scholarly journals Experiences of Obstetricians and Gynecologists in Teleconsultation with Medical Residents: A Qualitative Study

2016 ◽  
Vol 9 (6) ◽  
pp. 1 ◽  
Author(s):  
Kolsoum Deldar ◽  
Fatemeh Tara ◽  
Masoumeh Mirteimouri ◽  
Seyed Mahmood Tara
Keyword(s):  
Qualitative Study ◽  
Information Transfer ◽  
Obstetrics And Gynecology ◽  
Medical Sciences ◽  
Structured Interviews ◽  
Telephone Consultation ◽  
The Face ◽  
Life Threatening ◽  
Purposive Sample ◽  
Experienced Personnel

OBJECTIVE: To explore the experiences of specialists, residents, and experienced personnel of obstetrics and gynecology regarding telephone consultation by specialized residents and on-call expertsDESIGN: Qualitative study based on inductive content analysis.SETTING: Three departments of obstetrics and gynecology, affiliated to Mashhad University of Medical Sciences, Mashhad, Iran.POPULATION: A purposive sample of 16 specialists, residents and experienced staff.METHODS: Eighteen semi-structured interviews were conducted.RESULTS: Analysis of interview data resulted in 363 primary codes and six main themes including: “attempt to direct the process of telephone consultation”, “decision-making challenges of diagnostic-therapeutic plans for patients”, “attempt to verify the acquired findings”, “inefficacy in the face of life-threatening conditions”, “discriminations in legal confrontation with medical errors”, and “impact on emotions and personal life”.CONCLUSIONS: Process of teleconsultation between physician and resident is associated with numerous challenges. Formal training sessions and considering new approaches of teleconsultation and telemedicine are needed to be implemented in order to reinforce the reliability of patient information transfer.

Complicated grief knowledge and practice: a qualitative study of general practitioners in Ireland

2021 ◽  
pp. 1-6
Author(s):  
Abiola Muhammed ◽  
Anne Dodd ◽  
Suzanne Guerin ◽  
Susan Delaney ◽  
Philip Dodd
Keyword(s):  
Qualitative Study ◽  
General Practitioners ◽  
Current Knowledge ◽  
Complicated Grief ◽  
Phenomenological Approach ◽  
Structured Interviews ◽  
Relevant Research ◽  
Loved One ◽  
Knowledge And Practice ◽  
Purposive Sample

Objective: Complicated grief is a debilitating condition that individuals may experience after losing a loved one. General practitioners (GPs) are well positioned to provide patients with support for grief-related issues. Traditionally, Irish GPs play an important role in providing patients with emotional support regarding bereavement. However, GPs have commonly reported not being aptly trained to respond to bereavement-related issues. This study explores GPs’ current knowledge of and practice regarding complicated grief. Methods: A qualitative study adopting a phenomenological approach to explore the experiences of GPs on this issue. Semi-structured interviews were carried out with a purposive sample of nine GPs (five men and four women) in Ireland. Potential participants were contacted via email and phone. Interviews were audio-recorded, transcribed and analysed using Braun & Clarke’s (2006) model of thematic analysis. Results: GPs had limited awareness of the concept of complicated grief and were unfamiliar with relevant research. They also reported that their training was either non-existent or outdated. GPs formed their own knowledge of grief-related issues based on their intuition and experiences. For these reasons, there was not one agreed method of how to respond to grief-related issues reported by patients, though participants recognised the need for intervention, onward referral and review. Conclusions: The research highlighted that GPs felt they required training in complicated grief so that they would be better able to identify and respond to complicated grief.

Healthcare and Terrorism: The Lebanese Experience

2021 ◽  
pp. 1-4
Author(s):  
Nooreddine Iskandar ◽  
Tatiana Rahbany ◽  
Ali Shokor
Keyword(s):  
Public Health ◽  
Qualitative Study ◽  
Thematic Analysis ◽  
Terrorist Attacks ◽  
Analysis Method ◽  
Structured Interviews ◽  
Security Issues ◽  
The Face ◽  
The Common ◽  
First Time

Abstract Background: Due to the common instability caused by political and security issues, Lebanese hospitals have experienced acts of terrorism multiple times. The most recent Beirut Explosion even forced several hospitals to cease operations for the first time in decades—but studies show the preparedness levels for such attacks in similar countries are low. Objective: The aim of this study is to explore the experience of Lebanese hospitals with terrorist attacks. Methods: This qualitative study used semi-structured interviews with various stakeholders to assess their experience with terrorist bombings. Data was analyzed using the thematic analysis method. Results: The researchers found that Lebanese hospitals vary greatly in their structures and procedures. Those differences are a function of 3 contextual factors: location, culture, and accreditation status. Hospitals found near ‘dangerous zones’ were more likely to be aware and to have better response to such events. A severe lack of communication, unity of command, and collaboration between stakeholders has made the process fragmented. Conclusion: The researchers recommend a larger role for the Ministry of Public Health (MOPH) in this process, and the creation of a platform where Lebanese organizations can share their experiences to improve preparedness and resilience of the Lebanese healthcare system in the face of terrorism.

