scholarly journals Learning how to deliver bad and challenging news: Exploring the experience of trainee sonographers – A qualitative study

Ultrasound ◽  
2019 ◽  
Vol 28 (1) ◽  
pp. 30-37 ◽  
Author(s):  
Liz Tomlin ◽  
Molly Parsons ◽  
Prashanth V Kumar ◽  
Jane Arezina ◽  
Reema Harrison ◽  
...  

Background Previous studies suggest there is a need to improve the delivery of bad and challenging news in obstetric ultrasound settings. However, no research has explored the experiences of trainee sonographers when learning how to deliver challenging news. Understanding this could identify gaps in current provision and inform future training interventions. Aims To explore the experiences of trainee sonographers when learning how to deliver challenging news. Methods Semi-structured interviews were conducted with trainee sonographers ( n = 7) from four training centres to explore their experiences and preferences for news delivery training. Results Learning how to deliver difficult news was a journey where trainees developed their confidence over time. Most learning occurred in clinical settings, but classroom teaching complemented this. Trainees appreciated the opportunity to observe clinical practice and to hear from patient representatives. However, quality of teaching varied between centres and trainees reported uncertainty regarding the specific language and behaviours they should use. They described building their own personal protocol for news delivery through the course of their training. Discussion An ultrasound-specific news delivery protocol which details the words and behaviours sonographers can employ could help reduce uncertainty in trainees. Trainees may also benefit from receiving structured feedback on their news delivery performance.

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1674
Author(s):  
Mari Igarashi ◽  
Ryuichi Ohta ◽  
Yasuo Kurita ◽  
Akinori Nakata ◽  
Tsutomu Yamazaki ◽  
...  

Nurse practitioners (NPs) provide medical care equivalent to that of physicians and facilitate access to healthcare. Although Japan’s first NP graduated in 2010, how Japanese expert NPs work effectively in clinical contexts is yet to be investigated. We aimed to identify the competencies that make expert NPs in Japan effective. Twelve Japanese expert NPs were purposely selected. The average age of the participants was 44.8 years, average NP experience was 7.5 years, and eight participants were women. Semi-structured interviews were conducted online from March to May 2021. Interviews were recorded, transcribed verbatim, and analyzed using thematic analysis. Thematic analysis revealed five themes: working in physicians’ contexts, interprofessional collaboration, involvement in nurses’ work, contribution to healthcare, and personal qualities for effective working. Japanese expert NPs can function effectively in clinical settings by flexibly and humbly collaborating with other medical professionals who have autonomous positions. They can improve the quality of healthcare by proposing practical solutions to problems faced by patients and medical organizations. These explored competencies can be applied to other aging and more complex societal contexts, and in updating the required competencies of Japanese NPs.


2015 ◽  
Vol 23 ◽  
pp. 46 ◽  
Author(s):  
Belen Cumsille R. ◽  
Ariel Fiszbein

This paper analyzes the experience of Teach For All partners in different countries around the globe in three areas: (a) Recruitment and Selection; (b) Training and Development; and (c) Placement. Using information from semi-structured interviews with Teach For All staff members and national partners, we analyze the key elements of the Teach For All approach in these areas. Based on that analysis we argue that Teach For All’s active recruitment and rigorous selection of candidates, emphasis of quality over length in training, the continued support offered to teachers and the heavy emphasis on data and evaluation constitute practices that, if pursued at the systems level, could enhance the quality of teaching and, consequently, learning outcomes in Latin America.


2018 ◽  
Vol 84 (3) ◽  
pp. 334-337 ◽  
Author(s):  
Jennifer R. George ◽  
Alan H. Tyroch ◽  
Stacey A. Milan

We sought to determine whether simulation-based medical education using Trauma Evaluation and Management® (TEAM®) training module contributes to a positive impression of resident and faculty teaching. Qualitative and quantitative data regarding medical students’ experience of TEAM® training and their interaction with instructors were collected using anonymous surveys after the completion of the training module. A combination of yes or no responses, as well as classification of student confidence and perceptions on the utility of TEAM® training obtained using Likert-type scales, was evaluated. Qualitative data regarding student perceived strengths and weaknesses of this training and their perception of the quality of teaching were collected and analyzed. Most of the students felt the quality of teaching was better when compared with clinical settings, with 91 per cent of the respondents who provided additional feedback stating that residents were better teachers in the simulated setting. The application of TEAM® training in the surgical clerkship curriculum provides an environment to foster high-quality resident-led education.


