Measuring the operational performance of intensive care units using the analytic hierarchy process approach

Purpose - The purpose of this study is to develop a performance measurement model for service operations using the analytic hierarchy process approach. Design/methodology/approach - The study reviews current relevant literature on performance measurement and develops a model for performance measurement. The model is then applied to the intensive care units (ICUs) of three different hospitals in developing nations. Six focus group discussions were undertaken, involving experts from the specific area under investigation, in order to develop an understandable performance measurement model that was both quantitative and hierarchical. Findings - A combination of outcome, structure and process-based factors were used as a foundation for the model. The analyses of the links between them were used to reveal the relative importance of each and their associated sub factors. It was considered to be an effective quantitative tool by the stakeholders. Research limitations/implications - This research only applies the model to ICUs in healthcare services. Practical implications - Performance measurement is an important area within the operations management field. Although numerous models are routinely being deployed both in practice and research, there is always room for improvement. The present study proposes a hierarchical quantitative approach, which considers both subjective and objective performance criteria. Originality/value - This paper develops a hierarchical quantitative model for service performance measurement. It considers success factors with respect to outcomes, structure and processes with the involvement of the concerned stakeholders based upon the analytic hierarchy process approach. The unique model is applied to the ICUs of hospitals in order to demonstrate its effectiveness. The unique application provides a comparative international study of service performance measurement in ICUs of hospitals in three different countries. © Emerald Group Publishing Limited.

Developing critical understanding in HRM students:using innovative teaching methods to encourage deep approaches to study

Purpose – This paper aims to focus on developing critical understanding in human resource management (HRM) students in Aston Business School, UK. The paper reveals that innovative teaching methods encourage deep approaches to study, an indicator of students reaching their own understanding of material and ideas. This improves student employability and satisfies employer need. Design/methodology/approach – Student response to two second year business modules, matched for high student approval rating, was collected through focus group discussion. One module was taught using EBL and the story method, whilst the other used traditional teaching methods. Transcripts were analysed and compared using the structure of the ASSIST measure. Findings – Critical understanding and transformative learning can be developed through the innovative teaching methods of enquiry-based learning (EBL) and the story method. Research limitations/implications – The limitation is that this is a single case study comparing and contrasting two business modules. The implication is that the study should be replicated and developed in different learning settings, so that there are multiple data sets to confirm the research finding. Practical implications – Future curriculum development, especially in terms of HE, still needs to encourage students and lecturers to understand more about the nature of knowledge and how to learn. The application of EBL and the story method is described in a module case study – “Strategy for Future Leaders”. Originality/value – This is a systematic and comparative study to improve understanding of how students and lecturers learn and of the context in which the learning takes place.

Pleasure, pain and procrastination:reflections on the experience of doing memory-work research

The focus of this article is the process of doing memory-work research. We tell the story of our experience of what it was like to use this approach. We were enthused to work collectively on a "discovery" project to explore a method with which we were unfamiliar. We hoped to build working relationships based on mutual respect and the desire to focus on methodology and its place in our psychological understanding. The empirical activities highlighted methodological and experiential challenges, which tested our adherence to the social constructionist premise of Haug's original description of memory work. Combined with practical difficulties of living across Europe, writing and analyzing the memories became contentious. We found ourselves having to address a number of tensions emanating from the work and our approach to it. We discuss some of these tensions alongside examples that illustrate the research process and the ways we negotiated the collective nature of the memory-work approach. © 2012 Copyright Taylor and Francis Group, LLC.

