scholarly journals Tuberculosis Medication Nonadherence—A Qualitative Case Study

Author(s):  
Karthick Swaminathan ◽  
Lalitha Ramakrishnan ◽  
C. S. G. Krishnamacharyulu

India is grappling with the problem of controlling tuberculosis nearly for the past 50 years. The problem of nonadherence to treatment regimen has also worsened the situation of multidrug resistant tuberculosis (MDR-TB) in India. This article explores the factors behind nonadherence among erstwhile TB defaulters in a rural district in India. In-depth interviews with seven chronic defaulters and with healthcare professionals were conducted at a government-run Chest Clinic. In addition to in-depth interviews with defaulters and healthcare professionals, medical records and government orders related to TB control were examined extensively. Participants were also observed to understand their interaction with healthcare professionals and fellow patients, especially during drug delivery time. Qualitative content analysis is the most appropriate method to analyze the transcribed text and archival records. Qualitative content analysis brought out five major themes responsible for their past nonadherence behavior, namely, (a) Awareness about tuberculosis and treatment, (b) Symptom recognition and self-medication, (c) Family support, (d) Accessibility, and (e) Stigma. Findings are documented according to the major themes and documenting direct quotes from participants and with healthcare professionals wherever appropriate. This case study also provided context-specific recommendations to the healthcare professionals as regards the nonadherence behavior among TB patients. It is hoped these focused recommendations, albeit known to the healthcare professionals, would be extremely useful in making modifications to the existing program to tackle the nonadherence behavior.

2020 ◽  
Vol 19 (1) ◽  
pp. 19-32 ◽  
Author(s):  
Derya Yorgancıoglu ◽  
Sevinç Tunalı

This article explores the tools and processes of effective learning in the design studio with a special emphasis on the pedagogic roles of the tutors and the students in desk critique and peer critique. It aims to identify the ways that pedagogical roles of the tutor and the student change due to the nature of their communication and the degree of their engagement in learning processes. The inquiry is based on the findings of a qualitative case study involving tutors, students and graduates from a bachelor of architecture degree programme. Data were gathered via focus group and in-depth interviews, studio observations and analysed through qualitative content analysis. The findings indicated that the pedagogic identity of a tutor could help scaffold the formation of a community of learners in the design studio. However, the lack of negotiation and trust between a tutor and students in the feedback processes weakens the students’ effective learning experiences.


Revista Foco ◽  
2018 ◽  
Vol 11 (3) ◽  
pp. 110
Author(s):  
Rafaella Cristina Campos ◽  
Natália Fernandes Fonseca ◽  
Odemir Vieira Baeta

O objetivo é averiguar a correlação dos fatores motivacionais e produtivos no contexto institucional da Polícia Civil. O estudo de caso foi conduzido por entrevistas em profundidade com um Delegado de Polícia, um Investigador de Polícia, e um Escrivão de Polícia. A análise de conteúdo foi utilizada. Conclui-se que há evidente correlação entre o desenvolvimento de artefatos motivacionais, sejam eles de ordem ambiental ou individual, com a produtividade na instituição da Polícia Civil. Destaca-se também, que apesar do controle e avaliação dos índices de produtividade serem predominantemente burocráticos, institucionalizados e legitimados, a ligação que se estabelece com a manifestação dos artefatos motivacionais é subjetiva, relacional e intangível nas normas institucionais. Destaca-se este evento neste artigo, porque como foi visto anteriormente, tanto a natureza do trabalho, quanto o ambiente da Polícia Civil, estão em total desencontro ao desenvolvimento de produtividade e motivação no sentido clássico destas vertentes. The aims is to determine the correlation of the motivational and productive factors in the institutional context of the Civil Police. The case study was conducted by in-depth interviews with a Chief of Police, Police Investigator, and Actuary Police. The content analysis was used for fixed grid. It is concluded that there is clear correlation between the development of motivational artifacts, whether environmental or individual order, with productivity in the civil police institution. Also noteworthy is that despite the control and evaluation of productivity indexes were predominantly bureaucratic, institutionalized and legitimized, the connection that is established with the manifestation of motivational artifacts is subjective, relational and intangible assets in the institutional rules. It highlights this event in this article, because as discussed above, both the nature of the work, as the environment of the Civil Police, are in complete disagreement with the development of productivity and motivation in the classical sense of the aforementioned areas.


