scholarly journals Evaluation protocol of the implementation of a learning healthcare system in clinical practice: the Connected Health Cities programme in the north of England

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e025484 ◽  
Author(s):  
Stephanie Steels ◽  
Tjeerd van Staa

IntroductionThe ‘learning healthcare system’ (LHS) has been proposed to deliver better outcomes for patients and communities by analysing routinely captured health information and feeding back results to clinical staff. This approach is being piloted in the Connected Health Cities (CHC) programme in four regions in the north of England. This article describes the protocol of the evaluation of this programme.Methods and analysisIn designing this evaluation, we had to take a pragmatic approach to ensure the feasibility of completing the work within 1 year. Furthermore, we have designed the evaluation in such a way as to be able to capture differences in how each of the CHC regions uses a variety of methods to create their own LHS. A mixed methods approach has been adopted for this evaluation due the scale and complexities of the pilot study. A documentary review will identify how CHC pilot study deliverables were operationalised. To gain a broad understanding of CHC staff experiences, an online survey will be offered to all staff to complete. Semi-structured interviews with key programme staff will be used to gain a deeper understanding of key achievements, as well as how challenges have been overcome or managed. Our data analysis will triangulate the documentary review, survey and interview data. A thematic analysis using our logic model as a framework will also be used to assess progress against the CHC programme deliverables and to identify recommendations to support future programme decision-making.Ethics and disseminationEthical approval was granted by The University of Manchester Ethics Committee on 24 May 2018. The results will be actively disseminated through peer-reviewed journals, conference presentations, social media, the internet and various stakeholder/patient and public engagement activities.

2021 ◽  
Vol 107 (2) ◽  
pp. 33-40
Author(s):  
David E. J. Bazzo ◽  
Patricia Smith ◽  
Elizabeth F. Wenghofer

ABSTRACT Physicians are not immune to changes that accompany aging, including decreases in physical and cognitive health and abilities. Many are calling for, or turning to, screening senior physicians for decrements in their ability to provide safe care. Our purpose was to determine the acceptability and feasibility of a pilot screening process, which evaluates the physical, mental and cognitive health of senior physicians. The screening process was developed by the University of California, San Diego, Physician Assessment and Clinical Education Program. The screen included: mental health screening (PHQ-9, GAD-7, and substance abuse screen), cognitive health screening (MicroCog™ and Montreal Cognitive Assessment [MoCA©]) and physical health screening (medical history review and physical examination). Qualitative semi-structured interviews were conducted post-screening. Thirty senior physicians participated in the pilot process, including post-screening interviews. Eight (27%) participants were judged to “require”/“may require” further evaluation after cognitive assessment. No physicians were found to have physical or mental health issues that would prevent them from practicing competently. Interviews revealed that participants felt the screening process was a positive experience that was effective, acceptable, efficient and relevant to their practice. The results of this pilot study indicate that screening physical, mental and cognitive health is considered both feasible and acceptable to senior physicians. This is important as screening the health and cognition of senior physicians is integral to the national discussion related to regulation and patient safety.


2020 ◽  
Vol 8 (1) ◽  
pp. 144-162
Author(s):  
Carly Malcolm ◽  
Richard Golsworthy

Whilst much research has been conducted into the efficacy of and guidelines for technical interventions in the treatment of abuse, it is argued that a relational or process approach to therapeutic work should become more integrated into the use of technical interventions to aid therapeutic outcome. The study aims to explore counselling psychologists’ experiences when working with clients who have experienced abuse. Semi-structured interviews were conducted and analysed using Interpretative Phenomenological Analysis (IPA). Six participants were recruited and asked to share their experiences of their therapeutic work with the client group. The research was given ethical approval by the ethics committee of the university. Three superordinate themes emerged from the data: ‘The Holding Environment’, ‘The Personal versus The Professional’ and ‘Internal Responses, External Communications’. These were supported by various subthemes within the accounts and were generated as a result of a double hermeneutic engagement with each interview transcript. This research contributes towards a deeper understanding of the processes involved in creating a therapeutic space for the work and the relational dynamics involved in providing therapy to clients who have experienced abuse. The dynamic process between empathising and ‘detaching’ in session, as well as counselling psychologists’ use of supervision, are highlighted as areas for further study.


2018 ◽  
Vol 33 (2) ◽  
pp. 167-183 ◽  
Author(s):  
Maria Socratous

Purpose Using primary data from an online survey in addition to 29 semi-structured interviews among chartered accountants and academics in Cyprus, originally collected for the purposes of a PhD research, this paper aims to investigate the importance of networking with regards to women’s progression in the workplace, as well as the barriers women are faced with in their attempt to “play” the networking game in according to the male rules. Design/methodology/approach The use of an inductive approach was considered appropriate since there is little existing research on gender issues in Cypriot organisations. For the purposes of the study, a two-step qualitative approach was taken. Step 1 was an online survey with both closed and open-ended questions delivered to employed Cypriot men and women. Step 2 of the study comprised semi-structured, in-depth interviews. The interviews were conducted with specific, preselected employees, both men and women, comprising chartered accountants from the BIG Four companies in Cyprus and academics working at the University of Cyprus. Findings The research reported in this paper suggests that while there is the perception that men and women share the same opportunities within the workplace and women do not progress by choice, there appear to be various structural and cultural influences at play. It is clear that women are restricted from networking opportunities either intentionally or due to cultural and societal norms and this results in minimising their chances of breaking the glass ceiling and progressing to the top of the organisational ladder. Originality/value The research focuses on the impediments women in Cyprus are faced with in their attempt to network. There is no previous research on this subject in Cyprus.


