scholarly journals How can pain management in the emergency department be improved? Findings from multiple case study analysis of pain management in three UK emergency departments

2019 ◽  
Vol 37 (2) ◽  
pp. 85-94
Author(s):  
Fiona C Sampson ◽  
Alicia O’Cathain ◽  
Steve Goodacre
Keyword(s):  
Pain Management ◽  
Participant Observation ◽  
Patient Flow ◽  
Multiple Case Study ◽  
The North ◽  
Documentary Analysis ◽  
Management Processes ◽  
Weak Evidence ◽  
Multiple Case

IntroductionInadequate pain management in EDs is a worldwide problem, yet there has been little progress in understanding how pain management can be improved. There is only weak evidence and limited rationale to support interventions to improve pain management. We used naturalistic, qualitative methods to understand the factors that influence how pain is managed within the adult ED.MethodsWe used a multiple case study design incorporating 143-hour non-participant observation, documentary analysis and semistructured interviews with 37 staff and 19 patients at three EDs in the North of England between 2014 and 2016. We analysed data using thematic analysis.ResultsOur analysis demonstrated that pain management was not well aligned with the core priorities of the ED and was overlooked when other works took priority. We identified that (1) pain management was not perceived to be a key organisational priority for which staff were held accountable and staff had limited awareness of their performance, (2) pain management was not a core component of ED education and training, (3) ED processes and structures were not aligned with pain management and pain reassessment was overlooked unless staff escalated pain management outside of normal processes and (4) staff held embedded beliefs that conceptualised pain management as distinct from core priorities and limited their capacity to improve. However, EDs were able to improve pain management by aligning processes of pain management with other core works, particularly patient flow (eg, nurse-initiated analgesia at triage).ImplicationsEDs may be able to improve pain management by ensuring pain management processes align with key ED priorities. Undertaking multifaceted changes to structures and processes may enable staff to improve pain management and develop a culture in which pain management can be prioritised more easily. Future interventions need to be compatible with the wider work of the ED and enable patient flow in order to be adopted and maintained.

scholarly journals THERAPEUTIC TOY IN PRIMARY CARE: CONTRIBUTIONS FOR THE SYSTEMATIZATION OF NURSING CARE

2021 ◽  
Vol 30 ◽  
Author(s):  
Letícia Roberta Pedrinho ◽  
Bianca Machado Cruz Shibukawa ◽  
Gabrieli Patrício Rissi ◽  
Roberta Tognollo Borotta Uema ◽  
Maria de Fátima Garcia Lopes Merino ◽  
...  
Keyword(s):  
Nursing Care ◽  
Multiple Case Study ◽  
The North ◽  
Coping Process ◽  
Nursing Diagnosis ◽  
Multiple Case ◽  
Nursing Diagnoses

ABSTRACT Objective: to analyze the role of the therapeutic toy as a tool for the nursing diagnosis in the setting of care for the child with diabetes. Method: a qualitative multiple-case study conducted with children diagnosed with Type 1 Diabetes mellitus and living in the inland of Paraná. The data were collected in 2018 through interviews, field diary and sessions using the therapeutic toy. Nursing diagnoses were elaborated according to the North American Nursing Diagnosis Association Taxonomy I and a targeted content analysis was performed, resulting in four categories. Results: using the dramatic therapeutic toy allows the child to show their perception of the disease and of the care provided. The sessions with the dramatic therapeutic toy made it possible to identify five nursing diagnoses, which were later worked on by means of an instructional therapeutic toy. Conclusion: systematization of assistance mediated by the use of the toy allows nurses to establish bonds with the child with diabetes and their family, revealing their perceptions of the disease and treatment, thereby stimulating a more active participation of the binomial in the management of this coping process.

scholarly journals Perception of Brazilian Companies on the Potential and Concrete Benefits Resulting from the FSC Certification

Forests ◽  
2021 ◽  
Vol 12 (12) ◽  
pp. 1622
Author(s):  
Camila Fagundes ◽  
Dusan Schreiber ◽  
Moema Pereira Nunes ◽  
Maria Eduarda Fernandes
Keyword(s):  
Participant Observation ◽  
Multiple Case Study ◽  
Economic Benefits ◽  
Forest Stewardship Council ◽  
Structured Interviews ◽  
Forest Reserves ◽  
The Social ◽  
Multiple Case ◽  
Forest Stewardship

