scholarly journals Exploring the concept and structure of obstetric triage: a qualitative content analysis

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Asieh Moudi ◽  
Mina Iravani ◽  
Mahin Najafian ◽  
Armin Zareiyan ◽  
Arash Forouzan ◽  
...  
Keyword(s):  
Content Analysis ◽  
Clinical Decision Making ◽  
Qualitative Content Analysis ◽  
Clinical Decision ◽  
Initial Assessment ◽  
Structured Interviews ◽  
Face To Face ◽  
Design And Implementation ◽  
Appropriate Treatment ◽  
The Right

Abstract Background Obstetric triage is a new idea, so the design and implementation of it requires identification of its concept and structure. The aim of this qualitative study was to explore the concept and structure of the obstetric triage in Iran. Methods The purposive sampling was done and it continued until reaching the theoretical saturation. Thirty-seven semi-structured interviews were conducted individually and face-to-face. Interviews were audio recorded, transcribed, and analyzed using conventional content analysis. Results Two themes, 8 main categories, and 16 subcategories emerged from the content analysis of the interviews and observations. The themes were the concept and structure of obstetric triage. The concept of obstetric triage consisted of three categories of nature, process, and philosophy of obstetric triage. The structure of obstetric triage included five categories of assessment criteria, emergency grading, determining the appropriate location for patient guidance, initiation of diagnostic and therapeutic measures, and timeframe for initial assessment and reassessment. Conclusion Findings highlighted that obstetric triage is a process with a dual and dynamic nature. This process involves clinical decision making to prioritize the pregnant mother and her fetus based on the severity and acuity of the disease in order to allocate medical resources and care for providing appropriate treatment at the right time and place to the right patient. The results of this study could be used for the design and implementation of the obstetric triage system.

Exploring the concept and structure of obstetric triage: A qualitative content analysis

2020 ◽  
Author(s):  
Asieh Moudi ◽  
Mina - Iravani ◽  
Mahin Najafian ◽  
Armin Zareiyan ◽  
Arash Forouzan ◽  
...  
Keyword(s):  
Content Analysis ◽  
Clinical Decision Making ◽  
Qualitative Content Analysis ◽  
Clinical Decision ◽  
Initial Assessment ◽  
Structured Interviews ◽  
Face To Face ◽  
Design And Implementation ◽  
Appropriate Treatment ◽  
The Right

Abstract Background: Obstetric triage is a new idea, so the design and implementation of it requires identification of its concept and structure. The aim of this qualitative study was to explore the concept and structure of the obstetric triage in Iran. Methods: The purposive sampling was done and it continued until reaching the theoretical saturation. Thirty-seven semi-structured interviews were conducted individually and face-to-face. Interviews were audio recorded, transcribed, and analyzed using conventional content analysis. Results: Two themes, 8 main categories, and 16 subcategories emerged from the content analysis of the interviews and observations. The themes were the concept and structure of obstetric triage. The concept of obstetric triage consisted of three categories of nature, process, and philosophy of obstetric triage. The structure of obstetric triage included five categories of assessment criteria, emergency grading, determining the appropriate location for patient guidance, initiation of diagnostic and therapeutic measures, and timeframe for initial assessment and reassessment. Conclusion: Findings highlighted that obstetric triage is a process with a dual and dynamic nature. This process involves clinical decision making to prioritize the pregnant mother and her fetus based on the severity and acuity of the disease in order to allocate medical resources and care for providing appropriate treatment at the right time and place to the right patient. The results of this study could be used for the design and implementation of the obstetric triage system.

scholarly journals Major Challenges and Barriers in Clinical Decision-making as Perceived by Emergency Medical Services Personnel: A Qualitative Content Analysis

2020 ◽  
Author(s):  
Mostafa bijani ◽  
Saeed Abedi ◽  
Shahnaz Karimi ◽  
Banafsheh Tehranineshat
Keyword(s):  
Decision Making ◽  
Content Analysis ◽  
Emergency Care ◽  
Clinical Decision Making ◽  
Ethical Issues ◽  
Qualitative Content Analysis ◽  
Organizational Management ◽  
Clinical Decision ◽  
Critical Conditions ◽  
The Right

