scholarly journals A Qualitative Investigation into Practitioners’ Perspectives of the Coping-Infused Dialogue through Patient-Preferred Live Music Protocol

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Michael Joseph Silverman
Keyword(s):  
Future Research ◽  
Medical Patients ◽  
Structured Interviews ◽  
Advantages And Disadvantages ◽  
Therapeutic Interaction ◽  
Live Music ◽  
Receptive Music Therapy ◽  
Emerging Themes ◽  
Patient Responses ◽  
Practice Framework

The Coping-Infused Dialogue through Patient Preferred Live Music (CID-PPLM) protocol was designed to integrate receptive music therapy with a discussion of stressors and coping skills. However, to better understand the advantages and disadvantages of the protocol within the contemporary evidence-based practice framework, investigation with protocol practitioners is warranted. The purpose of this study was to understand practitioners’ perspectives of the CID-PPLM protocol. Specific research questions included practitioners’ perspectives of the following: (1) What are potential advantages of the CID-PPLM protocol and how might it function with adult medical patients? (2) What are potential disadvantages of the CID-PPLM protocol and how might it be improved? Five practitioners participated in individual semi-structured interviews. Themes were identified via thematic analysis. Member checking and trustworthiness were used. Participants had positive, as well as constructive, perceptions of the CID-PPLM. Emerging themes included: CID-PPLM provides choice, control, support, and autonomy; CID-PPLM allows for individualized patient responses within a distinct therapeutic interaction; and the CID-PPLM can be restrictive. Emerging themes and sub-themes can be used to modify the CID-PPLM and provide a framework for new protocols to offer clinicians additional flexibility to best serve adult medical patients. Implications, limitations, and suggestions for future research are provided.

scholarly journals “Sometimes I don’t have a pulse, and I’m still alive!” Healthcare providers on digital health techs

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
F Tomasella ◽  
H M Morgan
Keyword(s):  
Digital Health ◽  
Healthcare Providers ◽  
Future Research ◽  
Structured Interviews ◽  
Clinical Value ◽  
Health Technologies ◽  
Advantages And Disadvantages ◽  
Health Related ◽  
Potential Benefits ◽  
Change Promotion

Abstract Background Digital health technologies (DHTs) are increasingly becoming an integral part of our lives, healthcare field included. The WHO recently has even released the first digital health guidelines for worldwide intervention. Commercially available DHTs (e.g. smartphones, smartwatches, apps) may hold significant potential in healthcare, upon successful and constructive integration. Literature on the topic is split between enthusiasm for the potential benefits, and concerns about reliability and effectiveness. Little is known about what healthcare professionals (HCPs) have experienced so far with patients and what they believe the main issues for implementation may be. This study aims to investigate current perceptions of HCPs towards self-tracked health-related outputs from devices and apps available to the public. Methods Nine HCPs volunteered to take part in semi-structured interviews. Data were thematically analysed adopting a pre-constructed framework (deductive approach) based on current (April 2019) literature and the findings from the first two interviews. Results The following main themes were identified and explored in detail: HCPs' experience, perceived knowledge and views on DHTs; advantages and disadvantages; barriers towards healthcare implementation and solutions; future perspectives. While most participants were adopters of DHTs and held positive views about them, their overall experience with patients and the technology was limited. Potential reasons for this included factors such as time/resources availability; colleagues' mindset; lack of evidence of effectiveness for practice; privacy/data security concerns. Conclusions The potential advantages of DHTs' adoption in healthcare are substantial - e.g. patient autonomy, time/resources saving, health and behaviour change promotion. However, future research is warranted focussing on addressing barriers, minimising disadvantages, and assessing the clinical value of commercially available DHTs. Key messages We explored healthcare providers’ views on the role of commercial digital health techs in clinical practice. Despite some privacy and reliability concerns, commercial digital health techs show promise.

scholarly journals “Sometimes I don’t have a pulse … and I’m still alive!” Interviews with healthcare professionals to explore their experiences of and views on population-based digital health technologies

2021 ◽  
Vol 7 ◽  
pp. 205520762110183
Author(s):  
Flavio Tomasella ◽  
Heather May Morgan
Keyword(s):  
Healthcare Professionals ◽  
Digital Health ◽  
Relevant Literature ◽  
Population Based ◽  
Future Research ◽  
Daily Routine ◽  
Structured Interviews ◽  
Clinical Value ◽  
Health Technologies ◽  
Advantages And Disadvantages

