scholarly journals A qualitative evaluation of an mHealth application to support patients with psoriasis in relation to follow-up consultations (Preprint)

2021 ◽  
Author(s):  
Bettina Trettin ◽  
Dorthe Boe Danbjørg ◽  
Flemming Andersen ◽  
Steven Feldman ◽  
Hanne Agerskov
Keyword(s):  
Participatory Design ◽  
Healthcare Professionals ◽  
Eligible Patient ◽  
Qualitative Evaluation ◽  
Work Practice ◽  
Study Data ◽  
Structured Interviews ◽  
Group Interviews ◽  
The Relationship

BACKGROUND Teledermatology has the potential, to help deliver healthcare by transforming the relationship between patients and healthcare professionals, shifting the power of consultation so that patients can become more informed, assertive and involved in their care. mHealth is already a promising and reliable tool for the long-term management of psoriasis patients on systemic treatment. In an attempt to facilitate a more patient-centred approach in clinical practice, we designed and developed an mHealth solution in order to support patients in self-management and empowerment. OBJECTIVE The aim of this study was to explore the experiences and perceptions of patients and healthcare professionals of using an mHealth solution that was developed using a participatory design approach. METHODS The study was designed as an explorative qualitative study. Data were collected by way of semi-structured interviews with patients and focus group interviews with healthcare professionals. RESULTS All participants found it easy to use the mHealth solution and patients found it convenient. Patients’ reflexivity was improved because they could prepare ahead of consultations. Video consultations provided patients with a degree of freedom in their everyday lives, not having to attend to in-person visits. Among the healthcare professionals there were concerns regarding their medical responsibilities since they could not asses the patients’ skin as they used to. The mHealth solution required new workflows and procedures that were not part of the existing consultations routines. CONCLUSIONS The mHealth solution can strengthen the relationship between healthcare professionals and patients and facilitate patients to become more active in their care. Alignment and structure in relation to selection of eligible patient candidates for being offered the mHealth solution could reduce social health inequalities. In addition, video consultations changed the healthcare professionals’ work practice, necessitating new types of skills to communicate with patients. CLINICALTRIAL The study was approved by the Danish Data Protection Agency (2012-58-0018).

scholarly journals Development and Evaluation of Clinical Practice Guideline for Delirium in Long-Term Care

2020 ◽  
Vol 17 (21) ◽  
pp. 8255
Author(s):  
Eunhye Jeong ◽  
Jinkyung Park ◽  
Sung Ok Chang
Keyword(s):  
Clinical Practice ◽  
Development Process ◽  
Healthcare Professionals ◽  
Long Term Care ◽  
Structured Interviews ◽  
Term Care ◽  
Barriers To Implementation ◽  
Selection For ◽  
Search Quality

Delirium is highly prevalent and leads to several bad outcomes for older long-term care (LTC) residents. For a more successful translation of delirium knowledge, Clinical Practice Guidelines (CPGs) tailored to LTC should be developed and applied based on the understanding of the barriers to implementation. This study was conducted to develop a CPG for delirium in LTC and to determine the barriers perceived by healthcare professionals related to the implementation of the CPG. We followed a structured, evidence- and theory-based procedure during the development process. After a systematic search, quality appraisal, and selection for eligible up-to-date CPGs for delirium, the recommendations applicable to the LTC were drafted, evaluated, and confirmed by an external group of experts. To evaluate the barriers to guideline uptake from the users’ perspectives, semi-structured interviews were conducted which resulted in four major themes: (1) a lack of resources, (2) a tendency to follow mindlines rather than guidelines, (3) passive attitudes, and (4) misunderstanding delirium care in LTC. To minimize adverse prognoses through prompt delirium care, the implementation of a CPG with an approach that comprehensively considers various barriers at the system, practice, healthcare professional, and patients/family levels is necessary.

