scholarly journals Hospital to hostel: what benefit?

1995 ◽  
Vol 19 (3) ◽  
pp. 148-150 ◽  
Author(s):  
Pamela McConnell

Resettlement of 15 long-stay psychiatric in-patients from a hospital rehabilitation unit to a new hostel was assessed by measuring symptoms, social behaviour and client satisfaction beforehand, then six and 12 weeks afterwards. Three residents experienced relapses with varying degrees of recovery. Overall, symptoms and social behaviour improved significantly. Change in satisfaction with the services offered proved difficult to measure accurately. A well resourced resettlement project can enhance long-stay patients' well-being.

Author(s):  
Ghulam Yaseen Veesar ◽  
Masood Hassan ◽  
Fayaz Ahmed ◽  
Rehan Muzammil

The financial well-being of the people living in society is pivotal essential for the country's economic development. The distribution and access to wealth played important role in the economic activities of states. Micro-financing strategies utilized globally to promote distribution and circulation of money, increase access of people living in the low quintile of economic status to the wealth. Similar to global trends, the microfinance strategy was introduced, which is a rapidly growing sector in Pakistan for the last few decades. There are more than 45 registered micro-finance institutions (both for-profit and not-for-profit) that provide services to people at the low-income level in Pakistan. The current study analyzed the level of client satisfaction between private, public, and non-government organization Micro-Finance Institutions (MFIs) operating at District Hyderabad of Sindh, Pakistan. The sample size of 300 clients receiving services from these MFIs, data collected by using random sampling technique on the instrument Likert Scale ranged from 1-5. The collected data processed through scientific methods factorial analysis, customer satisfaction index, and ANOVA. The results of the study presented that clients of non-government MFI are more satisfied as compared to public and private MFIs, male clients are more content to female, changes in family size and education change the level of client satisfaction, where age and monthly household income do not affect client satisfaction. In light of the study, it is recommended for MFIs to initiate client-centric policies especially in the public sector focus on the client glee in the response of services. In the micro-finance industry, female clients are the backbone; it is highly recommended to keep them in the center of attention during the development of policies to increase satisfaction levels.


BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e022438 ◽  
Author(s):  
Ippei Yoshida ◽  
Kazuki Hirao ◽  
Ryuji Kobayashi

IntroductionOccupational therapy (OT) is defined as the promotion of client health and well-being through a client-centred practice. However, there is a tendency to rely on the therapist’s experiences and values, and there is a difference between the client’s and therapist’s perceptions regarding the current activity that the client is engaged in. In previous studies that have applied ‘flow’, activities supported by OT in elderly people were analysed, indicating a difference in recognition. Therefore, we thought that more effective OT could be implemented by adjusting the challenge–skill (ACS) balance, and we invented a novel process termed as ACS balance for OT. The purpose of this study is to verify the effect of ACS-OT on clients in the recovery rehabilitation unit and to prepare a protocol for randomised controlled trial (RCT) implementation.Method and analysisThis single-blind RCT will recruit 80 clients aged 50–99 years admitted to the recovery rehabilitation unit who meet eligibility criteria. Clients will be randomly allocated to receive ACS-OT or standard OT. Both interventions will be performed during the clients’ residence at the unit. The primary outcome measure will be subjective quality of life and will be measured at entry into (pre) and at discharge from (post) the unit and at 3 months afterwards (follow-up). Outcomes will be analysed using a linear mixed model fitted with a maximum likelihood estimation.Ethics and disseminationThis protocol has been approved by the ethics review committee of the Tokyo Metropolitan University (No.17020). Results of this trial will be submitted for publication in a peer-reviewed journal.Trial registration numberUMIN-CTR number, UMIN000029505; Pre-results.


2019 ◽  
Vol 13 (2) ◽  
pp. 170-185
Author(s):  
Ifah Arbel ◽  
Bing Ye ◽  
Alex Mihailidis

Objectives: This study evaluated the user experiences (UX) of stroke patients residing in the adaptive healing room (AHR) and compared them to the UX of patients residing in standard private rooms (SPRs). Background: Healing environments in healthcare settings can promote patients’ healing processes, outcomes, and psychological well-being. The AHR was designed as a healing environment for stroke patients and has been previously evaluated in laboratory settings. This study was the first to evaluate it in its intended context—a stroke rehabilitation unit. Methods: The UX of 10 patients residing in the AHR and 15 patients residing in SPRs were collected via structured interviews with a set of open-ended questions and analyzed using quantitative and qualitative methods. Results: The AHR design features (orientation screen, skylight, and nature view) were rated positively by most patients. The skylight emerged as the least favorable. Responses to open-ended questions revealed that UX may be further improved if patients have more control over some of the settings (e.g., light intensity and nature views), and if the system allowed for more stimulation for patients at later stages of their recovery. Additionally, the results suggest that patients in the AHR have better UX than patients in the SPRs. Conclusion: The AHR has the potential to improve UX in the stroke rehabilitation unit. Patient feedback can be used to refine the AHR before carrying out clinical trials to assess the effect of the AHR on patient outcomes (e.g., sleep, mood, and length of stay) and stroke recovery.


