scholarly journals Student experiences of a paramedic clinical facilitator model during ambulance clinical placements: a qualitative study

2020 ◽  
Author(s):  
Liam Langford ◽  
James Pearce ◽  
Shane Lenson
Keyword(s):  
Thematic Analysis ◽  
Learning Experience ◽  
Student Support ◽  
Educational Opportunities ◽  
Ambulance Service ◽  
Student Experiences ◽  
Structured Interviews ◽  
Clinical Placements ◽  
Positive Results

Introduction:Numerous challenges can impede the quality of ambulance service clinical placements for undergraduate paramedicine students. Inspired by positive results from a nursing facilitator model, this study reports on a collaboration between an Australian university and ambulance service that piloted a paramedic clinical facilitator for undergraduate paramedic students during their ambulance clinical placements. The objective of this study is to describe the experiences of a clinical facilitator model for undergraduate paramedicine students during ambulance clinical placements.Methods:Two focus groups with a total of 11 paramedic student participants were conducted, as well as two semi-structured interviews with a total of three paramedic preceptors. Purposive sampling was used to recruit participants. Thematic analysis was used to code and identify themes in the data.Results:Three broad, over-arching themes arise from the data; 1.) Increased educational opportunities, 2.) Improved clinical placement management, and 3.) Greater student support and welfare. Both students and paramedic preceptors felt that the paramedic clinical facilitator model improved the quality of ambulance clinical placements for undergraduate paramedicine students. Conclusion:This study suggests that a paramedic clinical facilitator model may improve the quality of ambulance service clinical placements for undergraduate paramedicine students, leading to a more positive learning experience. Universities and ambulance services could consider implementing a paramedic facilitator model for ambulance clinical placements.

scholarly journals Exploring the Competencies of Japanese Expert Nurse Practitioners: A Thematic Analysis

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1674
Author(s):  
Mari Igarashi ◽  
Ryuichi Ohta ◽  
Yasuo Kurita ◽  
Akinori Nakata ◽  
Tsutomu Yamazaki ◽  
...  
Keyword(s):  
Medical Care ◽  
Nurse Practitioners ◽  
Thematic Analysis ◽  
Interprofessional Collaboration ◽  
Quality Of Healthcare ◽  
Medical Professionals ◽  
Clinical Settings ◽  
Structured Interviews ◽  
Personal Qualities

Nurse practitioners (NPs) provide medical care equivalent to that of physicians and facilitate access to healthcare. Although Japan’s first NP graduated in 2010, how Japanese expert NPs work effectively in clinical contexts is yet to be investigated. We aimed to identify the competencies that make expert NPs in Japan effective. Twelve Japanese expert NPs were purposely selected. The average age of the participants was 44.8 years, average NP experience was 7.5 years, and eight participants were women. Semi-structured interviews were conducted online from March to May 2021. Interviews were recorded, transcribed verbatim, and analyzed using thematic analysis. Thematic analysis revealed five themes: working in physicians’ contexts, interprofessional collaboration, involvement in nurses’ work, contribution to healthcare, and personal qualities for effective working. Japanese expert NPs can function effectively in clinical settings by flexibly and humbly collaborating with other medical professionals who have autonomous positions. They can improve the quality of healthcare by proposing practical solutions to problems faced by patients and medical organizations. These explored competencies can be applied to other aging and more complex societal contexts, and in updating the required competencies of Japanese NPs.

scholarly journals How does storytelling within higher education contribute to the learning experience of early years students?

2015 ◽  
Vol 13 (2-3) ◽  
pp. 162-184
Author(s):  
Sarah Flanagan
Keyword(s):  
Higher Education ◽  
Reflective Practice ◽  
Thematic Analysis ◽  
Qualitative Methodology ◽  
Social Impact ◽  
Learning Experience ◽  
Professional Group ◽  
Early Years ◽  
Structured Interviews ◽  
Group Culture

Background and rationale. Reading stories telling stories is a familiar practice within primary education; furthermore there is recognition that stories are used within higher education. This study seeks to understand how storytelling within higher education contributes to the learning experience of early years students. It is anticipated that a deeper understanding of stories and storytelling in this context will lead to a greater appreciation of this resource and its enhanced use. Design/methods. A qualitative methodology was used. The participants included 45 early years students. All students involved in the study were employed as early years workers contributing to the care and education of children aged 0–5. Semi structured interviews and non-participant observations were completed to collect the data and thematic analysis was used in its interpretation. Findings. Participants saw multiple contributions of story and storytelling including the facilitation of learning, the enhancement of reflective practice and the reinforcement of professional/group culture. Story and storytelling provided opportunities for relaxation, entertainment and had a significant social impact. Certain activities encouraged storytelling and the most engaging stories were those that the listener could relate to

scholarly journals Transformational leadership in nursing practice: challenges and strategies

