Successes and Challenges of Implementing Telehealth for Diverse Patient Populations: Attending to Prenatal Care during COVID-19 (Preprint)

2021 ◽  
Author(s):  
Ruth Farrell ◽  
Christina Collart ◽  
Caitlin Craighead ◽  
Madelyn Pierce ◽  
Edward Chien ◽  
...  
Keyword(s):  
Prenatal Care ◽  
Qualitative Methods ◽  
Healthcare Delivery ◽  
Healthcare Systems ◽  
Care Needs ◽  
Interview Guide ◽  
Patient Groups ◽  
Successes And Challenges ◽  
Depth Interviews ◽  
Rapid Conversion

BACKGROUND While telehealth appears to have been accepted among some obstetric populations before the pandemic, patients’ receptivity and experience with the rapid conversion of this mode of healthcare delivery is unknown. In this study, we examine patients' prenatal care needs, preferences, and experiences during the COVID-19 pandemic. OBJECTIVE To examine patients' prenatal care needs, preferences, and experiences during the COVID-19 pandemic, with the aim of supporting the development of successful models to serve the needs of pregnant patients, obstetric providers, and healthcare systems during this time. METHODS This study involved qualitative methods to explore pregnant patients’ experiences with prenatal healthcare delivery at the onset of the COVID-19 pandemic. We conducted in-depth interviews with pregnant patients in the 1st and 2nd trimester of pregnancy who received prenatal care in Cleveland, Ohio from May to July 2020. An interview guide probed experiences with healthcare delivery as it rapidly evolved at the onset of the pandemic. RESULTS While advantages of telehealth were noted, there were several concerns noted with the broad implementation of telehealth for prenatal care during the pandemic. This included concerns about monitoring the pregnancy at home, the need for additional reassurance for the pregnancy given the uncertainties presented by the pandemic, and the ability to have effective patient-provider discussions via a telehealth visit. The need to tailor telehealth to prenatal healthcare delivery was noted. CONCLUSIONS Although previous studies have demonstrated telehealth is a flexible and convenient alternative for some prenatal appointments, our study suggests that there may be specific needs and concerns among the diverse patient groups using this modality during the pandemic. More research is needed to understand patients' experiences with telehealth during the pandemic and develop approaches that are responsive to the needs and preferences of patients.

Exploring Modes, Strategies, and Psychosocial Consequences of Cyberbullying Perpetration and Victimization Among University Students

2020 ◽  
Vol 34 (4) ◽  
pp. 787-817 ◽  
Author(s):  
Hira Kanwal ◽  
Humaira Jami
Keyword(s):  
University Students ◽  
Social Networking Sites ◽  
Psychological Impact ◽  
Social Consequences ◽  
Cyber Victimization ◽  
Psychological Consequences ◽  
Negative Consequences ◽  
Psychosocial Consequences ◽  
Interview Guide ◽  
Depth Interviews

The purpose of the study was to explore modes, strategies, and consequences of cyberbullying perpetration and victimization among university students. In-depth interviews of 14 volunteer university students (8 male and 6 female) were conducted who volunteered to participate in the study in which 10 participants were “cybervictims” whereas 4 were “cyberbully-victim”. Interview guide was used for conducting unstructured interviews. Thematic analysis of the interviews revealed different experiences in cyberspace with respect to gender and role (cybervictim and cyberbully-victim) in experiencing cyberbullying and cyber-victimization. Three themes emerged that is psychological consequences (emotional, behavioral, and cognitive), social consequences (family and peers), and change in lifestyle (online, offline, and academic). Facebook was found to be the most prevalent mode of cyberbullying. The cyberbully-victim participants derived more happiness while bullying and had revengeful attitude; whereas, cybervictims experienced more depression, increased family surveillance, social isolation, and became aware of negative consequences of social networking sites, became more vigilant and conscious in cyberspace. Moreover, the consequences reported by cyberbully-victim were distrust on security settings, low academic achievement, and their peers learnt from their cyberspace experience. Perception of cyber-victimization was different across gender and its psychological impact was more pronounced for girls than boys. The results and implications were discussed in Pakistani context.

