scholarly journals The Development of Supervisory Functions as Experienced by Attending Physicians and Medical Trainees: A Qualitative Directed Content Analysis

2021 ◽  
Vol 7 (4) ◽  

Objectives: this study aimed to identify the core components of supervisory functions experienced by attending physicians and medical trainees. Methods: This qualitative study was conducted based on the directed content analysis. Intentional sampling with maximum variation was used to select the required participants among medical trainees and attending physicians in teaching hospitals at Shahid Beheshti and Hamadan University of Medical Sciences, Iran. A semi-structured interview was used as the most important method of data collection in this study. Data saturation was reached after interviewing 20 participants. Results: In this study, 11 categories were identified through performing the interviews. Management supervision includes Academic Discipline and Monitor and follows the implementation of the curriculum. The themes of educational supervision were as follows: Empowering of non-faculty educators, Control over trainees' academic achievement, Supervision of trainees' performance, and Activities’ educators of evaluation Supportive supervision included improving trainees’ resilience, Provide functional support and Diversity and condition of providing support services. As well, the fourth theme from the participants’ initial codes was observed to be professionalism, including Professional accountability and Respect for patient rights. Conclusions: This study highlighted the important aspects for which clinical supervision functions need to be improved, to maximize their benefit to medical students. Supervisors are responsible to ensure these three functions occur across the course. Care must be taken to ensure that one function does not become the focus.

Author(s):  
Eke Kalu Oyeoku ◽  
Verlumun Celestine Gever ◽  
Nkem Fortunes Alu ◽  
Eke N Ukpai ◽  
Chizoba Obikwelu ◽  
...  

Abstract This study examined media framing of internally displaced persons (IDPs) of the conflict between farmers and herdsmen in Nigeria. In doing so, particular attention was paid to source, frames, language, and solution suggested. The researchers adopted a mixed method of content analysis and structured interview. Therefore, a total of 279 newspaper stories, 161 TV stories, and 47 radio stories were examined for duration of 4 years. Also, a total of 20 journalists were interviewed for the study. In the area of theory, the study used framing theory to ground the study. Data from content analysis of the news frames were handled statistically, while descriptive and inferential statistics were used only as tools for organizing, summarizing, and presenting the empirical data. Data from oral interviews were handled using thematic analysis. Result showed that the framing of IDPs differs across the different media examined.


2021 ◽  
Vol 7 (2) ◽  
Author(s):  
Masoumeh Seidi ◽  
Soleiman Ahmady

Objective: Attending physicians must holistically consider medical trainees. The quality control aspects of clinical practices and skills development as well as increase in trainees’ knowledge and alleviated stress. Current clinical supervision does not meet the needs of trainees. This study aimed to identify the components of functions of clinical supervision in (UGM). The process of the literature review was implemented in five phases following the method developed by Carnwell and Daly. The scope of the review was limited to clinical supervision of medical trainees and the functions of clinical supervision models. Methods: Using the keywords in combination and separately, were searched in the databases of PubMed, ERIC, Scopus, and WOS from 1970 to 2019. Results: A total number of 49 documents (Policy /Guideline/ Standard) and 19 articles (functions of clinical supervision) were obtained. Conclusion: To make efforts to empower attending physicians in the clinical supervision functions and these functions be simultaneously applied for trainees supervision.


2021 ◽  
Vol 11 (2) ◽  
pp. 186-193
Author(s):  
Zahra Aliakbarzadeh Arani ◽  
Nasibeh Zanjari ◽  
Ahmad Delbari ◽  
Mahshid Foroughan ◽  
Gholamreza Ghaedamini Harouni

Background: Place attachment is the emotional bond between individuals and environment, which seems to increase wellbeing in old age. The purpose of this study was to explore the concept of place attachment from older adults’ perspective. Methods: In this qualitative study, a total of 14 older adults were purposively included in Aran and Bidgool city, Isfahan, Iran. The data were collected using a semi-structured interview and analyzed applying a directed content analysis approach. Results: As participants reported, place attachment meant intensive love, pride, dependency, and familiarity with the environment. Socio-economic attachment was identified as the most prevalent dimension of place attachment, followed by affective, physical, autobiographical, and religious-cultural attachment. Conclusion: Our findings provided a new understanding of place attachment in the context of Iran. The concept of place attachment was identified with a multidimensional nature from Iranian older adults’ perspective. Such a multidimensionality of place attachment should be considered while planning for age-friendly cities or the operationalization of the subject of aging in place, particularly in the developing societies, like Iran.


2019 ◽  
Vol 6 ◽  
pp. 32-41
Author(s):  
Keshav Raj Dhakal

Geography has the feature of being a science by examining the relationship of human and nature. Geography occupies very important role in school education. In secondary level education within Nepal there is a provision of selection of geography as an optional subject. This paper examines the perception and experiences about geography as an academic discipline from the teacher of secondary levels. Qualitative research method is used in this study and the semi structured interview method is applied. A semi structured interview guideline is applied for the participant in this study. Data are categorized into seven different groups and the analysis is carried out through the interpretations. The Research findings are discussed in relation to the theme and some recommendations have been given. This article provides useful information on the topic of perceptions and experiences of geography teachers on geography teaching in secondary school of Nepal.


