scholarly journals Status Quo and Innovative Directions for Inpatient Fall Interventions

2020 ◽  
Vol 27 (4) ◽  
pp. 356-365
Author(s):  
Ji Yea Lee ◽  
Juhee Lee ◽  
Yeonsoo Jang ◽  
Eun Chae Kim ◽  
Yong Gu Ji ◽  
...  
Keyword(s):  
Focus Group ◽  
Medical Devices ◽  
Physical Environment ◽  
Status Quo ◽  
University Hospital ◽  
Nursing Interventions ◽  
Focus Group Interviews ◽  
Individual Interviews ◽  
The Status ◽  
Group Interviews

Purpose: The purpose of this study was to explore nurses’ experience of falls, and their perception of the status quo of inpatient fall interventions.Methods: The participants were 28 ward nurses in a university hospital, Seoul, Korea. Five focus group interviews and three individual interviews were conducted. The interviews were analyzed using thematic analysis.Results: The findings from this study suggest that nurses face limitations in providing conventional fall interventions due to patient disease related characteristics, situations in hospital, and medical devices used in the hospital settings. Although nurses adopted their own strategies to prevent falls effectively, they expressed the need for innovative approaches to overcome these limitations.Conclusion: Systematic, technology-based approaches are needed to create a safer physical environment and to improve current nursing interventions to prevent falls.

scholarly journals Preventing ventilator-associated pneumonia—a mixed-method study to find behavioral leverage for better protocol adherence

2018 ◽  
Vol 39 (10) ◽  
pp. 1222-1229 ◽  
Author(s):  
Aline Wolfensberger ◽  
Marie-Theres Meier ◽  
Lauren Clack ◽  
Peter W. Schreiber ◽  
Hugo Sax
Keyword(s):  
Focus Group ◽  
Mixed Method ◽  
University Hospital ◽  
Mixed Method Study ◽  
Ventilator Associated Pneumonia ◽  
Theory Approach ◽  
Prevention Measures ◽  
Focus Group Interviews ◽  
Protocol Adherence ◽  
Group Interviews

AbstractObjectivePreventing ventilator-associated pneumonia (VAP) is an important goal for intensive care units (ICUs). We aimed to identify the optimal behavior leverage to improve VAP prevention protocol adherence.DesignMixed-method study using adherence measurements to assess 4 VAP prevention measures and qualitative analysis of semi-structured focus group interviews with frontline healthcare practitioners (HCPs).SettingThe 6 ICUs in the 900-bed University Hospital Zurich in Zurich, Switzerland.Patients and participantsAdherence to VAP prevention measures were assessed in patients with a device for invasive ventilation (ie, endotracheal tube, tracheostomy tube). Participants in focus group interviews included a convenience samples of ICU nurses and physicians.ResultsBetween February 2015 and July 2017, we measured adherence to 4 protocols: bed elevation showed adherence at 27% (95% confidence intervals [CI], 23%–31%); oral care at 41% (95% CI, 36%–45%); sedation interruption at 81% (95% CI, 74%–85%); and subglottic suctioning at 88% (95% CI, 83%–92%). Interviews were analyzed first inductively according a grounded theory approach then deductively against the behavior change wheel (BCW) framework. Main behavioral facilitators belonged to the BCW component ‘reflective motivation’ (ie, perceived seriousness of VAP and self-efficacy to prevent VAP). The main barriers belonged to ‘physical capability’ (ie, lack of equipment and staffing and side-effects of prevention measures). Furthermore, 2 primarily technical approaches (ie, ‘restructuring environment’ and ‘enabling HCP’) emerged as means to overcome these barriers.ConclusionsOur findings suggest that technical, rather than education-based, solutions should be promoted to improve VAP prevention. This theory-informed mixed-method approach is an effective means of guiding infection prevention efforts.

scholarly journals Aspectos quantitativos e qualitativos sobre as barreiras para o uso de bicicleta em adultos de Curitiba, Brasil

