Evaluation of Performance in Trauma Care: experts’ viewpoints

2020 ◽  
Author(s):  
Yalda Mousazadeh ◽  
Ali Janati ◽  
Homayoun Sadeghi-bazarghani ◽  
Mahboub Pouraghaei
Keyword(s):  
Information System ◽  
Focus Group ◽  
Trauma Care ◽  
Group Discussion ◽  
Monitoring And Evaluation ◽  
Trauma Patients ◽  
Care Providers ◽  
Care Assessment ◽  
The World ◽  
Care Improvement

Abstract Background: Trauma is one of the leading causes of mortality across the world. Trauma patients had critical status and need timely, adequate and organized care. The different consequences of trauma care among service centers around the world and even within a country reveal the need for care assessment. This study was designed and executed to collect experts’ opinion on the evaluation of trauma care in Iran. Methods: This qualitative study with conventional content analysis approach, two focus group discussions with 12 participants and 16 face-to-face in-depth interviews were conducted to collect the required data. Participants were selected through purposive sampling method. The experts’ viewpoints were classified in accordance with the main and sub themes. Results: Four basic themes extracted from the interviews and focus group discussion including, trauma care importance (sub-themes: the involved Individuals’ being young and productive and the effectiveness of trauma care); trauma care indicators (sub-themes: pre-hospital indicators, in-hospital indicators and post-hospital indicators); stages of trauma care evaluation (sub-themes: evaluation prerequisites, finalization of indicators prior to evaluation, determining evaluation time scope, determining evaluation dimensions, monitoring and evaluation and use of evaluation results); trauma care promotion (sub-themes: balancing workload in trauma centers, enhancement of information system, considering extra-organizational dimensions in trauma care and empowerment of trauma care providers). Conclusion: Performance evaluation through acceptable indicators is basis of health care improvement. In addition to the evaluation, reforming macro policies, development of infrastructures, enhancement of information system and training care providers should be taken into account too. Keywords: Performance indicators, Evaluation, Hospital, Trauma care

scholarly journals Policy for the effective research university

2016 ◽  
Author(s):  
Prayuth Chusorn ◽  
Cheaztha Bhoprathab ◽  
Pornpimon Chusorn ◽  
Pramook Chusorn ◽  
Yupawarat Kentekrom
Keyword(s):  
Focus Group ◽  
Teaching And Learning ◽  
Research University ◽  
Group Discussion ◽  
Policy Research ◽  
Monitoring And Evaluation ◽  
Research Institution ◽  
Research And Innovation ◽  
Group Form ◽  
Commercial Applications

Research for development policy for the Effective Research University case study of Khon Kaen University used the principle of policy research divided into three stages: 1) the synthesis document 2) Interviews of experts and 3) focus group discussion. Target groups include administrators, faculty member and university researchers. Research tools were documentary analysis questionnaires and the focus group form.  The analysis and interpreted data were performed by content analysis.Research findings As a leading research university with international quality and standards as importance goal which requires challenge strategies aimed to integrative change as follows,Preparing personnel together, determine the faculty strategies to support personnel and researchers, using a variety of research products, creative works develop into applied research and development research and create system and mechanisms of intellectual property to develop into commercial applications continuously. Establishing research fund to motivate faculty members researchers and graduate students for knowledge technologies to be utilized and satisfy the needs of local and nationally. Knowledge management of the experiences of a senior researcher ,support the teaching and learning process by using the study as a base by integrating research and teaching at both the subjects and courses including the use of research-based knowledge to manage the process of decision making, planning, implementation, monitoring and evaluation and improvement work. Support for research and transfer research to the public focus on professional development and quality of life as well as the base for the development of networking and knowledge sharing. Awards & recognition / reward and honor researchers and research institution with outstanding performance in research and innovation to accelerate the strengthening of research integration, towards selfreliance build competitiveness and social guides.  Keywords: Research University,  challenge strategies 

scholarly journals Qualitative Research: Institutional Preparedness During Threats of Infectious Disease Outbreaks

