Scholars since the 19th century have focused on the provision of care in group homes and have demonstrated that structure (that is, the staff, facilities, and equipment), is critical in the delivery of care. The researchers, however, advocate doing for, rather than doing with the clients the activities that address the clients' welfare. The purpose of this study is to investigate how a client-centered approach would affect the quality of care delivered to the mentally challenged individuals (MCIs) in a group home. The study employed the quality-care framework in which the emphasis is on structure (skills), process (efficiency), and outcome (results). The research questions examined operational values underpinning company sanctioned work processes, how personal values underpin work processes of the direct caregivers, configuration of personal values the caregivers believe should be supported in the group home context, and how critical incidents shaped the value set of direct caregivers in regard to care processes. Using structured questionnaires and observing staff as they delivered care to their clients, data were collected from participants who were direct caregivers (n = 7), a facility administrator, and a nurse. The data were coded, categorized, and analyzed for emergent themes. The results of the analysis indicated that there was discord between staff and the organizational leadership. This discord could be improved through increased interaction between the mentioned stakeholders. The results further depicted that client-centered care may have a positive impact on the health of the MCIs that would enable the MCIs to make notable contributions to social change.

BACKGROUND: Pregnant and parenting women consistently show low rates of engagement and retention in substance use disorder (SUD) treatment. While pregnancy enhances motivation and commitment to treatment, this population faces unique barriers to accessing care. Co-design is an approach that proactively engages service users to create a care system shaped to meet their needs. This study evaluated an adapted experience-based co-design (EBCD) process involving SUD treatment staff and parenting women with SUD (WWLE). METHODS: Semi-structured interviews with WWLE and SUD treatment staff were conducted to develop content for the co-design process and identify barriers and facilitators to treatment. These data were analyzed using the principles of Trauma Informed Care (TIC). Multiple data sources were utilized to evaluate the co-design implementation, including semi-structured interviews, ethnographic observation, and discussion transcripts of EBCD launch events. The Integrated Promoting Action on Research in Health Services (i-PARIHS) framework informed tool development and data analysis of the co-design implementation. RESULTS: The full sample across all stages of the EBCD implementation totaled 34 individuals (WWLE =13 and SUD staff = 21). Findings highlighted the importance of TIC in small pivotal moments that either enhance or diminish treatment engagement and retention. For the evaluation, WWLE reported having a valued voice in the co-design process and attributed their comfort level to small, equally represented workgroups, skilled facilitation and pre-existing, respectful relationships with staff. Professionals expressed commitment to the concept of co-design, but displayed mixed perspectives about the value of EBCD. Complex regulations, limited funding, and uncertainties during start-up presented challenges to the co-design process. Use of a remote platform created accessibility for participants, but presented challenges to communication and relationship building. CONCLUSION: This research demonstrates how the core components of EBCD foster meaningful engagement of WWLE and can effectively create a collaborative co-design process that manages inherent power disparities between WWLW and treatment staff. The TIC analysis provides insight into aspects of care that encourage or deter women from treatment. This research illuminates the importance of integrating a TIC approach throughout a co-design initiative. Co-design presents an opportunity to create women-centered care and health equity in SUD treatment. / 2024-11-08T00:00:00Z

Entwicklung und Test eines Prototypen nach den Maßstäben des Usage Centered Desings (nach Constantine und Lockwood). Der Prototyp beschäftigt sich mit der Organisation / Planung von Schulungen im Kontext geflüchteter Menschen in den Ländern Südsudan und Uganda und verfolgt dabei den mobile first Ansatz. Augenmerk wird auf die Gestalung einer benutzungsoptmierten Applikation in einem kulturell fremden Kontext gelegt.:I. Einleitung A. Krieg im Südsudan und dessen Auswirkungen B. #ASKnet 1. Ziel 2. Mitglieder und Organisation C. ASKtraining II. Usage-Centered Design A. User groups B. Interviews C. Role Modeling 1. User Role 2. Focal Roles 3. User Role Map D. Task Modeling 1. Personas 2. Scenarios 3. Conventional Use Cases 4. Essential Use Cases 5. Use Case Map 6. Focal Use Case E. Interface Contents and Navigation 1. Interaction Context 2. Tools and Materials 3. Context Navigation Map 4. Funktionsumfang und Prinzipien III. Visual Design A. Sketching B. Interaktiver Prototyp 1. Design 2. Prototyping 3. Icons IV. Tests und Evaluation A. Usability Test 1. Planung des Tests 2. Ausführung des Tests B. Evaluation V. Perspektive VI. Reflexion VII. Danksagung VIII.Literaturverzeichnis IX. Abbildungsverzeichnis X. Anhang A. Fragenkatalog Interviews - erste Runde B. Zusammenfassung Interviews - erste Runde C. Fragenkatalog Interviews - zweite Runde D. Services provided by Application E. Role Model F. Personas G. Scenarios H. Conventional Use Cases I. Essential Use Cases J. Use Case Map K. Interaction Context L. Tools and Materials M. Context Navigation Map N. Sketches O. Interaktiver Prototyp P. Usability Test - Vorbereitung Q. Usability Test - Aufgaben R. Usability Test - Proband:innen S. Usability Test - Evaluation: Tabelle T. Usability Test - Evaluation: Bericht

