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1 – 10 of 561I. Martens, H. Verbeek, J. Aarts, W.P.H. Bosems, E. Felix and J. van Hoof
Over 8 per cent of the Dutch nursing home population is bedfast, and this number is slowly increasing. The quality of life (QoL) of this population is lower than that of residents…
Abstract
Purpose
Over 8 per cent of the Dutch nursing home population is bedfast, and this number is slowly increasing. The quality of life (QoL) of this population is lower than that of residents who are still mobile. Little research has been conducted on how to improve the QoL of this bedfast population, particularly through making technological adjustments to the bed and the direct surroundings. The purpose of this paper is to gain insight into the QoL of bedfast residents and how to improve this through technology.
Design/methodology/approach
A mixed-method multi-case study with thematic analysis was conducted in two nursing homes with seven participants based on semi-structured interviews and Short Form-12 questionnaire.
Findings
The major causes of the experienced low QoL were the limited opportunities for engaging in social contacts with others, and coping with the dependency on other people and having limited control. Participants suggested improvements of QoL through the application of modern communication technologies to engage in social contacts and to control the bed itself and environment around the bed.
Practical implications
The results may help improve the design of the bed and the direct environment in order to improve the QoL of bedfast nursing home residents.
Originality/value
The QoL of bedfast nursing home residents has not been studied before in relation to the bed itself and technological solutions that may help improve the QoL and level of control.
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M.T. Wynn, H.M.W. Verbeek, W.M.P. van der Aalst, A.H.M. ter Hofstede and D. Edmond
The purpose of this paper is to demonstrate that process verification has matured to a level where it can be used in practice. This paper reports on new verification techniques…
Abstract
Purpose
The purpose of this paper is to demonstrate that process verification has matured to a level where it can be used in practice. This paper reports on new verification techniques that can be used to assess the correctness of real‐life models.
Design/methodology/approach
The proposed approach relies on using formal methods to determine the correctness of business processes with cancellation and OR‐joins. The paper also demonstrates how reduction rules can be used to improve the efficiency. These techniques are presented in the context of the workflow language yet another workflow language (YAWL) that provides direct support for 20 most frequently used patterns found today (including cancellation and OR‐joins). But the results also apply to other languages with these features (e.g. BPMN, EPCs, UML activity diagrams, etc.). An editor has been developed that provides diagnostic information based on the techniques presented in this paper.
Findings
The paper proposes four properties for business processes with cancellation and OR‐joins, namely: soundness, weak soundness, irreducible cancellation regions and immutable OR‐joins and develop new techniques to verify these properties. Reduction rules have been used as a means of improving the efficiency of the algorithm. The paper demonstrates the feasibility of this verification approach using a realistic and complex business process, the visa application process for general skilled migration to Australia, modelled as a YAWL workflow with cancellation regions and OR‐joins.
Originality/value
Business processes sometimes require complex execution interdependencies to properly complete a process. For instance, it is possible that certain activities need to be cancelled mid‐way though the process. Some parallel activities may require complex “wait and see” style synchronisation depending on a given context. These types of business processes can be found in various domains, such as application integration, B2B commerce, web service composition and workflow systems. Even though cancellation and sophisticated join structures are present in many business processes, existing verification techniques are unable to deal with such processes. Hence, this paper plays an important role in making process verification a reality.
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D.H.P. Verbeek, A. Bargeman and J.T. Mommaas
The European Alpine region is an important tourism destination that at the same time faces environmental challenges. In aiming for a sustainable development of Alpine tourism…
Abstract
Purpose
The European Alpine region is an important tourism destination that at the same time faces environmental challenges. In aiming for a sustainable development of Alpine tourism, tourism boards and municipalities of 22 villages cooperate in the Alpine Pearls (AP) association. The main goal of the AP association is to develop an integrated, continuous passage for sustainable tourism mobility, which improves the possibilities for environmentally friendly travel to, between, and in the Alpine Pearls villages. This paper aims to focus on whether and how this “passage” enables tourists to travel smoothly, problem‐free and environmentally friendly to and in the Alpine region.
Design/methodology/approach
To analyse the Alpine Pearls holiday, the authors use a theoretical framework based on the social practices approach (SPA), which offers a contextual approach to consumption behaviour. The dynamics between travellers and providers of sustainable tourism and travel services along the passage of the Alpine Pearls holiday are the main interest. Data have been gathered through participant observation and interviews with informants.
Findings
The research points, among other things, to the fact that the creation of a passage for environmental‐friendly Alpine holidays is complicated by the nationally organised railway infrastructures and the sectorially organised tourism industry.
Originality/value
Evaluating sustainable tourism mobility passages on the level of holiday practices is a new contextual approach that can be of value to both tourism scholars and the tourism industry.
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Michela Cesarina Mason, Gioele Zamparo and Rubens Pauluzzo
Using retail banking as a setting and focusing specifically on elderly customers (i.e. individuals aged 60 or more), this study aims to deepen the current understanding of how the…
Abstract
Purpose
Using retail banking as a setting and focusing specifically on elderly customers (i.e. individuals aged 60 or more), this study aims to deepen the current understanding of how the physical context and the need for human interaction influence elderly customers' attitudes toward self-service technologies (SSTs) and their behavior.
Design/methodology/approach
Using face-to-face questionnaires, a sample of 505 elderly bank customers was collected. Data were analyzed using a multi-method approach, combining a moderated mediation analysis with a fuzzy-set qualitative comparative analysis.
Findings
The findings suggest that a pleasant retail space may result in a positive attitude toward SSTs, which increases their co-creation intention. It also highlights that need for interaction of elderly customers with employees has detrimental effects on their attitude toward SSTs.
