Fixed Nodes of Transience: Narratives of Homelessness and Emergency Department Use

2019 ◽  
Vol 30 (8) ◽  
pp. 1183-1195 ◽  
Author(s):  
Ross McCallum ◽  
Maria I. Medved ◽  
Diane Hiebert-Murphy ◽  
Jino Distasio ◽  
Jitender Sareen ◽  
...  
Keyword(s):  
Emergency Department ◽  
Narrative Analysis ◽  
Sense Of Belonging ◽  
Popular Media ◽  
Policy And Practice ◽  
Emergency Department Use ◽  
Academic Literature ◽  
Inappropriate Use ◽  
Semistructured Interviews

Discourse in popular media, public policy, and academic literature contends that people who are homeless frequently make inappropriate use of hospital emergency department (ED) services. Although researchers have investigated the ED experiences of people who are homeless, no previous studies have examined how this population understands the role of the ED in their health care and in their day-to-day lives. In the present study, 16 individuals participated in semistructured interviews regarding their ED experiences, and narrative analysis was applied to their responses. Within the context of narratives of disempowerment and discrimination, participants viewed the ED in differing ways, but they generally interpreted it as a public, accessible space where they could exert agency. ED narratives were also paradoxical, depicting it as a fixed place for transient care, or a place where they were isolated yet felt a sense of belonging. Implications for policy and practice are discussed.

Rethinking Evaluation for Improved Health Outcomes: Implications for Remote Australia

2019 ◽  
Vol 41 (2) ◽  
pp. 234-254 ◽  
Author(s):  
Timothy A. Carey ◽  
James M. Fauth ◽  
George C. Tremblay
Keyword(s):  
Health Outcomes ◽  
Monitoring And Evaluation ◽  
Future Research ◽  
Policy And Practice ◽  
Community Partners ◽  
Service Effectiveness ◽  
Semistructured Interviews ◽  
External Evaluators ◽  
Ongoing Monitoring

Despite enduring and unacceptable disparities in health outcomes for Aboriginal and Torres Strait Islander Australians as well as people living in rural and remote locations, evidence indicates that health services are not routinely evaluated. This article describes an exploration of a context where evaluators and community partners have achieved considerable success in implementing and sustaining ongoing monitoring and evaluation for enhanced service effectiveness in rural and underserved communities of New Hampshire. The purpose of this project was to establish the principles supporting this success and to set the stage for future research investigating the applicability of these principles to the remote Australian context. Semistructured interviews were conducted with 15 people from different organizations and in different positions within those organizations. The results invite a reconsideration of the way in which evidence-based practice is conceptualized as well as the role of external evaluators. The study has important implications and recommendations for both policy and practice.

scholarly journals The actorness of the President of the Republic in Italian foreign policy: a quantitative narrative analysis of two case studies (1999–2013)

2021 ◽  
Author(s):  
Mauro Tebaldi ◽  
Marco Calaresu ◽  
Alberto Purpura
Keyword(s):  
Foreign Policy ◽  
Narrative Analysis ◽  
Unit Of Analysis ◽  
Academic Literature ◽  
Head Of State ◽  
Methodological Tool ◽  
Research Questions ◽  
The Republic ◽  
Changes Over Time

AbstractIn this paper, we address the topic of policy actorness in Italian foreign policy to characterize the understudied role of the President of the Italian Republic (PoR). We apply quantitative narrative analysis (QNA) as the methodological tool of our study, answering two research questions to which the academic literature has so far produced limited responses: (a) whether the PoR can be considered a relevant actor in Italian foreign policy and (b) which factors can affect the Italian PoR’s relevance in foreign policy. Considering the Italian PoR’s Diary as the unit of analysis and source of data, we study the two crucial cases of Ciampi’s presidency (1999–2006) and Napolitano’s first presidency (2006–2013). QNA allows us to quantify and compare, while maintaining an actor-centred approach, the relations of the two PoRs with the most relevant actors in foreign policy. The results of our analyses highlight the relevance of the Italian PoR figure, identifying the main areas of influence of the Italian head of state and their changes over time. We conclude providing a few hypotheses to interpret the outcomes of our analyses on the PoR’s role in Italian foreign policy.

scholarly journals The Smart Home on FIRE: Amplifying and Accelerating Domestic Surveillance

2019 ◽  
Vol 17 (1/2) ◽  
pp. 118-124 ◽  
Author(s):  
Sophia Maalsen ◽  
Jathan Sadowski
Keyword(s):  
Smart Home ◽  
Popular Media ◽  
Smart Devices ◽  
Surveillance Systems ◽  
Privacy And Security ◽  
Digital Platforms ◽  
Domestic Spaces ◽  
Academic Literature ◽  
The Common

Some of the largest tech companies in the world, not to mention a stream of smaller startups, are now our roommates. Homes have become the target for smart devices and digital platforms that aim to upgrade old appliances, like refrigerators, and provide new capabilities, like virtual assistants. While smart devices have been variously championed and demonized in both academic literature and popular media, this article moves critical analysis beyond the common—but still important—concerns with privacy and security. By directing our attention to the wider political economy of datafication, it reveals the increasingly influential, yet shadowy, role of industries outside the tech sector in designing and deploying surveillance systems in domestic spaces. Namely, the FIRE sector of finance, insurance, and real estate. When Amazon and Google moved into our homes, they also let in a suite of uninvited third parties.

Management of Pleural Effusions in the Emergency Department.

2020 ◽  
Vol 15 ◽  
Author(s):  
MT Congedo ◽  
GM Ferretti ◽  
D Nachira ◽  
MA Pennisi
Keyword(s):  
Emergency Department ◽  
Systematic Approach ◽  
Acute Chest Pain ◽  
Pleural Effusions ◽  
Therapeutic Approaches ◽  
Massive Pleural Effusion ◽  
Emergency Department Setting ◽  
Clinical Conditions ◽  
Definitive Management

Background: In symptomatic patients, admitted in emergency department for acute chest pain and dyspnea, who require an urgent treatment, a rapid diagnosis and prompt management of massive pleural effusion or hemothorax can be lifesaving. The aim of this review was to summarize the current diagnostic and therapeutic approaches for the management of the main types of pleural effusions that physicians can have in an emergency department setting. Methods: Current literature about the topic was reviewed and critically reported, adding the experience of the authors in the management of pleural effusions in emergency settings. Results: The paper analyzed the main types of pleural effusions that physicians can have to treat. It illustrated the diagnostic steps by the principal radiological instruments, with a particular emphasis to the role of ultrasonography, in facilitating diagnosis and guiding invasive procedures. Then, the principal procedures, like thoracentesis and insertion of small and large bore chest drains, are indicated and illustrated according to the characteristics and the amount of the effusion and patient clinical conditions. Conclusion: The emergency physician must have a systematic approach that allows rapid recognition, clinical cause identification and definitive management of potential urgent pleural effusions.

scholarly journals Emergency department use by oldest-old patients from 2005 to 2010 in a Swiss university hospital

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Sarah Vilpert ◽  
Hélène Jaccard Ruedin ◽  
Lionel Trueb ◽  
Stéfanie Monod-Zorzi ◽  
Bertrand Yersin ◽  
...  
Keyword(s):  
Emergency Department ◽  
Oldest Old ◽  
University Hospital ◽  
Emergency Department Use ◽  
Old Patients
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