scholarly journals Embracement as an analyzer of the relationships between professionals, managers and users

2017 ◽  
Vol 51 (0) ◽  
Author(s):  
Cinira Magali Fortuna ◽  
Karemme Ferreira de Oliveira ◽  
Adriana Barbieri Feliciano ◽  
Mônica Vilchez da Silva ◽  
Flávio Adriano Borges ◽  
...  
Keyword(s):  
Focus Group ◽  
Qualitative Study ◽  
Health Services ◽  
Focus Groups ◽  
Health Professionals ◽  
Institutional Analysis ◽  
Party Politics ◽  
The Media ◽  
Group Sessions ◽  
Service Managers

Abstract OBJECTIVE Analyzing the relationships among professionals and between professionals with managers and users based on the user embracement analyzer. METHOD A qualitative study incorporating the theoretical-methodological reference of institutional analysis. The data were produced through focus groups and organized from transcription, transposition and reconstitution. Seventeen (17) focus group sessions were conducted involving six municipalities and health professionals from various backgrounds. RESULTS 137 professionals participated in this study. User embracement has been carried out with the aim to organize spontaneous demand. Doctors have not been directly involved, although they have the final say. Intermediate nursing deals with the users and nurses perform important negotiation work among the network sectors. The receptionists and the community agents develop the first approach to the users, forwarding them to nursing to negotiate the service. Managers hope to avoid complaints by attending everyone. Users take advantage of party politics and of the media for services when there is no access. CONCLUSION User embracement is an analyzer, since it produces visibility and readability of the relations being produced in health services, and when analyzed can lead to denaturalizing these actions.

scholarly journals Understanding Health Professional Responses to Service Disinvestment: A Qualitative Study

2019 ◽  
Vol 8 (7) ◽  
pp. 403-411
Author(s):  
Deb Mitchel ◽  
Lisa O’Brien ◽  
Anne Bardoel ◽  
Terry Haines
Keyword(s):  
Health Service ◽  
Qualitative Study ◽  
Health Services ◽  
Health Professionals ◽  
Quality Of Patient Care ◽  
Professional Responses ◽  
Hospital Wards ◽  
The Impact ◽  
Service Managers

Background: Disinvestment from inefficient health services may be a potential solution to rising healthcare costs, but there has been poor uptake of disinvestment recommendations. This Australian study aims to understand how health professionals react when confronted with a plan to disinvest from a health service they previously provided to their patients. Methods: This qualitative study took place prior to the disinvestment phase of a trial which removed weekend allied health services from acute hospital wards, to evaluate the effectiveness and cost effectiveness of the service. Observations and focus groups were used to collect data from 156 participants which was analysed thematically. Results: Initial reactions to the disinvestment were almost universally negative, with staff extremely concerned about the impact on the safety and quality of patient care and planning ways to circumvent the trial. Removal of existing services was perceived as a loss and created a direct threat to some clinicians’ professional identity. With time, discussion, and understanding of the project’s context, some staff moved towards acceptance and perceived the trial as an opportunity, particularly given the service was to be reinstated after the disinvestment. Conclusion: Clinicians and health service managers are protective of the services they deliver and can create barriers to disinvestment. Even when services are removed to ascertain their value, health professionals may continue to provide services to their patients. Measuring the impact of the disinvestment may assist staff to accept the removal of a service.

59. General medicine residents' perception of the mini-CEXs

2007 ◽  
Vol 30 (4) ◽  
pp. 61
Author(s):  
S. Malhotra ◽  
R. Hatala ◽  
C.-A. Courneya
Keyword(s):  
Internal Medicine ◽  
Medical Education ◽  
Focus Group ◽  
Qualitative Study ◽  
Focus Groups ◽  
General Medicine ◽  
Clinical History ◽  
Phenomenological Approach ◽  
Medical Teacher ◽  
The Impact

