scholarly journals Integrating the Complexity of Healthcare Improvement with Implementation Science: A Longitudinal Qualitative Case Study

2021 ◽  
Author(s):  
Angela Melder ◽  
Tracy Robinson ◽  
Ian Mcloughlin ◽  
Rick Iedema ◽  
Helena Teede
Keyword(s):  
Implementation Science ◽  
Real World ◽  
Qualitative Data ◽  
Rapid Change ◽  
Structured Interviews ◽  
Implementation Team ◽  
Healthcare Improvement ◽  
Leadership Context ◽  
Collection Methods

Abstract BackgroundImplementation science seeks to enable change, underpinned by theories and frameworks such as the Consolidated Framework for Implementation Research (CFIR). Yet academia and frontline healthcare improvement remain largely siloed, with limited integration of implementation science methods into frontline improvement where the drivers include pragmatic, rapid change. We aimed to explore how pragmatic and complex healthcare improvement and implementation science, through the CIFR lens, can be integrated. MethodsOur research involved the investigation of a case study that was undertaking the implementation of an improvement initiative at a large public health service. This research involved qualitative data collection methods of semi-structured interviews and non-participant observations of the implementation team delivering the initiative. Thematic analysis identified key themes from the qualitative data. We examined our themes through the lens of CFIR to gain in-depth understanding of how the CFIR components operated in a ‘real-world’ context.ResultsThe key themes emerging from our research outlined that leadership, context and process are the key components that dominate and affect improvement work. Leadership which cultivates connections with front line clinicians, fosters engagement and trust. Navigating context was facilitated by ‘bottom-up’ governance. Multi-disciplinary, cross-sector capability, responded to a changing complex environment, adjusting pragmatically, and responsively. Process reflected the theoretically-informed, and iterative approach. Mapping CFIR domains and constructs, with these themes demonstrated close alignment with the CFIR. The findings bring further depth to CFIR and demonstrates that leadership that focuses on patient need as a key motivator to engage clinicians, and that applied and ensured iterative processes, which leveraged contextual factors achieved successful, sustained implementation and healthcare improvement. ConclusionsThis longitudinal study highlights profound insights that strengthen alignment between implementation science and pragmatic frontline healthcare improvement. We identify opportunities to enhance the relevance of CFIR in the ‘real-world’ setting through the interconnected nature of our themes. Our study demonstrates actionable knowledge to enhance the integration of implementation science in healthcare improvement.

scholarly journals A Case Study on Preservice Primary School Teachers’ Flower Care at School within the Scope of Community Service Practices Course

2019 ◽  
Vol 9 (1) ◽  
pp. 172
Author(s):  
Zeynep Doğan
Keyword(s):  
Data Collection ◽  
Primary School ◽  
Qualitative Data ◽  
Case Study Method ◽  
Structured Interviews ◽  
School Teachers ◽  
Primary School Teachers ◽  
Interview Method ◽  
Collection Methods

The aim of this study is to present the details of a practice that is carried out within the scope of Community ServicePractices Course from a scientific perspective. And also to investigate the views of the pre-service teachers related tothe topic. Research design is determined as a case study method. For the data collection, interview method was usedfrom qualitative data collection methods. The sample is composed of 8 pre-service primary school teachers. Within therelevant course, a potted flower to be determined by the pre-service teachers was planted in a pot in a suitable place inthe faculty, and the students were given the task of undertaking all kinds of care for the flower during the semester.Semi-structured interviews with the pre-service teachers were held at the end of the term and their opinions were taken.According to the results, all of the pre-service teachers find the implementation useful and important for their teachingcareer. They stated that they got information about flower care, they gained awareness and they were impressedaffectively.

scholarly journals The nominative technique: a simple tool for assessing illegal wildlife consumption

Oryx ◽  
2020 ◽  
pp. 1-4
Author(s):  
Elizabeth Oneita Davis ◽  
Brian Crudge ◽  
Jenny Anne Glikman
Keyword(s):  
Social Networks ◽  
Qualitative Data ◽  
Strong Association ◽  
Small Sample ◽  
Small Samples ◽  
Structured Interviews ◽  
Helarctos Malayanus ◽  
Levels Of Use ◽  
Collection Methods

