositions regarding VMI in the healthcare/blood supply chain.Practical implicationsA generic framework for assessing the applicability and feasibility of VMI is provided which supports managers with the implementation of VMI in a supply chain.Originality/valueThe paper is one of the first papers targeting inventory and supply chain management in the German blood supply chain. It provides a generic framework for the assessment of the feasibility of VMI.
Drug inventory management and distribution: outsourcing logistics to third‐party providers
Authors: Azzi Anna , Persona Alessandro , Sgarbossa Fabio , Bonin Mauro 
Published: March 2013

PurposeThe purpose of the present research is to explore the current situation and future expectations on whether to self‐manage or outsource logistics operations in centralized healthcare networks, and to analyse and quantify the relationships between logistics outsourcing, costs and performance.Design/methodology/approachThe paper is based on a thorough study of a local Italian healthcare network, which evaluated the economic sustainability of logistics outsourcing. The data were collected using interviews, documentation and observations in hospital pharmacies and wards, and by referring to public information available on the internet. A system dynamic simulation followed by a sensitivity analysis was used to investigate the impact of changing key variables as well as the advice of logistics providers.FindingsThe sensitivity analysis demonstrates that logistics outsourcing is often the most economical choice.Social implicationsPerformance‐oriented concepts applied to healthcare have many pros in terms of sustainable delivery of quality healthcare at affordable costs.Originality/valueWhile there are numerous studies on logistics outsourcing in many industries, when it comes to the healthcare sector literature is scarce, probably due to the great changes this sector has faced in recent times: thus, the paper's quantitative findings should be seen as a first attempt to assist the “make‐or‐buy” decision process toward sustainable development of the healthcare sector.
The “Management Standards” for stress in large organizations
Authors: Mellor Nadine , Smith Phoebe , Mackay Colin , Palferman David 
Published: March 2013

PurposeIn Great Britain, the ‘”Management Standards” were launched in 2004 and formally published in 2007 by the Health and Safety Executive to help organizations manage work‐related stress. The purpose of this paper is to examine how these Standards are translated into organizational practice.Design/methodology/approachThe research uses case studies carried out in five large organizations drawn from the public and private sectors in Great Britain.FindingsSenior management commitment and worker participation are key to managing work‐related stress and are commonly reported across organizations, although to variable form and depth. The solution chosen to identify stress issues is a short assessment of all staff via annual staff surveys, coupled with in‐depth assessments of groups at risk. Common practice also includes combining individual and organizational interventions. One significant challenge emerges as the translation from identified stress issues to focussed interventions and their evaluation.Research limitations/implicationsThe implementation processes outlined in this study are by no means exhaustive due to the small sample size but are consistent with previous research.Practical implicationsThe findings suggest that the HSE Management Standards approach for dealing with stress issues is do‐able. Refining the information in the HSE guidance on implementing and evaluating interventions and broadening the current focus on organization‐level interventions is needed.Originality/valuePublication of case studies of the implementation of the Management Standards has been limited. This paper illustrates the efforts made by large organizations to integrate national guidance on stress and this could be used for guiding and improving stress management in similar work settings.