scholarly journals Qualitative Analysis of the Implementation of a Hospital Room Service in a Large Metropolitan Hospital: Foundations for Transformation

2021 ◽  
Author(s):  
Shelley A. Wilkinson ◽  
Jack J. Bell ◽  
Bianca Neaves ◽  
Sally J. McCray ◽  
Katrina Campbell
Keyword(s):  
Public Hospital ◽  
Implementation Strategies ◽  
Service Model ◽  
Structured Interviews ◽  
Barriers And Enablers ◽  
Key Stakeholders ◽  
Metropolitan Hospital ◽  
Qualitative Descriptive ◽  
Nutrition Intake ◽  
Room Service

Abstract Background: Room Service is a hospital meal service model with demonstrated improved nutrition intake, reduced wastage and cost benefits in some settings compared with traditional models. However, uptake across public hospital settings appears low; the underlying reasons require exploration. In 2019, Room Service was introduced in a Queensland Hospital and Health Service site. The aim of this paper is to identify the barriers and enablers to implementing Room Service to provide recommendations for future implementation of this model. Methods: This qualitative descriptive study utilised semi-structured interviews with staff involved in implementation of the Room Service meal delivery model at The Prince Charles Hospital (Queensland, Australia). A purposive sample of project members and key stakeholders were recruited. Interviews explored project experiences from commencement to completion, barriers and enablers to implementation, strategies to overcome challenges and recommendations for implementation at other sites. Interviews were coded to identify themes and sub-themes. Results: Nine participants were interviewed. Key themes with associated sub-themes were (I) Foundations of transformation; (II) Navigating implementation; and (III) Embedding sustainable practices.Conclusions: This study adds rich information to understand factors that support the implementation of a room service model in a large public hospital. Future implementation of room service should not only consider measuring quantifiable outcomes, but also the importance of qualitative descriptive studies surveying project members and key stakeholders to further explore experiences, barriers and enablers to implementation and develop strategies to overcome challenges to assist further sites implement this model.

scholarly journals Evaluating the Experience of Organizations Implementing Medication Management Services Using a Variety of Implementation Strategies

2021 ◽  
Vol 12 (1) ◽  
pp. 12
Author(s):  
Deborah L. Pestka ◽  
Todd D. Sorensen
Keyword(s):  
Qualitative Interviews ◽  
Medication Management ◽  
Implementation Strategies ◽  
Structured Interviews ◽  
Learning Collaborative ◽  
Management Learning ◽  
Evaluation Approach ◽  
Key Stakeholders ◽  
Learning Collaboratives ◽  
Management Services

Purpose: The purpose of this project was to evaluate the experience of organizations who participated in a medication management learning collaborative and their perceptions of the different implementation strategies that were employed. Methods: Using a utilization-focused evaluation approach, qualitative interviews were conducted with former participants (clinicians, managers, or other key stakeholders) of medication management learning collaboratives organized and delivered by Alliance for Integrated Medication Management (AIMM). The purpose of the learning collaboratives was to provide structure and facilitation to accelerate the implementation of medication management services. One-on-one semi-structured interviews were carried out with a lead member of 11 different organizations that participated in an AIMM collaborative about their experience in the collaborative and the different implementation strategies that were used. Results: Three themes emerged: (1) perspectives on the implementation strategies, (2) external facilitators, and (3) additional benefits of being in the collaborative. Certain implementation strategies used by AIMM, such as coaching, were considered beneficial by almost everyone while other strategies, such as webinars, had mixed opinions. Participants also highlighted the importance of external facilitators, like dedicated time to work on implementation strategies, as well as the additional benefits like the professional development that comes from being in a learning collaborative and learning different implementation strategies. Conclusion: Implementation strategies may help accelerate the adoption and expansion of medication management services within and across organizations. The results of this evaluation shed light on the experiences of different organizations using select implementation strategies in their medication management implementation efforts. The perspectives of participants in this study may help other organizations in selecting and developing similar implementation strategies.

scholarly journals Leadership in nursing: from teaching to practice in a hospital environment

