scholarly journals The right to smoke and the right to smoke-free surroundings: international comparison of smoke-free psychiatric clinic implementation experiences

BJPsych Open ◽  
2021 ◽  
Vol 7 (3) ◽  
Author(s):  
Tove Freiburghaus ◽  
Rie Raffing ◽  
Montse Ballbè ◽  
Antoni Gual ◽  
Hanne Tönnesen
Keyword(s):  
Qualitative Methodology ◽  
Smoking Ban ◽  
Psychiatric Clinic ◽  
Successful Implementation ◽  
Management Support ◽  
Staff Education ◽  
Structured Interviews ◽  
Implementation Processes ◽  
Compulsory Care ◽  
The Right

Background In Scandinavia, people with a severe mental disorder have a reduced life expectancy of 15–20 years compared with the general public. Smoking is a major contributor, and smoke-free policies are increasingly adopted in psychiatric clinics around the world. We compared potential facilitators and barriers among staff and management, for the implementation of smoke-free psychiatric clinics. Aims To investigate the attitudes and experiences regarding smoke-free policies among managers and staff involved in the implementation processes of smoke-free psychiatric clinics at hospitals in Malmö (Sweden) and Barcelona (Spain). Method We used a qualitative methodology, with 15 semi-structured interviews. The interviews were conducted with each participant individually, and were subsequently transcribed. The data were analysed with systematic text condensation. Results There were notable differences in how the smoke-free policies were carried out and experienced, and attitudes regarding the policy changes differed in the two settings. Key differences were the views on the right to smoke in compulsory care and to stay in smoke-free surroundings supported by smoking cessation intervention; the prioritisation of staff facilitation of smoking breaks; and views on smoking and smoke-free psychiatry. In contrast, participants agreed on the importance of staff education and management support. A smoking ban by law and belonging to a network of smoke-free hospitals were also relevant. Conclusions Staff education, and support from staff and management for the patients’ right to stay in smoke-free surroundings, facilitated successful implementation of smoke-free policies in the psychiatric clinics, whereas supporting the right to smoke was a barrier.

scholarly journals What hinders and facilitates the implementation of nurse-led interventions in dementia care? A scoping review

2020 ◽  
Author(s):  
Melanie Karrer ◽  
Julian Hirt ◽  
Adelheid Zeller ◽  
Susi Saxer
Keyword(s):  
Scoping Review ◽  
Implementation Process ◽  
Dementia Care ◽  
Barriers And Facilitators ◽  
Successful Implementation ◽  
Evidence Based ◽  
Management Support ◽  
Implementation Processes ◽  
Culture Of Care ◽  
People With Dementia

Abstract Background The implementation of evidence-based interventions for people with dementia is complex and challenging. However, successful implementation might be a key element to ensure evidence-based practice and high quality of care. There is a need to improve implementation processes in dementia care by better understanding the arising challenges. Thus, the aim of this study was to identify recent knowledge concerning barriers and facilitators to implementing nurse-led interventions in dementia care. Methods We performed a scoping review using the methodological framework of Arksey and O’Malley. Studies explicitly reporting on the implementation process and factors influencing the implementation of a nurse-led intervention in dementia care in all settings were included. We searched eight databases from January 2015 until January 2019. Two authors independently selected the studies. For data analysis, we used an inductive approach to build domains and categories. Results We included 26 studies in the review and identified barriers as well as facilitators in five domains: policy (e.g. financing issues, health insurance), organisation (e.g. organisational culture and vision, resources, management support), intervention/implementation (e.g. complexity of the intervention, perceived value of the intervention), staff (e.g. knowledge, experience and skills, attitude towards the intervention), and person with dementia/family (e.g. nature and stage of dementia, response of persons with dementia and their families). Conclusions Besides general influencing factors for implementing nursing interventions, we identified dementia-specific factors reaching beyond already known barriers and facilitators. A pre-existing person-centred culture of care as well as consistent team cultures and attitudes have a facilitating effect on implementation processes. Furthermore, there is a need for interventions that are highly flexible and sensitive to patients’ condition, needs and behaviour.