Concern with the adequate use of natural resources has increased the relevance of products certifications in the wood supply chain, especially in companies established in Brazil, the cradle of one of the largest forest reserves. This study investigates the perception of companies on the potential and concrete benefits resulting from the Forest Stewardship Council (FSC) certification. To achieve this, a multiple case study was carried out with data triangulation through semi-structured interviews, documentary research and non-participant observation. Four FSC certified industries established in Brazil were analyzed. The results showed that of the four companies participating in the study, only one did not achieve the desired economic benefits, whereas all organizations accomplished the advantages of the other areas of sustainability, both the social and environmental.

scholarly journals Environmental conceptions and the ideological commitments that guide the management of the environmental organizations

2020 ◽  
Vol 13 (1) ◽  
pp. 20
Author(s):  
José Kennedy Lopes Silva ◽  
Osmar Siena
Keyword(s):  
Participant Observation ◽  
The State ◽  
Environmental Organizations ◽  
Structured Interviews ◽  
Mato Grosso ◽  
Environmental Practices ◽  
Documentary Analysis ◽  
Multiple Case ◽  
The One

Environmental organizations actively take part in the proposition of strategies, studies and environmental practices that aim at reducing the environmental degradation of the planet. These organizations have conceptions and commitments that guide their actions. The objective of the research that led to this article was to understand the environmental conceptions and the ideological commitments that guide the actions and the management of the environmental organizations. The research focused on three environmental organizations, two located in the state of Mato Grosso and one in the state of Rondônia, all of them belonging to the Brazilian Legal Amazon region. A qualitative research with multiple case study was carried out. Participant observation, semi-structured interviews and documentary analysis were used as strategies. Several environmental conceptions that influence the performance and management of organizations were identified, with a greater presence of the socio-environmentalist and of the environmental justice conceptions. However, the latter is not discussed strategically. Regarding the ideological commitments, the eco-socialist vision is the one that seems to have more influence over organizations.

Integrated reporting as a strategy for firm growth: multiple case study in Colombia

2017 ◽  
Vol 25 (4) ◽  
pp. 605-628 ◽  
Author(s):  
Hugo A. Macias ◽  
Angelica Farfan-Lievano
Keyword(s):  
Firm Growth ◽  
Multiple Case Study ◽  
Integrated Reporting ◽  
Content Type ◽  
Individual Interviews ◽  
Documentary Analysis ◽  
Multiple Case ◽  
International Integrated Reporting Council ◽  
The Impact

Purpose The purpose of this paper is to evaluate the implementation of the integrated reporting (IR) framework in a group of Colombian enterprises. Design/methodology/approach This is a multiple-case study in six enterprises that use the IR framework. The selected enterprises, all of which were located in either Bogota or Medellin, were Argos, EEB, EPM, ISA, Nutresa and Ocensa. The authors conducted individual interviews of reporters and performed a documentary analysis. Findings The few Colombian firms that use the IR framework all have ambitious expansion goals in the medium term. The main reason for the adoption of the IR framework in these firms is that it facilitates access to resources from new foreign investors. Research limitations/implications Since the framework was published recently, only a few Colombian firms follow it, and several of them do not apply all of its components. In the future, there will be more reports and a higher level of framework application. Practical implications In the firms studied, the IR framework is an important tool to support the search strategies of new sources of financial capital. Social implications If the use of the International Integrated Reporting Council (IIRC) framework were to diminish the application of the GRI, firms would be less likely to evaluate the impact of their activities on numerous stakeholders (other than shareholders). Originality/value This is the first Colombian study of IR to include both documentary analysis and personal interviews.

Elements to Successful Interpretation: A Multiple Case Study of Five National Parks

2004 ◽  
Vol 9 (2) ◽  
pp. 9-25 ◽  
Author(s):  
Doug Knapp ◽  
Gregory M. Benton
Keyword(s):  
Learning Strategies ◽  
National Parks ◽  
Participant Observation ◽  
Multiple Case Study ◽  
Community Outreach ◽  
Basic Program ◽  
Structured Interviews ◽  
Multiple Case ◽  
Interpretive Programs

The multiple case study described further investigates and identifies elements associated with successful interpretive programs through assessing what is perceived as important elements by interpreters in five U. S. National Park units. Data sources included semi-structured interviews with interpretive personnel, analysis of documentation related to interpretive programs in the units, and participant observation of interpretive programs conducted at each site. Four themes surfaced from this data: (a) an interpretive program must relate to the visitor, (b) it must attempt to achieve its goals through innovative techniques, (c) attain basic program needs and, (d) promote community outreach. One discrepancy found, based on the researchers’ analysis of program observations, was no attempt at receiving responses from the program participants. This “one-way” form of communication differs from the profession's interest in connecting with the visitor. One recommendation from this study is to explore constructivist learning strategies that could help bring about “two-way” communication between the interpreter and visitor.

scholarly journals Fulfillment of the brazilian environmental law by hotel organizations.