Abstract Background: Having to work in unpredictable and critical conditions, emergency care services (EMS) personnel experience complicated situations at the scene of accidents which, inevitably, influence their clinical decisions. There is a lack of research into the challenges which these professionals encounter. Accordingly, the present study aims to explore the major challenges and barriers which affect clinical decision-making from the perspective of EMS personnel. Methods: The present study is a qualitative work with a content analysis approach. Selected via purposeful sampling, the subjects were 25 members of the EMC personnel in Iran who met the inclusion criteria. The study lasted from December 2019 to July 2020. Sampling was maintained to the point of data saturation. Data were collected using semi-structured, in-depth, individual interviews. The collected data were analyzed via qualitative content analysis. Results: 4 main categories—professional capabilities, occupational and environmental factors, inefficient organizational management, and ethical issues—and 23 subcategories were extracted from the findings of the study. Conclusion: The results of the present study show that personal and occupational factors, organizational management, and ethical issues are the most significant sources of challenge which affect the clinical decision-making and, consequently, the performance of EMC personnel at the scene of accidents. Thus, it is essential that pre-hospital emergency care managers improve the quality of EMC personnel’s clinical decision-making skills and the reliability of care provided by them by creating the right professional and organizational settings, free of occupational distress.

scholarly journals Faculty Retention in Medical Universities in the County Cities of Iran: A Qualitative Content Analysis

2019 ◽  
Author(s):  
Maria Shaterjalali ◽  
Yousef Gholampoor ◽  
Ali Khani Jeihooni ◽  
Yaser Mansoori ◽  
Reza Homayounfar ◽  
...  
Keyword(s):  
Content Analysis ◽  
Qualitative Content Analysis ◽  
Research Performance ◽  
Structured Interviews ◽  
Executive Management ◽  
Economic Dimension ◽  
Face To Face ◽  
Academic Activities ◽  
The University ◽  
Second Category

Abstract Background and purpose: Faculty are the cornerstone of academic medicine and are important assets for any institution offering higher education. Recruitment and retention of capable faculty are essential to maintain and improve the quality of education and research performance of universities. The purpose of the present study is to discover the views, experiences, and attitudes of faculty to identify the reasons for attrition and retention of faculty in the medical universities of county cities of Iran. Methods: This is a qualitative study and the method used is of content analysis. The participants included 12 faculty transferred to type 1 university, 4 faculty with transfer request, and 4 faculty members with more than ten years of experience working in the University of county cities no relocate request. Data were collected using semi-structured interviews face to face and via telephone. To measure the trustworthiness of the data, we used four components of credibility, transferability, dependability, and confirmability proposed by Lincoln and Guba. Results : The findings were divided into 3 categories and 14 sub-categories: the first category was the retention attractors, including 4 sub-categories of facilitated communication, proximity to type one university, gaining experience, and support of authorities; the second category was the retention threats, including 6 subcategories of social infrastructures, individual dimension, occupational dimension, economic dimension, sense of respect, and executive management dimension; and the third category was the retention strategies, including 4 sub-categories of the process of recruiting and promotion, inter-university collaboration with type one universities, facilitating scientific growth, and fulfilling the safety needs. Conclusion : Several factors play role in the retention of faculties in medical schools. Authorities can create a more positive environment by devising a suitable reward system, supporting academic activities, and increasing the level of practical autonomy of faculty to develop a sense of belonging among the workforce, and reduce the intention to transfer of their human resources.

scholarly journals Major challenges and barriers in clinical decision-making as perceived by emergency medical services personnel: a qualitative content analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mostafa Bijani ◽  
Saeed Abedi ◽  
Shahnaz Karimi ◽  
Banafsheh Tehranineshat
Keyword(s):  
Decision Making ◽  
Content Analysis ◽  
Emergency Care ◽  
Clinical Decision Making ◽  
Qualitative Content Analysis ◽  
Organizational Management ◽  
Clinical Decision ◽  
Critical Conditions ◽  
Clinical Decisions

