Client Level Research Articles

Acceptability analysis method for evaluate data on twitter using support vector machine

The first model centres around believability at the client level, tackling different elements of information stream into a registered validity rating. The next model specifies a methodology to find believability score for singular tweets. We built up the system for validity on Face book by evaluating the validity of: (i) the reliability of the web sources discussing a case, (ii) the dialect style of the articles revealing the case and, (iii) their position. We at that point gathered the preparation information for making a model utilizing Support Vector Machine (SVM). Furthermore the standardization technique is essential advance for purifying information before utilizing the machine learning strategy to order information. The outcome demonstrate that Naïve Bayes to identify the Fake news has precision 96.08%. We distinguish basic examples of transiently agent discussion subgraphs and speak to their subjects utilizing Latent Dirichlet Allocation (LDA) demonstrating. We break down how the information had proliferated, and the moves were made in light of the source. The component retweet was considered as a proportion of examination to upgrade the reliability of the spread information. The performance of our positioning calculation essentially upgraded when we connected re-positioning system.

The role of client participation and psychological comfort in driving perceptions of audit quality

PurposeWith increased competition under the establishment of the ASEAN Economic Community (AEC) in December 2015, CPA and Tax Auditors are free to export their services within AEC partner countries. Hence, it is crucial that the growing numbers of auditors in the region differentiate themselves by providing superior perceived audit quality and client value in order to retain (and attract) clients. Based on theoretical foundations of service-dominant logic and culture theory, the purpose of this paper is to investigate the role of client involvement in the audit process and client psychological comfort in influencing client perceptions of audit quality.Design/methodology/approachA survey was used to collect data from firms listed on the Thai Stock Exchange. The unit of analysis was the client firm. A key informant method was used whereby a senior manager, heavily involved in the auditor assessment and selection process answered all questions on behalf of their company. Data from 190 firms are subsequently analyzed with structural equation modeling.FindingsBoth client level of involvement and psychological comfort impact their perceptions of three dimensions of audit quality: service quality, independence and competence. Audit quality in turn is strongly associated with overall client satisfaction.Originality/valueWhile various scholarly works have examined audit quality, this study does so in an emerging, highly collectivist culture (Thailand) where due to cultural norms, relationships take on added importance. More importantly, for the first time, the study shines the spotlight on the role that client involvement in the audit process, and client psychological comfort, play in influencing client perceptions of audit quality.

Exploring the Experiences of Child Welfare-Focused Therapeutic Service Providers.

The importance of mental and behavioral health for child welfare clients is well-documented; yet, little is known about the challenges therapeutic service providers (TSPs) experience working in child welfare practice. To explore this topic, five focus groups were conducted with 40 TSPs in a contracted mental and behavioral health agency and data were analyzed following an inductive thematic process. Eleven primary challenges were identified, including the difficulty of navigating numerous involved parties, an overwhelmed work environment, legal intersections common to child welfare cases, unrealistic agency expectations, and heighten case complexity when working with child welfare populations. Findings are organized across system, agency, and client levels and add to the understanding of TSP perspectives working with child welfare. Targeted interventions are discussed, such as efforts to promote realistic expectations and training strategies, as well as directions for future research to improve the intersection between child welfare and mental and behavioral health.

Currency Mispricing and Dealer Balance Sheets

We relate currency mispricing originating from the breakdown of covered interest rate parity to the dealer balance-sheet constraints resulting from the post-crisis financial regulation. Using a unique data set on contract-level foreign exchange derivatives with disclosed counterparty identities, we find that dealers with a higher leverage ratio demand an additional premium from their clients for synthetic dollar funding. We handle endogeneity using two exogenous variations associated with the public disclosure of the leverage ratio, and the introduction of the UK leverage ratio framework while controlling for changes in demand conditions at the client level.

Cleaner personality and client identity have joint consequences on cleaning interaction dynamics.

