Diversity, friction, and harmonisation: An ethnographic study of interprofessional teamwork dynamics

Team Meetings ◽

Interprofessional Teams ◽

Interprofessional Teamwork ◽

Use Context ◽

And Function ◽

Abstract Background: Although diversity, friction, and harmonisation in interprofessional teamwork are aspects frequently conceptualised, no empirical studies discuss them in combination. Focusing on risk and function with respect to each aspect, this paper examines how dynamics between these aspects during interprofessional teamwork interactions can foster (ideal) conditions for productive teamwork.Methods: An ethnographic study of three interprofessional teams in a mental health and substance use context in Norway, was conducted. Data were collected through observations of 14 team meetings and 18 in-depth interviews with health and social work professionals. Thematic analysis was applied to code the data.Results: A conceptual ideal-type model, which includes all three aspects, was developed to represent the emergent findings. The results suggest that the diversity of professional perspectives inherent in interprofessional teams is the foundation of interprofessional teamwork. However, friction is needed to promote innovation, encourage new insights, and intensify discussions. Harmonisation balances professional distinctions, fosters trust, and ties professionals together.Conclusion: This paper presents a comprehensive model of how professionals work together in interprofessional teams that makes visible the functions and risks of each aspect and the dynamics between them. Furthermore, it argues for mobilising all three aspects in combination during interprofessional teamwork to maximise productivity. Such insight can be used to support the development and successful implementation of interprofessional teamwork in health care.

Midwives’ Experiences with and Perspectives on Online (Nutritional) Counselling and mHealth Applications for Pregnant Women; an Explorative Qualitative Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18136733 ◽

2021 ◽

Vol 18 (13) ◽

pp. 6733

Author(s):

Renate F. Wit ◽

Desiree A. Lucassen ◽

Yvette H. Beulen ◽

Janine P. M. Faessen ◽

Marina Bos-de Vos ◽

...

Keyword(s):

Pregnant Women ◽

Midwifery Care ◽

Prenatal Nutrition ◽

Nutritional Counselling ◽

Primary Contact ◽

Healthy Nutrition ◽

User Friendly ◽

Depth Interviews ◽

Mhealth Apps

Prenatal nutrition is a key predictor of early-life development. However, despite mass campaigns to stimulate healthy nutrition during pregnancy, the diet of Dutch pregnant women is often suboptimal. Innovative technologies offer an opportunity to develop tailored tools, which resulted in the release of various apps on healthy nutrition during pregnancy. As midwives act as primary contact for Dutch pregnant women, the goal was to explore the experiences and perspectives of midwives on (1) nutritional counselling during pregnancy, and (2) nutritional mHealth apps to support midwifery care. Analyses of eleven in-depth interviews indicated that nutritional counselling involved the referral to websites, a brochure, and an app developed by the Dutch Nutrition Centre. Midwives were aware of the existence of other nutritional mHealth apps but felt uncertain about their trustworthiness. Nevertheless, midwives were open towards the implementation of new tools providing that these are trustworthy, accessible, user-friendly, personalised, scientifically sound, and contain easy-digestible information. Midwives stressed the need for guidelines for professionals on the implementation of new tools. Involving midwives early-on in the development of future nutritional mHealth apps may facilitate better alignment with the needs and preferences of end-users and professionals, and thus increase the likelihood of successful implementation in midwifery practice.

How does career guidance at schools encounter migrant young people? Interactional practices that hinder socially just guidance

International Journal for Educational and Vocational Guidance ◽

10.1007/s10775-021-09467-2 ◽

2021 ◽

Author(s):

Sanna Vehviläinen ◽

Anne-Mari Souto

Keyword(s):

Social Justice ◽

Young People ◽

Career Guidance ◽

Empirical Studies ◽

Ethnographic Study ◽

School Career ◽

Interaction Research

AbstractThe aim of this article is to show how interaction research can contribute to the understanding and praxis of socially just guidance. The article is theoretical, but it makes use of our previous empirical studies. We combine the ethnographic study of school and racism, and interactional research on guidance. We define guidance for social justice, explaining how this translates to the level of interactional practices. We show two empirical examples of interactional phenomena hindering socially just praxis. We lastly discuss our practical conclusions on how to help school career counsellors change their interactional practices.

