The cognitive load of inpatient consults: A convergent parallel mixed methods study using the consult cognitive load instrument.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. 11027-11027
Author(s):  
Sam Brondfield ◽  
Kewchang Lee ◽  
Patricia O'Sullivan
Keyword(s):  
Mixed Methods ◽  
Cognitive Load ◽  
Interrater Reliability ◽  
Mixed Methods Study ◽  
Deep Insight ◽  
Intrinsic Cognitive Load ◽  
Complex Skill ◽  
Primary Responsibility ◽  
Member Checks ◽  
Insight Into

11027 Background: Consultation is crucial for inpatient care and a primary responsibility of fellows. Understanding the cognitive load associated with the complex skill of consultation would enhance fellow learning. The authors aimed to determine themes describing the fellow experience during consults, align these themes with Consult Cognitive Load (CCL) scores, and identify strategies to manage cognitive load. Methods: The authors studied 16 fellows using mixed methods. Fellows who accepted an invitation completed a consult followed by the CCL, a measure of cognitive load during consults, and an interview. Three authors conducted a thematic analysis. Member checks and triangulation with fellows supported theme trustworthiness. Subsequently, three authors rated the extent and cognitive demand of each theme expressed in each transcript. The authors measured interrater reliability and used Spearman correlation to describe the association of these ratings with CCL scores. The authors examined themes to identify strategies that educators might use. Results: Analysis revealed four themes: “nature and scope,” which conceptually aligned with intrinsic cognitive load (IL); “leveraging resources,” which had elements of both IL and extraneous cognitive load (EL); “extraneous factors,” which aligned with EL; and “drivers,” which aligned with germane cognitive load (GL). Interrater reliability for extent and demand ratings ranged from 0.57 to 0.79. The correlation between “nature and scope” and IL was 0.37, “extraneous factors” and EL 0.71, and “drivers” and GL 0.32. “Leveraging resources” did not correlate with IL (0.06) or EL (-0.09). Potential strategies based on themes included offering level-appropriate assistance to match IL, focusing the fellow’s attention to reduce EL, and providing succinct teaching to promote GL. Conclusions: This study provided deep insight into the fellow consult experience and suggested trustworthy strategies that educators can use to design and guide consult learning. The theme “leveraging resources” merits further exploration.

scholarly journals Gamblers’ Perception of the Playscan Risk Assessment: A Mixed-Methods Study

2021 ◽  
Author(s):  
David Forsström ◽  
Alexander Rozental ◽  
Emma Wiklund ◽  
Per Carlbring ◽  
Philip Lindner
Keyword(s):  
Risk Assessment ◽  
Mixed Methods ◽  
Structural Equation ◽  
Responsible Gambling ◽  
Gambling Behavior ◽  
Mixed Methods Study ◽  
Equation Modeling ◽  
General View ◽  
Insight Into ◽  
Qualitative Analyses

AbstractResponsible gambling (RG) tools are globally widespread; they aim to prevent or decrease the harm caused by gambling. However, existing research suggests that several included features do not decrease gambling or significantly reduce the subsequent harm. Most of the previous studies have used gambling data to understand the changes in gambling behavior. However, the literature lacks research regarding gamblers’ experience and perception of RG tools, which may provide insight into increasing the usage and effectiveness of RG tools. This mixed-methods study aimed to explore gamblers’ perception of their risk assessment in the RG tool Playscan regarding developing harmful gambling problems. Overall, 757 participants rated the perceived accuracy of their risk assessment and their perception of the overall RG tool that conducted the assessment. Participants were also allowed to leave a comment providing feedback, which was analyzed using thematic analysis. Quantitative data was analyzed using logistic regression and structural equation modeling. Qualitative analyses revealed that most of the participants were pleased with the risk assessment and found it helpful. Moderated mediation analysis showed that participants’ assessment agreement partially mediated the association between expressing a negative view and their general view of Playscan. These results highlight the need to decrease the level of disagreement for promoting a better general view of RG tools to potentially increase their usage and effectiveness.

Beyond the “Tourist Environmental Bubble”: Encounters with Locals and Destination Experiences of Business Travelers

2019 ◽  
Vol 59 (8) ◽  
pp. 1493-1505 ◽  
Author(s):  
Orit Unger ◽  
Galia Fuchs ◽  
Natan Uriely
Keyword(s):  
Mixed Methods ◽  
Mixed Methods Study ◽  
Subjective Experiences ◽  
Social Contacts ◽  
Business Travelers ◽  
Quantitative Survey ◽  
Host Interactions ◽  
Depth Interviews ◽  
Insight Into

The current study explores the destination experiences of business travelers by focusing on their social contacts with local colleagues. By crossing out of the local “tourist environmental bubble” (TEB), as conceptualized by Erik Cohen, business travelers are expected to experience difficulties associated with the strangeness of the visited destination but to gain an authentic experience in return. Based on in-depth interviews (n = 28) and a quantitative survey (n = 231) of Israeli business travelers, this mixed-methods study confirms that the supposedly inconvenient extra-TEB experience (particularly confronting strangeness) turns out to be rewarding, and the assumed benefits of crossing out of the bubble (mainly experiencing authenticity) are limited. By focusing on business travelers, the current study provides insight into guest–host interactions and the subjective experiences of travelers who cross out the TEB, mainly with respect to the complex and multidimensional sense of authenticity.

