Abstract P131: What Drives Greater Assimilation of Telestroke in Emergency Departments?

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Lori Uscher-Pines ◽  
Jessica Sousa ◽  
Kori S Zachrison ◽  
Amy K Guzik ◽  
Lee H Schwamm ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Data Collection ◽  
Emergency Departments ◽  
Positive Deviance ◽  
Matrix Analysis ◽  
Structured Interviews ◽  
Leadership Support ◽  
Diversity Sampling ◽  
Ongoing Evaluation

Objective: Although many emergency departments (EDs) have telestroke capacity, it is unclear why some EDs consistently use telestroke and others do not. We compared the characteristics and practices of EDs with robust and low assimilation of telestroke. Methods: We conducted semi-structured interviews with representatives of EDs that received telestroke services from 10 different networks and had used telestroke for a minimum of two years. We used maximum diversity sampling to select EDs for inclusion and applied a positive deviance approach, comparing programs with robust and low assimilation. Data collection was informed by the Consolidated Framework for Implementation Research. For the qualitative analysis, we created site summaries and conducted a supplemental matrix analysis to identify themes. Results: Representatives from 21 EDs with telestroke, including 11 with robust assimilation and 10 with low assimilation, participated. In EDs with robust assimilation, telestroke workflow was highly protocolized, programs had the support of leadership, telestroke use and outcomes were measured, and individual providers received feedback about their telestroke use. In EDs with low assimilation, telestroke was perceived to increase complexity, and ED physicians felt telestroke did not add value or had little value beyond a telephone consult. EDs with robust assimilation identified four sets of strategies to improve assimilation: strengthening relationships between stroke experts and ED providers, improving and standardizing processes, addressing resistant providers, and expanding the goals and role of the program. Conclusion: Greater assimilation is associated with standardized workflow, leadership support, ongoing evaluation and quality improvement efforts, and mechanisms to address resistant ED providers.

scholarly journals Changing relationships: how does patient involvement transform professional identity? An ethnographic study

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e045520
Author(s):  
Marie-Pierre Codsi ◽  
Philippe Karazivan ◽  
Ghislaine Rouly ◽  
Marie Leclaire ◽  
Antoine Boivin
Keyword(s):  
Quality Improvement ◽  
Data Collection ◽  
Health Professionals ◽  
Clinical Care ◽  
Ethnographic Study ◽  
Structured Interviews ◽  
Administrative Team ◽  
Nurse Clinician ◽  
New Perspective ◽  
Relational Framework

ObjectivesTo understand identity tensions experienced by health professionals when patient partners join a quality improvement committee.DesignQualitative ethnographic study based on participatory observation.SettingAn interdisciplinary quality improvement committee of a Canadian urban academic family medicine clinic with little previous experience in patient partnership.ParticipantsTwo patient partners, seven health professionals (two family physicians, two residents, one pharmacist, one nurse clinician and one nurse practitioner) and three members of the administrative team.Data collectionData collection included compiled participatory observations, logbook notes and semi-structured interviews, collected between the summer of 2017 to the summer of 2019.Data analysisGhadiri’s identity threats theoretical framework was used to analyse qualitative material and to develop conceptualising categories, using QDA Miner software (V.5.0).ResultsAll professionals with a clinical care role and patient partners (n=9) accepted to participate in the ethnographic study and semi-structured interviews (RR=100%). Transforming the ‘caregiver–patient’ relationship into a ‘colleague–colleague’ relationship generated identity upheavals among professionals. Identity tensions included competing ideals of the ‘good professional’, challenges to the impermeability of the patient and professional categories, the interweaving of symbols associated with one or the other of these identities, and the inner balance between the roles of caregiver and colleague.ConclusionThis research provides a new perspective on understanding how working in partnership with patients transform health professionals’ identity. When they are called to work with patients outside of a simple therapeutic relationship, health professionals may feel tensions between their identity as caregivers and their identity as colleague. This allows us to better understand some underlying tensions elicited by the arrival of different patient engagement initiatives (eg, professionals’ resistance to working with patients, patients’ status and remuneration, professionals’ concerns toward patient ‘representativeness’). Partnership with patients imply the construction of a new relational framework, flexible and dynamic, that takes into account this coexistence of identities.

