scholarly journals Physician snapshot: the forming landscape of MAiD in northwestern Ontario

2020 ◽  
Vol 14 ◽  
pp. 263235242093292
Author(s):  
Keri-Lyn Durant ◽  
Katherine Kortes-Miller

Background: Options available to Canadians at the end of life increased with the legalization of medical assistance in dying (MAiD). Bill C-14 modified the Canadian Criminal Code allowing individuals who meet very specific criteria to receive a medical intervention to hasten their death. June 2019 marked 3 years since the legislation has changed and while met with favour from most Canadians who believe it will provide enhanced options for quality of life at the end of life, there remains much debate over both its moral implications and practical components. Little is known regarding the Canadian healthcare provider experience with MAiD, in particular in rural and remote parts of the country such as northwestern Ontario. Objectives: The purpose of this study was to explore physicians’ experiences in Northwestern Ontario with MAiD. The geographic location of this study is of particular significance as physicians in rural and remote parts of Canada face unique challenges in the provision of high-quality palliative and end-of-life services. This qualitative research focused on developing a better understanding of physicians’ perceptions and practices with MAiD, in particular regarding access, decision-making, provision of service and role clarity. Methods: The researchers employed an exploratory qualitative research approach, using 1 semi-structured focus group and 18 semi-structured interviews comprising 9 set of questions. Data were collected through audio-taped semi-structured interviews, in person and by telephone. Findings: Four distinct but interconnected themes emerged from thematic analysis of the transcripts of the focus group and interviews: physician perception of patient awareness, appreciation and understanding of MAiD; challenges providing true choice at end of life; burgeoning relationships between palliative care and MAiD; and physician recommendations. Conclusion: The results of this study provide a snapshot of the Northwestern physician experiences with MAiD and contribute to the growing body of work exploring these issues on a national scale. MAiD is highlighted as both a rewarding and challenging experience for physicians in Northwestern Ontario in this study.

Mousaion ◽  
2018 ◽  
Vol 35 (3) ◽  
Author(s):  
Samson Mutsagondo ◽  
Getrude Maduyu ◽  
Godfrey Tsvuura

This paper discusses the challenges of records management that arise from the use of adapted buildings as records centres in Zimbabwe, despite the advantages of using such buildings. A qualitative research approach was used as well as a case study research design. Data were collected from seven officers of the Gweru Records Centre through semi-structured interviews. Personal observation was used to triangulate findings from interviews. It was found that the use of adapted buildings as records centres was a cheaper and quicker way of establishing records centres throughout the country. However, a number of preservation, security and management challenges cropped up as the conditions of the buildings and the environment of the adapted buildings were not conducive to the proper and professional management of records. This study is important in that it explores the prospects and challenges of using adapted buildings as records centres in Zimbabwe, an area that has not been researched by many authors. This provokes archival authorities and the government to seriously consider establishing purpose-built records and archival centres.


2017 ◽  
Vol 29 (1) ◽  
pp. 22-43 ◽  
Author(s):  
Elina I. Tobias ◽  
Sourav Mukhopadhyay

This article explores the experiences of social exclusion of individuals with visual impairment (IWVI) as they negotiate their daily lives in their homes and societal settings in the Oshana and Oshikoto regions of Namibia. Employing qualitative research approach, this research tried to better understand the lived experiences of IWVI. Nine IWVI with ages ranging from 30 to 90 years were initially engaged in focus group discussions, followed by semi-structured in-depth individual interviews. The findings of this research indicated that IWVI experience exclusion from education, employment and social and community participation as well as relationships. Based on these findings, we suggest more inclusive policies to address social exclusion of IWVI. At the same time, this group of individuals should be empowered to participate in community activities to promote interaction with people without visual impairments.