2020 ◽  
Vol 2020 ◽  
pp. 1-10 ◽  
Author(s):  
Doret de Rooij ◽  
Evelien Belfroid ◽  
Renske Eilers ◽  
Dorothee Roßkamp ◽  
Corien Swaan ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Focus Group ◽  
Infectious Diseases ◽  
Group Discussion ◽  
Disease Outbreaks ◽  
Care Staff ◽  
Infectious Disease Outbreaks ◽  
High Resource ◽  
The World ◽  
Centralized Care

Background. As demonstrated during the global Ebola crisis of 2014–2016, healthcare institutions in high resource settings need support concerning preparedness during threats of infectious disease outbreaks. This study aimed to exploratively develop a standardized preparedness system to use during unfolding threats of severe infectious diseases. Methods. A qualitative three-step study among infectious disease prevention and control experts was performed. First, interviews (n=5) were conducted to identify which factors trigger preparedness activities during an unfolding threat. Second, these triggers informed the design of a phased preparedness system which was tested in a focus group discussion (n=11). Here preparedness activities per phase and per healthcare institution were identified. Third, the preparedness system was completed and verified in individual interviews (n=3). Interviews and the focus group were recorded, transcribed, and coded for emerging themes by two researchers independently. Data were analyzed using content analysis. Results. Four preparedness phases were identified: preparedness phase green is a situation without the presence of the infectious disease threat that requires centralized care, anywhere in the world. Phase yellow is an outbreak in the world with some likelihood of imported cases. Phase orange is a realistic chance of an unexpected case within the country, or unrest developing among population or staff; phase red is cases admitted to hospitals in the country, potentially causing a shortage of resources. Specific preparedness activities included infection prevention, diagnostics, patient care, staff, and communication. Consensus was reached on the need for the development of a preparedness system and national coordination during threats. Conclusions. In this study, we developed a standardized system to support institutional preparedness during an increasing threat. Use of this system by both curative healthcare institutions and the (municipal) public health service, could help to effectively communicate and align preparedness activities during future threats of severe infectious diseases.

scholarly journals Qualitative exploration of infant and young child feeding practices in rural field practice area of SSIMS and RC: a focus group discussion study

2017 ◽  
Vol 4 (8) ◽  
pp. 2787
Author(s):  
Geethalakshmi R. G. ◽  
Smitha Yadav J. S.
Keyword(s):  
Young Child ◽  
Focus Group ◽  
Focus Group Discussion ◽  
Local Community ◽  
Group Discussion ◽  
Care Providers ◽  
Child Feeding ◽  
Homogenous Group ◽  
Young Child Feeding ◽  
Infant And Young Child

Background: The art of infant feeding is a blend of biology and culture. A large no of women in India are already traditionally inclined towards infant and young child feeding (IYCF) practices. The need is to identify specific problems in local community. The strong influence of socio-cultural milieu is detrimental to health of the child. It is important that every opportunity of contact of health personnel with care givers should be taken to counsel on infant feeding.Methods: A Focus group discussion Study was conducted between February and May 2017. Mothers with child less than 2 years of age, grand-mothers and health care providers (ASHA’s and ANM’s) who form the stake holders population of IYCF were involved after taking consent. Each Homogenous group had 6-12 participants. Qualitative information was collected till saturation was achieved.Results: 6 FGD’s in each homogenous group were conducted. Colostrum was considered impure, giving honey as pre lacteal feed was a ritual, inadequate milk secretion, lack of knowledge about when and what complementary feeds to be given and also about importance of breast feeding till 2 years of age and giving artificial feeds. These were reasons for improper IYCF practices.Conclusions: This study emphasises the importance of group opinion prevailing in the local community for IYCF practices which is essential for instituting health education.

scholarly journals Folklore and Folk Songs of Chittagong: A Critical Review

2017 ◽  
Vol 8 (2) ◽  
pp. 37
Author(s):  
Amir Mohammad Khan
Keyword(s):  
Nature Conservation ◽  
Focus Group ◽  
Literature Review ◽  
Critical Review ◽  
Group Discussion ◽  
Research Area ◽  
Folk Songs ◽  
Systematic Sampling ◽  
Key Informant ◽  
The World

