scholarly journals A good death in the child with life shortening illness: A qualitative multiple-case study

2021 ◽  
pp. 026921632110277
Author(s):  
Poh Heng Chong ◽  
Catherine Walshe ◽  
Sean Hughes
Keyword(s):  
Palliative Care ◽  
Palliative Care Service ◽  
Multiple Case Study ◽  
Good Death ◽  
Care Providers ◽  
Health And Social Care ◽  
Multiple Case ◽  
Qualitative Multiple Case Study ◽  
The Impact

Background: Understanding what makes a ‘good death’ in the child with life shortening illness is important, as it informs appropriate and effective end-of-life care. Above play, peer contact and opportunities for assent, prior literature review found meeting needs and managing control were critical. The influence of disease types, location of death and palliative care support remains unclear. Aim: Explore how a good death for children can occur in the real-world context and identify factors influencing it. Design: A qualitative multiple-case study. The case was defined as family and professional caregivers of children who died, stratified across disease categories (cancer or non-cancer) and palliative care contact. Data collection included (1) interviews, (2) artefacts, (3) clinical notes. Framework Analysis facilitated in-depth within and cross-case analysis. Setting/participants: Singapore health-care context. Respondents included bereaved parents, health and social care providers from hospital, and a community palliative care service. Results: Five cases were constituted, with eight parents and 14 professionals as respondents. Eight common themes were identified, sub-categorised under three domains and interpreted theoretically: (1) Antecedents: Letting go, Acknowledging the child, Closure (2) Determinants: Suffering, Control, Systems and processes (3) Attributes: Comfort, Dying not prolonged. These factors were consistent across all cases, regardless of individual diagnoses, place of care and palliative care access. Conclusions: Elements that universally influence a good death are revealed within an ecologically sound and holistic conceptual framework. The impact of attitudes among healthcare professionals, and service delivery at systems level highlighted in this study have immediate applications in practice and policy.

scholarly journals Jornalismo e deliberação pública: um estudo de casos múltiplos Journalism and public deliberation: a multiple case study Periodismo y deliberación pública: un estudio de casos múltiples

2017 ◽  
Vol 39 (3) ◽  
pp. 5
Author(s):  
Solano Dos Santos Nascimento
Keyword(s):  
Social Problems ◽  
Multiple Case Study ◽  
Public Deliberation ◽  
Multiple Case ◽  
The Impact ◽  
The Relationship

ResumoO artigo apresenta o resultado de um estudo de casos múltiplos a respeito da relação entre três reportagens que trataram de problemas sociais – publicadas pela revista Época e pelos jornais O Globo e Correio Braziliense - e mudanças na legislação que teoricamente buscaram resolver os problemas apontados pelas reportagens. O estudo concluiu que houve influência das reportagens nas mudanças em leis, mas que esse impacto teve nuanças bastante distintas.AbstractThis report presents the results of a multiple case study about the relationship between three stories  that dealt with social problems - published by Época magazine and O Globo and Correio Braziliense newspapers  - and changes in legislation that theoretically sought to solve the problems pointed out by the stories . The study conclusion was that there was influence of the stories in laws  changes, the impact had quite different shades. ResumenEl artículo presenta el resultado de un estudio de casos múltiples acerca de la relación entre tres reportajes sobre problemas sociales-publicados por la revista Época y por los periódicos O Globo y Correio Braziliense - y cambios en la legislación que teóricamente buscaron resolver los problemas señalados por los reportajes . El estudio concluyó que hubo influencia de los reportajes en los cambios de leyes, pero que ese impacto tuvo matices muy distintos.

Coaches’ interpersonal emotion regulation and the coach-athlete relationship

2019 ◽  
pp. 37-51 ◽  
Author(s):  
Courtney Braun ◽  
Katherine A. Tamminen
Keyword(s):  
Emotional Intelligence ◽  
Emotion Regulation ◽  
Contextual Factors ◽  
Multiple Case Study ◽  
Emotional Expressions ◽  
Emotional Labour ◽  
Bidirectional Association ◽  
Multiple Case ◽  
The Impact

Researchers have examined the impact of coaches’ emotional expressions and emotional intelligence on athlete outcomes (Allan, V., & Côté, J. (2016). A cross-sectional analysis of coaches’ observed emotion-behavior profiles and adolescent athletes’ self-reported developmental outcomes. Journal of Applied Sport Psychology, 28, 321–337; Thelwell, R.C., Lane, A.M., Weston, N.J., & Greenlees, I.A. (2008). Examining relationships between emotional intelligence and coaching efficacy. International Journal of Sport and Exercise Psychology, 6, 224–235; van Kleef, G.A., Cheshin, A., Koning, L.F., & Wolf, S.A. (2018). Emotional games: How coaches’ emotional expressions shape players’ emotions, inferences, and team performance. Psychology of Sport & Exercise). However, there is little research examining coaches’ use of specific strategies to regulate their athletes’ emotions. The purpose of the present study was to explore the strategies coaches used to try and regulate their athletes’ emotions, and to explore the relationship and contextual factors influencing coaches’ IER strategy use. A longitudinal multiple case study approach was used (Stake, R.E. (2006). Multiple case study analysis. New York: The Guilford Press) with five cases, each consisting of one male coach and two individual varsity sport athletes (N = 15). Participants completed individual interviews, a two-week audio diary period, and a follow-up interview. Data were inductively and deductively analyzed and a conceptual model was developed outlining athletes’ emotions and emotion regulation, coaches’ IER, the coach-athlete relationship, and contextual factors. Participants described a bidirectional association between the coach-athlete relationship and coaches’ IER. A number of factors influenced athletes’ and coaches’ use of emotion regulation strategies and contributed to the quality of the coach-athlete relationship. The IER strategies that coaches used may reflect instrumental, performance-related motives, and coaches’ IER efforts may also contribute to coaches’ emotional labour.

