Understanding the Concurrent Engineering Implementation Process — A Study Using Focus Groups

1998 ◽  
pp. 187-202 ◽  
Author(s):  
Fiona Lettice ◽  
Stephen Evans ◽  
Palminder Smart
Keyword(s):  
Focus Groups ◽  
Concurrent Engineering ◽  
Implementation Process

scholarly journals Implementering av PICC-line – en kvalitativ studie av anestesisykepleieres erfaringer

2019 ◽  
Vol 14 (2) ◽  
Author(s):  
Stine Thorvaldsen Smith ◽  
Kristin Haraldstad
Keyword(s):  
Central Venous Catheter ◽  
Focus Groups ◽  
Implementation Process ◽  
Venous Catheter ◽  
Nurse Anesthetists ◽  
Successful Implementation ◽  
Central Venous ◽  
Hermeneutic Approach ◽  
Picc Line ◽  
Good Organization

PICC-line, a peripherally inserted central venous catheter has been implemented by several Norwegian hospitals in recent years. Nurse Anesthetists play an important role in this process, and have been given new tasks as a result of PICC-line implementation. This study aimed to describe Nurse Anesthetists’ experiences with implementation of PICC-line in hospital. A qualitative design, the data are based on three focus groups interviews with fifteen nurse anesthetists. The interviews were analyzed using a hermeneutic approach. Being a PICC-line nurse led to a feeling of competence, independence, motivation and meaningfulness. The implementation required good structure and organization, as well as enthusiasm. Collaboration and support influenced the implementation process. Good organization and enough available personnel, as well as good collaboration and support from the Anesthesiologists and the management are essential for a successful implementation.

scholarly journals Stakeholder Assessment of Evidence-Based Guideline Dissemination and Implementation in a Dental Group Practice

2020 ◽  
Vol 6 (1) ◽  
pp. 87-95
Author(s):  
I. Gruß ◽  
D.J. Pihlstrom ◽  
C.D. Kaplan ◽  
N. Yosuf ◽  
J.L. Fellows ◽  
...  
Keyword(s):  
Focus Groups ◽  
Clinical Guidelines ◽  
Resource Constraints ◽  
Care Delivery ◽  
Guideline Implementation ◽  
Implementation Process ◽  
Dissemination And Implementation ◽  
Fissure Sealant ◽  
Roles And Responsibilities ◽  
Pit And Fissure Sealant

Objective: This evaluation captures the perspectives of multiple stakeholders within a salaried dental care delivery organization (dentists, dental assistants, dental hygienists, and dental management) on the implementation of a pit-and-fissure sealant guideline in the Kaiser Permanente Dental Program. Also assessed is the role of formal processes and structures in providing a framework for guideline implementation. Methods: We collected qualitative data through field observations, stakeholder interviews (n = 6), and focus groups (30 participants in 5 focus groups). Field observation notes captured summaries of conversations and other activities. Interviews and focus groups were recorded and transcribed. We analyzed transcripts and field notes using a template analysis with NVivo 12 software to identify themes related to the existing implementation process of clinical guidelines and stakeholder perspectives on the strengths and weaknesses of this process. Results: Stakeholders perceived 2 main barriers for achieving implementation of the pit-and-fissure sealant guideline: 1) shortcomings in the implementation infrastructure resulting in lack of clarity about the roles and responsibilities in the guideline implementation process and lack of effective mechanisms to disseminate guideline content and 2) resource constraints, such as limited human, space, and material resources. Perceived opportunities for the dissemination and implementation of guidelines included recognition of the importance of guidelines in dental practice and well-functioning workflows within dental specialties. Conclusion: Our research points to the importance of developing and maintaining an infrastructure to ensure standardized, predictable mechanisms for implementation of guidelines and thereby promoting practice change. While addressing resource constraints may not be possible in all circumstances, an important step for improving guideline implementation—wherever feasible—would be the development of a robust implementation infrastructure that captures and delineates roles and responsibilities of different clinical actors in the guideline implementation process. Knowledge Transfer Statement: The results of this study can be used by health care leadership and administrators to understand possible reasons for a lack of guideline implementation and provide suggestions for establishing sustainable infrastructure to promote the adoption of clinical guidelines in salaried dental clinics.

