scholarly journals Learning or leaving? An international qualitative study of factors affecting the resilience of female family doctors

BJGP Open ◽  
2020 ◽  
Vol 4 (1) ◽  
pp. bjgpopen20X101017 ◽  
Author(s):  
Alice Shiner ◽  
Jessica Watson ◽  
Noemi Doohan ◽  
Amanda Howe
Keyword(s):  
Qualitative Study ◽  
Professional Staff ◽  
External Support ◽  
Framework Analysis ◽  
Family Doctors ◽  
Factors Affecting ◽  
Individual Level ◽  
Self Confidence ◽  
Competing Demands ◽  
The Individual

​BackgroundMany countries have insufficient numbers of family doctors, and more females than males leave the workforce at a younger age or have difficulty sustaining careers. Understanding the differing attitudes, pressures, and perceptions between genders toward their medical occupation is important to minimise workforce attrition.​AimTo explore factors influencing the resilience of female family doctors during lifecycle transitions.​Design & settingInternational qualitative study with female family doctors from all world regions.​MethodTwenty semi-structured online Skype interviews, followed by three focus groups to develop recommendations. Data were transcribed and analysed using applied framework analysis.​ResultsInterview participants described a complex interface between competing demands, expectations of their gender, and internalised expectations of themselves. Systemic barriers, such as lack of flexible working, excessive workload, and the cumulative impacts of unrealistic expectations impaired the ability to fully contribute in the workplace. At the individual level, resilience related to: the ability to make choices; previous experiences that had encouraged self-confidence; effective engagement to obtain support; and the ability to handle negative experiences. External support, such as strong personal networks, and an adaptive work setting and organisation or system maximised interviewees’ professional contributions.​ConclusionOn an international scale, female family doctors experience similar pressures from competing demands during lifecycle transitions; some of which relate to expectations of the female's ’role’ in society, particularly around the additional personal pressures of caring commitments. Such situations could be predicted, planned for, and mitigated with explicit support mechanisms and availability of workplace choices. Healthcare organisations and systems around the world should recognise this need and implement recommendations to help reduce workforce losses. These findings are likely to be of interest to all health professional staff of any gender.

scholarly journals Interactive effects between travel behaviour and COVID-19: a questionnaire study

2021 ◽  
Author(s):  
Jinbao Zhang ◽  
Jaeyoung Lee
Keyword(s):  
Early Stage ◽  
Travel Behaviour ◽  
Interactive Effects ◽  
Factors Affecting ◽  
Individual Level ◽  
Passenger Volume ◽  
Spatial Autoregressive ◽  
Railway Passenger ◽  
The Individual ◽  
And Control

Abstract This study has two main objectives: (i) to analyse the effect of travel characteristics on the spreading of disease, and (ii) to determine the effect of COVID-19 on travel behaviour at the individual level. First, the study analyses the effect of passenger volume and the proportions of different modes of travel on the spread of COVID-19 in the early stage. The developed spatial autoregressive model shows that total passenger volume and proportions of air and railway passenger volumes are positively associated with the cumulative confirmed cases. Second, a questionnaire is analysed to determine changes in travel behaviour after COVID-19. The results indicate that the number of total trips considerably decreased. Public transport usage decreased by 20.5%, while private car usage increased by 6.4%. Then the factors affecting the changes in travel behaviour are analysed by logit models. The findings reveal significant factors, including gender, occupation and travel restriction. It is expected that the findings from this study would be helpful for management and control of traffic during a pandemic.

scholarly journals Ambidexterity as Practice: Individual Ambidexterity Through Paradoxical Practices

2020 ◽  
Vol 56 (2) ◽  
pp. 143-165 ◽  
Author(s):  
Angeliki Papachroni ◽  
Loizos Heracleous
Keyword(s):  
Organization Theory ◽  
Practice Theory ◽  
Greek Philosophy ◽  
Exploration And Exploitation ◽  
Individual Level ◽  
Competing Demands ◽  
The Individual ◽  
Previous Learning

