scholarly journals Bridge Over Troubled Waters: End-of-Life (EOL) Decisions, A Qualitative Case Study

2015 ◽  
Author(s):  
Kate Callahan ◽  
Nancy Maldonado ◽  
Joan Efinger
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Qualitative Case Study ◽  
Advanced Directives ◽  
Loved One ◽  
Group Settings ◽  
The Social ◽  
Eol Care ◽  
Share Information

This case study investigated the psychological and emotional experiences of nine health care professionals who attended a Five Wishes seminar, designed to acquaint participants with thinking holistically about death. All the self-selected participants had experienced the death of a loved one and indicated they were able to discuss death issues. Data collection included interviews, observations, physical artifacts, and the Five Wishes documents. Content analysis was the central technique used to identify themes. Findings indicated participants attended the EOL seminar to share information with their colleagues and patients; the information also interested them personally. However, facing death and making EOL care decisions were difficult for the participants. The EOL seminars educated them regarding some of the mysteries and problem s of EOL care and offered them some solutions and insights bot h professionally and personally. This study has implications for educators and health care professionals: 1) EOL decisions are facilitated by the social support of group settings . 2) Reluctance about facing death can be reduced by comprehensive, lifelong education beginning in the early childhood years and culminating with holistic advanced directives such as the Five Wishes.

scholarly journals Surveillance, anticipation and firefighting: Perspectives of patient safety from a New Zealand case study

2020 ◽  
Author(s):  
J Wailling ◽  
Brian Robinson ◽  
M Coombs
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
New Zealand ◽  
Health Care Professionals ◽  
Nuclear Power ◽  
High Reliability ◽  
Health Care Systems ◽  
Tertiary Hospital ◽  
Structured Interviews

© 2018 John Wiley & Sons Ltd Aim: This study explored how doctors, nurses and managers working in a New Zealand tertiary hospital understand patient safety. Background: Despite health care systems implementing proven safety strategies from high reliability organisations, such as aviation and nuclear power, these have not been uniformly adopted by health care professionals with concerns raised about clinician engagement. Design: Instrumental, embedded case study design using qualitative methods. Methods: The study used purposeful sampling, and data was collected using focus groups and semi-structured interviews with doctors (n = 31); registered nurses (n = 19); and senior organisational managers (n = 3) in a New Zealand tertiary hospital. Results: Safety was described as a core organisational value. Clinicians appreciated proactive safety approaches characterized by anticipation and vigilance, where they expertly recognized and adapted to safety risks. Managers trusted evidence-based safety rules and approaches that recorded, categorized and measured safety. Conclusion and Implications for Nursing Management: It is important that nurse managers hold a more refined understanding about safety. Organisations are more likely to support safe patient care if cultural complexity is accounted for. Recognizing how different occupational groups perceive and respond to safety, rather than attempting to reinforce a uniform set of safety actions and responsibilities, is likely to bring together a shared understanding of safety, build trust and nurture safety culture.

scholarly journals Perkembangan Regulasi Diri Anak Usia Dini: Peranan Kemampuan Berbahasa dan Regulasi Diri pada Pembelajaran

2018 ◽  
Vol 5 (2) ◽  
pp. 110
Author(s):  
Naili Sa'ida
Keyword(s):  
Qualitative Case Study ◽  
Language Skills ◽  
Self Regulation ◽  
Data Use ◽  
Social Structures ◽  
Data Display ◽  
Analysis Techniques ◽  
The Social ◽  
And Behavior

<em>This study aims to describe the development of self-regulation of children aged 4-5 years at Kindergarten Dhamawanita Persatuan Pucang Jajar. This study is a qualitative case study in children aged 4-5 years. Data analysis techniques use the model proposed by Miles and Huberman which consists of 3 stages: data reduction, data display, and verification. The research were use multi technique to collect the data use the observation, interviews, and documentation. The results showed that the development of self-regulation developed simultaneously with language skills. Language can really play an important role in determining how children regulate their thoughts, emotions, and behavior. Language facilitates the internalization of children's social structures and rules through their interaction in the social world around them. When children interact with others, their understanding of other people's perspectives and expectations is expanded. This perspective shows that language helps children understand their experiences, as well as the experiences of others, and so it is through language that children connect this information with their own behavior.</em>

scholarly journals Darut Taubah Pesantren and Commercial Sex Workers Saritem in Bandung

