scholarly journals Exploring physiotherapists’ clinical definition and diagnosis of inflammatory conditions of the lactating breast in Australia: a mixed methods study

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Emma Heron ◽  
Tanya Maselli ◽  
Adelle McArdle ◽  
Beatriz I. R. de Oliveira ◽  
Leanda McKenna
Keyword(s):  
Mixed Methods ◽  
Quantitative Data ◽  
Treatment Guidelines ◽  
Main Theme ◽  
Cross Sectional ◽  
Qualitative And Quantitative ◽  
Inflammatory Conditions ◽  
Australian State ◽  
Lactating Breast ◽  
Systemic Symptoms

Abstract Background Differences in physiotherapy intervention practices for mastitis have been shown across Australian regions and facilities and it is unknown if this is associated with physiotherapists’ definition and diagnosis of Inflammatory Conditions of the Lactating Breast (ICLB). The aims were to determine how Australian physiotherapists’ define and diagnose ICLB and if there are regional or facility differences in their ICLB definition and diagnosis. Method A cross-sectional mixed methods design was used to investigate how physiotherapists construct a definition and diagnosis of ICLB, via online qualitative and quantitative questions. Participants included 63 Australian physiotherapists who treated at least one woman with ICLB per month, over the last year. Thematic analysis and descriptive statistics were used to analyse qualitative and quantitative responses, respectively. Results ICLB definition varied among physiotherapists (n = 63) with generated themes including definitions based on pathophysiology (57%), combination of local and systemic symptoms (38%), conditions (32%), local symptoms (25%) and breast function (16%). Overall, quantitative data supported these findings, as some physiotherapists considered blocked ducts an ICLB (83%), but some did not (17%), and some considered abscess and engorgement an ICLB (65%) and some did not (35%). For ICLB diagnosis, the main theme generated was lack of consensus between physiotherapists (n = 39) on the number or combination of local or systemic symptoms required. Quantitative data confirmed these themes, as 63% of physiotherapists (n = 63) indicated that more than one symptom was necessary to clinically diagnose ICLB, but 27% required only one symptom. For region and type of facility, consistency across the themes for region and facility was evident. Overall, quantitative data confirmed these findings, with no regional or facility differences, except physiotherapists from the Australian state of Victoria (96%) were more likely to consider blocked ducts as an ICLB, compared to those from the states of NSW (71%) or WA (71%) (n = 58; χ2 = 6.49, p = 0.04). Conclusion Australian physiotherapists have varied definitions of ICLB and the required ICLB symptoms for clinical diagnosis. These results may prompt physiotherapists, who treat ICLB, to engage in explicit communication when discussing an ICLB in patient care, when delivering information in training courses and in developing treatment guidelines.

scholarly journals Women and Leadership in Mixed Secondary Schools in Kenya; Do Stakeholder’s Attitudes Matter?

2017 ◽  
Vol 5 (1) ◽  
pp. 39
Author(s):  
ANNE Wangari Mberia
Keyword(s):  
Secondary Schools ◽  
Quantitative Data ◽  
Quantitative Methods ◽  
Survey Design ◽  
Group Discussion ◽  
Negative Attitude ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Women Leadership ◽  
Qualitative And Quantitative

Leadership is a process whereby an individual influences a group of individuals to achieve a common goal (Northhouse, 2011). In time and space, women leadership remains a subject talked about but hardly appreciated (Wren, 2013). Among the factors contributing to poor representation of women in leadership is stakeholder’s attitude (Coleman, 2005). The study sought to investigate stakeholder’s attitudes impeding women teachers' ascension to leadership positions in mixed public secondary schools, focusing in Tharaka South Sub – County, Kenya. The study employed descriptive cross-sectional survey design utilizing both qualitative and quantitative methods of data collection. Probability and non-probability sampling techniques were used to arrive at the sample size. Data was collected from women classroom teachers, heads of departments, school principals, education officers, education trade unionists, Parents and Teachers Association officials and School Board of Management officials. Questionnaires, interview guide and focus group discussion guides were used to collect both qualitative and quantitative data. Data analysis was assisted by computer software (Statistical Package for Social Sciences for quantitative data and NVIVO for qualitative data). The study established that education stakeholders have a general negative attitude towards women leadership in schools.

scholarly journals Investigating dementia literacy among community-dwelling adults and older adults in Macau: A mixed methods study

2019 ◽  
Author(s):  
Angela YM Leung ◽  
Cindy S. U Leong ◽  
Pak Leng Cheong ◽  
Alice S. M. Tsang ◽  
Bernice O. C. Lam Nogueira ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Focus Group ◽  
Quantitative Data ◽  
Attitude Scale ◽  
Community Dwelling ◽  
Mixed Methods Study ◽  
Focus Group Interviews ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Group Interviews