scholarly journals The Concept of Entrepreneurship

2021 ◽  
Author(s):  
Halliru Shuaibu ◽  
Yusri Bin Kamin ◽  
Umar Muhammad Isa ◽  
Abdullahi Musa Cledumas
Keyword(s):  
Secondary Education ◽  
Focus Groups ◽  
Technical Education ◽  
Implementation Process ◽  
Entrepreneurship Education ◽  
Financial Accounting ◽  
Education Students ◽  
Online Data ◽  
Self Employment ◽  
Development Data

The chapter examined the concept of entrepreneurship in technical education; types of entrepreneurs such as craft-men, promoters and opportunists; profile of an entrepreneur like originality, hard-work drive, task result oriented, among others; relevance of entrepreneurship to technical education students or graduands such as creating necessary awareness and motivation to excel in students/graduands so as to promote self-reliance and self-employment which is an alternative to salary and wages; challenges in the implementation process of entrepreneurship in technical education, example conglomeration of contents like financial accounting, commerce, economics, among others. In summary, entrepreneurship has been viewed from the standpoints of the psychologist (behaviourist), the economist, and sociologist. Furthermore, the objective of the chapter is to provide literature synthesis on the concept of entrepreneurship. The methodology was meta-synthesis of 15 relevant studies obtained from conference proceedings, text books, and online data bases. Scope of the study included higher and secondary education which are selected as the focus groups of the study in order to encourage assimilation and implementation of entrepreneurship education curricula and development. Data acquired were quantified using descriptive statistics (percentages on bar chart). The result of the study signifies definitions, characteristics, and importance of entrepreneurship needed for improvement of knowledge in enterprise curricula aside from skills and competencies. Higher and Secondary education are selected as the focus groups of the study in order to encourage assimilation and implementation of entrepreneurship education curricula and development.

scholarly journals Opportunities and Access: Exploring How School District Leaders Make Meaning of Equity in Practice through Positive Behavioral Interventions and Supports

2020 ◽  
Vol 16 (4) ◽  
Author(s):  
Jennifer Clayton ◽  
Donald Robertson ◽  
Tania Sotomayor
Keyword(s):  
School District ◽  
Focus Groups ◽  
Behavioral Interventions ◽  
Research Question ◽  
Implementation Process ◽  
Primary Research ◽  
District Leaders ◽  
School District Leaders ◽  
Positive Behavioral Interventions

Purpose: The purpose of this research was to explore how PBIS and equity interacted according to school and district leaders.Research methods/approach: This study examined how five schools made meaning of the implementation process, ongoing efforts, and structures created. Through a case study including interviews, focus groups, and observations, the primary research question was explored: How do school leaders and teachers make meaning of implementing and assessing PBIS in their schools as a component of a journey toward equity?Findings: While the five schools had unique aspects, four common themes emerged across schools, including the benefits of PBIS, the power of relationships, the importance of communication and leadership, and PBIS challenges.

scholarly journals Key components influencing the sustainability of a multi-professional obstetric emergencies training programme in a middle-income setting: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kiren Ghag ◽  
Rachna Bahl ◽  
Cathy Winter ◽  
Mary Lynch ◽  
Nayda Bautista ◽  
...  
Keyword(s):  
Focus Groups ◽  
Professional Training ◽  
Implementation Process ◽  
Training Programme ◽  
The Philippines ◽  
Successful Implementation ◽  
Middle Income ◽  
Policy Makers ◽  
Obstetric Emergencies ◽  
Training Programmes

Abstract Background Multi-professional obstetric emergencies training is one promising strategy to improve maternity care. Sustaining training programmes following successful implementation remains a challenge. Understanding, and incorporating, key components within the implementation process can embed interventions within healthcare systems, thereby enhancing sustainability. This study aimed to identify key components influencing sustainability of PRactical Obstetric Multi-Professional Training (PROMPT) in the Philippines, a middle-income setting. Methods Three hospitals were purposively sampled to represent private, public and teaching hospital settings. Two focus groups, one comprising local trainers and one comprising training participants, were conducted in each hospital using a semi-structured topic guide. Focus groups were audio recorded. Data were analysed using thematic analysis. Three researchers independently coded transcripts to ensure interpretation consistency. Results Three themes influencing sustainability were identified; attributes of local champions, multi-level organisational involvement and addressing organisational challenges. Conclusions These themes, including potential barriers to sustainability, should be considered when designing and implementing training programmes in middle-income settings. When ‘scaling-up’, local clinicians should be actively involved in selecting influential implementation champions to identify challenges and strategies specific to their organisation. Network meetings could enable shared learning and sustain enthusiasm amongst local training teams. Policy makers should be engaged early, to support funding and align training with national priorities.

