scholarly journals The Doctor’s Heart: A Qualitative Study Exploring Physicians’ Views on Their Professional Performance in Light of Excellence, Humanistic Practice and Accountability

2020 ◽  
Author(s):  
Myra van den Goor ◽  
Benjamin Boerebach ◽  
Elisa Bindels ◽  
Maas Jan Heineman ◽  
Kiki Lombarts
Keyword(s):  
Thematic Analysis ◽  
High Performance ◽  
Daily Practice ◽  
Market Forces ◽  
High Stakes ◽  
Professional Performance ◽  
The Core ◽  
Good Medical Practice ◽  
Clinical Burden ◽  
Ability To Act

Abstract Background In a field as high-stakes as health care, professional values have long been recognized as an essential mediating force for good medical practice. In the current era of changing market forces, anchoring these values in the professional performance of daily practice can be challenging. In this study we explored how physicians reflect upon their own professional performance and whether they feel they are performing to their best ability in light of excellence, humanistic practice and accountability. Methods We conducted a thematic analysis of written reflections from 786 hospital-based physicians, representing 35 specialties and 18 hospitals. Results When reflecting on their professional performance, physicians differentiated between (i) their calling for being a doctor, (ii) the translation of this calling into daily practice, and (iii) threats to their performance. Reflecting on humanistic practice triggered thoughts about the essence of being a physician in terms of calling, meaning and purpose. Physicians described concrete actions regarding pursuit of excellence and accountability. Furthermore, they suggested that their ability to perform optimally was put under pressure, mainly by heavy workloads and collaboration issues. This pressure negatively affected their calling for being a doctor and hampered the ability to be a humanistic practitioner. Conclusions In this large inventory of reflections, humanistic practice was recognized as the core value of being a physician. However, physicians feel high performance and the ability to act as a humanistic practitioner is hindered by heavy workloads and collaboration issues. Decreasing the clinical burden and reinforcing humanistic and relational aspects of care could foster an environment where physicians can perform optimally.

scholarly journals “Is It Overtraining or Just Work Ethic?”: Coaches’ Perceptions of Overtraining in High-Performance Strength Sports

Sports ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 85
Author(s):  
Lee Bell ◽  
Alan Ruddock ◽  
Tom Maden-Wilkinson ◽  
Dave Hembrough ◽  
David Rogerson
Keyword(s):  
Physical Performance ◽  
Thematic Analysis ◽  
High Performance ◽  
Higher Order ◽  
Short Term ◽  
Semistructured Interviews ◽  
Diagnostic Symptoms ◽  
Careful Manipulation ◽  
Sport Coaches

Optimal physical performance is achieved through the careful manipulation of training and recovery. Short-term increases in training demand can induce functional overreaching (FOR) that can lead to improved physical capabilities, whereas nonfunctional overreaching (NFOR) or the overtraining syndrome (OTS) occur when high training-demand is applied for extensive periods with limited recovery. To date, little is known about the OTS in strength sports, particularly from the perspective of the strength sport coach. Fourteen high-performance strength sport coaches from a range of strength sports (weightlifting; n = 5, powerlifting; n = 4, sprinting; n = 2, throws; n = 2, jumps; n = 1) participated in semistructured interviews (mean duration 57; SD = 10 min) to discuss their experiences of the OTS. Reflexive thematic analysis resulted in the identification of four higher order themes: definitions, symptoms, recovery and experiences and observations. Additional subthemes were created to facilitate organisation and presentation of data, and to aid both cohesiveness of reporting and publicising of results. Participants provided varied and sometimes dichotomous perceptions of the OTS and proposed a multifactorial profile of diagnostic symptoms. Prevalence of OTS within strength sports was considered low, with the majority of participants not observing or experiencing long-term reductions in performance with their athletes.

How do Players and Developers of Citizen Science Games Conceptualize Skill Chains?

