scholarly journals Do Checklist-Induced Behavioral Changes Improve Self-Confidence in Fundoscopic Examination? A Mixed-Methods Study

2020 ◽  
Vol Volume 13 ◽  
pp. 1219-1228
Author(s):  
Daiki Yokokawa ◽  
Kiyoshi Shikino ◽  
Akiko Ikegami ◽  
Tomoko Tsukamoto ◽  
Kazutaka Noda ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Behavioral Changes ◽  
Mixed Methods Study ◽  
Self Confidence ◽  
Fundoscopic Examination

scholarly journals Do checklist-induced behavioral changes improve self-confidence in fundoscopic examination?: A mixed-methods study

2020 ◽  
Author(s):  
Daiki Yokokawa ◽  
Kiyoshi Shikino ◽  
Akiko Ikegami ◽  
Tomoko Tsukamoto ◽  
Kazutaka Noda ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Phase 1 ◽  
General Medicine ◽  
Behavioral Changes ◽  
Mixed Methods Study ◽  
University Hospital ◽  
Mixed Methods Design ◽  
Self Confidence ◽  
Two Phases ◽  
Fundoscopic Examination

Abstract BackgroundFundoscopic exams are conducted during outpatient consultations to assess intracranial disease and complications from chronic diseases. Low level of confidence in these skills which physicians have is one of the causes that Implementation frequency is low. We quantitatively verified increases in exam implementation for patients suggested for fundoscopic exams, as well as improvements in physicians' confidence in the procedures, by introducing a checklist. We also conducted a qualitative analysis in order to clarify the process by which they gain confidence in examination procedures.MethodsThis study is a before-after study, within an embedded-experimental mixed methods design. Phase 1 spans April to May 2016, April to May 2017, and October to November 2017. Phase 2 spans the two months following each phase 1 period. We sampled 15 physicians in department of general medicine at a university hospital assigned to initial consultation. The introduction of a checklist that verifies whether the fundoscopic exam was implemented. Measures are implementation ratio of the fundoscopic exam to the total number of indication cases, and Visual Analog Scale (VAS) values ​​for the confidence in procedure are measured between the two phases. To analyze, we obtained qualitative data from interviews and used the Modified Grounded Theory Approach.ResultsWe observed significant increases in the implementation ratio (19.2% (29/151 cases) vs. 64.8% (105/162 cases), p<0.001), and in the VAS value for the confidence (1.89mm vs 4.68 mm (p<0.001)) between the two phases. Analysis of the interviews produced five themes from the initial 632 codes, 31 concepts (with <>), and 8 categories. To increase the implementation, it is necessary to reduce the <Lack of confidence> and < Forgetting>, which is preventing by the checklist. The <Lack of successful experiences in detecting abnormalities> leads to a <Lack of confidence>. Repeated executions result in <Successful experiences and confidence building>.ConclusionsThe intervention increased the implementation ratio, thereby increasing successful experiences and confidence among physicians. The growth of confidence boosted motivations to implement fundoscopic exams.

scholarly journals Clinical judgment model-based nursing simulation scenario for patients with upper gastrointestinal bleeding: A mixed methods study

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0251029
Author(s):  
AeRi Jang ◽  
Hyunyoung Park
Keyword(s):  
Mixed Methods ◽  
Gastrointestinal Bleeding ◽  
Clinical Judgment ◽  
Upper Gastrointestinal Bleeding ◽  
Mixed Methods Study ◽  
Control Group ◽  
Self Confidence ◽  
Nursing Simulation ◽  
Simulation Scenario ◽  
Upper Gastrointestinal

