scholarly journals Telemedicine in The Context of Covid-19- A Qualitative Study of Cancer Patients and Clinicians

2021 ◽  
Author(s):  
Dylan Chan Tai Kong ◽  
Ashfaq Chauhan ◽  
Anaïs Tiffany Ah Leung ◽  
Melvin Chin
Keyword(s):  
Qualitative Study ◽  
Theory Approach ◽  
Structured Interviews ◽  
Hospital Data ◽  
Metropolitan Regions ◽  
Theoretical Sampling ◽  
Proper Training ◽  
Grounded Theory Approach

Abstract Background:Prior to the Covid-19 pandemic, telemedicine was only used to deliver health care to patients living in remote areas of Australia. However, the spread of the Covid-19 virus pushed the widespread uptake of telemedicine across Australia, including in metropolitan regions. This qualitative study will explore the medical oncology (MO) patient and clinician experience of telemedicine in a metropolitan setting as a result of Covid-19.Method:Participants were selected and invited to participate by theoretical sampling from MO clinicians and patients attending MO clinics at Prince of Wales Hospital. Data was collected by in-depth semi-structured interviews. Thematic analysis was performed to analyse the interview data. Transcripts were coded using the grounded theory approach to identify overarching themes.Results:Twelve participants were recruited to the study. Most participants viewed the adoption of telemedicine positively because it was considered as convenient, efficient and could be used in order to reduce the spread of Covid-19. Nonetheless, participants complained about the poor implementation of telemedicine, technical difficulties and lack of proper training. Finally, providers expressed mixed views over the lack of personal interaction and the lack of physical examination from telemedicine. However, both clinicians and patients viewed telemedicine as acceptable to be used in the context of routine follow-ups.Conclusion:Although some operational improvements are necessary, the role of telemedicine in the follow up of MO patients seems likely to continue beyond Covid-19.

scholarly journals Individuals' experiences of involuntary admissions and preserving control: qualitative study

BJPsych Open ◽  
2018 ◽  
Vol 4 (6) ◽  
pp. 501-509 ◽  
Author(s):  
David McGuinness ◽  
Kathy Murphy ◽  
Emma Bainbridge ◽  
Liz Brosnan ◽  
Mary Keys ◽  
...  
Keyword(s):  
Grounded Theory ◽  
Theoretical Model ◽  
Qualitative Study ◽  
Involuntary Admission ◽  
Theory Approach ◽  
Therapeutic Approaches ◽  
Admission Process ◽  
Social Lives ◽  
Theoretical Sampling ◽  
Grounded Theory Approach

BackgroundA theoretical model of individuals' experiences before, during and after involuntary admission has not yet been established.AimsTo develop an understanding of individuals' experiences over the course of the involuntary admission process.MethodFifty individuals were recruited through purposive and theoretical sampling and interviewed 3 months after their involuntary admission. Analyses were conducted using a Straussian grounded theory approach.ResultsThe ‘theory of preserving control’ (ToPC) emerged from individuals' accounts of how they adapted to the experience of involuntary admission. The ToPC explains how individuals manage to reclaim control over their emotional, personal and social lives and consists of three categories: ‘losing control’, ‘regaining control’ and ‘maintaining control’, and a number of related subcategories.ConclusionsInvoluntary admission triggers a multifaceted process of control preservation. Clinicians need to develop therapeutic approaches that enable individuals to regain and maintain control over the course of their involuntary admission.Declaration of interestNone.

scholarly journals Processes and determinants of integration of eGFR in physicians’ drug prescriptions: a qualitative study of semi-structured interviews

2019 ◽  
Vol 20 ◽  
Author(s):  
Louis Lefèvre ◽  
Maud Jourdain ◽  
Jean-Pascal Fournier
Keyword(s):  
Qualitative Study ◽  
Adverse Drug Reactions ◽  
Healthcare Professionals ◽  
Drug Prescriptions ◽  
Theory Approach ◽  
Snowball Sampling ◽  
Drug Reactions ◽  
Structured Interviews ◽  
Training Professional ◽  
Grounded Theory Approach

