Qualitative study of pharmacists’ perceptions of motivators, institutional supports and challenges towards career planning and advancement in a public tertiary hospital in Malaysia

2019 ◽  
Vol 50 (3) ◽  
pp. 242-253
Author(s):  
Chee‐Tao Chang ◽  
Amar-Singh HSS ◽  
Mohamed Azmi Hassali
Keyword(s):  
Qualitative Study ◽  
Career Planning ◽  
Tertiary Hospital

scholarly journals Barriers to Physical Distancing among Healthcare Workers on an Academic Hospital Unit During the COVID-19 Pandemic

2021 ◽  
pp. 1-26
Author(s):  
Sara C. Keller ◽  
Sara Pau ◽  
Alejandra B. Salinas ◽  
Opeyemi Oladapo-Shittu ◽  
Sara E. Cosgrove ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Healthcare Workers ◽  
Tertiary Hospital ◽  
Peer Leaders ◽  
Human Factors Engineering ◽  
Structured Interviews ◽  
Hospital Unit ◽  
Positive Behaviors ◽  
Cognitive Aids ◽  
Close Proximity

Abstract Background: Physical distancing among healthcare workers (HCW) is an essential strategy in preventing HCW-to-HCW transmission of the SARS-CoV-2 virus. Objective: To understand barriers to physical distancing among HCW on an inpatient unit and identify strategies for improvement. Design: Qualitative study including observations and semi-structured interviews over three months. Setting: A non-COVID adult general medical unit in an academic tertiary hospital. Participants: HCWs based on the unit. Methods: We performed a qualitative study in which we (1) observed HCWs activities and proximity to each other on the unit during weekday shifts July-October 2020 and (2) conducted semi-structured interviews of HCWs to understand their experiences with and perspectives of physical distancing in the hospital. Qualitative data were coded based on a human factors engineering model. Results: We completed 25 hours of observations and 20 HCW interviews. High-risk interactions often occurred during handoffs of care at shift changes and patient rounds, where HCWs gathered regularly in close proximity for at least 15 minutes. Identified barriers included spacing and availability of computers, the need to communicate confidential patient information, and the desire to maintain relationships at work. Conclusions: Physical distancing can be improved in hospitals by restructuring computer workstations, work rooms, and breakrooms; applying visible cognitive aids; adapting shift times; and supporting rounds and meetings with virtual conferencing. Additional strategies to promote staff adherence to physical distancing include rewarding positive behaviors, having peer leaders model physical distancing, and encouraging additional safe avenues for social connection at a safe distance.

scholarly journals Task shifting of intravitreal injections from physicians to nurses: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Stine Bolme ◽  
Dordi Austeng ◽  
Kari Hanne Gjeilo
Keyword(s):  
Qualitative Study ◽  
Training Program ◽  
Qualitative Content Analysis ◽  
High Volume ◽  
Tertiary Hospital ◽  
Intravitreal Injections ◽  
Vascular Endothelial ◽  
Quality Patient Care ◽  
Endothelial Growth Factor ◽  
Training Efficiency

Abstract Background Intravitreal injections of anti-vascular endothelial growth factor are high-volume procedures and represent a considerable workload on ophthalmology departments. Several departments have tried to meet this increase by shifting the task to nurses. To maintain high-quality patient care, we developed a training program for nurses that certifies them to administer injections. This qualitative study aimed to evaluate whether the nurses were confident and in control after participating in the training program and whether they were satisfied with the training and the new task. Methods Between 2014 and 2018, 12 registered nurses were trained in a tertiary hospital in central Norway. All the nurses were interviewed, either individually (n = 7) or in a group (n = 5). We analysed the interviews using Graneheim and Lundman’s qualitative content analysis. Results Eight subthemes were clustered within four main themes: 1) procedure and challenges, 2) motivation, 3) cooperation and confidence, and 4) evaluation. The nurses felt confident and in control when administering injections but experienced moments of insecurity. The new task gave the nurses a sense of achievement, and they highlighted improvement of patients’ lives as positive. A greater level of responsibility gave the nurses pride in their profession. They had suggestions that could improve training efficiency but were overall satisfied with the training program. Conclusions Our study showed that the nurses were satisfied with the training and that learning a new task led to higher self-esteem and increased respect from patients and colleagues. Suggestions to improve the training were identified; these should be considered before implementation by other departments.

