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hospital ethnography

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https://www.readbyqxmd.com/read/28260413/the-institutional-logic-of-integrated-care-an-ethnography-of-patient-transitions
#1
James A Shaw, Pia Kontos, Wendy Martin, Christina Victor
Purpose The purpose of this paper is to use theories of institutional logics and institutional entrepreneurship to examine how and why macro-, meso-, and micro-level influences inter-relate in the implementation of integrated transitional care out of hospital in the English National Health Service. Design/methodology/approach The authors conducted an ethnographic case study of a hospital and surrounding services within a large urban centre in England. Specific methods included qualitative interviews with patients/caregivers, health/social care providers, and organizational leaders; observations of hospital transition planning meetings, community "hub" meetings, and other instances of transition planning; reviews of patient records; and analysis of key policy documents...
March 20, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28185682/serving-on-a-hospital-board-a-case-study
#2
Angela Barron McBride
BACKGROUND: It is important for nurses to serve on hospital boards, largely to give voice to matters of quality and patient safety. PURPOSE: Describe what one nurse was able to accomplish on a statewide board over time as chair of the board's Quality and Patient Safety Committee. METHODS: The experience was analyzed using auto-ethnography and narrative analysis. DISCUSSION: After describing the organization, the paper summarizes the key issues on which the nurse took the lead, measures of success in the role, and learning acquired along the way...
December 27, 2016: Nursing Outlook
https://www.readbyqxmd.com/read/28168053/breastfeeding-supports-and-services-in-rural-hawaii-perspectives-of-community-healthcare-workers
#3
Jeanie L Flood
Background. In the state of Hawaii, breastfeeding initiation rates are higher than the national average but fall below target rates for duration. Accessing breastfeeding support services is challenging for mothers living in rural areas of the state. Healthcare workers (HCWs) working with mothers and infants are in a key position to encourage and support breastfeeding efforts. The purpose of this study is to gain a better understanding of a Hawaiian community's (specifically Hilo, Hawai'i) breastfeeding service and support issues...
2017: Nursing Research and Practice
https://www.readbyqxmd.com/read/28118817/multiple-triangulation-and-collaborative-research-using-qualitative-methods-to-explore-decision-making-in-pre-hospital-emergency-care
#4
Maxine Johnson, Rachel O'Hara, Enid Hirst, Andrew Weyman, Janette Turner, Suzanne Mason, Tom Quinn, Jane Shewan, A Niroshan Siriwardena
BACKGROUND: Paramedics make important and increasingly complex decisions at scene about patient care. Patient safety implications of influences on decision making in the pre-hospital setting were previously under-researched. Cutting edge perspectives advocate exploring the whole system rather than individual influences on patient safety. Ethnography (the study of people and cultures) has been acknowledged as a suitable method for identifying health care issues as they occur within the natural context...
January 24, 2017: BMC Medical Research Methodology
https://www.readbyqxmd.com/read/28049522/paradox-of-the-institution-findings-from-a-hospital-labour-ward-ethnography
#5
Elizabeth C Newnham, Lois V McKellar, Jan I Pincombe
BACKGROUND: Interest in the influence of culture on birth practices is on the rise, and with it comes a sense of urgency to implement practices that aid the normalisation and humanisation of birth. This groundswell is occurring despite a broader cultural milieu of escalating technology-use and medicalisation of birth across the globe. Against this background, rates of epidural analgesia use by women in labour are increasing, despite the risk of side effects. Socio-cultural norms and beliefs are likely to influence pain relief choices but there is currently scant research on this topic...
January 3, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27905664/video-ethnography-during-and-after-caesarean-sections-methodological-challenges
#6
Jeni Stevens, Virginia Schmied, Elaine Burns, Hannah G Dahlen
AIMS AND OBJECTIVES: This paper will describe the challenges of, and steps taken to successfully collect video ethnographic data during and after caesarean sections. BACKGROUND: Video ethnographic research utilises real-time video footage to study a cultural group or phenomenon in the natural environment. It allows researchers to discover previously undocumented practices, which in-turn provides insight into strengths and weaknesses in practice. This knowledge can be used to translate evidence-based interventions into practice...
December 1, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27903757/beyond-hand-hygiene-a-qualitative-study-of-the-everyday-work-of-preventing-cross-contamination-on-hospital-wards
#7
Su-Yin Hor, Claire Hooker, Rick Iedema, Mary Wyer, Gwendolyn L Gilbert, Christine Jorm, Matthew Vincent Neil O'Sullivan
BACKGROUND: Hospital-acquired infections are the most common adverse event for inpatients worldwide. Efforts to prevent microbial cross-contamination currently focus on hand hygiene and use of personal protective equipment (PPE), with variable success. Better understanding is needed of infection prevention and control (IPC) in routine clinical practice. METHODS: We report on an interventionist video-reflexive ethnography study that explored how healthcare workers performed IPC in three wards in two hospitals in New South Wales, Australia: an intensive care unit and two general surgical wards...
