scholarly journals Health attacks and protection strategies during Gaza's Great March of Return: a mixed methods study using data from WHO's Surveillance System for Attacks on Healthcare

The Lancet ◽  
2021 ◽  
Vol 398 ◽  
pp. S19
Author(s):  
Walaa Shehada ◽  
Benjamin Bouquet ◽  
Juliana Nassar ◽  
Carolyn Briody ◽  
Nadia Alfarra ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Surveillance System ◽  
Mixed Methods Study ◽  
Protection Strategies ◽  
Using Data

scholarly journals Exploring patients’ and carers’ views about the clinical use of ketamine to inform policy and practical decisions: mixed-methods study

BJPsych Open ◽  
2019 ◽  
Vol 5 (5) ◽  
Author(s):  
Sagar Jilka ◽  
Claire Murray ◽  
Ania Wieczorek ◽  
Helena Griffiths ◽  
Til Wykes ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Focus Groups ◽  
Large Scale ◽  
Online Survey ◽  
Mixed Methods Study ◽  
Clinical Use ◽  
Framework Analysis ◽  
Using Data ◽  
Support Cost ◽  
Roll Out

Background Only one-third of patients with major depressive disorder achieve remission. One new and promising treatment, ketamine, may prove challenging to implement because of its abuse potential. Although clinicians' views have been sought, we need patients' views before large scale roll-out is considered. Aims To explore patients’ and carers' views to inform policy and practical decisions about the clinical use of ketamine. Method We carried out a mixed-methods study using data from 44 participants in 21 focus groups in three sessions and an online survey with patients, carers and advocates during a consultation day. Focus groups explored participant's views about ketamine as a form of treatment and the best way for ketamine to be prescribed and monitored. The qualitative data were analysed by two patient–researchers using an exploratory framework analysis and was supplemented by a survey. Results The ten themes generated were monitoring, information, effect on daily life, side-effects, recreational use, effectiveness, appropriate support, cost, stigma and therapy. Participants wanted better evidence on the safety of ketamine after long-term use and felt that monitoring was required. Collecting this information would provide evidence for ketamine's safe use and administration. There were, however, concerns about the misuse of this information. Practical issues of access were important: repeated travelling to clinics and a lack of sufficiently informed medical staff were key barriers. Conclusions Clinicians have some similar and some different views to those of patients, carers and advocates, which need to be considered in any future roll-out of ketamine. Declaration of interest R.M. has had UK National Institute for Health Research grant funding to study ketamine, is participating in trials of esketamine, runs a clinic that provides ketamine treatment, and has consulted for Johnson & Johnson and Eleusis.

scholarly journals Pediatric pharmacists’ perspectives on essential skills and activities for community pharmacists caring for pediatric patients: A mixed-methods study

2020 ◽  
Vol 153 (5) ◽  
pp. 287-293
Author(s):  
Jordan Kelly ◽  
Tanner Bengry ◽  
Marcel Romanick ◽  
Jennifer Jupp ◽  
Deonne Dersch-Mills
Keyword(s):  
Mixed Methods ◽  
Medication Safety ◽  
Pediatric Patients ◽  
Community Pharmacists ◽  
Mixed Methods Study ◽  
Pediatric Care ◽  
Relative Importance ◽  
Over The Counter ◽  
Using Data ◽  
Provision Of Care

Background: Provision of care to pediatric patients represents a set of unique challenges for pharmacists. Pharmacists practising in pediatric-specialty areas (acute care or ambulatory) have unique perspectives on approaches to pediatric care that can be shared to support pharmacists less familiar with this group of patients in providing effective, patient-centred care. Methods: This was a mixed-methods study using data from pharmacist interviews to quantify and qualitatively describe the approaches to care most commonly reported by pediatric-specialty pharmacists when asked to provide advice to pharmacists on providing pharmaceutical care to infants and children. Data were coded in duplicate using an inductive approach, and discrepancies were resolved by consensus. The number of times a theme (or subtheme) was mentioned and the number of pharmacists who mentioned it were used as markers of the relative importance of the content. Results: The themes (and subthemes) that emerged as most important were clinical activities (dose checks, considering indication, using up-to-date height/weight), caregiver counselling (demonstrating measurement, discussing administration), medication safety (using consistent concentrations of liquids), compounded medications (risks of, use of caution), adherence (formulation considerations, palatability), avoiding use of over-the counter products (except analgesics/antipyretics) and use of external supports (colleagues, caregivers, resources). Conclusions: We present a collated and prioritized list of practical approaches for pharmacists to use when caring for pediatric patients across the spectrum of practice. Can Pharm J (Ott) 2020;153:xx-xx.