The mini-CEX is a 30 minute observed clinical encounter. It can be done in the outpatient, inpatient or emergency room setting. It strives to look at several parameters including a clinical history, physical, professionalism and overall clinical competence. Trainees are rated using a 9-point scoring system: 1-3 unsatisfactory, 4-6 satisfactory and 7-9 superior. Eight months after the introduction of the mini-CEX to the core University of British Columbia Internal Medicine Residents, a one hour semi-structured focus group for residents in each of the three years took place. The focus groups were conducted by an independent moderator, audio-recorded and transcribed. Using a phenomenological approach the comments made by the focus groups participants were read independently by three authors, organized into major themes. In doing so, several intriguing common patterns were revealed on how General Medicine Residents perceive their experience in completing a mini-CEX. The themes include Education, Assessment and Preparation for the Royal College of Physicians and Surgeons Internal Medicine exam. Resident learners perceived that the mini-CEX process provided insight into their clinical strengths and weaknesses. Focus group participants favored that the mini-CEX experience will benefit them in preparation, and successful completion of their licensing exam. Daelmans HE, Overmeer RM, van der Hem-Stockroos HH, Scherpbier AJ, Stehouwer CD, van der Vleuten CP. In-training assessment: qualitative study of effects on supervision and feedback in an undergraduate clinical rotation. Medical Education 2006; 40(1):51-8. De Lima AA, Henquin R, Thierer J, Paulin J, Lamari S, Belcastro F, Van der Vleuten CPM. A qualitative study of the impact on learning of the mini clinical evaluation exercise in postgraduate training. Medical Teacher January 2005; 27(1):46-52. DiCicco-Bloom B, Crabtree BF. The Qualitative Research Interview. Medical Education 2006; 40:314-32.

scholarly journals Homelessness: Emotion Discourse and the Reproduction of Social Inequality

2014 ◽  
Vol 39 (2) ◽  
Author(s):  
Barbara Schneider
Keyword(s):  
Social Interaction ◽  
Focus Group ◽  
Focus Groups ◽  
Social Relations ◽  
Moral Identity ◽  
Homeless People ◽  
Group Context ◽  
The Media ◽  
Groupes De Discussion ◽  
Negative Feelings

This article draws on data gathered in focus groups to analyze how people talk about homelessness and compares the findings to how homelessness is represented in the media, specifically newspapers. It examines how ideas about homelessness that circulate in society are taken up, used, and reproduced by people in social interaction. People “care” about homelessness and use emotion discourse in the focus group context to construct a moral identity and to manage interactional dilemmas. They express sympathy for homeless people, deflect responsibility for any negative feelings they may have, and shift responsibility for doing something about homelessness. In using emotion discourse, they reproduce conceptions of homelessness that circulate widely in the media and in society generally; this, in turn, reproduces existing social relations of inequality and exclusion.Cet article a recours à des données provenant de groupes de discussion afin d’analyser comment les gens parlent d’itinérance entre eux, puis il compare les résultats de cette analyse à la représentation de l’itinérance dans les médias contemporains, particulièrement les journaux. Il examine comment les gens dans leurs interactions adoptent, utilisent et reproduisent des idées sur l’itinérance qui circulent déjà dans la société. Les gens se « soucient » de l’itinérance et ont recours à un discours émotif dans leurs groupes de discussion pour se construire une identité morale et gérer les dilemmes interactionnels. Ils expriment de la sympathie pour les sans-abris, tout en déclinant toute responsabilité pour les sentiments négatifs que ces derniers peuvent éprouver et rejetant sur autrui le devoir d’agir sur l’itinérance. En utilisant un discours émotif, ils reproduisent des conceptions sur l’itinérance qui circulent abondamment dans les médias et dans la société en général. Leurs pratiques reproduisent ainsi des rapports d’inégalité et d’exclusion.

scholarly journals Different forms of informal coercion in psychiatry – a qualitative study

2019 ◽  
Author(s):  
Veikko Pelto-Piri ◽  
Lars Kjellin ◽  
Ulrika Hylén ◽  
Emanuele Valenti ◽  
Stefan Priebe
Keyword(s):  
Mental Health ◽  
Content Analysis ◽  
Focus Group ◽  
Qualitative Study ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Qualitative Content Analysis ◽  
Focus Group Interviews ◽  
Informal Coercion ◽  
Group Interviews

Abstract Objectives The objective of the study was to investigate how mental health professionals describe and reflect upon different forms of informal coercion. Results In a deductive qualitative content analysis of focus group interviews, several examples of persuasion, interpersonal leverage, inducements, and threats were found. Persuasion was sometimes described as being more like a negotiation. Some participants worried about that the use of interpersonal leverage and inducements risked to pass into blackmail in some situations. In a following inductive analysis, three more categories of informal coercion was found: cheating, using a disciplinary style and referring to rules and routines. Participants also described situations of coercion from other stakeholders: relatives and other authorities than psychiatry. The results indicate that informal coercion includes forms that are not obviously arranged in a hierarchy, and that its use is complex with a variety of pathways between different forms before treatment is accepted by the patient or compulsion is imposed.

