RE-AUTHORING THE LOSSES AND CHALLENGES OF AGING: OLDER INDIVIDUALS’ EXPERIENCES OF LONGTERM GROUP WORK

2015 ◽  
Vol 27 (1) ◽  
pp. 3-19
Author(s):  
Cecile Frankel ◽  
Brenda Solarsh ◽  
Eleanor Ross
Keyword(s):  
Life Expectancy ◽  
Group Work ◽  
Narrative Therapy ◽  
Older Persons ◽  
Senior Citizens ◽  
Cost Effective ◽  
Life Transitions ◽  
Older Individuals ◽  
Documentary Analysis ◽  
Social Group Work

The increase in life expectancy has highlighted the value of group work interventions as a cost-effective way of helping older persons to deal with life transitions. This article describes a group for senior citizens that continued for 18 years. The aim of the study was to undertake a documentary analysis of the facilitator’s process notes and participans’ reflections to ascertain possible reasons for the group’s longevity. These were attributed to the skill of the facilitator and her creative use of programme material and narrative therapy. Recurring themes included loneliness, the fear of dying, and dilemmas about relinquishing control and independence. Findings have implications for the practice of social group work with older persons.

The mediating role of medical professionalism on financial self-interest GPs

2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X697193
Author(s):  
David McCaffrey ◽  
Chris O’Riordan ◽  
Felicity Kelliher
Keyword(s):  
General Practitioners ◽  
Financial Resources ◽  
Medical Professionalism ◽  
Fiscal Constraints ◽  
Policy Initiatives ◽  
Mediating Role ◽  
Documentary Analysis ◽  
Self Interest ◽  
Fluid Interpretation

BackgroundWhile no normative definition exists, medical professionalism emphasises a set of values, behaviours and relationships that underpin public trust in a physician. The empirical setting for this study is the Irish health care system where GPs receive income through a unique mix of private fee income and state funded capitation. GPs’ income per patient has fallen by 33% under state schemes between 2008 and 2013 due to changes in health policy and national fiscal constraints.AimThis paper examines how general practitioners conceptualise and operationalise medical professionalism and financial self-interest in the Irish healthcare system.MethodTo address this research aim, a historical documentary analysis (2009–2016) of national and medical newspapers was used to investigate GPs’ expressions of medical professionalism and financial self-interest.ResultsThe vagueness of language in differing definitions of medical professionalism may lead to a GP having a fluid interpretation depending on the situation. While general practitioners expressed core humanistic values, such as empathy and compassion, the expression of altruistic values were limited when practitioners indicated there was constraint on the financial resources of a practice.ConclusionCentral to the analysis of a medical practitioner’s treatment of patients and receipt of fee income is the tension between medical professionalism and financial self-interest. Developing an understanding of this tension has implications for those undertaking healthcare policy initiatives and the recruitment and retention of general practitioners in primary care.

scholarly journals Where Do We Go After Surviving the Virus? Cross-Country Documentary Analysis of the Social Consequences Faced by COVID-19 Survivors

2021 ◽  
pp. 0272684X2110221
Author(s):  
Alfred F. S. Owusu ◽  
Alhassan Abdullah ◽  
Godfred H. Pinto ◽  
Hajara Bentum ◽  
Janet Tein Ni Moo ◽  
...  
Keyword(s):  
Health Care Professionals ◽  
Health Workers ◽  
Interprofessional Collaboration ◽  
Social Consequences ◽  
Medical Practitioners ◽  
News Reports ◽  
Documentary Analysis ◽  
The Social ◽  
Recovery Narratives ◽  
Personal Accounts

In this study, we attempted to move beyond the skewed discussions on stigma to unravel other social consequences that are experienced by persons who have recovered from COVID-19. We conducted a documentary review of published news reports from 14 highly ranked news portals in Ghana and Malaysia (published between 1st January 2020 and 30th August 2020) that contained personal accounts from the recovered patients about their lived experiences with the virus and social consequences encountered after recovery. Narratives from the recovered patients were extracted and analyzed following the narrative thematic analysis procedure. Common themes identified from the narratives included: 1) Stigma impacting mental health, 2) Assault and abuse 3) Experiences of treatment. The findings show the need for interprofessional collaboration between social and health care professionals such as social workers, community health workers, medical practitioners and psychologists to prevent and address issues of abuse and other social consequences experienced by COVID-19 survivors.

