Communication and role clarity inform TeleICU use: a qualitative analysis of opportunities and barriers in an established program using AACN framework

Abstract Background Understanding the use of tele-intensive care unit (ICU) services is an essential component in evaluating current practice and informing future use as the adoption and application of teleICU services expands. We sought to explore if novel ways to utilize teleICU services can emerge within an established, consulting-style teleICU model considering the program’s flexible, provider-driven operation. Methods This was a qualitative study of one teleICU/hospital dyad using semi-structured interviews from a convenience sample of ICU (n = 19) and teleICU (n = 13) nurses. Interviews were analyzed using directed content analysis to identify themes that describe their experiences with teleICU using a deductive codebook developed from an expert consensus (American Association of Critical Care Nurses) AACN statement on teleICU nursing. Results Three themes were identified through the qualitative content analysis: [1] nurses described unique teleICU knowledge, including systems thinking and technological skills, [2] the teleICU partnership supported quality improvement initiatives, and [3] elements of the work environment influenced perceptions of teleICU and its use. When elements of the work environment, such as effective communication and role clarity, were not present, teleICU use was variable. Conclusions Flexible, provider-driven approaches for integrating teleICU services into daily practice may help define the future use of the teleICU model’s applicability. Future work should focus on the importance of effective communication and role clarity in integrating the emerging teleICU services into teleICU/ICU practice.

Download Full-text

Explaining the experiences, challenges and adaptation strategies of nurses in caring for patients with COVID-19: A qualitative study in Iran

10.21203/rs.3.rs-100575/v1 ◽

2020 ◽

Author(s):

Seyed Fahim Irandoost ◽

Javad Yoosefi Lebni ◽

Hossein Safari ◽

Farhad Khoram ◽

Sina Ahmadi ◽

...

Keyword(s):

Content Analysis ◽

Work Environment ◽

Working Conditions ◽

Qualitative Content Analysis ◽

Sense Of Self ◽

Adaptation Strategies ◽

Protective Equipment ◽

Snowball Sampling ◽

Physical And Mental Health ◽

Structured Interviews

Abstract Background: Nurses as the main human resource in coping with COVID-19 face many challenges and problems. Therefore, the present study aimed to explain the experiences, challenges, and adaptation strategies of nurses in taking care of patients with COVID-19 with a qualitative approach.Methods: The present study was conducted with a qualitative conventional content analysis approach among 30 nurses working in wards for COVID-19 patients, in Tehran hospitals. Access to participants and data collection was done through purposive sampling, snowball sampling and semi-structured interviews. Data were analyzed using qualitative content analysis (conventional) and MAXQDA-18 software. Guba and Lincoln criteria were observed to evaluate the quality of research results.Results: From data analysis, 2 main categories and 16 subcategories were obtained, including (1) experiences and challenges (lack of protective equipment, high work pressure, marginalized physical health, problems related to the use of protective equipment, getting excluded, lack of supportive work environment, problems related to patients, psychological problems, fear, marginalized personal and family life and the challenge of communication with patients' families) (2) Strategies for adapting to working conditions (performing religious-spiritual activities, creating an empathetic atmosphere in the workplace, spiritualizing their work , trying to convince the family and gain their support, strengthening sense of self-worth and responsibility).Conclusion: The working conditions for nurses can be improved through providing adequate protective equipment, providing a suitable work environment and more social and financial support, more attention to the physical and mental health of nurses and considering appropriate mechanisms for nurses to communicate with their families and patients' families.

Download Full-text

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

British Journal of Occupational Therapy ◽

10.1177/0308022620988470 ◽

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.

Download Full-text

Wrong Belief of Emergency Delay: A Qualitative Content Analysis in Iranian Context

Health in Emergencies & Disasters Quarterly ◽

10.32598/hdq.5.4.209.2 ◽

2020 ◽

Vol 5 (4) ◽

pp. 199-206

Author(s):

Elham Sepahvand ◽

◽

Hamidreza Khankeh ◽

Mohammadali Hosseini ◽

Behnam Akhbari ◽

...

