Bureaucratic organization and innovation : a mixed-methods study of U.S. State Department of Transportation website adoption

2017 ◽  
Author(s):  
◽  
A. J. Million
Keyword(s):  
Mixed Methods ◽  
Online Survey ◽  
State Level ◽  
State Department ◽  
Third Parties ◽  
Department Of Transportation ◽  
Structured Interviews ◽  
University Of Missouri ◽  
Bureaucratic Organization ◽  
Barriers To Change

[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI AT AUTHOR'S REQUEST.] This study explores bureaucratic organization and innovation in U.S. state department of transportation (DOT) websites. To determine if working with third parties fosters change in state DOT websites, it employs a two-part, explanatory sequential mixed-methods design. In phase one, an online survey was disseminated to IT managers and communications officers in all 50 states to collect data regarding agency demographics, bureaucratic models, and Web infrastructure. In total, 45 valid responses (or 90 percent) were received from DOTs indicating that most built, hosted, and managed their websites in-house, but that state-level IT consolidations required many to pool resources with third parties. In research phase two, 12 semi-structured interviews were conducted of a maximum variation sample of survey respondents. These interviews were conducted to explain why DOTs built and operated their websites with the support of third parties. Employing a grounded theoretical approach, analysis revealed 6 themes explaining website adoption and showed that working with third parties can foster innovation; however, not all change is positive. Therefore, a need exists for governments to selectively work with others, ascertain future barriers to change, and ensure that adopted innovations meet desired ends. Finally, five best practices informed by study findings are presented that may help decision-makers and civil servants provide e-government services in a flexible manner.

scholarly journals Development of a tool for identifying and addressing prioritised determinants of quality improvement projects led by healthcare professionals: a mixed-methods study

2020 ◽  
Author(s):  
Anne van Tuijl ◽  
Hub C. Wollersheim ◽  
Cornelia R.M.G. Fluit ◽  
Petra. J. van Gurp ◽  
Hiske Calsbeek
Keyword(s):  
Quality Improvement ◽  
Mixed Methods ◽  
Online Survey ◽  
Healthcare Professionals ◽  
Learning By Doing ◽  
Mixed Methods Study ◽  
Quality Improvement Initiative ◽  
Structured Interviews ◽  
Priority Score ◽  
A Priority

Abstract Background: Several frameworks have been developed to identify essential determinants for healthcare improvement. These frameworks aim to be comprehensive, leading to the creation of long lists of determinants that are not prioritised based on being experienced as most important. Furthermore, most existing frameworks do not describe the methods or actions used to identify and address the determinants, limiting their practical value. The aim of this study is to describe the development of a tool with prioritised facilitators and barriers supplemented with methods to identify and address each determinant. The tool can be used by those performing quality improvement initiatives in healthcare practice. Methods: A mixed-methods study design was used to develop the tool. First, an online survey was used to ask healthcare professionals about the determinants they experienced as most facilitating and most hindering during the performance of their quality improvement initiative . A priority score was calculated for every named determinant, and those with a priority score ≥ 20 were incorporated into the tool. Semi-structured interviews with implementation experts were performed to gain insight on how to analyse and address the determinants in our tool Results: The 25 healthcare professionals in this study experienced 64 facilitators and 66 barriers when performing their improvement initiatives. Of these, 12 facilitators and nine barriers were incorporated into the tool. Sufficient support from management of the department was identified as the most important facilitator, while having limited time to perform the initiative was considered the most important barrier. The interviews with 16 experts in implementation science led to various inputs for identifying and addressing each determinant. Important themes included maintaining adequate communication with stakeholders, keeping the initiative at a manageable size, learning by doing and being able to influence determinants. Conclusions: This paper describes the development of a tool with prioritized determinants for performing quality improvement initiatives with suggestions for analysing and addressing these determinants. The tool is developed for those engaged in quality improvement initiatives in practice, so in this ways it helps to bridging the research to practice gap of determinants frameworks. More research is needed to validate and develop the tool further.

scholarly journals P.024 Educational needs in migraine care: results from a mixed-methods study among Canadian primary care providers and specialists

2018 ◽  
Vol 45 (s2) ◽  
pp. S22-S22
Author(s):  
S Peloquin ◽  
E Leroux ◽  
G Shapero ◽  
S Labbe ◽  
S Murray ◽  
...  
Keyword(s):  
Mixed Methods ◽  
General Practitioners ◽  
Online Survey ◽  
Medical Training ◽  
Phase 1 ◽  
Primary Care Providers ◽  
Educational Needs ◽  
Phase 2 ◽  
Care Providers ◽  
Structured Interviews