2018 ◽  
Vol 12 (11) ◽  
pp. 2944 ◽  
Author(s):  
Jéssica Machado Dantas ◽  
Helder Camilo Leite ◽  
Danielle Lemos Querido ◽  
Ana Paula Vieira dos santos Esteves ◽  
Viviane Saraiva De Almeida ◽  
...  

RESUMO Objetivo: averiguar a percepção das mães usuárias do Método Canguru sobre a sua aplicabilidade em uma Unidade Neonatal. Método: trata-se de um estudo qualitativo, descritivo. Realizou-se a coleta de dados por meio de entrevista semiestruturada com 11 mães, realizada 24 horas antes da alta hospitalar. Optou-se na análise e no tratamento das informações, pela técnica da Análise de Conteúdo na modalidade Análise Temática. Resultados: mostrou-se que as mães compreendem o valor do método para a recuperação de seus filhos e que os dilemas e as dificuldades particulares podem comprometer e até impedir a sua participação no programa. Considera-se assim, o apoio da equipe de saúde é fundamental para que a mãe consiga atuar no Método Canguru. Conclusão: concluiu-se que, para a compreensão das mães acerca do seu papel no cuidado e na recuperação do seu filho, são imprescindíveis mudanças no olhar e na postura da equipe multiprofissional de saúde, pois essas mães devem ser orientadas com vistas a atuar como coparticipantes no cuidado ao recém-nascido. Descritores: Método Canguru; Compreensão; Humanização da Assistência; Enfermagem Neonatal; Entrevista; Recém-Nascido Prematuro.ABSTRACT Objective: to investigate the perception of mothers using the Kangaroo Method on their applicability in a Neonatal Unit. Method: this is a qualitative, descriptive study. Data were collected through a semi-structured interview with 11 mothers, performed 24 hours before discharge. We opted for the analysis and treatment of information, through the technique of Content Analysis in the Thematic Analysis modality. Results: it was shown that mothers understand the value of the method for the recovery of their children and that dilemmas and particular difficulties can compromise and even prevent their participation in the program. Thus, the support of the health team is fundamental for the mother to be able to act on the Kangaroo Method. Conclusion: it was concluded that, in order to understand the mothers about their role in the care and recovery of their child, changes in the look and posture of the multiprofessional health team are essential, since these mothers should be oriented in order to act as coparticipants in the care of the newborn. Descriptors: Kangaroo-Mother Care Method; Comprehension; Humanization of Assistance; Neonatal Nursing; Interview; Infant; Premature.RESUMEN Objetivo: se debe determinar la percepción de las madres usuarias del Método Canguro sobre su aplicabilidad en una Unidad Neonatal. Método: se trata de un estudio cualitativo, descriptivo. Se realizó la recolección de datos por medio de entrevista semiestructurada con 11 madres, realizada 24 horas antes del alta hospitalaria. Se optó en el análisis y en el tratamiento de las informaciones, por la técnica del Análisis de Contenido en la modalidad Análisis Temático. Resultados: se mostró que las madres comprenden el valor del método para la recuperación de sus hijos y que los dilemas y las dificultades particulares pueden comprometer e incluso impedir su participación en el programa. Se considera así, que el apoyo del equipo de salud es fundamental para que la madre pueda actuar en el Método Canguro. Conclusión: se concluyó que para la comprensión de las madres acerca de su papel en el cuidado y en la recuperación de su hijo, son imprescindibles cambios en la mirada y en la postura del equipo multiprofesional de salud, pues estas madres deben ser orientadas con vistas a actuar como coparticipantes en el cuidado al recién nacido. Descriptores: Método Madre-Canguro; Comprensión; Humanización de la Atención; Enfermería Neonatal; Entrevista; Recien Nacido Prematuro.


2019 ◽  
Vol 21 (2) ◽  
Author(s):  
Joan C Cheruiyot ◽  
Petra Brysiewicz

This study explores and describes caring and uncaring nursing encounters from the perspective of the patients admitted to inpatient rehabilitation settings in South Africa. The researchers used an exploratory descriptive design. A semi-structured interview guide was used to collect data through individual interviews with 17 rehabilitation patients. Content analysis allowed for the analysis of textual data. Five categories of nursing encounters emerged from the analysis: noticing and acting, and being there for you emerged as categories of caring nursing encounters, and being ignored, being a burden, and deliberate punishment emerged as categories of uncaring nursing encounters. Caring nursing encounters make patients feel important and that they are not alone in the rehabilitation journey, while uncaring nursing encounters makes the patients feel unimportant and troublesome to the nurses. Caring nursing encounters give nurses an opportunity to notice and acknowledge the existence of vulnerability in the patients and encourage them to be present at that moment, leading to empowerment. Uncaring nursing encounters result in patients feeling devalued and depersonalised, leading to discouragement. It is recommended that nurses strive to develop personal relationships that promote successful nursing encounters. Further, nurses must strive to minimise the patients’ feelings of guilt and suffering, and to make use of tools, for example the self-perceived scale, to measure this. Nurses must also perform role plays on how to handle difficult patients such as confused, demanding and rude patients in the rehabilitation settings.