Research limitations/implications
The current analysis was carried out among Italian elderly banks' customers. Thus, the results are highly dependent on the context of the analysis. In addition, it does not consider the different degrees of knowledge and experience the elderly may have with technology.
Practical implications
This study suggests that providing access and support for using technology may be essential for banks to facilitate SSTs adoption in elderly customers.
Originality/value
To the best of the authors' knowledge, this study represents the first attempt to examine the influence of the physical context on elderly customers' attitudes toward SSTs and their consequent behavioral intentions. Furthermore, it highlights the importance of the human touch for these particular customers.
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Ewa Wikström, Jonathan Severin, Ingibjorg H. Jonsdottir and Magnus Akerstrom
Process facilitation as part of a complex intervention for changing or improving practices within workplaces is becoming a common work method. The aim of this study was to…
Abstract
Purpose
Process facilitation as part of a complex intervention for changing or improving practices within workplaces is becoming a common work method. The aim of this study was to investigate what characterizes the process-facilitating role in a complex intervention.
Design/methodology/approach
The present study focuses on a complex work environment intervention targeting eight organizational units (workplaces) in the Swedish healthcare sector. The study applies a mixed-method approach and has been carried out in two steps. First, a qualitative process evaluation was performed. Secondly, an evaluation was conducted to see to what extent these identified conditions and mechanisms affected the quantitative intervention effect in term of sickness absence.
Findings
The analysis shows that the facilitating role consisted of three overlapping and partially iterative phases. These phases involved different activities for the facilitating role. Depending on how the facilitating role and the intervention were designed, various supporting conditions were found to significantly affect the outcome of the intervention measured as the total sickness absence.
Research limitations/implications
It is concluded that the facilitation is not static or fixed during the change process. Instead, the facilitation role develops and emerges through the process of support during the different implementation phases.
Practical implications
The facilitative role of performing support is based on a combination of support role activities and expert role activities. The support role focuses on support activities, while the expert role includes capacity building through knowledge- and legitimacy-oriented activities.
Originality/value
This study contributes to earlier research by developing a methodological approach for carrying out process facilitation in complex interventions.
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Heehyul Moon, Peggye Dilworth-Anderson and Johannes Gräske
The purpose of this paper is to review and synthesize the research literature on the quality of life (QoL) of both caregivers (CGs) and care recipients (CRs) with dementia after…
Abstract
Purpose
The purpose of this paper is to review and synthesize the research literature on the quality of life (QoL) of both caregivers (CGs) and care recipients (CRs) with dementia after admission to long-term care facilities.
Design/methodology/approach
Four databases – AgeLine, Medline, EBSCO, and PyscINFO – were searched and the relevant literature from 2002 onwards was reviewed.
Findings
The review of 12 studies (five studies, including only family CGs; six studies including residents; one study including both family CGs and CRs) reveals a discrepancy regarding the effects of institutionalization on the CRs’ and CGs’ QoL. Among seven studies on CRs’ QoL change, some reviewed studies found a significant decline in CRs’ QoL after placement with others showing that CRs’ QoL was improved or stable. While some reports indicated that some family CGs benefited from placement, others showed that CGs merely maintained their QoL. However, family CGs in the reviewed studies were more likely to report improved QoL than were their CRs after institutionalization.
Research limitations/implications
The authors recommend that future studies should focus on understanding the individual’s adaptation to placement, dyadic changes in QoL (including mediators/moderators). They emphasize the need for a comprehensive longitudinal study with more than one wave and includes diverse groups including racial/ethnic minority CGs and CRs.
Originality/value
This study reviewed and synthesized the research literature on the QoL of both caregiver and the people with dementia they cared for after those they cared for were admitted to long-term care facilities. The conclusions drawn about influences on QoL provide guidance for identifying best practices and research.
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Teresa June Atkinson, Rebecca Oatley and Simon Evans
The purpose of this paper is to report on a scoping review of the advantages and challenges of extra care housing (ECH) provision in the UK for people living with dementia. Access…
Abstract
Purpose
The purpose of this paper is to report on a scoping review of the advantages and challenges of extra care housing (ECH) provision in the UK for people living with dementia. Access to suitable housing is a fundamental right for people living with dementia and can enable people to live as well as possible (Twyford and Porteus, 2021). Understanding the advantages and disadvantages of different models of housing with care has been identified as a research priority by people living with dementia (Barrett et al., 2016) but “there is no current consensus on the best model of specialist housing for people with dementia” (Twyford and Porteus, 2021, p. 29).
Design/methodology/approach
This scoping review identifies the advantages and disadvantages of living in ECH for people with dementia. It is the preliminary stage of a study that seeks to develop knowledge about different models of ECH for people living with dementia (Atkinson et al., 2021).
Findings
Advantages include the promotion of independence, flexible staffing, safety and security, social inclusion, physical design and integrated service provision. Disadvantages include barriers to entry, tensions between independence and support, managing advanced dementia, resourcing flexible care, managing social exclusion, loneliness and stigma and a disabling environment.
Research limitations/implications
The scoping review reinforces the need for further research into different models of ECH provision in the UK for people living with dementia. The review provides insight that is of benefit to all stakeholders involved in ECH and contributes to the development of evidence-based provision called for in the recent All Party Parliamentary Group inquiry (Twyford and Porteus, 2021).
Originality/value
This scoping review summarises the current position for people living with dementia in ECH.
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Ulrik Gensby, Dwayne Van Eerd, Benjamin C. Amick, Hans Jørgen Limborg and Johnny Dyreborg