Internet Usage of International Small- and Medium-Sized Enterprises: Lessons Learned From a Multiple Case Study

The paper describes findings from a multiple case study about the innovation management challenges of a system integrator (SI) whose operation is characterized by a high demand of innovation and whose focus of integration capabilities is, accordingly, changing from component assembly to knowledge integration. The study involved six diverse case firms, and it applied the methodology of qualitative research. Innovation networks orchestrated by the SI were categorized, according to the way in which knowledge and intellectual property (IP) were explored and exploited in the network, to sourcing (transaction) and co-creation types of networks. The research question of the study was, what aspects of sourcing networks and of co-creation networks support or hinder networked innovation from the viewpoint of a SI and innovation management? After iteratively addressing the lessons learned from literature and empirical case findings, sets of supporting and hindering aspects were presented as implications of the study.

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What we learned about using telerehabilitation combined with exergames, from clinicians and chronic stroke survivors: A multiple case study (Preprint)

10.2196/preprints.31305 ◽

2021 ◽

Author(s):

Dorra Rakia Allegue ◽

Dahlia Kairy ◽

Johanne Higgins ◽

Philippe S Archambault ◽

Francois Michaud ◽

...

Keyword(s):

Virtual Reality ◽

Motivational Interviewing ◽

Multiple Case Study ◽

Psychological Needs ◽

Chronic Stroke ◽

Lessons Learned ◽

Stroke Survivors ◽

Multiple Case ◽

The Impact

BACKGROUND In Canada, chronic stroke survivors have difficulty accessing community-based rehabilitation services, due to lack of resources. VirTele, a personalized remote rehabilitation program combining virtual reality exergames and telerehabilitation, was developed to offer chronic stroke survivors the opportunity to pursue rehabilitation of their affected upper extremity (UE) at home, while receiving ongoing monitoring by a clinician. OBJECTIVE The objectives of this study were to: 1) Explore the determinants of VirTele use among chronic stroke survivors and clinicians; 2) Identify indicators of support of psychological needs by clinicians, during VirTele intervention; and 3) explore indicators of empowerment among stroke survivors. METHODS This multiple case study involved three chronic stroke survivors participating in a VirTele intervention and their respective clinicians (physiotherapists). VirTele is a two-month remote rehabilitation intervention, using non immersive virtual reality exergames and telerehabilitation aimed at improving UE deficits in chronic stroke survivors. Study participants had autonomous access to Jintronix exergames, which they were asked to use 5 times a week for 30 minutes periods. VirTele also included videoconference sessions with a clinician, 1 to 3 times a week (1-hour duration), using the Reacts application. During these sessions, the clinician was able to engage in motivational interviewing, supervise the stroke survivors’ use of the exergames and monitor the use of the affected UE through activities of daily life. Semi-directed interviews were conducted 4 to5 weeks after the end of the VirTele intervention. Two interview guides, adapted for clinicians and stroke survivors respectively, were developed to facilitate the interview administration while allowing new codes to emerge. All interviews were audiotaped and transcribed verbatim. RESULTS Three stroke survivors (2 females and 1 male), with a mean age of 58.8 years (SD=19,4), and two physiotherapists participated in the study. Five major determinants of VirTele use emerged from the qualitative analyses, namely the technology performance (usefulness, perception of exergames), effort (ease of use), entourage support (encouragement), facilitators (stroke survivors’ safety, trust and understating of instructions), and challenges (miscommunication, exergames limits). At the end of the VirTele intervention, both clinicians demonstrated support of psychological needs, in terms of autonomy, competence and relatedness, all of which were reflected as empowerment indicators in the three-stroke survivors. Lessons learned from using telerehabilitation combined with exergames were provided, which will be relevant to other researchers and transferable to other populations and contexts. CONCLUSIONS This multiple case study provided a first glimpse at the impact that motivational interviewing can have on adherence to exergames and behavior modification of UE use in stroke survivors. Five major determinants of VirTele use have been identified, namely technology performance, effort, entourage support, facilitators and challenges. Lessons learned from these determinants may serve as a model to guide the implementation of similar interventions. INTERNATIONAL REGISTERED REPORT RR2-10.2196/14629