2015 ◽  
Vol 22 (2) ◽  
pp. 200
Author(s):  
Juju Saepudin
Keyword(s):  
Sex Workers ◽  
Qualitative Case Study ◽  
Case Study Research ◽  
Moral Values ◽  
Structural Factors ◽  
Commercial Sex ◽  
Commercial Sex Workers ◽  
Depth Interview ◽  
The Social

<p><em></em><em>The establishing a pesantren in a prostitution area is a very interesting topic to be<br />studied. This is because the challenge would be different from building a pesantren in<br />other community situations. This article based on the research on the roles of Darut<br />Taubah pesantren in teaching of moral values to commercial sex workers at Saritem<br />prostitution area. This is a qualitative  case study research using a phenomenology <br />approach. Data was gathered using observation, in-depth interview, and documentary <br />research. Data was analyzed utilizing inductive approach. Finding of this study shows<br />that the establishment of Darut Taubah pesantren was motivated by cultural and<br />structural factors. Moreover, teaching of moral values was conducted through reorganizing structural and instrumental elements using many ways namely; persuasive method and prioritizing the roles of pesantren, teaching moral values and developing the social roles. After the existence of Darut Taubah pesantren in Saritem area, the prostitution<br />activities decrease significantly either in terms of quantity or intensity.</em></p><p><strong><em> </em></strong></p>

scholarly journals A household perspective on access to health care in the context of HIV and disability: a qualitative case study from Malawi

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Stine Hellum Braathen ◽  
Lifah Sanudi ◽  
Leslie Swartz ◽  
Thomas Jürgens ◽  
Hastings T Banda ◽  
...  
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Qualitative Case Study ◽  
Access To Health

scholarly journals Co-designing tools for workplace learning

2020 ◽  
Vol 121 (3/4) ◽  
pp. 175-205
Author(s):  
Sebastian Maximilian Dennerlein ◽  
Vladimir Tomberg ◽  
Tamsin Treasure-Jones ◽  
Dieter Theiler ◽  
Stefanie Lindstaedt ◽  
...  
Keyword(s):  
Health Care ◽  
Informal Learning ◽  
Health Care Professionals ◽  
Technology Enhanced Learning ◽  
Cognitive Tools ◽  
Formal Learning ◽  
Learning Context ◽  
Design Decisions ◽  
Content Type

Purpose Introducing technology at work presents a special challenge as learning is tightly integrated with workplace practices. Current design-based research (DBR) methods are focused on formal learning context and often questioned for a lack of yielding traceable research insights. This paper aims to propose a method that extends DBR by understanding tools as sociocultural artefacts, co-designing affordances and systematically studying their adoption in practice. Design/methodology/approach The iterative practice-centred method allows the co-design of cognitive tools in DBR, makes assumptions and design decisions traceable and builds convergent evidence by consistently analysing how affordances are appropriated. This is demonstrated in the context of health-care professionals’ informal learning, and how they make sense of their experiences. The authors report an 18-month DBR case study of using various prototypes and testing the designs with practitioners through various data collection means. Findings By considering the cognitive level in the analysis of appropriation, the authors came to an understanding of how professionals cope with pressure in the health-care domain (domain insight); a prototype with concrete design decisions (design insight); and an understanding of how memory and sensemaking processes interact when cognitive tools are used to elaborate representations of informal learning needs (theory insight). Research limitations/implications The method is validated in one long-term and in-depth case study. While this was necessary to gain an understanding of stakeholder concerns, build trust and apply methods over several iterations, it also potentially limits this. Originality/value Besides generating traceable research insights, the proposed DBR method allows to design technology-enhanced learning support for working domains and practices. The method is applicable in other domains and in formal learning.

scholarly journals “Repeated Hierarchies”: Uneven Participation in Research of Ethical Spaces in Hospitals