2020 ◽  
Vol 73 (6) ◽  
Author(s):  
Vanêska Brito Ferreira ◽  
Simone Coelho Amestoy ◽  
Gilberto Tadeu Reis da Silva ◽  
Letícia de Lima Trindade ◽  
Ises Adriana Reis dos Santos ◽  
...  
Keyword(s):  
Transformational Leadership ◽  
Thematic Analysis ◽  
Exploratory Study ◽  
Nursing Practice ◽  
University Hospital ◽  
Structured Interviews ◽  
Daily Lives ◽  
Dialogic Relationships ◽  
Challenges And Strategies

ABSTRACT Objective: to understand the challenges and strategies adopted by nurses for the exercise of Transformational Leadership in a university hospital. Methods: qualitative and exploratory study, in which 25 nurses working in a university hospital in the state of Bahia, Brazil participated. Data collection took place through semi-structured interviews and categorized according to Thematic Analysis, using Nvivo software. Results: The prevalent challenges involved: lack of encouragement from the institution for the training of leaders; professional inexperience and young age; resistance to leadership and insubordination. The strategies adopted by nurses consist of acting as team examples and establishing dialogic relationships. Final considerations: The practice of Transformational Leadership has been relevant in the daily lives of nurses and contributes to the quality of care.

‘We struggle and muddle.’ A qualitative study exploring community ABI therapists’ experiences of using, training in and implementing behaviour interventions

2020 ◽  
pp. 1-16
Author(s):  
Jai Jason Carmichael ◽  
Amelia J. Hicks ◽  
Kate Rachel Gould ◽  
Timothy J. Feeney ◽  
Penelope Analytis ◽  
...  
Keyword(s):  
Content Analysis ◽  
Thematic Analysis ◽  
Community Integration ◽  
Community Practice ◽  
Structured Interviews ◽  
Clinician Training ◽  
Australian Community ◽  
Challenging Behaviours ◽  
Inductive Thematic Analysis

Abstract Objectives: Individuals with acquired brain injury (ABI) may present with challenging behaviours (CB) that place themselves and others at risk of harm and impact their community integration. It is crucial for community ABI therapists to successfully train in and implement behaviour interventions. The current study aimed to investigate community ABI therapists’ experiences of using, training in and implementing behaviour interventions. An additional aim was to determine these therapists’ understanding of Positive Behaviour Support (PBS), one approach to addressing CB with a focus on improving quality of life. Methods: Semi-structured interviews were conducted with 24 Australian community ABI therapists about their experiences of using, training in and implementing behaviour interventions and understanding of PBS. Inductive thematic analysis and content analysis were performed on interview transcripts. Findings: The thematic analysis resulted in the generation of six themes which described the difficulties participants faced in training in and delivering behaviour interventions and identified their training and implementation needs. The content analysis resulted in 10 categories that characterised participants’ understanding of PBS, which centred around the absence of consequences, a focus on antecedents, person-centred practice and encouraging prosocial alternatives to CB. Conclusions: The findings highlight a need and desire for more practical and interactive clinician training in behaviour interventions for individuals with ABI. Moreover, the findings suggest a limited understanding of PBS amongst community ABI therapists. Important considerations for the development of clinician training in ABI behaviour interventions and subsequent implementation into community practice are discussed.

scholarly journals Caregiver perspectives on the impact of uncertainty on the everyday lives of autistic children and their families

Autism ◽  
2021 ◽  
pp. 136236132110337
Author(s):  
Jane Goodwin ◽  
Priyanka Rob ◽  
Mark Freeston ◽  
Deborah Garland ◽  
Victoria Grahame ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Thematic Analysis ◽  
Intolerance Of Uncertainty ◽  
Well Being ◽  
Anxiety Reduction ◽  
Autistic Children ◽  
Structured Interviews ◽  
Daily Lives ◽  
The Impact

