scholarly journals ‘Why didn’t they see my scars?’ Critical thematic analysis of simulated participants’ perceived tensions surrounding objective structured clinical examinations

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Mairead Corrigan ◽  
Helen J. Reid ◽  
Pascal P. McKeown
Keyword(s):  
Patient Safety ◽  
Medical Students ◽  
Thematic Analysis ◽  
Real Life ◽  
Negative Consequences ◽  
Structured Interviews ◽  
Clinical Encounters ◽  
Objective Structured Clinical Examinations ◽  
Power And Agency

Abstract Background Simulated participants (SPs) play an important role in simulated assessments of clinical encounters between medical students and patients, most notably in objective structured clinical examinations (OSCEs). SP contributions to OSCEs are invaluable, taking the role of a patient or carer. While SPs in some settings/contexts may rate students, their role has been problematized in the literature for their lack of agency within a standardised format of OSCEs that promotes reliability, objectivity and accountability. In this study, we explored SP experiences for tensions that result from simulated assessments and their potential implications for education. Methods Semi-structured interviews were conducted with seven SPs who were also tasked with providing a global mark for students. They were purposively selected to include women and men of different ages, occupation, education and experience as an SP. The interviews were analysed using a critical thematic analysis using a phenomenological approach. Results SP experiences directly addressed tensions and contradictions around OSCEs. SP participants described their experiences under four themes: industrialising, reducing, performativity and patient safety. OSCEs were compared to an industrial process that promoted efficiency but which bore no resemblance to real-life doctor-patient encounters. They were perceived to have a power and agency that reduced SPs to verbalising scripts to ensure that students were exposed to a standardised simulated experience that also underlined the performative role of SPs as props. These performative and reductionist experiences extended to students, for whom the mark sheet acted as a checklist, promoting standardised responses that lacked genuineness. All of this created a tension for SPs in promoting patient safety by ensuring that those medical students who passed were clinically competent. Conclusions OSCEs often form part of high-stakes exams. As such, they are governed by processes of industrialisation, accountability and standardisation. OSCEs possess a power and agency that can have unintended negative consequences. These include ‘conditioning’ students to adopt behaviours that are not suited to real-life clinical encounters and are not person-centred.

scholarly journals Ringing the changes: the role of telephone communication in a helpline and befriending service targeting loneliness in older people

2018 ◽  
Vol 39 (7) ◽  
pp. 1528-1551 ◽  
Author(s):  
CLAIRE PRESTON ◽  
STEPHEN MOORE
Keyword(s):  
Mixed Methods ◽  
Older People ◽  
Thematic Analysis ◽  
Emotional Support ◽  
Mixed Methods Study ◽  
Structured Interviews ◽  
Voice Communication ◽  
Telephone Communication ◽  
The United Kingdom

ABSTRACTThe drive to deliver services addressing loneliness in older people by telephone and online makes it increasingly relevant to consider how the mode of communication affects the way people interact with services and the capacity of services to meet their needs. This paper is based on the qualitative strand of a larger mixed-methods study of a national phoneline tackling loneliness in older people in the United Kingdom. The research comprised thematic analysis of four focus groups with staff and 42 semi-structured interviews with callers. It explored the associations between telephone-delivery, how individuals used the services and how the services were able to respond. To understand these associations, it was useful to identify some constituent characteristics of telephone communication in this context: namely its availability, reach and non-visual nature. This enabled various insights and comparison with other communication media. For example, the availability of the services attracted people seeking frequent emotional support but this presented challenges to staff. More positively, the ability of the services to connect disparate individuals enabled them to form different kinds of satisfying relationships. The evolution of mixed communication forms, such as internet-based voice communication and smartphone-based visual communication, makes analysis at the level of a technology's characteristics useful. Such a cross-cutting perspective can inform both the design of interventions and assessment of their suitability for different manifestations of loneliness.

scholarly journals Safety Performance in Acute Medical Care: A Qualitative, Explorative Study on the Perspectives of Healthcare Professionals

Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1543
Author(s):  
Lina Heier ◽  
Donia Riouchi ◽  
Judith Hammerschmidt ◽  
Nikoloz Gambashidze ◽  
Andreas Kocks ◽  
...  
Keyword(s):  
Patient Safety ◽  
Nursing Students ◽  
Healthcare Professionals ◽  
Improve Patient Safety ◽  
Safety Performance ◽  
Structured Interviews ◽  
Performance Skills ◽  
Work Environment Factors ◽  
Improve Patient

Healthcare professionals need specific safety performance skills in order to maintain and improve patient safety. The purpose of this study is to get a deeper understanding of healthcare professionals’ perspective in acute care on the topic of safety performance. This study was conducted using a qualitative approach. Healthcare professionals working in nursing were interviewed using semi-structured interviews. Using content analyzing, categories were identified which present aspects of safety performance; subcategories were developed deductively. A total of 23 healthcare professionals were interviewed, of which 15 were registered nurses, five were nursing students and three were pedagogical personnel. Nine (39.1%) were <30 years old, 17 (73.9%) were female, and 9 (39.1%) had a leadership function. Results highlight the importance of safety performance as a construct of occupational health rather than of patient safety, and the role of the organization, as well as the self-responsibility of healthcare professionals. Healthcare professionals should be more conscious of their role, have a deeper understanding of the interaction of individual, team, patient, organization and work environment factors.

scholarly journals The Perception of Rural Medical Students Regarding the Future of General Medicine: A Thematic Analysis

Healthcare ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1256
Author(s):  
Kasumi Nishikawa ◽  
Ryuichi Ohta ◽  
Chiaki Sano
Keyword(s):  
Medical Students ◽  
Thematic Analysis ◽  
General Medicine ◽  
Present Situation ◽  
Structured Interviews ◽  
Factors Affecting ◽  
Factors Influencing ◽  
Positive Impression ◽  
Further Development ◽  
Medicine Education

Although the demand for general physicians has increased in Japan because of its aging population, medical universities primarily provide organ-based education; thus, medical students do not receive sufficient general medical education. The number of residents focusing on general medicine remains low; therefore, to understand the present situation regarding general medicine education, we attempted to clarify the views of medical students and the factors influencing them. In this qualitative study, semi-structured interviews were conducted in 12 medical students at Shimane University, and the results were analyzed through thematic analysis. The results indicated the emergence of three themes and 14 concepts. The three overarching themes were as follows: hopes for the field of general medicine, gaps between ideal and reality of general medicine, and factors affecting students’ motivation for specialization in general medicine. Medical students had a positive impression of general medicine and believed that it has potential for further development; however, they felt a gap between their ideals and reality (i.e., unclear expertise). Factors creating this gap included poorly developed education and medical policies. We need to restructure general medicine education based on the participants’ perceptions by establishing collaborative curricula between universities and community hospitals and by increasing students’ exposure to general medicine.

The Effects of Second Life on the Motivation of EFL Student Teachers

2019 ◽  
pp. 86-114 ◽  
Author(s):  
Galip Kartal ◽  
Cem Balçıkanlı
Keyword(s):  
Student Teachers ◽  
Second Life ◽  
Virtual World ◽  
Teaching And Learning ◽  
Real Life ◽  
Structured Interviews ◽  
Group Interviews ◽  
Free Environment

This study aimed at investigating the effects of using a virtual world, Second Life (SL), on the motivation of Turkish EFL student teachers. First, a 10-week real-life task syllabus was designed and conducted in SL. Focus-group interviews were utilized to enhance the quality of the tasks. Then, the effects of SL on motivation were tracked via qualitative research tools, namely semi-structured interviews, weekly evaluation forms, and observations. The findings showed that SL was effective in increasing motivation of the participating student teachers. The characteristics of the virtual world that were reported to have an effect on motivation were as follows: natural environment, realistic places, anxiety-free environment, excitement, and visual support. This chapter provides possibilities for those who are interested in employing virtual world technologies in foreign/second language teaching and learning and finally describes an investigation into the role of the virtual world in relation to affordances such technologies present across the globe.

