scholarly journals Quality management in imaging diagnosis and the nursing team: a case study

2021 ◽  
Vol 74 (suppl 5) ◽  
Author(s):  
Laura Vargas Acauan ◽  
Juana Macias Seda ◽  
Graciele Oroski Paes ◽  
Marluci Andrade Conceição Stipp
Keyword(s):  
Patient Safety ◽  
Quality Management ◽  
Imaging Diagnosis ◽  
Structured Interviews ◽  
Documentary Analysis ◽  
Accreditation Program ◽  
Thematic Units ◽  
Management Principle ◽  
Role Of Nursing

ABSTRACT Objective: to know the contributions of nursing in the implementation of the quality management principle of the accreditation program in imaging diagnosis. Methods: a single, qualitative case study carried out in an accredited radiology and imaging diagnosis service. The data collection took place through semi-structured interviews, direct observation, and documentary analysis with the support of software in organizing the data for analysis. Results: a total of four thematic units emerged: the accreditation process in imaging services, the implementation of the program, the role of nursing in imaging services and patient safety and the management of non-conformities in imaging services. Of the other data sources, the word risk was highlighted and a non-conformity was evidenced in the external audit. Final considerations: nursing contributed mainly to the management of the risks involved in the performance of imaging and patient safety tests, requirements of the quality management principle of the accreditation program.

scholarly journals Surveillance, anticipation and firefighting: Perspectives of patient safety from a New Zealand case study

2020 ◽  
Author(s):  
J Wailling ◽  
Brian Robinson ◽  
M Coombs
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
New Zealand ◽  
Health Care Professionals ◽  
Nuclear Power ◽  
High Reliability ◽  
Health Care Systems ◽  
Tertiary Hospital ◽  
Structured Interviews

© 2018 John Wiley & Sons Ltd Aim: This study explored how doctors, nurses and managers working in a New Zealand tertiary hospital understand patient safety. Background: Despite health care systems implementing proven safety strategies from high reliability organisations, such as aviation and nuclear power, these have not been uniformly adopted by health care professionals with concerns raised about clinician engagement. Design: Instrumental, embedded case study design using qualitative methods. Methods: The study used purposeful sampling, and data was collected using focus groups and semi-structured interviews with doctors (n = 31); registered nurses (n = 19); and senior organisational managers (n = 3) in a New Zealand tertiary hospital. Results: Safety was described as a core organisational value. Clinicians appreciated proactive safety approaches characterized by anticipation and vigilance, where they expertly recognized and adapted to safety risks. Managers trusted evidence-based safety rules and approaches that recorded, categorized and measured safety. Conclusion and Implications for Nursing Management: It is important that nurse managers hold a more refined understanding about safety. Organisations are more likely to support safe patient care if cultural complexity is accounted for. Recognizing how different occupational groups perceive and respond to safety, rather than attempting to reinforce a uniform set of safety actions and responsibilities, is likely to bring together a shared understanding of safety, build trust and nurture safety culture.

scholarly journals Soft Factor In the Implementation of Quality Management Program in Majlis Agama Islam Selangor (MAIS)

2018 ◽  
Vol 10 (3) ◽  
Author(s):  
Musaiyadah Ahmadun ◽  
Siti Arni Basir ◽  
Osman Md Rasip
Keyword(s):  
Quality Management ◽  
Qualitative Method ◽  
Training And Development ◽  
Management Program ◽  
Depth Information ◽  
Soft Or ◽  
Structured Interviews ◽  
Soft Factor ◽  
Soft Factors

Many studies on the implementation of quality management programs were carried out by previous researchers. However, the study on the soft or human factors in the implementation of quality management programs is still poorly explored. Therefore, this article aims to analyze soft factors in the implementation of quality management programs at Selangor Islamic Religious Council or Majlis Agama Islam Selangor (MAIS). This study uses a qualitative method involving MAIS as a case study. Semi-structured interviews were used as a data collection method and supported by relevant documents collected from MAIS. A total of fifteen informants comprising top management and MAIS officers were interviewed to obtain in-depth information on the subjects studied. The findings reveal that there are six soft factors emerged in the implementation of quality management programs at MAIS namely leadership, training and development, teamwork, customer focus, Syura and rewards. This study demonstrates that soft factors has helped facilitate the implementation of quality management programs in MAIS. The results of this study can be used as guidance by managers in public or corporate organizatons in their efforts to implement quality management programs effectively.