The Fluid Management Experience in Patients with Chronic Kidney Disease Undergoing Hemodialysis in Indonesia: A Qualitative Study

2021 ◽  
Vol 11 (3) ◽  
pp. 389-403
Author(s):  
Fitri Mailani ◽  
Rahmi Muthia ◽  
Yelly Herien ◽  
Emil Huriani ◽  
Chong Mei Chan ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Qualitative Study ◽  
Fluid Management ◽  
Phenomenological Approach ◽  
Tertiary Hospital ◽  
Structured Education ◽  
Personal Approach ◽  
Management Experience ◽  
Control Fluid

Background: Fluid management can reduce mortality, severe comorbidities, and debilitating symptoms in patients on hemodialysis. Therefore, a restricted fluid intake plan is crucial for patients with chronic kidney disease (CKD). Little evidence has been found to date on exploring the experience in fluid management of CKD patients in Indonesia.Purpose: This study aimed to explore the fluid management experience of adults with chronic kidney disease participating in hemodialysis treatment in Indonesia.Methods: A qualitative study with a phenomenological approach was conducted. Purposive sampling was used to recruit 14 adults patients with chronic kidney disease undergoing hemodialysis in a tertiary hospital in Padang between July and September 2020. Manual content analysis using the Colaizzi approach was used to identify themes.Results: Data analysis revealed four themes with 12 sub-themes. The four major themes include the challenge of thirst control, fluid/diet restriction management, inadequate information, and the support system.Conclusions: The result showed the severe suffering and sadness experienced by CKD patients who conform to fluid restrictions. It is important to provide clear information on the fluid prescription or the exact consumable amount per day. Structured education with a personal approach is recommended to ensure detailed information regarding "fluid prescribing". The support obtained from family, friends, and dialysis staff is a significant factor in promoting acceptance and adherence.

scholarly journals Experiences of Mothers Facing the Prognosis of Their Children with Complex Congenital Heart Disease

2020 ◽  
Vol 17 (19) ◽  
pp. 7134
Author(s):  
Sunhee Lee ◽  
Jeong-Ah Ahn
Keyword(s):  
Congenital Heart Disease ◽  
Content Analysis ◽  
Heart Disease ◽  
Qualitative Study ◽  
Congenital Heart ◽  
Tertiary Hospital ◽  
Complex Congenital Heart Disease ◽  
Face To Face ◽  
Psychological Difficulties ◽  
Expressed Emotions

Mothers of children with complex congenital heart disease face unique challenges and emotional burdens, while their children go through physical and psychological difficulties during disease progression. In this study, we aimed to explore the in-depth experiences and feelings of mothers facing the prognosis of their children with complex congenital heart disease that was surgically corrected. This is a descriptive qualitative study. We conducted semi-structured, face-to-face interviews with 12 mothers of children with complex congenital heart disease at a tertiary hospital in Seoul, Korea. The interview data were analyzed by content analysis. Participants were mothers aged between 40–58 years whose children were diagnosed with complex congenital heart disease which was surgically corrected. Based on the content analysis, the mothers’ experiences and feelings were categorized as immense suffering and adapting to a new life. Under the main categories, the concepts included feeling of abandonment, anxiety with potentially losing their children, having hope, seeking reassurance, being encouraged, and trying to embrace the situation. Mothers who cared for their children with complex congenital heart disease expressed emotions that changed sequentially alongside physical and psychosocial changes in the children. The results of this study are valuable for understanding the experiences and emotions of mothers facing the prognosis of their children with complex congenital heart disease in order to aid in the development of programs that support these mothers.

scholarly journals Task shifting of intravitreal injections from physicians to nurses: a qualitative study

