Improving interdisciplinary communication in MDT-meetings: Identification of barriers and facilitators in nationwide implementation of standardized structured reporting.

2019 ◽  
Vol 37 (27_suppl) ◽  
pp. 321-321
Author(s):  
Julie Elisa Maria Swillens ◽  
Rinus Voorham ◽  
Iris D. Nagtegaal ◽  
Rosella Hermens
Keyword(s):  
Focus Group ◽  
Multidisciplinary Team ◽  
Interdisciplinary Communication ◽  
Structured Reporting ◽  
Barriers And Facilitators ◽  
National Guidelines ◽  
Focus Group Interviews ◽  
Lack Of Information ◽  
Group Interviews ◽  
Medical Disciplines

321 Background: Standardized structured reporting (SSR) improves quality of diagnostic reporting for cancer patients, resulting in improved interdisciplinary communication in multidisciplinary-team meetings (MTMs) and subsequently better health outcomes and patient safety. In addition, SSR is important to secondary users including (tumor) registry organizations. Nevertheless, SSR-template usage, for example in pathology, varies widely among oncology related medical disciplines. Because of the advantages during MTMs, multidisciplinary-team (MDT) members could play an important role in encouraging and supporting pathologists to use SSR-templates. Therefore, the objective is to identify both barriers and facilitators for SSR-implementation from a MDT-member perspective. Methods: We used a mixed method design. Four focus group interviews with MDT-members, operating in the field of urological, gynecological or gastrointestinal oncology were performed, to identify barriers and facilitators in SSR in relation to the MTMs. Findings were classified into the domains of Flottorp et al. (2013). We used a web-based survey among Dutch MDT-members to quantify the findings. Results: Twenty-three MDT-members of nine medical disciplines participated in the focus group interviews. The survey yielded 211 responses. Main barriers of SSR among MDT-members were lack of information in the standardized structured report, particularly lack of information to retrieve doubts of the pathologist (56%, n = 211); lack of nuances (39%, n = 184); and lack of transparency on development of SSR-templates (50%, n = 211). Pathologists (59%, n = 54) also mentioned the numerous clicking when using SSR-templates as a barrier. Main facilitator was to expand the recommendation of SSR-usage in national guidelines (81%, n = 174). Conclusions: Although the use of SSR by multiple disciplines has benefits, as diagnostic reports are more complete, this study shows important barriers that have to be dealt with in the implementation process of SSR. The next step is to use the barriers for developing and testing implementation tools to encourage SSR-implementation.

scholarly journals Coping Processes of Patients with Ostomies in South Korea: A Focus Group Study

Healthcare ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. 21
Author(s):  
Heesook Son ◽  
Youngmi Kang
Keyword(s):  
Focus Group ◽  
South Korea ◽  
Qualitative Content Analysis ◽  
Focus Group Interviews ◽  
Focus Group Study ◽  
Coping Process ◽  
Lack Of Information ◽  
Data Saturation ◽  
Negative Coping ◽  
Group Interviews

Despite the adverse effects of negative coping after receiving a stoma, there is a lack of information on how patients cope with ostomies and on their families’ experiences throughout the coping process. We aimed to explore the coping experiences of individuals with ostomies throughout their illness, applying the Corbin and Strauss Chronic Illness Trajectory Framework, using exploratory qualitative methods involving focus group interviews. Purposive sampling was utilized to recruit 19 participants (split across three groups) through an ostomy association in South Korea. Two focus group interviews were separately conducted from March through to May 2017 until data saturation was achieved. Using qualitative content analysis, we analyzed the transcribed interviews and identified words and themes to interpret the results. The coping experiences of patients with ostomies were expressed through three interrelated themes: struggling and suffering, learning how to live with ostomy, and living with ostomy. We found gender differences in spousal support and a struggle among older patients regarding social coping. The themes identified suggest that gender should be considered when designing interventions to help patients cope with ostomies.

scholarly journals Environmental Management Challenges and Possible Solutions Regarding Chemical Pollution Caused by Households in Latvia: A Qualitative Pilot Study

2020 ◽  
Vol 24 (3) ◽  
pp. 534-544
Author(s):  
Lāsma Akūlova ◽  
Anna Bukina ◽  
Žanna Martinsone
Keyword(s):  
Environmental Management ◽  
Focus Group ◽  
Environmental Education ◽  
Public Perception ◽  
Chemical Pollution ◽  
Environmental Aspects ◽  
Focus Group Interviews ◽  
Lack Of Information ◽  
Group Interviews ◽  
Available Information

AbstractThe aim of this study was to determine public perception of chemical pollution and environmental management problems in Riga, Latvia, and obtain possible solutions to these problems. This is a qualitative study where data was obtained by organizing focus group interviews. A total of 3 focus groups were held with 18 participants taking part. The first focus group consisted of adults living in apartments, the second group – of adults living in houses, and the third group consisted of students; all respondents live in Riga city or its peri-urban area. The results have shown that the main problems defined by respondents regarding chemicals and environmental management is lack of information, low level of environmental education, complexity of available information on chemicals and environmental aspects, inappropriate infrastructure and lack of availability of environmental services. The potential solutions for determined problems are qualitative environmental education in schools, improved informative material accessibility by creating applications for smartphones, advertisement and social campaigns, ensuring provision of infrastructure and services, and implementation of packaging deposit system.

scholarly journals Perception and manifestation of collaborative competencies among undergraduate health students