Transmitting competencies at universities in Kazakhstan: intellectual capital of teachers

2018 ◽  
Vol 19 (1) ◽  
pp. 112-134 ◽  
Author(s):  
Gulbakhyt Sultanova ◽  
Serik Svyatov ◽  
Nurzhan Ussenbayev
Keyword(s):  
Intellectual Capital ◽  
Academic Staff ◽  
Optimal Level ◽  
Management Tool ◽  
Structured Interviews ◽  
Grade Point ◽  
Content Type ◽  
Documentary Analysis ◽  
Minimisation Problem

Purpose The purpose of this paper is to measure individual intellectual capital (IC) of academic staff as well as to test its impact on the employability readiness of future graduates and the reduction of the discrepancy between competencies developed and grades obtained with the help of two indicators, i.e. intellectual capital indicator (ICI) and employability readiness indicator (ERI). While ICI measures the level of a teacher’s competencies to be transmitted in the education process, ERI measures the level of a student’s competencies developed after completing relevant courses. Design/methodology/approach This is an empirical research carried out in the form of a case study. Regression model is applied to find the influence of ICI on ERI. The minimisation problem is set with relevant constraints to decrease the discrepancy between ERI and traditional grade point average (GPA). Findings The data were collected at one Kazakh university and from experts from academia and industry by means of documentary analysis, specialised tests and structured interviews. The direct impact of ICI on ERI is confirmed and the optimal level of ICI that permits an effective decrease in the discrepancy between ERI and GPA is identified. Research limitations/implications A longitudinal study covering more programmes is necessary to draw conclusions concerning causality. The application of ICI as a university’s management tool is shown. Originality/value The novelty of this study lies in providing a consistent and simple approach for calculating a teacher’s IC and its impact on a student’s employability readiness.

scholarly journals Communication as a strategy for hospital accreditation maintenance

2019 ◽  
Vol 23 (1) ◽  
Author(s):  
Elana Maria Ramos Freire ◽  
Valéria Cristina da Silva ◽  
Adriane Vieira ◽  
Selme Siqueira de Matos ◽  
Marília Alves
Keyword(s):  
Patient Safety ◽  
Hospital Care ◽  
Private Hospital ◽  
Communication Strategies ◽  
Internal Communication ◽  
Behavioral Changes ◽  
Structured Interviews ◽  
Belo Horizonte

ABSTRACT Objective: to analyze the communication strategies adopted by a General Hospital, which helped the accreditation’s maintenance with excellence. Method: case study of a Private Hospital in Belo Horizonte, Brazil, accredited with excellence. Data were collected through semi-structured interviews and through analysis of institutional documents. The interviews were transcribed in full and submitted to content analysis. Results: instigating organizational and behavioral changes that have generated insecurity and resistance in employees. The development of strategies to improve internal communication contributed to the uniformity of information and the greater integration of professionals in their actions, promoting the change in the workers’ attitudes, and engaging and involving them in the process. Conclusion: communication plays a prominent role in the consolidation of hospital care and the development of a priority strategy to reach and maintain it, with an emphasis on quality of care and patient safety.

scholarly journals Calculative measures of organising and decision-making in developing countries: the case of a quasi-formal organisation in Ghana

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Jacob Agyemang ◽  
Kelum Jayasinghe ◽  
Pawan Adhikari ◽  
Abongeh Tunyi ◽  
Simon Carmel
Keyword(s):  
Decision Making ◽  
Large Scale ◽  
Social Practices ◽  
Sub Saharan Africa ◽  
Structured Interviews ◽  
Content Type ◽  
Documentary Analysis ◽  
Sub Saharan ◽  
Traditional Setting

PurposeThis paper examines how a “quasi-formal” organisation in a developing country engages in informal means of organising and decision-making through the use of calculative measures.Design/methodology/approachThe paper presents a case study of a large-scale indigenous manufacturing company in Ghana. Data for the study were collected through the use of semi-structured interviews conducted both onsite and off-site, supplemented by informal conversations and documentary analysis. Weber's notions of rationalities and traditionalism informed the analysis.FindingsThe paper advances knowledge about the practical day-to-day organisation of resources and the associated substantive rational calculative measures used for decision-making in quasi-formal organisations operating in a traditional setting. Instead of formal rational organisational mechanisms such as hierarchical organisational structures, production planning, labour controls and budgetary practices, the organisational mechanisms are found to be shaped by institutional and structural conditions which result from historical, sociocultural and traditional practices of Ghanaian society. These contextual substantive rational calculative measures consist of the native lineage system of inheritance, chieftaincy, trust and the power concealed within historically established sociocultural practices.Originality/valueThis paper is one of a few studies providing evidence of how local and traditional social practices contribute to shaping organising and decision-making activities in indigenous “quasi-formal” organisations. The paper extends our understanding of the nexus between “technical rational” calculative measures and the traditional culture and social practices prevailing in sub-Saharan Africa in general, and Ghana in particular.

