scholarly journals Integrating nurse practitioners into Canadian emergency departments: a qualitative study of barriers and recommendations

CJEM ◽  
2007 ◽  
Vol 9 (04) ◽  
pp. 275-281 ◽  
Author(s):  
Christine Thrasher ◽  
Rebecca J. Purc-Stephenson
Keyword(s):  
Nurse Practitioners ◽  
Health Care Professionals ◽  
Emergency Departments ◽  
Organizational Context ◽  
Theory Approach ◽  
Role Clarity ◽  
Structured Interviews ◽  
Policy Makers ◽  
Grounded Theory Approach

ABSTRACT Objective: The objective of this study was to identify the facilitators and barriers associated with integrating nurse practitioners (NPs) into Canadian emergency departments (EDs) from the perspectives of NPs and ED staff. Methods: We conducted 24 semi-structured interviews with key multidisciplinary stakeholders in 6 Ontario EDs to gain a broad range of perspectives on implementation issues. Data were analyzed using a grounded-theory approach. Results: Qualitative analysis of the interview data revealed 3 major issues associated with NP implementation: organizational context, role clarity and NP recruitment. Organizational context refers to the environment an NP enters and involves issues related to the ED culture, physician reimbursement system and patient volume. Role clarity refers to understanding the NP's function in the ED. Recruitment issues are associated with attracting and retaining NPs to work in EDs. Examples of each issue using respondent's own words are provided. Conclusion: Our study identified 3 issues that illustrate the complex issues involved when implementing NPs in EDs. The findings may inform policy makers and health care professionals in the future development of the role of NPs in Canadian EDs.

scholarly journals Telemedicine in The Context of Covid-19- A Qualitative Study of Cancer Patients and Clinicians

2021 ◽  
Author(s):  
Dylan Chan Tai Kong ◽  
Ashfaq Chauhan ◽  
Anaïs Tiffany Ah Leung ◽  
Melvin Chin
Keyword(s):  
Qualitative Study ◽  
Theory Approach ◽  
Structured Interviews ◽  
Hospital Data ◽  
Metropolitan Regions ◽  
Theoretical Sampling ◽  
Proper Training ◽  
Grounded Theory Approach

Abstract Background:Prior to the Covid-19 pandemic, telemedicine was only used to deliver health care to patients living in remote areas of Australia. However, the spread of the Covid-19 virus pushed the widespread uptake of telemedicine across Australia, including in metropolitan regions. This qualitative study will explore the medical oncology (MO) patient and clinician experience of telemedicine in a metropolitan setting as a result of Covid-19.Method:Participants were selected and invited to participate by theoretical sampling from MO clinicians and patients attending MO clinics at Prince of Wales Hospital. Data was collected by in-depth semi-structured interviews. Thematic analysis was performed to analyse the interview data. Transcripts were coded using the grounded theory approach to identify overarching themes.Results:Twelve participants were recruited to the study. Most participants viewed the adoption of telemedicine positively because it was considered as convenient, efficient and could be used in order to reduce the spread of Covid-19. Nonetheless, participants complained about the poor implementation of telemedicine, technical difficulties and lack of proper training. Finally, providers expressed mixed views over the lack of personal interaction and the lack of physical examination from telemedicine. However, both clinicians and patients viewed telemedicine as acceptable to be used in the context of routine follow-ups.Conclusion:Although some operational improvements are necessary, the role of telemedicine in the follow up of MO patients seems likely to continue beyond Covid-19.

Treats are a tool of the trade: an exploration of food treats among grandparents who provide informal childcare

2019 ◽  
Vol 22 (14) ◽  
pp. 2643-2652 ◽  
Author(s):  
Morgan Pankhurst ◽  
Kaye Mehta ◽  
Louisa Matwiejczyk ◽  
Carly J Moores ◽  
Ivanka Prichard ◽  
...  
Keyword(s):  
Dental Caries ◽  
Functional Role ◽  
Qualitative Methodology ◽  
South Australia ◽  
Theory Approach ◽  
Structured Interviews ◽  
The Uk ◽  
Grounded Theory Approach ◽  
Good Behaviour

