scholarly journals Understanding ‘Good Health care’ from the Patient’s Perspective: Development of a Conceptual Model Using Group Concept Mapping

2018 ◽  
Vol 12 (1) ◽  
pp. 83-95 ◽  
Author(s):  
Stacey A. McCaffrey ◽  
Emil Chiauzzi ◽  
Caroline Chan ◽  
Michael Hoole
2020 ◽  
Author(s):  
Kathryn Jane Ogden ◽  
Sue Kilpatrick ◽  
Shandell Elmer ◽  
Kim Rooney

Abstract Background: Health professionals’ education should ensure graduates are equipped for practice in modern health-care systems. One hundred years after the Flexner Report on medical education, transformation in health-care systems has warranted reflection on priorities for medical education. Practicing effectively in modern health-care systems requires contemporary attributes and competencies, complimenting core clinical competencies. These need to be made overt and opportunities to develop and practice them provided. This study explicates these attributes and generic competencies using Group Concept Mapping methodology, with the aim of informing curriculum development in pre-vocational medical education.Methods: Group Concept Mapping consists of four phases: 1) Idea generation, review and synthesis; 2) Sorting and rating 3) Analysis of data using quantitative and qualitative techniques to produce a visual concept map; and 4) Confirmation and interpretation of results using logic model transformation. Multiple stakeholders contributed to the development of the conceptual model, including junior doctors who rated competencies according to importance to their practice and preparedness at graduation.Results: Sixty-seven participants from stakeholder groups generated 338 responses to the prompt: ‘An attribute or non-clinical competency required of doctors for effective practice in modern health-care systems is...’ These responses were synthesised into 60 statements which were sorted by participants into groupings according to similarity. Multi-dimensional scaling and hierarchical cluster analysis led to a conceptual map of seven clusters representing: Value-led professionalism; Attributes for self-awareness and reflective practice; Cognitive capability; Active engagement; Communication to build and manage relationships; Patient-centredness and advocacy; and Systems awareness, thinking and contribution. Logic model transformation identified three overarching meta-competencies: Leadership and systems thinking; Learning and cognitive processes; and Interpersonal capability. Ratings indicated that junior doctors believe system-related competencies are less important than other competencies, and they feel less prepared to carry them out. Conclusion: Group Concept Mapping was used to conceptualise the attributes and generic competencies required for effective practice modern health-care systems. The operationalization of the model through logic model transformation further identifies the links between attributes, their application through competency, and the outputs that they lead to. Rating of items can identify priorities for ensuring a medical education which addresses contemporary health-care needs.


BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e031863
Author(s):  
Kristina Tomra Nielsen ◽  
Marianne Uggen Rasmussen ◽  
Anders Foehrby Overgaard ◽  
Louise Klokker ◽  
Robin Christensen ◽  
...  

ObjectivesThe main study aim was to examine the applicability of a novel method to assess the criterion of values and preferences within the Grading of Recommendation, Assessment, Development and Evaluation evidence to decision framework. The group concept mapping (GCM) approach was applied to identify, organise and prioritise values and preferences in the example of health professionals’ choice of analgesia for patients with acute trauma pain.SettingPrehospital and emergency care centres in the Nordic countries of Denmark, Norway, Sweden, Finland and Iceland.ParticipantsAcute care health professionals with qualifications to administer analgesic agents to patients in emergency and prehospital settings, including advanced ambulance assistants, rescue officers, paramedics, emergency physicians and emergency nurses, participated in an online survey in which statements were generated (n=40) and structured (n=11) and finally analysed and interpreted in a validation meeting (n=4).ResultsUsing GCM, ideas were generated and structured through online participation. Results were interpreted at a validation meeting. In total, 111 unique ideas were identified and organised into seven clusters: drug profile, administration, context, health professionals’ preferences and logistics, safety profile, patient’s medical history and acute clinical situation.ConclusionsBased on GCM, a conceptual model was developed, and values and preferences around choice of analgesia in emergency care were revealed. Health professionals within acute care can apply the conceptual model to support their decision-making when choosing the best available treatment for pain for their patients in emergency care.


