Protocol for a qualitative study to identify strategies to optimise hospital ePrescribing systems

IntroductionElectronic prescribing (ePrescribing) is a key area of development and investment in the UK and across the developed world. ePrescribing is widely understood as a vehicle for tackling medication-related safety concerns, improving care quality and making more efficient use of health resources. Nevertheless, implementation of an electronic health record does not itself ensure benefits for prescribing are maximised. We examine the process of optimisation of ePrescribing systems using case studies to provide policy recommendations based on the experiences of digitally mature hospital sites.Methods and analysisQualitative interviews within six digitally mature sites will be carried out. The aim is to capture successful optimisation of electronic prescribing (ePrescribing) in particular health systems and hospitals. We have identified hospital sites in the UK and in three other developed countries. We used a combination of literature reviews and advice from experts at Optimising ePrescribing in Hospitals (eP Opt) Project round-table events. Sites were purposively selected based on geographical area, innovative work in ePrescribing/electronic health (eHealth) and potential transferability of practices to the UK setting. Interviews will be recorded and transcribed and transcripts coded thematically using NVivo software. Relevant policy and governance documents will be analysed, where available. Planned site visits were suspended due to the COVID-19 pandemic.Ethics and disseminationThe Usher Research Ethics Group granted approval for this study. Results will be disseminated via peer-reviewed journals in medical informatics and expert round-table events, lay member meetings and the ePrescribing Toolkit (http://www.eprescribingtoolkit.com/)—an online resource supporting National Health Service (NHS) hospitals through the ePrescribing process.

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Security and privacy of adolescents in social applications and networks: legislative aspects and legal practice of countering cyberbullying on example of developed and developing countries

Journal of Information Communication and Ethics in Society ◽

10.1108/jices-09-2020-0101 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Ahmad Ghandour ◽

Viktor Shestak ◽

Konstantin Sokolovskiy

Keyword(s):

Developing Countries ◽

Developed Countries ◽

Legal Regulation ◽

Security And Privacy ◽

Content Type ◽

Study Results ◽

The Usa ◽

The Developed Countries ◽

The Uk ◽

Social Applications

Purpose This paper aims to study the developed countries’ experience on the cyberbullying legal regulation among adolescents, to identify existing shortcomings in the developing countries’ laws and to develop recommendations for regulatory framework improvement. Design/methodology/approach The authors have studied the state regulatory practice of the UK, the USA, Canada, Malaysia, South Africa, Turkey, UAE and analyzed the statistics of 2018 on the cyberbullying manifestation among adolescents in these countries. Findings The study results can encourage countries to create separate cyberbullying legislation and periodically review and modify already existing legislation. Originality/value The study provides a list of the recommendations to regulate cybercrime in developing countries and prevent it as well. The results may contribute to creating laws related to the regulation of cyberbullying in countries where such legislation does not exist yet or existing regulatory legal acts do not bring the expected results, namely, in Post-Soviet countries and other developing countries of the world.

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Use of certain electronic health record features is associated with improved primary care quality measures

PsycEXTRA Dataset ◽

10.1037/e667672010-010 ◽

2010 ◽

Keyword(s):

Primary Care ◽

Electronic Health Record ◽

Quality Measures ◽

Care Quality ◽

Health Record ◽

Primary Care Quality ◽

Electronic Health

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Medical Students’ Experience of Mindfulness Training in the UK: Well-Being, Coping Reserve, and Professional Development

Education Research International ◽

10.1155/2019/4021729 ◽

2019 ◽

Vol 2019 ◽

pp. 1-10 ◽

Cited By ~ 3

Author(s):

Alice Malpass ◽

Kate Binnie ◽

Lauren Robson

Keyword(s):

Medical Education ◽

Mental Health Problems ◽

Qualitative Interviews ◽

General Medical Council ◽

Well Being ◽

Mindfulness Training ◽

The Body ◽

Free Text ◽

Medical Council ◽

The Uk

Medical school can be a stressful experience for students, resulting in stress-related mental health problems. Policy recommendations from the General Medical Council (GMC), the body responsible for improving medical education in the UK, recommend the use of mindfulness training to increase well-being and resilience to stress. Students participating in an eight-week mindfulness training between Autumn 2011 and Spring 2015 were invited to complete a free text survey at the end of their mindfulness course. In addition, six qualitative interviews were conducted lasting between 60 and 90 minutes. Interviews used a topic guide and were recorded and transcribed verbatim. We used the framework approach to analyse the data. Students reported a new relationship to their thoughts and feelings which gave a greater sense of control and resiliency, an ability to manage their workload better, and more acceptance of their limitations as learners. The small group context was important. Students described improved empathy and communication skills through building inner awareness of thoughts and feelings, noticing judgments, and developing attentive observation. The findings show how resiliency and coping reserve can be developed within medical education and the role of mindfulness in this process. We present a conceptual model of a learnt cycle of specific vulnerability and describe how MBCT intercepts at various junctures in this self-reinforcing cycle through the development of new coping strategies that embrace an “allowed vulnerability.”

