The professional resilience of mid-career General Practitioners (GPs) in the UK: a qualitative study

Background: With a continued crisis of increasing workload and reduced workforce in General Practice, supporting resilience is a key strategy for sustaining the profession for the future. Aim: How do GPs perceive professional resilience and what workplace factors influence it? Design and setting: A UK based qualitative study of the perspectives of GPs currently practicing in the UK with least five years’ experience after completion of GP training. Method: Participants were recruited using convenience sampling, including social media forums and underwent semi-structured interviews (n = 27). Data were analysed using thematic analysis. Results: Participants offered definitions of and influences on resilience which largely fit with existing research but in addition may result in GPs being perceived as obstructive, or that resilience may be a ‘surface act’. GPs agree that the current focus on methods of improving resilience does help support them but there is significantly more to be done in this field. Social media activity aiming at GP support may be counterproductive. Reduction of clinical working hours is a common strategy to improve resilience. Conclusion: That GPs feel to improve resilience they need to work fewer clinical hours may have huge implications for a workforce already in crisis; and ultimately for the healthcare of the UK population. Urgent research is needed to formulate a bespoke assessment for measuring GP resilience to assess potential interventions and identify GPs at risk of mental ill-health or leaving the profession.

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22 Motivations, Barriers, And Social Media: A Qualitative Study of Uptake of Women into Neurosurgery

British Journal of Surgery ◽

10.1093/bjs/znab259.649 ◽

2021 ◽

Vol 108 (Supplement_6) ◽

Author(s):

S Bandyopadhyay ◽

J Moudgil-Joshi ◽

E Norton ◽

M Haq ◽

K Saunders

Keyword(s):

Social Media ◽

Qualitative Study ◽

Role Models ◽

Quantitative Methods ◽

Real Life ◽

Structured Interviews ◽

Topic Area ◽

Data Saturation ◽

Axial Coding ◽

The Uk

Abstract Objective To explore how social media could be utilised to influence an individual’s motivation to pursue a neurosurgical career, an emerging topic area. The focus of this study was on women interested in neurosurgery. Background Women are significantly under-represented in neurosurgery. 18% of all neurosurgeons – including 8% of consultants – are women. Most previous studies have used quantitative methods that are not best suited to gaining an in-depth understanding of the barriers that women face in pursuing a career in neurosurgery, or what would enable more women to go into the speciality. Method In this qualitative study, individual semi-structured interviews were conducted until data saturation was achieved. Participants were women pre-neurosurgical trainees. The interview data was examined through a thematic analysis involving open and axial coding. Results Thirty women participated in the study. Four overarching themes were identified: (1) mentorship, (2) testimony from other women doing neurosurgery, (3) social media as a means of increasing interest in neurosurgery as a career choice, and (4) real-life exposure to the speciality. Conclusions There is scope to further improve uptake of women into neurosurgical training in the UK. Motivations and barriers to women pursuing neurosurgery should be addressed openly through early experience, role models and mentorship. Social media can help facilitate these opportunities, disseminate information and inspiration, and has the potential to undo societal biases.

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Experiences of New Zealand Haemodialysis Patients in Relation to Food and Nutrition Management: A Qualitative Study

Nutrients ◽

10.3390/nu13072299 ◽

2021 ◽

Vol 13 (7) ◽

pp. 2299

Author(s):

Rachael M. McLean ◽

Zhengxiu Xie ◽

Vicky Nelson ◽

Vili Nosa ◽

Hla Thein ◽

...

Keyword(s):

New Zealand ◽

Qualitative Study ◽

Thematic Analysis ◽

Extended Family ◽

Culturally Appropriate ◽

Structured Interviews ◽

Nutrition Management ◽

Healthcare Needs ◽

Food And Nutrition ◽

Major Disruption

People receiving haemodialysis have considerable and complex dietary and healthcare needs, including co-morbidities. A recent New Zealand study has shown that few patients on haemodialysis are able to meet nutritional requirements for haemodialysis. This study aims to describe the perspectives and experiences of dietary management among patients on haemodialysis in New Zealand. This exploratory qualitative study used in-depth semi-structured interviews. Purposive sampling was used to recruit participants from different ethnic groups. Forty interviews were conducted, audio-recorded and transcribed verbatim. An inductive approach was taken using thematic analysis. Forty participants were interviewed. Participants spoke of major disruption to their lives as a result of their chronic kidney disease and being on haemodialysis, including loss of employment, financial challenges, loss of independence, social isolation and increased reliance on extended family. Most had received adequate dietary information, although some felt that more culturally appropriate support would have enabled a healthier diet. These findings show that further support to make the recommended dietary changes while on haemodialysis should focus on socio-cultural factors, in addition to the information already provided.

