Correction: Impact of a videoconferencing educational programme for the management of concurrent disorders on nurses’ competency development and clinical practice: protocol for a convergent mixed methods study

IntroductionExtension for Community Healthcare Outcomes (Project ECHO©) is an innovative model for continuing professional development that uses videoconferencing technology to support and train general practitioners remotely. The model has been replicated to a variety of settings and locations for capacity building in healthcare professionals caring for patients with chronic and complex health conditions. Limited research has been conducted so far on the impact of ECHO in the field of concurrent mental health and substance use disorders (ie, concurrent disorders (CDs)). Therefore, this mixed methods study aims to develop a comprehensive understanding of an ECHO programme impact for CD management on nurses’ competency development and clinical practice.Methods and analysisThe proposed mixed methods study, based on a convergent parallel design, will be conducted in the province of Quebec, Canada, to collect, analyse and interpret quantitative (QUAN) and qualitative (QUAL) data from a specific ECHO Program on CDs. In the QUAN component, an observational prospective cohort study will be conducted over a 12-month period. All nurses who participated in the programme between 2018 and 2020 and who consent to research will be recruited to collect data on the extent of their learning and practice outcomes at three time points. Alongside the surveys, nurses will be invited to participate in individual semistructured interviews. In-depth QUAL data will be subjected to a thematic analysis and will assist in exploring how and in which conditions nurses developed and mobilised their competencies in clinical practice. A comparison-of-results strategy will be used in the final integration component of the study.Ethics and disseminationThis study protocol was approved by the Ethics Committee of the Université de Montréal Hospital Center (#19.295) and the Université de Montréal Ethics Committee (CERSES-20–017 R). We aim to disseminate the findings through international academic conferences, international peer-reviewed journals and professional media.

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Naturopathic approaches to weight loss in clinical practice – a mixed methods study

Advances in Integrative Medicine ◽

10.1016/j.aimed.2019.03.077 ◽

2019 ◽

Vol 6 ◽

pp. S27-S28

Author(s):

Romy Lauche ◽

Jon Wardle ◽

Nick Fuller ◽

Wenbo Peng ◽

Tess Dingle ◽

...

Keyword(s):

Weight Loss ◽

Clinical Practice ◽

Mixed Methods ◽

Mixed Methods Study

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Evaluation of a National Programme to Enhance Shared Decision-Making Skills among Junior Medical Doctors in Denmark: A Mixed Methods Study of Satisfaction, Usefulness, and Dissemination of Learning Outcomes in Clinical Practice

10.21203/rs.3.rs-919620/v1 ◽

2021 ◽

Author(s):

Maria Helene Jacobsen ◽

Cecilie Sommer ◽

Siw Anna Wernberg ◽

Helga Schultz ◽

Sofie Charlotte Fage Hjortø ◽

...

Keyword(s):

Decision Making ◽

Clinical Practice ◽

Mixed Methods ◽

Learning Outcomes ◽

Shared Decision Making ◽

Training Programme ◽

Mixed Methods Study ◽

Junior Doctors ◽

Shared Decision ◽

Medical Doctors

Abstract Background Shared Decision-Making (SDM) is a cornerstone in patient-centred care and there is an increase in programmes aiming to enhance clinicians’ abilities to engage in SDM. However, the evidence of such programmes’ effectiveness on clinicians’ use of SDM in clinical practice is sparse. The SDM Ambassador course, developed and facilitated by the Danish Association of Junior Doctors in Denmark (Junior Doctors Denmark) is a Danish SDM training programme for junior medical doctors (JMDs). This study aims to evaluate the SDM Ambassador course, with a focus satisfaction, usefulness, and dissemination of learning outcomes in clinical practice. Methods This study is a mixed methods study consisting of an online survey followed by semi-structured interviews. The participants of this study were JMDs who had trained to be SDM ambassadors between May 2016 and September 2020 (n=185). The ambassadors were invited to participate in the survey and 112 ambassadors completed the survey, corresponding to a response rate of 61%. Descriptive statistics and χ2-tests were conducted. Subsequently, purposive sampling was used to identify 10 ambassadors for interviews. The interviews were transcribed, encoded and subsequently analysed thematically. Finally, the quantitative and qualitative results were integrated. Results Overall, the ambassadors were satisfied with their learning outcomes and experienced a greater capacity to unfold the perspectives of their patients. A majority (79%) reported that they had used SDM in their clinical practice with patients, and 59% had disseminated SDM to their colleagues. The usefulness and dissemination of learning outcomes in the clinic were shaped by the ambassadors’ perceptions of their moderate professional experience, and constrained by structural and cultural conditions in the context of their clinical practice. Conclusion Despite overall satisfaction with their learning outcomes, several ambassadors experienced conditions constraining the translation of their learning outcomes into clinical practice. To improve the efficacy of the training programme, continuous refresher courses should be added while enhanced support at organisational and political levels is necessary for SDM to become an integral feature of the clinical encounter. Trial registration: Not applicable.