Abstract Aim: Our objective was to explore the processes and determinants leading physicians to integrate estimated glomerular filtration rate (eGFR) in their drug prescriptions Background: Access to patients’ eGFR would allow primary care pharmacists to optimise their role in the procedure of safe prescribing. Some rare physicians actively integrate eGFR in their prescriptions, in a sporadically and uncoordinated manner. Methods: Qualitative study using semi-directed interviews conducted among 12 French physicians who integrated eGFR in their drug prescriptions, (February 2016–April 2017). These voluntary participants were recruited through different means: Twitter®, forums, direct contact and snowball sampling. Data analysis was based on the grounded theory approach, underpinned by a comprehensive perspective of interactionist orientation. Findings: Residency and training, professional experience – including experiences of adverse drug reactions – and the membership in various communities of professionals were key drivers for the integration of eGFR in prescriptions. The theoretical aim was above all safe prescribing in order to reduce adverse drug reactions, with the control by a dispensing pharmacist and/or other healthcare professionals. Nevertheless, none of the physicians had received any feedback from any healthcare professionals. Despite their disappointment, the physicians remained convinced of the interest of integrating eGFR in their prescriptions and would continue to do so. Characteristics associated with integration of eGFR in drug prescriptions belong partly to Roger’s theory of innovations. If a widespread diffusion of this habit takes place, it will be necessary to evaluate its adoption by both physicians and pharmacists.

scholarly journals How do they do it? : perspectives on being an educational assistant in an Ontario classroom

2021 ◽  
Author(s):  
Patricia Marie Hodgson
Keyword(s):  
Qualitative Study ◽  
School System ◽  
Power Structure ◽  
Major Influence ◽  
Complex Nature ◽  
Theory Approach ◽  
Roles And Responsibilities ◽  
Educational Assistants ◽  
Grounded Theory Approach

This qualitative study examined the roles and responsibilities of educational assistants from their own perspectives. Five educational assistants kept written journals and each participant was interviewed once. Findings were interpreted through a critical lens which allowed an examination of the relationships within the hierarchical power structure of the school system and where the educational assistants were situated. A grounded theory approach explained the factors which influenced the perspectives of the participants on being an educational assistant in an Ontario classroom. These factors were identified and organized in five major categories: 1) roles and responsibilities, 2) relationships, 3) communication, 4) changes, and 5) training. The interrelationships between these categories highlighted the complex nature of the role of the educational assistant. This study concluded that relationships and communication had a major influence on the perspectives of the educational assistants.

scholarly journals ‘Thinking you're old and frail’: a qualitative study of frailty in older adults

2015 ◽  
Vol 36 (7) ◽  
pp. 1483-1500 ◽  
Author(s):  
KRYSTAL WARMOTH ◽  
IAIN A. LANG ◽  
CASSANDRA PHOENIX ◽  
CHARLES ABRAHAM ◽  
MELISSA K. ANDREW ◽  
...  
Keyword(s):  
Older Adults ◽  
Qualitative Study ◽  
Physical Activities ◽  
Future Research ◽  
Activity Levels ◽  
Theory Approach ◽  
Structured Interviews ◽  
Institutional Settings ◽  
Perceptions And Attitudes ◽  
Grounded Theory Approach

ABSTRACTMany older adults experience what is clinically recognised as frailty but little is known about the perceptions of, and attitudes regarding, being frail. This qualitative study explored adults' perceptions of frailty and their beliefs concerning its progression and consequences. Twenty-nine participants aged 66–98 with varying degrees of frailty, residing either in their homes or institutional settings, participated in semi-structured interviews. Verbatim transcripts were analysed using a Grounded Theory approach. Self-identifying as ‘frail’ was perceived by participants to be strongly related to their own levels of health and engagement in social and physical activity. Being labelled by others as ‘old and frail’ contributed to the development of a frailty identity by encouraging attitudinal and behavioural confirmation of it, including a loss of interest in participating in social and physical activities, poor physical health and increased stigmatisation. Using both individual and social context, different strategies were used to resist self-identification. The study provides insights into older adults' perceptions and attitudes regarding frailty, including the development of a frailty identity and its relationship with activity levels and health. The implications of these findings for future research and practice are discussed.

