Exploring Current Gaps in Radiation Oncology Resident Teaching: A Thematic Analysis of Free-Text Responses From the Radiation Oncology Residents-As-Teachers Targeted Needs Assessment

This study aimed to evaluate how parents of former neonatal intensive care unit patients with cerebral palsy perceive prognostic discussions following neuroimaging. Parent members of a cerebral palsy support network described memories of prognostic discussions after neuroimaging in the neonatal intensive care unit. We analyzed responses using Linguistic Inquiry and Word Count, manual content analysis, and thematic analysis. In 2015, a total of 463 parents met eligibility criteria and 266 provided free-text responses. Linguistic Inquiry and Word Count analysis showed that responses following neuroimaging contained negative emotion. The most common components identified through the content analysis included outcome, uncertainty, hope/hopelessness, and weakness in communication. Thematic analysis revealed 3 themes: (1) Information, (2) Communication, and (3) Impact. Parents of children with cerebral palsy report weakness in communication relating to prognosis, which persists in parents’ memories. Prospective work to develop interventions to improve communication between parents and providers in the neonatal intensive care unit is necessary.

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Patients’ Perspectives on User Involvement in General Practice. A Qualitative Analysis of Free-Text Comments

10.21203/rs.3.rs-835562/v1 ◽

2021 ◽

Author(s):

Birgitte Nørgaard ◽

Signe Beck Titlestad ◽

Michael Marcussen

Keyword(s):

General Practice ◽

Thematic Analysis ◽

Patient Involvement ◽

User Involvement ◽

Free Text ◽

Personalized Care ◽

Validated Questionnaire ◽

Healthcare Practice ◽

Collection Period ◽

Core Role

Abstract Background: General practice plays a core role in managing the pathways of patients with chronic diseases. Despite the increased focus on patient involvement in healthcare practice and well-established knowledge of the benefits of involvement and personalized care, involvement in general practice appears to be challenged. This study aimed to explore patient involvement in general practice from the patients’ perspectives. Method: The study involved a questionnaire survey investigating patient involvement in general practice from the patients’ perspectives. The validated questionnaire includes an open-ended question encouraging responders to provide additional comments regarding their involvement in general practice. The results from these comments are presented in this paper. A thematic analysis was applied. Results: Of the 468 responses, 139 included additional comments to the free-text question. Through our analysis, six analytic themes were generated—To be seen, met, or heard, To feel safe or not, To be involved or dictated to, Accessibility, COVID-19, and For the resourceful—across 116 codings and 25 descriptive themes. The themes’ interwovenness underscores the complexity of both involvement and how it is to live with a chronic disease. Our analysis indicates that involvement in general practice is for the resourceful.Conclusion: The six themes describing involvement in general practice from the perspectives of patients with T2DM and/or COPD were deeply intertwined. Involvement is dependent on being seen, met, and heard, all of which contribute to the patients’ sense of feeling safe (or not). These aspects are dependent on accessibility to a general practitioner; thus, COVID-19 was a barrier during the data-collection period. Furthermore, it appeared that being resourceful not only contributed to a sense of being involved in general practice but was perhaps even a prerequisite for being involved.

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British doctors’ work–life balance and home-life satisfaction: a cross-sectional study

Postgraduate Medical Journal ◽

10.1136/postgradmedj-2021-141338 ◽

2021 ◽

pp. postgradmedj-2021-141338

Author(s):

Swati Parida ◽

Abdullah Aamir ◽

Jahangir Alom ◽

Tania A Rufai ◽

Sohaib R Rufai

Keyword(s):