2017 ◽  
Vol 21 (4) ◽  
Author(s):  
Simone Coelho Amestoy ◽  
Letícia de Lima Trindade ◽  
Gilberto Tadeu Reis da Silva ◽  
Bianca Pozza dos Santos ◽  
Virginia Ramos dos Santos Souza Reis ◽  
...  
Keyword(s):  
Public Hospital ◽  
Professional Competence ◽  
Hospital Environment ◽  
Analysis Method ◽  
Structured Interviews ◽  
Leadership Formation ◽  
Theoretical Contribution ◽  
Leadership Support ◽  
Qualitative Descriptive ◽  
Teaching Leadership

Abstract Objective: To analyze the knowledge of nurses on teaching of leadership in the undergraduate and its exercise in a hospital environment. Method: Qualitative, descriptive and exploratory study. There were interviewed 37 nurses working in a public hospital in the state of Rio Grande do Sul, Brazil. Data were collected through semi-structured interviews and it was categorized according the Thematic Analysis method, using the NVivo software. Results: The nurses recognize leadership as professional competence and mentioned positive aspects related to the leadership formation in graduation, which was obtained from significant theoretical contribution, provided by nursing professors. The institution lacks investments to offer theoretical and practical leadership support. Final Thoughts: Teaching leadership during graduation requires transversal approach, as well as strategies of permanent education that potentiate the exercise of leadership in a hospital environment.

scholarly journals Enfermeiras obstétricas no processo de parturição: percepção das mulheres [Obstetric nurses in the childbirth process: the women's perception] [Enfermeras obstétricas en el proceso del parto: percepción de las mujeres]

2020 ◽  
Vol 28 ◽  
pp. e45901
Author(s):  
Margarete Maria de Lima ◽  
Larissa Nascimento Ribeiro ◽  
Roberta Costa ◽  
Juliana Jaques da Costa Monguilhot ◽  
Iris Elizabete Messa Gomes
Keyword(s):  
Emotional Support ◽  
Public Hospital ◽  
Ethics Committee ◽  
Postpartum Women ◽  
Southern Brazil ◽  
Structured Interviews ◽  
Obstetric Nurses ◽  
Qualitative Descriptive ◽  
Las Mujeres

Objetivo: conhecer a percepção das mulheres sobre a assistência no trabalho de parto, parto e nascimento realizada por enfermeiras obstétricas em um hospital público do Sul do Brasil. Método: estudo qualitativo, descritivo-exploratório, desenvolvido em fevereiro de 2019. Participaram 24 mulheres no pós-parto mediato, internadas no Alojamento Conjunto. Os dados foram coletados através de entrevista semiestruturada e posteriormente analisados conforme proposta operativa de Minayo. O projeto foi submetido e aprovado pelo Comitê de Ética. Resultados: ressaltou-se a importância da atuação da enfermeira obstétrica no cuidado humanizado e respeitoso durante o trabalho de parto, destacando seu papel no estímulo ao uso dos métodos não farmacológicos de alívio da dor durante o trabalho de parto, além da oferta de apoio emocional.  Conclusão: a atuação da enfermeira obstétrica, na percepção das mulheres, qualifica a assistência prestada, sendo avaliada de forma positiva pelas participantes do estudo.ABSTRACTObjective: to learn how women at a public hospital in southern Brazil perceive the care given by obstetric nurses during labor, delivery and birth. Method: twenty-four postpartum women participated in this exploratory, qualitative, descriptive study from January to February 2019. Data were collected through individual, semi-structured interviews, and subsequently analyzed according to Minayo’s operative proposal. The project was approved by the research ethics committee. Results: obstetric nurses were found to play an important role in respectful, humanized care during labor, particularly in encouraging the use of non-pharmacological methods of pain relief during labor, in addition to offering emotional support. Conclusion: the obstetric nurses’ work, as perceived by the women, enhances the quality of the care provided, and was evaluated favorably by the study participants.RESUMENObjetivo: conocer cómo las mujeres de un hospital público en el sur de Brasil perciben la atención brindada por enfermeras obstétricas durante el trabajo de parto, el parto y el parto. Método: de enero a febrero de 2019 participaron veinticuatro puérperas de este estudio exploratorio, cualitativo y descriptivo. Los datos fueron recolectados a través de entrevistas individuales semiestructuradas y posteriormente analizados de acuerdo con la propuesta operativa de Minayo. El proyecto fue aprobado por el comité de ética en investigación. Resultados: se encontró que las enfermeras obstétricas desempeñan un papel importante en el cuidado humanizado y respetuoso durante el trabajo de parto, particularmente en el fomento del uso de métodos no farmacológicos de alivio del dolor durante el trabajo de parto, además de ofrecer apoyo emocional. Conclusión: el trabajo de las enfermeras obstétricas, percibido por las mujeres, mejora la calidad de la atención brindada y fue evaluado favorablemente por las participantes del estudio.

