scholarly journals Sisters Walking Together: A Case Study of  the CASA Model of Professional Midwifery  Training

2021 ◽  
Author(s):  
◽  
Jenny Woodley Higgins
Keyword(s):  
Rural Communities ◽  
Maternal Health ◽  
Community Participation ◽  
Single Case ◽  
Healthcare Services ◽  
Structured Interviews ◽  
Maternal Healthcare ◽  
Case Study Methodology ◽  
Casa Model

<p>Over the past three years there has been an increased focus on reducing global maternal mortality in developing countries. While substantial progress has been made, improvement remains slow in some areas. Making formal maternal healthcare services more acceptable, affordable and accessible to rural communities where the majority of maternal deaths occur, remains a considerable challenge. This study looks at the model of professional midwifery training employed at La Escuela de Partería Profesional de CASA [the CASA School of Professional Midwifery] in San Miguel de Allende, Mexico, whose aim is to train professional midwives who will provide culturally acceptable services in rural communities. It examines how the school's model reflects the development concept of community participation. This study adopted a single case study methodology to examine community participation at the CASA School of Professional Midwifery. Data collection techniques included the use of Semi-structured interviews, Focus Groups, Participant Observation and Document analysis. The study found that the CASA School included elements of participation within its model and highlights the different ways in which outsiders and insiders may arrive at implementing community participation-type processes in development initiatives. The study also finds that because of differences between the biomedical and development paradigms, the reality for many communities is that they are only permitted to participate in the maternal healthcare paradigms and models sanctioned by the state. The conclusion was that the CASA model of professional midwifery offers a new way to think about the relationship between maternal health professionals and the community, and of integrating communities back into the maternal health discourse.</p>

scholarly journals Sisters Walking Together: A Case Study of  the CASA Model of Professional Midwifery  Training

2021 ◽  
Author(s):  
◽  
Jenny Woodley Higgins
Keyword(s):  
Rural Communities ◽  
Maternal Health ◽  
Community Participation ◽  
Single Case ◽  
Healthcare Services ◽  
Structured Interviews ◽  
Maternal Healthcare ◽  
Case Study Methodology ◽  
Casa Model

<p>Over the past three years there has been an increased focus on reducing global maternal mortality in developing countries. While substantial progress has been made, improvement remains slow in some areas. Making formal maternal healthcare services more acceptable, affordable and accessible to rural communities where the majority of maternal deaths occur, remains a considerable challenge. This study looks at the model of professional midwifery training employed at La Escuela de Partería Profesional de CASA [the CASA School of Professional Midwifery] in San Miguel de Allende, Mexico, whose aim is to train professional midwives who will provide culturally acceptable services in rural communities. It examines how the school's model reflects the development concept of community participation. This study adopted a single case study methodology to examine community participation at the CASA School of Professional Midwifery. Data collection techniques included the use of Semi-structured interviews, Focus Groups, Participant Observation and Document analysis. The study found that the CASA School included elements of participation within its model and highlights the different ways in which outsiders and insiders may arrive at implementing community participation-type processes in development initiatives. The study also finds that because of differences between the biomedical and development paradigms, the reality for many communities is that they are only permitted to participate in the maternal healthcare paradigms and models sanctioned by the state. The conclusion was that the CASA model of professional midwifery offers a new way to think about the relationship between maternal health professionals and the community, and of integrating communities back into the maternal health discourse.</p>

An emergent sectoral innovation system for healthcare services

2014 ◽  
Vol 27 (6) ◽  
pp. 512-529 ◽  
Author(s):  
Clive Savory ◽  
Joyce Fortune
Keyword(s):  
Policy Development ◽  
Innovation Policy ◽  
Single Case ◽  
Innovation System ◽  
Healthcare Services ◽  
Primary Data ◽  
Case Study Methodology ◽  
Content Type ◽  
Health Technologies