Background Digital technologies are increasingly becoming an integral part of our daily routine and professional lives, and the healthcare field is no exception. Commercially available digital health technologies (DHTs – e.g. smartphones, smartwatches and apps) may hold significant potential in healthcare upon successful and constructive implementation. Literature on the topic is split between enthusiasm associated with potential benefits and concerns around privacy, reliability and overall effectiveness. However, little is known about what healthcare professionals (HCPs) have experienced so far with patients and what they perceive as the main advantages and disadvantages of adoption. This study therefore aims to investigate current perceptions of HCPs towards self-tracked health-related outputs from devices and apps available to the public. Methods Nine HCPs volunteered to take part in semi-structured interviews. Related data were thematically analysed, following a deductive approach with the construction of a framework based on expected themes from the relevant literature, and themes identified from the first two interviews. Findings The following main themes in relation to DHTs were identified and explored in detail: HCPs’ experience, knowledge and views; advantages and disadvantages; barriers towards healthcare implementation and potential solutions; future directions. While most participants were adopters of DHTs and held positive views about them, their overall experience with patients and the technology was limited. Potential reasons for this were explored, including factors such as time/resources; colleagues’ mindset; lack of evidence of effectiveness for practice; data security concerns. Conclusions The potential advantages of DHTs’ adoption in healthcare are substantial, e.g. patient autonomy, time/resources saving, health and behaviour change promotion, but are presently premature. Therefore, future research is warranted, focussing on addressing barriers, minimising disadvantages, and assessing the clinical value of commercially available DHTs.

Perceived mechanisms targeting cancer-related fatigue, song choice rationale, and song function: An interpretivist study of patient-preferred live music with adult oncology patients on a blood and marrow transplant unit

2020 ◽  
pp. 030573562094229
Author(s):  
Lacey Reimnitz ◽  
Michael Silverman
Keyword(s):  
Symptomatic Relief ◽  
Marrow Transplant ◽  
Future Research ◽  
Structured Interviews ◽  
Oncology Patients ◽  
Cancer Related Fatigue ◽  
Blood And Marrow Transplant ◽  
Live Music ◽  
Musical Elements ◽  
Insight Into

Although patient-preferred live music (PPLM) can be an effective music therapy intervention for addressing cancer-related fatigue (CRF) in adult oncology patients, there is a gap in the literature specific to patients’ experiences of how PPLM impacts CRF. The primary purpose of this interpretivist study was to understand the mechanisms by which PPLM impacts CRF from the patients’ perspectives. The secondary purpose was to gain insight into patients’ song choice rationales and their ensuing function within PPLM. We provided PPLM and conducted semi-structured interviews with adult oncology patients ( N = 5) on a blood and marrow transplant unit. We used an inductive approach to thematic analysis to analyze interview transcripts and achieved trustworthiness through independent analyses of transcripts as well as peer review of codes and themes. Participants described how PPLM provided CRF symptomatic relief by facilitating emotional release and being an aesthetically pleasing distraction. Participants noted they chose songs because of memorable experiences and for musical elements and components, while explaining that PPLM facilitated reminiscence, promoted relaxation and restful states, and encouraged reflection through the lyrics. Results provide an initial patient-centric understanding of how and why PPLM might impact CRF. Implications for clinical practice, limitations, and suggestions for future research are provided.

scholarly journals Mind the Gap

2016 ◽  
Vol 07 (04) ◽  
pp. 1069-1087 ◽  
Author(s):  
Terry Fairbanks ◽  
Erica Savage ◽  
Katie Adams ◽  
Michael Wittie ◽  
Edna Boone ◽  
...  
Keyword(s):  
Future Research ◽  
Theory Approach ◽  
Health It ◽  
Structured Interviews ◽  
Clinical Workflow ◽  
Stakeholder Perspectives ◽  
Critical Areas ◽  
Key Stakeholders ◽  
Emerging Themes ◽  
Grounded Theory Approach

SummaryObjective Decisions made during electronic health record (EHR) implementations profoundly affect usability and safety. This study aims to identify gaps between the current literature and key stakeholders’ perceptions of usability and safety practices and the challenges encountered during the implementation of EHRs.Materials and Methods Two approaches were used: a literature review and interviews with key stakeholders. We performed a systematic review of the literature to identify usability and safety challenges and best practices during implementation. A total of 55 articles were reviewed through searches of PubMed, Web of Science and Scopus. We used a qualitative approach to identify key stakeholders’ perceptions; semi-structured interviews were conducted with a diverse set of health IT stakeholders to understand their current practices and challenges related to usability during implementation. We used a grounded theory approach: data were coded, sorted, and emerging themes were identified. Conclusions from both sources of data were compared to identify areas of misalignment.Results We identified six emerging themes from the literature and stakeholder interviews: cost and resources, risk assessment, governance and consensus building, customization, clinical workflow and usability testing, and training. Across these themes, there were misalignments between the literature and stakeholder perspectives, indicating major gaps.Discussion Major gaps identified from each of six emerging themes are discussed as critical areas for future research, opportunities for new stakeholder initiatives, and opportunities to better disseminate resources to improve the implementation of EHRs.Conclusion Our analysis identified practices and challenges across six different emerging themes, illustrated important gaps, and results suggest critical areas for future research and dissemination to improve EHR implementation.Citation: Ratwani R et al.: Review to identify usability and safety challenges and practices during EHR implementation.

