Genuine Care Research Articles

Managing Performance Through Accountability

This article provides a step-by-step guide for holding people accountable in the workplace in a meaningful way that supports performance improvement and builds trust between managers and direct reports. Drawing from scholarly literature and the author's 15+ years of management consulting experience, key best practices are outlined for establishing clear performance expectations, monitoring progress through ongoing feedback, addressing performance gaps respectfully, and leading accountability discussions with empathy. Specific strategies are presented for setting behaviorally-specific goals jointly with employees, tracking metrics over time, providing balanced constructive feedback regularly, diagnosing root causes of issues versus blame, and focusing on solutions rather than past mistakes. Empirical research is cited throughout demonstrating the interpersonal and business benefits of accountability when applied judiciously through transparency, mutual understanding and genuine care for individuals' development. The article aims to help managers successfully navigate this important yet delicate aspect of people leadership.

Physiotherapy in acute geriatrics wards: What (de)motivates patients? A qualitative study based on self-determination theory

BackgroundWhile the benefits of physiotherapy for hospitalized older patients (HOPs) are well established, these patients are often considered demotivated by healthcare team members (HTMs), which is perceived as a hindrance to their rehabilitation. The quantitative data currently available on the lack of involvement of HOPs are mainly measures of mobility. Motivation as such has, to our knowledge, never been measured. Therefore, this study aims to quantify for the first time the motivation levels of HOPs in their participation in activities of daily living (ADLs) and physiotherapy, and to explore the motivating factors behind their participation in physiotherapy.MethodsThe motivation of 60 older patients hospitalized in an acute geriatrics ward was quantified using the Scale of Demotivation Assessment (SDA). Out of these participants, 14 were interrogated through individual semi-structured face-to-face interviews. After transcription, data were analyzed according to Self-Determination Theory, which has been proven effective in the understanding of motivational mechanisms.ResultsThe prevalence of demotivation was 47% (95% CI: [0.34;0.6]) for ADLs and 35% (95% CI: [0.23;0.48]) for physiotherapy. The main demotivating factors were the feeling of external control (lack of autonomy) and dependance experienced by HOPs, as well as the limited availability of staff during hospitalization. Conversely, feelings of competence, security, respect for limits, and commitment from the HTMs were important motivating factors.ConclusionA large number of relational factors have an impact on the motivation of HOPs regarding their participation in ADLs and in physiotherapy sessions. Appropriate time and space organizing and the provision of suitable equipment, combined with a genuine caring and respectful attitude from the HTMs, could considerably encourage the expression of intrinsic motivation and thus the involvement of HOPs in their own care program.

Identifying predictors of malingering in psychiatric emergency room settings and evaluating intervention strategies to reduce unnecessary er utilization. Literature review

Malingering in psychiatric emergency room (ER) settings presents a significant challenge, leading to unnecessary healthcare resource utilization and potentially compromising patient care. This literature review examines predictors of malingering and evaluates intervention strategies aimed at reducing unnecessary ER visits. The review identifies a range of predictors, including demographic factors, clinical presentations, historical elements, and motivational aspects, that may indicate malingering. Tools such as structured interviews, validity scales, and behavioral observations are highlighted for their effectiveness in identifying malingering behaviors in psychiatric ERs. The review also explores various intervention strategies, including early identification protocols, staff training programs, and collaborative care models, which have shown promise in mitigating the impact of malingering on healthcare systems. These strategies are important in ensuring that resources are appropriately allocated while maintaining high standards of patient care. However, ethical considerations, particularly the balance between detecting malingering and providing genuine patient care, remain critical challenges. Addressing these issues is essential for improving the efficiency and effectiveness of emergency psychiatric care and ensuring that patients receive appropriate and timely care.

Developing Servant Leadership through Experience and Practice: A Case Study in Service Learning.

Servant leadership is characterized by a core altruistic calling and central attributes of genuine caring, humility, and empathy, and in recent years, has become a style of leadership recommended to be addressed in sports management classrooms because of its associated positive outcomes and emphasis on ethical behavior and decision-making. As the relevance and popularity of servant leadership continue to grow, it gives rise to matters of how this approach to leadership can be better studied and taught to current and aspirant sports professionals. Thus, the purpose of this qualitative case study is to analyze a community-based service-learning project as a mode for developing servant leaders as part of a college sports management curriculum. Nineteen upper-level college sports management students participated in this study by serving as mentors in an after-school program for underprivileged elementary school students for 12 h across the course of six weeks. Participants then completed a written reflection upon the conclusion of the service project. Content analysis of these reflections suggests that service learning may be a positive method for developing servant leaders. The article closes with a discussion of findings, proposed future research questions, as well as ideas for future service-learning projects aimed at developing servant leaders.