Mutualistic interactions involve 2 species beneficially cooperating, but it is not clear how these interactions are maintained. In many mutualisms, one species interacts with multiple species, and since partners differ in terms of the commodities they trade, partner identity will directly influence the decisions and behaviors of interacting individuals. Here, we investigated the consequences of within and between-species diversity on a model cleaner–client interaction in a natural environment, by quantifying the behavior of both partners. We found that the predominant Caribbean cleaner fish, the sharknose goby (Elacatinus evelynae), shows personality variation as we documented repeatable individual differences in activity, boldness, and exploratory behaviors. Personality variation was associated with cleaner–client interactions: cleaner boldness and activity were significantly related to posing by clients and cleaning, respectively. Cleaner personality variation was also associated with the functional identity (sociality, mobility, body size, and trophic level) of clients posing and being cleaned. We thus demonstrate that partner identity can have consequences on mutualistic outcomes which will contribute to the context-dependency and highly heterogeneous patterns we observe at a population level. We also suggest that within- and between-species differences have consequences on partner choice, a feature that has been previously thought to be absent from these cleaner–client interactions.

THE DIFFERENCES BETWEEN DEPRESSION LEVEL BEFORE AND AFTER BEING GIVEN LOGOTHERAPY IN CANCER CLIENTS AT KEN SARAS HOSPITAL SEMARANG REGENCY

Cancer is one of the most feared diseases that cause death. The most common psychological problem found in cancer clients is depression which can affect the treatment, extend the hospitalization time, decreases the therapeutic process, and client's survival. To overcome the problem on the client, nursing intervention can be given in the form of logotherapy. The purpose of this study is to determine the differences between depression levels before and after logotherapy in cancer client at Ken Saras Hospital, Semarang Regency. This research design used pre-experiment with one group pre-posttest design. The population of this study was cancer patients at Ken Saras hospital as many as 22 respondents by using purposive sampling technique and data collecting tool used Back Depression Inventory. Data analysis used t-test dependent test. The results show that the depression level of cancer clients before logotherapy is mostly in moderate category (86,4%), the depression level of cancer clients after logotherapy is mostly in mood disorder (63,6%). There are differences between depression levels before and after logotherapy of cancer client at Ken Saras Hospital, Semarang Regency, with p value (0,000) <α (0,05). Ken Saras hospital should utilize logotherapy as a complementary therapy to support the psychological side of cancer patients so that the healing process can run optimally. Keywords: Logotherapy, Depression Level, Cancer

Using Plan-Do-Study-Act and Participatory Action Research to Improve Use of Risk Needs Assessments

ABSTRACTMany community supervision agencies use a risk/need assessment tool (RNA) to assess client risk level, inform case planning decisions, and allocate supervision resources. Research suggests agencies do not always implement RNA tools as intended, without offering practitioners solutions for improving these implementation concerns. Using a participatory action research framework, this case study highlights one probation office's efforts to improve their RNA fidelity concerns by using Plan-Do-Study-Act (PDSA), a data driven problem-solving strategy. Findings show increases in officer knowledge and comfort using the RNA, while revealing gaps in training, dissemination, and the underlying premise for the tool in practice. Results offer guidance for researchers and practitioners in developing collaborative and problem-solving research agendas to enhance the fidelity of evidence-based practices.

The Influence of Bibliocare on Depression Level of Cancer Client with Chemotherapy

Cancer clients undergoing chemotherapy require stimulation from cognitive aspects to turn negative perceptions into positive ones. Utilization of a book as a media therapy is called bibliocare. This study is aimed to analyze the effect of bibliocare to change depression level in cancer client with chemotherapy. This study was Quasi-Experiment, population in chemotherapy center of Dr. Mohammad Hoesin Hospital, Palembang, sample size 36 patient, taken by simple random sampling. The independent variable was the implementation of bibliocare. The dependent variable was depression level. Data were taken by using Hamilton Depression Rating Scale (HDRS) questionnaire then analyzed by Wilcoxon Signed Rank Test and Mann-Whitney U test. The result showed a significant effect of bibliocare implementation on depression in the treatment group with Mann-Whitney U test, p=0,000. Sixteen respondents experienced a decrease in the level of depression, two people remained the same and no one experienced an increase in depression. It showed a significant difference between pretest and posttest bibliocare implementation. It could be concluded that the implementation of bibliocare could change depression level in cancer client with chemotherapy. Keywords: Bibliocare, Depression, Cancer, Chemotherapy

Performance Measurement in Mental Health and Addictions Systems: A Scoping Review.

