GPs’ perceptions of resilience training: a qualitative study

BackgroundGPs are reporting increasing levels of burnout, stress, and job dissatisfaction, and there is a looming GP shortage. Promoting resilience is a key strategy for enhancing the sustainability of the healthcare workforce and improving patient care.AimTo explore GPs’ perspectives on the content, context, and acceptability of resilience training programmes in general practice, in order to build more effective GP resilience programmes.Design and settingThis was a qualitative study of the perspectives of GPs currently practising in England.MethodGPs were recruited through convenience sampling, and data were collected from two focus groups (n = 15) and one-to-one telephone interviews (n = 7). A semi-structured interview approach was used and data were analysed using thematic analysis.ResultsParticipants perceived resilience training to be potentially of value in ameliorating workplace stresses. Nevertheless, uncertainty was expressed regarding how best to provide training for stressed GPs who have limited time. Participants suspected that GPs most likely to benefit from resilience training were the least likely to engage, as stress and being busy worked against engagement. Conflicting views were expressed about the most suitable training delivery method for promoting better engagement. Participants also emphasised that training should not only place the focus on the individual, but also focus on organisation issues.ConclusionA multimodal, flexible approach based on individual needs and learning aims, including resilience workshops within undergraduate training and in individual practices, is likely to be the optimal way to promote resilience.

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Implementation challenges of an integrated One Health surveillance system in humanitarian settings: A qualitative study in Palestine

SAGE Open Medicine ◽

10.1177/20503121211043038 ◽

2021 ◽

Vol 9 ◽

pp. 205031212110430

Author(s):

Samer Abuzerr ◽

Kate Zinszer ◽

Abraham Assan

Keyword(s):

Qualitative Study ◽

Surveillance System ◽

One Health ◽

Structured Interview ◽

Health Surveillance ◽

Effective Control ◽

Policy Coherence ◽

Implementation Challenges ◽

The One ◽

Training Programmes

Objectives: Several factors have changed interactions between people, animals, plants, and the environment – renewing the relevance of the One Health surveillance system in the fight against zoonotic diseases such as COVID-19. Therefore, this study aimed to explore barriers to implementing an integrated One Health surveillance system in Palestine. Methods: This qualitative study was conducted from April 2020 until August 2020. Data were collected using semi-structured interview guides. Seven key stakeholders were interviewed during data collection. A thematic analysis was performed. Results: Four overarching themes emerged explaining barriers to integrated implementation of the One Health surveillance system. They are lack of policy coherence, limited financial resources, poor governance and leadership, and lack of One Health training programmes. Conclusion: Improved understanding of the transmission and effective control (including One Health approach) of zoonotic disease and better governance and leadership are critical in the diseases that threaten public health, such as the COVID-19.

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Influences on GP coping and resilience: a qualitative study in primary care

British Journal of General Practice ◽

10.3399/bjgp17x690893 ◽

2017 ◽

Vol 67 (659) ◽

pp. e428-e436 ◽

Cited By ~ 18

Author(s):

Anna Cheshire ◽

Damien Ridge ◽

John Hughes ◽

David Peters ◽

Maria Panagioti ◽

...

Keyword(s):

Focus Groups ◽

Structured Interview ◽

Full Time ◽

External Work ◽

Workplace Change ◽

Work Related ◽

Telephone Interviews ◽

One To One ◽

The Individual ◽

The Impact

Background‘Neoliberal’ work policies, austerity, NHS restructuring, and increased GP consultation rates provide the backdrop against increasing reports of GP burnout and an impending shortage of GPs.AimTo explore GPs’ experiences of workplace challenges and stresses, and their coping strategies, particularly focusing on understanding the impact of recent NHS workplace change.Design and settingStudy design was qualitative, with data collected from two focus groups and seven one-to-one telephone interviews.MethodFocus groups and one-to-one telephone interviews explored the experiences of GPs currently practising in England, recruited through convenience sampling. Data were collected using a semi-structured interview approach and analysed using thematic analysis.ResultsThere were 22 GP participants recruited: focus groups (n = 15) and interviews (n = 7). Interviewees understood GPs to be under intense and historically unprecedented pressures, which were tied to the contexts in which they work, with important moral implications for ‘good’ doctoring. Many reported that being a full-time GP was too stressful: work-related stress led to mood changes, sleep disruption, increases in anxiety, and tensions with loved ones. Some had subsequently sought ways to downsize their clinical workload. Workplace change resulted in little time for the things that helped GP resilience: a good work–life balance and better contact with colleagues. Although some GPs were coping better than others, GPs acknowledged that there was only so much an individual GP could do to manage their stress, given the external work issues they faced.ConclusionGPs experience their emotional lives and stresses as being meaningfully shaped by NHS factors. To support GPs to provide effective care, resilience building should move beyond the individual to include systemic work issues.