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Content Analysis ◽

Qualitative Content Analysis ◽

Cultural Beliefs ◽

Professional Staff ◽

Medical Emergency ◽

Theory Approach ◽

Structured Interviews ◽

Cord Injury

Background: During traffic accidents, professional staff provide care to the patient at the scene of the accident and then transport the victim to the hospital by ambulance. But sometimes this transition is carried out by relatives and laypeople. The purpose of this study was to explore the factors affecting people’s involvement and transmission of the victims of the traffic accident. Materials and Methods: This study was done with a qualitative content analysis method in 2018. The study participants were 16 people. In this study, a purposeful sampling method with maximum diversity was used. Semi-structured interviews were used to collect data using guiding questions. To observe the research ethics, the researcher, after obtaining permission from the University Ethics Committee, conducted interviews (IR.USWR.REC.1395.399). Results: In total, 15 spinal cord injury victims and their relatives or laypeople and medical emergency technicians were interviewed. The class of wrong belief of delay was the main class in all interviews. Concepts such as past experiences, the pressure time, the lack of emergency time, cultural beliefs, and the tension explaining the wrong belief concept. Conclusion: Wrong belief of delay was a concept that was extracted from the present study. It is recommended that the scene of the accident be examined in-depth and how to create a spinal cord injury in the injured with a grounded theory approach.

Download Full-text

Factors Affecting Nurses’ Perceived Organizational Commitment: A Qualitative Study

Bangladesh Journal of Medical Science ◽

10.3329/bjms.v18i2.40701 ◽

2019 ◽

Vol 18 (2) ◽

pp. 303-311 ◽

Cited By ~ 1

Author(s):

Faribah Sepahvand ◽

Foorozan Atashzadeh Shoorideh ◽

Soroor Parvizy ◽

Mansoureh Zagheri Tafreshi

Keyword(s):

Content Analysis ◽

Organizational Commitment ◽

Qualitative Study ◽

Nurse Managers ◽

Qualitative Content Analysis ◽

Medical Science ◽

Organizational Factors ◽

Structured Interviews ◽

Factors Affecting ◽

Clinical Nurses

Objective: Nurses’ organizational commitment is one of the most important factors that facilitates their professional evolution and influences the method of care provision, quality of care, and patients’ satisfaction. The aim of this study was identified the factors that affect nurses’ perceived organizational commitment. Material and Methods: This qualitative study, conducted on 16 clinical nurses employed in Social Security Hospital of Khorramabad, Iran, during five months from May to September 2015, used deep semi-structured interviews. Purposive sampling method was used for the selection of nurses and the data were analyzed using conventional qualitative content analysis. Lincoln & Guba’s criteria were used to secure data accuracy and stability. Results: Sixteen subcategories, five categories, and three themes were distilled during content analysis process. The abstracted themes included “organizational factors”, “occupational challenges”, and “contributory management”. Conclusion: Our findings showed that numerous factors present in nurses’ profession and work environment may influence the rate of nurses’ interest and commitment in the hospital and the related organization. Hence, nurse managers can foster the promotion of nurses’ organizational commitment through creating the required suitable conditions. Bangladesh Journal of Medical Science Vol.18(2) 2019 p.303-311

Download Full-text

Health care managers learning by listening to subordinates’ dialogue training

Journal of Health Organization and Management ◽

10.1108/jhom-01-2013-0010 ◽

2014 ◽

Vol 28 (3) ◽

pp. 437-454 ◽

Cited By ~ 6

Author(s):

C. Grill ◽

G. Ahlborg Jr ◽

E. Wikström

Keyword(s):

Health Care ◽

Work Environment ◽

Middle Managers ◽

Qualitative Content Analysis ◽

Strategic Communication ◽

Care Quality ◽

Structured Interviews ◽

Health Care Managers ◽

Content Type ◽

Care Managers

Purpose – Middle managers in health care today are expected to continuously and efficiently decide and act in administration, finance, care quality, and work environment, and strategic communication has become paramount. Since dialogical communication is considered to promote a healthy work environment, the purpose of this paper is to investigate the ways in which health care managers experienced observing subordinates’ dialogue training. Design/methodology/approach – A qualitative study using semi-structured interviews and documents from eight middle managers in a dialogue programme intervention conducted by dialogue trainers. Focus was on fostering and assisting workplace dialogue. Conventional qualitative content analysis was used. Findings – Managers’ experiences were both enriching and demanding, and consisted of becoming aware of communication, meaning perceiving interaction between subordinates as well as own silent interaction with subordinates and trainer; Discovering communicative actions for leadership, by gaining self-knowledge and recognizing relational leadership models from trainers – such as acting democratically and pedagogically – and converting theory into practice, signifying practising dialogue-promoting conversation behaviour with subordinates, peers, and superiors. Research limitations/implications – Only eight managers participated in the intervention, but data afforded a basis for further research. Practical implications – Findings stressed the importance of listening, and of support from superiors, for well-functioning leadership communication at work. Originality/value – Studies focusing on health care managers’ communication and dialogue are few. This study contributes to knowledge about these activities in managerial leadership.