scholarly journals Knowledge Translation Improvement Strategies in Universities of Medical Sciences in Iran: A Qualitative Study

2021 ◽  
Vol 31 (1) ◽  
Author(s):  
Sogand Tourani ◽  
Narges Rafiei ◽  
Shahnaz Rimaz ◽  
Seyed Kazem Malakouti ◽  
Alireza Heidari
Keyword(s):  
Qualitative Study ◽  
Knowledge Translation ◽  
Knowledge Production ◽  
Data Organization ◽  
Health Plans ◽  
Medical Sciences ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Improvement Strategies

BACKGROUND፡ Recently, one of the challenges in the health system of the country is the need for research contributing to policy-making. Therefore, it is crucial to develop activities in the field of knowledge Translation (KT). This study aimed to propose KT improvement strategies in universities of medical sciences in Iran.METHODS: In this qualitative study, 18 semi-structured interviews were conducted with key informants from the medical universities in Iran during January-July 2018. The transcribed documents were analyzed using the Gale framework analysis approach. Data organization was carried out using MAXQDA version 10 software.RESULTS: According to framework analysis, six KT improvement strategies were identified including improving the abilities and skills of researchers, improving the processes and quality of knowledge production, revising policies and laws, mproving the prerequisites, culture-building, and promoting the, use of evidence.CONCLUSION: Given the challenges and strategies outlined in this study, it seems that the mechanism of KT and its effects on improving health plans for policymakers and researchers has not been elucidated yet. Therefore, considerable changes in prerequisites, knowledge production processes, academic procedures, policies and laws are necessary for implementing KT in universities of medical sciences in Iran. 

Tiredness of Life in Older persons: A Qualitative Study on Nurses’ Experiences of Being Confronted With This Growing Phenomenon

2019 ◽  
Vol 60 (4) ◽  
pp. 735-744 ◽  
Author(s):  
Liesbeth Van Humbeeck ◽  
Let Dillen ◽  
Ruth Piers ◽  
Nele Van Den Noortgate
Keyword(s):  
Qualitative Study ◽  
Nurse Managers ◽  
Careful Consideration ◽  
Behavioral Approach ◽  
Constructivist Grounded Theory ◽  
Older Individuals ◽  
Structured Interviews ◽  
Nurses Perceptions ◽  
Design And Methods ◽  
Purposive Sample

Abstract Background and Objectives With worldwide aging it is imperative to understand nurses’ perceptions of tiredness of life (ToL) and their ways of dealing with an increasingly common phenomenon. Most research on ToL relates to older individuals’ experiences. This study aimed to gain insight into nurses’ (a) perceptions of, (b) attitude(s) toward, and (c) ways of dealing with ToL in older patients. Research Design and Methods Qualitative study with elements of constructivist grounded theory. Data were collected by means of semi-structured interviews between February 2016 and June 2017 with a purposive sample of 25 nurses working in home care and nursing homes. Results A careful consideration indicative of an oscillation between 3 levels (e.g., behavioral, cognitive, and affective) is present. The confrontation with persons having ToL instigates a cognitive process of searching to understand the state a person is in, which on its turn ensues in an emotional balancing between courage and powerlessness and a behavioral approach of action or dialogue. Discussion and Implications Our findings indicate that nurses aim to provide good care, sensitive to the older person’s needs, but this process is not without ambiguity. This study provides nurse managers with valuable guidance to (a) support nursing staff in dealing with ToL, and (b) advance opportunities for emotionally sensitive care and (individual- and team-based) reflection. Finally, this study offers suggestions for education programs to incorporate ToL in curricula.

Learnings from implementing telemonitoring – the LITE study

2019 ◽  
Vol 27 (4) ◽  
pp. 346-356 ◽  
Author(s):  
Josephine S.F. Chow ◽  
Veronica Eugenia Gonzalez-Arce ◽  
Andrew Knight ◽  
Nutan Maurya ◽  
Friedbert Kohler
Keyword(s):  
Chronic Disease ◽  
Qualitative Study ◽  
Clinical Outcomes ◽  
Current Literature ◽  
Design Methodology ◽  
Structured Interviews ◽  
Content Type ◽  
Clinician Experiences ◽  
Purposive Sample ◽  
Roll Out

