scholarly journals Exploring The Role of Advanced Clinical Practitioners (ACPs) and Their Contribution To Health Services in England.

Author(s):  
Claire Mann ◽  
Stephen Timmons ◽  
Catrin Evans ◽  
Ruth Pearce ◽  
Charlotte Overton Research ◽  
...  

Abstract Background An extended role being explored globally is that of the advanced clinical practitioner (ACP). In England this is an extended role for allied health professions, nurses and midwives. ACP education is organised by Health Education England (HEE) who organise an accredited training programme for ACPs alongside a multi-professional framework. This paper draws on research commissioned to evaluate the national implementation of the ACP role to inform the development of a Centre for Advancing Practice in the UK but has implications for others considering their ACP provision. This paper focuses on three key research questions: 1) What is the role of ACPs in England? 2) What are the barriers and facilitators to implementing the role? and 3) What is the contribution of ACPs to health services in England? Methods Semi-structured interviews were conducted in 2020 with 63 participants across a range of stakeholder groups and clinical areas. A purposive snowball sampling technique was used to identify participants meeting the inclusion criteria. Interviews were recorded and transcribed verbatim, anonymised and thematically analysed. Results We report on three aspects as highlighted from the data (1) The role of ACPs, (2) Barriers to and facilitators of the ACP role implementation (3) Contribution of ACPs to health services in England. The ACP role in England was undertaken in a broad range of clinical contexts. ACPs worked towards being an autonomous practitioner and most were independent prescribers. In England ‘advanced clinical practitioner’ was not a protected title. There were high levels of variability and ambiguity of understanding and deployment of the ACP role in England. Conclusions This study outlines the contribution that ACPs make to health services and contributing factors to the success of the ACP role in England. We demonstrated the range in which the role is successful in England. We identified key barriers and facilitators to implementing this role. Finally, the work showed the positive contribution that ACPs can make to service redesign and workforce development as well as patient outcomes, whilst accepting that there is much work to do to ensure protected status and parity across all professions and clinical contexts.

2018 ◽  
Vol 34 (5) ◽  
Author(s):  
Ana Rosa Linde ◽  
Carlos Eduardo Siqueira

Zika virus infection during pregnancy is a cause of congenital brain abnormalities. Its consequences to pregnancies has made governments, national and international agencies issue advices and recommendations to women. There is a clear need to investigate how the Zika outbreak affects the decisions that women take concerning their lives and the life of their families, as well as how women are psychologically and emotionally dealing with the outbreak. We conducted a qualitative study to address the impact of the Zika epidemic on the family life of women living in Brazil, Puerto Rico, and the US, who were affected by it to shed light on the social repercussions of Zika. Women were recruited through the snowball sampling technique and data was collected through semi-structured interviews. We describe the effects in mental health and the coping strategies that women use to deal with the Zika epidemic. Zika is taking a heavy toll on women’s emotional well-being. They are coping with feelings of fear, helplessness, and uncertainty by taking drastic precautions to avoid infection that affect all areas of their lives. Coping strategies pose obstacles in professional life, lead to social isolation, including from family and partner, and threaten the emotional and physical well-being of women. Our findings suggest that the impacts of the Zika epidemic on women may be universal and global. Zika infection is a silent and heavy burden on women’s shoulders.


2021 ◽  
Vol 5 (1) ◽  
pp. 28-39
Author(s):  
Fanny Soselissa ◽  
Billy Seipalla

The potential of the natural tourist attraction of Siwang Paradise will have a high attractiveness value if it is supported by the role of stakeholders in management and development. The purpose of this study is to analyze the role of stakeholders in the management and development of the natural tourist attraction of Siwang Paradise, and what obstacles are experienced by stakeholders in optimally managing and developing these objects. The method used is descriptive qualitative, the determination of respondents is based on snowball sampling technique, the analysis is carried out inductively based on facts and the results of interviews with respondents and key actors. The results showed that the stakeholders involved in the management of the Siwang Paradise object were the key actors (area owners) and the main actors (surrounding communities). Constraints in the management of the Siwang object are due to the lack of trust within the area owner to involve supporting stakeholders, in this case the private sector, NGOs, and academics. So that the management of objects in developing various readiness of tourist attraction products becomes slow and runs not optimally. The visible impact of the management is the economic impact, through increasing family income, social impact, reducing unemployment, opening up road access, making motorcycle taxis easier to use, making it easier for people to do their activities. While the ecological impact is the management is carried out by paying attention to the cleanliness of the environment from waste, and based on the carrying capacity of the object area.


