scholarly journals Physiotherapists perceived role in managing anxiety in patients with Relapsing-Remitting Multiple Sclerosis: a mixed-methods study.

2021 ◽  
Author(s):  
Lauren Lucas ◽  
Jack Parker
Keyword(s):  
Mixed Methods ◽  
Clinical Supervision ◽  
Management Practices ◽  
Training Needs ◽  
Outpatient Rehabilitation ◽  
Structured Interviews ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Physiotherapy Practice ◽  
The Impact

ABSTRACT Objectives: To explore how physiotherapists manage anxiety in patients with RRMS in community and outpatient settings. To identify further training and research to better develop physiotherapy practice. Design: A mixed-methods design, combining a cross-sectional survey and semi-structured interviews with UK-physiotherapists. Participants: Sixteen UK-registered physiotherapists: 11 in the survey, 5 in the interviews. Methods: To inform the qualitative study, a cross-sectional survey collected data from physiotherapists working in neurology to understand the impact and management of anxiety in people with MS (PwMS) during rehabilitation. Analysis used descriptive statistics and the findings formed the interview guide. Semi-structured interviews with specialist physiotherapists explored barriers and facilitators to managing anxiety, physiotherapy training needs and offered suggestions to develop physiotherapy research and practice. Themes were derived inductively. Results: The survey suggested how PwMS present with anxiety, its impact during rehabilitation, physiotherapy management practices, and physiotherapist skills and training needs. Five semi-structured interviews with specialist physiotherapists expanded on the survey findings and identified five main themes: Understanding the MS journey, modifying assessment and treatment, anxiety management toolbox, lagging behind Musculoskeletal Physiotherapy, and gaining knowledge and skills. Conclusion: Physiotherapists encounter anxiety in PwMS in community and outpatient rehabilitation and perceive they have a role in managing it as it presents. Facilitators included communication, listening skills and opportunities to develop strong therapeutic relationships. Poor training and support, lack of clinical guidelines and limited research evidence were considered barriers. Clinically relevant learning opportunities, interprofessional working, and greater support through clinical supervision is recommended to better develop physiotherapy practice.

scholarly journals Physiotherapists perceived role in managing anxiety in patients with relapsing-remitting multiple sclerosis: a mixed-methods study

2022 ◽  
Vol 12 (1) ◽  
Author(s):  
Lauren Lucas ◽  
Jack Parker
Keyword(s):  
Multiple Sclerosis ◽  
Mixed Methods ◽  
Training Needs ◽  
Structured Interviews ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Rehabilitation Process ◽  
Relapsing Remitting ◽  
Outpatient Settings ◽  
The Impact

Abstract Background Anxiety is common for people with Multiple Sclerosis (PwMS) and is higher in those with relapsing-remitting MS (RRMS) and in community-based samples. Anxiety can impact self-efficacy, pain, fatigue, engagement in physical activity and treatment adherence, all of which influence the rehabilitation process. Little is known about how physiotherapists manage anxiety in PwMS and the challenges associated with anxiety throughout the rehabilitation process, in community and outpatient settings. Methods A mixed-methods design, combining a cross-sectional survey and semi-structured interviews with UK-physiotherapists, was used to answer the research question. To inform the qualitative study, a cross-sectional survey collected data from physiotherapists working in neurology to understand the impact and management of anxiety in people with MS (PwMS) during rehabilitation. Analysis used descriptive statistics and the findings formed the interview guide. Semi-structured interviews with specialist physiotherapists explored barriers and facilitators to managing anxiety in PwMS in community and outpatient settings, identified perceived physiotherapy training needs and offered suggestions to develop physiotherapy research and practice. Themes were derived inductively. Results The survey suggested how PwMS present with anxiety, its impact during rehabilitation, physiotherapy management practices, and physiotherapist skills and training needs. Five semi-structured interviews with specialist physiotherapists expanded on the survey findings and identified five main themes: Understanding the MS journey, modifying assessment and treatment, anxiety management toolbox, lagging behind Musculoskeletal Physiotherapy, and gaining knowledge and skills. Conclusion Physiotherapists encounter anxiety in PwMS in community and outpatient rehabilitation and perceive they have a role in managing it as it presents. Facilitators included communication, listening skills and opportunities to develop strong therapeutic relationships. Poor training and support, lack of clinical guidelines and limited research evidence were considered barriers. Clinically relevant learning opportunities, interprofessional working, and greater support through clinical supervision is recommended to better develop physiotherapy practice.