2021 ◽  
Vol 5 (CHI PLAY) ◽  
pp. 1-29
Author(s):  
Josh Aaron Miller ◽  
Britton Horn ◽  
Matthew Guthrie ◽  
Jonathan Romano ◽  
Guy Geva ◽  
...  
Keyword(s):  
Free Recall ◽  
Citizen Science ◽  
Thematic Analysis ◽  
Cognitive Task ◽  
Structured Interviews ◽  
Self Reflection ◽  
The Core ◽  
Big Picture ◽  
Prior Literature ◽  
Structure Of Knowledge

For citizen science games (CSGs) to be successful in advancing scientific research, they must effectively train players. Designing tutorials for training can be aided through developing a skill chain of required skills and their dependencies, but skill chain development is an intensive process. In this work, we hypothesized that free recall may be a simpler yet effective method of directly eliciting skill chains. We elicited 23 skill chains from players and developers and augmented our reflexive thematic analysis with 11 semi-structured interviews in order to determine how players and developers conceptualize skill trees and whether free recall can be used as an alternative to more resource-intensive cognitive task analyses. We provide three main contributions: (1) a comparison of skill chain conceptualizations between players and developers and across prior literature; (2) insights to the process of free recall in eliciting CSG skill chains; and (3) a preliminary toolkit of CSG skill-based design recommendations based on our findings. We conclude CSG developers should: give the big picture up front; embrace social learning and paratext use; reinforce the intended structure of knowledge; situate learning within applicable, meaningful contexts; design for discovery and self-reflection; and encourage practice and learning beyond the tutorial. Free recall was ineffective for determining a traditional skill chain but was able to elicit the core gameplay loops, tutorial overviews, and some expert insights.

scholarly journals On self-neglect and safeguarding adult reviews: diminishing returns or adding value?

2017 ◽  
Vol 19 (2) ◽  
pp. 53-66 ◽  
Author(s):  
Michael Preston-Shoot
Keyword(s):  
Thematic Analysis ◽  
Annual Reports ◽  
National Database ◽  
Service Improvement ◽  
Policy And Practice ◽  
Data Set ◽  
Content Type ◽  
Core Data ◽  
The Core

Purpose The purpose of this paper is twofold: first, to update the core data set of self-neglect serious case reviews (SCRs) and safeguarding adult reviews (SARs), and accompanying thematic analysis; second, to respond to the critique in the Wood Report of SCRs commissioned by Local Safeguarding Children Boards (LSCBs) by exploring the degree to which the reviews scrutinised here can transform and improve the quality of adult safeguarding practice. Design/methodology/approach Further published reviews are added to the core data set from the websites of Safeguarding Adults Boards (SABs) and from contacts with SAB independent chairs and business managers. Thematic analysis is updated using the four domains employed previously. The findings are then further used to respond to the critique in the Wood Report of SCRs commissioned by LSCBs, with implications discussed for Safeguarding Adult Boards. Findings Thematic analysis within and recommendations from reviews have tended to focus on the micro context, namely, what takes place between individual practitioners, their teams and adults who self-neglect. This level of analysis enables an understanding of local geography. However, there are other wider systems that impact on and influence this work. If review findings and recommendations are to fully answer the question “why”, systemic analysis should appreciate the influence of national geography. Review findings and recommendations may also be used to contest the critique of reviews, namely, that they fail to engage practitioners, are insufficiently systemic and of variable quality, and generate repetitive findings from which lessons are not learned. Research limitations/implications There is still no national database of reviews commissioned by SABs so the data set reported here might be incomplete. The Care Act 2014 does not require publication of reports but only a summary of findings and recommendations in SAB annual reports. This makes learning for service improvement challenging. Reading the reviews reported here against the strands in the critique of SCRs enables conclusions to be reached about their potential to transform adult safeguarding policy and practice. Practical implications Answering the question “why” is a significant challenge for SARs. Different approaches have been recommended, some rooted in systems theory. The critique of SCRs challenges those now engaged in SARs to reflect on how transformational change can be achieved to improve the quality of adult safeguarding policy and practice. Originality/value The paper extends the thematic analysis of available reviews that focus on work with adults who self-neglect, further building on the evidence base for practice. The paper also contributes new perspectives to the process of conducting SARs by using the analysis of themes and recommendations within this data set to evaluate the critique that reviews are insufficiently systemic, fail to engage those involved in reviewed cases and in their repetitive conclusions demonstrate that lessons are not being learned.

