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Submitted to the faculty of Kensington College of Business,
University of Wales (2010-2011).
Submitted by: Vamshi Krishna. Siripuram
Kensington
college of
business ID: 13687
Subject : Research Methodology ( Part – 2)
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INDEX
Page no
• Title 3
• Unit of analyses 3
• Research methodology 4
• Research Philosophy 6
• Research design 7
• Research strategy 8
• Time Horizon 8
• Data collection methods 9
• Limitations 10
• Conclusion 10
• References 11
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• Title:
An evaluation of the emergency health care services at Medwin Hospitals, Mumbai and
developing risk management Strategies.
In the assignment 1, the preliminary review of literature, gaps in the authors views (existing
knowledge) have been identified thereby hypothesises have been designed for testing and in-
depth analyses which means the questions related to WHAT and WHY has been dealt in the
first phase and now the phase includes ‘’HOW’’ which deals with the procedures and methods
used to achieve the proposed topic.
• Unit of analyses:
The unit of analyses starts with the survey questionnaire where the primary data collected will
be analysed for authenticity, and after comparing all the answers collected, they will be
documented in the form of histograms and pie diagram which deals with all the necessary
aspects to provide better emergency services. Added to that two variable will be considered
( patient satisfaction and saving rate on the scale of 100 and response times on the scale 10 will
be considered to perform a chi square test) and that will reveal how important the emergency
services are. More over the 7/7 bombings in the UK case studies are considered individually as
they are already available on the official websites which explain how 21 out 52 victims have
died because of the ineffectiveness of emergency services had a disaster occur. So, all these
elements provide a conspicuous picture on the maintenance of emergency health care. To be
precise and specific I conclude by saying that Primary data is collected form Manipal hospital
and the secondary data is collected from various scholarly articles, books, newspapers and
journals. (Although they are not completely authentic and needs testing to trust).
Alternatives: There are posted surveys already on some of the websites, but they are not
updated from 2009 and I believe that, if I want authentic data which can contribute in-depth
knowledge to the conclusions and recommendations it is preferable to do it by myself.
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3) Research Design and Methodology
3.1 Research Strategy:
The issues pertaining to health and emergency services can be prevented and tackled by putting
extra care and taking appropriate precautionary measures. As the conditions of emergency are
not easily predictable an effective strategy has to be designed and implemented. The issues in
providing emergency care services arise due to the deficiencies in the facilities, commitment of
top level management and service quality. Now, the responsibility of the researcher is to design
and implement an effective strategy such that conclusions can be drawn and recommendations
can be made. In some cases, unknown events may occur which will create great difficulty for
the researcher in data collection and analyses. Though, the data is obtained it may not be
accurate and easily trusted. According to Yin (1994), authenticity between the original and
collected data can be obtained through case studies which provide the hypothesis and
phenomenon. According to Saunders, et al, (2009), the responsibility holds on the researcher in
obtaining the desired objectives and in overcoming the hindrances required in the process of
collecting the data. So a case study approach will be considered in the initial phase of the
research, where various extenuating circumstances pertaining to emergency services will be
analysed with respect to the strategy to be designed and then the author’s views will be taken
into consideration to do a side by side analyses on the data.
3.2 Methodology (Onion approach)
The selection of methodology for conducting the research plays a very prominent role. The
starting phase to conduct a research is to select the best methodology possible as it gives a clear
picture on all the feasibility study aspects like what, why , how and where ( to start, to flow and
to end). The research structure will be influenced by the methodology through which data is
analysed. The methodology chosen should be appropriate for the scenario and the task
developed. The aims and objectives should always be on a track of analyses as the results
obtained will be based on the type and procedure implemented on the method. As the
recommendations are mostly dependent on effective and quality care with respect to emergency
service the research should go from a general basis to a specific category. It is very tedious toextract data from the qualitative analyses. There are some sort of complications involved in the
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sections of questionnaires and grey literature. In these areas, the researcher has to put more
effort designing the appropriate strategy moving from general to more specific.
According to Saunders and Thornhill, (2000), if the methodology selected for a topic is best
suited then it provides the best results than any of the other approaches. Irrespective of all the
aspects pertaining to emergency care the Onion approach seems to be the best suited
methodology as its systematic steps make it unique to gain in-depth knowledge on all the
attributes, the flow of the research can be explained with in five layers of the Onion approach
which means it a step further than any of the other approaches. The interesting aspect is that all
requirements for this research have been covered in this research method.
