The effective coping strategies against burnout: perceptions of Pakistani medical students.

2021 ◽  
pp. 1-16
Author(s):  
Maryam Abbasi ◽  
Mohammad Al Eraky ◽  
Rahila Yasmeen ◽  
Rabia Ashfaq ◽  
Admin
Keyword(s):  
Medical Students ◽  
Focus Group ◽  
Coping Strategies ◽  
Maslach Burnout Inventory ◽  
Stressful Events ◽  
Main Role ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Professional Efficacy ◽  
Burn Out

Abstract Objective: To explore the effective coping strategies used by medical students against burnout. Method: The study was a mixed method study design. The Maslach burnout inventory (MBI) was used to identify burnout after which focus group discussions were carried out. Results: In our study, 56% of the students had high levels of Emotional Exhaustion, 23% had moderate and 21 % has low levels of EE, on the Cynicism scale 63% scored high,32% scored moderate while 5% scored low on cynicism scale. For professional efficacy 28% students scored low,50% scored moderate and 22% scored high on professional efficacy scale. Students with high scores on EE and Cynicism and low scores on Professional Efficacy were considered as burnt out. To determine coping strategies, focus group discussions and interviews with students with high burnout and low burnout were carried out. Seeking emotional support for coping was very common in the high burn out group. This involved getting moral support, sympathy and understanding. Parents played the main role in providing support to these students. Turning to religion, acceptance and venting were also seen as commonly used coping strategies. In the low burn out group, friends were the main source of support. Turning to religion was also found in this group. Doing extracurricular activities, positive reinterpretation and mental disengagement were also used to cope with stressful events. Conclusion: The results of this study can be used to promote positive coping strategies in students who are suffering from or at risk of developing burnout. Continuous...

scholarly journals Perceptions of Malaysian medical students from different academic years on primary care: a qualitative research

2020 ◽  
Vol 8 (1) ◽  
pp. e000188
Author(s):  
Sook Ching Chan ◽  
Jaya Vinoshairine Ganeson ◽  
Jee Tat Ong ◽  
Sandheep Sugathan
Keyword(s):  
Primary Care ◽  
Medical Students ◽  
Focus Group ◽  
Focus Groups ◽  
Primary Care Practice ◽  
Care Practice ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Medical College ◽  
Career Pathway

ObjectiveTo explore the perception of medical students from a private medical college in Perak, Malaysia, on primary care practice and induce the factors influencing their perception and willingness to consider primary care as a career pathway.DesignQualitative study using focus group discussions. Participants’ responses were audio recorded, transcribed, grouped under various domains and listed out and analysed.SettingA private medical college in Perak state, Malaysia.ParticipantsForty-six medical students from years 2 to 5 were included. Eight focus groups were formed with two focus groups from each academic year (six students each in seven groups and four students in one group). Students were informed through their respective student leader of each year and received a participant information sheet and an informed consent form which were completed and returned if they decided to participate in the focus group discussions.ResultsThe participants had different levels of understanding of primary care depending on their level of exposure to primary care. Senior students with more exposure had a better understanding about primary care and its services. Attractive factors towards choosing primary care as a career included short working hours with a more balanced family and social life, being able to treat patients as a whole with continuity of care and closer relationship with patients. Unattractive factors included routine, unchallenging and boring practice, poor salary, work overload and administrative work in government clinics, being less recognised by other specialties; and the poor perception by other doctors that those pursuing primary care were not ‘brilliant enough’ for more ‘sophisticated disciplines like surgery or paediatrics’.ConclusionThis study showed that the medical students’ level of exposure to primary care played a crucial role in determining their understanding of primary care practice and their choice of career in primary care. Issues to be addressed include remuneration, workload and the prejudice against primary care as a career pathway. Suggestions included introducing early exposure to fun and challenging primary care postings in the medical curriculum and producing well trained, skilled and enthusiastic role models.

scholarly journals Determinants of drought risk coping mechanisms among the farmers of Northern region of Bangladesh

2019 ◽  
Vol 17 (1) ◽  
pp. 58-64
Author(s):  
Kazi Shek Farid ◽  
Nishith Zahan Tanny ◽  
Md Wakilur Rahman
Keyword(s):  
Focus Group ◽  
Coping Strategies ◽  
Multinomial Logistic Regression ◽  
Structured Interview ◽  
Coping Mechanisms ◽  
Drought Risk ◽  
Crop Loss ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Ex Post