Following the turn to practice in organization theory and the emerging interest in the microfoundations of ambidexterity, understanding the role of individuals in realizing ambidexterity approaches becomes crucial. Drawing insights from Greek philosophy on paradoxes, and practice theory on paradoxes and ambidexterity, we propose a view of individual ambidexterity grounded in paradoxical practices. Existing conceptualizations of ambidexterity are largely based on separation strategies. Contrary to this perspective, we argue that individual ambidexterity can be accomplished via paradoxical practices that renegotiate or transcend boundaries of exploration and exploitation. We identify three such paradoxical practices at the individual level that can advance understanding of ambidexterity: engaging in “hybrid tasks,” capitalizing cumulatively on previous learning, and adopting a mindset of seeking synergies between the competing demands of exploration and exploitation.

Indirect aggression, anxiety, and empathy: Disaggregating between and within person longitudinal associations during childhood and adolescence

2021 ◽  
pp. 1-13
Author(s):  
Ann H. Farrell ◽  
Tracy Vaillancourt
Keyword(s):  
Anxiety Symptoms ◽  
Empathic Concern ◽  
Indirect Aggression ◽  
Childhood And Adolescence ◽  
Acting Out ◽  
Individual Level ◽  
Self Confidence ◽  
Latent Trajectory ◽  
Longitudinal Associations ◽  
The Individual

Abstract Although indirectly aggressive behavior and anxiety symptoms can co-occur, it is unclear whether anxiety is an antecedent or outcome of indirect aggression at the individual level and whether other personality traits can contribute to these longitudinal associations. Therefore, the between- and within-person associations among indirect aggression, anxiety symptoms, and empathic concern were examined across adolescence from ages 11 to 16 in a cohort of individuals followed annually (N = 700; 52.9% girls; 76.0% White) controlling for direct aggression and demographic variables. Results of autoregressive latent trajectory models with structured residuals supported an acting out model at the within-person level. Specifically, anxiety symptoms positively predicted indirect aggression and indirect aggression negatively predicted empathic concern at each adjacent time point. These findings suggest that methods of reducing worries about the self and increasing healthy self-confidence could prevent indirect aggression and help build concern and compassion toward others.

scholarly journals Analysis of Desires of the Main Character in the Short Story “Ein Tisch ist ein Tisch” by Peter Bichsel: A Study of Deleuze and Guattari’s Schizoanalysis

2020 ◽  
Vol 4 (1) ◽  
pp. 29
Author(s):  
M. Kharis ◽  
Rosyidah Rosyidah ◽  
Sawitri Retnantiti
Keyword(s):  
Qualitative Study ◽  
Short Story ◽  
Research Data ◽  
Main Character ◽  
Social Formation ◽  
Individual Level ◽  
Descriptive Approach ◽  
The Creation ◽  
The Individual ◽  
Recording Techniques

This study aims to describe the desires of the main character ‘der Mann’ in the short story by Peter Bichsel using Deleuze and Guattari’s Schizoanalysis theory. This was a qualitative study with a descriptive approach. The research data were comprised of words, phrases, and sentences. The collected data were subsequently categorized into types of desires. Data were analyzed using reading and recording techniques and described based on the proportion of desires. The results of the analysis showed that the main character receives constant pressures from society, leading to the emergence of paranoid desire, a desire that is formed due to the pressure of particular systems or social codes outside of the main character. This desire is schizophrenic at the individual level. In the short story, this desire is manifested through the creation of a new language by ‘der Mann’. In the end, the main character ‘der Mann’ can use new vocabulary at the levels of phrases and sentences, but unable to influence other language users. As a result, his newly self-created language is unacceptable in society. However, the schizophrenic desire at the individual level has the potential to destruct social formation

scholarly journals Factors affecting mobile home prevalence in the United States: Poverty, amenities, and natural resource employment

