scholarly journals Establishing Psychological Safety to Obtain Feedback for Training Programs: A Novel Cross-Specialty Focus Group Exchange

2019 ◽  
Vol 11 (4) ◽  
pp. 454-459
Author(s):  
Daniel Saddawi-Konefka ◽  
Shannon E. Scott-Vernaglia

ABSTRACT Background Formative feedback from residents is essential to improve residency programs, and focus groups may provide rich information. However, residents may withhold information due to fear of retaliation or speak less candidly to please focus group moderators. Objective We assessed participant perceptions and utility of feedback obtained from a confidential focus group exchange between 2 residency programs. Methods Anesthesiology and pediatric programs at the same institution participated in 2017. Residents voluntarily provided program feedback during 1 of 2 confidential focus groups for each program. Each focus group was moderated by the program director (PD) of the other specialty. The PDs used thematic analysis to identify themes for use by the respective programs in improvement efforts. An anonymous survey was distributed after the focus groups to collect participant perceptions (quantitative and narrative) on this approach. Results Thirteen residents of 140 (9.3%) participated (7 anesthesiology, 6 pediatrics). Thematic feedback from focus groups was largely consistent with known issues, although novel information was also obtained (eg, pediatric interns wanted earlier one-on-one meetings with their PD). Survey data suggest that residents were able to share more meaningful feedback than they would otherwise, and they did not feel that having an external moderator (a PD who may have been unfamiliar with the specialty) was a barrier to discussion. The approach required 6 hours of time for each PD and approximately $200 for dinners. Conclusions The focus group exchange required modest resources, was perceived as safe by residents, and generated robust, actionable feedback for the programs.

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Kim Tosolini

Introduction: Very little research has been done on the transition of newly qualified professionals onto the working field. They often feel vulnerable, due to the differences between them and the experienced professionals. With present study the researcher wanted to investigate whether introducing newly qualified professionals to a specific theoretical model, can help improve their competence in the field of deafblindness and reduce the gap between newly qualified professionals at the start of their careers and expert professionals. The study was specifically aimed at an intervention in applying the Real Space Blend Model to improve competences in the interpretations of gestures of persons with CDB in both groups of professionals. Method: The study used a qualitative design based on individual video-analyses and focus groups. Results: In two of the newly qualified professionals a considerable increase in the number of gestures was seen. Such an increase was also found for one of the expert professionals. Two other expert professionals showed a little change in the overall number of gestures. From the thematic analysis, different themes came forward for each focus group. Newly qualified professionals seemed overall more confident after the intervention, while experienced professionals seemed to have more difficulties grasping the model of Real Space Blends. The expert professionals felt more aware about their identification of gestures in practice. Conclusion and discussion: The training did improve competences in newly qualified professionals. The main effect was an increase in confidence in their abilities. Experienced professionals, on the other hand, experienced more difficulties in learning how to use the model of the Real Space Blends, but found the model very useful in practice to add on the Diagnostic Intervention Model. Some limitations of this study were the small amount of participants and that there were more experienced professionals than newly qualified professionals. More extensive research on the transition of newly qualified professionals is recommended.


Author(s):  
Tarnima Warda Andalib ◽  
Hasliza Abdul Halim

Small- and medium-sized enterprises (SMEs) in Bangladesh have been growing for the preceding two decades in various ways. Even though these enterprises exert an important effect on the national economy of the country, they face certain challenges and suffer in quite a manner. To reduce the suffering and help deal with these unavoidable challenges, SME foundations in Bangladesh have been working a lot to assist these enterprises. Usually, the challenges are financial, regulatory, or innovation performance-related. Since the enterprises are focused on particular products and their manifestation and production, performing innovatively within these organizations becomes quite a constraint factor. In this paper, a qualitative method was applied with soft systems, where an innovation model was commenced to reduce the challenges and constraints of SMEs in Bangladesh. From the literature, 50 articles were analyzed, a content and thematic analysis was done, and eight main challenges were highlighted and finalized. On the other hand, a focus group discussion among 10 entrepreneurs in Bangladesh was done, where collected data were stored in the NVIVOMac tool, transcribed, and coded, and 55 open codes were identified. These open codes were transferred to 20 axial codes and 8 themes to construct a conceptual innovation model for SMEs in Bangladesh by applying soft systems techniques to connect the themes to each other.


2021 ◽  
Author(s):  
Krishma Labib ◽  
Natalie Evans ◽  
Rea Scepanovic ◽  
Panagiotis Kavouras ◽  
Andrea Reyez Elizondo ◽  
...  

Education is important for fostering research integrity (RI). Although RI training (a formal element of RI education) is increasingly provided, there is little knowledge on how research stakeholders view institutional RI education and training policies. Here, we present insights about research stakeholders’ views on what research institutions should take into account when developing and implementing RI education and training policies. We conducted 30 focus groups, engaging 147 participants in 8 European countries. Using a mixed deductive-inductive thematic analysis, we identified five themes: 1) RI education should be available to all; 2) education and training approaches and goals should be tailored; 3) motivating trainees is essential; 4) both formal and informal educational formats are necessary; and 5) institutions should take into account various individual, institutional, and system-of-science factors when implementing RI education. Our findings suggest that institutions should make RI education attractive for all, and tailor training to disciplinary-specific contexts.


