scholarly journals Management of Discharge Planning Implementation on Chronic Renal Failure Patients

2021 ◽  
Vol 3 (1) ◽  
pp. 101-108
Author(s):  
Rahayu Winarti ◽  
Dwi Retnaningsih ◽  
Priharyanti Wulandari

Patients with Chronic Renal Failure experience an inability of the body to remove metabolic waste. Hemodialysis and regulation of nutritional intake are efforts to maintain their health condition. The information provided so that patients understand and comply with the therapy is very important to prevent emergency conditions. Therefore, Discharge Planning is very important on patients with Chronic Renal Failure to provide information concerning the sustainable health needs after patients’ discharge, implementing evaluation and directing the self-care. This study aimed to determine the management of Discharge Planning implementation for clients with chronic renal failure in the Hemodialysis Room at Ungaran General Hospital. The research design used was a case study with an embedded single case study. Participants in the study were nurses and patients with Chronic Renal Failure who were selected using purposive sampling. The data were collected through semi-structured interviews and discharge planning documentation studies. The number of participants in the study were three nurse executors of hemodialysis and 3 patients who received hemodialysis therapy. Informant consent was submitted for the informants' approval prior to the interview. The data collected from the interviews were analyzed using pattern matching techniques. Based on the research, it shows that the role of nurses in the hemodialysis room is the most important in implementing Discharge Planning as educator executor, and managerial role is carried out by the head of the ward.

Dementia ◽  
2021 ◽  
pp. 147130122110320
Author(s):  
Dovrat Harel ◽  
Tova Band-Winterstein ◽  
Hadass Goldblatt

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.


2017 ◽  
Vol 7 (1) ◽  
pp. 29
Author(s):  
Charles Afam Anosike

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.


2019 ◽  
Vol 26 (2) ◽  
pp. 285-306 ◽  
Author(s):  
Torbjörn Ljungkvist ◽  
Börje Boers ◽  
Joachim Samuelsson

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.


2016 ◽  
Vol 10 (4) ◽  
Author(s):  
Intesaruk Rashid Khan ◽  
Ahmed Imran Siddiqui ◽  
Wafa Aftab

This retrospective study was conducted to find out the expected ages in the patients of hepatic cirrhosis, chronic renal failure and heart failure. This study thus covers most of the patients of out medical wards presenting with chronic illnesses. On comparison of these expected ages it is also found that the expected age in all these three groups is not much different. So, the disease process or the mechanism of the chronic disease in the body may be different, but somehow the final out come is not much different in terms of life span.


Author(s):  
Viviana Durão ◽  
António Carrizo Moreira

This chapter, based on a single case study, has as its main objective to analyze a real example of creating an inter-organizational network and to perceive what was done for the selection and creation of the strategic partnerships and inter-organizational network and what factors or conditions can inhibit these partnerships from having long-term success and throughout its life cycle. For this, a qualitative study based on action research and semi-structured interviews was conducted. Results show although many companies settle in inter-organizational networks to gain competitive advantage, cases of failure are still quite high. In this case, upstream partnerships have not been based on long-term trust and commitment, which has jeopardized the continuity of the network, although there is an express desire to re-establish contacts. The partnership established downstream did not show the same commitment to continue the partnership with a total termination of the relationship.


2020 ◽  
Vol 49 (8) ◽  
pp. 1677-1694 ◽  
Author(s):  
Georgiana-Alexandra Badoiu ◽  
Mercedes Segarra-Ciprés ◽  
Ana B. Escrig-Tena

Purpose The purpose of this paper is to provide a deeper insight into the organizational factors and personal motivations of intrapreneurs that may foster intrapreneurial behaviors of employees in a new technology-based firm (NTBF). Design/methodology/approach The paper takes a qualitative approach to explore organizational and individual antecedents of employees’ intrapreneurial behavior. A single case study was conducted on the basis of semi-structured interviews with the founders and top managers of the firm and with intrapreneurial employees. Findings Results show that intrapreneurial projects may arise in firms whose top managers support corporate entrepreneurship (CE) in a non-active manner. Intrapreneurial behaviors of employees can emerge despite the lack of time and limited resources available for undertaking projects. Moreover, work discretion and mutual confidence and the quality of the relationship between employees and top managers are the most valued factors for intrapreneurs. Practical implications Based on the intrapreneurial projects studied, this paper helps to contextualize intrapreneurs’ perception of organizational support and the personal motivations for leading projects within an NTBF. Originality/value Traditionally, the literature has mainly focused on the top-down implementation of entrepreneurial projects within large firms. This paper contributes to the understanding of the combination of firm- and individual-level factors that facilitate intrapreneurial behaviors of employees. It also illustrates the contextual conditions and the firms’ orientation on CE within an NTBF.