Lessons from the Hospitality Industry: What Healthcare Can Learn about Innovating in Leadership and Patient Experience

In this episode of SoundPractice, host Mike Sacopulos explores the intersection of healthcare and hospitality with Antonia Hock, an expert in customer and employee experience and former global head of the Ritz-Carlton Leadership Center. They discuss how healthcare can learn from the hospitality industry’s focus on culture, teamwork, and a genuine care mindset to enhance patient experiences. Hock emphasizes the importance of empowerment, daily reinforcement of positive culture, and attention to emotional needs. Through personal anecdotes and practical advice, Hock illustrates how healthcare professionals can adopt hospitality principles to improve patient care and outcomes.

Carer Perspectives About the Acceptability and Usability of the TRANSITION Tool to Support Preparation for Older Adult Care Transitions: A Qualitative Study.

Transitional care of older adults can be highly stressful for informal carers (carers) particularly when they are not involved in preparation and planning with health practitioners. This study aimed to ascertain carer perspectives about the potential acceptability and usability of a tool entitled the TRANSITION tool to support preparation and planning for the transition of an older adult from hospital to home. Exploratory qualitative. Semi-structured interviews were undertaken between March 2020 and October 2021. A focus group was conducted in July 2022 to seek additional information and support data saturation. A total of 23 participants took part. Data were thematically analysed. Participants explained their perspectives about the tool in four themes: (1) the TRANSITION tool has value, but health practitioners ask the questions; (2) the TRANSITION tool would be useful and acceptable, but not for all carers; (3) interacting with health practitioners is a barrier to using the tool and to communication; and (4) recognising us as part of the care team. While the tool was found to have potential value and utility, it would only be expected to support carers when they are valued and respected by health practitioners. Leadership is required in healthcare organisations to support genuine care for older adults and their carers, and to enable health practitioners to have time for transitional care communication. The findings from the study suggest that the TRANSITION tool could support carers by prompting them about important areas of care to include in communication with health practitioners during discharge preparation.

Care, Support, and Solidarity: Families Demanding a Universal Vision of Student Flourishing

In this collaboratively written article, we share what we have learned in our over decade-long partnership working across social and institutional boundaries, including: the right for students to be taught through a strength-based perspective; the necessity of communication between schools and communities; and insights into how educators can foster genuine care with families. We conclude with recommendations about how educators can work in solidarity with families to promote a robust universal vision of student flourishing.

Learning to the rhythm: On the potential of music in fostering relations in the classroom

AbstractThis article draws on a case study of a third‐year geography course to explore the potential of music in fostering relational pedagogy in higher education. We argue that the reciprocal nature of music sharing generates a dialogical space that allows for multiple relations to be developed between the learners and their selves, among students and peers, between learners and teachers, as well as between students and the materials they study and the wider world. Furthermore, music encourages an approach to pedagogy that is emancipatory and which is characterised by genuine care, humility and trust.

Risks and challenges of living in Institutions: Voices from young people with care experience in China

Amid global shifts towards family-based alternatives, China persists with prevalent institutional care, drawing attention to concerns surrounding caregiving practices. Official data indicates a substantial population, approximately 27.36% of all childcare recipients, living in state-funded care institutions, prompting an exploration of the risks factors faced by these young individuals. This study focuses on exploring risk factors of living in institutions, providing a unique perspective often absent in existing literature—the voices of the care-experienced youth themselves. It included 34 young people who had lived experiences in institutional care. Participants were interviewed to gather their experiences of living in care. Thematic analysis reveals that the overriding risk factors during young people’s living in care range from care identity and parental absence to substandard living conditions, unqualified caregiving, excessive domestic responsibilities, institutional neglect of education, environmental instability, and physical impairments. These challenges contribute to unfavourable outcomes during the transition to adulthood. Therefore, this study concludes that institutional care is suboptimal for children and young individuals in need of genuine care. Based on the findings, practical implications are provided for policymakers and practitioners to make improvements. Nonetheless, ongoing research is essential to contextualise care experiences within current policies, ensuring lessons from historical accounts guide future efforts to enhance the lives of young people in care.

The Influence of Crucibles of Experience in Moral Development & Psychology of Public Relations Exemplars

ABSTRACT This study conducted life story interviews with 40 members of the PRSA College of Fellows to examine the influence of crucibles (i.e. trials, challenges or growth opportunities) in the moral development and psychology of public relations exemplars. The outcomes were the development of an illustration of their moral and leader development journey drawing on Rest’s four-component model of ethical decision making, and a moral psychology profile of the key characteristics of public relations exemplars. The profile that emerged is that of leaders who exemplify moral courage, resilience, generosity, genuine care about others and are willing to listen and learn. When they faced trials, they emerged stronger and stayed true to their values and character.