Treats are a tool of the trade: an exploration of food treats among grandparents who provide informal childcare

2019 ◽  
Vol 22 (14) ◽  
pp. 2643-2652 ◽  
Author(s):  
Morgan Pankhurst ◽  
Kaye Mehta ◽  
Louisa Matwiejczyk ◽  
Carly J Moores ◽  
Ivanka Prichard ◽  
...  
Keyword(s):  
Dental Caries ◽  
Functional Role ◽  
Qualitative Methodology ◽  
South Australia ◽  
Theory Approach ◽  
Structured Interviews ◽  
The Uk ◽  
Grounded Theory Approach ◽  
Good Behaviour

AbstractObjective:Globally, grandparents are the main informal childcare providers with one-quarter of children aged ≤5 years regularly cared for by grandparents in Australia, the UK and USA. Research is conflicting; many studies claim grandparents provide excessive amounts of discretionary foods (e.g. high in fat/sugar/sodium) while others suggest grandparents can positively influence children’s diet behaviours. The present study aimed to explore the meaning and role of food treats among grandparents who provide regular informal care of young grandchildren.Design:Qualitative methodology utilising a grounded theory approach. Data were collected using semi-structured interviews and focus groups, then thematically analysed.Setting:Participants were recruited through libraries, churches and playgroups in South Australia.Participants:Grandparents (n 12) caring for grandchild/ren aged 1–5 years for 10 h/week or more.Results:Three themes emerged: (i) the functional role of treats (e.g. to reward good behaviour); (ii) grandparent role, responsibility and identity (e.g. the belief that grandparent and parent roles differ); and (iii) the rules regarding food treats (e.g. negotiating differences between own and parental rules). Grandparents favoured core-food over discretionary-food treats. They considered the risks (e.g. dental caries) and rewards (e.g. pleasure) of food treats and balanced their wishes with those of their grandchildren and parents.Conclusions:Food treats play an important role in the grandparent–grandchild relationship and are used judiciously by grandparents to differentiate their identity and relationship from parents and other family members. This research offers an alternative narrative to the dominant discourse regarding grandparents spoiling grandchildren with excessive amounts of discretionary foods.

scholarly journals Queers in the Classroom: The Role of Sexual Identity in the Academic Experiences of Gay Male Graduate Students

2013 ◽  
Vol 3 (2) ◽  
pp. 19
Author(s):  
John Ecker
Keyword(s):  
Sexual Orientation ◽  
Graduate Students ◽  
Sexual Identity ◽  
Academic Experiences ◽  
Theory Approach ◽  
Structured Interviews ◽  
Gay Male ◽  
Grounded Theory Approach ◽  
Academic Lives

<div class="page" title="Page 19"><div class="layoutArea"><div class="column"><p><span>The experiences of three self-identified gay male graduate students were explored to understand the role that sexual orientation played within their academic lives. Through semi-structured interviews, the participants were able to share their experiences of being a gay male graduate students and the effects on their educational experience. The transcribed interviews were analyzed using a modified grounded theory approach. Three main themes emerged: a) choosing to disclose sexual identity within the academic set- ting; b) challenges encountered when interacting with classmates; and c) benefits of being a gay male graduate student. Findings suggest that manag- </span><span>ing and expressing one’s sexual identity are important processes that inter- </span><span>act with several aspects of the life of gay male graduate students</span><span>. </span></p></div></div></div>

scholarly journals The effect of inpatient treatment on the stress experienced by parents with an excessively crying infant / Die Auswirkungen eines Spitalaufenthaltes auf die Belastung von Eltern mit einem exzessiv schreienden Kind

2017 ◽  
Vol 4 (1) ◽  
pp. 14-24 ◽  
Author(s):  
Liv Solveig Wittberger ◽  
Kurt Albermann ◽  
Jessica Pehlke-Milde ◽  
Andrea Koppitz
Keyword(s):  
Hospital Discharge ◽  
Parental Support ◽  
Inpatient Treatment ◽  
Inpatient Setting ◽  
Daily Routine ◽  
Theory Approach ◽  
Structured Interviews ◽  
Supportive Role ◽  
Grounded Theory Approach

Abstract Introduction Up to 40% of families are faced with a fussy, inconsolable high need infant in the first three months postpartum. A major reason for parents to seek professional help is the trying aspect of the situation with these children. The supportive role of health professionals has the greatest potential to reduce the parent’s stress and burden. To our knowledge, there are no studies on inpatient treatment for families with such infants so far. Aim The aim of this study is to show how an inpatient setting may reduce the stress and burden of parents with an inconsolably crying infant. Method A grounded theory approach (Charmaz) was used to analyse semi-structured interviews of 13 parents from a total of 9 families. Results Two core categories emerged from the data: “To get out of hand” describes how parents lose the ability to control and direct family life. “To find one’s way into daily routine” describes how they once again gain confidence and develop coping strategies. Conclusion An inpatient treatment reduces the burden on families with inconsolably crying infants. The change in the environment is helpful. Guidance and support enhance the parents’ skill and ability to handling the infant. The stress on the parents can increase again upon hospital discharge. Therefore, improvement is needed in treatment planning and parental support at the conclusion of the hospital stay as well as upon hospital discharge.