Purpose A recent study on the implementation of telemonitoring has provided an opportunity to explore how telemonitoring could be further developed to enhance better patient, carer and clinician experiences for patients living with chronic disease. The purpose of this paper is to identify the challenges and lessons of the telemonitoring implementation and to identify strategies to inform future implementation. Design/methodology/approach A qualitative study was conducted with a purposive sample using semi-structured interviews to explore their views about the issues identified in the research aims. Interview themes were informed by current literature and the findings from local studies. Interviews were recorded, transcribed verbatim and analyzed thematically. Findings A total of 16 participants were interviewed. Overall the recruitment of 56 percent were from identified potential participants. Five core themes were identified, linking different aspects of the telemonitoring implementation: impact of telemonitoring; implementation and management lessons; program risks; program main changes from beginning; and future strategies and recommendations. Originality/value This study will inform the wider roll out of telemonitoring across the region with the goal of ensuring future interventions achieve better clinical outcomes, patient, carer experience and deliver better value.

scholarly journals The role of working environment in nurses’ career advancement from nursing mangers’ perspectives: A qualitative study

2016 ◽  
Vol 5 (4) ◽  
pp. 49 ◽  
Author(s):  
Mohammad Reza Sheikhi ◽  
Masoud Fallahi Khoshknab ◽  
Farahnaz Mohammadi ◽  
Fatemeh Oskouie
Keyword(s):  
Content Analysis ◽  
Qualitative Study ◽  
Career Advancement ◽  
Working Environment ◽  
Medical Sciences ◽  
Nursing Managers ◽  
Content Analysis Method ◽  
Data Saturation ◽  
Purposive Sample

Background: Nurses’ career advancement is a dynamic and unique concept which is explained in the context of working environment.Objective: This study aimed to explore the role of working environment in nurses’ career advancement from Nursing Mangers’ Perspectives.Methods: This qualitative study was conducted using content analysis method. Eighteen nursing managers from hospitals affiliated to Qazvin, Tehran, Iran and Shahid Beheshti Medical Sciences Universities participated in the study. A purposive sample of nursing mangers with rich experiences and maximum variations were selected and continued to reaching data saturation. The data were analyzed using content analysis method.Results: Participants believed that working environment have two major roles in nurses’ career advancement including motivating and restricting roles. According to nursing mangers, motivating working environment had facilitating role, while restricting working environment had blocking role in Iranian nurses’ career advancement.Conclusions: It seems that recognizing characteristics of working environment could assist nurses and nursing managers to develop conditions of working environment facilitating career advancement for nurses and decrease restrictive factors.

scholarly journals Treatment of female and male inpatient crack users: a qualitative study

2013 ◽  
Vol 35 (1) ◽  
pp. 36-45 ◽  
Author(s):  
Rosemeri Siqueira Pedroso ◽  
Félix Kessler ◽  
Flavio Pechansky
Keyword(s):  
Qualitative Study ◽  
Health Care Services ◽  
Spiritual Support ◽  
Structured Interviews ◽  
Criminal Involvement ◽  
Care Services ◽  
Preventive Actions ◽  
The Relationship ◽  
Purposive Sample ◽  
Crack Users

OBJECTIVE: To map treatment trajectories in a sample of male and female crack users through their narratives about the course of treatment seeking and their attempts to access health care services in Brazil. METHODS: Qualitative study of a purposive sample (five female and nine male hospitalized crack users) using semi-structured interviews. The interviews were transcribed and data explored using content analysis. RESULTS: Respondents reported difficulties getting access to hospitalization, relapse after discharge, and abandonment of treatment. There seems to be a peculiar model of behavior for women and men while dealing with craving for crack: while women got involved with prostitution and consequently became infected with HIV, every men of the sample reported criminal involvement. CONCLUSIONS: The relationship between relapse and a social environment conducive to consumption, associated with belief or disbelief in spiritual support, prostitution, and the legal complications arising from the use of crack, are relevant issues and should be taken into consideration in the development of preventive actions aimed at this specific population.

scholarly journals Exploring the Features of Mobile Application of Anatomy in Basic Medical Sciences: a qualitative study

2020 ◽  
Author(s):  
Mahmoud Mansouri ◽  
Shoaleh Bigdeli ◽  
Afsaneh Dehnad ◽  
Zohreh Sohrabi ◽  
Somayeh Alizadeh ◽  
...  
Keyword(s):  
Medical Students ◽  
Qualitative Study ◽  
Mobile Applications ◽  
Mobile Application ◽  
Health Professions ◽  
Health Professions Education ◽  
Medical Sciences ◽  
Structured Interviews ◽  
User Friendliness ◽  
Basic Medical