scholarly journals The PROMISES study: a mixed methods approach to explore the acceptability of salivary progesterone testing for preterm birth risk among pregnant women and trained frontline healthcare workers in rural India

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e040268
Author(s):  
Danielle Ashworth ◽  
Pankhuri Sharma ◽  
Sergio A Silverio ◽  
Simi Khan ◽  
Nishtha Kathuria ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Preterm Birth ◽  
Pregnant Women ◽  
Barriers And Facilitators ◽  
Rural India ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Thematic Framework

IntroductionIndia has an overall neonatal mortality rate of 28/1000 live births, with higher rates in rural India. Approximately 3.5 million pregnancies in India are affected by preterm birth (PTB) annually and contribute to approximately a quarter of PTBs globally. Embedded within the PROMISES study (which aims to validate a low-cost salivary progesterone test for early detection of PTB risk), we present a mixed methods explanatory sequential feasibility substudy of the salivary progesterone test.MethodsA pretraining and post-training questionnaire to assess Accredited Social Health Activists (ASHAs) (n=201) knowledge and experience of PTB and salivary progesterone sampling was analysed using the McNemar test. Descriptive statistics for a cross-sectional survey of pregnant women (n=400) are presented in which the acceptability of this test for pregnant women is assessed. Structured interviews were undertaken with ASHAs (n=10) and pregnant women (n=9), and were analysed using thematic framework analysis to explore the barriers and facilitators influencing the use of this test in rural India.ResultsBefore training, ASHAs’ knowledge of PTB (including risk factors, causes, postnatal support and testing) was very limited. After the training programme, there was a significant improvement in the ASHAs’ knowledge of PTB. All 400 women reported the salivary test was acceptable with the majority finding it easy but not quick or better than drawing blood. For the qualitative aspects of the study, analysis of interview data with ASHAs and women, our thematic framework comprised of three main areas: implementation of intervention; networks of influence and access to healthcare. Qualitative data were stratified and presented as barriers and facilitators.ConclusionThis study suggests support for ongoing investigations validating PTB testing using salivary progesterone in rural settings.

scholarly journals Language diversity and challenges to communication in Indian emergency departments

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Katherine Douglass ◽  
Lalit Narayan ◽  
Rebecca Allen ◽  
Jay Pandya ◽  
Zohray Talib
Keyword(s):  
Emergency Departments ◽  
Critical Incident ◽  
English Language ◽  
Rapid Assessment ◽  
Assessment Process ◽  
Language Diversity ◽  
Structured Interviews ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Impact

Abstract Background Communication in emergency departments (ED) in India is complicated by the country’s immense language diversity. Prior research has revealed challenges in language and communication as barriers to care. Our objective was to quantify language diversity among clinicians in Indian EDs and better understand issues related to clinician-clinician and clinician-patient communication. Methodology A cross-sectional survey of ED clinicians was conducted. Survey participants were recruited in-person and through email at six partner sites in India. ANOVA and binary logistic regression were used for subgroup analysis. Semi-structured interviews were conducted with ED clinicians. Interview data was analyzed using the rapid assessment process to determine predominant themes. Results 106 clinicians completed the survey. On average, clinicians spoke 3.75 languages. Seventy-one percent used a non-English language to speak to fellow clinicians most of the time, and 53% reported at least one critical incident over the last year where poor communication played a part. Interviews revealed challenges including low health literacy, high patient volume, and workplace hierarchy. Conclusions This study is the first to document the impact of language diversity and communication barriers in Indian EDs. The results highlight the need for effective strategies to improve communication between the multiple languages spoken by clinicians and patients.

scholarly journals Language Diversity and Challenges to Communication in Indian Emergency Departments

2021 ◽  
Author(s):  
Katherine Douglass ◽  
Lalit Narayan ◽  
Rebecca Allen ◽  
Jay Pandya ◽  
Zohray Talib
Keyword(s):  
Emergency Departments ◽  
Critical Incident ◽  
English Language ◽  
Rapid Assessment ◽  
Assessment Process ◽  
Language Diversity ◽  
Structured Interviews ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Impact