2016 ◽  
Vol 10 (4) ◽  
pp. 502-522 ◽  
Author(s):  
Noa Lavie

‘Reality’ television is a global and highly popular television phenomenon. Despite its public and academic critique as cultural ‘trash’, the genre enjoys great economic legitimacy. In recent years, other ‘trashy’ television genres, such as soap operas, have gained aesthetic-artistic legitimacy alongside their economic legitimacy. Taking a Bourdieusian approach and using the discourse about Israeli ‘reality’ shows as a case study, this article addresses the question of whether a similar process is evident in television critics’ attitudes towards reality television. Using quantitative and qualitative content analysis of reviews of ‘reality’ shows between 2003 and 2014, the article shows that the main question debated in such reviews is the genre’s morality rather than its aesthetic value: for Israeli critics, it is the moral attributes of these shows, not their aesthetic or artistic worth, which determine their ‘quality’.


2020 ◽  
Vol V (IV) ◽  
pp. 27-33
Author(s):  
Irem Sultana ◽  
Malik Adnan ◽  
Muhammad Imran Mehsud

This research paper inspected the role of Pakistani media to protect indigenous languages and culture in Pakistan. The study examined the situation; if Pakistani media outpours concern with the native languages or not. The article also checked the media landscape, its language-wise segregation and scenario of literacy in different areas of the country. The outcomes of the study showed that Pakistani media is neglecting the indigenous languages. The study results exhibited clearly that media houses’ focus on protecting native languages, is not profound. The findings also showed that foreign ownership of Media houses plays a role in neglecting indigenous language promotions. The current study presented that Pakistani mainstream media is damaging the local and native languages. The study was the outcome of qualitative content analysis and in-depth interviews of senior communication experts.


2020 ◽  
Author(s):  
Yvonne Carlsson ◽  
Anna Nilsdotter ◽  
Stefan Bergman ◽  
Matilda Liljedahl

Abstract Background: It is known that the transition from medical school to clinical work can be stressful. In some countries, an introductory service bridges the gap, introducing the doctor-to-be to clinical work. However, there is a lack of scientific knowledge about whether these introductory services serve their purpose as justifiable introductions. To address the gap, this paper aimed to explore experiences that junior doctors hold of the medical internship.Methods: Using a qualitative description approach, data was collected through twelve individual in-depth interviews with volunteering medical interns from three different hospital sites in Sweden. Data were verbatim transcribed and analysed by qualitative content analysis, generating categories and themes. Results: Four main themes were identified in our data. The interns felt increasingly comfortable as doctors (‘finding one’s feet’) through taking responsibility for patients while receiving necessary help and assistance (‘a doctor with support’). Although appreciative of getting an overview of the healthcare organisation (‘healthcare sightseeing’), interns were exhausted by repeatedly changing workplaces and felt stuck in a rigid framework (‘stuck at the zoo’).Conclusions: This study showed that the transition from medical student to clinical doctor does not necessarily have to be characterised by stress and mental exhaustion but can, with extensive support, provide a fruitful opportunity for interns to grow into their roles as doctors.


Author(s):  
Veeraporn Siddoo ◽  
Noppachai Wongsai

This paper presents the views of four Thai government organizations who had been awarded ISO/IEC 29110 Basic Profile Certification. Team ideas as to the success factors and barriers involved in implementations are explored. In-depth interviews with closed- and open-ended questions were conducted. The data collected was analyzed using qualitative content analysis. The results show two reasons for choosing standard, first, to enhance software development process, and second, because the financial support from the SIPA. The success factors were supportive organizational policy, staff participation, availability of time and resources for the improvement of the software process, consultations with the SIPA and team commitment and recognition. The barrier factors were time constraints, lack of experience, documentation load, unsynchronized means of communication and improper project selection. The findings were based on four diverse organizations. Other countries may take into account the variations e.g. working culture or organizational structure when seeking to apply these results.


