scholarly journals Factors Affecting the Care of Acutely Unwell Ward Patients: A Multiple Case Study

2021 ◽  
Author(s):  
◽  
Sara Jane Michaela Quirke
Keyword(s):  
Multiple Case Study ◽  
Analytical Framework ◽  
Structured Interview ◽  
Concept Analysis ◽  
Theoretical Understanding ◽  
Factors Affecting ◽  
Suboptimal Care ◽  
Multiple Case ◽  
Ward Patient

<p>Suboptimal care of acutely unwell ward patients is of growing concern internationally. As empirical study of the problem is underdeveloped this thesis explores factors affecting suboptimal care of acutely unwell ward patients. In order to bring a theoretical understanding to this area, a concept analysis of the term suboptimal care was undertaken. The results of this concept analysis were then used to inform the design and analysis of this multiple case study. The cases for this study were two general surgical and two general medical wards located in two hospitals in the North Island of New Zealand. Interviews and focus groups with nurses, doctors, and managerial staff were undertaken using a semi structured interview approach informed by the concept analysis. Organisational and ward documentation was also reviewed. Using categorical aggregation and pattern matching, an analytical framework emerged from the data. This framework was then used to conduct within, cross case, and hospital analyses. Key findings of this research reveal that workload, teamwork, communication, leadership, skills and knowledge deficit, and organisational systems and processes are significant factors affecting care of acutely unwell ward patients and that these factors are not unique to specific contexts. Polarised views about workload were expressed by those who manage organisations and those who deliver care at ward level. Current approaches to improving care of the acutely unwell ward patient have involved the introduction of service initiatives. However, this study demonstrates that service initiatives alone are insufficient to improve care for acutely unwell ward patients. Recommendations from this study are that strategies should be put in place to support and develop clinical shift leaders and that staffing resources should be reviewed in the context of contemporary acute care settings. These must be informed by the views of organisational managers and ward staff leading to an integrated hospital-wide understanding of factors affecting care of the acutely unwell ward patient.</p>

scholarly journals Factors Affecting the Care of Acutely Unwell Ward Patients: A Multiple Case Study

2021 ◽  
Author(s):  
◽  
Sara Jane Michaela Quirke
Keyword(s):  
Multiple Case Study ◽  
Analytical Framework ◽  
Structured Interview ◽  
Concept Analysis ◽  
Theoretical Understanding ◽  
Factors Affecting ◽  
Suboptimal Care ◽  
Multiple Case ◽  
Ward Patient

<p>Suboptimal care of acutely unwell ward patients is of growing concern internationally. As empirical study of the problem is underdeveloped this thesis explores factors affecting suboptimal care of acutely unwell ward patients. In order to bring a theoretical understanding to this area, a concept analysis of the term suboptimal care was undertaken. The results of this concept analysis were then used to inform the design and analysis of this multiple case study. The cases for this study were two general surgical and two general medical wards located in two hospitals in the North Island of New Zealand. Interviews and focus groups with nurses, doctors, and managerial staff were undertaken using a semi structured interview approach informed by the concept analysis. Organisational and ward documentation was also reviewed. Using categorical aggregation and pattern matching, an analytical framework emerged from the data. This framework was then used to conduct within, cross case, and hospital analyses. Key findings of this research reveal that workload, teamwork, communication, leadership, skills and knowledge deficit, and organisational systems and processes are significant factors affecting care of acutely unwell ward patients and that these factors are not unique to specific contexts. Polarised views about workload were expressed by those who manage organisations and those who deliver care at ward level. Current approaches to improving care of the acutely unwell ward patient have involved the introduction of service initiatives. However, this study demonstrates that service initiatives alone are insufficient to improve care for acutely unwell ward patients. Recommendations from this study are that strategies should be put in place to support and develop clinical shift leaders and that staffing resources should be reviewed in the context of contemporary acute care settings. These must be informed by the views of organisational managers and ward staff leading to an integrated hospital-wide understanding of factors affecting care of the acutely unwell ward patient.</p>

