What Are They Thinking? Students' Affective Reasoning and Attitudes about Course Withdrawal

2012 ◽  
Vol 32 (2) ◽  
pp. 17-25 ◽  
Author(s):  
Ethel R. Wheland ◽  
Kevin A. Butler ◽  
Helen Qammar ◽  
Karyn Bobkoff Katz ◽  
Rose Harris
Keyword(s):  
Decision Making ◽  
Mixed Methods ◽  
Intellectual Development ◽  
Mixed Methods Study ◽  
Academic Advisors ◽  
Decision Making Processes ◽  
Academic Consequences ◽  
Self Authorship

In this mixed-methods study we identify situations that impact students' decisions to withdraw from a course and examine their affective reasoning and attitudes toward course withdrawal. Exploring students' decision-making processes through the lens of self-authorship, we show that students frequently seek information from people with whom they have a personal rather than academic relationship, make decisions with little awareness of academic consequences, and often experience a feeling of dissonance when withdrawing from courses, even describing themselves as “quitters.” Our results lead to recommendations that can assist academic advisors in developing meaningful interventions that advance students' decision-making abilities and intellectual development.

scholarly journals Risk Perception of Health Professionals in Intrapartum Care Decisions: Protocol for a Mixed Methods Study (Preprint)

2020 ◽  
Author(s):  
Nina H Peterwerth ◽  
Margareta Halek ◽  
Sabrina Tulka ◽  
Rainhild Schäfers
Keyword(s):  
Decision Making ◽  
Mixed Methods ◽  
Risk Perception ◽  
Health Professionals ◽  
Qualitative Data ◽  
Mixed Methods Study ◽  
Second Phase ◽  
Intrapartum Care ◽  
Decision Making Processes ◽  
Qualitative Phase

BACKGROUND Risk perception plays an important role in decision-making processes. Differences in obstetric intervention rates suggest that, in addition to medical indications, the risk perception of obstetric health professionals might have a major influence on their decision-making process during childbirth. Although studies have investigated whether risk perception affects the role of midwifery or influences decision making during childbirth, little is known about what obstetric health professionals actually perceive as risk or risky situations and whether different risk perceptions lead to more interventions during intrapartum care. OBJECTIVE The objective of this study is to understand the association of risk perception and the decision-making processes of obstetric health professionals (midwives and obstetricians) in Germany during intrapartum care. The study has 3 specific aims: (1) gain insight into what obstetric health professionals perceive as risk in the German clinical setting, (2) assess the extent to which personal and systemic factors have an impact on obstetric health professionals’ risk perception, and (3) investigate whether different perceptions of risk are associated with different decisions being made by obstetric health professionals. METHODS This is an exploratory sequential mixed methods study with 2 phases, a qualitative followed by a quantitative phase. In the first phase, qualitative data are collected and analyzed by conducting focus group discussions and applying qualitative content analysis to address aim 1. In the second phase, for aims 2 and 3 and to help explain the qualitative results, quantitative data are collected and analyzed by conducting an observational study using case vignettes within a survey constructed on the basis of the qualitative results. RESULTS Enrollment in the first (qualitative) phase began in July 2019, and data collection and analysis have been completed. The second (quantitative) phase is currently planned, and data collection is expected to start in December 2020. First results of the qualitative phase are expected to be submitted for publication in 2020, with completion of the second phase scheduled for 2021. CONCLUSIONS This mixed methods study will examine the perception of risk and its association with the decision-making processes of obstetric health professionals during their care of women in childbirth. The rationale for this approach is that the qualitative data and their analysis explore participants' views in more depth, while the quantitative data will help to provide and explore a general understanding of the research problem. The results are expected to be relevant to health care professionals, policymakers, and educational institutions in order to minimize underuse, overuse, and misuse of interventions during intrapartum care. CLINICALTRIAL German Clinical Trials Register DRKS00017172; https://tinyurl.com/y2zoowkx INTERNATIONAL REGISTERED REPORT DERR1-10.2196/21443

scholarly journals Risk Perception of Health Professionals in Intrapartum Care Decisions: Protocol for a Mixed Methods Study