Purpose – The purpose of this paper is to explore, through a case study, and using Pawson and Tilley's notion of context-mechanism-outcome configurations, how a sectoral innovation system (SIS) for health technologies has developed. Design/methodology/approach – The case study data were collected as part of a large study that looked at technology innovation and adoption in the UK's National Health Service and were collected using an interpretive case study methodology. Primary data came from interviews and secondary data from published sources, including articles authored by members of the innovation team. Findings – The paper identifies three specific configurations of context, mechanism and outcome that were important in the case and discusses how these contribute to a broader understanding of a healthcare services SIS. Research limitations/implications – Research conducted through a single case study is open to the criticism that its findings are not generalisable but it has offered an economical way of gaining a deep description of a situation and an understanding of the contextual factors affecting a phenomenon. The paper presents a refined model for understanding SISs that though primarily rooted within the healthcare care sector has potential for application in other sectors, especially those that encompass a significant public-sector component. Practical implications – The paper's findings and conclusions have relevance to healthcare service innovation policy development. The findings will also be useful to professionals responsible for innovation projects and their support within the sector. Originality/value – The paper makes an important contribution to the understanding of a SIS for healthcare services as well as refining a general model of SISs.

Between sexual assault and compassion: The experience of living with a spouse’s dementia-related hypersexuality—A narrative case-study

Dementia ◽  
2021 ◽  
pp. 147130122110320
Author(s):  
Dovrat Harel ◽  
Tova Band-Winterstein ◽  
Hadass Goldblatt
Keyword(s):  
Sexual Assault ◽  
Meaning Making ◽  
Psychological Symptoms ◽  
Single Case ◽  
Intimate Relationship ◽  
Older Woman ◽  
Structured Interviews ◽  
Narrative Case Study ◽  
As If

Background Hypersexuality is one of the behavioral and psychological symptoms of dementia. This symptom can lead to poor quality of life for the person who lives with dementia, as well as for his or her caregiver, who might be exposed to sexual assault. Aim This study aimed to highlight the experience of an older woman living and coping with a spouse who exhibits dementia-related hypersexuality. Method A narrative case-study of a single case was designed, composed of four semi-structured interviews conducted over a 10-month period. The data were analyzed through thematic, structural, and performance analysis. Findings Four phases were revealed, depicting the experience of being a partner and caregiver of a spouse with dementia-related hypersexuality: a) “I need help”: A distress call; b) “It depends how long I agree to go on with it”: Living with the ambiguous reality of dementia-related hypersexual behavior within an ongoing intimate relationship; c) “It’s as if I’m hugging someone who’s no longer alive”: The transition from the previous couplehood identity to a new couplehood identity; and d) “I am just taking care of him as if he is a child”: A compassionate couplehood identity construction. Conclusions Living with a partner with dementia-related hypersexuality is a distressing experience for the caregiver-spouse. Yet, positive memories from a long intimate relationship can lead to the creation of a compassionate identity, which supports the caregiving process, and creates a sense of acceptance and meaning making. This, in turn, enables a positive aging experience. These finding have some practical implications for supporting and intervening in such cases.

scholarly journals Sustainability Practice of a Multinational Oil Company in Nigeria: A Case Study

2017 ◽  
Vol 7 (1) ◽  
pp. 29
Author(s):  
Charles Afam Anosike
Keyword(s):  
Nonprofit Organizations ◽  
Oil Spills ◽  
Single Case ◽  
Community Relations ◽  
Structured Interviews ◽  
Oil Companies ◽  
Study Approach ◽  
High Level ◽  
Oil Company

Environmental degradation and socioeconomic dilemma continue to affect agricultural productivity in the Niger Delta of Nigeria. Several works of literature confirm the high level of pollution and contamination of land and water as a result of over 50 years of oil production in the region. The effects of environmental pollution continue to aggravate the hardship of the local people, which generates development friction, threaten oil operation, and mutually contrive relational efforts, by so invoking mistrust between oil companies and the host communities. Sustainability programs of oil companies often provide the channel to engage and promote community relations from which projects are conceived and executed. Despite sustainability efforts of oil companies, the region continues to experience oil spills and environmental degradation.Hence, the current research explores the sustainability efforts of a multinational oil company to establish whether the company’s leadership makes environmental considerations and to identify possible corrections that could be adopted to achieve sustainable value. For this purpose, the paper employed a single case study approach using open-ended interview sessions in collecting data. Research data were gathered from a sample of 20 experienced sustainability practitioners of the oil company, partnering nonprofit organizations, and community leaders through face-to-face semi-structured interviews. Data were segmented and categorized. The data analysis process revealed several themes regarding the challenges and shortfalls of sustainability programs in the region. The evidence found suggests that implementing a transparent and inclusive sustainability management system is essential to enable a systems view in contemplating sustainability programs. In so doing, oil MNCs leaders could enable effective environmental consideration in their sustainability programs to help reinvigorate productive agriculture and ensure continuing oil operation.

