scholarly journals First-Hand Experience of Severe Dysphagia Following Brainstem Stroke: Two Qualitative Cases

Geriatrics ◽  
2020 ◽  
Vol 5 (1) ◽  
pp. 15
Author(s):  
Annette Kjaersgaard ◽  
Hanne Pallesen

Background: Dysphagia has profound effects on individuals, and living with dysphagia is a complex phenomenon that touches essential areas of life. Dysphagia following a brainstem stroke is often more severe and the chances of spontaneous recovery are less likely as compared with dysphagia following a hemispheric stroke. Objective: To explore how two individuals with brainstem stroke experienced severe dysphagia during their inpatient neurorehabilitation and how they experienced their recovery approximately one month following discharge. Methods: An explorative study was conducted to evaluate the first-hand perspective on severe eating difficulties. A qualitative case study was chosen to collect data during two face-to-face semi-structured interviews. Phenomenological perspectives shaped the interview-process and the processing of data. Results: Analysis of the empirical data generated the following main themes regarding experiences of: (i) the mouth and throat; (ii) shared dining; and (iii) recovery and regression related to swallowing-eating-drinking. Conclusion: Participants expressed altered sensations of the mouth and throat, which affected their oral intake and social participation in meals. Good support for managing and adapting their problems of swallowing, eating, and drinking in daily activities is essential. Knowledge and skills of professionals in relation to dysphagia is a significant requirement for recovery progress in settings within the municipality.

2021 ◽  
Vol 5 (3) ◽  
pp. 111-115
Author(s):  
Dhion Meitreya Vidhiasi

The change in life continues to change quickly. The 4.0 industry has been examined, marking a development in IT, including the Internet, Big Data and Artificial Intelligence. Everyone was not distinguished from technology by the development of IT in the 21st century. Different opinions from various parties to online learning come from face-to-face shifting paradigms. This sort of learning paradigm has multiple advantages and disadvantages to reach the aim of learning itself. This study seeks to assess the perspective of learners of online learning in this context in a COVID-19 pandemic. The study focuses on students of the English conversation of Akademi Maritim Nusantara Cilacap. The instruments used are semi-structured interviews. The researcher asked the students about the Covid-19 outbreak via the WhatsApp service. The research design employed in this research was a case study. The online study is unbelievably advantageous in the heart of the pandemic. AMN Cilacap has selected the Google Classroom Service as its Learning Management System. They will receive new terminology, knowledge, and technical skills. Thus, when they graduate in the future, students will no longer have problems using their primary app for education. Online learning is more effective than offline learning for a particular objective, information, skills, and students. Combining the benefit of online and offline teaching approaches known as combined learning will help overcome the potential limitations of online learning in the professional school of AMN Cilacap. But a mix of online and offline learning, notwithstanding the volatility of online, may be the best option to maximize its worth.


Author(s):  
Yeo Kwon ◽  
Hun Park ◽  
Hyuk Hahn ◽  
Ilhyung Lee ◽  
Taehoon Kwon

This study was conducted with a team of senior managers at a Korean shipyard in an effort to elicit particular motivators for implementing management by walking around (MBWA). To identify the key motivators and communication issues associated with them, a theoretical framework was produced based on the key tensions of social psychology of communication and upward communication as well as modern organizational theories. For this qualitative research analysis, 12 semi-structured interviews were conducted face-to-face with the executives; the data were then supplemented by five field observations during MBWAs at the shipyard. Coding frame was used to organize modal salient themes for thematic analysis. The organizational and individual motivators identified were then analyzed in-depth to elicit communicational factors underlying these motivators. While identifying 10 salient motivators as organizing themes, the research concludes that MBWA is a contingent management strategy intended to promote upward communication within organizations.


