scholarly journals Junior doctor psychiatry placements in hospital and community settings: a phenomenological study

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e017584 ◽  
Author(s):  
Sharon Beattie ◽  
Paul E S Crampton ◽  
Cathleen Schwarzlose ◽  
Namita Kumar ◽  
Peter L Cornwall
Keyword(s):  
Lived Experience ◽  
Junior Doctor ◽  
Phenomenological Study ◽  
Phenomenological Approach ◽  
Junior Doctors ◽  
Healthcare Team ◽  
Cross Sectional ◽  
Role Definition ◽  
North East ◽  
The Uk

ObjectivesThe proportion of junior doctors required to complete psychiatry placements in the UK has increased, due in part to vacant training posts and psychiatry career workforce shortages, as can be seen across the world. The aim of this study was to understand the lived experience of a Foundation Year 1 junior doctor psychiatry placement and to understand how job components influence attitudes.DesignThe study was conducted using a cross-sectional qualitative phenomenological approach.SettingHospital and community psychiatry department settings in the North East of England, UK.ParticipantsIn total, 14 Foundation Year 1 junior doctors were interviewed including seven men and seven women aged between 23 and 34 years. The majority had completed their medical degree in the UK and were White British.ResultsThe lived experience of a junior doctor psychiatry placement was understood by three core themes: exposure to patient recovery, connectedness with others in the healthcare team and subjective interpretations of psychiatry. The experiences were moderated by instances of role definition, reaction to the specialty and the organisational fit of the junior doctor capacity in the specialty.ConclusionsThe study reinforces and adds to the literature by identifying connectedness as being important for both job satisfaction and morale, which is currently damaged within the junior doctor population. The study provides in-depth insights into the lived experience of psychiatry placements and can be taken forward by educationalists to ensure the placements are meaningful experiences for junior doctors by developing role definition, belonging, structure and psychiatric care responsibility.

scholarly journals A Phenomenological Study of the Lived Experiences of the Generation X and Y Entrepreneurs

2017 ◽  
Vol 7 (2) ◽  
Author(s):  
Patrick Khor
Keyword(s):  
Lived Experience ◽  
Generation X ◽  
Generation Y ◽  
Phenomenological Study ◽  
Phenomenological Approach ◽  
Work Attitudes ◽  
Social Variables ◽  
Contributing Factors ◽  
Similar Work ◽  
Qualitative Phenomenological

This qualitative phenomenological approach examined the Generation X and Y cohorts in terms of their lived experience towards the  entrepreneurial journey in Singapore, which can consequently fill empirical gap on entrepreneurship among generational cohorts of Asian entrepreneurs.  The study sample comprised  15 generation X and 15 Y Singaporean entrepreneurs from 30 companies who identified their involvement in starting a business venture and in the day-to-day running of the business. Using NVIVO to cull down key components and ideas from the data, the study revealed that Generation X and Generation Y to have similar work attitudes, values and behaviours. The differences between the generations include differences in age, experience as well as obligations in life such as to one’s family. Further studies are needed to examine the differences of these cohorts in terms demographic, psychological and social variables to provide additional insights and identify contributing factors to successful entrepreneurial venture.

scholarly journals The EWTD: friend or foe to quality patient care?

2006 ◽  
Vol 88 (9) ◽  
pp. 318-319
Author(s):  
MBS Brewster ◽  
R Potter ◽  
D Power ◽  
V Rajaratnam ◽  
PB Pynsent
Keyword(s):  
Patient Care ◽  
Medical Staff ◽  
Junior Doctor ◽  
European Working Time Directive ◽  
Junior Doctors ◽  
Out Of Hours ◽  
Quality Patient Care ◽  
European Working ◽  
The Uk ◽  
Working Time Directive

For the last few years all the hospitals in the UK have been changing junior doctors' rotas to become compliant with the European Working Time Directive (EWTD). The first stage, requiring a junior doctor to work a maximum of 58 hours per week averaged over a 6-month period, became law in August 2004. In addition to new posts for junior doctors there have been schemes to facilitate the transition, such as the Hospital at Night programme. This was designed to use the minimum safe number of doctors from appropriate specialties with supporting medical staff to cover the hospital out of hours. It was required to make the most efficient use of this team and allow the junior doctor rotas to be compliant with the appointment of as few new posts as possible.

scholarly journals Investigating Wilms’ Tumours Worldwide: A Report of the OxPLORE Collaboration—A Cross-Sectional Observational Study