Life Satisfaction ◽

Thematic Analysis ◽

Significant Proportion ◽

Well Being ◽

Work Life ◽

Work Life Balance ◽

Free Text ◽

Full Time ◽

Life Balance ◽

Home Life

PurposeTo assess British doctors’ work–life balance, home-life satisfaction and associated barriers.Study designWe designed an online survey using Google Forms and distributed this via a closed social media group with 7031 members, exclusively run for British doctors. No identifiable data were collected and all respondents provided consent for their responses to be used anonymously. The questions covered demographic data followed by exploration of work–life balance and home-life satisfaction across a broad range of domains, including barriers thereto. Thematic analysis was performed for free-text responses.Results417 doctors completed the survey (response rate: 6%, typical for online surveys). Only 26% reported a satisfactory work–life balance; 70% of all respondents reported their work negatively affected their relationships and 87% reported their work negatively affected their hobbies. A significant proportion of respondents reported delaying major life events due to their working patterns: 52% delaying buying a home, 40% delaying marriage and 64% delaying having children. Female doctors were most likely to enter less-than-full-time working or leave their specialty. Thematic analysis revealed seven key themes from free-text responses: unsocial working, rota issues, training issues, less-than-full-time working, location, leave and childcare.ConclusionsThis study highlights the barriers to work–life balance and home-life satisfaction among British doctors, including strains on relationships and hobbies, leading to many doctors delaying certain milestones or opting to leave their training position altogether. It is imperative to address these issues to improve the well-being of British doctors and improve retention of the current workforce.

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LO13: Development of a national, standardized simulation case template

CJEM ◽

10.1017/cem.2020.69 ◽

2020 ◽

Vol 22 (S1) ◽

pp. S11-S11 ◽

Cited By ~ 1

Author(s):

J. Baylis ◽

C. Heyd ◽

B. Thoma ◽

A. Hall ◽

T. Chaplin ◽

...

Keyword(s):

Thematic Analysis ◽

Nominal Group Technique ◽

Assessment Tools ◽

Nominal Group ◽

Free Text ◽

Major Barrier ◽

Canadian Medical School ◽

Starting Point ◽

Simulation Based ◽

Em Simulation

Innovation Concept: A major barrier to the development of a national simulation case repository and multi-site simulation research is the lack of a standardized national case template. This issue was recently identified as a priority research topic for Canadian simulation based education (SBE) research in emergency medicine (EM). We partnered with the EM Simulation Education Researchers Collaborative (EM-SERC) to develop a national simulation template. Methods: The EM Sim Cases template was chosen as a starting point for the consensus process. We generated feedback on the template using a three-phase modified nominal group technique. Members of the EM-SERC mailing list were consulted, which included 20 EM simulation educators from every Canadian medical school except Northern Ontario School of Medicine and Memorial University. When comments conflicted, the sentiment with more comments in favour was incorporated. Curriculum, Tool or Material: In phase one we sought free-text feedback on the EM Sim Cases template via email. We received 65 comments from 11 respondents. An inductive thematic analysis identified four major themes (formatting, objectives, debriefing, and assessment tools). In phase two we sought free-text feedback on the revised template via email. A second thematic analysis on 40 comments from 12 respondents identified three broad themes (formatting, objectives, and debriefing). In phase three we sought feedback on the penultimate template via focus groups with simulation educators and technologists at multiple Canadian universities. This phase generated 98 specific comments which were grouped according to the section of the template being discussed and used to develop the final template (posted on emsimcases.com). Conclusion: We describe a national consensus-building process which resulted in a simulation case template endorsed by simulation educators from across Canada. This template has the potential to: 1. Reduce the replication of effort across sites by facilitating the sharing of simulation cases. 2. Enable national collaboration on the development of both simulation cases and curricula. 3. Facilitate multi centre simulation-based research by removing confounders related to the local adoption of an unfamiliar case template. This could improve the rigour and validity of these studies by reducing inter-site variability. 4. Increase the validity of any simulation scenarios developed for use in national high-stakes assessment.

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‘Clients. Outdoors. Animals.’: retaining vets in UK farm animal practice—thematic analysis of free-text survey responses

Veterinary Record ◽

10.1136/vr.105066 ◽

2018 ◽

Vol 184 (4) ◽

pp. 121-121 ◽

Cited By ~ 3

Author(s):

Katherine E Adam ◽

Sarah Baillie ◽

Jonathan Rushton

Keyword(s):

Rural Communities ◽

Thematic Analysis ◽

Career Choices ◽

Animal Health ◽

Farm Animal ◽

Free Text ◽

Farm Work ◽

Outdoor Work ◽

Survey Responses ◽

Management Issues

Retaining vets in farm practice has been identified as a key strategy to maintain an adequately trained and experienced workforce to provide animal health services for livestock enterprises and government. This qualitative study aimed to explore vets’ experiences of UK farm animal practice and their perceptions of the factors that influenced their career choices. Thematic analysis of free-text survey responses from 187 vets working in farm practice and 141 who had given up farm work identified four main themes: affect (experiences of feeling or emotions), personal life, the job and the bigger picture. Those who stayed in farm practice described satisfaction with their career and enjoyment of physical, outdoor work in rural communities. Choosing to give up farm work was influenced by both personal and professional circumstances and related frequently to management issues in practice. Veterinary businesses also face challenges from the broader agricultural and veterinary sectors that affect their ability to support and retain vets. The findings presented build on previous quantitative analysis of factors associated with retention and demonstrate the complexity of individual vets’ career choices.

