scholarly journals Nursing handover in the Indonesian hospital context: Structure, process, and barriers

2021 ◽  
Author(s):  
Krisna Yetti ◽  
Nani Asna Dewi ◽  
Sri Herni Wigiarti ◽  
Dina Warashati

Background: Nursing handover is an essential part of nursing practice to safe patient care, which occurs among nurses between shifts for transferring professional responsibility and accountability. However, there is limited information about the implementation and evaluation of nursing handover in Indonesian hospitals. Objective: This study aimed to describe the structures, processes, and barriers of the nursing handover in the Indonesian hospital context. Methods: This study employed a case study design in five inpatient units, especially in the medical-surgical wards of a referral hospital in Indonesia. The study was conducted from August to November 2018. A total of 100 handovers and 76 nurses were included. Focus group discussions were conducted in head nurses, nurse team leaders, and registered nurses. Observations were implemented to capture the handover process, including the number of the nurses in and out and the content of the information covered situation, background, assessment, and recommendations (SBAR). Data were analyzed using content analysis and fishbone analysis.Results: The nursing handover consisted of three phases: before, during, and after. The handover barriers were divided into manpower, material, money, method, environment, and machine. The content of handover varied according to nurses’ familiarity with the patients and their complexity. The nurses also actively participated during the handover process, although some nurses were absent in the handover time. About 75% of nurses had sufficient knowledge about the shift handover process using SBAR. The SBAR was adopted as a standard for handover, but no specific guideline or standard operating procedure.Conclusion: The results of this study can be used as basic information to develop a guideline of nursing handover and supervision in the context of hospitals in Indonesia and beyond.  This study was funded by the Department of Nursing, Universitas Indonesia, Indonesia.

2020 ◽  
Vol 4 (2) ◽  
pp. 14-20
Author(s):  
Audrey Muyuni ◽  
Austin M. Cheyeka

The study sought to investigate the reasons that led to youth conversion from mainstream to Pentecostal churches in Emmasdale and in the neighbourhood of Matero. The study was guided by Horton’s intellectualist theory of conversion in Africa. It used a case study design. The method of data collection included semi-structured interviews, focus group discussions and questionnaire. Findings of the study were that, there was automatic conversion taking place among the youths in mainstream churches to Pentecostalism. This was evident in all respondents in mega Pentecostal Church who had a mainstream background. Church leaders in mainstream churches were aware of youth converting to Pentecostal churches by accepting back the youths who had converted to a Pentecostal Church but had later made up their minds to go back. The study further revealed that non-Pentecostal parents supported and encouraged their children who converted to a mega Pentecostal Church owing to incentives such as; scholarships, employment and supportive programmes provided to their children. The study recommends that: sermon presentation should be revised in some mainstream churches. Explaining scriptures should not be exegetical only but linking scriptures to real life struggles of the youth. The church leaders in mainstream churches must formulate programmes that are more practical and youth oriented like charismatic prayer service, provision of scholarship, employment and positions of responsibilities through different ministries within the mainstream churches. Non-Pentecostal parents should not be too sceptical about children who associate themselves with Pentecostalism but encourage them to genuinely convert to this brand of Christianity.


2020 ◽  
Vol 7 (2) ◽  
pp. 78-85
Author(s):  
Ketemaw Tiruneh Muluye

The purpose of this research was to examine the implementation of Active Learning Strategies (ALSs) in logic and critical thinking classrooms by focusing on freshman students of Gondar University. For this purpose, a concurrent triangulation mixed approach and case study design were employed. The data were collected through questionnaires (n=361), interviews and document analysis. Accordingly, the utilization of ALSs in logic and critical thinking classrooms is found to be negligible. Though buzz group discussions and presentations were found to be preferable as compared to other ALSs, they are utilized in a rare manner. Factors related with the directives of the Ministry, motivation of the instructors and students were found to have an influence on the utilization of ALSs. This implies though the Ministry claims that it is committed for the utilization of ALSs, its directives are not found to be complimentary with its rhetoric for the utilization of ALSs. Int. J. Soc. Sc. Manage. Vol. 7, Issue-2: 78-85


2020 ◽  
Vol 19 (4) ◽  
pp. 525-540
Author(s):  
Samuel Mugedya ◽  
Simon M Kang’ethe ◽  
Thanduxolo Nomngcoyiya

Abstract Literature studies have shown that older persons face an array of challenges, among them parenting a delinquent grandchild. This study adopted both a qualitative approach and paradigm, supported by an explorative and a descriptive case study design. The study sampled eleven participants, and data were collected using in-depth interviews and focus group discussions with grandparents, a community committee member, and probation officers. Measures employed by grandparent households in tandem with the Department of Social Development were unearthed. These included, but were not limited to, corporal punishment, seeking assistance from relatives, seeking assistance from social workers, and creating attachment. This article recommends that the government prioritize the grandparents’ vulnerability to the dangers of parenting difficult children, either by freeing them from such a harmful environment, or putting measures in place to manage children in conflict with the law, with special attention to grandparent-headed households.


