scholarly journals Building Interdisciplinary Teams in Emergency Care to Respond to National Emergencies: Addressing the Opioid Epidemic

2021 ◽  
Author(s):  
Erick Guerrero ◽  
Jemima A. Frimpong ◽  
Angelique Hearn ◽  
Veronica Serret ◽  
Welmoed K. van Deen ◽  
...  

This study responds to the gap in knowledge in translating team members’ interdisciplinary knowledge to address wicked problems. We use qualitative methodology to understand the team-building process and response to the opioid epidemic in emergency care. We collected data through direct observation of nine health system science researchers and thought leaders as they performed in team-building activities and semi-structured interviews. The cultural exchange framework informed our selection and assessment of team-building activities, and the science of team science (SciTS) framework informed our understanding of promoting interdisciplinary collaborations. We identified six themes representing three areas: (1) Knowledge Building and Strategy Development (need for interdisciplinary understanding of substance abuse and mental health in the emergency department (ED); interdisciplinary approaches to fight the opioid epidemic in the ED); (2) Team Demographics and Collaboration (prescribing and collaboration; the role of interdisciplinary team composition and effectiveness in the ED); and (3) Identity and Relationship Building (role of professional identity in contributing to interdisciplinary research; building effective organizational relationships in the ED). Members’ personal and professional connections are fundamental for developing nuanced interdisciplinary strategies to respond to the opioid epidemic in the ED. We discuss implications for strategies that promote team building and improve treatment practices.

2016 ◽  
Vol 15 (4) ◽  
pp. 28-42
Author(s):  
Daniella Macedo Venâncio ◽  
Rosalia Barbosa Lavarda ◽  
Gabriela Gonçalves Silveira Fiates

The literature on strategy formation is democratic, since various shapes are recognized and accepted (Mintzberg, Ahlstrand Lampel, 2009). Qualitative studies help to understand what motivates either strategy formation mode. Thus, this study aimed to analyze the process of strategy formation and the role of the management level in the process. qualitative methodology, the case study method followed. The data collection techniques were semi-structured interviews, direct observation and document analysis. The case in point it is a beauty salon Midsize city of Florianópolis / SC. Among the main results, points out that the strategies are formed in integrated manner (deliberate and emergent), which characterizes the middle-up-down style (Nonaka, 1988), it identified yet, according to the integrative framework Hart (1992), three modes that show the formation of the integrated approach: the command, in which the strategy directed by the leader or by a small team from the top; transactional, that sometimes the manager and team members work together in shaping the strategy, driven by internal processes and in agreement; and the generic, and in this case, the strategy is driven by the action of the members of the team and the manager only supports the decision. On the roles of managers, it was found that the administrative manager acts to synthesize for top managers the information collected with the operational level employees, and financial manager acts as implementer of deliberate strategy.


2021 ◽  
pp. 097226292199259
Author(s):  
Devika Rani Sharma ◽  
Balgopal Singh

Emergence of technology has not only boosted the growth of customer engagement but has also paved way for customers to become active co-creators with the firms. Customer engagement activities are taking over the customer relationship building activities in the present scenario. Customers’ experience with a particular brand has its impact on satisfaction levels and their repurchasing intention in future as well. According to Rosetta Consulting report an engaged customer is likely to buy 90% more frequently and may spend 300% more than other customers. Hence, the present has tried to understand the mediating role of satisfaction on customer engagement in retaining the customers or persuading the customers to repurchase. The results show that there exists a significant mediation effect of customer satisfaction in influencing their repeat purchase behaviour.