2019 ◽  
Vol 14 (5) ◽  
pp. 493-495
Author(s):  
Brenda Bogaert ◽  
Catherine Dekeuwer ◽  
Nadja Eggert ◽  
Claire Harpet
Keyword(s):  
Health Care ◽  
Focus Group ◽  
Health Care Professionals ◽  
Group Discussion ◽  
Ethical Reflection ◽  
Full Participation ◽  
The Status ◽  
Study Process ◽  
Participation In Research

We present a case study of uneven participation in a focus group discussion with health care professionals involved in local ethical committees. We conclude that the status of the different participants did not give adequate space for full participation of the members involved. Two commentators were invited to comment on the case study to enable further reflection on the methodology used for the target group. The first reviewer investigated whether research should address power relations and hierarchies of knowledge encountered in the study process. She also discussed whether researchers should be held ethically and politically responsible for the consequences of producing relations and hierarchies. The second reviewer looked at what focus groups say about professional practices in hospitals, what participants are willing (or unwilling) to invest, and what are the conditions for setting up ethical reflection.

scholarly journals Timely referral saves the lives of mothers and newborns: Midwifery led continuum of care in marginalized teagarden communities – A qualitative case study in Bangladesh

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 365 ◽  
Author(s):  
Animesh Biswas ◽  
Rondi Anderson ◽  
Sathyanarayanan Doraiswamy ◽  
Abu Sayeed Md. Abdullah ◽  
Nabila Purno ◽  
...  
Keyword(s):  
Health Care ◽  
Qualitative Case Study ◽  
Post Partum ◽  
Primary Health Care Centre ◽  
Health Facilities ◽  
Health Care Centre ◽  
Access Barrier ◽  
Reproductive Healthcare ◽  
Timely Referral

Background: Prompt and efficient identification, referral of pregnancy related complications and emergencies are key factors to the reduction of maternal and newborn morbidity and mortality. As a response to this critical need, a midwifery led continuum of reproductive health care was introduced in five teagardens in the Sylhet division, Bangladesh during 2016. Within this intervention, professional midwives provided reproductive healthcare to pregnant teagarden women in the community.  This study evaluates the effect of the referral of pregnancy related complications. Methods: A qualitative case study design by reviewing records retrospectively was used to explore the effect of deploying midwives on referrals of pregnancy related complications from the selected teagardens to the referral health facilities in Moulvibazar district of the Sylhet division during 2016.  In depth analyses was also performed on 15 randomly selected cases to understand the facts behind the referral. Results: Out of a total population of 450 pregnant women identified by the midwives, 72 complicated mothers were referred from the five teagardens to the facilities. 76.4% of mothers were referred to conduct delivery at facilities, and 31.1% of them were referred with the complication of prolonged labour. Other major complications were pre-eclampsia (17.8%), retention of the placenta with post-partum hemorrhage (11.1%) and premature rupture of the membrane (8.9%). About 60% of complicated mothers were referred to the primary health care centre, and among them 14% of mothers were delivered by caesarean section. 94% deliveries resulted in livebirths and only 6% were stillbirths. Conclusions: This study reveals that early detection of pregnancy complications by skilled professionals and timely referral to a facility is beneficial in saving the majority of baby’s as well as mother’s lives in resource-poor teagardens with a considerable access barrier to health facilities.

Spiritual Reflections Concerning End of Life Caring Decisions: A Qualitative Case Study

2003 ◽  
Vol 7 (2) ◽  
pp. 14-27
Author(s):  
Nancy Maldonado, ◽  
Kate Callahan, ◽  
Joan Efinger,
Keyword(s):  
Content Analysis ◽  
End Of Life ◽  
Qualitative Case Study ◽  
Spiritual Support ◽  
Spiritual Experiences ◽  
Life After Death ◽  
Semistructured Interviews ◽  
Eol Care

This qualitative case study investigated the lived spiritual experiences of participants who attend a Five Weeks seminar about holistic and end of life (EOL) care decisions. Auditaped, semistructured interviews recorded participants’ responses. Content analysis was the central technique used to identify themes. Four themes emerged. These included perspectives, life after death, reflective insights, and rituals. Implications and recommendations are included for caring practices related to EOL care and spiritual support.

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