Drought is a major constraint on agricultural production and livelihood in the north-western region of Bangladesh. An understanding of the effects of drought and farmers’ coping mechanisms is essential in designing technological and policy interventions for effective drought mitigation. The current study investigates the impacts of drought, examines farmers’ coping strategies for drought induced crop failure and the determinants of their mechanism choices by employing both quantitative and qualitative approach.  Multiple data sources, including semi-structured interview survey with 218 randomly selected farmers; and four focus group discussions with farmers, local leaders, NGO workers, and government officials were used to capture various aspects of drought risks and coping practices.  ‘Multinomial logit’ model was adopted to analyze the factors affecting the decision of coping strategies in response to drought. Results of farm household survey data indicates that the respondents experienced 3.15 droughts on an average in last five years which affected about 15 percent of their crop land and resulted more than 17 percent crop loss per year. Focus group discussions confirm that farmers followed various traditional ex ante and ex post coping strategies in order to avoid crop loss and minimize livelihood constraints.  The coping mechanisms mostly adopted by farmers among others were borrowing money, cultivating less water consuming crops and cutting meals.  Findings of multinomial logistic regression model reveal that the environment determinant of the choices of coping options was frequency of drought and main socio-economic determinants of coping choices were crop loss due to drought and land holding systems. J. Bangladesh Agril. Univ. 17(1): 58–64, March 2019

Challenges and coping strategies of refugees: Exploring residual Liberian refugees’ experiences in Ghana

2016 ◽  
Vol 16 (1) ◽  
pp. 96-112 ◽  
Author(s):  
Mavis Dako-Gyeke ◽  
Ernestina Adu
Keyword(s):  
Focus Group ◽  
Coping Strategies ◽  
High Rate ◽  
Future Research ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Policy Actors ◽  
Qualitative Research Design ◽  
And Coping ◽  
Depth Interviews

This study explored the challenges and coping strategies among Liberian refugees in Ghana. Using a qualitative research design, 40 participants were purposively recruited at a refugee settlement in Ghana. Four focus group discussions and sixteen in-depth interviews were conducted. The focus group discussions and in-depth interviews were audio-taped, transcribed, coded, and analyzed thematically based on the objectives of the study. The findings indicated that the refugees experienced challenges related to disruption in social networks, disputes over resources, high rate of unemployment, and increased level of criminal activities. The study also revealed that the refugees included in this study resorted to religion, spirituality, and income earning activities as their coping strategies. The findings offer insights for social workers, policy actors, and future research.

scholarly journals How do medical students utilize mobile handheld devices in learning?

2015 ◽  
Author(s):  
Ayad M Al-Moslih ◽  
Erik Driessen
Keyword(s):  
Medical Students ◽  
Focus Group ◽  
United Arab Emirates ◽  
Handheld Devices ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Handheld Device ◽  
Medical College ◽  
Survey Results ◽  
Initial Survey

Introduction. The phenomenon of increased and ubiquitous use of mobile handheld devices by medical students triggered the interest to explore how these students utilize their devices while learning. Methods. This study was conducted at the Medical College of University of Sharjah in the United Arab Emirates during the period February to April 2012. A total of 463 students participated in the study. A mixed methodology was employed where an initial survey provided the necessary preliminary data and purposively sample the subjects, followed by two focus group discussions to explore this phenomenon in depth. Results. The survey results demonstrated that vast majority (95.9%) of students possess at least one type of mobile handheld device. Most of these students (90.1%) used their handheld device while learning. Students used these devices in different contexts, varying between Lectures, Problem-Based Learning (PBL) sessions, Hospitals and other contexts were identified (32.4%, 30.1%, 20% and 13% respectively). Majority of students (83.2%) use their handhelds when learning individually on their own time, whereas about half of them (48.3%) use it in learning with friends i.e. collaboratively. Focus group discussions revealed several aspects of how students utilized their mobile handheld devices while learning. Five themes were identified, which demonstrated the resources and accessed content, contexts of use, activities that involved learning, with whom students learned, and what made them learn or not learn while using these devices. Conclusion. Mobile handheld devices facilitated students learning “on-the-move” on and off-campus in different ways. Students utilized their devices mostly to complement and augment their learning in different contexts. Students believed that a huge gap exists between themselves and their teachers in terms of mobile learning.

scholarly journals How do medical students utilize mobile handheld devices in learning?

