scholarly journals Perceived Impact of Participation in a One-Time Expressive Arts Workshop

2018 ◽  
Vol 184 (5-6) ◽  
pp. e242-e247 ◽  
Author(s):  
Penny Morrison ◽  
Patricia W Nishimoto ◽  
John B Kim ◽  
Carolina Medina-Dupaix ◽  
Erin O’Carroll Bantum
Keyword(s):  
Mixed Methods ◽  
Qualitative Analysis ◽  
Expressive Arts ◽  
Mixed Methods Study ◽  
Assessment Tools ◽  
Phenomenological Method ◽  
Art Making ◽  
Drawing Test ◽  
Art Therapists ◽  
Assessment Results

Abstract Introduction This 2015 study examined the use of art to express the experience of the cancer journey of military cancer patients/cancer survivors, family and friends, caregivers, volunteers, and staff members through a one-time art-making workshop, administered by non-art therapists. Using art to express a medical/cancer journey may give participants, who cannot express their feelings in words, the ability to articulate their experience through art that looks at the creative process rather than the end result – expressive art. Materials and Methods This mixed methods study examined the use of art to express the cancer journey of participants. Twenty-eight adults participated in a one-time expressive arts workshop conducted by non-professional art therapists at a military medical center. The five domains of the Emotion Thermometer were analyzed to determine if the pre-event and post-event assessment results would differ. The Silver Drawing Test and Draw-a-Story assessment tools were used to identify emotions and attitudinal stance on six separate five-point scales. A qualitative analysis was done using the phenomenological method of the post-interviews that facilitated open expression to identify themes. Results A significant difference was found between the pre-event and post-event analyses using the Emotion Thermometer, with post-assessment results revealing lower levels in the three domains of distress, anxiety, and depression. The Silver Drawing Test and Draw-a-Story were analyzed for six components using a five-point scale, with the highest scores being content/meaning, ability to combine, and creativity. A qualitative analysis was done using the phenomenological method; post-interviews provided information to categorize the experience into four key themes: environment, connection, emotions, and discoveries. Conclusions Using art to express one’s journey through cancer allows participants to articulate that journey “beyond language.” This mixed methods study was administered by five non-professional art therapists with three having no expressive arts background. This study established that an expressive arts workshop can effectively be conducted by non-professional art therapists. The team of non-professional art therapists, who facilitated this one-time art-making workshop, demonstrated that a military member’s stress can be decreased by giving them “a voice” through expressive art.

scholarly journals SafeSpot: an innovative app and mental health support package for Scottish schools – a qualitative analysis as part of a mixed methods study

2020 ◽  
Vol 25 (2) ◽  
pp. 110-116
Author(s):  
Mallika Punukollu ◽  
Emma L. Leighton ◽  
Anna F. Brooks ◽  
Saoirse Heron ◽  
Fiona Mitchell ◽  
...  
Keyword(s):  
Mental Health ◽  
Mixed Methods ◽  
Qualitative Analysis ◽  
Mixed Methods Study ◽  
Mental Health Support ◽  
Health Support

scholarly journals SOCIOCULTURAL DETERMINANTS IN PAIN PERCEPTION AND MANAGEMENT AMONG OLDER CHINESE AMERICANS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S713-S714
Author(s):  
Simona Kwon ◽  
Jazmine Wong ◽  
Janet Pan ◽  
Andrew Rosenberg ◽  
Germaine Cuff ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Pain Management ◽  
Asian American ◽  
Chinese American ◽  
Chinese Americans ◽  
Mixed Methods Study ◽  
Assessment Tools ◽  
Management Interventions ◽  
Older Chinese ◽  
Older Chinese Americans

