Learning Transfer in Practice: A Qualitative Study of Medical Professionals’ Perspectives

2015 ◽  
Vol 26 (3) ◽  
pp. 249-273 ◽  
Author(s):  
Myungweon Choi ◽  
Kathryn Roulston
2018 ◽  
Vol 29 (6) ◽  
pp. 889-899 ◽  
Author(s):  
Yannick Le Hénaff ◽  
Stéphane Héas ◽  
Pascal Joly

This qualitative study conducted in France of “individuals living with a pemphigus” (ILPs; N = 54) highlights the taxing diagnostic trajectory of those suffering from these rare autoimmune diseases. Beyond enduring a diagnostic period that may prove long, during their numerous medical appointments, these individuals internalize the expectations of the medical professionals who are treating them. In some cases, numerous inconclusive medical tests and, at times, a doctor’s condescension may push the patient toward a process of renunciation. This article relates the ILPs’ critiques of the medical work conducted during the trying diagnostic period.


2016 ◽  
Vol 9 (2) ◽  
pp. 183-188 ◽  
Author(s):  
Hiroyuki Otani ◽  
Miwa Ozawa ◽  
Tatsuya Morita ◽  
Ayako Kawami ◽  
Sahana Sharma ◽  
...  

BackgroundFew studies have been conducted on the experiences of children of terminally ill patients or hospital-based medical professionals supporting such children.AimThis study explored distress among individuals whose parents died of cancer in childhood and among hospital-based medical professionals supporting such children.DesignA qualitative study.Setting/participantsThe sample was 12 adults whose parents had died of cancer in childhood and 20 hospital-based medical professionals supporting children of patients’ with terminal cancer. In-depth interviews were conducted, focusing on the distress experienced by the participants. The data were analysed thematically.ResultsAmong adults whose parents died of cancer in childhood, we identified themes related to the period before death (eg, concealing the parent's illness), the time of death (eg, alienation due to isolation from the parent), soon after death (eg, fear and shock evoked by the bizarre circumstances, regrets regarding the relationship with the deceased parent before death), several years thereafter (ie, distinctive reflection during adolescence, prompted by the parent's absence) and the present time (ie, unresolved feelings regarding losing the parent). We identified seven themes among the medical professionals (eg, lack of knowledge/experience with children, the family's attempts to shield the child from the reality of death, estrangement from the family once they leave the hospital).ConclusionsAn important finding of the study is that the participants’ grief reaction to their parents’ deaths during childhood was prolonged. Moreover, hospital medical professionals may find it difficult to directly support affected children. Comprehensive support involving organisations (eg, local communities) may be necessary for children who have lost a parent.


Islamology ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 62
Author(s):  
Maria Vyatchina

Using the example of the Republic of Tatarstan (Russia), this article discusses the emergence of the field of medical services for Muslims. It argues that genderisation of social interactions, in particular, of those between physicians and patients, has been one of the main principles of Muslim bioethics in the Republic. Among other measures, halal certification procedures are currently being developed by numerous religious experts in order to standardise and legitimise such genderisation. The analysis draws on data collected during multiple interviews with experts, medical professionals, Muslim patients, as well as on the qualitative study of regulatory documents. The article shows that the main feature of rules that govern certification procedures in Tatarstan today is the ongoing convergence between religious norms and biomedicine. As a particular example of medical services designed explicitly for Muslims in the Republic, the paper presents and analyses the service of “halal birth-giving”. This service combines commodification of religiosity and paid care for Muslim women, thereby heavily relying on their gender and religious identities, as well as their class status.


BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e046366
Author(s):  
Janneke DM Verberk ◽  
Tjallie II van der Kooi ◽  
Lennie PG Derde ◽  
Marc JM Bonten ◽  
Sabine C de Greeff ◽  
...  

