“There’s a Lot of Support”: Junior Doctors’ Experiences of the Medical Internship

Abstract Background: It is known that the transition from medical school to clinical work can be stressful. In some countries, an introductory service bridges the gap, introducing the doctor-to-be to clinical work. However, there is a lack of scientific knowledge about whether these introductory services serve their purpose as justifiable introductions. To address the gap, this paper aimed to explore experiences that junior doctors hold of the medical internship.Methods: Using a qualitative description approach, data was collected through twelve individual in-depth interviews with volunteering medical interns from three different hospital sites in Sweden. Data were verbatim transcribed and analysed by qualitative content analysis, generating categories and themes. Results: Four main themes were identified in our data. The interns felt increasingly comfortable as doctors (‘finding one’s feet’) through taking responsibility for patients while receiving necessary help and assistance (‘a doctor with support’). Although appreciative of getting an overview of the healthcare organisation (‘healthcare sightseeing’), interns were exhausted by repeatedly changing workplaces and felt stuck in a rigid framework (‘stuck at the zoo’).Conclusions: This study showed that the transition from medical student to clinical doctor does not necessarily have to be characterised by stress and mental exhaustion but can, with extensive support, provide a fruitful opportunity for interns to grow into their roles as doctors.

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Media, Culture and Indigenous Languages in Pakistan: A Critical Review

Global Language Review ◽

10.31703/glr.2020(v-iv).04 ◽

2020 ◽

Vol V (IV) ◽

pp. 27-33

Author(s):

Irem Sultana ◽

Malik Adnan ◽

Muhammad Imran Mehsud

Keyword(s):

Content Analysis ◽

Qualitative Content Analysis ◽

Indigenous Languages ◽

Media Culture ◽

Native Languages ◽

Mainstream Media ◽

Study Results ◽

The Media ◽

Depth Interviews

This research paper inspected the role of Pakistani media to protect indigenous languages and culture in Pakistan. The study examined the situation; if Pakistani media outpours concern with the native languages or not. The article also checked the media landscape, its language-wise segregation and scenario of literacy in different areas of the country. The outcomes of the study showed that Pakistani media is neglecting the indigenous languages. The study results exhibited clearly that media houses’ focus on protecting native languages, is not profound. The findings also showed that foreign ownership of Media houses plays a role in neglecting indigenous language promotions. The current study presented that Pakistani mainstream media is damaging the local and native languages. The study was the outcome of qualitative content analysis and in-depth interviews of senior communication experts.

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Factors Influencing the Adoption of ISO/IEC 29110 in Thai Government Projects

Research Anthology on Recent Trends, Tools, and Implications of Computer Programming ◽

10.4018/978-1-7998-3016-0.ch061 ◽

2021 ◽

pp. 1340-1366

Author(s):

Veeraporn Siddoo ◽

Noppachai Wongsai

Keyword(s):

Content Analysis ◽

Financial Support ◽

Success Factors ◽

Qualitative Content Analysis ◽

Software Process ◽

Time Constraints ◽

Government Organizations ◽

Factors Influencing ◽

Thai Government ◽

Depth Interviews

This paper presents the views of four Thai government organizations who had been awarded ISO/IEC 29110 Basic Profile Certification. Team ideas as to the success factors and barriers involved in implementations are explored. In-depth interviews with closed- and open-ended questions were conducted. The data collected was analyzed using qualitative content analysis. The results show two reasons for choosing standard, first, to enhance software development process, and second, because the financial support from the SIPA. The success factors were supportive organizational policy, staff participation, availability of time and resources for the improvement of the software process, consultations with the SIPA and team commitment and recognition. The barrier factors were time constraints, lack of experience, documentation load, unsynchronized means of communication and improper project selection. The findings were based on four diverse organizations. Other countries may take into account the variations e.g. working culture or organizational structure when seeking to apply these results.

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Defining Learning Communities in Undergraduate Medical Education: A National Study

Journal of Medical Education and Curricular Development ◽

10.1177/2382120519827911 ◽

2019 ◽

Vol 6 ◽

pp. 238212051982791 ◽

Cited By ~ 1

Author(s):

Robert Shochet ◽

Amy Fleming ◽

James Wagner ◽

Jorie Colbert-Getz ◽

Monica Bhutiani ◽

...