The processes and outcomes related to 'family-centred care' in neuromotor and functional rehabilitation contexts for children with cerebral palsy: A scoping review.

The aim of this study is to identify the main processes and outcomes related to family-centred care (FCC) in neuromotor and functional rehabilitation of preschool children with cerebral palsy (CP). FCC is considered a reference for best practices in child rehabilitation. CP is the most common cause of physical disability in childhood with repercussions on functionality. There is a gap in knowledge of the practical principles of FCC, and it is necessary to develop a reference model for the practice of child rehabilitation professionals. In this scoping review, the main databases selected were as follows: LILACS; Pubmed; Embase; The Cochrane Library; CINAHL (EBSCO); Scopus; Web of Science; PEDro (Physiotherapy Evidence Database); Open Gray and other banks of thesis. The terms combined in the search strategy were as follows: 'Family-centered', 'Family-centred' and 'CP'. Inclusion criteria are as follows: studies on preschool-aged children with CP, undergoing family-centred functional therapeutic interventions (FCFTI) with outcomes on bodily structures and functions and/or activities and/or participation. The main participatory care methods identified were home intervention, environmental enrichment, collaborative realistic goal setting, planning of home-based activities and routine, child assessment feedback, family education/training, family coaching, encouraging discussion, observation of therapist and supervised practice. The main relational care qualities identified were as follows: respect, active listening, treat parents as equals, clear language, respect parents' ability to collaborate, demonstrate genuine care for the family, appreciate parents' knowledge and skills, demonstrate competence, experience and commitment. The main outcomes identified in children were improvement in motor and cognitive function and the child's functional ability. The main parentaloutcomes identified were empowerment, feeling of competence, self-confidence, motivation and engagement. The main differences in FCFTI programs refer to the parental education/guidance component and the amount of intervention carried out by parents. It is possible that the elements chosen by the therapist in a FCFTI depend on characteristics of the child and caregivers.

Experiences From Treatment for Anxiety and Depression Among Youth in Foster Care: A Qualitative Study

ABSTRACTYouth in foster care are at high risk of internalizing problems. However, research is scarce regarding their experiences of mental health treatment. This knowledge is important if mental health services are to meet their needs. Through qualitative interviews, we explored the experiences of youth in foster care (N = 9, aged 16–18 years) having been treated for anxiety and depression. Systematic text condensation was used to analyse the transcribed interviews. The youth reported different paths to accessing treatment. They conveyed the need for therapists to build trust and demonstrate genuine care by advocating for them. They valued learning strategies to manage their symptoms and reported that to adopt these strategies, introspection and psychoeducation were necessary. Finally, they emphasized the importance of the treatment setting (e.g., outdoors versus in a traditional office setting). Findings indicate that it was arbitrary as to who helped the youth access treatment. Moreover, for youth to feel they benefitted from the treatment, certain features of the youth–therapist relationship and treatment content proved central. The findings are relevant for clinicians and policymakers within child welfare and youth's mental health services.

The role of ethical leadership in resilient corporations

This paper suggests that to ensure resilient and sustainable organisations, ethical leadership needs to go beyond strict rule compliance, using a four-pronged approach: 1. Collect and monitor broad indicators, quantitative and qualitative, that may signal an increase in ethical risks; 2. Create an open and safe dialogue culture where voicing risks and concerns is actively encouraged. 3. Develop a values-based corporate culture where duty of care, in its widest conception, guides policies and decision making by all members of the organisation. This implies actively supporting those who (i) show genuine concern and care for the organisation; (ii) care for one another and for their staff; (iii) care for stakeholders, including clients and those that may be negatively affected by its operations; 4. Create trust in this values-based culture by ensuring a gradual, people-centred response to inappropriate conduct, away from the traditional rules-based legalistic approach that has fuelled distrust in the system's ability to heal internally.

Pediatric Pain Management: Exploring the Roles of Medical Staff and Families

Pediatric pain is a significant medical problem that can affect children, their families, and healthcare professionals. It may arise from medical disorders such as surgical procedures, accidents, and other causes. The objective of this study was to examine the current literature on advancements in pediatric pain treatment and investigate the responsibilities of healthcare professionals and families in the management of pediatric pain. The researchers conducted a comprehensive search using prominent research engines such as Google Scholar, Science Direct, and PubMed. The researchers in this study conducted a comprehensive review of the relevant published literature and subsequently provided a concise summary of their findings. The findings of this study have substantiated that pediatric pain is a significant health issue that necessitates genuine and appropriate care. Nevertheless, the research has shown the emergence of many instruments that can be utilized to assess the degree of pain and effectively address it. Collectively, families play crucial roles in the administration of pediatric pain, which complements the responsibilities of medical personnel.