Assisting patients with upper gastrointestinal bleeding is a crucial role for nurses, and as future nurses, students should demonstrate sound clinical judgment. Well-structured, high-quality simulations are useful alternatives to prepare students for clinical practice. However, nursing simulation scenarios focused on enhancing clinical judgment in managing upper gastrointestinal bleeding are limited. This study aims to develop, apply, and evaluate an effective nursing simulation scenario for patients with upper gastrointestinal bleeding based on Tanner’s clinical judgment model using a mixed methods study design. A high-fidelity patient simulation was conducted among 80 undergraduate nursing students divided into a simulated control group (n = 39) and an experimental group (n = 41). Subsequent student performance evaluations used questionnaires and video recordings. After scenario simulations, the students showed a statistically significant increase in theoretical knowledge (p = 0.001) and clinical performance skills (p < 0.001), but there was no significant increase in self-confidence (p = 0.291). According to the video analysis, the “noticing” clinical judgment phase was the most frequently observed phase, while “reflection” was the least frequently observed phase. Additionally, “education” was the most frequently observed nursing domain, and “anxiety” was the least frequently observed domain. Although further simulation repetitions are required to reinforce students’ self-confidence when caring for patients with upper gastrointestinal bleeding, the scenario was deemed effective. Moreover, emphasis should be placed on developing various scenarios to strengthen students’ clinical judgment skills, especially “reflecting” and “emotional care.”

scholarly journals Do checklist-induced behavioral changes improve self-confidence in fundoscopic examination?: A mixed-methods study

2020 ◽  
Author(s):  
Daiki Yokokawa ◽  
Kiyoshi Shikino ◽  
Akiko Ikegami ◽  
Tomoko Tsukamoto ◽  
Kazutaka Noda ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Phase 1 ◽  
General Medicine ◽  
Behavioral Changes ◽  
University Hospital ◽  
Theory Approach ◽  
Mixed Methods Design ◽  
Self Confidence ◽  
Two Phases ◽  
Grounded Theory Approach

Abstract Background Fundoscopic exams are conducted during outpatient consultations to assess intracranial disease and complications from chronic diseases. Low level of confidence in these skills which physicians have is one of the causes that Implementation frequency is low. We quantitatively verified increases in exam implementation for patients suggested for fundoscopic exams, as well as improvements in physicians' confidence in the procedures, by introducing a checklist. We also conducted a qualitative analysis in order to clarify the process by which they gain confidence in examination procedures. Methods This study is a before-after study, within an embedded-experimental mixed methods design. Phase 1 spans April to May 2016, April to May 2017, and October to November 2017. Phase 2 spans the two months following each phase 1 period. We sampled 15 physicians in department of general medicine at a university hospital assigned to initial consultation. The introduction of a checklist that verifies whether the fundoscopic exam was implemented. Measures are implementation ratio of the fundoscopic exam to the total number of indication cases, and Visual Analog Scale (VAS) values ​​for the confidence in procedure are measured between the two phases. To analyze, we obtained qualitative data from interviews and used the Modified Grounded Theory Approach. Results We observed significant increases in the implementation ratio (19.2% (29/151 cases) vs. 64.8% (105/162 cases), p<0.001), and in the VAS value for the confidence (1.89mm vs 4.68 mm (p<0.001)) between the two phases. Analysis of the interviews produced five themes from the initial 632 codes, 31 concepts (with <>), and 8 categories. To increase the implementation, it is necessary to reduce the and < Forgetting>, which is preventing by the checklist. The <Lack of successful experiences in detecting abnormalities> leads to a <Lack of confidence>. Repeated executions result in <Successful experiences and confidence building>.Conclusions The intervention increased the implementation ratio, thereby increasing successful experiences and confidence among physicians. The growth of confidence boosted motivations to implement fundoscopic exams.

