scholarly journals Fertility Practitioners’ Coping Strategies When Faced with Intra-Role Conflict from Screening Aspiring Single Mothers by Choice

2021 ◽  
Vol 10 (11) ◽  
pp. 438
Author(s):  
Paulien Hertogs ◽  
Dries Van Gasse ◽  
Sascha Spikic ◽  
Dimitri Mortelmans
Keyword(s):  
Decision Making ◽  
Single Mothers ◽  
Role Conflict ◽  
Single Mother ◽  
Multidisciplinary Teams ◽  
Decision Making Process ◽  
Explorative Study ◽  
Fertility Treatments ◽  
Best Fitting ◽  
Depth Interviews

Women without a partner can become single mothers by choice through the use of fertility treatments. In Belgium, the decision to accept a candidate single mother by choice rests with the fertility clinic’s multidisciplinary team of fertility practitioners. As a result, the fertility practitioners fulfil a gatekeeping role. However, this can cause an intra-role conflict as the responsibility to select the best fitting candidates is at odds with the responsibility to help patients. In this explorative study, we examine how fertility practitioners cope with the strain resulting from intra-role conflict in the decision-making process regarding single motherhood by choice in Belgium. The findings showed that practitioners appear to mainly resort to problem-focused coping, by constructing a grassroots criteria list and by shifting their role from screening agent to counsellor. These results are based on ten open in-depth interviews with fertility practitioners employed in the multidisciplinary teams of fertility centers, using a reflexive interview lead.

scholarly journals Indigenous Collaborative Governance: An Understanding of Decision-Making Process at Desa Adat in Bali, Indonesia

2020 ◽  
Vol 4 (2) ◽  
pp. 119
Author(s):  
Md Putri Wiyantari Sutaryantha ◽  
Bevaola Kusumasari
Keyword(s):  
Decision Making ◽  
Conceptual Framework ◽  
Public Administration ◽  
Local Governance ◽  
Practical Implication ◽  
Collaborative Governance ◽  
Decision Making Process ◽  
Common Goal ◽  
Depth Interviews

The decision-making process that took place at desa adat (indigenous village) involved many actors and stakeholders from various elements of the community, to achieve a common goal. This research highlights the linkages of indigenous collaborative governance among actors involved in the decision-making process at Balinese Desa Adat, Indonesia. This research has, thus, discovered how indigenous collaborative governance was linked to the decision-making process and linked to the implementation of local governance, especially in the implementation of Adat in Bali Province. This study emphasizes the extensive use of public administration literature about collaborative governance and the decision-making process. Additionally, in-depth interviews and live experience in desa adat were conducted, as it is aimed to explore and understand more about the case. The result provided aligned with the conceptual framework because all of the actual implementation of the decision-making process at Desa Adat Peliatan met the criteria or indicators of collaborative governance. It showed that there was an involvement of indigenous collaborative governance in the process of decision-making at the desa adat level. The practical implication, in this case, is that collaboration matters in the decision-making process involving various elements of society with diverse interests.

scholarly journals The decision making process of being palliative volunteer

2019 ◽  
Vol 8 (2) ◽  
pp. 263
Author(s):  
Ni Putu Wulan Purnama Sari ◽  
Nia Novita Sari
Keyword(s):  
Decision Making ◽  
Role Conflict ◽  
Care Delivery ◽  
Decision Making Process ◽  
Insufficient Information ◽  
Descriptive Model ◽  
Depth Interview ◽  
Entry Points ◽  
Decision Making Model ◽  
Voice Recorder

Palliative care delivery in Surabaya community, Indonesia, is in collaboration with palliative volunteers. The decision to be palliative volunteer was not easy, mainly because of financial matter, time limitation, and role conflict. This study aimed to analyze the decision making process of being a palliative volunteer in Surabaya. This qualitative study involved 13 female palliative volunteers under the supervision of Public Health Center (PHC) of Rangkah. In-depth-interview was used for data collection. Instruments used were interview guideline, observation sheet, and voice recorder. Collaizi method was used for data analysis. The majority was 40-50 years old, married, housewife, and high school graduated. Each participant manages 5-8 patients to be home-visited regularly. The driving force and the reason to persistently be a palliative volunteer was the willingness to help others in need. The major entry point acting as stimulus was health care professional in the Rangkah PHC. The decision making model applied was descriptive model, because despite of insufficient information through various entry points but the decision made was fast and persistent.

scholarly journals “Silent Voices”: A Description of Views and Attitudes of Health Professionals towards Reproduction by HIV Positive People