2018 ◽  
Vol 14 (1) ◽  
pp. 202-219
Author(s):  
Nathalia Cunha da Silva ◽  
Elizabeth Moraes Gonçalves

This article aims to understand how female photojournalists see maternity within the profession in the contemporary world through the use of a study on the cultural and historical influence of gender roles on the performance and development of female photojournalists in the city of São Paulo. A qualitative methodology was adopted using semi-structured interviews. The interviews were conducted with nine female photojournalists from three different age groups who work both formally and informally. For the purposes of this study, we selected only the parts of the interview where the interviewees referred to their role of mother and professional. The analysis was based on a discursive approach, with theoretical support from French Discourse Analysis. The results show the influence gender roles have on forming symbolic barriers that connect having a career with an imbalance between paid work and maternity.O artigo objetiva compreender como as mulheres fotojornalistas percebem a maternidade dentro da profissão na contemporaneidade por meio de um estudo sobre a influência cultural e histórica dos papéis atribuídos de gênero na atuação e desenvolvimento feminino no fotojornalismo paulistano. A metodologia empregada é qualitativa, com uso de entrevista do tipo semiaberta. As entrevistas foram realizadas com nove mulheres que têm o fotojornalismo como principal atividade, com relações de trabalho formais e informais, divididas em três grupos etários. Para este texto foram selecionadas apenas as falas em que as entrevistadas faziam referência ao papel de mãe e profissional. O procedimento de análise seguiu uma abordagem discursiva, com subsídios teóricos na Análise do Discurso de linha francesa. Os resultados apontam a influência dos papéis atribuídos aos gêneros sobre a configuração de barreiras simbólicas que atrelam a permanência na carreira à exigência de um desequilíbrio entre trabalho remunerado e a maternidade. El artículo objetiva comprender cómo las mujeres fotoperiodistas perciben la maternidad dentro de la profesión en la contemporaneidad por medio de un estudio sobre la influencia cultural e histórica de los roles socialmente asignados de género en la actuación y el desarrollo de mujeres en el fotoperiodismo de la ciudad de Sao Paulo. La metodología empleada es cualitativa, con uso de entrevista del tipo semiabierta. Se entrevistó a nueve mujeres que actúan en el fotoperiodismo, con relaciones de trabajo formales o informales. Ellas han sido divididas en tres categorías de edad. Para este texto se seleccionaron sólo las palabras en las que las entrevistadas se referían al papel de madre y profesional. Los resultados apuntan a la influencia de los papeles atribuidos a los géneros sobre la configuración de barreras simbólicas que atrevan la permanencia en la carrera a la exigencia de un desequilibrio entre trabajo remunerado y maternidad.


2018 ◽  
Vol 31 (1) ◽  
pp. 110-128 ◽  
Author(s):  
Hugo Paquin ◽  
Ilana Bank ◽  
Meredith Young ◽  
Lily H.P. Nguyen ◽  
Rachel Fisher ◽  
...  

Purpose Complex clinical situations, involving multiple medical specialists, create potential for tension or lack of clarity over leadership roles and may result in miscommunication, errors and poor patient outcomes. Even though copresence has been shown to overcome some differences among team members, the coordination literature provides little guidance on the relationship between coordination and leadership in highly specialized health settings. The purpose of this paper is to determine how different specialties involved in critical medical situations perceive the role of a leader and its contribution to effective crisis management, to better define leadership and improve interdisciplinary leadership and education. Design/methodology/approach A qualitative study was conducted featuring purposively sampled, semi-structured interviews with 27 physicians, from three different specialties involved in crisis resource management in pediatric centers across Canada: Pediatric Emergency Medicine, Otolaryngology and Anesthesia. A total of three researchers independently organized participant responses into categories. The categories were further refined into conceptual themes through iterative negotiation among the researchers. Findings Relatively “structured” (predictable) cases were amenable to concrete distributed leadership – the performance by micro-teams of specialized tasks with relative independence from each other. In contrast, relatively “unstructured” (unpredictable) cases required higher-level coordinative leadership – the overall management of the context and allocations of priorities by a designated individual. Originality/value Crisis medicine relies on designated leadership over highly differentiated personnel and unpredictable events. This challenges the notion of organic coordination and upholds the validity of a concept of leadership for crisis medicine that is not reducible to simple coordination. The intersection of predictability of cases with types of leadership can be incorporated into medical simulation training to develop non-technical skills crisis management and adaptive leaderships skills.


