Responsibility For Services Research Articles

Healthcare Professionals' Perspective on Supporting Patients and Family Caregivers in End-Of-Life Care Decision-Making: A Qualitative Study in Specialist Palliative Care.

Healthcare professionals in specialist palliative care have a key role in conducting end-of-life care discussions with patients and their family caregivers. We aimed to identify key barriers and facilitators for healthcare professionals in specialist palliative care to support patients and their family caregivers in decision-making for patient end-of-life care. Twenty-two healthcare professionals from different healthcare professions were recruited from a large regional specialist palliative care service in Ireland comprising 2 hospice sites. Five focus groups were conducted with participants. Data were member checked and analyzed using thematic analysis. Open communication and trusting relationships with patients and family caregivers combined with sufficient time for early and phased exploration of the patient's preferences for end-of-life care, were key facilitators for participants. Family caregivers keeping information from the patient, family misunderstanding about who is responsible for decision-making, and a lack of involvement of other specialties in end-of-life care discussions were perceived by participants as key barriers. Although participants indicated they had sufficient expertise to support patients in end-of-life care decision-making, they felt that end-of-life care discussions were not solely the responsibility of specialist palliative care services. Open communication with patients in end-of-life care decision-making can be of central importance for healthcare professionals in specialist palliative care. Further research is needed to understand the role of healthcare professionals outside of specialist palliative care in end-of-life care discussions and decision-making.

'It's a Horrible Place to Have a Period': A Survivor-Led Investigation of Experiences of Menstrual Health in Psychiatric Inpatient Settings in England.

This study examined patients' experiences of menstrual health in psychiatric inpatient settings in England as reported by staff and patients. Questionnaires were conducted with 67 staff members and 101 people with lived experience of menstruation and treatment on a psychiatric ward. 10 semi-structured interviews were conducted with people with lived experience. Data were analysed using reflexive thematic analysis. Grouped into overarching themes of institutional and interpersonal environments, four themes were identified: access to menstrual materials; the lack of privacy when menstruating in psychiatric inpatient settings; attitudes and approaches to menstruation; and menstrual support needs and care provision. There was variation among the experiences reported, with some patients receiving dignified care, whilst others described facing 'degrading' and 'dehumanising' treatments and enhanced feelings of shame and embarrassment around menstruation, in comparison with what they usually experience. This appeared to arise due to the interplay between mental health services overlooking menstruation and the overreliance on restrictive practices. These experiences may be understood as menstrual injustices, period poverty,potentially amounting to neglect and posing iatrogenic harms. Participants also discussed how their mental illness and distress, particularly within the context of trauma and/or eating disorders, shaped their menstrual experiences. However, many patients did not receive adequate support in relation to this. Patients' pain and disorder related to menstruation, or gynaecological conditions, was often described as being dismissed by staff or being viewed as beyond the responsibility of mental health services. This study highlighted the urgency for actions to be taken to provide greater support for patients who menstruate in psychiatric inpatient settings.

Sistem Pendukung Keputusan Pemilihan Karyawan Teladan Pada PT. XYZ Dengan Metode Simple Multi Attribute Rating Technique

In daily life activities, every human being will be faced with various problems that will require them to make the right decisions in order to solve these problems. So to make important decisions, more careful, unhurried and mature considerations will be needed. Decision making is also carried out by organizations and companies, for example at PT. To make it easier to select appropriate exemplary employees, based on the company's needs, a decision support system using the SMART method is used. The SMART method is more widely used in calculating alternatives and ranking, because it is simple in responding to researchers' needs in making decisions and analyzing responses. The author collected the data needed to be processed in selecting exemplary employees. This stage of the data collection process was obtained by the author from observation, interviews and literature studies. Criteria for evaluating exemplary employees include attendance, discipline, responsibility, work targets and length of service. After evaluating alternative employees, an exemplary employee with the highest score was obtained.

