Using Stake’s Qualitative Case Study Approach to Explore Implementation of Evidence-Based Practice

Boblin, Sheryl; Ireland, Sandra; Kirkpatrick, Helen; Robertson, Kim

doi:10.1177/1049732313502128

Cited by 108 publications

(116 citation statements)

References 9 publications

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“…Being able to help shape research questions is an important activity for some practitioners. 155 Competing agendas and priorities between partners can be a barrier to success 156,157 and need acknowledging and managing. 114,155,156,158,159 Academics and commissioners alike have recognised deficiencies in the communication of research findings across boundaries.…”

Section: Content Factorsmentioning

confidence: 99%

Getting the most out of knowledge and innovation transfer agents in health care: a qualitative study

Bullock

Barnes

Morris³

et al. 2016

Health Serv Deliv Res

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BackgroundKnowledge and innovation transfer (KIT) is recognised internationally as a complex, dynamic process that is difficult to embed in organisations. There is growing use of health service–academic–industry collaborations in the UK, with knowledge brokers linking producers with the users of knowledge and innovation.AimFocusing on KIT ‘agent’ roles within Academic Health Science Networks in England and Partnerships in Wales, we show how individual dispositions, processes and content contribute to desired outcomes.MethodsWe studied the KIT intentions of all Academic Health Science Networks in England, and the South East Wales Academic Health Science Partnership. Using a qualitative case study design, we studied the work of 13 KIT agents purposively sampled from five networks, by collecting data from observation of meetings, documentation, KIT agent audio-diaries, and semistructured interviews with KIT agents, their line managers and those they supported (‘Links’). We also used a consensus method in a meeting of experts (nominal group technique) to discuss the measurement of outcomes of KIT agent activity.FindingsThe case study KIT agents were predominantly from a clinical background with differing levels of experience and expertise, with the shared aim of improving services and patient care. Although outside of recognised career structures, the flexibility afforded to KIT agents to define their role was an enabler of success. Other helpful factors included (1) time and resources to devote to KIT activity; (2) line manager support and a team to assist in the work; and (3) access and the means to use data for improvement projects. The organisational and political context could be challenging. KIT agents not only tackled local barriers such as siloed working, but also navigated shifting regional and national policies. Board-level support for knowledge mobilisation together with a culture of reflection (listening to front-line staff), openness to challenges and receptivity to research all enabled KIT agents to achieve desired outcomes. Nominal group findings underscored the importance of relating measures to specific intended outcomes. However, the case studies highlighted that few measures were employed by KIT agents and their managers. Using social marketing theory helped to show linkages between processes, outcomes and impact, and drew attention to how KIT agents developed insight into their clients’ needs and tailored work accordingly.LimitationsLevel of KIT agent participation varied; line managers and Links were interviewed only once; and outcomes were self-reported.ConclusionsSocial marketing theory provided a framework for analysing KIT agent activity. The preparatory work KIT agents do in listening, understanding local context and building relationships enabled them to develop ‘insight’ and adapt their ‘offer’ to clients to achieve desired outcomes.Future workThe complexity of the role and the environment in which it is played out justifies more research on KIT agents. Suggestions include (1) longitudinal study of career pathways; (2) how roles are negotiated within teams and how competing priorities are managed; (3) how success is measured; (4) the place of improvement methodologies within KIT work; (5) the application of social marketing theory to comparative study of similar roles; and (6) patients as KIT agents.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

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Section: Content Factorsmentioning

confidence: 99%

Getting the most out of knowledge and innovation transfer agents in health care: a qualitative study

Bullock

Barnes

Morris³

et al. 2016

Health Serv Deliv Res

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show abstract

“…However, the paradigms used as the basis for their variants of case study research are divergent. Yin's research is positivist and Stake's is constructivist (Boblin, Ireland, Kirkpatrick, & Robertson, 2013). According to Boblin et al (2013), "the philosophical assumptions used in guiding their research are different" (p. 1267).…”

Section: Research Traditionmentioning

confidence: 99%

Vermont school district consolidation case study

Alberghini¹

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Facing a declining K-12 student population and rising education costs, Vermont lawmakers approved Act 46 in 2015. This legislation has the potential to consolidate school districts that have fewer than 900 students. The law aims to significantly reduce the number of districts in the state by using tax incentives as a carrot and forced consolidation as a stick. Advocates of the legislation claim economies of size and scale will save Vermont taxpayers money and provide more educational equity for students. Opponents say the initiative is an affront to Vermonters' local control, centralization of power, and a means to close small schools. The purpose of this case study is to understand how preconsolidation and postconsolidation expenditures and student performance results compare to stakeholder perceptions. The research site for this school consolidation case study will be the Waterbury-Duxbury School District, located in Waterbury and Duxbury, Vermont. Results of the study may be beneficial to Vermont communities that are examining and considering school district consolidation.

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“…Stake (1995) posited that "knowledge is constructed rather than discovered" (p. 99), and Merriam expanded on this constructed knowledge to include "individuals interacting with their social worlds" (p. 6) with the researcher serving in a role as an active participant (Merriam, 1998). Additionally, Stake and Merriam have advocated for the use of qualitative data gleaned from observation, interviews, and document reviews (Yazan, 2015) and for data triangulation by incorporating a variety of sources which provide a description of reality within the context of the phenomenon under investigation (Boblin et al, 2013). In this study, the researcher sought to uncover data from each individual's background and academic experience; she also aimed to analyze environmental factors that were contributing to the underlying circumstances leading to anxiety and desired to explore competing perspectives of administrators and faculty.…”

Section: Research Traditionmentioning

confidence: 99%

Math anxiety: the impact on traditionally underserved and marginalized adult female undergraduate students in elementary statistics

Amato¹

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effects of math anxiety thus encouraging student self-defeating behaviors of procrastination and reluctance to ask for help; (c) recognition of best practices that included faculty education, use of technology, and early identification of at risk students. The recommendations for practice include the adoption of early preparation and retention strategies by college educators and officials to identify and assist at risk students early in their higher education careers and the continuation of qualitative research across a broader spectrum of participants, with the optimal goal of moving closer to fairness and equality in educational achievement across gender to enhance the global economic balance of our society.

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Using Stake’s Qualitative Case Study Approach to Explore Implementation of Evidence-Based Practice

Cited by 108 publications

References 9 publications

Getting the most out of knowledge and innovation transfer agents in health care: a qualitative study

Getting the most out of knowledge and innovation transfer agents in health care: a qualitative study

Vermont school district consolidation case study

Math anxiety: the impact on traditionally underserved and marginalized adult female undergraduate students in elementary statistics

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