Step 1: Research philosophy: Positivistic:
Although interpretivistic and realistic views are related to this project the edge lies with the
positivistic approach as it provides the required knowledge to derive the laws which are based
on the physical and natural state. In a field like emergency care no two authors will have
similar views and every author has his own style of strategy although unusual. So it is up to the
researcher to decide on which literature to trust, the best way is to analyse the data in a
positivistic way where the behavioural causes with respect to quantitative and qualitative data
which will thereby produce vectors and attributes on all the statistics and theory collected. Thisapproach will have the attitude of human knowledge and will not completely base on the
anticipations to evaluate the information. So, positivism in the context of emergency care will
regulate the questionnaire, strategy and collection process. Arguably this research falls in
between the interpretivistic and positivistic approach but undoubtedly it is more of positivistic
than interpretivisitc.
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Step 2: Research design:
Deductive qualitative and quantitative analyses will be preferred as the topic of interest can
provide best results if the study deals from general (Review of literature on Health care,
realistic circumstances, case studies) to specific ( Emergency health care, conclusions and
recommedations).
In the previous submitted report (RM1), the researcher has given the introduction about the
topic, collected the data and has written the literature review. The additional responsibility on
the researcher is to make the report that should be clear and precise for the readers to
understand. According to Thietart et al (2003), achievement of the expected results is possible
through the research design characterised by clarity and simplicity. In this part of the report, the
researcher is going to put forward the flow of methodologies and the important role they play
in arriving at conclusions. The phenomenology and philosophy play their own unique roles.
The technique of interpretation has relation between the methods for capturing the people’s
experiences and the research phenomenon. The reasons for conducting the research and its
effects will be discussed later in the main reprot. It serves as a tool for managing the
department of emergency. According to Doyle, et al (2000), the in-depth understanding of the
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emergency care services in an organisation can be achieved through the appropriate
methodology incorporated in the research work. According to Bryman, et al (2003), the
required data can be revoked by the individual’s conception preconception on the questions and
subjects. In this kind of scenario, data collected through qualitative methods will be very useful
for the in-depth identification of the issues, resolving them and providing a long term solution.
In some cases, data that is irrelevant and unexpected may occur at the stage of interpretation.
The researcher has taken the appropriate steps at the stage of analysis for mitigating these
problems. In terms of 2nd layer, the researcher will now discuss the importance of deductive
approach. The deductive flow will move from general to specific. Although the inductive
approach is used very rarely in this research, deductive is preferred irrespective of whether the
data is qualitative or quantitative. The following diagram depicts the flow of both approaches:
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Step 3: Research strategies: As mentioned earlier surveys are preferred to collect the primary
data and they deal with the what, why , how and where, and even some case studies are also
preferred, the response rate might be low but the researcher is also planning to offer few
incentives to the patients as a decent gesture or a mark of appreciation but I will take the
valuable suggestions from my supervisor while going for approval of permissions.
Step 4: Time horizon:
The strategies of emergency care differ according to the situation so cross sectional time
horizon is considered and the co relation and chi square tests are performed on the cross
sectional basis to make proper recommendations at the end of the research.
Step 5: Data collection methods: Primary and Secondary Sources
There are many methodologies to collect the data and to conducting the research and it is
always tricky to select the best way. Selecting the most authentic way will yield good results as
the analytical and descriptive research may not be sufficient in some cases solely. The main
objectives in this research are to design a strategy for improving the emergency services such
that conclusions can be drawn and recommendations can be made. According to Swanson, et
al, (2005), if there is no availability of the previous studies about a particular topic, lots of
explanation has to be made by the researcher in detail for making the readers familiar with the
topic.