Abstract BackgroundCommunication in emergency departments (ED) in India is complicated by the country’s immense language diversity. Prior research has revealed challenges in language and communication as barriers to care. Our objective was to quantify language diversity among clinicians in Indian EDs and better understand issues related to clinician-clinician and clinician-patient communicationMethodologyA cross-sectional survey of ED clinicians was conducted. Survey participants were recruited in-person and through email at six partner sites in India. ANOVA and binary logistic regression were used for subgroup analysis. Semi-structured interviews were conducted with ED clinicians. Interview data was analyzed using the rapid assessment process to determine predominant themes.Results 106 clinicians completed the survey. On average, clinicians spoke 3.75 languages. 71% used a non-English language to speak to fellow clinicians most of the time. 53% reported at least one critical incident over the last year where poor communication played a part. Interviews revealed challenges including low health literacy, high patient volume,and workplace hierarchy.Conclusions This study is the first to document the impact of language diversity and communication barriers in Indian EDs. The results highlight the need for effective strategies to improve communication that account for the multiple languages spoken by clinicians and patients.

scholarly journals Do mentoring programmes influence women’s careers in the health and medical research sector? A mixed-methods evaluation of Australia’s Franklin Women Mentoring Programme

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e052560
Author(s):  
Amy Vassallo ◽  
Karen Walker ◽  
Melina Georgousakis ◽  
Rohina Joshi
Keyword(s):  
Mixed Methods ◽  
Career Development ◽  
Medical Research ◽  
Secondary Outcome ◽  
Structured Interviews ◽  
Cross Sectional Survey ◽  
Career Women ◽  
Cross Sectional ◽  
Research Sector ◽  
Research Metrics

ObjectivesIt is known that women are under-represented in senior positions within the health and medical research sector. The Franklin Women Mentoring Programme (Programme) is a professionally facilitated, cross-organisational initiative designed to support career development for mid-career women. The objective of this study was to evaluate Programme outcomes reported by participants 12 months following its formal conclusion.DesignExplanatory sequential mixed-methods study design using a cross-sectional survey and semi-structured interviews.SettingHealth and medical research institutes in Sydney, Australia.ParticipantsHealth and medical researchers from the 2018 Programme.Primary and secondary outcome measuresChanges in knowledge, skills, behaviours and research metrics directly attributed to Programme participation.ResultsA total of 50 mentors and mentees participated in the cross-sectional survey (68% of the total cohort) and 14 mentors and mentees participated in the interviews. All reported changes to their knowledge, skills, behaviours and research metrics which were directly attributed to participation in the Programme. This included changes in knowledge and skills to be more inclusive (96% mentees, 83% mentors), resilience (88% mentees, 67% mentors), ability to have difficult workplace conversations (88% mentees, 71% mentors) and improvements in supervisory and team management (82% mentees, 75% mentors) skills. Positive impacts on promotions and grant opportunities were also reported. All evaluation participants believed this Programme was a worthwhile initiative for their workplaces to invest in.ConclusionParticipation in this cross-organisational, professionally facilitated, structured mentoring programme has led to positive outcomes for mentees, as well as mentors. Reported outcomes indicate the Programme is meeting its aims to support the career development of mid-career women in health and medical research, while facilitating a more inclusive workforce.

scholarly journals COVID-19 vaccination beliefs, attitudes, and behaviours among health and social care workers in the UK: a mixed-methods study

2021 ◽  
Author(s):  
Sadie Bell ◽  
Richard M Clarke ◽  
Sharif A Ismail ◽  
Oyinkansola Ojo-Aromokudu ◽  
Habib Naqvi ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Social Care ◽  
Healthcare Providers ◽  
Structured Interviews ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Black African ◽  
Care Workers ◽  
Health And Social Care ◽  
The Uk