The purpose of this study was to evaluate how performance is defined, conceptualized, and measured in mental health and addiction service systems around the world. We conducted a systematic scoping review of English-language scientific and gray literature published from 2005 to 2015. Eligible documents (n = 222) described performance measurement systems and outlined the theory or empirical evidence for indicators. We used a structured approach for data extraction and descriptive and thematic analysis, supplemented with stakeholder consultation. We identified seven themes in the literature: similarity in performance domains across frameworks; the ability of frameworks to inform care quality at client, program/facility, and system levels; the predominance of indicators of process and outcome, over structure; the lack of evidence on the links between domains and/or indicators; common, but limited, evaluation of family/caregiver involvement; equity as a cross-cutting domain of performance; and limited attention to performance measurement in peer support services. The literature on performance measurement in mental health and addictions services is vast, and a wide variety of indicators is available to those designing a measurement system. Evaluations of commonly used performance indicators have yielded mixed evidence on their ability to discriminate high- and low-performing service providers, and their sensitivity to changes in policies and practices. As performance measurement efforts grow in scope and complexity, work will be needed to ensure that indicators are fair, appropriate, and suited to support quality improvement in services of different types.

Determinants of the quality of care relationships in long-term care - a systematic review

BackgroundThe quality of a care relationship between a client and a care professional is seen as fundamental if high-quality care is to be delivered. This study reviews studies about the determinants of the quality of the client-professional relationship in long-term care.MethodsA systematic review was performed using the electronic databases of Medline, Psycinfo, CINAHL and Embase. The review focused on three client groups receiving long-term care: physically or mentally frail elderly, people with mental health problems and people with physical or intellectual disabilities. Included studies concern clients receiving inpatient or outpatient care and care professionals who provided recurring physical and supporting care for a long period of time. The studies we included contained primary empirical data, were written in English and were published in peer-reviewed journals. Data extraction was carried out by two researchers independently.ResultsThirty-two studies out of 11,339 initial hits met the inclusion criteria. In total, 27 determinants were revealed, six at the client level, twelve at the professional level, six between the client and care professional levels and three at the contextual level. The data analysis showed that most determinants were relevant in more than one client group.ConclusionsThis is the first review that looked at determinants of the quality of the care relationship for three large client groups receiving long-term care. It suggests that the current client group-specific focus in research and quality improvement initiatives for care relationships might not be needed. Care organisations can use the findings of this review as guidance on determinants to look for when mapping the quality of a care relationship in order to get a picture of specific points of attention for quality improvement.

Juvenile Justice Risk Factors and Functional Family Therapy Fidelity on Felony Recidivism.

Families (n = 5,884) received Functional Family Therapy (FFT) provided as part of court-ordered probation services by 11 community sites throughout Florida. Sites provided home-based FFT to families with male (72%) or female (28%) delinquent youth. Juvenile justice courts referred clients to these services in an effort to redirect them away from incarceration. Clients were Hispanic (18%), Black (41%), and White Non-Hispanic (36%), while therapists (female, 79%) were of Hispanic (28%), Black (20%), and White Non-Hispanic (50%) ethnic/racial origins. Analyses of clients' pretreatment recidivism risk and therapist's caseload of risky clients demonstrated that both individual and treatment site case-mix of client criminal risk levels were associated with higher adjudicated felony recidivism. Furthermore, clinical process indicators suggest that therapists with larger rather than smaller caseloads of high-risk clients provided treatment with greater fidelity. Results suggest that experience in working with challenging clients is critical for achieving fidelity with these cases.

Syphilis among Female Sex Workers: Results of Point-of-Care Screening during a Cross-Sectional Behavioral Survey in Burkina Faso, West Africa.