scholarly journals PRINCIPAL'S ACTIONS THROUGH DISTRIBUTED LEADERSHIP DIMENSIONS: A CASE STUDY OF TWO PUBLIC SPANISH SCHOOLS

2020 ◽  
Vol 1 (2) ◽  
pp. 101-110
Author(s):  
Ingrid del Valle García
Keyword(s):  
Research Design ◽  
Distributed Leadership ◽  
Change Processes ◽  
Structured Interviews ◽  
Four Dimensions ◽  
Documentary Analysis ◽  
Management Functions ◽  
Leadership Dimensions

Experience has shown that the attitude of the person assuming the management functions in the school is a key and decisive element in the quality of the change processes in the school. Of these ideas is born, the concept of distributed leadership (DL). The research design is a case study. The main objective is to understand the four dimensions of DL and the actions of the Principal through representative cases of two schools. The techniques used to collect information were documentary analysis, questionnaires, in-depth semi-structured interviews, and observation. An analysis of the data and conclusions are provided.

scholarly journals Un estudio sobre la participación en Educación Física de una alumna con discapacidad física (A study about the participation in Physical Education of a student with physical disability)

Retos ◽  
2021 ◽  
Vol 44 ◽  
pp. 116-127
Author(s):  
Alicia Valle Ramírez ◽  
Nieves María Sáez-Gallego ◽  
Jorge Abellán
Keyword(s):  
Physical Education ◽  
Phase Iii ◽  
Structured Interviews ◽  
Tree Model ◽  
Documentary Analysis ◽  
Primary School Student ◽  
Teaching Unit ◽  
Family Based ◽  
Individualized Activities

  Se presenta un estudio de caso sobre una alumna de tercero de primaria con discapacidad física en España. El objetivo fue evaluar la participación de Alba en las sesiones de Educación Física e implementar estrategias que favorezcan su inclusión en la asignatura a través de la adaptación de tareas. Para ello, se llevaron a cabo cuatro fases durante la investigación: La fase I, correspondiente a una observación no participante de cuatro sesiones no consecutivas de las clases de Educación Física; la fase II, correspondiente a la realización de entrevistas semiestructuradas a los agentes implicados en la educación de la alumna y a la propia alumna; la fase III, correspondiente al análisis documental de una Unidad Didáctica del maestro mediante el modelo TREE, para detectar las posibles barreras en la participación de la alumna; y por último, la fase IV, correspondiente a una propuesta de adaptación de tareas de la Unidad Didáctica evaluada. Los resultados muestran una escasa participación de la alumna en Educación Física, ya que la interacción de esta con el grupo clase se limita a la asunción de roles pasivos o a la realización de actividades individualizadas en muchas ocasiones. Asimismo, se observa un claro desconocimiento sobre la trayectoria escolar de la alumna por parte de los agentes implicados, así como una falta de comunicación entre ellos y su familia. A partir de estos resultados se han propuesto una serie de adaptaciones para incrementar su participación en las sesiones de Educación Física. Abstract: A case study is carried out on a third-year primary school student with physical disabilities from a school in Spain. This research aims to evaluate the participation of Alba in Physical Education sessions and implement strategies that favour her inclusion through the adaptation of tasks. To do this, four phases were conducted during the investigation: phase I, corresponding to a non-participative observation of four non-consecutive sessions of the Physical Education classes that the participant attended; phase II, corresponding to the semi-structured interviews, carried out interviews with the agents involved in the student´s education; phase III, corresponding to the documentary analysis of a Teaching Unit of the teacher, using the TREE model, to detect the possible barriers that the participant must face; and finally, phase IV, corresponding to a proposal to adapt the tasks of that Teaching Unit. Results show a scare participation of the student in Physical Education, because the interaction with the group is limited to the assumption of passive roles or the performance of individualized activities on many situations. There is also a clear lack of knowledge about the student's school trajectory by the agents involved, as well as a lack of communication between them and their family. Based on these results, several adaptations have been proposed to increase their participation in physical education sessions.

scholarly journals Surveillance, anticipation and firefighting: Perspectives of patient safety from a New Zealand case study

2020 ◽  
Author(s):  
J Wailling ◽  
Brian Robinson ◽  
M Coombs
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
New Zealand ◽  
Health Care Professionals ◽  
Nuclear Power ◽  
High Reliability ◽  
Health Care Systems ◽  
Tertiary Hospital ◽  
Structured Interviews