2021 ◽  
Author(s):  
◽  
Nelson Chan

<p>The following study explores and investigates the current methods New Zealand (NZ) Architectural, Engineering and Construction (AEC) firms use to enable effective BIM coordination in their projects. The purpose was to gain and contribute knowledge of the various methods for successful BIM delivery, as well, as to bridge the gap between academia and industry for a greater understanding of BIM use in an NZ context.  A qualitative research approach was carried out and comprised of semi-structured interviews in which eight industry participants across the design-to-construction supply chain were selected and interviewed. From the results, the different methods identified were: BIM-to-fabrication; change of procurement methods; and incorporating BIM Collaboration Format (BCF) plugin platforms. These methods identified contribute to knowledge for future researchers to undertake; predominantly to provide direction and recommendations to explore each method in an NZ industry context further.  Further discussions of the results identify that although the different methods can contribute to better BIM coordination, the success of a BIM model to be delivered effectively is dependent on two significant factors. The factors are; firstly, to capture the BIM requirements and needs of the client to establish well-defined deliverables in the BEP; and secondly, to ensure that the project team are to understand their role and responsibilities right throughout the project. This was a crucial finding in this thesis as although the methods are effective in enabling greater BIM coordination; ultimately it comes down to BIM understanding and expertise from key project stakeholders; which brings the notion of the issue back to the root of the problem. Other key findings from this thesis indicate a positive future for BIM within the NZ AEC industry, with many of the participant firms recognised to be proactive and open to incorporating BIM into their projects. Though the signs are encouraging, discussions with industry participants still express their concerns on needing to align the understanding of BIM between key project stakeholders. Therefore, an education piece which focuses on the client and their understanding of BIM in an NZ context is suggested for future research. This thesis also presents academia with valuable industry BIM workflow diagrams which the author has either illustrated or been provided by participants.</p>


2020 ◽  
Vol 51 (11) ◽  
pp. 2-13
Author(s):  
Maike Scherrer ◽  
Patricia Deflorin ◽  
Levente Szász ◽  
Béla-Gergely Rácz ◽  
Ildikó-Réka Cardoș ◽  
...  

The paper aims at exploring the prerequisites for a beneficial knowledge transfer between manufacturing plants of multinational companies (MNCs), by taking the characteristics of the knowledge sending and knowledge receiving plant into consideration. This research seeks to understand how efforts undertaken by manufacturing plants, and how collaborative tools and coordination mechanisms influence a successful knowledge transfer. The study includes thirteen case studies conducted in manufacturing plants from four different European countries (i.e., Switzerland, Romania, Albania, and Macedonia). Given the exploratory nature of this study, the authors used a qualitative research approach. The main method of data collection involved multiple semi-structured interviews at manufacturing plants, uniformly applied in each country in order to observe general patterns across different cases. Their results show that the personal interaction between knowledge sending and receiving plants is more important for a successful knowledge transfer than information systems or prior related knowledge.


2016 ◽  
Vol 27 (2) ◽  
pp. 223-230 ◽  
Author(s):  
Ilze Slabbert

Purpose: Domestic violence poses a major challenge to social workers. Low-income families are significantly more likely to have to contend with domestic violence, as poverty can act as a fuelling factor in this type of conflict. The objective of this study was to explore and describe the experiences of low-income abused women. Method: A qualitative research approach was followed to explore and describe the phenomenon of low-income abused women. Purposive and snowball sampling were used to obtain 20 participants. Data were collected by means of semi-structured interviews. The data were categorized into four themes. Results: Domestic violence and poverty are issues that some women might experience. Low-income abused women are especially more vulnerable to domestic violence and poverty limits choices and resources. Conclusion: Domestic violence and poverty should be seen in a serious light. Social workers should recognise the complexity and correlation between domestic violence and poverty.


2019 ◽  
Vol 8 (4) ◽  
pp. 10 ◽  
Author(s):  
Nur Sayidah ◽  
Sri Utami Ady ◽  
Jajuk Supriyati ◽  
Sutarmin Sutarmin ◽  
Mustika Winedar ◽  
...  

The purpose of this paper is to analyze the importance of quality in university governance in Indonesia. The researcher designed this study with an approach of qualitative research approach with Focus Group Discussion (FGD) method. Participants come from 25 universities throughout Indonesia. Participants are leaders of higher education ranging from the head of the study program to the rector. The result of the focus group discussion shows that the quality of higher education will decrease if there is the scarcity of qualified lecturers. Declining quality of higher education will affect the number of students. Finally, if the student decline happens continuously, then higher education can close. So quality is a top priority in university governance.