Background: Migraines are sub-optimally treated, affect millions of Canadians, and are underrepresented in medical training. A study was conducted to identify the needs of Canadian Healthcare Providers (HCPs) for migraine education, with the aim to inform the development of learning activities. Methods: This ethics-approved study was deployed in two consecutive phases using a mixed-methods approach. Phase 1 (qualitative) explored the causes of challenges to migraine care via a literature review, input from an expert working group, and semi-structured interviews with multiple stakeholders. Phase 2 (quantitative) validated these causes using an online survey. Results: The study included 103 participants (28 in phase 1; 75 in phase 2): general practitioners=37; neurologists=24; nurses=14; pharmacists=20; administrators, policy influencers and payers=8. Four areas of sub-optimal knowledge were identified: (1) Canadian guidelines, (2) diagnostic criteria, (3) preventive treatment, and (4) non-pharmacological therapies. Attitudinal issues related to the management of migraine patients were also identified. Detailed data including the frequencies of knowledge gaps among general practitioners and general neurologists will be presented along with qualitative findings. Conclusions: Educational activities for general practitioners and general neurologists who treat patients with migraines should be designed to address the four educational needs described in this study.

scholarly journals Engagement with and delivery of the ‘parkrun practice initiative’ in general practice: a mixed methods study

2020 ◽  
Vol 70 (697) ◽  
pp. e573-e580
Author(s):  
Joanna Fleming ◽  
Carol Bryce ◽  
Joanne Parsons ◽  
Chrissie Wellington ◽  
Jeremy Dale
Keyword(s):  
General Practice ◽  
Mixed Methods ◽  
Focus Group ◽  
Online Survey ◽  
Mixed Methods Study ◽  
Structured Interviews ◽  
Practice Staff ◽  
Health And Wellbeing ◽  
Positive Effects ◽  
Improve Patient

BackgroundThe parkrun practice initiative, a joint collaboration between parkrun and the Royal College of General Practitioners, was launched to encourage general practices to improve the health and wellbeing of patients and staff through participating in local 5 km parkrun events. Why and how practices engage with the initiative is unknown.AimTo investigate engagement with and delivery of the parkrun practice initiative in general practice.Design and settingMixed methods study conducted from April–July 2019 comprising an online survey of all registered parkrun practices, and interviews and a focus group with practice staff in the West Midlands.MethodThe designated contacts at 780 registered parkrun practices were invited to complete an online survey. A purposive sample of parkrun practice staff and non-registered practice staff took part either in semi-structured interviews or a focus group, with transcripts analysed thematically.ResultsOf the total number of parkrun practices, 306 (39.2%) completed the survey. Sixteen practice staff (from nine parkrun practices and four non-registered practices) took part in either semi-structured interviews (n = 12) or a focus group (n = 4). Key motivators for becoming a parkrun practice were: to improve patient and staff health and wellbeing, and to become more engaged with the community and enhance practice image. Practices most commonly encouraged patients, carers, and staff to take part in parkrun and displayed parkrun flyers and posters. Challenges in implementing activities included lack of time (both personal and during consultations) and getting staff involved. Where staff did engage there were positive effects on morale and participation. Non-registered practices were receptive to the initiative, but had apprehensions about the commitment involved.ConclusionPractices were keen to improve patient and staff health. Addressing time constraints and staff support needs to be considered when implementing the initiative.

Study on the Status and Development of Ship Management Company Based the Online Survey Technology

2013 ◽  
Vol 401-403 ◽  
pp. 2298-2301
Author(s):  
Qian Wang ◽  
Bin Xie
Keyword(s):  
Online Survey ◽  
Risk Control ◽  
State Department ◽  
The State ◽  
Department Of Transportation ◽  
Maritime Safety ◽  
Management Company ◽  
Ship Management ◽  
The Status

As a newborn organization bearing the responsibility, ship management company plays more and more important role in the maritime safety and management. The article studies the concept of ship Management company, combined with several special rectification activities of The State Department of transportation, use online survey technology to analyze the reason of the problem, clarifies the position of the ship management company and gives some suggestions for the risk control and development of the company.

