COVID-19 driven care changes in high risk patients from an outpatient                     to a community setting

Abstract. Background: COVID-19 has led to a change in care for patients with chronic conditions, involving a transfer of drug administration from an outpatient to a community setting. Aim: To investigate patient preferences for treatment settings in the light of the current pandemic. Methods: Patients, who prior to the pandemic had attended two different outpatient clinics in a university hospital for their infusions or injections, were interviewed by telephone. The semi-structured interviews were analyzed using qualitative and quantitative methods. Results: Out of 49 patients with either anti-inflammatory or immunoglobulin treatments (response rate: 83 %), 24 (49.0 %) switched from subcutaneous (sc) injections in the hospital to the community setting, 18 (36.7 %) from intravenous infusions (iv) in the hospital to sc administration at home and 7 (14.3 %) moved to iv at home. During the pandemic 38 (80.9 %) wanted to continue their treatment at home, but after the pandemic 22 (46.8 %) would opt to go back to the hospital. Satisfaction was high with both settings, slightly favoring drug administration in hospital. Qualitative data shows that patients while emphasizing the importance of the relationship with the healthcare team, had increased concerns about safety as a result of COVID-19. Conclusions: The experience during the COVID-19 pandemic has increased self-management-skills in some patients, but long-term follow-up is needed. It has repercussions for future shared decision making for patients and their healthcare teams.

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Experiences using the poststroke checklist in Sweden with a focus on feasibility and relevance: a mixed-method design

BMJ Open ◽

10.1136/bmjopen-2018-028218 ◽

2019 ◽

Vol 9 (5) ◽

pp. e028218 ◽

Cited By ~ 1

Author(s):

Emma K Kjörk ◽

Gunnel Carlsson ◽

Katharina S Sunnerhagen ◽

Åsa Lundgren-Nilsson

Keyword(s):

Health Professionals ◽

Quantitative Methods ◽

Healthcare Services ◽

University Hospital ◽

Group Discussions ◽

Qualitative And Quantitative Methods ◽

Wide Range ◽

Long Term Follow Up

ObjectiveThe wide range of outcomes after stroke emphasises the need for comprehensive long-term follow-up. The aim was to evaluate how people with stroke and health professionals (HPs) perceive the use of the poststroke checklist (PSC), with a focus on feasibility and relevance.DesignAn exploratory design with a mix of qualitative and quantitative methods.SettingOutpatient care at a university hospital and primary care centres in western Sweden.ParticipantsForty-six consecutive patients (median age, 70; range, 41–85; 13 women) and 10 health professionals (median age 46; range, 35–63; 7 women).ResultsMost patients (87%) had one or more problems identified by the PSC. The most common problem areas were life after stroke (61%), cognition (56%), mood (41%) and activities of daily living (39%). Three organisational themes emerged from the focus group discussions. The perception ofthe content and relevance ofthe PSC was that common poststroke problems were covered but that unmet needs still could be missed. Identifying needs was facilitated when using thePSC as a tool for dialogue.The dialogue between the patient and HP as well as HPs stroke expertise was perceived as important. The PSC was seen asa systematic routine and a base for egalitarian follow-up, but participants stressed consideration given to each individual. Addressing identified needs and meeting patient expectations were described as challenging given available healthcare services.ConclusionsThe PSC is a feasible and relevant tool to support egalitarian follow-up and identify patients who could benefit from targeted poststroke interventions. Stroke expertise, room for dialogue and caring for identified needs emerged as important issues to consider when using the PSC. Nutrition, sexuality and fatigue were areas mentioned that might need to be addressed within the discussions. The PSC can facilitate patients in expressing their needs, enhancing their ability to participate in decision-making.

