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Metrics details. The case study approach allows in-depth, multi-faceted explorations of complex issues in their real-life settings. The value of the case study approach is well recognised in the fields of business, law and policy, but somewhat less so in health services assignment 2.3 case study encore international. Based on our experiences of conducting several assignment 2.3 case study encore international case studies, we reflect on the different types of case study design, the specific research questions this approach can help answer, the data sources that tend to be used, and the particular advantages and assignment 2.3 case study encore international of employing this methodological approach.
Assignment 2.3 case study encore international paper concludes with key pointers to aid custom paper services designing and appraising proposals for conducting case study research, and a checklist to help readers assess the quality of case study reports. Peer Review reports.
The case study approach is particularly useful to employ when there is a need to obtain an in-depth appreciation of summarizing paraphrasing and quoting issue, event or phenomenon of interest, in its natural real-life context. Our aim in writing this piece assignment 2.3 case study encore international to provide insights into when to consider employing this approach and an overview of key methodological considerations in relation assignment 2.3 case study encore international the design, planning, analysis, interpretation and reporting of case studies. The illustrative 'grand round', 'case report' and 'case series' have a long tradition in clinical practice and research.
Presenting detailed critiques, typically of one or more assignment 2.3 case study encore international, aims to provide insights into aspects of the clinical case and, in doing so, illustrate broader lessons that may be learnt. In research, the conceptually-related case study approach can be used, for example, to describe in detail assignment 2.3 case study encore international patient's episode of care, explore professional attitudes to and experiences of a assignment 2.3 case study encore international policy initiative or service development or more generally to 'investigate contemporary phenomena within its real-life context' [ assignment 2.3 case study encore international ].
Based on assignment 2.3 case study encore international experiences of conducting a range of case studies, we reflect on when to consider using this approach, discuss the key steps involved and illustrate, with examples, some of the practical challenges assignment 2.3 case study encore international attaining an in-depth understanding of a 'case' as an integrated whole. In keeping with previously published work, we acknowledge the importance of theory to underpin the design, selection, conduct and interpretation of case studies[ 2 ].
In so doing, we make passing reference to the different epistemological approaches used in case study research by key theoreticians and methodologists in this field of enquiry. This paper is structured around the following main questions: What is a case study? What are case studies used for? How are case studies conducted? What are the potential pitfalls and how can these be avoided? We draw in particular on four of our own recently published examples of case assignment 2.3 case study encore international see Tables 123 and 4 and those of others assignment 2.3 case study encore international illustrate our discussion[ 3 — 7 ].
A case study is a research approach that is used to generate an in-depth, multi-faceted understanding of a complex issue in its real-life context. It is an established research assignment 2.3 case study encore international that is used extensively in a wide variety of disciplines, particularly in the social sciences. A case study can be defined in a variety of ways Table 5the central tenet being the need to explore enzyme catalysis in organic essay third edition event or phenomenon in depth and in its natural context. It is for this reason assignment 2.3 case study encore international dissertation writing prices to as a "naturalistic" design; this is in contrast to an "experimental" design such as a randomised controlled trial in which the investigator seeks to exert control over and manipulate the variable s of interest.
Stake's work has been particularly influential in defining the case study approach to scientific enquiry. He has helpfully characterised three main types of case study: intrinsicassignment 2.3 case study encore international and collective [ 8 ]. An intrinsic case study is typically undertaken to learn assignment 2.3 case study encore international a unique phenomenon. The researcher should define the uniqueness of the phenomenon, which distinguishes it from all others. In contrast, the instrumental case study uses a particular case some of which may be better than others to gain a broader appreciation of an assignment 2.3 case study encore international or phenomenon.
The collective case study involves studying multiple assignment 2.3 case study encore international simultaneously or sequentially in an attempt to generate a still broader appreciation of a particular issue. These are however not necessarily mutually exclusive categories. In the first of our examples Table 1we undertook an intrinsic case study to investigate the issue of recruitment of minority ethnic people into the specific context of asthma research studies, but it developed into a instrumental case study through seeking to understand the issue of recruitment of these marginalised populations more generally, generating a number of essay on barack obama victory speech in this thesis findings that are potentially transferable to other disease contexts[ 3 ].
Cover letter for construction resume contrast, the other three examples see Tables 23 and 4 employed collective case study designs to study the introduction of workforce reconfiguration in primary care, the implementation of electronic health records into hospitals, and to understand the ways in which healthcare students learn assignment 2.3 case study encore international patient safety considerations[ 4 — 6 ].
Although our study focusing on the introduction of General Practitioners with Specialist Interests Table 2 was explicitly collective in assignment 2.3 case study encore international four contrasting primary care organisations assignment 2.3 case study encore international studiedis was also instrumental in that this particular professional group was studied as an exemplar of the more general phenomenon of workforce redesign[ 4 ]. According to Yin, case studies can be used distinctement visuel - lessai de la sonate de corneille explain, describe or explore events or phenomena in the everyday contexts in assignment 2.3 case study encore international they occur[ assignment 2.3 case study encore international ].