Abstract The aim of our study was to test the efficacy of the nominative technique for estimating the prevalence of wildlife part use within a small sample. We used the domestic consumption of bear Ursus thibetanus and Helarctos malayanus parts in Lao People's Democratic Republic (Laos) as a case study and performed 179 semi-structured interviews in Luang Prabang, northern Laos, in August 2017 and April 2019. We also assessed whether the specialized questioning of the nominative technique could be used for qualitative data collection methods, such as semi-structured interviews. The technique theoretically ensures more accurate statements of illegal wildlife consumption by maintaining the anonymity of an individual's sensitive behaviour through asking about the behaviour of peers. We also directly asked about participants’ use of bear parts. The nominative technique suggested that c. 11% of the participants’ peers used bear parts, whereas respondents’ direct admittance of using bear parts was approximately double, at 23%. Use of bear parts appears not to be sensitive in northern Laos. In addition, we found a strong association between responses to questioning using the nominative technique and direct questioning, indicating that users of bear parts have social networks with higher levels of use. This lends supports to theories that use of wildlife products is directly influenced by social group. The underreporting resulting from use of the nominative technique indicates the high variability of response that can occur within small samples. However, our results show that the nominative technique may be a simple, useful tool for triangulating data, assessing users’ integration into social networks of use, and assessing changes in behaviour prevalence.

scholarly journals A case study examining the mediating impact of Coach Educators delivering a professional development programme.

2019 ◽  
Author(s):  
Alexander Sobolewski
Keyword(s):  
Professional Development ◽  
Qualitative Data ◽  
Research Strategy ◽  
Development Programme ◽  
Personal Agency ◽  
Structured Interviews ◽  
Coach Development ◽  
Professional Development Programme ◽  
High Degree

The important mediating influence of Coach Educators (CEs) delivering a programme of learning has been largely ignored in research seeking to find the key to effective CPD. This paper aims to bring CEs to the fore by reporting the experiences of 7 CEs and 2 Programme Managers delivering a sport National Governing Body coach development programme. Qualitative data were collected via semi-structured interviews and interpreted through the theoretical lens of relational interdependence (Billett, 2008) using a retroductive research strategy. The findings identified the subjective and idiosyncratic processes through which CEs developed their understanding of the programme resulting in individual differences in construal. The high degree of workplace affordance gave CEs autonomy to deploy their personal agency and intentionality to shape practice leading to wide variations in CPD delivery. The results suggest the subjectivity of CEs can have a potentially significant impact on the fidelity of the programme being delivered.

scholarly journals Knowledge sharing: insights from Campaign for Real Ale (CAMRA) Festival volunteers

2014 ◽  
Vol 5 (3) ◽  
pp. 279-296 ◽  
Author(s):  
Gillian Ragsdell ◽  
Allan Jepson
Keyword(s):  
Knowledge Sharing ◽  
Qualitative Data ◽  
Event Management ◽  
Structured Interviews ◽  
Content Type ◽  
Original Contribution ◽  
Technological Barriers ◽  
Funded Project ◽  
Practical Implications

Purpose – The purpose of this paper is to report the findings of a British Academy funded project that investigated the knowledge sharing activities of volunteers within three Campaign for Real Ale (CAMRA) festivals. Design/methodology/approach – Three case study festivals were selected based on factors such as longevity and size. Rich qualitative data were collected using semi-structured interviews with volunteers in key festival roles and focus groups with a range of other volunteers. Findings – A range of inhibitors and enablers to sharing festival knowledge were identified, some of which have not yet featured in the knowledge management (KM) literature. Riege's categorisation of individual, organisational and technological barriers to knowledge sharing was used to frame discussion of the findings. Research limitations/implications – Volunteer-led festivals are a novel context for knowledge sharing research yet the principles of volunteer working and the project-based approach to most festivals means they are a fertile arena for lessons in KM. Practical implications – Insights into knowledge sharing activities were generated from this study which could improve KM practices in festivals. They included the use of the master-apprentice model, raising the value of post-project reviews and designing festival layout with knowledge sharing in mind. Originality/value – The study of knowledge sharing is an original contribution to the field of event management.

scholarly journals Nominative technique, a simple tool for assessing illegal wildlife consumption

2020 ◽  
Author(s):  
Elizabeth Davis ◽  
Brian Crudge ◽  
Jenny Anne Glikman
Keyword(s):  
Social Networks ◽  
Strong Association ◽  
Small Sample ◽  
Small Samples ◽  
Structured Interviews ◽  
The Social ◽  
Levels Of Use ◽  
Bear Bile ◽  
Collection Methods