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Examining the Significance of Internal Mobility Hiring in Determining the Individual Vs Organizational Outcomes: An Empirical Investigation from ADNOC FURSA Platform During Recent Pandemic of COVID-19

10.2118/207535-ms ◽

2021 ◽

Author(s):

Anas Abudaqa ◽

Seena Al Nuaimi ◽

Hayfa Buhazzaa ◽

Sumaya Al Hosani

Keyword(s):

Quantitative Methods ◽

Oil And Gas ◽

Organizational Outcomes ◽

Structured Interviews ◽

Natural Manner ◽

Qualitative And Quantitative Methods ◽

Individual Outcomes ◽

Internal Mobility ◽

And Performance ◽

The Individual

Abstract Objective Scope: ADNOC group of companies introduced the Fursa platform which is an internal online website where HR acquisition partners among the 13 companies can post vacancies and employees from any of the 13 companies can apply to those vacancies. The aim of this initiative is to move ADNOC's employees internally to reskill, fill department gaps, and cross-collaborate to get a project done or hit an organizational goal with minimizing hiring cost and accelerate recruitment process. This study considers the above stated program as an explanatory factor to determine the individual's as well as organizational outcomes in ADNOC group of companies. Methods, Procedure, Process: To address the study objectives, qualitative and quantitative methods are adopted. More specifically, for quantitative approach, structural questionnaire was developed through adopting different items from the literature. Whereas qualitative analysis are conducted while using the information from structured interviews. Results, Observations, Conclusions: The study findings indicates that both individual and organizational outcomes are positively and significantly determined by internal mobility program. Similarly, analyses through qualitative approach confirms that internal mobility program helps to provide learning and development of the employees, productivity and performance in terms of individual outcomes, and sales and growth to reflect the concept of organizational outcomes. It is stated current program Enabled employees to find their next position, project, or mentor internally, and maximized ADNOC workforce potential and unlock the capacity to meet the corporate objectives. Other interesting outcomes are It takes less time and money to source (and saves money on relocation costs and as known during pandemic situation there is a restriction on international movement between countries); it enables faster onboarding and ramping up. Additionally, during internal mobility the company is confident that the candidate shares your mission and vision, and It also implies that you are aware of a candidate's most recent performance. Novel/Additive information: the study is unique in the sense that it is done in one of the giant oil and gas companies which employees working in different aspects of the business; upstream, downstream, and mid-stream. The study introduces modern ways of work in a speedy, natural manner, and the use of MS Teams to do virtual interviews. Fursa platform allows companies to act quickly. It only takes a few seconds to determine where talent should be directed, and a few more seconds to deploy it.

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The learning experiences and outcomes of medical students in a longitudinal integrated clerkship and traditional block rotations in Taiwan: a comparative and qualitative study

10.21203/rs.2.23908/v1 ◽

2020 ◽

Author(s):

Yaw-Wen Chang ◽

Wen-Hui Fang ◽

Wen-Chii Tzeng ◽

Pauling Chu ◽

Senyeong Kao

Keyword(s):

Academic Performance ◽

Medical Students ◽

Quantitative Methods ◽

Clinical Performance ◽

Learning Experience ◽

Learning Experiences ◽

Block Rotation ◽

Structured Interviews ◽

Qualitative And Quantitative Methods ◽

Tertiary Teaching

Abstract Background An increasing number of medical schools worldwide are implementing longitudinal integrated clerkships (LICs), but few schools in East Asia have done the same. The study explored and compared learning experiences and academic performances of LIC and traditional block rotation (TBR) students at a metropolitan tertiary teaching hospital in Taiwan.Methods This study employed qualitative and quantitative methods. We used semi-structured interviews to explore the learning experience of the medical students in their fifth-year clerkship and analyzed the data with a general inductive approach. We also compared the students’ academic performance, including the scores of their clinical performance, medical record writing, written tests, and the objective structured clinical exam.Results There were 12 LIC and 14 TBR students who participated in interviews. We identified four major themes in their learning experiences. (1) Clinical learning: the importance of active learning, the difference between textbook knowledge and clinical practice, and opportunistic (TBR) versus contextual (LIC) learning. (2) With patients: companionship with patients (TBR and LIC) and bridging the gap between physicians and patients (LIC). (3) With preceptors: apprenticeship (for LIC) and difficulty communicating with preceptors (for TBR). (4) Doctor-patient relationship: interaction and communication. Comparing the learning outcomes, the LIC students scored higher on preceptor-rated assessments, and both groups exhibited comparable performance on written tests and the objective structured clinical examination.Conclusion Although students’ learning experience differed in some respects according to their curricula, they had a comparable academic performance.