10.2196/21443 ◽  
2020 ◽  
Vol 9 (11) ◽  
pp. e21443
Author(s):  
Nina H Peterwerth ◽  
Margareta Halek ◽  
Sabrina Tulka ◽  
Rainhild Schäfers
Keyword(s):  
Decision Making ◽  
Mixed Methods ◽  
Risk Perception ◽  
Health Professionals ◽  
Qualitative Data ◽  
Mixed Methods Study ◽  
Second Phase ◽  
Intrapartum Care ◽  
Decision Making Processes ◽  
Qualitative Phase

Background Risk perception plays an important role in decision-making processes. Differences in obstetric intervention rates suggest that, in addition to medical indications, the risk perception of obstetric health professionals might have a major influence on their decision-making process during childbirth. Although studies have investigated whether risk perception affects the role of midwifery or influences decision making during childbirth, little is known about what obstetric health professionals actually perceive as risk or risky situations and whether different risk perceptions lead to more interventions during intrapartum care. Objective The objective of this study is to understand the association of risk perception and the decision-making processes of obstetric health professionals (midwives and obstetricians) in Germany during intrapartum care. The study has 3 specific aims: (1) gain insight into what obstetric health professionals perceive as risk in the German clinical setting, (2) assess the extent to which personal and systemic factors have an impact on obstetric health professionals’ risk perception, and (3) investigate whether different perceptions of risk are associated with different decisions being made by obstetric health professionals. Methods This is an exploratory sequential mixed methods study with 2 phases, a qualitative followed by a quantitative phase. In the first phase, qualitative data are collected and analyzed by conducting focus group discussions and applying qualitative content analysis to address aim 1. In the second phase, for aims 2 and 3 and to help explain the qualitative results, quantitative data are collected and analyzed by conducting an observational study using case vignettes within a survey constructed on the basis of the qualitative results. Results Enrollment in the first (qualitative) phase began in July 2019, and data collection and analysis have been completed. The second (quantitative) phase is currently planned, and data collection is expected to start in December 2020. First results of the qualitative phase are expected to be submitted for publication in 2020, with completion of the second phase scheduled for 2021. Conclusions This mixed methods study will examine the perception of risk and its association with the decision-making processes of obstetric health professionals during their care of women in childbirth. The rationale for this approach is that the qualitative data and their analysis explore participants' views in more depth, while the quantitative data will help to provide and explore a general understanding of the research problem. The results are expected to be relevant to health care professionals, policymakers, and educational institutions in order to minimize underuse, overuse, and misuse of interventions during intrapartum care. Trial Registration German Clinical Trials Register DRKS00017172; https://tinyurl.com/y2zoowkx International Registered Report Identifier (IRRID) DERR1-10.2196/21443

Post-mortem general surgeon reflection on decision-making: a mixed-methods study of mortality audit data

2018 ◽  
Vol 88 (10) ◽  
pp. 993-997 ◽  
Author(s):  
Daniel E. Cattanach ◽  
Arkadiusz P. Wysocki ◽  
Therese Ray-Conde ◽  
Charles Nankivell ◽  
Jennifer Allen ◽  
...  
Keyword(s):  
Decision Making ◽  
Mixed Methods ◽  
Mixed Methods Study ◽  
General Surgeon ◽  
Post Mortem ◽  
Audit Data

scholarly journals Perceived social risk in medical decision-making for physical child abuse: a mixed-methods study

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Heather T. Keenan ◽  
Kristine A. Campbell ◽  
Kent Page ◽  
Lawrence J. Cook ◽  
Tyler Bardsley ◽  
...  
Keyword(s):  
Decision Making ◽  
Child Abuse ◽  
Mixed Methods ◽  
Medical Decision Making ◽  
Mixed Methods Study ◽  
Medical Decision ◽  
Social Risk ◽  
Physical Child Abuse

scholarly journals Community sensitization and decision‐making for trial participation: A mixed‐methods study from The Gambia