AbstractObjective:Globally, grandparents are the main informal childcare providers with one-quarter of children aged ≤5 years regularly cared for by grandparents in Australia, the UK and USA. Research is conflicting; many studies claim grandparents provide excessive amounts of discretionary foods (e.g. high in fat/sugar/sodium) while others suggest grandparents can positively influence children’s diet behaviours. The present study aimed to explore the meaning and role of food treats among grandparents who provide regular informal care of young grandchildren.Design:Qualitative methodology utilising a grounded theory approach. Data were collected using semi-structured interviews and focus groups, then thematically analysed.Setting:Participants were recruited through libraries, churches and playgroups in South Australia.Participants:Grandparents (n 12) caring for grandchild/ren aged 1–5 years for 10 h/week or more.Results:Three themes emerged: (i) the functional role of treats (e.g. to reward good behaviour); (ii) grandparent role, responsibility and identity (e.g. the belief that grandparent and parent roles differ); and (iii) the rules regarding food treats (e.g. negotiating differences between own and parental rules). Grandparents favoured core-food over discretionary-food treats. They considered the risks (e.g. dental caries) and rewards (e.g. pleasure) of food treats and balanced their wishes with those of their grandchildren and parents.Conclusions:Food treats play an important role in the grandparent–grandchild relationship and are used judiciously by grandparents to differentiate their identity and relationship from parents and other family members. This research offers an alternative narrative to the dominant discourse regarding grandparents spoiling grandchildren with excessive amounts of discretionary foods.

scholarly journals Queers in the Classroom: The Role of Sexual Identity in the Academic Experiences of Gay Male Graduate Students

2013 ◽  
Vol 3 (2) ◽  
pp. 19
Author(s):  
John Ecker
Keyword(s):  
Sexual Orientation ◽  
Graduate Students ◽  
Sexual Identity ◽  
Academic Experiences ◽  
Theory Approach ◽  
Structured Interviews ◽  
Gay Male ◽  
Grounded Theory Approach ◽  
Academic Lives

<div class="page" title="Page 19"><div class="layoutArea"><div class="column"><p><span>The experiences of three self-identified gay male graduate students were explored to understand the role that sexual orientation played within their academic lives. Through semi-structured interviews, the participants were able to share their experiences of being a gay male graduate students and the effects on their educational experience. The transcribed interviews were analyzed using a modified grounded theory approach. Three main themes emerged: a) choosing to disclose sexual identity within the academic set- ting; b) challenges encountered when interacting with classmates; and c) benefits of being a gay male graduate student. Findings suggest that manag- </span><span>ing and expressing one’s sexual identity are important processes that inter- </span><span>act with several aspects of the life of gay male graduate students</span><span>. </span></p></div></div></div>

scholarly journals The effect of inpatient treatment on the stress experienced by parents with an excessively crying infant / Die Auswirkungen eines Spitalaufenthaltes auf die Belastung von Eltern mit einem exzessiv schreienden Kind

2017 ◽  
Vol 4 (1) ◽  
pp. 14-24 ◽  
Author(s):  
Liv Solveig Wittberger ◽  
Kurt Albermann ◽  
Jessica Pehlke-Milde ◽  
Andrea Koppitz
Keyword(s):  
Hospital Discharge ◽  
Parental Support ◽  
Inpatient Treatment ◽  
Inpatient Setting ◽  
Daily Routine ◽  
Theory Approach ◽  
Structured Interviews ◽  
Supportive Role ◽  
Grounded Theory Approach

Abstract Introduction Up to 40% of families are faced with a fussy, inconsolable high need infant in the first three months postpartum. A major reason for parents to seek professional help is the trying aspect of the situation with these children. The supportive role of health professionals has the greatest potential to reduce the parent’s stress and burden. To our knowledge, there are no studies on inpatient treatment for families with such infants so far. Aim The aim of this study is to show how an inpatient setting may reduce the stress and burden of parents with an inconsolably crying infant. Method A grounded theory approach (Charmaz) was used to analyse semi-structured interviews of 13 parents from a total of 9 families. Results Two core categories emerged from the data: “To get out of hand” describes how parents lose the ability to control and direct family life. “To find one’s way into daily routine” describes how they once again gain confidence and develop coping strategies. Conclusion An inpatient treatment reduces the burden on families with inconsolably crying infants. The change in the environment is helpful. Guidance and support enhance the parents’ skill and ability to handling the infant. The stress on the parents can increase again upon hospital discharge. Therefore, improvement is needed in treatment planning and parental support at the conclusion of the hospital stay as well as upon hospital discharge.