2020 ◽  
Vol 12 (3) ◽  
pp. 1262
Author(s):  
Taslim Alade ◽  
Jurian Edelenbos ◽  
Alberto Gianoli

This article primarily aims to understand how the Light-Rail Transport (LRT) pricing and infrastructural innovations from a Chinese context have been adopted to the Addis-Ababa city context. Secondly, it wishes to show what were the economic, social, and environmental effects of these adapted innovations on passenger service delivery and Multi-National Corporations (MNCs), and what effects the resident’s proximity had on commercial activities along the LRT route. Thirdly, it identified re-adaptations to a more sustainable LRT with respect to the passengers, MNCs, and residents. This study has revealed economic, social, and environmental effects that may influence innovation adoption, such as the following: reduction in carbon emissions; fare evasion; inconvenience; affordability; less revenue; less proximity to commercial activities; and an increase in travel distances for pedestrians. A mixed method for a single case study was used, including semi-structured interviews with light-rail experts and a passenger survey. The results show that economic sustainability factors account for 12 out of 14 sustainability factors and 2 out of 14 social and environmental sustainability factors. The results are intended to be used as a decision support system for innovation adoption in other cities with similar context, in order to develop a sustainable approach to LRT planning.


2020 ◽  
Vol 40 (9) ◽  
pp. 1475-1497
Author(s):  
Nathalie Fabbe-Costes ◽  
Lucie Lechaptois ◽  
Martin Spring

PurposeTo empirically examine the usefulness and value of supply chain mapping (SC mapping), which has been neglected despite its importance in research and practice.Design/methodology/approachBased on three combined theoretical perspectives, we conducted a case study on a car manufacturer's managers mapping their downstream supply chain (SC). We conducted semi-structured interviews and a mapping exercise with them, followed by a focus group.FindingsWe find differences between individual and corporate SC maps and between how managers define the outbound SC, the SC map they draw and what they say when mapping. The three theoretical perspectives allow us to enrich SC mapping thinking. We focus on boundary objects to formulate propositions. SC mapping and maps are discussed with respect to contemporary SCs and SCM.Research limitations/implicationsBased on a single case study on one firm's outbound SC. Research could be expanded to the company's external partners and follow the development and use of maps in real time.Practical implicationsHighlights the usefulness and difficulties of SC mapping, for individuals and organisations. For the company, it opens avenues for further development and use of SC mapping to improve inter-functional and inter-organisational collaboration.Social implicationsConfirms the need for SC mapping competences in SCM and consequently the usefulness of teaching SC mapping courses in logistics and SCM programs.Originality/valueHighlights the usefulness of SC mapping and rekindles interest in SC mapping and maps in SCM. Introduces boundary objects into SCM research.


2014 ◽  
Vol 9 (1) ◽  
pp. 60-74 ◽  
Author(s):  
Simon Adderley ◽  
Duane Mellor

Purpose – Recently David Jones in Who Cares Wins proposed sustainability as being essential for businesses success over the coming decades. The purpose of this paper is to present a case study of the development of a partnership between an environmental non-government organisation (NGO) (world wildlife fund-UK) and a major retailer (Marks and Spencer). The partnership developed three “types”, sponsorship, technical and communication partnerships. Design/methodology/approach – A grounded theory approach was taken; information was gathered using semi-structured interviews. Data from these interviews were then triangulated with corporate materials to allow generalisations to develop. Findings – Through the three “types” of partnership themes of conflict and project drift were identified, although the overarching “Plan A” commitment is seen as a potential exemplar in sustainability. Difficulties were identified with respect to the dissemination of the outputs from the partnership, some of which were too complex, where others appeared to change to be more appealing to the consumer. Social implications – Although a single case study, it highlights the challenges and benefits to both partners. As such, it provides insight into the practical issues of delivering sustainability commitments and projects in partnership. Such approaches are critical not only for the viability of business, but also for the long-term health of our planet. Originality/value – This represents a case study of the development of a sustainable partnership between a large corporate and an NGO, which could represent a template for sustainable business. This paper in responds to the growing demand for such case-study examples.


2019 ◽  
Vol 10 (1) ◽  
pp. 65
Author(s):  
Tri Winarni ◽  
Treesia Sujanaa ◽  
David Nakka Gasonga

Abstrak                                                                              Kegagalan fungsi ginjal pada Gagal Ginjal Kronis (GGK) mengakibatkan ketidakmampuan tubuh membuang sisa metabolisme. Pasien GGK diharuskan melakukan hemodialisis dan pengaturan asupan nutrisi untuk mempertahankan kondisi kesehatannya. Kurangnya pemahaman dan kepatuhan pasien dalam melakukan program terapi dapat menyebabkan kondisi kegawatdaruratan. Oleh karena itu discharge planning menjadi sangat penting bagi pasien GGK. Penelitian ini bertujuan mengetahui manajemen discharge planning pada klien dengan gagal ginjal kronis di RSUD Kota Salatiga. Desain penelitian yang digunakan adalah embeded single case study. Terdapat dua unit analisis dalam studi ini, yaitu perawat dan pasien. Pengumpulan data dilakukan melalui wawancara semi-terstruktur dan studi dokumentasi discharge planning. Data yang telah terkumpul kemudian dianalisis  menggunakan teknik pencocokan pola. Penelitian ini dilakukan selama tiga bulan, dimulai pada Februari sampai April 2018 di Rumah Sakit Umum Daerah Salatiga. Hasil penelitian menunjukkan bahwa peran perawat yang paling penting dalam pelaksanaan discharge planning adalah peran educator, kemudian peran sebagai pelaksana discharge planning dan peran menegerial oleh kepala ruang. 


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