scholarly journals Setting meaningful goals in rehabilitation: A qualitative study on the experiences of clients and clinicians in working with a practical tool

2021 ◽  
pp. 026921552110464
Author(s):  
Elsbeth Littooij ◽  
Suzan Doodeman ◽  
Jasmijn Holla ◽  
Maaike Ouwerkerk ◽  
Lenneke Post ◽  
...  

Objective To evaluate the experience of clients and clinicians in working with a tool to help set goals that are personally meaningful to rehabilitation clients. Design We have applied the tool in the outpatient rehabilitation setting. Clients’ and clinicians’ experiences in working with the tool were evaluated in individual, semi-structured interviews and focus group interviews, respectively. Thematic analysis was used to analyze the data. Setting A university medical center and a rehabilitation center. Subjects Clients with a first-time stroke ( n = 8) or multiple sclerosis ( n = 10), and clinicians ( n = 38). Intervention The tool to help set meaningful goals consisted of a session (i) to explore the client's fundamental beliefs, goals and attitudes and (ii) to identify a meaningful overall rehabilitation goal. The results of that session were used by the multidisciplinary rehabilitation team (iii) to help the client to set specific rehabilitation goals that served to achieve the meaningful overall rehabilitation goal. Results Both clients and clinicians reported that the tool helped to set a meaningful overall rehabilitation goal and specific goals that became meaningful as they served to achieve the overall goal. This contributed to clients’ intrinsic rehabilitation motivation. In some clients, the meaningfulness of the rehabilitation goals facilitated the process of behavior change. Both clients and clinicians made suggestions on how the tool could be further improved. Conclusion In the opinion of both clients and clinicians, the tool does indeed result in goal setting that is personally meaningful. Further development, implementation and evaluation of the tool is warranted.

2020 ◽  
pp. 003022282095051
Author(s):  
Şenay Gül ◽  
Seyhan Demir Karabulut ◽  
Handan Eren ◽  
Mahinur Durmuş İskender ◽  
Zehra Göçmen Baykara ◽  
...  

The aim of this study is to explore nursing students’ experiences with death and terminal patients during clinical education. A secondary analysis of qualitative data that were collected through 11 focus group interviews with nursing students was performed. Data obtained from the interviews were analyzed using thematic analysis. There were a total of 9 themes across 3 contexts. Data were grouped under the following themes: feelings experienced when encountering death for the first time, reactions to the first encounter with death, factors affecting the reactions to death, involvement in terminal patient care, being informed about the physical process that terminal patients are going through, students’ approach toward terminal patients and their relatives, health professionals’ approach toward terminal/dying patients/their relatives, changes in the ideas about death, and changes in the ideas about terminal/dying patients. The study shows a lack of guidance on the part of teachers who also avoid patients and families who are considered terminally ill.


2021 ◽  
Vol 4 (2) ◽  
pp. 80-89
Author(s):  
Kalai Selvan Arumugham ◽  
Joohari Ariffin

Abstract: The abolition of Primary School Achievement Test (UPSR) has triggered various reactions among educators. Although this agenda has been informed since the introduction of the new curriculum in 2011, educators and parents did not fully accept this. This research was conducted to explore and understand in-depth the views of school headmasters on the abolition of the UPSR and obtain their views on the implementation of Classroom Assessment (PBD). At the early stage the researchers conducted a survey to get an initial picture of their reactions to the issues and subsequently, the issue was explored in depth using qualitative methods. Focus group interviews conducted online to explore their perspectives on the abolition of UPSR and the implementation of PBD, which is now taking over the place of UPSR completely. However, with semi-structured interviews that were conducted,  the data were distributed based on the themes that had been identified. Most school headmasters disagree with the abolition of the USPR as they do not fully understand the implementation of PBD. Among the aspects that they still lack understanding are the curriculum changes, professional judgement, quality assurance, and formative and summative assessment methods. Policymakers must ensure that a deep understanding can be formed among school headmasters to ensure that the implementation of PBD can be strengthened and fully understood. It is also suggested that further research be conducted to measure the acceptance among teachers on this issue. Keywords: UPSR abolition, Classroom assessment, Understanding towards PBD     Abstrak: Pemansuhan Ujian Penilaian Sekolah Rendah (UPSR) telah mencetuskan pelbagai reaksi dalam kalangan warga pendidik. Walaupun perkara ini merupakan suatu agenda yang telah dimaklumkan sejak pengenalan kurikulum baharu pada tahun 2011, namun warga pendidik dan ibu bapa masih belum boleh menerima perkara ini sepenuhnya. Penyelidikan ini dijalankan untuk meneroka dan memahami secara mendalam tentang pandangan guru besar tentang pemansuhan UPSR ini serta mendapatkan pandangan mereka tentang pelaksanaan Pentaksiran Bilik Darjah (PBD). Pada peringkat awal para penyelidik telah menjalankan satu tinjauan untuk mendapatkan gambaran awal reaksi mereka terhadap isu ini dan seterusnya isu mengupas secara mendalam dengan menggunakan kaedah kualitatif. Temu bual kumpulan berfokus telah dijalankan secara atas talian untuk meneroka perspektif mereka terhadap isu pemansuhan UPSR dan pelaksanaan PBD yang kini mengambil alih tempat UPSR sepenuhnya. Melalui temu bual separa struktur yang telah dijalankan, data-data telah diagihkan berdasarkan tema-tema yang telah dikenal pasti. Sebahagian besar guru besar sekolah kurang bersetuju dengan pemansuhan UPSR ini memandangkan mereka kurang memahami sepenuhnya tentang pelaksanaan PBD. Antara aspek yang mereka masih kurang faham adalah dari segi perubahan kurikulum, pertimbangan profesional, penjaminan kualiti dan kaedah pentaksiran formatif dan sumatif. Pihak penggubal dasar haruslah memastikan pemahaman yang mendalam dapat dibentuk dalam kalangan guru besar sekolah untuk memastikan pelaksanaan PBD dapat dimantapkan dan difahami sepenuhnya. Dicadangkan juga agar kajian lanjut dijalankan untuk mengukur penerimaan dalam kalangan guru-guru terhadap isu tersebut. Kata kunci: Pemansuhan  UPSR, Pentaksiran bilik darjah, Pemahaman tentang PBD


