scholarly journals Determinants of the Implementation of Telemedicine in the German Navy—A Mixed Methods Study

2021 ◽  
Author(s):  
Ensign Daniel Valentin Hötker ◽  
Markus Matthias Ring ◽  
Jost Steinhäuser

ABSTRACT Introduction The history of the use of telemedicine in maritime medicine dates back to the 1930s. In the early 2000s, the German Navy built up a telemedicine network which today is installed in all ships and provides a connection to the medical infrastructure ashore. The objective of this study was to optimize the implementation of telemedicine based on the experience gained in the German Navy. For this purpose, qualitative and quantitative methods were used to identify determinants which affect the use of telemedicine in order to determine whether there is any need for optimization. Methods The study was conducted using a mixed methods design. First, guideline-based interviews were conducted with Navy medical officers who had been recruited via various email distribution lists. The interviews were then transcribed and coded. In an analysis, deductive and inductive categories were derived from the codes. Hypotheses were deduced from the interviews, too, and used to develop a questionnaire. Besides the medical officers, other Navy medical personnel with experience in the field of telemedicine took part in the survey. The study was concluded by a descriptive analysis of the quantitative data. Results The analysis of the interviews revealed that a regular use of telemedicine workstations increased the users’ confidence and, in their opinion, improved medical treatment. Technical and organizational problems posed obstacles, which increased the use of partly insecure alternatives. A proper technical support was regarded as a precondition for effectively using telemedicine. The results of the quantitative analysis showed that consultation was mainly sought for dermatological (46%), surgical (24%), and internal (22%) conditions. Conclusion The study revealed determinants for the use of telemedicine in the German Navy. Factors improving the motivation of the users should be strengthened in order to optimize the use of telemedicine. Furthermore, it can be assumed that a successful implementation will be supported by reducing or eliminating obstacles. The findings on the main reasons for seeking medical advice could be taken into account in the further planning of specific training.

2021 ◽  
pp. 155868982098627
Author(s):  
Diego Romaioli

In order to enhance core mixed methods research designs, social scientists need an approach that incorporates developments in the social constructionist perspective. This work describes a study that aimed to promote occupational well-being in hospital departments where employees are at risk of burnout, based on a constructionist inquiry developed starting from the Maslach Burnout Inventory. Taking this study as an example, we define a “generative sequential mixed methods approach” as a process that involves consulting quantitative studies to identify criticalities on which to conduct focused, transformative investigations. The article contributes by envisaging ways to mix qualitative and quantitative methods that consider a “generative” and “future-forming” orientation to research, in line with recent shifts in social psychology.


2020 ◽  
Vol 20 (1) ◽  
pp. 268
Author(s):  
Raditya Priambodo ◽  
Elsye Maria Rosa ◽  
Sri Sundari

Background: The National Hospital Accreditation Standards (SNARS) state that one of the key indicators in patient-focused service standards is patient assessment. The purpose of this study was to analyze the level of compliance and accuracy of medical personnel in pre dialysis assessments at NHC. Subjects and Method: This study uses a mixed method with the Cohort Study approach. Research subjects were medical records for quantitative data and doctors, nurses and head nurses for qualitative data. Quantitative data analysis with descriptive analysis, and qualitative analysis with in-depth interviews. Result: The level of compliance and accuracy of medical personnel in filling the pre dialysis assessment at the Nitipuran Hemodialysis Clinic is not quite good. The implementation of pre dialysis assessment at the NHC includes physical status, medical history, history of drug allergy, assessment of pain, risk of falls, and educational needs. Constraints include time constraints, assessments are filled in immediately without checking in detailly, there are gaps in the hourly monitoring records. Conclusion: compliance and accuracy of medical personnel in filling out assessments must be improved.


Case Studies Within Psychotherapy Trials: Integrating Qualitative and Quantitative Methods presents a specific, mixed-methods approach, called the “Cases Within Trials” (CWT) model, to psychotherapy research, combining the results from a randomized clinical trial (RCT) with systematic case studies involving contrasting outcomes drawn from the experimental condition of the RCT; and a synthesis of the two types of knowledge. Chapters 3–6 of the book present four specific and diverse projects that concretely illustrate the CWT method. In Chapter 8 the editors analyze the four chapters and explore emergent themes in the knowledge gained from them. In the process, the editors systematically compare the positive-outcome and negative-outcome cases across the four projects, highlighting, for example, (a) the importance of contextual variables in creating the conditions for change mechanisms to be activated; (b) the multidimensional, reciprocally interactional nature of the therapy process; and (c) the particular role of therapist responsiveness.


Author(s):  
Daphne C. Watkins

Mixed methods research integrates both qualitative and quantitative methods into a single study to produce a more inclusive and expansive understanding of a topic. This article defines mixed methods in social work research, and discusses design notation, language, popular mixed methods designs, and data integration. Using mixed methods provides an opportunity for social workers to take advantage of the strengths of both qualitative and quantitative approaches and to offset their weaknesses. It is important that social workers engaged in mixed methods research maximize the interpretation of their findings and articulate the advantages of using mixed methods over qualitative or quantitative methods alone. Given the unique features of the profession, it is imperative that social workers carve out a distinctive mixed methods niche for social work researchers and practitioners.


