Michelle Myall, Carl May, Alison Richardson, Sarah Bogle, Natasha Campling, Sally Dace and Susi Lund
The purpose of this paper is to explore what happens when changes to clinical practice are proposed and introduced in healthcare organisations. The authors use the implementation…
Abstract
Purpose
The purpose of this paper is to explore what happens when changes to clinical practice are proposed and introduced in healthcare organisations. The authors use the implementation of Treatment Escalation Plans to explore the dynamics shaping the translational journey of a complex intervention from research into the everyday context of real-world healthcare settings.
Design/methodology/approach
A qualitative instrumental collective case study design was used. Data were gathered using qualitative interviews (n = 36) and observations (n = 46) in three English acute hospital trusts. Normalisation process theory provided the theoretical lens and informed data collection and analysis.
Findings
While each organisation faced the same translational problem, there was variation between settings regarding adoption and implementation. Successful change was dependent on participants' ability to manage and shape contexts and the work this involved was reliant on individual capacity to create a new, receptive context for change. Managing contexts to facilitate the move from research into clinical practice was a complex interactive and iterative process.
Practical implications
The paper advocates a move away from contextual factors influencing change and adoption, to contextual patterns and processes that accommodate different elements of whole systems and the work required to manage and shape them.
Originality/value
The paper addresses important and timely issues of change in healthcare, particularly for new regulatory and service-oriented processes and practices. Insights and explanations of variations in implementation are revealed which could contribute to conceptual generalisation of context and implementation.
Details
Keywords
Our South African correspondent writes:—Considerable damage has been done to the University Library of the Witwatersrand as the result of an extensive fire which destroyed a large…
Abstract
Our South African correspondent writes:—Considerable damage has been done to the University Library of the Witwatersrand as the result of an extensive fire which destroyed a large part of the collection and the building. The Library was, in the course of the past year, in process of reorganisation….. A plea for closer co‐operation between the libraries of South Africa was made by Mr. Percy Freer of Johannesburg at a meeting of the Witwatersrand and Victoria Branch of the South African Library Association. Mr. Freer said that most of the libraries were concentrating on particular subjects, and it was desirable that all libraries should be able to draw on the resources of each other. He suggested that the following libraries should function as regional centres with a view to relieving pressure on the National Central Library: the South African Public Library (Cape Town), Bloemfontein (operating with Kimberley), Maritzburg (with Durban), Johannesburg, Bulawayo and Port Elizabeth. The headquarters of the National Central Library itself should be attached to the State Library at Pretoria. A union catalogue and other bibliographical aids were desirable…. Dr. Gie (Secretary for Education) has been urging teachers to have a greater regard for books. He had been astonished to learn from recent investigations that many teachers not only did not read current books and periodicals regularly, but did not keep in touch with current topics through the newspapers. He advised teachers to assist in setting up libraries and centres where they did not exist.
Having discussed amiably with the editor the importance of women in the American library field, he responded with a request for some of my memories of individual ladies whom I had…
Abstract
Having discussed amiably with the editor the importance of women in the American library field, he responded with a request for some of my memories of individual ladies whom I had known professionally and for whom I had high regard. First I must admit that my field has been the public library and the activities of state libraries and library commissions in the extension of public library service. Undoubtedly in university and endowed reference libraries the men in the field showed up more prominently just as they did in activities and decisions of the American Library Association. However, when John Cotton Dana spoke cogently at a conference we did not forget the equally forceful and intelligent Beatrice Winser who had so great a part in running the Newark Public Library of which Mr. Dana was director. This is but one example plucked at random and I do not like to have these indispensable co‐workers ignored.
THE spirit of American librarianship is the admiration of the world. To some extent also the wonder, because the pioneers there were of the same substance in general as those who…
Abstract
THE spirit of American librarianship is the admiration of the world. To some extent also the wonder, because the pioneers there were of the same substance in general as those who founded Australia and New Zealand. Yet in the United States the “library idea” developed, slowly at first indeed as everywhere else, but in the nineties and the first decade of this century with a verve and liberality which outpaced us all; while, in our Dominions, it grew relatively much more slowly and always braked by the European idea that a lending library ought not to be free. A divided philosophy it seems. In America the axiom has been accepted that reading is culture and in it is included the culture of the imagination through works of all kinds, even fiction; and that this is to be dispensed, as education is, freely and at public cost. In continental Europe, and through it conveyed in some way to the Dominions, our axiom has been that reading may indeed be culture, but its relation to education is vague and unproven, and at the best the desire to create readers should stop short at offering them books for use in their homes entirely out of public funds.
IN spite of the numerous efforts to educate the public on the function of the municipal library, much ignorance still prevails. Only a short time ago a writer in advocating the…
Abstract
IN spite of the numerous efforts to educate the public on the function of the municipal library, much ignorance still prevails. Only a short time ago a writer in advocating the installation of gramophones as a legitimate and useful adjunct to public libraries used the phrase “tenth‐rate fiction.” He asserted that the provision of high‐class music by gramophone was to be preferred to the circulation of “tenth‐rate fiction.”