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Older Adults’ Experiences of Goals in Health: A Systematic Review and Metasynthesis

Journal of Applied Gerontology ◽

10.1177/0733464820918134 ◽

2020 ◽

pp. 073346482091813

Author(s):

Nicky Baker ◽

Sharon Lawn ◽

Susan J. Gordon ◽

Stacey George

Keyword(s):

Systematic Review ◽

Older Adults ◽

Goal Setting ◽

Thematic Analysis ◽

Health Staff ◽

Free Text ◽

Analysis And Synthesis ◽

Full Text Review ◽

Coaching Approach ◽

Final Synthesis

Objective: To synthesize older adults’ experiences and perceptions of goal setting and pursuit within health systems. Methods: Six databases were searched to May 2019 using a combination of MeSH and free text terms. Included papers were written in English and reported original qualitative research for participants aged 65 years and older. Participant quotes from the results sections of included studies were gathered for thematic analysis and synthesis. Results: Initial search yielded 9,845 articles, and 134 were identified for full-text review. Fifteen papers were included in the final synthesis. Two main themes were identified: enablers (intrinsic and extrinsic) and barriers (personal and system). Conclusion: Older adults’ self-belief is the strongest enabler for goal activities, enhanced by a personalized coaching approach from health staff. Conversely, inconsistent goal terminology confuses patients and reduces engagement. Likewise, fatigue has profound physical and cognitive impact on patients’ ability to engage and participate in goals.

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P064: Coastal family practice residency: simulation curriculum needs assessment survey

CJEM ◽

10.1017/cem.2017.266 ◽

2017 ◽

Vol 19 (S1) ◽

pp. S99-S100

Author(s):

K.C. Innes ◽

S. Chestnut ◽

K. Schafer ◽

A. Khazei

Keyword(s):

Needs Assessment ◽

Family Practice ◽

Skill Acquisition ◽

Online Survey ◽

Rural Practice ◽

Free Text ◽

Medical Conditions ◽

Rural Medicine ◽

National Guidelines ◽

Evaluation Phase

Introduction/Innovation Concept: Medical simulation is becoming increasingly useful for healthcare education. Simulation-based crisis resource management (CRM) has been shown to produce improvements in skill acquisition, communication and team behaviors. Simulation has become a key component of most Family Practice (FP) residency programs and many programs are moving towards developing formal simulation curriculums. The Coastal FP Residency is a relatively new and unique program with a large emphasis on rural medicine. Graduates have gone on to practice in remote areas with less access to supports for critically ill patients. Therefore, an effective simulation curriculum, focused on Emergency Medicine, is of great importance to this program. Methods: To develop our curriculum, Kern’s framework for medical education was selected given its prior success in similar endeavors. The first step of this approach involves a needs assessment, which we accomplished in the form of an online survey. The questionnaire included pre-defined topics pertaining to the training needs of FP Residents destined for Rural Practice with respect to technical skills, CRM skills, specific medical conditions and categories of medical conditions. Classification of answers included multiple choice, 5-point Likert scales as well as an option for free-text answers. The survey was distributed to pre-identified participants including stakeholders/educators within the Coastal FP residency program as well as simulation education leads for FP residencies throughout British Columbia (BC). Current residents, as well as program graduates were also asked to complete the survey. Curriculum, Tool, or Material: The results of this survey were used to develop formal goals and objectives which were in turn used to write or adapt 24 cases for the curriculum. Cases from categories (e.g. Pediatrics) rated as “Extremely Important” on the Likert scale were included proportionally more in the curriculum. The cases were also designed to assess/practice a higher proportion of CRM elements considered important and to address commonly identified difficulties in resuscitation. Cases were developed, where possible, using local or national guidelines and are currently in the stage of peer review (by a minimum of two peers). Conclusion: The curriculum will be implemented in July 2017 and we will transition towards the evaluation phase. Our goal is to develop and distribute formalized needs assessments to rural FP residencies across BC so that they may develop dynamic, formal curriculums of their own.

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