Peer assessment after clinical exposure (PACE): an evaluation of structured peer support for staff in emergency care

2021 ◽  
Vol 30 (19) ◽  
pp. 1132-1139
Author(s):  
Kristina Sillitoe ◽  
Nikki Kimbya ◽  
Jackie Milliken ◽  
Paula Bennett
Keyword(s):  
Interpretative Phenomenological Analysis ◽  
Peer Assessment ◽  
Positive Association ◽  
Structured Interview ◽  
Study Cohort ◽  
Staff Nurse ◽  
Stress Reactions ◽  
Clinical Exposure ◽  
Work Related ◽  
Junior Staff

Background: There is an increasing body of evidence that identifies psychological stressors associated with working in emergency medicine. Peer Assessment After Clinical Exposure (PACE) is a structured programme designed to support staff following traumatic or chronic work-related stressful exposure. The first author of this study created the PACE programme and implemented it in one emergency department (ED). Aim: A service evaluation designed to explore the thoughts and experiences of the staff who accessed the PACE support service. Method: Participants were selected by a non-probability convenience strategy to represent the ED staff population. The study cohort ranged from junior staff nurse level to emergency consultant. Data were collected using a semi-structured interview and examined by the method of interpretative phenomenological analysis. Findings: This study confirmed the findings of previous research that current pressures within the ED include crowding, time pressure and working within an uncontrollable environment. Eight participants identified an absence of previous emotional support resulting in dissociation and avoidance behaviours following traumatic exposure. Overall, the PACE service was well received by the majority of staff (11/12). There was a positive association with the one-to-one element and the educational component helped to reduce the stigma associated with stress reactions after work-related exposure. Conclusion: PACE received a positive response from staff. This service presently does not exist elsewhere in the NHS so further research will be needed to evaluate its long-term impact and effectiveness on a wider scale.

scholarly journals Adjuvant Hormonotherapy and Cardiovascular Risk in Post-Menopausal Women with Breast Cancer: A Large Population-Based Cohort Study

Cancers ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 2254
Author(s):  
Matteo Franchi ◽  
Roberta Tritto ◽  
Luigi Tarantini ◽  
Alessandro Navazio ◽  
Giovanni Corrao
Keyword(s):  
Breast Cancer ◽  
Heart Failure ◽  
Adjuvant Therapy ◽  
Large Population ◽  
Positive Association ◽  
Population Based ◽  
Study Cohort ◽  
Increased Risk ◽  
Post Menopausal ◽  
New Diagnosis

Background: Whether aromatase inhibitors (AIs) increase the risk of cardiovascular (CV) events, compared to tamoxifen, in women with breast cancer is still debated. We evaluated the association between AI and CV outcomes in a large population-based cohort of breast cancer women. Methods: By using healthcare utilization databases of Lombardy (Italy), we identified women ≥50 years, with new diagnosis of breast cancer between 2009 and 2015, who started adjuvant therapy with either AI or tamoxifen. We estimated the association between exposure to AI and CV outcomes (including myocardial infarction, ischemic stroke, heart failure or any CV event) by a Cox proportional hazard model with inverse probability of treatment and censoring weighting. Results: The study cohort included 26,009 women starting treatment with AI and 7937 with tamoxifen. Over a median follow-up of 5.8 years, a positive association was found between AI and heart failure (Hazard Ratio = 1.20, 95% CI: 1.02 to 1.42) and any CV event (1.14, 1.00 to 1.29). The CV risk increased in women with previous CV risk factors, including hypertension, diabetes and dyslipidemia. Conclusions: Adjuvant therapy with AI in breast cancer women aged more than 50 years is associated with increased risk of heart failure and combined CV events.

After-hours work-related technology use and individuals' deviance: the role of interruption overload, psychological transition and task closure

Kybernetes ◽  
2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Junaid Khalid ◽  
Qingxiong Derek Weng ◽  
Adeel Luqman ◽  
Muhammad Imran Rasheed ◽  
Maryam Hina
Keyword(s):  
Information And Communication Technologies ◽  
Technology Use ◽  
Deviant Behavior ◽  
Positive Association ◽  
Primary Data ◽  
Research Model ◽  
Content Type ◽  
Work Related ◽  
After Hours ◽  
And Task