2018 ◽  
Vol 45 (1) ◽  
pp. 205-222 ◽  
Author(s):  
A.K. Siti-Nabiha ◽  
Zubir Azhar ◽  
Salmi Mohd Isa ◽  
A.Z. Siti-Nazariah

Purpose The purpose of this paper is to explore the implementation of microfinance programs in three Malaysian development finance institutions (DFIs). Its main concerns revolve around how these DFIs measure and manage their social performance and how they reconcile their competing social and commercial objectives which are driven by particular logics. Design/methodology/approach This paper analyzes the ways in which the DFIs selected for this study measure and manage their social performance. The data were acquired from two sessions of focus group interviews, a series of semi-structured interviews, and extensive reviews of documentaries. The institutional logics perspective is used to explore the interplay between social and commercial logics in shaping the view and use of social performance measures in the three studied DFIs. Findings Although these DFIs have consistently offered formal microfinance programs to designated target groups, their ultimate focus has been on measuring financial as opposed to social performance. Hence, performance appraisal is mainly aligned with the breadth of outreach, rather than its depth. Nevertheless, there appear to be conflicts between the need to accommodate both breadth and depth, due to the competing demands of the two objectives. The rivalry between these two competing demands, which represents the interplay between social and commercial logics, is resolved through reconciliation, that is, by making one objective compatible with the other. Originality/value This paper examines the ways in which the DFIs in the study measure and manage their social performance, a topic that is, currently, not widely explored. This study contributes to advancing the knowledge on the link between institutional logics and organizational practices, particularly in understanding the extent to which the Malaysian DFIs assign importance to social performance when designing and offering microfinance programs.


2021 ◽  
Vol 2021 (1) ◽  
pp. 19-47
Author(s):  
Anna Josková ◽  

This paper examines Uruguayan society, which, despite its multiethnic origins, has developed a homogeneous culture. The main objective is to define the main cultural elements and describe the attributes of the Uruguayan ethnicity. Based on the analysis of socio-cultural specificities, the thesis provides practical recommendations to facilitate good relations with the Uruguayan nation. These may be particularly useful for business people, potential international students, travelers or other visitors to Uruguay, and others interested in learning about the local people and their culture. The theoretical section explains basic concepts related to identity, ethnicity and nation, and also introduces theoretical concepts and approaches to these ambiguous phenomena. The practical part contains interpreted data from field research conducted by the author in Uruguay in 2018. The research is based on qualitative research methods and consists of two focus group interviews with Uruguayans, four semi-structured interviews with recent immigrants, and long-term observation. The significance of the research is all the more valuable because the findings presented are unique in the field of this previously uncovered topic.


2021 ◽  
Author(s):  
◽  
Souphalack Bounpadith

<p>This research assesses how poverty-based resettlement programs make a contribution to poverty reduction and controlling migration of ethnic people in rural Laos. In 2009, the government of Laos launched new resettlement programs in six northern provinces. The programs aimed to improve the accessibility to land of people who were remaining poor in some rural areas. Primarily, poor people were required to resettle in a village where land could be available for them.  I investigated two resettlement sites in Thathome district, Xiangkhoang province. I applied a qualitative approach to examine the poverty experiences of settlers. In particular, I focused on identifying the causes and impacts of poverty-based resettlement programs on ethnic migrants. Semi-structured interviews were used to gather responses from migrants, government officers and host villagers. Two focus group interviews were organized with migrant participants who came from different locations.  The findings revealed that poverty-based resettlement programs did not directly address the core causes of poverty and migration of poor people in rural Laos. Conversely, the improper planning and implementation of programs were responsible for poverty that happened in the resettlement sites. The programs were carried out while the local government was hampered by insufficient funds. There was little support and assistance provided to settlers during the transitional periods. As a result, settlers faced worse hardship than they had in their original villages. Poverty-based resettlement programs instead of reducing poverty had created a situation whereby there was a greater potential for poor people to become trapped in continued poverty.</p>