Abstract Background: Chinese Americans make up the largest Asian American subgroup in the US. Data from a large health system indicate that older Chinese Americans experience lower satisfaction in pain management after surgery compared to all other racial/ethnic groups. Objective: To understand pain experience among older Chinese American patients to improve pain satisfaction strategies Methods: A mixed methods study was conducted, including: 1. A scoping review of the peer-reviewed published literature; 2) face-to-face survey; and 3) qualitative interviews. 14 Chinese American postsurgical patients >65 years of age were recruited for the survey and interview with a trained bilingual Community Health Worker. Questions from the Survey on Disparities in Quality of Healthcare and Kleinman’s Explanatory Model of Illness guided the data collection tools. Results: The 31 studies identified in the review were largely observational; none assessed pain control or management interventions for older Chinese Americans. Most participants reported experiencing a language barrier that hindered healthcare staff communication during hospital stay. Even with an interpreter, limited English proficient patients reported lower understanding of health information compared to those who did not need interpretation. Ideas of “pushing through” pain, perceiving physicians as “busy people,” and mismatch in pain assessment tools contributed to pain attendance delay. Facilitators to care included family support, culturally and linguistically-tailored tools, and availability of cultural remedies. Conclusions: This mixed-methods study identified key themes including socio-cultural barriers and facilitators to effective pain care and management. Findings will inform tools and resources to better capture and address pain management in Chinese Americans.

scholarly journals Outcomes of Visual Self-Expression in Virtual Reality on Psychosocial Well-Being With the Inclusion of a Fragrance Stimulus: A Pilot Mixed-Methods Study

2020 ◽  
Vol 11 ◽  
Author(s):  
Girija Kaimal ◽  
Katrina Carroll-Haskins ◽  
Arun Ramakrishnan ◽  
Susan Magsamen ◽  
Asli Arslanbek ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Mixed Methods ◽  
Negative Affect ◽  
Self Efficacy ◽  
Well Being ◽  
Mixed Methods Study ◽  
Self Report ◽  
Art Making ◽  
Creative Agency ◽  
The Impact

AimsIn this pilot mixed-methods study, we examined the participants experiences of engaging in virtual drawing tasks and the impact of an olfactory stimulus (calming fragrance blend) on outcomes of affect, stress, self-efficacy, anxiety, creative agency, and well-being (satisfaction with life).MethodsThis study used a parallel mixed-methods, simple block randomization design. The study participants included 24 healthy adults aged 18 to 54 years, including 18 women and six men. The participants completed two 1-h immersive virtual art making sessions and were randomly assigned to receive either a fragrance or a non-fragrance condition for the first session. Quantitative (standardized self-report measures) and qualitative (open-ended survey responses and virtual artwork) datasets were collected concurrently and integrated during data analysis.ResultsThe quantitative results indicated that the fragrance condition demonstrated a significant reduction in negative affect (e.g., feeling hostile, jittery, upset, distressed, etc.), namely, reduced feelings of negativity when compared to the non-fragrance condition. A trend toward improvement in self-efficacy was also seen in the fragrance condition. No significant changes were found for fragrance or non-fragrance conditions for positive affect, anxiety, and creative agency. The qualitative findings included five themes related to art making experiences in virtual reality in both conditions: fun and joy; novelty of virtual media, experimentation, and play; relaxation and calm; learning curve; and physical discomfort and disorientation. Four themes were identified for virtual art content and visual qualities: nature imagery, references to memories and personal symbols, fantasy and play within imagery, and depiction of everyday objects.ConclusionsOverall, the participants reported positive responses to the novel virtual art making experiences which were further heightened by the inclusion of the fragrance stimulus for negative affect. These preliminary findings need to be replicated with larger sample sizes to confirm the outcomes and the trends that were seen in this pilot study. Further research is recommended to examine the differences between experiences of virtual and traditional art media and to examine different olfactory stimuli promoting focus and concentration.

scholarly journals Effective clinical supervision of allied health professionals: a mixed methods study

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
David A. Snowdon ◽  
Michelle Sargent ◽  
Cylie M. Williams ◽  
Stephen Maloney ◽  
Kirsten Caspers ◽  
...  
Keyword(s):  
Professional Development ◽  
Mixed Methods ◽  
Qualitative Analysis ◽  
Learning Style ◽  
Clinical Supervision ◽  
Health Professionals ◽  
Allied Health ◽  
Mixed Methods Study ◽  
Supervisory Relationship ◽  
Allied Health Professionals

