Strategies for mitigating burnout among early career doctors in Nigeria: lessons learnt from the qualitative CHARTING study

2020 ◽  
Vol 3 (1) ◽  
pp. 97-103 ◽  
Author(s):  
Oladimeji Adebayo ◽  
Kehinde Kanmodi ◽  
Olusegun Olaopa ◽  
Omotayo Francis Fagbule ◽  
Iyanu Adufe ◽  
...  

AbstractBackgroundEarly career doctors (ECDs) are faced with many challenges due to their transition from undergraduate medical/dental studentship to being postgraduate doctors and being in an early phase of their career. The specific factors that affect ECDs in their careers and endeavors at the workplace range from poor remuneration, particularly in developing countries, to psychosocial problems (such as burnout [BO] syndrome). There is a dearth of information on BO among ECDs in Nigeria. This qualitative study aims to explore the opinions of ECDs in Nigeria on the causal/predisposing factors of BO, effects of BO, and strategies for mitigating BO among ECDs in Nigeria.MethodUsing purposive sampling method, two sessions of focus group discussions (FGDs) involving 14 ECDs (key informants) holding key leadership positions and who were delegates of other ECDs in Nigeria were conducted to explore their experiences on psychological issues among ECDs. Data collected were transcribed and analyzed thematically.ResultsBO is an issue of serious concern among ECDs in Nigeria. The causes of BO are diverse, some of which include low staff strength, prolonged work hours, wrong counseling, lack of job description and specification, and abuse of powers by trainers. In order to mitigate the issue of BO among ECDs, the respondents recommended that work policy review, medical workforce strengthening, stakeholder dialog on ECDs’ welfare, regular psychological review of ECDs, and provision of free yearly medicals need to be looked into. Conclusion: Our findings revealed that the participants considered BO issues among ECDs to be common, and it affected their performance and the overall quality of care in Nigeria health system. Based on our findings, there is an urgent need to mitigate the problem of emotional exhaustion among ECDs in Nigeria.

2021 ◽  
Author(s):  
Iris Backfisch ◽  
Andreas Lachner ◽  
Kathleen Stürmer ◽  
Katharina Scheiter

Technology integration in the classroom is seen as a crucial factor to enhance teaching and learning processes. Whether and how technology affects student learning, depends on how teachers integrate technology into their classroom practice. To investigate technology integration, we used an experience sampling method with in-service teachers (N = 18). Over a period of six weeks, we assessed teachers’ technology integration and technology-related motivation. By using a mixed-method approach, we found considerable variability of teacher motivation, frequency, and quality of technology integration across lessons. The variability could be explained by teachers’ technology-related utility beliefs and specific factors within the different instructional contexts. The findings highlight the importance of teachers’ utility and contextual aspects in their technology integration.


JMS SKIMS ◽  
2017 ◽  
Vol 20 (2) ◽  
pp. 90-95
Author(s):  
Noorul Amin

Background: The present age is the age of stress. Everybody is disturbed due to one or the other reason irrespective of their age. However, adolescents are more prone to psychological and sociological disturbances.Objectives:To assess the psychosocial problems in adolescents.Methods: The study was conducted in selected schools of urban and rural areas taking 100 participants each for boys and girls using convenient sampling method. The tool used was youth self report. The data collected was analyzed using appropriate statistical methods.Results: The study revealed that 48.5% adolescents were well adjusted; 47% were having mild psychosocial problems; 4% had moderate psychosocial problems and 0.5% had severe psychosocial problems.Conclusion: Adolescents irrespective of their living places had varying degrees of psychosocial problems. JMS 2017; 20 (2):90-95


2005 ◽  
Vol 55 (2) ◽  
pp. 201-221 ◽  
Author(s):  
Andrea Szalavetz

This paper discusses the relation between the quality and quantity indicators of physical capital and modernisation. While international academic literature emphasises the role of intangible factors enabling technology generation and absorption rather than that of physical capital accumulation, this paper argues that the quantity and quality of physical capital are important modernisation factors, particularly in the case of small, undercapitalised countries that recently integrated into the world economy. The paper shows that in Hungary, as opposed to developed countries, the technological upgrading of capital assets was not necessarily accompanied by the upgrading of human capital i.e. the thesis of capital skill complementarity did not apply to the first decade of transformation and capital accumulation in Hungary. Finally, the paper shows that there are large differences between the average technological levels of individual industries. The dualism of the Hungarian economy, which is also manifest in terms of differences in the size of individual industries' technological gaps, is a disadvantage from the point of view of competitiveness. The increasing differences in the size of the technological gaps can be explained not only with industry-specific factors, but also with the weakness of technology and regional development policies, as well as with institutional deficiencies.