2009 ◽  
Vol 7 (2) ◽  
pp. 167-176
Author(s):  
Fernando Amorim da Silva ◽  
Pedro Carlos Schenini
Keyword(s):  
Economic Growth ◽  
Environmental Degradation ◽  
Participant Observation ◽  
Environmental Law ◽  
Multiple Case Study ◽  
Santa Catarina ◽  
Brazilian State ◽  
Legal Sanctions ◽  
Multiple Case

Tourism has been indicated as alternative of economic growth without environmental degradation. However, there are evidences that tourism - considered a “clean” alternative of economic growth - can cause pollution. In this context, this article had the objective to analyze actions to fulfill environmental law in four hotel organizations. Methodology came from a multiple case study, carried through in four hotel organizations located in the Brazilian state of Santa Catarina. Data had been collected by non-participant observation, and by structuralized interview. The results indicated that those organizations fulfilled the law disposals applicable to them. It is concluded that the adequacy to the environmental law must be kept, to prevent the imposition of legal sanctions.

scholarly journals Institutional sheltering through the child’s perspective

2021 ◽  
Vol 23 (2) ◽  
pp. e1665
Author(s):  
Monalisa Pereira Furtado ◽  
Celina Maria Colino Magalhães ◽  
Agnes de Maria Júnior da Silva ◽  
Juliana Oliveira dos Santos
Keyword(s):  
Data Collection ◽  
Family Members ◽  
Multiple Case Study ◽  
Structured Interview ◽  
The North ◽  
Basic Care ◽  
Multiple Case ◽  
Social Demographic

The current multiple case study was performed in the context of institutional sheltering, it aimed at identifying the perception children have about the sheltering process. Four children that were sheltered in a state shelter located in the north region of Brazil participated in this study. For the data collection were used: questionnaires for social demographic characterization, semi structured interview, drawings, and field diary. The main results indicated: 1) the children are aware of where they are and the reason for sheltering; 2) They report understanding the leisure and basic care activities as positive points of the institution; 3) as negative aspects they highlight the aggressiveness among the children, and the absence of family members. The current study presents the possibility to establish dialog with the children, taking their opinions into consideration, for they are capable of understanding and giving insight about their own situation.

scholarly journals Protection of Cultivars in the Inter-University Network for the Development of the Sugar-Energy Sector

2019 ◽  
Vol 7 (7) ◽  
pp. 426-444
Author(s):  
Marcia Brito Nery Alves ◽  
Ana Eleonora Almeida Paixão
Keyword(s):  
Intellectual Property ◽  
Multiple Case Study ◽  
Energy Sector ◽  
Review Of The Literature ◽  
Mato Grosso ◽  
Documentary Analysis ◽  
Multiple Case ◽  
Technical Capacity

This article aims to analyze the intellectual property in Brazilian agriculture, taking as reference the protection of sugarcane cultivars of the Inter-University Network for the Development of the Sugar-Energy Sector (RIDESA). At first, a review of the literature was carried out with the objective of situating the problem of the protection and registration of cultivars, especially in the Brazilian case, as well as the procedures and stages of mapping and technological prospection of cultivars. Using a descriptive and exploratory methodology, guided by the multiple case study, information was systematized regarding the data obtained in documentary analysis and technological prospection that allowed the construction of a characterization of each of the ten federal universities participating in the network: Federal University of Alagoas (UFAL), Federal Rural University of Pernambuco (UFRPE), Federal University (UFG), Federal University of Viçosa (UFV), Federal University of Sergipe (UFMT), Federal University of Mato Grosso (UFMT), Federal University of Goiás , Federal University of Paraná (UFPR) and Federal University of Piauí (UFPI). The results allowed to visualize the objective conditions of research of the Network, performing a mapping of the cultivars registered by each one of the institutions, in the last 15 years, and that, therefore, they are still legally protected. Although the results presented by RIDESA reflect the state of the Network as a whole, it was considered that the need for more in-depth analyzes on the inequality of conditions and resources, as well as resources and technical capacity, which could possibly have a direct influence on the results in terms of intellectual property, observed for each of the institutions that make up the Network.

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