scholarly journals Evaluating possible intended and unintended consequences of the implementation of alcohol minimum unit pricing (MUP) in Scotland: a natural experiment protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e028482 ◽  
Author(s):  
Srinivasa Vittal Katikireddi ◽  
Clare Beeston ◽  
Andrew Millard ◽  
Ross Forsyth ◽  
Paolo Deluca ◽  
...  
Keyword(s):  
Focus Groups ◽  
Western Europe ◽  
Natural Experiment ◽  
Implementation Process ◽  
Unintended Consequences ◽  
Unintended Effects ◽  
Plain Language ◽  
Cross Sectional ◽  
National Implementation ◽  
Unit Pricing

IntroductionScotland is the first country to carry out a national implementation of minimum unit pricing (MUP) for alcohol. MUP aims to reduce alcohol-related harms, which are high in Scotland compared with Western Europe, and to improve health equalities. MUP is a minimum retail price per unit of alcohol. That approach targets high-risk alcohol users. This work is key to a wider evaluation that will determine whether MUP continues. There are three study components.Methods and analysisComponent 1 sampled an estimated 2800 interviewees at a baseline and each of two follow-ups from four Emergency Departments in Scotland and Northern England. Research nurses administered a standardised survey to assess alcohol consumption and the proportion of attendances that were alcohol-related.Component 2 covered six Sexual Health Clinics with similar timings and country allocation. A self-completion survey gathered information on potential unintended effects of MUP on alcohol source and drug use.Using a natural experiment design and repeated cross-sectional audit, difference between Scotland (intervention) and North England (control) will be tested for outcomes using regression adjusting for differences at baseline. Differential impacts by age, gender and socioeconomic position will be investigated.Component 3 used focus groups with young people and heavy drinkers and interviews with stakeholders before and after MUP implementation. The focus groups will allow exploration of attitudes, experiences and behaviours and the potential mechanisms by which impacts arise. The interviews will help characterise the implementation process.Ethics and disseminationStudy components 1 and 2 have been ethically approved by the NHS, and component 3 by the University of Stirling. Dissemination plans include peer-reviewed journal articles, presentations, policy maker briefings and, in view of high public interest and the high political profile of this flagship policy, communication with the public via media engagement and plain language summaries.Trial registration numberISRCTN16039407; Pre-results.

scholarly journals Building a therapeutic relationship between probation officers and probationers with serious mental illnesses

CNS Spectrums ◽  
2020 ◽  
Vol 25 (5) ◽  
pp. 723-733
Author(s):  
Matthew W. Epperson ◽  
Leon Sawh ◽  
Sophia P. Sarantakos
Keyword(s):  
Mental Health ◽  
Focus Groups ◽  
Therapeutic Relationship ◽  
Qualitative Interviews ◽  
Implementation Process ◽  
Probation Officers ◽  
Mental Illnesses ◽  
Service Engagement ◽  
Probation Supervision ◽  
Serious Mental Illnesses

ObjectiveThe purpose of this study was to engage in a collaborative process with a variety of stakeholders to develop the Brief Intervention to Promote Service Engagement (BIPSE), which aims to enhance the therapeutic relationship between probation officers and probationers with serious mental illnesses (SMI).MethodsThe BIPSE intervention was developed through a multistage “design for implementation” process, including a series of stakeholder meetings, observations of probation supervision sessions, incorporating existing intervention approaches, and workshopping initial BIPSE components with three randomly selected officers from a specialized mental health probation unit. Acceptability and feasibility of BIPSE components were assessed through focus groups with probation officers, additional observations of probation sessions, and qualitative interviews with probationers with SMI.ResultsTwo foundational components of the BIPSE intervention were identified during the stakeholder meetings and observations: (1) engagement and (2) shared decision-making. These two components inform and undergird the intervention’s third component, strategic case management. During focus groups, probation officers expressed interest in using the modified tools they were given and also saw the benefit of structuring their sessions. Probationers expressed their appreciation for the caring and collaborative nature with which their probation officers approached their sessions.ConclusionBuilding a therapeutic relationship between probation officers and probationers with SMI is an essential task toward improving mental health and criminal justice outcomes. The BIPSE development and refinement process demonstrates that interventions targeting the therapeutic relationship are acceptable to officers and clients, and can be tailored and feasibly structured into standard probation practices.