Abstract Background: As population ageing and dementia incidence continue to increase worldwide, health systems are urged to empower the public to address factors related to dementia. This study aims to assess Macau citizens’ knowledge of dementia, attitudes towards persons with dementia, and help-seeking behaviours and intention toward dementia.Methods: This is a mixed-methods study with both quantitative (cross-sectional survey) and qualitative components (focus group interviews). The Alzheimer’s Disease Knowledge Scale (ADKS) and Dementia Attitude Scale (DAS) were utilized in the quantitative data collection, whereas focus group interviews were employed to gather context-specific understanding of dementia in the local setting. Descriptive statistics and Chi-square tests were used to analyze quantitative data, while content analysis was used for qualitative data.Results: The overall level of knowledge on dementia was low (ADKS mean total score = 17.38, SD = 3.31), with the least amount of knowledge in the caregiving domain. Meanwhile, attitudes toward persons with dementia was generally positive (mean [SD] = 89.07 [11.99]). Many of the focus group participants were also uncertain regarding the availability of dementia services in the region. The general public was interested to obtain dementia information through social media.Conclusions: Efforts should be made to build up dementia literacy in Macau, especially in terms of caregiving. Information about dementia could be disseminated in social media and by healthcare professionals.

scholarly journals Health and Wellbeing Needs and Priorities in Mining Host Communities in South Africa: A Mixed-Methods Approach For Identifying Key SDG3 Targets

2021 ◽  
Author(s):  
Brian Rice ◽  
Delia Boccia ◽  
Daniel J Carter ◽  
Renay Weiner ◽  
Lebohang Letsela ◽  
...  
Keyword(s):  
South Africa ◽  
Substance Abuse ◽  
Mixed Methods ◽  
Quantitative Data ◽  
Host Community ◽  
Structural Level ◽  
Mixed Methods Approach ◽  
Qualitative And Quantitative ◽  
Priority Areas ◽  
Health And Wellbeing

Abstract Background The global mining industry has an opportunity to mobilize resources to advance progress against the Sustainable Development Goals (SDGs). In 2018, the Anglo-American Group outlined aspirations for mining host communities to meet the SDG3 health targets. To progress from aspiration to action we designed and implemented a mixed-methods approach to attain a deeper understanding of the health and wellbeing priorities within the local context of host communities of fifteen mines in South Africa. Methods To identify local needs and priorities relating to SDG3 targets in host communities, stakeholder workshops and key informant interviews were conducted between June and August 2019. A baseline assessment of health data, related to each of the SDG3 targets and indicators and to each host community location, was also conducted. Findings emerging from the qualitative and quantitative baseline assessments were compared to identify the extent to which health issues aligned and health and wellbeing priority areas for action. Results A total of 407 people participated in the workshops, and 85 key informants were interviewed. Quantitative data were available at sub-national level for seven of the nine SDG3 targets and eleven of the 21 indicators. Key priority areas for action identified through alignment of the qualitative and quantitative data were maternal mortality (SDG3.1), HIV (SDG3.3.1), tuberculosis (SDG3.3.2), substance abuse (SDG3.5), and road traffic accidents (SDG3.6) We found consistency in the individual, interpersonal, community, societal, and structural factors underlying these priority areas. At a structural level, poor access to quality healthcare was raised at every workshop as a key factor underlying the achievement of all SDG3 targets. Of the five priority areas identified, HIV, TB and substance abuse were found to overlap in the study communities in terms of risk, burden, and underlying factors. Conclusions We demonstrate a mixed method approach for identifying local health needs and prioritised SDG3 targets in mining host communities. Consistency in reporting suggests the need for effective, efficient and feasible interventions to address five priority areas. Given the prominent economic role of the mining sector in South Africa, it can play a critical role in implementing programmatic activities that further progress towards achieving the SDG3 targets.

scholarly journals Health and wellbeing needs and priorities in mining host communities in South Africa: a mixed-methods approach for identifying key SDG3 targets

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Brian Rice ◽  
Delia Boccia ◽  
Daniel J. Carter ◽  
Renay Weiner ◽  
Lebohang Letsela ◽  
...  
Keyword(s):  
South Africa ◽  
Substance Abuse ◽  
Mixed Methods ◽  
Quantitative Data ◽  
Host Community ◽  
Structural Level ◽  
Mixed Methods Approach ◽  
Qualitative And Quantitative ◽  
Priority Areas ◽  
Health And Wellbeing