2014 ◽  
Vol 2014 ◽  
pp. 1-6
Author(s):  
Vezumuzi Ndlovu
Keyword(s):  
Decision Making ◽  
Health Professionals ◽  
Opportunistic Infections ◽  
Negative Attitude ◽  
Hiv Positive ◽  
Decision Making Process ◽  
Depth Interviews ◽  
Hiv Aids

Objective. The role of health professionals in the decision making process of patients is usually heard or seen from the perspective of the patients. This paper gives the usually silent and invisible health professionals voice and visibility. It describes their views and attitudes towards reproduction by couples who are HIV positive and attempts to understand their perspectives. Methods. In-depth interviews were conducted with twelve health professionals at an opportunistic infections clinic. Transcribed interviews were analysed using the grounded approach to identify patterns and themes concerning views and attitudes of health professionals towards reproduction by HIV positive people. Results. The study found that most health professionals generally had a negative attitude towards childbearing by HIV positive couples. Their views and approaches on the issue were based mainly on biomedical considerations. The main discourses on childbearing that emerged from the study were the conditional choice, the antichildbearing, and the prorights. Conclusion. Most of the health professionals interviewed tend to take a generally negative stance towards reproduction by people with HIV/AIDS. There is a need for a clear set of guidelines for health professionals (HPs) on how to deal with HIV positive people who may desire to reproduce.

scholarly journals Peran Komunikasi Sibernetika bagi Keselamatan Penerbangan

2019 ◽  
Vol 3 (2) ◽  
pp. 123
Author(s):  
Toto Soebandoro
Keyword(s):  
Decision Making ◽  
Data Analysis ◽  
Multilevel Analysis ◽  
Case Analysis ◽  
Aviation Safety ◽  
Flight Safety ◽  
Confined Spaces ◽  
Explorative Study ◽  
Psychological Pressure ◽  
Depth Interviews

Penelitian ini bertujuan untuk (1) mengetahui dan mengungkapkan latar belakang pentingnya komunikasi sibernetika dalam penerbangan, khususnya dalam rangka mewujudkan keselamatan penerbangan; dan (2) mengetahui aktivitas pemrosesan informasi dalam pengambilan keputusan oleh Pilot in Command di ruang terbatas ketika pilot mengalami tekanan psikologis akibat keadaan darurat, sementara pilot juga harus melakukan pendaratan darurat. penelitian ini adalah penelitian kualitatif dan menggunakan paradigm postpositivisme. Teknik pengumpulan data dilakukan melalui studi teks dan wawancara mendalam (indepth interview). Adapun analisis data pada penelitian ini dilakukan dengan menggunakan analisis kasus bertingkat, dengan metode multilevel analysis serta model kajian eksploratif. Hasil penelitian memperlihatkan bahwa (1) komunikasi sibernetika merupakan pilar yang penting bagi pilot dalam mewujudkan keselamatan penerbangan; (2) keberhasilan dalam mengoptimalkan komunikasi sibernetika berdampak pada kemampuan pilot dalam mengatasi tekanan psikologis yang dialami sehingga mampu mencari jalan keluar dari keadaan darurat.Kata Kunci: Komunikasi sibernetika, keselamatan penerbangan, pendaratan darurat ABSTRACTThis research aims to (1) find out and reveal the background of the importance of cybernetics communication in flight, particularly in realizing flight safety; and (2) knowing information processing activities in decision making by Pilots in Command in confined spaces when pilots experience psychological pressure due to emergencies, while pilots must also make an emergency landing. This research is qualitative study and uses postpositivism paradigm. Data collection techniques using text studies and in-depth interviews (indepth interview). The data analysis in this study was carried out using multilevel case analysis, with multilevel analysis methods and explorative study model. The results of this research showed that (1) cybernetics communication is an important pillar for pilots in realizing aviation safety; (2) the success in optimizing cybernetics communication has an impact on the ability of pilots to cope with psychological stress experienced so that they are able to find a way out of an emergency situation.Keywords: Cybernetics communication, flight safety, emergency landing

scholarly journals ANALISIS PENGAMBILAN KEPUTUSAN UNTUK TINDAKAN SECTIO CAESAREA PADA IBU HAMIL DI RUMAH SAKIT SYAFIRA PEKANBARU

2021 ◽  
Vol 1 (2) ◽  
pp. 516-524
Author(s):  
Puji Astuti ◽  
Aldiga Rienarti Abidin ◽  
Ahmad Satria Efendi
Keyword(s):  
Decision Making ◽  
Socioeconomic Status ◽  
Pregnant Women ◽  
Descriptive Study ◽  
Qualitative Approach ◽  
Sectio Caesarea ◽  
Decision Making Process ◽  
Collection Method ◽  
Depth Interviews