Folk Songs stems from Folklore are very rich in the southern region of Chittagong. In this part of the world Folk Songs play pivotal role in the lifestyle of people as a heart-touching and heavenly connection exists between human, nature and Folk Songs. Folk Songs in this area are special because we found the theme of Nature Conservation in them. We took the southern part of Chittagong (Lohagara, Satkania, Chandanaish and Patiya) as our research area, selected a village namely Chunati in the systematic sampling and more than 100 people were interviewed through focus group discussion and key informant interviews. The sufficient literature review is also done. People in this area love nature a lot. Here music personnel were born from time to time who not only worked for the musical development but also created consciousness among people to love nature and save it. We discussed about the origin of Folk Songs, pattern of Folk Songs to clarify the importance of Folk Songs of Chittagong for its connection to Folklore and at the same time for promoting the idea of Nature Conservation. Of course, this part of studies deserves more attention in the field of research. Our ultimate goal should be to conserve and promote Folk Songs of Chittagong with yearlong heritage that automatically will later enrich Folklore and Nature Conservation.

scholarly journals IDENTIFYING BARRIERS TO OFF-SITE CONSTRUCTION USING GREY DEMATEL APPROACH: CASE OF CHINA

2018 ◽  
Vol 24 (5) ◽  
pp. 364-377 ◽  
Author(s):  
Yanhu Han ◽  
Lufan Wang
Keyword(s):  
Developing Countries ◽  
Focus Group ◽  
Literature Review ◽  
Construction Industry ◽  
Questionnaire Survey ◽  
Group Discussion ◽  
Comprehensive Literature Review ◽  
Depth Interview ◽  
The World ◽  
Traditional Construction

Off-site construction (OSC) methods have been widely adopted in the construction industry around the world. However, in a lot of developing countries, the application of OSC still lags behind. Although a number of research efforts have focused on identifying the OSC barriers, they are limited to qualitative descriptions, which lacks the understanding of the interrelationships among the barriers. To address this gap, this paper proposed a methodology for identifying the OSC barriers and their cause-effect relationships. The proposed methodology is composed of three phases: (1) a comprehensive literature review and in-depth interview with the OSC industry experts, (2) questionnaire survey and focus group discussion, and (3) grey DEMATEL analysis. The proposed methodology was applied in the context of China’s construction industry. The results of the grey DEMATEL analysis provided the cause-effect relationships of the 35 identified OSC barriers, which indicated six important aspects be taken into deeper consideration, such as governmental regulations and incentives, OSC practices and experiences, as well as traditional construction method transformation. The outcomes of this study will support policymakers and OSC participants to identify the influencing OSC barriers and their interrelationships, as well as propose appropriate strategies for overcoming the barriers and broadening the OSC application.

scholarly journals Pre-hospital emergency medicine and the trauma intensive care unit

2018 ◽  
Vol 20 (3) ◽  
pp. 242-247
Author(s):  
Emily Frostick ◽  
Christopher Johnson
Keyword(s):  
Intensive Care Unit ◽  
Emergency Medicine ◽  
Intensive Care ◽  
Trauma Care ◽  
Major Trauma ◽  
Trauma Patients ◽  
Care Providers ◽  
Hospital Emergency ◽  
Trauma Networks ◽  
National Training

The system of trauma care has been revolutionised over the last decade with the introduction of major trauma networks across the United Kingdom and the development of subspecialist national training in pre-hospital emergency medicine. Pre-hospital care providers feed trauma patients into trauma units or major trauma centres depending upon the severity of their injuries and their stability for a potentially longer primary transfer to access specialist major trauma services. Trauma services are continually adapting and improving with the introduction of more advanced techniques into the pre-hospital arena are on the horizon, enabling trauma patients to receive more specialised treatment from medical professionals earlier after injury; this article will discuss some of the recent developments within pre-hospital emergency medicine, in-hospital trauma care and on into the intensive care unit, and how this has led to improved outcomes.

scholarly journals Laki-laki Menjaga Tsunami, Perempuan Menjaga 'Brahma': Pemetaan Potensi Bencana dan Masalah Daerah Rawan Tsunami di Pantai Golo, Desa Wojo, Kabupaten Malang, Jawa Timur

