scholarly journals A qualitative study of abortion care providers’ perspectives on telemedicine medical abortion provision in the context of COVID-19

2021 ◽  
pp. bmjsrh-2021-201309
Author(s):  
John Joseph Reynolds-Wright ◽  
Nicola Boydell ◽  
Sharon Cameron ◽  
Jeni Harden
Keyword(s):  
Qualitative Research ◽  
Great Britain ◽  
Visual Cues ◽  
Medical Abortion ◽  
Care Providers ◽  
Abortion Care ◽  
Written Information ◽  
Growing Body ◽  
Depth Interviews

BackgroundTelemedicine for medical abortion care was rapidly introduced in Great Britain in response to the COVID-19 pandemic. A growing body of literature demonstrates that telemedicine abortion care is safe, effective and highly acceptable to patients. Less is known about the perspectives of abortion care providers (ACPs).MethodsQualitative research within the telemedicine abortion service in Lothian (Edinburgh and surrounding region), UK. We conducted qualitative in-depth interviews with ACPs between May and July 2020 (doctors, n=6; nurses, n=10) and analysed the data thematically.ResultsWe present three themes from our qualitative analysis: (1) Selective use of ultrasound – the move away from routine ultrasound for determination of gestational age was generally viewed positively. Initial anxiety about non-detection of ectopic pregnancy and later gestations was expressed by some ACPs, but concerns were addressed through clinical practice and support structures within the clinic. (2) Identifying safeguarding issues – in the absence of visual cues some ACPs reported concerns about their ability to identify safeguarding issues, specifically domestic violence. Conversely it was acknowledged that teleconsultations may improve detection of this in some situations. (3) Provision of information during the consultation – telephone consultations were considered more focused than in-person consultations and formed only part of the overall ‘package’ of information provided to patients, supplemented by online and written information.ConclusionsACPs providing telemedicine abortion care value this option for patients and believe it should remain beyond the COVID-19 pandemic. Safeguarding patients and the selective use of ultrasound can be initially challenging; however, with experience, staff confidence improves.

scholarly journals COVID-19 and reproductive justice in Great Britain and the United States: ensuring access to abortion care during a global pandemic

2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Elizabeth Chloe Romanis ◽  
Jordan A Parsons ◽  
Nathan Hodson
Keyword(s):  
United States ◽  
Great Britain ◽  
Medical Abortion ◽  
The United States ◽  
Reproductive Justice ◽  
Abortion Care ◽  
Global Pandemic ◽  
The Us ◽  
The Impact ◽  
Legal Barriers

Abstract In this paper we consider the impact that the COVID-19 pandemic is having on access to abortion care in Great Britain (GB) (England, Wales, and Scotland) and the United States (US). The pandemic has exacerbated problems in access to abortion services because social distancing or lockdown measures, increasing caring responsibilities, and the need to self-isolate are making clinics much more difficult to access, and this is when clinics are able to stay open which many are not. In response we argue there is a need to facilitate telemedical early medical abortion in order to ensure access to essential healthcare for people in need of terminations. There are substantial legal barriers to the establishment of telemedical abortion services in parts of GB and parts of the US. We argue that during a pandemic any restriction on telemedicine for basic healthcare is an unjustifiable human rights violation and, in the US, is unconstitutional.

What Factors Influence Whether Homicide Cases Are Solved? Insights From Qualitative Research With Detectives in Great Britain and the United States

2018 ◽  
Vol 23 (2) ◽  
pp. 145-174 ◽  
Author(s):  
Fiona Brookman ◽  
Edward R. Maguire ◽  
Mike Maguire
Keyword(s):  
United States ◽  
Qualitative Research ◽  
Great Britain ◽  
Quantitative Analysis ◽  
The United States ◽  
Police Agency ◽  
Qualitative Evidence ◽  
Police Data ◽  
Growing Body ◽  
The Individual

