scholarly journals Identifying factors that promote and limit the effective use of real-time patient experience feedback: a mixed-methods study in secondary care

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e047239
Author(s):  
Mustafa Khanbhai ◽  
Kelsey Flott ◽  
Dave Manton ◽  
Stephanie Harrison-White ◽  
Robert Klaber ◽  
...  
Keyword(s):  
Real Time ◽  
Patient Experience ◽  
Thematic Analysis ◽  
Free Text ◽  
Structured Interviews ◽  
Frontline Staff ◽  
Key Stakeholders ◽  
Accident And Emergency ◽  
High Level ◽  
Effective Use

ObjectivesThe Friends and Family Test (FFT) is commissioned by the National Health Service (NHS) in England to capture patient experience as a real-time feedback initiative for patient-centred quality improvement (QI). The aim of this study was to create a process map in order to identify the factors that promote and limit the effective use of FFT as a real-time feedback initiative for patient-centred QI.SettingThis study was conducted at a large London NHS Trust. Services include accident and emergency, inpatient, outpatient and maternity, which routinely collect FFT patient experience data.ParticipantsHealthcare staff and key stakeholders involved in FFT.InterventionsSemi-structured interviews were conducted on 15 participants from a broad range of professional groups to evaluate their engagement with the FFT. Interview data were recorded, transcribed and analysed for using deductive thematic analysis.ResultsConcerns related to inefficiency in the flow of FFT data, lack of time to analyse FFT reports (with emphasis on high level reporting rather than QI), insufficient access to FFT reports and limited training provided to understand FFT reports for frontline staff. The sheer volume of data received was not amenable to manual thematic analysis resulting in inability to acquire insight from the free text. This resulted in staff ambivalence towards FFT as a near real-time feedback initiative.ConclusionsThe results state that there is too much FFT free text for meaningful analysis, and the output is limited to the provision of sufficient capacity and resource to analyse the data, without consideration of other options, such as text analytics and amending the data collection tool.

scholarly journals Transforming community nursing services in the UK: lessons from a participatory evaluation of the implementation of a new model of community nursing in East London

2019 ◽  
Vol 69 (suppl 1) ◽  
pp. bjgp19X703385
Author(s):  
Mirza Lalani ◽  
Jane Fernandes ◽  
Richard Fradgley ◽  
Caroline Ogunsola ◽  
Martin Marshall
Keyword(s):  
The Netherlands ◽  
Patient Experience ◽  
Participant Observation ◽  
Community Nursing ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Frontline Staff ◽  
Team Members ◽  
Nursing Services ◽  
The Uk

BackgroundBuurtzorg, a model of community nursing conceived in the Netherlands, is widely cited as a promising and evidence-based approach to improving the delivery of integrated nursing and social care in community settings.AimThis study aimed to examine the transferability of some of the principles of the Buurtzorg model to community nursing in the UK NHS.MethodA community nursing model based on the Buurtzorg approach was piloted between June 2017 and August 2018 with a team of nurses co-located in a single general practice in the Borough of Tower Hamlets, East London. The initiative was evaluated using a qualitative approach within the participatory Researcher-in-Residence model. Participant observation of meetings and semi-structured interviews with team members, patients/carers, and other local stakeholders were undertaken. A thematic framework analysis of the data was carried out.ResultsPatient experience of the service was positive, in particular because of the better access, improved continuity of care and longer appointment times in comparison with traditional district nursing provision. However, certain aspects of the Buurtzorg model were difficult to put into practice in the NHS because of significant cultural, human resource, and regulatory differences between The Netherlands and the UK.ConclusionWhile many of the principles of the Buurtzorg model are applicable and transferable to the UK, in particular promoting independence among patients, improving patient experience, and empowering frontline staff, the successful embedding of these aims as normalised ways of working will require a significant cultural shift at all levels of the NHS.

scholarly journals Satisfaction and Experience with a Supervised Home-Based Real-Time Videoconferencing Telerehabilitation Exercise Program in People with Chronic Obstructive Pulmonary Disease (COPD)

2016 ◽  
Vol 8 (2) ◽  
pp. 27-38 ◽  
Author(s):  
Ling Ling Y Tsai ◽  
Renae J McNamara ◽  
Sarah M Dennis ◽  
Chloe Moddel ◽  
Jennifer A Alison ◽  
...  
Keyword(s):  
Real Time ◽  
Exercise Program ◽  
Forced Expiratory Volume ◽  
Satisfaction Survey ◽  
Chronic Obstructive ◽  
Structured Interviews ◽  
Obstructive Pulmonary Disease ◽  
Home Based ◽  
Level Of Satisfaction ◽  
High Level

