Focal Points and Relationships: A Study of Clinical Reasoning

1997 ◽  
Vol 60 (2) ◽  
pp. 57-64 ◽  
Author(s):  
Merrill Crabtree ◽  
Michael Lyons
Keyword(s):  
Clinical Reasoning ◽  
Public Hospital ◽  
Participant Observation ◽  
Single Case ◽  
Phenomenological Approach ◽  
Focal Points ◽  
Structured Interviews ◽  
Depth Data ◽  
Therapy Sessions

This article reports on a single case study of an occupational therapist working in a plastic surgery unit at an Australian public hospital. A phenomenological approach was used to explore the therapist's clinical reasoning in depth. Data were gathered over a 3–week period through semi-structured interviews with the informant and through participant observation of therapy sessions with patients and associated activities engaged in by the informant. The resulting narrative data were analysed inductively. The focus of this discussion is on the aspects of personal interactions that influence clinical reasoning. The article examines how such constructs as power, responsibility, caring and competence combine to influence clinical reasoning.

scholarly journals Decision-making of the nursing team after the revitalization of a decentralized management model

2014 ◽  
Vol 23 (2) ◽  
pp. 286-293 ◽  
Author(s):  
Karen Yukari Hayashida ◽  
Andrea Bernardes ◽  
Vanessa Gomes Maziero ◽  
Carmen Silvia Gabriel
Keyword(s):  
Decision Making ◽  
Public Hospital ◽  
Participant Observation ◽  
Management Model ◽  
Participatory Management ◽  
Structured Interviews ◽  
Daily Work ◽  
Decentralized Management ◽  
Qualified Work

This study's objective was to identify changes in decision-making arising from the revitalization of the participatory management model and how these changes impacted the daily work of the nursing staff, as well as to identify potential difficulties. This qualitative case study was conducted in a public hospital in the State of São Paulo, Brazil. Participant observation and semi-structured interviews were conducted with 23 nursing workers and the Health Technical Assistant. We used thematic content analysis for data analysis. The revitalization of the management model was not comprehensive because many professionals were oblivious to the process. Shared actions did not occur and adherence to the model was hampered because the workers were not fully informed of the assumptions concerning this management model. For the implementation of this model to be effective, teamwork and the inclusion of all the stakeholders should be reviewed in order to achieve more cooperative and qualified work.

Between sexual assault and compassion: The experience of living with a spouse’s dementia-related hypersexuality—A narrative case-study

Dementia ◽  
2021 ◽  
pp. 147130122110320
Author(s):  
Dovrat Harel ◽  
Tova Band-Winterstein ◽  
Hadass Goldblatt
Keyword(s):  
Sexual Assault ◽  
Meaning Making ◽  
Psychological Symptoms ◽  
Single Case ◽  
Intimate Relationship ◽  
Older Woman ◽  
Structured Interviews ◽  
Narrative Case Study ◽  
As If

Background Hypersexuality is one of the behavioral and psychological symptoms of dementia. This symptom can lead to poor quality of life for the person who lives with dementia, as well as for his or her caregiver, who might be exposed to sexual assault. Aim This study aimed to highlight the experience of an older woman living and coping with a spouse who exhibits dementia-related hypersexuality. Method A narrative case-study of a single case was designed, composed of four semi-structured interviews conducted over a 10-month period. The data were analyzed through thematic, structural, and performance analysis. Findings Four phases were revealed, depicting the experience of being a partner and caregiver of a spouse with dementia-related hypersexuality: a) “I need help”: A distress call; b) “It depends how long I agree to go on with it”: Living with the ambiguous reality of dementia-related hypersexual behavior within an ongoing intimate relationship; c) “It’s as if I’m hugging someone who’s no longer alive”: The transition from the previous couplehood identity to a new couplehood identity; and d) “I am just taking care of him as if he is a child”: A compassionate couplehood identity construction. Conclusions Living with a partner with dementia-related hypersexuality is a distressing experience for the caregiver-spouse. Yet, positive memories from a long intimate relationship can lead to the creation of a compassionate identity, which supports the caregiving process, and creates a sense of acceptance and meaning making. This, in turn, enables a positive aging experience. These finding have some practical implications for supporting and intervening in such cases.

Scenarios of style: An exploration of subcultural research as embodied practice in Los Angeles’s vintage Jamaican music scene

2020 ◽  
Vol 11 (2) ◽  
pp. 195-218 ◽  
Author(s):  
Nina L. Cole
Keyword(s):  
Performance Studies ◽  
Participant Observation ◽  
Single Case ◽  
Research Setting ◽  
Individual Agency ◽  
Fashion Studies ◽  
Music Scene ◽  
Oral History Interviews ◽  
Embodied Practice

This article sets forth a performance studies framework for subcultural research: scenarios of style. This embodied epistemology brings together Diana Taylor’s scenario paradigm with interdisciplinary perspectives on style to provide a means for researchers to explore the ways in which style is constitutive of subcultural life. Twenty-five years of involvement in Los Angeles’s vintage Jamaican music scene and four years of fieldwork – comprised of participant observation, oral history interviews and archival research – undergird my theorization. To communicate individual agency and subcultural traditions of style, this article explores a single case study situated within my larger research setting. Because scenarios of style supports embodied, situated understandings of knowledge and is contextually adaptable, this article posits its broader relevancy for fashion studies research.