A growing body of research examines factors that influence the likelihood of solving homicide cases. Much of this research emanates from North America and is based on quantitative analysis of police data. This article explores the views of homicide detectives, complemented by observations of investigations, in both Great Britain and the United States, regarding factors that affect the chances of solving homicides. Although we find some important differences between nations, the qualitative evidence suggests that the likelihood of solving even the most challenging homicide cases in both nations can be influenced by police agency at the individual and strategic level.

scholarly journals STRATEGI LIRANG DALAM PENENTUAN HARGA JUAL PISANG DI PASAR TRADISIONAL BLITAR

2019 ◽  
Vol 12 (2) ◽  
pp. 97-105
Author(s):  
Endah Masrunik ◽  
Bambang Septiawan ◽  
Anditya Dian Hendriawan
Keyword(s):  
Qualitative Research ◽  
Research Method ◽  
Selling Price ◽  
Market Conditions ◽  
Qualitative Research Method ◽  
Traditional Markets ◽  
Type Size ◽  
Depth Interviews

This study focuses to determine how the strategy in determining the selling price of bananas applied by banana traders in Blitar traditional markets. This study uses a qualitative research method with the approach of study phenomenology, by conducting in-depth interviews and observations related to the behavior and attitudes of traders in making a sale and purchase transaction. The results of this study shows that traders determine the selling price of bananas based on the lirang strategy, while in one part and will be divided into several lirang. Then it will see the type, size, a number of bananas in one lirang, level of ripe, and current market conditions. Determination of selling prices based on this lirang is considered easier by traders, because traders do not need to weigh the bananas they sell and this strategy or method has long been used by banana traders in traditional markets

scholarly journals SOCIAL CONFLICT DUE TO THE CONTROVERSY OF MOSQUE’S QIBLA DIRECTION IN SEJIRAM VILLAGE, SAMBAS REGENCY

2020 ◽  
Vol 18 (1) ◽  
pp. 1
Author(s):  
Reza Akbar ◽  
Asman Asman
Keyword(s):  
Qualitative Research ◽  
Social Conflict ◽  
Field Research ◽  
The Other ◽  
Primary Data ◽  
Public Knowledge ◽  
The Social ◽  
Depth Interviews ◽  
Positive Effect

Determination of the direction of Qibla precisely becomes very important, especially when preparing for the construction of a mosque. A mosque that the course of Qibla can determine deviates from its intended direction; this is because of many factors, such as measurement and calculation errors, tool use errors, or errors due to the construction of the Mosque. Deviation in the direction of Qibla of a mosque can cause social conflict, such as happened in Sejiram Village, Sambas Regency, in 2010-2011. This study aims to describe the social conflict that occurred in Sejiram Village due to the controversy of the direction of the Mosque’s Qibla and its impacts. This research is qualitative research with a pattern of field research through in-depth interviews to obtain primary data. Based on this research, it found that young people wanted a change in the direction of the Mosque’s Qibla after it proved to the deviant. On the other hand, older people rejected it. The social conflict has an impact on the loosening of relations between parties who got involved in the conflict. However, this conflict turned out to have a positive effect, namely increasing public knowledge about the importance of accuracy in Qibla direction, encouragement to increase understanding in worship, and slowly reducing traditions that not suggested in Islam.

scholarly journals The Resistance of Farmer Groups in Protected Forest Management

2019 ◽  
Vol 8 (2) ◽  
pp. 45-51
Author(s):  
Isnaini Isnaini ◽  
Sarmida Rezkina
Keyword(s):  
Qualitative Research ◽  
Forest Management ◽  
Data Collection ◽  
Oil Palm ◽  
Research Data ◽  
Community Forest ◽  
Protected Forests ◽  
Farmer Groups ◽  
Depth Interviews

The use and utilization of forests by most people who live on the edge of the forest is something that has been done for generations. One of the forests managed by the community is Gunung Leco Forest in Nagari Desa Baru, Pasaman Regency. However, this utilization cannot be carried out continuously because of the changing status of the forest from community forest to protected forest. This study aims to describe the form of social movements of farmer groups on the determination of forests into protected forests. This study uses qualitative research, data collection is done by in-depth interviews, observation and study of documents. The results showed that the farmer groups are still processing forests into oil palm plantations. They made a defensive effort by uprooting protected forest crossings sign which is installed inthe forest, organizing the gardening period, cutting down the oil palm they had planted. To date no agreement has yet been reached to resolve this conflict.