How grandparents influence the religiosity of their grandchildren: a mixed-methods study of three-generation families in the United States

2018 ◽  
pp. 211-232
Author(s):  
Vern L. Bengtson ◽  
Merril Silverstein
Keyword(s):  
United States ◽  
Mixed Methods ◽  
Longitudinal Study ◽  
Intergenerational Conflict ◽  
The United States ◽  
Mixed Methods Study ◽  
Mixed Methods Approach ◽  
Multigenerational Families ◽  
Religious Orientations ◽  
Using Data

This chapter examines how grandparents influence (and don’t influence) the religiosity of descending generations within families in the United States. Using data from a longitudinal study of multigenerational families, and applying a mixed methods approach, we find that passing down religious values is a goal for which many grandparents are willing to invest considerable time and effort; however, a majority of families follow a path toward greater secularization, potentially creating opportunities for intergenerational conflict. The results of this study indicate that grandparents are diversified in their ability to transmit their religious orientations through the generations, and that family continuity in religion is often linked to grandparental intervention and the capacity of grandparents to forge strong emotional ties to their grandchildren.

Using Data, Description, and Graphics to Enrich Your Mixed Methods Study

2020 ◽  
pp. 107-118
Author(s):  
Glady Van Harpen
Keyword(s):  
Mixed Methods ◽  
Educational Research ◽  
Mixed Methods Study ◽  
Visual Methods ◽  
Data Description ◽  
Using Data

Systems of organizing, displaying, and presenting data in studies focusing on educational research have traditionally included statistical tables and figures such as charts and graphs. This chapter provides a discussion of utilizing multiple visual methods for displaying data in an educational mixed methods study that goes beyond tables and charts. The chapter does not go into construction of visual methods but offers suggestions and ideas for graphic illustrations such as icons, emojis, or photographs to display results. The chapter calls attention to application opportunities for researchers to reflect upon prior to submitting research proposals and IRB applications.

scholarly journals Wounds, Antimicrobial Resistance and Challenges of Implementing a Surveillance System in Myanmar: A Mixed-Methods Study

2021 ◽  
Vol 6 (2) ◽  
pp. 80
Author(s):  
Win-Pa Sandar ◽  
Saw Saw ◽  
Ajay M. V. Kumar ◽  
Bienvenu Salim Camara ◽  
Myint-Myint Sein
Keyword(s):  
Escherichia Coli ◽  
Staphylococcus Aureus ◽  
Mixed Methods ◽  
Antimicrobial Resistance ◽  
Surveillance System ◽  
Mixed Methods Study ◽  
Wound Management ◽  
Resistant Bacteria ◽  
Coagulase Negative Staphylococci ◽  
Periodic Analysis

Wound infections with drug-resistant bacteria lead to higher mortality and morbidity and increased healthcare costs. We aimed to describe the spectrum of bacterial pathogens, isolated from wound cultures in Yangon General Hospital in 2018, and their antimicrobial resistance (AMR) patterns and to understand the challenges in implementing an AMR surveillance system in Myanmar. We conducted a concurrent mixed-methods study involving analysis of surveillance data and in-depth interviews with nine key personnel involved in AMR surveillance. Of 1418 wound specimens processed, 822 (58%) were culture-positive. The most common Gram-positive bacteria were coagulase-negative staphylococci (23.3%) and Staphylococcus aureus (15.1%). Among Gram-negative bacteria, Escherichia coli (12.5%) and Pseudomonas aeruginosa (10.1%) were common. Staphylococcus aureus isolates were resistant to penicillin (98%), oxacillin (70%) and tetracycline (66%). Escherichia coli showed resistance to ampicillin (98%). Lack of dedicated and trained staff (microbiologist, technician, data entry operator), lack of computers at sentinel sites and non-uniform and non-standardized data capture formats were the major challenges in implementing AMR surveillance. These challenges need to be addressed urgently. We also recommend periodic analysis and sharing of antibiograms at every hospital to inform the treatment regimens used in wound management.