Women’s Role in Transforming Food Systems in Sri Lanka – A Narrative Review

A food system is referred to as a complex web of activities involving production, processing, transport, selling, and consumption of food. This is often associated with governance and economics of food production, wastage of food, effects on the environment during this process, and impact on individual and population health. Sri Lanka is considered as an agricultural country with women playing an active role in food systems, particularly in the past. In ancient Sri Lanka, agriculture was not essentially a revenue generation process but was everybody’s service and public responsibility, where they cultivated land (either in paddy fields, chena, or home garden that surrounded the house) to provide food for the family, and rear cattle/hens for eggs and milk. The excess would be shared or stored for future consumption. The women were actively involved in all related chores, from the initial steps of cultivation to harvesting, which further extended to food preparation and preservation. However, the role of women in areas associated with food systems changed with time— the colonial era, the post-colonial era, and then the modern era, when the processes involved in modern food culture has replaced the traditional food systems in Sri Lanka. This narrative review discusses the changing role of women in food systems in Sri Lanka, from the ancient era to modern times.

Reconsidering Disaster Management in Terms of New Public Service Approach

Public service refers to services carried out directly by the state or institutions under the control of the state. The state provides public services through public administration. Therefore, public administration has a primary role in the production of public services. The needs of citizens constitute the essence of public services and indicate the nature of the services to be provided by the public administration. The dynamic nature of citizens needs has caused the services offered by public administration to change and diversify over time. Public administration has adopted different service delivery approaches throughout history in order to meet the needs of citizens effectively and efficiently. This situation has brought about the emergence of different management paradigms in public administration. Every paradigm change in public administration is effective in the production of public services and brings about a transformation. The relevant change also applies to disaster and disaster management. Because disaster-related services are services that directly concern citizens and are public services. Therefore, it can be stated that all services provided by public administration regarding disasters are affected by the paradigm transformations. The New Public Service approach, which has become effective in public administration in recent years, emerged as a result of the paradigm shifts experienced by public administration. The New Public Service approach has an impact on the logic of providing public services with principles such as adopting active participation based on democracy, emphasizing a strong citizenship instead of the concept of customer, adopting the public interest as the basic principle, emphasizing a heavy responsibility for public services and attributing a superior value to people. This study, conducted in the light of this information, focuses on the possible effects of the New Public Service approach on disaster management. In the study, disaster management is rethought within the framework of the core values of the New Public Service approach and its role in successful disaster management is discussed.

Social Services Provided to Patients Attending Primary Health Care Centers, Riyadh Saudi Arabia

Introduction: Social Services is an essential part of the PHC procedures. This work prescribes the diversity of services supplied to support quality in health care services at PHC, Riyadh, Saudi Arabia.Methods: The study comprised patients who got social services from the social services overflow unit at PHC in Riyadh, Saudi Arabia. Frequency distribution patient and par shard altered to describe the study population, and par shard produced to explain details of services provided.Results: The social services unit served 411 patients, with 60% married and 80% widowed, 17% illiterate, and 66% had a housing adaptation for the sick and his family. 46.22% average, family support 40.14% good, and connection with the surrounding environment 42.10%, Social Services' Health Status 51.6% chronic sickness and 49.% anxiety, 67% low income, treatment recommendations for social services. Financial aid was provided to 53.5% of patients, 68.6% for procedures, and 31% for other services such as guidance and support.Conclusion: The social service program in PHC is an essential component of primary health care services. It promotes quality improvement in healthcare services. Social services can improve the quality of health care services provided in primary health care. And the same time helping patients to get improved access to health care services through counseling and financial aid. Social services also have a role in improving the awareness of family members of patients' conditions and determinants. Social services in PHCs realize the social responsibility of primary health care services towards the families of patients in the community.