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Healthcare and Terrorism: The Lebanese Experience

Disaster Medicine and Public Health Preparedness ◽

10.1017/dmp.2021.26 ◽

2021 ◽

pp. 1-4

Author(s):

Nooreddine Iskandar ◽

Tatiana Rahbany ◽

Ali Shokor

Keyword(s):

Public Health ◽

Qualitative Study ◽

Thematic Analysis ◽

Terrorist Attacks ◽

Analysis Method ◽

Structured Interviews ◽

Security Issues ◽

The Face ◽

The Common ◽

First Time

Abstract Background: Due to the common instability caused by political and security issues, Lebanese hospitals have experienced acts of terrorism multiple times. The most recent Beirut Explosion even forced several hospitals to cease operations for the first time in decades—but studies show the preparedness levels for such attacks in similar countries are low. Objective: The aim of this study is to explore the experience of Lebanese hospitals with terrorist attacks. Methods: This qualitative study used semi-structured interviews with various stakeholders to assess their experience with terrorist bombings. Data was analyzed using the thematic analysis method. Results: The researchers found that Lebanese hospitals vary greatly in their structures and procedures. Those differences are a function of 3 contextual factors: location, culture, and accreditation status. Hospitals found near ‘dangerous zones’ were more likely to be aware and to have better response to such events. A severe lack of communication, unity of command, and collaboration between stakeholders has made the process fragmented. Conclusion: The researchers recommend a larger role for the Ministry of Public Health (MOPH) in this process, and the creation of a platform where Lebanese organizations can share their experiences to improve preparedness and resilience of the Lebanese healthcare system in the face of terrorism.

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Identifying Risk Factors Affecting the Usage of Digital and Social Media: A Preliminary Qualitative Study in the Dental Profession and Dental Education

Dentistry Journal ◽

10.3390/dj9050053 ◽

2021 ◽

Vol 9 (5) ◽

pp. 53

Author(s):

Rayan Sharka ◽

Jonathan P. San Diego ◽

Melanie Nasseripour ◽

Avijit Banerjee

Keyword(s):

Risk Factors ◽

Qualitative Study ◽

Perceived Risk ◽

Dental Education ◽

Dental Students ◽

General Context ◽

Structured Interviews ◽

Factors Affecting ◽

The Uk ◽

Dental Professionals

Aims: This study aimed to identify the risk factors of using DSM to provide an insight into the inherent implications this has on dental professionals in practice and trainee professionals’ education. Materials and methods: Twenty-one participants (10 dental professionals and 11 undergraduate and postgraduate dental students) participated in this qualitative study using semi-structured interviews in a dental school in the UK. The interviews were analysed and categorised into themes, some of which were identified from previous literature (e.g., privacy and psychological risks) and others emerged from the data (e.g., deceptive and misleading information). Results: The thematic analysis of interview transcripts identified nine perceived risk themes. Three themes were associated with the use of DSM in the general context, and six themes were related to the use of DSM in professional and education context. Conclusions: This study provided evidence to understand the risk factors of using DSM in dental education and the profession, but the magnitude of these risks on the uptake and usefulness of DSM needs to be assessed.