Policies and procedures governing patient portal use at an Academic Medical Center

JAMIA Open ◽

10.1093/jamiaopen/ooz039 ◽

2019 ◽

Vol 2 (4) ◽

pp. 479-488

Author(s):

Bryan D Steitz ◽

Joseph Isaac S Wong ◽

Jared G Cobb ◽

Brian Carlson ◽

Gaye Smith ◽

...

Keyword(s):

Government Regulation ◽

Medical Center ◽

Academic Medical Center ◽

Patient Portal ◽

Patient Portals ◽

Identity Verification ◽

Policies And Procedures ◽

Academic Medical ◽

And Function

Abstract Background and Objective Patient portal use has increased over the last two decades in response to consumer demand and government regulation. Despite growing adoption, few guidelines exist to direct successful implementation and governance. We describe the policies and procedures that have governed over a decade of continuous My Health at Vanderbilt (MHAV) patient portal use. Methods We examined MHAV usage data between May 2007 and November 2017. We classified patient portal activity into eight functional categories: Appointment, Billing, Document Access, Genetics, Health Result, Immunization, Medication, and Messaging. We describe our operating policies and measure portal uptake, patient account activity, and function use over time. Results By the end of the study period, there were 375 517 registered accounts. Policies made MHAV available to competent adults and adolescents 13 and over. Patients signed up for a limited access account online, which could be upgraded to a full-access account after identity verification. Patients could assign proxy accounts to family and caregivers, which permitted nonpatient access to select MHAV functions. Laboratory and radiology results were accessible via MHAV. Results were classified into three groups based on sensitivity, which govern the length of delay before results appeared in MHAV. Discussion and Conclusion Patient portals offer significant opportunity to engage patients in their healthcare. However, there remains a need to understand how policies can promote uptake and use. We anticipate that other institutions can apply concepts from our policies to support meaningful patient portal engagement.

Nonclinical Core Competencies and Effects of Interprofessional Teamwork in Disaster and Emergency Response Training and Practice: A Pilot Study

Disaster Medicine and Public Health Preparedness ◽

10.1017/dmp.2013.39 ◽

2013 ◽

Vol 7 (4) ◽

pp. 395-402 ◽

Cited By ~ 7

Author(s):

Jennifer Peller ◽

Brian Schwartz ◽

Simon Kitto

Keyword(s):

Cognitive Skills ◽

Disaster Response ◽

Interprofessional Collaboration ◽

Core Competencies ◽

Evidence Base ◽

Response Data ◽

Competency Training ◽

Interprofessional Teamwork ◽

The Relationship ◽

AbstractObjectiveTo define and delineate the nontechnical core competencies required for disaster response, Disaster Medical Assistance Team (DMAT) members were interviewed regarding their perspectives and experiences in disaster management. Also explored was the relationship between nontechnical competencies and interprofessional collaboration.MethodsIn-depth interviews were conducted with 10 Canadian DMAT members to explore how they viewed nontechnical core competencies and how their experiences influenced their perceptions toward interprofessonalism in disaster response. Data were examined using thematic analysis.ResultsNontechnical core competencies were categorized under austere skills, interpersonal skills, and cognitive skills. Research participants defined interprofessionalism and discussed the importance of specific nontechnical core competencies to interprofessional collaboration.ConclusionsThe findings of this study established a connection between nontechnical core competencies and interprofessional collaboration in DMAT activities. It also provided preliminary insights into the importance of context in developing an evidence base for competency training in disaster response and management. (Disaster Med Public Health Preparedness. 2013;0:1–8)

Parental conceptions of the rotavirus vaccine during implementation in Stockholm: A phenomenographic study

Journal of Child Health Care ◽

10.1177/1367493517734390 ◽

2017 ◽

Vol 21 (4) ◽

pp. 476-487 ◽

Cited By ~ 3

Author(s):

Eva Sjögren ◽

Lina Schollin Ask ◽

Åke Örtqvist ◽

Margareta Asp

Keyword(s):