Download Full-text

How Do Coaches Experience Psychological Momentum? A Qualitative Study of Female Elite Handball Teams

The Sport Psychologist ◽

10.1123/tsp.26.3.435 ◽

2012 ◽

Vol 26 (3) ◽

pp. 435-453 ◽

Cited By ~ 18

Author(s):

Karin Moesch ◽

Erwin Apitzsch

Keyword(s):

Content Analysis ◽

Qualitative Study ◽

Qualitative Content Analysis ◽

External Factors ◽

Individual Factors ◽

Competitive Sports ◽

Structured Interviews ◽

Psychological Momentum ◽

Behavioral Aspects

Psychological Momentum (PM) is commonly referred to in competitive sports, but still has to be considered elusive from a scientific perspective. This study explores coaches’ perception of triggers, strategies and characteristics of PM in female elite handball teams. Semi-structured interviews with nine coaches were evaluated using a qualitative content analysis. The results revealed that positive and negative PM were characterized by factors regarding behavior, cognition, confidence, emotions, and the team. Triggers for positive PM were categorized into confidence, players’ individual factors, team factors, and team-opponent-factors, whereas triggers for negative PM related to coach factors, confidence, external factors, players’ individual factors, and team factors. Moreover, strategies emerged that are considered beneficial for controlling PM. The results are discussed with emphasis on behavioral aspects, confidence, emotions, team factors, and application. Foundations based on this study and recent research lead to the assumption that PM is probably best portrayed in a circular approach.

Download Full-text

Analysis of the Reasons for Infidelity in Women with Extra-marital Relationships: A Qualitative Study

Modern Applied Science ◽

10.5539/mas.v10n5p151 ◽

2016 ◽

Vol 10 (5) ◽

pp. 151 ◽

Cited By ~ 5

Author(s):

Shima Messripour ◽

Ozra Etemadi ◽

Seyed Ahmad Ahmadi ◽

Rezvanosadat Jazayeri

Keyword(s):

Content Analysis ◽

Qualitative Study ◽

Qualitative Content Analysis ◽

Marital Relationships ◽

Three Dimensions ◽

Research Approach ◽

Structured Interviews ◽

Factors Affecting ◽

Marital Conflicts ◽

Intrapersonal Factors

<p>Due to the higher statistics of male infidelity, the focus of previous studies has been on investigating the reasons for infidelity in this gender group. On the other hand; since marital infidelity is a phenomenon that affects every country’s culture, people, and even families, the results of research studies conducted overseas cannot be fully implicated to Iranian families. To this end, this study aimed at analyzing the reasons behind infidelity in women with extra-marital relationships in the form of a qualitative study. This study was conducted through a qualitative research approach and by using the content analysis method. Participants included 11 women referred to the counseling centers in the city of Isfahan. Purposive sampling was used and continued until data saturation. Semi-structured interviews were employed as the primary method of data collection. The data were analyzed via qualitative content analysis and constant comparative analysis methods. After the examination and division of the basic concepts, 800 initial codes were extracted from interviews. The categories were created based on the codes following several reviews and summarizations on the basis of similarities. By the nature, these conceptual and abstract themes were named in three categories of intrapersonal factors, marital conflicts, and sexual reasons. The factors affecting female infidelity in this study had three dimensions. These factors included intrapersonal factors, marital conflicts, and sexual reasons. These findings can help psychologists, family counselors, and planners in the field of the social sciences identify the efficient scopes and purposes.</p>

Download Full-text

City brand image formation by urban heritage initiatives

Management Journal of Contemporary Management Issues ◽

10.30924/mjcmi.25.s.4 ◽

2020 ◽

Vol 25 ◽

pp. 29-42

Author(s):

Miglė Černikovaitė ◽

Žaneta Karazijienė

Keyword(s):