Implementing an antimicrobial stewardship programme

2016 ◽  
Author(s):  
Patrick Doyle
Keyword(s):  
Antimicrobial Stewardship ◽  
Successful Implementation ◽  
Management Support ◽  
Governance Framework ◽  
The Right ◽  
The Impact ◽  
Programme Planning

Implementing an antimicrobial stewardship programme in an institution can be challenging. This chapter describes the process of the implementation of the programme—planning, doing, studying, acting. Planning involves understanding the institution’s environment, developing a case and gaining clinical and management support, creating a governance framework, and assembling the the right team. The nature and composition of the antimicrobial stewardship team is explored in detail. Doings means getting started—the importance of ‘quick wins’ that can be achieved to ensure acceptance and the importance of communication and a vision are covered. Studying means measuring and assessing the impact of the programme. Acting involves modifying and expanding the programme. Obstacles to successful implementation are discussed. Finally the chapter touches on the importance of entrenching the gains of the programme.

The influence of ERP systems on organizational aspects of accounting: case studies in Portuguese companies

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
José Luís Martins ◽  
Carlos Santos
Keyword(s):  
Organizational Structure ◽  
Enterprise Resource Planning ◽  
Qualitative Methodology ◽  
Resource Planning ◽  
Successful Implementation ◽  
Erp Systems ◽  
Structured Interviews ◽  
Content Type ◽  
Erp System ◽  
Different Levels

Purpose This paper aims to investigate the changes caused by the use of the enterprise resource planning (ERP) systems in the accounting of organizations at different levels: organizational structure; processes; and employees. Design/methodology/approach The authors use a qualitative methodology with interpretative analysis through the study of five cases in Portuguese companies that implemented the Sage ERP X3. The data collection was carried out mainly through semi-structured interviews. Findings The results indicate that the successful implementation of the ERP system is associated with changes in the organizational structure, reengineering of processes and changes in the functions of employees. These changes interact and cause modifications among themselves, which makes it difficult to identify the origin and sequence of changes related to the implementation of the systems. It was possible to identify the direct impact of the ERP system on the change of processes, which is reflected in the functions of the employees, as well as to verify that the ERP system provides the opportunity for companies to change their organizational structure. Originality/value This paper contributes to the accounting literature by providing evidence on the influence of ERP systems on organizational aspects of accounting in the Portuguese reality, attesting that the successful implementation of the ERP system is associated with changes in the organizational structure, reengineering of processes and changes in the functions of employees.

Critical issues affecting e-government implementation in Nigeria : a case of housing development agency

2020 ◽  
Vol 9 (4) ◽  
pp. 33-58
Author(s):  
Olumoye Mosud ◽  
Keyword(s):  
Geographical Area ◽  
Successful Implementation ◽  
Housing Sector ◽  
Management Support ◽  
Structured Interviews ◽  
Public Officials ◽  
Top Management Support ◽  
Specific Geographical Area ◽  
Critical Issues ◽  
Ict Infrastructure

The aim of this study was to identify the critical issues affecting the successful implementation of e-government in Nigeria from the public officials' perspective. To achieve this aim, the study developed a conceptual framework underpinned by the technology-organisation-environment framework and the drivers-barriers model as a lens to identify the critical issues affecting e-government implementation in Nigeria of a specific sector, the housing sector. A qualitative approach was adopted. Data was collected using semi-structured interviews involving 15 participants. Thematic analysis was conducted on the transcribed interviews. The findings identified general technological, organisational and environmental factors and highlighted critical factors within these categories, namely ICT infrastructure, top management support, public-private partnership, and Regulatory Policy and Legislation. Hence, the study draws attention to the critical need for these issues to be addressed for the successful implementation of e-government. While this study was restricted to a specific geographical area, Lagos State, and a specific sector within several government agencies, the study provides the first comprehensive assessment of e-government in the housing sector in Nigeria using a framework relevant to the context of the problem.

scholarly journals Achieving long-term modularization benefits: A small- and medium-sized enterprise study

