A Pilot Study to Explore Novice Debriefers’ Post-Simulation Debriefing Experiences

2020 ◽  
pp. 104687812097099
Author(s):  
Grace Ng ◽  
Daniel M. Lugassy
Keyword(s):  
Faculty Development ◽  
Skill Acquisition ◽  
Health Professions ◽  
Structured Interviews ◽  
Roles And Responsibilities ◽  
Learner Participation ◽  
Simulation Based ◽  
Data Saturation ◽  
Study Participants ◽  
Shed Light

Introduction. Effective debriefing of simulation-based experiences is critical for learning. Approximately 33% of health professions instructors are debriefing novices. However, specific faculty development needs of novice debriefers has not been studied. This study examines how health professions instructors approach debriefing when they are new to debriefing simulation-based experiences. Methods. This pilot qualitative study used a thematic analysis approach to explore novice debriefers’ experiences in conducting post-simulation debriefings. Eligible participants engaged in one-hour semi-structured interviews. Recruitment continued until data saturation was reached. We reviewed verbatim interview transcripts, hand-coded the data, and formed codes into themes. Results. Nine novice debriefers participated. The overarching theme “I’m on my own…and they’re on their own,” reflects debriefers’ view that they are on their own, without resources. Debriefers also believe learners should identifying their own errors. Three main themes emerged: “Deep divide between me and the learners” portrays a separation between debriefers and learners in terms of expectations, roles, and responsibilities. “Winging it” depicts debriefers’ making-up their own debriefing approaches. “Debriefing quality: missing pieces of the puzzle” portrays novice debriefers unaware of criteria for effective debriefing. Conclusions. Novice debriefers in this study perceived that they were on their own, having little to no debriefing training and mentorship. Study participants expressed debriefing struggles in several areas including discussing errors, facilitating learner participation, and assessing debriefing quality. Our findings shed light on simulation as a growing specialty by health profession educators and it is critical that resources are devoted to faculty development for debriefing skill acquisition. These findings can serve as a basis for future studies on debriefer skill acquisition.

scholarly journals Hospital preparedness challenges in biological disasters: A qualitative study

2020 ◽  
pp. 1-13
Author(s):  
Mohsen Aminizadeh ◽  
Mehrdad Farrokhi ◽  
Abbas Ebadi ◽  
Gholam Reza Masoumi ◽  
Pirhossein Kolivand ◽  
...  
Keyword(s):  
Content Analysis ◽  
Health System ◽  
Qualitative Method ◽  
Qualitative Content Analysis ◽  
Structured Interviews ◽  
Purposeful Sampling ◽  
Safety And Health ◽  
Data Saturation ◽  
Hospital Preparedness ◽  
Study Participants

Abstract Objective: Identification of hospital preparedness challenges against biological events such as COVID-19 is essential to improve dynamics, quality and business continuity confidence in the health system. Accordingly, the purpose of the present study is to evaluate the challenges of hospital preparedness in biological events. Methods: This study employed a qualitative method using content analysis in which 20 healthcare managers and experts who are experienced in biological events were selected through purposeful sampling. The data collection was done through semi-structured interviews, which continued until data saturation. The data were analyzed using qualitative content analysis as well as the Landman and Graneheim Approach. Results: Six main concepts (training and practice, resource management, safety and health, patient management, risk communication, and laboratory and surveillance) and 14 sub-concepts were extracted on hospital preparedness challenges in biological events through analyzing interviews. Conclusions: The present study indicated that the health system of the country faces many challenges in response to biological events and threats. Moreover, study participants indicated that Iranian hospitals were not prepared for biological events. It is recommended to design preparedness plans of hospitals based on preparedness standards for biological events. In addition, comprehensive measures are required to enhance their capacity to respond to biological emergencies.

