scholarly journals A model to explain self-medication by Iranian people: a qualitative grounded theory study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Zhila Fereidouni ◽  
Majid Najafi Kalyani

Abstract Background Self-medication (SM) is a common and global health problem. The process of attempting SM is still unclear. Exploration of SM and its contributing factors would help policymakers design and develop preventive programs. This qualitative study aimed to explore the process of attempting SM among Iranian people. Methods This grounded theory (GT) study was conducted among people with the experience of attempting SM (n = 17) and medical staff (n = 9) in Iran selected via semi-structured interviews. The recorded and transcribed interviews were analyzed using open, axial, and selective coding based on Strauss and Corbin’s (1998) approach. Results The study results revealed that people sought to deal as simply and quickly as possible with their illnesses/symptoms according to their attitudes towards and perceptions of illnesses/symptoms as well as their economic and social problems. This simple and quick approach was the participants’ main concern, resulting in taking decision-making strategies as SM facilitators. SM, in turn, provided short-term improvement and temporary satisfaction as a predominant outcome. Overall, “to avoid being trapped in the vortex of illness” was the central category, which covered and connected all the other categories developed in this study. Conclusions The elements of this model could be used as a guide for healthcare policymakers to design preventive programs and to plan for increasing people’s knowledge about the complications and consequences of SM. In addition, identification of barriers to referral to physicians and treatment of illnesses through the right way as well as reducing the health system’s problems would help reduce SM.

2021 ◽  
Vol 1 (1) ◽  
pp. 30
Author(s):  
Bernadetha Vania Eveliani ◽  
Shirly Gunawan

Antibiotik merupakan salah satu golongan obat yang banyak digunakan di Indonesia. Data Riskesdas menunjukkan cukup banyak masyarakat yang menyimpan antibiotik di rumah tangga dimana sebagian besar diperoleh tanpa resep dokter. Banyak masyarakat yang melakukan pengobatan sendiri (swamedikasi).  Tingginya angka penggunaan antibiotik tanpa resep dokter membuat penggunaannya menjadi irasional dan berdampak pada  timbulnya resistensi obat. Salah satu faktor penyebabnya ialah kurangnya pengetahuan masyarakat mengenai penggunaan obat, khususnya antibiotik. Studi ini bertujuan untuk mengetahui gambaran ketepatan penggunaan dan tingkat pengetahuan mengenai antibiotik pada karyawan Universitas Tarumanagara. Studi ini bersifat deskriptif, dilakukan dengan desain cross sectional survey. Pengumpulan data dilakukan melalui pemberian kuesioner terhadap 114 orang responden. Dari hasil penelitian ini diketahui sebagian besar responden yaitu sebanyak 104 orang (91,2%) mengonsumsi antibiotik amoxycillin. Ketepatan dalam penggunaan antibiotik dinilai dari ketepatan dosis, frekuensi minum obat dan lama pemberian obat. Hasil studi  menunjukkan sebanyak 100% responden telah mengonsumsi antibiotik dengan dosis tepat.  Sebagian besar responden tepat mengonsumsi obat sesuai frekuensi yang dianjurkan (88,6%), dan 93,9% tepat mengonsumsi antibiotik sesuai dengan lama waktu yang seharusnya. Secara umum dapat dinilai sebanyak 70,2% responden telah menggunakan antibiotik dengan tepat dan 47,4% responden memiliki pengetahuan “baik” mengenai antibiotik. Masih ada sebagian responden yang menggunakan antibiotik dengan tidak tepat sehingga perlu ditingkatkan pengetahuan mengenai antibiotik supaya tidak terjadi resistensi antibiotik. Antibiotics are widely used in Indonesia. Riset Kesehatan Dasar (Riskesdas) shows that some people store antibiotics at home, most of which are obtained without a doctor's prescription. Many people do self-medication. The high rate of use of antibiotics without a doctor's prescription makes their use irrational and impacts the emergence of drug resistance. One of the contributing factors is the lack of public knowledge about the use of drugs, especially antibiotics. This study aims to describe the accuracy of the use and level of knowledge about antibiotics in Tarumanagara University employees. This study is descriptive, conducted with a cross-sectional survey design. Data was collected through the provision of questionnaires to 114 respondents. This study showed that most of the respondents, as many as 104 people (91.2%), took amoxicillin antibiotics. The accuracy of antibiotics-using is assessed by determining the accuracy of the dose, frequency of drug-taking, and duration of drug administration. The study results showed that as many as 100% of the respondents had taken the correct dose of antibiotics. Most of the respondents took the right medicine according to the recommended frequency (88.6%) and duration (93.9%). The study showed that 70.2% of respondents had used antibiotics correctly, and 47.4% of respondents have "good" knowledge about antibiotics. Some respondents still misuse antibiotics, so that knowledge about antibiotics needs to be increased so that antibiotic resistance does not occur.