Abstract Background The global mining industry has an opportunity to mobilize resources to advance progress against the Sustainable Development Goals (SDGs). In 2018, the Anglo-American Group outlined aspirations for mining host communities to meet the SDG3 health targets. To progress from aspiration to action we designed and implemented a mixed-methods approach to attain a deeper understanding of the health and wellbeing priorities within the local context of host communities of fifteen mines in South Africa. Methods To identify local needs and priorities relating to SDG3 targets in host communities, stakeholder workshops and key informant interviews were conducted between June and August 2019. A baseline assessment of health data, related to each of the SDG3 targets and indicators and to each host community location, was also conducted. Findings emerging from the qualitative and quantitative baseline assessments were compared to identify the extent to which health issues aligned and health and wellbeing priority areas for action. Results A total of 407 people participated in the workshops, and 85 key informants were interviewed. Quantitative data were available at sub-national level for seven of the nine SDG3 targets and eleven of the 21 indicators. Key priority areas for action identified through alignment of the qualitative and quantitative data were maternal mortality (SDG3.1), HIV (SDG3.3.1), tuberculosis (SDG3.3.2), substance abuse (SDG3.5), and road traffic accidents (SDG3.6) We found consistency in the individual, interpersonal, community, societal, and structural factors underlying these priority areas. At a structural level, poor access to quality healthcare was raised at every workshop as a key factor underlying the achievement of all SDG3 targets. Of the five priority areas identified, HIV, TB and substance abuse were found to overlap in the study communities in terms of risk, burden, and underlying factors. Conclusions We demonstrate a mixed method approach for identifying local health needs and prioritised SDG3 targets in mining host communities. Consistency in reporting suggests the need for effective, efficient and feasible interventions to address five priority areas. Given the prominent economic role of the mining sector in South Africa, it can play a critical role in implementing programmatic activities that further progress towards achieving the SDG3 targets.

Child Health Ecological Surveillance System (CHESS) for childhood obesity: a feasibility study

2010 ◽  
Vol 30 (3) ◽  
pp. 95-106
Author(s):  
R.C. Plotnikoff ◽  
P. Lightfoot ◽  
S. McFall ◽  
C. Spinola ◽  
S.T. Johnson ◽  
...  
Keyword(s):  
Childhood Obesity ◽  
Child Health ◽  
Surveillance System ◽  
Quantitative Data ◽  
Cross Sectional ◽  
Qualitative And Quantitative ◽  
System P ◽  
Wide Range ◽  
Privacy Legislation

Objective To assess the feasibility of employing an ecologically guided childhood obesity relevant surveillance system. Methods Cross-sectional qualitative and quantitative data were collected from 31 organizational representatives across 28 unique organizations and/or departments from three purposively sampled communities in the Capital Health Region in Alberta, Canada. Results All the organizational representatives surveyed reported awareness of childhood obesity and 36% reported participation in child obesity initiatives. Data to support a surveillance system are available but not in a suitable format, and privacy legislation present significant barriers. Interest in developing and sustaining an ecologically based surveillance system was low (18%). Conclusion Due to the heterogeneity of available data and limited vision for the development and implementation of a surveillance system, the application of an ecologically based surveillance system relevant to childhood obesity may be constrained. Broad-based awareness of childhood obesity by a wide range of organizations could assist in establishing an effective coalition to address this issue over the long term by supporting the establishment of a surveillance system.

Practical utility of mixed methods research in pharmacy practice

2021 ◽  
Author(s):  
Stacy Elder Dalpoas ◽  
Kenneth M Shermock
Keyword(s):  
Mixed Methods ◽  
Research Design ◽  
Quantitative Data ◽  
Mixed Methods Research ◽  
Pharmacy Practice ◽  
Practice Research ◽  
Qualitative And Quantitative ◽  
Research Questions ◽  
Literature Highlight ◽  
Complex Question

Abstract Purpose Our aim was to review key methodological concepts and provide a practical guide to employing mixed methods research to enhance pharmacy practice research. Summary Mixed methods research provides multiple organized analytic perspectives to thoroughly investigate complex social and scientific problems in a methodologically rigorous manner. This research design incorporates collection and analysis of both qualitative and quantitative data components to create a thorough understanding of a complex question. The 5 most commonly identified reasons for conducting mixed methods research include triangulation, complementarity, development, initiation, and expansion of results. For research questions that benefit from mixed methods research, we review how to structure the study, including timing, sequencing, and prioritization of methods. Illustrative examples from the literature highlight the utility of this methodology for clinical and operational pharmacy research questions. Conclusion Mixed methods designs can enhance pharmacy research inquiry, provide a means to understand complicated issues, and uncover optimal interventions.