The effect of ESG scores on bank stability: Islamic vs. conventional banks

ABSTRACT This paper examines the impact of ESG (Environmental, Social, and Governance) factors on the stability of banks across different continents, focusing on both conventional and Islamic banking institutions. The empirical analysis indicates a positive influence of ESG activities on the stability of these financial institutions. Notably, the study finds that ESG scores significantly enhance the stability of both conventional and Islamic banks. The environmental pillar score, especially within the conventional banking sector, shows highly positive and statistically significant results, highlighting the benefits of environmentally responsible practices. In contrast, the social pillar is positively correlated with stability in the Islamic banking sector, suggesting that active involvement in community service and social responsibility initiatives leads to improved stability. Overall, the study emphasizes the transformative potential of ESG activities in enhancing the stability and valuation of banks by positively influencing both their external perception and internal operations.

Subject Of Civil Liability For Tourist Services Containing Package Tour

The article is devoted to the issue of determining the appropriate subject of civil liability for the provision of tourist services included in package tours. The article aims to propose a preferable model of the subject of liability based on the analysis of the main models of the subject of responsibility for tourism services existing in world practice, as well as the peculiarities of contractual relations between subjects of tourism activities and suppliers of tourism services that arise regarding the formation of package tours. In order to eliminate the existing contradictory practice regarding the subject of liability in the conditions of various modes of interaction between subjects of tourism activities and suppliers of tourism services, the article proposes to stipulate a clear model of liability for services included in package tours, which will henceforth allow forming contractual relations in the field of tourism on the basis of this model. In particular, taking into account the fact that the tour operator forms package tours and, within the framework of the latter, separately and/or together with the travel agent, organizes the travel of the consumer, it is suggested to determine mechanism of liability of the subjects of tourism activities for the provision of these services- as more effective and most consistent with the essence of the contractual relations of suppliers and subjects of tourism activities, except from those tourism services, for which the law provides for the liability of the service provider.

A Career or a Transient Job? The Role and Development of Faculty Members in University-Based Principal Development Institutions in China

Purpose This study examines the role and development of faculty members in university-based principal development institutions in China to elucidate the Chinese experience of educational leadership development and the tensions and challenges faced by the faculty of such institutions. Design/Approach/Methods Interviews with 34 faculty members from five state-authorized university-based principal development institutions were conducted. Findings Faculty members in principal development institutions fulfill a variety of complex, time-consuming, and taxing administrative, professional, and service responsibilities. In China, principal development institutions are affiliated with universities, and their faculty members are subject to university regulations on career sustenance and advancement. However, standards for administrative and academic promotion have no bearing on the sustainable improvement of principal development programs. Originality/Value This study is the first to describe the roles and development of faculty members in university-based principal development institutions in China. Knowledge of the unique structure of such programs and the experiences of faculty members may provide insights into how university-based principal training institutions can better utilize faculty to enhance program quality.

Pharmacogenetic educational needs and the role of pharmacogenetics in primary care: a focus group study with multiple perspectives.

Pharmacogenomics (PGx) is a well-established concept of how genes impact medication response, with many studies demonstrating reductions in medication side effects, improved efficacy and cost effectiveness. Despite these benefits, implementation of PGx in daily practice remains limited. Studies on the implementation of PGx in clinical practice have previously found that inadequate knowledge is one of the main barriers. Details regarding specifically which educational needs exist among family medicine clinicians requires further study. The aim of this study was to identify both the perceived role that pharmacogenomics (PGx) could play in primary care practice, the knowledge gaps that family medicine clinicians experience, and the skills they require to use PGx in their daily practice. To achieve this aim, the attitudes, knowledge, barriers, skills needed, and preferred educational program were explored in a family medicine clinician focus group study via a semi-structured interview and knowledge quiz. Second, multidisciplinary focus groups provided information on the level of knowledge and necessary skills to use PGx in patient care. After gathering key recorded information from both focus groups, the perceived role pharmacogenomics could possibly play in primary care, the predominant knowledge gaps, and the most appropriate educational program was determined by qualitative analysis. Four themes emerged regarding the PGx educational needs and the role of PGx in family medicine: 1) need for PGx competences, 2) insight into the roles and responsibilities of PGx services, 3) optimization of PGx workflow through artificial intelligence integrated in the electronic health record, and 4) the ethical dilemmas and psychological effects related to PGx. These themes reflect a shift in the role of PGx in family medicine with implications for education. The results obtained from this study will help improve the implementation of PGx in daily practice, and consequently, may result in increased utilization of PGx, thereby resulting in improved medication efficacy and reduced side effects.