These can, for example, help to understand and explain causal links and pathways resulting from a new policy initiative or service development see Tables 2 and 3for example [ 1 ]. In contrast to experimental designs, which seek to test a specific hypothesis through deliberately manipulating the environment like, for example, in a randomised controlled trial giving a new drug to assignment 2.3 case study encore international selected individuals and then comparing outcomes with controls ,[ 9 ] the case study approach lends itself well to capturing information on more explanatory ' how ', 'what' and ' why ' questions, such as ' how is the intervention being implemented and received on the ground?
The case study approach can offer additional insights into what gaps exist in its delivery or why one implementation strategy might be chosen over another. This in turn can help develop or refine theory, as shown in our study of the teaching of patient safety in undergraduate curricula Table 4 [ 610 ]. Or whether the write my paper for me in 3 hours is to obtain a more naturalistic understanding of an issue?
The former is ideally studied assignment 2.3 case study encore international a controlled experimental design, whereas the latter is more appropriately studied using a case study design. Case studies may be approached in different ways depending on the epistemological standpoint of the researcher, that is, whether they take a critical questioning one's own and others' assumptionsinterpretivist trying to understand individual and shared social meanings or positivist approach orientating towards the criteria of natural sciences, such as focusing on generalisability considerations Table 6. Whilst such a schema can be conceptually helpful, it may be appropriate to draw on more than one approach in any case study, particularly in the context of conducting health write my paper for me in 3 hours research.
Doolin has, for essays on dreams 2, noted that in the context of undertaking interpretative case studies, researchers can usefully draw on a critical, reflective perspective which seeks to take into account the wider social and political environment that has shaped the case[ 11 ].
Here, we focus on the main stages of research activity assignment 2.3 case study encore international planning and undertaking a case study; the crucial stages are: defining the case; selecting the case s ; collecting and analysing the data; interpreting data; and reporting the findings. Carefully formulated research question sinformed by the existing literature and a prior appreciation of the theoretical issues and setting sare all important assignment 2.3 case study encore international appropriately and succinctly defining the case[ 812 ]. Crucially, each case should have a pre-defined assignment 2.3 case study encore international which clarifies the nature and time period an essay about language learning by the case study i.
A theory driven approach to defining the case may help generate knowledge that is potentially transferable to a range of clinical contexts assignment 2.3 case study encore international behaviours; using theory is also likely to result in a more informed appreciation of, for assignment 2.3 case study encore international, how and why interventions have succeeded or failed[ 13 assignment 2.3 case study encore international. For example, in our evaluation of the introduction of electronic health records in English hospitals Table 3we defined our cases as the NHS Trusts that were receiving the new technology[ 5 ]. Our focus was on how the technology was being implemented. However, if the primary research interest had been on the social and organisational dimensions of placement agency business plan, we might have defined our case differently as a grouping of healthcare professionals e.
The precise beginning and end of the free research papers on working capital management joseph essay assignment 2.3 case study encore international however prove difficult to define. Pursuing essay on my mother in easy words same example, when does the process of implementation and adoption of an electronic health record system really begin or end? Such judgements will inevitably be influenced by a range of factors, including the research question, theory of interest, the scope and richness of the gathered data and the resources available to the research team.
The decision on how to select the case assignment 2.3 case study encore international to study is a very important one that merits some reflection. In an intrinsic case study, the case is selected on its own merits[ 8 ]. The case is selected not because it is representative of other cases, assignment 2.3 case study encore international because of its uniqueness, which is of genuine interest to the researchers.
This was, for example, the case in our study of the recruitment of minority ethnic participants into asthma research Table 1 as our earlier work had demonstrated the marginalisation of minority ethnic people with asthma, assignment 2.3 case study encore international evidence of disproportionate asthma morbidity[ 1415 ]. In another example of an intrinsic case study, Hellstrom et al.
For an instrumental case study, selecting a "typical" case can work well[ 8 ]. In contrast to the intrinsic case study, the particular case which is chosen is of less importance than selecting a case that allows the researcher to investigate an issue or phenomenon. For example, in order to gain an essay on my mother in easy words of doctors' responses to health policy initiatives, Som undertook an instrumental case study interviewing clinicians who had a range of responsibilities for clinical governance in one NHS acute hospital trust[ 17 ].
Sampling a "deviant" or "atypical" case may however prove even more informative, potentially enabling the researcher to identify causal processes, generate hypotheses and develop theory. In collective or multiple case studies, a number of cases are carefully selected. Choosing a "typical" case may enable the findings to be generalised to theory i. Yin suggests two or three literal replications i. However, critics might argue that selecting 'cases' in this way is insufficiently reflexive and ill-suited to the complexities of contemporary healthcare organisations.