2018 ◽  
Vol 26 (1) ◽  
pp. 5-19
Author(s):  
Christina L. Sieloff ◽  
Marty Downey ◽  
Rebecca L. Muller

Background and Purpose:The Sieloff–King Assessment of Group Empowerment Within Organizations (SKAGEO) has demonstrated consistent reliability and validity, although past participants reported the need for revisions to further improve its clarity and ease of use in research. The purpose of this research was to use focus groups to revise the SKAGEO.Methods:Two focus groups were held (seven RNs and one student nurse). Thematic analysis was used to analyze the focus group discussions.Results:Five major themes, and eleven subthemes, were identified as areas for future revisions to further improve the instrument’s clarity and use in research.Conclusions:Revisions in the SKAGEO, based on the areas identified by the focus groups, would result in an instrument that would more easily be understood and incorporated into research.


2021 ◽  
Author(s):  
Eleanore Jane Realmo

This study examines the various ways in which Parenting and Family Literacy Centres (PFLC) can support families in relation to needs that arise from poverty and immigration. Bronfenbrenner’s ecological systems theory was used as a theoretical lens in this study. Thematic analysis was used to analyze the data collected from 12 focus groups. Three main themes related to immigration and poverty and the supports from PFLCs emerged from the data analysis: (1) Environment; (2) Resources; and (3) Socializing. The findings present the parents’ responses from their participation in the focus group and are an indication of how parents believe PFLCs can support them. Implications of these results are discussed and recommendations for educators are provided.


BJPsych Open ◽  
2020 ◽  
Vol 6 (5) ◽  
Author(s):  
Aysegul Dirik ◽  
Justina Kaselionyte ◽  
Domenico Giacco ◽  
Stefan Priebe

Background The value of carer involvement has been extensively researched and promoted. However, the field lacks exploration of conceptual issues, which might help to explain why there are widespread difficulties in putting policy into practice in this area, as implementation rates remain low internationally. Aims This qualitative study explored patients’, carers’ and clinicians’ perspectives on the role of carers in mental healthcare, particularly with regards to in-patient settings. Method Sixteen focus groups were conducted with patients, carers and clinicians who have current or previous experience of in-patient settings. A thematic analysis was conducted on the transcripts, exploring two key domains: (a) what a ‘carer’ is, and (b) how the ‘carer’ role is described within the context of the hospital environment. Results Participants diverged in their opinions of what the ‘carer’ role entails, and the perceived helpfulness of it. Issues unique to the in-patient setting were identified, such as the role of the hospital environment in enabling or being a barrier to carer involvement. These differing perspectives and contextual factors had an impact on the position of carers in the hospital setting, as they could be viewed as helpful, a hindrance or as passive visitors, depending on the perspectives of clinicians. Conclusions More clarity and agreement is needed between patients, carers and clinicians in terms of how the ‘carer’ role is defined. This has the potential to improve carers’ experience of involvement in hospital settings.


2016 ◽  
Vol 56 (13) ◽  
pp. 1193-1200
Author(s):  
Debra Boyer ◽  
Josh Gagne ◽  
Jennifer C. Kesselheim

Program directors (PDs) and trainees are often queried regarding the balance of service and education during pediatric residency training. We aimed to use qualitative methods to learn how pediatric residents and PDs define service and education and to identify activities that exemplify these concepts. Focus groups of pediatric residents and PDs were performed and the data qualitatively analyzed. Thematic analysis revealed 4 themes from focus group data: (1) misalignment of the perceived definition of service; (2) agreement about the definition of education; (3) overlapping perceptions of the value of service to training; and (4) additional suggestions for improved integration of education and service. Pediatric residents hold positive definitions of service and believe that service adds value to their education. Importantly, the discovery of heterogeneous definitions of service between pediatric residents and PDs warrants further investigation and may have ramifications for Accreditation Council for Graduate Medical Education and those responsible for residency curricula.


2021 ◽  
Author(s):  
Eleanore Jane Realmo

This study examines the various ways in which Parenting and Family Literacy Centres (PFLC) can support families in relation to needs that arise from poverty and immigration. Bronfenbrenner’s ecological systems theory was used as a theoretical lens in this study. Thematic analysis was used to analyze the data collected from 12 focus groups. Three main themes related to immigration and poverty and the supports from PFLCs emerged from the data analysis: (1) Environment; (2) Resources; and (3) Socializing. The findings present the parents’ responses from their participation in the focus group and are an indication of how parents believe PFLCs can support them. Implications of these results are discussed and recommendations for educators are provided.