Background Syphilis among female sex workers (FSW) remains a public health concern due to its potential impact on their health and the possibility of transmission to their clients, partners, and children. Recent data on the prevalence of syphilis in the population in West Africa are scarce. The objective of this study was to measure the seroprevalence of syphilis serological markers among female sex workers in Burkina Faso. Methods We conducted a cross-sectional survey among FSW between February 2013 and May 2014. Participants were recruited using respondent-driven sampling (RDS) methods in five cities of Burkina Faso (Ouagadougou, Bobo-Dioulasso, Koudougou, Ouahigouya, and Tenkodogo). FSW were enrolled and screened for syphilis using a syphilis serological rapid diagnostic test. Data from all cities were analyzed with Stata version 14.0. Results A total of 1045 FSW were screened for syphilis. Participants' mean age was 27.2 ± 0.2 years. The syphilis serological markers were detected in 5.6% (95% CI: 4.4–7.2) of the participants whereas active syphilis was seen in 1.4% (95% CI: 0.9–2.4). RDS weighted prevalence of syphilis serological markers and active syphilis by city were, respectively, estimated to be 0.0% to 11.0% (95% CI: 8.1–14.7) and 0.0% to 2.2% (95% CI: 1.1–4.4). No syphilis markers were found among Ouahigouya FSW. Low education level and high number of clients were factors associated with syphilis markers among the FSW. Conclusion The prevalence of syphilis markers was high during this study among FSW. This highlights the need to reinforce the comprehensive preventive measures and treatment of syphilis in this population.

Qualitative study exploring the factors influencing physical therapy management of early knee osteoarthritis in Canada

ObjectivesIncreasingly, there is emphasis on identifying and initiating treatment of osteoarthritis (OA) in the early phases of the disease. This study aimed to identify the perceived barriers and facilitators to...

Risk Management with Clients Who Stalk, Threaten, and Harass Mental Health Professionals.

Although most psychologists will at some point be confronted with a client who engages in stalking, threatening, or harassing behavior (STHB), few feel prepared to manage these situations. In this article, the results of a survey of 112 psychologists who endorsed experiencing STHB are reported. Psychologists were asked about their perceptions of client motivations and personality pathology, frequency of use of 18 risk management responses, and perceived effectiveness of these responses. The effectiveness of risk management strategies differed by client level of personality organization and motivation for STHB. Some of the most commonly used risk management responses were among those most likely to result in adverse outcomes, particularly with certain types of clients. Efforts to develop empirically derived risk management strategies for clinicians confronted with STHB should integrate contextual variables, such as client personality and motivation.

Integrated Care for people with dementia: how to improve quality of life of people with dementia and their informal care-givers?

Background: Worldwide, around 47 million people have dementia. The total number of people with dementia is estimated to near 75 million in 2030 and almost triple by 2050 to 132 million. Also in the Netherlands the number of people with dementia is growing. Current public policy aims to enable people with care and support needs, including people with dementia, to live independently in their own homes for as long as possible, with a high quality of life. This poses great challenges for dementia care and support for people with dementia and their informal caregivers. Not only the content of care and support is important, but also the organization and the degree of collaboration between the different disciplines and care providers is very important which is an important aspect of integrated care. The Quality Standard for Dementia Care and Support describes what good dementia care and support is. In order to improve quality of life and quality of care and support it is important to systematically measure to what extent dementia networks work according this quality standard and to generate results that help to improve the quality of life and quality of care and support. Therefore, we established a standard set of indicators. Every two years dementia networks fill in a questionnaire which measures to what extent they work according to the Standard. Besides this questionnaire a set of indicators which measures quality of life on client level is developed, which is used more and more by dementia networks. Aims and Objectives: The aim of this presentation is to discuss how dementia care and support is monitored / evaluated in various countries and how this is used to benefit clinical practice. We will present the Dutch approach in which 80% of the dementia networks do a self-assessment every two year and measure outcomes on client level. Format timing, speakers, discussion, group work, etc: In this presentation recent developments in integrated dementia care and outcome indicators will be presented. We give some examples how to use measurements to improve dementia care and support. We will discuss the following questions: - What is good dementia care and support? - How do you measure this? - How do you improve care and support based on these measurements? Target audience: Any healthcare professional from early to senior career level, educationalists, policy makers, managers, patients/caregivers, students wishing to learn more about dementia care and how to improve it. Learnings/Take away: Examples how to define quality of dementia care and support How to measure the quality of dementia care and support How to improve the quality of dementia care and support

