scholarly journals Experiences of nurse practitioners and medical practitioners working in collaborative practice models in primary healthcare in Australia – a multiple case study using mixed methods

2016 ◽  
Vol 17 (1) ◽  
Author(s):  
Verena Schadewaldt ◽  
Elizabeth McInnes ◽  
Janet E. Hiller ◽  
Anne Gardner
Keyword(s):  
Mixed Methods ◽  
Nurse Practitioners ◽  
Primary Healthcare ◽  
Multiple Case Study ◽  
Collaborative Practice ◽  
Medical Practitioners ◽  
Practice Models ◽  
Multiple Case

scholarly journals Role Clarification Processes for Better Integration of Nurse Practitioners into Primary Healthcare Teams: A Multiple-Case Study

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Isabelle Brault ◽  
Kelley Kilpatrick ◽  
Danielle D’Amour ◽  
Damien Contandriopoulos ◽  
Véronique Chouinard ◽  
...  
Keyword(s):  
Primary Care ◽  
Nurse Practitioners ◽  
Primary Healthcare ◽  
Interprofessional Collaboration ◽  
Multiple Case Study ◽  
Role Clarity ◽  
Primary Care Teams ◽  
Essential Components ◽  
Multiple Case

Role clarity is a crucial issue for effective interprofessional collaboration. Poorly defined roles can become a source of conflict in clinical teams and reduce the effectiveness of care and services delivered to the population. Our objective in this paper is to outline processes for clarifying professional roles when a new role is introduced into clinical teams, that of the primary healthcare nurse practitioner (PHCNP). To support our empirical analysis we used the Canadian National Interprofessional Competency Framework, which defines the essential components for role clarification among professionals. A qualitative multiple-case study was conducted on six cases in which the PHCNP role was introduced into primary care teams. Data collection included 34 semistructured interviews with key informants involved in the implementation of the PHCNP role. Our results revealed that the best performing primary care teams were those that used a variety of organizational and individual strategies to carry out role clarification processes. From this study, we conclude that role clarification is both an organizational process to be developed and a competency that each member of the primary care team must mobilize to ensure effective interprofessional collaboration.

Operationalizing and Conceptualizing Quality in Mixed Methods Research: A Multiple Case Study of the Disciplines of Education, Nursing, Psychology, and Sociology

2018 ◽  
Vol 13 (4) ◽  
pp. 424-445 ◽  
Author(s):  
Sergi Fàbregues ◽  
Marie-Hélène Paré ◽  
Julio Meneses
Keyword(s):  
Mixed Methods ◽  
Mixed Methods Research ◽  
Multiple Case Study ◽  
Quality Criteria ◽  
The Other ◽  
Multiple Case ◽  
Qualitative Multiple Case Study ◽  
Education Nursing

The purpose of this qualitative multiple case study is to describe and compare how researchers in the education, nursing, psychology, and sociology disciplines operationalize and conceptualize the quality of mixed methods research (MMR). An international sample of 44 MMR researchers representing these four disciplines were interviewed. The study findings point to (a) two perspectives from which the quality of MMR is understood, one contingent and flexible and the other universal and fixed; (b) a relationship between these two perspectives and the participants’ discipline; and (c) a similar occurrence, both in terms of nature and frequency, of the MMR quality criteria most mentioned by the participants across disciplines. Implications of the findings for the field of MMR are discussed.

scholarly journals Evaluation of DementiaNet, a network-based primary care innovation for community-dwelling patients with dementia: protocol for a longitudinal mixed methods multiple case study

BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e016433 ◽  
Author(s):  
Anke Richters ◽  
Minke S Nieuwboer ◽  
Marieke Perry ◽  
Marcel G M Olde Rikkert ◽  
Rene J F Melis ◽  
...  
Keyword(s):  
Primary Care ◽  
Quality Of Care ◽  
Mixed Methods ◽  
Healthcare Professionals ◽  
Informal Caregivers ◽  
Multiple Case Study ◽  
Local Context ◽  
Multiple Case