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P64 Understanding paradoxically low rates of self-harm in a deprived, ethnically diverse urban community in the UK: a thematic analysis of qualitative interviews and focus groups

10.1136/jech-2020-ssmabstracts.157 ◽

2020 ◽

Author(s):

C Polling ◽

C Woodhead ◽

H Harwood ◽

M Hotopf ◽

SL Hatch

Keyword(s):

Focus Groups ◽

Thematic Analysis ◽

Urban Community ◽

Qualitative Interviews ◽

Ethnically Diverse ◽

Self Harm ◽

The Uk

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“That’s kind of like the big struggle right now is can we get PrEP?”: Facilitators and Barriers to PrEP Uptake Among Active Duty Gay and Bisexual Men

Sexuality Research and Social Policy ◽

10.1007/s13178-021-00622-6 ◽

2021 ◽

Author(s):

Raiza M. Beltran ◽

Ashley C. Schuyler ◽

Cherie S. Blair ◽

Jeremy T. Goldbach ◽

Carl A. Castro ◽

...

Keyword(s):

Systems Approach ◽

Qualitative Interviews ◽

Gay And Bisexual Men ◽

Active Duty ◽

Policy Implications ◽

Bisexual Men ◽

Military Health ◽

Study Results ◽

Facilitators And Barriers ◽

And Bisexual

Abstract Introduction The US Military is experiencing a rise in HIV infections among gay and bisexual men (GBM) serving on active duty, yet little is known about this population’s uptake of pre-exposure prophylaxis (PrEP), an evidence-based intervention for HIV prevention. This mixed methods study examines the facilitators and barriers to PrEP access and uptake among active duty GBM. Methods Active duty GBM were recruited using respondent-driven sampling (2017 and 2018). Participants (n = 93) answered quantitative survey questions on PrEP interest and accessibility. Another set of participants (n = 10) discussed their PrEP experiences in qualitative interviews. We conducted descriptive and bivariate analyses of quantitative data, while qualitative data were analyzed using structural and descriptive coding techniques. Results Approximately 71% of active duty GBM indicated interest in accessing PrEP. A greater proportion of those who disclosed (vs. did not disclose) their sexual orientation to their military doctor discussed (p < 0.001) or accessed (p = 0.017) PrEP. The following qualitative themes emerged: (1) providers’ negative views and knowledge gaps related to PrEP; (2) lack of a systems approach to PrEP access; (3) confidentiality concerns; and (4) reliance on peer networks for PrEP guidance and support. Conclusions Study results indicate that active duty GBM are interested in and want to discuss PrEP with their military doctors, but gaps in providers’ PrEP-related knowledge and skills, as well as mistrust in the military health care system, remain. Policy Implications A system-wide approach that addresses confidentiality concerns and removes procedural barriers to PrEP access is recommended to improve PrEP uptake in this population.

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“It Often Feels Like You Are Talking to a Wall”: Police and Private Security Responses to the Campaign to Protect Pont Valley Against Opencast Coal Extraction

Critical Criminology ◽

10.1007/s10612-021-09571-3 ◽

2021 ◽

Author(s):

Nathan Stephens-Griffin ◽

Jack Lampkin ◽

Tanya Wyatt ◽

Carol Stephenson

Keyword(s):

Qualitative Interviews ◽

Private Security ◽

Coal Extraction ◽

Open Pit ◽

Wildlife Crime ◽

Mining Company ◽

Mining Site ◽

Abusive Behavior ◽

Private Interests ◽

The Uk

AbstractConflict between police, private security and political protesters is a topic that has been researched widely in criminology and other disciplines (e.g., Choudry 2019; Gilmore et al. 2019; Goyes and South 2017; Jackson et al. 2018; Rigakos 2002; South 1988; Weiss 1978). Adopting a green criminological lens, this article seeks to contribute to this rich body of research by examining police and private security responses to campaigning against opencast (open-pit) coal mining in Pont Valley, County Durham, United Kingdom (UK). Based on qualitative interviews, the article examines activists’ perceptions of responses to their campaign. Our findings reveal that rather than acting as neutral arbiters, police colluded with private interests, overlooking the abusive behavior of private security and bailiffs, particularly during the eviction of a protest camp at the proposed mining site. Activists believed that their right to protest was not respected, that their safety was jeopardized, and that police had willfully ignored a wildlife crime perpetrated by the mining company in order to enable mining to go ahead. Our article argues that the Pont Valley case fits into a wider pattern of repression of environmentalism in the UK, supporting Gilmore and colleagues’ (2019) argument that a progressive transformation in policing has been overstated.

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Social networks, health and identity: exploring culturally embedded masculinity with the Pakistani community, West Midlands, UK

BMC Public Health ◽

10.1186/s12889-020-09504-9 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Farina Kokab ◽

Sheila Greenfield ◽

Antje Lindenmeyer ◽

Manbinder Sidhu ◽

Lynda Tait ◽

...

