scholarly journals Using qualitative research methods to understand how surgical procedures and devices are introduced into NHS hospitals: the Lotus study protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e049234
Author(s):  
Daisy Elliott ◽  
Natalie S Blencowe ◽  
Sian Cousins ◽  
Jesmond Zahra ◽  
Anni Skilton ◽  
...  
Keyword(s):  
Qualitative Research ◽  
Study Protocol ◽  
Information Provision ◽  
Data Sources ◽  
Invasive Procedures ◽  
Video Recordings ◽  
Wide Range ◽  
Audio Recordings ◽  
New Procedures ◽  
Over Time

IntroductionThe development of innovative invasive procedures and devices are essential to improving outcomes in healthcare. However, how these are introduced into practice has not been studied in detail. The Lotus study will follow a wide range of ‘case studies’ of new procedures and/or devices being introduced into NHS trusts to explore what information is communicated to patients, how procedures are modified over time and how outcomes are selected and reported.Methods and analysisThis qualitative study will use ethnographic approaches to investigate how new invasive procedures and/or devices are introduced. Consultations in which the innovation is discussed will be audio-recorded to understand information provision practice. To understand if and how procedures evolve, they will be video recorded and non-participant observations will be conducted. Post-operative interviews will be conducted with the innovating team and patients who are eligible for the intervention. Audio-recordings will be audio-recorded, transcribed verbatim and analysed thematically using constant comparison techniques. Video-recordings will be reviewed to deconstruct procedures into key components and document how the procedure evolves. Comparisons will be made between the different data sources.Ethics and disseminationThe study protocol has Health Research Authority (HRA) and Health and Care Research Wales approval (Ref 18/SW/0277). Results will be disseminated at appropriate conferences and will be published in peer-reviewed journals. The findings of this study will provide a better understanding of how innovative invasive procedures and/or devices are introduced into practice.

scholarly journals Evaluación Formativa y Compartida en Educación Infantil. Revisión de una Experiencia Didáctica

2015 ◽  
Vol 4 (3) ◽  
pp. 269 ◽  
Author(s):  
Sofia García Herranz ◽  
Víctor M. López-Pastor
Keyword(s):  
Professional Development ◽  
Qualitative Research ◽  
Student Motivation ◽  
Positive Influence ◽  
Assessment System ◽  
Teaching Methodology ◽  
Childhood Education ◽  
Video Recordings ◽  
Wide Range ◽  
Qualitative Research Methodology

This study examines the processes and results of implementing formative and co-assessment with a group of 14 Spanish students in the second cycle of pre-school education (5-6 years of age). The aim is to determine the degree of effectiveness of the project. The teaching methodology used in the experience is predominantly experiential, engaging a wide range of the students’ senses and based on their interests and motivations. A qualitative research methodology is used including; teacher’s journal, photos, video recordings and observation sheets. The analysis is conducted through an emerging process of categorization. The results show that formative and co-assessment increase student motivation, autonomy, commitment to the task and self-improvement. They also encourage the teacher’s professional development by providing a processes of reflection and improvement on their own practice. In conclusion, we maintain that it is viable to develop formative and co-assessment processes in early childhood education and that they have a positive influence on the learning and autonomy of students, as well improving the climate in the classroom, provided that the assessment system implemented is consistent with the rest of didactic methodology.

What do we know about financial protection in health in Africa? A systematic review

2020 ◽  
Author(s):  
Grace Achungura Kabaniha ◽  
Doris Osei Afriyie ◽  
Mayur L Mandalia ◽  
John E Ataguba
Keyword(s):  
Systematic Review ◽  
Health Spending ◽  
Health Expenditures ◽  
Data Sources ◽  
Financial Protection ◽  
African Region ◽  
Equity Analysis ◽  
Wide Range ◽  
Trends Over Time ◽  
Over Time

Abstract Background Financial protection is one of the main indicators to assess progress towards Universal Health Coverage. Efforts have been made globally to monitor financial protection. However, progress in the African Region is limited. Methods A systematic review was conducted to assess financial protection in health in Africa. The search of five databases was conducted between March and May 2019. Studies were included if they conducted empirical analyses on one or two dimensions of financial protection—catastrophic and impoverishing health expenditures, at the national or subnational levels. The review included peer-review articles, grey literature and reports. Data extraction included study characteristics, the dimension of financial protection, including methods and data sources, and the type of analysis (incidence, equity analysis, determinants, trends over time) of financial protection. Results Fifty-one studies met the inclusion criteria of the review with at least one study in 41 out of the 47 countries in the WHO African Region. The analyses of the included studies showed that catastrophic and impoverishing health spending occurs in all the countries in the region, albeit at different levels. Various national household surveys were used as data sources. Also, the studies used different methods to assess financial protection. The incidence ranged from 0.29% in Zambia in 2010 to 16.4% in Nigeria in 2009 at a 10% threshold. Due to the wide range of data sources and methods, comparison of findings within and across countries was difficult. Furthermore, the majority of the studies focused on in-depth analysis of catastrophic health spending than impoverishing. Trends over time of both catastrophic and impoverishing health expenditures were even limited in single-country analysis. Conclusion This review provides evidence that generally, financial protection is being monitored at the national level in the African Region, and the incidence of financial protection has increased generally in the Region. Further research on financial protection should explore methods to harmonize the estimation of OOP from different surveys In addition, analyses should go beyond measuring the incidence of financial protection and also focus on equity analysis, looking at the drivers and trends of both dimensions of financial protection.