2006 ◽  
Vol 35 ◽  
pp. 199-202
Author(s):  
E J Done ◽  
H Randle ◽  
T Counsell

The Stud Book Returns of racehorse breeders to Weatherbys Group Ltd. in 2003 recorded 16,008 live foals in England, Scotland, Wales, the Irish Republic and Northern Ireland; the same organization estimates the U.K. racehorse population to be 40,000 (Defra, 2004). The link between diminished equine well-being and social isolation (where physical segregation from conspecifics is regarded as preventing the expression of instinctive social behaviour) is well documented (e.g. Fraser, 1992, ). The negative consequences of social deprivation during the primary socialization period have been studied in adult equines; these include fear responses when presented with novel stimuli, generalized fear-induced aggression and stereotypic behaviours (Fraser, 1992, ; McGreevy et al., 1995b, . The manifestation of ‘a normal behavioural repertoire’ is widely viewed as an indication of well-being (Hurnik et al., 1985, ). The acquisition of typical equine behaviour occurs in a socialization period that involves close contact with conspecifics (e.g. identification through olfactory investigation and reciprocal maintenance behaviours such as allo-grooming).


2020 ◽  
Vol 64 (3) ◽  
pp. 124-131
Author(s):  
Aleksandr V. Zubko ◽  
Tamara P. Sabgayda ◽  
Elena V. Zemlyanova ◽  
Angilina G. Filatova ◽  
Tea T. Kakuchaya ◽  
...  

Background. The social portrait of patients often helps to define preventive measures for specific diseases in patients of different social and age groups. Need in cardio-surgery is substantiated not only by inborn but also by acquired diseases of heart, in most cases - ischaemic heart disease. The development of cardiovascular diseases is affected by multiple factors including lifestyle. Objective. To analyze the social and behavioral characteristics of cardio-surgical patients. Materials and methods. The authors analyzed the results of a survey of 93 patients in the rehabilitation unit of V.I. Burakovsky Research Institute of Cardiosurgery in 2019. The adapted questionnaire for identifying factors affecting population health was used. The respondents were divided into 3 age groups: 12 patients were under 40 years (mean age of 30.1, 75.0% men); 50 patients - 40-65 years (mean age of 56.4, 76.0% men); 30 patients - 65+ years (mean age of 70.3, 50.0% men). To analyze differences Chi-square and Fisher exact tests were applied. Results. Educational level is increasing with age. Financial well-being was estimated as poverty by one-third of respondents in all groups. 5.4% are dissatisfied with their family relations. The feeling of loneliness is often experienced by 4.3% of respondents. About one-half of respondents mentioned they do not care about their health and 18.5% of the don’t know their diseases to be treated using cardio-surgery. More than half of respondents are uneasy about their future uncertainty. Discussion. The respondent’s’ social status differs in age groups. The social and behavioral characteristics of patients of the cardio-rehabilitation unit allow them to create an integrated social portrait. Conclusions. Patients of cardio-rehabilitation units are characterized by higher educational levels and employment, better financial conditions. Among them, there were few lonely persons, but many sedentary ones. Such patients are characterized by a non-responsible attitude to their health, higher frequency of smoking, overweight, and obesity. Age-specific differences are related to physical fitness but nor to attitude to health neither to self-protective behavior.


2017 ◽  
Author(s):  
Valerio Capraro ◽  
Glorianna Jagfeld ◽  
Rana Klein ◽  
Mathijs Mul ◽  
Iris van de Pol

The conflict between pro-self and pro-social behaviour is at the core of many key problems of our time, as, for example, the reduction of air pollution and the redistribution of scarce resources. For the well-being of our societies, it is thus crucial to find mechanisms to promote pro-social choices over egoistic ones. Particularly important, because cheap and easy to implement, are those mechanisms that can change people’s behaviour without forbidding any options or significantly changing their economic incentives, the so-called “nudges”. Previous research has found that moral nudges (e.g., making social norms salient) can promote pro-social behaviour. However, little is known about whether their effect persists over time and spills across context. This question is key in light of research showing that prosocial actions are often followed by selfish actions, thus suggesting that some moral manipulations may backfire. Here we present a class of simple moral nudges that have a great positive impact on pro-sociality. In Studies 1-4, we use economic games to demonstrate that asking subjects to tell “what they think is the morally right thing to do” does not only increase pro-sociality in the choice immediately after, but also in subsequent choices, and even when the social context changes. In Study 5, we demonstrate that moral nudges increase charity donations by about 44 percent.


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