“Just clearly the right thing to do”: perspectives of correctional services leaders on moving governance of health-care in custody

PurposeGovernance models are a defining characteristic of health-care systems, yet little research is available about the governance of health-care delivered in correctional facilities. This study aims to explore the perspectives of correctional services leaders in British Columbia, Canada, on the motivations for transferring responsibility for health-care services in provincial correctional facilities to the Ministry of Health, as well as key lessons learned.Design/methodology/approachEight correctional services leaders participated in one-on-one interviews between September 2019 and February 2020. The authors used inductive thematic analysis to explore key themes. To triangulate early effects of the transfer identified by participants the authors used complaints data from Prisoners’ Legal Services to examine changes over time.FindingsThe authors identified four major themes related to the rationale for this transfer: 1) quality and equivalence of care, 2) integration and throughcare, 3) values and expertise and 4) funding and resources. Facilitators included changes in the external environment, having the right people in the right places, a strong sense of alignment and shared goals and a changing culture in corrections. Participants also highlighted challenges, including ongoing human resourcing issues, having to navigate and define shared responsibilities and adapting a large bureaucracy to the environment in corrections. Consistent with outcomes described by participants, data showed that a lower proportion of complaints received after the transfer were related to health-care.Originality/valueThe perspectives of correctional leaders on the transfer of governance for health-care services in custody to the community health-care system provide novel insights into the processes and potential of this change.

CONCEPTUALIZING TERTIARY EDUCATION MOTIVATION: A MULTIMEDIA INSTRUCTIONAL VIDEO APPROACH HARNESSING UiTM ZAKAT SERVICES

This research demonstrates a Community Services Responsibility (CSR) initiative that utilises instructional videos as an interactive tool for knowledge dissemination. It aims to improve Universiti Teknologi MARA (UiTM) Perlis branch students’ and potential future UiTM students’ awareness regarding the Zakat financial assistance offered by Universiti Teknologi MARA (UiTM) Malaysia. This is also an effort to provide the necessary motivation to encourage school students to aim for tertiary education. The study involves two groups: newly enrolled students at the UiTM Perlis branch and upper secondary school students from selected schools around Perlis, Malaysia. These students will explore the specifically designed multimedia instructional video regarding Zakat accommodations. This video is carefully designed to ensure audience engagement and understanding. The research employs a Quasi-Experimental Research Design with pre-test and post-test assessments to evaluate the effectiveness of the instructional videos. Overall, the study has produced a compelling video that can provide understanding and assistance in accessing the Zakat services in UiTM while at the same time promoting social responsibility towards the country’s future educated generation.

METHODS FOR MODERNIZING THE HUMAN RESOURCES OF THE ARMED FORCES

The modernization of human resources within the Romanian Army must be one of the main priorities set by the commanders of military units, given its crucial importance in ensuring national security. The constant increase in service responsibilities, difficult environmental conditions, fatigue and poor physical, mental and emotional health are some of the main factors that human resources management tries to integrate in a way that leads technically and organisationally to the efficiency of the activity. Digitisation and leadership are two distinct, but complementary ways of modernising human resources in an organisation. The purpose of this article is to highlight some methods of modernising the armed forces reporting to the evolvment of the national security policies using documentation and literature study. By combining digitisation with modern leadership, organisations can create an efficient, innovative and adaptable working environment. Such an environment encourage a way of work where human resources to be valued and encouraged to achieve outstanding performance.