scholarly journals Introduction and adoption of innovative invasive procedures and devices in the NHS: an in-depth analysis of written policies and qualitative interviews (the INTRODUCE study protocol)

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e029963 ◽  
Author(s):  
Sian Cousins ◽  
Hollie Richards ◽  
Jesmond Zahra ◽  
Daisy Elliott ◽  
Kerry Avery ◽  
...  
Keyword(s):  
Research Evaluation ◽  
Qualitative Interviews ◽  
Information Provision ◽  
Pharmaceutical Products ◽  
Invasive Procedures ◽  
Depth Analysis ◽  
Study Team ◽  
Randomised Controlled ◽  
University Of Bristol ◽  
New Procedures

IntroductionInnovation is key to improving outcomes in healthcare. Innovative pharmaceutical products undergo rigorous phased research evaluation before they are introduced into practice. The introduction of innovative invasive procedures and devices is much less rigorous and phased research, including randomised controlled trials, is not always undertaken. While the innovator (usually a surgeon) may introduce a new or modified procedure/device within the context of formal research, they may also be introduced by applying for local National Health Service (NHS) organisation approval alone. Written policies for the introduction of new procedures and/or devices often form part of this local clinical governance infrastructure; however, little is known about their content or use in practice. This study aims to systematically investigate how new invasive procedures and devices are introduced in NHS England and Wales.Methods and analysisAn in-depth analysis of written policies will be undertaken. This will be supplemented with interviews with key stakeholders. All acute NHS trusts in England and Health Boards in Wales will be systematically approached and asked to provide written policies for the introduction of new invasive procedures and devices. Information on the following will be captured: (1) policy scope, including when new procedures should be introduced within a formal research framework; (2) requirements for patient information provision; (3) outcome reporting and/or monitoring. Data will be extracted using a standardised form developed iteratively within the study team. Semistructured interviews with medical directors, audit and governance leads, and surgeons will explore views regarding the introduction of new invasive procedures into practice, including knowledge of and implementation of current policies.Ethics and disseminationIn-depth analysis of written policies does not require ethics approval. The University of Bristol Ethics Committee (56522) approved the interview component of the study. Findings from this work will be presented at appropriate conferences and will be published in peer-reviewed journals.

Current Technological Advances of Bipolar Coagulation

2009 ◽  
Vol 64 (suppl_1) ◽  
pp. ONS11-ONS19 ◽  
Author(s):  
Ananth K. Vellimana ◽  
Daniel M. Sciubba ◽  
Joseph C. Noggle ◽  
George I. Jallo
Keyword(s):  
New Technologies ◽  
Neurosurgical Procedures ◽  
Invasive Procedures ◽  
Bipolar Coagulation ◽  
Hemorrhage Control ◽  
Bipolar Technology ◽  
Technological Advances ◽  
Wide Range ◽  
Iatrogenic Damage ◽  
Over Time

Abstract Background: Heat has been used to control bleeding for thousands of years. In the 1920s, this concept was applied to the development of electrosurgical instruments and was used to control hemorrhage during surgical procedures. In the time that has passed since its first use, electrosurgery has evolved into modernday bipolar technology, involving a diverse group of coagulation instruments. Methods: We review the evolution and advances in electrosurgery, specifically bipolar coagulation, and the current technologies available for intraoperative hemorrhage control. Results: Electrosurgery has evolved to include highly accurate devices that deliver thermal energy via nonstick and noncontact methods. Over time, the operative range of coagulation instruments has increased dramatically with the incorporation of irrigating pathways, a wide range of instrument tips to perform various functions, and the application of bipolar technology to microforceps and microscissors for minimally invasive procedures. Conclusion: Electrosurgical devices and techniques, especially bipolar coagulation, have developed significantly with the availability of new technologies. This has led to better intraoperative coagulation control while minimizing iatrogenic damage associated with heat spread and tissue adherence, thus potentially improving outcomes for neurosurgical procedures.

