An improvement project within urological care

2015 ◽  
Vol 28 (4) ◽  
pp. 412-422 ◽  
Author(s):  
Annelie Khatami ◽  
Kristina Rosengren
Keyword(s):  
Qualitative Content Analysis ◽  
Quality Care ◽  
National Level ◽  
Ureteral Stones ◽  
Improvement Project ◽  
Content Type ◽  
Healthcare Improvement ◽  
Common Goals ◽  
Group Interviews ◽  
Evidence Based Guidelines

Purpose – The purpose of this paper is to describe staff experiences in an on-going improvement project regarding patients with ureteral stones. Design/methodology/approach – A qualitative descriptive study based on eight group interviews and 48 narratives, was performed. Data were analysed using qualitative content analysis. Trustworthiness was ensured by using a well-documented improvement process method during six months. Findings – The results formed three categories: an absent comprehensive view; complexity; and vulnerability within the organisation. A holistic perspective regarding urological care at the micro-, meso- and macro-levels is needed to improve planning and caring processes. Research limitations/implications – This study includes one team (six members, different health professionals) within the same urology department. Practical implications – Results show that staff need information, such as guidelines and support throughout the improvement work to deliver high-quality care. Moreover, there is a need for evidence-based guidelines at national level to support improvement work. Social implications – Healthcare staff need to pay attention to all team member needs to improve urological care. Organisational and managerial aspect are needed to support clear and common goals regarding healthcare improvement work. Originality/value – Urological improvement projects, generally, are lacking, which is why this study is important to improve nephrolithiasis patient care.

scholarly journals Regulatory intensity in English and German professional football

2018 ◽  
Vol 8 (3) ◽  
pp. 276-297 ◽  
Author(s):  
Birgit Bachmaier ◽  
Joachim Lammert ◽  
Daniel Plumley ◽  
Robert Wilson ◽  
Gregor Hovemann
Keyword(s):  
Financial Stability ◽  
Qualitative Content Analysis ◽  
National Level ◽  
Team Sports ◽  
Special Focus ◽  
Professional Football ◽  
Content Type ◽  
Premier League ◽  
Professional Team Sports ◽  
Assessment And Monitoring

Purpose In order to secure a proper execution of sporting competitions, national governing bodies of professional football leagues apply specific regulatory procedures. In this context, special focus is placed on requirements that are supposed to ensure financial stability of clubs. They, in turn, help avoid negative economic externalities, i.e. the problem that financial difficulties from one club can affect other clubs and stakeholders due to the interdependent relationships of the competition. These regulations on a national level in European professional football leagues show several significant differences. Therefore, the purpose of this paper is to comprehensively analyze financial regulatory procedures of professional football leagues to generate possible improvements of the regulations in detail. Design/methodology/approach Using a document analysis of the regulation books of the English Premier League and German Bundesliga (BL), this study compares the regulatory procedures of those important European professional football leagues. Further evaluation was performed through a qualitative content analysis to develop a category system including six categories with 72 criteria from deductive and inductive procedures. For more advanced coding, an assessment scale was integrated. Findings Compared to the Premier League, the regulation of the BL points to a more intensive regulation in all categories and across all analyzed indices. The results of both leagues partially reveal that assessment and monitoring requirements tend to be ineffective, which can substantially endanger the achievement of the whole monitoring process’ aims. The intention to ensure the financial stability for securing the league competition can be missed in such a situation and negative economic externalities cannot be prevented effectively. Originality/value For the first time, this study includes all relevant requirements of financial club assessment and monitoring. Thereby, an abstract comprehensive and systematic structure for professional team sports leagues is described and allows for a concrete international comparison of two European professional football leagues. At the end, several approaches to improve the regulatory framework are provided.