Keyword(s):

Social Networks ◽

Qualitative Interviews ◽

Developed Countries ◽

Cultural Norms ◽

Social Hierarchies ◽

Lifestyle Choices ◽

Increased Risk ◽

West Midlands ◽

Community Spaces ◽

Social Causes

Abstract Background Migrants from South Asia living in developed countries have an increased risk for developing cardiovascular disease (CVD), with limited research into underlying social causes. Methods We used social capital as an interpretive lens to undertake analysis of exploratory qualitative interviews with three generations of at-risk migrant Pakistani men from the West Midlands, UK. Perceptions of social networks, trust, and cultural norms associated with access to healthcare (support and information) were the primary area of exploration. Results Findings highlighted the role of social networks within religious or community spaces embedded as part of ethnic enclaves. Local Mosques and gyms remained key social spaces, where culturally specific gender differences played out within the context of a diaspora community, defined ways in which individuals navigated their social spheres and influenced members of their family and community on health and social behaviours. Conclusions There are generational and age-based differences in how members use locations to access and develop social support for particular lifestyle choices. The pursuit of a healthier lifestyle varies across the diverse migrant community, determined by social hierarchies and socio-cultural factors. Living close to similar others can limit exposure to novel lifestyle choices and efforts need to be made to promote wider integration between communities and variety of locations catering to health and lifestyle.

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“There is still a perception that homelessness is a housing problem”: devolution, homelessness and health in the UK

Housing Care and Support ◽

10.1108/hcs-06-2016-0003 ◽

2016 ◽

Vol 19 (2) ◽

pp. 33-44 ◽

Cited By ~ 2

Author(s):

Martin Whiteford ◽

Glenn Simpson

Keyword(s):

Qualitative Interviews ◽

Homeless People ◽

Small Sample ◽

Issue Salience ◽

Structured Interviews ◽

Healthcare Provision ◽

Policy And Practice ◽

Content Type ◽

The Uk ◽

Comparative Policy

Purpose The purpose of this paper is to provide an exploratory account of the links between devolution, homelessness and health in the UK. Specifically, it focusses on the policy context and governance structures that shape the systems of healthcare for homeless people in London, Scotland, Wales and Northern Ireland. Design/methodology/approach Empirically the paper draws on semi-structured interviews with a small sample of policy and practice actors from the devolved territories. Qualitative interviews were supplemented by a comparative policy analysis of the homelessness and health agenda within the devolved regions. Theoretically, it takes inspiration from Chaney’s concept of the “issue salience of homelessness” and explores the comparative character of healthcare as pertains to homeless people across the devolved territories. Findings The paper provides clear evidence of areas of divergence and convergence in policy and practice between the devolved regions. These features are shown to be strongly mediated by the interplay of two factors: first, the scope and scale of national and local homelessness prevention strategies; and second, intra-national variation in public health responses to homelessness. Originality/value The paper offers considerable insight from a comparative policy perspective into the nature of healthcare provision for homeless people in the devolved regions.

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Spiritual issues and needs: Perspectives from patients with advanced cancer and nonmalignant disease. A qualitative study

Palliative & Supportive Care ◽

10.1017/s1478951504040490 ◽

2004 ◽

Vol 2 (4) ◽

pp. 371-378 ◽

Cited By ~ 80

Author(s):

ELIZABETH GRANT ◽

SCOTT A. MURRAY ◽

MARILYN KENDALL ◽

KIRSTY BOYD ◽

STEPHEN TILLEY ◽

...

Keyword(s):

Advanced Cancer ◽

Health Professionals ◽

Health Care Professionals ◽

Qualitative Interviews ◽

Health Resources ◽

Well Being ◽

Spiritual Needs ◽

Policy Makers ◽

Self Identity ◽

Nonmalignant Disease

Objective: Health care professionals and policy makers acknowledge that spiritual needs are important for many patients with life-limiting illnesses. We asked such patients to describe their spiritual needs and how these needs may impinge on their physical, psychological, and social well-being. Patients were also encouraged to explain in what ways their spiritual needs, if they had any, could be addressed.Methods: We conducted two qualitative interviews, 3 months apart, with 20 patients in their last year of life: 13 patients with advanced cancer and 7 with advanced nonmalignant illness. We also interviewed each patient's general practitioner. Sixty-six interviews were tape-recorded, transcribed, and analyzed.Results: Patients' spiritual needs centered around their loss of roles and self-identity and their fear of dying. Many sought to make sense of life in relation to a nonvisible or sacred world. They associated anxiety, sleeplessness, and despair with such issues, which at times resulted in them seeking support from health professionals. Patients were best able to engage their personal resources to meet these needs when affirmed and valued by health professionals.Significance of results: Enabling patients to deal with their spiritual needs through affirmative relationships with health professionals may improve quality of life and reduce use of health resources. Further research to explore the relationship between spiritual distress and health service utilization is indicated.

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