2019 ◽  
Author(s):  
Matthew M Brooks ◽  
Tom Mueller
Keyword(s):  
United States ◽  
Social Economic ◽  
The United States ◽  
Mobile Home ◽  
Spatial Lag ◽  
Factors Affecting ◽  
Natural Amenities ◽  
Individual Level ◽  
Health Related ◽  
The Individual

Mobile home residence in the United States is associated with negative social, economic, and health related outcomes. However, while research on mobile home residence at the individual level has been performed, a geographic understanding of mobile home prevalence in the United States remains absent from the literature. Therefore, the purpose of our analysis was to evaluate the county-level drivers of mobile home prevalence in the continental United States in 2015. The influence of five groups of variables – demographic, economic, housing, industry and occupation, and natural amenities – were assessed in a series of nested OLS regressions. Additionally, the full model was run as a spatial lag regression to control for spatial autocorrelation. Our results indicate that the primary drivers of mobile home prevalence in U.S. counties were the percent of population in near poverty, the labor force

scholarly journals Factors influencing the performance of community health workers: A qualitative study of Anganwadi Workers from Bihar, India

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0242460
Author(s):  
Aparna John ◽  
Nicholas Nisbett ◽  
Inka Barnett ◽  
Rasmi Avula ◽  
Purnima Menon
Keyword(s):  
Qualitative Study ◽  
Community Health ◽  
Large Scale ◽  
Health Workers ◽  
Seasonal Migration ◽  
High Coverage ◽  
Factors Affecting ◽  
Community Factors ◽  
Factors Influencing ◽  
The Individual

Globally, there remain significant knowledge and evidence gaps around how to support Community Health Worker (CHW) programmes to achieve high coverage and quality of interventions. India’s Integrated Child Development Services scheme employs the largest CHW cadre in the world—Anganwadi Workers (AWWs). However, factors influencing the performance of these workers remain under researched. Lessons from it have potential to impact on other large scale global CHW programmes. A qualitative study of AWWs in the Indian state of Bihar was conducted to identify key drivers of performance in 2015. In-depth interviews were conducted with 30 AWWs; data was analysed using both inductive and deductive thematic analysis. The study adapted and contextualised existing frameworks on CHW performance, finding that factors affecting performance occur at the individual, community, programme and organisational levels, including factors not previously identified in the literature. Individual factors include initial financial motives and family support; programme factors include beneficiaries’ and AWWs’ service preferences and work environment; community factors include caste dynamics and community and seasonal migration; and organisational factors include corruption. The initial motives of the worker (the need to retain a job for family financial needs) and community expectations (for product-oriented services) ensure continued efforts even when her motivation is low. The main constraints to performance remain factors outside of her control, including limited availability of programme resources and challenging relationships shaped by caste dynamics, seasonal migration, and corruption. Programme efforts to improve performance (such as incentives, working conditions and supportive management) need to consider these complex, inter-related multiple determinants of performance. Our findings, including new factors, contribute to the global literature on factors affecting the performance of CHWs and have wide application.

scholarly journals Qualitative study of UK health professionals’ experiences of working at the point of care during the COVID-19 pandemic

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e054377
Author(s):  
Sharin Baldwin ◽  
Joicy George
Keyword(s):  
Qualitative Study ◽  
Health Professionals ◽  
Point Of Care ◽  
Well Being ◽  
Professional Staff ◽  
Support Needs ◽  
Valuable Insight ◽  
Framework Analysis ◽  
War Zone ◽  
The Impact