2018 ◽  
Vol 20 (1) ◽  
pp. 29-42 ◽  
Author(s):  
Marilson Kienteka ◽  
Edina Maria de Camargo ◽  
Rogério César Fermino ◽  
Rodrigo Siqueira Reis
Keyword(s):  
Comparative Analysis ◽  
Focus Group ◽  
Focus Groups ◽  
Physical Environment ◽  
Heavy Traffic ◽  
Household Survey ◽  
Focus Group Interviews ◽  
Cross Sectional ◽  
Group Interviews ◽  
Bad Weather

The implementation of bicycling promotion programs should consider the barriers to this behavior. The aim of this study was to quantitative and qualitatively characterize barriers to leisure and commuting bicycle use for adults from Curitiba, Brazil. The first phase comprised a cross-sectional household survey involving 677 adults (53% women). Of these, 16.7% and 11.2% reported leisure and commuting bicycle use, respectively. Then, 24 bicycle users (50% women) were recruited and participated in focus group interviews. The content of answers was analyzed with a conceptual matrix. The most reported barriers to leisure bicycle use were “bad weather” (65.5%), “heavy traffic” (53.1%), “lack of bike lanes” (48.7%) and “lack of security “(44.2%). In commuting, the most reported were “bad weather” (69.7%), “heavy traffic”, “lack of safety” and “fear of accidents” (51.3% each). The comparative analysis between barriers reported in the survey and those reported in the focus groups showed a combination of seven of the 11 barriers reported in questionnaires. Some of the barriers identified in the survey were not mentioned in the focus groups (“poor street quality”, “pollution”, “not having a bicycle”, “lack of parking”, “distance to destinations”). The main barriers to bicycle use are related to physical environment and safety aspects, regardless of approach adopted and purpose of use.

scholarly journals The effects of using social biographical texts of scientists on students' attitudes in science courses: A qualitative study

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Riza Salar ◽  
Ayhan Aksakalli
Keyword(s):  
Focus Group ◽  
Science Teachers ◽  
Focus Group Interviews ◽  
Science Courses ◽  
Individual Interviews ◽  
Repertory Grids ◽  
The Social ◽  
Grid Technique ◽  
Students Attitudes ◽  
Group Interviews

Biographies of scientists are often used in the teaching environment, both in textbooks and in course contents - sections from the lives of scientists are often included to encourage students to pursue and enjoy science. This research investigated the effect of social content biographical texts of scientists on students' attitudes towards science courses. The research was a mixed-method study and consisted of 51 science teachers. The participants were determined according to a convenience sampling method. Focus group interviews, repertory grid technique, and individual interviews were used to collect data in the study. Through focus group interviews with teachers, it was discussed what kind of changes biographical texts might make to students' attitudes to science. Later, 51 teachers explained the social biographical texts to their students and observed the changes in the students. Based on their observations, they scored the repertory grids. Finally, an individual interview was held with fifteen teachers. As a result, it has been determined that social biographical texts were able to increase students' interest, motivation and questioning skills, while able to decrease their anxiety.

scholarly journals Children’s knowledge of bushfire emergency response

2015 ◽  
Vol 24 (2) ◽  
pp. 179 ◽  
Author(s):  
Briony Towers
Keyword(s):  
Focus Group ◽  
Emergency Response ◽  
National Curriculum ◽  
Research Process ◽  
Royal Commission ◽  
Focus Group Interviews ◽  
Individual Interviews ◽  
Eastern Australia ◽  
Group Interviews ◽  
Education Process