2020 ◽  
Vol 13 ◽  
pp. 100-110
Author(s):  
Elizabeth Ismail ◽  
Laura Chittle

The teaching assistant program at the University of Windsor facilitates opportunities for students to develop leadership capacity, creativity, and pedagogical knowledge. This study explored the skills that student workshop facilitators were developing and/or enhancing, and how these skills might be used outside of teaching-related duties. Data from former student workshop facilitators were collected through an online survey (n = 15) and semi-structured interviews (n = 6). The results indicated that participants developed a range of teaching-related skills through leading teaching and learning workshops. The knowledge and skills facilitators garnered often resulted in them being perceived as teaching and learning leaders amongst their peers. Further, participants emphasized that leading workshops provided a unique opportunity to practice, increased their confidence, and led them to apply their skills in academic and non-academic endeavours.   Le programme d’assistanat d’enseignement de l’Université de Windsor aide les étudiants à acquérir des compétences en matière de leadership, de créativité et de connaissances pédagogiques. Dans notre étude, nous nous penchons sur les compétences que les étudiants animateurs d’ateliers ont assimilées ou affinées et nous nous demandons comment ces acquis peuvent être transposés à d’autres tâches en dehors de l’enseignement. Au moyen d’un sondage en ligne (n = 15) et d’entrevues semi-structurées (n = 6), nous avons recueilli les données provenant d’étudiants ayant animé des ateliers. Les résultats indiquent que les répondants ont développé diverses compétences liées à l’enseignement en animant des ateliers portant sur l’apprentissage et sur l’enseignement. Grâce aux connaissances et aux compétences acquises, les animateurs étaient souvent considérés par leurs pairs comme des leaders en matière d’apprentissage et d’enseignement. De plus, les répondants ont souligné le fait que l’animation d’atelier leur avait donné l’occasion d’exercer leur pratique, de gagner en confiance et d’appliquer leurs compétences en contexte universitaire et non universitaire.


JRSM Open ◽  
2017 ◽  
Vol 8 (2) ◽  
pp. 205427041668143
Author(s):  
P Ross ◽  
J Hubert ◽  
WL Wong

Objectives To identify the barriers and facilitators of doctors’ engagement with clinical audit and to explore how and why these factors influenced doctors’ decisions to engage with the NHS National Clinical Audit Programme. Design A single-embedded case study. Mixed methods sequential approach with explorative pilot study and follow-up survey. Pilot study comprised 13 semi-structured interviews with purposefully selected consultant doctors over a six-month period. Interview data coded and analysed using directed thematic content analysis with themes compared against the study’s propositions. Themes derived from the pilot study informed the online survey question items. Exploratory factor analysis using STATA and descriptive statistical methods applied to summarise findings. Data triangulation techniques used to corroborate and validate findings across the different methodological techniques. Setting NHS National PET-CT Clinical Audit Programme. Participants Doctors reporting on the Audit Programme. Main Outcome measures Extent of engagement with clinical audit, factors that influence engagement with clinical audit. Results Online survey: 58/59 doctors responded (98.3%). Audit was found to be initially threatening (79%); audit was reassuring (85%); audit helped validate professional competence (93%); participation in audit improved reporting skills (76%). Three key factors accounted for 97.6% of the variance in survey responses: (1) perception of audit’s usefulness, (2) a common purpose, (3) a supportive blame free culture of trust. Factor 1 influenced medical engagement most. Conclusions The study documents performance feedback as a key facilitator of medical engagement with clinical audit. It found that medical engagement with clinical audit was associated with reduced levels of professional anxiety and higher levels of perceived self-efficacy.


2021 ◽  
Author(s):  
◽  
Neda Zdravkovic

<p>The development of constructivist learning theory has greatly influenced the design and delivery of the Information Literacy instructional programmes. Student-centred teaching methodology has been widely adopted in the IL instruction, however, the challenges library presenters face while practicing interactive teaching methods in their classes still require further investigation. This study aims to respond to the need for a deeper understanding of IL instruction from a teachers' perspective and provide an insight into currently applied interactive practices in IL classroom teaching, as well as associated challenges and effective solutions. An explanatory, sequential mixed methods research design has been applied to further investigate the quantitative information collected in the first phase of the project (an online survey emailed to 55 Subject Librarians at the University of Auckland (UoA)) followed by the second phase of qualitative, in-depth data gathering conducted in the form of nine individual 45 minutes long semi-structured interviews with Subject Librarians at the University of Auckland. The findings confirm the themes already discussed in the library literature, but also reveal new and unexpected elements of IL classroom instruction offered at the tertiary level in New Zealand region. Eleven original interactive classroom activities successfully employed in IL classroom teaching by Subject Librarians at the UoA are also identified during this research project and presented in the report. Suggestions are made for further research.</p>