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Perspectives on expert generalist practice among japanese family doctor educators: A qualitative study

BJGP Open ◽

10.3399/bjgpo.2021.0011 ◽

2021 ◽

pp. BJGPO.2021.0011

Author(s):

Makoto Kaneko ◽

Ai Oishi ◽

Noriaki Sawa ◽

Greg Irving ◽

Yasuki Fujinuma

Keyword(s):

Family Medicine ◽

Qualitative Study ◽

Family Doctor ◽

Structured Interview ◽

Qualitative Description ◽

Educational Strategies ◽

Japanese Family ◽

Family Doctors ◽

Training Programmes ◽

Generalist Practice

BackgroundExpert generalist practice (EGP) is increasingly being viewed as the defining expertise of generalist care. In Japan, several family doctors consider it important and relevant in the Japanese context. However, no study has examined Japanese family doctor educators’ perceptions of EGP.AimTo explore Japanese family doctor educators’ perceptions of EGPDesign & settingA qualitative study among family doctor educators in JapanMethodWe conducted focus group interviews using a semi-structured interview guide following a short lecture on EGP. We adopted a qualitative description method and used the framework method to conduct thematic analysis.ResultsParticipants included 17 family medicine trainers in Japan, including 11 directors and five associate directors of family medicine training programmes. The results suggested that the concept of EGP was important and applicable to primary care in Japan. Participants’ perceptions on EGP pertained to the following four areas: impact of EGP, triggers for EGP, enablers for EGP, and educational strategies for EGP.ConclusionThe concept of EGP may be useful in clinical practice in Japan, especially in complex patient care. A clearer framework for or description of EGP, and of non-traditional methods such as ascetic practice and awareness of the self, were proposed as possible educational strategies.

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Explaining the Individual Challenges Experienced of Women Affected by Neuromyelitis Optica and Multiple Sclerosis: A Comparative Content Analysis Study

10.21203/rs.3.rs-150219/v1 ◽

2021 ◽

Author(s):

Maryam Shabany ◽

Saeideh Ayoubi ◽

Abdorreza NaserMoghadasi ◽

Sharareh Eskandarieh

Keyword(s):

Multiple Sclerosis ◽

Content Analysis ◽

Qualitative Study ◽

Structured Interview ◽

Personal Problems ◽

Daily Lives ◽

Rehabilitation Care ◽

Face To Face ◽

Perception Of Threat ◽

The Individual

Abstract Introduction: Multiple Sclerosis (MS) and Neuro-Myelitis Optica spectrum disorder (NMOSD) are an autoimmune condition. Both of them have unexpected and acute relapses. The aim of this qualitative study was explaining the individual problems experienced of women affected by NMOSD and MS.Method: Sixteen NMOSD patients and eighteen MS patients completed a face to face deep semi-structured interview. Participants were recruited from the MS ward in Sina hospital. After typed the interview, the data were analyzed using conventional content analysis, as recommended by Graneheim and Lundman (2005). Data analysis is managed with MAXQDA2018 software.Results: In this study, a common theme for both disease groups was identified as "challenges arising from personal problems". The categories are named after each other and have many similarities, which in the NMOSD group include four categories including: "From uncertainty to the perception of threat", "Living with limitations", "Active coping until normalization" and "Facilitators of personal problems" appeared. In the group of patients with MS, five categories emerged: "perceived threat", living at a bottleneck, trying to deal with negative experiences, "facilitators of personal problems" and "problems related to physical rehabilitation".Conclusion: This qualitative study showed that the individual problems of the two groups of NMOSD and MS patients are somewhat similar. Also in the present study, people with MS need longer-term rehabilitation care than people with NMOSD, which should be considered and examined, a need that was less seen in people with NMOSD. The unpredictability of attacks in NMOSD and MS can have a profound effect on the daily lives of these people. Therefore, educating patients and staff about how to manage life in such diseases can be an important help to improve patient's health.

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Construction of citizenship in hospitalized children, Peru

Journal of Global Education Sciences ◽

10.32829/ges.v1i1.73 ◽

2019 ◽

Vol 1 (1) ◽

pp. 31

Author(s):

Fernando Ledesma Perez ◽

Maria Caycho Avalos ◽

Juana Cruz Montero ◽

Andrea Ayala Sandoval

Keyword(s):

Structured Interview ◽

Health Condition ◽

Qualitative Approach ◽

Fundamental Rights ◽

Hospitalized Children ◽

Health Institute ◽

Interview Guide ◽

Communication Interaction ◽

The Individual

Citizenship is the exercise of the fundamental rights of people in spaces of participation, opinion and commitments, which can not be violated by any health condition in which the individual is. This research aims to interpret the process of construction of citizenship in hospitalized children, was developed through the qualitative approach, ethnomethodological method, synchronous design, with a sample of three students hospitalized in a health institute specializing in childhood, was used Observation technique and a semi-structured interview guide were obtained as results that hospitalized children carry out their citizenship construction in an incipient way, through the communication interaction they make with other people in the environment where they grow up.