Sanctioned to Survive: How Foreign Firms Perform when Economic Sanctions Affect their Business Relationships—A Study of Contemporary Economic Sanction Actions and their Impact

2017 ◽  
Vol 16 (5) ◽  
pp. 501-538
Author(s):  
Blaine Stout
Keyword(s):  
Single Case ◽  
Economic Sanctions ◽  
The United States ◽  
Study Strategies ◽  
Foreign Firms ◽  
Case Study Methodology ◽  
Exxon Mobil ◽  
Historical Accounts ◽  
The Impact

Abstract The intent of this study is to examine the effects of economic sanctions on companies with significant fdi operating in the sanctioned country. Using case study methodology, we consider the impact of sanctions imposed on the Russian Federation (rf) by the United States of America for its intrusion into the sovereign rights of Ukraine. Past sanction events in South Africa and pre-rf formation are reviewed. Two measurable frameworks are developed to study strategies based on ‘divestment and non-divestment’ (Malone and Goodin 1997) dimensions and coupled with variables related to ‘direct and indirect’ effects on financial performance, forgone potential, (Losman 1988) and foreign direct investment (Biglaiser and Lektzian 2011). This research also relies on the historical accounts of Hufbauer et al. (2007) for the compilation of facts related to economic sanctions. Through literature review, the study asks: 1) Strategically, how does a company respond to the economic sanctions imposed by its home country on the sanctioned country in which it has significant fdi? 2) Financially, how do economic sanctions affect the company’s performance and fdi? and 3) Organizationally, how do economic sanctions affect the relationships with those recipient companies of fdi? The study focus is on the energy industry in which the rf economy relies upon for 40 percent of its sustainability and the company of focus is Exxon Mobil (xom). The author readily acknowledges that a single case study may not provide the degree of conclusiveness found in a cross-case study format. However, the outcome of the study does provide a template for use in future case reviews.

Three stages of entrepreneurial orientation: the founder’s role

2019 ◽  
Vol 26 (2) ◽  
pp. 285-306 ◽  
Author(s):  
Torbjörn Ljungkvist ◽  
Börje Boers ◽  
Joachim Samuelsson
Keyword(s):  
Entrepreneurial Orientation ◽  
Single Case ◽  
Annual Reports ◽  
Structured Interviews ◽  
Theoretical Understanding ◽  
Content Type ◽  
Five Dimensions ◽  
The Impact ◽  
Over Time

Purpose The purpose of this paper is to understand the development of the five dimensions of entrepreneurial orientation (EO) over time by taking a founder’s perspective. Design/methodology/approach The paper draws on an in-depth single-case study. It combines semi-structured interviews in the company with archival data, such as annual reports, press clips and interviews in business magazines. Findings The results indicate that the EO dimensions change from being personalized and directly solution-oriented to being intangible value-creation-oriented. Originality/value By suggesting ownership-based EO configurations, this study contributes insights into how different ownership forms propel EO. These configurations – that is, personal, administrative based and intangible focused – show the impact of the EO dimensions and provide a systematic and theoretical understanding of EO change over time.

Losing a Friend

2021 ◽  
pp. 1158-1174
Author(s):  
Tamara L. Wandel
Keyword(s):  
Social Media ◽  
Children And Adolescents ◽  
Media Consumption ◽  
Depth Information ◽  
Older Children ◽  
Structured Interviews ◽  
Case Study Methodology ◽  
Study Methodology

This chapter focuses on the role of social media consumption on older children and adolescents during the bereavement process of a childhood friend. Using case study methodology surrounding an 11-year-old girl's tragic death, surveys were administered to peers and semi-structured interviews with peers, counselors, and the deceased's mother were conducted in order to collect in-depth information on the opinions and feelings of those utilizing social media as they cope with loss, specifically the loss of a friend. The idea of virtual mourning is significant to explore as social media is ubiquitous for most older children and adolescents.

