scholarly journals Corrigendum to ‘The art and science of recruitment to a cancer rapid autopsy programme: A qualitative study exploring patient and clinician experiences’

2021 ◽  
pp. 026921632110127
Keyword(s):  
Qualitative Study ◽  
Art And Science ◽  
Clinician Experiences ◽  
Rapid Autopsy

The art and science of recruitment to a cancer rapid autopsy programme: A qualitative study exploring patient and clinician experiences

2020 ◽  
pp. 026921632096759
Author(s):  
Erin Tutty ◽  
Philomena Horsley ◽  
Rowan Forbes Shepherd ◽  
Laura E. Forrest
Keyword(s):  
Qualitative Study ◽  
Patient Selection ◽  
Structured Interviews ◽  
Art And Science ◽  
Team Members ◽  
Palliative Intent ◽  
Recruitment Challenges ◽  
Clinician Experiences ◽  
Rapid Autopsy

Background: CASCADE is a successful, Australia-first cancer rapid autopsy programme. Patients are recruited to the programme by their clinician once they understand that further treatment has only palliative intent. Despite its value, rapid autopsy is a rare research method owing partly to recruitment challenges. Aim: This research aimed to explore (1) how, in practice, clinicians select and recruit patients to the programme and (2) patient experiences of this process. Design: This was a qualitative study grounded in phenomenology. CASCADE team members (clinicians and researchers) and patients participated in semi-structured interviews. Data were analysed using an inductive, team-based approach to thematic analysis. Participants: Interviews were conducted with 31 participants (11 patients and 20 CASCADE team members). Results: Patient selection and recruitment to a rapid autopsy programme is both an art and science. In practice, patient selection is a subjective process that involves assessing a patient’s psychosocial suitability for the programme. Trust and rapport are necessary for informing this assessment and to create an environment conducive to discussing rapid autopsy. Clinicians have also crafted their own ways of delivering information about CASCADE, with both clinicians and patients acknowledging that, if not handled sensitively, recruitment could cause distress. Overall, patients were satisfied with the way in which they were recruited. Conclusion: Findings provide insight into how clinicians successfully select and recruit patients to a rapid autopsy programme and suggests that discussing such topics are acceptable to end-of-life patients. This research also raises thought-provoking questions about the ‘gatekeeping’ role of clinicians in recruitment.

Learnings from implementing telemonitoring – the LITE study

2019 ◽  
Vol 27 (4) ◽  
pp. 346-356 ◽  
Author(s):  
Josephine S.F. Chow ◽  
Veronica Eugenia Gonzalez-Arce ◽  
Andrew Knight ◽  
Nutan Maurya ◽  
Friedbert Kohler
Keyword(s):  
Chronic Disease ◽  
Qualitative Study ◽  
Clinical Outcomes ◽  
Current Literature ◽  
Design Methodology ◽  
Structured Interviews ◽  
Content Type ◽  
Clinician Experiences ◽  
Purposive Sample ◽  
Roll Out

Purpose A recent study on the implementation of telemonitoring has provided an opportunity to explore how telemonitoring could be further developed to enhance better patient, carer and clinician experiences for patients living with chronic disease. The purpose of this paper is to identify the challenges and lessons of the telemonitoring implementation and to identify strategies to inform future implementation. Design/methodology/approach A qualitative study was conducted with a purposive sample using semi-structured interviews to explore their views about the issues identified in the research aims. Interview themes were informed by current literature and the findings from local studies. Interviews were recorded, transcribed verbatim and analyzed thematically. Findings A total of 16 participants were interviewed. Overall the recruitment of 56 percent were from identified potential participants. Five core themes were identified, linking different aspects of the telemonitoring implementation: impact of telemonitoring; implementation and management lessons; program risks; program main changes from beginning; and future strategies and recommendations. Originality/value This study will inform the wider roll out of telemonitoring across the region with the goal of ensuring future interventions achieve better clinical outcomes, patient, carer experience and deliver better value.

Patient and clinician experiences of a computerised cognitive battery for use after concussion: a preliminary qualitative study

2020 ◽  
pp. 1-16
Author(s):  
C. Macleod ◽  
L. J. Surgenor ◽  
W. Levack ◽  
J. Hackney ◽  
A. Theadom ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Cognitive Testing ◽  
Qualitative Description ◽  
Future Research ◽  
Structured Interviews ◽  
Neuropsychological Battery ◽  
Negative Experiences ◽  
Select Group ◽  
Clinician Experiences ◽  
Neurological Research

