scholarly journals Contribution of short-term global clinical health experience to the leadership competency of health professionals: a qualitative study

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e027969
Author(s):  
Mikio Hayashi ◽  
Daisuke Son ◽  
Hirotaka Onishi ◽  
Masato Eto

ObjectivesGlobalisation has increased the opportunities for health professionals working in developed countries to provide clinical and educational support in developing countries. However, how these experiences contribute to the leadership competency of health professionals is unclear; therefore, this study explored this with the objective of analysing the process of developing individual leadership competency.DesignThis is a qualitative descriptive study. Qualitative descriptive study is widely used in healthcare research, particularly to describe the nature of various healthcare phenomena. Qualitative descriptive data were collected in face-to-face, semistructured interviews.SettingThe authors interviewed Japanese health professionals who participated in an international medical cooperation project as part of a multinational medical team between July 2017 and March 2018, and analysed and interpreted the data using a social constructivism paradigm.ParticipantsThe authors interviewed 20 research participants, including 5 nurses, 5 dentists and 10 physicians with an average of 15.3 years of clinical experience.ResultsThe interviews identified 58 emergent themes related to their leadership competency, 23 of which affected the actual medical care in their own institutions. The authors categorised the 58 emergent themes into seven competency areas: leadership concepts, teambuilding, direction setting, communication, business skills, working with others and self-development. The authors identified the relationships among each competency and identified differences between professions: nurses particularly reflected on their empathic attitudes towards patient after global clinical health experience; dentists tended to reflect on their business skills; physicians tended to reflect on their leadership concepts and teambuilding.ConclusionsThis study clarified the leadership competency gained through short-term global clinical health experience and the process of individual leadership competency development. The findings provide expected learning competency for those considering medical practice in developing or other countries in the future.

2017 ◽  
Vol 21 (4) ◽  
Author(s):  
Andrêssa Batista Possati ◽  
Lisie Alende Prates ◽  
Luiza Cremonese ◽  
Juliane Scarton ◽  
Camila Neumaier Alves ◽  
...  

Abstract Objective: To know the meanings attributed to humanized childbirth by nurses of an obstetric center. Method: A qualitative descriptive study was carried out with nurses from a teaching hospital, located in southern Brazil. An operational proposal was used. The participants were six nurses who worked in the service. Results: The humanization of childbirth was understood as a set of practices and attitudes based on dialogue, empathy and embracement; the provision of guidelines; the appreciation of parturients' singularities; the performance of procedures proven to be beneficial to maternal and child health and continuous professional updating. Conclusion: The humanization of birth is still a challenge in professional practice. The role of women, the respect for their rights and the commitment of health professionals are the foundation of the humanization of childbirth.


2021 ◽  
Vol 74 (5) ◽  
Author(s):  
Audrei Castro Telles ◽  
Paulo Alexandre de Souza São Bento ◽  
Marléa Crescêncio Chagas ◽  
Ana Beatriz Azevedo de Queiroz ◽  
Nair Caroline Cavalcanti de Mendonça Bittencourt ◽  
...  

ABSTRACT Objective: to analyze the perspectives that affect the transition to exclusive palliative care for women with breast cancer. Methods: qualitative, descriptive study, carried out in a public health institution in Rio de Janeiro, Brazil, between December 2018 and May 2019. 28 health professionals were interviewed. Content analysis was used in the thematic modality. Results: the operational difficulties were linked to the fragmented physical structure, the late and unplanned nature of the referral, the ineffective communication, and the deficit of human resources. In general, women and family members resist referral because they do not know palliative care. There is no consensus among oncologists on the most appropriate time to stop systemic therapy for disease control. Final considerations: the perceived difficulties configure an abrupt referral, accompanied by false hopes and, often, limited to end-of-life care.


2017 ◽  
Vol 41 (6) ◽  
pp. 606 ◽  
Author(s):  
Kay Price ◽  
Karen Grimmer ◽  
Jan Foot