Author(s):  
Dimitrina Dimitrova ◽  
Emmanuel Koku

This paper explores how management practices shape the way dispersed communities of practice (CoPs) function. The analysis is a case study of a dispersed community engaged in conducting and managing collaborative research. The analysis uses data from a social network survey and semi-structured interviews to capture the management practices in the community and demonstrate how they are linked to the patterns of information flows and communication.This analysis is a test case for the broader issue of how distributed communities function. It shows that even highly distributed CoPs may have a dual life: they exist both online and offline, in both face-to-face meetings and email exchanges of their participants. The study examines a dispersed community engaged in conducting and managing collaborative research. The analysis uses data from a social network survey and interviews to examine its managerial practices, information exchanges and communication practices.


Author(s):  
Ka Long Roy Chan

COVID-19 has influenced teaching all across the globe. The massive use of online learning has created a problem with teachers because of the differences between face-to-face teaching and online teaching. In this chapter, a discussion on how traditional face-to-face teaching differs from online teaching will be shown. How education in Hong Kong is affected by COVID-19 is also summarized. Additionally, the result of a case study in a linguistics course in a university in Hong Kong will be shown to demonstrate the attitudes of students regarding online learning. The mixed-method case study, which consists of survey data of 100 students and semi-structured interviews of eight students, showed that students hold a general mixed feeling towards online learning because of its drawbacks, such as lack of interactions despite the convenience that online learning provides. This chapter ends with a list of suggestions for online teachers.


2018 ◽  
Vol 68 (669) ◽  
pp. e293-e300 ◽  
Author(s):  
Helen Atherton ◽  
Heather Brant ◽  
Sue Ziebland ◽  
Annemieke Bikker ◽  
John Campbell ◽  
...  

BackgroundNHS policy encourages general practices to introduce alternatives to the face-to-face consultation, such as telephone, email, e-consultation systems, or internet video. Most have been slow to adopt these, citing concerns about workload. This project builds on previous research by focusing on the experiences of patients and practitioners who have used one or more of these alternatives.AimTo understand how, under what conditions, for which patients, and in what ways, alternatives to face-to-face consultations present benefits and challenges to patients and practitioners in general practice.Design and settingFocused ethnographic case studies took place in eight UK general practices between June 2015 and March 2016.MethodNon-participant observation, informal conversations with staff, and semi-structured interviews with staff and patients were conducted. Practice documents and protocols were reviewed. Data were analysed through charting and the ‘one sheet of paper’ mind-map method to identify the line of argument in each thematic report.ResultsCase study practices had different rationales for offering alternatives to the face-to-face consultation. Beliefs varied about which patients and health issues were suitable. Co-workers were often unaware of each other’s practice; for example, practice policies for use of e-consultations systems with patients were not known about or followed. Patients reported benefits including convenience and access. Staff and some patients regarded the face-to-face consultation as the ideal.ConclusionExperience of implementing alternatives to the face-to-face consultation suggests that changes in patient access and staff workload may be both modest and gradual. Practices planning to implement them should consider carefully their reasons for doing so and involve the whole practice team.


2016 ◽  
Vol 4 (2) ◽  
pp. 71-85 ◽  
Author(s):  
Haven Allahar ◽  
Candace Brathwaite

This paper examines the experience of business incubation as an innovative developmental instrument based on the recent experience of the South American countries of Brazil and Chile and the Caribbean island nation of Trinidad and Tobago. A qualitative research method was adopted involving a review of published reports, journal articles and relevant case studies; and face-to-face semi-structured interviews with incubator managerial staff. The major findings are that there are great similarities among the incubators studied in terms of their links to universities, services offered, and funding challenges, but there is growing acceptance of incubation as a potentially valid tool for promoting business development and innovation although most incubators are at the early stage. The paper is original because the case study application to incubation in Trinidad and Tobago is new with only one related article published, and this study therefore adds value to the body of research because business incubation has been under-researched in the study area. The research is limited to the extent that the case study focuses on a comparison of selected incubator features and did not include the views of clients. The practical implications of this study is that sponsors of incubators and managers need to obtain a deeper understanding of the incubation ecosystem especially with regard to innovation-based incubators, if successful innovative businesses are to emerge. The results of the study can also be generalized over the small island developing states of the Caribbean.


