Comprehensive Themes Research Articles

Civic identity: media, belonging, and Latiné youth in the 2020 US presidential election

ABSTRACT We explore how Latiné immigrant-origin youth used and made sense of media to enact their civic identities during the 2020 US presidential election cycle. In a polarized national context, this project highlights the voices and experiences of the participants (n = 39). We conducted and analysed semi-structured interviews to identify three comprehensive themes. Findings suggest that how participants used social media to dispel misinformation allowed them to redefine community and belonging, becoming informed citizens to protect and strengthen these communities, acting on their distrust of media, democracy’s fourth pillar, and reframing what it means to belong to and engage in a democracy.

Preparing clinicians for practice: effectiveness and design of on-call simulation

BackgroundFinal year medical students and postgraduate doctors regularly contend with feelings of under-preparedness when transitioning into new areas of clinical practice. This lack of confidence is most evident in the context of on-call work which frequently requires sound clinical prioritisation, rigorous decision making and the management of acutely unwell patients, often with reduced senior support and staffing. This has prompted the emergence of on-call simulation which seeks to enhance participant confidence in performing on-call tasks and facilitate the development of key clinical and non-technical skills. This narrative review examined the use of on-call simulation in medical student and newly qualified doctor cohorts, its effectiveness in achieving its stated outcomes and to identify novel areas for the development of existing models.MethodA search strategy was developed in conjunction with a specialist medical librarian. OVID Medline and Embase searches identified articles related to the use and design of on-call simulation in medical education with no restrictions placed upon date or language of publication. Key findings from articles were summarised to develop comprehensive themes for discussion.ResultsTwenty Three unique publications were reviewed which unanimously reported that on-call simulation had a positive effect on self-reported participant confidence in performing on-call roles. Furthermore the value on-call simulation when used as an induction activity was also evident. However, there was limited evidence around improved patient and performance outcomes following simulation. It also remains resource intensive as an educational tool and there is a distinct absence of interprofessional education in current models.ConclusionsWe concluded that on-call simulation must adopt an interprofessional educational approach, incorporating other clinical roles. Further studies are needed to characterise the impact on patient outcomes. It remains highly useful as a confidence-boosting induction activity, particularly in specialities where clinical exposure is limited. Virtual and tabletop simulation formats, could potentially address the resource burden of manikin-based models, particularly with ever growing demands on medical educators and the expansion of training posts.

Enhancing Students Critical Thinking Skills through Pancasila Student Profile Strengthening Project at SMK Negeri 3 Yogyakarta

This research aims to: 1) Analyze the implementation of the Pancasila Student Profile Project in strengthening the critical thinking character of students; and 2) analyze the inhibiting factors in the implementation of the Pancasila Learner Profile Strengthening Project in strengthening the critical thinking character of students at SMK Negeri 3 Yogyakarta. This research deploys a qualitative research approach with a case study method. The purposeful sampling technique is used in recruiting research participants, and the data collection strategy encompasses observations, interviews, and documentation. The data gathered is validated through triangulation techniques and multiple-source triangulation. The data gathered is analyzed using Miles and Huberman’s models of data reduction, data presentation, and conclusion drawing. The results of this study show: 1) the implementation of the Pancasila Student Profile Strengthening Project (P5) in strengthening the character of critical thinking is integrated with the use of project-based and problem-based learning methods in P5 comprehensive themes. The combination of learning from all themes can develop students’ skills in critical citizenship characteristics; and 2) P5 implementation, internal and external obstacles are miscommunications affecting coordination and implementation. These miscommunications are caused by various factors. Thus, increasing awareness and strong collaboration among each school element are crucial.

Challenges and coping experiences faced by nursing staff in long-term care facilities in China: a qualitative meta-analysis.

