scholarly journals Assessment of an integrated knowledge translation intervention to improve nutrition intakes among patients undergoing elective bowel surgery: a mixed-method process evaluation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Megan Rattray ◽  
Andrea P. Marshall ◽  
Ben Desbrow ◽  
Michael von Papen ◽  
Shelley Roberts
Keyword(s):  
Knowledge Translation ◽  
Process Evaluation ◽  
Nursing Staff ◽  
Mixed Method ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Education Session ◽  
Oral Nutrition ◽  
Intervention Delivery ◽  
Bowel Surgery

Abstract Background A large evidence-practice gap exists regarding provision of nutrition to patients following surgery. The aim of this study was to evaluate the processes supporting the implementation of an intervention designed to improve the timing and adequacy of nutrition following bowel surgery. Methods A mixed-method pilot study, using an integrated knowledge translation (iKT) approach, was undertaken at a tertiary teaching hospital in Australia. A tailored, multifaceted intervention including ten strategies targeted at staff or patients were co-developed with knowledge users at the hospital and implemented in practice. Process evaluation outcomes included reach, intervention delivery and staffs’ responses to the intervention. Quantitative data, including patient demographics and surgical characteristics, intervention reach, and intervention delivery were collected via chart review and direct observation. Qualitative data (responses to the intervention) were sequentially collected from staff during one-on-one, semi-structured interviews. Quantitative data were summarized using median (IQR), mean (SD) or frequency(%), while qualitative data were analysed using content analysis. Results The intervention reached 34 patients. Eighty-four percent of nursing staff received an awareness and education session, while 0% of medical staff received a formal orientation or awareness and education session, despite the original intention to deliver these sessions. Several strategies targeted at patients had high fidelity, including delivery of nutrition education (92%); and prescription of oral nutrition supplements (100%) and free fluids immediately post-surgery (79%). Prescription of a high energy high protein diet on postoperative day one (0%) and oral nutrition supplements on postoperative day zero (62%); and delivery of preoperative nutrition handout (74%) and meal ordering education (50%) were not as well implemented. Interview data indicated that staff regard nutrition-related messages as important, however, their acceptance, awareness and perceptions of the intervention were mixed. Conclusions Approximately half the patient-related strategies were implemented well, which is likely attributed to the medical and nursing staff involved in intervention design championing these strategies. However, some strategies had low delivery, which was likely due to the varied awareness and acceptance of the intervention among staff on the ward. These findings suggest the importance of having buy-in from all staff when using an iKT approach to design and implement interventions.

scholarly journals Transition program for adolescents with congenital heart disease in transition to adulthood: protocol for a mixed-method process evaluation study (the STEPSTONES project)

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e028229 ◽  
Author(s):  
Markus Saarijärvi ◽  
Lars Wallin ◽  
Philip Moons ◽  
Hanna Gyllensten ◽  
Ewa-Lena Bratt
Keyword(s):  
Congenital Heart Disease ◽  
Content Analysis ◽  
Heart Disease ◽  
Process Evaluation ◽  
Transition To Adulthood ◽  
Mixed Method ◽  
Quantitative Data ◽  
Congenital Heart ◽  
Qualitative Data ◽  
Healthcare Professionals

IntroductionToday, the majority of young persons living with chronic conditions in high-income countries survive into adulthood and will need life-long medical follow-up. Therefore, transition programmes have been developed to facilitate transfer to adult care, and to support self-management and independence during adulthood. The Swedish Transition Effects Project Supporting Teenagers with chrONic mEdical conditionS (STEPSTONES) project aims to evaluate the effectiveness of a person-centred transition programme for empowering adolescents with congenital heart disease in transition to adulthood. To understand how the transition programme causes change and how outcomes are created, process evaluation is imperative to assess implementation, context and mechanisms of impact. This protocol aims to describe the process evaluation of the STEPSTONES transition programme.Methods and designMedical Research Council guidance for process evaluation of complex interventions will be the guiding framework for this mixed-method study. The combination of qualitative and quantitative data will capture different aspects of programme delivery. The sample will consist of participants in the STEPSTONES randomised controlled trial (RCT), persons implementing the programme and healthcare professionals. Quantitative data will consist of protocols and routine monitoring documents from the RCT, data collected from patient registries and sociodemographic data to assess the implementation of the intervention. This data will be analysed with quantitative content analysis, along with descriptive and inferential statistics. Qualitative data will consist of participatory observations, logbooks and interviews with persons implementing the programme, participants and healthcare professionals. Analyses will be performed using qualitative content analysis to investigate mechanism of impact, context and delivery. Quantitative and qualitative data will be integrated in the final stage by using a triangulation protocol according to mixed-method guidelines.Ethics and disseminationThe study is approved by the Regional Ethical Review Board in Gothenburg, Sweden. Results will be presented in open access, peer-reviewed journals and at international scientific conferences.

