scholarly journals Rural family physician perspectives on communication with urban specialists: a qualitative study

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e043470
Author(s):  
Margo M Wilson ◽  
Augustine Joshua Devasahayam ◽  
Nathaniel J Pollock ◽  
Adam Dubrowski ◽  
Tia Renouf
Keyword(s):  
Qualitative Study ◽  
Clinical Decision Making ◽  
Family Physicians ◽  
Clinical Decision ◽  
Rural Practice ◽  
Patient Transfers ◽  
Rural Family ◽  
Rural Environments ◽  
Rural Physicians ◽  
Geographical Regions

ObjectiveCommunication is a key competency for medical education and comprehensive patient care. In rural environments, communication between rural family physicians and urban specialists is an essential pathway for clinical decision making. The aim of this study was to explore rural physicians’ perspectives on communication with urban specialists during consultations and referrals.SettingNewfoundland and Labrador, Canada.ParticipantsThis qualitative study involved semistructured, one-on-one interviews with rural family physicians (n=11) with varied career stages, geographical regions, and community sizes.ResultsFour themes specific to communication in rural practice were identified. The themes included: (1) understanding the contexts of rural care; (2) geographical isolation and patient transfer; and (3) respectful discourse; and (4) overcoming communication challenges in referrals and consultations.ConclusionsCommunication between rural family physicians and urban specialists is a critical task in providing care for rural patients. Rural physicians see value in conveying unique aspects of rural clinical practice during communication with urban specialists, including context and the complexities of patient transfers.

scholarly journals Correction to: Using behavioral insights to design implementation strategies in public mental health settings: a qualitative study of clinical decision-making

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Briana S. Last ◽  
Simone H. Schriger ◽  
Carter E. Timon ◽  
Hannah E. Frank ◽  
Alison M. Buttenheim ◽  
...  
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Qualitative Study ◽  
Clinical Decision Making ◽  
Public Mental Health ◽  
Implementation Strategies ◽  
Clinical Decision ◽  
Mental Health Settings

An amendment to this paper has been published and can be accessed via the original article.

scholarly journals Resident uncertainty in clinical decision making and impact on patient care: a qualitative study

2008 ◽  
Vol 17 (2) ◽  
pp. 122-126 ◽  
Author(s):  
J M Farnan ◽  
J K Johnson ◽  
D O Meltzer ◽  
H J Humphrey ◽  
V M Arora
Keyword(s):  
Decision Making ◽  
Qualitative Study ◽  
Patient Care ◽  
Clinical Decision Making ◽  
Clinical Decision

scholarly journals Roles and challenges of family physicians in Uganda: A qualitative study

2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Innocent K. Besigye ◽  
Jude Onyango ◽  
Fred Ndoboli ◽  
Vincent Hunt ◽  
Cynthia Haq ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Teaching And Learning ◽  
Clinical Care ◽  
Family Physicians ◽  
World Health ◽  
World Health Report ◽  
Cross Sectional ◽  
Health Report ◽  
Geographical Regions ◽  
The World

Background: The World Health report (2008), the World Health Assembly (2009) and the Declaration of Astana (2018) acknowledge the significant contribution of family physicians (FPs) in clinical and primary healthcare. Given the lack of resources and low numbers of FPs coupled with the contextual nature of family medicine (FM), the scope of practice of African FPs is likely to differ from that of colleagues in America and Europe. Thus, this study explored the roles of Ugandan FPs and the challenges they face.Methods: This cross-sectional qualitative study was conducted through in-depth interviews with FPs who are working in Uganda. Participants who work in public and private healthcare systems including non-governmental organisations and in all geographical regions were purposively selected. Interviews were conducted from July 2016 to June 2017. Qualitative thematic content analysis of the transcripts was performed using a framework approach.Results: The study team identified three and six thematic roles and challenges, respectively, from the interview transcripts. The roles were clinician, leadership and teaching and learning. Challenges included lack of common identity, low numbers of FPs, conflicting roles, unrealistic expectations, poor organisational infrastructure and lack of incentives.Conclusion: The major roles of FPs in Uganda are similar to those of their counterparts in other parts of the world. Family physicians provide clinical care for patients, including preventive and curative services; providing leadership, management and mentorship to clinical teams; and teaching and learning. However, their roles are exercised differently as a result of lack of proper institutionalisation of FM within the Uganda health system. Family physicians in Uganda have found many opportunities to contribute to healthcare leadership, education and service, but have not yet found a stable niche within the healthcare system.

Strategies and Criteria for Clinical Decision Making in Critical Care Nurses: A Qualitative Study

2009 ◽  
Vol 41 (4) ◽  
pp. 351-358 ◽  
Author(s):  
Farhad Ramezani-Badr ◽  
Alireza Nikbakht Nasrabadi ◽  
Zohre Parsa Yekta ◽  
Fariba Taleghani
Keyword(s):  
Decision Making ◽  
Critical Care ◽  
Qualitative Study ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Critical Care Nurses

scholarly journals The Quality of Evidence-Based Morning Reports with an Interactive and Consultative Approach in the Viewpoint of Clinical Faculties and Residents: A Qualitative Study

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Saeideh Daryazadeh ◽  
Payman Adibi
Keyword(s):  
Qualitative Study ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Educational Interventions ◽  
Influential Factors ◽  
Faculty Members ◽  
Evidence Based ◽  
Structured Interviews ◽  
Quality Of Evidence

Background: Morning reports are important training programs (especially for residents) as they enhance clinical decision-making skills, social interactions, and participatory learning. Given the need to eliminate the educational gap and provide optimal conditions, educational interventions regarding morning reports are often implemented in the form of evidence-based morning reports with an interactive and consultative approach. Objectives: The present study aimed to evaluate the quality of evidence-based morning reports using an interactive and consultative approach. Methods: This qualitative study was conducted with an inductive approach in 2019 in Iran. Changes were made to develop an evidence-based morning report and create a friendly educational environment between faculty members and residents, as well as interactive learning among the residents. The intervention was assessed through explaining the experiences of 16 participants via individual semi-structured interviews. Purposive sampling continued until data saturation. Data analysis was performed in the MAXQDA10 software. Results: In total, 153 codes, two main categories (education and dimensions of change), six categories (educational deficiencies, influential factors in the quality of education, requirements, barriers, benefits, and response to change), and 20 subcategories were extracted. Conclusions: According to the results, the residents were satisfied with the changes, while the faculty members needed more justification and motivation. The strengths and weaknesses identified in the intervention could lay the groundwork for broader changes in the same clinical fields.

scholarly journals Variation in clinical decision-making for induction of labour: a qualitative study

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Tanya A. Nippita ◽  
Maree Porter ◽  
Sean K. Seeho ◽  
Jonathan M. Morris ◽  
Christine L. Roberts
Keyword(s):  
Decision Making ◽  
Qualitative Study ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Induction Of Labour
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