2020 ◽  
Author(s):  
MariaGabriela Uribe Guajardo ◽  
Andrew James Baillie ◽  
Eva Louie ◽  
Vicki Giannopoulos ◽  
Katie Wood ◽  
...  

Abstract (250 words)In substance use treatment settings, there is a high prevalence of comorbid mental health problems. Yet an integrated approach for managing comorbidity, implementation of evidence-based intervention in drug and alcohol settings remains problematic. Technology can help the adoption of evidence-based practice and successfully implement effective treatment health care pathways. This study sought to examine aspects of electronic resources utilisation (barriers and facilitators) by clinicians participating in the PCC training. MethodA self-report questionnaire and a semi-structured interview was designed to measure overall satisfaction with the PCC portal and e-resources available throughout the 9-month intervention for participating clinicians. An adapted version of the ‘Non-adoption, Abandonment, Scale-up, Spread and, Sustainability’ (NASSS) framework was used to facilitate discussion in regards to the study findings. ResultsA total of 20 clinicians from drug and alcohol services responded to all the measures. Facilitators of portal use included: i. clinician acceptance of the PCC portal; ii. guidance from the clinical supervisor or clinical champion that encouraged the use of e-resources. Some of the barriers included: i. complexity of the illness (condition), ii. clinicians’ preference (adopter system) for face-to-face resources and training modes (e.g. clinical supervision, clinical champion workshops), and iii. lack of face-to-face training on how to use the portal (technology and organisation).ConclusionBased on the NASSS framework, we were able to identify several barriers and facilitators including such as the complexity of the illness, lack of face-to-face training and clinician preference for training mediums. Recommendations include ongoing consultation of clinicians to assist in the development of tailored e-health resources and offering in-house training on how to operate and effectively utilise these resources.


2020 ◽  
Vol 41 (S1) ◽  
pp. s346-s348
Author(s):  
Katharina Rynkiewich ◽  
David Schwartz ◽  
Sarah Won ◽  
Brad Stoner

Background: Two affiliated teaching hospitals in Chicago, Illinois, participated in an ethnographic study of hospital-based inpatient antimicrobial stewardship programs and interventions between 2017 and 2018. Although antimicrobial stewardship is now a requirement in medical practice, it is not clear how infectious disease physicians perceive and understand antimicrobial stewardship. Over a period of 18 months, we directly observed infectious disease practice to better understand how antimicrobial stewardship is conducted among physicians within the same specialty. Methods: A doctoral candidate medical anthropologist conducted semistructured interviews with infectious disease attending physicians and fellow physicians (N = 18) at 2 affiliated teaching hospitals in Chicago, IL, between July 2017 and March 2018 as part of an ethnographic study involving direct observation of inpatient care. Interview questions focused on 3 key domains: (1) descriptions of antimicrobial use among hospital-based physicians, (2) solicited definitions of antimicrobial stewardship, and (3) experiences practicing as an infectious disease consultant. Physicians who were directly involved with the antimicrobial stewardship program were excluded from this analysis. Transcriptions of the data were analyzed using thematic coding aided by MAXQDA qualitative analysis software. Results: Infectious disease physicians have a robust understanding of antimicrobial stewardship (Table 1). Infectious disease physicians described other hospital-based physicians as regularly overusing and misusing antimicrobials, compared with their practice, which they described as “thoughtful.” Definitions in response to the question “What is antimicrobial stewardship?” centered on guiding the prescribing behavior of others. Infectious disease physicians valued stewardship and were concerned with lack of adherence to antimicrobial prescribing recommendations among other hospital-based physicians, behaviors which infectious disease physicians viewed as perpetuating antibiotic resistance. Finally, infectious disease physicians found serving as antimicrobial stewards during their everyday practice to be challenging based on their role as consultants to the primary service. Conclusions: Our qualitative analysis revealed that infectious disease physicians not regularly involved in antimicrobial stewardship are highly motivated stewards who perceive their hospital-based colleagues to be less effective at appropriately prescribing antimicrobials. As consultants, infectious disease physicians are not autonomous decision makers. However, as antimicrobial stewardship programs search for champions, infectious disease physicians could be better utilized as knowledgeable and motivated individuals who can make the case for stewardship.Funding: NoneDisclosures: None


Sign in / Sign up

Export Citation Format

Share Document