School Culture, Effectiveness and Low SES in Trinidad

2021 ◽  
pp. 188-225
Author(s):  
Rinnelle Lee-Piggott
Keyword(s):  
Academic Performance ◽  
School Culture ◽  
Multiple Case Study ◽  
Analytical Framework ◽  
Low Ses ◽  
Professional Orientation ◽  
Psychological States ◽  
Study Approach ◽  
Multiple Case

This chapter presents a cultural diagnosis of three schools of differing effectiveness states – ‘excelling', ‘mostly effective' and ‘under academic watch' within Trinidad, which face socio-economic challenges. It utilizes a multi-method, multiple case study approach and presents an adapted conceptualization of school culture, which is used as an analytical framework to diagnose the professional orientation of teachers within the cultures of the participating schools. Findings reveal that teachers' professional orientation, particularly their dispositions and psychological states, are critically important to many aspects of schooling, including students' orientations and their academic performance and achievement.

School Culture, Effectiveness and Low SES in Trinidad

2017 ◽  
pp. 195-241 ◽  
Author(s):  
Rinnelle Lee-Piggott
Keyword(s):  
Academic Performance ◽  
School Culture ◽  
Multiple Case Study ◽  
Analytical Framework ◽  
Low Ses ◽  
Professional Orientation ◽  
Psychological States ◽  
Study Approach ◽  
Multiple Case

This chapter presents a cultural diagnosis of three schools of differing effectiveness states – ‘excelling', ‘mostly effective' and ‘under academic watch' within Trinidad, which face socio-economic challenges. It utilizes a multi-method, multiple case study approach and presents an adapted conceptualization of school culture, which is used as an analytical framework to diagnose the professional orientation of teachers within the cultures of the participating schools. Findings reveal that teachers' professional orientation, particularly their dispositions and psychological states, are critically important to many aspects of schooling, including students' orientations and their academic performance and achievement.

scholarly journals Exploring Status of Special and Rare Collection: A qualitative examination

2019 ◽  
Vol 21 ◽  
pp. 104-132
Author(s):  
Muhammad Safdar ◽  
Syeda Hina Batool ◽  
Kanwal Ameen ◽  
Abid Hussain ◽  
Fakhar Abbas
Keyword(s):  
Public Libraries ◽  
Multiple Case Study ◽  
Structured Interview ◽  
Current Status ◽  
The Public ◽  
Interview Guide ◽  
Current Scenario ◽  
Multiple Case ◽  
Acquisition Management

This contribution attempts to discuss the current scenario of rare material available in the libraries of Lahore city. Lahore is capital of Punjab province of Pakistan. The study seeks to explore the various aspects such as acquisition, organization, access, preservation & conservation of rare material of libraries of Lahore, Pakistan. The study is qualitative in nature; based on multiple case study design. A multiple case study helps the researchers in finding the differences among cases. Semi-structured interview guide was used as data collection tool. The observation and document analysis of log registers of the cases (libraries) were also done wherever facilitated. It was found that rare collection is underutilized in the libraries of Lahore. Findings also established that separate funds are not allocated to the public libraries of Lahore for acquisition and management of the rare material. This paper identifies the current status and issues in acquisition, management, access and use of rare material at public libraries of Lahore, Pakistan.

scholarly journals Identification of Risk Factors Affecting PPP Waste-to-Energy Incineration Projects in China: A Multiple Case Study

2018 ◽  
Vol 2018 ◽  
pp. 1-16 ◽  
Author(s):  
Yong Liu ◽  
Chenjunyan Sun ◽  
Bo Xia ◽  
Sai Liu ◽  
Martin Skitmore
Keyword(s):  
Risk Factors ◽  
Real Life ◽  
Regulatory System ◽  
Multiple Case Study ◽  
Risk Identification ◽  
Waste To Energy ◽  
Risk Allocation ◽  
Factors Affecting ◽  
Multiple Case

