scholarly journals Essential Information for Transition of Care for Frail Elderly Patients in Japan: A Qualitative Study

Author(s):  
Shinji Matsumura ◽  
Makiko Ozaki ◽  
Tetsuya Kanno ◽  
Tomomi Iioka ◽  
Seiji Bito

Abstract Background: Information exchange between hospitals and primary care physicians is suboptimal. Most physicians are dissatisfied with the current referral process, and poor communication leads to negative care transition outcomes.Methods: To identify the key information needed in referral letters for successful transition of care. We conducted a qualitative study using consecutive, semi-structured in-person interviews and focus group sessions. We recruited 5 participants for individual interviews and 16 participants for focus groups. All participants were engaged in clinical work. We analyzed all data using qualitative thematic analysis. Interview transcripts were analyzed inductively and reflectively. All results were returned to the participants and modified based on their feedback. Results: The five individual interviews provided a general picture of the current referral process and a useful interview guide for the following focus group sessions. The focus group discussions were used to identify the essential care transition information needed at admission and discharge from the hospital. Essential information on hospital admission were: 1) Basic medical and care information, 2) Care resources available at home, 3) The purpose of admission and the goals of care during hospitalization, and 4) Status of advance care planning (ACP) and patient’s will in an emergency. Essential information on hospital discharge were: 1) Clinical course, 2) Explanation of medical condition during hospitalization, 3) Status of ACP and patient’s will in an emergency, and 4) Medical procedures to be continued at home. Conclusion: We identified the essential information needed for successful transition of care in Japan, particularly on admission to and discharge from acute hospitals. The clinical effectiveness of a template that contains the information identified in our study warrants investigation.

2009 ◽  
Vol 30 (1) ◽  
pp. 11-23 ◽  
Author(s):  
ALI ARDALAN ◽  
MONIR MAZAHERI ◽  
KOUROSH HOLAKOUIE NAIENI ◽  
MOHSEN REZAIE ◽  
FARIBA TEIMOORI ◽  
...  

ABSTRACTElders have long been recognised as among the most vulnerable people in disaster events. This paper reports a qualitative study of the self-perceived needs of older people in the aftermath of the Bam earthquake in Iran in 2003. A total of 56 people aged from 65 to 88 years were recruited to the study using purposive sampling, including 29 men and 27 women. Six focus group discussions and ten semi-structured individual interviews were conducted. Each focus group involved six to ten people from the cities of Bam and Baravat and their rural suburbs. Content analysis was used to analyse the transcribed data. The analysis identified four major themes among the informants' concerns: inappropriate service delivery, affronts to dignity, feeling insecure and emotional distress. A disaster-prone country like Iran needs to be appropriately prepared with culturally sensitive plans to meet the needs of those who suffer from their effects, not least older people. Emergency relief managers should note that for many older people in a disaster zone, customary forms of relief are neither required nor appropriate, and that their distinctive immediate and long-term needs should be assessed and met. Relief agencies need to be trained to be age-sensitive and should mainstream older people's rights in the planning and implementation of both the response and recovery phases of assistance.


2020 ◽  
Vol 69 (6) ◽  
pp. 1271-1299
Author(s):  
Atheer Abdullah Mohammed ◽  
Abdul Hafeez Baig ◽  
Raj Gururajan

Purpose The purpose of this paper is to understand the best processes that are currently used in managing talent in Australian higher education (HE) and to examine the policies in terms of talent management processes (TMPs) that are derived from objective one. Pragmatic benefits for academic institutions focused on enhancing talent. Design/methodology/approach This study selects the mixed method as its research design. In the qualitative study, there were three methods: brainstorming, focus group and individual interviews, followed by the quantitative questionnaire study. The sample consisted of 6 participants for brainstorming, 11 in focus group, 6 individual interviews and 286 participants for the quantitative questionnaire, all conducted in nine Australian universities. Findings Three key themes: talent retention, talent development and talent attraction were explored by the qualitative study. The quantitative study tests the level of an importance regarding the three TMPs explored. Practical implications This empirical research is one of the first few studies that extended the previous investigation of TMPs in various industries to the HE sector. This research provides more debates for adding more new ideas in the Australian education strategic plans for HE. Originality/value This study offers a value-add to talent management literature through designing a quantitative measurement of TMPs for the educational sector. Consequently, there is a deficiency of pragmatic evidence in terms of TMPs in the aforementioned sector. Furthermore, this study provides a clear and comprehensive outline of the extant scholarly research of TMPs from the period 2006–2018.


Author(s):  
Laurence Artaud ◽  
Amal Abdel-Baki ◽  
Marie Nolin ◽  
Cécile Rousseau

Drawing from the perspectives of 18 youth (characterized as adherent, ambivalent, nonadherent), 13 relatives and 8 clinicians, this qualitative study, using semi-structured individual interviews and a focus group, explores why individuals suffering from early psychosis accept or refuse treatment. Identity and relationships, understanding of the diagnosis and significance given to treatment are key themes. Varying degrees of ambivalence and nonadherence can be seen as normal stages of a process to rebuild their sense of self and construct their identity. A trusting relationship may facilitate gradual resolution of ambivalence, promoting the individuals’ sense of ownership and empowerment in the context of treatment.