scholarly journals The Role of Parent/Caregiver with Children Affected by Rare Diseases: Navigating between Love and Fear

2021 ◽  
Vol 18 (7) ◽  
pp. 3724
Author(s):  
Beni Gómez-Zúñiga ◽  
Rafael Pulido ◽  
Modesta Pousada ◽  
Manuel Armayones
Keyword(s):  
Grounded Theory ◽  
Rare Disease ◽  
Theoretical Models ◽  
Role Identity ◽  
Theory Approach ◽  
Structured Interviews ◽  
General Outline ◽  
Disease Experience ◽  
Grounded Theory Approach

In this paper, we propose a vision of the role of parent/caregiver with children affected by a rare disease. This vision is rooted in data obtained from our own research; however, our analysis and interpretation of this data have been subsequently checked against existing theoretical models. The research aims to explore how parents who look after children with a rare disease experience their role as caregivers and how they assimilate their role identity in this task. Semi-structured interviews were performed with parents of 10 children, and a qualitative data analysis was conducted using grounded theory. We have identified ten main categories using a grounded theory approach: stress, disorientation, insecurity, isolation, faith, trust, attention, communication with professionals, private proactivity and public proactivity. Our results also show that when parents perceive a greater burden due to looking after a child with a rare disease, the result is a change in the usual parental role. In our contribution, we offer a general outline of how parents build a role identity centred on caring for a child with a rare disease. We posit that this role identity is the outcome of the parents’ success or failure in gradually overcoming fear through love. We have conceptualized this process as navigating between love and fear.

scholarly journals Brick or Click? Channel Choice Disruptions in Travel Industry

2019 ◽  
Vol 15 (1-2) ◽  
pp. 16-26 ◽  
Author(s):  
Sahil Singh Jasrotia ◽  
H. G. Mishra ◽  
Surabhi Koul
Keyword(s):  
Conceptual Model ◽  
Theory Approach ◽  
Structured Interviews ◽  
Channel Choice ◽  
Customer Behaviour ◽  
Travel Industry ◽  
Grounded Theory Approach ◽  
Channel Structures ◽  
Research Analysis

In the current era of digital infusion, customer behaviour is highly fluctuating. This has resulted retailers to be in a confused situation. The current need of the situation is to understand this change in customer behaviour and strategise accordingly. The purpose of the current study is to investigate the drivers of the channel choice, in relevance to travel industry. The study presents a conceptual model that reflects the antecedents to customer channel choice in travel industry. The article is based on a qualitative research analysis using semi-structured interviews to systematically collect and analyse the data. A sample of 25 retailers and 27 customers were selected and interviewed. A grounded theory approach has been adopted to generate a conceptual model. The article identifies several antecedents to channel choice in travel industry. Factors such as customer awareness, urgency of purchase, promotions and facilities have been highlighted and elaborated through the three-staged coding process. The other antecedents of the channel choice that have been highlighted through the verbatim are catchment area, family influences and affordability. In travel industry, channel structures have been well-studied. These studies dominantly focus on the players of the channel or the role of the middleman. The current study is unique in the way it explores the channel choice of customers after understanding both the extremes of the channel, that is, retailers and the customers. Also the methodology used is unique in its own way.

scholarly journals Couples talk about breastfeeding: Interviews with parents about decision-making, challenges, and the role of fathers and professional support

2021 ◽  
Vol 8 (2) ◽  
pp. 205510292110291
Author(s):  
Erin J Henshaw ◽  
Maria Mayer ◽  
Sarina Balraj ◽  
Elsie Parmar ◽  
Kristine Durkin ◽  
...  
Keyword(s):  
United States ◽  
Decision Making ◽  
The United States ◽  
Professional Support ◽  
Theory Approach ◽  
Structured Interviews ◽  
First Child ◽  
Breastfeeding Rates ◽  
Grounded Theory Approach

Despite health benefits, sustained breastfeeding rates remain low in the United States, and the role of partners in breastfeeding is not well understood. Using a grounded theory approach, the current qualitative study explored how couples communicate regarding breastfeeding decisions and challenges. Mother-father dyads ( n = 16) completed individual semi-structured interviews 1 year after the birth of their first child. Following iterative qualitative analysis, three phases of breastfeeding communication emerged: Should we try this? ( Mother’s opinion counts) How do we make this work? (adjusting and problem-solving) and How do we settle into a routine? (gaining confidence, resolving issues) Findings underscore the complexity of defining the partner role in breastfeeding.