When Culturally Significant Songs are Decontextualised: The Initiation Song Somagwaza, A Case Study

2018 ◽  
Vol 28 (2) ◽  
Author(s):  
T Dowling ◽  
Somikazi Deyi ◽  
Anele Gobodwana
Keyword(s):  
Qualitative Research ◽  
Comparative Method ◽  
Popular Song ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Ritual Music ◽  
Constant Comparative Method ◽  
Small Focus ◽  
Over Time

While there have been a number of studies on the decontextualisation and secularisation of traditional ritual music in America, Taiwan and other parts of the globe, very little has been written on the processes and transformations that South Africa’s indigenous ceremonial songs go through over time. This study was prompted by the authors’ interest in, and engagement with the Xhosa initiation song Somagwaza, which has been re-imagined as a popular song, but has also purportedly found its way into other religious spaces. In this article, we attempted to investigate the extent to which the song Somagwaza is still associated with the Xhosa initiation ritual and to analyse evidence of it being decontextualised and secularised in contemporary South Africa. Our methodology included an examination of the various academic treatments of the song, an analysis of the lyrics of a popular song, bearing the same name, holding small focus group discussions, and distributing questionnaires to speakers of isiXhosa on the topic of the song. The data gathered were analysed using the constant comparative method of analysing qualitative research.

Implikatur Ekspresi Tindak Tutur Verdiktif Srimpi Anglir Mendhung

Panggung ◽  
2019 ◽  
Vol 29 (4) ◽  
Author(s):  
Maryono Maryono
Keyword(s):  
Qualitative Research ◽  
Research Methodology ◽  
Speech Acts ◽  
Performing Arts ◽  
Audio Recordings ◽  
Qualitative Research Methodology ◽  
Extrinsic Values

ABSTRACTUnderstanding of art will be complete if it can express a particular value. One source of values in art is the pleasure of its objectivity, which encompasses intrinsic and extrinsic values with aesthetical visualization. The values of implicature in the Srimpi Anglir Mendhung can be found by referring to the expression of verdictive speech acts in its verbal and nonverbal components. In order to study the implicature values contained in Srimpi Anglir Mendhung, the researcher uses a qualitative research methodology based on the theory of pragmatics and theory of performing arts. The strategies used for collecting data are a library study, a study of visual recordings, a study of audio recordings, and interviews. The technique of analysis is interactive and involves the triangulation of data, methodology, and theory. The results of the discussion show that the implicature in the expression of verdictive speech acts in Srimpi Anglir Mendhung is a form of adulation and homage to the noble king, Sultan Agung Hanyakra Kusuma from the Mataram Kingdom. The values of heroism and virtue contained in Srimpi Anglir Mendhung are a reflection of the values of life, which should be emulated and appreciated by the audience and general public.Keywords: implicature, expression of verdictive speech acts, and Srimpi Anglir Mendhung dance. ABSTRAKPemahaman tentang seni terjadi secara lengkap apabila mampu untuk mengungkapkan suatu nilai. Satu sumber nilai seni adalah kenikmatan yang diberikan oleh objektifitas terhadap nilai-nilai instrinsik dan ekstrinsik dengan visualisasi estetis. Merujuk pada ekspresi tindak tutur verdiktif pada komponen verbal dan nonverbal, Tari Srimpi Anglir Mendhung dapat ditarik implikatur nilainya. Untuk mengkaji implikatur nilai yang terkandung dalam Tari Srimpi Anglir Mendhung, peneliti menggunakan metodologi penelitian kualitatif dengan berlandaskan teori pragmatik dan teori seni pertunjukan. Strategi pengumpulan data berupa studi pustaka, studi rekaman visual, studi rekaman audio, dan wawancara. Teknik analisisnya bersifat interaktif dengan mentrianggulasikan data, metodologis, dan teori. Hasil pembahasan ditemukan bahwa implikatur ekspresi tindak tutur verdiktif Srimpi Anglir Mendhung merupakan bentuk sanjungan dan penghormatan terhadap raja yang dimuliakan yaitu Sultan Agung Hanyakra Kusuma dari Kerajaan Mataram. Nilai-nilai keprajuritan dan kebajikan yang terkandung dalam Srimpi Anglir Mendhung merupakan cerminan nilai-nilai kehidupan, layak diteladani dan diapresiasi oleh audiens maupun masyarakat luas.Kata kunci: ekspresi, implikatur, Tari Srimpi Anglir Mendhung, tindak tutur verdiktif