AbstractBackgroundThe UK began delivering its COVID-19 vaccination programme on 8 December 2020, with health and social care workers (H&SCWs) given high priority for vaccination. Despite well- documented occupational exposure risks, however, there is evidence of lower uptake among some H&SCW groups.MethodsWe used a mixed-methods approach - involving an online cross-sectional survey and semi- structured interviews – to gain insight into COVID-19 vaccination beliefs, attitudes, and behaviours amongst H&SCWs in the UK by socio-demographic and employment variables. 1917 people were surveyed – 1658 healthcare workers (HCWs) and 261 social care workers (SCWs). Twenty participants were interviewed.FindingsWorkplace factors contributed to vaccination access and uptake. SCWs were more likely to not be offered COVID-19 vaccination than HCWs (OR:1.453, 95%CI: 1.244 – 1.696). SCWs specifically reported uncertainties around how to access COVID-19 vaccination. Participants who indicated stronger agreement with the statement ‘I would recommend my organisation as a place to work’ were more likely to have been offered COVID-19 vaccination (OR:1.28, 95%CI: 1.06 – 1.56). Those who agreed more strongly with the statement ‘I feel/felt under pressure from my employer to get a COVID-19 vaccine’ were more likely to have declined vaccination (OR:1.75, 95%CI: 1.27– 2.41). Interviewees that experienced employer pressure to get vaccinated felt this exacerbated their vaccine concerns and increased distrust.In comparison to White British and White Irish participants, Black African and Mixed Black African participants were more likely to not be offered (OR:2.011, 95%CI: 1.026 – 3.943) and more likely to have declined COVID-19 vaccination (OR:5.55, 95%CI: 2.29 – 13.43). Reasons for declining vaccination among Black African participants included distrust in COVID-19 vaccination, healthcare providers, and policymakers.ConclusionH&SCW employers are in a pivotal position to facilitate COVID-19 vaccination access, by ensuring staff are aware of how to get vaccinated and promoting a workplace environment in which vaccination decisions are informed and voluntary.

scholarly journals A Mixed-Methods Approach to Understanding Knowledge of Mosquito-Borne Infections and Barriers for Protection in Hanoi, Vietnam

2020 ◽  
Vol 5 (2) ◽  
pp. 66
Author(s):  
Lorraine Chapot ◽  
Thang Nguyen-Tien ◽  
Long Pham-Thanh ◽  
Hung Nguyen-Viet ◽  
Luke Craven ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Positive Impact ◽  
Educational Interventions ◽  
Protective Behaviors ◽  
Structured Interviews ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
General Feeling ◽  
History Of ◽  
The Relationship

Dengue is a growing problem in Hanoi, with cyclical epidemics of increasing frequency and magnitude. In June 2019, we conducted a cross-sectional survey using mixed methods to investigate how inhabitants of Hanoi perceive and respond to the risk of mosquito-borne diseases (MBD). A total of 117 participants recruited using a stratified random sampling method were interviewed in three districts of Hanoi. Knowledge and practices (KP) regarding MBDs were assessed using a pre-tested questionnaire. Inferential statistics were used to identify factors associated with KP scores and describe the relationship between variables. Additionally, a “risk-mapping” exercise was conducted in a subsample through semi-structured interviews and analyzed qualitatively and quantitatively using the System Effects platform. Factors significantly associated with knowledge scores were education and family history of MBDs. While knowledge and practice scores were found to be positively correlated in the statistical analysis, this was not corroborated by our observations on the field. The results also revealed gaps in knowledge about MBDs and vectors and highlighted a general feeling of powerlessness which prevented the adoption of protective behaviors. Therefore, educational interventions which provide concrete tools to empower communities should have a positive impact on improving vector control.

scholarly journals Pandemic or Environmental Socio-Economic Stressors Which Have Greater Impact on Food Security in the Barishal Division of Bangladesh: Initial Perspectives from Agricultural Officers and Farmers

2021 ◽  
Vol 13 (10) ◽  
pp. 5457
Author(s):  
Sayeda Sabrina Ali ◽  
Mohammad Raju Ahmad ◽  
Jalal Uddin Mohammad Shoaib ◽  
Mohammad Aliuzzaman Sheik ◽  
Mohammad Imam Hoshain ◽  
...  
Keyword(s):  
Agricultural Production ◽  
Management Practices ◽  
Environmental Stressors ◽  
Wet Season ◽  
Cross Sectional Survey ◽  
Online Questionnaire ◽  
Management Options ◽  
Cross Sectional ◽  
Global Pandemic ◽  
The Impact