Objective The aim of the present study was to explore the perspectives of older people following their recent participation in a 75+ Health Assessment (75+HA) and interrogate these perspectives using a person-centred lens. Methods A qualitative descriptive study design was used within a larger study funded by the Australian Primary Health Care Research Institute. Nineteen participants from four different general practices in one Australian state described their perceptions of the 75+HA in a face-to-face interview. Data were then analysed using a qualitative content analysis approach. Results The purpose of the 75+HA was not well understood by participants. Participant responses reveal that where, when, who and how a primary health professional conducted the 75+HA affected what older people talked about, the guidance they sought to deal with issues and, in turn, the actioning of issues that were discussed during the 75+HA. Conclusion To enable older people to make informed decisions about and successfully manage their own health and well being, and to choose when to invite others to act on their behalf, primary health professionals need to ask questions in the 75+HA within a person-centred mindset. The 75+HA is an opportunity to ensure older people know why they need support, which ones, and agree to, supports and services they require. What is known about the topic? The Australian Medicare Benefits Schedule includes the 75+HA, developed as a proactive primary care opportunity for general practitioners and practice nurses to identify issues affecting community-dwelling older people’s health and well being. The aim of the 75+HA is to consider a broad range of factors that could affect physical, psychological and social functioning, which, in turn, affects overall health, and the capacity of older people to live independently in the community. Underlying the 75+HA is the importance of detecting early functional decline to enable healthy aging. What does this paper add? There is scant, if any, attention in the literature to the views of consumers who have completed a 75+HA, especially with regard to whether this opportunity is conducted with a person-centred mindset. This paper addresses this gap. Even after participating in the 75+HA, most participants were unclear as to the purpose of the assessment, what information had been recorded and what would happen from any concerns identified in the assessment. Comments about the 75+HA included that it did not ask people about their goals and what comprised their functionality to ensure their independent living. What are the implications for practitioners? A person-centred approach requires active collaboration between primary health professionals and older people who are living the process of, and planning for, aging-in-place. Assessments like the 75+HA can assist in identifying whether older people may be experiencing early signs of functional decline, even if older people self-report living without problems in their home. Practitioners need to ask questions of older people and respond to what they say with a person-centred mindset.


2019 ◽  
Vol 33 (4) ◽  
pp. 912-920
Author(s):  
Julian Rodriguez‐Almagro ◽  
María Azucena Quero Palomino ◽  
Elena Aznar Sepulveda ◽  
María Del Mar Fernandez‐Espartero Rodriguez‐Barbe ◽  
Francisca Ortiz Fernandez ◽  
...  

2010 ◽  
Vol 18 (6) ◽  
pp. 1229-1236 ◽  
Author(s):  
Joelma Ana Espíndula ◽  
Elizabeth Ranier Martins Do Valle ◽  
Angela Ales Bello

This study examined how health professionals signify the religiosity and faith of patients under cancer treatment and how they themselves experience such phenomena. This is a qualitative-descriptive study, using the phenomenological framework as set out by Stein and Ales Bello, as a way of understanding the human being in its totality - physical, mental and spiritual. Most professionals report they are spiritualists, two are Catholics, one physician is a Buddhist and another is a Spiritist. They believe that religion is inherent to all human beings. Professionals convicted of their religion (less than half) believe in divine protection and recognize religiosity as a support and comfort for patients and their families in coping with illness. They expect patients to live their faith with prudence, never losing sight of reality.


2021 ◽  
Vol 29 (2) ◽  
pp. 39-56
Author(s):  
Suhartono Suhartono ◽  
Achmad Tjahjono

The objectives of this study are: Mapping short-term and long-term strategies for Koperasi Simpan Pinjam (KSP) and or Koperasi Simpan Pinjam Syari’ah (KSPPS) in handling loans in the Covid-19 pandemic era and mapping KSP/KSPPS strategies in handling non-performing loans. in the era of the covid-19 pandemic. This research is a qualitative descriptive study. The data collected is in the form of data on the handling of loans/financing carried out by KSP and KSPPS. Data collection methods used are documentation, questionnaires and interviews. Documents in the form of RAT reports for 2020 and 2021, questionnaires and interviews were conducted online using google forms and chat, with the research subjects being KSP and KSPPS managers throughout DIY. The results of the study indicate that there are 5 (five) short-term strategies and 4 (four) long-term strategies that need to be implemented, while there are 3 (three) strategies that need to be implemented in handling non-performing loans. The limitation of this study is that in digging up data, it only uses Google Forms which are distributed to several social media groups as well as individual KSP/KSPPS managers and also interviews with online systems so that the sample cannot be large. Meanwhile, recommendations that can be given for future research are that more research samples can be added, and the research area can be expanded.    


1970 ◽  
Vol 13 (2) ◽  
Author(s):  
Muhamad Iqbal

Tulisan ini menjelaskan konsep khalifah fil’ardi sebagai wakil Tuhan dalam melestarikan alam. Penelitian ini bertujuan untuk menanamkan kesadaran energi yang berasal dari sumber daya alam. Jenis penelitian ini adalah penelitian kepustakaan (Library Research) dan penelitian ini merupakan penelitian deskriptif kualitatif. Berdasarkan analisis dan data yang penulis teliti, penulis menyimpulkan bahwa pengetahuan yang komprehensif tentang kesadaran energi menjadi dasar mengenai khalifah fil’ardi. Mewujudkan kesadaran energi di tengah masyarakat menjadi konsep termutakhir dari “khalifah fil ‘ardi” This paper describes the concept of khalifah fil’ardi as representatives of God in conserving nature. This study aims to instill awareness of energy derived from natural resources. This type of research is the research library (Library Research) and this research is a qualitative descriptive study. Based on the analysis and the data that I researched, the author concludes that a comprehensive knowledge about energy awareness is the basis of the khalifah fil’ardi. Realizing energy awareness in society becomes the latest concept of khalifah fil’ardi.


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