Managing project risk using combined analytic hierarchy process and risk map

The main purpose of the study is to develop an integrated framework for managing project risks by analyzing risk across project, work package and activity levels, and developing responses. Design/methodology/approach: The study first reviews the literature of various contemporary risk management frameworks in order to identify gaps in project risk management knowledge. Then it develops a conceptual risk management framework using combined analytic hierarchy process (AHP) and risk map for managing project risks. The proposed framework has then been applied to a 1500 km oil pipeline construction project in India in order to demonstrate its effectiveness. The concerned project stakeholders were involved through focus group discussions for applying the proposed risk management framework in the project under study. Findings: The combined AHP and risk map approach is very effective to manage project risks across project, work package and activity levels. The risk factors in project level are caused because of external forces such as business environment (e.g. customers, competitors, technological development, politics, socioeconomic environment). The risk factors in work package and activity levels are operational in nature and created due to internal causes such as lack of material and labor productivity, implementation issues, team ineffectiveness, etc. Practical implications: The suggested model can be applied to any complex project and helps manage risk throughout the project life cycle. Originality/value: Both business and operational risks constitute project risks. In one hand, the conventional project risk management frameworks emphasize on managing business risks and often ignore operational risks. On the other hand, the studies that deal with operational risk often do not link them with business risks. However, they need to be addressed in an integrated way as there are a few risks that affect only the specific level. Hence, this study bridges the gaps. © 2010 Elsevier B.V. All rights reserved.

Disaster risk reduction infrastructure requirements for South-Western Bangladesh:perspectives of local communities

Purpose: Development of effective disaster risk reduction (DRR) strategies for communities at risk of being affected by natural disasters is considered essential, especially in the wake of devastating disaster events reported worldwide. As part of a wider research study investigating community perspectives on existing and potential strategies for enhancing resilience to natural disasters, community perspectives on infrastructure and structural protection requirements were investigated. The paper aims to discuss these issues. Design/methodology/approach: Patuakhali region in South-Western Bangladesh is a region significantly at risk of multiple natural hazards. In order to engage local communities and obtain their perspectives, focus group discussions were held with local community leaders and policy makers of at-risk communities in Patuakhali region, South-Western Bangladesh. Findings: Infrastructure and structural protection requirements highlighted included multi-purpose cyclone shelters, permanent embankments and improved transport infrastructure. Much of the discussions of focus group interviews were focused on cyclone shelters and embankments, suggesting their critical importance in reducing disaster risk and also dependence of coastal communities on those two measures. Originality/value: The research design adopted sought to answer the research questions raised and also to inform local policy makers on community perspectives. Local policy makers involved in DRR initiatives in the region were informed of community perspectives and requirements, thus contributing to community engagement in implementing DRR activities.

Black middle school students' perceptions of success and their influence on academic performance

The purpose of the study was to investigate the perceptions of success held by Black middle school students in a Miami-Dade County (FL) public school and how these perceptions influence academic performance. The study sought to determine if differences exist among African-American, Haitian-American, and Haitian immigrant subgroups of the Black student population. ^ The study combined qualitative and quantitative methodology in data collection and analysis. The qualitative data consisted of three focus group interviews. Using a semi-structured protocol, questions focused on the student's perceptions of the characteristics of successful people, definitions of success, behaviors associated with achieving success, and peer, family and school support. The quantitative data comprised the responses of 352 Black middle school students to the Inventory of Student Motivation (ISM) developed to measure mastery, performance and social goal orientations. Response similarities and differences were examined using a series of two-way ANOVAs on the success scales by gender and culture. A three-way repeated measures ANOVA was conducted on mastery, performance and social general goal scales by culture and gender. ^ The results of the ISM revealed no statistically significant differences among African-American, Haitian-American, and Haitian students in their mastery, performance or social goal orientations. All three cultural groups scored significantly high on the mastery goal scale. There was a significant effect for gender on the mastery general scale with the females being more concerned with mastery than the males. Qualitative focus group interview results included varying definitions of success. African-American and Haitian-American students defined success in materialistic terms. Haitian students defined success in scholastic achievement terms. All students indicated hard work, persistence and goal setting through completion as important to achieving success. Negative influences included peer pressure, teacher and societal expectations, and classroom environment. Parental reaction to low academic performance varied by culture. ^

Uma abordagem ergonômica para análise da qualidade do pescado, desde sua captura ao seu desembarque na praia, resultante da atividade dos jangadeiros de Ponta Negra - Natal/RN