Abstract Objective: The Cognition Battery of the National Institute of Health (NIH) Toolbox for Assessment of Neurological and Behavioural Function is a computerised neuropsychological battery recommended for clinical practice, neurological research and clinical trials. We investigated the utility of the NIH Toolbox Cognition Battery (NIHTB-CB) for people with concussion. Methods: In this small qualitative study, semi-structured interviews were conducted with five adults with concussion who were participating in a larger study using the NIHTB-CB. Three clinician participants and two cultural advisors familiar with the tool were also interviewed. Interview transcripts were analysed using a general thematic approach and qualitative description. Results: Participants described both positive and negative experiences with the NIHTB-CB and using qualitative description, their experiences were organised into three broad themes: (1) using technology for cognitive testing made sense, (2) there were some cultural relevance questions and (3) cognitive testing after concussion could have challenges. They were positive about the computerised format and range of domains assessed for the concussion context but identified the contextual relevance of some content as having potential to impact on performances. Conclusion: This was a small study examining the experiences of a select group of participants, but nevertheless does suggest a need for future research validating the NIHTB-CB for use in different cultural and clinical contexts.

scholarly journals Effective fertility counselling for transgender adolescents: a qualitative study of clinician attitudes and practices

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e043237
Author(s):  
Timothy Chwan Lai ◽  
Cristyn Davies ◽  
Kerry Robinson ◽  
Debi Feldman ◽  
Charlotte Victoria Elder ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Tertiary Hospital ◽  
Team Approach ◽  
Individual Interviews ◽  
Attitudes And Practices ◽  
Effective Strategies ◽  
Gender Diverse ◽  
Future Fertility ◽  
Clinician Experiences ◽  
And Gender

ObjectiveFertility counselling for trans and gender diverse (TGD) adolescents has many complexities, but there is currently little guidance for clinicians working in this area. This study aimed to identify effective strategies for—and qualities of—fertility counselling for TGD adolescents based on clinicians’ experiences.DesignWe conducted qualitative semi-structured individual interviews in 2019 which explored clinician experiences and fertility counselling practices, perspectives of the young person’s experience and barriers and facilitators to fertility preservation access. Data were analysed using thematic analysis.SettingThis qualitative study examined experiences of clinicians at the Royal Children’s Hospital—a tertiary, hospital-based, referral centre and the main provider of paediatric TGD healthcare in Victoria, Australia.ParticipantsWe interviewed 12 clinicians from a range of disciplines (paediatrics, psychology, psychiatry and gynaecology), all of whom were involved with fertility counselling for TGD adolescents.ResultsBased on clinician experiences, we identified five elements that can contribute to an effective approach for fertility counselling for TGD adolescents: a multidisciplinary team approach; shared decision-making between adolescents, their parents and clinicians; specific efforts to facilitate patient engagement; flexible personalised care; and reflective practice.ConclusionsIdentification of these different elements can inform and hopefully improve future fertility counselling practices for TGD adolescents, but further studies examining TGD adolescents’ experiences of fertility counselling are also required.

The art and science of mitigating risk: A qualitative study of the teaching and learning of cervical spine manipulation

2016 ◽  
Vol 25 ◽  
pp. e56
Author(s):  
K. Yamamoto ◽  
V. Johnstone ◽  
C. Haldane ◽  
S. Jaffrani ◽  
L. Condotta ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Qualitative Study ◽  
Teaching And Learning ◽  
Art And Science ◽  
Cervical Spine Manipulation

scholarly journals The Influence of the COVID-19 Pandemic on ICU Organization, Care Processes, and Frontline Clinician Experiences: A Qualitative Study

CHEST Journal ◽  
2021 ◽  
Author(s):  
Kelly C. Vranas ◽  
Sara E. Golden ◽  
Kusum S. Mathews ◽  
Amanda Schutz ◽  
Thomas S. Valley ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Care Processes ◽  
Clinician Experiences

Qualitative study on “hydropic degeneration” of The hepatocytes in viral hepatitis

1990 ◽  
Vol 48 (3) ◽  
pp. 568-569
Author(s):  
Le Meizhao ◽  
Ye Ming ◽  
Song Xiaoming ◽  
Xu Jiazhang
Keyword(s):  
Qualitative Study ◽  
Viral Hepatitis ◽  
Chronic Active Hepatitis ◽  
Microscopic Observation ◽  
Hydropic Degeneration ◽  
Light Microscopic Observation ◽  
Biopsy Specimens ◽  
Endoplasm Reticulum ◽  
Mixed Fluid ◽  
Peripheral Cytoplasm

“Hydropic degeneration” of the hepatocytes are often found in biopsy of the liver of some kinds of viral hepatitis. Light microscopic observation, compareted with the normal hepatocytes, they are enlarged, sometimes to a marked degree when the term “balloning” degeneration is used. Their cytoplasm rarefied, and show some clearness in the peripheral cytoplasm, so, it causes a hydropic appearance, the cytoplasm around the nuclei is granulated. Up to the present, many studies belive that main ultrastructural chenges of hydropic degeneration of the hepatocytes are results of the RER cristae dilatation with degranulation and disappearance of glycogen granules.The specimens of this study are fixed with the mixed fluid of the osmium acidpotassium of ferricyanide, Epon-812 embed. We have observed 21 cases of biopsy specimens with chronic severe hepatitis and severe chronic active hepatitis, and found that the clear fields in the cytoplasm actually are a accumulating place of massive glycogen. The granules around the nuclei are converging mitochondria, endoplasm reticulum and other organelles.

Sign in / Sign up

Export Citation Format

Share Document