Abstract Background The importance of mobile phones has become one of the new research topics in health professions education due to the ease of access and flexibility. Although novel approaches to health professions education recommend the use of educational technologies such as mobile applications, a limited number of studies have been conducted with regard to teaching anatomy through mobile applications. Considering the increasing needs of medical students for mobile technology to meet their educational needs, wants and desires, we decided to explore the features of an anatomy mobile application. Methods This qualitative study was conducted in two stages of holding focus groups and an expert panel session. Students of basic Medical sciences, and faculty members of anatomy at Iran University of Medical Sciences formed the research participants. Semi-structured interviews and note-taking were used to collect the data. Brown and Clark methods were used for thematic analysis and feature extraction. Finally, four criteria presented by Lincoln and Guba for qualitative studies were used to ensure the credibility, confirmability, trustworthiness and transferability of the data. Results Based on the data analysis, 37 codes that could be used to design anatomy mobile content for medical students were extracted. These features were categorized into the main themes of “visual richness”, “scientific comprehensiveness”, “audio richness”, “affordability”, “user-friendliness”, “self-assessment”, “interactive content” and “user support”. Conclusion This study explored the features of an anatomy application that can be used by educational app developers. Anatomy departments of universities of medical sciences, policymakers, and planners in the field of medical education can also adopt the findings of the present study.

scholarly journals GPs’ decisions about prescribing anticipatory medicines at the end of life: a qualitative study

2019 ◽  
Vol 69 (suppl 1) ◽  
pp. bjgp19X702809
Author(s):  
Ben Bowers ◽  
Kristian Pollock ◽  
Sam Barclay ◽  
Stephen Barclay
Keyword(s):  
Decision Making ◽  
Qualitative Study ◽  
End Of Life ◽  
Thematic Analysis ◽  
Symptom Management ◽  
Symptom Relief ◽  
Structured Interviews ◽  
Family Experiences ◽  
Decision Making Processes ◽  
Purposive Sample

BackgroundGPs have a central role in decisions about prescribing anticipatory medications (AMs) to help control symptoms at the end of life. Little is known about GPs’ decision-making processes in prescribing AMs and the subsequent use of prescribed drugs.AimTo explore GPs’ decision-making processes in the prescribing and use of AMs for patients at the end of life.MethodA qualitative interpretive descriptive enquiry with a purposive sample of 13 GPs working across one English county. Data was collected in 2017 via semi-structured interviews and analysed inductively using Braun and Clarke’s thematic analysis.ResultsThree themes were constructed from the data: 1) ‘Something we can do’: AMs were a tangible intervention GPs felt they could offer to provide symptom relief for patients approaching death. 2) ‘Getting the timing right’: the prescribing of AMs was recognised as a harbinger of death for patients and families. GPs preferred to prescribe drugs weeks before death was expected, while recognising this meant that many prescribed AMs were never used. 3) ‘Delegating care while retaining accountability’: GPs relied on nurse to assess when to administer drugs and keep them updated about their use.ConclusionGPs view AMs as key to symptom management for dying people. AMs are routinely prescribed even though they are often not used. In order to feel comfortable delegating care, GPs need regular access to nurses and trust in their skills to administer drugs appropriately. Patient and family experiences of AMs, and their preference for involvement in decision-making about their use warrant urgent investigation.

scholarly journals Independence of Centers of Excellence for Medical Sciences: A Qualitative Study

2020 ◽  
Author(s):  
Siamak Kazemi Asl ◽  
Azita Jaberi ◽  
Ali Reza Safarpour ◽  
Majid Reza Reza Farrokhi ◽  
Ladan Zarshenas ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Critical Role ◽  
Medical Sciences ◽  
Structured Interviews ◽  
Centers Of Excellence ◽  
Policy Makers ◽  
Financial Benefits ◽  
Data Saturation ◽  
Specialized Equipment ◽  
Set Up

Background: Centers of Excellence are organizations which have prominent works in a specific field, and are capable of delivering quality services using specialized equipment, innovative techniques and modern technologies and brings financial benefits and cost recovery to their organization. Promoting the independence of these organizations plays a critical role in terms of maintaining sustainable competition in their future efforts. The purpose of this study was to develop goals and challenges of independence for centers of excellence. Methods: This was a qualitative study, content analysis, involving semi-structured interviews with 7 individuals from centers of excellence for medical sciences. Sampling was continued until data saturation. Interview transcripts were analyzed through coding and classifying concepts into categories and subcategories, and then MaxQDA 2007 10, software was used for further analysis. Results: According to the participants, a number of prerequisites (such as: goals and strategies) are required to secure independence and authority for Iranian centers of excellence, and also this independence has some distinct dimensions (such as: financial and human resources). Furthermore, the participants identified the possible obstacles and challenges (such as: bureaucratic processes and failure to delegate authority) to the independence of the centers, and proposed solutions to tackle them (such as: internal and external evaluations and accreditation). Conclusion: In the end, the results were used to set up independence regulations for policy makers of centers of excellence to support them during the process of independence.

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