November 30, 2016: BMJ Quality & Safety
https://www.readbyqxmd.com/read/27869880/-organizational-ethnography-of-direct-drugs-distribution-in-parma-ausl
#8
Lorenza Dodi, Chiara Latini, Marco Lombardi
The locations where healthcare organizations directly distribute medications to patients in specific circumstances, such as at hospital discharge, are settings at risk of professional errors. Using organizational ethnography methodology, we sought to explore the characteristics of points of direct distribution of drugs (PDD) in the AUSL of Parma and identify aspects of the delivery process that could potentially generate errors. We conducted 75 3-hour observations (225 hours at total) of the two Parma AUSL PDDs...
November 2016: Recenti Progressi in Medicina
https://www.readbyqxmd.com/read/27862663/the-insight-and-challenge-of-reflexive-practice-in-an-ethnographic-study-of-black-traumatically-injured-patients-in-philadelphia
#9
Sara F Jacoby
The integrity of critical ethnography requires engagement in reflexive practice at all phases of the research process. In this discussion paper, I explore the insights and challenges of reflexive practice in an ethnographic study of the recovery experiences of black trauma patients in a Philadelphia hospital. Observation and interviews were conducted with twelve patients who were admitted to trauma-designated units of the hospital over the course of a year. During fieldwork, I learned the ways that my background as a professional nurse structured my way of being in clinical space and facilitated a particular interpretation of clinical culture...
November 15, 2016: Nursing Inquiry
https://www.readbyqxmd.com/read/27846123/patient-nursing-and-medical-staff-experiences-and-perceptions-of-the-care-of-people-with-palliative-esophagogastric-cancer-a-systematic-review-of-the-qualitative-evidence
#10
Alison Cowley, Catrin Evans, Fiona Bath-Hextall, Joanne Cooper
BACKGROUND: Esophagogastric cancer is the fifth most common malignancy and its incidence is increasing. The disease progresses quickly and five-year survival rates are poor. Treatment with palliative intent is provided for the majority of patients but there remains a lack of empirical evidence on the most effective service models to support esophagogastric cancer patients. OBJECTIVES: The overall objective of this systematic review was to synthesize the best available evidence on the experiences and perceptions of patients and health professionals with regard to the care of people diagnosed with palliative esophagogastric cancer...
October 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/27810850/how-empowering-is-hospital-care-for-older-people-with-advanced-disease-barriers-and-facilitators-from-a-cross-national-ethnography-in-england-ireland-and-the-usa
#11
Lucy Ellen Selman, Barbara A Daveson, Melinda Smith, Bridget Johnston, Karen Ryan, R Sean Morrison, Caty Pannell, Regina McQuillan, Suzanne de Wolf-Linder, Steven Z Pantilat, Lara Klass, Diane Meier, Charles Normand, Irene J Higginson
BACKGROUND: patient empowerment, through which patients become self-determining agents with some control over their health and healthcare, is a common theme across health policies globally. Most care for older people is in the acute setting, but there is little evidence to inform the delivery of empowering hospital care. OBJECTIVE: we aimed to explore challenges to and facilitators of empowerment among older people with advanced disease in hospital, and the impact of palliative care...
November 3, 2016: Age and Ageing
https://www.readbyqxmd.com/read/27726159/nurses-and-electronic-health-records-in-a-canadian-hospital-examining-the-social-organisation-and-programmed-use-of-digitised-nursing-knowledge
#12
Marie L Campbell, Janet M Rankin
Institutional ethnography (IE) is used to examine transformations in a professional nurse's work associated with her engagement with a hospital's electronic health record (EHR) which is being updated to integrate professional caregiving and produce more efficient and effective health care. We review in the technical and scholarly literature the practices and promises of information technology and, especially of its applications in health care, finding useful the more critical and analytic perspectives. Among the latter, scholarship on the activities of economising is important to our inquiry into the actual activities that transform 'things' (in our case, nursing knowledge and action) into calculable information for objective and financially relevant decision-making...
March 2017: Sociology of Health & Illness
https://www.readbyqxmd.com/read/27665216/a-qualitative-study-of-how-caseload-midwifery-is-experienced-by-couples-in-denmark
#13
Ingrid Jepsen, Edith Mark, Maralyn Foureur, Ellen A Nøhr, Erik E Sørensen
BACKGROUND: Caseload midwifery is expanding in Denmark. There is a need for elaborating in-depth, how caseload midwifery influences the partner and the woman during childbirth and how this model of care influences the early phases of labour. AIM: To follow, explore and elaborate women's and their partner's experiences of caseload midwifery. METHODS: Phenomenology of practice was the analytical approach. The methodology was inspired by ethnography, and applied methods were field observations followed by interviews...
