‘Are we on the same wavelength?’ International nurses and the process of confronting and adjusting to clinical communication in Australia

2017 ◽  
Vol 13 (3) ◽  
pp. 263-274 ◽  
Author(s):  
Tonia Crawford ◽  
Peter Roger ◽  
Sally Candlin
Keyword(s):  
Communication Skills ◽  
Thematic Analysis ◽  
Care Setting ◽  
Linguistically Diverse ◽  
The Other ◽  
Culturally And Linguistically Diverse ◽  
Central Theme ◽  
Structured Interviews ◽  
Clinical Communication ◽  
Professional Experiences

Effective communication skills are important in the health care setting in order to develop rapport and trust with patients, provide reassurance, assess patients effectively and provide education in a way that patients easily understand (Candlin and Candlin, 2003). However with many nurses from culturally and linguistically diverse (CALD) backgrounds being recruited to fill the workforce shortfall in Australia, communication across cultures with the potential for miscommunication and ensuing risks to patient safety has gained increasing focus in recent years (Shakya and Horsefall, 2000; Chiang and Crickmore, 2009). This paper reports on the first phase of a study that examines intercultural nurse patient communication from the perspective of four Registered Nurses from CALD backgrounds working in Australia. Five interrelating themes that were derived from thematic analysis of semi-structured interviews are discussed. The central theme of ‘adjustment’ was identified as fundamental to the experiences of the RNs and this theme interrelated with each of the other themes that emerged: professional experiences with communication, ways of showing respect, displaying empathy, and vulnerability.

scholarly journals ‘I was really, really shocked’: A sociological exploration of the transition experiences of English Youth Academy male footballers from school to work

2021 ◽  
pp. 101269022110054
Author(s):  
Nicola Hague ◽  
Graeme Law
Keyword(s):  
Young Children ◽  
Children And Adolescents ◽  
Thematic Analysis ◽  
School To Work ◽  
Structured Interviews ◽  
Professional Career ◽  
Professional Experiences ◽  
Transitional Experiences ◽  
The World ◽  
Different Types

The world of football arguably brings together and unites people in support of their teams and countries, while inspiring young children and adolescents to dream of a professional career. Existing research in the field has sought to begin to understand what professional footballers experience on their journey through the game. However, much of this UK-based research has focused on first team players and their professional experiences, including transitions from youth team to first team and to retirement. This study, therefore, aimed to examine players during their youth academy scholarship at one English Championship club. This study focused on the transitional experiences of youth players from school to the academy and their resulting embodying of a footballer’s identity. Twelve semi-structured interviews with players aged 17–19, were conducted and then analysed by thematic analysis using figurational sociology concepts. Three different types of transition were identified. Among other reasons, early specialisation in football was a prevalent factor that partly influenced the way the players experienced their transition. The transition into the academy coincided with the transition from youth to adulthood that was arguably anything but linear as players managed the dominant sub-cultures present in the club.

An Encounter with the Other: A Thematic Analysis of Accounts of DMT Experiences from a Naturalistic Field Study

2021 ◽  
Author(s):  
Pascal Michael ◽  
David Luke ◽  
Oliver Robinson
Keyword(s):  
Field Study ◽  
Thematic Analysis ◽  
Conscious Experience ◽  
The Other ◽  
Structured Interviews ◽  
Depth Analysis ◽  
Death Experience ◽  
Extraordinary Experiences ◽  
Alien Abduction ◽  
Increasing Trends