2020 ◽  
Vol 10 (3) ◽  
Author(s):  
Aviani Widyastuti ◽  
Mudrifah Mudrifah

This study aims to develop employee organizations' role in implementing risk management in public sector organizations. This study's character uses several indicators, including values, attitudes, interests, and religion. The research was conducted at public sector organizations in the non-profit category, Infaq Amal Zakat and Shodaqoh Muhammadiyah (LAZISMU) in Malang City. The research method used is grounded theory research with a qualitative approach, in which data research uses structured and open interview techniques. The collected data will be analyzed using grounded theory analysis techniques. The study results found several factors, as seen from their abilities, values, attitudes, interests, and religiosity, in supporting the implementation of risk management in Malang. These characteristics include working with time, the right placement of human resources, mastery of job descriptions, information, ability, and transfer of knowledge, in terms of values, including cooperation, responsibility, democracy, solidarity, humanity, honesty, order, and discipline. In terms of attitude, including being wise, with integrity, cooperative, open, and selective. In terms of interest, it is shown by being participatory, actualizing, and proactive.Meanwhile, in terms of religiosity, it includes the mandate to carry out duties, desire in preaching, and personal needs to fill charity activities with full volunteerism. 


2018 ◽  
Vol 13 (1) ◽  
pp. 21-23
Author(s):  
Melissa Goertzen

A Review of: Fraser-Arnott, M. (2017, May 17). Personalizing professionalism: The professional identity experiences of LIS graduates in non-library roles. Journal of Librarianship and Information Science. https://doi.org/10.1177/0961000617709062 Abstract Objective – To produce a theory that captures the professional identity experiences of library and information science (LIS) graduates employed in non-library roles. Design – Data collection and analysis were conducted using semi-structured interviews and grounded theory methodology. Setting – A variety of industry sectors located in the United States or Canada. Subjects – Twenty professionals with Master's degrees in LIS employed in non-library roles. Method – This study used the Glaserian Grounded Theory methodology, which requires constant theoretical sampling and comparison until no new data is found in any coding category. The researcher utilized two types of sampling in this study: snowball or chain referral sampling, and theoretical sampling. These techniques allowed the researcher to build a potential list of participants from a difficult to reach population. Study data was collected through semi-structured interviews divided into three sections: 1) participants were asked to describe their career experiences from their decision to attend library school to the present; 2) follow-up questions by the researcher in response to comments made by participants during the first phase; 3) questions listed in an interview guide that examined educational experiences, communities, and how participants identify themselves as professionals. Main Results – Study results produced the theory of Personalizing Professionalism, which suggests that each individual possess two identities that interact with one another throughout the course of one's career. The first is an internal appraisal of self that represents who one is as a professional. It is developed as a result of socialization in the profession and an understanding of personal motivations and interests. The second is an externally expressed identity that represents how an individual presents himself or herself to achieve professional goals. This can include self-imposed labels, such as "librarian", or strategies used to find a path within the profession. This process involves reflections and actions aimed at identifying what type of professional to be and steps required to achieve goals. The results also indicate that interactions with others impact an individual’s internal appraisal of self and externally expressed identity. Areas of conflict were identified when commonly held views of how a professional identity should be expressed did not match the identity that an individual developed or displayed to others. When conflicts arose, individuals used a variety of strategies to resolve the discrepancy between internal and external identities: assimilation, attempting to influence or change the perceptions of the group, or withdrawal. In terms of self-identifying as a librarian, the study found that participants who chose the term as a professional label believed that the work they do in non-library settings was still compatible with their definition of what it meant to be a librarian. Participants who identified as librarians some of the time and by their job title at other times did so based on an evaluation of which label would best advance their position with a given audience. Finally, participants who chose not to use the label of librarian had never internally associated with the role or job title; these individuals completed a LIS program to gain transferable skills or qualify for a wide variety of employment opportunities. Conclusion – The theory of Personalizing Professionalism provides insight into the development and expression of professional identity experiences when LIS graduates work in non-library roles. The results have value to practitioners and educators who market LIS programs or develop course content. For instance, in the future greater emphasis could be placed on transferable skill sets that are of value to roles outside of traditional library settings. Many participants described potential or actual conflicts when trying to place themselves within the LIS community because new ideas of what it means to be a “librarian” were rejected, leading to feelings of exclusion. Over time, this could lead to a detrimental loss of innovation and ideas.