IntroductionPrimary healthcare professionals will increasingly be required to manage and optimise their treatment for patients with dementia. With DementiaNet, we aim to reduce the burden of dementia on healthcare services and society through implementation and facilitation of integrated network-based care with increased dementia expertise. DementiaNet is designed as a stepwise approach including clinical leadership, quality improvement cycles and interprofessional training, which are tailor-made to the local context. For example, the composition of the network and improvement goals are tailored to the local context and availability. Here, we describe the linked evaluation study which aims to provide insight in effectiveness, process and mechanism of the DementiaNet approach through an innovative evaluation design.Methods and analysisWe designed a longitudinal, mixed methods, multiple case study. Study population consists of two levels: (i) local DementiaNet networks of primary care professionals and (ii) patients and informal caregivers who receive care from these networks. At the start and after 12 and 24 months, quantitative data are collected for each network on: level of network maturity, quality of care indicators and outcomes reported by informal caregivers of dementia patients. We assess changes in networks over time and the association with quality of care and informal caregiver-reported outcomes. Throughout the study, logs about each network are registered. Additionally, semi-structured interviews with network members and informal caregivers will provide insight in experiences and opinions regarding effects and mechanisms through which changes in quantitative outcomes are effectuated. Rich narratives will be constructed about the development of the local networks using collected data.Ethics and disseminationThe study protocol was reviewed by the local medical ethics committee; formal judgement was not required (protocol number: 2015–2053). The findings of this study will be disseminated through peer-reviewed publications, conference presentations and presentations for healthcare professionals where appropriate.

scholarly journals A mixed methods multiple case study of implementation as usual in children’s social service organizations: study protocol

2013 ◽  
Vol 8 (1) ◽  
Author(s):  
Byron J Powell ◽  
Enola K Proctor ◽  
Charles A Glisson ◽  
Patricia L Kohl ◽  
Ramesh Raghavan ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Study Protocol ◽  
Social Service ◽  
Multiple Case Study ◽  
Service Organizations ◽  
Social Service Organizations ◽  
Multiple Case

scholarly journals Appreciative inquiry in evaluating integrated primary oral health services in Quebec Cree communities: a qualitative multiple case study

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e038164
Author(s):  
Richa Shrivastava ◽  
Yves Couturier ◽  
Felix Girard ◽  
Christophe Bedos ◽  
Mary Ellen Macdonald ◽  
...  
Keyword(s):  
Oral Health ◽  
Strategic Planning ◽  
Appreciative Inquiry ◽  
Primary Healthcare ◽  
Multiple Case Study ◽  
Evaluation Methodology ◽  
Developmental Evaluation ◽  
Study Results ◽  
Multiple Case

ObjectiveThe Strategic Regional Plan of the Cree Board of Health and Social Services of James Bay (CBHSSJB), serving the Quebec Cree communities, mandates the objective of integrating oral health within primary healthcare. Emerging evidence suggests that the integration of oral health into primary healthcare can decrease oral health disparities. This research study aimed to answer the following research question: how and to what extent does the integration of oral health into primary healthcare address the oral health needs of the Cree communities?DesignWe used a multiple-case study design within a qualitative approach and developmental evaluation methodology. The Discovery, Dream, Design and Destiny model of appreciative inquiry was selected as a study framework among existing frameworks of the developmental evaluation.SettingFour purposefully selected Cree communities.ParticipantsHealthcare providers, administrators and patients at the community wellness centres and hospital.Outcome measuresIntegration of oral health into primary healthcare.ResultsA total of 36 interviews and 6 focus group discussions were conducted. We identified ten themes in discovery and dream phases. The Discovery phase identified the strengths of the organisation in facilitating enablers of integration including strategic planning, organisational structure, cultural integration, coordinated networks and colocation. In the Dream phase, participants’ oral healthcare stories expressed various dimensions of integration and their wish for strengthening integration via extending public oral healthcare programmes, increasing resources and improving organisational management. In the Design phase, recommendations were formulated for a future action plan within the CBHSSJB.ConclusionThis study results suggested that the CBHSSJB has been successful in implementing oral health integration into primary care following its strategic planning. At present, the organisation could extend the level of integration into full integration by following study recommendations derived from the perspective of local stakeholders.

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