Analysis of the Construction of Rural Home-Based Elderly Care Service System

As my country's aging problem worsens, more and more attention is being paid to the construction of elderly care services in rural areas. This article aims to investigate the current status, problems, and challenges of rural home care services through the analysis of research literature. In the research, it was determined that the number of elderly people living alone in empty nests in rural areas increases every year, and problems such as inadequate elderly care services, low use of community elderly care facilities, and inadequate medical services are becoming more common. its importance is increasing. The current rural home care system has many drawbacks and disadvantages. It is recommended to fulfill the federal government's responsibility for community elderly care services, establish urban elderly care services, improve community elderly care services, and home care of the elderly, and participate in city and community care services for the elderly. Integration of medical and nursing care in rural areas.

The Importance of Village Apparatus Performance Improvement for Quality Public Services

Village apparatus are public service staff who have duties and responsibilities for services to the community and assist the village head in carrying out his duties to provide services to the community expectations. Therefore, village apparatus is required to have commitment, ability, skills, and feelings of sincere concern and require a high sense of empathy in carrying out their duties to serve the community. The hope is that the community will feel comfortable and satisfied with receiving services from village staff in resolving all administrative problems. However, this is not the case with what happens in the field. There are still many complaints from the public regarding the services provided by the apparatus at the village office. This research is aimed at answering the question of how public services are implemented in village offices in 5 provinces in Indonesia, namely West Java, Data collection was carried out using documentation and semi-structured interviews with community members and staff at the village office. The results of the research show that the indicators of service quality have not been implemented by staff in village offices in Indonesia. Apart from that, the quality of service of staff must be improved through training programs.

ОКРЕМІ АСПЕКТИ ЗАБЕЗПЕЧЕННЯ БЕЗПЕКИ В УСТАНОВАХ ВИКОНАННЯ ПОКАРАНЬ

The article discusses the necessity of implementing admitted by the world community and enshrined in relevant international documents principles and norms of dynamic security as one of the forms of ensuring the security of penitentiary institutions and its implementation into the national legislation of Ukraine. In particular, the main aspects of comprehensive application of principles and forms of physical, procedural, and dynamic security are defined with the aim of transitioning from a punitive method of dealing with convicts to a rehabilitative one. The authors believe that during the study of these issues, it is necessary to outline the following questions: regarding physical security, it is a matter concerning modern approaches to equipping penitentiary institutions, modernization of perimeter security systems and other electronic security systems, physical barriers, means for localization and isolation, access control systems, means of identification and verification of people, video surveillance systems, the use of metal detectors, X-ray machines, and other detection devices; regarding procedural security, it is a matter concerning the regime as the main means of educational influence on convicts, especially related to the study of world practice regarding the organization of admission regime, search work, application of incentive and punitive measures, actions of personnel in case of emergencies while respecting the rights, freedoms, and legitimate interests of convicts; regarding dynamic security, it is a matter related to the introduction into the activities of penitentiary institution personnel of its principles and approaches in working with convicts, establishing trustful and positive relationships with them, forming interpersonal skills in personnel, and their training to resist manipulation by convicts, and so on. Key words: Penitentiary system, State Criminal and Executive Service of Ukraine, penitentiary institution, correctional colony, pre-trial detention center, security, physical, procedural, and dynamic security, convict, correction and resocialization, labor, convict labor, labor relations, ordinary and managerial personnel, discipline, responsibility, selection, conditions and terms of service.

Assessing Child Maintenance Cases in Ghana: What Do Social Workers Consider?