2020 ◽  
Vol 10 (10) ◽  
pp. 268
Author(s):  
Kaarina Sommarström ◽  
Elena Oikkonen ◽  
Timo Pihkala

Previous research into entrepreneurial learning has focused mainly on defining its aims; however, there seems to be little discussion on understanding the barriers or incentives involved when carrying out the pedagogical solutions that would enable entrepreneurial learning. In this study, we examine basic education level schools’ cooperation with outside partners, especially from the school principals’ and teachers’ viewpoints. The study aims to understand the perspectives of teachers and principals on planning and organizing school-company interaction. To do this, content analysis was used in this qualitative study. The data were collected via semi-structured interviews with school teachers and principals, involving a total of 35 people working in basic education. The findings of the study show that principals and teachers intentionally select long-term cooperation methods to meet the aims of entrepreneurial learning. On the other hand, teachers that have chosen to apply short-term school-company cooperation methods have highlighted the ease of these methods rather than learning. Finally, our findings suggest that planning and organizing entrepreneurial learning would benefit from school-level commitment where collaboration between teachers and between teachers and company representatives is valued. We believe that would lead to more satisfied teachers and longer-term school-company cooperation, and also believe that short-term school-company cooperation methods would better meet the aims of entrepreneurial learning.


2000 ◽  
Vol 9 (2) ◽  
pp. 149-155 ◽  
Author(s):  
C.P.B HANSEN ◽  
L.L JEPPESEN

The aim of this study was to investigate whether farm mink denied access to water for swimming became more frustrated than animals denied access to an empty cage. Also the relative importance of water for swimming, the empty cage and the nest box was measured. Seventy-eight farm mink were placed in four groups according to a 2x2 experimental design: two unit sizes, large and small, and two water conditions, with or without water. Each unit consisted of three cages side by side in which half of the animals had a water filled basin and the other half an empty area in the middle cage. This cage had openings to the other two cages. In addition, a tunnel above the basin connected the right and left cage. One hour before the beginning of daily observations the animals had their access restricted to only the left cage. Each animal was observed ten times a day on nine consecutive days. No difference in scratching into the tunnel, basin or nest box was detected between the four groups. All groups scratched significantly or nearly significantly more into the nest box than into both the tunnel and the basin. Most stereotypies were found in the group in small cages with a dry basin. Our investigation suggests that when compared to the deprivation from a nest box, the deprivation of water for swimming does not alone cause frustration of farm mink any more that the exclusion from an empty cage. However, it does indicate that the cage size may affect the level of stereotypy.;


2012 ◽  
Vol 116 (1177) ◽  
pp. 303-322 ◽  
Author(s):  
F. A. C. Nascimento ◽  
A. Majumdar ◽  
S. Jarvis

AbstractAccident rates for night sorties, by helicopters operating offshore, are estimated to be five times higher than for daytime. Recent attempts to redress this problem include new instrument descent procedures and changes to helideck lighting. However, there still remains a need for pilots to transition from automated flight to a manually flown night visual segment during the arrival, and three recent accidents have again highlighted the dangers of this phase. In order to explore what factors affect safety during night visual segments 33 semi-structured interviews were administered to pilots from a number of companies, and grounded theory was employed to analyse the narratives. From this, a template was developed representing pilots’ perceptions of factors affecting safety, and the relationships among factors were hypothetically mapped. Visual spatial disorientation figured as the main concern of participants, stemming from substandard pilot communication, loss of scanning skills during summer months, autopilot limitations, and the requirement to fly to too low meteorological minima. Concerted actions and further areas of research have been proposed to the different stakeholders involved in offshore nighttime operations, going beyond ongoing safety initiatives.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hilda Bø Lyng ◽  
Carl Macrae ◽  
Veslemøy Guise ◽  
Cecilie Haraldseid-Driftland ◽  
Birte Fagerdal ◽  
...  