Abstract Background Clinical supervision is recommended for allied health professionals for the purpose of supporting them in their professional role, continued professional development and ensuring patient safety and high quality care. The aim of this mixed methods study was to explore allied health professionals’ perceptions about the aspects of clinical supervision that can facilitate effective clinical supervision. Methods Individual semi-structured interviews were conducted on a purposive sample of 38 allied health professionals working in a metropolitan public hospital. Qualitative analysis was completed using an interpretive description approach. To enable triangulation of qualitative data, a quantitative descriptive survey of clinical supervision effectiveness was also conducted using the Manchester Clinical Supervision Scale (MCSS-26). Results Three main themes emerged from qualitative analysis: Allied health professionals reported that clinical supervision was most effective when their professional development was the focus of clinical supervision; the supervisor possessed the skills and attributes required to facilitate a constructive supervisory relationship; and the organisation provided an environment that facilitated this relationship together with their own professional development. Three subthemes also emerged within each of the main themes: the importance of the supervisory relationship; prioritisation of clinical supervision relative to other professional duties; and flexibility of supervision models, processes and approaches to clinical supervision. The mean MCSS-26 score was 79.2 (95%CI 73.7 to 84.3) with scores ranging from 44 to 100. MCSS-26 results converged with the qualitative findings with participants reporting an overall positive experience with clinical supervision. Conclusions The factors identified by allied health professionals that influenced the effectiveness of their clinical supervision were mostly consistent among the professions. However, allied health professionals reported using models of clinical supervision that best suited their profession’s role and learning style. This highlighted the need for flexible approaches to allied health clinical supervision that should be reflected in clinical supervision policies and guidelines. Many of the identified factors that influence the effectiveness of clinical supervision of allied health professionals can be influenced by health organisations.

scholarly journals Experiences of the International In-Training Examination (I-ITE) by Rwandan pediatric residents – a mixed-methods description of candidate feedback

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1448
Author(s):  
Peter Cartledge ◽  
Christian Umuhoza ◽  
Natalie McCall
Keyword(s):  
Mixed Methods ◽  
Qualitative Analysis ◽  
Assessment Tool ◽  
Mixed Methods Study ◽  
Free Text ◽  
Pediatric Residents ◽  
Pediatric Residency ◽  
Qualitative Feedback ◽  
The University

Background: The University of Rwanda is the only African residency to have implemented the pediatric International In-Training Examination (I-ITE) as a tool to monitor resident knowledge acquisition. The objective of this study was to better understand the acceptance and relevance of this exam to residents from this setting and their perceptions regarding this assessment tool. Methods: This is a mixed-methods study describing candidate feedback. Immediately on completing the I-ITE residents provided feedback by filling in an electronic questionnaire comprised of four closed Likert questions and an open text box for free-text feedback. Participants were pediatric residents from the University of Rwanda, the only university in Rwanda with a pediatric residency program. Quantitative analysis of the Likert questions was undertaken descriptively using SPSS. Free-text feedback was coded and analysed. No specific guiding theory was used during the qualitative analysis, with coding and analysis undertaken by two researchers. Results: Eighty-four residents completed a total of 213 I-ITE sittings during the five exam cycles undertaken during the study period. Quantitative and qualitative feedback was given by residents during 206 and 160 sittings, giving a response rate of 97% and 75%, respectively. Five themes emerged from the qualitative analysis; 1) undertaking the I-ITE was a positive experience; 2) exam content; 3) formative nature of the assessment; 4) challenges to completing the exam; 5) practicalities to undertaking the exam. Conclusion: Qualitative feedback demonstrates that the I-ITE, a standardized, and independent exam, produced by the American Board of Pediatrics, was valued and well accepted by Rwanda pediatric residents. Its formative nature and the breadth and quality of the questions were reported to positively contribute to the residents' formative development.

scholarly journals Coping With Repression In Soviet Ukraine

2016 ◽  
Vol 12 (8) ◽  
pp. 52
Author(s):  
Oxana Bayer ◽  
Ievgeniia Martyshenko
Keyword(s):  
Mixed Methods ◽  
Qualitative Analysis ◽  
Self Esteem ◽  
Structured Interview ◽  
Emotional Reactions ◽  
Mixed Methods Study ◽  
Soviet Period ◽  
Creative Work ◽  
Soviet Regime ◽  
Informational Support

The psychology of the Soviet period in Ukraine still needs to be analyzed because living witnesses of those times are gradually passing away. In this mixed-methods study, a sample of 56 respondents aged 63-102 were administered a semi-structured interview created for discovering the ways and resources people used to overcome the oppression of the Soviet regime. A qualitative analysis of participants’ testimonies through conceptualization revealed the following helping resources: social, financial, and informational support, faith, creative work, the example of family members, upbringing, humor, self-esteem, and morale, and taking responsibility. Though respondents mentioned all strategies, emotional reactions were notably missing from the strategies. Thus, participant responses were quantitatively analyzed for emotional content as well, allowing for detection of subjects’ non-conscious attitudes towards the topic under discussion.