2017 ◽  
Vol 18 (4) ◽  
pp. 406-419 ◽  
Author(s):  
Susan Dierickx ◽  
Sarah O'Neill ◽  
Charlotte Gryseels ◽  
Edna Immaculate Anyango ◽  
Melanie Bannister‐Tyrrell ◽  
...  
Keyword(s):  
Decision Making ◽  
Mixed Methods ◽  
The Gambia ◽  
Mixed Methods Study ◽  
Trial Participation

Incongruence between women's survey- and interview-determined decision control preferences: A mixed methods study of decision-making in metastatic breast cancer

2018 ◽  
Vol 27 (8) ◽  
pp. 1950-1957
Author(s):  
Deborah Ejem ◽  
J. Nicholas Dionne-Odom ◽  
Yasemin Turkman ◽  
Sara J. Knight ◽  
Dan Willis ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Decision Making ◽  
Metastatic Breast Cancer ◽  
Mixed Methods ◽  
Metastatic Breast ◽  
Mixed Methods Study ◽  
Decision Control

scholarly journals Integrated decision-making model for community-based rehabilitation service utilisation among persons with severe mental illness in China: protocol for a cross-sectional, mixed-methods study

BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e021528 ◽  
Author(s):  
Ruoxi Wang ◽  
Shangfeng Tang ◽  
Ian Shaw ◽  
Zhanchun Feng ◽  
Zhuo Chen ◽  
...  
Keyword(s):  
Decision Making ◽  
Mental Illness ◽  
Mixed Methods ◽  
Mixed Methods Study ◽  
Service Utilisation ◽  
Community Based ◽  
Cross Sectional ◽  
Community Based Rehabilitation ◽  
Integrated Decision Making ◽  
Different Levels

IntroductionA common problem low-income and middle-income countries face is the scarcity of community-based rehabilitation (CBR) resources and low service utilisation among persons with severe mental illness (SMI). Despite this problem, the factors and pathways followed influencing one’s decision on service utilisation in China have not been fully comprehended. This study aims to develop a theory-based model that systematically describes the integrated decision-making process of mental health CBR utilisation among persons with SMI in China.Methods/DesignThis cross-sectional, mixed-methods study involves three main stages and is expected to last 3 years, from January 2018 to December 2020. In stage 1, the Social Exchange Theory is deployed as an analytical framework to comprehensively capture factors associated with tendency to use CBR services in China using semistructured interview methodology involving patients with SMI, their primary caregivers and CBR service providers. In stage 2, interpretive structural modelling will be applied to analyse the relationships between factors in different dimensions, at different levels and with different levels of impact. Stage 3 involves a multiregion survey among at least 300 family decision-makers (either the patient or their caregivers) in six communities in three cities to statistically validate the initial model derived in stage 2 using a further structural equation modelling.Ethics and disseminationEthical approval was granted by the Ethics Committee of Tongji Medical College, Huazhong University of Science and Technology (No 2017S319). All interviewees will be provided with written information about the study, and a signed consent will be retrieved prior to the interview. Rules on confidentiality and anonymity of data will be strictly followed. The findings of this study will be disseminated via international and domestic peer-reviewed journals, reports, conference presentations and symposium discussions. Reports will be submitted to the National Natural Science Foundation of China.

scholarly journals Healthcare providers' intentions to engage in an interprofessional approach to shared decision-making in home care programs: A mixed methods study

2013 ◽  
Vol 27 (3) ◽  
pp. 214-222 ◽  
Author(s):  
France Légaré ◽  
Dawn Stacey ◽  
Nathalie Brière ◽  
Kimberley Fraser ◽  
Sophie Desroches ◽  
...  
Keyword(s):  
Decision Making ◽  
Mixed Methods ◽  
Home Care ◽  
Shared Decision Making ◽  
Healthcare Providers ◽  
Mixed Methods Study ◽  
Shared Decision
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