2019 ◽  
Vol 3 (s1) ◽  
pp. 77-77
Author(s):  
Janice Lynn Gabrilove ◽  
Layla Fattah ◽  
Fatima Nabizada-Pace ◽  
Inga Peter ◽  
Alan Moskowitz

OBJECTIVES/SPECIFIC AIMS: Early career researchers at Mount Sinai have access to a wide range of resources and support. It can, however, be challenging for new investigators to know where to find information and who to ask for help. To address this issue, an Emerging Investigators website was conceived to bring together resources, provide educational support and foster a community of early career investigators at Mount Sinai. In order to ensure this resource effectively meets the needs of this cohort of researchers, and to determine the scope and content of the proposed website, a series of focus group interviews were undertaken with early career researchers at various stages of their careers. The aims of these focus groups were to 1) explore the self-perceived challenges faced by early career researchers that could be addressed through education and / or support, 2) explore the self-perceived learning needs of early career researchers that are not currently being addressed at Mount Sinai, 3) determine the website content that early career researchers would find valuable to support them in their development. METHODS/STUDY POPULATION: A convenience sample of early career researchers at Mount Sinai were contacted for participation (N = 20). A total of 13 participants responded and three focus groups were conducted, one with the KL2 scholars (N=4), one with TL1 postdocs (N=4) and one with PORTAL students (N=5) during Spring 2018. Participants were initially asked to consider the challenges that early career researchers face. They were subsequently asked to consider which of these challenges they thought could be addressed through education or support. Participants were then asked to consider what they wished they knew more about in relation to research knowledge, skills or behaviors. Participants were finally asked to discuss the resources or support they thought would help them to manage the challenges or meet the learning needs they identified. The interview questions were semi-structured to allow the conversation to flow, and to allow the participants to discuss issues of importance to them. At the end of the discussion, participants were asked to rank their top priorities for inclusion in an Emerging Investigators website, up to a maximum of 3 per person. Focus group sessions lasted between 1 and 1.5 hours. All key points were captured by the participants on flip-chart paper and sticky notes. RESULTS/ANTICIPATED RESULTS: Interview data was transcribed and thematic analysis was used to identifying patterns or themes within the data. A theoretical thematic analysis was conducted, driven by the specific research questions. Each segment of data that was relevant to the research questions or captured something interesting was coded. These codes were examined and further grouped into six key themes that were consistent across all three focus groups. These themes were categorized as: Mapping the research pathway, Research skills, Personal development, Mentorship, Community of Practice and Opportunities at Mount Sinai. Within each of these themes, more specific codes align directly with learning needs for early career investigators at Mount Sinai. When asked to prioritize topics for inclusion in the website, the pre-doc PORTAL students selected research skills that included statistics, navigating the IRB and writing and publication, as well as mapping the research landscape at Mount Sinai. Both the post-doc TL1s and the KL2s also selected some research skills such as scientific writing and conference presentation, but also prioritized personal development and “soft skills” such as leadership, management, collaborating with others and finding a work-life balance. DISCUSSION/SIGNIFICANCE OF IMPACT: The themes articulated by the focus group participants have formed the basis for developing the Emerging Investigators website. Each of the key themes will be reflected in the learning and resources provided on the website. The prioritization of topics differed between groups, reflecting the different stages and levels of experience of these researchers. As a result, the website provides key learning and “top tips” suitable for all levels of early career researchers, but with links to further reading and resources for those at a more advanced level who are interested in learning more. In addition, the reported need for communication, collaboration and social interaction with peers and other researchers across Mount Sinai resulted in the addition of further web-based resources such as a discussion forum, a blog to feature research and provide a sounding board for research efforts, and a calendar of events targeted specifically at early career researchers. The focus groups provided much valued insight to underpin this project and ensure that a valuable resource is created that will meet the needs of early career researchers. The website is currently under development with a view to launch a pilot site in early 2019.


2017 ◽  
Vol 13 (3) ◽  
pp. 263-274 ◽  
Author(s):  
Tonia Crawford ◽  
Peter Roger ◽  
Sally Candlin

Effective communication skills are important in the health care setting in order to develop rapport and trust with patients, provide reassurance, assess patients effectively and provide education in a way that patients easily understand (Candlin and Candlin, 2003). However with many nurses from culturally and linguistically diverse (CALD) backgrounds being recruited to fill the workforce shortfall in Australia, communication across cultures with the potential for miscommunication and ensuing risks to patient safety has gained increasing focus in recent years (Shakya and Horsefall, 2000; Chiang and Crickmore, 2009). This paper reports on the first phase of a study that examines intercultural nurse patient communication from the perspective of four Registered Nurses from CALD backgrounds working in Australia. Five interrelating themes that were derived from thematic analysis of semi-structured interviews are discussed. The central theme of ‘adjustment’ was identified as fundamental to the experiences of the RNs and this theme interrelated with each of the other themes that emerged: professional experiences with communication, ways of showing respect, displaying empathy, and vulnerability.


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