2015 ◽  
Author(s):  
Ayad M Al-Moslih ◽  
Erik Driessen
Keyword(s):  
Medical Students ◽  
Focus Group ◽  
United Arab Emirates ◽  
Handheld Devices ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Handheld Device ◽  
Medical College ◽  
Survey Results ◽  
Initial Survey

Introduction. The phenomenon of increased and ubiquitous use of mobile handheld devices by medical students triggered the interest to explore how these students utilize their devices while learning. Methods. This study was conducted at the Medical College of University of Sharjah in the United Arab Emirates during the period February to April 2012. A total of 463 students participated in the study. A mixed methodology was employed where an initial survey provided the necessary preliminary data and purposively sample the subjects, followed by two focus group discussions to explore this phenomenon in depth. Results. The survey results demonstrated that vast majority (95.9%) of students possess at least one type of mobile handheld device. Most of these students (90.1%) used their handheld device while learning. Students used these devices in different contexts, varying between Lectures, Problem-Based Learning (PBL) sessions, Hospitals and other contexts were identified (32.4%, 30.1%, 20% and 13% respectively). Majority of students (83.2%) use their handhelds when learning individually on their own time, whereas about half of them (48.3%) use it in learning with friends i.e. collaboratively. Focus group discussions revealed several aspects of how students utilized their mobile handheld devices while learning. Five themes were identified, which demonstrated the resources and accessed content, contexts of use, activities that involved learning, with whom students learned, and what made them learn or not learn while using these devices. Conclusion. Mobile handheld devices facilitated students learning “on-the-move” on and off-campus in different ways. Students utilized their devices mostly to complement and augment their learning in different contexts. Students believed that a huge gap exists between themselves and their teachers in terms of mobile learning.

scholarly journals Factors influencing medical students and psychiatry residents in Ghana to consider psychiatry as a career option – a qualitative study

2020 ◽  
Vol 7 ◽  
Author(s):  
Vincent I.O Agyapong ◽  
Amanda Ritchie ◽  
Kacy Doucet ◽  
Gerald Agyapong-Opoku ◽  
Reham Shalaby ◽  
...  
Keyword(s):  
Medical Students ◽  
Focus Group ◽  
Qualitative Study ◽  
Medical Training ◽  
Psychiatry Residents ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Psychiatric Residents ◽  
Medical Graduates ◽  
Career Option

Abstract Background Currently, Ghana has 14 actively practicing psychiatrists and about 26 psychiatric residents for a population of over 28 million people. Previous research suggests a lack of interest by Ghanaian medical students and medical graduates in considering psychiatry as a career option. Objectives To examine the perception of medical students and psychiatry residents in Ghana about the barriers which hinder Ghanaian medical graduates from choosing careers in psychiatry and how these barriers could be overcome. Methods This was a cross-sectional qualitative study with data gathered using focus group discussion. Twenty clinical year medical students were selected through block randomization from the four public medical schools in Ghana and invited to participate in one of two focus group discussions. Also, four psychiatric residents were invited to participate in the focus group discussions. Results The main barriers identified by participants could be grouped under four main themes, namely: (a) myths and stigma surrounding mental health and patients, (b) negative perceptions of psychiatrists, (c) infrastructure and funding issues, (d) lack of exposure and education. To address the barriers presented, participants discussed potential solutions that could be categorized into five main themes, namely: (a) stigma reduction, (b) educating professionals, (c) addressing deficient infrastructure, (d) risk management, and (e) incentivizing the pursuit of psychiatry among students. Conclusion Health policy planners and medical training institutions could consider implementing proposed solutions to identify barriers as part of efforts to improve the psychiatrist to patient ratio in Ghana.

scholarly journals Coping strategies adopted by post graduate trainee in dealing with work related stress: (A mixed method study)

2021 ◽  
Author(s):  
Shamaila Manzoor ◽  
Madiha Sajjad ◽  
Idrees Anwar ◽  
Aisha Rafi
Keyword(s):  
Focus Group ◽  
Coping Strategies ◽  
Mixed Method ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Post Graduate ◽  
Work Related ◽  
The Difference ◽  
Related Stress ◽  
Graduate Trainees