‘Physical appearance and well-being in adults with incurable cancer: a thematic analysis’

2020 ◽  
pp. bmjspcare-2020-002632
Author(s):  
Philippa Tollow ◽  
Jane Ogden ◽  
Candida S McCabe ◽  
Diana Harcourt
Keyword(s):  
Thematic Analysis ◽  
Psychosocial Support ◽  
Positive Impact ◽  
Well Being ◽  
Emotional Impact ◽  
Structured Interviews ◽  
Incurable Cancer ◽  
The Impact ◽  
Appearance Changes

ObjectivesExisting research has established the importance of appearance concerns for individuals with cancer and identified appearance as an important factor in dying with dignity. No research, however, has explored in depth the role of appearance in the experiences of individuals who have incurable cancer. This research aims to explore patients’ experiences and perspectives in relation to the role of appearance issues in adults with incurable cancer.MethodsSemi-structured interviews were conducted with 24 adults with incurable cancer (20 women, 4 men; mean age 54.5, SD 11.32).ResultsThematic analysis generated three themes: ‘Identity: Embodying Cancer’, ‘Communication: Wearing your illness’ and ‘Support: Holistic Care’. Appearance was felt to be an important element of identity, which was often dominated by cancer, leading to feelings of separation from the participant’s previous self. Appearance changes also influenced the way in which individuals communicated with their external world, forcing discussion of their diagnosis, and increasing focus on their cancer, with participants having to manage the emotional impact of this on loved ones, as well as the impact on their legacy. Finally, participants highlighted the positive impact of appearance-related support in their well-being and identified peer connections and refocusing on the self as key elements of such support.ConclusionsAppearance changes play an important role in the experiences of individuals with incurable cancer with regards to both identity and communication and challenged participants’ ability to maintain normalcy. Further psychosocial support relating to appearance concerns was considered necessary to promote dignity and provide truly holistic patient care.

Key Considerations for Advancing Women in Coaching

2019 ◽  
Vol 27 (2) ◽  
pp. 128-135 ◽  
Author(s):  
Jenessa Banwell ◽  
Gretchen Kerr ◽  
Ashley Stirling
Keyword(s):  
Gender Equity ◽  
Thematic Analysis ◽  
Mentoring Relationships ◽  
Future Research ◽  
Full Time ◽  
Structured Interviews ◽  
Part Time ◽  
Business Engineering ◽  
Female Coaches

Women remain underrepresented in the coaching domain across various levels of sport both in Canada and internationally. Despite the use of mentorship as a key strategy to support female coaches, little progress has been seen in achieving parity. At the same time, greater advances in gender equity have occurred in other non-sport sectors such as business, engineering, and medicine. The purpose of this study, therefore, was to learn from non-sport domains that have seen advances in gender equity to inform mentorship for women in coaching. A mixed-methods methodology was employed and consisted of distributing mentorship surveys to female coaches (n = 310) at various competitive levels, representing current (88%), former (12%), full-time (26%), part-time (74%), paid (54%), and unpaid (46%) coaching status. In addition, eight in-depth semi-structured interviews were also conducted with women in senior-level positions across various non-sport domains, including business (n = 1), media (n = 1), engineering (n = 2), higher education (n = 1), law (n = 1), and medicine (n = 2), regarding the role of mentorship in advancing women in their field. A descriptive and thematic analysis of the survey and interview data were conducted and findings are interpreted to suggest considerable variation in the characteristics of female coaches’ mentoring relationships, as well as the need to move beyond mentorship to sponsorship for advancing women in coaching. Recommendations for future research and advancing women in coaching are provided.

scholarly journals Doctors’ decisions when disclosing their mental ill-health

2019 ◽  
Vol 69 (4) ◽  
pp. 258-265 ◽  
Author(s):  
S Rees ◽  
D Cohen ◽  
N Marfell ◽  
M Robling
Keyword(s):  
Decision Making ◽  
Medical Students ◽  
Thematic Analysis ◽  
Personal Experience ◽  
Potential Outcomes ◽  
Structured Interviews ◽  
Social Media Data ◽  
Seeking Help ◽  
The Many ◽  
Media Data

