scholarly journals Structured vs Unstructured Debriefing: Finding the Right Approach in Cabin Crews' Simulation-Based Resuscitation Training

2020 ◽  
Vol 13 ◽  
pp. 1-15
Author(s):  
Muhamad Nur Fariduddin ◽  
WEE LEI HUM ◽  
Lilia Halim ◽  
Mohd Johar Jaafar
Keyword(s):  
Mixed Method ◽  
Medical Community ◽  
Mixed Method Study ◽  
Effective Learning ◽  
Resuscitation Training ◽  
Significant Difference ◽  
Simulation Based ◽  
The Right ◽  
Retention Of Knowledge

Simulation-based medical education consistently finds debriefing to be the most important element in providing effective learning. Yet, there are limited studies that demonstrate the outcomes of debriefing on simulation-based resuscitation learning in the non-medical community. This mixed-method study examined the effects of debriefing methods (DIAMOND vs Customary) in 2 simulation experiences on 130 cabin crews' resuscitation knowledge, technical & non-technical skills. The quality of debriefing was assessed using a survey followed by analysis through face interview. The findings showed that there was no significant effect on the usage of different debriefing method by both groups on the retention of all variables, F (3,123) = .540, p = .656, partial h2 = .013. The DIAMOND debriefing was showed to be more quality as perceived by the DASH-SV scores, t = -6.244, df = 98, p = <.001. Elements such as Cognitive, Methodology & Psychosocial were reported to promote the retention of knowledge and skills among the participants. Despite not generating a statistically significant difference, this study reports important information about the influence of structured debriefing with additional investigations conducted with improved designs are needed to provide further evidence and perceptual effectiveness of structured debriefing.

Comparing the Experiences of Parturient Women With Remifentanil Analgesia and Elective Cesarean Section and Providing Improver Strategies: A Sequential Explanatory Mixed Method Study

2021 ◽  
Author(s):  
rana dousti ◽  
Sevil Hakimi ◽  
Hojjat Pourfathi ◽  
Roghayeh Nourizadeh ◽  
Niloufar sattarzadeh jahdi
Keyword(s):  
Cesarean Section ◽  
Mixed Method ◽  
Elective Cesarean Section ◽  
Mixed Method Study ◽  
Quality Of Data ◽  
Sequential Approach ◽  
Private Hospitals ◽  
Elective Cesarean ◽  
The City

Abstract Background Identifying methods that can effectively and safely improve the childbirth experience and are tailored to mothers' needs are of crucial importance. The current study aimed to compare experiences of parturient women with remifentanil analgesia and elective cesarean section and providing improver strategies for women living in the city of Tabriz, Iran.MethodsThis is a mixed-method study with an explanatory sequential approach. The first stage is quantitative and longitudinal. The study population is all parturient women who will give birth by elective C-section or vaginal painless delivery using remifentanil in private hospitals of the city of Tabriz in 2020-2021. All mothers are free to choose either method. Participants will be selected from all private hospitals using the convenience sampling technique proportioned to the number of eligible women in each hospital. Participants will be followed up to 30 days after delivery to complete the Edinburgh Postpartum Depression questionnaire. The second stage is a qualitative study aimed at exploring the perceptions of parturient women who had either elective C-section or painless delivery (using remifentanil), including factors related to labor experiences. Data will be collected by semi structured interviews with new mothers and important others (if needed).In the third stage, a mixed study will be performed to provide strategies for improving labor experiences. we will use an explanatory Sequential approach in order to increase the accuracy and quality of data and to use the findings to evaluate different methods of delivery.DiscussionBy comparing the experience of parturient women receiving Remifentanil analgesia and elective C-section, evidence-based improving strategies using a culturally sensitive approach can be provided. Presentation of the results obtained from this study using the mixed method may help in better understanding the issue. Also, the obtained results can be used to enhance the quality of midwifery care to be examined by health policymakers and planners.Trial registrationThis study is approved by the ethics committee of the Tabriz University of Medical Sciences (code: IR.TBZMED.REC.1399. 521). Besides, it's evaluated by relevant refers.

scholarly journals Quality of Life in Family Caregivers of Adolescents with Depression in China: A Mixed-Method Study

2020 ◽  
Vol Volume 14 ◽  
pp. 1317-1327
Author(s):  
Yinying Zhang ◽  
Min Yang ◽  
Xin Guo ◽  
Qiongni Chen
Keyword(s):  
Quality Of Life ◽  
Family Caregivers ◽  
Mixed Method ◽  
Mixed Method Study

Improving the quality of self-management support in ambulatory cancer care: a mixed-method study of organisational and clinician readiness, barriers and enablers for tailoring of implementation strategies to multisites

2021 ◽  
pp. bmjqs-2020-012051
Author(s):  
Doris Howell ◽  
Melanie Powis ◽  
Ryan Kirkby ◽  
Heidi Amernic ◽  
Lesley Moody ◽  
...  
Keyword(s):  
Mixed Method ◽  
Cancer Care ◽  
Implementation Strategies ◽  
Self Management ◽  
Normalisation Process Theory ◽  
Mixed Method Study ◽  
Successful Implementation ◽  
Management Support ◽  
Specific Implementation