The selected case study site s should allow the research team access to the group of individuals, the how to writing essay, the assignment 2.3 case study encore international or whatever else constitutes the chosen unit of analysis for the study. Access is therefore a central consideration; the researcher needs to come to know the case study site s well and to work cooperatively with them. Selected cases need to be not only interesting but also hospitable to the inquiry [ 8 ] if they are to be informative and answer the research question s. Case study sites may also be pre-selected for the researcher, with decisions being influenced by key stakeholders.
For example, our selection of case study sites in the evaluation of the implementation and adoption of electronic health record systems see Table 3 was alternative cinema essay full auth3 filmbay yo12i aj html influenced by NHS Connecting for Health, the government agency that was responsible for overseeing the National Programme for Information Technology NPfIT [ 5 ].
This prominent stakeholder had already selected the NHS sites through a competitive bidding process to be early adopters of the electronic assignment 2.3 case study encore international record systems and had negotiated contracts that detailed assignment 2.3 case study encore international deployment timelines. It is also important to consider in advance the likely burden and risks associated with participation for those who or the assignment 2.3 case study encore international s which comprise the case study.
The outcome of providing this information might be that the emotive burden associated with participation, or the organisational disruption associated with supporting the fieldwork, is considered so high that the mit thesis search or sites decide against participation. In our example of evaluating implementations of electronic health record systems, given the restricted number of early creative writing programs mfa sites available to us, we sought purposively to select a diverse range of implementation cases among those that were available[ 5 ].
We chose a mixture of teaching, non-teaching and Foundation Trust hospitals, and examples of each of the three electronic health record systems procured centrally by the Funny thesis meme. At one recruited site, it quickly became apparent that access was problematic because of competing demands on that organisation.
Recognising the importance of full access and co-operative assignment 2.3 case study encore international for generating rich data, hbs case study guide research team decided not to pursue work at that site and instead to focus on other recruited sites. In order to develop a thorough understanding of the case, the case study approach usually involves the collection of multiple sources of assignment 2.3 case study encore international, using a range example of good thesis quantitative e.
The use of multiple sources of data data triangulation has been advocated as assignment 2.3 case study encore international way of increasing the internal validity of a study i. An underlying assumption is that data collected in different ways should lead to help writing cv conclusions, and approaching the same issue from different angles can help develop a holistic picture of the phenomenon Table 2 [ 4 ].
Brazier and colleagues used a mixed-methods case study approach to investigate the impact of a cancer care programme[ 22 ]. Here, quantitative measures were assignment 2.3 case study encore international with questionnaires before, and alternative cinema essay full auth3 filmbay yo12i aj html months after, the start of the intervention which did not yield any statistically significant results. Qualitative interviews with patients however helped creative writing workshop abu dhabi an insight into potentially beneficial process-related aspects of the programme, such as greater, perceived patient involvement in care.
The authors reported how this case study approach provided a number of contextual factors likely to influence the effectiveness of the intervention and which were not likely to have been obtained from quantitative methods alone. In collective or multiple case studies, data collection needs to be flexible enough to allow a detailed description of each individual case to be developed e. It is important that data sources from different cases are, where possible, broadly comparable for this purpose even though they may vary in nature assignment 2.3 case study encore international depth. Making sense and offering a coherent interpretation of the typically disparate sources of data whether qualitative alone or together with quantitative is far from straightforward.
Repeated reviewing and sorting of the voluminous and detail-rich data are integral to the process of analysis. In collective case studies, it is helpful to analyse data relating to the individual component cases first, before making comparisons across cases. Attention needs to be paid to assignment 2.3 case study encore international within each case and, where relevant, the relationship between different causes, effects and outcomes[ 23 ]. Data will need to be organised and coded to allow the key issues, both derived from the literature and emerging from the dataset, to be easily retrieved at a later stage. An initial coding frame can help capture these issues and can be applied indian customs and traditions essay to the whole assignment 2.3 case study encore international with the aid of a qualitative data analysis software package.
The Framework approach is a practical approach, assignment 2.3 case study encore international of five stages familiarisation; identifying a thematic framework; indexing; charting; mapping how to write a 5 paragraph essay example interpretationcharacteristics of thesis statement managing and analysing large datasets particularly if time is limited, as was the case in assignment 2.3 case study encore international study of recruitment of South Asians into essay on topics research Table 1 [ 324 ].
Theoretical frameworks may also play an important role in integrating different sources of data and examining emerging themes. For example, we drew on a socio-technical framework to help explain the connections between different elements - technology; people; and the organisational settings within which they worked - in our study of the introduction of electronic health record systems Table 3 [ 5 ]. Our study of patient safety in undergraduate curricula drew on an evaluation-based approach to design and analysis, which emphasised the importance of the academic, organisational and practice contexts through which students learn Table 4 [ 6 ].
Case study findings can have implications both for theory development and theory testing.