scholarly journals Exploring clinicians’ experiences and perceptions of end-user roles in knowledge development: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Leslie Verville ◽  
Carol Cancelliere ◽  
Gaelan Connell ◽  
Joyce Lee ◽  
Sarah Munce ◽  
...  
Keyword(s):  
Qualitative Study ◽  
User Involvement ◽  
Phenomenological Approach ◽  
End Users ◽  
Knowledge Development ◽  
Future Research ◽  
Evidence Based ◽  
Thematic Maps ◽  
End User ◽  
Structured Interviews

Abstract Background End-user involvement in developing evidence-based tools for clinical practice may result in increased uptake and improved patient outcomes. Understanding end-user experiences and perceptions about the co-production of knowledge is useful to further the science of integrated knowledge translation (iKT) – a strategy for accelerating the uptake and impact of research. Our study had two main objectives: (1) explore end-user (clinician) experiences of co-producing an evidence-based practice tool; and (2) describe end-user perceptions in knowledge development. Methods We used a qualitative study design. We conducted semi-structured interviews with clinicians and used a transcendental phenomenological approach to analyze themes/phenomena. In addition, we explored the interrelated themes between the thematic maps of each objective. Results Four themes emerged from clinicians’ experiences in co-producing the practice tool: ease/convenience of participating, need for support and encouragement, understanding the value of participating, and individual skillsets yield meaningful contributions. Stakeholder roles in knowledge tool development and improving dissemination of evidence and knowledge tools were themes that related to clinician perceptions in knowledge development. The review of interrelated thematic maps depicts an intertwined relationship between stakeholders and dissemination. Conclusions End-users provide invaluable insight and perspective into the development of evidence-based clinical tools. Exploring the experiences and perceptions of end-users may support future research endeavours involving iKT, such as the co-production of clinical resources, potentially improving uptake and patient health outcomes.

Cancer patients' perceptions of using a “breast gown”: a qualitative study

2006 ◽  
Vol 5 (2) ◽  
pp. 97-107 ◽  
Author(s):  
M. McLean ◽  
D. Hodgson
Keyword(s):  
Content Analysis ◽  
Patient Satisfaction ◽  
Qualitative Study ◽  
Phenomenological Approach ◽  
Patient Choice ◽  
Evidence Based ◽  
Unexpected Result ◽  
Structured Interviews ◽  
Qualitative Phenomenological ◽  
Privacy Issues

Recently, radiotherapy breast gowns have been introduced into some Radiotherapy Departments across the country. The idea of using the breast gowns came from issues highlighted regarding privacy and dignity from patient satisfaction surveys. The introduction of the breast gowns was not evidence based, however they have become popular as they were considered a good aid for patients' comfort. This study aimed to investigate patients' perceptions of the breast gowns using a qualitative, phenomenological approach. The methodology was designed to explore patient's feelings about their experiences throughout their cancer journey. The data was collected through semi-structured interviews, which were transcribed and analysed, via content analysis. The key themes that emerged from the study were related to: patients' emotions; dignity and privacy issues; exposure; patient choice and an unexpected result were their views relating to the notion of “possession”. The results of this study cannot be generalised due to the methodology chosen, however the findings can aid the development of a multi-centred study to investigate this topic further. In addition, this study has highlighted an important recommendation for radiotherapy practice: the development of a “modesty gown” for most treatment sites.

Complicated grief knowledge and practice: a qualitative study of general practitioners in Ireland

2021 ◽  
pp. 1-6
Author(s):  
Abiola Muhammed ◽  
Anne Dodd ◽  
Suzanne Guerin ◽  
Susan Delaney ◽  
Philip Dodd
Keyword(s):  
Qualitative Study ◽  
General Practitioners ◽  
Current Knowledge ◽  
Complicated Grief ◽  
Phenomenological Approach ◽  
Structured Interviews ◽  
Relevant Research ◽  
Loved One ◽  
Knowledge And Practice ◽  
Purposive Sample

Objective: Complicated grief is a debilitating condition that individuals may experience after losing a loved one. General practitioners (GPs) are well positioned to provide patients with support for grief-related issues. Traditionally, Irish GPs play an important role in providing patients with emotional support regarding bereavement. However, GPs have commonly reported not being aptly trained to respond to bereavement-related issues. This study explores GPs’ current knowledge of and practice regarding complicated grief. Methods: A qualitative study adopting a phenomenological approach to explore the experiences of GPs on this issue. Semi-structured interviews were carried out with a purposive sample of nine GPs (five men and four women) in Ireland. Potential participants were contacted via email and phone. Interviews were audio-recorded, transcribed and analysed using Braun & Clarke’s (2006) model of thematic analysis. Results: GPs had limited awareness of the concept of complicated grief and were unfamiliar with relevant research. They also reported that their training was either non-existent or outdated. GPs formed their own knowledge of grief-related issues based on their intuition and experiences. For these reasons, there was not one agreed method of how to respond to grief-related issues reported by patients, though participants recognised the need for intervention, onward referral and review. Conclusions: The research highlighted that GPs felt they required training in complicated grief so that they would be better able to identify and respond to complicated grief.