2018 ◽  
Vol 27 (1) ◽  
pp. 14-27
Author(s):  
Niels Henrik Mortensen ◽  
Christian Alexander Bertram ◽  
Rasmus Lundgaard
Keyword(s):  
Goal Setting ◽  
Internal Communication ◽  
Successful Implementation ◽  
Management Support ◽  
Qualitative And Quantitative ◽  
New Development ◽  
Development Processes ◽  
Research Gap ◽  
The Right

Long-term commonalities and experiences with modularization in comparable small- and medium-sized enterprises have been identified as a research gap. This article contributes by describing a unique collection of experiences from companies that received a similar introduction to the same core modularization topics through a series of introductory initiatives. This shared introduction makes the projects and processes of the companies comparable. The study reveals three main aspects of achieving significant long-term benefits from modularization initiatives: the company must (1) aim big and be willing to change its foundation accordingly, (2) draw on the right positional strength and have broad organizational inputs, and (3) properly coordinate work and then actively seek to preserve the focus and results over a long period of time. Interviews were conducted with representatives from 12 of these companies. Qualitative and quantitative data obtained from the interviews were used to draw parallels between the definition, execution, and impact of modularization. The stated results and project circumstances show commonalities for the successful implementation of modularization. They indicate which actions lead to the desired changes and secure the results persistently. The participants have achieved various results, such as strategic changes, new architectures, fewer variants, higher product earnings, and new development processes. Some have also introduced maintenance plans to secure the results, such as establishing configurators, performing weekly analyses, recruiting dedicated personnel, and so on. The interviews revealed several influencing factors, such as management support, internal communication, organizational drive, proper facilitation, and prioritized project management. They also indicated that significantly more improvement can be achieved with proper goal setting and commitment to specific goals. These are the factors that can help future small- and medium-sized enterprises in the proper incorporation of modularization and in maximizing their exploitation of modularization theory.

scholarly journals Antimicrobial Stewardship Program Implementation in a Saudi Medical City: An Exploratory Case Study

Antibiotics ◽  
2021 ◽  
Vol 10 (3) ◽  
pp. 280
Author(s):  
Saleh Alghamdi ◽  
Ilhem Berrou ◽  
Eshtyag Bajnaid ◽  
Zoe Aslanpour ◽  
Abdul Haseeb ◽  
...  
Keyword(s):  
Antimicrobial Stewardship ◽  
Program Implementation ◽  
Multi Drug Resistance ◽  
Successful Implementation ◽  
Management Support ◽  
Structured Interviews ◽  
Program Outcomes ◽  
Implementation Phase ◽  
Stewardship Program

Antimicrobial stewardship programs (ASPs) in hospitals have long been shown to improve antimicrobials’ use and reduce the rates of antimicrobial resistance. However, their implementation in hospitals, especially in developing countries such as Saudi Arabia, remains low. One of the main barriers to implementation is the lack of knowledge of how to implement them. This study aims to explore how an antimicrobial stewardship programme was implemented in a Saudi hospital, the challenges faced and how they were overcome, and the program outcomes. A key stakeholder case study design was used, involving in-depth semi-structured interviews with the core members of the ASP team and analysis of 35 ASP hospital documents. ASP implementation followed a top-down approach and involved an initial preparatory phase and an implementation phase, requiring substantial infectious diseases and clinical pharmacy input throughout. Top management support was key to the successful implementation. ASP implementation reduced rates of multi-drug resistance and prescription of broad-spectrum antimicrobials. The implementation of ASPs in hospital is administrator rather than clinician driven. Outsourcing expertise and resources may help hospitals address the initial implementation challenges.

scholarly journals How Students' Perceptions in Narrative Class (The Lord of Flies) Through Online Collaboration Learning.