Keyword(s):

Professional Development ◽

Content Analysis ◽

Medical School ◽

Learning Communities ◽

Online Survey ◽

Qualitative Content Analysis ◽

National Study ◽

Program Description ◽

Survey Responses ◽

Longitudinal Relationships

Background: Learning communities (LCs) are intentionally designed groups that are actively engaged in learning with and from each other. While gaining prominence in US medical schools, LCs show significant variability in their characteristics across institutions, creating uncertainty about how best to measure their effects. Objective: The aim of this study is to describe the characteristics of medical school LCs by primary purpose, structures, and processes and lay the groundwork for future outcome studies and benchmarking for best practices. Methods: Medical school LC directors from programs affiliated with the Learning Communities Institute (LCI) were sent an online survey of program demographics and activities, and asked to upload a program description or summary of the LC’s purpose, goals, and how it functions. Descriptive statistics were computed for survey responses and a qualitative content analysis was performed on program descriptions by 3 authors to identify and categorize emergent themes. Results: Of 28 medical school LCs surveyed, 96% (27) responded, and 25 (89%) provided program descriptions for qualitative content analysis. All programs reported longitudinal relationships between students and faculty. Most frequently cited objectives were advising or mentoring (100%), professional development (96%), courses (96%), social activities (85%), and wellness (82%). Primary purpose themes were supporting students’ professional development, fostering a sense of community, and creating a sense of wholeness. Structures included a community framework, subdivisions into smaller units, and governance by faculty and students. Process themes included longitudinal relationships, integrating faculty roles, and connecting students across class years. Conclusions: Medical school LCs represent a collection of high-impact educational practices characterized by community and small-group structures, relational continuity, and collaborative learning as a means to guide and holistically support students in their learning and development as physicians. In describing 27 medical school LCs, this study proposes a unifying framework to facilitate future educational outcomes studies across institutions.

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The marginalisation of midwifery in medicalised pregnancy and childbirth: a qualitative study

British Journal of Midwifery ◽

10.12968/bjom.2020.28.11.768 ◽

2020 ◽

Vol 28 (11) ◽

pp. 768-776

Author(s):

Khadijeh Mirzaie Najmabadi ◽

Mahmoud Ghazi Tabatabaie ◽

Abou Ali Vedadhir ◽

Sedigheh Sedigh Mobarakabadi

Keyword(s):

Content Analysis ◽

Qualitative Content Analysis ◽

Perinatal Care ◽

Low Risk ◽

Care Providers ◽

Pregnancy And Childbirth ◽

Risk Pregnancy ◽

Low Risk Pregnancy ◽

Depth Interviews

Introduction The role of midwives has changed in providing care for low-risk pregnancies and childbirth. This study explores the perceptions of perinatal care providers and recipients regarding midwifery services. Methods This study used a qualitative content analysis approach. Data were collected through 49 semi-structured in-depth interviews, and analysed with qualitative content analysis. Results The medicalisation of pregnancy and childbirth has marginalised midwifery. Midwifery, which should be at the heart of all low-risk pregnancies and childbirth, has deteriorated such that it has become disempowered in interdisciplinary relations. Conclusions Midwifery is at risk of being totally excluded from low-risk pregnancy care and childbirth.

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EXPLAINING TRANSPHOBIA AND DISCRIMINATION AGAINST TRANS PEOPLE: A REVIEW OF THEORETICAL APPROACHES

Psicologia & Sociedade ◽

10.1590/1807-0310/2020v32190274 ◽

2020 ◽

Vol 32 ◽

Author(s):

Sara Aguirre-Sánchez-Beato

Keyword(s):

Content Analysis ◽

Scientific Knowledge ◽

Qualitative Content Analysis ◽

Review Of Literature ◽

Scientific Interest ◽

Theoretical Approaches ◽

Theoretical Perspectives ◽

Trans People ◽

Conceptual Distinction ◽

Theoretical Proposal

Abstract Transphobia and discrimination against trans people are widespread. In view of growing scientific interest in understanding this type of discrimination and considering that scientific knowledge shapes the way a phenomenon is understood and addressed, this paper aims at identifying theoretical perspectives and categories used in contemporary scientific research (2005-2016) to explain discrimination against trans people. A review of literature and a qualitative content analysis of the selected documents (N = 68) were carried out. Two broad theoretical perspectives were identified: cognitive approaches and discursive approaches. The limitations of the two approaches are discussed in terms of how the problem of transphobia and discrimination is framed and explained and the scope for action offered. To overcome such limitations, a conceptual distinction between gendered practices and transphobic attitudes and ideology is suggested and an alternative theoretical proposal using discursive psychology is presented.

