scholarly journals Participatory action research for global antibiotic stewardship network in CPLP: mixed-method study

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M R Maia ◽  
L V Lapão

Abstract Background Antibiotic stewardship services (ABS) contribute to antibiotic resistance (AR) global monitoring. Aiming at co-implement an ABS network within the Portuguese-speaking setting (CPLP), by enabling the evidence translation and second opinion between the countries, we surveyed Cape Verdean (CV) health professionals (HP) perceptions about AR prevention and control, assessing ABS opportunities. Methods A Design Science with Participatory Action Research establishes a contextualized ABS process. This mixed-method study addressed the first 2 stages, the problem and objectives. Quantitative study considered the HP’s answers (56 HP; 2 hospitals) to a questionnaire, about their perception on AR and ABS. Qualitative study set-up 10 open-ended structured interviews, clinical shift observation in 2 pilot-services (1 hospital), and meetings with key-elements for ABS, including leadership. Results Key-stakeholders for ABS multidisciplinary teamwork were identified. Preliminary results are: 1. HP reveal some knowledge but lack of awareness on AR and ABS (eg. 34% don’t recognize the AR local threat); 2. The absence of guidelines and lack of access to key-information affect prescribing confidence (eg. only 46% HP consider microbiology results in deciding antibiotherapy); 3. Priorities for a pilot service are the lack of qualified HP, the need to optimize material resources management and stock procurement, and the need for better access to patient’s clinical and prescription information; 4. Digital resources and telemedicine system can be facilitators. Top-down communication and support are essential for the ABS process sustainability. Conclusions A Global ABS network can be important in promoting prevention and effective control of AR, reducing differences between the CPLP countries. In CV, an educational program to support the co-design of ABS service and a decision-support information system are identified priorities. Digital health, like telemedicine, can be ABS facilitators. Key messages The implementation of a Global Antibiotic Stewardship network, aiming at reducing Portuguese-speaking Countries differences, could be leveraged by a Participatory Action Research process. An educational program, a decision-support information system and the telemedicine are key for the Global Antibiotic Stewardship network implementation success.

2019 ◽  
Vol 22 (2) ◽  
pp. 137-145
Author(s):  
Siswanto Siswanto

The appropriate approach for operational research is by using problem solving cycle model, comprising (i) measuring the magnitude of the problem, (ii) identifying the causes of the problem, (iii) developing the solution, (iv) implementing program/ intervention, and (v) evaluating the program. Within a scientific perspective, in every phase of problem solving cycle, it needs research, including the fourth phase i.e. implementing program/ intervention. Research that provide scientific evidence for better implementation is labeled as Implementation Research. As a methodological approach, Implementation Research belongs to critical realism paradigm that is possible to use mixed method (combination of qualitative and quantitative), or stand alone of qualitative method, or quantitative method. The role of Implementation Research is very crucial for better implementation or for better scale-up of the program by understanding the implementation process as well as the impact of the program under concern. Participatory action research, as one of the Implementation Research approach, can be used as an appropriate methodology for better implementation in the real context of the new policy (new program) by tailoring the implementation process (management process) with the real world situation in terms of policy actors, organizational situation, human resources variable, community variable, as well as, resources variable. Abstrak Pendekatan yang tepat untuk riset operasioanl adalah melalui siklus pemecahan masalah terdiri dari (i) mengukur besaran masalah, (ii) mencari penyebab masalah, (iii) mengembangkan solusi, (iv) implementasi intervensi/ program, dan (v) evaluasi program. Dalam perspektif ilmiah, maka dalam setiap tahapan siklus pemecahan masalah memerlukan penelitian, termasuk tahap keempat yakni tahapan implementasi program. Penelitian yang menyediakan bukti ilmiah untuk implementasi program disebut dengan Riset Implementasi (Implementation Research).  Sebagai pendekatan metodologi, Riset Implementasi termasuk dalam paradigma realisme kritis (critical realism), yang memungkinkan untuk menggunakan metoda campuran (mixed method) (kombinasi kuantitatif dan kualitatif), atau secara senidri hanya menggunakan kuantitatif, atau kualitatif saja. Peran Riset Implementasi menjadi sangat penting untuk mendapatkan cara-cara implementasi yang lebih baik, atau dalam rangka memperluas jangkauan progam, guna mempelajari proses implementasi dan melihat dampak program sebagaimana diinginkan. Riset tindak partisipatif (Participatory action research), dapat dipergunakan sebagai metodologi yang tepat untuk mendapatkan cara-cara implementasi yang lebih baik dalam konteks penerapan kebijakan/ progam baru, dengan menyesuaikan proses implementasi (proses manajemen) disesuaikan dengan situasi dunia nyata di lapangan, berkaitan dengan aktor kebijakan, situasi organisasi, variasi sumber daya manusia, variasi masyarakat, maupun variasi sumber daya lainnya.