Behavioral Changes Based on a Course in Agroecology: A Mixed Methods Study

2009 ◽  
Vol 38 (1) ◽  
pp. 183-194 ◽  
Author(s):  
Kristyn Harms ◽  
James King ◽  
Charles Francis
Keyword(s):  
Mixed Methods ◽  
Behavioral Changes ◽  
Mixed Methods Study

Determining Emotional Tone and Verbal Behavior in Patients With Tinnitus and Hyperacusis: An Exploratory Mixed-Methods Study

2019 ◽  
Vol 28 (3) ◽  
pp. 660-672
Author(s):  
Suzanne H. Kimball ◽  
Toby Hamilton ◽  
Erin Benear ◽  
Jonathan Baldwin
Keyword(s):  
Mixed Methods ◽  
Verbal Behavior ◽  
Coping Strategies ◽  
Mixed Methods Study ◽  
Self Report ◽  
Anxiety And Depression ◽  
Negative Consequences ◽  
Emotional Tone ◽  
Explanatory Mixed Methods ◽  
Quantitative Results

Purpose The purpose of this study was to evaluate the emotional tone and verbal behavior of social media users who self-identified as having tinnitus and/or hyperacusis that caused self-described negative consequences on daily life or health. Research Design and Method An explanatory mixed-methods design was utilized. Two hundred “initial” and 200 “reply” Facebook posts were collected from members of a tinnitus group and a hyperacusis group. Data were analyzed via the LIWC 2015 software program and compared to typical bloggers. As this was an explanatory mixed-methods study, we used qualitative thematic analyses to explain, interpret, and illustrate the quantitative results. Results Overall, quantitative results indicated lower overall emotional tone for all categories (tinnitus and hyperacusis, initial and reply), which was mostly influenced by higher negative emotion. Higher levels of authenticity or truth were found in the hyperacusis sample but not in the tinnitus sample. Lower levels of clout (social standing) were indicated in all groups, and a lower level of analytical thinking style (concepts and complex categories rather than narratives) was found in the hyperacusis sample. Additional analysis of the language indicated higher levels of sadness and anxiety in all groups and lower levels of anger, particularly for initial replies. These data support prior findings indicating higher levels of anxiety and depression in this patient population based on the actual words in blog posts and not from self-report questionnaires. Qualitative results identified 3 major themes from both the tinnitus and hyperacusis texts: suffering, negative emotional tone, and coping strategies. Conclusions Results from this study suggest support for the predominant clinical view that patients with tinnitus and hyperacusis have higher levels of anxiety and depression than the general population. The extent of the suffering described and patterns of coping strategies suggest clinical practice patterns and the need for research in implementing improved practice plans.

EXPERIENCES, FRUSTRATIONS, AND BARRIERS, OF IPAD USAGE IN THE SPECIAL EDUCATION: LIFE SKILLS CLASSROOM FROM EDUCATORS PERSPECTIVE

2018 ◽  
pp. 61-67
Author(s):  
D. J. Sullivan ◽  
S. Labby ◽  
A. Koptelov ◽  
S. L. Sullivan
Keyword(s):  
Special Education ◽  
Mixed Methods ◽  
Communication Systems ◽  
Life Skills ◽  
Mixed Methods Study ◽  
Educational Tool ◽  
Special Educator ◽  
Communications Systems ◽  
Communication Device ◽  
Communication Devices

The purpose of this mixed methods study was to determine the barriers that special educator teachers encounter when using iPads within the Life Skills classroom. The research investigates the experiences, frustrations, and barriers through educators’ perceptions of iPad implementation. The influence of these issues suggests why iPad usage is not a device that special education classrooms are using in a widespread daily manner. Exploration of iPads as an educational tool and as a communication device is also discussed, along with considerations of other communications systems such as Picture Exchange Communication Systems and Alternative and Augmented Communication Devices is considered. Recommendations for further possible research are also discussed.

Rapid Evaluation of the Special Measures for Quality and Challenged Provider Regimes: A mixed-methods study

2020 ◽  
Author(s):  
Naomi Fulop ◽  
Estela Capelas Barbosa ◽  
Melissa Hill ◽  
Jean Ledger ◽  
Pei Li Ng ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Mixed Methods Study ◽  
Rapid Evaluation
Sign in / Sign up

Export Citation Format

Share Document