Abstract Background Adaptation and innovation are both described as instrumental for resilience in healthcare. However, the relatedness between these dimensions of resilience in healthcare has not yet been studied. This study seeks to develop a conceptual understanding of adaptation and innovation as a basis for resilience in healthcare. The overall aim of this study is therefore to explore how adaptation and innovation can be described and understood across different healthcare settings. To this end, the overall aim will be investigated by identifying what constitutes adaptation and innovation in healthcare, the mechanisms involved, and what type of responses adaptation and innovation are associated with. Methods The method used to develop understanding across a variety of healthcare contexts, was to first conduct a narrative inquiry of a comprehensive dataset from various empirical settings (e.g., maternity, transitional care, telecare), that were later analysed in accordance with grounded theory. Narrative inquiry provided a contextually informed synthesis of the phenomenon, while the use of grounded theory methodology allowed for cross-contextual comparison of adaptation and innovation in terms of resilience in healthcare. Results The results identified an imbalance between adaptation and innovation. If short-term adaptations are used too extensively, they may mask system deficiencies and furthermore leave the organization vulnerable, by relying too much on the efforts of a few individuals. Hence, short-term adaptations may end up a barrier for resilience in healthcare. Long-term adaptations and innovation of products, processes and practices proved to be of a lower priority, but had the potential of addressing the flaws of the system by proactively re-organizing and re-designing routines and practices. Conclusions This study develops a new conceptual account of adaptation and innovation as a basis for resilience in healthcare. Findings emerging from this study indicate that a balance between adaptation and innovation should be sought when seeking resilience in healthcare. Adaptations can furthermore be divided into short-term and long-term adaptations, creating the need to balance between these different types of adaptations. Short-term adaptations that adopt the pattern of firefighting can risk generating complex and unintended outcomes, but where no significant changes are made to organization of the system. Long-term adaptations, on the other hand, introduce re-organization of the system based on feedback, and therefore can provide a proactive response to system deficiencies. We propose a pattern of adaptation in resilience in healthcare: from short-term adjustments, to long-term reorganizations, to innovations.


1970 ◽  
Vol 3 (3) ◽  
Author(s):  
Muhammad Arsyad Subu

Sampai saat ini masih sedikit informasi dari hasil-hasil penelitian tentang pemanfaatan terapi tradisional dan alternatif oleh para penderita gangguan jiwa di Indonesia. Penelitian ini bertujuan untuk melihat bagaimana pemanfaatan terapi tradisional dan alternatif di antara penderita gangguan jiwa di Indonesia. Metode penelitian ini menggunakan Charmaz Constructive Grounded Theory untuk mengeksplorasi pemanfaatan terapi tradisional dan alternatif di antara pasien yang menderita gangguan jiwa. Metode pengumpulan data termasuk interaksi langsung (wawancara semi-terstruktur), document review, catatan lapangan dan memo. Data analisis menggunakan pendekatan Paille data analisis. Penelitian menghasilkan lima kategori: 1) kerasukan oleh setan atau roh; 2) penyakit akibat berdosa; 3) Berobat ke tradisional dulu baru akhirnya ke rumah sakit jiwa; 4) kekerasan; 5) takut dengan pengobatan. Hasil penelitian menunjukkan bahwa terapi tradisional dan alternatif dan orang pintar (dukun, para pemimpin agama Islam, pendeta, paranormal dan pengobatan tradisional Cina) memiliki peran sentral dalam mendukung dan menawarkan solusi ketika seseorang memiliki gangguan jiwa di Indonesia. Para terapis atau ‘orang pintar’ biasanya merupakan pilihan pertama dari keluarga dan anggota ‘masyarakat lainnya jika berhubungan dengan terapi yang orang yang menderita gangguan jiwa. Penelitian lanjut diperlukan untuk melihat efektivitas terapi tradisional dan alternatif ini yang masih kurang diteliti dan didokumentasikan di Indonesia. Penelitian lebih lanjut juga perlu dilakukan untuk memahami sikap atau perspektif keluarga, masyarakat dan staf lembaga pemerintahan sebagai partisipan terkait dengan pengobatan tradisional dan alternatif ini. Penelitian ini menggunakan pendekatan kualitatif, penelitian kuantitatif diperlukan untuk meneliti faktor-faktor yang mempengaruhi pemanfaaatan terapi tradisional dan alternatif oleh penderita gangguan jiwa di Indonesia.Kata kunci: Gangguan jiwa, terapi, tradisional-alternatif. Traditional and Alternative Therapies Usage by Psychiatric Patients: A Grounded Theory.AbstractUntil recently, little information is known from studies regarding the use of traditional and alternative therapies by people with mental illness in Indonesia. This study explored the use of traditional or alternative therapies among mentally ill sufferers in Indonesia. A Charmaz’s Constructivist Grounded Theory method was used to explore the use of traditional or alternative therapies among patients as a result of suffering from mental illness. Data collection method involved direct interaction (semi-structured interviews), mute evidence (document review), field notes and memos. Paillé (1994) data analysis was employed to organize and manage data. Study has led to five categories: 1) possessed by Satan or spirit; 2) sinful illness; 3) treatment at traditional before going to the hospital; 4) violence; 5) fear of treatment. Study results indicated that complementary - alternative treatments and ‘smart people’ (shamans, Islamic leaders, chaplains, paranormal and traditional Chinese medicine) have a central role in supporting and offering solutions when someone has a mental illness in Indonesia. Visiting therapists or ‘smart people’, is usually the first choice of patients, families and other community members when dealing with the mentally ill treatments. Further research is needed to see the effectiveness of traditional or alternative therapy which is still poorly researched and documented in Indonesia. It is also needed to understand the attitude or perspective of the family, the community and government staff as participants regarding traditional or alternative therapies. This study used a qualitative approach, thus quantitative research is needed to examine the factors that affect the utilization of traditional or alternative therapies by mentally ill people in Indonesia..Key words: Alternative, mental illness, therapy, traditional.