2019 ◽  
Vol 44 (1) ◽  
pp. 295-302 ◽  
Author(s):  
K. Ford ◽  
S. Gunawardana ◽  
E. Manirambona ◽  
G. S. Philipoh ◽  
B. Mukama ◽  
...  
Keyword(s):  
Medical Students ◽  
Observational Study ◽  
Research Collaboration ◽  
Multidisciplinary Treatment ◽  
High Income ◽  
Junior Doctors ◽  
Paediatric Surgery ◽  
Cross Sectional ◽  
Oncology Research ◽  
The Uk

Abstract Background Childhood cancer is neglected within global health. Oxford Pediatrics Linking Oncology Research with Electives describes early outcomes following collaboration between low- and high-income paediatric surgery and oncology centres. The aim of this paper is twofold: to describe the development of a medical student-led research collaboration; and to report on the experience of Wilms’ tumour (WT). Methods This cross-sectional observational study is reported as per STROBE guidelines. Collaborating centres included three tertiary hospitals in Tanzania, Rwanda and the UK. Data were submitted by medical students following retrospective patient note review of 2 years using a standardised data collection tool. Primary outcome was survival (point of discharge/death). Results There were 104 patients with WT reported across all centres over the study period (Tanzania n = 71, Rwanda n = 26, UK n = 7). Survival was higher in the high-income institution [87% in Tanzania, 92% in Rwanda, 100% in the UK (X2 36.19, p < 0.0001)]. Given the short-term follow-up and retrospective study design, this likely underestimates the true discrepancy. Age at presentation was comparable at the two African sites but lower in the UK (one-way ANOVA, F = 0.2997, p = 0.74). Disease was more advanced in Tanzania at presentation (84% stage III–IV cf. 60% and 57% in Rwanda and UK, respectively, X2 7.57, p = 0.02). All patients had pre-operative chemotherapy, and a majority had nephrectomy. Post-operative morbidity was higher in lower resourced settings (X2 33.72, p < 0.0001). Methodology involving medical students and junior doctors proved time- and cost-effective. This collaboration was a valuable learning experience for students about global research networks. Conclusions This study demonstrates novel research methodology involving medical students collaborating across the global south and global north. The comparison of outcomes advocates, on an institutional level, for development in access to services and multidisciplinary treatment of WT.

A Transformative Impact of Theory in Clinical Practice: A Study in a Cardiogenetics Clinic

2020 ◽  
Vol 34 (2) ◽  
pp. 129-143
Author(s):  
Esma D. Paljevic
Keyword(s):  
New York ◽  
Lived Experience ◽  
Family Member ◽  
Phenomenological Study ◽  
Family Members ◽  
Phenomenological Approach ◽  
Genetic Profile ◽  
Delivery Of Care ◽  
Qualitative Phenomenological ◽  
Qualitative Phenomenological Study

Background and PurposeThis qualitative phenomenological study explored the lived experiences of family members who have been referred to a cardiogenetics clinic following the loss of a family member to sudden cardiac death (SCD). These family members were evaluated in a Cardiogenetics Clinic in a Children's Hospital in the New York region, which utilizes an interprofessional approach to care.MethodsA qualitative phenomenological approach was used to explore the lived experience of family members that were referred following the SCD of a family member. The researcher used hermeneutic dialectics and interviewed family members that attended the Cardiogenetics Clinic.ResultsInsights gained through discussion were discussed in the following themes: stories of feelings being heard, stories of meaningfulness, and stories of mutual process. This led to the transformation of the typical linear clinic process to a transformative and dynamic model for integrated delivery of care.Implications for PracticeThis interprofessional model of care offers information regarding SCD, a genetic profile to determine risk for SCD, an integrative collaborative approach to care as well as nursing, medical interventions, psychological support, and counseling for families.

scholarly journals Phenomenology of vernacular environments: Wancho settlements in Arunachal Pradesh, in the north east of India

2020 ◽  
pp. 539-550
Author(s):  
Sanjeev Singh ◽  
Saurabh Popli
Keyword(s):  
Lived Experience ◽  
Phenomenological Study ◽  
Space And Place ◽  
Cultural Institutions ◽  
Arunachal Pradesh ◽  
North East ◽  
The North ◽  
Material Reality ◽  
Physical Phenomena ◽  
The Village