To test the efficacy of nominative technique within a small sample, we performed a total of 179 semi-structured interviews in Luang Prabang, northern Laos, in August 2017 and April 2019, using the domestic consumption of bears in northern Lao People’s Democratic Republic (hereafter Laos) as our case study. We also assessed whether the specialised questioning technique of nominative technique could be used within qualitative data collection methods, such as semi-structured interviews. The technique theoretically ensures more accurate statements of illegal wildlife consumption behaviour, by maintaining the anonymity of an individual’s sensitive behaviour through asking about the behaviour of peers. We also directly asked about participants’ use of bear bile. Nominative technique showed that approximately 11% of the participants’ peers used bear products, with respondents’ direct admittance of using bear bile was nearly double, at 23%. Use of bear parts appears to not be sensitive in northern Laos. In addition, a strong association was found between nominative technique and direct questioning responses, which indicates that users of bear parts have social networks with higher levels of use. This lends supports to theories that use of wildlife products is directly influenced by the social group. The underreporting found through nominative technique indicates the high variability of response that can occur within small samples; however, these results show that nominative technique may be a simple, useful tool for triangulating data, assessing users’ integration into social networks of use, and assessing changes in behaviour prevalence.

scholarly journals Effects of Redesigned Model Eliciting Activities on Seventh Grade Students’ Mathematics Success and Students’ Views about These Activities

2020 ◽  
Vol 3 (2) ◽  
pp. 34
Author(s):  
Mehmet Akif Karabörk ◽  
Soner Durmus
Keyword(s):  
Academic Achievement ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Attitudes And Beliefs ◽  
Structured Interviews ◽  
Significant Difference ◽  
Mixed Method Design ◽  
Students Attitudes ◽  
Qualitative Part

In this study, the effects of redesigned modeling activities on the academic achievement of 7th grade students and the student’s view about these activities were investigated. We use explanatory sequential mixed method design that is one of the mixed research methodology for this investigation. The quantitative part of this research established according to semi-experimental study with pre-posttest, and qualitative part of this study execute with the case study. Quantitative data were collected with multiple choice academic achievement tests, and qualitative data were collected with study papers, observation forms, forms of student’s view, and semi-structured interviews at the end of all activities. The quantitative data were analyzed with covariance analysis. Qualitative data were analyzed with content analysis. As a result, a statistically significant difference was found in favor of the experimental group on the academic achievement which influenced by modeling activities. This difference has been influenced by the presentation of the learning environment in which the students' attitudes and beliefs towards themselves and the lessons will be positively affected, and mathematical skills will be supported to increase success.

scholarly journals Tag analysis as a tool for investigating information behaviour: comparing fan-tagging on Tumblr, Archive of Our Own and Etsy

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ludi Price ◽  
Lyn Robinson
Keyword(s):  
Design Methodology ◽  
Qualitative Data ◽  
Comparative Case Study ◽  
Future Research ◽  
Structured Interviews ◽  
Content Type ◽  
Information Behaviour ◽  
The Third ◽  
Fan Communities

PurposeThis article describes the third part of a three-stage study investigating the information behaviour of fans and fan communities, the first stage of which is described in the study by Price and Robinson (2017).Design/methodology/approachUsing tag analysis as a method, a comparative case study was undertaken to explore three aspects of fan information behaviour: information gatekeeping; classifying and tagging and entrepreneurship and economic activity. The case studies took place on three sites used by fans–Tumblr, Archive of Our Own (AO3) and Etsy. Supplementary semi-structured interviews with site users were used to augment the findings with qualitative data.FindingsThese showed that fans used tags in a variety of ways quite apart from classification purposes. These included tags being used on Tumblr as meta-commentary and a means of dialogue between users, as well as expressors of emotion and affect towards posts. On AO3 in particular, fans had developed a practice called “tag wrangling” to mitigate the inherent “messiness” of tagging. Evidence was also found of a “hybrid market economy” on Etsy fan stores. From the study findings, a taxonomy of fan-related tags was developed.Research limitations/implicationsFindings are limited to the tagging practices on only three sites used by fans during Spring 2016, and further research on other similar sites are recommended. Longitudinal studies of these sites would be beneficial in understanding how or whether tagging practices change over time. Testing of the fan-tag taxonomy developed in this paper is also recommended.Originality/valueThis research develops a method for using tag analysis to describe information behaviour. It also develops a fan-tag taxonomy, which may be used in future research on the tagging practices of fans, which heretofore have been a little-studied section of serious leisure information users.