Abjadia ◽  
2021 ◽  
Vol 6 (2) ◽  
pp. 110-121
Author(s):  
Noer Doddy Irmawati ◽  
Adhe Puspita Mayasari
Keyword(s):  
Online Education ◽  
Qualitative Methodology ◽  
Phenomenological Approach ◽  
Online Collaboration ◽  
Academic Learning ◽  
Democratic Values ◽  
Structured Interviews ◽  
Writing Assignments ◽  
Positive Effects ◽  
The Right

Mariwan Hasan (2020), suggests that Golding’s novel can be used in a second language classroom to teach democratic values such as the right to free speech using reader-response theory. Curriculum requires that democratic values be taught through each subject, suggests that students can be taught about democratic values through classroom discussions and writing assignments based on the novel (Ghazal Kazim Syed, 2020). In addition to academic learning, researchers believe that students also gain confidence through the collaboration work. When students conform each other’s opinions in activities involving group work, it makes them confident and comfortable with each other. When the teacher is not around to ask a question, they will be less at pressure. against them (Cynthia S, 2020). The practice of collaborative learning in online education is increasing steadily as many curriculum creators and online course teachers are starting to understand its positive effects on the learning of students. This study aimed to analyze students' perceptions in narrative class (The Lord of Flies) through online collaboration learningu used a qualitative research design was followed by this study. As it is a study of perceptions, a qualitative methodology using a phenomenological approach, the participants of this study were twelve the eleventh grade students, data for this article was gathered through semi-structured interviews. The researcher checked part of the coding against each other to ensure trustworthiness of data. Keeping in light the usefulness of online collaboration learning shown in this study, it is recommended that teachers should take effort to include students in literature online discussion group. Furthermore, it is recommended that similar studies should be conducted in schools and colleges. As this study is recommended for future researchers to check the adaptability of the findings in other contexts.

scholarly journals Implementation of artificial intelligence (AI) applications in radiology: hindering and facilitating factors

2020 ◽  
Vol 30 (10) ◽  
pp. 5525-5532
Author(s):  
Lea Strohm ◽  
Charisma Hehakaya ◽  
Erik R. Ranschaert ◽  
Wouter P. C. Boon ◽  
Ellen H. M. Moors
Keyword(s):  
Artificial Intelligence ◽  
Scale Up ◽  
Barriers And Facilitators ◽  
Added Value ◽  
Successful Implementation ◽  
Structured Interviews ◽  
Implementation Processes ◽  
Technical Performance ◽  
Facilitating Factors ◽  
Clinical Radiology

Abstract Objective The objective was to identify barriers and facilitators to the implementation of artificial intelligence (AI) applications in clinical radiology in The Netherlands. Materials and methods Using an embedded multiple case study, an exploratory, qualitative research design was followed. Data collection consisted of 24 semi-structured interviews from seven Dutch hospitals. The analysis of barriers and facilitators was guided by the recently published Non-adoption, Abandonment, Scale-up, Spread, and Sustainability (NASSS) framework for new medical technologies in healthcare organizations. Results Among the most important facilitating factors for implementation were the following: (i) pressure for cost containment in the Dutch healthcare system, (ii) high expectations of AI’s potential added value, (iii) presence of hospital-wide innovation strategies, and (iv) presence of a “local champion.” Among the most prominent hindering factors were the following: (i) inconsistent technical performance of AI applications, (ii) unstructured implementation processes, (iii) uncertain added value for clinical practice of AI applications, and (iv) large variance in acceptance and trust of direct (the radiologists) and indirect (the referring clinicians) adopters. Conclusion In order for AI applications to contribute to the improvement of the quality and efficiency of clinical radiology, implementation processes need to be carried out in a structured manner, thereby providing evidence on the clinical added value of AI applications. Key Points • Successful implementation of AI in radiology requires collaboration between radiologists and referring clinicians. • Implementation of AI in radiology is facilitated by the presence of a local champion. • Evidence on the clinical added value of AI in radiology is needed for successful implementation.