IntroductionImproving the quality of self-management support (SMS) for treatment-related toxicities is a priority in cancer care. Successful implementation of SMS programmes depends on tailoring implementation strategies to organisational readiness factors and barriers/enablers, however, a systematic process for this is lacking. In this formative phase of our implementation-effectiveness trial, Self-Management and Activation to Reduce Treatment-Related Toxicities, we evaluated readiness based on constructs in the Consolidated Framework for Implementation Research (CFIR) and Normalisation Process Theory (NPT) and developed a process for mapping implementation strategies to local contexts.MethodsIn this convergent mixed-method study, surveys and interviews were used to assess readiness and barriers/enablers for SMS among stakeholders in 3 disease site groups at 3 regional cancer centres (RCCs) in Ontario, Canada. Median survey responses were classified as a barrier, enabler or neutral based on a priori cut-off values. Barriers/enablers at each centre were mapped to CFIR and then inputted into the CFIR-Expert Recommendations for Implementing Change Strategy Matching Tool V.1.0 (CFIR-ERIC) to identify centre-specific implementation strategies. Qualitative data were separately analysed and themes mapped to CFIR constructs to provide a deeper understanding of barriers/enablers.ResultsSMS in most of the RCCs was not systematically delivered, yet most stakeholders (n=78; respondent rate=50%) valued SMS. For centre 1, 7 barriers/12 enablers were identified, 14 barriers/9 enablers for centre 2 and 11 barriers/5 enablers for centre 3. Of the total 46 strategies identified, 30 (65%) were common across centres as core implementation strategies and 5 tailored implementation recommendations were identified for centres 1 and 3, and 4 for centre 2.ConclusionsThe CFIR and CFIR-ERIC were valuable tools for tailoring SMS implementation to readiness and barriers/enablers, whereas NPT helped to clarify the clinical work of implementation. Our approach to tailoring of implementation strategies may have relevance for other studies.

Oral language development among Mandarin learners in Chinese homestays

2018 ◽  
Vol 3 (1) ◽  
pp. 32-57
Author(s):  
Wenhao Diao ◽  
Anne Donovan ◽  
Margaret Malone
Keyword(s):  
Mixed Method ◽  
Oral Language ◽  
Learning Experience ◽  
Oral Proficiency ◽  
Mixed Method Study ◽  
Oral Language Development ◽  
American Students ◽  
Host Families

Abstract This mixed-method study describes the oral Mandarin development of 25 American students living in Chinese homestays, and how it may relate to the ways they respond to opportunities for interaction with their host families. While scholars have begun to examine students’ Mandarin development during their sojourns in China, there is little research regarding changes in their holistic oral proficiency and how such changes may be related to the quality of interaction they have with their interlocutors. The results of this study show robust gains in proficiency ratings of their oral performances over the course of one semester. A case study of two purposefully selected student performances – one who demonstrated the most prominent proficiency gains and the other who showed no gains – reveals differences in the ways they respond to opportunities for interaction. These findings provide suggestions on ways to best facilitate students’ learning experience while living with host families.

Towards patients’ understanding of health-related quality of life—a mixed-method study in psoriasis and multiple sclerosis

2019 ◽  
Vol 28 (10) ◽  
pp. 2717-2729 ◽  
Author(s):  
Valerie Andrees ◽  
Joachim Westenhöfer ◽  
Christine Blome ◽  
Christoph Heesen ◽  
Matthias Augustin ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Mixed Method ◽  
Mixed Method Study ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

scholarly journals Coverage, quality of and barriers to postnatal care in rural Hebei, China: a mixed method study

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Li Chen ◽  
Wu Qiong ◽  
Michelle Helena van Velthoven ◽  
Zhang Yanfeng ◽  
Zhang Shuyi ◽  
...  
Keyword(s):  
Mixed Method ◽  
Postnatal Care ◽  
Mixed Method Study ◽  
Coverage Quality

A mixed-method study on the generic and ostomy-specific quality of life of cancer and non-cancer ostomy patients

2014 ◽  
Vol 23 (6) ◽  
pp. 1689-1697 ◽  
Author(s):  
Femke Jansen ◽  
Cornelia F. van Uden-Kraan ◽  
J. Annemieke Braakman ◽  
Paulina M. van Keizerswaard ◽  
Birgit I. Witte ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mixed Method ◽  
Mixed Method Study

scholarly journals Treatment pathways traversed by polycystic ovary syndrome (PCOS) patients: A mixed-method study

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255830
Author(s):  
Ishwarpreet Kaur ◽  
Vanita Suri ◽  
Satya Vati Rana ◽  
Amarjeet Singh
Keyword(s):  
Mixed Method ◽  
Polycystic Ovary ◽  
Primary Source ◽  
Treatment Seeking ◽  
Mixed Method Study ◽  
Framework Analysis ◽  
Average Delay ◽  
Treatment Pathways ◽  
Multiple Health