2019 ◽  
Vol 43 (6) ◽  
pp. 601-608 ◽  
Author(s):  
Sarah Anderson ◽  
Lisa Chaffey ◽  
Michael Dillon

Background: Mobility clinics are designed to extend gait and mobility training beyond rehabilitation programmes. No research has been undertaken into participants’ experiences of attending these multidisciplinary, experience-based clinics. Research in this area is needed to ensure clinics meet intended goals, including understanding the motivation and experience of attendees. Insights may improve mobility clinics and inform strategies to encourage greater participation. Objectives: To explore the motivation of people with limb loss to attend a mobility clinic, the experience of participation and their perception of the clinic’s benefits. Study design: Qualitative methodology, naturalistic enquiry. Methods: Semi-structured interviews were conducted with nine clinic attendees during the clinic. Interviews were transcribed verbatim, data thematically analysed and emergent themes underwent member checking. Results: Three themes emerged from the data: facing the challenge captured how participants’ have adapted to amputation, valuing peers highlights the important role of peers in learning and support and improving mobility described the ongoing quest to improve mobility. Conclusion: The mobility clinic was attractive to those who liked challenges and was an invaluable source of learning for those wishing to improve their mobility. Future clinics should ensure that peer education is supported, and activities cater for a range of skills and fitness levels. Clinical relevance Findings of this study indicate that those who attended the mobility clinic liked to challenge themselves. Participation with peers was an important source of learning and support. Those participants who had previously attended a mobility clinic reported improvements in their overall daily function.


2020 ◽  
Vol 28 ◽  
pp. 133
Author(s):  
Rony Ramot ◽  
Gadi Bialik

In the 1970s, the role of “chief scientist” was established in Israel as part of a knowledge mediation model aimed to promote research-informed policy and narrow the academia-field-policy gap. This paper examines how when researchers cross the boundary toward a policy role and serve as knowledge brokers, they may promote research utilization in policy. This sheds light on a key issue in the field of education research, specifically, what conditions or circumstances contribute to the maximization of research utilization and the implementation of research-based policy recommendations. Using qualitative methodology, we conducted semi-structured interviews with past chief scientists and analyzed newspaper articles to understand the complex nature of the role and to propose practical suggestions for improving its construction in future policy beyond the Israeli context. Despite the positive aura surrounding the common use of intermediaries, the issue of promoting such entities at the national educational level has not yet been realized in a coherent, stand-alone policy globally.


2020 ◽  
Vol 12 (22) ◽  
pp. 9612
Author(s):  
Rúben Rocha ◽  
Anderson Rei Galvão ◽  
Carla Susana Marques ◽  
Carla Mascarenhas ◽  
Vítor Braga

The purpose of this paper is to explore the role of embeddedness and cooperation networks in the business internationalization process. To achieve the abovementioned purpose, a qualitative methodology was carefully chosen, through which semi-structured interviews were conducted with ten entrepreneurs of the footwear sector in Portugal, as well as with a head of the national footwear business association. In order to process the data obtained by conducting the interviews, content analysis and data coding through the NVivo software were performed. The results suggest that internationalization is essential for companies in the Portuguese footwear sector. In addition to internationalization helping companies to increase their turnover, it allows companies to grow in a more sustainable way. On the other hand, research also allows us to deduce that networks play an important role in the development of the organizations in question, as they facilitate access to various resources indispensable to this growth. Concerning embeddedness, this aspect presents itself as a facet to which special attention should be paid, considering the pre-eminence that respondents attribute to all variables that help to structure this dimension. The conclusions of this study have theoretical and practical implications, which provide empirical evidence of how the internationalization process can influence the activity of Portuguese companies in the footwear sector. In addition, the results contribute to the evolution of existing knowledge about how embeddedness and cooperation networks facilitate the internationalization process.