Analysis of enterprise risk management practices in Malaysian waqf institutions

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Rubayah Yakob ◽  
Mohd Hafizuddin-Syah Bangaan Abdullah ◽  
Sajiah Yakob ◽  
Nooraida Yakob ◽  
Nurul Hidayah Md. Razali ◽  
...  
Keyword(s):  
Risk Management ◽  
Management Practices ◽  
Enterprise Risk Management ◽  
Successful Implementation ◽  
Management Support ◽  
Structured Interviews ◽  
Research Attention ◽  
Content Type ◽  
Mean Values ◽  
Enterprise Risk

Purpose This study aims to assess enterprise risk management (ERM) practices in waqf institutions (WIs) along with their strengths and weaknesses; highlight ERM trends in WIs; and determine the best ERM practices for these institutions. Design/methodology/approach Data were collected via structured interviews with nine WI managers in Malaysia. A standardised questionnaire was adopted for the interviews, which focussed on ERM implementation in WIs. The collected data were analysed in three steps, namely, data reduction, data display and verification/conclusion. The frequency distribution of these data were then illustrated and the mean values and differences of the studied groups/variables were examined. Findings WIs have a sub-optimal ERM implementation, whose aspects need to be improved over time. These institutions have focussed on their ERM practices at the strategic level yet ignored those at the operational level. Specifically, WI officers have well-defined internal environments and objectives, but risk monitoring, which ensures effective implementation of ERM, is lacking. The presence of risk management committees and units may be linked with the successful implementation of ERM. However, ERM knowledge and top management support do not show clearly associations with ERM implementation. WIs should focus on improving their ERM implementation governance. Research limitations/implications Findings underscore the need for WIs to launch a formal ERM programme and for relevant stakeholders to create the appropriate infrastructures that support ERM implementation, including amended rules, ERM policies and allocated funds for training and education, to promote ERM implementation knowledge and awareness. The successful implementation of ERM not only improves the service quality, sustainability and performance of WIs but also promotes the national waqf agenda as a key economic driver. Originality/value ERM in non-profit organisations, such as WIs, has received limited research attention relative to that in profit-driven organisations despite having unique risks. To the best of the knowledge, this study is the first to identify those trends that explain ERM practices and to determine the ERM best practices of WIs.

scholarly journals Finding the 'right' GP: a qualitative study of the experiences of people with long-COVID

BJGP Open ◽  
2020 ◽  
Vol 4 (5) ◽  
pp. bjgpopen20X101143 ◽  
Author(s):  
Tom Kingstone ◽  
Anna K Taylor ◽  
Catherine A O'Donnell ◽  
Helen Atherton ◽  
David N Blane ◽  
...  
Keyword(s):  
Primary Care ◽  
Qualitative Methodology ◽  
Structured Interviews ◽  
Multisystem Disease ◽  
Persistent Symptoms ◽  
Heavy Work ◽  
The Right ◽  
Ongoing Support ◽  
Primary Care Professionals ◽  
Care Support

BackgroundAn unknown proportion of people who had an apparently mild COVID-19 infection continue to suffer with persistent symptoms, including chest pain, shortness of breath, muscle and joint pains, headaches, cognitive impairment (‘brain fog’), and fatigue. Post-acute COVID-19 (‘long-COVID’) seems to be a multisystem disease, sometimes occurring after a mild acute illness; people struggling with these persistent symptoms refer to themselves as ‘long haulers’.AimTo explore experiences of people with persisting symptoms following COVID-19 infection, and their views on primary care support received.Design & settingQualitative methodology, with semi-structured interviews to explore perspectives of people with persisting symptoms following suspected or confirmed COVID-19 infection. Participants were recruited via social media between July–August 2020.MethodInterviews were conducted by telephone or video call, digitally recorded, and transcribed with consent. Thematic analysis was conducted applying constant comparison techniques. People with experience of persisting symptoms contributed to study design and data analysis.ResultsThis article reports analysis of 24 interviews. The main themes include: the ‘hard and heavy work’ of enduring and managing symptoms and accessing care; living with uncertainty, helplessness and fear, particularly over whether recovery is possible; the importance of finding the 'right' GP (understanding, empathy, and support needed); and recovery and rehabilitation: what would help?ConclusionThis study will raise awareness among primary care professionals, and commissioners, of long-COVID and the range of symptoms people are experiencing. Patients require their GP to believe their symptoms and to demonstrate empathy and understanding. Ongoing support by primary care professionals during recovery and rehabilitation is crucial.

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