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Why are UK junior doctors taking time out of training and what are their experiences? A qualitative study

Journal of the Royal Society of Medicine ◽

10.1177/0141076819831872 ◽

2019 ◽

Vol 112 (5) ◽

pp. 192-199 ◽

Cited By ~ 4

Author(s):

Chantelle Rizan ◽

Julia Montgomery ◽

Charlotte Ramage ◽

Jan Welch ◽

Graeme Dewhurst

Keyword(s):

Content Analysis ◽

Qualitative Study ◽

Unmet Needs ◽

Junior Doctors ◽

Loss Of Control ◽

Data Set ◽

Time Out ◽

The Uk ◽

The Impact ◽

Depth Interviews

Objectives The number of doctors directly entering UK specialty training after their foundation year 2 (F2) has steadily declined from 83% in 2010 to 42.6% in 2017. The year following F2, outside the UK training pathway, is informally termed an ‘F3’ year. There is a paucity of qualitative research exploring why increasingly doctors are taking F3s. The aim of this study is to explore the reasons why F2 doctors are choosing to take a year out of training and the impact upon future career choices. Design This is an exploratory qualitative study, using in-depth interviews and content analysis. Setting UK. Participants Fourteen participants were interviewed from one foundation school. Participants included five doctors who commenced their F3 in 2015, five who started in 2016 and finally four recently starting this in 2017. Main outcome measures Content analysis was conducted to distill the themes which exemplified the totality of the experience of the three groups. Results There were four predominant themes arising within the data set which can be framed as ‘unmet needs’ arising within foundation years, sought to be fulfilled by the F3 year. First, doctors describe exhaustion and stress resulting in a need for a ‘break’. Second, doctors required more time to make decisions surrounding specialty applications and prepare competitive portfolios. Third, participants felt a loss of control which was (partially) regained during their F3s. The final theme was the impact of taking time out upon return to training (for those participants who had completed their F3 year). When doctors returned to NHS posts they brought valuable experience. Conclusions This study provides evidence to support the important ongoing initiatives from Health Education England and other postgraduate bodies, exploring approaches to further engage, retain and support the junior doctor workforce.

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Changing pedagogic identities of tutors and students in the design studio: Case study of desk and peer critiques

Art Design & Communication in Higher Education ◽

10.1386/adch_00011_1 ◽

2020 ◽

Vol 19 (1) ◽

pp. 19-32 ◽

Cited By ~ 1

Author(s):

Derya Yorgancıoglu ◽

Sevinç Tunalı

Keyword(s):

Content Analysis ◽

Qualitative Case Study ◽

Qualitative Content Analysis ◽

Learning Processes ◽

Design Studio ◽

Community Of Learners ◽

Effective Learning ◽

Student Change ◽

Depth Interviews

This article explores the tools and processes of effective learning in the design studio with a special emphasis on the pedagogic roles of the tutors and the students in desk critique and peer critique. It aims to identify the ways that pedagogical roles of the tutor and the student change due to the nature of their communication and the degree of their engagement in learning processes. The inquiry is based on the findings of a qualitative case study involving tutors, students and graduates from a bachelor of architecture degree programme. Data were gathered via focus group and in-depth interviews, studio observations and analysed through qualitative content analysis. The findings indicated that the pedagogic identity of a tutor could help scaffold the formation of a community of learners in the design studio. However, the lack of negotiation and trust between a tutor and students in the feedback processes weakens the students’ effective learning experiences.

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Barriers to and Facilitators of Physical Activity among Korean Female Adults with Knee Osteoarthritis and Comorbidity: A Qualitative Study

Healthcare ◽

10.3390/healthcare8030226 ◽

2020 ◽

Vol 8 (3) ◽

pp. 226 ◽

Cited By ~ 1

Author(s):

Eunyoung Park ◽

Hyung-Ran Park ◽

Eui-Sung Choi

Keyword(s):