2021 ◽  
Vol 13 (2) ◽  
pp. 979-987
Author(s):  
Syaharuddin Syaharuddin ◽  
Mutiani Mutiani ◽  
Muhammad Rezky Noor Handy ◽  
Ersis Warmansyah Abbas ◽  
Jumriani Jumriani

The practice of online learning during a pandemic is ideally able to provide independent learning for students. However, what happens is the loss of a meaningful learning experience. The research aims to describe the implementation of online learning in Banjarmasin and examine the selection of appropriate learning strategies in providing learning experiences for students. The data were sourced from structured interviews of as many as 15 students and five social studies teachers from 3 junior high schools. Structured interview data from the google form were tabulated, described, and analyzed by the social studies teacher in-depth interview through the restatement, description, and interpretation stages. The study results describe that choosing the right learning strategy has helped provide a learning experience for students during the pandemic. The learning strategy that can do is visiting teachers. Teacher visits are carried out with a clear schedule of regular attendance. In addition, teachers can take advantage of several platforms such as; zoom, google classroom, the personal messenger as learning media.


2016 ◽  
Vol 10 (1) ◽  
pp. 15-25 ◽  
Author(s):  
Karin Bundgaard ◽  
Erik E. Sørensen ◽  
Charlotte Delmar

Aim: This paper focus on nursing and time in endoscopy facilities for short-term stay aiming to explore aspects of time in this setting and how expectations from the healthcare organisation, patients and nurses are expressed and met when managing nursing time. Background: Former research primarily focuses on the subject of time in the understanding of duration where having more time is closely associated with the ability to deliver better quality nursing care. The main concern is the nurses’ increased number of tasks and the decreased length of time at their disposal. However, few studies describe nursing when time is sparse, and the possibility of providing individualised nursing within a very short span of time. Design: Inspired by practical ethnographic principles, a fieldwork study was performed in high technology endoscopy clinics during 2008-2010. Methods: Data triangulation included participant observation, participant reports and patients and nurses semi-structured interviews. Results/Findings: The issue of time was an interwoven part of life in the productive endoscopy units. The understanding of time related to the main category: ‘Time - making the best of it’, and the sub categories “Responsibility of time”, “Information and preparation”, and “Time wasters”. Conclusion: The study underlines the possibility of combining the health care systems, patients and the nurses’ perspectives on and expectations of how to spend nursing time in endoscopy settings. In successful patient pathways nursing maximize patient outcome, support the goals of the healthcare organisations, is reliable, assure, tangible, empathic and responsive, and is individually tailored to the patient’s needs. The study contributes by underlining the importance of discussing not how to get more time in clinical practice but instead how to spend the time in the best way possible.


Sign in / Sign up

Export Citation Format

Share Document