scholarly journals An Evaluation of Focus Groups as a Technique to Determine the Market Potential for Wildflower Sod

HortScience ◽  
1995 ◽  
Vol 30 (4) ◽  
pp. 891E-891
Author(s):  
S.S. Barton ◽  
J. Mercer
Keyword(s):  
Focus Group ◽  
Focus Groups ◽  
Market Potential ◽  
Marketing Plan ◽  
Small Areas ◽  
Slide Presentation ◽  
Group Sessions ◽  
Product Description

Two focus group sessions were conducted to determine the market potential for a new horticultural product, wildflower sod. One session included homeowners with suburban lots and an interest in wildflowers. Another session included landscape professionals, property managers, and garden center operators. Participants viewed a slide presentation about the uses of wildflowers and wildflower sod; a videotape illustrating wildflower sod installation; and a demonstration plot with wildflower sod planted at different spacings (solid, 50%, 25%, or plugs at 1”, 18”, or 24” centers) and at different times of year (fall, spring). The discussion was conducted by an unbiased facilitator. Participants cited the instant effect of wildflower sod as a major advantage. The price was viewed as acceptable for small areas, especially if sod was broken apart and spaced as plugs. Comments from participants were also used to develop an ideal product description and a marketing plan.

Are you a mentor? A qualitative study: imago-graphic students’ mirror views

2021 ◽  
Vol 8 (3) ◽  
pp. 652-661
Author(s):  
Rania Alkhadragy
Keyword(s):  
Focus Group ◽  
Qualitative Study ◽  
Focus Groups ◽  
Negative Perception ◽  
Personal Support ◽  
Self Development ◽  
The Common ◽  
Group Focus ◽  
Essential Skills

Objectives: Mentoring is widely acknowledged for providing support, fostering students’ learning and self-development. This study was conducted at the Faculty of Medicine, Suez Canal University with the following objectives, exploring students’ perception of their mentors, analysing expected roles and essential skills for mentors. Methodology: A qualitative study was conducted. A focus group was planned in the first mentorship session, a sample of 30  year 1 and 2 students divided into 2 focus groups  (n=15 students per a focus group). Focus group started with an imaginary students’ drawing of the mentor followed by further analysis and discussion. Results: Data displayed in a graphical format, and then further discussed to have more details. Three main themes had emerged: perception of mentors, role of the mentor and expectations from mentors. Perception was then analysed into positive, where the ease of communication was mostly discussed, and negative perception where the fear of humiliation was one of the common students’ fears. For mentors’ roles, guidance for portfolio submission was the highest frequency (45%) then came the role of academic and personal support (30%).   Conclusion: Mentorship experience is a rich process of interaction and communication between mentors and mentees. Mentors should receive appropriate training to be well prepared for their roles. This study provides practical insights into essential skills mentors should have for an effective mentorship experience. Keywords: mentorship, info-graphic, mentors, qualitative, focus group

scholarly journals Chronic Pain Self-Management Program for Low-Income Patients: Themes from a Qualitative Inquiry

Pain Medicine ◽  
2018 ◽  
Vol 21 (2) ◽  
pp. e1-e8 ◽  
Author(s):  
Barbara J Turner ◽  
Natalia Rodriguez ◽  
Raudel Bobadilla ◽  
Arthur E Hernandez ◽  
Zenong Yin
Keyword(s):  
Chronic Pain ◽  
Focus Group ◽  
Qualitative Study ◽  
Focus Groups ◽  
Low Income ◽  
Pain Medication ◽  
Management Program ◽  
Qualitative Inquiry ◽  
Self Management ◽  
Theory Approach