2021 ◽  
Vol 37 (4) ◽  
pp. 427-444
Author(s):  
Sharina Samsudin ◽  
◽  
Che Azlan Taib ◽  
Hanissah A. Razak ◽  
Rushami Zein Yusoff ◽  
...  

Organisations need to perform, productivity needs to be improved and organisations’ activities need to be more effective, especially after the world economic crisis due to the Covid-19 pandemic. Therefore, the need for quality improvements is crucial in both manufacturing and service sectors. The main purpose of this paper is to present an analysis of internal communication patterns in TQM implementation in Malaysia's manufacturing organisations. This is a multiple case study done using qualitative in-depth interview technique of data collections with 14 informants representing five large manufacturing organisations. Open-ended questions in semi-structured interviews enabled informants to describe their answers based on themes. The study has been carried out in manufacturing organisations originating from three different continents; two Malaysian local organisations, two eastern and one western organizations, and all of them located in Malaysia. In selecting the informants, the study adopts a judgment type of purposive sampling techniques. Results show that the most preferable and reliable communication medium between superiors and subordinates is still face-to-face meetings, although we are in the era of technology and IR4.0. Meanwhile, telephones are popular among the administration staff. The preferable form of communication between internal-operational is formal, without denying that informal form ofl communication is also important. Keywords: Internal communication, organizational communication, multiple case study, systematic process analysis, TQM.


2021 ◽  
Vol 11 (2) ◽  
pp. 54
Author(s):  
Francesca Maria Cesaroni ◽  
Gail Denisse Chamochumbi Diaz ◽  
Annalisa Sentuti

Several empirical investigations indicate that family firms are more innovative under the founding generation’s leadership and become less innovative in later stages, while others state the opposite. Within this debate, limited attention has been devoted to understanding how intra-family succession might be an opportunity to maintain or improve family firms’ innovativeness. This paper aims to explore how family firms’ innovativeness may evolve from the first to the second generation and understand which conditions may favour or hamper this change. A qualitative approach based on a multiple case study was adopted, conducting seven face-to-face semi-structured interviews with founders and successors that formed the basis of four case studies. The results reveal four different dynamics that characterise how a first-generation family firm’s innovation capacities are or are not passed on to the second generation: decline, transformation, consolidation and preservation. Findings also show that these dynamics depend on the founders and successors’ approaches towards innovation. To better depict differences between them, we propose a typology of founders (lone innovator, collaborative innovator and orchestrator innovator) and successors (prodigal son, game changer, talent scout, faithful disciple) and explain how they influence the evolution of innovation from the founder generation to the next.


Author(s):  
Parivash Mozafari ◽  
David Wray

This chapter reports the findings of a multiple-case study that was carried out during October-January 2013 held with 9 Iranian EFL teachers -five male, four females- from across 6 schools in the capital city of Tehran. Underpinned by a socio-cultural epistemology and utilising an interpretivist qualitative paradigm, this study aimed to explore participants' perspectives on the integration of computer and other ICT (information and communication technology) tools into their teaching. The focus was the individual and contextual factors which had influenced and shaped the perceptions and practices of these teachers. In so doing, in-depth data was collected based on a total of 36 face to face individual semi- structured interviews that were guided by 27 observations of classroom practices. Thematic analysis of the data indicated that ICT uptake by participants was seriously hampered by several interacting and interrelated areas that influenced participants' perspectives and practices.


2017 ◽  
Vol 3 (4) ◽  
pp. 27-35
Author(s):  
Elizaveta Smirnova ◽  
Tatyana Permyakova ◽  
Marina Sheveleva

This is a qualitative study of candidates’ motivation to take BEC exams and their expectations towards the exam results, which was conducted at the Cambridge Exam Preparation Center in a Russian university. The research dataset comprised 33 participants who took part in face-to-face in-depth semi-structured interviews. Overall, candidates show a positive attitude to BEC at different exam levels. The main reasons for preparing for and taking the exams are extrinsic and defined by the institutional environment. The respondents opt for BEC exams as they intend to receive an international education (master’s level) and/or build a successful career in international organizations. The study also revealed a connection between candidates’ expectations toward exam results and their age and level of language proficiency.


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