Statewide Interprofessional Faculty Development in Simulation-Based Education for Health Professions

2015 ◽  
Vol 11 (3) ◽  
pp. 153-162 ◽  
Author(s):  
Jennifer B. Lemoine ◽  
Sheila W. Chauvin ◽  
Lisa Broussard ◽  
Melinda G. Oberleitner
Keyword(s):  
Faculty Development ◽  
Health Professions ◽  
Simulation Based

The decision process of leaving nursing

2004 ◽  
Vol 28 (3) ◽  
pp. 340 ◽  
Author(s):  
Jenny Cheung
Keyword(s):  
Decision Process ◽  
Research Study ◽  
Decision Processes ◽  
Psychological Process ◽  
Structured Interviews ◽  
Study Participants ◽  
Shed Light

This article reports the findings of a research study investigating the decision process of former division one nurses in deciding to leave the profession. Semi-structured interviews were conducted wi th 29 par t icipants. For many participants, leaving nursing was not an easy decision. This article outlines the decision processes of five of the study participants to illustrate the complex psychological process associated with quitting. The insight gained may shed light on how to entice back nurses who have left the profession and address the needs of those thinking of leaving.

scholarly journals Volunteering Motivations of Medical Undergraduates for Community Service at a Tertiary Care Teaching Hospital- A Qualitative Study

2021 ◽  
Author(s):  
UB Vijayalakshmi ◽  
V Chandrasekhar ◽  
P Srinivasa Rao
Keyword(s):  
Medical Students ◽  
Community Service ◽  
Tertiary Care ◽  
Structured Interviews ◽  
Medical College ◽  
Interview Guide ◽  
Main Motive ◽  
Data Saturation ◽  
Medical Undergraduates ◽  
Study Participants

Introduction: There are very few studies from Western countries and almost none from India, that have tried to understand the factors influencing students’ motivation to volunteer for community service and much less on medical student’s motivation to volunteer for community service. Aim: To identify the factors that influence motivation of medical students to volunteer for community service. Materials and Methods: This was a descriptive study was done over a period of two weeks in November 2017. The study participants were medical students of a private medical college from Southern India. Semi-structured interviews were conducted using an interview guide based on a standardised motivation to volunteer inventory. Data was collected till data saturation was reached, which was 20 students. The interviews were conducted in privacy. Verbatim notes were taken and the interview was also recorded after taking consent from the participants. The data was transcribed and triangulation done. The data was analysed using the thematic analysis approach. Results: The main motives were enhancement and career motives. Value was not the main motive. Two other motives emerged, that were curiosity and relief from boredom. Conclusion: The study shows that the main motives behind volunteerism were enhancement and career. This was the first such study from India to the best of our knowledge which has enquired into the motives behind volunteerism in medical students.

scholarly journals Analysis of the early mother-child relationship in schizophrenic patients

2021 ◽  
pp. 002076402199118
Author(s):  
Marziyeh Khoshgoftar ◽  
Anahita Khodabakhshi-Koolaee ◽  
Mohammad Reza Sheikhi
Keyword(s):  
Cultural Context ◽  
Phenomenological Approach ◽  
Sampling Procedure ◽  
Structured Interviews ◽  
Step Method ◽  
Child Relationship ◽  
New Information ◽  
Data Saturation ◽  
Schizophrenic Patients ◽  
Mother Child Relationship

Background and Aim: The mother as the first caregiver plays a significant role in the formation of the child’s behavior, growth, and communication. The present study aimed to analyze the early mother-child relationship in schizophrenic patients. Materials and Methods: This qualitative study employed a descriptive phenomenological approach. The participants were male patients with schizophrenia who were hospitalized in Qazvin Bahman Psychiatric Hospital from March to September 2020 with an age range of over 18 years. Given the objective of the study, the data were collected using semi-structured interviews. The participants were selected using purposive sampling and the sampling procedure continued until data saturation as the point when no new information is observed in the data. Accordingly, the data were saturated after interviewing 15 participants. The data were analyzed using Colaizzi’s seven-step method. Results: The analysis of the data revealed four main themes including ambivalent attachment to the mother, feelings of constant fear and worry, a sense of constant care for the mother, and a cold and emotionless relationship with the child. Conclusion: The present study suggested that schizophrenia is a disorder that affects the mother-child relationship, and does the term “schizophrenic mothers” need to be reconsidered? However, the result of this research has been done according to the nature and cultural context of Iranian society.

scholarly journals Being parent of a child with congenital heart disease, what does it mean? A qualitative research

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Nahid Dehghan Nayeri ◽  
Zahra Roddehghan ◽  
Farzad Mahmoodi ◽  
Parvin Mahmoodi
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Healthcare Professionals ◽  
Life Experience ◽  
The Body ◽  
Spiritual Needs ◽  
Structured Interviews ◽  
Financial Condition ◽  
Data Saturation