ObjectivesTo develop an understanding of health professionals’ experiences of working at the point of care during the COVID-19 pandemic, the impact on their health and well-being and their support needs.DesignA qualitative study using semistructured interviews. Data were analysed using framework analysis.SettingOne large National Health Service integrated care trust.ParticipantsA purposive sample of 19 qualified health professionals (doctors, nurses or allied health professionals), working with patients with COVID-19 admitted to the hospitals between March and May 2020 were eligible to take part.ResultsEight major categories were identified: (1) Working in a ‘war zone’, (2) ‘Going into a war zone without a weapon’, (3) ‘Patients come first’, (4) Impact of COVID-19, (5) Leadership and management, (6) Support systems, (7) Health professionals’ support needs, and (8) Camaraderie and pride. Health professionals reported increased levels of stress, anxiety and a lack of sleep. They prioritised their patients’ needs over their own and felt a professional obligation to be at work. A key finding was the reported camaraderie among the health professionals where they felt that they were ‘fighting this war together’.ConclusionsThis study provides a valuable insight into the experiences of some of the frontline health professionals working in a large London-based hospital trust during the first COVID-19 peak. Findings from this study could be used to inform how managers, leaders and organisations can better support their health professional staff during the current pandemic and beyond.

Factors Affecting Consumer Adoption of Broadband in Developing Countries

2008 ◽  
pp. 285-295
Author(s):  
Yogesk K. Dwivedi
Keyword(s):  
Developing Countries ◽  
South Korea ◽  
Developing Nations ◽  
Division I ◽  
The Internet ◽  
Factors Affecting ◽  
Individual Level ◽  
The Individual ◽  
The Uk

This chapter empirically examines factors affecting the adoption of broadband in the developing countries of Bangladesh and the Kingdom of Saudi Arabia (KSA). In the case of Bangladesh, attitudinal, normative, and control factors—discussed in the UK case study in Division I of this book—were used and adapted in order to provide insights about broadband adopters and non-adopters within the developing nations. In order to examine the adoption of broadband in the KSA, a number of variables were employed, which also included some of the variables discussed in the UK case study in Division I. As the Internet was introduced comparatively late in Bangladesh (in 1996), in early 2004 the total penetration of Internet within the country was only 0.25 percent (Totel, 2004). It was suggested that the major obstacles associated with low Internet penetration were the low economic status and still-developing infrastructure within the country (Totel, 2004). A recent media report further emphasised that “Bangladesh is not anywhere on the global broadband map, but it is doing its best to get online. Local service provider, DNS SatComm has started deploying fixed wireless gear from Cambridge Broadband and will offer access to government offices, and other commercial entities” (Malik, 2005). It has also been suggested that Internet connection is slow and costly and not affordable by the general public (Hossain, 2004). Given the situations of Bangladesh in terms of demography, telecommunication infrastructure, and affordability of Internet by people, it was felt that understanding factors including cost of Internet access and subscription affecting consumer adoption might help to encourage further diffusion of high speed Internet. In the KSA, the Internet has taken some time to diffuse and is therefore seen as a relatively new technology. The KSA first started with dial up connections and then moved on to adopt broadband and satellite connections to provide better data communication services to its citizens. However, even with the availability of broadband technology, the rate of adoption is considered to be relatively poor in comparison to other developed countries such as the UK, as well as newly industrialised leading broadband users, such as South Korea (Oh et al., 2003). This poor connectivity is often claimed to be caused by website filtration in the region. Consequently, broadband adoption has been slower than expected in the region. Furthermore, a survey of existing literature on broadband adoption suggests that although both macro and micro level studies were conducted in order to understand the deployment of broadband in the developed world and leading countries such as South Korea, none of these studies focus upon developing countries, such as Bangladesh and the KSA. Although this could be attributed to the slow infrastructure development and low rate of adoption within the two countries, this has provided the motivation for undertaking exploratory research in order to develop an understanding of the perceptions of consumers regarding broadband adoption in these developing nations. Thus, this chapter aims to explore the reasons for the slow adoption of broadband in Bangladesh and the KSA by examining the individual level factors affecting broadband uptake in both cases. The research will thereby seek to adapt the individual level factors from the UK case study (Division I) and attempt to examine if and why the adapted factors affect consumers’ attitudes towards the adoption of broadband in the countries. The chapter begins with a brief discussion of the theoretical basis and variables employed to examine broadband adoption. This is followed by a brief discussion of the utilized research methods. The findings are then presented and discussed. Finally, a conclusion to the chapter is provided.