RETROSPECT is natural at the beginning of a new library year. All over the world of libraries of all kinds the shadow of the general depression has fallen; more heavily perhaps in…
Abstract
RETROSPECT is natural at the beginning of a new library year. All over the world of libraries of all kinds the shadow of the general depression has fallen; more heavily perhaps in the United States than here. It is a testing time which has made the enemies of libraries vocal and has also fortunately roused their advocates. On balance, optimism may prevail; and in that faith we wish our readers a happy new year.
LIBRARY activity has been very great since the year opened. On all sides librarians report issues which are greatly in excess of any previously reached. This has been interpreted…
Abstract
LIBRARY activity has been very great since the year opened. On all sides librarians report issues which are greatly in excess of any previously reached. This has been interpreted by ourselves and by others as a reflex of the general unemployment. It is also due no doubt to the lack of pence on the part of many people for amusements, who find that reading is a cheap form of diversion. There can be no cause for anything but satisfaction in the fact that in such unhappy times our people turn to books. It is a hopeful sign, for the nation that reads gathers a resilience and buoyancy which can be got from few other activities.
Ana Campos-Holland, Brooke Dinsmore and Jasmine Kelekay
This paper introduces two methodological innovations for qualitative research. We apply these innovations to holistically understand youth peer cultures and improve…
Abstract
Purpose
This paper introduces two methodological innovations for qualitative research. We apply these innovations to holistically understand youth peer cultures and improve participant-driven qualitative methodology.
Methodology/approach
It moves the methodological frontier forward by blending technology with the “go-along” approach used by ethnographers to prioritize participants’ perspectives and experiences within their socio-cultural contexts.
Findings
We introduce the youth-centered and participant-driven virtual tours, including a neighborhood tour using Google Maps designed to explore how youth navigate their socio-spatial environments (n = 64; 10–17 year-olds; 2013) and a social media tour designed to explore how youth navigate their networked publics (n = 50; 10–17 year-olds; 2013), both in relation to their local peer cultures.
Originality/value
Applicable to a wide range of research populations, the Google Maps tour and the social media tour give the qualitative researcher additional tools to conduct participant-driven research into youths’ socio-cultural worlds. These two innovations help to address challenges in youth research as well as qualitative research more broadly. We find, for example, that the “go-along” aspect of the virtual tour minimizes the perceived threat of the researcher’s adult status and brings youth participants’ perspectives and experiences to the center of inquiry in the study of local peer cultures.
Details
Keywords
The manifesto of the Jam Section of the Food Manufacturers' Federation which was issued to the trade and to the public in October is a document which has been subjected to much…
Abstract
The manifesto of the Jam Section of the Food Manufacturers' Federation which was issued to the trade and to the public in October is a document which has been subjected to much unfavourable criticism by various persons for various reasons. In our opinion it fully deserves the censure it has received. It need hardly be pointed out that jam of some kind is eaten by everybody. The annual production in this country is enormous. As a combined food and stimulant for young children jam is probably unrivalled; indeed, we cannot imagine a substitute for it. “Jam is a ready means of providing carbohydrates, and children require much carbohydrate in proportion to their size.” All this, however, assumes that jam is really what it claims to be, namely, a preparation of the fresh fruit that gives the name to the jam and sugar only. This, we take it, is the view of the ordinary man. If we turn to dictionaries we find this definition or something very like it in all the dictionaries that have been published during the last one hundred and seventy‐five years. The dictionaries of the 17th century seem not to define the word; its meaning, however, was well understood. Johnson, 1755, defines the word jam as “a conserve of fruit boiled with sugar and water”—by sugar of course meaning cane sugar. All the modern standard dictionaries speak to the same effect. Murray's Dictionary has “A conserve of fruit prepared by boiling it with sugar to a pulp.” The Encyclopædic Dictionary and Wright's Universal Pronouncing Dictionary have the same. The Century Dictionary says jam is “A conserve of fruit prepared by boiling them to a pulp in water with sugar.” Webster that it is “A thick preserve made of fruit boiled with sugar and water.” Funk and Wagnall's New Standard Dictionary, “A conserve of fruit prepared by thorough cooking and stewing with sugar, reducing it to a pulp.” It is unnecessary to give further quotations; they are all to the same effect and show what the purchaser has in his mind when he asks for a pot of jam at a shop.
The emphasis of this survey is on motion picture reference material that has been published since 1982. This update does not, for the most part, include titles covered in a prior…
Abstract
The emphasis of this survey is on motion picture reference material that has been published since 1982. This update does not, for the most part, include titles covered in a prior RSR article (1:4; 1983), written by myself, or in an even earlier article by Leslie Kane (7:1; 1979). In those few instances where titles that have appeared in the earlier RSR film surveys are discussed, it is because they now have a new subject emphasis.