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Industry 4.0 and the New Simulation Modelling Paradigm

Organizacija ◽

10.1515/orga-2017-0017 ◽

2017 ◽

Vol 50 (3) ◽

pp. 193-207 ◽

Cited By ~ 66

Author(s):

Blaž Rodič

Keyword(s):

Industry 4.0 ◽

Real Life ◽

Multiple Case Study ◽

Simulation Modelling ◽

Lessons Learned ◽

New Paradigm ◽

Scientific Publications ◽

Case Study Methodology ◽

Multiple Case

Abstract Background and Purpose: The aim of this paper is to present the influence of Industry 4.0 on the development of the new simulation modelling paradigm, embodied by the Digital Twin concept, and examine the adoption of the new paradigm via a multiple case study involving real-life R&D cases involving academia and industry. Design: We introduce the Industry 4.0 paradigm, presents its background, current state of development and its influence on the development of the simulation modelling paradigm. Further, we present the multiple case study methodology and examine several research and development projects involving automated industrial process modelling, presented in recent scientific publications and conclude with lessons learned. Results: We present the research problems and main results from five individual cases of adoption of the new simulation modelling paradigm. Main lesson learned is that while the new simulation modelling paradigm is being adopted by big companies and SMEs, there are significant differences depending on company size in problems that they face, and the methodologies and technologies they use to overcome the issues. Conclusion: While the examined cases indicate the acceptance of the new simulation modelling paradigm in the industrial and scientific communities, its adoption in academic environment requires close cooperation with industry partners and diversification of knowledge of researchers in order to build integrated, multi-level models of cyber-physical systems. As shown by the presented cases, lack of tools is not a problem, as the current generation of general purpose simulation modelling tools offers adequate integration options.

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Exploring How and Why to Develop Patient-Centered Packaging: A Multiple-Case Study with Pharmaceutical Companies

Therapeutic Innovation & Regulatory Science ◽

10.1007/s43441-021-00338-0 ◽

2021 ◽

Author(s):

Giana Carli Lorenzini ◽

Annika Olsson

Keyword(s):

Drug Development ◽

Case Study Research ◽

Multiple Case Study ◽

Business Case ◽

Lessons Learned ◽

Pharmaceutical Companies ◽

Research Approach ◽

Patient Centered ◽

Multiple Case

Abstract Background Patient centricity has gained attention ranging from regulatory authorities to patient advocacy groups, calling for pharmaceutical companies to revise their traditional business approach to drug development by including the development of solutions that are meaningful in patients’ lives. Medication packaging is one area where empirical evidence is lacking about the incorporation of patient centricity. This study aimed to explore patient centricity applied to pharmaceutical companies’ packaging, and to identify the specific challenges faced and lessons learned when developing patient-centered packaging. Methods The study followed a multiple-case study research approach based on five cases of patient-centered packaging development in mid- and large-sized pharmaceutical companies. Results Patient-centered packaging is often associated with the intuitive and self-explanatory use of the medication by patients. Patient-centered packaging comes with challenges, but also offers opportunities for the creation of better solutions for patients and learning for the teams involved. To overcome these challenges, it is essential to build a business case that justifies such development, one where patient needs are present from the start and aligned with other imperative deadlines of drug development, with stakeholders onboard. Conclusion Patient-centered packaging is the exception rather than the norm in packaging development due to a conventional approach where packaging plays an ancillary role to drug protection. The cases presented here challenge this approach and can inspire other companies to carry out patient-centered packaging development. The cases are also relevant to other actors who are interested in continuously promoting the dialogue about patient centricity in healthcare.

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Lessons learned from participatory research to enhance client participation in long-term care research: a multiple case study

Research Involvement and Engagement ◽

10.1186/s40900-020-00187-5 ◽

2020 ◽

Vol 6 (1) ◽

Author(s):

Aukelien Scheffelaar ◽

Nanne Bos ◽

Marjan de Jong ◽

Mattanja Triemstra ◽

Sandra van Dulmen ◽

...