scholarly journals The use of playing by the nursing staff on palliative care for children with cancer

2014 ◽  
Vol 35 (3) ◽  
pp. 111-116 ◽  
Author(s):  
Vanessa Albuquerque Soares ◽  
Liliane Faria da Silva ◽  
Emília Gallindo Cursino ◽  
Fernanda Garcia Bezerra Goes
Keyword(s):  
Palliative Care ◽  
Nursing Staff ◽  
Thematic Analysis ◽  
Health Professionals ◽  
Public Hospital ◽  
Structured Interviews ◽  
Children With Cancer ◽  
Descriptive Research ◽  
Qualitative Descriptive ◽  
Facilitators And Barriers

This study aimed to describe ways of using play by the nursing staff on palliative care of children with cancer and analyze the facilitators and barriers of the use of playing on this type of care. Qualitative, descriptive research developed on November 2012 with 11 health professionals, in a public hospital of the state of Rio de Janeiro. Semi-structured interviews and thematic analysis of the information were conducted. The use of playing before procedures was highlighted as a facilitator on palliative care. The child's physical condition, one's restriction, resistance of some professionals and the lack of time for developing this activity, made the use of play harder. We concluded that playing enables the child with cancer, in palliative care, a humanized assistance, being fundamental to integrate it on the care for these children.

scholarly journals Safety Considerations of Adaptive Horseback Riding Program for Adults With Dementia and Their Families

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 184-184
Author(s):  
Alicia Oestreich ◽  
Beth Fields
Keyword(s):  
Horseback Riding ◽  
Structured Interviews ◽  
Therapeutic Horseback Riding ◽  
Safety Practices ◽  
Safety Standards ◽  
Key Stakeholders ◽  
Qualitative Descriptive ◽  
Safety Considerations ◽  
Equine Assisted

Abstract Human-animal interactions, including equine-assisted services, are becoming increasingly popular to enhance the quality of life of adults with dementia and their families. However, there is a lack of knowledge on safety considerations when serving this population. The purpose of this qualitative descriptive study was to explore the safety perspectives of key stakeholders involved in an adaptive horseback riding program for adults with dementia and their families. Ten, 30-minute semi-structured interviews and two, 60-minute focus groups were conducted with horseback riding program instructors and staff, dementia specialists, and adults with dementia and their families. Thematic analysis of data were guided by the Professional Association of Therapeutic Horsemanship International’s Core Safety Standards and completed using NVivo 12. Stakeholders described two central themes to consider when offering equine-assisted services at therapeutic horseback riding centers to adults with dementia and their families 1) dementia and horse training parameters, and 2) enrollment procedures. Stakeholders recommended that training should encompass “how to interact and communicate in a positive way with the adult with dementia…redirect if a behavior comes up”, and horses should be specially selected to “tolerate standing in a ramp during a difficult mount”. Stakeholders also shared that enrollment in the program should include learning the adult’s health and prior horse experience, precautions and contraindications, horseback riding readiness, and availability of and support from family. Information gleaned from this study may help researchers, instructors, and staff develop policies that demonstrate optimal safety practices when delivering equine-assisted services to adults with dementia and their families.

Moving From Interprofessional Education Toward Interprofessional Practice: Bridging the Translation Gap

2019 ◽  
Vol 4 (5) ◽  
pp. 971-976
Author(s):  
Imran Musaji ◽  
Trisha Self ◽  
Karissa Marble-Flint ◽  
Ashwini Kanade
Keyword(s):  
Interprofessional Education ◽  
Interprofessional Collaboration ◽  
Evaluation Model ◽  
Implementation Strategies ◽  
Future Research ◽  
Successful Implementation ◽  
Interprofessional Practice ◽  
Translational Model ◽  
Key Stakeholders ◽  
Clear Identification

Purpose The purpose of this article was to propose the use of a translational model as a tool for identifying limitations of current interprofessional education (IPE) research. Translational models allow researchers to clearly define next-step research needed to translate IPE to interprofessional practice (IPP). Method Key principles, goals, and limitations of current IPE research are reviewed. A popular IPE evaluation model is examined through the lens of implementation research. The authors propose a new translational model that more clearly illustrates translational gaps that can be used to direct future research. Next steps for translating IPE to IPP are discussed. Conclusion Comprehensive reviews of the literature show that the implementation strategies adopted to date have fostered improved buy-in from key stakeholders, as evidenced by improved attitudes and perceptions toward interprofessional collaboration/practice. However, there is little evidence regarding successful implementation outcomes, such as changed clinician behaviors, changed organizational practices, or improved patient outcomes. The authors propose the use of an IPE to IPP translational model to facilitate clear identification of research gaps and to better identify future research targets.