scholarly journals The Affect Of The Asean China Free Trade Agreement (Acfta) On The SME’s Performance

2019 ◽  
Vol 5 (1) ◽  
pp. 30
Author(s):  
Wisnu Panggah Setiyono ◽  
Dewi Andriyani ◽  
Boy Isma Putra
Keyword(s):  
Financial Performance ◽  
Free Trade ◽  
Mixed Method ◽  
Quantitative Data ◽  
Free Trade Agreement ◽  
Qualitative Data ◽  
Trade Agreement ◽  
Paired Samples ◽  
Library Research ◽  
Before And After

This research is aimed to analyze the influence of ASEAN-China Free Trade Agreement (ACFTA) on the financial performance of SMEs in Sidoarjo. The financial performance of SMEs in this study was measured by the level of sales comparation between the period before and after ACFTA. This research applied mix method technique with squids mixed method strategy, especially sequential explanatory strategy. It is a strategy for the researchers to combine the data that was found from one method with the other method. The steps were begun with the researcher collecting the quantitative data by performing different test or Paired samples T-test then continued with collecting the qualitative data by doing library research. The results show that  there are significant differences in financial performance; first, it is seen from the sales between before and after ACFTA, and second,  it is proven that  that the existence of ACFTA significantly affects the sales rate of SMEs.

scholarly journals Contradictions within an activity of second language reading literacy

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Sonja Brink ◽  
Carisma Nel
Keyword(s):  
Mixed Method ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Early Reading ◽  
Document Analysis ◽  
Literacy Skills ◽  
Second Language Reading ◽  
Reading Literacy ◽  
Classroom Observations ◽  
Cultural Historical Activity

Background: In investigating the early reading literacy of a group of Setswana-speaking children who learnt to read in Afrikaans, cultural historical activity theory (CHAT) was chosen as a conceptual framework because of its proven utility value in helping researchers make sense of complex social systems.Aim: The application of this heuristic not only proved valuable as organising principle but also unexpectedly revealed the situation with a clarity that brought about a richer understanding of the intricate dynamics underlying reading literacy in a second language.Setting: The study was conducted at a small-town Afrikaans medium school.Methods: In this mixed method inquiry, qualitative data was collected through interviews with parents and educators, classroom observations and document analysis. The quantitative data was obtained through the administering of an early reading literacy assessment.Results: The overarching finding of this study was that the Setswana-speaking children developed early reading literacy skills at a rate and level commensurate with that of their Afrikaans-speaking peers. Where the application of CHAT as heuristic proved invaluable was in bringing to light a pattern revealing the agency which was exercised by parents and educators to support the children’s reading literacy learning.Conclusion: Despite various obstacles and tensions, parents and teachers exercise considerable agency in supporting the children’s early reading literacy. Although the empirical aspects of the study are described, it is a conceptual gaze of the situation, employing CHAT as a lens, which is the focus of this article.

scholarly journals The effectiveness of knowledge translation interventions for promoting evidence-informed decision-making among nurses in tertiary care: a systematic review and meta-analysis

2021 ◽  
Author(s):  
Jennifer Yost ◽  
Rebecca Ganann ◽  
David Thompson ◽  
Fazila Aloweni ◽  
Kristine Newman ◽  
...  
Keyword(s):  
Systematic Review ◽  
Decision Making ◽  
Knowledge Translation ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Meta Analysis ◽  
Tertiary Care ◽  
Informed Decision Making ◽  
Client Outcomes ◽  
The Impact