Waste-to-energy (WTE) incineration technologies are considered an effective solution for sustainable and efficient municipal solid waste (MSW) disposal in China, and the public-private partnership (PPP) arrangement has been widely used to construct and operate WTE incineration projects. However, PPP WTE incineration projects in China are affected by numerous risks due to the long concession period, various participants, and other factors commonly involved in PPPs, resulting in a number of failures. In light of the pivotal role that risk identification, analysis, and response play in the successful development of PPP WTE incineration projects, this paper presents a multiple case study to identify the risk factors involved in China by drawing on experience from the real-life risk events of 35 PPP WTE incineration plants. 18 risk factors are identified; the most critical of which being public opposition risk, environmental pollution risk, government decision-making risk, a defective legal and regulatory system, and MSW supply risk. The results of the study provide a solid foundation for the future risk analysis, risk allocation, and risk response of PPP WTE incineration projects, and shed light on performance improvement of the PPP WTE incineration projects as well as the development of the PPP WTE industry in China.

scholarly journals Alexithymia and therapeutic alliance: a multiple case study comparing good and poor outcome cases

2018 ◽  
Vol 21 (2) ◽  
Author(s):  
Ana Catarina Nunes da Silva ◽  
António Branco Vasco ◽  
Jeanne C. Watson
Keyword(s):  
Therapeutic Alliance ◽  
Emotional Processing ◽  
Multiple Case Study ◽  
Structured Interview ◽  
Reliable Change Index ◽  
Therapeutic Alliances ◽  
Poor Outcome ◽  
Multiple Case ◽  
Poor Outcomes

Alexithymia has been associated with poor outcomes in psychotherapy. This association has been attributed to a difficulty in patients expressing emotions, engaging in emotional tasks and also poor therapeutic alliances. This study aims to better understand alexithymic patients in psychotherapy. A multiple case study design was used. Cases were selected from a larger research project considering their alexithymia level and outcome status, based on the reliable change index and the client perspective on change. Four cases are presented: with and without alexithymia with good and poor outcome. The therapeutic alliance was included as a process measure, evaluated from both client and therapist. At the end a semi structured interview was conducted with both participants, individually. The analysis concerned the integration and triangulation of the therapist and client experience for each case. Each patient was briefly presented and then a focus was made regarding the perception of both participants on the therapeutic alliance and the emotional processing and change process of the client. Both alexithymic cases and the non-alexithymic poor outcome case showed difficulties in the therapeutic alliance, especially from the perspective of the therapist. In these cases, emotional impairments may have contributed to a poor therapeutic alliance, impacting on the outcome. We suggest that a great focus on the therapeutic alliance with alexithymic patients may increase the quality of treatment and it may be more useful for case conceptualization to consider each feature of the alexithymia construct individual.

scholarly journals Professional practice of dietitians in the Brazilian School Feeding Program: A multiple case study

2017 ◽  
Vol 30 (4) ◽  
pp. 499-510 ◽  
Author(s):  
Patrícia Fernanda Ferreira PIRES ◽  
Anabelle RETONDARIO ◽  
Claudia Choma Bettega ALMEIDA ◽  
Suely Teresinha SCHMIDT ◽  
Marcia Regina BEUX ◽  
...  
Keyword(s):  
Professional Practice ◽  
Multiple Case Study ◽  
Working Hours ◽  
Structured Interview ◽  
School Feeding ◽  
Administrative Assistants ◽  
Feeding Program ◽  
Multiple Case ◽  
School Feeding Program

ABSTRACT Objective: To assess dietician’s numerical parameters for school feeding and discuss limitations and possibilities for professional practice in the municipalities of Vale do Ivaí, in Northern Paraná, Brazil. Methods: This is a multiple case study. A semi-structured interview was administered to dietitians working at the School Feeding Program in nine cities located in Vale do Ivaí, Paraná, Brazil. Resolution nº 465/2010, from the Brazilian Federal Board of Dietitians, was used to calculate the adequacy of working hours of dietitians. The legistation of the Brazilian School Feeding Program was applied to discuss professional practice. Results: All the cities had at least one dietitian responsible for the School Feeding Program. The percentage of adequate working hours was from 20 to 66%. Some dietitians were involved in management activities, administration, procurement, and accounting, in addition to dietitian assignments for the School Feeding Program. Most dietitians worked in other sectors of the municipalities such as the health system, social assistance, and at events. This practice could compromise compliance of technical activities that must be met by the dietitians of the School Feeding Program. Conclusion: The number of dietitians in most of cities working at School Feeding Program is not sufficient to meet the number of students. The insuficient workload and excessive activities could hinder the development of dietitian’s private activities. The hiring of nutrition and dietitian technicians and administrative assistants for bureaucratic activies is recommended.

