scholarly journals Registered intermediaries’ assessment of children’s communication: An exploration of aims and processes

2020 ◽  
Vol 24 (4) ◽  
pp. 374-395
Author(s):  
Kimberly Collins ◽  
Sarah Krahenbuhl
Keyword(s):  
Essential Elements ◽  
Assessment Process ◽  
Independent Practice ◽  
Child Witness ◽  
Structured Interviews ◽  
Youth Justice ◽  
Legal Process ◽  
Quality Child ◽  
The Impact ◽  
Registered Intermediaries

Following the implementation of the Youth Justice and Criminal Evidence Act 1999 for England and Wales, Registered Intermediaries have been available to assist child witness communication in legal proceedings since 2004. Registered Intermediaries are given training to fulfil this role. However, their assessments and practices are conducted independently. This study examined Registered Intermediaries’ perceptions and experiences of this independent practice, and the impact this had on the quality of the legal process in terms of evidential quality, child witness experiences and engagement. Seventeen experienced and currently active Registered Intermediaries with a range of communication specialisms took part in semi-structured interviews, which were analysed thematically. Six main themes emerged from the data: assessment constraints and requirements, essential elements of the assessment process, why the assessment process is effective, ensuring recommendations are followed through, pressures and barriers, and practice development. The Registered Intermediaries stressed the need for further training for themselves as well as for legal professionals, and emphasised the benefits of working as a team throughout the assessment and legal process.

scholarly journals Language diversity and challenges to communication in Indian emergency departments

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Katherine Douglass ◽  
Lalit Narayan ◽  
Rebecca Allen ◽  
Jay Pandya ◽  
Zohray Talib
Keyword(s):  
Emergency Departments ◽  
Critical Incident ◽  
English Language ◽  
Rapid Assessment ◽  
Assessment Process ◽  
Language Diversity ◽  
Structured Interviews ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Impact

Abstract Background Communication in emergency departments (ED) in India is complicated by the country’s immense language diversity. Prior research has revealed challenges in language and communication as barriers to care. Our objective was to quantify language diversity among clinicians in Indian EDs and better understand issues related to clinician-clinician and clinician-patient communication. Methodology A cross-sectional survey of ED clinicians was conducted. Survey participants were recruited in-person and through email at six partner sites in India. ANOVA and binary logistic regression were used for subgroup analysis. Semi-structured interviews were conducted with ED clinicians. Interview data was analyzed using the rapid assessment process to determine predominant themes. Results 106 clinicians completed the survey. On average, clinicians spoke 3.75 languages. Seventy-one percent used a non-English language to speak to fellow clinicians most of the time, and 53% reported at least one critical incident over the last year where poor communication played a part. Interviews revealed challenges including low health literacy, high patient volume, and workplace hierarchy. Conclusions This study is the first to document the impact of language diversity and communication barriers in Indian EDs. The results highlight the need for effective strategies to improve communication between the multiple languages spoken by clinicians and patients.

scholarly journals Evidence-based implementation of normal childbirth: what are the obstacles? (qualitative study)

2020 ◽  
Vol 3 (2) ◽  
pp. 115-126
Author(s):  
Rizki Amalia ◽  
Moch. Hakimi ◽  
Herlin Fitriani
Keyword(s):  
Clinical Care ◽  
Sampling Technique ◽  
Obstetric Care ◽  
Evidence Based ◽  
Independent Practice ◽  
Structured Interviews ◽  
Delivery Assistance ◽  
Quality Of Obstetric Care ◽  
The Impact

Evidence-based is a very effective strategy to improve the quality of midwifery services. One of the most frequently problems faced is the gap between midwifery practices that are in accordance with the procedures (based on evidence-based) with clinical care practices that occur in the clinic. The purpose of this study was to explore in-depth the obstacles to the implementation of evidence-based normal childbirth, which are the position of delivery, monitoring and documenting delivery by using partographs in the Independent Practice of Midwives of Gunungkidul District, Yogyakarta.This research was a qualitative research with a phenomenological descriptive approach. The participants of this study were midwives who had the Independent Midwife Practice (PMB) consisting of 7 informants. Participant selection in this study used a purposive sampling technique with convenience sampling and identification of obstacles used was the Consolidated Framework for Implementation Research (CFIR). Data collection used was semi-structured interviews and observations. Data analysis used was a thematic analysis.The interview and observation of delivery assistance is done at the Independent Midwife Practice Center (PMB). The position of delivery that was often used by patients was lithotomy and left slant, and the application of evidence-based monitoring and documentation using partograph was still not optimal. This was because there were several obstacles in its application, which were obstacles from patients, families, midwives, and obstacles from the organization. The impact of these obstacles was that it can reduce the quality of obstetric care in patients according to evidence-based. The evaluation of clinical practice based on evidence-based by the organization and the existence of feedback from patients to midwives are expected to improve the quality of service to patients.    