2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Binti Mutafarida

The development of sharia banking in Indonesia very rapidly grow up preceded by Bank Muamalat Indonesia and in 2013 ranked as the bank with the highest loyalty and the best among other sharia banking nationally. Bank Muamalat Indonesia branch of Madiun is one of the first branch in Madiun and currently has many competitors from other sharia banking. Based on this background, in this study take what factors affect the size of customer loyalty Bank Muamalat Indonesia branch of Madiun. Based on the result of research, it is found that the level of loyalty of customer of Bank Muamalat of Madiun branch is mostly influenced by product innovation with value of t test value obtained by t-count 2,493, while second factor is influenced by service quality with result of tcount 2,268. So the least influenced factor by the value of the customer is with value of 2.217. This research is a descriptive research method and associative / relationship, this matter to know the value of independent variable. While population of this research is funding customer of Bank Muamalat Indonesia branch of Madiun with amount of 22.196 customer by taking data using random sampling method as much as 108 customer. Keyword: Customer Value, Product Innovation AND Quality Of Service


Author(s):  
Ruchika Verma ◽  
Seema Dhawan

The study attempted to find out the quality of the evaluation procedure of B.Ed. programme of Garhwal University, the Central University in view of NCTE Norms. The study also reveals the method and procedure of evaluation according to the latest 2 years B.Ed. programme. For the study, purposive sampling method was used. The tools – questionnaire and interview schedule was developed. On the basis of findings, it concluded that the evaluation procedure was in accordance with the NCTE Norms. With the implementation of two years B.Ed. course, the method of evaluation has also become more practical oriented, which has become a remarkable achievement and surely enhance the quality of prospective teachers


2020 ◽  
Vol 4 (1) ◽  
pp. e000822
Author(s):  
Robert C Hughes ◽  
Patricia Kitsao-Wekulo ◽  
Sunil Bhopal ◽  
Elizabeth W Kimani-Murage ◽  
Zelee Hill ◽  
...  

IntroductionThe early years are critical. Early nurturing care can lay the foundation for human capital accumulation with lifelong benefits. Conversely, early adversity undermines brain development, learning and future earning.Slums are among the most challenging places to spend those early years and are difficult places to care for a child. Shifting family and work structures mean that paid, largely informal, childcare seems to be becoming the ‘new normal’ for many preschool children growing up in rapidly urbanising Africa. However, little is known about the quality of this childcare.AimsTo build a rigorous understanding what childcare strategies are used and why in a typical Nairobi slum, with a particular focus on provision and quality of paid childcare. Through this, to inform evaluation of quality and design and implementation of interventions with the potential to reach some of the most vulnerable children at the most critical time in the life course.Methods and analysisMixed methods will be employed. Qualitative research (in-depth interviews and focus group discussions) with parents/carers will explore need for and decision-making about childcare. A household survey (of 480 households) will estimate the use of different childcare strategies by parents/carers and associated parent/carer characteristics. Subsequently, childcare providers will be mapped and surveyed to document and assess quality of current paid childcare. Semistructured observations will augment self-reported quality with observable characteristics/practices. Finally, in-depth interviews and focus group discussions with childcare providers will explore their behaviours and motivations. Qualitative data will be analysed through thematic analysis and triangulation across methods. Quantitative and spatial data will be analysed through epidemiological methods (random effects regression modelling and spatial statistics).Ethics and disseminationEthical approval has been granted in the UK and Kenya. Findings will be disseminated through journal publications, community and government stakeholder workshops, policy briefs and social media content.