Identifying experiences, enablers and barriers of healthcare providers for delivering culturally competent care

Western cities are facing an increasing number of patients from diverse cultural, ethnic and linguistic background. Together with an apparent negative attitude towards all what is perceived as ‘different’ more attention is needed for culturally competences of care professionals. Research for example has shown that patients from ethnic minority groups receive lower quality of care and less accurate diagnosis. To reduce these health discrepancies it is important to identify critical barriers and enablers of culturally competent integrated care delivery. Therefore, this study aims to explore experiences of health care providers in caring for patients with a migration background, and to explore their definitions and visions of culturally competent care. In addition, this study aims to identify barriers and enablers they experience for delivering integrated culturally competent care. 7 Focus groups n =38 were conducted with 6 types of respondents: nurses, midwives and physicians student and qualified. All participants had internship or working experience in Brussels. Thematic analysis was used to analyse the data. Results demonstrate that healthcare providers that belong to an ethnic minority group are more aware of their own culture and are hence sensible to cultural differences with the patient. In the same line of reasoning, healthcare provider express the need to build up experience about providing culturally competent care, which empowers them to deal with difficult situations. Respondents talked about different dimensions of culturally competent care. Cultural skills and sensitivity are perceived as more important while cultural knowledge is perceived as less important by the healthcare provider. Findings identified several barriers and enablers for healthcare providers to deliver integrated culturally competent care: 1 having a common language was shown to be an essential element 2 the opportunity to discuss and analyse difficult situations with peers or a supervisor can also contribute to a better quality of care, and 3, the point of view of the healthcare organisation where the respondent was employed on culturally competent care could facilitate of hamper the work of the individual healthcare provider e.g. facilitating framework conditions to organize discussion sessions and expert support, or to embrace culturally competent care as key-value in the organisation. This study helps to understand how culturally competent care is perceived and implemented in daily practice. As the role of the healthcare organisations appears to be crucial in supporting the healthcare provider to deliver qualitative, culturally competent health care, healthcare organisations are encouraged to pay more attention to the enablers and the barriers of culturally competent care in order to improve quality care for all patients groups. The results of this study have the potential to formulate evidence-based policy and practical recommendations to influence future clinical practice and will therefore have implication for nurses, nurse educators and managers. As care providers work more cultural competent, this has strong potential to improve access, quality and user satisfaction of the service, as key-elements of integrated care. Future studies should include input client and organisation level to successfully implement culturally competent integrated care into practice.

Qualitative exploration of enablers and barriers to interagency collaboration from the perspectives of senior managers and executive staff including social network analysis

Introduction: The Sydney Local Health District SLHD integrated care initiative, Healthy Homes and Neighborhoods HHAN, is a comprehensive population based integrated care strategy to address the complex needs of vulnerable families. The spectrum of care required to optimise the health and social care outcomes for these families well exceeds the capacity of the public healthcare system alone. Needs such as housing, finance, and social supports often preclude these families from addressing physical and mental health issues. As part of the evaluation of HHAN, this project looks to understand the experiences of senior managers and executive staff with interagency collaboration from across the network. Theory/Methods: Recruitment took place by purposive sampling. Agencies which HHAN considers partners or potential partners were identified and an appropriate informant from within each agency selected. An agency for the purpose of this project could be within a broader organisation. The interviews focused on the participant’s individual definition of “interagency collaboration” and explored their opinions of enablers and barriers to interagency collaboration. Ideas were carried forward and explored further in subsequent interviews. To accompany the interview data, a sociogram of collaborative links was developed from an online social network analysis to provide a visual illustration of the linkages between the organisations. Results: Interviews and social network analysis data collection occurred between October 2017 and February 2018. A total of 13 semi-structured qualitative interviews took place, providing representation from six organisations. The majority of participants expressed a continuum on which they viewed interagency collaborations to be able to occur, depending on what was trying to be achieved. Achieving efficient, knowledgeable referrals with single client focus between agencies, whether government or non-government, was the most basic and common type of collaboration being aspired to. Collaboration could also include working together on shared projects and strategic planning to advance population health initiatives. The sociograms show a coherent network of collaboration with a spread of key players. Reviewing enablers and barriers, it became apparent that whether something was being characterised as an enabler or as a barrier was dependent on how the idea was being framed. As a result a thematic grouping system identifying important features of interagency collaboration is being derived, final results of which are not available at the time of this submission. Discussions: By identifying themes of identified importance to interagency collaboration from across the network, HHAN may be able to use this to optimise its ability to effectively collaborate from both a strategic and front line staff aspect. Limitations: While features of a grounded theory approach were used, strict adherence to the methodology did not take place nor did complete saturation of themes. Suggestions for Future Research: As part of the evaluation of HHAN, another project interviewing frontline staff has occurred. It may be beneficial to compare and contrast the findings from these studies, to further understand how the views of senior managers from across the network aligns with the organisational approach to interagency collaboration perceived at the client care level.

