Coping among adolescents with long-term health conditions: a mixed-methods study

2020 ◽  
Vol 29 (13) ◽  
pp. 762-769
Author(s):  
Nabeel Al-Yateem ◽  
Muhammad Arsyad Subu ◽  
Arwa Al-Shujairi ◽  
Intima Alrimawi ◽  
Hend Mohd Ali ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Coping Strategies ◽  
School Health ◽  
Stressful Events ◽  
Health Conditions ◽  
Mixed Methods Design ◽  
Care Environment ◽  
Psychological Comorbidities ◽  
Negative Coping

Background: Adolescents with long-term health conditions may be at risk of developing psychological comorbidities and adopting ineffective coping mechanisms if they are not adequately supported at home or school. Aim: To understand the strategies adolescents use when dealing with challenging health situations, and gain an in-depth understanding of the characteristics of their preferred care environment if they have unexpected health crises. Design: The study used a concurrent mixed-methods design, with data gathered between January and May 2019. Descriptive and non-parametric tests were used to analyse quantitative and qualitative data. Results: ‘Problem-focused disengagement’ was the most-often used coping strategy. The second and third most common strategies were ‘problem-focused engagement’ and ‘emotion-focused engagement’. Finally, girls tended to adopt more negative coping strategies than boys. The analysis revealed that most adolescents preferred home over school as the care environment because these caring agents were close and available, knew how to care for them and had the resources to provide or access care, and listened and understood them. Conclusion: Adolescents adopted disengagement and negative coping strategies early in their attempts to cope with stressful events before adopting more positive strategies. This is alarming, especially as school health services are not sufficiently supportive of adolescents at times of stress and illness. Adolescents often perceive school providers as unavailable and lacking knowledge about their health needs.

scholarly journals Design features of health information visualization for the purpose of efficacy perception about weight control among young adults: A mixed methods study

2019 ◽  
Author(s):  
Xing Huang
Keyword(s):  
Young Adults ◽  
Mixed Methods ◽  
Health Information ◽  
Information Visualization ◽  
Weight Control ◽  
Mixed Methods Design ◽  
Design Features ◽  
Short Term ◽  
Perception Of Self

This study intends to find out the design features of health information visualization that can positively influence young adults’ perception of self-efficacy about weight control. An exploratory mixed methods design has been used by firstly collecting qualitative data in order to develop an information visualization intervention, which then followed with a quantitative phase to assess the design features. Three design features were generated - (1). Visualizing the comparison of intake and consumed calories; (2). Showing both the short-term and long-term predictions of weight; (3). Showing an ideal path of weight control.

scholarly journals Reasons for knitting blogging and its importance for crafting

2021 ◽  
Vol 21 (3) ◽  
pp. 48-62
Author(s):  
Katja Vilhunen ◽  
Sinikka Hannele Pöllänen ◽  
Harri Pitkäniemi
Keyword(s):  
Mixed Methods ◽  
Quantitative Data ◽  
Quantitative Research ◽  
Qualitative Data ◽  
Leisure Activity ◽  
Community Support ◽  
Principal Component ◽  
Mixed Methods Design ◽  
Quantitative Research Methods

The purpose of this study was to describe the reasons for knitting blogging and the importance of blogging for the bloggers’ crafting. A multiphase mixed-methods study focusing on quantitative research methods was the methodological basis. Therefore, the study included both sequential and simultaneous investigation paths. In this study, the quantitative data were collected from the same group of Finnish knitting bloggers by two online surveys in 2008 (N= 501) and in 2013 (N= 212). The quantitative data focused on time-related changes in blogging, whereas the qualitative data, collected by essays (N=50) during 2013-2014, was used to explain the quantitative data. In quantitative analysis, the key features of reasons for knitting blogging were analysed by principal component analysis. The differences in the principal components for the background groups between the surveys were elucidated by means of 2-way analysis of variance. The qualitative data were analysed by data-driven content analysis. The results indicated that there were several reasons for knitting blogging. According to the results, the elements of knitting blogging were: 1) inspiration and materialization, 2) connecting and community support, 3) encouragement and 4) reflection and reminiscence. Knitting blogging has reshaped crafting by combining the material and tactile process of knitting with digital practices of life-streaming and with participatory activities in networked spaces. It appeared that knitting and blogging complemented each other, and that blogging supported development of the blogger’s crafting into a serious leisure activity with meaningful long-term activities and clear goals. Keywords: digital practices, knitting blog, leisure, mixed methods design, online communities

scholarly journals How the dimensions of culture influence supply chain collaboration: an explanatory sequential mixed-methods investigation

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Innocent Senyo Kwasi Acquah ◽  
Micheline Juliana Naude ◽  
Sanjay Soni
Keyword(s):  
Supply Chain ◽  
Mixed Methods ◽  
Supply Chain Collaboration ◽  
Collaborative Culture ◽  
Mixed Methods Design ◽  
Content Type ◽  
Sequential Mixed Methods ◽  
Culture Influence ◽  
Petroleum Sector