Nurses are increasingly expected to engage in evidence-informed decision-making (EIDM) to improve client and system outcomes. Despite an improved awareness about EIDM, there is a lack of use of research evidence and understanding about the effectiveness of interventions to promote EIDM. This project aimed to discover if knowledge translation (KT) interventions directed to nurses in tertiary care are effective for improving EIDM knowledge, skills, behaviours, and, as a result, client outcomes. It also sought to understand contextual factors that affect the impact of such interventions. Methods A systematic review funded by the Canadian Institutes of Health Research (PROSPERO registration: CRD42013003319) was conducted. Included studies examined the implementation of any KT intervention involving nurses in tertiary care to promote EIDM knowledge, skills, behaviours, and client outcomes or studies that examined contextual factors. Study designs included systematic reviews, quantitative, qualitative, and mixed method studies. The search included electronic databases and manual searching of published and unpublished literature to November 2012; key databases included MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Excerpta Medica (EMBASE). Two reviewers independently performed study selection, risk of bias assessment, and data extraction. Studies with quantitative data determined to be clinically homogeneous were synthesized using meta-analytic methods. Studies with quantitative data not appropriate for meta-analysis were synthesized narratively by outcome. Studies with qualitative data were synthesized by theme. Results Of the 44,648 citations screened, 30 citations met the inclusion criteria (18 quantitative, 10 qualitative, and 2 mixed methods studies). The quality of studies with quantitative data ranged from very low to high, and quality criteria was generally met for studies with qualitative data. No studies evaluated the impact on knowledge and skills; they primarily investigated the effectiveness of multifaceted KT strategies for promoting EIDM behaviours and improving client outcomes. Almost all studies included an educational component. A meta-analysis of two studies determined that a multifaceted intervention (educational meetings and use of a mentor) did not increase engagement in a range of EIDM behaviours [mean difference 2.7, 95 % CI (−1.7 to 7.1), I 2 = 0 %]. Among the remaining studies, no definitive conclusions could be made about the relative effectiveness of the KT interventions due to variation of interventions and outcomes, as well as study limitations. Findings from studies with qualitative data identified the organizational, individual, and interpersonal factors, as well as characteristics of the innovation, that influence the success of implementation. Conclusions KT interventions are being implemented and evaluated on nurses’ behaviour and client outcomes. This systematic review may inform the selection of KT interventions and outcomes among nurses in tertiary care and decisions about further research.

scholarly journals INTEGRATING THE TEACHING OF CULTURE BASED READING AND ESSAY WRITING TO BUILD STUDENTS� CULTURAL AWARENESS

2017 ◽  
Vol 1 (1) ◽  
pp. 1-7
Author(s):  
Deddy Sofyan ◽  
Istiqlaliah Nurul Hidayati ◽  
Asih Wahyuni
Keyword(s):  
Mixed Method ◽  
Quantitative Data ◽  
Cultural Awareness ◽  
Qualitative Data ◽  
Classroom Observation ◽  
Reading Habit ◽  
Essay Writing ◽  
The World ◽  
Body And Soul ◽  
Different Cultures

The title of the research is integrating the teaching of culture based reading and essay writing to build students cultural awareness. Two main aims were conveyed in the research. First, it was aimed at supporting students to write an essay based on what they had read (to give them background knowledge and to build their reading habit) and the second was building students cultural awareness and helping them realize that their nation actually has fabulous local wisdoms. By realizing that the nation has deeply meaningful local wisdoms, they will love and protect the nation with their body and soul. The researchers integrated this teaching of local wisdoms by asking the students to firstly read a cultural based text and discussed what they understand about the text with their friends. The text contained a description about different cultures in several countries. The titles of the texts were for example: Maintaining Eye Contact in Some Cultures, Innocent Gestures that Mean Rude Abroad, The Ethics of Gift Giving all over the World, etc. After being read, the text was then discussed in the classroom. The students gave their opinion as well as their experience related to the topic. The last activity was writing an essay with the same topic yet the culture being discussed in the writing had to be about the students own culture. The method that was employed in the research was mixed method. The qualitative data was gained from classroom observation and the portfolio of students writings while the quantitative data was gained from questionnaires distributed to the students. The results were first the students found out how to write an essay and second, they realized that their culture has high values to be appreciated. Thus the love to the nation was well established.Key Words: Reading-Writing Integration, Cultural Awareness, Essay Writing.

scholarly journals The Lack of Financial Independent Elderly Peoples in the Backward Regions

2021 ◽  
Vol 58 (1) ◽  
pp. 5235-5245
Author(s):  
Bakaruddin Et al.
Keyword(s):  
Regression Analysis ◽  
Data Collection ◽  
Mixed Method ◽  
Quantitative Data ◽  
Qualitative Data ◽  
The Elderly ◽  
Land Ownership ◽  
Data Collection Instrument ◽  
Independent Elderly ◽  
Qualitative Data Collection

