21448 research outputs found
Sort by
Ethical and legal considerations when supporting children engaging in eating and drinking with acknowledged risk in New Zealand
Cross-Cultural Insights into Hospital Design: Chinese Perspectives on Australian Hospitals
Objective
This study explores how experienced Chinese healthcare design professionals perceive Australian hospital environments to shed light on hospital design perspectives across cultural contexts.Background
While hospital design significantly influences patient outcomes and staff performance, limited research addresses how hospital environments are perceived across cultural and national contexts. This study fills that gap by examining Australian hospitals through the lens of Chinese professionals with extensive experience in healthcare design.
Methods
Using a mixed-methods approach, post-visit surveys were administered to twenty-three Chinese healthcare design professionals after guided tours of five large Australian tertiary hospitals. The survey captured demographic data, ranked key design priorities, and collected qualitative feedback on spatial experience and design performance.Results
Participants identified strengths in Australian hospitals, including child-friendly features, spatial comfort, biophilic integration, and service efficiency. However, they also point to challenges related to wayfinding clarity and public amenity distribution. Contrasts were drawn with Chinese hospitals, where design priorities emphasise functionality, administrative control, and throughput under systemic and governance constraints. Conclusions
Findings reflect differing design values shaped by cultural and institutional factors. While Australian hospitals are seen as therapeutic and inclusive, Chinese counterparts prioritise operational efficiency. The study highlights opportunities for knowledge exchange and culturally sensitive adaptation, offering practitioner-informed insights that can inform future comparative and empirical research on hospital design. (1.3
Lessons Learned from Governance and Management of Virtual Hospital Initiatives: A Systematic Review
Background: Hospital In The Home (HITH), also called Hospital at Home or Virtual Hospital, delivers hospital-level care in patients’ homes to enhance outcomes and reduce hospital bed occupancy. Despite widespread implementation, strategic guidance for managing HITH initiatives remains limited. Methods: Following PRISMA 2020 guidelines, we conducted a systematic review (protocol not registered) searching ScienceDirect and Scopus (inception to December 2023) using the terms “hospital in the home,” “HITH,” “hospital at home,” “virtual care” AND “lesson,” “management,” “governance.” Peer-reviewed studies reporting lessons learned, best practices, or governance strategies for HITH programs with sufficient implementation detail were included; we excluded studies focusing solely on clinical effectiveness without organizational aspects, conference abstracts, and editorials. Two researchers independently screened records, extracted data, and conducted thematic analysis. Quality assessment used the Mixed Methods Appraisal Tool (MMAT). Sixteen studies (12 high-quality, 3 moderate, 1 low) were included. The studies were moderate overall, based on predominantly observational program evaluations and case studies. Results: Forty-two lessons were identified and classified into nine categories: combining care modalities, technology integration, impact on patient outcomes, training and specialized knowledge, care coordination, governance structures, financial sustainability, cross-sector collaboration, and patient selection. These categories fall under four themes: care delivery models; staffing and team dynamics; governance and financial sustainability; and patient selection and safety. Conclusions: This framework provides healthcare executives and program managers with evidence-based guidance for implementing and enhancing HITH programs, addressing a critical gap in governance and management literature
Therapeutic social media guidelines for young adults: A Delphi study
The mental health of young adults is well recognized as requiring serious attention in research and consequently health policy. At the same time, social media has been demonstrated to create therapeutic and non-therapeutic opportunities for young adults who access them for social communication, wellbeing, information seeking, and self-management reasons. Social workers broadly need to understand both the thera peutic opportunities and the potential risks associated with social media use, as these environments are firmly positioned within the psychosocial framework. Concern sur rounding the potential risks to vulnerable populations accessing social media prompts calls for guidelines to inform the integration of digital tools with social work practice. Hence social workers require guidance about how younger adults may leverage social media to maximize their supportive and therapeutic opportunities, while minimizing any potential associated risks. This Delphi study recruited a group of Master of Social Work students as experts and Mental Health Social Workers as stakeholders, to establish a set of consensus-based therapeutic social media guidelines for young adults, to inform young adults and social workers alike. Twenty-nine items achieved the consensus threshold for inclusion in the therapeutic social media guidelines for young adults