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- Bjerstedt, Sven, et al.
(författare)
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Lessons from jazz improvisation to qualitative inquiry and reflective practice
- 2017
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Ingår i: European Congress of Qualitative Inquiry Proceedings 2017: QUALITY AND REFLEXIVITY IN QUALITATIVE INQUIRY. - 9789067841979 ; , s. 90-94
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- In this presentation I will focus on lessons from the arts to qualitative inquiry, especially, what reflection on jazz improvisation may bring to qualitative inquiry. First, I will make the general suggestion that qualitative investigations, seen as reflective practices, have much in common with – and probably much to learn from – jazz improvisational practices. The complex processes of hermeneutic understanding include laying bare the researcher’s pre-understanding as well as, in the interpretation of statements, the dynamics between their holistic coherence and the agent’s intentions. Through interview excerpts, the important phenomenon of breaks in the conversational flow will be shown to have great signficance to qualitative inquiry as a reflective practice, pointing to improvisational practices as relevant providers of solutions to the problematic dynamics of understanding, pre- understanding, self-understanding and misunderstanding. Second, I will discuss a number of ’lessons’ that reflection on jazz improvisation may bring to qualitative research. One lesson concerns the dynamics of different kinds of authenticity. ust as jazz improvisation can be authentic in more than one way, so can research. A second lesson concerns the dynamics of observation and interpretation. Just as jazz improvisation can be viewed both as a response to external impulses and as a manifestation of internal gestures, so can research. A third lesson concerns identity. Just as the notion of changing narrative identity can be seen as key to jazz improvisation, so may an expanded notion of prolonged engagement emerge as highly relevant to qualitative research processes.
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| 2. |
- De Vliegher, Kristel, et al.
(författare)
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Exploring the activity profile of health care assistants and nurses in home nursing.
- 2015
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Ingår i: British journal of community nursing. - : Mark Allen Group. - 1462-4753 .- 2052-2215. ; 20:12, s. 608-14
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Tidskriftsartikel (refereegranskat)abstract
- Are home nurses (also known as community nurses) ready for their changing role in primary care? A quantitative study was performed in home nursing in Flanders, Belgium, to explore the activity profile of home nurses and health care assistants, using the 24-hour recall instrument for home nursing. Seven dates were determined, covering each day of the week and the weekend, on which data collection would take place. All the home nurses and health care assistants from the participating organisations across Flanders were invited to participate in the study. All data were measured at nominal level. A total of 2478 home nurses and 277 health care assistants registered 336 128 (47 977 patients) and 36 905 (4558 patients) activities, respectively. Home nurses and health care assistants mainly perform 'self-care facilitation' activities in combination with 'psychosocial care' activities. Health care assistants also support home nurses in the 'selfcare facilitation' of patients who do not have a specific nursing indication.
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| 3. |
- Giovannini, Silvia, et al.
(författare)
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Polypharmacy in Home Care in Europe : Cross-Sectional Data from the IBenC Study
- 2018
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Ingår i: Drugs & Aging. - : Springer Science and Business Media LLC. - 1170-229X .- 1179-1969. ; 35:2, s. 145-152
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Tidskriftsartikel (refereegranskat)abstract
- Background Home care (HC) patients are characterized by a high level of complexity, which is reflected by the prevalence of multimorbidity and the correlated high drug consumption. This study assesses prevalence and factors associated with polypharmacy in a sample of HC patients in Europe. Methods We conducted a cross-sectional analysis on 1873 HC patients from six European countries participating in the Identifying best practices for care-dependent elderly by Benchmarking Costs and outcomes of community care (IBenC) project. Data were collected using the interResident Assessment Instrument (interRAI) instrument for HC. Polypharmacy status was categorized into three groups: non-polypharmacy (0-4 drugs), polypharmacy (5-9 drugs), and excessive polypharmacy (C10 drugs). Multinomial logistic regressions were used to identify variables associated with polypharmacy and excessive polypharmacy. Results Polypharmacy was observed in 730 (39.0%) HC patients and excessive polypharmacy in 433 (23.1%). As compared with non-polypharmacy, excessive polypharmacy was directly associated with chronic disease but also with female sex (odds ratio [OR] 1.58; 95% confidence interval [CI] 1.17-2.13), pain (OR 1.51; 95% CI 1.15-1.98), dyspnea (OR 1.37; 95% CI 1.01-1.89), and falls (OR 1.55; 95% CI 1.01-2.40). An inverse association with excessive polypharmacy was shown for age (OR 0.69; 95% CI 0.56-0.83). Conclusions Polypharmacy and excessive polypharmacy are common among HC patients in Europe. Factors associated with polypharmacy status include not only co-morbidity but also specific symptoms and age.
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| 4. |
- Joling, Karlijn J., et al.
(författare)
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Quality indicators for community care for older people : A systematic review
- 2018
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Ingår i: PLOS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 13:1
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Forskningsöversikt (refereegranskat)abstract
- Background Health care systems that succeed in preventing long term care and hospital admissions of frail older people may substantially save on their public spending. The key might be found in high-quality care in the community. Quality Indicators (QIs) of a sufficient methodological level are a prerequisite to monitor, compare, and improve care quality. This systematic review identified existing QIs for community care for older people and assessed their methodological quality.Methods Relevant studies were identified by searches in electronic reference databases and selected by two reviewers independently. Eligible publications described the development or application of QIs to assess the quality of community care for older people. Information about the QIs, the study sample, and specific setting was extracted. The methodological quality of the QI sets was assessed with the Appraisal of Indicators through Research and Evaluation (AIRE) instrument. A score of 50% or higher on a domain was considered to indicate high methodological quality. Results Searches resulted in 25 included articles, describing 17 QI sets with 567 QIs. Most indicators referred to care processes (80%) and measured clinical issues (63%), mainly about follow-up, monitoring, examinations and treatment. About two-third of the QIs focussed on specific disease groups. The methodological quality of the indicator sets varied considerably. The highest overall level was achieved on the domain 'Additional evidence, formulation and usage' (51%), followed by 'Scientific evidence' (39%) and 'Stakeholder involvement' (28%).Conclusion A substantial number of QIs is available to assess the quality of community care for older people. However, generic QIs, measuring care outcomes and non-clinical aspects are relatively scarce and most QI sets do not meet standards of high methodological quality. This study can support policy makers and clinicians to navigate through a large number of QIs and select QIs for their purposes.
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