Barriers to Female Condom Use among Undergraduate Health Science Students

2020 ◽  
Vol 22 (1) ◽  
Author(s):  
Bongekile T. Dlamini ◽  
Mduduzi Colani Shongwe
Keyword(s):  
Undergraduate Students ◽  
Female Condom ◽  
Sexual Pleasure ◽  
Health Science ◽  
Science Students ◽  
Tertiary Institution ◽  
Health Science Students ◽  
Inadequate Knowledge ◽  
Interview Guide ◽  
Depth Interviews

The female condom (FC), also known as the femidom, has been on the market since 1993, however, its use remains limited in many parts of southern Africa, including in Eswatini (formerly Swaziland). There is a dearth of literature on the reasons for the limited use of the FC, especially from the perspective of health science students who would otherwise be expected to be knowledgeable about and have favourable attitudes to it. The aim of this study was to explore and describe the barriers to FC use among undergraduate health science students at a selected tertiary institution in Eswatini. A qualitative, exploratory descriptive study was conducted among nine conveniently sampled, unmarried undergraduate students at a selected tertiary institution in the Hhohho region in Mbabane, Eswatini. Responses to an unstructured interview guide, using in-depth interviews were analysed thematically following Creswell’s steps of qualitative data analysis. Five themes emerged from the data: (1) inadequate knowledge about the FC, (2) the FC hinders sexual pleasure, (3) insertion of the FC is time-consuming and uncomfortable, (4) the FC is bigger than the vagina, and (5) fear of being labelled “promiscuous”. Generally, the participants stated that they did not use the FC because of societal myths. Therefore, there is a need to strengthen health education campaigns for the femidom to clear the myths and misconceptions that limit its use.

The Science and Art of Interviewing

2020 ◽  
Author(s):  
Kathleen Gerson ◽  
Sarah Damaske
Keyword(s):  
Social Research ◽  
Research Question ◽  
Research Process ◽  
Social Contexts ◽  
Science And Art ◽  
The Social ◽  
Interview Guide ◽  
Hidden Patterns ◽  
User Friendly ◽  
Depth Interviews

Qualitative interviewing is one of the most widely used methods in social research, but it is arguably the least well understood. To address that gap, this book offers a theoretically rigorous, empirically rich, and user-friendly set of strategies for conceiving and conducting interview-based research. Much more than a how-to manual, the book shows why depth interviewing is an indispensable method for discovering and explaining the social world—shedding light on the hidden patterns and dynamics that take place within institutions, social contexts, relationships, and individual experiences. It offers a step-by-step guide through every stage in the research process, from initially formulating a question to developing arguments and presenting the results. To do this, the book shows how to develop a research question, decide on and find an appropriate sample, construct an interview guide, conduct probing and theoretically focused interviews, and systematically analyze the complex material that depth interviews provide—all in the service of finding and presenting important new empirical discoveries and theoretical insights. The book also lays out the ever-present but rarely discussed challenges that interviewers routinely encounter and then presents grounded, thoughtful ways to respond to them. By addressing the most heated debates about the scientific status of qualitative methods, the book demonstrates how depth interviewing makes unique and essential contributions to the research enterprise. With an emphasis on the integral relationship between carefully crafted research and theory building, the book offers a compelling vision for what the “interviewing imagination” can and should be.

scholarly journals Big Data Analytics in Healthcare

2015 ◽  
Vol 2015 ◽  
pp. 1-16 ◽  
Author(s):  
Ashwin Belle ◽  
Raghuram Thiagarajan ◽  
S. M. Reza Soroushmehr ◽  
Fatemeh Navidi ◽  
Daniel A. Beard ◽  
...  
Keyword(s):  
Big Data ◽  
Data Analytics ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Big Data Analytics ◽  
Healthcare Systems ◽  
Medical Data ◽  
Unstructured Data ◽  
Process Of Care ◽  
Multimodal Data

The rapidly expanding field of big data analytics has started to play a pivotal role in the evolution of healthcare practices and research. It has provided tools to accumulate, manage, analyze, and assimilate large volumes of disparate, structured, and unstructured data produced by current healthcare systems. Big data analytics has been recently applied towards aiding the process of care delivery and disease exploration. However, the adoption rate and research development in this space is still hindered by some fundamental problems inherent within the big data paradigm. In this paper, we discuss some of these major challenges with a focus on three upcoming and promising areas of medical research: image, signal, and genomics based analytics. Recent research which targets utilization of large volumes of medical data while combining multimodal data from disparate sources is discussed. Potential areas of research within this field which have the ability to provide meaningful impact on healthcare delivery are also examined.