“Saluting” perceived sense of coherence in people with dementia by nurses

2015 ◽  
Vol 14 (3) ◽  
pp. 149-158 ◽  
Author(s):  
Daniela Lillekroken ◽  
Solveig Hauge ◽  
Åshild Slettebø
Keyword(s):  
Nursing Homes ◽  
Sense Of Coherence ◽  
Qualitative Content Analysis ◽  
Participant Observation ◽  
Focus Group Interviews ◽  
Main Category ◽  
Content Type ◽  
People With Dementia ◽  
Group Interviews ◽  
Insight Into

Purpose – Nurses employed in nursing homes have a unique insight into the lives of people with dementia (PwD) and into the factors that may support and possibly enhance their sense of coherence (SOC). It is currently not known precisely which factors contribute to supporting the SOC in PwD; therefore, in order to address the paucity of research in this area, the purpose of this paper is to identify and present these factors as they were perceived by nurses. Design/methodology/approach – The study employed a qualitative explorative design. Participant observation and focus group interviews were the data collection methods. The participants were nurses employed in special dementia units from two Norwegian nursing homes. Data were analysed using qualitative content analysis. Findings – Data analysis highlighted a main category, with additional three generic categories. The main category, “creating order out of chaos” concerns the nurses’ explanations about how they could create order in the lives of PwD lives. This main category is subdivided into three generic categories; “establishing continuity”, “ensuring predictability” and “building confidence”. These categories were assessed as “salutary” factors that may contribute to supporting the SOC in PwD. Originality/value – This paper highlights the importance of continuity, predictability and confidence as factors that may contribute to counterbalancing the state of chaos and to supporting the SOC in PwD. The findings add a salutogenic perspective to dementia care and research.

scholarly journals Understanding Chinese consumers' safety perceptions of dairy products: a qualitative study

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Shalamujiang Maitiniyazi ◽  
Maurizio Canavari
Keyword(s):  
Food Safety ◽  
Focus Group ◽  
Dairy Products ◽  
Qualitative Content Analysis ◽  
Chinese Consumers ◽  
Focus Group Interviews ◽  
Content Type ◽  
Representative Sampling ◽  
Safety Issues ◽  
Group Interviews

PurposeDairy products are an essential part of a healthy diet, and dairy is an emerging food industry in China. Meanwhile, the dairy industry is one of the “disaster zones” with quality and safety issues occurring more frequently in its supply chain than in others. Based on qualitative research focused on consumers in the Northwest and South of China, the present study aims to understand and provide information on consumer perception of food safety in dairy products.Design/methodology/approachNine focus group interviews were carried out from January to April 2018. Altogether, 61 participants (24 males, 37 females, aged 18–60 years) were recruited in four cities. Qualitative content analysis of the data was conducted using Nvivo version 11.4.0.FindingsA high concern with the safety of dairy products is widespread, particularly among participants with children, who are especially worried about the safety of dairy products. High prevalence of food safety incidents causes consumers to lower their confidence in food safety, and make them pay more attention to the news about food safety incidents. Consumers tend to become less sensitive to price, focusing more on food safety and quality, while purchasing dairy products. Brand and purchase venue are the most important indicators for consumers to determine the quality of dairy products. Safety certification becomes increasingly important.Research limitations/implicationsIt has some limitations. The focus group interviews covered different two regions (Northwest and South of China). However, the number of focus groups was limited to nine because of budget constraints. The participants come from Northwest and South of the country, which means that the findings may not apply for another area of the country. A more representative sampling with a larger sample size would be necessary to increase the validity of the study. However, the results can serve as input for further research.Originality/valueThis paper explores the Chinese consumers' perception of food safety and dairy products, consumers' behaviour concerning dairy products based on focus group interviews with consumers. This study offers valuable insights to members of academia, food suppliers and policy-makers.

scholarly journals Studenterfaringer med veiledning og læring knyttet til deltagelse i et kvalitetsforbedringsprosjekt på sykehus med kunnskapsbasert praksis som arbeidsform, -en beskrivende og utforskende studie