2018 ◽  
Vol 8 (3) ◽  
pp. 42
Author(s):  
Sakwa Jedidah M ◽  
Odiemo Luke Okunya

Cultural practices and myths around menstruation undermine the scientific conception of this aspect concept among learners in Africa. Distorted understanding of menstrual cycle hinders the development of the appropriate life-skills with regard to human sexuality, as evidenced by the prevalence of teenage pregnancy among Kenyan youths. This paper assesses students’ understanding of menstrual cycle in Navakholo sub-county, Kakamega County, Kenya. A case study design was used to collect quantitative and qualitative data from 82 students aged between 13 and 19 years in two secondary schools. Questionnaire, Focus Group Discussions and Key Informant Interviews Guides were used to collect data. The findings indicated that majority of the students (74.4%) had basic understanding while 21 (25.6%) students achieved intermediate understanding. None of the students achieved full comprehensive understanding of menstrual cycle. Their understanding was distorted by cultural knowledge about menstruation.


2021 ◽  
Vol 6 (2) ◽  
pp. 59-64
Author(s):  
Charles Owusu-Aduomi Botchwey

Background: Provision of quality and accessible health services comes with its challenges. Therefore, the need to highlight how motivation and job satisfaction can impact nurses’ performances at the Korle-Bu teaching hospital. Objectives: The research aimed to practically highlight nurses’ motivation and job satisfaction by identifying what constituted motivation packages of nurses and how the work they did could give them satisfaction at the Korle-Bu teaching hospital. Methods: The research employed a qualitative method with a case study design. In-depth interviews and focus group discussions (data triangulation) were used for primary data collection. A total of 40 respondents, including ten key informants, were selected using the purposive and convenience sampling techniques. Results: The research found that the recognition of needs of nurses, improved remunerations, enhanced conditions of service of the nurses’, regular payment of nurses’ salaries’, the institution of study leave with pay policy, among others, were considered as factors that could contribute to nurses’ motivation and job satisfaction. These findings are consistent with the findings of other studies. Again, the study found that professional allowances paid to nurses, reduced rent, and the like are current motivation packages directed at nurses at the Korle-Bu teaching hospital. Conclusion: It is important to state that for motivation to accomplish its intended purpose, there is the need for the hospital to identify the individual needs to satisfy to enhance job satisfaction.


Author(s):  
Silas Sithole ◽  
Dairai Darlington Dziwa ◽  
Melody Matsvange

Continuous assessment is an integral part of the instruction as it determines whether the goals of education are being met during or at the end of the instructional period. The updated curriculum (2015-2022) in the Zimbabwean Primary and Secondary Schools introduced the continuous assessment which was abandoned a few months after its inception. This study sought to evaluate from the teachers’ perspective the challenges which led to premature abandoning of the continuous assessment aspect. Qualitative approach was employed and the case study design. Questionnaires and focus group discussions were used as the data generation tools. A total of 55 in-service teacher education students at a University in Zimbabwe were conveniently sampled to participate in the study since they were the information rich cases. The study revealed that teachers were not prepared to implement the continuous assessment for various reasons. There was poor planning, preparation and implementation of the curriculum innovation. In the light of these findings, the study recommends that staff development programs for teachers as well as adequate consultations should be done before implementing new curriculum innovations.


2017 ◽  
Vol 1 (1) ◽  
pp. 70
Author(s):  
Yerly Datu

Speaking anxiety becomes one of the toughest barriers in EFL learning. In the meantime, speaking competence is paramount for vocational graduates at job market. Therefore, big and continuous efforts must be done to maximize the learning outcome. This paper aims to examine how active and guided peer mentoring among learners can actually decrease anxiety of vocationa learners. For the purpose, qualitative research employing a case study design involving fourteen participants of vocational learners taking Speaking II was conducted. Stages including peer mentor screening, peer mentor preparation for guidance, peer mentoring activities, peer mentoring monitoring were applied. Responses from Focus Group Discussions (FGD) among mentors and participants being mentored were collected and analyzed afterwards. Recommendations were also made from best practices generated.                    


2018 ◽  
Vol 3 (S1) ◽  
pp. 1 ◽  
Author(s):  
Dhavidan Sivalingam ◽  
Murugan Subbaiyan

Today’s youth have unprecedented access to modern technology and use them in expected and unexpected ways. Youth spend many hours a day using the technology, and the vast majority of them have access to Internet, cell phones, smart phone, video games and many more. Recent evidence raises concern about effects on academic performance. This chapter provides an overview of the impact of modern technology on the educational attainment of adolescents. The purpose was to examine the relationship between adolescent usage of computers and academic performance. Within the qualitative research the case study design was adopted. Interviews and focus group discussions were the primary tools used to gather data. The study found out that modern technology impacts learning both positively and negatively. Recommendations were made for parents, educationists, the media, and policy makers among others, for ways to increase the benefits and reduce the harm that technology can have for adolescents.


2018 ◽  
Vol 4 (1) ◽  
pp. 295-313 ◽  
Author(s):  
Karley A Riffe

Faculty work now includes market-like behaviors that create research, teaching, and service opportunities. This study employs an embedded case study design to evaluate the extent to which faculty members interact with external organizations to mitigate financial constraints and how those relationships vary by academic discipline. The findings show a similar number of ties among faculty members in high- and low-resource disciplines, reciprocity between faculty members and external organizations, and an expanded conceptualization of faculty work.


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