‘Abortion’ or ‘termination of pregnancy’? Views from abortion care providers in Scotland, UK

2018 ◽  
Vol 44 (2) ◽  
pp. 122-127 ◽  
Author(s):  
Aine Kavanagh ◽  
Sally Wielding ◽  
Rosemary Cochrane ◽  
Judith Sim ◽  
Anne Johnstone ◽  
...  
Keyword(s):  
Service Provision ◽  
Care Service ◽  
Induced Abortion ◽  
Termination Of Pregnancy ◽  
Mixed Methods Study ◽  
Care Providers ◽  
Abortion Care ◽  
Medical Institutions ◽  
Patient Care Service ◽  
Depth Interviews

BackgroundThe phrase ‘termination of pregnancy’ has recently been adopted by a number of British medical institutions as a preferred descriptor of induced abortion. How it is used by abortion care providers is unclear, although the ongoing stigmatisation of abortion may play a role.MethodsA mixed methods study of the views of abortion care providers in Scotland, UK. Self-administered anonymous questionnaires were distributed to abortion care providers at a national conference (Scottish Abortion Care Providers). The main outcomes measured were the proportion of respondents reporting that they found the terms ‘abortion’ and ‘termination of pregnancy’ to be distressing, and their preferred terminology for use in consultations with women. In-depth interviews were conducted with 19 providers from a single clinic in Scotland to contextualise use of the terminology.ResultsThe questionnaire was completed by 90/118 delegates (76%). More respondents indicated they found the term ‘abortion’ distressing (28%), compared with those who found ‘termination of pregnancy’ distressing (6%; P<0.0001). Interview participants reported that ‘termination of pregnancy’ was the default phrase used in consultations. Some respondents stated that they occasionally purposely used ‘abortion’ in consultations to emphasise the seriousness of the procedure (morally, physically and/or emotionally).Conclusions‘Termination of pregnancy’ is the most commonly used term to describe induced abortion in patient consultations in Scotland. This and the term ‘abortion’ appear to play different roles, with the former being used euphemistically, and the latter as a more emphatic term. Further research is warranted to investigate how this interacts with patient care, service provision, and abortion stigma.

scholarly journals Kepemimpinan Kiai Tatang Isakandar dalam Mengembangkan Pondok Pesantren Raudatul Falah

2020 ◽  
Vol 5 (4) ◽  
pp. 321-336
Author(s):  
Nurdin Nurdin ◽  
Ahmad Sarbini ◽  
Yuliani Yuliani
Keyword(s):  
Qualitative Research ◽  
Research Methods ◽  
Role Model ◽  
Boarding School ◽  
Charismatic Leadership ◽  
Research Data ◽  
Data Types ◽  
Empirical Context ◽  
Depth Interviews