Perspective-varying effects of peripheral knowledge in IT outsourcing: when vendor and client are collated

PurposeThis study aims to examine how the role of peripheral knowledge changes along with the perspectives of vendor and client in inter-organizational IT outsourcing. To this end, this study tests the effects of the peripheral knowledge of vendors and clients on IT outsourcing performance under three different combinations of performance-assessing views from both parties.Design/methodology/approachTo contrast the effects of the peripheral knowledge of vendors and clients based on their views, this study collects matching data on 107 projects from both parties. The survey method is adopted to measure the peripheral knowledge levels of vendors and clients and IT outsourcing success. The associations between peripheral knowledge and IT outsourcing performance are then assessed when the views match, cross and agree to a certain level.FindingsThe peripheral knowledge of vendors plays a more significant role than that of clients in most IT outsourcing cases. Moreover, the agreement between the peripheral knowledge of vendors and clients shows a moderating effect only when the performance is assessed by clients than by vendors.Originality/valueThis study contrasts the peripheral knowledge of vendors and clients by altering performance-assessing views in IT outsourcing. This study also rationalizes why the peripheral knowledge of vendors is more important than that of clients, as well as explains whose perspective is more significant when the performance is assessed.

Exploring Emotional Labor in Child Welfare Using Frontline Stories

This article explores emotional labor in child welfare and advances theoretical and conceptual understanding of emotional labor as the operationalization of care in public administration. Using six vignettes developed from practical experiences by the author and colleagues, the article illustrates the difficulties and rewards of emotional labor. Further, it calls for integration of emotion and reason as nondichotomous factors in the performance of emotional labor at the client and organizational level. The primary implication for public administration is that separating emotion and reason diminishes capacity for care delivery.

Quality of ANC Treatment and Clients Satisfaction at BPM Hj. Elsye Agustin

Rapid development of global worldwide has been happening ontechnology, information, science and health technology including reproduction healthhave impacted on a very tight competition in Health Sector. Recently, the society hasrequired quality of service, safety, comfortable and reasonable price. That is why amidwife is requested to be ready and able to respond quickly and anticipatemodernization and satisfy the customers. This research aims to figure out thecorrelation of the quality of antenatal care (ANC) treatment and the level of clients’satisfaction at BPM Hj. Elsye Agustin in Tasikmalaya. Data sampling technique hasapplied total sampling with cross sectional approach method. And data collection isprimary data. Primary data is the data taken directly from the respondents which hasbeen done by the researcher itself. Based on the result of the research, the quality ofANC treatment at BPM Hj. Elsye Agustin is good (66.3%), it explains that ANCtreatment has oriented to the pregnancy needs. Pregnant women who have receivedpregnancy treatment at BPM Hj. Elsye Agustin are satisfied (71.4%) indicating thatthe expectation of pregnant women to get a satisfied treatment has been fulfilled. Thecorrelation of the quality of ANC treatment and the clients satisfaction at BPM Hj.Elsye Agustin has identified p-value of 0.000 indicating that the clients/pregnantwomen are satisfied with ANC treament.