Work and Injuries in Dancers: Survey of a Professional Dance Company in Brazil

2006 ◽  
Vol 21 (1) ◽  
pp. 29-33
Author(s):  
Melina Scialom ◽  
Aguinaldo Gonçalves ◽  
Carlos Roberto Padovani
Keyword(s):  
Medical Care ◽  
Quantitative Data ◽  
Daily Life ◽  
Contemporary Dance ◽  
Cross Sectional ◽  
Qualitative And Quantitative ◽  
Dance Company ◽  
Physical Injuries ◽  
Classical Technique ◽  
Professional Dance

This study examined the daily life and most important physical injuries suffered and reported by the dancers of a professional (contemporary) dance company in São Paulo, Brazil. Through an observational, cross-sectional, retrospective procedure using a questionnaire that collected qualitative and quantitative data, we were able to gather information on 30 dancers who collaborated with the survey. We determined that the injuries considered as most important by dancers were those that prevented dance activity during some months. These injuries occurred mainly during rehearsals (which is the activity occupying the most time on the schedule). Articular injuries were the most frequent and mainly involved the knee and ankle. They were related to classical technique, in which most of the company’s artists started their dance careers. Medical care usually was sought within 1 day, and the prescribed treatment resolved the problem, but the injury cause was not identified in all cases.

scholarly journals PREVALENCE OF CONTRACEPTIVE USE AMONG KENYA COAST NATIONAL POLYTECHNIC STUDENTS

2021 ◽  
pp. 324-329
Author(s):  
Kailong J. M ◽  
Adem A
Keyword(s):  
Key Words ◽  
Quantitative Data ◽  
Contraceptive Use ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
Sectional Study ◽  
Student Knowledge ◽  
Cross Sectional ◽  
Qualitative And Quantitative ◽  
Emergency Contraceptive

The study purpose of the study was to determine the prevalence of emergency contraceptive use among the Kenya Coast National Polytechnic. The objective of the study was to establish the level of contraceptive use, student knowledge on contraceptives and accessibility of contraceptives. A descriptive cross sectional study design was employ to collect both qualitative and quantitative data. Data was collected from sample size of 196 calculated using Fisher’s formula. Data was collected using both structured questionnaires and interviews. The collected data was analyzed using SPPS version 20 and presented using tables and pie charts. About 32% of the respondents were using contraceptive, 99% had knowledge on contraceptives and 77% could access contraceptives within their neighborhood. Bivariate analysis findings show that residence (p=0.000), course (P=0.000), usage of contraceptive (p=0.000) and availability at a nearby facility (p=0.009) to statistically significant in contraceptive use. The study recommends that the respondents need more knowledge on various contraceptive options, support from both institution of learning as well as parents on safe sex practices and reliable provision of contraceptives KEY WORDS: Contraceptives, teenagers, accessibility

Can we determine burdensome transitions in the last year of life based on time of occurrence and frequency? An explanatory mixed-methods study

2021 ◽  
pp. 1-9
Author(s):  
Nicolas Schippel ◽  
Gloria Dust ◽  
Christian von Reeken ◽  
Raymond Voltz ◽  
Julia Strupp ◽  
...  
Keyword(s):  
Content Analysis ◽  
Mixed Methods ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Mixed Methods Study ◽  
Subjective Burden ◽  
Insufficient Information ◽  
Cross Sectional ◽  
Explanatory Mixed Methods ◽  
Patients Experience

Abstract Objective Burdensome transitions are typically defined as having a transition in the last three days or multiple hospitalizations in the last three months of life, which is seldom verified with qualitative accounts from persons concerned. This study analyses types and frequencies of transitions in the last year of life and indicators of burdensome transitions from the perspective of bereaved relatives. Method Cross-sectional explanatory mixed-methods study with 351 surveyed and 41 interviewed bereaved relatives in a German urban area. Frequencies, t-tests, and Spearman correlations were computed for quantitative data. Qualitative data were analyzed using content analysis with provisional and descriptive coding/subcoding. Results Transitions rise sharply during the last year of life. 8.2% of patients experience a transition in the last three days and 7.8% three or more hospitalizations in the last three months of life. An empathetic way of telling patients about the prospect of death is associated with fewer transitions in the last month of life (r = 0.185, p = 0.046). Professionals being aware of the preferred place of death corresponds to fewer hospitalizations in the last three months of life (1.28 vs. 0.97, p = 0.021). Qualitative data do not confirm that burden in transitions is linked to having transitions in the last three days or multiple hospitalizations in the last three months of life. Burden is associated with (1) late and non-empathetic communication about the prospect of death, (2) not coordinating care across settings, and (3) not considering patients’ preferences. Significance of results Time of occurrence and frequency appear to be imperfect proxies for burdensome transitions. The subjective burden seems to be associated rather with insufficient information, preparation, and management of transitions.

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