Service Development Plan Research Articles

Evaluation of Staff Views of the Rapid Assistance with Frailty Team, It’s Perceived Clinical Effectiveness and Potential Areas for Development

Abstract Background The Rapid Assistance with Frailty Team (RAFT) has been operating within our local hospital since 2021. This novel multidisciplinary service aims to support frail older adults during hospital admission, by conducting focused comprehensive geriatric assessments, and providing bespoke support to their primary team. One method of evaluating the impact of the service has been to seek regular feedback from other staff, to guide continuous quality improvement regarding our approach. Methods This service evaluation was registered with the Quality and Patient Safety department locally in January 2024. An online questionnaire was developed to seek feedback from colleagues who would have experience of the service, with a link distributed via email to relevant staff members. Data collection took place over an eight-week period. Results In total, 69 responses from staff were received, and analysed thematically. They demonstrated high degrees of staff satisfaction, with over 76% either agreeing or strongly agreeing that ‘RAFT is a valuable service’. A further 69% of respondents felt that ‘RAFT is helpful in supporting discharge’. The most common expectations were for the team to assist with frailty assessment; support discharge planning; offer MDT input; provide follow-up care; and conduct education. Staff felt the service could be improved through refining the medical input role; provision of an ED service; increased staffing; expanding the discharge planning role; development of referral pathways; and improved communication. Conclusion Following presentation of these findings at our departmental teaching, a service development plan was agreed. This includes organising a focused internal rapid improvement event, with RAFT staff utilising the feedback from this service evaluation to identify how the service can be improved, as well as identifying key performance indicators to evaluate this progress. We will repeat this service evaluation in 6 months’ time, to assess if these interventions have made a meaningful impact.

Cloud technology and capsule endoscopy: A single-center users' experience of remote online video analysis and reporting.

Background and study aims Telemedicine has progressed significantly in recent years, with newer, more integrated information technology systems improving healthcare delivery. The development of the world's first cloud-based capsule platform could allow safe and timely virtual analysis of videos from a network of linked hospital centers. We aimed to assess the efficacy of Medtronic's PillCam Remote Reader System. Methods PillCam remote reader technical data were collected from the capsule endoscopy (CE) database over 8 months. User-reported performance was collect using an online survey. Outcomes included overall procedure success, video-upload/report-download rates and speeds, encryption/decryption rates, and user/reader satisfaction. Results Data from 377 studies encompassing seven different readers was collected (318 small bowel capsules, 59 colon capsules). Overall procedure success was 100% (all videos reported). Two upload delays occurred (< 24 hours). There were no encryption/decryption errors. Seven of seven respondents felt it easy to access and use vs one of seve for the old system. Six of seven respondents felt department efficiency increased. Benefits included off-site reading and multisite-conferences. Issues included offsite difficulty accessing other hospital systems. Conclusions PillCam remote reader is a reliable, secure, and effective capsule analysis platform and should be incorporated into any CE service development plan.

A POLICY COMPARISON OF THE EVOLUTION OF COMMUNITY-BASED LONG-TERM CARE POLICY BETWEEN TAIWAN AND THE UNITED STATES

Abstract Governments globally have been facing pressure to develop and implement effective policies to support population aging. This approach was historically rooted in a perception that as we age we become increasingly incapacitated. This research seeks to understand how policies in two countries valuing unpaid care differently, developed and implemented Long-term services and supports (LTSS). We compare the federal level efforts of implementing LTSS within the United States (U.S.) and Taiwan. Relying on a pre-established comparative framework developed by Richard Rose, we utilized a deductive analytical approach to assess the differences in policy options and timelines across Taiwan and the U.S.. After attending this session, participants will develop a deeper understanding of how Taiwan and the U.S. are working to offer home and community-based long-term care services. It wasn’t until the 1980s for the U.S. and late 1990s for Taiwan that LTSS were introduced with the intention of supporting people to live as independently as possible in their own homes for as long as possible (e.g., Department of Health and Human Services, 3-year Care Service Development Plan). It is likely that the delay in LTSS delivery between the two countries is rooted in the role that unpaid support is expected to play. There is increasing evidence that countries are shifting their policy efforts to focus less on aging as a social dependency and more on policies that encourage healthy longevity.