Understanding the Role of Social Networks in Consumer Behavior in Tourism

2020 ◽  
pp. 367-384 ◽  
Author(s):  
Luís Ferreira ◽  
Bruno Barbosa Sousa
Keyword(s):  
Social Networks ◽  
Consumer Behavior ◽  
Data Collection ◽  
Qualitative Methodology ◽  
Direct Channel ◽  
Structured Interviews ◽  
Tourism Sector ◽  
Hotel Sector ◽  
Constant Growth

This research seeks to understand the type of influence that the hotel sector in Portugal can achieve in its consumers, being the tourism sector an area in constant growth. To that end, a qualitative methodology was adopted, using semi-structured interviews, as a data collection tool to understand the type of use that hotels attribute to social networks, as well as the results obtained from their practices. In the investigation nine hotels were analyzed, presenting a diversified sample between the participants in terms of capacity, as well as recognition, proving that, in a general way, social networks help in the divulgation of the hotel, presenting these as a direct channel for consumers, facilitating brand exposure as well as interaction with customers.

scholarly journals Analisis Peranan Konsultan Pajak Terhadap Kepatuhan Wajib Pajak Dalam Memenuhi Kewajiban Perpajakan

2019 ◽  
Vol 1 (3) ◽  
pp. 1151-1167
Author(s):  
Dian Khairannisa ◽  
Charoline Cheisviyanny
Keyword(s):  
Qualitative Research ◽  
Data Collection ◽  
Research Data ◽  
Structured Interviews ◽  
Use Tax ◽  
The City ◽  
Lack Of Knowledge

This study aims to determine whether there is a role for tax consultants on taxpayer compliance in fulfilling tax obligations. This research is a type of qualitative research. Data collection techniques are semi-structured interviews and triangulation. Interviews were conducted with companies in the city of Padang. The population in this study were companies in the city of Padang, and 20 companies were sampled in this study. The result of this study prove that (1) the reasons for taxpayers using tax consultant services are divided into three, namely lack of knowledge of taxpayers regarding all tax regulations, complicated taxation systems and the last reason is that tax obligations can be carried out effectively and efficiently, (2) the type of tax consultant that is chosen by many corporate taxpayers is type honest consultant because taxpayers use tax consultants rather than aiming to help find loopholes but to help taxpayers who have difficulty managing their own taxes, and (3) advice from tax consultants chosen by all taxpayers are conservative advice, because companies do not want to bear the risk of using aggressive sanctions. For the next researcher, I suggest collecting data not only from interviews, but also suggested for further research to conduct research into a wider scope in various regions and add other variables related to the role of tax consultants for taxpayers in Indonesia

scholarly journals Research development in doctoral education: role of languages and cultures

2021 ◽  
Author(s):  
Susana Pinto
Keyword(s):  
Data Collection ◽  
Doctoral Students ◽  
Doctoral Education ◽  
Research Problem ◽  
Research Process ◽  
Research Development ◽  
Structured Interviews ◽  
Cultural Backgrounds ◽  
Policy And Practice

Portuguese universities have been receiving an increasing number of students from Portuguese-Speaking Countries at the level of PhD studies, namely from Brazil, Angola, Cape Verde and Mozambique. As acknowledged by research, undertaking a PhD overseas entails several challenges and one of the deepest concerns the implications of languages and cultures in several doctoral activities, since they act as significant research reconfiguration agents. Against this background, this paper reports on a study that aimed at understanding the role of languages and cultures in doctoral research development. For this matter, and within a qualitative approach, semi-structured interviews were conducted with doctoral students from Portuguese-Speaking Countries attending a Portuguese university. Results from thematic analysis reveal that students’ linguistic and cultural backgrounds influence several stages of the research process: theme and research objetives definition, theorisation of the research problem and concept mobilisation, construction of data collection instruments and data collection and thesis writing. Implications of findings for institutional policy and practice concerning doctoral education and research are put forward.

scholarly journals PENGARUH KEPEMIMPINAN TRANSFORMASIONAL TERHADAP KOMITMEN ORGANISASIONAL MELALUI MEDIASI KEPUASAN KERJA

2018 ◽  
Vol 8 (3) ◽  
pp. 1727
Author(s):  
I Gusti Made Indra Bhaskara ◽  
Made Subudi
Keyword(s):  
Job Satisfaction ◽  
Transformational Leadership ◽  
Organizational Commitment ◽  
Data Collection ◽  
Leadership Style ◽  
Structured Interviews ◽  
Employee Job Satisfaction ◽  
Analysis Technique ◽  
Transformational Leadership Style