Model Kaderisasi Anggota Partai Politik Islam dalam Membentuk Pemimpin Islami

2017 ◽  
Vol 2 (2) ◽  
pp. 103-114
Author(s):  
Muhammad Saiful Haq AlFaruqy ◽  
Ahmad Sarbini ◽  
Asep Iwan Setiawan
Keyword(s):  
Data Collection ◽  
Learning Process ◽  
Structured Interviews ◽  
The West ◽  
West Java ◽  
Qualitative Descriptive

Penelitian ini dilakukan untuk mengentahui tugas pokok Bidang Kaderisasi DPW PKS Jawa Barat, untuk mengetahui proses tahapan dan sistem model kaderisasi PKS yang marhalah (berjenjang), untuk mengetahui dan mendapatkan data dalam memebentuk kader pemimpin Islami Bidang Kaderisasi DPW PKS Jawa Barat. Metode yang digunakan dalam penelitian ini ialah deskrptif kualitatif dengan tekinik pengeumpulan data berupa wawancara terstrurktur, observasi, dan studi dokumentasi.. Hasil dari penelitian ini menunjukan bahwa model kaderisi dalam menciptakan pemimpin Islami melalui tahapan-tahapan pembinaan kader yang marhalah (berjenjang). Yaitu, Pertama, ta’lim proses pembelajaran yang mana bertujuan para kader diberikan kurikulum kaderisiasi partai. Kedua, Tandzhim yang mana setelah pembelajaran diharapkan para kader dapat mengasah dan mengimplementasikan hasil kurikulum kaderisasi. Ketiga, taqwin para kader harus dapat menginternalisasi ajaran Islam dalam partai maupun kehidupan berbangsa dan bernegara. This research was conducted to identify the main tasks of the West Java PKS DPW Cadre Field Division, to find out the stages and stages of the PKS cadre model model that is marhalah (tiered), to find out and obtain data in forming the Islamic leaders cadre of the West Java PKW DPW Cadre. The method used in this study is a qualitative descriptive with data collection techniques in the form of structured interviews, observations, and documentation studies. The results of this study indicate that the cadre model in creating Islamic leaders through the stages of training cadres who are marhalah (tiered). That is, First, ta'lim the learning process in which the cadres aim to be given a party cadre curriculum. Second, Tandzhim which after learning is expected that the cadres can hone and implement the results of the regeneration curriculum. Third, taqwin of cadres must be able to internalize the teachings of Islam in the party and the life of the nation and state.

scholarly journals Conservation Debates: People’s Perceptions and Values towards a Privately Protected Area in Southern Ecuador

Land ◽  
2021 ◽  
Vol 10 (3) ◽  
pp. 233
Author(s):  
Verónica Iñiguez-Gallardo ◽  
Fabián Reyes-Bueno ◽  
Olga Peñaranda
Keyword(s):  
Protected Areas ◽  
Land Tenure ◽  
Protected Area ◽  
Planning Process ◽  
Social Needs ◽  
Structured Interviews ◽  
Key Stakeholders ◽  
Southern Ecuador ◽  
Negative Perceptions ◽  
Land Tenure System

The perceptions and values that local communities have towards protected areas are of great value for the improvement of these territories’ management. Such perceptions and values are often absent in the conservation planning process, particularly in those privately protected areas that are established in areas where the land tenure system is based not only on ownership but also on customary uses. Drawing on qualitative and quantitative data obtained through semi-structured interviews with key stakeholders and members of communities surrounding a privately protected area in southern Ecuador, we identify that the level of collaboration with the managers, the distance to the protected area, the percentage of untitled land, and the dependence on the resources (customary uses) are among the variables affecting these perceptions and values. Positive perceptions towards protected areas and naturalistic values are developed among those who collaborate with the protected area managers, whereas negative perceptions, and a mix of naturalistic and biospheric values are developed among those who have a sense of a lack of attention to social needs although supporting nature conservation at the same time. The evidence presented shows the importance of matching local peoples’ expectations with conservation goals during the establishment of a protected area.