2020 ◽  
Vol 16 (1) ◽  
pp. 17
Author(s):  
Gro Røkholt ◽  
Liv-Signe Davidsen ◽  
Heidi Ness Johnsen ◽  
Alfhild Dihle
Keyword(s):  
Quality Improvement ◽  
Evidence Based Practice ◽  
Qualitative Content Analysis ◽  
Professional Knowledge ◽  
Clinical Placement ◽  
Student Experiences ◽  
Evidence Based ◽  
Improvement Project ◽  
Knowledge Updating ◽  
Group Interviews

Student experiences with supervision and learning through participation in a quality improvement evidence-baced practice project in a hospital, -a descriptive and explorative study A significant part of health care students’ education is provided through clinical placement supervised by practitioners with required education and experience. This study has been conducted to increase knowledge of students’ experiences with supervision and learning related to participation in a quality improvement project in a hospital using evidence-based practice tools. A descriptive and exploratory design with focus group interviews. Data was analysed using qualitative content analysis. Three main themes emerged: changed student role, understanding the importance of keeping professional knowledge updated and need for the facilitation of the clinical placement period. The study showed that supervision helped students become equals of their supervisors and part of the community of practice. The project contributed to students`' coping skills. Integrating evidence-based practice into practice taught students a method of professional knowledge updating and quality improvement.

The influence of policy makers over Lean implementations in healthcare

2019 ◽  
Vol 24 (3) ◽  
pp. 222-229
Author(s):  
Christian Gadolin
Keyword(s):  
Design Methodology ◽  
Qualitative Content Analysis ◽  
Quality Care ◽  
Healthcare Delivery ◽  
Annual Reports ◽  
Full Potential ◽  
Healthcare Organizations ◽  
Policy Makers ◽  
Content Type ◽  
Cost Reductions

Purpose It is often argued that Lean enables the challenges of contemporary healthcare delivery to be tackled in relation to consistently high-quality care, while utilizing the full potential of available resources. Nevertheless, system-wide implementations of Lean are notoriously difficult and the desired results are often not achieved. Policy makers play a pivotal role in enabling healthcare organizations to enact more precise strategies and frameworks through steering professionals toward both adopting guidelines and becoming more comfortable with Lean as an improvement technique. However, the difficulties in achieving system-wide implementations of Lean indicate their shortcomings in this respect. The purpose of this paper is to outline how these shortcomings may be manifested empirically. Design/methodology/approach A qualitative content analysis of Swedish counties’ annual reports with regard to how the implementation of Lean is presented and promoted. Findings The study shows that policy makers have vague and divergent perceptions of what Lean is, and that they often reduce Lean to a means of achieving cost reductions and savings, while relying on the education of managers as the primary factor to ensure implementation. Originality/value In order for policy makers to facilitate system-wide implementations of Lean, this study indicates that they need to rectify their simplistic perception of Lean while elaborating on why and how Lean should be implemented in healthcare.

scholarly journals First response emergency care – experiences described by firefighters

2019 ◽  
Vol 8 (3) ◽  
pp. 247-258 ◽  
Author(s):  
Anna Abelsson
Keyword(s):  
Emergency Care ◽  
Qualitative Content Analysis ◽  
Well Being ◽  
Protective Role ◽  
Content Type ◽  
The People ◽  
First Response ◽  
Sense Of Security ◽  
Group Interviews

PurposeThe purpose of this paper is to describe firefighters’ experiences of first response emergency care.Design/methodology/approachThis paper uses an explorative descriptive design with a qualitative approach. Data were collected through group interviews of 35 firefighters and subjected to qualitative content analysis.FindingsThe results showed that the professional role and the firemen’s uniform serve as a protection against psychologically strenuous situations. To protect the dignity of the injured or dead is important as well as protecting and safeguarding each other from the experience of the tragedy of an accident. Having a solid, sterling medical education provides a sense of security in the emergency care, as well as when caring for the relatives. Debriefing brings thoughts and feelings to the surface for processing and closure. The feeling of sadness lingers for the people not being saveable, that had been dead on arrival or the ones forgotten.Originality/valueA firefighter’s work situation is exposed and stressful. The firemen’s uniform as a mental barrier, colleagues, time to mentally prepare and to be allowed to show feelings are all needed to cope. It is, therefore, important to encourage, promote and strengthen the protective role of camaraderie for the firefighter, which probably can be emphasized in other uniform-wearing professions such as police, military and ambulance. Being acknowledged for their contribution to other peoples’ lives and well-being can acknowledge the firefighters’ importance.