This paper explores the Wancho communities in the Longding District of Arunachal Pradesh, located in the north-east of India, analysing their architecture in its traditional cultural and geographical context. Through a phenomenological study of the landscape and architecture of the Wancho, it reveals how these communities create forms and inscribe their particular patterns upon the landscape, resulting in a unique built expression. Phenomenology emphasizes lived experience and enquires into the related concepts of space and place, understanding how physical phenomena are inscribed with meanings. Accordingly, the Wancho settlements in Arunachal Pradesh have been seen through the lens of lived-experiences that provide them with meanings. In Wancho settlements the emotional and subjective attachment of the community to their place is strong, and is reflected through the material reality of the village and its environment. Seen as a whole, the settlements integrate climatic and other natural environmental factors, as well as the cultural institutions, values and practices of these people, which are also reflected through the craft and local skills of the community. The traditional Wancho settlements are “read” here by considering their landscape and townscape as “texts”.

scholarly journals The lived experience of living liver donors : a phenomenological study

2021 ◽  
Author(s):  
Sarah Ellis Ross Greenwood
Keyword(s):  
Lived Experience ◽  
Phenomenological Study ◽  
Deceased Donor ◽  
Phenomenological Approach ◽  
Embodied Experience ◽  
Media Campaigns ◽  
Awareness Campaigns ◽  
Donor Liver Transplant ◽  
Living Liver Donors ◽  
Liver Donors

Thousands of Ontarians die annually waiting for a deceased donor liver transplant. Merging realities of chronic donor shortage and success of living kidney donation stimulated interest in living liver lobe donation. Remaining unexplained are the persistently low rates of live liver donation despite media campaigns. The purpose of this qualitative study was, from a phenomenological approach, to explore and understand the meaning of the lived experience of living liver donors. Four participants in this study felt personal enhancement through donation while acknowledging present gaps in living donor awareness. Arising from this current study, two themes emerged. These themes are: (1) The embodied experience of being a living liver donor and (2) Ethical responsibility to one another and to the world. Recommendations included establishment of platforms and symposia for donors to speak about donation experiences. Living liver donors have much to offer in reimaging current donation awareness campaigns.

The Lived Experience of Registered Nurses Providing Care to Patients with Dementia in the Acute Care Setting: A Phenomenological Study

2008 ◽  
Vol 12 (4) ◽  
pp. 44-49 ◽  
Author(s):  
Dina C. Byers, ◽  
Nancey E.M. France,
Keyword(s):  
Lived Experience ◽  
Acute Care ◽  
Care Setting ◽  
Phenomenological Study ◽  
Phenomenological Approach ◽  
Human Science ◽  
Acute Care Setting ◽  
Hermeneutic Phenomenological ◽  
Field Notes ◽  
Human Care

The phenomenon of interest for this study was the registered nurse’s (RN’s) lived experience of caring for patients with dementia in the acute care setting. Watson’s theory of human science and human care and van Manen’s hermeneutic phenomenological approach were used to guide this study. The strategies used for the generation and analysis of data were tape-recorded open-ended interviews, field notes, and the researchers’ audio-taped journal. Upon saturation, two themes and a synthesis of unity emerged across all participants. The implications for practice were clearly communicated by the RNs in this study. Further research is recommended.

scholarly journals Phenomenological study exploring ethics in prehospital research from the paramedic’s perspective: experiences from the Paramedic-2 trial in a UK ambulance service

2019 ◽  
Vol 36 (9) ◽  
pp. 535-540 ◽  
Author(s):  
Karl Charlton ◽  
John Franklin ◽  
Rebekah McNaughton
Keyword(s):  
Phenomenological Study ◽  
Controlled Trial ◽  
Phenomenological Approach ◽  
Ambulance Service ◽  
Trial Participation ◽  
North East ◽  
Personal Perceptions ◽  
The Many ◽  
Randomised Controlled

ObjectivesWe set out to investigate paramedics’ views of ethics and research, drawing on experiences from Paramedic-2, a randomised controlled trial comparing epinephrine and placebo in out-of-hospital cardiac arrest (OHCA).MethodsAn interpretative phenomenological approach was adopted. A purposive sample of paramedics (n=6) from North East Ambulance Service NHS Foundation Trust were invited to a semi-structured, in-depth interview.ResultsThree superordinate themes emerged: (1) morality, (2) emotion and (3) equipoise. Some viewed Paramedic-2 as an opportunity to improve OHCA outcomes for the many, viewing participation as a moral obligation; others viewed the study as unethical, equating participation with immoral behaviour. Morality was a motivator to drive individual action. Positive and negative emotions were exhibited by the paramedics involved reflecting the wider view each paramedic held about trial participation. Those morally driven to participate in Paramedic-2 discussed their pride in being associated with the trial, while those who found participation unethical, discussed feelings of guilt and regret. Individual experience and perceptions of epinephrine guided each paramedic’s willingness to accept or reject equipoise. Some questioned the role of epinephrine in OHCA; others believed withholding epinephrine was synonymous to denying patient care.ConclusionA paucity of evidence exists to support any beneficial role of epinephrine in OHCA. Despite this, some paramedics were reluctant to participate in Paramedic-2 and relied on their personal perceptions and experiences of epinephrine to guide their decision regarding participation. Failure to acknowledge the importance of individual perspectives may jeopardise the success of future out-of-hospital trials.