scholarly journals Integrality of care: challenges for the nurse practice

2017 ◽  
Vol 70 (3) ◽  
pp. 504-510 ◽  
Author(s):  
Solange Meira de Sousa ◽  
Elizabeth Bernardino ◽  
Karla Crozeta ◽  
Aida Maris Peres ◽  
Maria Ribeiro Lacerda
Keyword(s):  
Teaching Hospital ◽  
Participant Observation ◽  
Single Case ◽  
Team Work ◽  
Nursing Management ◽  
Care Needs ◽  
Units Of Analysis ◽  
Integration Of Services

ABSTRACT Objective: to understand the role of the nurse in the collegiate management model of a teaching hospital, in the integrality of care perspective. Method: a single case study with multiple units of analysis, with the theoretical proposition "integrality of care is a result of the care offered to the user by multiple professionals, including the nurse". Data were obtained in a functional unit of a teaching hospital through interviews with 13 nurses in a non-participant observation and document analysis. Results: from the analytical categories emerged subcategories that allowed understanding that the nurse promotes integrality of care through nursing management, team work and integration of services. Final considerations: the theoretical proposition was confirmed and it was verified that the nursing management focus on attending to health care needs and is a strategy to provide integrality of care.

scholarly journals Sustainability Practice of a Multinational Oil Company in Nigeria: A Case Study

2017 ◽  
Vol 7 (1) ◽  
pp. 29
Author(s):  
Charles Afam Anosike
Keyword(s):  
Nonprofit Organizations ◽  
Oil Spills ◽  
Single Case ◽  
Community Relations ◽  
Structured Interviews ◽  
Oil Companies ◽  
Study Approach ◽  
High Level ◽  
Oil Company

Environmental degradation and socioeconomic dilemma continue to affect agricultural productivity in the Niger Delta of Nigeria. Several works of literature confirm the high level of pollution and contamination of land and water as a result of over 50 years of oil production in the region. The effects of environmental pollution continue to aggravate the hardship of the local people, which generates development friction, threaten oil operation, and mutually contrive relational efforts, by so invoking mistrust between oil companies and the host communities. Sustainability programs of oil companies often provide the channel to engage and promote community relations from which projects are conceived and executed. Despite sustainability efforts of oil companies, the region continues to experience oil spills and environmental degradation.Hence, the current research explores the sustainability efforts of a multinational oil company to establish whether the company’s leadership makes environmental considerations and to identify possible corrections that could be adopted to achieve sustainable value. For this purpose, the paper employed a single case study approach using open-ended interview sessions in collecting data. Research data were gathered from a sample of 20 experienced sustainability practitioners of the oil company, partnering nonprofit organizations, and community leaders through face-to-face semi-structured interviews. Data were segmented and categorized. The data analysis process revealed several themes regarding the challenges and shortfalls of sustainability programs in the region. The evidence found suggests that implementing a transparent and inclusive sustainability management system is essential to enable a systems view in contemplating sustainability programs. In so doing, oil MNCs leaders could enable effective environmental consideration in their sustainability programs to help reinvigorate productive agriculture and ensure continuing oil operation.

Three stages of entrepreneurial orientation: the founder’s role

2019 ◽  
Vol 26 (2) ◽  
pp. 285-306 ◽  
Author(s):  
Torbjörn Ljungkvist ◽  
Börje Boers ◽  
Joachim Samuelsson
Keyword(s):  
Entrepreneurial Orientation ◽  
Single Case ◽  
Annual Reports ◽  
Structured Interviews ◽  
Theoretical Understanding ◽  
Content Type ◽  
Five Dimensions ◽  
The Impact ◽  
Over Time

Purpose The purpose of this paper is to understand the development of the five dimensions of entrepreneurial orientation (EO) over time by taking a founder’s perspective. Design/methodology/approach The paper draws on an in-depth single-case study. It combines semi-structured interviews in the company with archival data, such as annual reports, press clips and interviews in business magazines. Findings The results indicate that the EO dimensions change from being personalized and directly solution-oriented to being intangible value-creation-oriented. Originality/value By suggesting ownership-based EO configurations, this study contributes insights into how different ownership forms propel EO. These configurations – that is, personal, administrative based and intangible focused – show the impact of the EO dimensions and provide a systematic and theoretical understanding of EO change over time.

scholarly journals Using Learning Stories in Secondary Social Studies: Gathering, Analysing and Using Evidence to Support Learners' Conceptual Understandings.