Sustainable Entrepreneurship, Family Farms and the Dairy Industry

2022 ◽  
pp. 898-916
Author(s):  
Vanessa Ratten ◽  
Leo-Paul Dana
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Family Farms ◽  
Structured Interviews ◽  
Regional Competitiveness ◽  
Agricultural Industry ◽  
Study Approach ◽  
International Standing ◽  
Entrepreneurial Strategies

There has been increasing recognition that for regional competitiveness in rural areas there needs to be a focus on sustainable farming initiatives especially for family farms that are competing with global conglomerates. Family farms, whilst declining in number, are the purpose of this paper studying the rural entrepreneurship in family farms as they are at the heart of rural communities and the overall agricultural industry and comprise a high percentage of total farms. This paper takes a case study approach using in-depth semi structured interviews to delve into the types of entrepreneurial strategies that are distinctive of family farms in terms of their sustainability approach to farming. Dairy farms in the West Victorian area of Australia are studied and the findings suggest that family farms can increase their regional competitiveness and international standing by focusing on their collaborative, social and sustainable entrepreneurial strategies.

scholarly journals COVID-19 School Closure-Related Changes to the Professional Life of a K–12 Teacher

2020 ◽  
Vol 10 (6) ◽  
pp. 165 ◽  
Author(s):  
Ute Kaden
Keyword(s):  
Online Learning ◽  
Online Education ◽  
Single Case ◽  
School Teacher ◽  
Well Being ◽  
School Closure ◽  
Professional Life ◽  
Case Study Methodology ◽  
K 12

The COVID-19 pandemic forced K–12 school closures in spring 2020 to protect the well-being of society. The unplanned and unprecedented disruption to education changed the work of many teachers suddenly, and in many aspects. This case study examines the COVID-19 school closure-related changes to the professional life of a secondary school teacher in rural Alaska (United States), who had to teach his students online. A descriptive and explanatory single case study methodology was used to describe subsequent impacts on instructional practices and workload. Qualitative and quantitative data sources include participant observations, semi-structured interviews, artifacts (e.g., lesson plans, schedules, online time), and open-ended conversations. The results of this study demonstrate an increase and change in workload for the teacher and that online education can support learning for many students but needs to be carefully designed and individualized to not deepen inequality and social divides. The forced move to online learning may have been the catalyst to create a new, more effective hybrid model of educating students in the future. Not one single model for online learning will provide equitable educational opportunities for all and virtual learning cannot be seen as a cheap fix for the ongoing financial crisis in funding education.

Haute cuisine and country of origin

2019 ◽  
Vol 122 (1) ◽  
pp. 136-150 ◽  
Author(s):  
Angelo Presenza ◽  
Antonio Messeni Petruzzelli
Keyword(s):  
Single Case ◽  
Relative Effectiveness ◽  
Country Of Origin ◽  
Competitive Strategies ◽  
Case Study Methodology ◽  
Content Type ◽  
Study Methodology ◽  
Practical Implications

Purpose The purpose of this paper is to shed new light on the role of country of origin (COO) for the competitiveness of luxury restaurants. The main goal is to understand how an haute cuisine (HC) chef can develop a personal cooking style and language based on the exploitation of COO in such a highly institutionalized field. Design/methodology/approach A single case study methodology is applied based on the analysis of the Italian HC chef Niko Romito. Findings Findings of this paper highlight the existence of pervasive use of strategies based on the search, recombination and codification of procedure that take direct inspiration by national and regional traditional gastronomic resources and recipes. Research limitations/implications Research implications refer to the interpretation of how a chef can work by formulating and developing competitive strategies through the recombination, reinterpretation and codification of local and typical gastronomic resources and cooking recipes. Practical implications The paper provides managerial insights into the relative effectiveness to use COO as a strategic resource for HC restaurants. Originality/value A model is presented and the three gears that form the COO chain of chef Romito are explained. This model will help academics and practitioners to better understand the ways need to be followed to improve firms’ competitiveness fostering COO.

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