2020 ◽  
Vol 28 ◽  
Author(s):  
Ana Wládia Silva de Lima ◽  
Fábia Alexandra Pottes Alves ◽  
Francisca Márcia Pereira Linhares ◽  
Marcelo Viana da Costa ◽  
Maria Wanderleya de Louvor Coriolano-Marinus ◽  
...  
Keyword(s):  
Data Analysis ◽  
Focus Group ◽  
Qualitative Study ◽  
Undergraduate Students ◽  
Multidisciplinary Team ◽  
Interprofessional Education ◽  
Research Strategy ◽  
Intervention Research ◽  
Focus Group Interviews ◽  
Group Interviews

Objective: to analyze the perception and manifestation of collaborative teamwork competencies among undergraduate health students who experienced the curricular internship’s integration module from the perspective of interprofessional education. Method: qualitative study, developed with the intervention research strategy. Twenty-eight students from five undergraduate health courses participated. Data were collected in three focus group interviews conducted with the undergraduate students at the end of each semester. For data analysis, the technique of intervention research and dialectical hermeneutics adopted was based on the theoretical framework of interprofessional education in health. Results: uniprofessional culture, the experience of integration of different fields of knowledge and collaborative competencies were manifested by the students in their reports and in the actions developed by the multidisciplinary team with individuals and families, during the experience of the curricular internship’s integration module. Conclusion: the experience of integration of the curricular internship from the perspective of interprofessionality favored the perception and manifestation of collaborative competencies that are necessary for teamwork among the students.

Management Strategy for Distributing Questionnaires and Interview Guidelines in the Research Data Collection Process

2018 ◽  
Vol 2 (2) ◽  
pp. 104-111
Author(s):  
Po. Abas Sunarya ◽  
George Iwan Marantika ◽  
Adam Faturahman
Keyword(s):  
Focus Group ◽  
Data Collection ◽  
Management Strategy ◽  
Research Data ◽  
Accurate Information ◽  
Focus Group Interviews ◽  
Good Management ◽  
Research Activities ◽  
Data Collection Process ◽  
Group Interviews

Writing can mean lowering or describing graphic symbols that describe a languageunderstood by someone. For a researcher, management of research preparation is a veryimportant step because this step greatly determines the success or failure of all researchactivities. Before a person starts with research activities, he must make a written plan commonlyreferred to as the management of research data collection. In the process of collecting researchdata, of course we can do the management of questionnaires as well as the preparation ofinterview guidelines to disseminate and obtain accurate information. With the arrangement ofplanning and conducting interviews: the ethics of conducting interviews, the advantages anddisadvantages of interviews, the formulation of interview questions, the schedule of interviews,group and focus group interviews, interviews using recording devices, and interview bias.making a questionnaire must be designed with very good management by giving to theinformation needed, in accordance with the problem and all that does not cause problems at thestage of analysis and interpretation.

scholarly journals Counter-talk as symbolic boundary drawing: Challenging legitimate cultural practices in individual and focus group interviews in the lower regions of social space

2021 ◽  
pp. 003802612110144
Author(s):  
Riie Heikkilä ◽  
Anu Katainen
Keyword(s):  
Focus Group ◽  
Power Relations ◽  
Social Space ◽  
Cultural Practices ◽  
Qualitative Interviews ◽  
Focus Group Interviews ◽  
Moral Boundaries ◽  
Popular Classes ◽  
Group Interviews ◽  
Symbolic Boundary

In qualitative interviews, challenges such as deviations from the topic, interruptions, silences or counter-questions are inevitable. It is debatable whether the researcher should try to alleviate them or consider them as important indicators of power relations. In this methodological article, we adopt the latter view and examine the episodes of counter-talk that emerge in qualitative interviews on cultural practices among underprivileged popular classes by drawing on 49 individual and focus group interviews conducted in the highly egalitarian context of Finland. Our main aim is to demonstrate how counter-talk emerging in interview situations could be fruitfully analysed as moral boundary drawing. We identify three types of counter-talk: resisting the situation, resisting the topic, and resisting the interviewer. While the first type unites many of the typical challenges inherent to qualitative interviewing in general (silences, deviations from the topic and so forth), the second one shows that explicit taste distinctions are an important feature of counter-talk, yet the interviewees mostly discuss them as something belonging to the personal sphere. Finally, the third type reveals how the strongest counter-talk and clearest moral boundary stemmed from the interviewees’ attitudes towards the interviewer herself. We argue that counter-talk in general should be given more importance as a key element of the qualitative interview. We demonstrate that all three types of counter-talk are crucial to properly understanding the power relations and moral boundaries present in qualitative interviews and that cultural practices are a particularly good topic to tease them out.

scholarly journals We Want More Than Life-Sustaining Treatment during End-of-Life Care: Focus-Group Interviews

2021 ◽  
Vol 18 (9) ◽  
pp. 4415
Author(s):  
Mirinae Kim ◽  
Minju Kim
Keyword(s):  
Focus Group ◽  
End Of Life ◽  
End Of Life Care ◽  
Life Care ◽  
Treatment Needs ◽  
Focus Group Interviews ◽  
Care Needs ◽  
Basic Care ◽  
Life Sustaining Treatment ◽  
Group Interviews

We qualitatively investigated end-of-life care needs. Data were collected via focus-group interviews with three groups: young adults, middle-aged adults, and older adults. The key question was, “What kind of care would you like to receive at the end of life?” Interview data were transcribed and analyzed using content analysis. End-of-life care needs were classified into six categories: life-sustaining treatment needs, physical care needs, emotional care needs, environmental needs, needs for respect, and needs for preparation for death. Because the Korean culture is family-oriented and talking about death is taboo, Korean patients at the end of their life do not make decisions about life-sustaining treatment or actively prepare for death. Therefore, to provide proper end-of-life care, conversations and shared decision-making among patients and their families are crucial. Further, we must respect patients’ dignity and help them achieve a good death by understanding patients’ basic care preferences. Future research should continue examining end-of-life care needs that reflect the social and cultural context of Korea to inform instrument development.

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