© 2018 John Wiley & Sons Ltd Aim: This study explored how doctors, nurses and managers working in a New Zealand tertiary hospital understand patient safety. Background: Despite health care systems implementing proven safety strategies from high reliability organisations, such as aviation and nuclear power, these have not been uniformly adopted by health care professionals with concerns raised about clinician engagement. Design: Instrumental, embedded case study design using qualitative methods. Methods: The study used purposeful sampling, and data was collected using focus groups and semi-structured interviews with doctors (n = 31); registered nurses (n = 19); and senior organisational managers (n = 3) in a New Zealand tertiary hospital. Results: Safety was described as a core organisational value. Clinicians appreciated proactive safety approaches characterized by anticipation and vigilance, where they expertly recognized and adapted to safety risks. Managers trusted evidence-based safety rules and approaches that recorded, categorized and measured safety. Conclusion and Implications for Nursing Management: It is important that nurse managers hold a more refined understanding about safety. Organisations are more likely to support safe patient care if cultural complexity is accounted for. Recognizing how different occupational groups perceive and respond to safety, rather than attempting to reinforce a uniform set of safety actions and responsibilities, is likely to bring together a shared understanding of safety, build trust and nurture safety culture.

scholarly journals Co-production and the third sector: A comparative study of England and France

2018 ◽  
Author(s):  
Caitlin McMullin
Keyword(s):  
Comparative Study ◽  
Third Sector ◽  
Analytical Framework ◽  
Institutional Logics ◽  
Production Theory ◽  
Structured Interviews ◽  
Policy And Practice ◽  
The Third ◽  
Documentary Analysis

This thesis explores co-production between citizens and third sector professionals in England and France. I focus on five community regeneration organisations in Sheffield, England, and five in Lyon, France, followed by an analysis of comparator organisations in two further sectors of activity – parents’ organisations, and projects to reduce older people’s loneliness. The research is based on 57 semi-structured interviews, as well as event observations and documentary analysis. I employ an analytical framework of institutional logics to explore the ways in which the rules, practices and narratives of the case study organisations are specific to their city and national contexts and how these in turn drive and shape co-production practices.The study finds that while the Sheffield organisations are characterised by an assimilation of the state, community and market logics, the Lyon organisations demonstrate a blend of a ‘Napoleonic state’ logic, and a ‘local solidarity’ (rather than community) logic. These different combinations of logics illuminate two approaches to co-production. In France, co-production is informed by notions of citizenship, solidarity and participative democracy, leading to a greater focus on citizen involvement in organisational governance and greater influence of rules as an enabler and constraint to co-production. In Sheffield, co-production is seen as a way to improve communities, services and outcomes, and we therefore see more pragmatic attention to co-design and co-delivery activities. This thesis provides an important contribution both to co-production theory as well as to policy and practice, by demonstrating some of the cultural and contextual subjectivity of co- production, which has been overlooked in previous studies. In addition, employing institutional theory to study co-production enables me to produce evidence of meso and macro level factors that influence co-production behaviour.

scholarly journals Strong contracts: the relationship between power and action

2018 ◽  
Vol 38 (1) ◽  
pp. 272-294 ◽  
Author(s):  
Royston Morgan ◽  
Des Doran ◽  
Stephanie Jean Morgan
Keyword(s):  
Participant Observation ◽  
Structured Interviews ◽  
Application Development ◽  
Content Type ◽  
Documentary Analysis ◽  
Potential Success ◽  
Poor Outcomes ◽  
Outsourcing Contracts

Purpose There is a view that strong preventative contracts are essential to control supplier opportunism and delivery during an outsourcing implementation. The purpose of this paper is to test the proposition that contractual project environments, typical of outsourcing engagements, are essentially conflictual and that context and circumstance can act to overwhelm formal contractual and project control and lead to poor outcomes. Design/methodology/approach The paper reports on a supply case study focussed on the outsourced delivery of an application development in the defence sector. Data were gathered by a participant observation in situ for a period of three years. A grounded analysis from observations, diaries, semi-structured interviews, focus groups, documentary analysis, and e-mails was carried out with six case organisations within the extended supply chain. Findings Collaboration between suppliers and buyers can be blocked by preventative fixed price contracts and as a result when requirements are incomplete or vague this adversely impacts success. Practical implications Strong contractual control focussed on compliance may actually impede the potential success of outsourcing contracts especially when collaborative approaches are needed to cope with variability in demand. Originality/value The research raises the important practical and conceptual notion that an outsourcing can be a conflictual inter-firm phenomenon especially where multiple actors are involved and business uncertainty is present.

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