Critical and Inhibiting Success Factors in Interorganizational Networks

2020 ◽  
pp. 63-86
Author(s):  
Viviana Durão ◽  
António Carrizo Moreira
Keyword(s):  
Success Factors ◽  
Single Case ◽  
Interorganizational Networks ◽  
Single Case Study ◽  
Strategic Partnerships ◽  
Structured Interviews ◽  
Organizational Network ◽  
The Relationship

This chapter, based on a single case study, has as its main objective to analyze a real example of creating an inter-organizational network and to perceive what was done for the selection and creation of the strategic partnerships and inter-organizational network and what factors or conditions can inhibit these partnerships from having long-term success and throughout its life cycle. For this, a qualitative study based on action research and semi-structured interviews was conducted. Results show although many companies settle in inter-organizational networks to gain competitive advantage, cases of failure are still quite high. In this case, upstream partnerships have not been based on long-term trust and commitment, which has jeopardized the continuity of the network, although there is an express desire to re-establish contacts. The partnership established downstream did not show the same commitment to continue the partnership with a total termination of the relationship.

scholarly journals Grit as Perseverance in Physical Activity Participation

2020 ◽  
Vol 17 (3) ◽  
pp. 807 ◽  
Author(s):  
Stina Rutberg ◽  
Lars Nyberg ◽  
Darla Castelli ◽  
Anna-Karin Lindqvist
Keyword(s):  
Physical Activity ◽  
Critical Period ◽  
School Context ◽  
Study Data ◽  
Focus Group Interviews ◽  
Healthy Behaviors ◽  
Physical Activity Interventions ◽  
Health Promoting ◽  
Group Interviews ◽  
The Relationship

Childhood is a critical period for the acquisition of healthy behaviors, and the promotion of sustainable healthy behavior among children is greatly important. Therefore, an increased understanding of the relationship between grit and physical activity in a school context is needed. The purpose of this study is to describe and develop an understanding of students’ and teachers’ awareness and experiences concerning grit as a health-promoting factor. Fifty-five students and three teachers participated in the study. Data were collected through the Short Grit Scale and focus group interviews. There were weak to non-significant correlations between the three teachers’ ratings of their students’ grit and the children’s own ratings. The qualitative results show that children and teachers understood the construct of grit but had slightly different perceptions of it and that grit is not considered to be set in stone. The participants made an association between grit, motivation, meaningfulness, and setting goals. The findings indicate that grit might be an ideal target for making physical activity interventions sustainable.

Recent innovative measures across different functions in the Indian hospitality industry

2016 ◽  
Vol 8 (4) ◽  
pp. 481-489 ◽  
Author(s):  
Kakoli Sen ◽  
Tanuja Kaushik
Keyword(s):  
Design Methodology ◽  
Hospitality Industry ◽  
Study Data ◽  
Senior Management ◽  
Structured Interviews ◽  
Policy Makers ◽  
Content Type ◽  
Service Effectiveness ◽  
Food And Beverage

Purpose The purpose of this paper is to provide exploratory insights on recent innovative measures taken across different functions in the Indian hospitality industry. Design/methodology/approach The study draws on data from senior management of a newly developed Pullman Hotel, part of the group of Accor Hotels located in Aero City, Delhi. The study data was collected using structured interviews. Findings The study explores the various innovative measures adopted in marketing, human resource management and information technology to leverage operations, improve manpower efficiency and maximizing service effectiveness while keeping costs low for long-term sustainability. The study also gives some useful insights on other functions that need to be addressed such as food and beverage, operations, security, guest relations and finance. Research limitations/implications The study is exploratory in nature though the findings will be of interest to existing and newly opened hotels and to policy makers who need to know about the innovation trends in the hospitality industry. Originality/value This study reveals some of the recent innovative measures adopted by the Indian hospitality industry.

Independent medical evaluation for sick-listed workers in Norway: A focus group study of the experience of IME doctors

2017 ◽  
Vol 47 (1) ◽  
pp. 70-77 ◽  
Author(s):  
Aase Aamland ◽  
Irene Øyeflaten ◽  
Silje Maeland
Keyword(s):  
Focus Group ◽  
Sick Leave ◽  
Controlled Trial ◽  
Perceived Usefulness ◽  
Focus Group Study ◽  
Medical Evaluation ◽  
Independent Medical Evaluation ◽  
Group Interviews ◽  
The Relationship