2021 ◽  
pp. 153944922110382
Author(s):  
Eva Ejlersen Wæhrens ◽  
Kristina Tomra Nielsen ◽  
Malcolm Cutchin ◽  
Heather Fritz ◽  
Hans Jonsson ◽  
...  

Further consolidation and clarity regarding occupation as a means to foster change in interventions are needed. The study aimed to utilize the knowledge of occupational scholars to systematically determine what is required to use occupation as means to foster change within occupation-based interventions and to generate a conceptual model from those results. Group Concept Mapping involved the following: preparation, generation of ideas, structuring of statements, data analysis, interpretation of maps, and development of conceptual model. Fifty-two international occupational scholars brainstormed 125 ideas. A cluster rating map with nine clusters posed the foundation for a conceptual model with seven themes, namely, artful use of occupation, evidence-based use of occupation, collaboration to promote occupation, coordinating intervention fit, client factors, sociocultural context, and structural influences. The conceptual model, capturing dimensions and dynamics required for using occupation to foster change, may guide future research into occupation-based interventions.


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Christine E. Laustsen ◽  
Albert Westergren ◽  
Pia Petersson ◽  
Maria Haak

Abstract Background Researchers have shown an increased interest in involving professionals from outside academia in research projects. Professionals are often involved in research on ageing and health when the purpose is to address the gap between research and practice. However, there is a need to acquire more knowledge about what the involvement might lead to by exploring researchers’ experiences of involving professionals in research on ageing and health and developing conceptual areas. Therefore, the aim of this study was to identify conceptual areas of professionals’ involvement in research on ageing and health, from the perspective of researchers themselves. Methods Group concept mapping, a participatory and mixed method, was used to conceptualize areas. Researchers with experience of involving professionals in research projects on ageing and health participated in qualitative data collection through brainstorming sessions (n = 26), and by sorting statements (n = 27). They then took part in quantitative data collection, where they rated statements according to how much a statement strengthened research (n = 26) and strengthened practice (n = 24). Data were analysed using multidimensional scaling analysis and hierarchical cluster analysis. In addition, a qualitative analysis of the latent meaning of the cluster map was conducted. Results Analysis of the sorting stage generated five clusters illustrating conceptual areas of professionals’ involvement in research projects on ageing and health. The five clusters are as follows: complex collaboration throughout the research process; adaptation of research to different stakeholders, mutual learning through partnership; applicable and sustainable knowledge; legitimate research on ageing and health. The qualitative latent meaning of the cluster map showed two themes: the process of involvement and the outcome of involvement. A positive strong correlation (0.87) was found between the rating of strengthened research and practice. Conclusions This study reveals conceptual areas on a comprehensive and illustrative map which contributes to the understanding of professionals’ involvement in research on ageing and health. A conceptual basis for further studies is offered, where the aim is to investigate the processes and outcomes entailed in involving professionals in research on ageing and health. The study also contributes to the development of instruments and theories for optimizing the involvement of professionals in research.


2015 ◽  
Vol 90 (7) ◽  
pp. 988-994 ◽  
Author(s):  
Helen Hynes ◽  
Slavi Stoyanov ◽  
Hendrik Drachsler ◽  
Bridget Maher ◽  
Carola Orrego ◽  
...  

2017 ◽  
Vol 1 (3) ◽  
Author(s):  
Zhang Gaofeng

As the treasure of traditional culture in China, Tai Chi Chuanexercise is the crystallization of the wisdom and painstaking effortsof all previous generations with the civilization of the Chinesenation for thousands of years; it contains the principle ofcombining Yin and Yang and generation-inhibition in fiveelements with the beautiful appearance of martial artsperformances and a good health care function as well. In a word,Tai Chi Chuan has a distinct health care and therapeutic effect onhuman body with the knowledge of TCM guidance and health; it isa popular exercise from practice to theory, and it has been widelypromoted.


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