The Proper Catholic and Pro-life Response to Life Limiting Anomalies

While perinatal hospice seems like a compassionate alternative to abortion, there are several pitfalls in the diagnosis of certain conditions considered ‘lethal’ or ‘fatal’ fetal anomalies. Some conditions—including trisomy 13 and 18, severe brain malformations, conditions leading to lung underdevelopment, and absent or severely damaged kidneys—are generally cited as lethal. However, when approached with supportive medical care rather than hospice care, many of these conditions can lead to months, years, and even decades of survival. This calls into question the logic of expectant management rather than genuine medical care in instances of conditions considered lethal.

Accomplishing Robotic Autonomy: The Complexities of Sociotechnical Care and Agency in the Laboratory

Effective ethical interventions in emerging technologies such as robotic autonomy demand situated understandings of the practices that shape them. Drawing upon a year of participatory ethnography, this study examines the sociomaterial practices used to accomplish robotic agency in an engineering research laboratory. Ironically, the robot was often a helpless, even pathetic, figure. Roboticists displayed an attitude of surprisingly genuine, diligent, and self-effacing care toward the robot as they helped enable it to perform basic competencies such as picking up a bottle. Using a practice theory, we show how roboticists’ care practices, motivated and sustained by anticipatory narratives of robotic agency, accomplish robotic autonomy. We argue that interventions must acknowledge and engage with the complex dynamics of technologists’ care to be effective.

Peningkatan Kemampuan Menyimak Cerita Fantasi Melalui Media Audiovisual Siswa Kelas VII SMP Negeri 4 Gunungsitoli Selatan

Listening is something that requires genuine care and attention. This study aims to determine audiovisual-based learning on fantasy story material in students of SMP Negeri 4 South Gunungsitoli. This study is Classroom Action Research (PTK). 26 grade VII students were used as data sources for this study. The method of data analysis is carried out qualitatively. The research was conducted in two cycles, cycle I and cycle II, each of which lasted for four times the learning process. The findings of this study showed that twenty-two students were able to understand the material quite well. Therefore, it can be concluded that audiovisual learning media can help students listen to story material

Marketing Strategies for Promoting Speech Therapy Services

This article presents a comprehensive study of contemporary approaches to promoting speech therapy services, divided into three main directions: digital platforms, community engagement, and referral systems. The study emphasizes that digital platforms are indispensable in today’s informational activities, considering the growing number of digital opportunities for branding and education these platforms offer. Audience engagement focuses on genuine interaction, connecting to local structures such as schools and media, thereby strengthening brand trust and loyalty. Referral systems, based on professional interdependence, demonstrate the effectiveness of recommendations from both satisfied clients and professional peers. Delving into these strategies, the article consistently underscores the ethical imperatives of marketing in the pedagogical realm. It is asserted that providing genuine value and caring for client well–being should underpin all advertising efforts. In conclusion, this article serves as a comprehensive guide for speech therapists seeking to navigate the intricate realm of modern marketing, offering strategies grounded in authenticity and value delivery.

Unrequited Labour of Care in Kazuo Ishiguro’s Klara and the Sun

In this article, I explore questions of care and selfhood from both the humanist and post-humanist perspectives, as they play out in Kazuo Ishiguro’s Klara and the Sun. Ishiguro’s novel portrays a tragic, futuristic universe, not too different from ours. Klara is an Artificial Friend, a robot caregiver, whose purpose of existence is to care for the child, Josie. However, theirs is not a relationship of reciprocity, as the novel presents a world where care is commodified as emotional labour. It is a world where the worker is manipulated into practising an ethic of care, while the cared-for is encouraged to receive it as mere paid service. In the particular case of Klara, her personal investment in caring for Josie guarantees that she loses everything in the end, including her ‘self’. I discuss here the ways in which Klara is shown throughout the novel to carefully construct a sense of self and an understanding of her place within the environment, only to eventually lose it in the performance of her one-sided duty of care, imposed on her by the system. I examine the ways in which care is co-opted within an unempathetic economy so that the cared-for receives genuine love and care while the carer is simply used and abandoned, feeling humiliatingly dispensable and, simultaneously, eminently privileged to have been of service.

FRANCES HESSELBEIN CARED FOR PEOPLE FIRST

AbstractThe author recounts his friendship with Frances Hesselbein, and conversations that tied her leadership philosophy with genuine care for others. For Hesselbein, “valuing all people and giving them a voice in matters that were important to them was the right thing to do.” The author continues that “People gave their best efforts for Frances because she helped them feel they were part of a worthy mission and showed them she cared about them.” Drawing on the years when Frances was the CEO of the Girl Scouts of the USA, he lists various reasons for her success with that institution, including “She kept up with what was going on in the lives of those around her and personally reached out to anyone when congratulations or consolation were in order.” And: “In planning and allocating resources, she introduced a circular management process that involved nearly everyone within the organization.”