February 2017: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/27578852/doctor-patient-relationship-between-individuals-with-fibromyalgia-and-rheumatologists-in-public-and-private-health-care-in-mexico
#14
Tirsa Colmenares-Roa, Gabriela Huerta-Sil, Claudia Infante-Castañeda, Leticia Lino-Pérez, Everardo Alvarez-Hernández, Ingris Peláez-Ballestas
The aim of this article was to describe and analyze the doctor-patient relationship between fibromyalgia patients and rheumatologists in public and private health care contexts within the Mexican health care system. This medical anthropological study drew on hospital ethnography and patients' illness narratives, as well as the experiences of rheumatologists from both types of health care services. The findings show how each type of medical care subsystem shape different relationships between patients and doctors...
October 2016: Qualitative Health Research
https://www.readbyqxmd.com/read/27532659/interventions-to-build-resilience-in-family-caregivers-of-people-living-with-dementia-a-comprehensive-systematic-review
#15
Andrea Petriwskyj, Deborah Parker, Siobhan O'Dwyer, Wendy Moyle, Nikki Nucifora
BACKGROUND: Recent studies have indicated that family caregivers of people with dementia have higher rates of depression, anxiety and hopelessness, as well as higher levels of burden, stress and distress. Not all caregivers, however, succumb to the negative effects of caring. Caregivers who are able to recover from, resist or adapt to the physical and psychological demands of caring can be considered "resilient". OBJECTIVES: The objective of this review was to examine the existing evidence regarding interventions for building resilience in family caregivers of people living with dementia...
June 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/27532470/the-experiences-of-people-living-with-epilepsy-in-developing-countries-a-systematic-review-of-qualitative-evidence
#16
Asahngwa Tanywe, Chelea Matchawe, Ritin Fernandez
BACKGROUND: Epilepsy is a global public health problem affecting people of all ages, sex, races, nations and social class. The majority of the 50 million people with epilepsy live in developing countries, with a prevalence rate of five to 10 people per 1000. The disease poses an enormous psychological, social and economic burden on patients. An estimated 90% of people with epilepsy in developing countries do not receive treatment due to sociocultural, economic and political factors. Current treatment interventions are limited to the clinical management of the disease and are largely driven by the healthcare provider's perspective, ignoring the experiences of people living with epilepsy (PLWE)...
May 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/27532314/health-professionals-experience-of-teamwork-education-in-acute-hospital-settings-a-systematic-review-of-qualitative-literature
#17
Kylie Eddy, Zoe Jordan, Matthew Stephenson
BACKGROUND: Teamwork is seen as an important element of patient care in acute hospital settings. The complexity of the journey of care for patients highlights the need for health professionals to collaborate and communicate clearly with each other. Health organizations in western countries are committed to improving patient safety through education of staff and teamwork education programs have been integral to this focus. There are no current systematic reviews of the experience of health professionals who participate in teamwork education in acute hospital settings...
April 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/27474695/a-critical-ethnography-of-doctor-patient-interaction-in-southern-iran
#18
Ahmad Kalateh Sadati, Mohammad Taghi Iman, Kamran Bagheri Lankarani, Soghra Derakhshan
Doctor-patient interaction is a subject with ethical ramifications, besides being an important issue in medical sociology. The main goal of this critical study is to explore the interactional experience of hospital admitted patients. For this reason, the study, carried out in an educational hospital in southern Iran, entailed 156 recorded clinical consultations, 920 hours of participant observation, and six focus groups consisting of patients and their families. The research method used is Critical Ethnography, which was introduced by PF Carspecken...
July 2016: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/27463108/the-domestic-participation-in-birth-assistance-in-the-mid-twentieth-century
#19
Elena Andina Díaz, José Siles González
OBJECTIVE: to describe how the progressive creation of the Social Security (providing widespread health care) affected the birth assistance in Spain from the 1940s to the 1970s in a rural area. METHOD: historical ethnography. Twenty-seven people who lived at that time were selected and interviewed guided by a semistructured script. Based on their testimonies, a chart was built with the functional elements involved in birth assistance in this region. RESULTS: three agents performed such care: traditional midwives, women of the family/neighbors and health workers...
2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27384209/outsourcing-and-dismantling-of-steady-jobs-at-hospitals
#20
Helton Saragor de Souza, Áquilas Nogueira Mendes
OBJECTIVE: To relate hospitals' organizational structure as the core of a web of outsourced services and flexible employment bonds among healthcare professionals in the context of finance capitalism, analyzing work arrangements based mainly on the type of employment bond. METHOD: Qualitative research through ethnography, interviews, data analysis, and case studies. The case studies were concentrated in 3 hospitals located in the São Paulo metropolitan region under different management types: public administration; outsourced administration via a healthcare social organization (HSO); and private administration...
April 2016: Revista da Escola de Enfermagem da U S P
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