Content Analysis ◽

Brand Image ◽

Qualitative Content Analysis ◽

Business Development ◽

Economic Factors ◽

Structured Interviews ◽

City Brand ◽

Effective Strategies ◽

Urban Heritage ◽

The City

In today's world, as cities compete in the marketplace, strategies for creating a city brand image are often shaped solely to meet the aspirations of profit, business development, and awareness. The preservation of culture, historical, and urban heritage remains important only in urban development strategies and not in actual development actions. The truth is, the image of a city is shaped by different historical, political, demographic, sociological, and economic factors which make up what we perceive as the brand image of a city. However, one of the most noticeable elements of the brand image of a city is the urban heritage based on national traditions. The aim of this article is to evaluate the effects of urban heritage initiatives in the creation of the brand image of the city of Vilnius. Research methods used in this article are qualitative content analysis and expert semi-structured interviews. Main conclusions stimulate debate, hesitation and criticism from communities and city researchers for using new heritage object and culture initiatives in order to create the brand image of Vilnius. The influence of urban heritage is inevitable when modelling the brand image of Vilnius, but there are no effective strategies to deal with the new urban heritage initiatives by creating the brand image of Vilnius yet.

Download Full-text

Barriers to Self-care Among Patients with Heart Failure: A Qualitative Study

Journal of Caring Sciences ◽

10.34172/jcs.2020.026 ◽

2020 ◽

Author(s):

Reza Negarandeh ◽

Ali Aghajanloo ◽

Khatereh Seylani

Keyword(s):

Heart Failure ◽

Content Analysis ◽

Qualitative Content Analysis ◽

Healthcare Providers ◽

Self Care ◽

The Body ◽

Financial Strain ◽

Personal Factors ◽

Structured Interviews ◽

Patients With Heart Failure

Introduction: Heart failure is the most prevalent cardiovascular disease. It is the end stage of most cardiovascular diseases and is characterized by the reduced ability of the heart to pump enough blood to fulfill the metabolic needs of the body. Self-care is the basis of the management of chronic diseases such as heart failure. The aim of this study was to explore the barriers to self-care among patients with heart failure. Methods: This was a qualitative content analysis. Participants were fourteen patients with heart failure and three healthcare providers who were purposively recruited from cardiac care centers in Zanjan, Iran. Data were collected through in-depth semi-structured interviews and were analyzed through the conventional qualitative content analysis approach proposed by Elo and Kyngäs. Results: Self-care barriers -care among patients with HF were categorized into three main categories, namely personal factors, disease burden, and inefficient support system. Each category had three subcategories which were respectively lack of self-care knowledge, heart failure-related negative emotions, the difficulty of changing habits, progressive physical decline, comorbid conditions, financial strain, inadequate social support, healthcare providers’ inattention to self-care, and limited access to healthcare providers. Conclusion: Patients with heart failure face different personal, disease-related, and supportrelated barriers to self-care. Based on these barriers, healthcare providers can develop interventions for promoting self-care among patients with heart failure.

Download Full-text

Exploring Determinants of Hand Hygiene among Hospital nurses: a qualitative study

10.21203/rs.3.rs-19852/v4 ◽

2020 ◽

Author(s):

Mohtasham Ghaffari ◽

Sakineh Rakhshanderou ◽

Ali Safari-Moradabadi ◽

Hassan Barkati

Keyword(s):

Content Analysis ◽

Qualitative Study ◽

Hand Hygiene ◽

Nursing Staff ◽

Behavioral Control ◽

Qualitative Content Analysis ◽

Perceived Behavioral Control ◽

Structured Interviews ◽

Factors Affecting ◽

Hygiene Behavior

Abstract Background: The present research is a qualitative one aiming to determine factors affecting hand-hygiene behavior of the nursing staff in Shariati Hospital of Tehran, Iran. Methods: This was a qualitative study performed using content analysis approach. Considering the aim of the study, 16 in-depth semi-structured interviews were held with the nursing staff of Shariati Hospital of Tehran University of Medical Sciences. A convenient sampling was performed and continued until data saturation and until no new codes and categories were obtained. Data were analyzed through a qualitative content analysis based on the Graham and landsman method. Directed qualitative content analysis was done in order to analyze the data. Results: The results of this study revealed 3 main themes in the Theory of Planned Behavior (TPB) (attitude, subjective norms and perceived behavioral control) and 8 main themes in the outside the framework (environment, perceptions, life style, morality, education, organizational culture, salience and personality). Conclusion: Due to the other factors also found in this study, an integration of theories and models for designing of interventions is recommended to increase adherence to hand hygiene behavior.

Download Full-text