Background This study was undertaken to explore the treatment-seeking pathways traversed by women with PCOS and elicit their behavior, experiences and perspectives regarding it. Methods This concurrent mixed-method study was conducted on 18–40 years old women diagnosed with PCOS at the Gynecology outpatient department, PGIMER, Chandigarh, India. Of the 275 women, who were administered a questionnaire to elicit their treatment-seeking behavior, 62 willing participants were subjected to in-depth interviews. Quantitative responses were descriptively analyzed and presented as count, proportion, mean or median. Framework analysis was performed for the qualitative data. The findings of both types of data were triangulated to construct the pathways to treatment traversed by PCOS patients. Findings Many (~45%) respondents had no information regarding PCOS. Only 9.1% received some information from their doctors. Though the internet was the primary source of information for 37.5% of respondents, they expressed dissatisfaction with the quality of information. Multiple health care agencies were consulted by most (85.8%) of the respondents. Allopathy was the preferred choice of treatment. The average delay in initiating the treatment was 3 months. The major reasons for this were ignorance, the concept of ‘normality’ and ‘endurance’. Deviations from the normal self (like irregular-menstruation, obesity, hirsutism, infertility) were the concern that led them to consult a doctor. They were also dissatisfied with the treatment due to a late diagnosis, lack of relief, taboo, side-effects, expenses involved and the need for repeated laboratory tests. Participants’ course of treatment was influenced by the interplay of individual, distress, health-system, and social-economic factors. Conclusions Women with PCOS were dissatisfied with the quality of the information and treatment received. There were treatment delays. The patients consulted multiple health agencies, including indigenous therapies, in the hope of relief. The findings provide an empirical basis on points to focus on for building better coping strategies for managing the condition.

scholarly journals PENGARUH KONSENTRASI TEPUNG TEMPE TERHADAP NUTRISI DAN MUTU SENSORI OPAK SINGKONG DARI LOMBOK UTARA

Pro Food ◽  
2019 ◽  
Vol 5 (2) ◽  
pp. 459
Author(s):  
Arindra Pemilia ◽  
Dody Handito ◽  
Yeni Sulastri
Keyword(s):  
Protein Content ◽  
Sensory Evaluation ◽  
Block Design ◽  
Fat Content ◽  
Carbohydrate Content ◽  
Polynomial Method ◽  
Honestly Significant Difference ◽  
Significant Difference ◽  
The Right

ABSTRACT The objective of this research was to determine the right concentration of tempeh flour to enhance nutrition and sensory quality of cassava opak from North Lombok. The method used in this research was Randomized Complete Block Design (RCBD) with six treatments which adding 0% (P0), 5% (P1), 10% (P2), 15% (P3), 20% (P4), 25% (P5) tempeh flour from tapioca starch weight. The data obtained were analyzed by analysis of variance (ANOVA) at 5% level using SPSS software. If there was any difference, the data tested further by Orthogonal Polynomial Method (OPM) for the nutrient and by Honestly Significant Difference (HSD) for sensory evaluation at 5% level. The result showed that the tempeh flour concentration gave a significant difference on protein content, fat content, carbohydrate content, total calories, hedonic test (colour and taste) and scoring test ( colour, taste and  aroma). Based on the result of sensory evaluation, the additional of 15% of tempeh flour was slightly liked by the panelis and it had protein content 5.92%; moisture content 4.10%; ash content 2.60%; fat content 10.89%; carbohydrate content 76.6%; total calories 427.63 Cal/100 g; slightly yellow, slightly crunchy; slightly smells tempeh and slightly tastes tempeh.   Keywords: Cassava, opak, protein, tempeh flour   ABSTRAK Tujuan dari penelitian ini adalah untuk menentukan konsentrasi tepung tempe yang tepat untuk meningkatkan nutrisi dan mutu sensori opak singkong dari Lombok Utara. Rancangan yang digunakan dalam penelitian ini adalah Rancangan Acak Kelompok (RAK) dengan 6 taraf perlakuan konsentrasi tepung tempe 0% (P0), 5% (P1), 10% (P2), 15% (P3), 20% (P4), 25% (P5) dari berat tepung tapioka. Data hasil pengamatan diuji dengan analisis keragaman (ANOVA) pada taraf 5% menggunakan software SPSS, apabila terdapat perbedaan nyata diuji lanjut dengan menggunakan uji Polinomial Ortogonal untuk uji nutrisi dan Beda Nyata Jujur (BNJ) untuk uji sensoris pada taraf 5%. Hasil penelitian menunjukkan bahwa penambahan tepung tempe memberikan pengaruh yang berbeda nyata terhadap kadar protein, kadar lemak, kadar karbohidrat dan total kalori serta uji sensoris hedonik (warna dan rasa) dan uji scoring untuk (warna, rasa dan aroma). Berdasarkan hasil uji sensoris penambahan tepung tempe sebanyak 15% adalah perlakuan yang cita rasanya agak disukai oleh panelis dengan kadar protein 5,92%; kadar air 4,10%; kadar abu 2,60%; kadar lemak 10,89%; kadar karbohidrat 76,46%; total kalori 427,63 Kal/100 g; berwarna putih kekuningan; bertekstur agak renyah; agak beraroma tempe dan agak berasa tempe.   Kata Kunci: Opak, protein, singkong, tepung tempe

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