Heart ◽  
2001 ◽  
Vol 86 (1) ◽  
pp. 69-73
Author(s):  
Z Saliba ◽  
G Butera ◽  
D Bonnet ◽  
P Bonhoeffer ◽  
E Villain ◽  
...  

OBJECTIVETo evaluate the quality of life in patients with univentricular heart and to determine the impact of sociodemographic and clinical characteristics.DESIGN AND SETTINGRetrospective, cross sectional study conducted in a regional paediatric cardiology centre.PATIENTSThe health records of 89 survivors with univentricular heart (median age 21 years; range 17–49 years) were reviewed. Sixty seven answered the Duke questionnaire. Sociodemographic and clinical variables were similar in the responders and non-responders. The impact of sociodemographic and clinical variables on individual Duke's measures was assessed.RESULTSThe Duke scores of adults with univentricular heart were similar to the normal population. Cyanosis predicted a worse score for physical (p = 0.05) and perceived health measures (p = 0.02). A higher educational level predicted a better score for physical (p = 0.004), mental (p = 0.01), and general health measures (p = 0.02). Orthopaedic problems worsened the social score (p = 0.05). Psychosocial problems worsened the pain score (p = 0.04). In comparison with the other anatomical types, mitral atresia worsened the perceived health score (p = 0.02). Patients younger than 23 years scored better for almost all health and dysfunction measures.CONCLUSIONSDespite repeated interventions and other disease related everyday stresses, a selected group of adults with univentricular heart had a satisfying quality of life.


2021 ◽  
pp. 003022282110048
Author(s):  
Monique C. Thompson, PsyD ◽  
Angela B. Kim, PhD

The purpose of this transcendental phenomenological study was to understand the bereaved Older males’ experiences with the interaction and ownership of a companion animal after the death of their partner. The primary researcher recruited 13 participants via a criterion-based purposeful sampling method to assure the quality of the information collected. Results revealed six themes: (a) bonds with their pets grew stronger and closer after the loss of their wife; (b) men were able to express their grief to their pets; (c) companion animals helped the men psychologically during grief; (d) pets were influential during times when the wife’s presence would have been valuable; (e) companion animals helped men with loneliness and social connection; and (f) companion animals helped men find a new normal by providing a purpose and routine during bereavement. The pets proved to be a source of support for these widowed men.


2021 ◽  
Vol 14 (1) ◽  
pp. 205979912098776
Author(s):  
Joseph Da Silva

Interviews are an established research method across multiple disciplines. Such interviews are typically transcribed orthographically in order to facilitate analysis. Many novice qualitative researchers’ experiences of manual transcription are that it is tedious and time-consuming, although it is generally accepted within much of the literature that quality of analysis is improved through researchers performing this task themselves. This is despite the potential for the exhausting nature of bulk transcription to conversely have a negative impact upon quality. Other researchers have explored the use of automated methods to ease the task of transcription, more recently using cloud-computing services, but such services present challenges to ensuring confidentiality and privacy of data. In the field of cyber-security, these are particularly concerning; however, any researcher dealing with confidential participant speech should also be uneasy with third-party access to such data. As a result, researchers, particularly early-career researchers and students, may find themselves with no option other than manual transcription. This article presents a secure and effective alternative, building on prior work published in this journal, to present a method that significantly reduced, by more than half, interview transcription time for the researcher yet maintained security of audio data. It presents a comparison between this method and a fully manual method, drawing on data from 10 interviews conducted as part of my doctoral research. The method presented requires an investment in specific equipment which currently only supports the English language.


Author(s):  
Lina Lee ◽  
Mary Lou Maher

Smart environments and the use of interactive technology has the potential to improve the quality of life for the senior community as well as to support the connections among the senior community and the world outside their community. In addition to the increasing number of studies in the field of aging and technologies, research is needed to understand the practical issues of user focus, adoption, and engagement for older adults to accept interactive technologies in their lives. In this study, we use two commercial technological interventions (uDraw and GrandPad) to understand technology-related perceptions and behaviors of older adults. We present five case studies that emerge from empirical observations of initial engagement with technology through research methods such as focus group discussions, in-depth interviews, observations, and diary studies. The contributions of this study are identification of the key factors that influence the initial engagement with interactive technology for older adults.


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