Introduction: N, N-Dimethyltryptamine (DMT) is an endogenous serotonergic psychedelic capable of producing radical shifts in conscious experience. Increasing trends in its use, as well as new trials administering DMT to patients, indicate the growing importance of a thorough elucidation of the phenomenology the drug may occasion. This is particularly in light of the hyper-real, otherworldly, and often ontologically challenging yet potentially transformative, nature of the experience, not least encounters with apparently non-self social agents. Laboratory studies have been limited by clinical setting and lacking qualitative analyses, while online surveys’ limitations lie in retrospective design, recreational use, and both of which not guaranteeing ‘breakthrough’ experiences. Methods: We report on the first naturalistic field study of DMT use including its qualitative analysis. Screened, healthy, anonymised and experienced DMT users (40-75mg inhaled) were observed during their non-clinical use of the drug at home. Semi-structured interviews using the micro-phenomenological technique were employed immediately after their experience. This paper reports on the thematic analysis of one major domain of the breakthrough experiences elicited; the ‘other’. Thirty-six post-DMT experience interviews with mostly Caucasian (83%) males (8 female) of average 37 years were predominantly inductively coded. Results: Invariably, profound and highly intense experiences occurred. The main overarching category comprised the encounter with other ‘beings’ (94% of reports), with further subordinate themes including the entities’ role, appearance, demeanour, communication and interaction; while the other over-arching category comprised experiences of emerging into other ‘worlds’ (100% of reports), in turn consisting of the scene, the content and quality of the immersive spaces. Discussion: The present study provides a systematic and in-depth analysis of the features of the otherworldly encounter within the breakthrough DMT experience, as well as elaborating on the resonances with both previous DMT studies and other types of extraordinary experiences which also entail entity encounters. These include the alien abduction, folkloric, shamanic and near-death experience. Putative neural mechanisms of these features of the DMT experience and its promise as a psychotherapeutic agent are discussed in light of such findings.

scholarly journals Assessing the training needs of medical students in patient information gathering; a qualitative study

2019 ◽  
Author(s):  
Conor Gilligan ◽  
Sonja Brubacher ◽  
Martine Powell
Keyword(s):  
Medical Students ◽  
Communication Skills ◽  
Medical Practice ◽  
Role Models ◽  
Teaching And Learning ◽  
Structured Interviews ◽  
Clinical Communication ◽  
Medical Interviewing ◽  
Medical Programs ◽  
And Training

Abstract Background Effective communication is at the heart of good medical practice but rates of error, patient complaints, and poor clinician job satisfaction are suggestive of room for improvement in this component of medical practice and education. Methods We conducted semi-structured interviews with experienced clinicians (n = 19) and medical students (n = 20) to explore their experiences associated with teaching and learning clinical communication skills and identify targets for improvements to addressing these skills in medical curricula. Results Interviews were thematically analysed and four key themes emerged; the importance of experience, the value of role-models, the structure of a consultation, and confidence. Conclusions The findings reinforce the need for improvement in teaching and learning communication skills in medicine, with particular opportunity to target approaches to teaching foundational skills which can establish a strong grounding before moving into more complex situations, thus preparing students for the flexibility required in medical interviewing. A second area of opportunity and need is in the engagement and training of clinicians as mentors and teachers, with the findings from both groups indicating that preparation for teaching and feedback is lacking. Medical programs can improve their teaching of communication skills and could learn from other fields s to identify applicable innovative approaches.

scholarly journals Assessing the training needs of medical students in patient information gathering; a qualitative study

2020 ◽  
Author(s):  
Conor Gilligan ◽  
Sonja Brubacher ◽  
Martine Powell
Keyword(s):  
Medical Students ◽  
Communication Skills ◽  
Medical Practice ◽  
Role Models ◽  
Teaching And Learning ◽  
Structured Interviews ◽  
Clinical Communication ◽  
Medical Interviewing ◽  
Medical Programs ◽  
And Training

Abstract Background Effective communication is at the heart of good medical practice but rates of error, patient complaints, and poor clinician job satisfaction are suggestive of room for improvement in this component of medical practice and education. Methods We conducted semi-structured interviews with experienced clinicians (n = 19) and medical students (n = 20) to explore their experiences associated with teaching and learning clinical communication skills and identify targets for improvements to addressing these skills in medical curricula. Results Interviews were thematically analysed and four key themes emerged; the importance of experience, the value of role-models, the structure of a consultation, and confidence. Conclusions The findings reinforce the need for improvement in teaching and learning communication skills in medicine, with particular opportunity to target approaches to teaching foundational skills which can establish a strong grounding before moving into more complex situations, thus preparing students for the flexibility required in medical interviewing. A second area of opportunity and need is in the engagement and training of clinicians as mentors and teachers, with the findings from both groups indicating that preparation for teaching and feedback is lacking. Medical programs can improve their teaching of communication skills and could learn from other fields s to identify applicable innovative approaches.