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Should we cooperate? Game theory insights for servitization

Journal of Service Management ◽

10.1108/josm-11-2020-0430 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Scott Wagstaff ◽

Jamie Burton ◽

Judy Zolkiewski

Keyword(s):

Game Theory ◽

Quantitative Methods ◽

Complex Dynamics ◽

Oil Industry ◽

Cooperative Behaviour ◽

Structured Interviews ◽

Content Type ◽

Qualitative And Quantitative Methods ◽

Cooperative Approach ◽

The Impact

PurposeAn abundance of literature suggests that organisations adopting a cooperative approach achieve greater rewards than those that act in opposition or isolation. An emerging body of work also highlights the multiple actors involved in servitization. Despite this, in some contexts the benefits of servitization are not apparent. This paper examines business relationships in the oil industry and how they affect levels of servitization.Design/methodology/approachA mixed method study employing qualitative and quantitative methods was used to fully explore the context. In the quantitative phase, 48 oil industry specialists responded to a scenario based on game theory. This aimed to determine if the relationships between their respective organisations are cooperative or adversarial. Abduction drove a second qualitative phase. This consisted of a series of semi-structured interviews used to explore the servitization level and influence of servitization on relationships and vice versa.FindingsThe statistical results suggest that all parties used adversarial strategies despite the publicised intent to work cooperatively. The interviews suggested that increasing (decreasing) servitization could increase (decrease) cooperation and, in turn, value co-creation but revealed nuances to this effect. It also adds to our understanding of the darker side of servitization by illustrating the impact of mimetic isomorphism.Originality/valueThe findings add to understanding of the complex dynamics around servitization by showing that it is only at advanced levels of servitization that cooperative behaviour is observed, and base and intermediate levels result in non-cooperative behaviour and thus illustrate the importance of adopting a multi-actor lens to explore servitization.

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A critical exploration of professional perceptions of harm reduction policy and practice in Vietnam

10.26686/wgtn.17136515.v1 ◽

2021 ◽

Author(s):

◽

Tuan Dung Truong

Keyword(s):

Drug Use ◽

Harm Reduction ◽

Quantitative Methods ◽

Brain Diseases ◽

People Who Use Drugs ◽

Structured Interviews ◽

Policy And Practice ◽

Public Health Perspective ◽

Qualitative And Quantitative Methods ◽

Reduction Strategies

<p>Throughout the 1990s, Vietnam experienced a dramatic rise in the prevalence of HIV among people who use drugs. In response, Vietnam’s Ministry of Health implemented several legal and policy interventions in the name of harm reduction. However, perceptions about drug use, people who use drugs, addiction and the nature of official interventions are contested. For many Vietnamese officials, abstinence remains the dominant philosophy. Drug use is considered a ‘social evil’ in Vietnam and people who use drugs face draconian controls and incarceration in the name of treatment and crime prevention. Against this background, this thesis explores how key stakeholders perceive harm reduction philosophy and how they apply it in policy and practice. Based on qualitative and quantitative methods, it presents findings from a survey with 250 respondents and 26 semi-structured interviews, all with professionals involved in responding to drug use in Vietnam. The thesis illustrates that these professionals prefer abstinence approaches, and often see addiction as the result of moral failings and brain diseases. While some interventions in the name of harm reduction are accepted, they are firmly rooted within a narrow public health perspective. Professional misperceptions about the key principles and practices of ‘authentic’ harm reduction are widespread. Many professionals believe, for example, that harms can only be limited through reductions in the demand and supply of drugs, or that detaining people who use drugs in compulsory treatment centres is a form of harm reduction. These rationales have resulted in continuing police crackdowns, and the use of ‘pseudo’ harm reduction strategies to control and punish people who use drugs. Meanwhile, there are limited official attempts to address problems experienced by people who use drugs, like social isolation, stigma, discrimination, human rights violations, or problems of community reintegration. In conclusion, while a harm reduction rhetoric is regularly employed in Vietnam, ‘pseudo’ harm reduction strategies are carried out.</p>

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Innovative and nontraditional revenue generation in New Zealand museums

10.26686/wgtn.17060243.v1 ◽

2021 ◽

Author(s):

◽

Anna Abernethy

Keyword(s):