2019 ◽  
Vol 40 (1) ◽  
pp. 52-58
Author(s):  
Helle Svenningsen ◽  
Dorthe Sørensen

To explore hospital and nursing home patients’ experiences with delirium assessments and better understand their attitudes, we used a qualitative method to summarise, in everyday terms, specific events observed by researchers and experienced by patients. We performed participant observations of delirium assessments of eight patients and conducted individual semi-structured face-to-face interviews with seven other patients. We carried out content analysis using an inductive approach. Our findings indicate that patients approached delirium assessment with initial scepticism due to a lack of knowledge. Their scepticism changed to complete acceptance after the assessment’s purpose was explained. However, some patients gave up on the assessment due to cognitive challenges, lack of energy, fatigue, or language barriers. Patients appreciated that professionals were interested in their mental and physical well-being. Despite initial scepticism, the patients found the delirium assessment valuable when they better understood its purpose. Thus, healthcare professionals should provide patients with relevant information about delirium assessments.


2020 ◽  
Vol 28 (11) ◽  
pp. 768-776
Author(s):  
Khadijeh Mirzaie Najmabadi ◽  
Mahmoud Ghazi Tabatabaie ◽  
Abou Ali Vedadhir ◽  
Sedigheh Sedigh Mobarakabadi

Introduction The role of midwives has changed in providing care for low-risk pregnancies and childbirth. This study explores the perceptions of perinatal care providers and recipients regarding midwifery services. Methods This study used a qualitative content analysis approach. Data were collected through 49 semi-structured in-depth interviews, and analysed with qualitative content analysis. Results The medicalisation of pregnancy and childbirth has marginalised midwifery. Midwifery, which should be at the heart of all low-risk pregnancies and childbirth, has deteriorated such that it has become disempowered in interdisciplinary relations. Conclusions Midwifery is at risk of being totally excluded from low-risk pregnancy care and childbirth.


2018 ◽  
Vol 22 (3) ◽  
Author(s):  
Astrid Gabriela Bravo-Soto

This article presents a case study conducted in Chile. The purpose of this study was to know how the exchange of knowledge on rearing practices occurs between the nursery and families, and how this knowledge is used to enrich the curriculum proposal for the level. Data were collected through document analysis, observation of babies during the workday, and in-depth interviews with the mothers and the staff of the center. Content analysis and triangulation of sources were carried out. The findings show differences in the practices related to the priorities established for each of the contexts, the dynamics that occur in the daily routine, and parameters for judging those differences. Some exchanges are observed concerning feeding practices and the siesta time. It is required to advance in the construction of curricular proposals to rescue families’ knowledge, as well as to broaden the perspective regarding what is selected to be transmitted to the babies.


2021 ◽  
Vol 27 (3) ◽  
pp. 255-263
Author(s):  
Nouf Alassaf ◽  
Sulaiman Bah ◽  
Fatima Almulhim ◽  
Norah AlDossary ◽  
Munirah Alqahtani

Objectives: The purpose of this study was to examine official healthcare informatics applications in Saudi Arabia in the context of their role in addressing the coronavirus disease 2019 (COVID-19) pandemic.Methods: This is a case study of official healthcare informatics programs and applications (apps) developed in Saudi Arabia before and during the COVID-19 pandemic. The qualitative content analysis (QCA) method was used. Data collection consisted of two components: a desktop review of documents and actual testing of the programs. According to the QCA method, we developed a matrix for abstracting information on different apps and programs in order to categorize the data. The compilation of information and discussion were based on information summarized in the matrix.Results: Six apps in total were developed before the COVID-19 pandemic. With the advent of the COVID-19 pandemic, three of the apps, SEHA, Mawid, and Sehaty were modified to address different aspects of the pandemic. Both SEHA and Mawid included information about COVID-19 awareness. During the COVID-19 pandemic, three official apps were developed: Tawakkalna, Tetamman, and Tabaud. The Tawakkalna app is mandatory for all citizens and residents to activate when visiting stores and institutions. It has a wide range of COVID-19 and other health-related functions. The Tetamman app provides COVID-19 test results and allows one to check his or her daily symptoms. It also has an educational content library and provides alerts. The Tabaud app notifies individuals if they have been exposed to COVID-19. The features, advantages, and disadvantages of all of the apps were examined.Conclusions: Overall, there were more strengths than shortcomings in the role played by healthcare informatics in the handling of the COVID-19 pandemic in Saudi Arabia.


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