2019 ◽  
Vol 36 (5) ◽  
pp. 666-671 ◽  
Author(s):  
Navdeep Kaur ◽  
Isabelle Vedel ◽  
Reem El Sherif ◽  
Pierre Pluye

Abstract Background Mixed methods (MM) are common in community-based primary health care (CBPHC) research studies. Several strategies have been proposed to integrate qualitative and quantitative components in MM, but they are seldom well conceptualized and described. The purpose of the present review was to identify and describe practical MM strategies and combinations of strategies used to integrate qualitative and quantitative methods in CBPHC research. Methods A methodological review with qualitative synthesis (grouping) was performed. Records published in English in 2015 were retrieved from the Scopus bibliographic database. Eligibility criteria were: CBPHC empirical study, MM research with detailed description of qualitative and quantitative methods and their integration. Data were extracted from included studies and grouped using a conceptual framework comprised of three theoretical types of MM integration, the seven combinations of these types and nine practical strategies (three per type of integration) and multiple combinations of strategies. Results Among the 151 articles reporting CBPHC and MM studies retrieved, 54 (35.7%) met the inclusion criteria for this review. The included studies provided examples of the three theoretical types of MM integration, the seven combinations of these types as well as the nine practical strategies. Overall, 15 combinations of these strategies were observed. No emerging strategy was observed that was not predicted by the conceptual framework. Conclusions This review can provide guidance to CBPHC researchers for planning, conducting and reporting practical strategies and combinations of strategies used for integrating qualitative and quantitative methods in MM research.


2000 ◽  
Vol 5 (1) ◽  
pp. 45-52 ◽  
Author(s):  
Steven S. Yalowitz ◽  
Marcella D. Wells

In visitor studies, there has been some debate about the use of qualitative versus quantitative research methods. Many evaluators understand the advantages and disadvantages of both methods, but deciding on the most appropriate method can still be problematic. This article summarizes the tenets of both qualitative and quantitative methods and provides examples of visitor studies for each. It also reviews several research studies that have successfully used mixed methods to evaluate visitors.


2014 ◽  
Vol 4 (5) ◽  
pp. 415-416
Author(s):  
Padam Simkhada ◽  
E Van Teijlingen ◽  
SP Wasti ◽  
Brijesh Sathian

Combining and integrating a mixture of qualitative and quantitative methods in one single study is widely used in health and social care research in high-income countries. This editorial adds a few words of advice to the novice mixed-methods researcher in Nepal.DOI: http://dx.doi.org/10.3126/nje.v4i5.11993 Nepal Journal of Epidemiology 2014; 4(5):415-16  


Author(s):  
Zulyaden Zulyaden ◽  
Rinaldy Rinaldy

In the implementation of activities we often find what is called a project. The project is an activity that must be completed in accordance with the specified target and time, so that the project can be regarded as a success in project implementation. One of the projects in ques-tion is the construction project. Construction projects in their implementation we often encounter various kinds of problems that arise from the elements involved in them, so this can hamper the success of a project that is being implemented. One problem that arises from the contractor factor and contract specification. The purpose of this study is to find out one of the main inhibiting factors in the successful implementation of construction projects in Aceh Province. Classification of construction services for respondents is all construction ser-vices from the middle class (M) to large classes (B). The data obtained the total population of construction services as many as 508 con-tactors from observations of projects that have been completed from 2010-2015 with funds from the Aceh Budget (APBA). By using the Slovin formula a total sample of 84 contractors was found. The method used in this study is a combined method, namely qualitative and quantitative methods through questionnaires. The independent variables reviewed are the contractor factor and the contract specification factor while the dependent variable is the success of the project. For statistical analysis the data process is done by using validity and reliability tests, while analyzing the data is done by using multiple linear regression with the help of Product Solution and Service Statis-tics (SPSS) version 22. The results of the study indicate that the contractor factor is one of the main inhibiting factors in the successful implementation of the project in Aceh Province.


2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Heather Sharp

Research using a mixed-methods design is increasingly becoming the norm, crossing the myriad of educational fields of research, including history education. While commonly interpreted as a combining of qualitative and quantitative methods, mixed methods in history education can also extend to a bricolage approach, whereby the epistemological aspect of research is explicitly used to frame a study incorporating a combination of interdisciplinary methodologies and theoretical underpinnings. It extends beyond the often asserted binary of qualitative and quantitative research. In considering directions of qualitative research in the broad discipline area of education, the work of researchers such as Kincheloe (2005) and Denzin and Lincoln (2005) is used throughout this paper within a qualitative research context based on the work of Kincheloe and Tobin (2006). Adopting their approach of investigating the complexity of the lived world means placing research within a number of contexts. Research can be framed – from conceptualization to data gathering to analysis – in a range of contexts, appropriately matched between stage of research and underpinning theories. This paper reports on how bricolage can be used to frame research in history education.


1998 ◽  
Vol 14 (2) ◽  
pp. 97-115 ◽  
Author(s):  
Thomas D. Cook ◽  
Werner W. Wittmann

The history of program evaluation in the United States over the last 25 years is used to abstract themes that may be of importance to the development of evaluation in Europe. The themes relate to (1) the organizational context of evaluation, particularly as regards the tension between the different roles of the social scientist and the auditor; (2) the dependence of evaluation on politics, which entails that research findings be selectively used, and that evaluation questions serve some political interests more than others unless active steps are taken to make evaluations broadly accountable and their results widely disseminated; (3) the reality that most understandings of evaluation emphasize describing what programs have actually achieved, whereas some program planners want it to refer to the ex-ante task of analyzing what the results of a future program might be if it were to be implemented; (4) the mutually supportive roles that both qualitative and quantitative methods have to play in evaluation once the trap is avoided of assuming the supremacy of either one of these method types over the other; and (5) the limited value that can usually be assigned to the results of individual evaluations when compared to what careful literature reviews can accomplish. We argue that a flourishing evaluation culture requires strong methods, strong theory about the nature of evaluation and its links to use, plus continuous updates of what evaluations have discovered in different substantive areas. Today, North American evaluation is perhaps best characterized as applied social-science methods - and this may be too narrow a conception for evaluation to continue flourishing.


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