PurposeThe information and communication technologies have made it progressively practical for employees to remain associated with work, even when they are not in the workplace. However, prior studies have provided very little understanding of the implications for the deviant behavior aspect. The current study aims to investigate the association between after-hours work-related technology usage and interpersonal, organizational and nonwork deviance through psychological transition, interruption overload and task closure. The authors draw upon the theory of conservation of resource (COR) to examine the research model.Design/methodology/approachThe primary data for the study has been collected in two waves from the sample of 318 employees who were working in diverse organizations in the Anhui province of the People's Republic of China for empirical testing of the authors’ research model.FindingsThis study's findings have revealed the positive association of after-hour work-related technology use with individuals' deviance in its entire three forms through psychological transition and interruption overload and have negative associations with all forms of deviance through task closure.Originality/valueThe significant contribution of this study is in the literature on technology use and employee outcomes, by identifying the consequences of technology use in both work (interpersonal deviance and organizational deviance) and outside work domain (nonwork deviance) and exploring the underlying mechanisms for these relationships in detail. To the best of the authors’ knowledge, this study is the first of its kind that investigates a relationship between after-hours technology use and all three kinds of deviance while exploring both the positive and negative perspectives in one study.

Organizational knowledge documentation in project-based institutes

2017 ◽  
Vol 35 (5) ◽  
pp. 994-1012 ◽  
Author(s):  
Fatemeh Navidi ◽  
Mohammad Hassanzadeh ◽  
Ali Zolghadr Shojai
Keyword(s):  
Tacit Knowledge ◽  
Explicit Knowledge ◽  
Structured Interview ◽  
Organizational Knowledge ◽  
Technical Knowledge ◽  
Content Type ◽  
Junior Staff ◽  
Research Activities ◽  
Space Agency ◽  
Research Institute

Purpose Employees, as the most important assets of an organization, acquire a great deal of experience, skills and knowledge throughout the time period they work for the organization. If their skills and technical knowledge are not documented properly, these will be lost once the employees leave the organization. Therefore, documentation is necessary for preserving this invaluable knowledge, avoiding duplication and preventing repeated mistakes that occurred in the past and, providing the junior staff with experiences gained by their predecessors. Thus, this research aims to elaborate on the role of organizational knowledge management (KM) as an essential tool for turning tacit knowledge into explicit knowledge and sharing the gained experiences with others. Design/methodology/approach This research is developmental applied research with qualitative approach and it was conducted using thematic analysis method. This method includes a semi-structured interview with 18 researchers conducting research projects at the Satellite Research Institute under the supervision of the Iran Space Agency. Findings The projects contain knowledge that is a combination of “know why”, “know what”, “know who” and “know how”. A large amount of this knowledge is, indeed, the tacit knowledge. Most of this tacit knowledge is not reflected in the project documents. Generally, the documents contain results only and they do not include experience, technical details, methodology, analysis and mistakes that were made during research activities. Documentation challenges fall into three major types: technical, human resources and administrative. Originality value Considering the necessity of documentation within the knowledge transfer process and its important role in KM; and, with respect to the lack of technical knowledge and experience transfer observed in the documents of Satellite Research Institute, this research proposes some steps that need to be taken to turn the knowledge sharing into an organizational culture.

scholarly journals COMPLEX THINKING suPPOrTING CArE sTrATEGIEs FOr THE PrEVENTION OF sTDs/AIDs IN ADOLEsCENCE

2015 ◽  
Vol 24 (3) ◽  
pp. 859-866 ◽  
Author(s):  
Ítalo Rodolfo Silva ◽  
Francisca Georgina Macêdo de Sousa ◽  
Marcelle Miranda da Silva ◽  
Thiago Privado da Silva ◽  
Joséte Luzia Leite
Keyword(s):  
Qualitative Research ◽  
Data Collection ◽  
Adolescent Health ◽  
Nursing Care ◽  
Structured Interview ◽  
Study Cohort ◽  
Methodological Framework ◽  
Complex Thinking ◽  
Nursing Professionals ◽  
Related Process

ABsTrACTThis was qualitative research performed with 15 nursing professionals of a study cohort on adolescent health, in the capital of Rio de Janeiro/Brazil. The objective of the study was to discuss nursing care strategies for the prevention of STDs/AIDS in adolescence, from the perspective of complexity. A semi-structured interview was used for data collection from January to August of 2012. Grounded Theory was used as the methodological framework. The category "Starting points for the nursing care of adolescents in the context of STDs/AIDS" is presented, which discusses aspects related to interdisciplinarity; multidimensionality and specificities of the adolescence-related process, in the midst of vulnerabilities to STDs/AIDS, thereby revealing the importance of contemplating the phenomenon as delimited by its complexity.