New Zealand ◽

Value Chain ◽

Best Practice ◽

Quantitative Methods ◽

Third Party ◽

Practice Research ◽

Structured Interviews ◽

Revenue Generation ◽

Qualitative And Quantitative Methods ◽

Revenue Sources

<p>Improving income in museums around the world is vitally important and New Zealand museums are no exception. There is little literature in Museum Studies offering practical strategies for fundraising, with much research focusing on the morality of revenue sources rather than best practice. Research in other disciplines on museum revenue has been problematic as the theories it has attempted to apply are not always applicable. There has also been little research on the local dynamics of revenue generation, and there is therefore an urgent need for practice based research on this topic, such as data for comparative analysis of revenue sources. Responding to gaps in the current literature this thesis analysed innovative and nontraditional revenue generation in three Wellington museums. Innovative and nontraditional revenue encompasses programs, partnering, fundraising, museum-operated businesses, venue hire, museum and third-party websites, phone applications for smartphones, crowdsourcing and e-commerce. Pragmatism provides the research paradigm for this empirical study into current professional practice. The paradigm was enhanced by several concepts including Hansen and Birkinshaw’s, Innovation Value Chain. To examine the local museum situation, data was gathered from the Museum of New Zealand Te Papa Tongarewa; the New Zealand Cricket Museum; and Pātaka Art + Museum. Semi-structured interviews with key staff and revenue records were analysed following qualitative and quantitative methods. There were several key findings which highlighted the direct and indirect benefits of innovative and nontraditional revenue. External partnerships, museum staff and volunteers were highlighted as crucial for revenue viability. Ethics and perceptions of revenue also affected revenue generation. Overall the research enhances our knowledge of museum economics in the New Zealand context. I argue that commercial operations need to be integrated into museum practice and that the benefits of this approach should be demonstrated to all staff. Finally, several recommendations are made which I believe will enhance the future practice of revenue generation in New Zealand museums.</p>

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Women Access to Land and Legal Security of Tenure in Ohafia Abia State Nigeria

Journal of Physical Science and Environmental Studies ◽

10.36630/jpses_21008 ◽

2021 ◽

Vol 7 (4) ◽

pp. 45-51

Author(s):

Chidinma J Nwobi ◽

◽

Eugene E Kalu

Keyword(s):

Decision Making ◽

Land Tenure ◽

Rural Women ◽

Quantitative Methods ◽

Sub Saharan Africa ◽

Structured Interviews ◽

Gender Integration ◽

Qualitative And Quantitative Methods ◽

Sub Saharan ◽

Legal Security

Across the developing world, rural women suffer widespread gender-based discrimination in laws, customs and practices which cause severe inequalities in their ability to access, control, own and use land and limit their participation in decision-making at all levels of land governance. Most literature on land tenure in sub-Saharan Africa has presented women as a homogenous group. This study uses cases from Ohafia to show that women have differentiated problems, needs, and statuses in their quest for land access and tenure security. Ohafia in Abia State, Nigeria was the study area. The study employed both qualitative and quantitative methods including household surveys, semi-structured interviews, key informant interviews and observations. The experience of women revolved around fear of been cheated (19.7%), need a supporting hand (46.8%) and need approval from their husband (33.6%). The consequences of perceived exclusion and/or marginalization of women as revealed by women owner-occupiers are women subordination (70.2%) and marginalization of widow (29.8%). The study recommends the promotion of gender integration at all levels of projects and programmes by integrating gender perspectives in all future activities as it is required, for example, the FAO Gender Plan of Action and the UNCHS. To ensure gender inclusiveness in project and programme planning and in policy and decision-making, aiming towards a balanced representation of men and women in these bodies. Keywords: Land, Land Rights, Land Tenure, Women, Legal Security of Tenure

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Determination of Innovation Indicators in Teaching-Learning Activities of Curricula and Their Application in Art University

Review of European Studies ◽

10.5539/res.v9n4p8 ◽

2017 ◽

Vol 9 (4) ◽

pp. 8

Author(s):

Setareh Mousavi ◽

Mohammadreza Nili ◽

Ahmadreza Nasr ◽

Mohammad Masoud

Keyword(s):