2020 ◽  
pp. 1-26
Author(s):  
Claire Pendergrast ◽  
Basia Belza ◽  
Ann Bostrom ◽  
Nicole Errett

Abstract Older adults are more susceptible to adverse health outcomes during and after a disaster compared with their younger counterparts. Ageing-in-place organisations such as senior centres and Villages provide social services and programming for older adults and may support older adults’ resilience to disasters. This study examines the role of ageing-in-place organisations in building disaster resilience for older adults. Semi-structured interviews were conducted with a purposive sample of 14 ageing-in-place organisation leaders in King County, Washington in the United States of America. The sample included representatives of five government-run senior centres, seven non-profit senior centres and two Villages. Interviews were audio-recorded and professionally transcribed. We used a combined inductive and deductive approach to code and thematically analyse the data. Ageing-in-place organisation leadership recognise disasters as a threat to older adults’ health and safety, and they see opportunities to provide disaster-related support for older adults, though the type and extent of participation in resilience-building activities reflected each organisation's unique local context. Organisations participate in a variety of disaster-related activities, though respondents emphasised the importance of collaborative and communication-focused efforts. Findings suggest that ageing-in-place organisations may be best equipped to support older adults’ disaster resilience by serving as a trusted source of disaster-related information and providing input on the appropriateness of disaster plans and messages for the unique needs of older adults ageing-in-place.


2020 ◽  
pp. 026921632096759
Author(s):  
Erin Tutty ◽  
Philomena Horsley ◽  
Rowan Forbes Shepherd ◽  
Laura E. Forrest

Background: CASCADE is a successful, Australia-first cancer rapid autopsy programme. Patients are recruited to the programme by their clinician once they understand that further treatment has only palliative intent. Despite its value, rapid autopsy is a rare research method owing partly to recruitment challenges. Aim: This research aimed to explore (1) how, in practice, clinicians select and recruit patients to the programme and (2) patient experiences of this process. Design: This was a qualitative study grounded in phenomenology. CASCADE team members (clinicians and researchers) and patients participated in semi-structured interviews. Data were analysed using an inductive, team-based approach to thematic analysis. Participants: Interviews were conducted with 31 participants (11 patients and 20 CASCADE team members). Results: Patient selection and recruitment to a rapid autopsy programme is both an art and science. In practice, patient selection is a subjective process that involves assessing a patient’s psychosocial suitability for the programme. Trust and rapport are necessary for informing this assessment and to create an environment conducive to discussing rapid autopsy. Clinicians have also crafted their own ways of delivering information about CASCADE, with both clinicians and patients acknowledging that, if not handled sensitively, recruitment could cause distress. Overall, patients were satisfied with the way in which they were recruited. Conclusion: Findings provide insight into how clinicians successfully select and recruit patients to a rapid autopsy programme and suggests that discussing such topics are acceptable to end-of-life patients. This research also raises thought-provoking questions about the ‘gatekeeping’ role of clinicians in recruitment.


Author(s):  
Zaiton Hamin ◽  
Ahmad Ridhwan Abd Rani

Objective - This paper aims to examine the role of judges and the reality of the plea-bargaining process from the perspective of the judiciary, focusing primarily on their perceptions on the new law and their role and the problems facing them in implementing the law. Methodology/Technique - This paper adopts a qualitative methodology, in which the primary data is obtained from semi-structured interviews with 20 respondents comprising of the stakeholders in the criminal justice system. The secondary data is obtained from analysing the CPC and other library-based sources. Findings - The research reveals that judges are facing some problems derived from the law itself which makes the new plea-bargaining process unappealing to them. Consequently, judges have invented their solutions either by reverting to the old practice or imposing on the parties their terms in disposing of the case through judge-prompted plea-bargain. Novelty - This paper is significant in providing some evidence of the procedural difficulties faced by judges in hearing plea-bargaining application at the pre-trial stage. Type of Paper - Review Keywords: Criminal Procedure; Judiciary; Pre-trial Stage; Plea-Bargaining Process; Plea of Guilty. JEL Classification: K40, K49


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