2016 ◽  
Vol 21 (1-2) ◽  
pp. 1-10
Author(s):  
Adeel Khalid

Nursing English in Pakistan is an important domain that comes under the ambit of ESP ‘English for Specific Purposes’. English cogitates as a lingua franca and a cornerstone for success in any field. However, in ESL/ELT it is imperative to design a course that caters to the needs of the learners. Thereby this study attempts to evaluate the existing English for Nursing Purposes curriculum of BScN Programme prescribed by HEC/PNC to corroborate its relevancy and adequacy in preparing the musing professionals for their professional English language requirements using Stufflebeam’s curriculum evaluation framework. This investigative study measures the level of existing linguistic (in)adequacy of the professional nurses pertaining to the specific roles they are required to perform so that their problematical areas could be identified systematically and subsequently reported with recommendations. A qualitative research approach has been used to measure the needs of the nurses. Tools like open-ended questionnaires and semi-structured interviews have been used to collect data from the sample sizes nursing heads and language instructors consecutively. The findings of the study divulge that the course is inadequate and yet relevant. It is recommended to review the English language curriculum considering the needs of the nurses for their work place that may improve the standards of nursing English in Pakistan.Journal of NELTA, Vol 21 No. 1-2, December 2016, page: 1-10


2018 ◽  
Vol 17 (2) ◽  
pp. 165-171
Author(s):  
Jane Elizabeth Sullivan ◽  
Lynn Heather Gillam ◽  
Paul Terence Monagle

AbstractObjectivesTypically pediatric end-of-life decision-making studies have examined the decision-making process, factors, and doctors’ and parents’ roles. Less attention has focussed on what happens after an end-of-life decision is made; that is, decision enactment and its outcome. This study explored the views and experiences of bereaved parents in end-of-life decision-making for their child. Findings reported relate to parents’ experiences of acting on their decision. It is argued that this is one significant stage of the decision-making process.MethodsA qualitative methodology was used. Semi-structured interviews were conducted with bereaved parents, who had discussed end-of-life decisions for their child who had a life-limiting condition and who had died. Data were thematically analysed.ResultsTwenty-five bereaved parents participated. Findings indicate that, despite differences in context, including the child’s condition and age, end-of-life decision-making did not end when an end-of-life decision was made. Enacting the decision was the next stage in a process. Time intervals between stages and enactment pathways varied, but the enactment was always distinguishable as a separate stage. Decision enactment involved making further decisions - parents needed to discern the appropriate time to implement their decision to withdraw or withhold life-sustaining medical treatment. Unexpected events, including other people’s actions, impacted on parents enacting their decision in the way they had planned. Several parents had to re-implement decisions when their child recovered from serious health issues without medical intervention.Significance of resultsA novel, critical finding was that parents experienced end-of-life decision-making as a sequence of interconnected stages, the final stage being enactment. The enactment stage involved further decision-making. End-of-life decision-making is better understood as a process rather than a discrete once-off event. The enactment stage has particular emotional and practical implications for parents. Greater understanding of this stage can improve clinician’s support for parents as they care for their child.


2019 ◽  
Vol 74 (3) ◽  
pp. 293-309 ◽  
Author(s):  
Anna Farmaki ◽  
Katerina Antoniou ◽  
Prokopis Christou

Purpose This study aims to examine the factors shaping the intentions of people to visit a hostile outgroup. Design/methodology/approach An exploratory, qualitative research approach was followed. Specifically, 77 semi-structured interviews with citizens of the divided island of Cyprus were conducted. Findings This study identifies several categories of visitors and non-visitors, depicted along a continuum, and concludes that there is a multiplicity of factors in the socio-political environment which influence the travel intentions of people. Originality/value This study not only imparts insights into the way travel decision-making evolves in politically unstable situations but also serves as a stepping stone towards understanding the conditions under which reconciliation between hostile nations may be encouraged by travel.


2020 ◽  
Vol 12 (18) ◽  
pp. 7482
Author(s):  
Aldona Glińska-Neweś ◽  
Joanna Górka

Corporate volunteering is becoming increasingly popular among the ways that companies manifest their social responsibility. Its popularity is due to the variety of benefits it brings to all parties. Among other things, it is capable of strengthening social capital, although specific phenomena and processes related to this remain largely unexplored. The aim of the paper is to identify how the frequency and intensity of contacts between volunteers and beneficiaries affect social capital building. The empirical study was based on a qualitative research approach and conducted in the form of individual semi-structured interviews with employees responsible for corporate volunteering in their companies. The results of the study suggest that corporate volunteering strengthens social capital regardless of the extent to which volunteers have contact with the beneficiaries of their volunteering work. However, the frequency and intensity of this contact may affect specific dimensions of social capital, leading to the strengthening of bonding social capital and/or bridging social capital.


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