Pengembangan Produk Baru dengan menggunakan Means-End Chain Theory : Kasus Water+

2020 ◽  
Vol 2 (2) ◽  
pp. 315-354
Author(s):  
Aldinata Windharta ◽  
◽  
Andre Christian Efendy, ◽  
Daniel Christian ◽  
M. Rashid Damahuri ◽  
...  
Keyword(s):  
Qualitative Methods ◽  
Urban Communities ◽  
Mineral Water ◽  
Research Result ◽  
Chain Theory ◽  
Urban People ◽  
Depth Interviews ◽  
Bottled Mineral Water

The author aims to find out about urban people needs in bottled mineral water. The author uses the Means-End-Chain method which is commonly used to find what attributes are needed by consumers of a product or service. This research uses qualitative methods with in-depth interviews to answer the question of what content is most expected of urban communities in bottled mineral water. There are three factors that we examine, namely attributes, consequences, and values. By understanding the means end chain from our sample, we hope that related party can develop a product from our research result.

The Partnership between Traditional Birth Attendance (TBA) and Midwives in Childbirth Assistance: A Qualitative Study in East Manggarai Regency

2016 ◽  
pp. 27
Author(s):  
Fransiska Nova Nanur ◽  
N.P Widarini ◽  
Mangku Karmaya
Keyword(s):  
Qualitative Research ◽  
Thematic Analysis ◽  
Health Personnel ◽  
Traditional Healers ◽  
Community Leaders ◽  
Religious Leaders ◽  
Economic Problems ◽  
Birth Attendance ◽  
Interview Guide ◽  
Depth Interviews

Background and purpose: Partnership between traditional birth attandence (TBA) and midwives is one of the strategies to increase the coverage of childbirth assistance by the health personnel. This partnership seems to be ineffective as still there were TBA performed childbirth assistance. The study aims to find out about the overview and obstacles in the implementation of the partnership between TBA and midwives in the East Manggarai Regency.Methods: The qualitative research with in-depth interviews using open interview guide was conducted on 15 participants who were selected purposively, consisted of two village midwives, five TBAs who partnered with midwives, three TBAs who are not partnered with a midwife, and two participants of community leaders, the religious leaders, the two puerperal women and one policy maker. Data were analyzed by using thematic analysis approach.Results: The results showed that the facilities and supporting infrastructure of partnership were inadequate, funds provided were not enough to finance the implementation of the partnership, there were no regular meetings between the midwives and the traditional healers, coordination was done merely incidental. The division of roles in the treatment of childbirth was clear, but many obstacles were found, namely transportation barriers, economic problems and there were traditional healers who did not want to partner.Conclusion: The overview of partnership between the traditional healers and midwives in childbirth assistance has not gone well and there were still many obstacles found both internally and externally. To optimize this program, sufficient funds should be allocated, transportation should be improved and counseling should be provided to the community to raise awareness of the importance of childbirth assistance by the health personnel.

scholarly journals Empowering Health Care Professionals: An Interprofessional Education Model Implementation and Evaluation

2019 ◽  
Author(s):  
Jessica Shank Coviello
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Interprofessional Education ◽  
Healthcare Professionals ◽  
The United States ◽  
Healthcare Systems ◽  
World Health ◽  
Institute Of Medicine ◽  
Care Needs ◽  
Ensure Patient Safety

In 2016, the Institute of Medicine (IOM) reported medical error as the 3rd leading cause of death in healthcare systems in the United States. Effective communication of patient care needs across healthcare disciplines is critical to ensure patient safety, quality of care, and to improve operational efficiencies in healthcare systems. Ineffective collaboration and communication among healthcare professionals within the procedural areas increases the potential of harm as a patient moves from one healthcare professional to another. Health care systems are thus encouraged to train employees with a focus on interprofessional education (IPE) and collaborative practice. IOM and World Health Organization (WHO) recommend the use of IPE to help improve communication and collaboration. However the current educational structure in many institutions does not include IPE. As such, healthcare professionals work in silos, with little or no collaboration with one another, which may result in service duplication, increased service cost, and poor health outcomes for patients.

scholarly journals Harmonization in Multicultural Community Life

2022 ◽  
Vol 05 (01) ◽  
Author(s):  
Ni Wayan Sukarini ◽  
Keyword(s):  
Qualitative Methods ◽  
Ethnic Differences ◽  
Community Organization ◽  
Community Life ◽  
Multicultural Society ◽  
Cultural Approach ◽  
Village Community ◽  
Multicultural Community ◽  
The Republic ◽  
Depth Interviews