Determining Emotional Tone and Verbal Behavior in Patients With Tinnitus and Hyperacusis: An Exploratory Mixed-Methods Study

2019 ◽  
Vol 28 (3) ◽  
pp. 660-672
Author(s):  
Suzanne H. Kimball ◽  
Toby Hamilton ◽  
Erin Benear ◽  
Jonathan Baldwin
Keyword(s):  
Mixed Methods ◽  
Verbal Behavior ◽  
Coping Strategies ◽  
Mixed Methods Study ◽  
Self Report ◽  
Anxiety And Depression ◽  
Negative Consequences ◽  
Emotional Tone ◽  
Explanatory Mixed Methods ◽  
Quantitative Results

Purpose The purpose of this study was to evaluate the emotional tone and verbal behavior of social media users who self-identified as having tinnitus and/or hyperacusis that caused self-described negative consequences on daily life or health. Research Design and Method An explanatory mixed-methods design was utilized. Two hundred “initial” and 200 “reply” Facebook posts were collected from members of a tinnitus group and a hyperacusis group. Data were analyzed via the LIWC 2015 software program and compared to typical bloggers. As this was an explanatory mixed-methods study, we used qualitative thematic analyses to explain, interpret, and illustrate the quantitative results. Results Overall, quantitative results indicated lower overall emotional tone for all categories (tinnitus and hyperacusis, initial and reply), which was mostly influenced by higher negative emotion. Higher levels of authenticity or truth were found in the hyperacusis sample but not in the tinnitus sample. Lower levels of clout (social standing) were indicated in all groups, and a lower level of analytical thinking style (concepts and complex categories rather than narratives) was found in the hyperacusis sample. Additional analysis of the language indicated higher levels of sadness and anxiety in all groups and lower levels of anger, particularly for initial replies. These data support prior findings indicating higher levels of anxiety and depression in this patient population based on the actual words in blog posts and not from self-report questionnaires. Qualitative results identified 3 major themes from both the tinnitus and hyperacusis texts: suffering, negative emotional tone, and coping strategies. Conclusions Results from this study suggest support for the predominant clinical view that patients with tinnitus and hyperacusis have higher levels of anxiety and depression than the general population. The extent of the suffering described and patterns of coping strategies suggest clinical practice patterns and the need for research in implementing improved practice plans.

EXPERIENCES, FRUSTRATIONS, AND BARRIERS, OF IPAD USAGE IN THE SPECIAL EDUCATION: LIFE SKILLS CLASSROOM FROM EDUCATORS PERSPECTIVE

2018 ◽  
pp. 61-67
Author(s):  
D. J. Sullivan ◽  
S. Labby ◽  
A. Koptelov ◽  
S. L. Sullivan
Keyword(s):  
Special Education ◽  
Mixed Methods ◽  
Communication Systems ◽  
Life Skills ◽  
Mixed Methods Study ◽  
Educational Tool ◽  
Special Educator ◽  
Communications Systems ◽  
Communication Device ◽  
Communication Devices

The purpose of this mixed methods study was to determine the barriers that special educator teachers encounter when using iPads within the Life Skills classroom. The research investigates the experiences, frustrations, and barriers through educators’ perceptions of iPad implementation. The influence of these issues suggests why iPad usage is not a device that special education classrooms are using in a widespread daily manner. Exploration of iPads as an educational tool and as a communication device is also discussed, along with considerations of other communications systems such as Picture Exchange Communication Systems and Alternative and Augmented Communication Devices is considered. Recommendations for further possible research are also discussed.

Rapid Evaluation of the Special Measures for Quality and Challenged Provider Regimes: A mixed-methods study

2020 ◽  
Author(s):  
Naomi Fulop ◽  
Estela Capelas Barbosa ◽  
Melissa Hill ◽  
Jean Ledger ◽  
Pei Li Ng ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Mixed Methods Study ◽  
Rapid Evaluation
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