scholarly journals Preparing Education Students for an International Future? Connecting Students’ Experience to Institutional Contexts

2021 ◽  
pp. 102831532199849
Author(s):  
Nafsika Alexiadou ◽  
Zoi Kefala ◽  
Linda Rönnberg
Keyword(s):  
Teaching Practice ◽  
Social Benefit ◽  
Social Dimensions ◽  
Intercultural Understanding ◽  
Social Relevance ◽  
Education Students ◽  
Documentary Analysis ◽  
The Social ◽  
Institutional Contexts ◽  
Internationalization At Home

This article focuses on “internationalization at home” (IaH) for education students in Swedish Universities and its significance for their professional formation and future practice. We draw on research in two large institutions and explore the perceptions and experiences of internationalization of home students in education. We find that while the “intercultural” understanding of students is well developed, the international and intercultural dimensions of experiencing IaH are limited, due to several institutional and learning environment contexts. This has consequences for the social dimensions of future teaching practice. In addition, the perception of the discipline as “national” is significant in shaping the outlook of students toward international questions and their own future personal and professional mobility. We contextualize these findings using documentary analysis and staff interviews, and argue that to achieve intercultural and international learning environments of quality, social relevance, and long-term social benefit, we need to rethink how internationalization perspectives are integrated in teacher education courses.

scholarly journals Investigation of Employee Related Airport Ground Access Strategies from a Post-COVID Perspective

2021 ◽  
pp. 036119812110332
Author(s):  
Oguzhan Yilmaz ◽  
Matthew Frost ◽  
Andrew Timmis ◽  
Stephen Ison
Keyword(s):  
Public Transport ◽  
Active Travel ◽  
Strategy Development ◽  
Sustainable Transport ◽  
Car Sharing ◽  
Documentary Analysis ◽  
The Future ◽  
Private Car ◽  
Policy Measures ◽  
Access Policies

Until recently, addressing the environmental externalities associated with the use of the private car and single occupancy vehicles has been the focus of the airport ground access policies worldwide. However, with the emerging unprecedented challenges of the COVID-19 pandemic, which have already changed the way we live, work, and travel, encouraging a change in commuter behavior has become even more important. This has necessitated that existing strategies be reconsidered in favor of adapting to a highly uncertain “COVID-19 world.” Historically, there has been a dearth of literature relating to airport employees’ ground access even though as a group employees represent an important segment of airport users with complex access requirements. This paper therefore focuses on airport employee related airport ground access strategies considering an emerging understanding of the future impacts of COVID-19 on global air travel. Pre-COVID strategies are investigated by conducting a documentary analysis of the most recent ground access strategies of 27 UK airports. The findings reveal that airport ground access strategies were mainly focused on setting targets and producing policy measures in favor of reducing car use and increasing the use of more sustainable transport modes including public transport, car sharing, and active travel (walking, cycling). However, measures encouraging public transport and car sharing will be more difficult to implement because of social distancing and fear of proximity to others. Instead, initiatives encouraging remote working, active travel, and improved staff awareness will be at the forefront of the future ground access strategy development.

scholarly journals Multilateral Naval Exercise Komodo: Enhancing Indonesia’s Multilateral Defence Diplomacy?

2021 ◽  
pp. 186810342110089
Author(s):  
Frega Wenas Inkiriwang
Keyword(s):  
Structured Interviews ◽  
The Past ◽  
Documentary Analysis

Defence diplomacy has gained attention in the past decades. Hence, Indonesia has also developed its defence diplomacy for achieving its strategic interests. In Indonesia’s defence diplomacy, bilateral forms have dominated the practice of joint exercises with its defence partners. However, under the Yudhoyono administration in 2014, Indonesia hosted its first multilateral joint exercise, the Multilateral Naval Exercise Komodo (MNEK), which aimed at facilitating multilateral engagement with greater international partners. This exercise was continued by the Widodo administration as a biannual event in the following years. Since this multilateral exercise has rarely been studied, this article attempts to qualitatively examine how this exercise has developed and contributed to Indonesia’s multilateral defence diplomacy. To support the analysis, this article relies on a combination of documentary analysis and semi-structured interviews, including with numerous participants of past MNEK exercises in 2014, 2016, and 2018.

