Study Abroad in the Philippines and Canada by Japanese Undergraduate Students: A Comparative Mixed Methods Study

Author(s):  
Chihiro Tajima ◽  
Michael D. Fetters
2020 ◽  
Author(s):  
Chisato Masuda ◽  
Shirley Kristine Ferolin ◽  
Ken Masuda ◽  
Chris Smith ◽  
Mitsuaki Matsui

Abstract Background Evidenced-based practice is a key component of quality care. However, studies in the Philippines have identified gaps between evidence and actual maternity practices. This study aims to describe the practice of evidence-based intrapartum care and its associated factors, as well as exploring the perceptions of healthcare providers in a tertiary hospital in the Philippines. Methods A mixed-methods study was conducted, which consisted of direct observation of intrapartum practices during the second and third stages, as well as semi-structured interviews and focus group discussions with care providers to determine their perceptions and reasoning behind decisions to perform episiotomy or fundal pressure. Univariate and multivariate logistic regression were used to analyse the relationship between observed practices and maternal, neonatal, and environmental factors. Qualitative data were parsed and categorised to identify themes related to the decision-making process. Results A total of 170 deliveries were included. Recommended care, such as prophylactic use of oxytocin and controlled cord traction in the third stage, were applied in almost all the cases. However, harmful practices were also observed, such as intramuscular or intravenous oxytocin use in the second stage (14%) and lack of foetal heart rate monitoring (57%). Of primiparae, 92% received episiotomy and 31% of all deliveries received fundal pressure. Factors associated with the implementation of episiotomy included primipara (adjusted Odds Ratio [aOR] 62.3), duration of the second stage of more than 30 minutes (aOR 4.6), and assisted vaginal delivery (aOR 15.0). Factors associated with fundal pressure were primipara (aOR 3.0), augmentation with oxytocin (aOR 3.3), and assisted delivery (aOR 4.8). Healthcare providers believe that these practices can prevent laceration. The rate of obstetric anal sphincter injuries (OASIS) was 17%. Associated with OASIS were assisted delivery (aOR 6.0), baby weights of more than 3.5 kg (aOR 7.8), episiotomy (aOR 26.4), and fundal pressure (aOR 6.2). Conclusions Our study found that potentially harmful practices are still conducted that contribute to the occurrence of OASIS. The perception of these practices is divergent with current evidence, and empirical knowledge has more influence. To improve practices the scientific evidence and its underlying basis should be understood among providers.


2021 ◽  
Vol 71 (5) ◽  
pp. 1791-96
Author(s):  
Syed Muslim Abbas ◽  
Abid Ashar

Objective: To explore medical undergraduate students’ perceptions pertaining to the key domains of leadership and highlight strategies to enhance leadership skills in undergraduate studies. Study Design: Mixed methods study. Place and Duration of Study: Fatima Memorial Hospital College of Medicine & Dentistry, Lahore, from Sep to Oct 2019. Methodology: A total of 207 medical students were recruited from the first and final year by purposive sampling to fill out a structured questionnaire. Three focus group discussions were conducted comprising of twelve students in each group. All focus groups were audio-recorded, anonymized and transcribed verbatim before the analysis by framework analysis technique. Results: Total fifty percent of the first-year students were of the view that ensuring patient safety was an important component of the leadership domain of improving services whereas only 11% responded as critically evaluating as a component of this domain. The themes that emerged pertaining to the strategies to enhance leadership skills included increasing awareness, role models depicting change, cultural challenges, and supplementing existing practices. Conclusions: The validated essential domains of leadership and its associated competencies should be streamlined strategically and prioritized in accordance with the level of training of the undergraduate medical students. A multicentre study is suggested to gather data at the national level which could inform further development of inclusion of leadership domains within undergraduate MBBS curriculum.