UK Fiscal Squeezes over a Century

2017 ◽  
Author(s):  
Christopher Hood ◽  
Rozana Himaz
Keyword(s):  
Data Sources ◽  
Fiscal Consolidation ◽  
Financial Outcomes ◽  
Financial Conditions ◽  
Deficit Reduction ◽  
Before And After ◽  
The Uk ◽  
Changes Over Time ◽  
Spending Cuts ◽  
Over Time

This chapter draws on historical statistics reporting financial outcomes for spending, taxation, debt, and deficit for the UK over a century to (a) identify quantitatively and compare the main fiscal squeeze episodes (i.e. major revenue increases, spending cuts, or both) in terms of type (soft squeezes and hard squeezes, spending squeezes, and revenue squeezes), depth, and length; (b) compare these periods of austerity against measures of fiscal consolidation in terms of deficit reduction; and (c) identify economic and financial conditions before and after the various squeezes. It explores the extent to which the identification of squeeze episodes and their classification is sensitive to which thresholds are set and what data sources are used. The chapter identifies major changes over time that emerge from this analysis over the changing depth and types of squeeze.

In or Out?

2018 ◽  
Author(s):  
Catherine E. De Vries
Keyword(s):  
Public Opinion ◽  
Status Quo ◽  
Data Sources ◽  
Fine Grained ◽  
Alternative State ◽  
Empirical Measurement ◽  
The Status ◽  
People’S Attitudes ◽  
Over Time ◽  
The Eu

This chapter introduces a benchmark theory of public opinion towards European integration. Rather than relying on generic labels like support or scepticism, the chapter suggests that public opinion towards the EU is both multidimensional and multilevel in nature. People’s attitudes towards Europe are essentially based on a comparison between the benefits of the status quo of membership and those associated with an alternative state, namely one’s country being outside the EU. This comparison is coined the ‘EU differential’. When comparing these benefits, people rely on both their evaluations of the outcomes (policy evaluations) and the system that produces them (regime evaluations). This chapter presents a fine-grained conceptualization of what it means to be an EU supporter or Eurosceptic; it also designs a careful empirical measurement strategy to capture variation, both cross-nationally and over time. The chapter cross-validates these measures against a variety of existing and newly developed data sources.

Anti-corruption in History

2017 ◽  
Keyword(s):  
Financial Institutions ◽  
Global Media ◽  
Policy Makers ◽  
The Past ◽  
Human Wellbeing ◽  
Modern Period ◽  
Legitimate Power ◽  
Wide Range ◽  
Scant Attention ◽  
Over Time

Anticorruption in History is the first major collection of case studies on how past societies and polities, in and beyond Europe, defined legitimate power in terms of fighting corruption and designed specific mechanisms to pursue that agenda. It is a timely book: corruption is widely seen today as a major problem, undermining trust in government, financial institutions, economic efficiency, the principle of equality before the law and human wellbeing in general. Corruption, in short, is a major hurdle on the “path to Denmark”—a feted blueprint for stable and successful statebuilding. The resonance of this view explains why efforts to promote anticorruption policies have proliferated in recent years. But while the subjects of corruption and anticorruption have captured the attention of politicians, scholars, NGOs and the global media, scant attention has been paid to the link between corruption and the change of anticorruption policies over time and place. Such a historical approach could help explain major moments of change in the past as well as reasons for the success and failure of specific anticorruption policies and their relation to a country’s image (of itself or as construed from outside) as being more or less corrupt. It is precisely this scholarly lacuna that the present volume intends to begin to fill. A wide range of historical contexts are addressed, ranging from the ancient to the modern period, with specific insights for policy makers offered throughout.

Interpretation In Qualitative Research: What, Why, How

2020 ◽  
pp. 955-982
Author(s):  
Allen Trent ◽  
Jeasik Cho
Keyword(s):  
Qualitative Research ◽  
Qualitative Inquiry ◽  
The Self ◽  
Validity Evidence ◽  
Wide Range ◽  
Interpretive Strategies

This chapter addresses a wide range of concepts related to interpretation in qualitative research, examines the meaning and importance of interpretation in qualitative inquiry, and explores the ways methodology, data, and the self/researcher as instrument interact and impact interpretive processes. Additionally, the chapter presents a series of strategies for qualitative researchers engaged in the process of interpretation and closes by presenting a framework for qualitative researchers designed to inform their interpretations. The framework includes attention to the key qualitative research concepts transparency, reflexivity, analysis, validity, evidence, and literature. Four questions frame the chapter: What is interpretation, and why are interpretive strategies important in qualitative research? How do methodology, data, and the researcher/self impact interpretation in qualitative research? How do qualitative researchers engage in the process of interpretation? And, in what ways can a framework for interpretation strategies support qualitative researchers across multiple methodologies and paradigms?

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