Art Education ◽

Quantitative Methods ◽

Learning Activities ◽

Structured Interviews ◽

Self Directed Learning ◽

Qualitative And Quantitative Methods ◽

Directed Learning ◽

Competency Based ◽

Teaching Learning ◽

Innovation Indicators

The present research mainly aims to determine the innovation indicators for teaching in Art University. Qualitative and quantitative methods have been used. The data were collected from semi-structured interviews and Self-made questionnaire. The findings reveal that the most important innovation indicators consist of: Competency-based Art education, Acquaintance with framework of appreciating the art works, Self-directed learning, Choice-based art education Attention to Aesthetics, Experimental leaning through Art Education, Developing Different Approaches to Making Art, Provides the excellent opportunities to learn personal and professional skills, Stress on the description, explanation, critical process cooperative exploration-based learning activities, application of new teaching methods and the application of innovation indicators for “teaching-learning activities” is less than medium.

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Emerging technologies for learning in occupational safety and health: the experience of the videogame “Becoming safe”

10.4995/head21.2021.12936 ◽

2021 ◽

Author(s):

Emma Pietrafesa ◽

Rosina Bentivenga ◽

Sara Stabile

Keyword(s):

Quantitative Methods ◽

Occupational Safety ◽

Health And Safety ◽

Occupational Safety And Health ◽

Structured Interviews ◽

Design Work ◽

Qualitative And Quantitative Methods ◽

Occupational Risks ◽

Safety And Health ◽

Participative Research

In the paths for transversal skills and orientation (PCTO), italian students are considered like workers and therefore they must receive adequate information and training on occupational safety and health (OSH). These methods allow the students not to be excluded from the preventive measures of the health and safety at work by directing them towards self-protection.Today, this process can be supported through the use of digital tools such as videogames. The study describes a participative research and co-design work in 7 Italian high schools of agricultural, construction and manufacturing sectors, in order to co-create an educational tool (videogame) to promote OSH during the PCTO. The format could be a support for training and usable both in the classroom and in internship, according to the indications for the serious game’s design.The study applied qualitative and quantitative methods: survey (277 students), word cafés/focus groups (50 students), 10 semi-structured interviews and 3 WhatsApp groups (12 students) to facilitate the participation and the engagement of teachers, students and OSH experts. Learning by playing has always been an activity, technologies today make it easy and funny, while gaming can offer cognitive and operational elements suitable for recognizing and therefore preventing the occupational risks.

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A Novel Network Approach to Capture Cognition and Affect: COVID-19 Experiences in Canada and Germany

Frontiers in Psychology ◽

10.3389/fpsyg.2021.663627 ◽

2021 ◽

Vol 12 ◽

Author(s):

Jordan Mansell ◽

Lisa Reuter ◽

Carter Rhea ◽

Andrea Kiesel

Keyword(s):

Quantitative Methods ◽

Directed Graphs ◽

Software Tool ◽

Structured Interviews ◽

Qualitative And Quantitative Methods ◽

Significant Relationships ◽

Novel Method ◽

The Given ◽

The Relationship ◽

Viral Outbreak

We tested a novel method for studying human experience (thoughts and affect). We utilized Cognitive-Affective Maps (CAMs)–an approach to visually represent thoughts and their affective connotations as networks of concepts that individuals associate with a given event. Using an innovative software tool, we recruited a comparative sample of (n = 93) Canadians and (n = 100) Germans to draw a CAM of their experience (events, thoughts, feelings) with the Covid-19 pandemic. We treated these CAM networks as a series of directed graphs and examined the extent to which their structural properties (latent and emotional) are predictive for the perceived coronavirus threat (PCT). Across multiple models, we found consistent and significant relationships between these network variables and the PCT in both the Canadian and German sample. Our results provide unique insights into individuals' thinking and perceptions of the viral outbreak. Our results also demonstrate that a network analysis of CAMs' properties is a promising method to study the relationship between human thought and affective connotation. We suggest that CAMs can bridge several gaps between qualitative and quantitative methods. Unlike when using quantitative tools (e.g., questionnaires), participants' answers are not restricted by response items as participants are free to incorporate any thoughts and feelings on the given topic. Furthermore, as compared to traditional qualitative measures, such as structured interviews, the CAM technique may better enable researchers to objectively assess and integrate the substance of a shared experience for large samples of participants.

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