View From the Penthouse: Epistemological Bumps and Emergent Metaphors as Method for Team Reflexivity

2017 ◽  
Vol 28 (3) ◽  
pp. 408-417 ◽  
Author(s):  
Melissa Park ◽  
Hiba Zafran
Keyword(s):  
Health Care ◽  
Data Analysis ◽  
Interdisciplinary Research ◽  
Interdisciplinary Teams ◽  
Reflexive Attention ◽  
Complex Processes ◽  
Collaborative Analysis

Research in health care occurs within interdisciplinary teams that include clinician–researchers who have multiple epistemological orientations. Rigor in collaborative projects requires reflexive attention to how the paradigmatic questions raised by diverse epistemological orientations, and the ethical stances of each researcher, shape findings. This methodological article draws on three events during an ethnography of stigma in psychiatry to define and illustrate how we used double hermeneutics in data analysis. This allowed us to examine the metaphors that emerged from what we are conceptualizing as “epistemological bumps.” This heightened the team’s awareness of the epistemological horizons and mixing that occurred, as well as revealing what mattered to each researcher, during the crafting of our research decisions and findings. We argue that interdisciplinary research on complex processes in health care requires this close examination of team experiences and moral stakes during collaborative analysis, and offer conceptual suggestions for reflexivity and rigor.

Interdisciplinary Education for Research and Everyday Clinical Practice

2016 ◽  
pp. 203-235
Author(s):  
Tomasz Komendziński ◽  
Joanna Dreszer-Drogorób ◽  
Emilia Mikołajewska ◽  
Dariusz Mikołajewski ◽  
Bibianna Bałaj
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Interdisciplinary Research ◽  
Interdisciplinary Teams ◽  
Interdisciplinary Education ◽  
Neurological Deficits ◽  
Medical Sciences ◽  
Interprofessional Practice ◽  
Professional Resources ◽  
Modern Technologies

Teamwork, interprofessional practice and learning are integral to current interdisciplinary research and health care – such approach can maximize professional resources and optimize outcomes. The development of modern technologies associated with medical sciences, and the variability of possible neurological deficits, interventions, and even scales makes this task very difficult. The key problem is regarded successful transition of students to competent work-ready professionals. Current models of education and cooperation within interdisciplinary teams may be not enough flexible. This chapter, based on own experiences from InteRDoCTor project, tries to answer the question: how shape interdisciplinary education and how their results may be wider incorporated into research and clinical practice?

Interdisciplinary Education for Research and Everyday Clinical Practice

2016 ◽  
pp. 78-110
Author(s):  
Tomasz Komendziński ◽  
Joanna Dreszer-Drogorób ◽  
Emilia Mikołajewska ◽  
Dariusz Mikołajewski ◽  
Bibianna Bałaj
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Interdisciplinary Research ◽  
Interdisciplinary Teams ◽  
Interdisciplinary Education ◽  
Neurological Deficits ◽  
Medical Sciences ◽  
Interprofessional Practice ◽  
Professional Resources ◽  
Modern Technologies

Teamwork, interprofessional practice and learning are integral to current interdisciplinary research and health care – such approach can maximize professional resources and optimize outcomes. The development of modern technologies associated with medical sciences, and the variability of possible neurological deficits, interventions, and even scales makes this task very difficult. The key problem is regarded successful transition of students to competent work-ready professionals. Current models of education and cooperation within interdisciplinary teams may be not enough flexible. This chapter, based on own experiences from InteRDoCTor project, tries to answer the question: how shape interdisciplinary education and how their results may be wider incorporated into research and clinical practice?

Building a Vision of Dietitian Services In Primary Health Care

2006 ◽  
Vol 67 (S1) ◽  
pp. S54-S57 ◽  
Author(s):  
Barbara Cantwell ◽  
Carol Clarke ◽  
Jane Bellman
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Common Ground ◽  
Shared Vision ◽  
Interdisciplinary Teams ◽  
Opinion Leaders ◽  
Registered Dietitians ◽  
National Review ◽  
Primary Health ◽  
Clear Vision

Purpose: Primary health care (PHC) reform, especially efforts to implement interdisciplinary teams, has implications for dietetic practice. A consistent, clear vision of the registered dietitian’s (RD’s) role in PHC is needed to develop a successful advocacy agenda. Methods: The Dietitians of Canada (DC) Central and Southern Ontario Primary Health Care Action Group organized a four-step process to engage dietitians in developing an advocacy agenda for RD PHC services in Ontario. Two facilitated workshops brought together dietitian opinion leaders to enhance the understanding of current roles, find common ground, and develop a shared vision. All DC members were invited to review the draft vision, and feedback was integrated into a revised vision. Results: Registered dietitians saw PHC reform through many lenses, and were uncertain about how reforms would affect their practices. In a national review, the majority of reviewers (approximately 85% of 270) supported the draft vision; additional clarity was needed on resources and the breadth of services that RDs would provide. Conclusion: Development of a PHC vision for RDs should be helpful in advocating for dietitian services in PHC.

