Men, religion and FGM in Belgium, the Netherlands and the UK: a mixed methods study

Author(s):  
Sarah O'Neil ◽  
Fabienne Richard
BMJ Open ◽  
2013 ◽  
Vol 3 (8) ◽  
pp. e003022 ◽  
Author(s):  
Celine Lewis ◽  
Margaret Clotworthy ◽  
Shona Hilton ◽  
Caroline Magee ◽  
Mark J Robertson ◽  
...  

2013 ◽  
Vol 14 (1) ◽  
Author(s):  
Tosan Okoro ◽  
Ashok Ramavath ◽  
Jan Howarth ◽  
Jane Jenkinson ◽  
Peter Maddison ◽  
...  

10.2196/13743 ◽  
2019 ◽  
Vol 21 (8) ◽  
pp. e13743 ◽  
Author(s):  
Maria M T Vreugdenhil ◽  
Sander Ranke ◽  
Yvonne de Man ◽  
Maaike M Haan ◽  
Rudolf B Kool

Background In the Netherlands, the health care system and related information technology landscape are fragmented. Recently, hospitals have started to launch patient portals. It is not clear how these portals are used by patients and their health care providers (HCPs). Objective The objective of this study was to explore the adoption, use, usability, and usefulness of a recently introduced patient portal in an academic hospital to learn lessons for the implementation of patient portals in a fragmented health care system. Methods A mixed methods study design was used. In the quantitative study arm, characteristics of patients who used the portal were analyzed, in addition to the utilization of the different functionalities of the portal. In the qualitative study arms, think-aloud observations were made to explore usability. Focus group discussions were conducted among patients and HCPs of the dermatology and ophthalmology outpatient departments. Thematic content analysis of qualitative data was carried out and overarching themes were identified using a framework analysis. Results One year after the introduction of the portal, 24,514 patients, 13.49% of all patients who visited the hospital, had logged in to the portal. Adoption of the portal was associated with the age group 45 to 75 years, a higher socioeconomic status, and having at least one medical diagnosis. Overarching themes from the qualitative analyses were (1) usability and user-friendliness of the portal, (2) HCP-patient communication through the portal, (3) usefulness of the information that can be accessed through the portal, (4) integration of the portal in care and work processes, and (5) HCP and patient roles and relationships. Conclusions One year after the introduction of the patient portal, patients and HCPs who used the portal recognized the potential of the portal to engage patients in their care processes, facilitate patient-HCP communication, and increase patient convenience. Uncertainties among patients and HCPs about how to use the messaging functionality and limited integration of the portal in care and work processes are likely to have limited portal use and usefulness.


BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e044563
Author(s):  
Christy Burden ◽  
Danya Bakhbakhi ◽  
Alexander Edward Heazell ◽  
Mary Lynch ◽  
Laura Timlin ◽  
...  

ObjectiveWhen a formal review of care takes places after the death of a baby, parents are largely unaware it takes place and are often not meaningfully involved in the review process. Parent engagement in the process is likely to be essential for a successful review and to improve patient safety. This study aimed to evaluate an intervention process of parental engagement in perinatal mortality review (PNMR) and to identify barriers and facilitators to its implementation.DesignMixed-methods study of parents’ engagement in PNMR.SettingSingle tertiary maternity unit in the UK.ParticipantsBereaved parents and healthcare professionals (HCPs).InterventionsParent engagement in the PNMR (intervention) was based on principles derived through national consensus and qualitative research with parents, HCPs and stakeholders in the UK.OutcomesRecruitment rates, bereaved parents and HCPs’ perceptions.ResultsEighty-one per cent of bereaved parents approached (13/16) agreed to participate in the study. Two focus groups with bereaved parents (n=11) and HCP (n=7) were carried out postimplementation to investigate their perceptions of the process.Overarching findings were improved dialogue and continuity of care with parents, and improvements in the PNMR process and patient safety. Bereaved parents agreed that engagement in the PNMR process was invaluable and helped them in their grieving. HCP perceived that parent involvement improved the review process and lessons learnt from the deaths; information to understand the impact of aspects of care on the baby’s death were often only found in the parents’ recollections.ConclusionsParental engagement in the PNMR process is achievable and useful for parents and HCP alike, and critically can improve patient safety and future care for mothers and babies. To learn and prevent perinatal deaths effectively, all hospitals should give parents the option to engage with the review of their baby’s death.


2016 ◽  
Vol 50 (2) ◽  
pp. 168-185 ◽  
Author(s):  
Simon Wakeling ◽  
Sophie Rutter ◽  
Briony Birdi ◽  
Stephen Pinfield

This paper presents the results of a mixed methods study of interlending and resource sharing in UK public libraries, based on the results of a survey distributed to both senior library managers and interlending staff, and in-depth follow-up interviews with 20 respondents. We present an analysis of perspectives towards rates of interlending, the rationales and strategies for providing the service, the perceived value for money offered by various interlending schemes, the impact of the current digital environment, and views on the future of interlending in the UK. Our findings suggest that while interlending services are undoubtedly threatened by the drastic cuts to public library funding, and that demand for the service is more generally in decline, resource sharing is viewed by some as a potential means of mitigating the effects of increasingly limited acquisitions budgets, and ensuring the public library system continues to provide access to a wide range of resources for its users.


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