Telerehabilitation, consisting of supervised home-based exercise training via real-time videoconferencing, is an alternative method to deliver pulmonary rehabilitation with potential to improve access. The aims were to determine the level of satisfaction and experience of an eight-week supervised home-based telerehabilitation exercise program using real-time videoconferencing in people with COPD. Quantitative measures were the Client Satisfaction Questionnaire-8 (CSQ-8) and a purpose-designed satisfaction survey. A qualitative component was conducted using semi-structured interviews. Nineteen participants (mean (SD) age 73 (8) years, forced expiratory volume in 1 second (FEV1) 60 (23) % predicted) showed a high level of satisfaction in the CSQ-8 score and 100% of participants reported a high level of satisfaction with the quality of exercise sessions delivered using real-time videoconferencing in participant satisfaction survey. Eleven participants undertook semi-structured interviews. Key themes in four areas relating to the telerehabilitation service emerged: positive virtual interaction through technology; health benefits; and satisfaction with the convenience and use of equipment. Participants were highly satisfied with the telerehabilitation exercise program delivered via videoconferencing. 

Library and information science collaboration in Pakistan: challenges and prospects

2018 ◽  
Vol 119 (9/10) ◽  
pp. 555-571
Author(s):  
Amara Malik ◽  
Kanwal Ameen
Keyword(s):  
Thematic Analysis ◽  
Information Science ◽  
Visionary Leadership ◽  
Faculty Members ◽  
Library And Information Science ◽  
Original Research ◽  
Structured Interviews ◽  
Content Type ◽  
High Level ◽  
Collaborative Activities

Purpose This study aims to explore the nature and extent of collaboration among library and information science (LIS) departments, faculty members and practitioners. It also intends to identify the challenges and future prospects of collaboration in Pakistan. Design/methodology/approach Face-to-face and telephonic semi-structured interviews were conducted with 17 faculty members (professors, associate professors and assistant professors) from eight LIS departments. A thematic analysis approach was used to answer the research questions. Findings A thematic analysis of the participants’ opinions reveals a weak and informal collaboration among LIS stakeholders. However, high level of awareness among faculty members regarding the potential benefits of collaborative activities was observed. Their urge for developing liaison and collaboration with stakeholders is a positive indication that requires visionary leadership and committed efforts to ensure long term success. Practical implications The study aspects discussed may provide guidelines for creating future planning and growth of professional collaboration in Pakistan. The scope of this study may be extended to groom national, regional and international collaborative activities in other countries with same conditions. Though this study is conducted in Pakistan, the findings may be extended to other parts of developing countries with similar context. Originality/value It will serve as a guideline for further research, as it has addressed an untouched area and reports original research.

Geocaching in Texas state parks: a technology readiness analysis

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Birendra KC ◽  
Xi Y. Leung
Keyword(s):  
Qualitative Study ◽  
Thematic Analysis ◽  
Design Methodology ◽  
Technology Readiness ◽  
State Parks ◽  
Structured Interviews ◽  
Content Type ◽  
New Knowledge ◽  
Triangular Relationships ◽  
High Level

Purpose The purpose of this study is to apply the triangle model of technology and the technology readiness index (TRI) in a qualitative study design to explore the geocaching phenomenon in state parks. Design/methodology/approach A framework was developed to examine the triangular relationships between the park, geocaching and visitors. A total of 12 semi-structured interviews were conducted with Texas state park officials. A thematic analysis was used to analyze the interview data. Findings Three types of interactions (i.e. park-visitor, visitor-technology and park-technology) were identified. Although geocaching leads to positive recreational experiences for park visitors, the study also revealed the decreasing popularity of geocaching along with park officials’ apprehension regarding the placement of caches. The findings suggest that Texas state parks fall within the “Avoiders” stage in terms of technology readiness because of a low level of optimism and innovation and a high level of discomfort and insecurity toward geocaching technology. Originality/value The study contributes to the extant literature by adding new knowledge regarding geocaching in the context of state parks. This study is one of the first to apply the triangle model of technology to examine the trilateral relationships between parks, geocaching and visitors. The study also innovatively adopts the TRI in a qualitative study to identify the technology readiness stage of state parks.

‘Are we on the same wavelength?’ International nurses and the process of confronting and adjusting to clinical communication in Australia

2017 ◽  
Vol 13 (3) ◽  
pp. 263-274 ◽  
Author(s):  
Tonia Crawford ◽  
Peter Roger ◽  
Sally Candlin
Keyword(s):  
Communication Skills ◽  
Thematic Analysis ◽  
Care Setting ◽  
Linguistically Diverse ◽  
The Other ◽  
Culturally And Linguistically Diverse ◽  
Central Theme ◽  
Structured Interviews ◽  
Clinical Communication ◽  
Professional Experiences

Effective communication skills are important in the health care setting in order to develop rapport and trust with patients, provide reassurance, assess patients effectively and provide education in a way that patients easily understand (Candlin and Candlin, 2003). However with many nurses from culturally and linguistically diverse (CALD) backgrounds being recruited to fill the workforce shortfall in Australia, communication across cultures with the potential for miscommunication and ensuing risks to patient safety has gained increasing focus in recent years (Shakya and Horsefall, 2000; Chiang and Crickmore, 2009). This paper reports on the first phase of a study that examines intercultural nurse patient communication from the perspective of four Registered Nurses from CALD backgrounds working in Australia. Five interrelating themes that were derived from thematic analysis of semi-structured interviews are discussed. The central theme of ‘adjustment’ was identified as fundamental to the experiences of the RNs and this theme interrelated with each of the other themes that emerged: professional experiences with communication, ways of showing respect, displaying empathy, and vulnerability.