This study aims to reveal a number of determinants of financial not independent be the cause of the elderly in disadvantaged areas. The study was designed in the format of mixed method, wherein in the first stage of qualitative data collection to identify a number of determinants of the causes of the financial not independent elderly. All variables are declared invalid later developed into quantitative data collection instrument at a later stage. The results of different Kruskal-Wallis test was applied to see the differences between the determinants of independent elderly and elderly are not independent. Then performed logistic regression analysis to see the effect of each determinant to provide empirical evidence on the probability not independent elderly. The results showed that the only factor of land ownership, health

scholarly journals Communication Needs for Improved Uptake of PrEP and HIVST Services among Key Populations in Nigeria: A Mixed-Method Study

2021 ◽  
Author(s):  
Olawale Durosinmi-Etti ◽  
Emmanuel Kelechi Nwala ◽  
Funke Oki ◽  
Akudo Ikpeazu ◽  
Emmanuel Godwin ◽  
...  
Keyword(s):  
Data Analysis ◽  
Mixed Method ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Illicit Drugs ◽  
Scale Up ◽  
Communication Strategy ◽  
World Health ◽  
Key Populations ◽  
Health Providers

Abstract BackgroundWorld Health Organization (WHO) reports that people who indulge in risky behaviours such as penile-anal sex, unprotected intercourse, multiple sex partners, and use of alcohol and illicit drugs are at risk of HIV/AIDS and have been classified as key populations (KPs). Since the introduction of PrEP and HIVST for the key population groups in Nigeria, government entities and implementing partners have used a range of channels in messaging these essential services across to the target groups – ranging from in-person, social media, television, and radio adverts. Yet, only little successes have been recorded, thereby necessitating the need to document the enabling facilitators, barriers to, and needs of the KP groups in communicating PrEP and HIVST services in Nigeria.MethodsA mixed-method cross-sectional design was used for the study with a total of 1169 key populations in Nigeria. Surveys and qualitative exploratory methods were employed to collect data from MSM, FSWs, and key influencers of the KP groups (health providers, peer educators, HIV program officers). Quantitative data was collected data through an open data kit (ODK), while qualitative data was collected using a topic guide in August 2020. Quantitative data analysis was conducted using SPSS version 20 for descriptive statistics while qualitative data analysis was conducted through deductive and thematic analysis based on the codebook.ResultsThe KPs were mainly urban dwellers, and a majority of the participants were aged between 18 to 28yrs. However, the MSM group were of a younger population compared to the FSWs. Different level of education was reported, although a majority completed secondary education (56.1% FSWs and 43.5% MSM). The MSM group showed more tendency to acquire higher education compared to the FSWs. For example, about 51.3% of the MSM group were undergraduates compared to 9.5% of the FSWs. The majority of the KPs were self-employed (56.4% FSWs and 40% MSM), however, the proportion of KPs who were unemployed was also glaring (25.8% FSWs and 16.5% MSM). Only about 51% of the KPs were aware of PrEP, with typological variations (39.9% FSWs and 62.3% MSM). Among the MSM group, awareness about PrEP services was higher in Lagos (82.5%), compared to 53.1% and 54.5% in A/Ibom and C/River states respectively. Among the enablers to acquiring PrEP information was the ability of the KPs to network within their communities and on personal relationships. Evidence shows that no single approach influenced the acquisition and use of PrEP information by KPs. Only about 50% of the KPs were aware of HIVST services (40% FSWs and 60% MSM), although this proportion varied across the geographic locations.The factors that enabled the acquisition and use of the prevention commodities were cross-cutting and included previous or current role as peer educator, integration of the messages, peer networking, multi-lingual and multi-channel presentation, use of job aids and reminders. KPs expressed the need for information on how to take PrEP, eligibility, clarification on differences between PrEP and PEP, clarification on any side effects, pricing, for PrEP, price, efficacy, sales point, dosage, available brands. A scale-up of the research across all geopolitical zones and a survey to quantify the prevalence would help in understanding the dynamics and prioritization of interventions for scaling up PrEP and HIVST services in Nigeria.ConclusionsThe policy actors should consider the preferences of the KPs and key influencers in reducing barriers to communication and increasing the uptake of PrEP and HIVST services, and ensure it is reflected in a tailored communication strategy. Since multi-linguistics and multi-channels of presentation were enablers to acquiring PrEP and HIVST messages, the communications strategy for HIV prevention should incorporate these recommendations and adapt to context-specific approaches for effective messaging.

scholarly journals EDMODO AS EDUCATIONAL SOCIAL NETWORK IN TEACHING COURSE DESIGN OF EYL

