scholarly journals Examining health care providers’ and middle-level managers’ readiness for change: a qualitative study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Tujuanna Austin ◽  
Samia Chreim ◽  
Agnes Grudniewicz
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Health Care Providers ◽  
Readiness For Change ◽  
Middle Level ◽  
Care Providers

scholarly journals Examining Health Care Providers’ and Middle-level Managers’ Readiness for Change: A Qualitative Study

2019 ◽  
Author(s):  
Tujuanna Austin ◽  
Samia Chreim ◽  
Agnes Grudniewicz
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Readiness For Change ◽  
Middle Level ◽  
Middle Manager ◽  
Primary Data ◽  
Limited Attention ◽  
Care Providers ◽  
Structured Interviews ◽  
Trust In Management

Abstract Background Readiness is a critical precursor of successful change; it denotes whether those involved in the change are motivated and empowered to participate in the change. Research on readiness tends to focus on frontline health care providers or individuals in non-managerial positions and offers limited attention to individuals in middle management positions who are expected to lead frontline providers in change implementation. Yet middle-level managers are also recipients of changes that are planned and decreed by those in higher positions. This study sought to examine frontline provider and middle-level manager individual readiness for change in the context of primary care program integration. Methods Using a qualitative case study approach, we examined how individuals in frontline provider and middle manager positions experienced six readiness factors: discrepancy, appropriateness, valence, efficacy, fairness and trust in management. Primary data consisted of semi-structured interviews with frontline providers and middle managers involved in the change, and meeting observation notes. Data were analyzed using first-cycle descriptive coding followed by second-cycle coding. Results The findings show that lack of clear lines of authority and communication have a cascading influence across the levels in the organization, and can hinder readiness for change at the middle manager and frontline provider levels. The findings also show that the notion of valence should be expanded to consider individuals’ evaluation of benefits not only to themselves but also to patients and the health system; that efficacy applies to both content and process of change; that both fairness and trust in management need to be more centrally incorporated in models of readiness for change. Conclusions Our study makes a contribution by nuancing and extending conceptualizations of individual readiness factors, and by highlighting the importance of middle manager readiness for change. Implications of the study include the need to consider readiness factors prior to the implementation of change and the importance of fostering readiness throughout various levels of the organization.

scholarly journals Health care providers and HIV

2021 ◽  
Author(s):  
Anne C. Wagner
Keyword(s):  
Health Care ◽  
Factor Analysis ◽  
Qualitative Study ◽  
Health Care Providers ◽  
Hiv Stigma ◽  
People Living With Hiv ◽  
Care Providers ◽  
Related Stigma ◽  
Convergent And Divergent Validity ◽  
Living With Hiv

The current investigation seeks to examine the attitudes and beliefs of health care providers in Canada about people living with HIV. The line of research consists of three studies. Study 1 was a qualitative study conducted with a critical lens. The critical lens was used in a series of four focus groups when qualitatively soliciting opinions about the range of attitudes, behaviours and cognitions health care providers may have towards people living with HIV. Study 2 used the information gathered from Study 1 to develop a scale to assess HIV stigma in health care providers. Items were created from examples and themes found in the qualitative study, and were tested via exploratory factor analysis, confirmatory factor analysis, test-retest reliability analysis, and assessed for convergent and divergent validity. Study 3 examined the newly developed scale’s relationship to proposed overlapping stigmas and attitudes, and tested the adapted intersectional model of HIV-related stigma with health care trainees using the newly developed HIV stigma scale as an outcome measure. The line of research found that HIV stigma continues to be a significant problem in the health care system. The scale developed in Study 2 demonstrates that HIV stigma can be conceptualized and assessed as a tripartite model of discrimination, stereotyping and prejudice, and that this conceptualization of HIV stigma supports an intersectional model of overlapping stigmas with homophobia, racism, stigma against injection drug use and stigma against sex work.

scholarly journals FRONTLINE HEALTH PROVIDER'S PERSPECTIVE IN REDUCING CHILD DEATHS DUE TO MALNUTRITION IN A TRIBAL DISTRICT OF MAHARASHTRA: A QUALITATIVE STUDY

2021 ◽  
pp. 246-249
Author(s):  
Lalit Sankhe ◽  
Chhaya Rajguru ◽  
Monali Kadam
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Health Care Providers ◽  
Service Providers ◽  
Health Workers ◽  
Health Care Service ◽  
Care Providers ◽  
Child Deaths ◽  
Primary Health ◽  
Refresher Training

Background: Malnutrition is a complex problem with double burden of undernutrition and overweight. India is no exception to it but there is a higher level of malnutrition in tribal blocks and to curb this situation,various activities have been undertaken but the slow pace of decline in malnutrition is a concern.The role of frontline health workers is crucial in strengthening primary health care.They serve as the bridge between the formal government health-care system and the community.The present study helps to seek the perception of primary health care service providers and challenges faced by them in reducing child deaths due to malnutrition. Method: A descriptive cross sectional qualitative study was conducted during August 2019 - February 2020 in three talukas of a tribal district. Focus group discussions (FGD) for each service providers Auxiliary Nurse midwife (ANM), Anganwadi worker (AWW) and Accredited Social Health activist (ASHA) were conducted. All the FGDs were audio recorded and transcripts were prepared,a thematic analysis framework was used for doing the analysis. Results: Most of the service providers were aware regarding their roles and responsibilities in implementation of schemes/ services related to malnutrition. The important factors influencing their performance were superstitions, more reliance on health seeking from unqualified health care providers and faith healers, poor road connectivity, network issues,lack of refresher training,overburdening with work,poor incentives. Conclusion: Specific training programs to tackle malnutrition along with frequent refresher training of the service providers,better infrastructure and human resources will help in achieving the desired results in future in dealing with child malnutrition.

Forgotten Fathers: Postpartum Depression in Men

2019 ◽  
Vol 40 (8) ◽  
pp. 1001-1017 ◽  
Author(s):  
Brandon Eddy ◽  
Von Poll ◽  
Jason Whiting ◽  
Marcia Clevesy
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
Qualitative Study ◽  
Postpartum Depression ◽  
Health Care Providers ◽  
Care Providers ◽  
Chat Rooms ◽  
Gender Expectations ◽  
Secondary Sources ◽  
Analysis Methods

Although postpartum depression is common and well-studied in mothers, many fathers also experience symptoms. This qualitative study investigated fathers’ experiences of postpartum depression. Data from secondary sources such as blogs, websites, forums, and chat rooms were analyzed using a combination of phenomenological and content analysis methods to understand father’s experiences of paternal postpartum depression. Six themes emerged from the data including fathers’ needing education, adhering to gender expectations, repressing feelings, being overwhelmed, resentment of baby, and the experience of neglect. These data provide useful information that can aid health care providers, researchers, clinicians, and families in understanding the experience of paternal postpartum depression and in better coping with the challenges these families face.

There???s No Place Like Home: A Qualitative Study of the Working Conditions of Home Health Care Providers

2007 ◽  
Vol 49 (3) ◽  
pp. 327-337 ◽  
Author(s):  
Pia Markkanen ◽  
Margaret Quinn ◽  
Catherine Galligan ◽  
Stephanie Chalupka ◽  
Letitia Davis ◽  
...  
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Health Care Providers ◽  
Working Conditions ◽  
Home Health Care ◽  
Home Health ◽  
Care Providers
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