Keyword(s):

Participatory Research ◽

Long Term Care ◽

Multiple Case Study ◽

Lessons Learned ◽

Client Participation ◽

Term Care ◽

Care Research ◽

Multiple Case

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Learning from Public Health and Hospital Resilience to the SARS-CoV-2 Pandemic: Protocol for a Multiple Case Study (Brazil, Canada, China, France, Japan, and Mali).

10.21203/rs.3.rs-177881/v1 ◽

2021 ◽

Author(s):

Valery Ridde ◽

Lara Gautier ◽

Christian Dagenais ◽

Fanny Chabrol ◽

Renyou Hou ◽

...

Keyword(s):

Public Health ◽

Disease Surveillance ◽

Multiple Case Study ◽

Lessons Learned ◽

Contact Tracing ◽

Research Approach ◽

Study Approach ◽

Multiple Case ◽

Nested Analysis

Abstract Background: All prevention efforts currently being implemented for COVID-19 are aimed at reducing the burden on strained health systems and human resources. There has been little research conducted to understand how SARS-CoV-2 has affected healthcare systems and professionals in terms of their work. Finding effective ways to share the knowledge and insight between countries, including lessons learned, is paramount to the international containment and management of the COVID-19 pandemic. The aim of this project is to compare the pandemic response to COVID-19 in Brazil, Canada, China, France, Japan, and Mali. This comparison will be used to identify strengths and weaknesses in the response, including challenges for health professionals and health systems.Methods: We will use a multiple case study approach with multiple levels of nested analysis. We chose these countries as they represent different continents and different stages of the pandemic. We will focus on several major hospitals and two public health interventions (contact tracing and testing). It is a multidisciplinary research approach that will use qualitative data through observations, document analysis, and interviews, as well as quantitative data based on disease surveillance data and other publicly available data. Given that the methodological approaches of the project are largely qualitative, the ethical risks are minimal. For the quantitative component, the data being used are publicly available.Discussion: We will deliver lessons learned based on a rigorous process and on strong evidence to enable operational-level insight for national and international stakeholders.

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Die Problematik der Implementierung von Kinästhetik in Einrichtungen der stationären Langzeitpflege – Eine Multiple Case-Study

Pflege ◽

10.1024/1012-5302/a000780 ◽

2020 ◽

pp. 1-9

Author(s):

Carola Maurer ◽

Heidrun Gattinger ◽

Hanna Mayer

Keyword(s):

Multiple Case Study ◽

Multiple Case

Zusammenfassung. Hintergrund: Einrichtungen der stationären Langzeitpflege investieren seit Jahren Ressourcen in die Entwicklung der Kinästhetikkompetenz der Pflegenden. Aus aktuellen Studien geht hervor, dass die Implementierung, bzw. die nachhaltige Förderung der Kinästhetikkompetenz problematisch ist, vertiefte Erkenntnisse zu den Ursachen fehlen jedoch. Fragestellung: Welche Hemmnisse verhindern eine nachhaltige Implementierung von Kinästhetik in Einrichtungen der stationären Langzeitpflege? Methode: Es wurde eine Multiple Case-Study in drei Einrichtungen der deutschsprachigen Schweiz durchgeführt. Aus leitfadengestützten Interviews und (fallbezogener) Literatur zum externen Kontext wurden in den Within-Case-Analysen die Daten induktiv verdichtet und diese Ergebnisse in der Cross-Case-Synthese miteinander verglichen und abstrahierend zusammengeführt. Ergebnisse: Die Synthese zeigt, dass die Implementierung von Kinästhetik innerhalb der Einrichtung auf drei verschiedenen Ebenen – der Leitungs-, Pflegeteam- und Pflegeperson-Ebene – als auch durch externe Faktoren negativ beeinflusst werden kann. Schlussfolgerungen: In der Pflegepraxis und -wissenschaft sowie im Gesundheitswesen benötigt es ein grundlegendes Verständnis von Kinästhetik und wie dieses im Kontext des professionellen Pflegehandelns einzuordnen ist. Insbesondere Leitungs- und implementierungsverantwortliche Personen müssen mögliche Hemmnisse kennen, um entsprechende Strategien entwickeln zu können.

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