Violation and hope: Refugee survival in childhood and beyond

2019 ◽  
Vol 65 (2) ◽  
pp. 169-179
Author(s):  
Lynne McCormack ◽  
Brigitta Tapp
Keyword(s):  
Human Rights ◽  
Interpretative Phenomenological Analysis ◽  
Phenomenological Study ◽  
Country Of Origin ◽  
Well Being ◽  
Research Direction ◽  
Structured Interview ◽  
Refugee Status ◽  
New Host ◽  
Life Philosophy

Background: The psychological complexity of refugee status for children is poorly understood. Alone or with family members, child refugees are exposed to multiple and potentially traumatic events, including conflict and human rights deprivation in their country of origin, perilous and life-threatening escape journeys, years of statelessness, and isolation and discrimination in their new host country. Aims: This phenomenological study explored the positive and negative interpretations of four adults as they sought to make sense of their experiences of refugee status as children. Method: Interpretative Phenomenological Analysis (IPA) guided the development of semi-structured interview for data collection and analysis. Results: One superordinate theme, Violation and Hope, overarched three subordinate themes, Violent detachment, Refugee identity, and Resourcefulness and reciprocity. One divergent theme also emerged: Clashing identities. These themes provide unique insight into the interpreted experiences of escaping oppression and persecution in each participant’s country of origin as children, and the ensuing bleak interval as refugees, belonging nowhere. They identify the risk of becoming pawns of opportunism without human rights protection. Once stateless, survival was not guaranteed, producing a stark merging of acceptance of mortality and determined resourcefulness as children. Avoidant coping became a positive tool for surviving ever present threat, and was crucial in defining a life philosophy that was future oriented as they entered adulthood. Conclusion: These participants rejected a ‘refugee victim’ identity, emphasising a legacy of resourcefulness, hope, gratitude and reciprocity, domains of post-traumatic growth which are unreported aspects of refugee well-being that can provide future therapeutic and research direction.

scholarly journals “We Thought We Were Alone”: The Subjective Experience of the Siblings of Anorexic Adolescent Patients

2021 ◽  
Vol 12 ◽  
Author(s):  
Angelo Persico ◽  
Salome Grandclerc ◽  
Catherine Giraud ◽  
Marie Rose Moro ◽  
Corinne Blanchet
Keyword(s):  
Support Group ◽  
Interpretative Phenomenological Analysis ◽  
Subjective Experience ◽  
Emotional Experience ◽  
Active Role ◽  
Structured Interview ◽  
Interview Guide ◽  
Family Based ◽  
The Individual ◽  
Sibling Group

Objective: The siblings of patients suffering from Anorexia Nervosa (AN) are potentially affected by a disturbed emotional experience that often remains undetected. In order to bring them a psychological support, the Maison de Solenn proposed a support group program for these siblings. The current research explores their mental representations of AN and their emotional experience in the support group named “sibling group.”Method: This exploratory study is based on a phenomenological and inductive qualitative method. Four girls and three boys aged between 6 and 19 participating in the “sibling group” were included in a one-time focus group session using a semi-structured interview guide. The thematic data analysis was performed by applying the methods of interpretative phenomenological analysis.Results: Themes that emerged from the interview fall into four categories: AN explained by siblings; the individual emotional experience of siblings; the family experience of siblings and the experience inside the “sibling group.”Discussion: According to our participants, the “sibling group” thus functions as a good compromise between keeping an active role in the anorexic patient's care and taking a step back to avoid being eaten up by the illness. Sibling-group participants retrieved a sense of belonging, which is normally one of the functions of being a sibling. It is important to note that the “sibling group” is part of the comprehensive (or global) family-based approach included in an institutional multidisciplinary integrative care framework.

Stress-Related Growth in Elite Sport Performers: Qualitative Differentiators in Psychosocial Mechanisms

2021 ◽  
pp. 1-12
Author(s):  
Fionnuala B. Barnes ◽  
David Fletcher ◽  
Kacey C. Neely
Keyword(s):  
Social Support ◽  
Interpretative Phenomenological Analysis ◽  
Intervention Studies ◽  
Elite Athletes ◽  
Structured Interview ◽  
Phenomenological Analysis ◽  
Elite Sport ◽  
Psychological Mechanisms ◽  
Self Development ◽  
Subsequent Intervention