PurposeThis study aims to demonstrate how integration is achieved in an explanatory sequential mixed-methods design by assessing the effect of collaborative cultural dimensions on supply chain collaboration amongst firms in Ghana's downstream petroleum sector. Specifically, the study examined how collectivism, long-term orientation, power symmetry, as well as uncertainty avoidance influence supply chain collaboration. Besides, it also demonstrates how integration is achieved in an explanatory sequential mixed-methods design.Design/methodology/approachUsing an explanatory sequential mixed-methods design, the study employed a partial least squares structural equation modelling (PLS-SEM) analysis of quantitative data (N = 166), followed by a thematic analysis of eight semi-structured interviews to explain how and why the dimensions of collaborative culture impact supply chain collaboration.FindingsThe quantitative findings suggest that three out of the four dimensions of culture significantly predict supply chain collaboration. Integrating the quantitative and qualitative findings suggests convergence between the results of the quantitative and qualitative phases of the study as the qualitative results compliment the quantitative findings and offer more nuanced understanding of the cultural mechanisms responsible for successful supply chain collaborations.Practical implicationsThe findings provide managers in the downstream petroleum sector with insights into how and why the dimensions of collaborative culture influence supply chain collaboration. These managers should, therefore, build corporate cultures characterized with high levels of long-term orientation, power symmetry and uncertainty avoidance.Originality/valueOwing to the role of culture in successful supply chain collaborations, this study, through a mixed-methods design, links the dimensions of collaborative culture with supply chain collaboration in the downstream petroleum sector. Moreover, it demonstrates how integration and complementarity are achieved at the study design, methods, as well as the interpretation and reporting levels of an explanatory sequential mixed-methods design.

Altruism and the Difficult Patient

2020 ◽  
pp. 089801012093312
Author(s):  
Sylvia Kubsch ◽  
Brenda Tyczkowski ◽  
Cheryl Passel
Keyword(s):  
Coping Strategies ◽  
Design Method ◽  
Mixed Methods Design ◽  
Difficult Patients ◽  
Difficult Patient ◽  
Bearing Witness ◽  
Positive Coping ◽  
Negative Coping ◽  
Purposive Sample ◽  
Insight Into

Background For some nurses, providing altruistic care to difficult patients is a challenge, leading to the use of negative coping strategies such as anger or avoidance, leaving the nurse frustrated and patients feeling rejected. Yet other nurses can deal positively with difficult patients. Purpose To study how the stress of caring for difficult patients affects the level of altruism and use of negative coping strategies in their care and to find out what positive coping strategies and interventions could be used. Design/Method A mixed-methods design was used. A survey tested the level of altruism, the use of negative coping strategies, and several demographics. Thematic analysis examined narratives generated by participants to three questions regarding how to provide altruistic care to difficult patients. Findings A purposive sample of 67 registered nurses (RNs) participated. The average level of altruism used by RNs with difficult patients was 99.7/120 points. An inverse relationship was found between the level of altruism and use of negative coping strategies ( r = −0.577, p < .001). Qualitative analysis of narratives identified three themes—Developing Psychological Hardiness, Bearing Witness, and Fending for Oneself. Conclusions This study provides insight into the experiences of RNs caring for difficult patients and how to ensure altruistic caring.

scholarly journals Coping Strategies being Practiced by the Breast Cancer Survivors before Receiving First Cycle of Chemotherapy

2021 ◽  
Vol 6 (2) ◽  
pp. 167-173
Author(s):  
Deeksha Sharma ◽  
Monika Dutta ◽  
Sukhpal Kaur ◽  
Budhi Singh Yadav ◽  
Krishan Kumar ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Survivors ◽  
Coping Strategies ◽  
Breast Cancer Survivors ◽  
Coping Styles ◽  
Left Breast ◽  
Stressful Events ◽  
Dominant Negative ◽  
Positive Coping ◽  
Negative Coping

Objective: Breast cancer is the most common cancer among Indian females and chemotherapy is the most extensively used modality for these patients. Diagnosis of breast cancer is dreadful in itself and the initiation of chemotherapy causes stress and fear among patients. Breast cancer survivors (BCS) use different coping mechanisms to deal with these experiences and to handle these stressful events. The objective of this study was to assess the coping strategies being practiced by the BCS before receiving first cycle of chemotherapy. Method: This descriptive study was conducted on BCS attending Radiation Oncology and General Surgery OPD, PGIMER, Chandigarh from July 2018 to December 2019. Sixty two BCS were recruited using purposive sampling. Results: 51.7% participants were above 50 years of age, 56.5% had grade III breast cancer and 56.7% had left breast involvement. 62.9% were on neo-adjuvant chemotherapy and duration of confirmed diagnosis for 83.9% of them was less than a year. Most of the participants used positive coping strategies to overcome the stress related to diagnosis and chemotherapy. Out of the 46 coping activities participants retorted positive action for 31 coping activities whereas action was negative for 13 activities. Remaining two activities had equal number of positive and negative responses. Escape avoidance ‘hoped a miracle would happen’; ‘Wished that the situation would go away or somehow be over with’ were used by all the participants. Though not dominant, negative coping activities were still used by the participants to deal with stressful situations. Conclusion: BCS were predominantly using positive coping activities. In order to further increase this there is a need among medical professionals to make BCS aware and discourage the use negative coping behaviors. BCS can also be nudged to adopt positive coping styles by involving family and society in the provision of care.  