Setiap orang atau pasien dalam pengambilan keputusan untuk melakukan tindakan Sectio Caesarea tentu berdeda-beda, banyak alasan yang melatar belakangi keputusan tersebut dimulai dari indikasi media maupun tanpa indikasi medis sekalipun. Secara umum pengambilan keputusan merupakan pendekatan yang digunakan dalam proses pengambilan keputusan atau proses memilih tindakan sebagai cara pemecahan masalah. Agar individu mecapai hasil yang maksimal maka proses pengambilan keputusan harus rasional. Adapun jumlah ibu hamil yang memutuskan untuk melakukan tindakan sectio Caesarea Di Rumah Sakit Syafira tahun 2017 sebanyak 560, tahun 2018 sebanyak 1415, dan tahun 2019 sebanyak 1694. Penelitian ini bertujuan untuk mengetahui peran Pengetahuan, Sosial Ekonomi, Estetika dan Keluarga. Jenis penelitian ini adalah penelitian deskriptif dengan pendekatan kualitatif. Lokasi dan waktu penelitian adalah di Rumah Sakit Syafira Pekanbaru pada Bulan Januari sampai Juli 2020. Subjek penelitian ini adalah Ibu Hamil dan Dokter Spesialis Obgyn yang berjumlah 6 Informan. Metode pengambilan data diperoleh dari hasil wawancara mendalam. Berdasarkan penelitian ini diperoleh kesimpulan bahwa Ibu Hamil yang memutuskan untuk melakukan tindakan Sectio Caesarea memiliki pengetahuan yang sangat baik, Memiliki status Sosial Ekonomi yang cukup tinggi, Estetika menjadi salah satu aspek yang dipertimbangkan ibu hamil terhadap pengambilan keputusan tindakan Sectio Caesarea, dan persetujuan keluarga merupakan aspek yang paling penting terhadap pengambilan keputusan Tindakan Sectio Caesarea   Every person or patient in deciding to perform the Sectio Caesarea certainly varies, many reasons behind the decision begin with media indication or even without medical indication. In general, decision-making is an approach used in the decision-making process or the process of choosing as a way of problem-solving. For an individual to achieve maximum results, the decision-making process must be rational.  As for the pregnant women who decided to perform Caesarean sectio measures at Syafira Hospital in 2017 was 560, in 2018 as many as 1415, and 1694 in 2019. This study aimed to determine the role of Knowledge, Socioeconomic Economics, Aesthetics, and Family. This type of research is a descriptive study with a qualitative approach.  The location and time of the study were at Pekanbaru Syafira Hospital from January to July 2020. The subjects of this study were Pregnant Women and Obgyn Specialists, totaling 6 Informants. The data collection method was obtained from in-depth interviews.  Based on this study, it was concluded that pregnant women who decide to take action on Caesarean Sectio have very good knowledge and high socioeconomic status. Aesthetics is one of the aspects considered by pregnant women for decision making on Caesarean Sectio action, and family approval is the most important aspect in the decision making of the Caesarean Sectio Action

Abstract P61: Weighing More than the Risks: Cardiologists' Prescription of Warfarin for Atrial Fibrillation Patients

2011 ◽  
Vol 4 (suppl_2) ◽  
Author(s):  
Linda S Garavalia ◽  
Brian J Garavalia ◽  
Teresa Simon ◽  
William Daniel ◽  
Carole Decker
Keyword(s):  
Atrial Fibrillation ◽  
Decision Making ◽  
Treatment Guidelines ◽  
Decision Making Process ◽  
Cultural Issues ◽  
Urban Hospital ◽  
Increased Risk ◽  
Clinical Risks ◽  
Drug And Alcohol ◽  
Depth Interviews

Introduction: Prior research indicates underprescription of warfarin to reduce cardioembolism for eligible atrial fibrillation (AF) patients. Physicians' reluctance to prescribe warfarin for AF patients may be due to perceived increased risk of bleeding or underestimation of stroke risk. However, other factors may influence decisions for warfarin treatment. The purpose of the present study was to develop an in-depth understanding of the cardiologist's decision making process for warfarin anticoagulation and the management of AF. Methods: Qualitative in-depth interviews were conducted with 16 (14 male) cardiologists in a large Midwestern cardiology practice affiliated with an urban hospital. Interviews ranged from 15-35 minutes, culminating in nearly 200 pages of transcripts, and took place in person (n=6) at the hospital or over the telephone (n=10). On average, participants had 13 years of experience in treating patients and all had experience with AF patients who had excessive bleeds and/or strokes within the past 12 months. Interviews were conducted until thematic saturation occurred. Results: Descriptive content analysis found that cardiologists reported consideration of a range of clinical factors: rate and rhythm control, CHADS 2 score, patient co-morbidities, and other prescribed medications in their decision to aggressively treat according to accepted AF treatment guidelines. Additionally, their decision also considered more subjective factors such as the likelihood a patient would comply with a complex therapy and knowledge of patients' drug and alcohol use. “You have to risk profile them individually and go from there” was a recurrent observation. Conclusions: The decision making process used by cardiologists in determining warfarin anticoagulation in the treatment of AF is complex. The cardiologist considers a range of factors when prescribing warfarin beyond the clinical risks including more subjective lifestyle and cultural issues. When these other unmeasurable factors, such as the burden of treatment and lifestyle, are entered into the equation by cardiologists, anticoagulation may be less appealing, regardless of actual clinical risk.