Abstract Background Having to work in unpredictable and critical conditions, emergency care services (EMS) personnel experience complicated situations at the scene of accidents which, inevitably, influence their clinical decisions. There is a lack of research into the challenges which these professionals encounter. Accordingly, the present study aims to explore the major challenges and barriers which affect clinical decision-making from the perspective of EMS personnel. Methods The present study is a qualitative work with a content analysis approach. Selected via purposeful sampling, the subjects were 25 members of the EMS personnel in Iran who met the inclusion criteria. The study lasted from December 2019 to July 2020. Sampling was maintained to the point of data saturation. Data were collected using semi-structured, in-depth, individual interviews. The collected data were analyzed via qualitative content analysis. Results The results of data analysis were categorized into four themes and eight categories. The main themes were professional capabilities, occupational and environmental factors, inefficient organizational management, and ethical issues. Conclusion The results of the present study show that clinical knowledge, experience, and skills contribute to emergency care personnel’s professional capabilities in making clinical decisions. Good teamwork skills and time management can prevent feelings of confusion when the number of the injured to be attended to is large. Effective clinical decision-making skills can not only help the personnel make the right decision, but enhances their resilience and enables them to adapt to hard and unpredictable conditions. Professional factors, organizational management, and ethical matters constitute the other major factors which influence the clinical decision-making of emergency care personnel at the scene of accidents and determine the quality of their clinical performance. Thus, it is essential that pre-hospital emergency care managers improve the quality of EMS personnel’s clinical decision-making skill.

scholarly journals Faculty Retention in Medical Schools of Iran: A Qualitative Content Analysis

2019 ◽  
Author(s):  
Maria Shaterjalali ◽  
Yousef Gholampoor ◽  
Ali Khani Jeihooni ◽  
Yaser Mansoori ◽  
Reza Homayounfar ◽  
...  
Keyword(s):  
Content Analysis ◽  
Qualitative Content Analysis ◽  
Research Performance ◽  
Medical Schools ◽  
Study Data ◽  
Structured Interviews ◽  
Executive Management ◽  
Economic Dimension ◽  
Face To Face ◽  
Academic Activities

Abstract Background and purpose: Faculty are the cornerstone of academic medicine and are the important assets for any institution offering higher education. The recruitment and retention of capable faculty are essential to maintain and improve the quality of education and research performance of universities.The purpose of the present study is to discover the views, experiences, and attitudes of faculty to identify the reasons for the attrition and the retention of faculty. Methods: Using the qualitative content analysis, a total of 20 transferred faculty or those who requested to be transferred participated in the study. Data were collected using semi-structured interviews in face to face and by telephone. To measure the trustworthiness of the data, we used the four components of Credibility, transferability, dependability, and confirmability proposed by Lincoln and Guba. Results: The findings were divided into 3 categories and 14 sub-categories: the first category was the retention enforcers, including 4 sub-categories of facilitated communication, distance, gaining experience, and support of authorities; the second category was the retention threats, including 6 subcategories of social infrastructures, individual dimension, occupational dimension, economic dimension, sense of respect, and executive management dimension; and the third category was the retention strategies, including 4 sub-categories of the process of recruiting and promotion, connecting with major universities, facilitating scientific growth, and fulfilling the future needs. Conclusion: Several factors play role in the retention of faculties in medical schools. Authorities can create a more positive environment by devising a suitable reward system, supporting academic activities, and increasing the level of practical autonomy of faculty, to develop a sense of belonging among the workforce, and reduce the intention to transfer of their human resources.

scholarly journals The nurse without a nurse: the antecedents of presenteeism in nursing

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Mohammad Mehdi Mohammadi ◽  
Nahid Dehghan Nayeri ◽  
Shokoh Varaei ◽  
Arezoo Rasti
Keyword(s):  
Content Analysis ◽  
Qualitative Content Analysis ◽  
Physical And Mental Health ◽  
Structured Interviews ◽  
Face To Face ◽  
Content Analysis Method ◽  
Study Population ◽  
Limited Power ◽  
Health Complications ◽  
Insufficient Knowledge