Abstract Background Childbirth is one of the invaluable human experiences and is associated with parental happiness. However, when a child is born with congenital heart disease, it creates emotional and mental distress. As a result, it changes the parents’ response to their child birth. Exploring parenthood experiences add to the body of knowledge and reveal new perspectives. In order to make healthcare professionals able to support these children and their families, they should first understand the meaning of this phenomenon. This study aimed to explore the meaning of parenting a child with Congenital Heart Disease in Iran. Methods A qualitative study was adopted with a conventional content analysis approach and constant comparative analysis. Participants in this study were 17 parents, including parents of children with congenital heart disease who were selected by purposeful sampling method. Semi-structured interviews were used for data collection and continued to data saturation. Data were analyzed via MAXQDA 10 software. Results Four categories and twenty three subcategories emerged as meaning of parenting a child with Congenital Heart Disease. Categories include “Emotional breakdown”, “The catastrophic burden of care”, “Spiritual beliefs of parents” and “The hard road” Conclusions Fully understanding the life experience of these families will allow the implementation of targeted health interventions. Hence, by understanding the meaning of parenting a child with Congenital Heart Disease, healthcare professionals can asses parents emotional statues, information and spiritual needs, financial condition, insurance and marital status using CHD standards so that support is individualized, sensitive and time appropriate.

scholarly journals Diet, Nutrition, and Oral Health: What Influences Mother’s Decisions on What to Feed Their Young Children?

2021 ◽  
Vol 18 (15) ◽  
pp. 8159
Author(s):  
Amit Arora ◽  
Louise Chew ◽  
Kaye Kang ◽  
Lily Tang ◽  
Mohamed Estai ◽  
...  
Keyword(s):  
Young Children ◽  
Food Choices ◽  
Time Constraints ◽  
Birth Cohort Study ◽  
Critical Factors ◽  
Structured Interviews ◽  
Educational Materials ◽  
Nutrition And Health ◽  
Access To Health ◽  
Study Participants

The purpose of this study was to learn about mothers’ experiences with food choices for their pre-school children in underprivileged communities in Greater Western Sydney (GWS). A total of 20 mother-child dyads living in GWS were recruited to a qualitative study from an ongoing birth cohort study. Participants’ houses were visited for semi-structured interviews, which were recorded, transcribed verbatim, and analysed thematically. The interviews yielded five main themes: (i) food choices, nutrition, and health; (ii) accessibility and availability of foods (iii) buying time for parents; (iv) child’s age and their preference on food choices; (v) conditioning certain behaviours by family and cultural factors. Nutrition literacy, child’s preferences, unhealthy food intake by family members, child’s demand, advertising and availability of harmful foods, and time constraints were all mentioned as hurdles to mothers making appropriate meal choices for their children. However, some identified facilitators were promoting parents’ knowledge, increasing access to health educational materials, upskilling mothers to providing healthier alternatives, regulating the marketing of unhealth foods. Although, the present study identified critical factors that influence mothers’ food choices for their young children, making healthy food choices is a complex practice as it is shaped by individual, social and environmental influences.

scholarly journals Supportive care: men’s expectations who undergoing in vitro fertilization treatment

2020 ◽  
Vol 13 (1) ◽  
Author(s):  
Roghieh Bayrami ◽  
Roksana Janghorban ◽  
Fatemeh Effati-Daryani ◽  
Masoumeh Hajshafiha
Keyword(s):  
In Vitro Fertilization ◽  
Supportive Care ◽  
Deep Understanding ◽  
Healthcare Setting ◽  
Main Theme ◽  
Structured Interviews ◽  
Treatment Expectations ◽  
Vitro Fertilization ◽  
Data Saturation

Abstract Objective Infertile couples perceive some needs and expectations during treatment. Most studies have focused on infertile women’s needs. The study was done to explore the expectations of men who undergoing in in vitro fertilization (IVF) treatment. Participants were men whose wives undergo IVF treatment in the IVF clinic of Shahid Motahhri hospital in Urmia. Purposive sampling was performed and data collection was done through in-depth semi-structured interviews until data saturation. Results “Supportive care” was emerged as the main theme consisted of two categories. The first category was “to be treated with attention in healthcare setting” which included three subcategories: Receiving couple based care, establishing counseling centers, and continuous care. The second category was “to be welcomed in the society” which included two subcategories: Financial support from community and close family, and changing community views about IVF treatment. Expectations of men undergoing IVF focuses on supportive care. They seek to receive the kind of care from health care setting and society. A deep understanding of the needs could help practitioners to consider men’s expectations, and assist policy makers and researchers to design and implement interventions and programs in infertility clinics which enhance the partnership of infertile men and fulfill their expectations.