2019 ◽  
Vol 2 (1) ◽  
pp. 1-7
Author(s):  
Genta Mahardhika Rozalinna
Keyword(s):  
Information System ◽  
Geographic Information System ◽  
Focus Group ◽  
Local Community ◽  
Group Discussion ◽  
Geographic Information ◽  
Economic Stability ◽  
Tsunami Disaster ◽  
Participatory Geographic Information System ◽  
Gender Groups

AbstractMapping potential disasters and problems is the basis for knowing disaster risks that will occur. Wojo Village is one of the villages in the southern region of Malang Regency which has the potential of a tsunami disaster. The potential of the tsunami disaster was realized by the community since the cessation of the mining cooperatives in 2015 on Golo Beach. The activity of mapping potential disasters and problems utilize the Participatory Geographic Information System (PGIS) method. This method was carried out by inviting several group representatives to conduct focus group discussions (FGD). The aim is to find potential disaster funding problems according to the perspective of the local community. The result of the process of mapping potential disasters and problems is the emergence of different perspectives between men and women invited as representatives. The male representatives present were able to draw on the map regarding the potential for disasters and the problem in the village was one of which was a tsunami, whereas women's representatives actually looked at potential disasters and problems from the perspective of the family's economic stability. Some male representatives stated that the threat of the tsunami became a male area of control while women's representatives guarded Brahma cattle. When referring to these results, women's groups become gender groups threatened by the risk of a tsunami disaster.   Pemetaan potensi bencana dan masalah merupakan upaya dasar dalam membaca risiko bencana sebelum bencana tersebut benar-benar terjadi. Desa Wojo merupakan salah satu desa yang berada di wilayah Kabupaten Malang sebelah selatan yang memiliki potensi bencana karena masuk ke dalam daerah rawan tsunami. Potensi bencana atas tsunami terbaca oleh masyarakat desa justru setelah berhentinya operasional salah satu koperasi pertambangan di Pantai Golo tahun 2015. Kegiatan pemetaan potensi bencana dan masalah dilakukan dengan menggunakan metode Participatory Geographic Information System (PGIS). Metode ini dilakukan dengan cara melakukan penglibatan perwakilan dari beberapa kelompok yang dilakukan dengan model focus group discussion (FGD) dari perwakilan perangkat desa, karang taruna, kelompok tani, kelompok wisata, dan kelompok perempuan. Tujuannya adalah ditemukannya potensi bencana dan masalah berdasarkan sudut pandang masyarakat setempat. Hasil dari proses pemetaan potensi bencana dan masalah adalah munculnya sudut pandang yang berbeda antara laki-laki dan perempuan yang diundang sebagai perwakilan. Perwakilan laki-laki yang hadir mampu mengambarkan dan menuangkan ke dalam peta terkait potensi bencana dan masalah di desa mereka salah satunya adalah rawan tsunami, sedangkan perwakilan perempuan justru memandang potensi bencana dan masalah dari sudut pandang pencapaian kemapanan ekonomi keluarga. Beberapa perwakilan laki-laki menyatakan bahwa masalah dan bencana tsunami merupakan wilayah pengawasan laki-laki sedangkan beberapa perwakilan perempuan menyatakan bahwa menjaga sapi jenis 'Brahma' menjadi upaya terpenting untuk menyelamatkan desa dibandingkan sadar akan potensi tsunami. Bila merujuk pada hasil tersebut maka kelompok perempuan menjadi kelompok gender yang terancam atas risiko bencana tsunami.

scholarly journals ZONASI DAN STATUS KAWASAN EKOSISTEM LAGUNA DI NEGERI IHAMAHU, MALUKU TENGAH

2019 ◽  
Vol 15 (2) ◽  
pp. 69-75
Author(s):  
Daniel Louhenapessy
Keyword(s):  
Information System ◽  
Spatial Analysis ◽  
Focus Group ◽  
Focus Group Discussion ◽  
Research Method ◽  
Group Discussion ◽  
High Productivity ◽  
Analysis Techniques ◽  
The Status