TRU Recycling Options for Environmentally Friendly and Proliferation-Resistant Nuclear Fuel Cycle of FBR

2010 ◽  
Author(s):  
Sidik Permana ◽  
Mitsutoshi Suzuki
Keyword(s):  
High Performance ◽  
Fuel Cycle ◽  
Operation Time ◽  
Nuclear Nonproliferation ◽  
High Level Waste ◽  
Minor Actinide ◽  
Spent Fuel ◽  
Closed Fuel Cycle ◽  
The Core ◽  
High Level

The embodied challenges for introducing closed fuel cycle are utilizing advanced fuel reprocessing and fabrication facilities as well as nuclear nonproliferation aspect. Optimization target of advanced reactor design should be maintained properly to obtain high performance of safety, fuel breeding and reducing some long-lived and high level radioactivity of spent fuel by closed fuel cycle options. In this paper, the contribution of loading trans-uranium to the core performance, fuel production, and reduction of minor actinide in high level waste (HLW) have been investigated during reactor operation of large fast breeder reactor (FBR). Excess reactivity can be reduced by loading some minor actinide in the core which affect to the increase of fuel breeding capability, however, some small reduction values of breeding capability are obtained when minor actinides are loaded in the blanket regions. As a total composition, MA compositions are reduced by increasing operation time. Relatively smaller reduction value was obtained at end of operation by blanket regions (9%) than core regions (15%). In addition, adopting closed cycle of MA obtains better intrinsic aspect of nuclear nonproliferation based on the increase of even mass plutonium in the isotopic plutonium composition.

Characterization of Fe3O4@CS@NMDP magnetic nanoparticles with core–shell structure prepared by chemical cross-linking method

2017 ◽  
Vol 10 (05) ◽  
pp. 1750056 ◽  
Author(s):  
Huiping Shao ◽  
Jiangcong Qi ◽  
Tao Lin ◽  
Yuling Zhou ◽  
Fucheng Yu
Keyword(s):  
Magnetic Nanoparticles ◽  
Shell Structure ◽  
High Performance ◽  
Cross Linking ◽  
Composite Particles ◽  
Core Shell ◽  
The Core ◽  
Targeting Delivery ◽  
Core Shell Structure ◽  
Chemical Cross Linking

The core–shell structure composite magnetic nanoparticles (NPs), Fe3O4@chitosan@nimodipine (Fe3O4@CS@NMDP), were successfully synthesized by a chemical cross-linking method in this paper. NMDP is widely used for cardiovascular and cerebrovascular disease prevention and treatment, while CS is of biocompatibility. The composite particles were characterized by an X-ray diffractometer (XRD), a Fourier transform infrared spectroscopy (FT-IR), a transmission electron microscopy (TEM), a vibrating sample magnetometers (VSM) and a high performance liquid chromatography (HPLC). The results show that the size of the core–shell structure composite particles is ranging from 12[Formula: see text]nm to 20[Formula: see text]nm and the coating thickness of NMDP is about 2[Formula: see text]nm. The saturation magnetization of core–shell composite NPs is 46.7[Formula: see text]emu/g, which indicates a good potential application for treating cancer by magnetic target delivery. The release percentage of the NMDP can reach 57.6% in a short time of 20[Formula: see text]min in the PBS, and to 100% in a time of 60[Formula: see text]min, which indicates the availability of Fe3O4@CS@NMDP composite NPs for targeting delivery treatment.

scholarly journals SURAT DAKWAH NABI MUHAMMAD SAW (ANALISIS TEMATIK ATAS SURAT-SURAT NABI MUHAMMAD KEPADA PARA RAJA)

1970 ◽  
Vol 13 (1) ◽  
pp. 28-46 ◽  
Author(s):  
Ubaidillah Ubaidillah
Keyword(s):  
Thematic Analysis ◽  
Basic Theory ◽  
Core Analysis ◽  
Major Theme ◽  
Son Of God ◽  
The Core ◽  
Present Context ◽  
Unity Of God ◽  
Bahasa Indonesia ◽  
Name Of God