scholarly journals How do they learn: types and characteristics of medical and healthcare student engagement in a simulation-based learning environment

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yashuang Wang ◽  
Yan Ji
Keyword(s):  
Student Engagement ◽  
Learning Environment ◽  
Thematic Analysis ◽  
Emotional Experience ◽  
Deep Understanding ◽  
Structured Interviews ◽  
Healthcare Students ◽  
Interactive Engagement ◽  
Simulation Based ◽  
Medical And Healthcare

Abstract Background Student engagement can predict successful learning outcomes and academic development. The expansion of simulation-based medical and healthcare education creates challenges for educators, as they must help students engage in a simulation-based learning environment. This research provides a reference for facilitators of simulation teaching and student learning in medical and health-related majors by providing a deep understanding of student engagement in a simulation-based learning environment. Methods We conducted semi-structured interviews with ten medical and healthcare students to explore their learning types and characteristics in a simulation-based learning environment. Thematic analysis was used to analyse the data. Results The interviews were thematically analysed to identify three types of student engagement in the simulation-based learning environment: reflective engagement, performance engagement, and interactive engagement. The analysis also identified eight sub-themes: active, persistent, and focused thinking engagement; self-directed-learning thinking engagement with the purpose of problem solving; active “voice” in class; strong emotional experience and disclosure; demonstration of professional leadership; interaction with realistic learning situations; support from teammates; and collegial facilitator-student interaction. Conclusions The student interview and thematic analysis methods can be used to study the richness of student engagement in simulation-based learning environments. This study finds that student engagement in a simulation-based learning environment is different from that in a traditional environment, as it places greater emphasis on performance engagement, which combines both thinking and physical engagement, as well as on interactive engagement as generated through interpersonal interactions. Therefore, we suggest expanding the learning space centring around “inquiry”, as it can help strengthen reflective communication and dialogue. It also facilitates imagination, stimulates empathy, and builds an interprofessional learning community. In this way, medical and healthcare students can learn through the two-way transmission of information and cultivate and reshape interpersonal relationships to improve engagement in a simulation-based learning environment.

scholarly journals Pharmacists in advanced clinical practice roles in emergency departments (PARED)

2021 ◽  
Author(s):  
David Terry ◽  
Shalini Ganasan ◽  
Matthew Aiello ◽  
Chi Huynh ◽  
Veronica Wilkie ◽  
...  
Keyword(s):  
Emergency Departments ◽  
Phase 1 ◽  
Career Transition ◽  
Support Service ◽  
Clinical Activity ◽  
X Rays ◽  
Structured Interviews ◽  
Clinical Supervisors ◽  
Practitioner Training ◽  
Study Participants

AbstractBackground Following evidence published in the Pharmacists in Emergency Departments (PIED 2016) study Health Education England funded novel advanced clinical practitioner training for pharmacists (ACP-p), to support service delivery.Objective To explore experiences and clinical activity of trainee ACP-p, and opinions and recommendations of both trainees and clinical supervisors.Setting Five Urgent/Emergency Care Departments in London UK.Method Longitudinal mixed-methods study in three phases of registered UK pharmacists appointed as trainee ACP-p. Phase 1 (May-July 2019) – early semi-structured interviews and focus group using an experiences, opinions and recommendations (EOR) framework, Phase 2 (January-December 2019) – prospective recording of trainee clinical activity, standardised using bespoke spreadsheet, Phase 3 (November-December 2019) – as Phase 1 but at conclusion of training.Main outcome measure Experiences, clinical activity, opinions and recommendations of study participants.Results Twelve (92 %) eligible trainee ACP-p and five supervisors were recruited. Identified themes were: trainee personality, educational components, length of programme, support/supervision, career transition, university and placement training alignment, recommendations. Success was dependent on effective support and supervision. Clinical supervisors should be allocated adequate supervision time. Trainees, their supervisors and emergency department staff should be given a clear brief. Study participants agreed that the programme could be successful. Trainee ACP-p reported that they could manage 82 % of 713 pre-selected clinical presentations. Additional training needs include: ECGs, X-rays and CT scans.Conclusions Pharmacists can successfully train as ACP-p in this setting over a two-year period. This career transition needs careful management and clear structures. Training ACP-p is a useful way of enhancing skills and supporting clinical services to large numbers of patients.

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