scholarly journals Language Diversity and Challenges to Communication in Indian Emergency Departments

2021 ◽  
Author(s):  
Katherine Douglass ◽  
Lalit Narayan ◽  
Rebecca Allen ◽  
Jay Pandya ◽  
Zohray Talib
Keyword(s):  
Emergency Departments ◽  
Critical Incident ◽  
English Language ◽  
Rapid Assessment ◽  
Assessment Process ◽  
Language Diversity ◽  
Structured Interviews ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Impact

Abstract BackgroundCommunication in emergency departments (ED) in India is complicated by the country’s immense language diversity. Prior research has revealed challenges in language and communication as barriers to care. Our objective was to quantify language diversity among clinicians in Indian EDs and better understand issues related to clinician-clinician and clinician-patient communicationMethodologyA cross-sectional survey of ED clinicians was conducted. Survey participants were recruited in-person and through email at six partner sites in India. ANOVA and binary logistic regression were used for subgroup analysis. Semi-structured interviews were conducted with ED clinicians. Interview data was analyzed using the rapid assessment process to determine predominant themes.Results 106 clinicians completed the survey. On average, clinicians spoke 3.75 languages. 71% used a non-English language to speak to fellow clinicians most of the time. 53% reported at least one critical incident over the last year where poor communication played a part. Interviews revealed challenges including low health literacy, high patient volume,and workplace hierarchy.Conclusions This study is the first to document the impact of language diversity and communication barriers in Indian EDs. The results highlight the need for effective strategies to improve communication that account for the multiple languages spoken by clinicians and patients.

scholarly journals Community-based organizations’ perspectives on improving health and social service integration

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Etsemaye P. Agonafer ◽  
Savanna L. Carson ◽  
Vanessa Nunez ◽  
Kelli Poole ◽  
Clemens S. Hong ◽  
...  
Keyword(s):  
Los Angeles ◽  
Health Systems ◽  
Social Service ◽  
Social Needs ◽  
Assessment Process ◽  
Structured Interviews ◽  
Community Based ◽  
Community Based Organizations ◽  
Health And Social Care ◽  
The Impact

Abstract Background Collaborations between health systems and community-based organizations (CBOs) are increasingly common mechanisms to address the unmet health-related social needs of high-risk populations. However, there is limited evidence on how to develop, manage, and sustain these partnerships, and implementation rarely incorporates perspectives of community social service organizations. To address these gaps, we elicited CBOs’ perspectives on service delivery for clients, the impact of the Whole Person Care-Los Angeles (WPC-LA) initiative to integrate health and social care, and their suggestions for improving health system partnerships. Methods Using stakeholder engaged principles and a qualitative Rapid Assessment Process, we conducted brief surveys and in-depth semi-structured interviews with 65 key informants from 36 CBOs working with WPC-LA. Results Major themes identified by CBOs included: 1) the importance of a holistic, client-centered, continuously engaged approach that is reliant on regional partnerships; 2) benefits of WPC-LA expanding capacity and networks; 3) concerns about communication and redundancy hindering WPC-LA; and 4) a need for more equitable partnerships incorporating their approaches. Conclusions CBOs value opportunities for integration with health systems, bring critical expertise to these partnerships, and seek to strengthen cross-sector collaborations. Early, equitable, and inclusive participation in the development and implementation of these partnerships may enhance their effectiveness, but requires policy that prioritizes and incentivizes sustainable and mutually beneficial partnerships.