Penelitian ini bertujuan untuk mengetahui tipe kepemimpinan, cara pengambilan keputusan dan hubungan pemimpin terhadap santri dan lingkungan masyarakat, yang diterapkan K. Tatang Iskandar dalam mengembangkan Pondok Pesantren Raudatul Falah. Penelitian ini menggunakan metode penelitian deskriptif-kualitatif. Teknik pengumpulan data dilakukan melalui observasi dan wawancara mendalam. Analisis data dilakukan melalui interprestasi dan dihubungkan dengan konteks empiris pemimpin Pondok Pesantren Raudatul Falah. Hasil data penelitian menunjukkan bahwa tipe pimpinan Kiai Tatang Iskandar dalam mengembangkan Pondok Pesantren Raudatul Falah adalah kepemimpinan Demokratis dan Karismatik. Hal tersebut dapat dilihat dari cara beliau dalam pengambilan keputusan yang selalu menggunakan kebersamaan, musyawarah untuk mencapai kata mufakat. Kepemimpinan Kiai Tatang Iskandar sangat menjadi panutan yang baik bagi seorang pemimpin, itu terbukti dengan keberadaan Pondok Pesantren Raudatul Falah yang sampai saat ini masih berdiri kokoh di lingkungan masyarakat. ABSTRACT This research is in accordance with the idea that to achieve certain goals, cooperation between management and leaders is needed. In this case the leader is very significant to achieve these goals. This leadership includes coordination, organizing and controlling members who determine goals and directions to achieve fulfilling goals to carry out activities and connect with other activities, in addition, the leader is also a direction set, an effective, rational, objective and effective communicator. neutral . This research uses descriptive-qualitative research methods. The research steps taken include; Determination of research locations, research methods, determination of data types, collection of data types, data observation is done through observation and in-depth interviews. Data analysis was carried out through interpretation and related to the empirical context of the leader of the Raudatul Falah Islamic Boarding School. The results of the research data indicate that the leadership of Kiai Tatang Iskandar in developing the Raudatul Falah Islamic Boarding School is Democratic and Charismatic leadership. This can be seen from the way in which decisions always use togetherness, deliberation to reach a consensus. The leadership of Kiai Tatang Iskandar is a very good role model for a leader, it is proven by the existence of the Raudatul Falah Islamic Boarding School which is still standing firmly in the community.

Doula Support During Childbearing—Aiming for the Best Birthing Experience: A Phenomenological Study

2017 ◽  
Vol 7 (3) ◽  
pp. 139-151 ◽  
Author(s):  
C. Michelle Brisco ◽  
Sandra P. Small
Keyword(s):  
Lived Experience ◽  
Health Care Providers ◽  
Phenomenological Study ◽  
Hermeneutic Phenomenology ◽  
Care Providers ◽  
Peace Of Mind ◽  
Growing Body ◽  
The Right ◽  
Depth Interviews ◽  
Childbirth Experiences

A growing body of evidence indicates that doula support improves childbirth outcomes. The purpose of this study was to examine women’s lived experience of such support. Hermeneutic phenomenology was used to carry out and analyze in-depth interviews with 14 women who had doulas for support during pregnancy, childbirth, and the immediate postpartum period. Six main themes were revealed. The women were aiming for the best birthing experience, and they believed to achieve this they needed extra support and to have a full say in their childbirth experiences. The doulas helped the women to have peace of mind prenatally, and all but one woman had an overall satisfying experience with their doulas. Whether satisfied or dissatisfied with their personal doulas, all the women believed that having a doula is valuable. However, choosing the right doula matters because a comfortable relationship between a woman and her doula is essential to achieving the best birthing experience. Health care providers and policymakers must recognize the importance women place on constant and personalized support during childbirth and endeavor to provide such care.

scholarly journals A Qualitative Research of Perception Investigations in Caregivers Under the COVID-19 Pandemic

2021 ◽  
Vol 8 (2) ◽  
Author(s):  
Gao X ◽  
◽  
Bidulescu A ◽  
Keyword(s):  
Qualitative Research ◽  
Focus Group ◽  
Data Collection ◽  
Group Dynamics ◽  
Health Care Providers ◽  
Common Ground ◽  
Care Providers ◽  
Snowball Sampling ◽  
Mental Wellness ◽  
Depth Interviews