2018 ◽  
Vol 59 ◽  
pp. 01002
Author(s):  
Alexandra Widjaja ◽  
Shandy Matitaputty

Small Medium Enterprises (SMEs) as a vast growing industry are inhibited by its lack of resources, such as capital funding, skill, and technology. It leads to the lack of business information, which is important to be used in decision making process. Accounting Information System (AIS) will enhance their business information’s availability and reliability. SMEs need to be supported on designing their AIS. This article aims to propose a learning model in AIS course that could affect both students and community through a project based learning. Project based learning model will enhance, not only student’s cognitive ability, but also give them the opportunity to empower their community. This study is expected to help the student becomes both cognitive and affective excellence under-graduate. This study was conducted using a participatory action research which is a collaborative research that equitably involves all partners. The subject of this research is students of Accounting Information System course, Faculty Economics and Business, Soegijapranata Catholic University, Semarang, and the targeted community, which is small medium enterprises in Semarang. This research is conducted through four phases, i.e (i) observation; (ii) Analyzation and Design Planning; (iii) Actuating; and (iv) Evaluation and Monitoring.


2008 ◽  
Vol 18 (5) ◽  
pp. 701-717 ◽  
Author(s):  
Anne Westhues ◽  
Joanna Ochocka ◽  
Nora Jacobson ◽  
Laura Simich ◽  
Sarah Maiter ◽  
...  

Author(s):  
Olena Kuzminska ◽  
Victoria Kantur

In the context of COVID-19, when most of the processes are transferred online, one of the tasks of digitalizing the main business processes of modern universities is the implementation of marketing strategies, in particular, for the implementation of career guidance activities, and helping future applicants - applicants for I and II (master's) levels of the higher education in the implementation of the choice of educational programs. Therefore, the need to design an information system for decision-making support for the choice of master's programs based on the results of career guidance testing is actualized. The creation and use of the system "Selection of a master's program" will contribute to an increase in the efficiency of career guidance work on the part of higher educational institutions, as well as a more conscious choice of an educational program on the part of applicants. Based on the results of the analysis of the needs of potential students (potential graduates) and other analogues, we have modelled a decision support information system for the choice of master's programs. The main business processes, types of users (applicant, methodologist, expert, analyst) and options for their interaction with the system, namely, the formation of tests, passing the test, the formation of recommendations (educational programs) and the implementation of educational analytics, have been determined. The option of realization of this system by means of Visual Studio Code and MySQL for definition of specialties and educational programs on an example of National university of bioresources and nature management (NULES) of Ukraine is offered. This web resource can be useful both for university students or prospective applicants of the University and for other users as the developed system belongs to the reference class. The directions of further research are determined, in particular, the application of data mining methods for educational analytics. The necessity of attracting specialists to create tests is defined to provide the basis for determining the educational program not only based on an analysis of future applicants’ preferences, but also the level of formation of the corresponding professional skills.


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