The contribution of case study research to knowledge of how to improve quality of care

Baker, G. Ross

doi:10.1136/bmjqs.2010.046490

Cited by 91 publications

(81 citation statements)

References 45 publications

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“…[27] Action research tends to be defined by its characteristics which include: a participatory group approach; collaboration between the researcher and researched to bring about positive change; simultaneous contribution to practical problems as well as scientific knowledge. [28,29] It is an approach that "actively involves participants and which has an explicit focus on promoting and facilitating change".…”

Section: Designmentioning

confidence: 99%

The Participative Design of an Endoscopy Facility using Lean 3P

Smith¹

2016

BMJ Qual Improv Report

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In the UK, bowel cancer is the second largest cancer killer. Diagnosing people earlier can save lives but demand for endoscopies is increasing and this can put pressure on waiting times.To address this challenge, an endoscopy unit in North East England decided to improve their facilities to increase capacity and create environments that improve the experience of users. This presented a significant opportunity for step change improvement but also a problem in terms of creating designs that meet user requirements whilst addressing structural or space constraints.The Lean design process known as ‘3P' (standing for the production preparation process) was utilised as a participative design strategy to engage stakeholders in the design of the new department. This involved a time-out workshop (or 3P event) in which Lean and participative design tools were utilised to create an innovative design based on ‘point of delivery' (POD) principles. The team created a design that demonstrated an increase in treatment room capacity by 25% and bed capacity by 70% whilst reducing travel distance for patients by 25.8% and staff by 27.1%. This was achieved with an increase in available space of only 13%.The Lean 3P method provided a structured approach for corporate and clinical staff to work together with patient representatives as cross-functional teams. This participative approach facilitated communication and learning between stakeholders about care processes and personal preferences. Lean 3P therefore appears to be a promising approach to improving the healthcare facilities design process to meet user requirements.

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Section: Designmentioning

confidence: 99%

The Participative Design of an Endoscopy Facility using Lean 3P

Smith¹

2016

BMJ Qual Improv Report

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“…Those who refused to continue the study cited in the majority lack of time and fear of discussions to find out information about possible complications of diabetes [11].…”

Section: Methods Of Studymentioning

confidence: 99%

“…One interpretation of a paradigm is 'the entire constellation of beliefs, values, techniques, and so on shared by the members of a given community' [11].…”

Section: Nursing For Patient With Complicationsmentioning

confidence: 99%

Analyses Of Research For Understanding The Problems Of Patients With Diabetes

Catrinoiu

Crăciun

Cristea

2017

ARS Medica Tomitana

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In spite of advances in the management of diabetes mellitus, late complications still represent a problem. Research suggests that improved metabolic control, including the change of lifestyle, which requires the patient's own willingness and ability to adapt, could limit those complications. This article is intended to provide the background to a long-term research programme designed to gain a deeper understanding of diabetic patients' perspectives in their attempt to adapt. It uses the experiences of further groups of diabetic patients, in an attempt to show the usefulness of a cumulative approach towards the building up of a theoretical framework. Aims of study This study aims to: 1. give a background to a long-term qualitative theory generating study concerning patients' experiences of managing diabetes. 2. argue that diabetic patients (and nursing as a discipline) might benefit from qualitative research with a focus on the patients' perspective.

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“…However, clinical decision making based on evidence based medicine should not be confined to RCTs; all available evidence should be considered and synthesised (Doherty, 2005;Koes and Hoving 1998). Observational studies with lower rigour but with higher generalisability may be of more clinical value (Milanese, 2011;Berbano and Baxi 2012) and when properly conducted with rigorous methods can be valuable in clinical research (Grossman and Mackenzie, 2005;Baker, 2011;Sharp, 1998). A more inclusive review of all proximal exercise will aid in the clinical management of PFP.…”

Section: Introductionmentioning

confidence: 99%

The outcome of hip exercise in patellofemoral pain: A systematic review

et al. 2016

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Patellofemoral pain (PFP) is one of the most common lower extremity conditions seen in clinical practice. Current evidence shows that there are hip strength deficits, delayed onset and shorter activation of gluteus medius in people with PFP. The aim of this review was to systematically review the literature to investigate the outcome of hip exercise in people with PFP.Method AMED, CINAHL, Cochrane, EMBASE, PEDro, Pubmed, Science direct and SPORTDiscus databases were searched from inception to November 2014 for RCTs, non-randomised studies and case studies. Two independent reviewers assessed each paper for inclusion and quality. ResultsTwenty one papers were identified;eighteen investigating strengthening exercise, two investigating the effect of neuromuscular exercise and one study investigated the effect of hip exercise for the prevention of PFP.Hip and knee strengthening programmes were shown to be equally effective. Limited evidence indicates that the addition of hip exercise to an exercise programme is beneficial. Limited evidence demonstrates that motor skill retraining in a participant group who displayed abnormal hip alignment in running improves pain. ConclusionThe evidence consistently demonstrated that both hip strengthening and neuromuscular exercise has a beneficial effect on pain and function in people with PFP. Strengthening exercise predominantly addressed abductor and external rotator muscle groups. 2 A consensus from PFP researchers for standardisation of methodology is recommended to enable meaningful comparison between trials.

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The contribution of case study research to knowledge of how to improve quality of care

Cited by 91 publications

References 45 publications

The Participative Design of an Endoscopy Facility using Lean 3P

The Participative Design of an Endoscopy Facility using Lean 3P

Analyses Of Research For Understanding The Problems Of Patients With Diabetes

The outcome of hip exercise in patellofemoral pain: A systematic review

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