Politeia ◽  
2018 ◽  
Vol 37 (1) ◽  
Author(s):  
Melvin Diedericks ◽  
Sello Seitlholo

This article investigates the challenges facing the effective functioning of ward committees as a mechanism to promote local democracy in the former Tlokwe Local Municipality’s (TLM) area of jurisdiction. Ward committees in South Africa (SA) were specifically established to strengthen the participation of communities in local governance. A qualitative research design was used to collect and analyse data for purposes of achieving the objectives of this study. This involved a literature review designed to contextualise effective ward committee functioning in a developing South Africa. Semi-structured interviews were held with senior officials from TLM. Officials were selected based upon their expert knowledge with regard to the facilitation of public participation and for being responsible for effective ward committee functioning within TLM. Focus group interviews were also held with at least four ward committees operating within the boundaries of the municipality. The purpose of using focus group interviews in this study was to identify specific operational challenges as experienced by the ward committees, including how these challenges affected the fulfilment of their responsibilities. Significant findings include that communication was a critical aspect to address challenges, and that a lack of resources was hampering ward committees in functioning more effectively in the area.


2017 ◽  
Vol 3 (02) ◽  
Author(s):  
Abhishek Mishra ◽  
Partha Sarkar

The present paper highlights certain aspects of employment relations in the SME sector in India with special reference to the hospitality sector. Based on the inputs obtained from the different stakeholders through structured interviews, the authors have analysed the ‘actors’, ‘context’ and the ‘processes’ in the perspective of employment relations system in the hospitality SME sector. Moreover, questionnaire survey and focus group interviews have been conducted with a group of employees with a view to recognise and analyse the relevant issues in a better way. The study has been carried out in select hotels in Varanasi. The unique aspects of the different ‘actors’ of employment relations in the Indian hospitality SME sector have been examined. The paper also highlights the relevance of ‘context’ in the employment relations system. Finally, the authors have developed a model on employment relations system in the hospitality SMEs sector.


2018 ◽  
Vol 39 (2) ◽  
pp. 98-106
Author(s):  
Jill Flo ◽  
Bjørg Landmark ◽  
Siri Tønnessen ◽  
Lisbeth Fagerström

This study was a part of a municipal research and development programme in home healthcare (HHC). The Oulu Patient Classification instrument (OPCq), part of the RAFAELA Nursing Intensity and Staffing system, was used to measure nursing intensity (NI) for the first time in HHC in Norway. The aim was to describe nurses’ work experiences and perceptions of the usability of the OPCq instrument when classifying NI in HHC. Twenty-two members of staff participated in four focus-group interviews. Content analyses were used to analyze and interpret the data. Three themes emerged: 1) Classifying the modified OPCq levels correctly; 2) Technological problems hinder use of the instrument; 3) Classifying NI when time pressure dominates. The OPCq instrument is useful in classifying NI, although some minor adjustments might be needed for its use in HHC. The nurses considered the OPCq instrument useful in illuminating the actual work situation in HHC and the time pressure they experience.


2019 ◽  
Vol 8 ◽  
Author(s):  
Mostafa Bijani ◽  
Ali Asghar Khaleghi

Background: Correct and fast triage is the key to successful performance in emergency departments. Various factors can affect the quality of triage; therefore, the present study was conducted to identify and explore the existing challenges in triage units in emergency departments. Materials and Methods: The present study was a qualitative exploratory work conducted via the content analysis approach. Data were collected using in-depth, semi-structured interviews, and focus group interviews. Accordingly, 22 in-depth, semi-structured interviews were conducted in with 18 triage nurses and four emergency medicine specialists on a face-to-face basis. Results: The challenges related to triage nurses fall into two subcategories; lack of clinical competency and psychological capabilities. The challenges related to emergency management consist of challenges in human resources management, structural, and performance. Conclusion: The challenges existing in triage units are influenced by factors related to triage nurses and emergency management. Emergency administrators can improve the effectiveness and quality of triaging patients by empowering triage nurses and removing structural problems in triage units.[GMJ.2019;8:e1619]


Ritið ◽  
2019 ◽  
Vol 19 (1) ◽  
pp. 15-39
Author(s):  
Finnborg S. Steinþórsdóttir ◽  
Gyða Margrét Pétursdóttir

In the past months and years women have been raising awareness against rape and other sexual violence. The aim of the research discussed in this article is to shed a light on rape culture in Iceland, especially what ideas are prevailing among young people about rape, survivors and perpetrators. Moreover, the aim is to shed a light on the impact of these ideas on rape survivors. The study draws on focus group interviews with university students and semi-structured interviews with a university student, rape survivors and an expert who works closely with survivors. The findings highlight rape culture in Iceland and how rape and other sexual violence is normal-ized. Predominant discourses and myths tend to question the rape, portray survivors as responsible for the rape and find ways to extenuate perpetrators.


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