scholarly journals Medical Student Perspectives on Substance Misuse Education in the Medical Undergraduate Programme: A Grounded Theory Approach

2021 ◽  
Author(s):  
Senthan Rudrakumar ◽  
David Taylor
Keyword(s):  
Grounded Theory ◽  
Medical Students ◽  
Focus Groups ◽  
Informal Learning ◽  
Substance Misuse ◽  
Curriculum Change ◽  
Student Perspective ◽  
Theory Approach ◽  
Alternative Curriculum ◽  
Grounded Theory Approach

Abstract BackgroundA substance misuse epidemic has been appropriately responded to in medical education. Numerous curriculum reviews and most recently a UK department of Health (DOH) project have identified deficiencies in substance misuse education whilst also suggesting an alternative curriculum to be implemented into UK medical school. The student perspective has largely been muted during this process and this study aims to explore this using a constructivist grounded theory approach.Methods Eleven Final year and intercalating medical students across three separate focus groups participated in this study. Focus groups were initially less structured with subsequent focus groups session using more guided questions. Audio recordings of focus groups were transcribed into codes and categories until data saturation was obtained. Results Medical students had a common consensus that substance misuse education was an underperforming subject in their curriculum, from limited teaching hours to curriculum design and organisational problems. Students identified an alternative curriculum is required to not only prepare students for their future clinical duties but also their own personal lives. Students highlighted this proximity to a ‘dangerous world’ where exposure to substance misuse risks were faced daily. This exposure also provided a source of informal learning experiences which students deemed as being potentially unbalanced and even dangerous. Students also identified unique barriers to curriculum change with reference to a lack of openness due to the impacts of disclosure in substance misuse. Conclusion The student perspective identifies deficiencies in substance misuse education and provides alternative curriculum approaches like that discussed in current curriculum reviews and projects. The student perspective however provides a unique look at how substance misuse pervades into their own lives and how informal learning is a largely underestimated source of learning with more dangers than benefits. This together with the identification of unique barriers to curriculum change and substance misuse being a ubiquitous problem, medical faculties should work together with students themselves to drive curriculum change forward at a local level.

scholarly journals BARRIERS, FACILITATORS, BENEFITS, AND ENJOYMENT OF PHYSICAL ACTIVITY IN MIDDLE-AGED HISPANIC MEN

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S201-S202
Author(s):  
Ferdinand Delgado ◽  
Cheryl DerAnanian ◽  
Sonia Vega-Lopez ◽  
Shandel Vega-Soto ◽  
Hector Valdez ◽  
...  
Keyword(s):  
Physical Activity ◽  
Social Support ◽  
Grounded Theory ◽  
Focus Groups ◽  
Family Member ◽  
Perceived Barriers ◽  
Theory Approach ◽  
Middle Aged ◽  
Hispanic Men ◽  
Grounded Theory Approach

Abstract Little is known about middle-aged Hispanic men’s perceptions of physical activity (PA). Purpose: To examine perceived barriers, facilitators, and benefits of PA and what types of PA are enjoyable. Methods: Seven focus groups (FGs) were conducted with middle-aged Hispanic men (mean age 51.6±6.1 years; n=32) who primarily self-identified as Mexican (78.1%). All FGs were audio-recorded, transcribed, and translated into English. A grounded theory approach was used to identify themes. Results: Competing responsibilities (N=7 FGs), laziness/apathy (N=6 FGs), and a lack of habit/routine (N=5 FGs) were identified as the primary barriers to PA. Jobs were perceived as a PA barrier because of physical labor involved, long hours, having multiple jobs, and/or an inconsistent schedule. Laziness/apathy involved the notion that people have time to exercise, but choose not to. Not having a routine resulted in procrastination and not achieving exercise goals. Social support was the primary facilitator to PA, which included having a friend (N=5 FGs), family member (N=5 FGs), or spouse/partner (N=6 FGs) with whom they could participate in PA. Sports were mentioned in all FGs as enjoyable, including soccer (N=5 FGs), basketball (N=5 FGs), tennis/racquetball/handball (N=3 FGs), and baseball (N=2 FGs). Walking/running (N=6 FGs) and hiking (N=5 FGs) were also considered enjoyable. The primary perceived benefits of PA included increased energy after exercising (N=6 FGs) and improved overall health (N=6 FGs). Conclusion: Hispanic men realize the importance of PA and what may be hindrances or facilitators to increasing PA. Funded by the National Institute on Aging (R21 AG050084-01A1).

‘Let Me Entertain You: Researching the ‘Thirtysomething’ Generation’

2003 ◽  
Vol 8 (4) ◽  
pp. 16-27 ◽  
Author(s):  
Judith Burnett
Keyword(s):  
Grounded Theory ◽  
Focus Groups ◽  
Lived Experiences ◽  
Research Process ◽  
Consumer Society ◽  
Theory Approach ◽  
Critical Research ◽  
Research Issues ◽  
Grounded Theory Approach

This paper explores the limits and possibilities of research in the sociology of generation by taking the ‘thirtysomething’ cohort as a case study. It addresses a number of critical research issues, namely: how does one identify the parameters of a generation? Are there different sorts of generations, and if so how can this fact be established? And how can one deal with the internal diversity of generations, both in terms of their stratification and in the lived experiences of its members? The empirical research for this study was conducted using focus groups, and analysis loosely follows a grounded theory approach. In the paper, I reflect upon how the context of doing research in an ‘entertainment and consumer society’ might affect the research process and its findings. This leads me to conclude that research methods themselves have an historicizing character, and that sociology also has a generational flavour.

The Analysis of Nurses’ Positive Deviance Behaviours as a Measure in Preventing the Transmission of Healthcare-Associated Infections (HAIs) at M. Djamil Hospital, Padang, West Sumatera

2018 ◽  
Vol 1 (1) ◽  
pp. 3-7
Author(s):  
Esthika Ariany Maisa ◽  
Yulastri Arif ◽  
Wawan Wahyudi
Keyword(s):  
Grounded Theory ◽  
Wound Care ◽  
Positive Deviance ◽  
Care Practice ◽  
Theory Approach ◽  
Nursing Managers ◽  
Theoretical Sampling ◽  
Develop Theory ◽  
Healthcare Associated ◽  
Grounded Theory Approach

Purpose: To explore the nurses’ positive deviance behaviors as an effort to provide solutions in preventing and controlling infections in the hospital. Method: This is a qualitative research using grounded theory approach. Thirteen nurses from Dr.M.Djamil hospital were selected based on theoretical sampling in order to develop theory as it appears. Nurses were interviewed from June to September 2014. Interviews were thematically analyzed using techniques of grounded theory to then generate a theory from themes formed. Findings: The modes of positive deviance behavior identified were practicing hand hygiene beyond the standards (bringing handsanitizer from home), applying nursing art in wound care practice, placing patients with MRSA infections at the corner side, giving a red mark on a MRSA patient’s bed for easy identification by nurses, changing clothes and shoes in hospital, reducing hooks on the wall, and cleaning the ward on scheduled days. Conclusion: The study shows that nurses have a number of positive deviance behaviors to prevent infection transmission in the wards. It is sugested that the hospital management and nursing managers adopt some of the uncommon solution highlighted by the nurses to solve the HAIs problems in the hospital.

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