scholarly journals A mixed-methods needs assessment of traumatic brain injury care in a low- and middle-income country setting: building neurocritical care capacity at two major hospitals in Cambodia

2019 ◽  
pp. 1-7 ◽  
Author(s):  
Ariana S. Barkley ◽  
Laura J. Spece ◽  
Lia M. Barros ◽  
Robert H. Bonow ◽  
Ali Ravanpay ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Mixed Methods ◽  
Brain Injury ◽  
Neurocritical Care ◽  
Capacity Development ◽  
Mixed Methods Study ◽  
Assessment Tools ◽  
World Health ◽  
Middle Income ◽  
Low And Middle Income

OBJECTIVEThe high global burden of traumatic brain injury (TBI) disproportionately affects low- and middle-income countries (LMICs). These settings also have the greatest disparity in the availability of surgical care in general and neurosurgical care in particular. Recent focus has been placed on alleviating this surgical disparity. However, most capacity assessments are purely quantitative, and few focus on concomitantly assessing the complex healthcare system needs required to care for these patients. The objective of the present study was to use both quantitative and qualitative assessment data to establish a comprehensive approach to inform capacity-development initiatives for TBI care at two hospitals in an LMIC, Cambodia.METHODSThis mixed-methods study used 3 quantitative assessment tools: the World Health Organization Personnel, Infrastructure, Procedures, Equipment, Supplies (WHO PIPES) checklist, the neurosurgery-specific PIPES (NeuroPIPES) checklist, and the Neurocritical Care (NCC) checklist at two hospitals in Phnom Penh, Cambodia. Descriptive statistics were obtained for quantitative results. Qualitative semistructured interviews of physicians, nurses, and healthcare administrators were conducted by a single interviewer. Responses were analyzed using a thematic content analysis approach and coded to allow categorization under the PIPES framework.RESULTSOf 35 healthcare providers approached, 29 (82.9%) participated in the surveys, including 19 physicians (65.5%) and 10 nurses (34.5%). The majority had fewer than 5 years of experience (51.7%), were male (n = 26, 89.7%), and were younger than 40 years of age (n = 25, 86.2%). For both hospitals, WHO PIPES scores were lowest in the equipment category. However, using the NCC checklist, both hospitals scored higher in equipment (81.2% and 62.7%) and infrastructure (78.6% and 69.6%; hospital 1 and 2, respectively) categories and lowest in the training/continuing education category (41.7% and 33.3%, hospital 1 and 2, respectively). Using the PIPES framework, analysis of the qualitative data obtained from interviews revealed a need for continuing educational initiatives for staff, increased surgical and critical care supplies and equipment, and infrastructure development. The analysis further elucidated barriers to care, such as challenges with time availability for experienced providers to educate incoming healthcare professionals, issues surrounding prehospital care, maintenance of donated supplies, and patient poverty.CONCLUSIONSThis mixed-methods study identified areas in supplies, equipment, and educational/training initiatives as areas for capacity development for TBI care in an LMIC such as Cambodia. This first application of the NCC checklist in an LMIC setting demonstrated limitations in its use in this setting. Concomitant qualitative assessments provided insight into barriers otherwise undetected in quantitative assessments.

scholarly journals Student Perceptions of First-Year Engineering Justice Curriculum

2020 ◽  
Author(s):  
Devin R. Berg ◽  
Tina Lee ◽  
Elizabeth Buchanan
Keyword(s):  
Social Justice ◽  
Mixed Methods ◽  
Social Responsibility ◽  
Qualitative Analysis ◽  
Student Perceptions ◽  
Mixed Methods Study ◽  
First Year ◽  
The World ◽  
Curricular Elements

This complete research paper will describe our qualitative analysis of the impacts of a first-year engineering course which includes curricular elements of social justice, social responsibility, and ethics. We present our interpretation of four interesting results that came out of our mixed-methods study (n=231) in which we surveyed students taking a first-year engineering course on their perceptions of the role of engineering in society and the world. We find that while a single course is unlikely to be sufficient to greatly influence student perceptions, for some sub-groups, the influence was greater than for the study sample as a whole. We specifically highlight four notable findings and discuss their implications.

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