The aim of this study is to discern the challenges and coping experiences encountered by nursing staff in long-term care facilities in China. This will be achieved through the identification, evaluation, and qualitative synthesis of comprehensive data. This is a qualitative meta-analysis. The research systematically examined relevant literature sourced from six databases, concluding the search in August 2023. The inclusion criteria encompassed qualitative and mixed-methods studies in both Chinese and English, focusing on challenges faced by nursing staff in long-term care facilities and their corresponding coping strategies. The application of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework facilitated the qualitative meta-integration process. Three independent researchers meticulously screened and assessed the quality of the chosen studies. The synthesis process sought to amalgamate and structure analogous findings into novel categories through multiple readings of the original literature. These categories were subsequently distilled into comprehensive themes. Analyzed 15 articles revealed 14 sub-themes and 4 overarching analytical themes. These encompassed Sources of Challenges such as multitasking, clinical emergencies, workplace conflict, demand exceeding resources, and occupational discrimination. Psychological impacts included suppressed emotion, compassion fatigue, and self-doubt. Practical consequences involved damaged health, imbalanced life, and occupational disappointment. Coping strategies identified were self-adjusting, feeling validation and belonging, and finding support. Our research identified the challenges faced by nursing staff in Chinese long-term care facilities and their coping experiences. We found that most challenges could be mitigated through appropriate adjustments in managerial strategies, such as reasonable human resources planning, and providing resource support, including material, emotional, and informational support. Similarly, institutions should have offered necessary emotional and psychological support to nursing staff to overcome the negative impacts of challenges and encourage them to adopt positive coping strategies.

Identifying Dimensions and Components for the Enhancement of Virtual Educational Leadership in the Islamic Azad University Branches of Tehran Province Using Thematic Analysis

Purpose: The primary objective of this article is to identify the dimensions and components for the enhancement of virtual educational leadership in the Islamic Azad Universities of Tehran province using thematic analysis. Methodology: The research method employed is mixed (qualitative-quantitative). In addition to document analysis, the thematic analysis technique with MAXQDA12 software was used to identify factors and components. The study population included all faculty members with at least an assistant professorship in educational management, higher education management, and educational technology, as well as administrators of Islamic Azad Universities, with theoretical saturation achieved after 15 interviews. Ultimately, base, organizing, and comprehensive themes were extracted, and in the quantitative section, structural equation modeling was used to determine the impact and ranking of the dimensions and components. Findings: Based on semi-structured interviews, four dimensions (knowledge of educational leadership in virtual environments, performance management and coaching in virtual environments, team leadership ability in virtual environments, ethical behaviors in virtual environments) and 24 components (organizing themes) were identified for virtual educational leadership in the Islamic Azad Universities of Tehran province. Subsequently, based on a researcher-made questionnaire, it was determined that the dimension of ethical behaviors in virtual environments with a coefficient of 0.905, team leadership ability in virtual environments with a coefficient of 0.879, performance management and coaching in virtual environments with a coefficient of 0.877, and knowledge of educational leadership in virtual environments with a coefficient of 0.805 are prioritized from first to fourth, respectively. Conclusion: The findings underscore the significance of adaptability, digital proficiency, and effective communication as pivotal traits for successful virtual leaders. Notably, the study also sheds light on the potential for gender to influence leadership effectiveness in virtual environments, with female leaders possibly having an edge in fostering collaboration and inclusivity.

Needed Current Characteristics of a Good Iranian Graduate in Journalism and Media Studies

This study aimed to identify the current characteristics of a 'Good Iranian' graduate in the field of journalism and media studies in Iran using the qualitative research method of thematic analysis. The study's population consists of 45 master's degree students in journalism, promotion, communication, and cultural studies at the Soore University of Tehran who have been working in the media for at least two years after earning their bachelor's degree. A sample of 25 purposefully selected students was considered for unstructured interviews. Results showed five (5) comprehensive themes and 11 organizing themes characterizing a good graduate. The comprehensive themes constituted observing professional ethics while respecting ethics and objectivism in reporting events; being brave, having the courage to enter events such as war, earthquake, flood, etc., and having the intuition to reach, know, and locate news and news event to find the subject; being professional with subject knowledge, able to prepare material and increase others' knowledge; being competent in digital journalism, expressed in terms of cyberspace presence and functionality skills in this space; and, literate with international involvement, equipped with competencies in foreign languages, dealing with global organizations such as UNESCO, and being acquainted with journalistic events of the world.