scholarly journals A Qualitative Study Exploring Neurodiversity Conference Themes, Representations and Evidence-Based Justifications for the Explicit Inclusion and Valuing of OCD

2021 ◽  
Vol 5 (2) ◽  
pp. 111-138
Author(s):  
Damian Mellifont
Keyword(s):  
Qualitative Study ◽  
Obsessive Compulsive Disorder ◽  
Google Scholar ◽  
Future Research ◽  
Evidence Based ◽  
Exploratory Research ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

The inclusivity of neurodiversity conferences is a new field of research. Utilising Obsessive Compulsive Disorder (OCD) as an example, this study aims to critically investigate issues of inclusivity in the flyers advertising these conferences. This exploratory research is informed by 22 conference flyers and 14 scholarly articles retrieved from respective internet and Google Scholar enquiries. These articles offered evidence-based justifications for a greater inclusion of OCD-focused content in neurodiversity conferences. The study cautions that the lack of explicit inclusion of OCD as a topic among conferences can be harmful to persons who identify with this particular type of neurodivergence. This study offers a sound base from which future research focusing upon other forms of neurodivergence and issues of neurodiversity conference inclusivity and intersectionality can develop.

scholarly journals Could coronavirus 2019-infected disease patients get cope with the treatment?: A qualitative study

2021 ◽  
Vol 10 (4) ◽  
pp. 880
Author(s):  
Fery AM Mendrofa ◽  
Umi Hani ◽  
Yuni Nurhidayat
Keyword(s):  
Data Collection ◽  
Qualitative Study ◽  
Coping Strategies ◽  
Phenomenological Approach ◽  
Cross Infection ◽  
Psychological Aspect ◽  
Future Research ◽  
The World ◽  
Novel Coronavirus ◽  
Depth Interviews

A pandemic of a novel coronavirus-infected disease is currently ongoing in the world. Most patients have to be isolated due to the treatments. This study aimed to make sense of how patients with coronavirus-infected disease understand and experience infectious isolation. The research used a qualitative design with a phenomenological approach. Data collection was conducted with in-depth interviews of nine patients with coronavirus disease-2019 (COVID-19) confirmed who had been in the isolation room. The analysis was conducted on interview transcripts by organizing keywords found into categories, sub-themes, and themes based on Colaizzi's approach. The results indicated that the participants experienced fright due to the isolation and attempted to integrate their isolation experiences. Isolation highlighted a sense of threat posed by cross-infection, a threat that participants experienced as originating from others and from themselves to others. Participants described feeling changes experienced after several days of treatment. Participants reported various symptoms of the disease and received careful care while in isolation. They still communicate with family. Isolated patients are able to deal with the treatment by improving their coping strategies. Participants reported the most support from their families, even from a distance. Future research could explore experiences of isolation from family and staff perspectives and identify the psychological aspect in caring for the COVID-19 patients.

scholarly journals Agro-food projects: analysis of procedures within digital revolution

2019 ◽  
Vol 13 (3) ◽  
pp. 648-664 ◽  
Author(s):  
Juan Maria Sagarna Garcia ◽  
David Pereira Jerez
Keyword(s):  
User Involvement ◽  
End Users ◽  
Project Teams ◽  
End User ◽  
Food Sector ◽  
Digital Products ◽  
Content Type ◽  
Digital Revolution ◽  
Early Adopters ◽  
End User Involvement

Purpose The purpose of this paper is to provide insights about the approaches and techniques of professionals that nowadays are designing Digital Products and Services (DPS) in the European agriculture. The emphasis is paid on the integration of end-users and participatory approaches such as agile, considering its current influence. Design/methodology/approach A survey was conducted to professionals of businesses and entities from 14 European countries. A balanced sample of replies was achieved between private–public background, size of the business or experience of experts. Afterwards, the collection of answers and the opinions of professionals were compared with the state of the art referred in the literature. It allowed checking its soundness and critically discusses the results. Findings From the raw analysis of responses, professionals show awareness about the importance of end-user involvement and they are eager to incorporate innovative farmers and early adopters to collect the best requirements for products and services. They also declare knowledge and uptake in their companies of new approaches, such as agile. Confronting results with literature, the discussion highlights some inconsistencies and possibilities for leveraging. Types of end-users considered should be enlarged. Their superficial participation must also be avoided. Originality/value There is a lack of research on procedures for projects in agro-food sector. Due to the momentum in the digital transformation of agriculture, there are many project teams working in developing DPS and are relevant to discuss about proper methodologies for improving success.