Lagoon ecosystems have high productivity in the fisheries sector. Communities of Ihamahu village utilize resources in this ecosystem to meet their daily needs. The aim of this study was to analyze the zoning map and the status of the lagoon ecosystem of Ihamahu village. The research method used in this research was the Geogrpahic Information System with using spatial analysis techniques in collaboration with the Focus Group Discussion (FGD) method. The results revealed that there were nine lagoons with different areas. Four out of nine lagoons are used as conservation, aquaculture, fishing and rehabilitation sites. The establishment of the zonation and status of lagoon areas is a proper way to manage the lagoon ecosystem sustainably. ABSTRAK Ekosistem laguna memiliki produktivitas yang tinggi dalam sektor perikanan. Masyarakat Negeri Ihamahu memanfaatkan sumberdaya pada ekosistem laguna untuk pemenuhan kebutuhan hidup. Tujuan penelitian ini adalah menganalisis peta zonasi dan status kawasan ekosistem laguna  Negeri Ihamahu. Metode penelitian yang digunakan untuk menganalisis peta zonasi dan status kawasan yaitu dengan pendekatan SIG melalui teknik analisis spasial serta metode Focus Group Discussion (FGD). Hasil penelitian menunjukkan terdapat sembilan laguna dengan luasan yang berbeda. Berdasarkan hasil FGD diperoleh empat status kawasan ekosistem laguna Negeri Ihamahu yaitu kawasan konservasi, budidaya, penangkapan serta rehabilitasi. Penetapan zonasi dan status kawasan merupakan upaya pengelolaan ekosistem laguna secara berkelanjutan. Kata Kunci: laguna, pengelolaan berkelanjutan, SIG, konservasi, rehabilitasi

scholarly journals Ecological Wisdom in Slash Burning Farming of Remote Indigenous Community in North Mamuju Regency

2017 ◽  
Vol 5 (2) ◽  
pp. 207
Author(s):  
M. Saleh S. Ali ◽  
Rahmadanih Rahmadanih
Keyword(s):  
Focus Group ◽  
Group Discussion ◽  
Indigenous Communities ◽  
Farming System ◽  
Qualitative Approach ◽  
Government Officials ◽  
The World ◽  
Remote Indigenous Community ◽  
Treat All ◽  
Slash Burning

The slash and burning system is a farming system that is the most widely practiced in many places in the world. The System is generally sedentary from one place to others. Slash and burning community has developed ways to cultivate the fields so that it becomes an integral part of their cultural system. This paper aims to explain the sociocultural of remote indigenous communities in practicing slash and burning farming in North Mamuju Regency, West Sulawesi, Indonesia. This study was designed with a qualitative approach using ethnographic tradition. Data collected through interviews for selected snowballing and FGD (Focus Group Discussion). The informants include residents of the indigenous communities, indigenous elders, village heads and local government officials. The results of this study indicate that slash burning farming is done by indigenous communities in North Mamuju Regency for generations. Totua Panggare' or Bangunasa. Rice for people in the region understood as a manifestation of the ancestral spirits that must be respected or treated well like to humans treat. All the activities of farming are filled with rituals as a manifestation of their culture.

scholarly journals Peningkatkan Kompetensi Manajerial Pendidikan Kepala Madrasah Melalui Pembinaan Oleh Pengawas Madrasah

EKSPOSE ◽  
2019 ◽  
Vol 16 (2) ◽  
pp. 428
Author(s):  
Musbahaeri Musbahaeri
Keyword(s):  
Professional Development ◽  
Focus Group ◽  
Focus Group Discussion ◽  
Group Discussion ◽  
Development Program ◽  
Monitoring And Evaluation ◽  
Active Role ◽  
Professional Development Program ◽  
Managerial Competence ◽  
The Government

Madrasah supervisors who have the task of developing managerial education are expected to be able to play an active role in improving the managerial competence of the madrasa head. Madrasah supervisors are required to be active, creative, and innovative in applying and developing managerial supervision of education methods, namely monitoring and evaluation methods, reflection and Focus Group Discussion (FGD), Delphi, and workshops. Through this guidance, the headmaster will share, add insight, and consult with the madrasa supervisor so that in the end there will be an increase in managerial competence in education. The results of coaching by supervisors will be followed up by the madrasa head in managing the madrasa, and followed up by the madrasah supervisor in planning the next coaching, and followed up by the government in preparing the Shopping Professional Development program (PKB) for madrasah supervisors.

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