Abstract Background Understanding of what prevents doctors from seeking help for mental ill-health has improved. However, less is known about what promotes timely disclosure and the nature of doctors’ decision making. Aims This study aimed to define how doctors make decisions about their own mental ill-health, and what facilitates disclosure. It explored the disclosure experiences of doctors and medical students; their attitudes to their decisions, and how they evaluate potential outcomes. Methods Qualitative, semi-structured interviews with UK doctors and medical students with personal experience of mental ill-health. Participants were recruited through relevant organizations, utilizing regular communications such as newsletters, e-mails and social media. Data were subject to a thematic analysis. Results Forty-six interviews were conducted. All participants had disclosed their mental ill-health to someone; not all to their workplace. Decision making was complex, with many participants facing multiple decisions throughout their careers. Disclosures were made despite the many obstacles identified in the literature; participants described enablers to and benefits of disclosing. The importance of appropriate responses to first disclosures was highlighted. Conclusions Motivations to disclose mental ill-health are complex and multifactorial. An obstacle for one was an enabler for another. Understanding this and the importance of the first disclosure has important implications for how best to support doctors and medical students in need.

scholarly journals Community Supported Agriculture as a Driver of Food-Related Well-Being

2020 ◽  
Vol 12 (11) ◽  
pp. 4516 ◽  
Author(s):  
Ilona Liliána Birtalan ◽  
Attila Bartha ◽  
Ágnes Neulinger ◽  
György Bárdos ◽  
Attila Oláh ◽  
...  
Keyword(s):  
Qualitative Research ◽  
Sustainable Agriculture ◽  
Research Design ◽  
Thematic Analysis ◽  
Well Being ◽  
Community Supported Agriculture ◽  
Structured Interviews ◽  
Qualitative Research Design ◽  
Nutritional Characteristics

Background: There is a growing amount of research interest to understand the role of food in well-being. The demand for community supported agriculture (CSA), bringing people spatially, economically, and socially closer to food, is continuously expanding. CSAs play an important role in both sustainable agriculture practices and influencing consumers’ food-related practices, but yet have received little attention in well-being research. Methods: This study explores food-related well-being among CSA members by using an exploratory, qualitative research design and a thematic analysis of semi-structured interviews. Results: The findings stress the relevance of psychological, social, and spiritual aspects of food-related well-being beyond the nutritional characteristics of food in CSA. Conclusion: The role of sustainable agriculture in contributing to food-related well-being becomes particularly evident based on consumers’ experiences. These results are important in convincing people that their food-related experiences belong to their perceived well-being as well as stimulating people to elevate their multidimensional expectations in relation to food.

scholarly journals Early Adopters’ Philosophies, Practices and Perspectives on Eco-Tourism and Eco-Certification: The Case of Ecotourism in Jamaica

2021 ◽  
Vol 14 (1) ◽  
pp. 120-136
Author(s):  
Natalya R. Brown ◽  
Anahit Armenakyan ◽  
Linda A. Piper
Keyword(s):  
Thematic Analysis ◽  
Strong Evidence ◽  
Community Support ◽  
Economic Sustainability ◽  
Cultural Environment ◽  
Structured Interviews ◽  
Sustainable Practices ◽  
Early Adopters

This paper examines business philosophies, sustainable practices, and attitudes towards eco-certification of pio-neering tourism operators engaged in ecotourism in the mature ‘sun and beach’ destination of Jamaica. We conducted a thematic analysis of the data collected from semi-structured interviews with managers and owners, and observations from on-site visits with establishments identified as ecotourism operators in Jamaica. We identified five distinct busi-ness philosophies that guided our participants' operations: presenting Jamaica in a holistic way, preserving the natural and cultural environment, community support, economic sustainability and incentivized preservation, and operational independence. The tourism operations in our study primarily engage in sustainable practices as a means of attaining operational independence. Meanwhile, participants held mixed attitudes towards eco-certification. There was signifi-cant overlap between our findings and the existing conceptual UNWTO framework for ecotourism. We found strong evidence for the role of education as the defining characteristic of ecotourism. Varying attitudes towards and awareness of sustainability and conservation of the country’s cultural and natural assets limit the amount of community consulta-tion in planning and development of these enterprises.

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