scholarly journals Integration of Health Coaching Concepts and Skills into Clinical Practice Among VHA Providers: A Qualitative Study

2018 ◽  
Vol 7 ◽  
pp. 2164957X1875746 ◽  
Author(s):  
David A. Collins ◽  
Kirsten Thompson ◽  
Katharine A. Atwood ◽  
Melissa H. Abadi ◽  
David L. Rychener ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Qualitative Study ◽  
Health Coaching ◽  
System Level ◽  
Health Administration ◽  
Clinical Role ◽  
Individual Level ◽  
Positive Effects ◽  
Coaching Skills ◽  
The Individual

Background Although studies of health coaching for behavior change in chronic disease prevention and management are increasing, to date no studies have reported on what concepts and skills providers integrate into their clinical practice following participation in health coaching courses. The purpose of this qualitative study was to assess Veterans Health Administration (VHA) providers’ perceptions of the individual-level and system-level changes they observed after participating with colleagues in a 6-day Whole Health Coaching course held in 8 VHA medical centers nationwide. Methods Data for this study were from the follow-up survey conducted with participants 2 to 3 months after completing the training. A total of 142 responses about individual-level changes and 99 responses about system-level changes were analyzed using content analysis. Results Eight primary themes emerged regarding individual changes, including increased emphasis on Veterans’ values, increased use of listening and other specific health coaching skills in their clinical role, and adding health coaching to their clinical practice.Four primary themes emerged regarding system-level changes, including leadership support, increased staff awareness/support/learning and sharing, increased use of health coaching skills or tools within the facility, and organizational changes demonstrating a more engaged workforce, such as new work groups being formed or existing groups becoming more active. Conclusions Findings suggest that VHA providers who participate in health coaching trainings do perceive positive changes within themselves and their organizations. Health coaching courses that emphasize patient-centered care and promote patient–provider partnerships likely have positive effects beyond the individual participants that can be used to promote desired organizational change.

scholarly journals Professional resilience in GPs working in areas of socioeconomic deprivation: a qualitative study in primary care

2018 ◽  
Vol 68 (677) ◽  
pp. e819-e825 ◽  
Author(s):  
Eleanor Eley ◽  
Ben Jackson ◽  
Chris Burton ◽  
Elizabeth Walton
Keyword(s):  
Primary Care ◽  
Qualitative Study ◽  
Personal Characteristic ◽  
Socioeconomic Deprivation ◽  
Individual Level ◽  
Trade Offs ◽  
Increased Risk ◽  
Framework Approach ◽  
Data Saturation ◽  
The Individual

BackgroundGPs working in areas of high socioeconomic deprivation face particular challenges, and are at increased risk of professional burnout. Understanding how GPs working in such areas perceive professional resilience is important in order to recruit and retain a GP workforce in these areas.AimTo understand how GPs working in areas of high socioeconomic deprivation consider professional resilience.Design and settingA qualitative study of GPs practising in deprived areas within one primary care region of England.MethodIn total, 14 individual interviews and one focus group of eight participants were undertaken, with sampling to data saturation. A framework approach was used for data analysis.ResultsParticipants described three key themes relating to resilience. First, resilience was seen as involving flexibility and adaptability. This involved making trade-offs in order to keep going, even if this was imperfect. Second, resilience was enacted through teams rather than through individual strength. Third, resilience required the integration of personal and professional values rather than keeping the two separate. This dynamic adaptive view, with an emphasis on the importance of individuals within teams rather than in isolation, contrasts with the discourse of resilience as a personal characteristic, which should be strengthened at the individual level.ConclusionProfessional resilience is about more than individual strength. Policies to promote professional resilience, particularly in settings such as areas of high socioeconomic deprivation, must recognise the importance of flexibility, adaptability, working as teams, and successful integration between work and personal values.

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