This study aims to define the interaction and tolerance of Hindus and Muslims in the life of a multicultural society. A socio-cultural approach related to local wisdom is used in this study. The application of qualitative methods with observation and in-depth interviews was used as a means of collecting data and information. Theories about multiculturalism were used to analyze the data. Azra (2007) states that multiculturalism is an understanding of life that puts forward togetherness on the principle of difference, whether religious, political, or ethnic differences. This study found that community life in Serangan Village, South Denpasar District, which consists of six banjars (village community organization) namely Banjar Ponjok, Banjar Tengah, Banjar Kaja, Banjar Peken, Banjar Kawan, and Banjar Dukuh, and an environment called Kampung Bugis Environment goes hand in hand in harmonious situation and condition. This research is expected to strengthen the understanding of multiculturalism for Indonesians who comes from hundreds of ethnicities with multi-variety languages, cultures, customs, traditions, and beliefs. The results of the research are also expected to have contributed to increasing the sense and value of nationalism towards the nation and the Unitary State of the Republic of Indonesia.

scholarly journals Strategi Pembina Galanggang Lubuk Aro dalam Pembinaan Keagamaan Islam Remaja

2021 ◽  
Vol 2 (1) ◽  
pp. 44-54
Author(s):  
Ilman Suhdi ◽  
Murniyetti Murniyetti
Keyword(s):  
Qualitative Methods ◽  
Field Research ◽  
Sampling Technique ◽  
Research Data ◽  
Religious Development ◽  
Purposive Sampling ◽  
Teenage Girls ◽  
Religious Issues ◽  
Islamic Religion ◽  
Depth Interviews

This study aims to determine the Strategy of Guiding Troubled in Islamic Religious Guidance for Teenagers in North Padang Mantinggi Village, Rao District, Pasaman Regency. This research is a type of field research using qualitative methods. Sources of data were taken from three informants consisting of coaches of trouble, five parents of teenagers, and fifteen members of teenagers using purposive sampling technique. Research data were taken through in-depth interviews with all informants. The results showed that the Guidance Strategy for Guidance in Islamic religious development for adolescents in Padang Mantinggi Utara Village, Rao District, Pasaman Regency, was by carrying out positive activities favored by teenagers, such as soccer and pencak silat training for teenage boys, marawis training. or tambourine and rhythm training for teenage girls. So that with positive activities it will be easier to direct teenagers to explore religious issues by participating in regular recitations in the hope that teenagers can have better knowledge of the Islamic religion

scholarly journals Domiciliary Care Providers Views on Provision of Palliative Care for their Cancer Patients

2018 ◽  
Vol 4 (1) ◽  
pp. 1-7
Author(s):  
Meegoda MKDL ◽  
Fernando DMS ◽  
Sivayogan S ◽  
Atulomah NOS ◽  
Marasinghe RB
Keyword(s):  
Palliative Care ◽  
Sri Lanka ◽  
Cancer Patients ◽  
Family Care ◽  
Sampling Technique ◽  
Target Population ◽  
Care Providers ◽  
Care Needs ◽  
Domiciliary Care ◽  
Depth Interviews

A qualitative study was conducted to describe views and life experiences of domiciliary care providers in meeting the palliative care needs of adult cancer patients at the National Cancer Institute, Maharagama, Sri Lanka. The target population for this study was Domiciliary Care Providers (DCPs) who were the family care givers of patients at National Institute of Cancer, Maharagam (NICM), Cancer Home (CH), Maharagama, Shantha Sevana Hospice (SSH) and Ceylinco Oncology Unit (COU), Colombo, Sri-Lanka. Purposive sampling technique was used to select participants for the study. In-depth interviews were conducted using validated semi-structured interviewer guide. Data saturation was reached after 15 in-depth interviews with DCPs. Trustworthiness of the study was maintained. Phenomenological-hermeneutic approach was followed to analyze qualitative data and thematic analysis was performed. Data analysis was done concurrently with data gathering. Being reassured, having more expectations, need psychosocial help and inadequate knowledge were the key themes identified. They expect knowledge improvement to provide better care. As patients’ level of satisfaction on domiciliary care provided by DCPs was high, improving their knowledge on palliative care may be a cost effective method of improving palliative care.

Sign in / Sign up

Export Citation Format

Share Document