Case study research methods in end-of-life care: reflections on three studies

2007 ◽  
Vol 58 (3) ◽  
pp. 236-245 ◽  
Author(s):  
Sheila Payne ◽  
David Field ◽  
Liz Rolls ◽  
Sheila Hawker ◽  
Chris Kerr
2014 ◽  
Vol 24 (11) ◽  
pp. 253-256
Author(s):  
T Wade

Operating department practitioners (ODPs) are well known for their technical abilities within the perioperative environment and are passionate about the care they deliver. This article will critically reflect on the post anaesthetic care of a dying patient, the challenges of having relatives present, the importance of having a good student/mentor relationship, and will show that student ODPs can deliver compassionate and personalised care.


1984 ◽  
Vol 20 (2) ◽  
pp. 193-207 ◽  
Author(s):  
Michael Crossley ◽  
Graham Vulliamy

2013 ◽  
Vol 27 (10) ◽  
pp. 908-917 ◽  
Author(s):  
Marjolein Gysels ◽  
Catherine J Evans ◽  
Penney Lewis ◽  
Peter Speck ◽  
Hamid Benalia ◽  
...  

2021 ◽  
Vol 4 (2) ◽  
pp. 42-48
Author(s):  
Sariman Sariman

An important role in academic supervision at MA Al Muhmmad Cepu is an effort to improve the quality of education at madrasas, researchers use exploratory case study research methods, through observation, interviews, and document studies on the implementation of supervision at MA Al Muhammad Cepu, the data is analyzed descriptively. The results of the study are; 1. In carrying out supervision, the madrasah principal makes plans, schedules, and instruments, and implements the principles of supervision. 2. The implementation of educational supervision in improving the quality of education at MA Al Muhammad Cepu encounters various problems the kinds of problems include Human Resource Problems, Funding Problems, Facilities and Infrastructure, and the Commitment Problem of the Ministry of Religion


2021 ◽  
Author(s):  
◽  
Raewyn Anita Davidson

<p>Advance directives are just one aspect of advance care planning. According to the New Zealand Nurses Organisation, advance directives are becoming increasingly common in New Zealand. Nurses are well positioned to take on an increasing role in advance directives, particularly in view of the expected burgeoning older population to which New Zealand is no exception. The literature suggests there is a role for primary health nurses in advance directives but no literature to date is available on this role in the New Zealand context. The aim of this research was to determine primary health nurses' role in advance directives. A qualitative case study research approach was used to explore the knowledge, attitudes, experiences, and involvement of primary health nurses in advance directives. Semi-structured interviews were conducted with 13 senior primary health nurses from one New Zealand province. Two propositions informed the analysis: 1) primary health nurses currently do not have a role in advance directives; and 2) primary health nurses believe that advance directives can promote effective-end-of-life care. Watson's Theory of Human Caring was used as the theoretical framework to guide the study. Three themes were identified from the analysis: encountering challenges, facilitating patient voice, and valuing the person. The findings revealed that primary health nurses had little or no significant experience or involvement in advance directives. Participants described knowledge inconsistencies about advance directives, in particular to related legalities. Nevertheless, participants had positive attitudes towards advance directives and believed there was a role for primary health nurses in early advance directive conversations. They emphasised the importance of teamwork and envisaged their role as one of support to both the patient and doctor. Caring praxis underpinned the nurses' positive attitudes towards advance directives. These caring behaviours sustained the core values of patient autonomy and patient advocacy considered fundamental to sensitive advance directive conversations. Many challenges were identified in terms of the nurse's role in advanced directives. These included cultural considerations for Māori in order to respect The Treaty of Waitangi principles and attending to the cultural needs of the individual Pacific Island groupings. Other challenges included unclear guidelines, unclear role delineation, ethical dilemmas and fragmented or complex communication issues across the primary/secondary health sector. Results of this study may inform nurses of the need to establish nurse–patient relationships built upon trust and positive regard in order to support patients in advanced directive discussions. Implications for nurse educators include incorporating education directed at empowering nurses to participate in ethical decision making to enhance patients' end-of-life care. Given the importance of the multi-disciplinary responsibility in establishing advance directives, there is a need for further research regarding how health professionals could function together in the role of advance directive communication to best meet patients' needs.</p>


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