scholarly journals “We Are Doing These Things So That People Will Not Laugh at Us”: Caregivers’ Attitudes About Dementia and Caregiving in Nigeria

2021 ◽  
pp. 104973232110041
Author(s):  
Candidus C. Nwakasi ◽  
Kate de Medeiros ◽  
Foluke S. Bosun-Arije
Keyword(s):  
The United States ◽  
Structured Interviews ◽  
Dementia Caregivers ◽  
Term Care ◽  
Awareness Campaigns ◽  
Knowledge Deficit ◽  
People With Dementia ◽  
Qualitative Descriptive ◽  
The Impact

Some Nigerians, in their effort to make sense of dementia symptoms, use descriptions that may stigmatize people with dementia and their families. This qualitative descriptive study focused on the everyday understanding of dementia and the impact of stigma on the caregiving experiences of informal female Nigerian dementia caregivers. Semi-structured interviews were conducted with a purposive sample of 12 adult informal female caregivers in Nigeria and analyzed for themes. Afterward, results were presented to focus groups of 21 adult Nigerians residing in the United States for more contextual insight on the findings. The three major themes were misconceptions about dementia symptoms, caregiving protects against stigmatization, and stigma affects caregiving support. Overall, we argue that knowledge deficit, poor awareness, and traditional spiritual beliefs combine to drive dementia-related stigmatization in Nigeria. Strategies such as culturally appropriate dementia awareness campaigns and formal long-term care policies are urgently needed to help strengthen informal dementia caregiving in Nigeria.

scholarly journals Using qualitative and participatory methods to refine implementation strategies: universal family psychosocial screening in pediatric cancer

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Janet A. Deatrick ◽  
Anne E. Kazak ◽  
Rebecca E. Madden ◽  
Glynnis A. McDonnell ◽  
Katherine Okonak ◽  
...  
Keyword(s):  
Health Equity ◽  
Pediatric Cancer ◽  
Universal Screening ◽  
Implementation Strategies ◽  
Interactive Systems ◽  
Psychosocial Risk ◽  
Care Providers ◽  
Psychosocial Screening ◽  
Universal Family ◽  
Key Stakeholders

Abstract Background Children with cancer and their families are at risk for short- and long-term psychosocial difficulties. Screening for psychosocial risk remains inconsistent, leading to inequitable access to psychosocial services. The Psychosocial Assessment Tool (PAT) is an evidence-based caregiver report screener of family psychosocial risk ready for implementation in a nationwide cluster randomized trial that will test two implementation strategies across 18 pediatric cancer centers. The current study, conducted in preparation for the trial, solicited the perspectives of key stakeholders about two proposed implementation strategies identified during previous research which focus on health equity and screening of all families (universal screening). Results were used to refine the implementation strategies for testing in the subsequent trial. Methods Semi-structured interviews with 19 key stakeholders (parents, health care providers, pediatric oncology organizations, and pediatric healthcare leaders) were conducted regarding the two implementation strategies. Strategy I is a training webinar; Strategy II is training + implementation enhanced resources, which includes a champion at each site and monthly peer support consultation calls. Data were analyzed using directed content analysis with deductively derived codes based on the Interactive Systems Framework and inductive codes based on emerging data. Results Stakeholder interviews provided rich data to rigorously modify the proposed implementation strategies. Implementation strategies were modified in consistent with these recommendations: engaging providers by framing family psychosocial screening as an opportunity for more efficient and effective practice; setting clear expectations about the importance of screening 100% of children and their families to achieve the goal of universal screening, equity of care, and reduction of disparities; and adapting successful strategies for systematic implementation of screening to ensure optimal engagement with children and their families throughout their care. Conclusions Stakeholder input strengthened implementation strategies by suggesting modifications that emphasized health equity and reduction in health disparities. Using implementation science methods to build on a long-standing program of research provided practical insights about immediate needs of families and historical insights regarding structural inequities such as language differences and access to services. Resulting strategies address all levels of the social ecology for children’s cancer care, including the patient, family, provider, healthcare system, and community. Trial registration NCT04446728 June 23, 2020

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