Abstract Background Presenteeism describes the state in which staff who lack the conditions for being present at work and need rest and leave for various reasons (such as illness, low spirits, fatigue, etc.) are present at the workplace. Due to the lack of knowledge about the antecedents of presenteeism in nurses and the context-based nature of this concept, the present study was conducted to explain the reasons for presenteeism in nurses. Methods This qualitative study was performed using the qualitative content analysis method. The study population consisted of 17 nurses working in different wards of hospitals. In this regard, data were collected from February to June 2020 using individual, face-to-face, in-depth, semi-structured interviews and were analyzed using qualitative content analysis. Results The nurse without a nurse was a category introduced as an antecedent of presenteeism. In this respect, nurses experienced limited power, injustice, compulsory presence, inadequate structural facilities, damaged professional identity, manager-nurse disconnect, insufficient knowledge, physical and mental health complications, job stress, job burnout, multitasking, and impaired communication. Conclusion The nurse, who has been responsible for caring, supporting, advising, advocating, and educating the patient, has now been left without a nurse. In other words, not nursing the nurse has given rise to the emergence of presenteeism. It is recommended that the results of this study be used in making health policies. The results of this study can make nurses’ voices heard by health leaders and managers. A voice that has never been heard as it deserves.

Features of glomerular filtration rate evaluation for kidney function assessment in patients with rheumatoid arthritis

2020 ◽  
pp. 44-48
Author(s):  
V. A. Aleksandrov ◽  
L. N. Shilova ◽  
A. V. Aleksandrov
Keyword(s):  
Rheumatoid Arthritis ◽  
Glomerular Filtration Rate ◽  
Glomerular Filtration ◽  
Cystatin C ◽  
Filtration Rate ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Initial Assessment ◽  
Serum Cystatin C ◽  
Creatinine Concentration

The development of renal dysfunction in patients with rheumatoid arthritis (RA) is due to the presence and severity of autoimmune disorders, chronic systemic inflammation, a multiplicity of comorbid conditions, and pharmacotherapy features. The most important parameter that describes the general condition of the kidneys is glomerular filtration rate (GFR). This review presents the data on the possibilities of modern methods for determining estimated GFR (e-GFR) and the specificity of their use in various clinical situations that accompany the course of RA. For the initial assessment of GFR in patients with RA it is advisable to use the measurement of e-GFR based on serum creatinine concentration using the CKD-EPI equation (2009) (with or without indexing by body surface area). In cases where the e-GFR equations are not reliable enough or the results of this test are insufficient for clinical decision making, the serum cystatin C level should be measured and the combined GFR calculation based on creatinine and cystatin C should be used.

scholarly journals Views about sensory modulation from people with schizophrenia and treating staff: A multisite qualitative study

2021 ◽  
pp. 030802262098847
Author(s):  
Tawanda Machingura ◽  
Chris Lloyd ◽  
Karen Murphy ◽  
Sarah Goulder ◽  
David Shum ◽  
...  
Keyword(s):  
Content Analysis ◽  
Treatment Option ◽  
Perceived Risk ◽  
Quantitative Methods ◽  
Qualitative Content Analysis ◽  
Treatment Options ◽  
Occupational Therapists ◽  
Sensory Modulation ◽  
Structured Interviews ◽  
Effective Training

Introduction Current non-pharmacological treatment options for people with schizophrenia are limited. There is, however, emerging evidence that sensory modulation can be beneficial for this population. This study aimed to gain insight into sensory modulation from the user’s and the treating staff’s perspectives. Method A qualitative content analysis design was used. Transcripts from occupational therapists ( n=11) and patients with schizophrenia ( n=13) derived from in-depth semi-structured interviews were analysed for themes using content analysis. Results Five themes emerged from this study: Service user education on the sensory approach is the key; A variety of tools should be tried; Sensory modulation provides a valued treatment option; There are challenges of managing perceived risk at an organisational level; and There is a shortage of accessible and effective training. Conclusion People with schizophrenia and treating staff had congruent perceptions regarding the use of sensory modulation as a treatment option. The findings suggest that sensory modulation can be a valued addition to treatment options for people with schizophrenia. We suggest further research on sensory modulation intervention effectiveness using quantitative methods so these results can be further explored.