According to Robson (2002), both the sources of data primary as well as secondary should be
considered. The researcher is going to begin with collecting the secondary data which provided
authentic information and basics through various sources such as library, articles, journals,
internet and census. Then, the researcher focus on the collection of secondary data from the
sources like focus groups, questionnaires and surveys for making recommendations regarding
the strategy to implement for improving the emergency services and making conclusions. The
protocol of case study should be documented because the reliability of the data that is collected
can be known at the time of conducting the research. Database should be established for
ensuring the production of similar kind of results when the same methodology is repeated
again. According to Jidd and Kudder (2003), authenticity of the data should be achieved by
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referring to various types of resources. The outcomes achieved should be acknowledged in
order to be far from being biased in the study. This can be achieved by re-interviews and re-
analysing.
The researcher mainly relies on the secondary sources of data. The information obtained will be
qualitative and non-numeric in nature. Quantitative data is also collected when required which is
through statistical figures. The researcher will be regularly in touch with the supervisor in order to
seek the valuable advice and suggestions regarding how to interview the patients. The researcher
will take the permission from the authorities of the management to enter the premises of the
hospital to conduct the research program as per the rules and regulation laid down by the hospital
management. The researcher will proceeded legally by taking the approval letter from the Ministry
of Health to conduct the research program at Manipal hospital.
Grey literature and limitations:
There will occur many challenges for the researcher and he need to take the appropriate steps for
resolving them in the research program. The information collected is documented in the native
language as the patients there are not proficient in English; they can understand but can’t reply
properly. The researcher will translate the language of documentation into English. The toughest
challenge for the researcher to face is in getting the permission from ministry of health for
conducting the research as they are very concerned about confidentiality and security.
The limitations in the strategy can be managed through a systematic strategy. Some of the
drawbacks include the following:
• There are some limitations in the information that is gathered about the hospital.
• The official websites lack the statistical data.
• Aspects are not easily interpretable as many sensitive issues have to be dealt with.
• As the availability of data is very large it has become a tough task for the researcher to
interpret the data.
The limitations can be avoided through an appropriate strategy by exploring the data in deep.
The process was already started by the researcher as the legal permissions from the ministry of
health and from the hospital is obtained.
Conclusion:
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The researcher has investigated many approaches to conduct the research along with their
benefits and drawbacks. It was found that qualitative exploratory case study will be apt for the
present scenario. Methodologies for collecting the data are chosen accordingly. The reliability
and validity for being away from the bias are stated along with the ethics followed and
challenges faced by the researcher. As all the phases involved in the project are covered in theonion approach, the researcher has selected this approach as the starting point of research. Then
the combination of inductive and deductive approaches is used appropriately based on the
scenario. Finally, the questionnaires, interviews and surveys are conducted for gathering the
data which is used for the purpose of analysing. The conclusions are made and
recommendations are given for improving the quality in the services of emergency care.
REFERENCES:
• The College of Emergency Medicine A trainee’s guide to Specialty Training in
Emergency Medicine CEM Training Standards Committee July 2009.
• Goldstein, Jacob (2008-08-06). "Emergency Room Visits Hit Record High - Health
Blog - WSJ". The Wall Street Journal.
• Cydulka RK, Korte R.Career satisfaction in emergency medicine: the ABEM
Longitudinal Study of Emergency Physicians. Ann Emerg Med. 2008 Jun;51(6):714-
722.e1. Epub 8 April 2008.
• Gresser, Joseph (18 November 2009). "NC president found hospital a "pleasant
surprise"". Barton, Vermont: the Chronicle. pp. 21.
• Mayhew, Les; Smith, David (December 2006). "Using queuing theory to analyse
completion times in accident and emergency departments in the light of the
Government 4-hour target". Cass Business School. pp. 2, 34. Retrieved 2011-01-20.
• Division of Medical Sciences, Committee on Trauma and Committee on Shock
(September 1966), Accidental Death and Disability: The Neglected Disease of Modern
Society, Washington, D.C.: National Academy of Sciences-National Research Council.
• Meisel, Zachary (2005-11-08). "Ding-a-Ling-a-Ling— Ambulances can be dangerous
places.". Slate. Washington Post. Newsweek Interactive Co. LLC. Retrieved 2010-17-
25.
• "Tribute to R Adams Cowley , M.D.". University of Maryland Medical Center.
Retrieved 2005-12-30.
• "Careers: Paramedic science". Faculty of Health and Social Care Sciences, Kingston
University London and St George's, University of London.