Measuring Patient Experience In Real Time Using IBeacon Technology

2019 ◽  
Vol 12 (2) ◽  
pp. 230-238
Author(s):  
Dalal Al-Alqusair ◽  
Isra Al-Turaiki ◽  
Abeer Al-Humaimeedy ◽  
Ghada Alhudhud
Keyword(s):  
Real Time ◽  
Patient Experience

Procurement Analytics: Enabling Data Architectures in the Age of Big Data

2020 ◽  
Author(s):  
Michael Goul ◽  
T. S. Raghu ◽  
Ziru Li
Keyword(s):  
Big Data ◽  
Academic Research ◽  
Research Literature ◽  
Structured Interviews ◽  
Data Space ◽  
Prescriptive Analytics ◽  
Data Architecture ◽  
The Future ◽  
High Level ◽  
Area Data

As procurement organizations increasingly move from a cost-and-efficiency emphasis to a profit-and-growth emphasis, flexible data architecture will become an integral part of a procurement analytics strategy. It is therefore imperative for procurement leaders to understand and address digitization trends in supply chains and to develop strategies to create robust data architecture and analytics strategies for the future. This chapter assesses and examines the ways companies can organize their procurement data architectures in the big data space to mitigate current limitations and to lay foundations for the discovery of new insights. It sets out to understand and define the levels of maturity in procurement organizations as they pertain to the capture, curation, exploitation, and management of procurement data. The chapter then develops a framework for articulating the value proposition of moving between maturity levels and examines what the future entails for companies with mature data architectures. In addition to surveying the practitioner and academic research literature on procurement data analytics, the chapter presents detailed and structured interviews with over fifteen procurement experts from companies around the globe. The chapter finds several important and useful strategies that have helped procurement organizations design strategic roadmaps for the development of robust data architectures. It then further identifies four archetype procurement area data architecture contexts. In addition, this chapter details exemplary high-level mature data architecture for each archetype and examines the critical assumptions underlying each one. Data architectures built for the future need a design approach that supports both descriptive and real-time, prescriptive analytics.

scholarly journals Graph-Based Construction of 3D Korean Giwa House Models

Buildings ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. 68
Author(s):  
Mankyu Sung
Keyword(s):  
Data Structure ◽  
Computer Graphics ◽  
Real Time ◽  
Texture Image ◽  
Time Rate ◽  
Commercial Software ◽  
Spline Curve ◽  
High Level ◽  
Complicated Part ◽  
Different Parts

This paper proposes a graph-based algorithm for constructing 3D Korean traditional houses automatically using a computer graphics technique. In particular, we target designing the most popular traditional house type, a giwa house, whose roof is covered with a set of Korean traditional roof tiles called giwa. In our approach, we divided the whole design processes into two different parts. At a high level, we propose a special data structure called ‘modeling graphs’. A modeling graph consists of a set of nodes and edges. A node represents a particular component of the house and an edge represents the connection between two components with all associated parameters, including an offset vector between components. Users can easily add/ delete nodes and make them connect by an edge through a few mouse clicks. Once a modeling graph is built, then it is interpreted and rendered on a component-by-component basis by traversing nodes in a procedural way. At a low level, we came up with all the required parameters for constructing the components. Among all the components, the most beautiful but complicated part is the gently curved roof structures. In order to represent the sophisticated roof style, we introduce a spline curve-based modeling technique that is able to create curvy silhouettes of three different roof styles. In this process, rather than just applying a simple texture image onto the roof, which is widely used in commercial software, we actually laid out 3D giwa tiles on the roof seamlessly, which generated more realistic looks. Through many experiments, we verified that the proposed algorithm can model and render the giwa house at a real time rate.

scholarly journals Real-time patient experience surveys of hospitalized medical patients

2016 ◽  
Vol 11 (4) ◽  
pp. 251-256 ◽  
Author(s):  
Kimberly Indovina ◽  
Angela Keniston ◽  
Mark Reid ◽  
Katherine Sachs ◽  
Chi Zheng ◽  
...  
Keyword(s):  
Real Time ◽  
Patient Experience ◽  
Medical Patients
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