Author(s):  
Lentswe Sokwane ◽  
Gbolagade Adekanmbi

Due to a perception that the quality of their certificates was in question, students of the Gaborone Technical College (GTC), along with their counterparts in similar institutions, went on a strike in 2016. Based on a subsequent case study of the college, completed in 2018, this article examines the quality question in technical education in Botswana. The study set out to assess the implementation of policies guiding teaching and learning; examines the quality of resources for teaching and learning; appraises the nature and use of support systems for teaching and learning; investigates the views of lecturers and students on the quality of teaching and learning and identifies the factors which inhibit the quality of teaching and learning. Using a mixed method approach, the study collected data from students, lecturers and college managers through questionnaires and semi-structured interviews. The results show the absence of a specific teaching and learning policy, thus questioning the quality of the implementation of the policy itself. The study shows that the availability of resources for enhancing quality teaching is questionable, and the general perception by staff and students is that the overall quality of teaching and learning is average. However, most staff have the required qualifications for quality teaching, adequate support services exist, but a low utilization of the support services is observed. Factors inhibiting the quality of teaching and learning include inadequate library reference materials, the slow pace of internet connectivity, the absence of technical support for staff and inadequate resources in laboratories. In line with the literature, the article recommends a prioritization of quality teaching as a strategic objective, the establishment of a teaching and learning framework and the continuing professional development of staff, among others.


2018 ◽  
Vol 11 (10) ◽  
pp. 16
Author(s):  
Taghreed Ibrahim Masri

Professional identity has recently made its way as a concept that has become a central theme in teachers’ professionalism. However, adjunct faculty professional identity and development have not been given enough interest in literature despite their increasing contribution in higher education. The purpose of this study was to assess adjuncts’ perceptions of their identity. It also aimed to examine what institutional professional development they receive and the effect of its presence or absence on their professional identity. Four semi-structured interviews were conducted with four adjunct faculty in the Department of Writing Studies at a university in the UAE. Results showed that adjunct faculty have dilemma making sense of their professional selves due to being perceived differently by their students, colleagues, administrators and themselves. Results also showed that adjuncts are vulnerable, insecure, and embarrassed to declare their identity to their students. In addition, findings revealed that they do not get institutional professional development opportunities that they need and that ignoring their professional development threatens the quality of teaching and the reputation of the institution they work in.


2021 ◽  
Vol 21 (1 2021) ◽  
pp. 21-37
Author(s):  
Amina Čeho Osmanović

Through the implementation of structured interviews, this study design sought to investigate the students’ perceptions about the critical thinking skills infusion at English as a foreign language classroom. The purpose of this analysis is to focus on the underlying logical dimensions and perceptions of high and low critical thinking test scorers, and to discover how and why they differ. This research problem has been investigated qualitatively. Students were divided into two groups: the high and the low critical thinking test achievers. The results indicated the lack of differences in students’ answers about the quality of teaching processes and assessment methods that promote critical thinking in English language classroom. To ensure better validity of the results, a larger number of participants should be included.


Author(s):  
Marina De Rossi ◽  
Mario Giampaolo ◽  
Claudio Riva ◽  
Cinzia Ferranti ◽  
Angelo Calň ◽  
...  

This article deals with the theme of innovation in academic didactic through the use of technologies and is one of the outputs of a larger project, "Preparazione alla professionalitŕ docente e innovazione didattica" (PRODID), which aims to establish and develop strategies to support teaching profession at the University of Padua. The authors introduce the theoretical framework and the projects carried out in the University of Padua to take advantage of the potential of technology, then present the results obteined during the first year of the project. Data were collected using a structured questionnaire which involved professors of the University and semi-structured interviews conducted with 16 privileged witnesses forming part of the teaching staff. The questionnaire collects the level of diffusion of didactic solutions that rely on online resources and the quality of teaching experiences conducted by the teachers. The interviews relate to multiple aspects of teaching by highlighting best and innovative practices, resistances due to established practices, and teaching models adopted.


2020 ◽  
pp. 014473942093775
Author(s):  
Gjalt de Graaf

Many professors will recognize the dilemma when having to choose between the values of professionalism and of collegiality. Everyone will endorse these two values as important in academic teaching, yet professors sometimes find them conflicting. The central research question of this manuscript is threefold: which value conflicts do academic teachers perceive in the Netherlands; what strategies are used to deal with these conflicts; and what value profiles do they have? The empirical study took place at the Vrije Universiteit Amsterdam. Data from Q-methodological and 32 semi-structured interviews were gathered and analysed to answer the research question. Thirty-five of the 41 dilemmas found fell within three categories: dilemmas in this particular case study of higher education occur mainly in the area of quality versus efficiency, quality versus equity and between equality and reasonableness. Mostly the old institutional professional values (quality of teaching, equality, and reasonableness) prevail among the academic teachers. Yet, in these times of cutbacks, the tensions between the professional and economic value systems are clearly prevalent in this Dutch case study. The most important coping strategy is hybridization. This indicates something important about the profession of academic teacher. Hybridization is a strategy often used when professionals cannot choose between two values because they value both too highly. For better or worse, the academic teachers (in this case) want to guard the quality of teaching against pressures from career demands (doing research and publish successfully) and from cutbacks and concomitant heavy teaching loads.