scholarly journals Realist Process Evaluation of the implementation and impact of an organisational cultural transformation programme in the Children and Young People's Secure Estate (CYPSE) in England: study protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e045680
Author(s):  
Sophie D'Souza ◽  
Rebecca Lane ◽  
Jenna Jacob ◽  
Maria Livanou ◽  
Wendy Riches ◽  
...  
Keyword(s):  
Young People ◽  
Systems Approach ◽  
Realist Evaluation ◽  
Cultural Transformation ◽  
Structured Interviews ◽  
Youth Justice ◽  
Activity Data ◽  
Service Activity ◽  
National Cohort ◽  
The Impact

IntroductionYoung people in contact with the youth justice system are more likely to present with complex ongoing needs than young people in the general population. To address this, the Framework for Integrated Care (SECURE STAIRS) is being implemented in the Children and Young People's Secure Estate: a ‘whole systems’ approach to support secure settings to develop trauma-informed and relationally based environments, supporting staff to provide consistent, therapeutic care. This paper aims to present the protocol for a national cohort study examining the impact and implementation of this cultural transformation programme.Methods and analysisA mixed-methods realist evaluation will be conducted. Data collection will take place between August 2018 and December 2020. Eighteen sites will collect routine service activity data and questionnaires completed by young people, parents/guardians and staff. Semi-structured interviews and non-participant observations will be conducted across five qualitative focus sites with young people and staff. An economic evaluation will examine value for money. The results will be triangulated at the analysis stage to gain an in-depth understanding of experiences.Ethics and disseminationEthical approval was granted by the Health Research Authority, Her Majesty’s Prison and Probation Service and UCL Ethics Committee. Findings will be disseminated via project reports, site feedback, peer-reviewed journal publications and conference presentations.

scholarly journals Assessment Challenges & Impact of Formative Portfolio Assessment (FPA) on EFL Learners’ Writing Performance: A Case Study on the Preparatory English Language Course

2019 ◽  
Vol 12 (7) ◽  
pp. 161
Author(s):  
Md. Jahangir Alam ◽  
Tahmina Aktar
Keyword(s):  
English Language ◽  
Portfolio Assessment ◽  
Assessment Process ◽  
Assessment Practices ◽  
Intensive English ◽  
Structured Interviews ◽  
Writing Performance ◽  
Efl Learners ◽  
The Impact

Present study aimed to explore the impact of formative portfolio assessment on Saudi EFL learners’ overall writing performance. The study reviewed literature of prevailing assessment challenges including the formative role of portfolio assessments to develop an understanding of the nature of assessments and various issues related to assessment practices. The current research applied formative portfolio assessment (FPA) technique as an intervention material in the ongoing preparatory Intensive English Language course and utilized semi-structured interviews to elicit qualitative data from students. The findings of the study suggest: formative portfolio assessment inspires autonomous learning among students by empowering them taking more control of the learning and assessment process.

scholarly journals Residential care and criminalisation: the impact of system abuse

2017 ◽  
Vol 16 (3) ◽  
pp. 112-121 ◽  
Author(s):  
Julie Shaw
Keyword(s):  
Residential Care ◽  
Justice System ◽  
Design Methodology ◽  
Research Study ◽  
Structured Interviews ◽  
Youth Justice ◽  
Content Type ◽  
Policy Practice ◽  
Poor Outcomes ◽  
The Impact

Purpose The purpose of this paper is to present and explore the findings of part of the author’s research study, an aim of which is to illuminate factors at policy, practice and procedural levels that contribute to the criminalisation of children in residential care in England. Design/methodology/approach This study utilises semi-structured interviews with children, young people, and professional adults in the care system. Findings Through analysis of the semi-structured interviews, the paper highlights how “system abuse” can contribute to poor outcomes, including involvement with the youth justice system. Originality/value The paper concludes by arguing that in order to successfully decrease criminalisation, it is necessary to employ an approach which, while acknowledging individual culpability, both recognises and focuses on the contribution of wider systemic failings.