Gauging Pre-Service Teachers’ Awareness of Dialectical Code Switching in Classroom Settings

2019 ◽  
Vol 200 (2) ◽  
pp. 120-129
Author(s):  
Tilisa Thibodeaux ◽  
Drake Curette ◽  
Stacey Bumstead ◽  
Andrea Karlin ◽  
Gayle Butaud
Keyword(s):  
Mixed Methods ◽  
Research Design ◽  
Undergraduate Students ◽  
Mixed Methods Research ◽  
Online Survey ◽  
Code Switching ◽  
Careful Attention ◽  
Structured Interviews ◽  
Cultural Backgrounds ◽  
Linguistic Differences

This study explored pre-service teachers’ knowledge and awareness of dialectical code switching in classroom settings. A Likert-type scale survey and semi-structured interviews were conducted as part of an embedded, mixed-methods research design. Twenty-two undergraduate students responded to the online survey and 28 volunteered to be interviewed by the researchers. Results indicated that pre-service teachers have limited knowledge of code switching but felt that nurturing a relationship with students, understanding their cultural backgrounds, and paying careful attention to linguistic differences can help students feel empowered and ultimately lead to successful learning experiences in the classroom.

Stress and family relationships among college student parents: A mixed methods study

2020 ◽  
pp. 026540752097519
Author(s):  
Aryn M. Dotterer ◽  
Audrey C. Juhasz ◽  
Kristin N. Murphy ◽  
SuJung Park ◽  
Lisa K. Boyce
Keyword(s):  
Mixed Methods ◽  
College Student ◽  
Low Income ◽  
Family Relationships ◽  
Online Survey ◽  
Qualitative Interviews ◽  
Multiple Roles ◽  
Structured Interviews ◽  
External Resources ◽  
Student Parents

College student parents represent a unique population because they are typically low-income, accrue more debt than traditional students, and must balance the role of student and parent. Using a mixed methods design, this study examined the relation between college student parents’ stress and distress in their relationships with their children and examined how parents managed their multiple roles. Parent participants ( n = 80; 54 mothers, 26 fathers; M age = 28.74 years, SD = 4.72) completed an online survey and a subsample ( n = 14) participated in semi-structured interviews. Results revealed that college student parents experience a variety of stressors that spillover into their relationships with their children and these associations appear more detrimental for father-child relationships. However, in-depth qualitative interviews not only highlighted the various sources of stress (e.g., time demands, multiple roles), but also revealed internal and external resources that college student parents draw on to help cope with stressors. Findings suggest that program efforts to strengthen the co-parenting relationship and to help college student parents more effectively manage their stress may be beneficial for improved parent-child relationships.

scholarly journals Organizational Support in Healthcare Redesign Education: A Mixed-Methods Exploratory Study of Expert Coach and Executive Sponsor Experiences

2020 ◽  
Vol 17 (15) ◽  
pp. 5308 ◽  
Author(s):  
Pieter J. Van Dam ◽  
Phoebe Griffin ◽  
Gregory M. Peterson ◽  
Nicole S. Reeves ◽  
Lea Kirkwood ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Organizational Support ◽  
Online Survey ◽  
Project Based Learning ◽  
Service Improvement ◽  
Structured Interviews ◽  
Healthcare Organizations ◽  
Improvement Interventions ◽  
Competing Priorities ◽  
Workforce Needs

Healthcare organizations must continue to improve services to meet the rising demand and patient expectations. For this to occur, the health workforce needs to have knowledge and skills to design, implement, and evaluate service improvement interventions. Studies have shown that effective training in health service improvement and redesign combines didactic education with experiential project-based learning and on-the-ground coaching. Project-based learning requires organizational support and oversight, generally through executive sponsorship. A mixed-methods approach, comprising online surveys and semi-structured interviews, was used to explore the experiences of expert coaches and executive sponsors as key facilitators of workplace-based projects undertaken during an Australian postgraduate healthcare redesign course. Fifteen (54%) expert coaches and 37 (20%) executive sponsors completed the online survey. Ten expert coaches and six executive sponsors participated in interviews. The survey data revealed overall positive experiences for coaches and mixed experiences for sponsors. Interview participants expressed a sense of fulfillment that came from working with project teams to deliver a successful project and educational outcomes. However, concerns were raised about adequate resourcing, organizational recognition, competing priorities, and the skills required to effectively coach and sponsor. Expert coaches and executive sponsors sometimes felt under-valued and may benefit from cohort-tailored and evidence-based professional development.