This paper aims to find the themes of propagation of Islam Prophet Muhammad in the early spread of Islam that can be used uswah h}asanah by preachers in Indonesia in spreading Islam in accordance with the present context. Letters were used as the data in this study are the letters sent by the Prophet Muhammad to the king superpower in the Roman and Persian kings and their little under the authority of the king of the superpower. The letters are including in these types of letter are ten letters. Stanton thematic theory which states that the theme (theme) is contained in the meaning of a story, become the basic theory in this study. In addition, there is also a theme in the study of the distribution of known theme with theme of major and minor themes. In analyzing the data, before entering the core analysis, the author uses the method of analysis and match with sub-method translational match. In this case, the letters of the Prophet Muhammad first translated into Indonesian, after it analyzed according issues to be answered. The findings of this thematic analysis form the major theme of “propagation of Islam” whose content is tailored to the circumstances of the king recipients. Of the major themes, there are minor themes are used to support the universality of the major themes of these letters, they are: dakwah must be by the name of God, pray forsalvation only to Muslims, Jesus is not the son of God, all the religions of Semitic is unity of God (tawhid), religion God recognized only Islam, and Islam is tolerant religion. Tulisan ini bertujuan untuk mencari tema-tema dakwah Islam Nabi Muhammad pada awal penyebaran Islam yang dapat dijadikan uswah h}asanah oleh para da’i di Indonesia dalam menyebarkan agama Islam yang sesuai dengan konteks kekinian. Surat yang dijadikan data pada penelitian ini adalah surat-surat yang dikirim oleh Nabi Muhammad kepada para raja adidaya di Romawi dan Persi beserta raja-raja kecil yang berada di bawah kekuasaan kedua raja adidaya tersebut. Yang temasuk dalam jenis surat ini sejumlah sepuluh pucuk surat. Teori tematik Stanton dan Kenny yang menyatakan bahwa tema (theme) adalah makna yang dikandung sebuah cerita, menjadi landasan teori dalam penelitian ini. Selain itu, terdapat pula pembagian tema yang dalam kajian tema dikenal dengan tema mayor dan tema minor. Dalam menganalisis data, sebelum masuk pada analisis inti, penulis menggunakan metode analisis padan dengan submetode padan translasional. Dalam hal ini, surat-surat Nabi Muhammad tersebut diterjemahkan terlebih dahulu ke dalam bahasa Indonesia, setelah itu dianalisis sesuai permasalahan yang ingin dijawab. Temuan dari analisis tematik ini berupa tema mayor tentang “dakwah Islam” yang isinya disesuaikan dengan keadaan para raja penerima surat. Dari tema mayor tersebut, terdapat tema-tema minor yang digunakan untuk mendukung keuniversalan tema mayor surat-surat tersebut, yaitu berdakwah harus karena Allah, mendoakan keselamatan hanya untuk muslim, Nabi Isa bukananak Tuhan, seluruh ajaran agama semitik adalah pengesaan Allah, agama yang diakui Allah hanya Islam, dan Islam agama yang toleran.

“Keep the Pace! You’ve Got This!”: The Content and Meaning of Impactful Crowd Encouragement at Mass Running Events

2021 ◽  
pp. 1-13
Author(s):  
Sophie Gibbs-Nicholls ◽  
Alister McCormick ◽  
Melissa Coyle
Keyword(s):  
Thematic Analysis ◽  
Reciprocal Relationship ◽  
The Core ◽  
Core Conditions ◽  
And Behavior ◽  
Mass Participation

This study identified helpful and unhelpful encouragement at mass participation running events and explored the meaning that runners found in encouragement. First, 10 k and half-marathon postevent surveys differentiated instructional and motivational components of helpful and unhelpful support. Second, an inductive, reflexive thematic analysis of 14 interviews highlighted the reciprocal relationship between the crowd and runners, whereby quality of support was reflected in runners’ emotions and behavior. Participants drew pride in participation and belief from the crowd, and they wanted to “give back” through doing their best. Personal and authentic support was particularly valued. Although support was widely appreciated, at times it created a pressure to “perform.” As a novel intervention based on our combined findings, we recommend that crowds, event organizers, and psyching teams give encouragement “with IMPACT” (Instructional; Motivational; Personalized; Authentic; Confidence-building; Tailored to the distance). Crowds should also demonstrate the “core conditions” of authenticity, empathy, and being nonjudgmental within their encouragement.

A sinter-resistant catalytic system based on ultra-small Ni–Cu nanoparticles encapsulated in Ca–SiO2 for high-performance ethanol steam reforming

Nanoscale ◽  
2020 ◽  
Vol 12 (31) ◽  
pp. 16605-16616
Author(s):  
Rong Dai ◽  
Ziliang Zheng ◽  
Chenshuai Lian ◽  
Kai Shi ◽  
Xu Wu ◽  
...  
Keyword(s):  
Steam Reforming ◽  
Reverse Micelle ◽  
High Performance ◽  
Carbon Deposition ◽  
Ethanol Steam Reforming ◽  
Core Shell ◽  
Cu Nanoparticles ◽  
The Core ◽  
Ethanol Steam ◽  
Micelle System

The core@shell Ni–Cu@CS nanocatalyst synthesized via a reverse micelle system exhibited an excellent anti-sintering performance, while the unique characteristics of its shell suppress carbon deposition in the ESR reaction.

Sign in / Sign up

Export Citation Format

Share Document