In the aftermath of the Black Saturday bushfire disaster, the Victorian Bushfires Royal Commission recommended that bushfire education be made a formal part of the Australian national curriculum. Crucially, the success of any hazards education program depends on the degree to which the learner’s existing knowledge and experience is accommodated in the education process. Yet accommodating children’s knowledge in bushfire education is hampered by a lack of research on how children conceptualise bushfire hazards. To address this gap, this paper presents a detailed qualitative analysis of children’s knowledge of bushfire hazards with a specific focus on emergency response. Across four bushfire-prone locations in south-eastern Australia, 26 focus group interviews were conducted with 87 children aged between 8 and 12 years. To better understand the construction of children’s knowledge, individual interviews were also conducted with 37 parents. Through their engagement in the research process, children demonstrated a capacity for engaging in serious discussions about bushfire hazards and although their knowledge was often characterised by gaps and misconceptions, they also demonstrated a capacity for understanding the fundamental principles of emergency response, particularly when they had been involved in bushfire planning within their household.

scholarly journals Nutrition Therapy in the Transition between Hospital and Home: An Investigation of Barriers

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Mette Holst ◽  
Henrik Højgaard Rasmussen
Keyword(s):  
Focus Group ◽  
Home Care ◽  
Clinical Guidelines ◽  
Nutrition Therapy ◽  
University Hospital ◽  
Nutritional Risk ◽  
Focus Group Interviews ◽  
Care Plans ◽  
Group Interviews ◽  
General Practise

Aims and Objectives. This study aimed to investigate barriers for nutrition therapy in the transition between hospital and home and hereby to identify areas for potential improvements.Background. Though the focus on nutritional risk is improving in hospital, there seems to be less effort to maintain or even improve nutritional status after discharge and during the rehabilitation period.Design. Qualitative focus group interviews.Methods. Semistructured focus group interviews with experienced multiprofessional staff from hospital, home care, nursing homes, and general practise. The study was done in the county of Aalborg with about 280.000 inhabitants regarding homecare and general practise as well as Aalborg University Hospital, Denmark.Results. Interviews were generated with 41 professionals from hospital, general practise, and home care. Barriers identified between settings included the following aspects: economic, organisation, and education. The impression of professionals was that few patients are discharged with nutrition therapy, compared to who could benefit from nutrition therapy after discharge. Most often, reasons were a short in-hospital stay and lack of knowledge and interest. Moreover, lack of clinical guidelines throughout all settings, time consumption, lack of transparency regarding economy and workflows, and lack of assistance from experts regarding complicated nutritional problems were identified.Conclusions. Many barriers were found in hospital as well as in the community and general practise. These were most often practical as well as organizational. Improvements of clinical guidelines and instructions and improvement of knowledge and communication at all levels are needed.Relevance to Clinical Practise. This study emphasizes that responsibility needs to be taken for patients whom are still at nutritional risk at discharge, and even before hospitalization. Nurses and doctors in and outside hospital are in need of improved knowledge, standard care plans, and instructions.

Toward a Consensus for Health Care Reform: The Use of Focus Group Interviews

1994 ◽  
Vol 7 (2) ◽  
pp. 101-110
Author(s):  
Margaret A. Potter ◽  
Sherrie E. Settle
Keyword(s):  
Health Care ◽  
Focus Group ◽  
Focus Group Interviews ◽  
Regional Health ◽  
Healthy Behaviors ◽  
The Public ◽  
Regional Health Care ◽  
The Status ◽  
Group Interviews ◽  
Use Of Health Care

Ten focus group interviews were conducted, with each group representing a different constituency of a regional health care system. Among the groups, there appeared to be similar visions of what the system should be, and similar assessments of the status quo and future trends. But there were differences about what barriers to reform exist and what compromises among the constituencies are necessary. Every group stated the need to educate the public about healthy behaviors, self-reliance, and responsible use of health care resources.

scholarly journals Health Care Personnel’s Perspective on Potential Electronic Health Interventions to Prevent Hospitalizations for Older Persons Receiving Community Care: Qualitative Study

10.2196/12797 ◽  
2020 ◽  
Vol 22 (1) ◽  
pp. e12797
Author(s):  
Martha Therese Gjestsen ◽  
Siri Wiig ◽  
Ingelin Testad
Keyword(s):  
Health Care ◽  
Focus Group ◽  
Older Persons ◽  
Community Care ◽  
Health Care Personnel ◽  
Focus Group Interviews ◽  
Individual Interviews ◽  
Patient Groups ◽  
Electronic Health ◽  
Group Interviews