2018 ◽  
Vol 26 (100) ◽  
pp. 759-779
Author(s):  
Adriana Lira ◽  
Candido Alberto Gomes

Abstract Considering that teachers play a fundamental role in overcoming violence in schools, this research identified adolescents’ perceptions of their teachers’ actions. The qualitative investigation involved immersion in a government-run lower secondary school in the urban outskirts of Brasília (Brazilian capital), documental analysis, live observation, semi-structured individual interviews and focus group sessions. The results detected the use of classroom methodologies typified by excessive oral exposition and copies, scarcely compatible with adolescents’ aspirations to achieve autonomy and a protagonist role. Teachers’ impersonal relations with their students and difficulty in addressing classroom conflicts contribute to the occurrence and aggravation of episodes of violence and indiscipline. Proposals for changes in teacher education are based on that analysis.


BMJ Open ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. e024534
Author(s):  
Ping Ji ◽  
Hongling Chu ◽  
Chao Zhang ◽  
Ping Xiao ◽  
Min Liu ◽  
...  

ObjectivesTo better understand the strengths and weaknesses, and to propose policy recommendations, regarding conducting high-quality clinical research in Shenzhen, China.DesignA qualitative study conducted from August to November 2016 using a semistructured interview format involving both focus group interviews and individual interviews.SettingShenzhen, China.ParticipantsStratified purposive and convenience sampling were used. Thirty individuals experienced in conducting and managing clinical research were selected from key stakeholder groups, comprising 11 from local hospitals, 14 from pharmaceutical/medical device companies and 5 from government agencies.MethodsA semistructured interview guide was developed by the study group and used by experienced interviewers in focus group discussions and individual interviews. The interviewees were encouraged to share their opinions freely and discuss their own topics of interest during the interviews. Thematic analysis was used for analysis and all data were coded and extracted using NVivo V.11.0 software.ResultsFavourable driving factors for clinical research in Shenzhen identified by all stakeholders included the recent trend of increased governmental funding for clinical research, supportive governmental policies, wide recognition of the value of clinical research and high demands from local industry. The major challenges include a lack of technical infrastructure, weak human research subject protection and a lack of capable research resources.ConclusionsDespite the established strengths, Shenzhen still needs to develop suitable technical platforms, human resources training programmes and strong human research subject protection programmes pertaining to clinical research. This would facilitate the establishment of a functional system that can be expected to lead to increased medical research innovation in Shenzhen.


Author(s):  
Cinira Magali Fortuna ◽  
Karemme Ferreira de Oliveira ◽  
Adriana Barbieri Feliciano ◽  
Mônica Vilchez da Silva ◽  
Flávio Adriano Borges ◽  
...  

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.


BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e032694
Author(s):  
Katja Kloss ◽  
Sohal Ismail ◽  
Steef Redeker ◽  
Lothar van Hoogdalem ◽  
Annemarie Luchtenburg ◽  
...  

IntroductionUnequal access to kidney transplantation is suggested, but no systematic inventory exists about factors influencing access to kidney transplantation. There is an absence of any research that has combined stakeholder perspectives along the complete trajectory of transplantation. The present qualitative study explores the contributing factors from the perspectives of multiple stakeholders in this trajectory, including patients, health professionals and health insurance and financial representatives in the Netherlands. Moreover, stakeholders will be invited to suggesting strategies and solutions for handling the facilitating and hindering factors found. By means of interaction, stakeholder groups will arrive at a consensus for new policymaking in the field of a Dutch transplantation care.Methods and analysisThe different stakeholders’ perspectives and possible solutions will be explored by interviewing in three phases. In the first phase, stakeholders’ group perspectives will be explored with individual interviews and focus group interviews without confrontation of views from other perspectives. In the second phase of focus group interviewing, perspectives will be confronted with the other stakeholders’ perspectives assessed. Finally, in the third phase, stakeholders will be invited to focus group discussions for suggesting solutions to overcome barriers and promote facilitators for improving access to transplantation. Approximately, groups from six to twelve participants per focus group and four to maximal six focus groups will be held per stakeholder, depending on the level of saturation, as prescribed by grounded theory. The interviews will be audio-recorded and transcribed verbatim, and qualitative data will be analysed according to the principles of grounded theory supported by using NVivo software.Ethics and disseminationThe Medical Ethical Committee of Erasmus MC, Rotterdam, The Netherlands, has approved this study. The results will be disseminated in peer-reviewed journals and major international conferences.


Author(s):  
Olivia Hornung ◽  
Stefan Smolnik

AbstractPersonal virtual assistants (PVAs) based on artificial intelligence are frequently used in private contexts but have yet to find their way into the workplace. Regardless of their potential value for organizations, the relentless implementation of PVAs at the workplace is likely to run into employee resistance. To understand what motivates such resistance, it is necessary to investigate the primary motivators of human behavior, namely emotions. This paper uncovers emotions related to organizational PVA use, primarily focusing on threat emotions. To achieve our goal, we conducted an in-depth qualitative study, collecting data from 45 employees in focus-group discussions and individual interviews. We identified and categorized emotions according to the framework for classifying emotions Beaudry and Pinsonneault (2010) designed. Our results show that loss emotions, such as dissatisfaction and frustration, as well as deterrence emotions, such as fear and worry, constitute valuable cornerstones for the boundaries of organizational PVA use.


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