scholarly journals A decision-making process to undergo orthodontic treatment: a qualitative study

2018 ◽  
Vol Volume 12 ◽  
pp. 2243-2251 ◽  
Author(s):  
Mohammad Moslem Imani ◽  
Amir Jalali ◽  
Ebraheim Ezzati ◽  
Zeinab Heirani ◽  
Mohammadreza Dinmohammadi
Keyword(s):  
Decision Making ◽  
Qualitative Study ◽  
Orthodontic Treatment ◽  
Decision Making Process

scholarly journals Termination of pregnancy following a prenatal diagnosis of Down syndrome: A qualitative study of the decision-making process of pregnant couples

2018 ◽  
Vol 97 (10) ◽  
pp. 1228-1236 ◽  
Author(s):  
Stina Lou ◽  
Kathrine Carstensen ◽  
Olav Bjørn Petersen ◽  
Camilla Palmhøj Nielsen ◽  
Lone Hvidman ◽  
...  
Keyword(s):  
Decision Making ◽  
Down Syndrome ◽  
Prenatal Diagnosis ◽  
Qualitative Study ◽  
Termination Of Pregnancy ◽  
Decision Making Process

Treatment decision-making for older adults with cancer: A qualitative study

2020 ◽  
pp. 096973302094575
Author(s):  
Ni Gong ◽  
Qianqian Du ◽  
Hongyu Lou ◽  
Yiheng Zhang ◽  
Hengying Fang ◽  
...  
Keyword(s):  
Decision Making ◽  
Qualitative Study ◽  
Cancer Patients ◽  
Family Members ◽  
Treatment Decision ◽  
Chinese Society ◽  
Decision Making Process ◽  
Treatment Decision Making ◽  
The Family ◽  
Older Cancer Patients

Background: Independent decision-making is one of the basic rights of patients. However, in clinical practice, most older cancer patients’ treatment decisions are made by family members. Objective: This study attempted to analyze the treatment decision-making process and formation mechanism for older cancer patients within the special cultural context of Chinese medical practice. Method: A qualitative study was conducted. With the sample saturation principle, data collected by in-depth interviews with 17 family members and 12 patients were subjected to thematic analysis. Ethical considerations: The study was approved by the ethics committees of Sun Yat-sen University. All participants provided verbal informed consent after being told their rights of confidentiality, anonymity, and voluntary participation. They had the right to refuse to answer questions and could withdraw at any time. Results: Three themes emerged: (1) complex process; (2) transformation of family decision-making power; and (3) individual compromise. Family members inevitably had different opinions during the long process of treatment decision-making for older cancer patients. The direction of this process could be regarded as an extension of the family power relationship. The patient usually compromised the decision to survive, which was made by family members. Conclusion: This study describes the treatment decision-making process of older cancer patients in the context of Chinese culture. The reasons underlying this process are related to the views on life and death and family values. An individual is a part of the family, which is often seen as the minimal interpersonal unit in Chinese society. It is significant that while emphasizing patient autonomy in the decision-making process, health professionals should also pay attention to the important roles of culture and family.

Sexting, power, and patriarchy: Narratives of sexting from a college population

2020 ◽  
pp. 146144482090951 ◽  
Author(s):  
Sara Bonilla ◽  
Mallaigh McGinley ◽  
Sharon Lamb
Keyword(s):  
Decision Making ◽  
Body Image ◽  
Qualitative Study ◽  
Decision Making Process ◽  
Image Management ◽  
College Population ◽  
Past Experiences ◽  
Perceived Outcomes ◽  
Relational Contexts ◽  
College Aged Students

This qualitative study explores the sexting experiences of college-aged students with attention to gendered understandings and motivations of sexting. We gathered data on the decision-making process, relational contexts in which sexting occurred, body-image management, and perceived outcomes of past experiences. Participants in this study were asked to describe two experiences of sexting behavior in short vignettes, and then they were prompted to respond to additional questions about the vignette and sexting. A total of 342 vignettes were read and analyzed using discourse analytic strategies of reading for positioning, construction of discourses, and implied actions.

Policy Consultation in Malaysia Public Service

2021 ◽  
Vol 7 (1) ◽  
pp. 1-9
Author(s):  
Fazni Mat Arifin ◽  
Nooraini Othman
Keyword(s):  
Decision Making ◽  
Qualitative Study ◽  
Policy Implementation ◽  
Public Service ◽  
Policy Process ◽  
Stakeholder Management ◽  
National Policy ◽  
Government Agencies ◽  
Decision Making Process ◽  
Consultative Process

The aim of this article is to discuss the process of public policymaking and how the policy consultation helps to elaborate the processes involved in enhancing cooperation among government agencies. Existing literature indicates that there has never been any research that studies in detail on the consultative process of the process of policymaking in the country’s public service. The only available guidance is in the National Policy on the Development and Implementation of Regulations to improve the decision-making process for policy implementation. Therefore, a further reference has been done to a qualitative study on the policymaking process of the proposed National Halal Policy. The study indicates that an effective consultative approach must be able to act as either a vehicle of communication or stakeholder management in the policy process. The framework of negotiation-based policy consultative informs clearly on what types of consultative process practiced by the country and how does it operate in promoting wider participation in the policy process.