scholarly journals School nurses’ and teachers’ perceptions of pain in young immigrants living in Norway

2020 ◽  
Vol 16 (1) ◽  
pp. 1-11
Author(s):  
Berit Johannessen ◽  
Magnhild Hoie ◽  
Kristin Haraldstad ◽  
Solvi Helseth ◽  
Liv Fegran ◽  
...  
Keyword(s):  
Qualitative Content Analysis ◽  
School Setting ◽  
School Nurses ◽  
Content Type ◽  
Teachers Perceptions ◽  
Experienced Pain ◽  
Group Interviews ◽  
Southern Norway ◽  
Loss Of Appetite ◽  
Young Immigrants

Purpose The number of adolescents experiencing pain is increasing. Pain has a major impact on several areas of daily living, such as function at school and school absenteeism, loss of appetite and socializing. One out of ten pupils in Norwegian schools is immigrants, and surveys have shown that immigrants suffer from poor health more often than the general population. The purpose of this study was to explore how school nurses and teachers experience pain in young immigrants in the school setting. Design/methodology/approach A qualitative design using focus group interviews was chosen for data collection. A total of 11 focus groups (17 school nurses and 25 teachers) consisting of school nurses and teachers in junior high schools (age: 13-16 years) in Southern Norway were conducted. Data were analyzed using a qualitative content analysis. Findings School nurses and teachers experienced communication of pain with young immigrants as characterized by cultural differences and language problems. Immigrants waiting for residency permits experienced pain more often than others. They also experienced that young immigrants often were absent from school and used pain as an excuse for not participating in classes, but this was not the case at the special school for immigrants. During Ramadan, they experienced that immigrant pupils had an increase of pain, especially headaches. Originality/value Culture affects the assessment and management of pain and different strategies may assist school nurses and teachers in their encounter with young immigrants with pain. There is a need for education in cultural competence among teachers and school nurses.

Adolescents’ trust in food messages and their sources

2017 ◽  
Vol 119 (12) ◽  
pp. 2712-2723 ◽  
Author(s):  
Jenny Rendahl ◽  
Peter Korp ◽  
Marianne Pipping Ekström ◽  
Christina Berg
Keyword(s):  
Focus Group ◽  
Qualitative Content Analysis ◽  
Role Playing ◽  
Focus Group Interviews ◽  
Content Type ◽  
Nutrition Care ◽  
Wide Range ◽  
Group Interviews ◽  
Sports Coaches ◽  
Different Sources

Purpose The authors used role-playing with subsequent focus group interviews in order to explore how adolescents negotiate conflicting food messages they encounter in their everyday lives. The purpose of this paper is to describe adolescents’ perceptions about different messages and their sources and to explore the trust they place in such sources. Design/methodology/approach In total, 31 adolescents aged 15-16 years participated in role-playing with subsequent focus group interviews. A qualitative content analysis was used to analyse the data. Findings The adolescents depicted an everyday life with multiple and different messages about food and eating. In addition, they stated that these messages were conveyed by a wide range of sources at different levels, for example, by parents, teachers, sports coaches and media. The messages from different sources were conflicting and covered many different perspectives on food and eating. When negotiating food choices in the role-playing and in the focus group discussing how to handle different and conflicting messages, trust became visible. The trustworthiness of messages and trust in their sources were associated with several important aspects in regard to whether or not the messages were based on knowledge about food and nutrition, care for the person receiving the messages, and/or commercial interest. In addition, the results indicate that the situation and the social relationship to the person providing the message were of importance for trustworthiness. Originality/value This study is novel as it uses role-playing as a research method and describes the trust adolescents place on food messages and their sources. To understand the factors that enhance such trust is important for the development and provision of education, information, and other health-promotion activities related to food in order to support and strengthen adolescents’ critical reflections on food messages from different sources.