Exploring the Experiences and the Nutritional Supports of LGBTQ+ Canadians during the COVID-19 Pandemic

2021 ◽  
pp. 1-9
Author(s):  
Phillip Joy
Keyword(s):  
Health Care ◽  
Data Analysis ◽  
Qualitative Study ◽  
Queer Theory ◽  
Thematic Analysis ◽  
Questionnaire Data ◽  
Online Questionnaire ◽  
Food Practices ◽  
Nutritional Needs ◽  
Theory Paradigm

Purpose: The COVID-19 pandemic has impacted the lives of lesbian, gay, bi, trans, queer, and other groups (LGBTQ+) within Canada. This research aimed to explore the experiences of LGBTQ+ Canadians in relation to their nutritional needs, practices, and supports during the COVID-19 pandemic. Methods: The qualitative study was framed within a poststructuralism and queer theory paradigm and consisted of an online questionnaire. Participants were recruited and asked to complete open-ended questions. Responses were coded using thematic analysis. Results: Seventy participants completed the questionnaire. Data analysis resulted in 3 major themes, including (i) (dis)comforts of food and eating, (ii) shifting views of food and food practices, and (iii) what supports? The themes revealed that many LGBTQ+ individuals experienced stress and anxiety during the COVID-19 pandemic. It was a time in which their views and practices of food, cooking, and eating were changed. Nutritional supports were discussed in terms of family, friends, and partners. Conclusion: The findings highlight the complexity to the meanings people give to food, cooking, and eating during stressful times. It is recommended that dietitians familiarize themselves with the experiences of LGBTQ+ people, especially during times of global health emergencies to ensure equitable health care for LGBTQ+ communities.

scholarly journals Perceptions of professional nurses regarding introduction of the Batho Pele principles in State hospitals

Curationis ◽  
2015 ◽  
Vol 38 (1) ◽  
Author(s):  
Sindiwe James ◽  
Thenjiwe M. Miza
Keyword(s):  
Health Care ◽  
Data Analysis ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Group Discussions ◽  
State Hospitals ◽  
African Health ◽  
Outpatient Departments ◽  
Field Notes ◽  
Professional Nurses

Background: The South African health care delivery system has shifted focus to primary health care since 1994. For this purpose the Batho Pele principles were introduced. Nurses claim, however, that since the introduction of these principles patients and their families have been making unnecessary and sometimes impossible demands of nursing staff. This article presents the perceptions of the professional nurses regarding the introduction of the Batho Pele principles in their workplace.Objectives: To describe the perceptions of professional nurses regarding introduction of the Batho Pele principles and to recommend guidelines to facilitate measures to realise the objects of these principles.Method: A qualitative, exploratory, descriptive and contexual research design was used. Six audio-taped focus group discussions and field notes were used to collect data from purposively sampled participants who have worked in the outpatient departments of hospitals in thePort Elizabeth Hospital Complex. Guba’s model of trustworthiness was used to confirm integrity of the study, whilst the participants were kept anonymous, protected from harm and participated voluntarily. Data analysis was done using Tesch’s data analysis spiral and with the involvement of an independent-coder.Results: Three themes emerged, revealing that the professional nurses perceived the objectives of the Batho Pele principles as difficult to uphold due to the inadequate planning prior to their implementation. Inadequacy of human and material resources aggravated this perception.Conclusion: Professional nurses are not happy with how things are in terms of introduction of the Batho Pele principles, but are optimistic of a positive change in the near future.

scholarly journals Costs Of Psychiatric Assistance (Pa) In A Brazilian Health Care Plan (Hp): A Real World Data Analysis

2014 ◽  
Vol 17 (3) ◽  
pp. A131
Author(s):  
Viana ADJR ◽  
AF Lopes ◽  
CP Matias ◽  
VP Moreira ◽  
JL Viana ◽  
...  
Keyword(s):  
Health Care ◽  
Data Analysis ◽  
Real World ◽  
Care Plan ◽  
Real World Data ◽  
World Data ◽  
Health Care Plan

Correlates of Ageism Among Health Care Professionals Working With Older Adults

2018 ◽  
Vol 30 (3) ◽  
pp. 303-312 ◽  
Author(s):  
Ziyafet Uğurlu ◽  
Sultan Kav ◽  
Azize Karahan ◽  
Ebru Akgün Çıtak
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Data Analysis ◽  
Health Care Professionals ◽  
Educational Status ◽  
Descriptive Study ◽  
Descriptive Statistics ◽  
The Mean ◽  
Student’S T ◽  
Student’S T Test

Introduction: The changing proportion of older adults in society necessitates the need to determine the attitudes of health care professionals toward older adults. The purpose of this study was to explore attitudes of ageism and its correlates among health care professionals working with older adults. Method: This descriptive study was conducted in seven hospitals in five cities in Turkey. A total of 628 health care professionals participated in this study. The Fraboni Scale of Ageism (FSA) was used to collect data. Descriptive statistics, student’s t test, one-way analysis of variance and multivariate linear regression were used for data analysis. Results: The mean total score from the FSA was 56.9 ( SD = 8.0). Education (β = −.18, p < .001) and difficulty with the care of older adults (β = −.10, p < .05) were statistically significant predictors of the FSA score. Conclusions: The attitudes of health care professionals toward older adults were generally positive and affected by difficulty in providing care and the educational status of the health care professionals.

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