The COVID-19 pandemic and subsequent protectionary lockdowns have had a dramatic impact on agricultural production globally. Barishal division is the ‘grain-basket’ of Bangladesh and a main rice cultivation centre within the country. This study captures perspectives on the environmental socioeconomic stressors impacting primary production in the coastal region of Barishal, and the impact of the first wave of the global pandemic. In our methodology, a cross-sectional survey is carried out amongst agriculture officers and farmers focusing on land management practices, environmental stressors, and the consequences of the pandemic on winter crop harvests and wet season production. A total number of 234 people participated, of which 31 were agriculture officers and 203 were farmers. Government officers completed an online questionnaire, while farmer responses were collected through Focus Group Discussion. The results show that despite the lockdown, 76% of responders claimed that they had harvested more than 80% of the cultivated winter rice. Other crops, such as fruits and vegetables, were less successfully returned. Despite food production pressures, land capacity was not fully utilised, with a significant/notable proportion of fields left fallow, principally due to periodic flooding events that sufferer concurrently from soil organic matter depletion. Upazila, not severely waterlogged, had salinity problems to contend with. While transportation restrictions and labour shortages were key constraints arising from the impact of COVID-19 on both agricultural production and post harvesting (processing, distribution, and utilisation). Current storage facilities for perishable produce, such as fruit, were found to be lacking, which further compounded access to such food items. The COVID-19 pandemic shocked agricultural productivity and food supply within the Barishal division. However, despite managing to return a successful rice harvest during the lockdown, it was found that the pre-existing environmental stressors arising from cyclones and flooding continued to be the primary threat to agriculture, even during a global pandemic. Our findings have been used to inform management options to increase resilience in the region.

scholarly journals SMEs Management Practices in a Hostile Business Environment in Zimbabwe

2017 ◽  
Vol 4 (1) ◽  
pp. 13
Author(s):  
Bekezela Moyo ◽  
Edinah Moyo
Keyword(s):  
Management Practices ◽  
Sampling Methods ◽  
Business Environment ◽  
Structured Interviews ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Qualitative Research Design ◽  
Product Service ◽  
Conceptual Paper ◽  
Almost All

 A great deal of extant literature has emphasised the importance of SMEs role in the economic performance of any country. It is this realization that has propelled almost all countries to nurture their SMEs so as to achieve economic development. This paper intends to interrogate the management practices adopted by SMEs in Zimbabwe, particularly in Gweru metropolitan albeit the macro factors that bedevilled the country to date. To achieve this discussion, emphasis will be drawn to the adoption and adaptation of management practices by these SMEs particularly in four facets: management of human resources, cash management, management of capital assets, and management of the product/service.    This is a conceptual paper and a qualitative research design is going to be used to define the methodology of this paper. A cross sectional survey is proposed for this study, using a sample size of fifty SMEs who will be chosen using purposive and snowballing sampling methods. Questionnaires will be administered on the chosen sample and this will be followed by semi-structured interviews on five cases that will constitute the main cases for discussion and confirmation. Data will be analysed using a thematically data analysis approach as put forth by respondents narrating their encounters.  

scholarly journals Agro-Diversity in the Forest-Savannah Transition Zone of Ghana: A Strategy for Food Security against Climatic and Socio-Economic Stressors

2015 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Jesse S. Ayivor ◽  
Opoku Pabi ◽  
Benjamin D. Ofori ◽  
Dzidzo R. Yirenya-Taiwiah ◽  
Chris Gordon
Keyword(s):  
Food Security ◽  
Transition Zone ◽  
Food Production ◽  
Management Practices ◽  
Cropping Systems ◽  
Sub Saharan Africa ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Farm Productivity ◽  
The Impact

<p class="1Body">Food security is a major issue affecting about 239 million people in Sub-Saharan Africa. Therefore, local ecosystems-based adaptive strategies for reducing the impact of climate change and other stressors on food production systems are very relevant in the national food security agenda. This study assessed how farmers in communities of the environs of the Kogyae Strict Nature Reserves in the forest-savanna transition zone of Ghana exploit a range of options for food production that spread and reduce risks and ensure sustainability of the local environment. Through a cross-sectional survey involving focus group discussions, institutional data search and on-site observations, the study investigated different ways to which the natural diversity of the environment has been used by farmers to enhance farm productivity and farmer income. The study observed that climate variability, land expropriation for protected area establishment, inappropriate use of farm technology and low pricing for farm produce pose as major threats to sustainable agriculture in the area. These constraints have compelled farmers to adopt a range of agro-diversity practices for increased farm productivity and income. They include introduction of new crop varieties, adoption of innovative farm management practices, diversified farm fields and sequential cropping systems. The study noted that the diversified systems have boosted farmer productivity and incomes and contributed to their socio-cultural needs. The study recommends greater crop intensification through the use of appropriate technologies and improved access to markets to consolidate farmer gains and livelihoods as well as ensuring food and nutritional security.</p>

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