Background The use of electronic health (eHealth) interventions is suggested to help monitor and treat degenerative and chronic diseases through the use of sensors, alarms, and reminders and can potentially prevent hospitalizations for home-dwelling older persons receiving community care. It is increasingly recognized that the health care personnel’s acceptance of a technological application remains a key challenge in adopting an intervention, thus interventions must be perceived to be useful and fit for purpose by the actual users. Objective The aim of this study was to identify and explore the perspectives of managers and health care personnel in community care regarding the use of eHealth interventions in terms of prevention of hospitalizations for home-dwelling older persons receiving community care. Methods A case study with a qualitative approach was carried out in community care in a Norwegian municipality, comprising individual interviews and focus group interviews. A total of 5 individual interviews and 2 focus group interviews (n=12) were undertaken to provide the health care personnel’s and managers’ perspective regarding the use of eHealth interventions, which could potentially prevent hospitalizations for home-dwelling older persons receiving community care. Data were analyzed by way of systematic text condensation, as described by Malterud. Results The data analysis of focus group interviews and individual interviews resulted in 2 categories: potential technological applications and potential patient groups. Discussions in the focus groups generated several suggestions and wishes related to technical applications that they could make use of in their day-to-day practice. The health care personnel warranted tools and measures to enhance and document their clinical observations in contact with patients. They also identified patient groups, such as patients with chronic obstructive pulmonary disease or dehydration or urinary tract infections, for whom hospitalizations could potentially have been prevented. Conclusions We have shown that the health care personnel in community care warrant various technological applications that have the potential to improve quality of care and resource utilization in the studied municipality. We have identified needs and important matters in practice, which are paramount for acceptance and adoption of an intervention in community care.

scholarly journals Satisfaction and usability of an ICT-based system for clinically healthy COVID-19 patients by patients and medical professionals (Preprint)

2020 ◽  
Author(s):  
Kyung Hwan Kim ◽  
Ye Seul Bae ◽  
Sae Won Choi ◽  
Taehoon Ko ◽  
Jun Seo Lim ◽  
...  
Keyword(s):  
Focus Group ◽  
Mobile Apps ◽  
Wearable Devices ◽  
Perceived Usefulness ◽  
Information And Communications Technology ◽  
University Hospital ◽  
Medical Professionals ◽  
Focus Group Interviews ◽  
Group Interviews ◽  
Remote Patient

BACKGROUND Digital healthcare is an important strategy in the war against COVID-19. South Korea introduced a Living and Treatment Support Center (LTSC) to control regional outbreaks and care for asymptomatic or mild COVID-19 patients. Seoul National University Hospital (SNUH) introduced information and communications technology (ICT)-based solutions to manage clinically healthy COVID-19 patients. OBJECTIVE This study aims to investigate satisfaction and usability for patients and health professionals in optimal use of the mobile apps and wearable devices that SNUH introduced to LTSC for clinically healthy COVID-19 patients. METHODS Online surveys and focus group interviews were conducted to collect quantitative and qualitative data. RESULTS Perceived usefulness of wearable devices was highest at 4.45 (±0.57) points, while usability was highest at 4.62 (±0.48) points out of 5. In medical professionals, “Self-reporting” was highest at 4.42 (±0.58) points out of 5. In focus group interviews of healthcare professionals, hospital information system interfacing was the most important functional requirement for ICT-based COVID-19 telemedicine. Improvement of patient safety and reduction of the burden on medical staff were expected positive outcomes. Stability and reliability of the device, patient education, accountability, and reimbursement issues should be considered in development of remote patient monitoring. CONCLUSIONS To respond to a novel contagious disease, telemedicine and wearable devices were shown to be useful during a global crisis.

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