Approximately 50% of autistic children experience high anxiety. Intolerance of uncertainty (tendency to react negatively to uncertain situations) is a key mechanism in the development and maintenance of anxiety. This study aimed to provide a descriptive, thematic analysis of the impact on uncertainty on the daily lives of autistic children and their families. Semi-structured interviews were conducted with parents and caregivers of 53 autistic children (including 3 dyads) aged 6–16 years to elicit examples of uncertain situations that the children found challenging and to explore the impact of these situations on family life. Thematic analysis revealed five overarching themes: child’s reactions to uncertainty, trying to reduce uncertainty, the impact of difficulties with uncertainty, the impact of uncertainty on parenting and the impact on parents. These findings provide a crucial understanding into the range of uncertain situations autistic children with anxiety experience. Anxiety-reduction approaches based on increasing tolerance to everyday uncertain situations could help improve well-being, quality of life and participation for autistic children and their families. Lay abstract Anxiety is common in autistic children. Research shows that this may be related to intolerance of uncertainty, which is a tendency to react negatively to uncertain situations. Understanding when, why and how autistic children respond to uncertainty is important in the development of anxiety programmes. We asked 53 (including 3 dyads) parents of autistic children about the types of uncertain situations that cause difficulties for their child and how uncertainty impacts on daily life for them and their families. We found that uncertain situations made autistic children and their families feel sad, worried, frustrated and angry through the themes: child’s reactions to uncertainty, trying to reduce uncertainty, the impact of difficulties with uncertainty, the impact of uncertainty on parenting and the impact on parents. There are lots of situations that are anxiety provoking for autistic children because of uncertainty, such as school. Programmes to reduce anxiety and increase autistic children’s ability to cope with everyday uncertain situations could improve quality of life for autistic children and their families.

scholarly journals A Comparison of Undergraduate Students’ Perception of Tutorials Before and During the COVID-19: A Case of the University of Kwazulu-Natal in the Discipline of Public Governance

2020 ◽  
Vol 10 (2) ◽  
pp. 217
Author(s):  
Jabulani Nyawo
Keyword(s):  
Undergraduate Students ◽  
Learning Experience ◽  
Critical Role ◽  
Student Support ◽  
Content Delivery ◽  
Public Governance ◽  
First Semester ◽  
Kwazulu Natal ◽  
The University ◽  
Positive Results

Enhancing students’ learning experience through support structures such as tutorial sessions is essential.  Students attending the tutorial sessions within the Discipline of Public Governance have never been given the opportunity to provide feedback on the sessions they have attended. They only get a chance to evaluate their lecturers using closed and open-ended questions to capture their learning experiences about modules’ structure, content, delivery and assessments. This implied a need to explore the students’ perceptions about the tutorial sessions during the normal conditions and under severe conditions like this of COVID-19. The quantitative approach was utilised and the data was collected through the distribution of questionnaires to the undergraduate students. The participants attended tutorials within the Discipline of Public Governance during the first semester of the year 2020. The study findings indicated that tutorial sessions occupy a critical role in students' development and learning. It is the platform for the students to easily interact with other students, discuss issues, and improve their performance. The study recommends that higher education institutions invest in the tutorial structure as one of the student support systems as it produces positive results in enhancing student learning. Redefining and reviewing the tutorial support structure is always crucial to improve the tutorial sessions' quality. 

scholarly journals Iskustva majki djece s dijagnozom Williamsovog sindroma

2017 ◽  
Vol 53 (1) ◽  
pp. 115-127
Author(s):  
Marina Milić Babić ◽  
Katarina Jović ◽  
Ksenija Napan
Keyword(s):  
Williams Syndrome ◽  
Thematic Analysis ◽  
Life Experiences ◽  
Neurodevelopmental Disorder ◽  
Family Members ◽  
Future Research ◽  
Structured Interviews ◽  
Daily Care ◽  
Life Roles

Williams syndrome is a rare genetic neurodevelopmental disorder, and the present study aimed to gain insights into the life experiences of affected children and the support available to them. This qualitative study is the first to explore the experiences of mothers of children with Williams syndrome in Croatia, which is home to 11 such children based on unofficial data. Thematic analysis of semi-structured interviews showed that mothers experienced in increase in emotional connection and intimacy among family members after the birth of the affected child, and that they received support from their husbands, other family members and other parents of affected children. At the same time, the mothers reported difficulties such as adjusting and harmonizing life roles, social isolation, lack of understanding from other people and daily care for the child. These findings may encourage and guide future research on improving the quality of life of children and adults suffering from rare diseases.