Health Care Professionals ◽

Child Health Care ◽

Rotavirus Vaccine ◽

Stockholm County ◽

Immunization Program ◽

Rotavirus Infection ◽

Phenomenographic Study ◽

Depth Interviews ◽

Child Immunization Program

In 2014, Stockholm became the first Swedish county to introduce the rotavirus vaccine, which is given from as early as six weeks of age. The aim of this study was to describe parental conceptions of rotavirus infection and vaccination during its implementation as part of the child immunization program, as their support is vital for any new vaccine. The study followed a descriptive, qualitative design with a phenomenographic approach. Ten in-depth interviews with parents were conducted in Stockholm County, transcribed and analyzed to describe qualitatively different conceptions of rotavirus infection and vaccination. Four main categories were identified: to vaccinate without doubt, hesitant to vaccinate, risky to vaccinate, and unnecessary to vaccinate. All the parents had in common the desire to protect their children from suffering, either by vaccinating their child in order to avoid rotavirus infection or by not vaccinating their child because of concerns about the side effects. It is important that child health-care professionals understand the variations of conceptions that influence the parents’ decisions and that these conceptions may differ considerably. Individualized parental information about rotavirus infection and vaccination would help to achieve a successful implementation of the vaccination program.

Serving the state or serving the people? The dilemma of social work graduates in Mainland China

Critical and Radical Social Work ◽

10.1332/204986021x16114103358825 ◽

2021 ◽

Author(s):

Rajendra Baikady ◽

Cheng Shengli ◽

Gao Jianguo

Keyword(s):

Social Work ◽

Mainland China ◽

The State ◽

Postgraduate Students ◽

The People ◽

The Government ◽

And Function ◽

Work Education ◽

Schools Of Social Work ◽

This article reports on the result of an exploratory qualitative study with in-depth interviews conducted with postgraduate students in Chinese universities. The data were collected from five schools of social work, covering three provincial-level administrative regions of Beijing, Shanghai and Shandong. The principal aim of this article is to understand the development of social work and student perspectives on the government’s role in social work development and the function of social work in China. The study shows that Chinese social work is still developing, and the expansion and function of social work education and practice is mandated by the state. Despite a robust authoritarian hold by the government, the study finds hope among the graduate students about the mission and future of social work in China.

An Approach to Integrated Multi-Disciplinary Turbomachinery Design

Volume 5: Turbo Expo 2004, Parts A and B ◽

10.1115/gt2004-53852 ◽

2004 ◽

Cited By ~ 1

Author(s):

Jerome P. Jarrett ◽

William N. Dawes ◽

P. John Clarkson

Keyword(s):

Process Management ◽

Open Data ◽

Design Codes ◽

The Past ◽

Design Changes ◽

Data Architecture ◽

And Function ◽

Design Process Management ◽

Turbomachinery Design

Aeroengines are designed using fractured processes. Complexity has driven the design of such machines to be subdivided by specialism, customer and function. While this approach has worked well in the past, with component efficiencies, current material performance and the possibilities presented by scaling existing designs for future needs becoming progressively exhausted it is necessary to reverse this process of disintegration. Our research addresses this aim. The strategy we use has two symbiotic arms. The first is an open data architecture from which existing disparate design codes all derive their input and to which all send their output. The second is a dynamic design process management system known as “SignPosting”. Both the design codes and parameters are arranged into complementary multiple level hierarchies: fundamental to the successful implementation of our strategy is the robustness of the mechanisms we have developed to ensure consistency in this environment as the design develops over time. One of the key benefits of adopting a hierarchical structure is that it confers not only the ability to use mean-line, throughflow and fully 3D CFD techniques in the same environment but also to cross specialism boundaries and insert mechanical, material, thermal, electrical and structural codes, enabling exploration of the design space for multi-disciplinary non-linear responses to design changes and their exploitation. We present results from trials of an early version of the system applied to the redesign of a generic civil aeroengine core compressor. SignPosting has allowed us to examine the hardness of design constraints across disciplines which has shown that it is far more profitable not to strive for even higher aerodynamic performance, but rather improve the commercial performance by maintaining design and part speed pressure ratios stability and efficiency while increasing rotor blade creep life by up to 70%.