scholarly journals End-user involvement in rehabilitation virtual reality implementation research

2019 ◽  
Vol 13 (2) ◽  
pp. 92-100 ◽  
Author(s):  
Rachel Proffitt ◽  
Stephanie Glegg ◽  
Danielle Levac ◽  
Belinda Lange
Keyword(s):  
Virtual Reality ◽  
Research Design ◽  
Implementation Research ◽  
User Involvement ◽  
End Users ◽  
Lessons Learned ◽  
End User ◽  
Content Type ◽  
End User Involvement ◽  
Design And Methods

Purpose Despite increasing evidence for the effectiveness of off-the-shelf and rehabilitation-specific active video games (AVGs) and virtual reality (VR) systems for rehabilitation, clinical uptake remains poor. A better match between VR/AVG system capabilities and client/therapist needs, through improved end-user involvement (UI) in VR/AVG implementation research, may increase uptake of this technology. The purpose of this paper is to review four case examples from the authors’ collective experience of including end users in VR/AVG research to identify common benefits, challenges and lessons learned. Design/methodology/approach The authors apply knowledge and lessons learned from the four cases to make recommendations for subsequent user-engaged research design and methods, including evaluation of the impact of end UI. Findings A better match between VR/AVG system capabilities and client/therapist needs leads to improved end UI in all stages of VR/AVG implementation research. There are common benefits of increasing buy-in and soliciting early on the knowledge and skills of therapists as well as input from the ultimate end users: people participating in rehabilitation. Most settings have the challenges of balancing the technology requirements with the needs and goals of the practice setting and of the end users. Research limitations/implications Increasing end UI in VR/AVG implementation research may address issues related to poor clinical uptake. In the VR/AVG context, end users can be therapists, clients or technology developers/engineers. This paper presented four case scenarios describing the implementation of different VR/AVG systems and involving a variety of populations, end users and settings. Originality/value The set of recommendations for subsequent user-engaged research design and methods span the process of development, research and implementation. The authors hope that these recommendations will foster collaborations across disciplines, encourage researchers and therapists to adopt VR/AVGs more readily, and lead to efficacious and effective treatment approaches for rehabilitation clients.

scholarly journals The Quality of Evidence-Based Morning Reports with an Interactive and Consultative Approach in the Viewpoint of Clinical Faculties and Residents: A Qualitative Study

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Saeideh Daryazadeh ◽  
Payman Adibi
Keyword(s):  
Qualitative Study ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Educational Interventions ◽  
Influential Factors ◽  
Faculty Members ◽  
Evidence Based ◽  
Structured Interviews ◽  
Quality Of Evidence

Background: Morning reports are important training programs (especially for residents) as they enhance clinical decision-making skills, social interactions, and participatory learning. Given the need to eliminate the educational gap and provide optimal conditions, educational interventions regarding morning reports are often implemented in the form of evidence-based morning reports with an interactive and consultative approach. Objectives: The present study aimed to evaluate the quality of evidence-based morning reports using an interactive and consultative approach. Methods: This qualitative study was conducted with an inductive approach in 2019 in Iran. Changes were made to develop an evidence-based morning report and create a friendly educational environment between faculty members and residents, as well as interactive learning among the residents. The intervention was assessed through explaining the experiences of 16 participants via individual semi-structured interviews. Purposive sampling continued until data saturation. Data analysis was performed in the MAXQDA10 software. Results: In total, 153 codes, two main categories (education and dimensions of change), six categories (educational deficiencies, influential factors in the quality of education, requirements, barriers, benefits, and response to change), and 20 subcategories were extracted. Conclusions: According to the results, the residents were satisfied with the changes, while the faculty members needed more justification and motivation. The strengths and weaknesses identified in the intervention could lay the groundwork for broader changes in the same clinical fields.

scholarly journals Changing University Students’ Mindset: From Job Seekers to Job Creators

2021 ◽  
Vol 18 ◽  
pp. 433-443
Author(s):  
Hartono Hartono
Keyword(s):  
Data Collection ◽  
Qualitative Study ◽  
College Graduates ◽  
Phenomenological Approach ◽  
Growth Mindset ◽  
University Graduates ◽  
Ministry Of Education ◽  
Job Seekers ◽  
Structured Interviews ◽  
The Government

The government continues to encourage the growth of entrepreneurship in Indonesia. Currently, university graduates are generally more interested in becoming workers or employees than in creating jobs. Indonesia still needs around 4.75 million entrepreneurs. Data from the Ministry of Education and Culture shows that in general, college graduates are more interested in becoming job seekers than job creators. Therefore, universities have the responsibility to change the students’ mindset from wanting to become job seekers to job creators. This research is a qualitative study using the phenomenological approach. Data collection was carried out by means of semi structured interviews by selecting 20 students from private universities in Jakarta. The results of this study indicate that students’ mindset from job seekers to job creators cannot change without improvement of entrepreneurship education at universities. The students’ mindset must be changed from a fixed mindset to a growth mindset. Curricula and learning methods that are too theoretical must be transformed into learning that emphasizes practical elements and entrepreneurial mental development

Safe chemotherapy: Clinicians driving technology and not the other way around.