The purpose of this study was to analyze the effect of transformational leadership on job satisfaction and organizational commitment, as well as the role of job satisfaction in mediating transformational leadership on organizational commitment. This research was conducted at the Bali Provincial Revenue Agency . The number of samples taken was 63 goverment employees. Data collection was carried out through structured interviews and observations. The analysis technique used is path analysis. based on the analysis found that transformational leadership has a positive and significant effect on job satisfaction, transformational leadership has a positive and significant effect on organizational commitment, job satisfaction has a positive and significant effect on organizational commitment, and job satisfaction can mediate transformational leadership towards organizational commitment. Suggestions that can be given to the Agency of Bali's provincial Revenue Agency to apply transformational leadership style well to be able to increase employee job satisfaction. For further research it is recommended to use other variables that can be mediated between transformational leadership and organizational commitment.   Keywords: transformational leadership, job satisfaction, organizational commitment

The Cognitive and Communicative Functions of Term Variation in Research Articles: A Comparative Study in Psychology and Geology

2018 ◽  
Vol 40 (4) ◽  
pp. 624-645
Author(s):  
Sabela Fernández-Silva
Keyword(s):  
Data Collection ◽  
Positive Attitude ◽  
Corpus Analysis ◽  
Research Articles ◽  
Structured Interviews ◽  
Specialized Knowledge ◽  
Subject Field ◽  
Communicative Functions ◽  
Term Variation

Abstract This article reports a study about the behavior and functions of term variation in research articles (RAs) in Geology and Psychology. The aim of the study was twofold: first, to investigate the role of intra-textual term variation as a device for the representation and transfer of specialized knowledge; second, to explore whether there are disciplinary differences and whether these differences can be chalked up to different perceptions of this phenomenon among subject field experts. Two methods of data collection were combined: corpus-based analysis of 38 RAs in Spanish; and semi-structured interviews with six experts. Results show that the incidence of term variation is higher in Psychology, although both groups manifested a positive attitude toward variation. Corpus analysis and interviews confirm that term variation is used as a cognitive device, to provide information about the concept’s characteristics and relationships with other concepts; and as a communicative device to avoid repetition, to accommodate to the audience and to generalize. In sum, term variation proves to be an important device for constructing and communicating specialized knowledge for both disciplines.

scholarly journals Board policy of humanitarian organizations towards creating and maintaining their employer brand during the COVID-19 pandemic

2021 ◽  
Vol 17 (3) ◽  
pp. 8-20
Author(s):  
Mohammad A. Ta’Amnha ◽  
Omar M. Bwaliez ◽  
Ihab K. Magableh ◽  
Ghazi A. Samawi ◽  
Metri F. Mdanat
Keyword(s):  
Nonprofit Organizations ◽  
Organizational Support ◽  
Training And Development ◽  
Development Programs ◽  
Structured Interviews ◽  
Humanitarian Organizations ◽  
Leadership Support ◽  
Employer Brand ◽  
Practical Implications

The coronavirus disease 2019 (COVID-19) pandemic developed a new form of perceived organizational support called COVID 19-related organizational support (COVID-OS). This study investigates the role of COVID-OS in creating and maintaining an attractive employer brand. Although the COVID-19 pandemic has affected all types of organizations, both profit and nonprofit, the literature still lacks thorough research about the COVID-OS and employer brand in the context of nonprofit organizations (particularly the humanitarian ones). Based on in depth qualitative data drawn from 38 semi-structured interviews with humanitarian employees in Jordan during the COVID-19 pandemic, this study revealed that the board of humanitarian organizations can create and maintain their employer brand through providing different forms of organizational support to their employees. These forms of support are health and mental support, support from the working social environment, support of the work-life balance, providing online training and development programs, fair recognition and compensation programs, and leadership support. This study provides significant theoretical implications to the literature regarding the link between organizational support and employer brand. It also offers valuable practical implications for policymakers of humanitarian organizations.