Research information service development plan based on an analysis of the digital scholarship lifecycle experience of humanities scholars in Korea: a qualitative study

Purpose: Given the impact of information technologies, the research environment for humanities scholars is transforming into digital scholarship. This study presents a foundational investigation for developing digital scholarship (DS) research support services. It also proposes a plan for sustainable information services through examining the current status of DS in Korea, as well as accessing, processing, implementing, disseminating, and preserving interdisciplinary digital data.Methods: Qualitative interview data were collected from September 7 to 11, 2020. The interviews were conducted with scholars at the research director level who had participated in the DS research project in Korea. Data were coded using Nvivo 14, and cross-analysis was performed among researchers to extract central nodes and derive service elements.Results: This study divided DS into five stages: research plan, research implementation, publishing results, dissemination of research results, and preservation and reuse. This paper also presents the library DS information services required for each stage. The characteristic features of the DS research cycle are the importance of collaboration, converting analog resources to data, data modeling and technical support for the analysis process, humanities data curation, drafting a research data management plan, and international collaboration.Conclusion: Libraries should develop services based on open science and data management plan policies. Examples include a DS project liaison service, data management, datafication, digital publication repositories, a digital preservation plan, and a web archiving service. Data sharing for humanities research resources made possible through international collaboration will contribute to the expansion of new digital culture research.

STORYTELLING AND THE HIGH COUNTRY: READING LYNG V. NORTHWEST INDIAN CEMETERY PROTECTIVE ASSOCIATION (1988)

AbstractIn Lyng v. Northwest Indian Cemetery Protective Association, 485 U.S. 439 (1988), the Supreme Court declared constitutional the Forest Service's development plan in an area of the Six Rivers National Forest (known as the High Country) that is central to the religious practice of the Yurok, Karuk, and Tolowa Nations. The Court admitted that “[i]t is undisputed that the Indian respondents’ beliefs are sincere and that the Government's proposed actions will have severe adverse effects on the practice of their religion” (447). Nevertheless, because the disputed area was on public land, the Court thought that the government should be allowed to manage its property in any way it saw fit, regardless of the severe adverse effects on the religious practice of the local Indigenous nations. In this article, I read materials from the trial that led to the Lyng decision, focusing on the Indigenous witnesses and their testimony that has been largely ignored in the Lyng decision. The U.S. legal framework of free exercise does not allow the courts to fully consider the stories told by the Indigenous witnesses in trial. A law-and-literature approach allows me, though, to tell a different story about the High Country, one that centers Indigenous knowledge and sovereignty.

Necessity of the Needs Map in the Service Design for Smart Cities.

Recently, the issue of how to involve actual service users in the service designs for Smart cities has grown in importance, as this is a key factor in determining the serviceability and sustainability of developed services. Reckless participation of users can make the service design process inefficient and cause a cost increase. So, in this study, we propose the needs map which can be applied to various stages of service development and help service designers to make efficient and reasonable decisions without being too time-consuming. The proposed needs map is a schematization of theoretical concepts for Smart city planning in accordance with the framework of service-technology-infrastructure-management (STIM). Through the needs map, various urban problems, statistical data, and users' needs in a smart city are classified and analyzed concept by concept, and these focused analysis results suggest a proper direction to researchers in the service development plan. To demonstrate experimentally the feasibility of the needs map, we applied it in practice to a service design for the Smart city experience zone located in Daejeon, South Korea.