scholarly journals Post COVID-19: Impact on the Competency of Islamic Legacy Planners in Malaysia

2020 ◽  
pp. 39-48
Author(s):  
Shahizan Md. Noh ◽  
Zurina Shafii ◽  
Ainulashikin Marzuki ◽  
Faiezatul Syima Zainal Abidin
Keyword(s):  
Succession Planning ◽  
Current Practice ◽  
Multiple Case Study ◽  
Structured Interview ◽  
Qualitative Approach ◽  
Decision Makers ◽  
Competency Framework ◽  
Regulatory Bodies ◽  
Multiple Case

This paper aims to identify the competency components of Islamic legacy planners in the event of post COVID-19 pandemic crisis in Malaysia. A qualitative approach using a multiple-case study through semi-structured interview was used. Data was gathered from a representative of full-fledged Islamic trust companies in Malaysia on what constitute as required competency components for Islamic legacy planners. In total, 4 interviews have been performed involving the decision-makers as well as c-level executives of the participating companies. It is found that there are non-standardised guidelines on recruitment of Islamic legacy planners. The majority of the respondents within the group have also chosen fiqh mawarith as the main knowledge to be acquired besides knowledge in product and solution, law and regulations. The results of this study have practical contributions to the regulatory bodies, academicians and professionals. The competency framework is recommended to the industry players in pooling competent talents in the Islamic legacy planning industry. In spite of its limitation to confine only to the full-fledged Islamic trust companies, it sheds light on competency issues within the Islamic organisations. The study would contribute to the practitioners as a guideline in recruiting their Islamic legacy planners and also for succession planning purposes. A competency model for Islamic legacy planners was proposed focusing on several components that can be used as guidance in determining the criteria needed for a competent Islamic legacy planner, which is a new dimension for Islamic legacy planning literature. The sub-objective of determining the elements of competency, as well as understanding the current practice of recruiting the Islamic legacy planners became the input in the moulding of the competency framework.

Omunanamwengu (The Mad One): A Multiple Case Study of Individual and Familial Experiences of Madness Among the Northern Namibian Aawambo

2020 ◽  
Vol 51 (7-8) ◽  
pp. 597-615
Author(s):  
Theodore T. Bartholomew
Keyword(s):  
Mental Illness ◽  
Lived Experience ◽  
Family Involvement ◽  
Family Members ◽  
Multiple Case Study ◽  
Individual Case ◽  
Structured Interview ◽  
Suggested Approach ◽  
Multiple Case

To understand mental illness in cultural contexts, research should focus on locally informed concepts of illness and the lived experiences of such conditions. Understanding mental illness, its prevalence, and its influence on people’s lives in Namibia represents one such context where attention to the lived experience of mental illness remains understudied. The purpose of the current study was to build upon ethnographic findings about mental illness as madness ( eemwengu) among the Namibian Aawambo. To that end, a multiple case study design was used to explore the lived experience of being omunanamwengu (the mad one). Data were collected from four cases that were bound by the experience of mental illness. Within each case, the individual experiencing illness ( omunanamwengu), family members, and both omunanamwengu and family members were interviewed formally (via a semi-structured interview protocol) or informally due to participants’ preferences for not being recorded. Using Stake’s suggested approach to multiple-case study cross-case analysis, each individual case is described and cross-case themes (Development and Symptoms of Mental Illness; Marginalization and Omunanamwengu; Family Roles in the Lives of the Distressed and Eemwengu; Belief in Treatment) were identified. Findings are discussed in light of the role of beliefs in treatment as well as family involvement, the potential influence of discrimination on mental illness, and implications for practice and cross-cultural psychology.

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