2018 ◽  
Vol 3 (2) ◽  
pp. 146
Author(s):  
Nina Puspitaloka ◽  
Indah Rahmawati ◽  
Derinda Octaviyenty Sonjaya
Keyword(s):  
Social Network ◽  
Mixed Method ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Course Design ◽  
Data Gathering ◽  
T Test ◽  
Post Test ◽  
Research Questions

This research is conducted to find out Edmodo can increase student’s ability in learning course design of EYL and student’s perception in learning course design of EYL by using Edmodo. A mixed method was used to collect quantitative and qualitative data. In answering those two research questions, the researcher used test (pre-test and post-test) to collect quantitative data and also used interview as data gathering technique to collect qualitative data. The findings of the research showed that: (1) Edmodo can increase student’s ability in learning course design of EYL. It is proven by the score of Independent T-test -0,741 and sig (2 tailed) was higher than degree of significance (0,462 < 0,05). (2) Student’s perception in learning course design of EYL by using Edmodo showed that Edmodo in learning course design of EYL can help students more understand the materials because they can get more information about materials of EYL especially course design of EYL; they can discuss the materials each other anywhere and anytime; they felt more interesting and happy; they are more confident to express their ideas, therefore they can be more active in learning course design of EYL.

scholarly journals Medical Undergraduates’ Perceptions on Medical Humanities Course in Nepal

2020 ◽  
Vol 18 (3) ◽  
pp. 436-441
Author(s):  
Amanda Douglas Helen ◽  
Madhusudan Subedi ◽  
Rajesh Gongal
Keyword(s):  
Social Sciences ◽  
Mixed Method ◽  
Quantitative Data ◽  
Medical Humanities ◽  
Qualitative Data ◽  
Undergraduate Curriculum ◽  
Mixed Method Study ◽  
Personal Impact ◽  
Healthcare It ◽  
Medical Undergraduates

Background: Medical humanities is taught in medical schools in the  western countries, partly to address the lack of compassion within healthcare. It seeks to develop understanding of human experiences relating to disease, disability and death, through humanities, arts and social sciences. In 2018, Patan Academy of Health Sciences Nepal introduced an eight-week medical humanities course for new medical students. This study aims to evaluate the course from the student participants’ view, exploring their perceptions and experiences. Methods: A mixed method study was used to assess the perceptions of  65 students who completed a semi-structured survey, comprising eight items, with five point- Likert scale and three open response questions. Quantitative data was analysed with results expressed as mean, standard deviation and percentage. Qualitative data was coded and analysed thematically. Results: The students’ perception of the course was strongly positive where 98.5% agreed or strongly agreed it was enjoyable and interesting (items 1,2) and should be continued (item 9). 97% agreed or strongly agreed it made them think differently (item 5) and 96.9% that it was relevant to future careers (item 6). 96.9% agreed or strongly agreed the course helped them understand doctor’s caring roles (item 10) and 92.3% believed it will make them better doctors (item 11). Three themes emerged from open response questions related to perceptions- enjoyable and interesting, positive personal impact and valuable and important. Conclusions: The students had positive perceptions of the medical humanities course, recognizing its’ impact, importance and its value in medical education. Its expansion in the undergraduate curriculum should be considered. Keywords: Evaluation;medical humanities; Nepal; perceptions;students

scholarly journals Challenges Faced By Ward Officers in Practicing Accountability and Participation: A Case of Arusha City, Tanzania

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Monica Augustin Mshanga
Keyword(s):  
Thematic Analysis ◽  
Mixed Method ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Descriptive Statistics ◽  
Research Approach ◽  
Mixed Method Research ◽  
The Public ◽  
Descriptive Research ◽  
Interview Guide

This study observed challenges faced by Ward Officers (WOs) in practicing accountability and participation in the wards in Arusha city. The study adopted descriptive research design and used mixed method research approach. The population involved 175 ward officers in 25 wards in Arusha city from which a sample of 70 ward officers was drawn, but only 68 (97%) of them participated. Purposive sampling and simple random technique were used to obtain respondents. Data was collected through questionnaires and interview guide. Quantitative data were analysed using descriptive statistics, while qualitative data were subjected to thematic analysis. Findings revealed that challenges faced by WOs in practicing accountability and participation in their wards includes: little turn up of citizens in political election, lack of interests to participate in decision making, misuse of resources and environmental pollution, corruption and insufficient funds. The study recommended that local government authorities should educate its people on the importance of participating on different development activities from planning to implementation, and WOs should ensure ward information are accessible by the public.

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