Abstract Objective To examine factors influencing initial engagement, ongoing participation, learned behaviors, and subjective functional outcomes after a trial of the Living Better Beyond Pain (LBBP) chronic pain self-management program. Design Qualitative study using the Grounded Theory approach. Setting Two 60-minute focus groups and phone interviews in May 2017. Subjects Focus groups with 18 participants who completed LBBP and six-month measures; telephone interviews with 17 participants who stopped attending. Methods Study coordinators randomly selected program completers for focus groups and conducted phone interviews with noncompleters. Inductive thematic analysis was used to identify patterns in semantic content with a recursive process applied to focus group transcripts and interview transcriptions to codify into themes. Themes were categorized according to the Theory of Planned Behavior. Results Focus group and telephone interview participants were primarily Hispanic and unemployed. Attitudes fostering participation in LBBP included dissatisfaction with the status quo, need to reduce pain medication, and lack of training and knowledge about chronic pain. Positive social norms from meeting others with chronic pain and support from the LBBP team encouraged attendance and adoption of behaviors. Transportation, pain, and competing activities were barriers, whereas adapting activities for the disabled was a facilitator. Maintaining behaviors and activities at home was challenging but ultimately rewarding due to improvement in daily function with less pain medication. Conclusions This qualitative study complements quantitative results showing clinically significant improvements in function after the LBBP program by adding practical insights into ways to increase participation and outcomes. Participants strongly endorsed the need for chronic pain self-management training.

scholarly journals Adapting ‘Tame Your Gut’ for patients with inflammatory bowel disease and co-morbid anxiety and/or depression

2020 ◽  
pp. 135910532094500
Author(s):  
Inna Hanlon ◽  
Catherine Hewitt ◽  
Subhadra Evans ◽  
Jo Taylor ◽  
Christian Selinger ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Qualitative Study ◽  
Focus Groups ◽  
Thematic Analysis ◽  
Bowel Disease ◽  
Health Professionals ◽  
Positive Attitude ◽  
Comorbid Anxiety ◽  
Online Psychotherapy ◽  
Inflammatory Bowel

This qualitative study collected stakeholders’ views on adapting an existing online psychotherapy programme, ‘Tame Your Gut’, to the needs of patients with inflammatory bowel disease (IBD) and comorbid anxiety and/or depression. Adult patients ( n = 13) and health professionals ( n = 12) participated in semi-structured focus groups or interviews, analysed with a thematic analysis. Patients had a generally positive attitude towards ‘Tame Your Gut’, while health professionals saw it as useful for selected patients only. Both groups indicated their preference for clinician-assisted online psychotherapy. ‘Tame Your Gut’ is acceptable to patients and health professionals but only when supported by clinicians.

scholarly journals Incorporating cancer risk information into general practice: a qualitative study using focus groups with health professionals

2017 ◽  
Vol 67 (656) ◽  
pp. e218-e226 ◽  
Author(s):  
Juliet A Usher-Smith ◽  
Barbora Silarova ◽  
Alison Ward ◽  
Jane Youell ◽  
Kenneth R Muir ◽  
...  
Keyword(s):  
General Practice ◽  
Qualitative Study ◽  
Cancer Risk ◽  
Focus Groups ◽  
Behaviour Change ◽  
Health Professionals ◽  
Lifestyle Factors ◽  
Risk Information ◽  
Lifestyle Advice ◽  
Risk Of Cancer

BackgroundIt is estimated that approximately 40% of all cases of cancer are attributable to lifestyle factors. Providing people with personalised information about their future risk of cancer may help promote behaviour change.AimTo explore the views of health professionals on incorporating personalised cancer risk information, based on lifestyle factors, into general practice.Design and settingQualitative study using data from six focus groups with a total of 24 general practice health professionals from the NHS Nene Clinical Commissioning Group in England.MethodThe focus groups were guided by a schedule covering current provision of lifestyle advice relating to cancer and views on incorporating personalised cancer risk information. Data were audiotaped, transcribed verbatim, and then analysed using thematic analysis.ResultsProviding lifestyle advice was viewed as a core activity within general practice but the influence of lifestyle on cancer risk was rarely discussed. The word ‘cancer’ was seen as a potentially powerful motivator for lifestyle change but the fact that it could generate health anxiety was also recognised. Most focus group participants felt that a numerical risk estimate was more likely to influence behaviour than generic advice. All felt that general practice should provide this information, but there was a clear need for additional resources for it to be offered widely.ConclusionStudy participants were in support of providing personalised cancer risk information in general practice. The findings highlight a number of potential benefits and challenges that will inform the future development of interventions in general practice to promote behaviour change for cancer prevention.

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