Financiranje državnih arhiva kroz programe javnih potreba u kulturi Republike Hrvatske

U članku su prezentirani rezultati analize financiranja državnih arhiva proračunskim sredstvima namijenjenim financiranju javnih potreba u kulturi Republike Hrvatske u posljednjem desetogodišnjem razdoblju. Dane su nove spoznaje o financiranju arhivâ, što se uobičajeno navodi među ključnim čimbenicima (uz prostorne i ljudske resurse) koji utječu na stanje arhivske službe u Hrvatskoj. Rezultati analize sistematizirani su u obliku grafikona i tabličnih prikaza. Interpretirani su u širem kontekstu kretanja relativnoga udjela Ministarstva kulture u državnom proračunu Republike Hrvatske te ulaganja u programe drugih kulturnih djelatnosti. Između ostaloga, rezultati pokazuju vrstu, opseg i kontinuitet aktivnosti na koje su arhivi u sustavu javne arhivske službe stavljali naglasak, te njihovu podudarnost s osnovnim zadaćama arhivâ. Zajedno s pregledom kretanja iznosa odobrenih sredstava, takvi su podatci i jedan od pokazatelja odnosa države prema arhivskoj djelatnosti. Mogućnost praktične primjene rezultata istraživanja je u tome što daju podlogu za preispitivanje pristupa državnih arhiva u planiranju arhivskih programa, kao i metodologije financiranja od strane mjerodavnoga ministarstva.

Service user experiences of specialist mental health supported accommodation: A systematic review of qualitative studies and narrative synthesis.

Specialist supported accommodation services have become a key component of most community-based mental healthcare systems. While mental health policies highlight the importance of service user involvement in service development and care planning, there are no comprehensive literature reviews synthesising services users' perspectives on, or experiences of, supported accommodation services. This systematic review was undertaken to fill this gap. We searched electronic databases (January 2015, updated June 2017), conducted hand searches and used forward-backward snowballing to identify 13,678 papers. We inspected the full-text of 110 papers and included 50 of these in the final review. Data extraction and quality assessments were conducted. We used narrative synthesis to develop a conceptual model of service users' experiences that included structural, process, relational and contextual factors, such as the characteristics of the service, relationships with staff and other service users, the intensity and nature of support, the physical environment, and social and community integration. The review highlights the complex interplay of individual, service-level and community factors in shaping the lived experience of service users and their impact on personal identity and recovery. Our approach addressed some of the widely reported limitations of the quantitative research in this field, providing a conceptual model relevant to service user experiences across supported accommodation service types, population groups and countries.

Study on Community Endowment Service in Economically Underdeveloped Cities—Taking the City of Qiqihar as an Example

China has become the largest country that “get old before rich”, the pension problems need to be solved urgently. This paper analyzes the situation of provide for the aged, the most appropriate pension model is community service for the aged in China currently. From the status quo of community service for the aged development in our country, there are following problems: lack of infrastructure, single service content, low level and quality of old-age care services, lack of professional staff and volunteer staff. The city of Qiqihar as an underdeveloped city, was named firstly “international elderly friendly city” in China by the World Health Organization in 2011, take Qiqihar as an example, put forward the leverage of policies, pay attention to the leading roles of the government in community service for the aged, take the pension service development plan into the overall plan of urban social development, provide a good environment for the development of pension services, the urban economy has also been developed, and perfect community-based elderly care services in underdeveloped areas of China.

Tapping the Value Potential of Extended Asset Services – Experiences from Finnish Companies

Abstract Recent developments in information technology and business models enable a wide variety of new services for companies looking for growth in services. Currently, manufacturing companies have been actively developing and providing novel asset based services such as condition monitoring and remote control. However, there is still untapped potential in extending the service delivery to the long-term co-operative development of physical assets over the whole lifecycle. Close collaboration with the end-customer and other stakeholders is needed in order to understand the value generation options. In this paper, we assess some of the asset services manufacturing companies are currently developing. The descriptions of the asset services are based on the results of an industrial workshop in which the companies presented their service development plans. The service propositions are compared with the Total Cost of Ownership and the closed loop life cycle frameworks. Based on the comparison, gaps that indicate potential for extended asset service concepts are recognised. In conclusion, we argue that the manufacturing companies do not recognise the whole potential for asset based services and for optimizing the performance of the end customers′ processes.