Abstract Back Ground: During residency period, doctors all around the globe, experiences stressful working environment and prolonged working hours. These factors leads to lack of concentration, distress and higher level of fatigue; however, residents counter the effects of these extensive, high demanding duty hours by various coping strategies. Although the effects of extended duty hours and various coping strategies used by the doctors have been studied at large. Yet, the difference between the effects & coping styles of trainees of various high demanding specialties’ have not been studied. Therefore, this study was carried out to identify and explore the difference in coping strategies for dealing with stress, adopted by post graduate trainees in surgical and non-surgical specialties. Methods: Mixed method approach, with explanatory sequential design was opted for this study. In phase one (quantitative) data was collected by a web based survey; carried out in five teaching hospitals of Rawalpindi & Muzaffarabad in 2020. Data was analysed on SPSS, frequencies and major trends were recorded. An open ended questionnaire was developed on the basis of phase 1 results. In phase two (qualitative), six focus group discussions were carried out with 24 participants to explore the various coping strategies adopted in different situations among the post graduate trainees working in different specialties. Later on, verbatim transcription was done & data analysed manually. Results: Out of 250 (100%) possible participants, 146 (58%) participant responded on-line survey. Where, residents of surgical discipline has a higher response rate (60%, n=87) than non-surgical. Moreover, female participation (54%, n=79) was greater than males (46%, n= 67). Mann-Whitney U test was statistically significant only for seeking medical advice to cope with stress (P= .029). In focus group discussions, female involvement was more (58% n=14) as compare to males (42% n=10). Following themes were developed after data analysis, that is; self-regulation, tailor made strategies, educational focus and support system. Conclusion: Quantitatively, no significant difference was found between the coping strategies of post graduate trainees of surgical & non-surgical trainee, against work related stress. However, minor differences were obtained qualitatively.

Food and Nutrition Coping Strategies in Flood Prone Areas of Bunyala and Nyando Sub Counties Kenya

2020 ◽  
pp. 41-51
Author(s):  
Lynette Ochuma Odida ◽  
Ferdinand Nabiswa
Keyword(s):  
Focus Group ◽  
Coping Strategies ◽  
Food Consumption ◽  
Consumption Patterns ◽  
Vulnerable Groups ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Key Informants ◽  
Food And Nutrition ◽  
Flood Prone Areas

The nutrition situation in flood affected areas in Kenya is precarious and likely to deteriorate sharply in the coming years. Humanitarian crises exacerbate nutrition risks and poor food consumption practices thereby aggravating malnutrition. There is lack of data on the pre and post floods food and nutrition situation. This study sought to assess Coping strategies by vulnerable groups for sustainable food consumption patterns and nutrition status in flood prone areas of Bunyala and Nyando Sub Counties, Kenya. The study sample comprised of 208 households out of which the vulnerable groups (children 6-59 months and lactating mothers 15-49 years) was derived, key informants interviews and focus group discussions and informed consents from the participants were taken. The study sites were Nyando and Bunyala Sub counties, in western Kenya. The areas were purposively selected given the long history of floods over time, the study started from 4th November to 15th December, 2018. The study adopted a cross sectional descriptive survey and evaluation design. Cluster sampling was used to select the administrative units and households, purposive sampling to select the key informants and simple random sampling to select the vulnerable groups. The data was collected using questionnaires, key informant interview guide, focus group discussions and secondary data. The data was analyzed by SPSS version 16, Nutri-survey and ENA soft wares. Chi square statistical test was used to determine the relationship between the food consumption patterns and nutritional status of the vulnerable groups. The results were then presented using tables and graphs. The main findings were that most households continued to stay in flood prone areas despite early warnings and food aid was hardly available. The coping strategies were limited with majority adjusting the frequency of food intake and type of food eaten. The study concluded that the coping strategies  were varied and uncoordinated and therefore not sustainable. Thus, there is need to build community resilience through expanding multi-agency social protection programs in flood prone areas to cushion the vulnerable groups against food and nutrition insecurity.

Dari Idealisme ke Pragmatisme: Pergeseran Paradigma dalam Pengembangan Hukum Ekonomi Syariah di Indonesia

2020 ◽  
Vol 14 (2) ◽  
pp. 191-210
Author(s):  
Addiarrahman Addiarrahman ◽  
Illy Yanti
Keyword(s):  
Focus Group ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Business World ◽  
Key Informants ◽  
The Public ◽  
Financial Products ◽  
Legal Consideration ◽  
Economic Law ◽  
Islamic Economic

This study seeks to understand the pragmatism of the development of sharia economic law, and its implications for Islamic financial products in Indonesia. The data comes from the results of interviews and focus group discussions with key informants from academics, practitioners, authorities, and the public. This research finds that pragmatism in the development of Islamic economic law is an approach that still dominates the DSN-MUI fatwas. The pragmatism style used is complex-eclectic pragmatism which is represented through makhārij al-fiqhiyyah, which is to choose a mild opinion by sticking to the strongest method or also called "taysīr al-manhajī". The use of this method is intended to ensure that the fatwa is truly able to answer the needs of the business world, as well as being in line with sharia principles. DSN-MUI also does not use maslahah as a legal consideration in a free or liberal way. Rather, it returns maslahah in consideration of the method, so that it is permissible to use the bay’ al-'inān contract only in a forced state (ḍarurah).

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