While one of the key responsibilities of social services in Ghana is to conduct maintenance arrangements so that the nonresident parent is committed to making financial contributions to the well-being of the child, little is known about what informs social workers’ assessments in child maintenance cases. The aim of this study was to determine what social workers consider when undertaking child maintenance assessments. A qualitative practice research study was conducted with 13 social workers and 12 parents involved in a child maintenance case with three agencies of the Department of Social Welfare and Community Development in Ghana. The study showed that corroborating the existence of nonpayment for maintenance in the family is the first step in assessing other factors, such as the parent’s income, occupational status and maintenance amount. Even after the maintenance amount was decided upon, social workers were often unable to follow-up on nonresident parents to ensure that they complied with the maintenance arrangements. Given that no assessment instrument exists in Ghana for addressing child maintenance cases, the study’s findings can provide useful information that can aid in the development of an instrument or framework to assist social workers in their assessments.

The Limits of Nonprofit Sector Resilience: Evidence from Canadian Nonprofit Sector Surveys During the Pandemic

The pandemic has illustrated the need to examine the vital role of the community nonprofit sector. While the nonprofit sector is known for innovatively responding to societal needs—to be resilient—it is also underresourced and precariously situated. The hollowing out of social welfare under neoliberalism shifted service responsibility onto nonprofit providers, justified through the framing that precarity drives resilience. With the magnification of need during the pandemic, the “response resilience” of the sector was put to the test. This article studies Canadian reports on surveys of the community nonprofit sector during the pandemic to assess the state of the sector and to examine tensions between precarity and resilience. Evidence illustrates a community nonprofit sector in crisis and the limits of neoliberal resilience.

Neuverteilung von Verantwortung? Brandschutzerziehung als Strategie zur Zukunftssicherung Freiwilliger Feuerwehren

Volunteer firefighters are an established institution in many rural areas across Europe. In spite of this ubiquity, many volunteer brigades have been increasingly facing challenges in discharging their functions. Issues such as undertaking necessary investments, and ensuring daytime availability have become particularly critical against the backdrop of an increase in the number of interventions. Many of the measures intended to futureproof volunteer firefighting are based on transferring responsibility to different actors. To this end developing and expanding the reach of fire safety education functions to enhance the public’s prevention and self-protection skills. The aim of this paper is to explore the process of institutional change induced by innovative initiatives, which aim to advance fire safety education. For the study, we draw on empirical research, which follows the development and mainstreaming of two projects in Austria and Germany. These initiatives aim to standardise disparate approaches and are underpinned by new forms of multi-level cooperation. Our inductive analysis identifies five key steps which define the successful long-term implementation of projects in coproduced services of general interest. We conclude with observations on the redistribution of responsibility for fire services and hazard prevention in contemporary societies.

Pharmacy faculty experiences with student academic entitlement: a multinational study from the Arab world

Academic Entitlement (AE) is the expectation by students to receive high grades or preferential treatment without significant effort. Exploring AE from faculty perspective has not been investigated in Arab colleges of pharmacy. The aim of this study was to explore experiences and perceptions towards student AE among pharmacy faculty in the Arab World. A cross-sectional, self-administered, anonymous, electronic survey was sent to pharmacy faculty across pharmacy colleges in Arab countries. The survey collected demographic data, an AE measure including 17 items reflecting seven AE components, and faculty perceptions and perceived reasons for AE. A total of 345 responses were collected. The AE level was moderate (46.05 ±7.29), and the highest scores among its components were for customer service expectation (62%) and responsibility avoidance (59%). In multiple linear regression, AE showed positive significant association with faculty in clinical pharmacy departments and those having fewer years of experience. Most common complaints heard by faculty from students were requests to turn in assignments late (90%), while the most common communication issues faculty faced with students were unprofessional verbal communication (58%) and unprofessional messages on social media (57%). Poor admission criteria (40%) and existence of multiple private colleges of pharmacy (37%) were the most common perceived reasons for AE by participating faculty. This study reveals moderate AE experienced by pharmacy faculty in the Arab World, as well as common complaints, communication issues, and AE reasons. In collaboration with other stakeholders, faculty play an important role in indicating expectations from students regarding AE, and research is warranted to check if such interventions reduce AE among pharmacy students.