scholarly journals El proceso vocacional del estudiantado universitario en condición de logro y rezago académico: Un análisis desde el enfoque evolutivo de Donald Super

2016 ◽  
Vol 21 (1) ◽  
pp. 1
Author(s):  
Raquel María Bulgarelli-Bolaños ◽  
José Antonio Rivera-Rodríguez ◽  
Manuel Arturo Fallas-Vargas
Keyword(s):  
Thematic Analysis ◽  
Data Gathering ◽  
Bachelor's Degree ◽  
The Other ◽  
Vocational Development ◽  
Industrial Chemistry ◽  
Analysis Method ◽  
Academic Status ◽  
Structured Interviews ◽  
Depth Interviews

This article is based on an investigation whose main purpose was to analyze students’ vocational development in statuses of achievement and academic lagging in Bachelor’s Degree in Industrial Chemistry at the Universidad Nacional de Costa Rica, during 2014, by implementing Donald Super’s evolutionary approach. A naturalist paradigm, a design of collective case studies of four people (two students from each academic status), four data gathering tools (in-depth interviews, semi-structured interviews, in-depth discussion meetings, and observation), and the categorical thematic analysis method were applied. It was found that there are differences in the vocational process of the four cases studied when referring to one academic status or the other, where the category of achievement is more leaning trend to a better vocational performance, even though it is not a predictor of this; while the academic lagging presents more difficulties in its different vocational stages. Therefore, it is recommended not to neglect academic, vocational and personal-social support to any of both populations, considering their particularities related to the specific vocational processes and the evaluations they carry out during the career. 

scholarly journals English for specific technical and engineering academic purposes: An analysis on ESL practitioners’ challenges

2019 ◽  
Vol 8 (4) ◽  
pp. 699
Author(s):  
Nor Yazi Khamis ◽  
Azwin Arif Abdul Rahim ◽  
Supyan Hussin
Keyword(s):  
Communication Skills ◽  
Thematic Analysis ◽  
Online Survey ◽  
Likert Scale ◽  
Structured Interviews ◽  
Tertiary Institutions ◽  
Critical Gap ◽  
Pedagogical Models ◽  
Pedagogical Methods

<span lang="EN-GB"><span lang="EN-GB">The facilitation of English for Specific Engineering Academic Purposes approach at Malaysian technical and engineering tertiary institutions is an effort to revitalise the pedagogical methods of ESL learning and communication skills at the institutions. A close examination on the ESL practitioners’ context has indicated a critical gap between the diversified requirements of skills and sound pedagogical models to determine the practitioners’ quality. In understanding the necessity of the approach, this study aims to explore and investigate the challenges faced by the practitioners in facilitating the approach. The study comprised data gathered from semi structured interviews of 14 ESL experts and an online survey on 42 ESL practitioners in technical and engineering fields. Interview questions for the experts were developed to find out about the challenges and competencies to overcome the hurdles. A self-assessed instrument with a five-Likert scale of importance on the competencies was used to gauge the practitioners’ view onn the approach. Frequencies and percentages, and Braun and Clarke’s (2006) six-stage method of thematic analysis were used to analyse the data. Findings from the both inquiries revealed several challenges which led to the necessity of wider knowledge and understanding of the approach and the prevalent of specific competencies for the practitioners in overcoming the challenges. The practitioners’ competency was substantially indispensable because it could affect their learners’ interest in learning the skills as well as in understanding the content subject.</span>quality agencies to review and specify the requirement and guideline for <br /> ESL practitioners specifically those at technical and engineering <br /> tertiary institutions.</span>

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