Understanding the Low Take-Up of Home-Based Dialysis Through Shared Decision-Making: A Qualitative Study

2021 ◽  
Author(s):  
David Dallimore ◽  
Gareth W. Roberts ◽  
Leah McLaughlin ◽  
Gail Williams Wales Renal ◽  
James Chess ◽  
...  
Keyword(s):  
Decision Making ◽  
Qualitative Study ◽  
Prior Knowledge ◽  
Shared Decision Making ◽  
Decision Making Process ◽  
Shared Decision ◽  
Framework Analysis ◽  
Home Dialysis ◽  
Home Based ◽  
Decision Making Processes

Abstract Background Despite home dialysis having many advantages, take-up by people with established renal failure is low in many countries. Previous studies highlight complex social, psychological, economic and health-system obstacles to patients choosing home dialysis. The study explored how people who are pre-dialysis, caregivers and health professionals together navigate common shared decision-making processes, and assesses how this impacts on choice of dialysis, conservative treatment or transplant. Methods This qualitative study took place in Wales, a country within the United Kingdom with a publicly-funded healthcare system. From 5 renal centres, education literature used in patient education was collected and content analysis applied. The theoretical framework was the MAGIC shared decision-model. From February 2019 until data saturation was reached in January 2020, semi-structured interviews with a purposive sample of 51 patients, 41 caregivers and 49 renal professionals were undertaken. Interview data were analysed using framework analysis. Patient and public representatives were involved throughout. Results Thematic findings are presented as: Prior knowledge, choice talk, options talk, decision talk. Gaps were found in both knowledge and understanding at every stage of the decision-making process and amongst all involved. Patients and caregivers came with varying levels of prior knowledge and understanding, which can result in misinformation and biases that contaminate the shared decision-making process. This is not always recognised by renal professionals. Presentation of treatment options through education programmes was often found to be inadequate, biased or poorly understood. Such deficiencies create partialities towards some treatments and, in particular, mitigate against the take-up of home therapies, even when they may be the most appropriate. A logic model and a road map to further evolving clinical practice was developed. Conclusions There are critical points in the process at where change could benefit patients. Patients need to be better prepared and their preconceived ideas and misconceptions gently challenged. Healthcare professionals need to update their knowledge in order to provide the best advice and guidance. Shared decision-making processes need to be individually-tailored so that there is more attention paid to the benefits of home based options, and on people who could chose a home therapy but select a different option.

The Impact of Community on Curriculum Decision-Making in a North American Jewish Day School

2009 ◽  
pp. 255-269
Author(s):  
Eli Kohn
Keyword(s):  
High School ◽  
Decision Making ◽  
Qualitative Study ◽  
Curriculum Development ◽  
Day School ◽  
Decision Making Process ◽  
Jewish Day School ◽  
Partnership Model ◽  
Curriculum Decision Making ◽  
The Impact

This chapter presents the first tentative results of a qualitative study of a curriculum development process undertaken with the Herzliah High School in Montreal. This is the largest community Jewish day school in that city, with two campuses in different locations. The results are tentative because the project is continuing, allowing for further refinement and enhancement of the curriculum and materials produced. The research focuses on the ‘partnership model’ of curriculum development in which administrators, teachers, parents, students, and curriculum experts create curriculum in a collaborative forum. The chapter examines how decisions are reached in this process, focusing on two central questions. The first considers who ultimately makes the decisions among those involved in the kind of partnership model described here. The chapter then turns to the impact of ‘the community’ in the curriculum decision-making process.

Maternal health care decision-making process at the family level in Geita Region, Tanzania: A qualitative study

2020 ◽  
Author(s):  
Thecla W. Kohi ◽  
Jasintha S. Boniphace ◽  
Justine Dol
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Maternal Health ◽  
Qualitative Study ◽  
Maternal Health Care ◽  
Health Care Facilities ◽  
Decision Making Process ◽  
Obstetric Danger Signs ◽  
Danger Signs ◽  
Family Level

Abstract Background : Most maternal deaths are preventable if a woman is able to identity danger signs and seek obstetric health care without delay. However, lack of knowledge on obstetric danger signs and a prolonged decision-making process at family level may contribute to the high maternal mortality. Currently, there is little known on how the process of decision-making at family level in seeking obstetric care is being made in Tanzania. Therefore, this study aimed to describe the process on decision-making at family level in seeking maternal health care during pregnancy, delivery and postpartum period in the Geita Region, Tanzania. Methods : A qualitative study using in-depth semi-structured interview was conducted at Chato District Hospital in the Geita Region with seven fathers and seven mothers who were attending the Reproductive Child Health Clinic.Participants were recruited using purposeful sampling and interviews were analyzed using content analysis. Results: Three themes emerged from this study, including recognition of danger signs, decision-making process, and perceived influencers for seeking maternal health care. Almost all participants were aware of obstetric danger signs, yet some gaps remained among husbands. The process of decision-making starts with the woman herself who then communicates to others for discussion but the final decision-making in seeking care is dominated by husbands, parents, or neighbors, rather than mothers alone. Observing danger signs and perceived quality of care available from the health facilities were the most predominate influencers for seeking maternal health care. Conclusion: While the process of decision-making in every family starts with the woman herself, others are consulted for discussion prior to reaching a decision about seeking maternal health care, resulting in delays in accessing care. It is positive that most of the decision makers had good understanding of obstetric danger signs and that observation of those danger signs encourage access of maternal health care. However, continued education on obstetric danger signs in the community is needed as well as quality care needs to be available and known to be provided at health care facilities to encourage early seeking of maternal health care. Keywords : maternal health; decision-making; Tanzania

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