2020 ◽  
Vol 1 (1) ◽  
pp. 89-96
Author(s):  
Hartati Soetjipto ◽  
Cucun Alep Riyanto ◽  
Teresa Febriyanti ◽  
Yoga Andika Putra ◽  
Mitra Krisdayanti ◽  
...  

This Community Service activity is aimed at improving the quality of teaching and learning of Kalkurmo Village Elementary School children, Beringin District, Semarang Regency in the fields of Science and Mathematics. Kalikurmo Village has human resources who have low educational backgrounds, so that its residents have minimal insight and are less developed. This caused us to be moved in providing counseling to the residents of Kalikurmo Village, which if it could help add to their insight and knowledge. Activities carried out in the form of assisting classroom teaching and tutoring outside class hours. Elementary school student are helped in deepening science and mathematics material by this activity.


Author(s):  
Gurjit Sandhu ◽  
Jessica V. Rich ◽  
Christopher Magas ◽  
G. Ross Walker

Research in the area of role modeling has primarily focused on the qualities and attributes of exceptional role models, and less attention has been given to the act of role modeling itself (Elzubeir & Rizk, 2001; Jochemsen-van der Leeuw, van Dijk, van Etten-Jamaludin, & Wieringa-de Waard, 2013; Wright, 1996; Wright, Wong, & Newill, 1997). A standardized understanding of role modeling in medical education remains elusive (Kenny, Mann, & MacLeod, 2003). This is problematic given that role modeling is pervasively documented as an approach to teaching (Reuler & Nardone, 1994). Our study attempts to fill a void in this body of research by looking at what faculty are thinking, saying, and doing when they say they are role modeling. Individual semi-structured interviews with faculty members were conducted in the Department of General Surgery at Queen’s University, Kingston, Ontario, Canada. Interviews were recorded, transcribed, and analyzed using qualitative methods for themes surrounding teaching and role modeling. Three major themes emerged from the data: (1) faculty members think they are teaching when they are acting professionally; (2) faculty members become aware of teaching opportunities and act on them; and (3) faculty members employ evidence-based teaching methods, but they are incorrectly labeling them as “role modeling.” As a whole, our findings should help distinguish between role modeling as roles and responsibilities enacted while doing one’s job well, and teaching as facilitated instruction that helps connect knowledge with action (Clayton, 2006; Fassbinder, 2007). Contributing to a better understanding of how teaching is separate from role modeling has the potential to improve the scope and quality of teaching, ultimately enhancing the learning experience for trainees. Les recherches menées dans le domaine de l’imitation de rôles ont porté principalement sur les qualités et les attributs de modèles de rôles exceptionnels et on a fait moins attention à l’acte lui-même d’imitation de rôle (Elzubeir & Rizk, 2001; Jochemsen-van der Leeuw, van Dijk, van Etten-Jamaludin, & Wieringa-de Waard , 2013; Wright, 1996; Wright, Wong, & Newill, 1997). La compréhension standardisée de l’imitation de rôles dans les situations médicales reste élusive (Kenny, Mann, & MacLeod, 2003). Ceci est problématique du fait que l’imitation de rôles est fortement documentée en tant qu’approche pour l’enseignement (Reuler & Nardone, 1994). Notre étude tente de combler un vide dans ce corps de recherche, nous visons à examiner ce que les enseignants pensent, disent et font quand ils affirment qu’ils pratiquent l’imitation de rôles. Des entrevues semi-structurées ont été menées avec des professeurs du département de chirurgie générale de l’Université Queen’s, à Kingston, en Ontario, Canada. Les entrevues ont été enregistrées, transcrites et analysées en utilisant des méthodes qualitatives pour des thèmes liés à l’enseignement et à l’imitation de rôles. Trois thèmes principaux sont ressortis de ces données : (1) les professeurs pensent qu’ils enseignent quand ils agissent de façon professionnelle; (2) les professeurs prennent conscience des occasions d’enseignement et les mettent à profit; et (3) les professeurs utilisent des méthodes d’enseignement basées sur l’évidence, mais ils les qualifient à tort d’« imitation de rôles ». Dans l’ensemble, nos résultats devraient aider à établir la distinction entre l’imitation de rôles en tant que rôles et responsabilités adoptés pendant que l’on fait correctement son travail, et l’enseignement en tant qu’instruction facilitée qui permet de relier la connaissance avec l’action (Clayton, 2006; Fassbinder, 2007). La contribution à une meilleure compréhension de la manière dont l’enseignement est séparé de l’imitation de rôles pourrait améliorer la portée et la qualité de l’enseignement pour, en fin de compte, améliorer l’expérience d’apprentissage des stagiaires.


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