SMEs and HEIs: Observations from Brunei Darussalam and Germany

2020 ◽  
pp. 095042222094474
Author(s):  
Jana Heilmaier ◽  
Mayyer Ling
Keyword(s):  
Higher Education ◽  
Economic Development ◽  
Data Collection ◽  
Qualitative Methodology ◽  
Transition Economy ◽  
Higher Education Institutions ◽  
Structured Interviews ◽  
Brunei Darussalam ◽  
Key Issues

This paper explores the role of higher education institutions in enhancing the small and medium-sized enterprise (SME) ecosystem in Brunei Darussalam, particularly with regard to improving the spirit of entrepreneurship and the motivation to seek opportunities independently to propel the country’s transition economy forward. A qualitative methodology was adopted for data collection, using semi-structured interviews with Bruneian and German SME owner/managers and sales representatives. The economics perspective of the institutional framework was employed to identify the formal and informal constraints faced by SMEs in Brunei Darussalam. Recommendations are offered to inform the relevant stakeholders about the key issues faced by SMEs so that appropriate forms of guidance and benchmarking can be provided to facilitate the country’s economic development.

scholarly journals The Role of Quality Improvement Process in Improving the Culture of Information among Health Staff in Ghana

2019 ◽  
Vol 2019 ◽  
pp. 1-9
Author(s):  
Richard Okyere Boadu ◽  
Godwin Adzakpah ◽  
Peter Agyei-Baffour
Keyword(s):  
Quality Improvement ◽  
Information Systems ◽  
Data Collection ◽  
Health Service ◽  
Health Staff ◽  
Post Intervention ◽  
Middle Income ◽  
Quality Improvement Process ◽  
Improvement Process

Background. Over the past decades, knowledge and understanding have grown regarding the role that health information systems play in improving global health. Even so, using data to make evidence-informed decisions is still weak in most low- and middle-income countries. People do not always act on what they are told to do but act on sharing what is important and valued in an organization. Shared principles related to information systems are alluded to as a pre-existing culture of data collection or “culture of information” without specifying how these values originate and sustain themselves. They work in an organizational environment, which ultimately impacts them through organizational directives, principles, and practices. The objective of the study was to determines the role of quality improvement process in improving culture of information among health staff in Ghana, particularly in the Ejisu Juaben Health Service over time. Methods. A quasi-non-experimental pre- and post-intervention study was conducted in 26 health facilities in the Ejisu Juaben municipal health service of Ghana. The study involved assessment of perceived culture of information of staff coupled with training of 141 core staff selected from 26 facilities who were involved in data collection and use of information through application of data quality improvement training module over a twelve-month period. Results. Overall perceived promotion of culture of information improved from 71 percent in the baseline to 81 percent in the endline. Test-retest analysis suggested that the mean levels of the indices measuring promotion of a perceived culture of information, was significantly higher in endline compared to the situation in baseline. Conclusions. The study concluded that the improvement in staff perceived culture of information improved significantly overtime and this might have been contributed by the application and adoption of quality improvement training.

scholarly journals Integrating nurse practitioners into Canadian emergency departments: a qualitative study of barriers and recommendations

CJEM ◽  
2007 ◽  
Vol 9 (04) ◽  
pp. 275-281 ◽  
Author(s):  
Christine Thrasher ◽  
Rebecca J. Purc-Stephenson
Keyword(s):  
Nurse Practitioners ◽  
Health Care Professionals ◽  
Emergency Departments ◽  
Organizational Context ◽  
Theory Approach ◽  
Role Clarity ◽  
Structured Interviews ◽  
Policy Makers ◽  
Grounded Theory Approach

ABSTRACT Objective: The objective of this study was to identify the facilitators and barriers associated with integrating nurse practitioners (NPs) into Canadian emergency departments (EDs) from the perspectives of NPs and ED staff. Methods: We conducted 24 semi-structured interviews with key multidisciplinary stakeholders in 6 Ontario EDs to gain a broad range of perspectives on implementation issues. Data were analyzed using a grounded-theory approach. Results: Qualitative analysis of the interview data revealed 3 major issues associated with NP implementation: organizational context, role clarity and NP recruitment. Organizational context refers to the environment an NP enters and involves issues related to the ED culture, physician reimbursement system and patient volume. Role clarity refers to understanding the NP's function in the ED. Recruitment issues are associated with attracting and retaining NPs to work in EDs. Examples of each issue using respondent's own words are provided. Conclusion: Our study identified 3 issues that illustrate the complex issues involved when implementing NPs in EDs. The findings may inform policy makers and health care professionals in the future development of the role of NPs in Canadian EDs.

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