Purpose This paper aims to explore local social value creation by entrepreneurs located in residential neighborhoods, what drives their behavior and the influence of their local social networks therein, both as a direct effect and through fostering local embeddedness. Design/methodology/approach In-depth interviews are conducted with 18 neighborhood-based entrepreneurs in the Netherlands to explore whether these entrepreneurs are active in local social value creation and the different drivers of their behavior in that regard (personality, organizational, contextual and issue characteristics) in relation to their local social networks. The research neighborhoods are selected based on social cohesion and collective efficacy scores. Findings Most interviewees are active in social value creation. Personality characteristics are the main drivers of local social value creation. Local social networks have a direct, indirect and moderating effect, but are not prerequisites for local social value creation to occur. Local embeddedness through emotional attachment to the neighborhood also drives local social value creation. Research limitations/implications The findings suggest that neighborhood-based entrepreneurship is a source of local social value, indicating the need for additional and large-scale quantitative research on this type of entrepreneurial activity. Social implications The findings of this study can motivate policymakers to promote entrepreneurship in neighborhoods as a means of stimulating bottom-up local social value creation. Originality/value This study contributes to the debate on the social value of entrepreneurship and considers the understudied group of neighborhood-based entrepreneurs. Furthermore, the paper offers a conceptual contribution by focusing on the local social networks as a driver of local social value creation.
Background/aimFeedback on clinical reasoning skills during fieldwork education is regarded as vital in occupational therapy students' professional development. The nature of supervisors' feedback however, could be confirmative and/or corrective and corrective feedback could be with or without suggestions on how to improve. The aim of the study was to evaluate the impact of supervisors' feedback on final-year occupational therapy students' clinical reasoning skills through comparing the nature of feedback with the students' subsequent clinical reasoning ability.MethodA mixed-method approach with a convergent parallel design was used combining the collection and analysis of qualitative and quantitative data. From focus groups and interviews with students, data were collected and analysed qualitatively to determine how the students experienced the feedback they received from their supervisors. By quantitatively comparing the final practical exam grades with the nature of the feedback, their fieldwork End-of-Term grades and average academic performance it became possible to merge the results for comparison and interpretation.ResultsStudents' clinical reasoning skills seem to be improved through corrective feedback if accompanied by suggestions on how to improve, irrespective of their average academic performance. Supervisors were inclined to underrate high performing students and overrate lower performing students.ConclusionsStudents who obtained higher grades in the final practical examinations received more corrective feedback with suggestions on how to improve from their supervisors. Confirmative feedback alone may not be sufficient for improving the clinical reasoning skills of students.
INTRODUCTION: Inter-professional education has been identified as a strategy to overcome some challenges facing healthcare throughout the world. The aim of inter-professional programmes within institutions of higher education is to improve teamwork between healthcare professionals. Different professionals with a variety of skills are required to work effectively in a team for comprehensive and cost-effective healthcare. A number of research studies have investigated the outcomes of inter-professional education, but limited information is available to explain the mechanisms that led to these outcomes. This study could assist Inter-Professional Education (IPE) facilitators at institutions of higher education when developing and implementing IPE programmes. METHOD: Qualitative data of the final-year healthcare students' experiences of an inter-professional education programme were generated by means of a reflective essay. The essays were completed after participating in an inter-professional education programme and thematically analysed. FINDINGS AND CONCLUSION: The findings of the study generated three main themes: the first theme was the outcomes of interprofessional education as experienced by the healthcare students, the second identified an environment in which teamwork was promoted, and the third identified certain attributes that team members needed for effective teamwork. The second and third themes were identified as mechanisms that lead to the outcomes described in theme one. It is recommended that facilitators of inter-professional education implement these mechanisms for optimal teamwork. Key words: Inter-professional education, healthcare student, qualitative, teamwork, mechanisms, outcomes
BackgroundMajor depressive disorder (MDD) is worldwide one of the most concerning health problems as it is associated with reduced work productivity and permanent disability. Occupational therapists are often called upon to make a return-to-work decision on employees with MDD in order to facilitate continued employment. Sustaining employment is in alignment with achieving the Millennium Development Goal 1: Eradicating extreme poverty, as it is known that people suffering from mental health disorders are frequently denied employment opportunities leading to reduced financial resources and therefore possible poverty.AimThis study described occupational therapists’ experiences of formulating a return-to-work decision on employees with MDD. It formed part of a larger study.SettingOccupational therapists working in vocational rehabilitation or mental health in South Africa with a postgraduate qualification in vocational rehabilitation or mental health participated in the study.MethodA qualitative research design was used. Two separate focus groups explored 11 occupational therapists’ experiences of formulating a return-to-work decision on employees with MDD. Ethics clearance number: S34/2007.ResultsSeven themes emerged, which were, (1) the biographical profile of the employee, (2) point of view of employer, (3) point of view of employee, (4) point of view of occupational therapist, (5) declaring the employee as temporary incapacitated, (6) declaring the employee as permanently incapacitated and (7) employee’s level of motivation.ConclusionOccupational therapists ought to have sound knowledge, skill, experience and the ability to collaborate with employees and employers in formulating a return-to-work decision.
Background: Occupational therapists have been using group therapy as their preferred treatment modality in mental healthcare since the origin of the profession. In private mental healthcare units, major depressive disorder (MDD) is the most common psychiatric disease. Occupational therapists use individual and group therapy to treat adult inpatients with MDD. Little is known about the perceptions and experiences of adult inpatients with MDD regarding occupational therapy activity-based groups.Aim: To describe the perceptions and experiences of adult psychiatric inpatients with MDD towards occupational therapy activity-based groups. This article reports on the perceptions of adult psychiatric inpatients with MDD, which formed part of a larger study.Setting: The study took place at two private general hospitals in Gauteng province, South Africa, each with a psychiatric ward.Methods: The researcher used a qualitative explorative descriptive design. Accessible participants were selected using convenience sampling. Only consenting participants took part in the study. Data were collected during focus group discussions. Data were thematically analysed.Results: Participants’ perceptions could be placed into one of four themes: (1) experience improved mood, (2) learned coping skills, (3) regained self-esteem and (4) becoming part of the solution to face life challenges.Conclusion: Activities that are unique to occupational therapy profession can benefit inpatients with MDD. This supports the profession’s historical beliefs, assumptions and foundations regarding therapeutic use of activities. According to these inpatients, group activities improved their overall mental health.
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