scholarly journals How do they do it? : perspectives on being an educational assistant in an Ontario classroom

2021 ◽  
Author(s):  
Patricia Marie Hodgson
Keyword(s):  
Qualitative Study ◽  
School System ◽  
Power Structure ◽  
Major Influence ◽  
Complex Nature ◽  
Theory Approach ◽  
Roles And Responsibilities ◽  
Educational Assistants ◽  
Grounded Theory Approach

This qualitative study examined the roles and responsibilities of educational assistants from their own perspectives. Five educational assistants kept written journals and each participant was interviewed once. Findings were interpreted through a critical lens which allowed an examination of the relationships within the hierarchical power structure of the school system and where the educational assistants were situated. A grounded theory approach explained the factors which influenced the perspectives of the participants on being an educational assistant in an Ontario classroom. These factors were identified and organized in five major categories: 1) roles and responsibilities, 2) relationships, 3) communication, 4) changes, and 5) training. The interrelationships between these categories highlighted the complex nature of the role of the educational assistant. This study concluded that relationships and communication had a major influence on the perspectives of the educational assistants.

scholarly journals The Role of Parent/Caregiver with Children Affected by Rare Diseases: Navigating between Love and Fear

2021 ◽  
Vol 18 (7) ◽  
pp. 3724
Author(s):  
Beni Gómez-Zúñiga ◽  
Rafael Pulido ◽  
Modesta Pousada ◽  
Manuel Armayones
Keyword(s):  
Grounded Theory ◽  
Rare Disease ◽  
Theoretical Models ◽  
Role Identity ◽  
Theory Approach ◽  
Structured Interviews ◽  
General Outline ◽  
Disease Experience ◽  
Grounded Theory Approach

In this paper, we propose a vision of the role of parent/caregiver with children affected by a rare disease. This vision is rooted in data obtained from our own research; however, our analysis and interpretation of this data have been subsequently checked against existing theoretical models. The research aims to explore how parents who look after children with a rare disease experience their role as caregivers and how they assimilate their role identity in this task. Semi-structured interviews were performed with parents of 10 children, and a qualitative data analysis was conducted using grounded theory. We have identified ten main categories using a grounded theory approach: stress, disorientation, insecurity, isolation, faith, trust, attention, communication with professionals, private proactivity and public proactivity. Our results also show that when parents perceive a greater burden due to looking after a child with a rare disease, the result is a change in the usual parental role. In our contribution, we offer a general outline of how parents build a role identity centred on caring for a child with a rare disease. We posit that this role identity is the outcome of the parents’ success or failure in gradually overcoming fear through love. We have conceptualized this process as navigating between love and fear.

scholarly journals Brick or Click? Channel Choice Disruptions in Travel Industry

2019 ◽  
Vol 15 (1-2) ◽  
pp. 16-26 ◽  
Author(s):  
Sahil Singh Jasrotia ◽  
H. G. Mishra ◽  
Surabhi Koul
Keyword(s):  
Conceptual Model ◽  
Theory Approach ◽  
Structured Interviews ◽  
Channel Choice ◽  
Customer Behaviour ◽  
Travel Industry ◽  
Grounded Theory Approach ◽  
Channel Structures ◽  
Research Analysis

In the current era of digital infusion, customer behaviour is highly fluctuating. This has resulted retailers to be in a confused situation. The current need of the situation is to understand this change in customer behaviour and strategise accordingly. The purpose of the current study is to investigate the drivers of the channel choice, in relevance to travel industry. The study presents a conceptual model that reflects the antecedents to customer channel choice in travel industry. The article is based on a qualitative research analysis using semi-structured interviews to systematically collect and analyse the data. A sample of 25 retailers and 27 customers were selected and interviewed. A grounded theory approach has been adopted to generate a conceptual model. The article identifies several antecedents to channel choice in travel industry. Factors such as customer awareness, urgency of purchase, promotions and facilities have been highlighted and elaborated through the three-staged coding process. The other antecedents of the channel choice that have been highlighted through the verbatim are catchment area, family influences and affordability. In travel industry, channel structures have been well-studied. These studies dominantly focus on the players of the channel or the role of the middleman. The current study is unique in the way it explores the channel choice of customers after understanding both the extremes of the channel, that is, retailers and the customers. Also the methodology used is unique in its own way.

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