The purpose of this study was to explore growth following the experience of stressors and compare the experiences of elite athletes who exhibit higher and lower levels of growth. Six elite athletes (five female and one male) participated in a semi-structured interview. Three athletes reported experiencing higher levels, and three athletes reported experiencing lower levels of growth. Interpretative phenomenological analysis revealed that understanding of self, development in athletic identity, and social support are key psychological mechanisms, which differentiate elite athletes who reported experiencing higher and lower levels of growth. Athletes higher in reported growth showed greater association with meaningful behavioral actions, ultimately reflecting the modification of previously held beliefs into a new worldview. Athletes lower in reported growth reflected an attempt to maintain beliefs into an already existing worldview, thus hindering growth. The findings show psychological mechanisms that accumulatively promote growth and provide a foundation for subsequent intervention studies.

scholarly journals Women’s experiences of living with increased inter-recti distance after childbirth: an interview study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Martin Eriksson Crommert ◽  
Karolina Petrov Fieril ◽  
Catharina Gustavsson
Keyword(s):  
Qualitative Content Analysis ◽  
Healthcare Providers ◽  
Structured Interview ◽  
The Body ◽  
Study Cohort ◽  
Individual Interviews ◽  
Diastasis Recti ◽  
Purposeful Sampling ◽  
Interview Guide ◽  
Biopsychosocial Perspective

Abstract Background Although an increased inter-recti distance, also known as diastasis recti, is common after pregnancy, evidence-based knowledge about the condition is relatively limited. In particular, little is known about the consequences as perceived by the women. The objective of the present study was to describe how postpartum women with increased inter-recti distance experience the condition as well as the contacts they have had with healthcare providers regarding their symptoms. Methods A purposeful sampling approach was used to recruit 19 participants from an existing study cohort of 144 women. All participants had an inter-recti distance of at least two finger widths and at least one child, with the youngest child between the ages of 1 and 6 years. Individual interviews based on a semi-structured interview guide were performed and subsequently analysed using qualitative content analysis. Results Four categories emerged from the interviews: the body’s function and ability has changed; the body does not look like it used to; uncomprehending attitudes and treatment in their surroundings; and trying to acquire an understanding of and strategies to cope with the diastasis. The findings reveal that women with increased inter-recti distance might experience fear of movement and engage in avoidance behaviour. In combination with feelings of physical instability in the midsection of their bodies and body dissatisfaction, many of the women restrict their everyday lives and physical activities. Conclusions The findings indicate that increased inter-recti distance is a complex phenomenon that affects the women in a multitude of ways, highlighting the importance of considering the condition for each individual in her own context from a biopsychosocial perspective.

The experiences of German social workers working with refugees

2019 ◽  
Vol 21 (1) ◽  
pp. 46-68 ◽  
Author(s):  
Rachel J Hagues ◽  
David Cecil ◽  
Ken Stoltzfus
Keyword(s):  
Social Workers ◽  
Structured Interview ◽  
Cultural Knowledge ◽  
Cross Cultural ◽  
Personal Attributes ◽  
Cultural Immersion ◽  
Self Reflection ◽  
Work Related ◽  
Interview Guide ◽  
Related Stress

Summary This study examines the experiences of German social workers who provided services to refugees during the refugee crisis of 2014–2016. Interviews were conducted in 2016 in two regions of Germany, Berlin/Brandenburg ( n = 18) and Würzburg (Bavaria; n = 16). Researchers used a semi-structured interview guide complemented by a five-item Likert-type instrument. Questions explored Social Service Provider’s Background and Training, Refugees’ Needs, Role of Faith in Coping, and Recommendations for Universities and Churches and measure Effectiveness of Services, Adequacy of Resources, Benefits to Refugees, and Extent of Work-Related Stress. Findings A thematic analysis indicates social workers feel Germany has effectively responded to paramount refugee needs. Social workers emphasize the importance of learning to see people “eye-to-eye,” cultivating empathy, cross-cultural competence, overcoming personal biases, and self-reflection. Applications Findings suggest social workers who practice with refugees should devote attention to the development of personal attributes to facilitate effective service delivery (e.g. learning to respond empathetically, practicing self-reflection, and treating refugees as equals) and refining practical skills (e.g. study of refugee and immigration law nationally and internationally and development of cross-cultural knowledge and understanding). Suggestions include learning a greeting in another language or understanding gender roles in different cultures. The usefulness of cultural immersion gained by spending time abroad was highlighted; such experiences allow one to cultivate the ability to be open-minded, encourage the development of a capacity to empathize with members of under-represented groups, and prevent the tendency of seeing refugees or migrants as “the Other” ( Said, 1978 ).

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