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University students’ understanding and perceptions of schizophrenia in the UK: a qualitative study

BMJ Open ◽

10.1136/bmjopen-2018-025813 ◽

2019 ◽

Vol 9 (4) ◽

pp. e025813

Author(s):

Charlotte Cadge ◽

Charlotte Connor ◽

Sheila Greenfield

Keyword(s):

Qualitative Study ◽

University Students ◽

Help Seeking ◽

Negative Symptoms ◽

Health Campaigns ◽

Structured Interviews ◽

African Caribbean ◽

Lay Understanding ◽

The Uk ◽

The University

ObjectiveTo explore lay understanding and perceptions of schizophrenia in university students.DesignQualitative study using semi-structured interviews and thematic analysis.SettingThe University of Birmingham, West Midlands.Participants20 UK home students of white British (n=5), Indian (n=5), Pakistani (n=5), African Caribbean (n=4) and dual white British and African Caribbean ethnicity (n=1).ResultsFindings revealed a lack of knowledge about schizophrenia, particularly the negative symptoms that were not mentioned. There were mixed ideas on the causes and sources of available help for schizophrenia; however, positively many said they would consult their general practitioner. While there was a general misconception among the students that schizophrenia caused multiple personalities and was a dangerous illness, there were some differences in perceptions and understanding between ethnic groups, with more Indian students perceiving upbringing as a causal factor in the development of the illness and more Pakistani students perceiving possession by a spirit as a cause.ConclusionsThe university students interviewed lacked knowledge about schizophrenia and stigma was widespread, both of which may delay help-seeking. Public health campaigns educating young people about schizophrenia are required to improve early identification and intervention and improve outcomes. Further research exploring ways to effectively tackle stigma is also required.

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Social media participatory CPD for nursing revalidation, professional development and beyond

British Journal of Nursing ◽

10.12968/bjon.2019.28.13.870 ◽

2019 ◽

Vol 28 (13) ◽

pp. 870-877

Author(s):

Calvin Moorley ◽

Theresa Chinn

Keyword(s):

Professional Development ◽

Social Media ◽

Thematic Analysis ◽

Design Data ◽

The Social ◽

Reflective Design ◽

Professional Requirements ◽

Social Media Tools ◽

The Uk ◽

Media Applications

Background: In 2016 the Nursing and Midwifery Council in the UK introduced revalidation, which is the process nurses are required to follow to renew their registration. This provides an opportunity for nurses to shape, develop and evolve social media to meet their professional requirements. Aims: to examine different ways nurses can use social media tools for continuous professional development (CPD) and revalidation. Methods: using a qualitative reflective design, data were gathered from content on the @WeNurses platform and activities organised with other leading health organisations in England. These data were analysed using the social media relationship triangle developed by the authors with a thematic analysis approach. Findings: analysis revealed that social media was used in six categories: publishing, sharing, messaging, discussing, collaborating, and networking. Organised social media events such as: blogs, tweetchats, Twitter storms, webinars, infographics, podcasts, videos and virtual book clubs can support nurses with revalidation and professional development. Conclusion: Through using a participatory CPD approach and embracing professional social media applications nurses have moved social media from the concept of a revolution to an evolution.

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A study to evaluate the provision of psychosocial supervision within an Early Intervention team

The Cognitive Behaviour Therapist ◽

10.1017/s1754470x1000005x ◽

2010 ◽

Vol 3 (2) ◽

pp. 58-70 ◽

Cited By ~ 3

Author(s):

Sandra T. Neil ◽

Sarah Nothard ◽

David Glentworth ◽

Elaine Stewart

Keyword(s):

Early Intervention ◽

Thematic Analysis ◽

Psychosocial Interventions ◽

Descriptive Statistics ◽

Early Interventions ◽

Structured Interviews ◽

Team Members ◽

Different Types ◽

Intervention Team ◽

The Uk

AbstractPsychosocial Interventions (PSIs) and PSI supervision underpin the delivery of early interventions for people experiencing psychosis. Early Intervention (EI) teams are relatively new in the NHS and there is currently a lack of empirical research into PSI supervision in this area. This study aimed to elicit staff views of PSI supervision and to identify any unmet supervision needs within a newly developed EI team in the UK. Semi-structured interviews were conducted with 16 multidisciplinary team members. Descriptive statistics and a thematic analysis were used to analyse the responses. The different types of supervision available to team members, gaps in the provision of PSI supervision and aspects that supervisees found helpful and unhelpful about PSI supervision are discussed as are ideas for improving the provision of PSI supervision in EI teams. The limitations of the study and ideas for further research are also outlined.