scholarly journals Perceptions and experiences of live-in carers: why acknowledging versus neglecting personal identity matters for job satisfaction and wellbeing

2020 ◽  
pp. 1-17
Author(s):  
Tushna Vandrevala ◽  
Emma O'Dwyer
Keyword(s):  
Thematic Analysis ◽  
Local Community ◽  
Psychological Wellbeing ◽  
Structured Interviews ◽  
Care Industry ◽  
The United Kingdom ◽  
Organisational Support ◽  
Agency Support ◽  
Heavy Workload

Abstract For some older people and their families, live-in care offers a way of continuing to live independently at home in their local community. While research in the care industry has consistently highlighted the effects of caring on workers, little research has specifically explored the experiences of live-in carers. The current study examines the ways in which live-in carers construct their role, the different challenges they face and the strategies they use to mitigate them. Semi-structured interviews were carried out with 21 live-in carers in the United Kingdom and the data were analysed using thematic analysis. The findings suggest that carers perceive their role as complex and characterised by a heavy workload and tiredness. Participants emphasised the variability which was introduced to the role as a function of the quality of agency support, the character and condition of the client, and the carer's relationships with the client's family. Participants’ accounts reflected an acknowledgement of the need to orient and respond constantly to the needs and routine of the client. While this orientation was recognised as necessary for effectively fulfilling the demands of the role, it was also linked to feelings of dislocation and loss of identity. Drawing on understandings of personal and social identity, the implications of these findings for the psychological wellbeing of live-in carers and organisational support are discussed.

Understanding more about how young people make sense of their siblings changing gender identity: How this might affect their relationships with their gender-diverse siblings and their experiences

2019 ◽  
Vol 24 (2) ◽  
pp. 258-276 ◽  
Author(s):  
Nicola L Wheeler ◽  
Trilby Langton ◽  
Elizabeth Lidster ◽  
Rudi Dallos
Keyword(s):  
Young People ◽  
Gender Roles ◽  
Thematic Analysis ◽  
Sibling Relationships ◽  
Gender Diversity ◽  
Well Being ◽  
Structured Interviews ◽  
Gender Diverse ◽  
Specialist Services

The gender roles and identity of siblings have been found to be an important factor in the nature and quality of sibling relationships. With an increasing number of young people identifying as gender-diverse or transgender, this research aimed to develop a greater understanding of how young people make sense of their siblings’ gender diversity. Semi-structured interviews explored the experiences of eight sibling participants (aged 11–25 years) who have a sibling identifying as gender-diverse. Five overarching themes emerged from the thematic analysis of their transcribed interviews. These themes encapsulated commonalities and nuances within the sibling participants’ experiences and revealed a process of adjustment. Developing an increased understanding of transgender issues appeared to enable young people to embrace supportive roles, and as a consequence, they reported that their relationships with their gender-diverse siblings were enhanced. However, the sibling participants’ increased understanding of transgender issues also generated significant fears and concerns about their siblings’ well-being and their sibling relationships. From understanding more about these eight young people’s experiences, suggestions are given for how specialist services might best support siblings of gender-diverse young people along their processes of adjustment.

scholarly journals Quality of Life after Total Glosso-Laryngectomy

2007 ◽  
Vol 54 (1) ◽  
pp. 29-38 ◽  
Author(s):  
Leanie Engelbrecht ◽  
Anita Van der Merwe
Keyword(s):  
Quality Of Life ◽  
Decision Making ◽  
South African ◽  
Thematic Analysis ◽  
Oral Communication ◽  
Well Being ◽  
Shared Decision ◽  
Structured Interviews ◽  
Multi Disciplinary Team

The article explores the quality of life of two participants who had undergone total glosso-laryngectomy as treatment for advanced tongue base cancer. Semi-structured interviews were conducted and questions relating to the effects of treatment on physical, functional, social and psychological well-being were asked. Thematic analysis of the interviews was done to determine recurring themes in the answers of the participants. The findings showed that total glosso-laryngectomy has a significant impact on quality of life. A good quality of life can be maintained in a patient who has an extensive support structure and can achieve intelligible oral communication. Pre-operative counselling by a multi-disciplinary team is important for a person to make an informed decision regarding surgery for head and neck cancer. Shared decision-making needs to be addressed in the South African service delivery context.

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