Study protocol for the translating research in elder care (TREC): Building context through case studies in long-term care project (project two)

Background: The organizational context in which healthcare is delivered is thought to play an important role in mediating the use of knowledge in practice. Additionally, a number of potentially modifiable contextual factors have been shown to make an organizational context more amenable to change. However, understanding of how these factors operate to influence organizational context and knowledge use remains limited. In particular, research to understand knowledge translation in the long-term care setting is scarce. Further research is therefore required to provide robust explanations of the characteristics of organizational context in relation to knowledge use.
Aim: To develop a robust explanation of the way organizational context mediates the use of knowledge in practice in long-term care facilities.
Design: This is longitudinal, in-depth qualitative case study research using exploratory and interpretive methods to explore the role of organizational context in influencing knowledge translation. The study will be conducted in two phases. In phase one, comprehensive case studies will be conducted in three facilities. Following data analysis and proposition development, phase two will continue with focused case studies to elaborate emerging themes and theory. Study sites will be purposively selected. In both phases, data will be collected using a variety of approaches, including non-participant observation, key informant interviews, family perspectives, focus groups, and documentary evidence (including, but not limited to, policies, notices, and photographs of physical resources). Data analysis will comprise an iterative process of identifying convergent evidence within each case study and then examining and comparing the evidence across multiple case studies to draw conclusions from the study as a whole. Additionally, findings that emerge through this project will be compared and considered alongside those that are emerging from project one. In this way, pattern matching based on explanation building will be used to frame the analysis and develop an explanation of organizational context and knowledge use over time. An improved understanding of the contextual factors that mediate knowledge use will inform future development and testing of interventions to enhance knowledge use, with the ultimate aim of improving the outcomes for residents in long-term care settings.

PTSD symptomatology in children and adolescents : treatment development and evaluation

This thesis developed, implemented and evaluated a cognitive-behavioural group treatment programme for children and adolescents experiencing symptoms of PTSD (Post-traumatic stress disorder). Results of the study indicate that symptoms of sleep disturbance and flashbacks, reduced markedly in the participants, providing a useful tool in reducing synptoms experiences by individuals exposed to trauma. The Professional portfolio presents four case studies that demonstrate the clinical application of the affect of chronic illness on the psychological adjustment of the sufferer and their families.

Effects of physical activity on depression and anxiety in children

This thesis study examined the direct and indirect effects of physical activity, self-efficacy and peer relations in depression and anxiety in children. No direct relationships between physical activity and symptoms of depression or anxiety were found for either sex. The portfolio, using four clinical health psychology case studies, provides an illustration of the clinical application of the transtheoretical model to four different health issues.

Not waving but drowning : case studies in work identity of new university academics

Eight case studies of academics at a new multi-campus, multi-state Catholic university form the basis of the research. A particular focus is examining how the academics struggle to construct their work identity against the global higher education background of changing government policies, reduced funding and major shifts in thinking about the functions of universities; and also the background of within-university changes: its new research-orientation, its particular form of corporate managerialist administration.

Factors impacting story-grammar production in children's narrative accounts of events

This thesis examined factors associated with increased story-grammar production in police interviews with children who allege abuse. These factors included the child's age, the type of question asked and the nature of the event experienced by the child. Recommendation for improving story-grammar, which in turn enhances witness credibility, were discussed. The portfolio explored how an awareness of specific responsivity factors can inform treatment recommendations and execution in rehabilitation of offenders with substance use issues. Four case studies are presented in illustration.

The place of place : case studies of place in Victorian planning schemes

Built environment and lived experience are inextricably interwoven. The Australian State of Victoria’s planning framework prioritises the physical characteristics of space above their socio-psychological correlates, as reflected in the relatively limited remit of ‘place’ in formal decision-making. The Victorian planning model struggles to accommodate the uniqueness of specific places in the process of development, despite the driving role it plays in expansion. A literature review investigating definitions of place and place identity determined that although place has been defined variously, and at times with some contradiction, there is broad consensus that it can be understood as the interrelation between the physical characteristics of a landscape and the sensory faculties of an individual and an individual’s experience. This interrelationship is in turn determined by social constructs. Depending on an individual’s length of residence in a particular physical location, place influences individual and social psychology through both the formation of place attachment and identity. While place attachment to landscapes has been described using a variety of complex methodologies, translation of this work into architectural and planning practice has been limited within Australia in general and Victoria in particular. The Victorian Shires of Surf Coast and Frankston are considered as examples of current best practice in integrating place into planning. Key issues highlighted in the conclusion include: the difficulties of incorporating qualitative information within the Victorian Planning Scheme; the importance of correctly measuring place attachment, rather than landscape preference; and the complexities, costs and ethical implications of describing place attachment for integration within the planning system.