scholarly journals Healthcare access challenges facing six African refugee mothers in South Korea: a qualitative multiple-case study

2017 ◽  
Vol 60 (5) ◽  
pp. 138 ◽  
Author(s):  
Min Sun Kim ◽  
In Gyu Song ◽  
Ah Reum An ◽  
Kyae Hyung Kim ◽  
Ji Hoon Sohn ◽  
...  
Keyword(s):  
South Korea ◽  
Healthcare Access ◽  
Multiple Case Study ◽  
Multiple Case ◽  
Qualitative Multiple Case Study ◽  
African Refugee

Successful approaches for implementing additive manufacturing

2020 ◽  
Vol 16 (2) ◽  
pp. 131-148
Author(s):  
Robert Martens ◽  
Susan K. Fan ◽  
Rocky J. Dwyer
Keyword(s):  
Additive Manufacturing ◽  
The Netherlands ◽  
Business Models ◽  
Multiple Case Study ◽  
High Tech ◽  
Manufacturing Companies ◽  
Content Type ◽  
Multiple Case ◽  
Qualitative Multiple Case Study

PurposeThe purpose of this qualitative, multiple-case study was to explore the successful strategies that managers of light and high-tech small and medium-sized manufacturing companies in the Netherlands, use to adopt additive manufacturing (AM) technology into their business models.Design/methodology/approachA qualitative, multiple-case study approach was used. The participants for this study consisted of executive-level managers of light and high-tech manufacturing companies in the Netherlands. Company documents were studied, and individual interviews were undertaken with participants to gain an understanding of the strategies they used to adopt AM technology into their business models.FindingsThree significant themes emerged from the data analysis: identify business opportunities for AM technology, experiment with AM technology and embed AM technology.Research limitations/implicationsThe findings of this study could be of advantage to industry leaders and manufacturing managers who are contemplating to adopt AM in their business models.Originality/valueThis study may contribute to the further proliferation of AM technology. Industry leaders may also gain a clearer understanding of the effects of 3DP on local employment. The results of the study may also work as a catalyst for increased awareness for manufacturing firm leaders who have not yet considered the opportunities and threats AM technology presents to their organizations.

scholarly journals End-of-life care for homeless people: A qualitative analysis exploring the challenges to access and provision of palliative care

2017 ◽  
Vol 32 (1) ◽  
pp. 36-45 ◽  
Author(s):  
Caroline Shulman ◽  
Briony F Hudson ◽  
Joseph Low ◽  
Nigel Hewett ◽  
Julian Daley ◽  
...  
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Service Use ◽  
Social Care ◽  
Care Service ◽  
Homeless People ◽  
Palliative Care Service ◽  
Care Providers ◽  
Health And Social Care ◽  
Formerly Homeless

Background: Being homeless or vulnerably housed is associated with death at a young age, frequently related to medical problems complicated by drug or alcohol dependence. Homeless people experience high symptom burden at the end of life, yet palliative care service use is limited. Aim: To explore the views and experiences of current and formerly homeless people, frontline homelessness staff (from hostels, day centres and outreach teams) and health- and social-care providers, regarding challenges to supporting homeless people with advanced ill health, and to make suggestions for improving care. Design: Thematic analysis of data collected using focus groups and interviews. Participants: Single homeless people ( n = 28), formerly homeless people ( n = 10), health- and social-care providers ( n = 48), hostel staff ( n = 30) and outreach staff ( n = 10). Results: This research documents growing concern that many homeless people are dying in unsupported, unacceptable situations. It highlights the complexities of identifying who is palliative and lack of appropriate places of care for people who are homeless with high support needs, particularly in combination with substance misuse issues. Conclusion: Due to the lack of alternatives, homeless people with advanced ill health often remain in hostels. Conflict between the recovery-focused nature of many services and the realities of health and illness for often young homeless people result in a lack of person-centred care. Greater multidisciplinary working, extended in-reach into hostels from health and social services and training for all professional groups along with more access to appropriate supported accommodation are required to improve care for homeless people with advanced ill health.

What are the Challenges for Evaluating a Palliative Care Service?

2005 ◽  
Vol 11 (3) ◽  
pp. 19
Author(s):  
Kate Senior ◽  
David Perkins
Keyword(s):  
Palliative Care ◽  
Care Service ◽  
Medical Model ◽  
Palliative Care Service ◽  
Respondent Burden ◽  
Evaluation Approaches ◽  
The Impact

This paper identifies the challenges in researching the impact of a rural palliative care service on its patients, carers and providers in the context of the National Palliative Care Strategy. It describes the use of an anthropological method to overcome problems of acceptability and respondent burden and to enable the elaboration of meaning and valuation by participants. It uses the Griffith Area Palliative Care Service as a case study to illustrate the problems of such research and the value of the anthropological method over more conventional research and evaluation approaches. It makes recommendations about how to assess the outcomes of services such as palliative care where the focus of care is complex, individual and family, and the outcomes go far beyond what can be measured with the medical model.

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