scholarly journals Evaluating Implementation of the Diabetes Perioperative Passport: A qualitative focus group study

2020 ◽  
Author(s):  
Funke Akiboye ◽  
Emma Page ◽  
Krish Nirantharakumar ◽  
Gerry Rayman ◽  
Antje Lindenmeyer
Keyword(s):  
Focus Group ◽  
Focus Groups ◽  
Elective Surgery ◽  
Small Body ◽  
Implementation Process ◽  
Working Environment ◽  
Practical Implementation ◽  
Care Needs ◽  
Factors Affecting ◽  
Implementation Tool

Abstract AimsTo examine the factors affecting implementation of an empowerment tool for patients with diabetes in two surgical groups within a single district general hospitalBackgroundA perioperative passport was developed to improve care of people with diabetes undergoing elective surgery by equipping patients with a hand-held summary of their care needs. Two surgical groups were approached to be involved in developing and piloting this novel technology with contrasting results. DesignA qualitative study using focus groups to examine factors affecting staff engagement in implementing the diabetes perioperative passport.MethodsTwo focus group were conducted in 2017 with pre-operative nurses in the departments of orthopaedics and general surgery of an NHS trust (N= 8). Audio-taped group discussions were transcribed, and the data coded and analysed to identify themes.FindingsThe general surgical nurse group generally supported each other’s views and comments. They were enthused about the passport throughout. In contrast, the orthopaedic specialist nurse group had initial reservations about implementing the passport, but as the focus group unfolded, they moved from sharing individual views to finding commonalities and became more engaged and motivated to use the passport. ConclusionFocus groups are a practical and efficient tool to conduct within the usual working environment of an NHS hospital. In addition to capturing information about the challenges to implementation they may serve as a crucial implementation tool where evidence-based practice has not been adopted. ImpactThis is the first study carried out in the NHS setting highlighting the benefit of focus groups as a practical implementation tool. Contributions to literature· Diabetes is managed in the outpatient setting with care focusing on education and patient empowerment.· Barriers for implementation of empowerment tools have not been fully explored.· This study suggests the implementation of empowerment tools may pose an additional challenge to more specialist groups.· It demonstrates that focus groups are practical and efficient and may also have utility in the implementation process beyond identifying the barriers to embedding a new technology. · These findings contribute to the small body of evidence on the implementation of empowerment tools and highlight the benefit of focus groups as a useful tool in the implementation process.

Handlungsleitende Orientierungen frühpädagogischer Fachkräfte in der Zusammenarbeit mit Eltern

2017 ◽  
Vol 6 (1) ◽  
pp. 10-15
Author(s):  
Beate Vomhof
Keyword(s):  
Focus Groups ◽  
Sich Eine

Zusammenfassung. Die Zusammenarbeit mit Eltern wird in Bildungsplänen und Kompetenzbeschreibungen als professionelle Aufgabe frühpädagogischer Fachkräfte definiert. Um einen Paradigmenwechsel anzuzeigen, verwenden zahlreiche Autoren inzwischen nicht mehr den Begriff Elternarbeit, sondern sprechen von Bildungs- und Erziehungspartnerschaft. Doch wird die Kooperation tatsächlich partnerschaftlich umgesetzt? Um der Forschungsfrage nachzugehen, welche handlungsleitenden Orientierungen frühpädagogische Fachkräfte in der Zusammenarbeit mit Eltern im Kontext kompensatorischer Sprachfördermaßnahmen haben, werden neun Fälle (die aus sechs Interviews und zwei Focus Groups generiert wurden) anhand der Dokumentarischen Methode interpretiert. Es zeigt sich, dass die Förderkräfte auf der Ebene der Einstellung die normativen Setzungen um Partnerschaftlichkeit teilen. Die Rekonstruktion der impliziten Wissensbestände offenbart jedoch, dass die Kooperation hierarchisch und teilweise als Machtbeziehung konstruiert wird. Es lässt sich eine grundlegende Diskrepanz zwischen den expliziten und den impliziten Orientierungen rekonstruieren, die sich als Differenz zwischen Norm und Habitus zeigt.

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