Market Forces ◽  
2020 ◽  
Vol 15 (2) ◽  
pp. 22
Author(s):  
Muhammad Khalique ◽  
Samra Iftikhar ◽  
Mohd Rafi bin Yaacob ◽  
Ahsan Tahir

Sustainability of the environment is one of the major issues both in developed and developing countries. There is an abundance of studies on green buying behavior. However, a few have studied the mediating role of green buying behavior. Thus, we have developed a new model that has five direct and three mediating relationships. This empirical research has used a snowball sampling technique for collecting the data. We distributed 400 questionnaires and received 377 valid responses. The study has used Smart PLS software for data analysis, including reliability, validity, and generating measurement and structural models. We found that green brands, green identification, and social influence are significant predictors of green buying behavior. Further, we find that the green brand image and green buying behavior promote green satisfaction. The results also suggest that green buying behavior mediates (1) green image and green satisfaction, (2) social influence and green buying behavior, (3) self-identification, and green satisfaction. We also found that consumers have a favorable attitude towards green buying behavior. However, there is a huge gap in consumers’ attitudes and actual buying behavior. Thus, marketers and practitioners need to develop strategies that would translate a favorable attitude toward actual buying behavior.


2021 ◽  
Vol 2 (1) ◽  
pp. 41-61
Author(s):  
Ibrahim D. Rwakakindo

This paper analyses the greeting system of Kisubi. It specifically seeks: to identify temporal greeting patterns in Kisubi; to determine whether age and gender do dictate the kind of verbal greetings, address forms and paralinguistic behaviours that are used in particular greeting events; to examine different kinship-specific verbal greetings, address forms and paralinguistic behaviours that are used in particular greeting events; and lastly, to assess the role of context in the Kisubi greeting system. Observation and face-to-face interview methods were used to gather data from 36 participants who were obtained using snowball sampling technique, and afterwards they were stratified into different strata depending on age, gender and educational status of a person. This stratification led to the attainment of authentic data. The obtained data were subjected to content analysis from which different themes emerged. It was established that there are four temporal chunks in Kisubi, each of which is associated with its own greeting term. Age, gender, context and kinship relations also determine the type of greeting terms and the honorifics or deferential terms to use. However, the use of honorifics and/or deferential terms is declining gradually.


2020 ◽  
Vol 28 (4) ◽  
pp. 403-412
Author(s):  
Tipu Sultan ◽  
Saeed Ahmad ◽  
Ayesha Ayub

The current study examined the educational, economic, and sociocultural, family and personal dimensions of delayed marriage among educated females in Pakistan. In addition, it revealed family-based and personal dimensions of delayed marriage among educated females in Pakistan. Furthermore, it highlighted the sociopsychological consequences of delayed marriageability among females in patriarchal society. For this purpose, 35 females, in the age bracket of 30–49 years and with a minimum of 16 years of education, were recruited for the current study through purposive and snowball sampling technique. An interview guide was used as a tool for data collection. The main sociocultural factors of delayed marriageability were the unavailability of a suitable match in the marriage market, the provision of the dowry, the pivotal role of the caste system and the second fiddle role of sectarian affiliation, and previous marital status (engaged or divorced) of the females. The structure and the size of the family were also the decisive family factors of delayed marriageability. Additionally, among personal traits, physical outlook and effective individualism played a prominent role. The current study conjectured a relational insight and transformation in a family structure for family demographers. It was the first qualitative study to highlight the patriarchal perspective of Pakistani society on the factors of delayed marriages. The findings of the current study would enrich the overall theoretical understanding of delayed marriageability among females.


2021 ◽  
Vol 7 (19) ◽  
pp. 270
Author(s):  
Caio Flávio Stettiner ◽  
Ednício Oliveira Lima ◽  
Eliane Pires Giavina Bianchi

Based on theoretical models, such as those proposed in the studies of McClelland and Spencer and Spencer over the last forty years, this study identifies entrepreneurs’ perception of the impact of the required skills of a job applicant in startups. It uses the snowball sampling technique and direct observation in incubators and accelerators to conduct a qualitative analysis. Semi-structured interviews were conducted with the founders and managers of different impact ventures. From the analysis and discussion of this research, some of the skills required in startups are empathy, principles, ethical values, and other attributes of human nature. This study will be of practical value to job seekers, recruiters, and scholars as it suggests the skills that are required in the high-impact market, helping to develop better recruitment and training programs to their business.


Author(s):  
Ayodhia Arman ◽  
Zuzy Anna ◽  
Eddy Afrianto ◽  
Atikah Nurhayati

The role of the fish basket woman is not only as a housewife but also as a breadwinner, thus the fish basket woman has a dual role in her family. Fish basket women help their husbands work to be able to meet family needs. This study aims to analyze household income as well know the motivation to work of women as fish baskets in increasing working household income and know the factors that affect the income of fish basket women in increasing household income in Eretan Wetan Village, Indramayu Regency, West Java. The research method used in this research is a case study and interviews using a questionnaire. The sampling technique used an accidental sampling method with a total of 50 respondents and collecting data using observation techniques, structured interviews, and documentation techniques. The results showed that the role of women with fish baskets on household income in Eretan Wetan Village, Indramayu Regency, West Java was quite significant by obtaining an average income of IDR 1,676,135 per month. Factors that affect the income of working basket women include helping their husbands, wages that are not appropriate, helping household income and the husband's income is uncertain. The coefficient of determination shown by Nagelkerke R-Square, age, education level, number of family members, husband's permission, and husband's income affect women's interest in working by 100.0%. Women’s interest in working is not influenced by any other factors included in the research mode.