scholarly journals The Progressive Involvement of Youth in Niche Sport: The Perspective of Youth Participants and Their Parents

2015 ◽  
Vol 1 (1) ◽  
pp. 52
Author(s):  
Richard J. Buning ◽  
Cassie Coble ◽  
Shannon Kerwin
Keyword(s):  
Parental Influence ◽  
Sport Participation ◽  
Youth Sport ◽  
Future Research ◽  
Structured Interviews ◽  
Youth Sport Participation ◽  
Practice Framework ◽  
Deliberate Play ◽  
Practical Implications

The current study explores youth sport participation by examining the factors perceived to influence youth sampling and specialization in a niche sport. Further, the role of parental influence was examined as a contributing factor to youth sport progression. In-person semi-structured interviews were performed with 18 youth target archery participants and their parents (N = 28). Data analysis revealed target archery may provide a unique context that enhances previously agreed upon perceptions of sampling and specializing within youth sport development. The youth participants’ experiences with target archery were found to both confirm and challenge previous conceptions of the deliberate play and practice framework, while parental influence was largely based on opinion and prior experience. Based on these findings, theoretical contributions, suggestions for future research, and practical implications are discussed.

scholarly journals Intersectionality of Lesbian, Gay, and Bisexual International Students: Impact of Perceived Experiences on Campus Engagement

10.28945/4412 ◽  
2019 ◽  
Vol 4 ◽  
pp. 049-065
Author(s):  
Andrew S Herridge ◽  
Hugo Alberto Garcia ◽  
Mi-Chelle Leong
Keyword(s):  
International Students ◽  
Identity Development ◽  
Online Resources ◽  
Future Research ◽  
Structured Interviews ◽  
Campus Environment ◽  
Campus Engagement ◽  
Emerging Themes ◽  
And Bisexual ◽  
Perceived Experiences

Aim/Purpose: While there are studies that examine the experience of LGB or international students, we are not aware of any study that examines both intersectionalities. In this study, we attempt to be the first to examine the experiences of international LGB students and the resources they utilize on campuses. Background: This research provides an understanding of how this population of students interact with the campus environment, how they perceive the campus climate, and what impact their interaction and perceptions have on their performance and overall outcomes. Methodology: This narrative qualitative research study was guided by the unifying model of sexual identity development and the model of multiple dimensions of identity. This study conducted semi-structured interviews with eleven participants from two states to attain a deeper insight and perspective on the experiences of LGB International students. Contribution: With this population of students being understudied in the larger body of literature, the result of this research will allow for institutional staff and future researchers to gain additional insight into the experiences and outcomes of international students that identify as a member of the LGB community. Findings: The respondents indicated a mixture of experiences based on their sexual orientation and national identity. Emerging themes for RQ1 were Fear, Isolation, and Openness. Respondents expressed the utilization of a wide variety of resources from campus based on online resources. Emerging themes for RQ2 were Campus Based Resources, Online Resources, and Negative Experiences. Recommendations for Practitioners: Based on these findings, institutions of higher education can promote the resources available to students within these populations. Institutions should be intentional in supporting the spiritual and religious needs of international LGBTQIA students to aid in the holistic development of their students. Recommendation for Researchers: It is recommended for researchers to explore how international students who identify as LGBTQIA students experience community colleges. Future Research: Future research should explore how staff, administrators, and faculty attempt to support students from regions of the world that are very conservative as they recruit students from those regions.