2019 ◽  
Vol 6 (2) ◽  
pp. 1
Author(s):  
Lee C. Fergusson ◽  
Kenneth L. Cavanaugh

The relationship between individual and group practice of the Transcendental Meditation and TM-Sidhi program andreductions in social stress, tension, and violence has been the topic of systematic exploration since the 1970s in Canada,India, Israel, Lebanon, New Zealand, Norway, the Philippines, Puerto Rico, United Kingdom, and United States.Findings from these quantitative studies have been published in leading international conflict resolution and peacestudies journals. However, research in Cambodia has to date only been of a descriptive and qualitative nature with afocus on economic and social variables not violence or crime.The purpose of the present study is therefore to examine socio-political violence in Cambodia between January 1990and December 1992 (the baseline period) and the possible influence of group practice of the Transcendental Meditationand TM-Sidhi program at Maharishi Vedic University (MVU) by 550 undergraduate students beginning in January1993 through December 2008 (the impact-assessment period). This study uses an explanatory mixed methods designto examine socio-political violence using time series analysis of machine-coded news reports (quantitative data) anddocument analysis of national and international media reports, personal statements, and public documents (qualitativedata).Results indicate that beginning in January 1993, when meditating students at MVU began their group practice, amarked downward shift occurred in the trends of socio-political violence and other forms of violent crime in Cambodia,contrary to predicted baseline trends and contrary to widespread community and media expectations. Such aconclusion can be drawn from both the quantitative and qualitative evidence when comparing baseline andimpact-assessment periods, suggesting that the observed decline in socio-political violence during this time wasassociated with an increase in peace, order, and harmony—that is, a rise of social coherence—in the collectiveconsciousness of Cambodia generated by the group of meditating students at MVU.


2019 ◽  
Vol 47 (4) ◽  
pp. 284-302 ◽  
Author(s):  
Ashley Rockwell ◽  
Chris M. Vidmar ◽  
Penny Harvey ◽  
Leanna Greenwood

Assessing course goals is often challenging; assessing an abstract goal, like empathy, can be especially so. For many instructors, empathy is central to sociological thinking. As such, fostering empathy in students is a common course goal. In this article, we report the initial findings of a semester-long assessment of empathy change in undergraduate students ( N = 619). We employ a mixed-methods research design that utilizes qualitative instructor data to determine independent instructor-level variables and student surveys to measure student empathy change. We compare empathy change between students enrolled in introductory sociology classes to students not enrolled in sociology classes and test which student and instructor variables predict empathy change. We find that students taking sociology classes have positive empathy change compared to those who do not. We interpret these findings as evidence that study of sociology promotes empathy development and discuss implications for the classroom and further research.


2015 ◽  
Vol 17 (1) ◽  
pp. 5-22 ◽  
Author(s):  
Frida Besong ◽  
Charlotte Holland

Abstract The concepts of sustainability and sustainability competence are controversial, complex, difficult to define and measure, and have varied meanings for different people and practices. Given the complex nature of sustainability, there is limited availability of paradigmatic frameworks to guide educators in assessing sustainability competencies. This paper introduces the Dispositions, Abilities and Behaviours (DAB) framework, which influenced the design of an intervention in 2013-2014 that profiled sustainability competencies among final year undergraduate students in a higher education institution. The results of the mixed methods study indicate that the DAB framework has good potential as a guide to educators or researchers in understanding and profiling sustainability- related abilities, attitudes and actions (areas of performance) of cohorts of students within higher education settings.


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e050688
Author(s):  
Jonathan P Guevarra ◽  
Amy E Peden ◽  
Richard Charles Franklin

IntroductionDrowning is a global public health threat, disproportionately impacting low-income and middle-income countries. In the Philippines, it is estimated that more than 5200 people die from drowning per annum. This number is likely to be higher than currently estimated with the inclusion of disaster-related and transportation-related drowning. Drowning is preventable if appropriate preventive interventions are put in place which redress known risk factors.Methods and analysisThis study uses the PRECEDE–PROCEED model (PPM), an eight-step health promotion planning and evaluation model for building and improving intervention programmes. This mixed-methods study, which can be used in any location, will be implemented in Los Baňos, Laguna, Philippines, identified as an area of concern for drowning. Using the PPM, data on drowning will be collected from death records, community observation, key informant interviews, focus group discussions and community survey. A range of analytical methods will be used to explore drowning data including univariate and χ2 analyses, analysis of variance, relative risk and calculating rates using population data. The quantitative data and themes drawn from qualitative data will be used to populate the first four phases of the PPM. Following the data collection, the remaining stages of the PPM will be designed and implemented in the barangay (village) with the highest drowning rate.Ethics and disseminationThis study has obtained ethical clearance from the University of the Philippines Manila Research Ethics Board (UPMREB 2017-425-01). Study findings will be disseminated through workshops and presentations to the local community as well as through peer-reviewed literature and conference presentations. The PPM has rarely been applied to drowning prevention and it is the aim that the study described in this protocol is expanded across other areas of the Philippines and to other countries with a high drowning burden to inform prevention efforts.


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