scholarly journals Reducing the blame culture through clinical audit in nuclear medicine: a mixed methods study

JRSM Open ◽  
2017 ◽  
Vol 8 (2) ◽  
pp. 205427041668143
Author(s):  
P Ross ◽  
J Hubert ◽  
WL Wong
Keyword(s):  
Mixed Methods ◽  
Pilot Study ◽  
Performance Feedback ◽  
Online Survey ◽  
Professional Competence ◽  
Clinical Audit ◽  
Structured Interviews ◽  
Sequential Approach ◽  
Survey Question ◽  
Survey Responses

Objectives To identify the barriers and facilitators of doctors’ engagement with clinical audit and to explore how and why these factors influenced doctors’ decisions to engage with the NHS National Clinical Audit Programme. Design A single-embedded case study. Mixed methods sequential approach with explorative pilot study and follow-up survey. Pilot study comprised 13 semi-structured interviews with purposefully selected consultant doctors over a six-month period. Interview data coded and analysed using directed thematic content analysis with themes compared against the study’s propositions. Themes derived from the pilot study informed the online survey question items. Exploratory factor analysis using STATA and descriptive statistical methods applied to summarise findings. Data triangulation techniques used to corroborate and validate findings across the different methodological techniques. Setting NHS National PET-CT Clinical Audit Programme. Participants Doctors reporting on the Audit Programme. Main Outcome measures Extent of engagement with clinical audit, factors that influence engagement with clinical audit. Results Online survey: 58/59 doctors responded (98.3%). Audit was found to be initially threatening (79%); audit was reassuring (85%); audit helped validate professional competence (93%); participation in audit improved reporting skills (76%). Three key factors accounted for 97.6% of the variance in survey responses: (1) perception of audit’s usefulness, (2) a common purpose, (3) a supportive blame free culture of trust. Factor 1 influenced medical engagement most. Conclusions The study documents performance feedback as a key facilitator of medical engagement with clinical audit. It found that medical engagement with clinical audit was associated with reduced levels of professional anxiety and higher levels of perceived self-efficacy.

scholarly journals The Experiences of Healthcare Students Who Have Been Accused of Breaching Academic Integrity: A Study Protocol

2021 ◽  
Vol 20 ◽  
pp. 160940692110184
Author(s):  
Anthony Summers ◽  
Daniel Wadsworth ◽  
Karryn Bratby ◽  
Eilish Hobbs ◽  
Denise Wood
Keyword(s):  
Mixed Methods ◽  
Academic Integrity ◽  
Online Survey ◽  
Mixed Methods Design ◽  
Structured Interviews ◽  
Healthcare Students ◽  
Regional University ◽  
Equal Importance ◽  
Need Support ◽  
Study Population

Design: A mixed-methods design will be used to collect data for the study, with each stage being of equal importance. Stage one is an online survey and stage two is a series of semi-structured interviews. Context of study: To explore the experiences of healthcare students who have faced allegations of breaching academic integrity, to improve the support provided to these students. Objectives: The main objectives of this study are to explore and describe the experiences of these students to develop an understanding of the areas they need support while going through this process. Study population: Healthcare students studying at a regional university in Australia.

scholarly journals A Holistic Pedagogical Model for STEM education in schools: Its Design and Evaluation through Mixed Methods Research with Surveys and Interviews

10.29007/t43b ◽  
2019 ◽  
Author(s):  
Christian M. Stracke ◽  
Guido van Dijk ◽  
Jan Fasen ◽  
Fred Lisdat ◽  
Anita Wesolowski ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Stem Education ◽  
International Research ◽  
Mixed Methods Research ◽  
Online Survey ◽  
Training Programme ◽  
Online Course ◽  
Structured Interviews ◽  
Pedagogical Model ◽  
Research Consortium

This article discusses how to innovate school education. It provides a holistic framework for pupil-centered learning processes developed by an international research consortium. It is based on the findings from a literature review, three online survey and semi-structured interviews with participation of teachers (n=211), headmasters (n=21) and learners (n=337) from more than ten countries. The research results are used for a teacher training programme and an online course that the international research consortium is currently designing and implementing. This article presents the holistic pedagogical model Learn STEM as the first outcome of the Mixed Methods Research conducted by the international research consortium.

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