scholarly journals ‘If he dies with the papers of his brother, his brother will be considered dead’. Moral understandings of health professionals about the use of deception to overcome restrictions in access to healthcare

2020 ◽  
Vol 15 (2) ◽  
pp. 84-93
Author(s):  
Dirk Lafaut
Keyword(s):  
Health Professionals ◽  
Professional Associations ◽  
Professional Autonomy ◽  
Access To Healthcare ◽  
Third Party ◽  
Government Policies ◽  
Undocumented Migrants ◽  
Party Payer ◽  
Depth Interviews

Although scholars in bioethics usually consider the exclusion of migrants from basic healthcare as unjust, it remains unclear how health professionals should ethically deal with policies restricting access to healthcare for undocumented migrants. Debates on offering less than the most beneficial healthcare have been limited to contributions on ethical bedside rationing. This article draws on semi-structured in-depth interviews that explore health professional’s acceptance, as well as their willingness to resort to the use of deception to secure third-party payer approval for undocumented migrants. The results show that health professionals (1) are sceptical about both the possibility and desirability of verifying whether a patient’s declarations are deceitful in the setting of a consultation, but (2) are reluctant to use deception themselves to circumvent government policies restricting access to healthcare for undocumented migrants. We discuss how this approach of ‘relative impartiality’ threatens professional autonomy and conclude that professional associations should play a much more important role in supporting health professionals in relation to healthcare institutions and governments when their members are confronted with specific rationing practices forcing them to provide suboptimal healthcare.

Becoming an empowered parent. How do parents successfully take up their role as a collaborative partner in their child’s specialist care?

2020 ◽  
pp. 136749352091083
Author(s):  
Jim Reeder ◽  
Jane Morris
Keyword(s):  
Therapeutic Relationship ◽  
Health Professionals ◽  
Constructivist Grounded Theory ◽  
Collaborative Partnership ◽  
Specialist Care ◽  
National Health Service Trust ◽  
Data Collection And Analysis ◽  
Depth Interviews ◽  
Novel Model

The purpose of this article is to offer an improved understanding of how parents of children with long-term disabilities are empowered to successfully take up their role as decision-making partners in the design and delivery of the care of their child. The intention is to stimulate dialogue, encourage reflection and provide practical suggestions for health professionals working with children and their families. The reported findings are from a study which was guided by a constructivist grounded theory methodology. This involved an iterative process of repeated cycles of data collection and analysis, which comprised 12 semi-structured, in-depth interviews with 14 parents of children accessing paediatric services within a single National Health Service Trust. A novel model, explaining how the power im/balance and the perceived state of the therapeutic relationship influence how successfully a parent takes up their position in the collaborative partnership, is presented and discussed. It is suggested that by thoughtfully addressing the traditional hierarchy that exists within healthcare, health professionals might facilitate the development of a ‘truly’ therapeutic relationship, which can help promote parental empowerment.

Teacher-pupil-parent triads: A typology of interpersonal interaction in the context of learning a musical instrument

2009 ◽  
Vol 13 (2) ◽  
pp. 387-413 ◽  
Author(s):  
Andrea Creech
Keyword(s):  
Musical Instrument ◽  
Third Party ◽  
Interpersonal Interaction ◽  
Interaction Patterns ◽  
Cluster Membership ◽  
Empowering Teachers ◽  
Interaction Types ◽  
Context Of Learning ◽  
Depth Interviews ◽  
Measuring Control

The main objective of this research was to create a typology of teacher-pupil-parent interpersonal interaction in the context of learning a musical instrument. Three hundred and thirty-seven teacher-pupil-parent triads participated in the research, completing a survey measuring “control” and “responsiveness”. Factor analysis revealed a number of underlying interpersonal dimensions. A cluster analysis was carried out, using control and responsiveness factors as predictors of cluster membership. A model of six distinct interaction types was revealed and validated with in-depth interviews with teacher-pupil-parent triads representing each cluster. Clusters 1, 2 and 3 were each conceptualised as a primary dyad plus a third party, while Cluster 4 was represented as two primary dyads connected by one common member. Cluster 5 was characterized by very little communication between any two of the three individuals, while Cluster 6 was characterized by reciprocity amongst all three participants. This model of interaction types provides a framework within which teachers may interpret their own teacher-parent and teacher-pupil experience, potentially empowering teachers to alter their interaction patterns when migration from one cluster type to another is deemed to be appropriate in terms of enhancing learning or teaching outcomes.

scholarly journals The costs of functional gastrointestinal disorders and related signs and symptoms in infants: a systematic literature review and cost calculation for England

BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e015594 ◽  
Author(s):  
James Mahon ◽  
Carlos Lifschitz ◽  
Thomas Ludwig ◽  
Nikhil Thapar ◽  
Julie Glanville ◽  
...  
Keyword(s):  
Literature Review ◽  
Systematic Literature Review ◽  
Functional Gastrointestinal Disorders ◽  
Signs And Symptoms ◽  
Third Party ◽  
Gastrointestinal Disorders ◽  
Over The Counter ◽  
Party Payer ◽  
The Third ◽  
The Cost

ObjectivesTo estimate the cost of functional gastrointestinal disorders (FGIDs) and related signs and symptoms in infants to the third party payer and to parents.Study designTo estimate the cost of illness (COI) of infant FGIDs, a two-stage process was applied: a systematic literature review and a COI calculation. As no pertinent papers were found in the systematic literature review, a ‘de novo’ analysis was performed. For the latter, the potential costs for the third party payer (the National Health Service (NHS) in England) and for parents/carers for the treatment of FGIDs in infants were calculated, by using publicly available data. In constructing the calculation, estimates and assumptions (where necessary) were chosen to provide a lower bound (minimum) of the potential overall cost. In doing so, the interpretation of the calculation is that the true COI can be no lower than that estimated.ResultsOur calculation estimated that the total costs of treating FGIDs in infants in England were at least £72.3 million per year in 2014/2015 of which £49.1 million was NHS expenditure on prescriptions, community care and hospital treatment. Parents incurred £23.2 million in costs through purchase of over the counter remedies.ConclusionsThe total cost presented here is likely to be a significant underestimate as only lower bound estimates were used where applicable, and for example, costs of alternative therapies, inpatient treatments or diagnostic tests, and time off work by parents could not be adequately estimated and were omitted from the calculation. The number and kind of prescribed products and products sold over the counter to treat FGIDs suggest that there are gaps between treatment guidelines, which emphasise parental reassurance and nutritional advice, and their implementation.

Academic Library Leaders’ Challenges, Difficulties and Skills: An Analysis of Common Experiences

Libri ◽  
2018 ◽  
Vol 68 (4) ◽  
pp. 301-313 ◽  
Author(s):  
Murtaza Ashiq ◽  
Shafiq Ur Rehman ◽  
Syeda Hina Batool
Keyword(s):  
Qualitative Research ◽  
Financial Constraints ◽  
Team Building ◽  
Leadership Skills ◽  
Academic Library ◽  
Professional Associations ◽  
Qualitative Research Design ◽  
Self Development ◽  
Identity Crises ◽  
Depth Interviews

Abstract The purpose of this study was to explore the perceptions of academic library leaders of Pakistan about library leadership. Qualitative research design was used with phenomenology approach as the present study aims to investigate what library leaders commonly perceive to be challenges, fundamental difficulties and needed skills to be successful. Data were collected through in-depth interviews from 15 senior academic library leaders. Major challenges found were identity crises followed by communication issues, financial constraints, CPD and administrative issues. The most challenging aspects of being an academic library leader were identified as trying to create awareness, lack of self-development culture and technological issues. The required leadership skills were communication, vision, social interaction, team building, organisational understanding and knowledge sharing. The findings of the study are helpful for current, young and future chief librarians to understand the challenges they may face and to develop the leadership skills needed to cope with these challenges. The study will also be helpful to academic institutions during their recruitment processes; professional associations for training purposes; and library schools for arranging and offering leadership courses.

scholarly journals The role of fathers in the postpartum period: experiences with skin to skin method

2012 ◽  
Vol 25 (6) ◽  
pp. 914-920 ◽  
Author(s):  
Joaquín Jesús Blanca Gutiérrez ◽  
María del Rosario Ábalos Pérez ◽  
Maria Victoria Montes Aguilera ◽  
Soledad González Moreno
Keyword(s):  
Health Professionals ◽  
Qualitative Method ◽  
Simple Technique ◽  
Contact Method ◽  
Skin Contact ◽  
Father’S Role ◽  
Skin To Skin ◽  
Depth Interviews ◽  
Positive Results

OBJECTIVE: This study aimed at investigating the significance of the skin-to-skin contact method with fathers, looking at their own experiences with their newborns. METHODS: The information was collected through in-depth interviews with 14 fathers who had used the skin-to-skin contact method with their newborns, after a cesarean delivery. The technique utilized for data analysis was the qualitative method of content analysis. RESULTS: Four principal themes emerged from the data: the preparation for the skin-to-skin method, the experiences of the fathers, the father's role, and effects of the method on the baby. CONCLUSIONS: The investigations performed highlighted the importance of the involvement of health professionals in the use of this method, which leads to a series of positive results for the organization related to satisfaction. We conclude that the skin-to-skin method is a simple technique, recommended for positive results for fathers and their babies.