Business or Pleasure? A Comparison of Migrant and Non-Migrant Uber Drivers in Australia

2021 ◽  
pp. 095001702110347
Author(s):  
Peter James Holtum ◽  
Elnaz Irannezhad ◽  
Greg Marston ◽  
Renuka Mahadevan
Keyword(s):  
Job Satisfaction ◽  
Mixed Methods ◽  
Labour Market ◽  
Working Conditions ◽  
Migrant Workers ◽  
Job Insecurity ◽  
Mixed Methods Study ◽  
Personal Safety ◽  
Job Tenure ◽  
Insight Into

Despite evidence of sub-standard working conditions and low rates of pay, drivers working on the Uber platform report varying levels of job-satisfaction. In order to better understand driver experience most research conducted to date differentiates driver experience by driver investment (time) on the platform. While this approach offers insight into driver motivations, it obfuscates key socio-political aspects of the globalised labour market; namely the precarity of many migrant workers. We present findings from a mixed methods study into migrant and non-migrant drivers on the Uber platform in Queensland, Australia. Specifically, our data illustrates key differences between migrants and non-migrants’ motivations to drive, their dependency on the platform, and their sense of autonomy and agency. Our findings suggest that migrant drivers experience greater levels of job insecurity, specifically around factors of job tenure, agency, and personal safety.

Capturing religious identity during hospital admission: a valid practice in our increasingly secular society?

2017 ◽  
Vol 41 (6) ◽  
pp. 626 ◽  
Author(s):  
David Glenister ◽  
Martin Prewer
Keyword(s):  
Mixed Methods ◽  
Religious Identity ◽  
Significant Proportion ◽  
Mixed Methods Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Royal Melbourne Hospital ◽  
Qualitative Component ◽  
Spiritual Screening ◽  
Insight Into

Objective Most major Victorian hospitals include religious identity in routine admission demographic questions. However, approximately 20% of admissions do not have their religious identity recorded. At the Royal Melbourne Hospital this missing 20% was surveyed throughout 2014–15 for two reasons: (1) to enable patient care; and (2) to provide an insight into the significance of religious identity for patients. There is scarce literature on this subject, so the present mixed-methods study, including a qualitative component, will start to bridge the gap. Methods Mixed methods, cross-sectional survey. Results The quantitative component of the study found that religious identity was important for a significant proportion of our diverse population and that, in general, demographics were congruent with Australian Bureau of Statistics (ABS) census figures. The qualitative component also revealed significant complexity behind religious identity labels, which the census is unable to capture, providing an insight into the requirements of our growing multicultural population. Conclusions This study illustrates that religious identity is important for a majority of Royal Melbourne’s culturally diverse inpatients. This data would seem to give the practice of collecting religious identity data on admission new credence, especially as our culturally and linguistically diverse populations increase. In order to understand these nuances and provide appropriate care, skilled spiritual screening and assessment would appear to be not optional, but rather necessary in our increasingly complex healthcare future. What is known about the topic? A search of the literature using related terms (religious, religion, spiritual identity, care) revealed that there is scarce literature on the subject of religious identity and its importance and meaning to patients. What does this paper add? This mixed methods study approaches the issue of the importance of religious identity from the patient perspective via a spiritual screening survey that included a qualitative component, so will begin to bridge a gap in knowledge. What are the implications for practitioners? Improved understanding of the complexity of the spiritual needs of our Victorian multicultural population and commensurate emphasis on the need for individual spiritual screening and assessment.

scholarly journals Under lupen - Praksislæreres observasjonspraksis i barnehagen

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Johanna Birkeland ◽  
Elin Eriksen Ødegaard
Keyword(s):  
Teacher Education ◽  
Mixed Methods ◽  
Language Development ◽  
Student Learning ◽  
Kindergarten Teacher ◽  
Mixed Methods Study ◽  
Everyday Work ◽  
New Knowledge ◽  
Insight Into