2021 ◽  
Author(s):  
Stine Bolme ◽  
Dordi Austeng ◽  
Kari Hanne Gjeilo
Keyword(s):  
Qualitative Study ◽  
Training Program ◽  
Qualitative Content Analysis ◽  
High Volume ◽  
Tertiary Hospital ◽  
Intravitreal Injections ◽  
Vascular Endothelial ◽  
Quality Patient Care ◽  
Endothelial Growth Factor ◽  
Training Efficiency

Abstract Background: Intravitreal injections of anti-vascular endothelial growth factor are a high-volume procedure and represent a considerable workload on ophthalmology departments. Several departments have tried to meet this increase by shifting the task to nurses. To maintain high quality patient care, we developed a training program for nurses certifying them to administer injections. This qualitative study aimed to evaluate if the nurses were confident and in control after participating in the training program, and if they were satisfied with the training and the new task. Methods: During 2014-2018, twelve registered nurses were trained in a tertiary hospital in Central Norway. All nurses were interviewed individually (n=7) or in a group (n=5). We analyzed the interviews using Graneheim and Lundmans qualitative content analysis. Results: Twelve sub-themes clustered in four main themes 1) responsibility and safety, 2) motivation and respect, 3) collaboration and 4) reflection and evaluation. The nurses felt confident and in control when administering injections, but experienced moments of insecurity. The new task gave the nurses a sense of achievement and they highlighted improvement of patient’s lives as positive. A greater level of responsibility gave the nurses pride in their profession. They had suggestions that could improve training efficiency but were overall satisfied with the training program.Conclusion: Our study showed that the nurses were satisfied with the training and that learning a new task led to higher self-esteem and gained respect. Suggestions to improve the training were identified, which should be considered before implemented at other departments.

scholarly journals Qualitative study exploring the feasibility, usability and acceptability of neonatal continuous monitoring technologies at a public tertiary hospital in Nairobi, Kenya

BMJ Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. e053486
Author(s):  
Mai-Lei Woo Kinshella ◽  
Violet Naanyu ◽  
Dorothy Chomba ◽  
Mary Waiyego ◽  
Jessica Rigg ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Clinical Care ◽  
Healthcare Providers ◽  
Tertiary Hospital ◽  
Care Quality ◽  
Sub Saharan Africa ◽  
Health System Strengthening ◽  
Direct Observations ◽  
Sub Saharan ◽  
Depth Interviews

ObjectiveTo assess the feasibility, usability and acceptability of two non-invasive, multiparameter, continuous physiological monitoring (MCPM) technologies for use in neonates within a resource-constrained healthcare setting in sub-Saharan Africa.DesignA qualitative study using in-depth interviews and direct observations to describe healthcare professional and caregiver perspectives and experiences with investigational MCPM technologies from EarlySense and Sibel compared with selected reference technologies.SettingPumwani Maternity Hospital is a public, high-volume, tertiary hospital in Nairobi, Kenya.ParticipantsIn-depth interviews were conducted with five healthcare administrators, 12 healthcare providers and 10 caregivers. Direct observations were made of healthcare providers using the technologies on 12 neonates overall.ResultsDesign factors like non-invasiveness, portability, ease-of-use and ability to measure multiple vital signs concurrently emerged as key themes supporting the usability and acceptability of the investigational technologies. However, respondents also reported feasibility challenges to implementation, including overcrowding in the neonatal unit, lack of reliable access to electricity and computers, and concerns about cost and maintenance needs. To improve acceptability, respondents highlighted the need for adequate staffing to appropriately engage caregivers and dispel misconceptions about the technologies.ConclusionStudy participants were positive about the usefulness of the investigational technologies to strengthen clinical care quality and identification of at-risk neonates for better access to timely interventions. These technologies have the potential to improve equity of access to appropriate healthcare services and neonatal outcomes in sub-Saharan African healthcare facilities. However, health system strengthening is also critical to support sustainable uptake of technologies into routine care.Trial registration numberNCT03920761.

scholarly journals Perceptions and practices of spiritual care among hospice physicians and nurses in a Taiwanese tertiary hospital: a qualitative study

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Zoe Tao ◽  
Poshu Wu ◽  
Amber Luo ◽  
Tzu-Lin Ho ◽  
Ching-Yu Chen ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Spiritual Care ◽  
Tertiary Hospital
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