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Dificuldades do Profissional Enfermeiro ao Cuidar de Pacientes Pediátricos Portadores de Câncer/ Difficulties of the Professional Nurse when Taking Care of Pediatric Patients with Cancer

REVISTA CIÊNCIAS EM SAÚDE ◽

10.21876/rcsfmit.v4i3.227 ◽

1970 ◽

Vol 4 (3) ◽

pp. 41-47

Author(s):

Renata Pinto Ribeiro ◽

Teresa Francisca Moraes Pinto ◽

Clarissa Santos Carvalho Ribeiro ◽

Valdinéa Luiz Hertel

Keyword(s):

Qualitative Study ◽

Pediatric Patients ◽

Structured Interview ◽

Coping Mechanisms ◽

Emotional Involvement ◽

Children With Cancer ◽

Professional Nurse ◽

Patients With Cancer ◽

Oncological Diseases ◽

Taking Care

Objetivo: O objetivo desse estudo foi de identificar as dificuldades do profissional enfermeiro frente à criança com câncer, verificar se há preparo adequado para atender às necessidades de uma criança com doenças oncológicas; e qual a forma de enfrentamento utilizada pelo profissional diante das dificuldades encontradas, no atendimento a essa criança. Metodologia: Trata-se de uma pesquisa qualitativa, objetivando identificar quais dificuldades o profissional de enfermagem enfrenta no cuidado de criança com câncer e de seus familiares, os mecanismos de enfrentamento dessas dificuldades no atendimento dos mesmos e se há preparo adequado dos mesmos para atender as necessidades dessas crianças. Os sujeitos foram quatro enfermeiras que cuidam ou já cuidaram de crianças com câncer no Hospital Bom Pastor – Varginha/MG. A coleta de dados foi desenvolvida por uma entrevista semiestruturada. Resultados: Constatou-se que as dificuldades são: cuidar de criança em estado grave, seus pais e o envolvimento emocional. Aos meios de enfrentamento referem à oração e a distração. Quanto ao preparo do profissional referem despreparo para atuar nesta área. Conclusão: Conclui-se que há falta de preparo aos profissionais, embora os mesmos cuidem com humanização dessas crianças. Palavras-chave: Enfermeiro; Crianças; Câncer. ABSTRACT: Objective: The aim of this study was to identify the difficulties of the professional nurse when taking care of a child with cancer, check the adequate preparation to meet the needs of children with oncological diseases; and what form of coping with the situation the professionals used when taking care of this child. Methodology: This was a qualitative study , aiming to identify the difficulties the professional faces in the care of children with cancer and their families , the coping mechanisms of these difficulties in the care and if there is adequate preparation thereof to meet the needs of these children. The subjects were four nurses who care or have cared for children with cancer at Good Shepherd Hospital – Varginha/MG. Data collection was carried out by a semi - structured interview. Results: It was found that the difficulties are care of a child in serious condition, his parents and the emotional involvement. Means of coping relate to prayer and distraction. As to their preparation, professionals refer as being unprepared to act in this area. Conclusion: We concluded that there is lack of preparation of professionals, although they take care of these children in a humanistic way Keywords: Nurse; children; Cancer.

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Focusing on mRNA Granules and Stalled Polysomes Amidst Diverse Mechanisms Underlying mRNA Transport, mRNA Storage, and Local Translation

The Oxford Handbook of Neuronal Protein Synthesis ◽

10.1093/oxfordhb/9780190686307.013.20 ◽

2020 ◽

Author(s):

Mina N. Anadolu ◽

Wayne S. Sossin

Keyword(s):

Protein Synthesis ◽

Liquid Phase ◽

Mrna Translation ◽

Rna Transport ◽

P Bodies ◽

Rna Granules ◽

Mrna Granules ◽

Transport Particle ◽

As Stress ◽

The Individual

In neurons, mRNAs are transported to distal sites to allow for localized protein synthesis. There are many diverse mechanisms underlying this transport. For example, an individual mRNA can be transported in an RNA transport particle that is tailored to the individual mRNA and its associated binding proteins. In contrast, some mRNAs are transported in liquid-liquid phase separated structures called neuronal RNA granules that are made up of multiple stalled polysomes, allowing for rapid initiation-independent production of proteins required for synaptic plasticity. Moreover, neurons have additional types of liquid-liquid phase–separated structures containing mRNA, such as stress granules and P bodies. This chapter discusses the relationships between all of these structures, what proteins distinguish them, and the possible roles they play in the complex control of mRNA translation at distal sites that allow neurons to use protein synthesis to refine their local proteome in many different ways.