Development and validation of financial well-being related scales

2019 ◽  
Vol 37 (4) ◽  
pp. 1025-1040 ◽  
Author(s):  
Farah Diba M.A. Abrantes-Braga ◽  
Tania Veludo-de-Oliveira
Keyword(s):  
Interest Rates ◽  
Credit Card ◽  
Discriminant Validity ◽  
Well Being ◽  
Confirmatory Factor Analyses ◽  
Content Type ◽  
Convergent And Discriminant Validity ◽  
Group Interviews ◽  
Development And Validation ◽  
Additional Income

PurposeThe purpose of this paper is to develop valid and reliable scales for assessing a driver and two obstacles potentially related to financial well-being (FWB): financial preparedness for emergency, beliefs of credit limits as additional income and risky indebtedness behaviour.Design/methodology/approachThe scales were developed from scratch across six studies, employing a two-step methodology, which encompassed both qualitative (e.g. focus group, interviews) and quantitative (i.e. online surveys) data collection. Exploratory and confirmatory factor analyses were employed to test and validate the proposed scales.FindingsThis study provides a set of three parsimonious, self-reported behavioural measures that could be employed in conjunction with objective economic indicators to identify individuals who are financially ill prepared and potential candidates for delinquency. The three proposed scales achieved satisfactory levels of reliability and convergent and discriminant validity.Research limitations/implicationsThe resulting scales still need to be tested for predictive validity and in different consumer groups. The scales were validated in a single culture population (Brazil, a country that presents extraordinarily high credit card interest rates), and they should be tested cross-culturally in countries with different economic and credit policies.Originality/valueThe literature on FWB has traditionally employed objective financial indicators as an attempt to measure the concept of FWB and its elements. Self-reported behavioural measures of such constructs are scant to the point of being non-existent for some elements. This study is the first to offer scales for measuring the elements of financial preparedness for emergency, beliefs of credit limits as additional income and risky indebtedness behaviour.

Money laundering through raw diamonds

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Fabian Maximilian Johannes Teichmann ◽  
Marie-Christin Falker
Keyword(s):  
Law Enforcement ◽  
Money Laundering ◽  
Qualitative Content Analysis ◽  
Law Enforcement Agencies ◽  
Content Type ◽  
Compliance Officers ◽  
German Speaking ◽  
Three Stages ◽  
Practical Implications ◽  
Combat Money Laundering

Purpose This paper aims to illustrate how illegally obtained funds are laundered through raw diamonds in Austria, Germany, Liechtenstein and Switzerland. Design/methodology/approach To identify specific money laundering techniques involving raw diamonds, this study used a qualitative content analysis of data collected from 60 semi-standardized interviews with both criminals and prevention experts and a quantitative survey of 200 compliance officers. Findings Raw diamonds are extraordinarily suitable for money laundering in European German-speaking countries. In particular, they may be used in all three stages of the laundering process, namely, placement, layering and integration. Research limitations/implications Because the qualitative findings are based on semi-standardized interviews, their insights are limited to the perspectives of the 60 interviewees. Practical implications Identifying gaps in existing anti-money laundering mechanisms should provide compliance officers, law enforcement agencies and legislators with valuable insights into how criminals operate. Originality/value While prior studies focus on the methods used by organizations to combat money laundering and how to improve anti-money laundering measures, this paper investigates how money launderers operate to avoid detection, thereby illustrating authentic experiences. Its findings provide valuable insights into the minds of money launderers and combines criminal perspective with that of prevention experts.

Sign in / Sign up

Export Citation Format

Share Document