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Understanding Relationship between Milestone and Decision-Making in Project Management: A Qualitative Study among Project Managers in Saudi Arabia

International Journal of Business and Management ◽

10.5539/ijbm.v13n8p184 ◽

2018 ◽

Vol 13 (8) ◽

pp. 184 ◽

Cited By ~ 2

Author(s):

Umar Altahtooh ◽

Thamir Alaskar

Keyword(s):

Decision Making ◽

Saudi Arabia ◽

Project Management ◽

Qualitative Study ◽

Thematic Analysis ◽

Project Managers ◽

Structured Interviews ◽

Pragmatic Research ◽

The Impact ◽

The Relationship

Despite the importance of milestone as a key knowledge in project management, there has been lack of research to understand the relationship between milestones and decision-making. This paper presents a pragmatic research context that aims understanding the nature of milestones and their relationship with different decision-making structures and responsibilities across projects. Data were collected through 14 semi-structured interviews with project managers and analyzed using thematic analysis. The findings explore the concepts of project milestones among project managers in Saudi Arabia. The paper finds that there is a relationship between milestones and the impact on decision-making.

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What motivates informal caregivers of people with dementia (PWD): a qualitative study

BMC Palliative Care ◽

10.1186/s12904-019-0491-9 ◽

2019 ◽

Vol 18 (1) ◽

Cited By ~ 1

Author(s):

Shakiba Zahed ◽

Maryam Emami ◽

Shahrzad Bazargan-Hejazi ◽

Ahmad Ali Eslami ◽

Majid Barekatain ◽

...

Keyword(s):

Social Media ◽

Quality Of Care ◽

Qualitative Study ◽

Motivating Factors ◽

Structured Interviews ◽

Thematic Content Analysis ◽

People With Dementia ◽

The Family ◽

Burden Of Caring

Abstract Background The burden of caring for People with Dementia (PWD) is heavy; identifying incentives that motivate them in providing care is essential in facilitating and optimizing care. This study aims to explore and describe these motivating factors. Methods We conducted this qualitative study between January 2016 and January 2017 in Isfahan, Iran. Data were extracted through in-depth, semi-structured interviews with 19 caregivers of PWD. These data were then examined through thematic content analysis. Results We identified four categories of psychological motives based on the caregivers’ feedback and experience. These include 1) Moral-based motives, 2) Religious, and spiritual motives; 3) Financial motives, and 4) Wicked motives. Conclusions Our results revealed several aspects of caregivers’ motives. They include moral, religious, and spiritual aspects; sharing housing accommodations, and the likelihood of inheriting a portion of the patient’s assets based on unspoken rules and informal arrangements in the family, and wicked and immoral aspects. These findings can inform future efforts in enhancing the experiences of caregivers of PWD, and subsequently, the quality of care these patients receive. It further suggests that family members, members of a religious and spiritual organization, as well as social media, could play important roles in setting the stage.

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The aftermath of burn injury from the child’s perspective: A qualitative study

Journal of Health Psychology ◽

10.1177/1359105318800826 ◽

2018 ◽

Vol 25 (13-14) ◽

pp. 2464-2474 ◽

Cited By ~ 2

Author(s):

Marthe R Egberts ◽

Rinie Geenen ◽

Alette EE de Jong ◽

Helma WC Hofland ◽

Nancy EE Van Loey

Keyword(s):

Qualitative Study ◽

Thematic Analysis ◽

Parental Support ◽

Burn Injury ◽

Psychosocial Impact ◽

Structured Interviews ◽

Psychological Barriers ◽

Injury Event ◽

And Coping ◽

Vivid Memories

A burn injury event and subsequent hospitalization are potentially distressing for children. To elucidate the child’s experience of pediatric burn injury, children’s reflections on the burn event and its aftermath were examined. Semi-structured interviews were conducted with eight children (12–17 years old). Using thematic analysis, interview transcripts were coded and codes were combined into overarching categories. Three categories were identified: vivid memories; the importance of parental support; psychosocial impact and coping. Implications for care are discussed in terms of assessing children’s appraisals, paying attention to the parent’s role, and preparing families for potential psychological barriers after discharge.

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