Researching Researchers: Meeting Changing Researcher Needs in a Special Collections Environment

ABSTRACTIn the competitive Higher Education environment, it is no longer sufficient for special collections to rely on the “uniqueness” of a collection as its unique selling point—it must be supported by a service and strategic plan that is both proactive in anticipating the demands of future researchers and responsive to current researchers’ changing needs. Edinburgh University's Centre for Research Collections (CRC) is addressing this challenge for the first time in a coordinated manner, employing a suite of research methods that allow staff to take an evidence based approach to service development and strategic planning. These include ethnographic observation, structured surveys, object-based learning initiatives, comprehensive data interrogation, and active engagement with the University's academic schools. This article examines how these approaches have been utilized in the development of CRC services, and its benefit to long-term planning.

SPACE BASED INPUTS FOR HEALTH SERVICE DEVELOPMENT PLANNING IN RURAL AREAS USING GIS

The use of Geospatial Techniques for quick decision making is the demand of the time. Geospatial techniques play a very important role to help decision makers, stakeholders and citizens for planning at various levels of governance. Geospatial technology is fast and accurate enough to make analysis and derive the useful results to help the decision makers in planning process. This has augmented the need for development of a model utilising the geospatial datasets to automatize the process which can aid in quick decision making for effective planning and development at village level. The objective of this research work is to build a spatial model for identifying suitable sites for hospital in rural areas. A pilot study has been carried out which aims to identify and prioritize the potential sites for hospitals/Clinic utilizing the 1:10 k scale database with the help of Geographic Information System (GIS) in Hisar, Harayana, India. This study identifies the following factors as indicators of suitability for landscape: road connectivity, demography and location of existing facilities. The evaluating process for suitable hospital/clinic sites have been carried out based on five chosen criteria including land use/cover type, road network and settlement location, proximity to existing facilities and population. The outcome of the model has been further used as input to Location-allocation tool in GIS to select the suitable location for medical and health facilities. The adopted methodology identifies the 10 new suitable sites for medical and health facilities by putting all the criteria with the actual resources of the region. The proposed approach can be effectively utilized by the Government for Health Service Development Planning in Rural areas where medical and health facilities are poor.

Caseload management methods for use within district nursing teams: a literature review.

Effective and efficient caseload management requires extensive skills to ensure that patients receive the right care by the right person at the right time. District nursing caseloads are continually increasing in size and complexity, which requires specialist district nursing knowledge and skills. This article reviews the literature related to caseload management with the aim of identifying the most effective method for district nursing teams. The findings from this review are that there are different styles and methods of caseload management. The literature review was unable to identify a single validated tool or method, but identified themes for implementing effective caseload management, specifically caseload analysis; workload measurement; work allocation; service and practice development and workforce planning. This review also identified some areas for further research.

Erratum to: Extraction and visualization of industrial service portfolios by text mining of 10-K annual reports

As more and more manufacturing companies accumulate profits from service provision, the ability to monitor the adoption of the industrial services of other companies grows more important. The purpose of this paper is to propose a data-driven methodology for extraction of the industrial service portfolio from a company’s annual report. In this approach, form 10-K, a special format of annual report regulated by the Security Exchange Commission in United States is utilized as the data source. Because this document type contains rich information on a company’s operating segments, industrial service information is easily retrieved. Given the sheer volume of such documents, however, manual inspection is impractical. In order to resolve this issue, a text-mining algorithm is applied to automatically examine word-usage patterns and to identify the service portfolio. Then, the service portfolio’s relative position in the market is visualized on a positioning map. Due to the multi-dimensionality of the data, self-organizing map (SOM) is used as an alternative visualization scheme. SOM enables easy identification of the major service clusters as well as niche areas in the market; these, in turn, provide valuable information pertinent to service development planning. Also, and not least, policy makers can utilize our methodology to detect the servitization trends of various industries.