Change Mechanisms in Patient-Preferred Live Music: An Exploratory Interpretivist Study

2021 ◽  
Author(s):  
Michael J Silverman
Keyword(s):  
Clinical Training ◽  
Empirical Support ◽  
Future Research ◽  
Evidence Based ◽  
Affective States ◽  
Structured Interviews ◽  
Medical Settings ◽  
Visual Model ◽  
Live Music ◽  
Change Mechanisms

Abstract Although there is empirical support for patient-preferred live music (PPLM) in addressing affective states and pain for adults in medical settings, there is a lack of data regarding why PPLM might be effective. Identifying the underlying processes and events of change mechanisms within PPLM has the potential to improve education and clinical training, distinguish music therapy from other music interventions, and augment treatment outcomes for service users. The practitioner’s expertise constitutes a component of evidence-based practice and could be used to identify change mechanisms that result in PPLM being effective. Therefore, the purpose of this exploratory interpretivist study was to understand practitioners’ perceptions of PPLM change mechanisms for adults in medical settings. I conducted in-depth individual semi-structured interviews with 10 practitioners who had provided protocol-based PPLM in adult medical settings as a component of published research projects. Incorporating member checking and trustworthiness, I used an inductive approach to thematic analysis to analyze data. I identified 3 major themes: Choices within PPLM, Music-based aspects of PPLM, and Positive outcomes resultant of PPLM. These themes were supported by 17 subthemes. The subthemes helped to explain relationships between results and I developed a visual model to conceptualize PPLM change mechanisms. While previous objectivist literature has found PPLM to be an effective intervention for adults in medical settings, the results of the current study provide an evidence-based and practitioner-centric approach to PPLM change mechanisms. Implications for clinical practice, limitations of the study, and suggestions for future research are provided.

Decision Making in Child and Family Welfare: The Role of Tools and Practice Frameworks

2017 ◽  
Vol 42 (1) ◽  
pp. 49-56 ◽  
Author(s):  
Philip Gillingham ◽  
Paul Harnett ◽  
Karen Healy ◽  
Debby Lynch ◽  
Marion Tower
Keyword(s):  
Decision Making ◽  
Future Research ◽  
Family Welfare ◽  
Government Agencies ◽  
Children And Families ◽  
Structured Interviews ◽  
Provision Of Services ◽  
Recent Developments ◽  
Practice Framework

In this article, the findings of research that had, as one aim, the exploration of the role of decision-making tools and practice frameworks in supporting the decision making of practitioners working with children and families in non-government agencies in Queensland are presented. Semi-structured interviews were conducted with 30 frontline practitioners in three agencies in five different locations. A general finding was that practitioners used a range of different tools and frameworks and found them supportive. The pertinence of these findings is discussed in relation to recent developments in the provision of services for children and families in Queensland, namely the new funding of non-government agencies to provide early intervention supportive services to children and families and the implementation of a single practice framework to guide practice across the sector. Areas for future research in Queensland are identified to further investigate the role of tools in frontline practice with children and families and which may also contribute to debates more broadly about the development and implementation of practice frameworks to support practitioners.

Introducing Music Therapy to Hospitalized Adults in Medical Settings: A Thematic Analysis

2021 ◽  
Author(s):  
Chantise J Hunt ◽  
Michael J Silverman
Keyword(s):  
Music Therapy ◽  
Thematic Analysis ◽  
Future Research ◽  
Structured Interviews ◽  
Ethical Considerations ◽  
Music Therapists ◽  
Medical Settings ◽  
Music Therapist ◽  
Live Music ◽  
Clinical Benefits

Abstract Music therapy can decrease illness- and treatment-related symptoms for adults in medical settings. In these environments, service users often decide to accept or decline music therapy after a brief introduction by the music therapist. As there is limited literature exploring the challenges related to these introductions, the purpose of this interpretivist study was to describe how music therapists introduce music therapy in the form of patient-preferred live music (MT-PPLM) in adult medical settings to augment the likelihood of patients accepting treatment. We conducted semi-structured interviews with nine participants who had experience providing MT-PPLM in adult medical settings. In this exploratory interpretivist study, we used an inductive approach to thematic analysis and incorporated member-checking to augment trustworthiness and credibility of the results. We identified three themes (supported by eight subthemes depicted in parentheses): (A) Offer patient a unique interaction through verbal and nonverbal techniques (Provide opportunities for patient control; Engage patient through nonmedical dialogue; and Use affect and body language to convey a different demeanor); (B) Clarify expectations related to patient and session (Avoid the word “therapy”; Use the music to explain the intervention; and Mention clinical benefits to describe what the patient can expect from the session); and (C) Respond to patient’s verbal and nonverbal communication (Assess patient and adapt introduction; and Validate patient’s response). The findings offer introductory techniques for music therapists that may increase the likelihood of adults in medical settings accepting MT-PPLM. Implications for clinical practice, ethical considerations, limitations, and suggestions for future research are provided.

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