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Examining the implementation of clinical practice guidelines for the management of adult cancers: A mixed methods study

Journal of Evaluation in Clinical Practice ◽

10.1111/jep.13073 ◽

2018 ◽

Vol 25 (4) ◽

pp. 656-663

Author(s):

Robin Urquhart ◽

Hillary Woodside ◽

Cynthia Kendell ◽

Geoff A. Porter

Keyword(s):

Clinical Practice ◽

Mixed Methods ◽

Clinical Practice Guidelines ◽

Practice Guidelines ◽

Mixed Methods Study

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Primary care physician’s (PCP) perceived value of patient-reported outcomes (PROs) in clinical practice: a mixed methods study

BMJ Quality & Safety ◽

10.1136/bmjqs-2020-012206 ◽

2021 ◽

pp. bmjqs-2020-012206

Author(s):

Danny Mou ◽

Daniel M Horn ◽

Marilyn Heng ◽

Manuel Castillo-Angeles ◽

Keren Ladin ◽

...

Keyword(s):

Primary Care ◽

Clinical Practice ◽

Mixed Methods ◽

Clinical Setting ◽

Patient Reported Outcomes ◽

Mixed Methods Study ◽

Clinic Efficiency ◽

Wide Range ◽

Patient Reported ◽

Semistructured Interviews

BackgroundPatient-reported outcomes (PROs) can promote patient engagement, shared-decision making and improve the overall experience of care. However, PRO integration in the primary care clinical setting is limited. Exploring the perspectives of primary care physicians (PCPs) on PROs is key to understanding how they are being used in the clinical setting. We sought to elucidate this clinical perspective at one of the largest US health systems that has integrated a wide range of PROs into routine primary care.MethodsMixed methods study with both anonymous online surveys and in-person qualitative semistructured interviews conducted with PCPs to understand their clinical perspectives on the applications of the existing PROs. PCPs from the 19 affiliated clinics were prompted to complete the survey. Interviewed PCPs were selected via a combination of random and purposive selection from the PCP directory.ResultsOf 172 PCPs, 117 (68%) completed the online survey and 28 completed semistructured interviews. Most PCPs (77%) reviewed PRO responses with their patients. PCPs endorsed that PROs improve clinic efficiency and clinical management. However, PCPs have heterogeneous perspectives on the relevance of PROs in clinical practice, likely due to variations in clinic practice. For specific PRO instruments, PCPs reported anxiety and depression screening PROs to be most helpful. PCPs felt that PROs assisted with completing screening questions that are required by regulatory bodies. Barriers to using PROs include poor user-interface for both clinicians and patients and inadequate training.ConclusionsMost PCPs regularly use PRO data though there are mixed opinions about their clinical relevance. An adaptable, user-friendly PRO system has the potential to have meaningful clinical applications in primary care.

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Knowledge translation of clinical practice guidelines among neurologists: A mixed-methods study

PLoS ONE ◽

10.1371/journal.pone.0205280 ◽

2018 ◽

Vol 13 (10) ◽

pp. e0205280 ◽

Cited By ~ 3

Author(s):

Khara M. Sauro ◽

Samuel Wiebe ◽

Jayna Holroyd-Leduc ◽

Carolyn DeCoster ◽

Hude Quan ◽

...

Keyword(s):

Clinical Practice ◽

Mixed Methods ◽

Knowledge Translation ◽

Clinical Practice Guidelines ◽

Practice Guidelines ◽

Mixed Methods Study

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Do Transmasculine Speakers Present With Gender-Related Voice Problems? Insights From a Participant-Centered Mixed-Methods Study

Journal of Speech Language and Hearing Research ◽

10.1044/2017_jslhr-s-16-0410 ◽

2018 ◽

Vol 61 (1) ◽

pp. 25-39 ◽

Cited By ~ 12

Author(s):

David Azul ◽

Aron Arnold ◽

Christiane Neuschaefer-Rube

Keyword(s):

Clinical Practice ◽

Mixed Methods ◽

Mixed Methods Study ◽

Semistructured Interviews ◽

Content Analyses ◽

German Speaking ◽

Gender Attribution ◽

And Gender ◽

Gender Presentation

Purpose The purpose of this study was to investigate whether there are indications of gender-related voice problems in our transmasculine participants and to analyze how discrepancies between participant self-evaluations and researcher-led examinations can be best negotiated to ensure a participant-centered interpretation. Method We conducted a participant-centered mixed-methods study combining qualitative content analyses of semistructured interviews, acoustical voice analyses, and an examination of gender attributions to voice. Fourteen German-speaking transmasculine people, 14 cisfemale control persons, and 7 cismale control persons participated. The data were examined for indications of gender-related voice problems pertaining to vocal gender presentation and gender attribution to voice received from others. Results Eleven participants (79%) presented with indications of gender-related voice problems. Problems included dissatisfaction with gender-related voice features, difficulties with control of vocal gender presentation, and mismatch between desired gender attribution and gender attributions received from others. Discrepancies between participant self-evaluations and researcher-led examinations were observed in a number of cases. Conclusion Transmasculine speakers may experience a range of gender-related voice problems. Research and clinical practice with transmasculine people need to be adapted to better match the diversity of the population and the complexity of the processes that shape the production of speaker vocal gender in interaction.

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