2012 ◽  
Vol 30 (34_suppl) ◽  
pp. 183-183
Author(s):  
Vishal Kukreti ◽  
Roxanne Cosby ◽  
Annie Cheung ◽  
Marie Hamasoor ◽  
Sherrie Hertz ◽  
...  
Keyword(s):  
Clinical Practice ◽  
System Integration ◽  
Quality Care ◽  
Management Strategies ◽  
User Involvement ◽  
Clinical Work ◽  
Future Research ◽  
Evidence Based ◽  
Unanticipated Consequences ◽  
Evidence Based Guideline

183 Background: Although information technology (IT) has the potential to improve the quality and safety of patient care, introduction into the clinical work flow may create unanticipated consequences. IT solutions such as computerized physician order entry (CPOE) are often designed and executed without end-user involvement. An evidence based guideline for systemic treatment (ST) CPOE was developed. The guideline looks at the features, functionalities and components of a ST CPOE system required to ensure safe and high-quality care. Methods: The guideline was developed by an interdisciplinary panel of physicians, nurses, pharmacists, methodologists, IT specialists, and human factors experts. A systematic review was conducted of the available clinical and technology literature and key informant interviews were conducted. Role-specific CPOE functionalities were process mapped for physicians, nurses and pharmacists. Two expert panels (i.e., clinical and supporting tools) were convened to review the information and provide feedback on guideline content. The guideline was also reviewed externally by content experts from provincial, national and international organizations. Results: The resulting evidence-based guideline focused on two distinct yet interconnected parts: clinical practice (e.g., error prevention, unanticipated consequences, impact on practice, clinical decision support), and technology requirements (e.g., usability features, system integration, effective alerts, audit logs, regimen building). The recommendations also highlight the importance of change management strategies and clinician engagement. Conclusions: This innovative guideline provides an approach to technology evaluation focusing on clinical practice needs driving IT solutions. Future research to help standardize design and usability of such systems is necessary. The non-vendor specific recommendations can be used as the foundation for evaluation of ST CPOE systems to reduce errors, improve safety, and support clinical practice. The application of the recommendations as an assessment of ST CPOE system guideline concordance will also be valuable.

scholarly journals 301 Older Farmers' Experiences of Musculoskeletal Disorders

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
John Cunningham ◽  
Austin Kerin ◽  
Rose Galvin ◽  
Katie Robinson
Keyword(s):  
Qualitative Study ◽  
Musculoskeletal Disorders ◽  
Future Research ◽  
Full Time ◽  
Structured Interviews ◽  
Patient Centered ◽  
Part Time ◽  
Health Promoting ◽  
Time Basis ◽  
Older Farmers

Abstract Background Almost a third (n=41,000) of all Irish farm holders are aged 65 years or older. Older farmers are vulnerable to Musculoskeletal Disorders (MSD’s) both by virtue of the nature of their work and their age. MSD’s are a known risk factor for workplace accidents and farming is the highest risk occupation in Ireland. This study aimed to explore older farmers’ experiences of living with and accessing healthcare for MSD’s. Methods A qualitative study design employing semi-structured interviews was employed. Nine Irish farmers aged 65 years and over with current or previous experience of MSD's were recruited. All participants continued to farm on either a full-time or part-time basis. Data were analysed using thematic analysis. Results Four themes describing older farmers' experiences of MSD’s and healthcare were identified; (1) acceptance of MSD’s as inevitable (2) biomechanical and biological beliefs about MSD’s (3) resilience and a commitment to continuing work in response to MSD’s (4) scepticism and avoidance of healthcare. Conclusion To the best of our knowledge this is the first qualitative study of older Irish farmers’ experiences of MSD’s. Findings reveal that older farmer’s experiences differ significantly from those reported by other occupational groups. Commitment to continue working permeated the findings of this study and shaped older farmers' experiences and responses to MSD's. Older farmers accept MSD’s and pain as inevitable consequences of farming, and they respond to MSD’s with stoicism. Lack of healthcare provider knowledge about farming culture and practices contributes to older farmers' negative healthcare experiences and avoidance of healthcare. Given the prevalence of MSD’s in this population future research should focus on developing and evaluating appropriate health promoting and patient-centered interventions to support continued safe farming for older Irish farmers.

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