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The goal of this research was to determine the balance of a collaborative learning relationship between an institution and its employees. A review of the literature examined learning-centered theory to determine the necessary tenets of a learning-centered professional staff development program. In addition, various staff development components were examined to ascertain their role in a learning-centered program. The literature findings guided this research to conduct a study to determine if relationships existed between employees' perception of climate and two variables: (a) employees' locus of control and (b) employees' job satisfaction. Additionally, the three factors were assessed together in a linear regression to determine what percentage of variance could be accounted for by each of the factors. The extent to which the institution had sufficiently set the stage for learning to take place was determined by assessing the institution's climate utilizing the PACE©. Locus of control and job satisfaction were two audience components utilized to determine appropriate program selection. Findings from the correlation procedures revealed a moderate relationship between both the employees' locus of control and their job satisfaction and their perception of the climate. A multiple regression revealed that 43% of an employee's climate perception could be accounted for by locus of control and job satisfaction. Results of this study indicated that locus of control and job satisfaction were two factors that an institution needs to consider with regards to their staff prior to embarking on a staff development program or in re-designing an existing program. In addition, the results indicated the necessity in establishing a baseline climate perception to ascertain if the environment was conducive to staff learning. Lastly, an institution needs to be willing to inquire of its staff as to their needs and preferred learning delivery methods. By examining itself objectively, and engaging workers in a collaborative learning process, an institution can begin to establish the foundation for a learning centered staff development program.

Family-centered care (FCC) is recommended as “best practice” across a variety of pediatric service settings, as it yields better health and wellness outcomes for clients, and greater work satisfaction for practitioners and administrators (American Academy of Pediatrics, 2012). However, providers in multiple health care fields report challenges with translation of FCC concepts into their practice (Bamm & Rosenbaum, 2008; Graham, Rodger, & Ziviani, 2008; Lawlor & Mattingly, 1998; MacKean, Thurston, & Scott, 2005). Therefore, the aim of this doctoral project was to understand the barriers to FCC implementation, and to propose ways for supporting practitioners to enact FCC in their practice. The resulting solution is Better Together, an on-line professional development course designed to empower health care providers to become ambassadors of FCC and effectively enact the FCC practices in their daily interactions with clients and their families. The Better Together course content and structure are based on findings from a review of the literature specific to identifying core skills and knowledge essential for effective FCC practice, as well as best practices for professional development instruction. Methods for course implementation, funding, and dissemination are described, as well as a research plan for program evaluation.

Ein standardisiertes Vorgehen erleichtert die Anwendung von KI-Modellen in der Praxis, auch durch Mitarbeitende ohne erweiterte KI-Kenntnisse, bspw. Prozessexperten, die dem Thema „Künstliche Intelligenz“ (KI) oftmals unbedarft oder skeptisch gegenüberstehen (im Folgenden: KI-Laien). Im Kontext von industriellen Fertigungsprozessen ist daher ein geordnetes Vorgehen wichtig, dass auch KI-Laien ermöglicht, Methoden der künstlichen Intelligenz erfolgreich auf ihre Prozessdaten anzuwenden. Wir skizzieren einen Ordnungsrahmen für diesen Typ von Problemstellungen, der im Rahmen von Abschlussarbeiten und in Zusammenarbeit von Hochschulen mit ROBUR Automation entstanden ist. Er stellt den Zusammenhang zwischen den einzelnen Schritten her und gewährt somit einen Überblick über die komplexe Modellierung, der sich auch KI-Laien erschließt. Der Ordnungsrahmen als abstraktes Konzept findet seine Umsetzung in einem Framework. Im Beitrag fokussieren wir uns auf einen Baustein des Ordnungsrahmens, die Darstellung von Qualität. Dieser und weitere bilden gesamthaft eine pipeline, die in die von ROBUR Automation entwickelte Datenplattform Mia integriert wird.

In this groundbreaking Master's thesis, Rameesha Qazi explores the critical realm of survivor care policies and toolkits within the NGO space, driven by her own experience of sexual violence during my work abroad. Rooted in a survivor-centered and trauma-informed framework, my analysis encompasses an evaluation of policies from organizations and essential toolkits, revealing striking gaps in addressing systemic barriers, recognizing trauma's nuanced impact, and supporting diverse coping strategies. A unique contribution to the field and in recognizing contextual variations in survivor needs, I introduce a country guide as a practical tool for NGOs to enhance their survivor care policies, providing a roadmap for how to address gaps in support. Furthermore, extending the focus beyond policies, I scrutinize toolkits from prominent organizations and propose recommendations, emphasizing the crucial need to engage survivors, provide comprehensive support, and amplify survivor voices. The thesis not only underscores the urgency for trauma-informed, survivor-led approaches but also challenges prevailing norms in the development sector. It aims to reshape the discourse around sexual exploitation and abuse, advocating for tangible, sustainable change in policies and toolkits to ensure the safety, support, and empowerment of survivors within the NGO space. This research stands as a testament to the imperative role of survivor voices in shaping effective, adequate, and sustainable solutions for combating sexual violence within the development sector.