scholarly journals A Content Analysis of Public Policy Design and Implementation in Slovenia: Weighing Strategic and Normative Factors

2021 ◽  
pp. 70-88
Author(s):  
Žiga KOTNIK ◽  
Dalibor STANIMIROVIĆ
Keyword(s):  
Public Policy ◽  
Content Analysis ◽  
Policy Design ◽  
Policy Cycle ◽  
Structured Interviews ◽  
The Public ◽  
Design And Implementation ◽  
Strategic Factors ◽  
Normative Factors

"Policy processes are complex systems and require an in-depth and comprehensive analysis. Especially, factors that affect public policy design and implementation, as two important stages of the public policy cycle, have not been sufficiently explored. The aim of the paper is to analyze the relationship between two critical factors that influence the design and implementation of public policies in the case of Slovenia, namely strategic factors and normative factors, and offer a basis for comparison with similar countries. Based on twenty-two structured interviews with prominent public policy experts in Slovenia and content analysis of the responses, the findings reveal that, although strategic factors are identified by the interviewees as the most critical, the role of normative factors is also important and should not be underestimated. For various reasons, in practice, normative factors often turn out to be crucial."

scholarly journals LUNG ULTRASOUND DURING COVID-19 PANDEMICS: WHY, HOW AND WHEN?

2021 ◽  
Vol 74 (8) ◽  
pp. 1783-1788
Author(s):  
Khrystyna O. Pronyuk ◽  
Liudmyla O. Kondratiuk ◽  
Andrii D. Vysotskyi ◽  
Olga A. Golubovska ◽  
Iryna M. Nikitina
Keyword(s):  
Hospital Stay ◽  
Clinical Decision Making ◽  
Lung Ultrasound ◽  
Limited Resource ◽  
Clinical Decision ◽  
Lung Damage ◽  
Dynamic Monitoring ◽  
Initial Assessment ◽  
X Ray ◽  
Chest X Ray

The aim: To optimize diagnostic of pathological processes in lungs affected by COVID-19, dynamic monitoring and clinical decision making using lung ultrasound in limited resources settings. Materials and methods: Between the onset of pandemics and January 2021, approximately 9000 patients have been treated for confirmed COVID-19 in the Olexandrivska Clinical Hospital. Assessment of all hospitalized patients included hematology, chemistries and proinflammatory cytokines – IL-6, CRP, procalcitonin, ferritin. Diagnosis was confirmed by PCR for SARS-CoV-2 RNA. Chest X-ray was performed in all hospitalized cases, while CT was available approximately in 30% of cases during hospital stay. Lung ultrasound was proactively utilized to assess the type and extent of lung damage and to monitor the progress of disease in patients hospitalized into the ICU and Infection Unit (n=135). Ultrasound findings were recorded numerically based on scales. Results: In the setting of СOVID-19, bedside lung ultrasound has been promptly recognized as a tool to diagnose and monitor the nature and extent of lung injury. Lung ultrasound is a real time assessment, which helps determine the nature of a pathologic process affecting lungs. In this paper the accuracy of bedside LUS, chest X-ray and computer tomography are compared based on clinical cases, typical for COVID-19 lung ultrasound appearance is evaluated. Described in article data is collected in one of the biggest facility that deals with COVID-19. Chest X-ray was performed in all hospitalized cases, while CT was available approximately in 30% of cases during hospital stay. The cases presented in the paper indicate potential advantages to the use of ultrasound in limited resource healthcare settings, especially when the risk of transportation to CT outweighs the value of information obtained. Conclusions: Grading of ultrasonographic findings in the lungs was sufficient for both initial assessment with identification of high risk patients, and routine daily monitoring. Hence, lung ultrsound may be used to predict deterioration, stratify risks and make clinical decisions.

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