We enthusiastically read the article entitled “The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study” by Liu and colleagues [1]. Although this study highlights the support needed to protect the physical and mental wellness of caregivers in the COVID-19 pandemic, the potential limitations that existed in its qualitative research methods may undermine the accuracy of data collection indicated by our previous work [2,3]. First, the information gleaned from the participants could have been more productive if the authors used focus group as it leverages the power of the group dynamics to encourage back and forth conversation leading to fully exploring and expanding participant’s true feelings, thoughts, and experiences toward the COVID-19 compared to the in-depth interviews [4]. Even though some researchers claim that in-depth interviews (e.g., phone interview) are better to investigate a sensitive subject like the COVID-19 crisis that participants may feel uncomfortable to share their thoughts in front of a group of people, the recent study confirms that 1) sensitive and intimate disclosures are more likely to occur in the focus group; 2) some certain sensitive themes only happen in the focus group; and 3) neither sensitive themes emerged exclusively nor frequently in indepth interviews compared to focus group [5]. Second, ensuring the homogeneity of interest is way more critical than the general heterogeneity like the demographics of the recruited participants [6,7]. Specifically, the desirable combination of interest consensus and common ground with diverse experience is important to generate rich information. However, the perceptions of the COVID-19 pandemic may be different between physicians and nurses based on the duty of these two different professional roles. This is because nurses are more likely to interact with COVID-19 patients directly and more frequently than physicians. Therefore, according to the primary research interest that investigates the experiences of fighting the COVID-19 pandemic, the participants should have been limited to nurses as the frontline caregivers to maintain the homogeneity of interest. Third, considering that all participants were recruited from one local hospital, convenient sampling appears better than snowball sampling as the authors can recruit participants based on their availability and accessibility [8]. This is because scheduling participants at a time when they have more energy may yield richer information data than reaching out to them through phone interviews. These suggested changes in data collection and participant enrollment should be implemented in future qualitative research for the investigation of global pandemic crisis to reach more convincing conclusions.

scholarly journals “He Who Relies on His Brother's Property Dies Poor”: The Complex Narratives of Livestock Care in Northern Tanzania

2021 ◽  
Vol 8 ◽  
Author(s):  
Alicia Davis ◽  
Jennika Virhia ◽  
Joram Buza ◽  
John A. Crump ◽  
William A. de Glanville ◽  
...  
Keyword(s):  
Qualitative Research ◽  
Focus Group ◽  
Health Behaviours ◽  
Environmental Drivers ◽  
Care Providers ◽  
Health Seeking ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Livestock Health ◽  
Depth Interviews

Background: Endemic zoonoses have important impacts for livestock-dependent households in East Africa. In these communities, people's health and livelihoods are severely affected by livestock disease losses. Understanding how livestock keepers undertake remedial actions for livestock illness has the potential for widespread benefits such as improving health interventions. Yet, studies about livestock and human health behaviours in the global south tend to focus on individual health choices. In reality, health behaviours are complex, and not solely about individualised health experiences. Rather, they are mediated by a range of “upstream” factors (such as unequal provision of services), which are beyond the control of the individual.Methods: This paper presents qualitative research conducted from 2014 to 2019 for a study focused on the Social, Economic, and Environmental Drivers of Zoonoses in Tanzania (SEEDZ). Qualitative data were collected via focus group discussions, community meetings, informal interviews, formal in-depth interviews, observations and surveys that addressed issues of health, disease, zoonotic disease risks, and routes for treatment across 21 villages. Thematic analysis was carried out on in-depth interviews and focus group discussions. Conceptual analyses and observations were made through application of social science theories of health.Findings: Livestock keepers undertake a range of health seeking strategies loosely categorised around self and formal treatment. Two key themes emerged that are central to why people make the decisions they do: access to resources and trust in health care providers. These two issues affect individual sense of agency which impacts their ability to act to improve livestock health outcomes. We suggest that individual choice and agency in veterinary health seeking decisions are only beneficial if health systems can offer adequate care and health equity is addressed.Significance: This study demonstrates the value of in-depth qualitative research which reveals the nuance and complexity of people's decisions around livestock health. Most importantly, it explains why “better” knowledge does not always translate into “better” practise. The paper suggests that acknowledging and addressing these aspects of veterinary health seeking will lead to more effective provision.

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