2021 ◽  
Author(s):  
◽  
Amanda Josephine Picken
Keyword(s):  
Social Studies ◽  
Participant Observation ◽  
Structured Interviews ◽  
Class Culture ◽  
Secondary Social Studies ◽  
Learning Stories ◽  
Conceptual Changes ◽  
Conceptual Understandings ◽  
Assessment Approach

<p>This research examined the use of learning stories as a way to gather, analyse and use evidence to support the development of social studies conceptual understandings. This is important because there is limited research in New Zealand related to social studies assessment in secondary school environments, or in the monitoring of conceptual changes in understanding. The limited research that can be drawn upon highlights the challenges social studies teachers face teaching and assessing conceptually.  Sociocultural theory featured strongly throughout the research, through the decision to investigate learning stories as an assessment approach, as well as the lens with which to approach the methodology. In order to investigate the Learning Story Framework, as an intervention, a qualitative design-based methodology was utilised involving one in-depth case study. The research composed of three iterative phases, gathering evidence using semi-structured interviews, participant observation and documentation analysis, including reflective journals.  The findings suggested that learning stories can be used to support the development of conceptual understandings in conjunction with a reflective class culture, strong community relationships, clarity of planning for and sharing conceptual understandings, and support for students to critically reflect.</p>

Critical and Inhibiting Success Factors in Interorganizational Networks

2020 ◽  
pp. 63-86
Author(s):  
Viviana Durão ◽  
António Carrizo Moreira
Keyword(s):  
Success Factors ◽  
Single Case ◽  
Interorganizational Networks ◽  
Single Case Study ◽  
Strategic Partnerships ◽  
Structured Interviews ◽  
Organizational Network ◽  
The Relationship

This chapter, based on a single case study, has as its main objective to analyze a real example of creating an inter-organizational network and to perceive what was done for the selection and creation of the strategic partnerships and inter-organizational network and what factors or conditions can inhibit these partnerships from having long-term success and throughout its life cycle. For this, a qualitative study based on action research and semi-structured interviews was conducted. Results show although many companies settle in inter-organizational networks to gain competitive advantage, cases of failure are still quite high. In this case, upstream partnerships have not been based on long-term trust and commitment, which has jeopardized the continuity of the network, although there is an express desire to re-establish contacts. The partnership established downstream did not show the same commitment to continue the partnership with a total termination of the relationship.

Introducing Seaside Town Muslims

2015 ◽  
Vol 4 (2) ◽  
pp. 197-222
Author(s):  
Sevket Hylton Akyildiz
Keyword(s):  
Spatial Distribution ◽  
Small Town ◽  
Participant Observation ◽  
Academic Research ◽  
Study Group ◽  
Ethnic Heterogeneity ◽  
Structured Interviews ◽  
British Muslims ◽  
Management Issues

The majority of British Muslims live in cities such as London, Leicester, Birmingham and Bradford—and academic research thus far has reflected a city and post-manufacturing town emphasis. This paper investigates the as yet undocumented history and mosque politics of Muslims living in the small town of Eastbourne, East Sussex, using participant observation and unstructured and semi-structured interviews. Firstly, I conceptualise my case study group by highlighting some differences found in a small town in terms of the origins of its Muslims, their ethnic heterogeneity, and residential spatial distribution. Secondly, I explore mosque politics in terms of mosque planning, public reactions to mosque rebuilding, and mosque management issues.

Shaping accountability at an NGO: a Bourdieusian perspective

2019 ◽  
Vol 33 (1) ◽  
pp. 178-203 ◽  
Author(s):  
Sanjaya Chinthana Kuruppu ◽  
Sumit Lodhia
Keyword(s):  
Sri Lanka ◽  
Participant Observation ◽  
Single Case ◽  
Considerable Change ◽  
Structured Interviews ◽  
Content Type ◽  
Fresh Perspective ◽  
Nuanced Understanding ◽  
External Forces

Purpose The purpose of this paper is to examine the concept of accountability as it relates to a non-governmental organisation (NGO) evolving through a period of considerable change in Sri Lanka. Design/methodology/approach An in-depth single case study of a large NGO working in Sri Lanka is presented. Data collection involved conducting semi-structured interviews with a range of NGO employees and stakeholders, undertaking participant and non-participant observation and document analysis. Findings This paper shows how accountability is a contested notion that is shaped by struggles among stakeholders within a field. The authors explore how the “widespread field” consisting of the aid context in Sri Lanka and internationally is rapidly shifting. This creates unique pressures within the “restricted field” of the case NGO and its constituents. These pressures are manifested in the contest between the different capitals held by various stakeholders to shape the NGO. The nature of access to these capitals is important in the way that the NGO is shaped by external forces, and also by the individuals within it. Research limitations/implications This study adds fresh perspective to the growing body of work in NGO accountability. The paper highlights the tensions NGOs face through a holistic application of a Bourdieusian conceptual framework. The authors show how the habitus of the organisation is shaped in such a way that conceptions of accountability were captured by powerful external and internal constituencies. Ultimately, the nature of an organisation’s agency is questioned. Practical implications The authors present a more nuanced understanding of forces which shape accountability in an NGO setting which is of practical relevance to NGOs and their stakeholders. The authors highlight the struggle for an NGO to maintain its agency through resisting external forces that impact on its operations. Originality/value This study presents a comprehensive and holistic application of Bourdieu’s concepts and their interactions in an organisational setting. The struggle to harness various forms of capital in the field, shapes doxa and the habitus of NGO actors, illuminating the role of symbolic violence in the creation of an organisational identity.

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