ObjectivesCatheter-related bloodstream infections (CRBSI) are a common healthcare-associated infection and therefore targeted by surveillance programmes in many countries. Concerns, however, have been voiced regarding the reliability and construct validity of CRBSI surveillance and the connection with the current diagnostic procedures. The aim of this study was to explore the experiences of infection control practitioners (ICPs) and medical professionals with the current CRBSI surveillance in the Netherlands and their suggestions for improvement.DesignQualitative study using focus group discussions (FGDs) with ICPs and medical professionals separately, followed by semistructured interviews to investigate whether the points raised in the FGDs were recognised and confirmed by the interviewees. Analyses were performed using thematic analyses.SettingBasic, teaching and academic hospitals in the Netherlands.Participants24 ICPs and 9 medical professionals.ResultsMain themes derived from experiences with current surveillance were (1) ICPs’ doubt regarding the yield of surveillance given the low incidence of CRBSI, the high workload and IT problems; (2) the experienced lack of leadership and responsibility for recording information needed for surveillance and (3) difficulties with applying and interpreting the CRBSI definition. Suggestions were made to simplify the surveillance protocol, expand the follow-up and surveillance to homecare settings, simplify the definition and customise it for specific patient groups. Participants reported hoping for and counting on automatisation solutions to support future surveillance.ConclusionsThis study reveals several problems with the feasibility and acceptance of the current CRBSI surveillance and proposes several suggestions for improvement. This provides valuable input for future surveillance activities, thereby taking into account automation possibilities.


BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e039944
Author(s):  
Mikio Hayashi ◽  
Daisuke Son ◽  
Keiko Nanishi ◽  
Masato Eto

ObjectivesGlobalisation has given medical university students the opportunity to pursue international electives in other countries, enhancing the long-term socialisation of medical professionals. This study identified the long-term effects of international electives on the professional identity formation of medical students.DesignThis is a qualitative study.SettingThe authors interviewed Japanese medical professionals who had completed their international electives more than 10 years ago, and analysed and interpreted the data using a social constructivism paradigm.ParticipantsA total of 23 medical professionals (mean age 36.4 years; range 33–42 years) participated in face-to-face, semistructured in-depth interviews.ResultsDuring the data analysis, 36 themes related to professional identity formation were identified, and the resulting themes had five primary factors (perspective transformation, career design, self-development, diversity of values and leadership). It was concluded that international electives for medical students could promote reflective self-relativisation and contribute to medical professional identity formation. Additionally, such electives can encourage pursuing a specialisation and academic or non-academic work abroad. International electives for medical students could contribute to medical professional identity formation on the basis of cross-cultural understanding.ConclusionsThis study addressed a number of issues regarding the long-term impact of international elective experiences in various countries on the professional identity formation of Japanese medical professionals. This study offers some guidance to mentors conducting international electives and provides useful information for professional identity formation development in medical professionals.


Author(s):  
Debora Rolfes ◽  
Corey Owen

This paper describes a study that attempts to assess learning transfer in an engineering communication programme through a qualitative study using narrative and rhetorical theory, both of which are humanistic theories that have only recently been considered in such assessment. The communicationprogramme attempts to foster a communication community of practice among its students, and thereby ensure that the skills they cultivate in the classroom can be applied in the various contexts provided by the engineering profession. The researchers use narrative and rhetorical theory to analyze transcripts of in-depth interviews, in order to detect evidence of what EtienneWenger would regard as an identity of participation.


2021 ◽  
Author(s):  
Gilbert Yeo ◽  
Predeebha Kannan ◽  
Eng Sing Lee ◽  
Helen Smith

Abstract Background: Strong collaboration between community case managers (CCMs) and medical professionals are vital for the continuity of complex patients’ care in the community. Key challenges can influence or even deter successful collaboration. Objective: The objective of this qualitative study was to understand the challenges encountered by CCMs when collaborating with primary care services. Methods: This exploratory qualitative descriptive study used individual in-depth interviews. CCMs were selected using maximum variation and snowball sampling. The interviews were semi-structured, guided by a topic guide. Data were analyzed alongside ongoing data collection. Thematic content analysis was used to analyze the transcripts. Initial codes were obtained independently. These codes were then further explored, clarified and iteratively grouped into themes.Results: Fourteen individual in-depth interviews were conducted. Six themes emerged from the data i.e. self-identity, patient factor, inter-professional factor, collaborative culture, confidentiality and organizational structure. Challenges that resonated with previous studies were self-identity, inter-professional factors and confidentiality, whereas other challenges such as patient factors, collaborative culture, and organizational structure, were unique to Singapore’s health care landscape.Conclusions: Significant challenges were encountered by CCMs when collaborating with primary care services. Understanding these challenges is key to refining intervention in current models of comprehensive community care between medical and non-medical professionals.


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