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Gender bias in hospital leadership: a qualitative study on the experiences of women CEOs

Journal of Health Organization and Management ◽

10.1108/jhom-12-2016-0243 ◽

2017 ◽

Vol 31 (2) ◽

pp. 253-268 ◽

Cited By ~ 5

Author(s):

Sophie Soklaridis ◽

Ayelet Kuper ◽

Cynthia R. Whitehead ◽

Genevieve Ferguson ◽

Valerie H. Taylor ◽

...

Keyword(s):

Qualitative Study ◽

Gender Bias ◽

Female Leaders ◽

Content Type ◽

Hospital Leadership ◽

Purposeful Sampling ◽

Women Ceos ◽

Hospital Ceos ◽

The Individual ◽

Systemic Discrimination

Purpose The purpose of this paper is to examine the experiences of gender bias among women hospital CEOs and explore to what these female leaders attribute their success within a male-dominated hospital executive leadership milieu. Design/methodology/approach This qualitative study involved 12 women hospital CEOs from across Ontario, Canada. Purposeful sampling techniques and in-depth qualitative interview methods were used to facilitate discussion around experiences of gender and leadership. Findings Responses fell into two groups: the first group represented the statement “Gender inequality is alive and well”. The second group reflected the statement “Gender inequity is not significant, did not happen to me, and things are better now”. This group contained a sub-group with no consciousness of systemic discrimination and that claimed having no gendered experiences in their leadership journey. The first group described gender issues in various contexts, from the individual to the systemic. The second group was ambivalent about gender as a factor impacting leadership trajectories. Originality/value Representations of women’s leadership have become detached from feminism, with major consequences for women. This study reveals how difficult it is for some women CEOs to identify gender bias. The subtle everyday norms and practices within the workplace make it difficult to name and explain gender bias explicitly and may explain the challenges in understanding how it might affect a woman’s career path.

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Teaching First Aid to Prospective Teachers as a Way to Promote Child Healthcare

Healthcare ◽

10.3390/healthcare9040367 ◽

2021 ◽

Vol 9 (4) ◽

pp. 367

Author(s):

María del Carmen Olmos-Gómez ◽

Francisca Ruiz-Garzón ◽

Paula Pais-Roldán ◽

Rafael López-Cordero

Keyword(s):

Professional Development ◽

Qualitative Study ◽

Prospective Teachers ◽

Structured Interview ◽

First Aid ◽

Great Difficulty ◽

Public University ◽

Future Teachers ◽

Emergency Situations ◽

Child Healthcare

This article aimed to analyze, through a qualitative study (i.e., semi-structured interview), the opinions and knowledge of fourth-year future teachers at a Spanish public university (University of Granada) regarding training and the need for first aid (FA) at school. With a sample of 70 subjects in their last year of training, our conclusion is that although they are aware of the importance of first aid for their professional development, there is no such training in their careers, and thus they have great difficulty understanding how to react to emergency situations on the job.

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Life-and-Death Attitude and Its Formation Process and End-of-Life Care Expectations Among the Elderly Under Traditional Chinese Culture: A Qualitative Study

Journal of Transcultural Nursing ◽

10.1177/10436596211021490 ◽

2021 ◽

pp. 104365962110214

Author(s):

Lei Lei ◽

Quanxi Gan ◽

Chunyan Gu ◽

Jing Tan ◽

Yu Luo

Keyword(s):

Qualitative Study ◽

End Of Life ◽

Formation Process ◽

End Of Life Care ◽

Chinese Culture ◽

Life Quality ◽

The Elderly ◽

Life Care ◽

Life And Death ◽

The Individual

Introduction With the global aging process intensified, the demand for end-of-life care has surged, especially in China. However, its development is restricted. Understanding the life and death attitude among the elderly and its formation process, and clarifying their needs, are so important to promote social popularization of end-of-life care. Methodology This qualitative study included 20 elderly residents in Nan and Shuangbei Communities, Chongqing City, People’s Republic of China. Data were collected through semistructured in-depth individual interviews and processed by thematic analysis method. Results Three themes and eight subthemes were identified: Characteristics of formation process (passive thinking, closed and single), life-and-death attitude (cherish and enjoy life, quality of life priority, let death take its course) and expectations of end-of-life care (preferences, basic needs, good death). Discussion Life-and-death attitude and end-of-life care expectations of the elderly support the development and delivery of end-of-life care. Furthermore, the individual-family-hospital linkage discussion channel needs to be further explored.

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