8/2/2019 -Unlicensed-Vamsi Rm Final for Printouts 1
http://slidepdf.com/reader/full/-unlicensed-vamsi-rm-final-for-printouts-1 11/12
• Edlin, R., Round, J., Hulme, C., McCabe, C. Cost-effectiveness analysis and the
efficient use of the pharmaceutical budget: the key role of clinical pharmacologists.
British Journal of Clinical Pharmacology 70(3):350-35.
• Menon, D., McCabe, C., Stafinski, T., Edlin, R. on behalf of the signatories to the
Consensus Statement. Banff Consensus Group. Principles of Design of Access with
Evidence Development Schemes: A Consensus Statement from the Banff Summit.
Pharmacoeconomics 28(2):109-111.
• Ratcliffe, J., Bekker, H., Dolan, P. and Edlin R. Examining the attitudes and
preferences of health care decision makers in relation to access, equity and cost-
effectiveness: a discrete choice experiment. Health Policy 90(1):45-57.
• Tsuchiya, A., Silva Miguel L, Edlin, R., Wailoo, A., Dolan, P. Procedural justice in
public health care resource allocation. Applied Health Economics and Health Policy
4(2):119-128.
• Czoski-Murray, C., Edlin, R., Lindley, J., McIntosh, S., Roberts, J. Evaluation of the
“Want2Work” Pilot. Report to the National Assembly for Wales.
• Royal College of Physicians of London. Type 1 Diabetes in Adults: National clinical
guideline for diagnosis and management in primary and secondary care. National
Collaborating Centre for Chronic Conditions. Royal College of Physicians: London.
(Health Economics input to Guideline Development and Consensus Reference Groups).
• Kirk M, Tonkin E, barr o, Genetics and learning disability practice: is it part of your
role? Learning Disability Practice, 9, 7, 33-36, 2006.
• Chen H-Y and boore JRP, Establishing a super-link system: spinal cord injury
rehabilitation nursing, Journal of Advanced Nursing, 57, 6, 639-648, 2007.
• Cousins w, Milner S, Drug Abuse and Parenting: The impact on Young Children in the
Social Care System in NI, Irish Journal of Applied Social Studies, 7, 1, 95-108, 2006.
• Hearns A and deeny P, The Value of Support for Aid Workers in Complex
Emergencies; a phenomenological study, Disaster Management and Response, 5, 2, 28-35, 2007.
• loane M, dolk H, Bradbury I and a EUROCAT Working Group, Increasing prevalence
of gastroschisis in Europe 1980-2002: a phenomenon restricted to younger mothers?
Paediatric and Perinatal Epidemiology, 21, 363-369, 2007.
• Fitzsimons d, Mullan D, Wilson J, Chew E, Conway B, Corcoran B, Gamble J, Hanna
L, McMullan G, McMahon M, Mullholland P, Stewart C & Stockdale P, The palliative
care needs of patients with heart failure from the perspectives of patients, carers and
clinical team, European Journal of Cardiovascular Nursing 5; Suppl 1:S35, 2006.
8/2/2019 -Unlicensed-Vamsi Rm Final for Printouts 1
http://slidepdf.com/reader/full/-unlicensed-vamsi-rm-final-for-printouts-1 12/12
• Madigan S, Fleming P, Wright M, McCann SM, wright ME, MacAuley D, General
Practitioners involvement in enteral tube feeding at home: a qualitative study, BMC
Family Practice, 8, 29, 2007.
• McIlfatrick S, Hasson F, McKenna HP, Keeney S, Sinclair M, Poulton b, Managing
chronic disease: a case study of an innovative role in respiratory nursing practice,
Primary Health Care Research and Development, 8: 251-236, 2007.
• O’Halloran PD, Cran GW, Beringer TRO, Kernohan G, Orr J, Dunlop L, Murray LJ,
Factors affecting adherence to use of hip protectors amongst residents of nursing homes
– A correlation study, International Journal of Nursing Studies, 44, 672-686, 2007.
• Armstrong BG, dolk H, Pattenden S, Vrijheid M, loane M, Rankin J, Dunn C, Grundy
C, Abramsky L, Boyd PA, Stone D, Wellesley D. Geographic Variation and localised
clustering of Congenital Anomalies in Britain. Emerging Themes in Epidemiology, 4,
14, 9pp, 2007.