The artisan fishing activity, which involves historical - cultural, environmental, social, political, economi c, among other factors, presents, nowadays, as an important source of income, creating jobs and food, contributing to the permanence of man in their own birthplace. However, the fish, considered one of the most perishable foods, requires a proper handling and conservation, from capture to its availability in the market, in order to slow the deterioration process. Thereby, this dissertation aims to study the effect of the manipulation practices on fish quality, from capture to its landing on the beach, resul ting from fisherman’s activity from Ponta Negra - Natal/RN. It also presents the purpose of analyzing the quality of the fish and propose recommendations for their proper handling and possible solutions to add value to the product, through the improvement of the quality and good handling practices. For this purpose, the methodology used was based on ergonomic analysis of their work through observational techniques and interactional with the focus group, the jangadeiros, to understand their activity and eval uated the freshness and quality of the fish by sensory analysis, and microbiological parameters and physicochemical from existing legislation Ordinance No. 185 of May 13, 1997 and RIISPOA - amended on December 1, 2007 and RDC No. 12, dated January 2, 2001. According to the results obtained in laboratory tests, it can be established, the acceptable quality of fish as the existing rules and regulations parameters , not getting significant deterioration caused by poor handling and improper storage of fish.

Investigando o cuidado em equipe de enfermagem em uma UBS da cidade do Natal-RN

On the health area, care is seen as an important concept for professionals. Recently there is a trend, the epistemological point of view, to think carefully as category allowing discuss and re (thinking) practices of humane health care. The objective of this study is to investigate the understanding of care in nursing staff in a Basic Health Unit (BHU) in the city of Natal. The participants were two nurses and two nursing technicians working on the BHU of Guarapes district, located on the west side of Natal - RN. As Theoretical support for data interpretation, was used the concept of care taking, using Heidegger’s theories as reference, through Ayre’s ideas. This is a qualitative research using autobiographical as a methodology. The methodological strategy approach used were focus group and individual interviews. The data were discussed by three angles: knowledge (concepts and theories behind the practical model), technical (the way to do), and ethics (values that bases practices) by hermeneutics Gadamer's dialectic. The results showed the necessity to expand the discussion on care, in practice the understanding of care seems to get narrower concerns with technical success by professionals. The care, as a meeting between beings, the desired humanized care, seems to be understood in parts in theory, but also distances itself from reality in professional practice.

Contributos da supervisão para a dialógica e o trabalho colaborativo : estudo de um caso

Dissertação apresentada à Escola Superior de Educação de Santarém para a obtenção do grau de mestre em Ciências da educação - Supervisão e orientação pedagógica

Revisando el uso de grupos focalizados en la investigación social

Las reflexiones metodológicas sobre grupos focalizados (GF) de este artículo tienen como punto de partida una investigación con sectores medios del Área Metropolitana de Buenos Aires. El estudio de referencia aborda los discursos y prácticas de cuidado de la salud en el escenario contemporáneo caracterizado por la diversificación de especialistas, la creciente cobertura mediática de recomendaciones sobre la vida sana y el bienestar, la implementación de políticas públicas de promoción de la salud, y el crecimiento de la industria de productos y servicios vinculados con la temática. El objetivo del artículo es reflexionar, a partir de nuestra experiencia de investigación, sobre dos aspectos que han recibido especial atención en la literatura metodológica más reciente: los criterios para componer los grupos y sus consecuencias para la dinámica de las conversaciones grupales, y las estrategias para dar cuenta de la interacción grupal en el análisis de los datos. En este último eje exploramos el potencial de los GF para observar el trabajo identitario vinculado con el cuidado de la salud. Enmarcamos nuestro estudio y las decisiones metodológicas tomadas en los debates actuales sobre la variedad de usos de los GF.

Investigating the Association Between Computer-Mediated Communication (CMC) and the Health of Canadian Young People: A Mixed Methods Study