A Study on Introduction of Drone Delivery Service Policies and Development Plans in Countries

A Study on Introduction of Drone Delivery Service Policies and Development Plans in Countries

Training needs assessment in the Botswana public service

Using qualitative methods, this study analysed the process of training needs assessment in the Botswana public service, with special focus on five state sector ministries. It is evident from the research findings that there is little and an unsystematic approach to the needs assessment prior to training. The research further revealed that the seniority principle is a major determination of training needs in the public service which seemingly gives little regard to the manpower training needs. The study has also revealed that public service training is not strategic. Thus, public service training is not directed towards the realization of the public service strategic goals, mission, vision and development plans. This inadvertently compromises the relevance of training and fails to inculcate and nurture those skills that could help enhance performance and productivity. In an attempt to solve the problems identified in public service training needs assessment, the study recommends that a thorough needs assessment should be conducted at organizational, task and individual levels. The seniority principle does not justify training needs and need to be done away with. Finally, the combined use of different needs assessment methods and data sources is crucial to ensure proper needs identification.

The Mental Health Leadership and Advocacy Program (mhLAP): a pioneering response to the neglect of mental health in Anglophone West Africa

Developing countries in Africa and other regions share a similar profile of insufficient human resources for mental health, poor funding, a high unmet need for services and a low official prioritisation of mental health. This situation is worsened by misconceptions about the causes of mental disorders, stigma and discrimination that frequently result in harmful practices against persons with mental illness. Previous explorations of the required response to these challenges have identified the need for strong leadership and consistent advocacy as potential drivers of the desired change. The Mental Health Leadership and Advocacy Program (mhLAP) is a project that aims to provide and enhance the acquisition of skills in mental health leadership, service development, advocacy and policy planning and to build partnerships for action. Launched in 2010 to serve the Anglophone countries of The Gambia, Ghana, Liberia, Nigeria, Sierra Leone, this paper describes the components of the program, the experience gained since its initiation, and the achievements made during the three years of its implementation. These achievements include: 1) the annual training in mental health leadership and advocacy which has graduated 96 participants from 9 different African countries and 2) the establishment of a broad coalition of service user groups, non-governmental organizations, media practitioners and mental health professionals in each participating country to implement concerted mental health advocacy efforts that are focused on country-specific priorities

P126 Respite Care Reframed - A Palliative Care Service For The Future

Respite care is currently disregarded as an essential component of palliative care despite interest on the part of Government and others to support home based end of life care and...

CBT for Culture Change: Formulating Teams to Improve Patient Care

Increasingly, clinical psychologists and CBT trained clinicians work with and within teams. The cognitive model enables us to formulate the processes maintaining distress, and work with people to effect change. The model tends to be used to understand individuals' difficulties, but may be effective in making sense of problems within teams. This study aimed to (i) explore the value of the cognitive model in formulating key staff-service user relationships; and (ii) determine whether such an approach would yield useful team based interventions. The cognitive interpersonal model was used to develop an idiosyncratic conceptualization of key staff-service user interactions in an in-patient setting. This then informed management team planning aimed at improving provision for service users, and staff experience. Additionally, frequency of challenging behaviours and levels of staff burnout were assessed before and after service changes, as preliminary outcome data. The team formulation was effective in (i) making sense of interactions contributing to the maintenance of service users' challenging behaviours and staff burnout, and (ii) deriving systemic interventions likely to effect change. This was then used to guide service development planning. In support of a CBT approach to understanding and intervening with teams, preliminary data indicate that staff burnout and incidents of challenging behaviours reduced over time. The cognitive interpersonal model can be used to formulate relationships within teams and guide systemic change. This is likely to have a beneficial impact for both service users and staff.

Kvalita komunitního plánování sociálních služeb: případová studie

The mutual agreement about priorities in the social area among representatives of customers (towns, municipal corporations), providers (organisations providing social services) and users (handicapped people) is an essential output of the process of social service community planning. This agreement about the vision in social services for a selected territory also involves action plans with solutions to identified deficiencies in social services -social service development plans (also called Community Plans). The paper suggests an evaluation of a process of social service community planning based on the assessment of compliance with specific principles (value index). The presented method for quality evaluation is tested on a case study based on planning in Jindřichův Hradec