Physical Activity ◽

Content Analysis ◽

Knee Osteoarthritis ◽

Qualitative Content Analysis ◽

Self Control ◽

Support Provision ◽

Content Analysis Method ◽

Outpatient Center ◽

Limited Physical Activity ◽

Depth Interviews

When knee osteoarthritis is combined with comorbidity, it is associated with limited physical activity. This study aimed to identify barriers to and facilitators of physical activity among Korean female adults with knee osteoarthritis and comorbidity, such as hypertension, diabetes, and dyslipidemia. A qualitative content analysis study was conducted. Ten female knee osteoarthritis participants with comorbidity were recruited at an orthopedic outpatient center in South Korea. Data were collected using in-depth interviews and were analyzed using a conventional content analysis method. Ten participants with a mean age of 70.7 years participated in this study. Four categories of barriers and three of facilitators were identified. Barriers to physical activity were physical hardships, lack of motivation, environmental restrictions, and lack of knowledge. Categories of facilitators were pain management, self-control in physical activity, and understanding the importance of physical activity. Participants did not express any social or environmental facilitators of physical exercise. Healthcare professionals should include social support and environmental facilities to achieve medical and institutional compliance. Understanding female adults with knee osteoarthritis and comorbidity would support provision of appropriately tailored interventions that account for the characteristics of the comorbidity.

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Significant aspects of nursing within the process of end-of-life communication in an oncological context

Nordic Journal of Nursing Research ◽

10.1177/2057158518802564 ◽

2018 ◽

Vol 39 (2) ◽

pp. 85-91 ◽

Cited By ~ 1

Author(s):

Annelie Rylander ◽

Stina Fredriksson ◽

Ewa Stenwall ◽

Lena-Karin Gustafsson

Keyword(s):

Palliative Care ◽

Content Analysis ◽

Patient Care ◽

End Of Life ◽

Qualitative Content Analysis ◽

Before And After ◽

New Situation ◽

End Of Life Communication ◽

Depth Interviews ◽

Insight Into

The complexity of end-of-life communications has previously been described and found to be given late in the patient’s palliative care. There is a need for earlier and more continuous end-of-life-communications throughout the patient’s care to reduce anxiety, confusion, and promote participation. Registered nurses (RNs) have a unique closeness to the patient and the ability to identify early the need for end-of-life communication. The aim of this study was to describe crucial aspects of nursing in end-of-life communication in an oncology context. The study was designed as a qualitative content analysis of in-depth interviews with RNs working in oncology in-patient care units. Two domains were identified: before, and after end-of-life communications, with the categories importance of being well prepared to identify both the patient’s and their family’s needs. Cooperation and interaction between physicians and RNs were crucial to be able to support patients and their relatives around the clock. The presence of RNs encouraged further conversations about the patients’ conditions to gain insight into the new situation. End-of-life communication should not only be medicine oriented and performed by physicians. Involvement of RNs’ expertise enables increased patient/relative participation as well as reduced anxiety and suffering, creating clarity and safety for all involved in care.

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Challenges of Transcultural Caring Among Health Workers in Mashhad-Iran: A Qualitative Study

Global Journal of Health Science ◽

10.5539/gjhs.v8n7p203 ◽

2015 ◽

Vol 8 (7) ◽

pp. 203 ◽

Cited By ~ 1

Author(s):

Rana Amiri ◽

Abbas Heidari ◽

Nahid Dehghan-Nayeri ◽

Abou Ali Vedadhir ◽

Hosein Kareshki

Keyword(s):

Content Analysis ◽

Qualitative Study ◽

Cultural Difference ◽

Health Workers ◽

Qualitative Content Analysis ◽

Cultural Issues ◽

Transcultural Care ◽

Communication Barrier ◽

Depth Interviews

BACKGROUND: One of the consequences of migration is cultural diversity in various communities. This has created challenges for healthcare systems.OBJECTIVES: The aim of this study is to explore the health care staffs’ experience of caring for Immigrants in Mashhad- Iran.SETTING: This study is done in Tollab area (wherein most immigrants live) of Mashhad. Clinics and hospitals that immigrants had more referral were selected.PARTICIPANTS: Data were collected through in-depth interviews with medical and nursing staffs. 15 participants (7 Doctors and 8 Nurses) who worked in the more referred immigrants’ clinics and hospitals were entered to the study. DESIGN: This is a qualitative study with content analysis approach. Sampling method was purposive. The accuracy and consistency of data were confirmed. Interviews were conducted until no new data were emerged. Data were analyzed by using latent qualitative content analysis.RESULTS: The data analysis consisted of four main categories; (1) communication barrier, (2) irregular follow- up, (3) lack of trust, (4) cultural- personal trait.CONCLUSION: Result revealed that health workers are confronting with some trans- cultural issues in caring of immigrants. Some of these issues are related to immigration status and some related to cultural difference between health workers and immigrants. These issues indicate that there is transcultural care challenges in care of immigrants among health workers. Due to the fact that Iran is the context of various cultures, it is necessary to consider the transcultural care in medical staffs. The study indicates that training and development in the area of cultural competence is necessary.

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