2020 ◽  
Vol 6 (1) ◽  
pp. 121-127
Author(s):  
Akhyarul Anam ◽  
Sahrudi Sahrudi

Chronic kidney failure affects sexual function problems (sexual dysfunction) which tends to worsen with decreased kidney function. This study aimed to explore in-depth the response of individuals in dealing with sexual dysfunction. This study used qualitative research methods and case study approach with a single case design through semi-structured interviews. Samples were taken by purposive sampling technique in patients with chronic kidney failure who experience sexual dysfunction. Data is processed by the thematic content analysis method. The main themes found include erectile dysfunction, actions taken for sexual dysfunction problems, responses to the face of sexual dysfunction, as well as expectations for health services. Traditional alternative therapy is done, but there are no significant results. Participants' response is positively such as giving in, increasing spiritual activity, and being aware of old age. Health services for sexual dysfunction problems are highly expected.


QATHRUNÂ ◽  
2020 ◽  
Vol 7 (1) ◽  
pp. 103
Author(s):  
Ahmad Farhanudin ◽  
Muhajir Muhajir

The objectives of this study are 1) To determine the role of the yellow book on the formation of Islamic education thought in traditional Islamic boarding schools. 2) To find out the role of the yellow book in forming the character of students in traditional Islamic boarding schools. This research is a descriptive qualitative research type, and through the Education and Sociological approaches. The research location was conducted in two Islamic boarding schools, namely Bany Syafi'I Cilegon and Madarijul 'Ulum Serang. In this study the research subjects were Kiai, Ustadz / Ustadzah, board of pesantren, and santriwan / santriwati of Islamic boarding school. The research subjects used purposive sampling technique, namely determining the source of the data obtained with certain considerations and snowball sampling, namely determining the sample from a small amount to become large. When the research was carried out on August 1, 2019 to October 25, 2019 for 3 months. The role of the yellow book in shaping the character of students in the Bany Syafi'i and Madarijul 'Ulum Islamic boarding schools is still visible in terms of santri obedience to their teachers, ta'dziman wa takriman attitude towards their knowledge and also towards their environment, all of which can be assessed and formed from the results Uswatun Hasanah's attitude is a teacher / kiai. And also the role of the yellow book in shaping the character of students can obey and obey a student in accordance with what is taught by a teacher, with the demands of the book ta'limul muta'alim as the main reference and provision of the main character of the students in the Islamic boarding school, so that with good character it will create good personality and discipline too.  


Author(s):  
Zahra Jannat-Alipoor ◽  
Nasrin Navabi ◽  
Abbas Ebadi ◽  
Fatemeh Ghaffari

Objectives: This study was designed to investigate the role of cultural beliefs on weaning. Therefore, the obtained results can be used for health policymakers who design strategies to prevent physical and mental damage to mothers and their children. The main objective of this study was to design a questionnaire probing the role of cultural beliefs on weaning. Materials and Methods: The sequential combination exploratory mixed methods design was used to develop the questionnaire format in two sections. The qualitative section was designed to probe the role of cultural beliefs on weaning, which included a literature and related tools review and fieldwork (semi-structured interviews with mothers). Twenty-two studies were examined in the literature review and 14 mothers were selected and interviewed by a purposive sampling technique. The interviews continued up to data saturation as well. In addition, data analyses for both steps were conducted using conventional and textual content analyses. The quantitative section was a methodology study that was accomplished in two parts. Questionnaire items were formed using the data and item pool obtained from the first part. Finally, the psychometric properties of the questionnaire were checked using face, content, and construct validity, followed by probing reliability using Cronbach’s alpha reliability in the second part. Results: Qualitative data analysis results were organized according to the foundational issues regarding the need for weaning, attitude toward weaning, awareness about weaning, society’s culture, health literacy, self-action, others’ experiences, professional help, family members’ support, and the outcomes. The item pool was formed using literature reviews and interviews. A 49-item questionnaire was developed after the completion of the psychometric process. The Kaiser-Meyer-Olkin Index of Sampling Adequacy and Bartlett’s test of sphericity showed good results in this regard. Five components from the exploratory content analysis encompassing contexts, solutions, searching for help, maternal outcomes, and child-related outcomes demonstrated a 62.112% variance. Further, the Cronbach’s alpha was 0.88 and the interclass correlation coefficient was 0.89 based on responses to the items over two administrations of the questionnaire (P < 0.001). Thus, these results showed a high level of tool stability. Conclusions: For this study, a questionnaire was developed for understanding the role of cultural beliefs on weaning. It can be used for educational, research, and treatment purposes as a tool with appropriate validity and reliability, as well as short, easy, and grammatically simple items. Eventually, the questionnaire is useful for examining mothers’ false beliefs about weaning and their educational needs since false beliefs could cause destructive and health-threatening behaviors.


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