scholarly journals Risks Perceived by Frail Male Patients, Family Caregivers and Clinicians in Hospital: Do they Change after Discharge? A Multiple Case Study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Véronique Provencher ◽  
Monia D’Amours ◽  
Chantal Viscogliosi ◽  
Manon Guay ◽  
Dominique Giroux ◽  
...  
Keyword(s):  
Family Caregivers ◽  
Multiple Case Study ◽  
Multiple Case ◽  
Male Patients

scholarly journals Family caregivers' advocacy in voluntary stopping of eating and drinking: A holistic multiple case study

Nursing Open ◽  
2021 ◽  
Author(s):  
Jasmin Eppel‐Meichlinger ◽  
Sabrina Stängle ◽  
Hanna Mayer ◽  
André Fringer
Keyword(s):  
Family Caregivers ◽  
Multiple Case Study ◽  
Multiple Case

scholarly journals Worship Experiences of Black Families at Dementia-Friendly Churches: A Multiple-Case Study Design

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 519-519
Author(s):  
Fayron Epps ◽  
Janelle Gore ◽  
Mayra Sainz ◽  
Glenna Brewster
Keyword(s):  
Family Member ◽  
Family Caregivers ◽  
Protective Factor ◽  
Multiple Case Study ◽  
Well Being ◽  
Black Families ◽  
Care Plans ◽  
Worship Services ◽  
Multiple Case

Abstract Literature supports the significance of religiosity as a protective factor to promote well-being for Black families facing dementia; However, minimum reports exist on the worship experiences of these families. The purpose of this multiple-case study was to report the experiences of Black families facing dementia who attended worship services at dementia-friendly churches. Data were collected through participant observations of family caregivers (n = 4) and persons living with dementia ( n = 4) during worship services and semi-structured interviews with the family caregivers over six months. Data were analyzed case by case followed by a cross-case analysis. Four overarching themes emerged: welcoming church culture, the significance of support with differences in perceived and actual support, engagement during worship service, and connectedness between the caregiver and their family member living with dementia. Family caregivers reported that their family member with dementia was attentive and expressed moments of clarity during and immediately after worship services. Religious worship can play an essential role in the quality of life among Black families affected by dementia. Health practitioners are encouraged to acknowledge the influences of religion among dementia families and integrate religious practices within interdisciplinary care plans and programs.

scholarly journals Reducing complexity of patient decision aids for community-based older adults with dementia and their caregivers: multiple case study of Decision Boxes

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e027727 ◽  
Author(s):  
Gabriel Bilodeau ◽  
Holly Witteman ◽  
France Légaré ◽  
Juliette Lafontaine-Bruneau ◽  
Philippe Voyer ◽  
...  
Keyword(s):  
Family Caregivers ◽  
Decision Aids ◽  
Multiple Case Study ◽  
Visual Design ◽  
Community Based ◽  
Patient Decision Aids ◽  
Personal Stories ◽  
Patient Decision ◽  
Multiple Case

ObjectivesTo identify patient decision aids’ features to limit their complexity for older adults with dementia and their family caregivers.DesignMixed method, multiple case study within a user-centred design (UCD) approach.SettingCommunity-based healthcare in the province of Quebec in Canada.Participants23 older persons (aged 65+ years) with dementia and their 27 family caregivers.ResultsDuring three UCD evaluation-modification rounds, participants identified strengths and weaknesses of the patient decision aids’ content and visual design that influenced their complexity. Weaknesses of content included a lack of understanding of the decision aids’ purpose and target audience, missing information, irrelevant content and issues with terminology and sentence structure. Weaknesses of visual design included critics about the decision aids’ general layout (density, length, navigation) and their lack of pictures. In response, the design team implemented a series of practical features and design strategies, comprising: a clear expression of the patient decision aids' purpose through simple text, picture and personal stories; systematic and frequent use of pictograms illustrating key points and helping structure patient decision aids' general layout; a glossary; removal of scientific references from the main document; personal stories to clarify more difficult concepts; a contact section to facilitate implementation of the selected option; GRADE ratings to convey the quality of the evidence; a values clarification exercise formatted as a checklist and presented at the beginning of the document to streamline navigation; involvement of a panel of patient/caregiver partners to guide expression of patient priorities; editing of the text to a sixth grade reading level; UCD process to optimise comprehensiveness and relevance of content and training of patients/caregivers in shared decision-making.ConclusionsThe revised template for patient decision aids is designed to meet the needs of adults living with dementia and their caregivers better, which may translate into fewer evaluation-modification rounds.

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

Pflege ◽  
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.

Creating autonomous learners in the teaching of English as a second language (ESL) in Zimbabwean secondary schools : a reality or a myth?

2020 ◽  
Vol 1 (3) ◽  
pp. 103-132
Author(s):  
Rungamirai Matiure ◽  
Erick Nyoni
Keyword(s):  
Decision Making ◽  
Second Language ◽  
Multiple Case Study ◽  
Document Analysis ◽  
Learner Autonomy ◽  
Case Study Design ◽  
Midlands Province ◽  
Multiple Case ◽  
Comprehensive Framework

This study explored the utility of the learner autonomy concept in the Zimbabwean O Level English as a Second Language (ESL) classroom focusing on three Gweru urban high schools of the Midlands Province. The researchers intended to establish whether learner autonomy was a reality or just a myth in Zimbabwean classrooms. A qualitative multiple case study design was applied focusing on teaching strategies, availability of resources, challenges faced and ways of optimising it. Questionnaires and document analysis were used for data collection. The findings revealed that the concept did not manifest in explicit terms, the learners did not participate in decision making, and the teachers were not adequately prepared to administer autonomous processes with students. For it to be a reality, the Education Ministry is recommended to establish a comprehensive framework of how autonomous learning should be implemented. Teacher training should explicitly focus on how to develop autonomous learners. Teachers ought to be flexible enough to accommodate learners' contributions towards their learning.

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