An ethnographic study illuminating the effect of endogenous and exogenous uncertainty on tumor board decision making.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e19156-e19156
Author(s):  
Barbara Oureilidis-DeVivo
Keyword(s):  
Decision Making ◽  
Ad Hoc ◽  
Treatment Plan ◽  
The United States ◽  
Ethnographic Study ◽  
Tumor Board ◽  
Multidisciplinary Teams ◽  
Original Research ◽  
Decision Making Process ◽  
Tumor Boards

e19156 Background: Hospital tumor boards (TBs) exist to help multidisciplinary specialists determine the best treatment plan for patients through multidisciplinary input and evidence-based treatment recommendations. However, decision-making processes and outcomes vary and may not consistently follow a linear, rational decision-making process or represent evidenced-based clinical guidelines. The ad hoc nature of multidisciplinary cancer teams can create limitations in interoperable functioning, especially in ambiguous environments. Methods: This qualitative ethnographic study explores levels of patient situational complexity under TB review within different structural dynamics in a group and describes how TBs cope with uncertainty when making treatment decisions. The study reports on original research and used ethnographic methods in 44 tumor boards at seven research hospitals in the United States and United Kingdom. Results: Results show TB decision-making process and outcomes are obstructed by the level of situational complexity in each patient’s case depending on the social dynamics of the group. Conclusions: Although multidisciplinary teams provide the benefit of variety in backgrounds and expertise, this structural diversity can also lead to limitations in the actual functioning of a group. By exploring the variations in this decision-making process, a deeper understanding can be reached of how oncology physicians make decisions about the clinical pathway for cancer patients and how this affects TB functionality.

The Difference Between Divorced and Never-Married Mothers' Participation in the Aid to Families With Dependent Children Program

1996 ◽  
Vol 17 (2) ◽  
pp. 170-185 ◽  
Author(s):  
REBECCA A. LONDON
Keyword(s):  
Decision Making ◽  
Single Mothers ◽  
Decision Making Process ◽  
Program Participation ◽  
Dependent Children ◽  
Welfare Policies ◽  
Never Married ◽  
Married Mothers ◽  
The Difference ◽  
Using Data

In this study, I examine the way in which divorced and never-married single mothers differ in their decisions to participate in Aid to Families With Dependent Children (AFDC). Using data from the Survey of Income and Program Participation (SIPP), I find that divorced mothers are twice as likely to receive AFDC benefits than never-married mothers. When the gap between the participation rates is decomposed, I find that at most 25% is due to differences in the distribution of measured characteristics. The remaining portion is due to differences in the AFDC decision-making process. Hence, in attempting to move disadvantaged single mothers off welfare, policies need to address issues broader than modifying individual behavior. The decision-making process potentially encompasses influences from family and the community. Without addressing these forces, many single mothers will prefer to remain AFDC participants given their set of available options.

Decision Making in Naval Aviation: Contextual Factors Influencing Cue and Factor Saliency

2007 ◽  
Vol 51 (4) ◽  
pp. 333-337
Author(s):  
Melissa B. Denihan
Keyword(s):  
Decision Making ◽  
Contextual Factors ◽  
Decision Making Process ◽  
Commercial Aviation ◽  
Decision Method ◽  
Military Aviation ◽  
Two Factors ◽  
Naval Aviators ◽  
The Military ◽  
Depth Interviews

Aeronautical decision making research has focused almost exclusively on general and commercial aviation - with little attention given to the military aviation domain. This research has also been limited by its lack of realism and/or inability to probe aviators for additional clarifying information relevant to their decisions. This study addresses these shortcomings by using in-depth interviews of critical incidents guided by the critical decision method to gain a deeper understanding of the decision making process of experienced naval aviators during novel or unexpected situations in flight. Through this method, two contextual factors in the military aviation environment not previously addressed were identified: (a) the purpose of the flight; and (b) the flight operation environment. These two factors were found to influence each other in addition to impacting the saliency of certain cues and factors for the aviators. Implications for military aviator training and other domains of aviation are discussed.

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