scholarly journals Protective factors and sources of support in the workplace as experienced by UK foundation and junior doctors: a qualitative study

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e045588
Author(s):  
Ruth Riley ◽  
Farina Kokab ◽  
Marta Buszewicz ◽  
Anya Gopfert ◽  
Maria Van Hove ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Protective Factors ◽  
Working Conditions ◽  
Junior Doctor ◽  
Management Practices ◽  
Comparative Method ◽  
Professional Support ◽  
Junior Doctors ◽  
Supportive Leadership ◽  
The Uk

ObjectivesThis paper reports findings identifying foundation and junior doctors’ experiences of occupational and psychological protective factors in the workplace and sources of effective support.DesignInterpretative, inductive, qualitative study involving in-depth interviews with 21 junior doctor participants. The interviews were audio-recorded, transcribed, anonymised and imported into NVivo V.11 to facilitate data management. Data were analysed using a thematic analysis employing the constant comparative method.SettingNational Health Service in the UK.ParticipantsParticipants were recruited from junior doctors through social media (eg, the British Medical Association (BMA) junior doctors’ Facebook group, Twitter and the mental health research charity websites). A purposive sample of 16 females and 5 males, ethnically diverse, from a range of specialities, across the UK. Junior doctor participants self-identified as having stress, distress, anxiety, depression and suicidal thoughts or having attempted to kill themselves.ResultsAnalysis identified three main themes, with corresponding subthemes relating to protective work factors and facilitators of support: (1) support from work colleagues – help with managing workloads and emotional support; (2) supportive leadership strategies, including feeling valued and accepted, trust and communication, supportive learning environments, challenging stigma and normalising vulnerability; and (3) access to professional support – counselling, cognitive–behavioural therapy and medication through general practitioners, specialist support services for doctors and private therapy.ConclusionsFindings show that supportive leadership, effective management practices, peer support and access to appropriate professional support can help mitigate the negative impact of working conditions and cultures experienced by junior doctors. Feeling connected, supported and valued by colleagues and consultants acts as an important buffer against emotional distress despite working under challenging working conditions.

scholarly journals Evaluation of Junior Doctors’ Knowledge of Corneal Donation and the New Opt-Out System in England

2021 ◽  
Author(s):  
Bhavesh Gopal ◽  
Owuraku Asiedu Titi-Lartey ◽  
Princeton Fernandes ◽  
Nur-Emel Noubani ◽  
Elizabeth Blatherwick ◽  
...  
Keyword(s):  
Response Rate ◽  
Cross Sectional Study ◽  
Tissue Donation ◽  
Junior Doctors ◽  
Cross Sectional ◽  
East Midlands ◽  
Opt Out ◽  
Organ Tissue ◽  
Corneal Donation ◽  
The Uk

ABSTRACTObjectivesTo evaluate the knowledge of corneal donation and the new opt-out system among junior doctors in the East Midlands, UK.MethodsThis was a cross-sectional study performed during June-September 2020. A 26-item questionnaire-based survey was disseminated to all 340 junior doctors working in the East Midlands, UK. Relevant data, including participants’ background, knowledge of corneal donation and the new opt-out system introduced in England, were analysed.ResultsA total of 143 responses were received (response rate=42.1%). Nineteen (13.3%) junior doctors had previously discussed about corneal donation. The majority (100, 69.9%) of them perceived the importance of obtaining consent for corneal donation as junior doctors, but only 24 (16.8%) felt comfortable in discussing corneal donation. The knowledge of corneal donation was low, with a mean correct response rate of 33.3±20.8%. Only 28 (19.6%) doctors were aware of the 24-hour death-to-enucleation time limit. The majority (116, 81.1%) of doctors would consider certifying a death on the ward quicker if they knew it could potentially compromise the quality of corneas. Most (103, 72%) doctors were aware of the new opt-out system but only 56 (39.2%) doctors correctly stated that donation can only proceed with family consent.ConclusionJunior doctors working at the frontline services serve as valuable members in contributing to the process of obtaining consent for organ/tissue donation. Our study highlights the lack of knowledge of corneal donation and the opt-out system amongst junior doctors in the UK. Targeted postgraduate training during the induction process may potentially enhance the donation rate.

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