Innovation as a booster of rural artisan entrepreneurship: a case study of black pottery

2019 ◽  
Vol 25 (4) ◽  
pp. 753-772 ◽  
Author(s):  
Carla Susana Marques ◽  
Gina Santos ◽  
Vanessa Ratten ◽  
Ana B. Barros
Keyword(s):  
Rural Development ◽  
Qualitative Data ◽  
Pottery Production ◽  
Structured Interviews ◽  
Content Type ◽  
Commercial Activities ◽  
Local Traditions ◽  
Start Ups ◽  
Practical Implications

Purpose Rural entrepreneurship is an emergent field of study, with these start-ups becoming one of the most noticeable ways to promote rural development, but the few studies concerning innovation among artisans have thus far only been exploratory. The purpose of this paper is to examine the entrepreneurial artisan initiatives of young innovators in a peripheral northern area of Portugal where black pottery is produced. Design/methodology/approach Qualitative data analysis was carried out on in-depth semi-structured interviews with three young artisan innovators and entrepreneurs and one individual who functions as a cultural booster. The content analysis was done using QSR International’s NVivo Version 11 software. Findings These young entrepreneurs have developed commercial activities and introduced innovations (i.e. design and process) into black pottery production, while taking advantage of endogenous materials, local culture and traditional knowledge. These individuals have sought not only to generate their own innovations but also to keep their culture and local traditions alive, thereby contributing to rural development by establishing networks with local young artisans. Research limitations/implications Some limitations are linked to the sample’s size and basis in a specific geographic reality. Practical implications The findings provide a fuller understanding of why some rural artisan firms grow, suggesting that artisans’ networks and innovative and entrepreneurial behaviours play a key role. Originality/value This research’s results contribute to the literature on the role that innovation can play as a booster of rural artisanship through networks and entrepreneurship. This paper is among the first to discuss black pottery as a form of artisan entrepreneurship. The results underline the value of innovations and networks, which were found to be the core ingredients in rural artisan entrepreneurship.

Digital Learning Management Systems Case Study

2019 ◽  
Vol 11 (3) ◽  
pp. 42-60
Author(s):  
Abdeleh Bassam Al Amoush ◽  
Kamaljeet Sandhu
Keyword(s):  
Qualitative Methodology ◽  
Qualitative Data ◽  
Learning Management Systems ◽  
Management Systems ◽  
Digital Learning ◽  
Structured Interviews ◽  
Case Study Methodology ◽  
Study Methodology ◽  
Learning Management

Digital learning management systems (DLMSs) are an important and a necessary educational tool for learning activities. The universities are using the digital LMS (DLMS) tools that are unique to their environment. Different universities have different DLMS tools that are software driven and allow the users (management, instructors, and students) to use them for regular tasks. This research discusses the qualitative data collected using the case study methodology. In this research, case study design was selected for the qualitative methodology and semi-structured interviews were employed as the data collection method. The research provides an analysis of the interviews, to gain insights into instructors' perspectives regarding the factors influencing the implementation of the digital learning management system in the higher education sector.

Large-Scale Research via App Stores

2015 ◽  
pp. 269-292
Author(s):  
Matthias Kranz ◽  
Andreas Möller ◽  
Florian Michahelles
Keyword(s):  
Data Collection ◽  
Human Computer Interaction ◽  
Real World ◽  
Mobile Applications ◽  
Large Scale ◽  
Mobile App ◽  
Lessons Learned ◽  
Conducting Research ◽  
Collection Methods

Large-scale research has gained momentum in the context of Mobile Human-Computer Interaction (Mobile HCI), as many aspects of mobile app usage can only be evaluated in the real world. In this chapter, we present findings on the challenges of research in the large via app stores, in conjunction with selected data collection methods (logging, self-reporting) we identified and have proven as useful in our research. As a case study, we investigated the adoption of NFC technology, based on a gamification approach. We therefore describe the development of the game NFC Heroes involving two release cycles. We conclude with lessons learned and provide recommendations for conducting research in the large for mobile applications.

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