Artikkelen presenterer resultater fra en studie om praksislæreres doxa. Gjennom en Mixed Methods-studie gis innsikt i hvordan barnehagelærere (praksislærere) snakker om hvordan, når og hvorfor de observerer. Analyse av praksislæreres italesettelser gir innsikt i diskursive vilkår praksisstudier gir for studenters læring om observasjon. Studien indikerer et brudd mellom barnehagelærerutdanningens mål og undervisning og praksislærernes bruk av og begrunnelser for observasjon. Studien viser at barnehagelærere oppgir samspill barn -barn og språk som hovedfokus i observasjonsarbeidet, mens barns medvirkning ikke oppgis som fokus. Videre viser studien at praksislærere i svært liten grad bruker systematisk og skriftlig observasjon i det daglige arbeidet. De oppgir mangel på tid som årsak til dette. Forfatterne reiser spørsmål om hvorvidt dette også kan skyldes mangel på nyere metodekunnskap.This article presents results from a study of in-service teachers’ doxa; how they talk about use and reasons for observation in kindergarten. The study provides new knowledge about the lack of coherence between kindergarten teacher education and in-service education. Through a Mixed Methods study we gain insight into how in-service teachers explain how, when and why they observe. Analysis provides insight into the discursive conditions for student learning about observation. The study reveals two main topics for in-service teachers’ observations: interplay between children and language development; however they do not include children’s right to influence. Moreover, the study shows that systematic written observations in everyday work seldom is done due to lack of time. The authors raise the question if another reason could be lack of new methodological knowledge.

scholarly journals Parent Experience of Neonatal Encephalopathy

2016 ◽  
Vol 32 (3) ◽  
pp. 286-292 ◽  
Author(s):  
Monica E. Lemmon ◽  
Pamela K. Donohue ◽  
Charlamaine Parkinson ◽  
Frances J. Northington ◽  
Renee D. Boss
Keyword(s):  
Cohort Study ◽  
Mixed Methods ◽  
Lived Experience ◽  
Mixed Methods Study ◽  
Primary Data ◽  
Neonatal Encephalopathy ◽  
Loss And Grief ◽  
Parent Experience ◽  
Semistructured Interviews ◽  
Insight Into

We aimed to characterize the parent experience of caring for an infant with neonatal encephalopathy. In this mixed-methods study, we performed semistructured interviews with parents whose infants were enrolled in an existing longitudinal cohort study of therapeutic hypothermia between 2011 and 2014. Thematic saturation was achieved after 20 interviews. Parent experience of caring for a child with neonatal encephalopathy was characterized by 3 principal themes. Theme 1: Many families described cumulative loss and grief throughout the perinatal crisis, critical neonatal course, and subsequent missed developmental milestones. Theme 2: Families experienced entangled infant and broader family interests. Theme 3: Parents evolved into and found meaning in their role as an advocate. These data offer insight into the lived experience of parenting an infant with neonatal encephalopathy. Primary data from parents can serve as a useful framework to guide the development and interpretation of parent-centered outcomes.

Determining Emotional Tone and Verbal Behavior in Patients With Tinnitus and Hyperacusis: An Exploratory Mixed-Methods Study

2019 ◽  
Vol 28 (3) ◽  
pp. 660-672
Author(s):  
Suzanne H. Kimball ◽  
Toby Hamilton ◽  
Erin Benear ◽  
Jonathan Baldwin
Keyword(s):  
Mixed Methods ◽  
Verbal Behavior ◽  
Coping Strategies ◽  
Mixed Methods Study ◽  
Self Report ◽  
Anxiety And Depression ◽  
Negative Consequences ◽  
Emotional Tone ◽  
Explanatory Mixed Methods ◽  
Quantitative Results

Purpose The purpose of this study was to evaluate the emotional tone and verbal behavior of social media users who self-identified as having tinnitus and/or hyperacusis that caused self-described negative consequences on daily life or health. Research Design and Method An explanatory mixed-methods design was utilized. Two hundred “initial” and 200 “reply” Facebook posts were collected from members of a tinnitus group and a hyperacusis group. Data were analyzed via the LIWC 2015 software program and compared to typical bloggers. As this was an explanatory mixed-methods study, we used qualitative thematic analyses to explain, interpret, and illustrate the quantitative results. Results Overall, quantitative results indicated lower overall emotional tone for all categories (tinnitus and hyperacusis, initial and reply), which was mostly influenced by higher negative emotion. Higher levels of authenticity or truth were found in the hyperacusis sample but not in the tinnitus sample. Lower levels of clout (social standing) were indicated in all groups, and a lower level of analytical thinking style (concepts and complex categories rather than narratives) was found in the hyperacusis sample. Additional analysis of the language indicated higher levels of sadness and anxiety in all groups and lower levels of anger, particularly for initial replies. These data support prior findings indicating higher levels of anxiety and depression in this patient population based on the actual words in blog posts and not from self-report questionnaires. Qualitative results identified 3 major themes from both the tinnitus and hyperacusis texts: suffering, negative emotional tone, and coping strategies. Conclusions Results from this study suggest support for the predominant clinical view that patients with tinnitus and hyperacusis have higher levels of anxiety and depression than the general population. The extent of the suffering described and patterns of coping strategies suggest clinical practice patterns and the need for research in implementing improved practice plans.

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