scholarly journals School Inquiry in Secondary Education: The Experience of the Fiesta de la Historia Youth Congress in Seville

2021 ◽  
Vol 10 (5) ◽  
pp. 165
Author(s):  
Nicolás De-Alba-Fernández ◽  
Elisa Navarro-Medina ◽  
Noelia Pérez-Rodríguez
Keyword(s):  
Secondary Education ◽  
Global Citizenship ◽  
Research Process ◽  
Documentary Analysis ◽  
Specific Discipline ◽  
Low Incidence ◽  
Socially Relevant ◽  
Citizenship Skills ◽  
Interpretive Design ◽  
Objective Being

In secondary education, the focus of history teaching must be on the development of global citizenship. The present research was a study contextualized in the Fiesta de la Historia Youth Congress in Seville (Spain). A documentary analysis with a descriptive and interpretive design was made of 63 projects of inquiry that pupils carried out. The main objectives were to assess the incidence of the proposal in terms of participation, and to determine whether the pupils’ projects followed a logic of inquiry about socially relevant problems which favors the construction of global citizenship. The results point to a low incidence of schools participating in this initiative. The projects of inquiry analyzed present, for the most part, themes related to the historical and social heritage of the locality. The proposals are approached as problems of a specific discipline and are worked on through a method based on a pseudoscientific research process. The findings indicate the need to continue implementing initiatives based on school inquiry that allow the teaching of history to be articulated around relevant social problems, with the objective being to develop citizenship skills.

scholarly journals Características sociodemográficas e clínicas de pacientes portadoras de cardiomiopatia periparto: contribuições para a enfermagem [Sociodemographic and clinical characteristics of peripartum cardiomyopathy patients: contributions to nursing] [Características sociodemográficas y clínicas de pacientes portadoras de cardiomiopatía periparto: contribuciones a la enfermería]

2018 ◽  
Vol 26 ◽  
pp. e32033
Author(s):  
Tamires Grama dos Santos ◽  
Karla Biancha Silva de Andrade ◽  
Flávia Giron Camerini ◽  
Andrezza Serpa Franco ◽  
Ana Lúcia Cascardo Marins ◽  
...  
Keyword(s):  
Skin Color ◽  
Rio De Janeiro ◽  
Clinical Characteristics ◽  
Peripartum Cardiomyopathy ◽  
University Hospital ◽  
Respiratory Pattern ◽  
Cross Sectional ◽  
Documentary Analysis ◽  
Cardiac Intensive Care ◽  
Janeiro State