2021 ◽  
Author(s):  
Maria Chiochios ◽  
Janelle Hedstrom ◽  
Katie Pierce Meyer ◽  
Mary Rader

As part of the Association of Research Libraries (ARL) Research Library Impact Framework initiative, The University of Texas (UT) at Austin Libraries conducted a study to examine the impact of library collections on the recruitment and retention of faculty to the university, and to understand the relationship between institutional resources—especially libraries—and career decision-making of faculty. This practice brief describes the UT team’s literature review and the data gathered through an online survey and one-on-one semi-structured interviews with newly recruited and newly promoted faculty members.


2016 ◽  
Vol 24 (8) ◽  
pp. 936-949 ◽  
Author(s):  
Shirmohammad Davoodvand ◽  
Abbas Abbaszadeh ◽  
Fazlollah Ahmadi

Background: Spiritual development is one of the most important aspects of socialization that has attracted the attention of researchers. It is needed to train nursing student and novice nurses to provide high-quality care for patients. There is ambiguity in the definition of spiritual development and its relations, especially in the eastern countries. Research objectives:: To explore the concept of spiritual development in Iranian nurses. Research design: Qualitative content analysis approach. Data were gathered from semi-structured interviews. Participants and research context: The participants were 17 Iranian Muslim nurses selected using a purposeful sampling. The place of interviews was on their choice. Ethical considerations: Based on the principles of the Helsinki declaration, the focus was on preserving the participants’ autonomy, confidentiality, and anonymity. The participants were told the study purposes and trends, and their rights were emphasized; they were then asked to sign written consent forms. Formal research approval was obtained from Kerman University of Medical Sciences. Ethical approval was granted by the University Ethics Committee before the study was conducted (K/92 etc). Findings: Three themes for spiritual development were defined: obligation to religion, commitment to ethics, and commitment to law. From the results, factors such as connection to the limitless divine power, personal and society-oriented ethical codes, and commitment to the law are proposed. Discussion: There are some differences between these findings and previous study, especially in the relation of the spirituality, religion, and law. Some studies, mostly Iranian, support these findings partially. Conclusion: The results suggest that it is better to teach nursing education based on humanistic principles, ethics, and law to the new generation of nurses to improve community health and development. More studies are needed to examine the relation between these themes.


2017 ◽  
Vol 5 (2) ◽  
pp. 127-136
Author(s):  
Lilian Ivetthe Salado Rodríguez ◽  
Alberto Ramírez-Martinell ◽  
Reyna Isabel Ochoa Landín

RESUMENSe llevó a cabo una investigación de corte mixto donde que se utilizó una encuesta y se realizaron entrevistas semiestructuradas para recolectar la información proporcionada por estudiantes de dos universidades públicas del estado de Sonora, las cuales se encuentran ubicadas en el noroeste de México (entidad federativa colindante con los Estados Unidos). Se contó con la participación de 556 estudiantes inscritos en diversos programas educativos pertenecientes a tres campos disciplinares. Se exploraron los saberes digitales de los participantes, mismos que se reportan diferenciando el sexo y la adscripción disciplinar, y se encontró que las mujeres tienen niveles de apropiación más elevados que los hombres, no existen diferencias acentuadas por el campo disciplinar y, en general, los niveles de apropiación de la tecnología de los estudiantes universitarios es bajo. ABSTRACTWe conducted a research with mixed methods in which the main means for data collection were an online survey and a set of semi structured interviews with students of two public universities in Sonora, a northwest Mexican state that has a border with the United States of America. The population of the study counted with 556 students registered in different bachelors programs in three disciplinary fields. The digital knowledges of the participants were explored under two main lenses: gender and the disciplinary field. The main findings show that women have higher levels of technology appropriation than men, the discipline does not make a relevant difference and, on the whole, the levels of technology appropriation of the university students is lower than expected. 


Author(s):  
Saleh Jebrael Saleh ◽  
Shahen Jamal Majeed

Purpose: This study aimed to examine motivation toward learning the English Language among learners from different universities in Iraq. The study focused on identifying   the type of, instrumental and integrative, and also the activities that learners prefer to use in the classroom. Methodology/Approach/Design: The study applied both qualitative and quantitative design. The instruments used in the study included questionnaires and semi-structured interviews. A sample of 200 participants were engaged in an online survey and filled the questionnaire questions. An interview through zoom was also conducted with the selected group of learners. Results: The findings of the study revealed that learners were motivated more instrumentally as compared to integratively. It was also evident that the students were interested in different learning activities. Practical Implication: This study will have a greater contribution to the pedagogy of English language learning. The findings of the study might be used by curriculum developers to make changes and implement the best techniques of teaching English in the Iraqi EFL curriculum. Originality/Value: The results of this study may make the university teachers and students aware of the significance of motivation in enhancing the English learning process. Also, the findings may make university teachers more creative in developing interactive learning activities that will be suitable for students.


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