Background: Norwegian politicians have proposed the use of an independent medical evaluation (IME) as a possible solution for reducing long-term sick leave. The use of an IME implies that a new doctor interferes in the relationship between sick-listed workers and their general practitioner (GP). The aim of the current study was to explore experiences of IME doctors from an ongoing randomized controlled trial (the NIME trial evaluating the effect of IME in Norway). Methods: Two focus group interviews were conducted with eight of the nine IME doctors employed in the NIME trial. The discussions were audio-taped and transcribed. Systematic text condensation was used for analysis. Results: The participants reported that the IME provides important second opinions, which they felt empowered the sick-listed workers and provided new insights into their condition. Beneficial IME working conditions and enhanced insight into different sick leave measures were crucial to this perceived usefulness. Some of the participants expressed disappointment with GPs acting as passive conductors and struggled to provide feedback politely. Some adjustments were proposed as necessary for the IME to be implemented nationwide. Conclusions: The participants seemed to have gained a different stakeholder identity by sometimes seeing GPs, their peers, as obstacles to return to work and welcomed the use of IME on a regular basis.

scholarly journals A qualitative study of the views of residents with dementia, their relatives and staff about work practice in long-term care settings

2005 ◽  
Vol 17 (2) ◽  
pp. 237-251 ◽  
Author(s):  
Georgina Train ◽  
Shirley Nurock ◽  
Ginnette Kitchen ◽  
Monica Manela ◽  
Gill Livingston
Keyword(s):  
Qualitative Study ◽  
Challenging Behavior ◽  
Long Term Care ◽  
Work Practice ◽  
Staff Retention ◽  
Structured Interviews ◽  
Term Care ◽  
Staffing Levels ◽  
People With Dementia

Background: Most people living in 24-hour care settings have dementia, and little is known about what makes long-term care a positive experience for them.Method: This carer-led qualitative study examined working practices in 24-hour long-term care-settings, including hospitals, nursing and residential homes, with the aim of finding out and making recommendations about such settings. Using semi-structured interviews, managers, nurses and care assistants were asked about work practices, such as how they coped with difficult behavior, about shifts, staffing levels, staff retention and training. Relatives of residents with dementia were asked about their role and perceptions of the care provided, and residents were asked for their opinions of their care.Results: Staff reported that residents presented with increasingly challenging behavior compared to the past, and that sometimes staffing levels and skills were inadequate. Of all the settings, hospitals had the most problems with staffing levels and retention, staff-relative relationships and staff support systems. Relatives saw their own role as positive. People with dementia of varying severity could usefully evaluate some of the services they received.Discussion: Dementia-specific training and education of staff in all long-term care-settings, including induction, should address the management of problem behavior in dementia and thereby improve staff fulfilment and relatives' satisfaction. The long-stay hospital may not be appropriate as a “home for life” for those with dementia, and we recommend that long-stay care settings should be able to cater flexibly for a range of resident needs.

scholarly journals Etnická identita Uruguayců

2021 ◽  
Vol 2021 (1) ◽  
pp. 19-47
Author(s):  
Anna Josková ◽  
Keyword(s):  
Field Research ◽  
Structured Interviews ◽  
Focus Group Interviews ◽  
Theoretical Concepts ◽  
Cultural Elements ◽  
Group Interviews ◽  
Long Term Observation ◽  
Homogeneous Culture ◽  
Practical Recommendations

This paper examines Uruguayan society, which, despite its multiethnic origins, has developed a homogeneous culture. The main objective is to define the main cultural elements and describe the attributes of the Uruguayan ethnicity. Based on the analysis of socio-cultural specificities, the thesis provides practical recommendations to facilitate good relations with the Uruguayan nation. These may be particularly useful for business people, potential international students, travelers or other visitors to Uruguay, and others interested in learning about the local people and their culture. The theoretical section explains basic concepts related to identity, ethnicity and nation, and also introduces theoretical concepts and approaches to these ambiguous phenomena. The practical part contains interpreted data from field research conducted by the author in Uruguay in 2018. The research is based on qualitative research methods and consists of two focus group interviews with Uruguayans, four semi-structured interviews with recent immigrants, and long-term observation. The significance of the research is all the more valuable because the findings presented are unique in the field of this previously uncovered topic.

scholarly journals Extent of Integration in Agriculture Supply Chain: The Public Sector Stakeholders perspective

2020 ◽  
Vol 6 (4) ◽  
pp. 1319-1334
Author(s):  
Nadir Munir Hassan ◽  
Muhammad Nauman Abbasi
Keyword(s):  
Supply Chain ◽  
Public Sector ◽  
Supply Chain Integration ◽  
Supply Chain Performance ◽  
Structured Interviews ◽  
The Public ◽  
Agriculture Sector ◽  
Reasonable Evidence ◽  
The Relationship