IMPACT ASSESSMENT ON LEARNING MOTIVATION IN THE FRAMEWORK OF THE COMPETENCE APPROACH IN EDUCATION

2020 ◽  
Vol 22 (9) ◽  
pp. 28-34
Author(s):  
Huseynova А.А. ◽  
Vashchinnikova K.D.
Keyword(s):  
Design Method ◽  
Authentic Assessment ◽  
Educational Process ◽  
Learning Motivation ◽  
Assessment Process ◽  
Assessment Procedure ◽  
Positive Side ◽  
Educational Motivation ◽  
Educational Paradigm ◽  
The Impact

Turning to the new educational paradigm, the research paper considers the conditions for ensuring the effective-ness of authentic assessment of students ' achievements within the competence approach and the transition from traditional knowledge control to tests developed on the basis of the theory of pedagogical measurements. Special attention is paid to independent assessment as a tool for stimulating learning activities, as well as to the justifica-tion of the pattern design method used in the develop-ment of measurement tools. The experimental basis of the study is based on the results of an independent assess-ment of educational achievements of students of the sen-ior level of secondary vocational education in social studies in several educational organizations. As a result of the survey of participants in independent testing, the formation of a stable positive learning motivation is not-ed. The relationship with the assessment of the impact on educational motivation is confirmed by the respondents ' attitude to the authentic assessment procedure on the part of participants in the assessment process: school-children, teachers, and parents. As a result, it was re-vealed that all subjects of the educational process evalu-ate the impact of the proposed method of assessment on educational motivation from a positive side.

Impact and Challenges of Centres for Education and Community Action in Cameroon’s North West Region

2018 ◽  
Vol 8 (2) ◽  
pp. 51-74
Author(s):  
Fonteh Athanasius Amungwa
Keyword(s):  
Rural Development ◽  
Economic Crisis ◽  
Formal Education ◽  
Community Education ◽  
Sampling Technique ◽  
Community Action ◽  
Structured Interviews ◽  
North West ◽  
West Region ◽  
The Impact

This paper examines the impact of community education and challenges facing Centres for Education and Community Action as a rural development strategy in Cameroon. The study was conducted in the North-West Region of Cameroon, employing field observations, semi-structured interviews with key informants using a convenient sampling technique and through elaborate review of documents. These research instruments were blended into what is termed triangulation and the data collected was analysed descriptively. The main focus of qualitative analysis is to understand the ways in which people act and the accounts that people give for their actions. This paper posits that extreme dependence on the provision of Western formal education cannot solve the problems of a rapidly changing society like Cameroon, which is facing a long-term economic crisis and persistent unemployment issues of graduates. Consequently, education should be redefined in the context of the prevailing economic crisis to make it responsive to the aspirations of rural communities. Findings showed that community education had contributed towards rural development immensely but has suffered many challenges due to neglect of the field in the policy agenda. This paper recommends the integration of community education with formal education to facilitate group and community betterment in particular and rural transformation in general.

A general practice provider federation in a mixed health economy in England: a case study investigation

2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X696929
Author(s):  
Jill Mitchell
Keyword(s):  
General Practice ◽  
Shared Vision ◽  
Health Economy ◽  
Structured Interviews ◽  
The North ◽  
Common Strategy ◽  
Common Purpose ◽  
Collaborative Working ◽  
The Impact

BackgroundThere is an emerging debate that general practice in its current format is out-dated and there is a requirement to move to a federated model of provision where groups of Practices come together. The emergence of federations has developed over the past 5 years but the factors that influence how federations develop and the impact of this new model is an under researched area.AimThe study explored the rationale around why a group of independent GP practices opted to pursue an alternative business venture and the benefits that this strategy offered.MethodA single organisational case study of a federation in the North of England was conducted between 2011–2016. Mixed methods data collection included individual and group semi-structured interviews and quantitative surveys.ResultsFederations promote collaborative working, relying on strategic coherence of multiple individual GP practices through a shared vision and common purpose. Findings revealed many complexities in implementing a common strategy across multiple independent businesses. The ability of the federation to gain legitimacy was two dimensional – externally and internally. The venture had mixed successes, but their approach to quality improvement proved innovative and demonstrated outcomes on a population basis. The study identified significant pressures that practices were experiencing and the need to seek alternative ways of working but there was no shared vision or inclination to relinquish individual practice autonomy.ConclusionOrganisational development support is critical to reform General Practice. Whether central funding through the GP Five Year Forward View will achieve the scale of change required is yet to be evidenced.

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