ECHOLOCATING THE DIGITAL SELF: A CONCEPTUAL FRAMEWORK

AoIR Selected Papers of Internet Research ◽

10.5210/spir.v2020i0.11272 ◽

2020 ◽

Author(s):

Annette N Markham

Keyword(s):

Qualitative Analysis ◽

Conceptual Framework ◽

Autonomous Vehicles ◽

Social Space ◽

Symbolic Interaction ◽

Interaction Model ◽

Ethnographic Study ◽

Close Attention ◽

Response Versus ◽

And Function

This paper explores echolocation as a conceptual framework to extend our understanding of digital sociality. Echolocation is a process whereby the characteristics of an echo build a map of location and relation. Most often we think of how bats, whales, and dolphins echolocate to navigate. If we think of radar, sonar, or lidar, we might think of submarines, autonomous vehicles, or even geolocation on our mobile devices. In this paper, I discuss echolocation as a symbolic interaction framework for describing how the Self is negotiated and identified in and as a part of social space. It focuses attention on the character and function of pings, push notifications, red dots on device screens, and other responses in ongoing interactions between people in social media or between humans and nonhuman or more than human elements of media ecologies. The interpretive qualitative analysis is part of a six year ethnographic study of youth. The analysis of echolocation emerges from a subset of the larger study, those who feel anxiety and even existential vulnerability when disconnected. Based on this qualitative analysis of narratives, the paper builds and extends echolocation as a theory of digital sociality that pays close attention to the response versus the performance in the interaction model.

MEANINGS OF WATER FOR THE FAKCHA LLAKTA INDIGENOUS COMMUNITY OF OTAVALO, ECUADOR

Ambiente & sociedade ◽

10.1590/1809-4422asoc0100r3vu18l1ao ◽

2018 ◽

Vol 21 (0) ◽

Cited By ~ 1

Author(s):

CARMEN AMELIA TRUJILLO ◽

JOSÉ ALÍ MONCADA RANGEL ◽

JESÚS RAMÓN ARANGUREN CARRERA ◽

KENNEDY ROLANDO LOMAS TAPIA

Keyword(s):

Participant Observation ◽

Indigenous Communities ◽

Qualitative Approach ◽

Indigenous Community ◽

Ethnographic Study ◽

Cultural Objects ◽

Sustainable Resource Management ◽

Close Relationship ◽

Andean Highlands ◽

Abstract Water is a multidimensional element for the indigenous communities of the Andean highlands. The Kichwa community Fakcha Llakta, of Otavalo, Ecuador has a close relationship with the existing water bodies in their territory. However, traditional knowledge associated with these resources is fading, giving way to new forms of use. The purpose of this research is to reveal the meanings of water for this indigenous community, in order to propose guidelines for sustainable resource management. It is an ethnographic study with a qualitative approach. The information was collected through in-depth interviews, participant observation by the research team, and the gathering of cultural objects. The findings were organized and sub-grouped according to four recurring elements: vital and sacred; diversity of use and value; a threatened natural resource; and the sustainability of water from the ancestral perspective.

Institutional Religion and Religious Experience

Religions ◽

10.3390/rel12100791 ◽

2021 ◽

Vol 12 (10) ◽

pp. 791

Author(s):

Lidia Rodríguez ◽

Juan Luis de León ◽

Luzio Uriarte ◽

Iziar Basterretxea

Keyword(s):

Latin American ◽

Religious Experience ◽

Empirical Studies ◽

God Image ◽

Religious Institutions ◽

Experience Of God ◽

Key Terms ◽

American Cities ◽

The City ◽

A number of empirical studies have shown the continuous lack of adherence and the growing autonomy of the population regarding religious institutions. This article reflects on the kind of relationship between deinstitutionalisation and religious experience based on the following hypothesis: the evident decline in religious institutions does not necessarily lead to the disappearance or the weakening of religious experience; rather, it runs simultaneously with a process of individualisation. Our aim is to provide empirical evidence of such transformations; therefore, we do not get involved in speculations, but take into account the contributions of scholars concerning three key terms integrated in the conceptual framework of “religious experience’’: “experience of God”, “God image”, and “institutional belonging”. We analysed 39 in-depth interviews with a qualitative approach; interviews were conducted during the years 2016–2018 amongst Evangelical and Catholic populations in three Latin American cities (Córdoba, Montevideo, and Lima) and in the city of Bilbao (Spain). These interviews clearly indicate a growing autonomy from the religious institution, while evidencing a rich range of experiences of God and a great diversity of God representations. In both cases, they point to processes of individualisation of believers who elaborate their own religious experience in a personal and complex way.