Purpose: Integrating network factors (i.e. Actors, Activities, and Resources), help organizations in achieving superior supply chain performance. Despite reasonable evidence on positive relationship between SCI and SCP, there exists sufficient contradiction on universal integration of chains. This paper is a qualitative exploratory study, which based on the network perspective intends to explore the current and required levels of supply chain integration among actors, activities, and resources in the agriculture supply chain of Pakistan. Design/Methodology/Approach: The data was collected through in depth semi-structured interviews from public sector stake holders of agriculture sector (i.e. From Thirteen wings of Ministry of Agriculture) across Pakistan. The current and required extent of supply chain integration was measured at three levels, i.e. strategic (long-term), tactical (medium-term) and operational (short-term) as suggested by (Childerhouse & Towill, 2011). Findings: The research results indicate that the relationship between supply chain integration and supply chain performance is a contextual phenomenon and significantly varies among Network factors. This study and its findings are expected to add into the literature of supply chain integration and its impact on supply chain performance.

scholarly journals Professional Footballers’ Association Counselors’ Perceptions of the Role Long-Term Injury Plays in Mental Health Issues Presented by Current and Former Players

2019 ◽  
Vol 13 (3) ◽  
pp. 451-468 ◽  
Author(s):  
Misia Gervis ◽  
Helen Pickford ◽  
Thomas Hau
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Psychological Intervention ◽  
Football Players ◽  
Psychological Consequences ◽  
Health Issues ◽  
Structured Interviews ◽  
Mental Health Issues ◽  
The Relationship

The purpose of this study was to investigate counselors’ professional understanding of the long-term psychological consequences of injury in UK football players. Semi-structured interviews were conducted with 11 counselors who were registered to work for the Professional Footballers’ Association (PFA). The interviews examined the counselors’ perception of the relationship between long-term injury and presenting mental health issues, the antecedents to those mental health issues, and recommendations for psychological intervention following injury. The critical finding was the mental health problems regularly presented to PFA counselors were often the psychological and behavioral consequences of long-term injury. Counselors recommended that early and sustained psychological intervention with long-term injured players would act as a preventative measure against future mental health issues.

scholarly journals A qualitative evaluation of an NHS Weight Management Programme for obese patients in Liverpool

2014 ◽  
Vol 44 (2) ◽  
pp. 144-155 ◽  
Author(s):  
Richard Webb ◽  
Ian Davies ◽  
Brian Johnson ◽  
Julie Abayomi
Keyword(s):  
Focus Groups ◽  
Weight Management ◽  
Healthcare Professionals ◽  
Qualitative Evaluation ◽  
Lifestyle Changes ◽  
Management Programme ◽  
Content Type ◽  
Weight Management Programme ◽  
Programme Content

Purpose – The increasing prevalence of obesity in the UK has been of concern for some time. This is particularly true in Liverpool and in response the Liverpool Weight Management Programme (LWMP) was devised. It offers a service involving dietitians and other expert agencies working towards facilitating dietary and lifestyle changes in obese NHS patients in Liverpool via a 12-week education programme. This qualitative study aims to investigate patients' experiences of the LWMP. Design/methodology/approach – Informed volunteers participated in focus groups exploring their experiences following the programme. Focus groups were audio recorded and transcribed verbatim, then analysed following a thematic approach utilising constant comparison analysis to allow a qualitative view of the LWMP to be formed. Findings – Participants described an increase in immediate self-confidence during the LWMP, as opposed to coercion and pressure experienced elsewhere. The results also show the implementation of dietary changes by participants and favourable opinions towards both the group settings and patient-centred care. Participants also positively described the LWMP regarding the programmes social approach and aspects of programme content; however, there were issues with over-dependence on healthcare professionals. Healthcare professionals also need to recognise that long-term empowerment may still be lacking and that follow-up support and the effectiveness of some areas of programme content need to be considered to ensure patients benefit from sustainable weight management. Originality/value – This paper addresses an identified need for qualitative research in the area of health service weight management programmes and highlights the importance of long-term support in empowering patients by exploring their lived experience of the LWMP.

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