Canadian young people are increasingly more connected through technological devices. This computer-mediated communication (CMC) can result in heightened connection and social support but can also lead to inadequate personal and physical connections. As technology evolves, its influence on health and well-being is important to investigate, especially among youth. This study aims to investigate the potential influences of computer-mediated communication (CMC) on the health of Canadian youth, using both quantitative and qualitative research approaches. This mixed-methods study utilized data from the 2013-2014 Health Behaviour in School-aged Children survey for Canada (n=30,117) and focus group data involving Ontario youth (7 groups involving 40 youth). In the quantitative component, a random-effects multilevel Poisson regression was employed to identify the effects of CMC on loneliness, stratified to explore interaction with family communication quality. A qualitative, inductive content analysis was applied to the focus group transcripts using a grounded theory inspired methodology. Through open line-by-line coding followed by axial coding, main categories and themes were identified. The quality of family communication modified the association between CMC use and loneliness. Among youth experiencing the highest quartile of family communication, daily use of verbal and social media CMC was significantly associated with reports of loneliness. The qualitative analysis revealed two overarching concepts that: (1) the health impacts of CMC are multidimensional and (2) there exists a duality of both positive and negative influences of CMC on health. Four themes were identified within this framework: (1) physical activity, (2) mental and emotional disturbance, (3) mindfulness, and (4) relationships. Overall, there is a high proportion of loneliness among Canadian youth, but this is not uniform for all. The associations between CMC and health are influenced by external and contextual factors, including family communication quality. Further, the technologically rich world in which young people live has a diverse impact on their health. For youth, their relationships with others and the context of CMC use shape overall influences on their health.

“Esto es lo que me gusta y lo que voy a estudiar”: Un estudio cualitativo sobre la toma de decisiones académicas en bachillerato

Durante la educación secundaria los estudiantes comienzan a explorar las ocupaciones y expectativas profesionales, forman sus creencias de autoeficacia y consolidan sus intereses académicos. En este contexto, el artículo presenta los resultados de una investigación realizada en el Principado de Asturias para conocer las percepciones y opiniones que tienen los estudiantes de bachillerato y sus progenitores sobre las elecciones académicas realizadas en la educación secundaria, haciendo especial hincapié en los factores contextuales que pueden ayudar u obstaculizar el desarrollo de la carrera. Se ha usado una metodología cualitativa fundamentada en el uso de la técnica del grupo de discusión. Se han organizado cinco grupos de discusión con estudiantes y dos grupos con progenitores. El total de personas que participó en las entrevistas focales fue de 51 estudiantes y de 14 padres/madres. Los resultados obtenidos nos permiten concluir que el bachillerato sigue siendo considerado la puerta de acceso a la universidad y no a la formación profesional de grado superior. También se concluye que los estudiantes fundamentan sus decisiones académicas sobre la base de la preferencia y gusto personal por determinada opciones y esta razón prevalece sobre otras como las salidas profesionales o el rendimiento académico previo. Respecto a la influencia de distintos agentes sociales en el proceso de decisión académica, los resultados son concluyentes al afirmar que el principal apoyo de los estudiantes son sus progenitores, por encima del que perciben encontrar de docentes y grupo de iguales. El artículo finaliza con algunas sugerencias para mejorar la práctica de la orientación educativa en las instituciones de educación secundaria.

The Hidden benefits of “poster presentation assessment”: Skill acquirement and learning; evaluated from the nursing students perspective

Introduction
This paper reports to an exercise in evaluating poster group work and poster presentation and the extra learning and skill acquisition that this can provide to nursing students, through a creative and stimulating assessment method. Much had been written about the benefits of using posters as an assessment method, yet there appears to be a lack of research that captures the student experience.
Aim
This evaluative study sought to evaluate the student experience by using a triangulation approach to evaluation:
Methodology
All students from the February 2015 nursing intake, were eligible to take part (80 students) of which 71 participated (n=71). The poster group presentations took place at the end of their first phase of year one teaching and the evaluation took place at the end of their first year as undergraduate. Evaluation involved;
1. Quantitative data by questionnaires
2. Qualitative data from focus group discussions
Results
A number of key themes emerged from analysis of the data which captured the “added value” of learning from the process of poster assessment including:
 Professionalism: developing time keeping skills, presenting skills.
 Academic skills: developing literature search, critic and reporting
 Team building and collaboration
Overall 88% agreed that the process furnished them with additional skills and benefits above the actual production of the poster, with 97% agreeing that these additional skills are important skills for a nurse.
Conclusion
These results would suggest that the process of poster development and presentation furnish student nurses with many additional skills that they may not acquire through other types of assessment and are therefore beneficial. The structure of the assessment encourages a self-directed approach so students take control of the goals and purposes of learning. The sequential organization of the assessment guides students in the transition from dependent to self-directed learners.