POSTMODERN ELEMENTS IN ORHAN PAMUK'S NOVEL “MY NAME IS RED”

This scientific article reveals the postmodern elements in the novel "My name is red" by Orhan Pamuk, one of the leading representatives of Turkish postmodern literature. The main idea of the work is to end the conflict between Eastern and Western cultures and to harmonize the two with each other. In the novel "My name is red", Orhan Pamuk skillfully uses the elements of detective fiction, East-West conflict in art, and melodrama in terms of the processing of old motifs and the development of events. The article emphasizes that the novel "My Name is Red" is a detective fiction and a love story. The novel tells about the colorful world of miniaturists, which is divided by East-West conflicts and is also the scene of fierce debates. The composition of the novel and the way of looking from a polyphonic point of view determine the individual style of the novel. The novel "My name is red" is a novel comprising 59 chapters, which analyze the paradoxes and parallels between history and today through the lives of various people, and reflect the complex reality. If we compare the novel "My name is red" with other novels by Orkhan Pamuk in a postmodern spirit, this novel can be called a novel full of deep symbols, diverse characters and a chain of interesting events. The novel differs from Pamuk's other novels by its comprehensive themes such as situations, characters, their inner world, ordinary and scary dreams, sexual desires, history, art, and crime. At the same time, this work can be considered a historical, romantic-adventure, and detective novel.

Identifying the Dimensions and Components of Health Tourism with a Strategic Business Orientation Approach Using Thematic Analysis

Objective: The main objective of this article is to identify the dimensions and components of health tourism with a strategic business orientation approach using thematic analysis. Method: The research method is qualitative. In addition to documentary studies, the thematic analysis technique with MAXQDA12 software was used to identify factors and components. The population in this study consisted of all experts in the field of tourism and health, as well as senior managers with extensive experience and a high track record in the field of tourism and health, after which theoretical saturation was achieved following 14 interviews. The interviews lasted between 75 to 120 minutes. Ultimately, basic, organizing, and comprehensive themes were extracted. Findings: Five factors (developmental, strategic, infrastructural, limiting, and outcomes) and 20 dimensions (organizing themes) and 43 components and 208 indicators for health tourism with a strategic business orientation were extracted. Conclusion: The results showed that the majority of experts believed that health tourism with a strategic business orientation faces issues in structural areas and domestic policies, and these factors have the most significant impact in this regard.

Presenting a Model of Work-Family Conflict Management Regarding the Non-Clinical Employees of Iran University of Medical Sciences During COVID-19 Pandemic

Background: Conflicts between work and family wants are inevitable in organizations and families. This, in turn, creates psychological problems in people's personal and working life. The aim of this study is to present a model of work-family conflict management among employees of Iran University of Medical Sciences during COVID-19 pandemic.
 Methods: This was a qualitative study conducted in 2021. The statistical population of the research included 14 thematic and executive experts who were selected with judgmental-purposive method. The analytical model of the research was deductive-inductive and based on the qualitative method of thematic analysis. Data were collected by document method and through in-depth and semi-structured interviews with experts of Iran University of Medical Sciences. The content validity of the research model was 85%. Retest reliability was 70% and coder reliability was 87%.
 Results: After five stages of content analysis, 67 basic themes, 7 comprehensive themes (family stress stimulus ( 3 themes)), supportive job variables (11 themes), moderating variables (7 themes), stress management (12 themes), negative consequences (17 themes), positive outcomes (2 themes), (work stress stimuli(15 themes)) were counted and added. Finally, a work-family for the staff of Iran University of Medical Sciences was designed.
 Conclusion: According to the current research model, work-family conflict management in the period of COVID-19 requires a new way of working. It should be independent, flexible and compatible with individual conditions and preferences of employees more than before. Considering the importance of the negative consequences of work-family conflict, the vice-chancellor of management and resource development in the university can use the model presented in this research to prepare training programs needed by employees. He can also manage the negative consequences of work-family conflict and develop support and counseling programs needed by employees to be used during COVID-19 pandemic.