Objetivo: identificar as características clínicas e sociodemográficas das pacientes portadoras de cardiomiopatia periparto em unidade cardiointensiva de um hospital universitário no Estado do Rio de Janeiro. Método: estudo quantitativo, transversal, de análise documental em cinco prontuários, entre janeiro de 2014 a dezembro de 2016, obedecendo aos critérios preestabelecidos de inclusão e exclusão e iniciado após aprovação do Comitê de Ética e Pesquisa. Os dados foram coletados mediante um formulário próprio, tabulados em planilhas eletrônicas e analisados através de estatística descritiva simples. Resultados: houve predominância de idade entre 26-35 anos – 4 (80%), multíparas, etnia parda, internação para pós-operatório de parto cesárea – 4 (80%), internação inferior a 2 semanas 4 (80%). Dentre os problemas de enfermagem encontrados, estão o débito cardíaco diminuído e padrão respiratório ineficaz. Conclusão: divulgar as características sociodemográficas e clínicas dessa clientela pode ajudar a delimitar alguns problemas de enfermagem representativos nessa população.ABSTRACTObjective: to identify the clinical and sociodemographic characteristics of patients with peripartum cardiomyopathy in a cardiac intensive care unit of a university hospital in Rio de Janeiro State. Method: this quantitative, cross-sectional, documentary analysis studied five medical records, between January 2014 and December 2016, according to pre-established inclusion and exclusion criteria, after approval by the research ethics committee. Data were collected using a specific form, tabulated in electronic spreadsheets, and analyzed by simple descriptive statistics. Results: subjects were aged predominantly 26-35 years (4; 80%), multiparous, skin color brown, admitted for caesarean section postoperative care (4; 80%), and for less than 2 weeks (4; 80%). The nursing problems encountered included decreased cardiac output and ineffective respiratory pattern. Conclusion: disclosure of this clientele’s sociodemographic and clinical characteristics can help to delimit some representative nursing problems in this population.RESUMENObjetivo: identificar las características clínicas y sociodemográficas de las pacientes portadoras cardiomiopatía periparto en una unidad de cuidados intensivos coronarios de un hospital universitario en el Estado de Río de Janeiro. Método: estudio cuantitativo, transversal, de análisis documental en cinco historias clínicas, entre enero de 2014 y diciembre de 2016, obedeciendo a los criterios preestablecidos de inclusión y exclusión e iniciado tras la aprobación del Comité de Ética en Investigación. Los datos fueron recolectados a través de un formulario propio, tabulados en planillas electrónicas y analizados a través de estadística descriptiva simple Resultados: hubo predominancia de edad entre 26 y 35 años – 4 (80%), multíparas, etnia parda, internación para postoperatorio de parto cesárea - 4 (80%), internación inferior a 2 semanas – 4 (80%). Entre los problemas de enfermería encontrados, están el débito cardíaco disminuido y el patrón respiratorio ineficaz. Conclusión: divulgar las características sociodemográficas y clínicas de esa clientela puede ayudar a delimitar algunos problemas de enfermería representativos en esa población.

scholarly journals Recommendations for improving follow-up care for patients with mesothelioma: a qualitative study comprising documentary analysis, interviews and consultation meetings

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e040679
Author(s):  
Catherine Henshall ◽  
Zoe Davey ◽  
Helen Walthall ◽  
Hannah Ball ◽  
Mitra Shahidi ◽  
...  
Keyword(s):  
Support Groups ◽  
Secondary Care ◽  
Trial Participation ◽  
Care Pathways ◽  
Pleural Mesothelioma ◽  
Tertiary Centre ◽  
Documentary Analysis ◽  
Follow Up Care ◽  
Recommendations For Practice

ObjectivesThe study aim was to explore experiences of patients with pleural mesothelioma of follow-up care in three National Health Service (NHS) Trusts to develop recommendations for practice.DesignThe study design was qualitative and comprised three interlinked phases: a documentary analysis, interviews and consultation meetings. Altheide and Johnson’s Analytic Realism theoretical framework guided the thematic data analysis process.SettingThe study was conducted in three NHS Trusts in South England. Two were secondary care settings and the third was a tertiary centre.ParticipantsThe secondary care trusts saw 15–20 patients with new mesothelioma per year and the tertiary centre 30–40. The tertiary centre had a designated mesothelioma team. Twenty-one patients met the inclusion criteria: >18 years, mesothelioma diagnosis and in follow-up care. Non-English speaking participants, those unable to provide written informed consent or those whom the clinical team felt would find participation too distressing were excluded. All participants were white, 71% were 70–79 years old and 71% were men. Three consultation meetings were conducted with key stakeholders including mesothelioma nurse specialists, patients with mesothelioma, carers and local clinical commissioning group members.Main outcome measuresSpecific outcomes were to gain a detailed understanding of mesothelioma follow-up care pathways and processes and to develop coproduced recommendations for practice.ResultsMesothelioma pathways were not always distinct from lung cancer care pathways. All trusts provided follow-up information and resources but there was varied information on how to access local support groups, research or clinical trial participation. Five themes were developed relating to people; processes; places; purpose and perception of care. Coproduced recommendations for improving mesothelioma follow-up pathways were developed following the consultation meetings.ConclusionsThis study has developed recommendations which identify the need for patients with pleural mesothelioma to access consistent, specialist, streamlined mesothelioma care, centred around specialist mesothelioma nurses and respiratory consultants, with input from the wider multidisciplinary team.

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