Coimbra: cidade amiga das pessoas idosas?!

Introdução: Em Portugal, bem como nos restantes países mundiais, tem sido registado, em virtude de múltiplas transformações societárias, um aumento crescente do envelhecimento demográfico. Este novo cenário demográfico originou uma reflexão, por parte de organizações supranacionais, sobre as cidades na sua relação com os munícipes mais velhos. Desta reflexão surge o projeto Cidade Amiga das Pessoas Idosas que apresenta referenciais de avaliação das cidades para que estas possam adaptar as suas estruturas e serviços aos seus munícipes mais velhos. Beneficiando desta forma do potencial que as pessoas mais velhas representam para a humanidade. Objetivos: O presente estudo tem como objetivo central verificar se a cidade de Coimbra é uma cidade amiga das pessoas idosas. Metodologia: A pesquisa remete para um estudo qualitativo exploratório a partir dos procedimentos metodológicos que constam do Protocolo de Vancouver. O focus group decorreu em duas sessões. Participantes: Foram auscultados 16 pessoas, 15 (93,8%) do sexo feminino. A idade média situa-se nos 79,88 anos (dp= ± 10,658), são maioritariamente viúvos (7= 43,8 %) e 7 (43,8%) e têm como habilitações a 4ª classe. Autoclassificam-se maioritariamente na classe média baixa (7 =43,8). Resultados: Das oito categorias analisadas três categorias “espaços exteriores e edifícios”, “transportes” e “respeito e inclusão social” são avaliadas com aspetos positivos e negativos. O “suporte comunitário e serviços de saúde” é avaliado como positivo enquanto a “habitação”, “participação social” e “comunicação e informação” são avaliados como negativos. As sugestões efetuadas referem-se a um único tópico “espaços exteriores e edifícios”. Conclusões: Se partilharmos a tese que uma cidade amiga das pessoas idosas estimula o envelhecimento ativo porque otimiza as oportunidades de participação no ambiente urbano melhorando, desta forma, a qualidade de vida das pessoas envelhecem. Os resultados que obtivemos, a partir da auscultação de um grupo de idosos, permitem-nos afirmar que Coimbra precisa de se adaptar aos seus munícipes mais velhos. Só assim Coimbra se poderá tornar uma cidade amiga das pessoas idosas. Importa igualmente registar que os resultados encontrados devem ser mediados pelo perfil sociodemográfico dos idosos entrevistados. / Introduction: In Portugal, as well as in other countries worldwide, has been registered by virtue of multiple associated transformations, an increasing growing of population. This new demographic scenario triggered, led to a reflection on the part of supranational organizations, about the cities in their relationship with the older residents. This reflection comes with the project Friendly City of Older Persons that presents benchmarks for the evaluation of cities so that they can adapt their structures and services to its older citizens. Enjoying this way the potential that older people represent for humanity. Objectives: This study aims to check if the city of Coimbra is an elderly friendly city. Methodology: The research refers to an exploratory qualitative study from the methodological procedures of the Vancouver Protocol. The focus group was held in two sessions. Participants: 16 people were sounded out, 15(93.8%) were female. The average ages tends at79.88 years (dp = ±10,658), are mostly widowers (7=43.8%) and 7 (43.8%) have the qualifications to4th grade. They are classified mostly in the lower middle class(7=43.8). Results: Of the eight analyzed categories three categories" outdoor spaces and buildings", "transport" and "respect and social inclusion" are evaluated on positive and negative aspects. The "community support and health services" is evaluated as positive as the"housing", "social participation "and "communication and information" are evaluated as negative. The suggestions are related to a single topic "buildings and outdoor areas." Conclusions: If we share the view that an elderly friendly citizen courages active aging because it optimizes the opportunities for participation in the urban environment improving, in this manner, the quality of life of the elderly. The results we obtained from the consultation of a group of elderly allow us to say that Coimbra needs to adapt to its older citizens. Only then Coimbra can become a friendly city of the elderly. It should also be noted that the results should be mediated by socio-demographic profile of elderly respondents.

Assessing the Knowledge and Attitude Among Somali Men In King County Towards Female Genital Mutilation

Thesis (Master's)--University of Washington, 2016-06