Mixing Methods and Sciences: A Longitudinal Cross-Disciplinary Mixed Methods Study on Technology to Address Social Isolation and Loneliness in Later Life

2020 ◽  
pp. 155868982097764
Author(s):  
Barbara Barbosa Neves ◽  
Ron Baecker
Keyword(s):  
Mixed Methods ◽  
Social Isolation ◽  
Mixed Methods Research ◽  
Comprehensive Evaluation ◽  
Later Life ◽  
Aged Care ◽  
Lessons Learned ◽  
Mixed Methods Design ◽  
Long Term Studies

Despite a growing interest in longitudinal mixed methods research, the literature offers few examples of complex designs. To evaluate a communication-based technology to address social isolation and loneliness in later life, we conducted two long-term studies in aged-care homes. We used a longitudinal convergent mixed methods design and a cross-disciplinary approach that employed techniques from social and computer sciences to ensure a comprehensive evaluation. While cross-disciplinary mixed methods research is also growing, a discussion of its methodological practices, challenges, and strategies is still scarce. This article contributes to mixed methods research by providing lessons learned on how cross-disciplinary mixed studies can be designed and integrated from collection to interpretation, particularly when combining convergent and longitudinal approaches. We also show the value of “design-in-action”—that is, the refinement and adjustment of techniques throughout research, as methods “talk to each other.”

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.

Feeding Dependency Issues in the Long-Term Care Environment

2001 ◽  
Vol 10 (1) ◽  
pp. 19-24
Author(s):  
Carol Winchester ◽  
Cathy Pelletier ◽  
Pete Johnson
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Care Environment

Monitoring von Pflegekontextfaktoren – Erste deskriptive Studienresultate einer Querschnittserhebung der schweizerischen DRG Begleitforschung Pflege vor Einführung der SwissDRG

Pflege ◽  
2015 ◽  
Vol 28 (2) ◽  
pp. 93-107 ◽  
Author(s):  
Michael Kleinknecht-Dolf ◽  
Elisabeth Spichiger ◽  
Irena Anna Frei ◽  
Marianne Müller ◽  
Jacqueline S. Martin ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Mixed Methods Design

Hintergrund: Mit der Einführung der DRG-basierten Finanzierung erhalten Spitäler einen kleineren finanziellen Spielraum, was Prozessoptimierungen notwendig macht. Internationale Erfahrungen zeigen, dass solche Restrukturierungen Einfluss auf für die Pflege notwendige Kontextfaktoren haben können. Dadurch können auch Pflegequalität und Patientensicherheit beeinträchtigt werden. Ziel: Ziel der «DRG Begleitforschung Pflege» ist, ein Monitoringmodell samt dazugehörenden Instrumenten zur kontinuierlichen Überwachung des Einflusses der DRG-Finanzierung auf zentrale Pflegekontextfaktoren zu entwickeln. Methode: Die vorliegenden deskriptiven quantitativen Resultate wurden im Rahmen der in einem Mixed-Methods-Design durchgeführten Untersuchung mittels einer Online-Befragung erhoben, an der sich Pflegefachpersonen aus fünf Spitälern beteiligten. Ergebnisse: Die Resultate zeigen, dass die untersuchten Pflegekontextfaktoren «Komplexität der Pflege», «Arbeitsumgebungsqualität», «Führungsverhalten», «Moralischer Stress» und «Zufriedenheit mit der Arbeitsstelle» in allen Fachbereichen hinsichtlich der Arbeitsumgebung und Leistungserbringung der Pflege relevant sind. Es lassen sich Muster erkennen, die im Einklang mit der Literatur stehen, und die Hinweise auf die im Modell angenommenen Beziehungen zwischen diesen Kontextfaktoren geben. Schlussfolgerungen: Die Studie hat einerseits für die beteiligten Betriebe nützliche Daten geliefert, auf deren Basis sie Maßnahmen zur Sicherung der Qualität und Entwicklung der Pflege diskutieren können, andererseits konnten wichtige Informationen zur Weiterentwicklung des Modells und zu den eingesetzten Instrumenten gesammelt werden.

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