scholarly journals Freelancers as Part-time Employees: Dimensions of FVP and FJS in E-Lancing Platforms

2020 ◽  
Vol 7 (1) ◽  
pp. 34-60
Author(s):  
Zubair Nawaz ◽  
Jing Zhang ◽  
Rafiq Mansoor ◽  
Saba Hafeez ◽  
Aboobucker Ilmudeen
Keyword(s):  
Time Management ◽  
Economic Value ◽  
Theory Approach ◽  
Role Clarity ◽  
Structured Interviews ◽  
Part Time ◽  
Open Coding ◽  
Axial Coding ◽  
Grounded Theory Approach

The purpose of this study is to explore the dimensions of Freelancer Value Proposition (FVP) and Freelancer Job Stress (FJS). This study provides insights about the factors which create value for freelancers and also sheds light on the factors which cause stress to freelancers while freelancing with the help of an online platform. Semi-structured interviews were conducted for data collection from freelancers. The grounded theory approach was used and data analysis follows the process of open coding, axial coding and themes formulation. Findings indicate that work-life balance value, developmental value, economic value, autonomy value, hedonistic value and social value are dimensions of FVP. Lack of role clarity, payment issues, time management issue, work availability issue, lack of perks and benefits and work rejections are dimensions of FJS. This study is the first effort to find out the dimensions of FVP and FJS, which will help to construct long-term relationship between freelancers and platform.

Nurse Perspectives on the Practical, Emotional, and Professional Impacts of Living and Working in Post-earthquake Canterbury, New Zealand

2015 ◽  
Vol 31 (1) ◽  
pp. 10-16 ◽  
Author(s):  
Sarbjit S. Johal ◽  
Zoe Mounsey ◽  
Petula Brannelly ◽  
David M. Johnston
Keyword(s):  
New Zealand ◽  
Health Care Professionals ◽  
Negative Impact ◽  
Recovery Process ◽  
Well Being ◽  
Theory Approach ◽  
Structured Interviews ◽  
Publication Type ◽  
Grounded Theory Approach ◽  
Detrimental Impact

AbstractIntroductionThis report explores nurses’ perspectives following the Canterbury (New Zealand) 2010-2011 earthquake sequence and the subsequent recovery process.ProblemLittle is known about the experiences of health care professionals during a disaster recovery process, and this research generates insights about the challenges faced.MethodsQualitative semi-structured interviews were undertaken with 11 nurses from the Christchurch (New Zealand) area to explore the challenges faced by the nurses during and following the earthquakes. The interviews took place three years after the start of the earthquake experience to enable exploration of longer term aspects of the recovery process. The interview transcripts were analyzed and coded using a grounded theory approach.ResultsThe data analysis identified that the nurses had faced a number of challenges and these were characterized as practical, emotional, and professional. While some of the challenges were short-lived in the aftermath of the earthquakes, some were long-lasting due to the extended nature of the recovery process. Dealing with house damage, insurance negotiations, and working in damaged environments had a negative impact on the nurses. The nurses experienced a range of emotions, both negative and positive, after the disaster, though many had needed time to elapse before feeling able to reflect on their experiences.DiscussionThe findings suggest that secondary stressors have a negative impact on the psychosocial recovery process. The nurses recognized that they received support from others and were also required to focus on others. Keeping busy appeared to be the most common coping strategy. This lack of reflection on their experiences may have resulted in delayed emotional responses. Some of the nurses changed their work role, hours, and responsibilities suggesting that working in this environment was having a detrimental impact.ConclusionThe research indicates the challenges faced by nurses in the initial impact of the earthquakes and during the longer term recovery process. There is a need to consider the psychosocial impact of working and living in a post-disaster context and to develop support packages to ensure the health and well-being of nurses in this environment.JohalSS,MounseyZ,BrannellyP,JohnstonDM.Nurse perspectives on the practical, emotional, and professional impacts of living and working in post-earthquake Canterbury, New Zealand.Prehosp Disaster Med.2016;31(1):10–16.

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