scholarly journals The Culture of Amateur Real Estate Investing

2019 ◽  
Author(s):  
Philip Garboden
Keyword(s):  
Real Estate ◽  
Participant Observation ◽  
Prior Experience ◽  
Investment Decisions ◽  
Third Party ◽  
Real Estate Investment ◽  
Real Estate Markets ◽  
Self Sufficiency ◽  
Depth Interviews ◽  
Do So

The majority of rental properties in the U.S. today is owned by small- to medium-sized investors, many of whom enter the trade with little prior experience. This paper considers the cultural factors that motivate these amateurs to purchase real estate–an investment with high risks and relatively poor returns. Drawing on in-depth interviews with 93 investors in three heterogeneous real estate markets, Baltimore, MD, Dallas, TX, and Cleveland, OH, combined with participant observation of 22 real estate investment association meetings (REIAs), this paper finds that amateurs who decide to become investors often do so during periods when their professional identities are insecure or they perceive their retirement portfolios to be insufficient. Through participation in real estate investment associations and other investor networks, they quickly internalize “investor culture,” embracing ideologies of self-sufficiency and risk. “Investor culture”—perpetuated by REIAs--motivates and legitimizes strategies of action that lead to increasingly leveraged investments. Third-party actors, including real estate gurus, paid mentors, and private “hard money” lenders exploit the intersection of insecurity and the propagation of investor culture to profit off amateurs’ investment decisions.

scholarly journals The Local Government Strategies in Building Halal Tourism in Bener Meriah Regency

2020 ◽  
Vol 1 (1) ◽  
pp. 14
Author(s):  
Rahmat Yanidin ◽  
Muhammad Bin Abubakar ◽  
M Akmal
Keyword(s):  
Local Government ◽  
Qualitative Data ◽  
Sampling Technique ◽  
Descriptive Study ◽  
Government Policies ◽  
Regional Government ◽  
Medium Term ◽  
Policy Direction ◽  
Depth Interviews

This study aims to determine the strategy of the Local Government of Bener Meriah Regency, in this case, what the Tourism Office has done in building halal tourism in Bener Meriah Regency. This research is a descriptive study with the support of qualitative data. Data collection techniques were obtained through in-depth interviews and documentation studies. The determination of informants was obtained by purposive sampling technique. From the research results, it was found that the Regional Government in building halal tourism in Bener Meriah Regency has not been optimal and is fixing everything related to the concept of halal tourism. Qanun Number 06 of 2018 concerning the Medium-Term Regional Government Plan for 2017-2022 through the first mission of the Regent of Bener Meriah Regency has set the policy direction for the development of the concept of halal tourism in Bener Meriah Regency. The sector that is carried out related to the concept of halal tourism has not touched anything in Bener Meriah Regency. The stakeholder understanding of the concept of halal tourism in local government policies is still limited to building tourism objects in Bener Meriah Regency so that in the future there will be evaluations related to policy directions regarding the concept of tourism halal in Bener Meriah Regency.

A Clinician's Perspective on Anywhere Working and Telehealth

2021 ◽  
pp. 87-112
Author(s):  
Yvette Blount ◽  
Marianne Gloet
Keyword(s):  
Conceptual Model ◽  
General Practitioners ◽  
Health Professionals ◽  
Financial Incentives ◽  
Business Processes ◽  
Multiple Stakeholders ◽  
Delivery Of Healthcare ◽  
Allied Health Professionals ◽  
Telehealth Service ◽  
Depth Interviews

Clinicians (general practitioners, specialists, allied health professionals) are experts in medicine, not technology. The delivery of healthcare using technology includes changes to the way the clinician works; in effect, they work from anywhere. This study examined telehealth adoption from the perspective of clinicians. Data was collected from 44 in-depth interviews undertaken with a variety of Australian clinicians. The findings show that telehealth is a complex endeavor involving multiple stakeholders. While the potential of telehealth service provision is significant, the realities of delivering telehealth services involve many challenges. These include technology-related issues, lack of funding and financial incentives for telehealth, the changing skills and capabilities required by clinicians who engage in telehealth consultations, as well as changes to business processes resulting from the introduction of telehealth in a complex environment. A conceptual model for the adoption of sustainable telehealth is proposed for a better understanding of these complexities.

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