Content Analysis of God's Covenants in the Holy Qur’an

One of the ways of the Qur'an to attract the audience to the speaker is calling. Many religious orders have been conveyed to the listeners by addressing them (O, you who believe), which is the most beautiful way. This article tries to understand the concepts hidden in these 89 speeches, with a qualitative method based on concept (thematic) analysis, which looks for the output of the basic, organizing and comprehensive themes related to the research problem, to answer this question: What are God's covenants in the Holy Qur’an and to what extent have they been addressed? In order to extract concepts and categorize them, several interpretations were studied. The results of the research showed that the number of 20 surahs of the Qur'an includes 269 covenants of God, and in total, 188 initial codes, 64 basic themes, 19 organizing themes were extracted under six comprehensive themes.

Exploration of teachers’ teaching practices of Early Childhood Care and Education (ECCE) utilize in different contexts; A literature Review

This literature review is about the exploration of teachers’ teaching practices of Early Childhood Care and Education (ECCE) teachers utilized in different context’. The findings of this study are based on literature published between the years 2000 and 2020. This document is established as a current analysis of teaching practices of ECCE teachers. The limitation of this paper is that the majority of the study is based on Australia, UK, France, Germany, Pakistan Australia, and USA which restricts the results' worldwide application. The results are presented in seven comprehensive themes; Early Childhood Care and Education (ECCE), Importance of Early Childhood Care and Education, Global status of Early Childhood Care and Education, Challenges in Early Childhood Care and Education, Strengthening in Early Childhood Care and Education, best teaching practices in Early Childhood Care and Education and teaching practices utilized by ECCE teachers in different contexts. At the root, all of these themes reveal the practices of ECCE teachers in different context. This study is directly linked to policymakers, educationist, government leaders, community members, researchers and parents who are interested to make early childhood education more effective and appropriate. However from this literature review it is found that ECCE teachers are not much practicing the effective teaching practices in their classrooms just as; collaborative activity, interactive activity, Hands-on or project based activities. Even it is also found that in many contexts in ECCE physical and social environment was not much conducive for children in order to make their learning effective.

Dimensions and Components of Brand-Based Human Resources Management in Pharmaceutical Companies: A Case Study

: Currently, in organizations, customer satisfaction and focus on successful sales are not enough to improve the organization’s assets and maintain a competitive position in the market. Therefore, companies should adopt the necessary measures and strategies to attract and preserve effective human resources. Without the power of efficient human resources, an organization is unable to create transformation, development, and excellence and achieve a strategic model and the set goal. For this purpose, there should be management that leads the organization and creates an efficient structure for the production of human resources. Brand human resources management is a differentiation in the core of human capital management strategy. The main function of brand-based human resources management is to attract potential workforce outside an organization and maintain talent within an organization. Human resources management can play an important role in the success of an organization’s branding; however, it has received less attention. This study aimed to explore the perception of the concept of brand-based human resources and to present its dimensions and components; in terms of purpose, data collection, and data certainty, this study was applied-developmental, descriptive, and exploratory, respectively. The statistical population included written sources or texts related to brand-based human resources management that were available. Moreover, the sampling method in this study was purposeful. The main findings of this study included identifying the dimensions and components of brand-based human resources management in 17 basic themes, 8 organizing themes (components), and 3 comprehensive themes (dimensions). Based on the findings of this study, it is possible to evaluate companies’ brand-oriented level of human resources management. Accordingly, action is taken to plan to improve weak aspects.

The Effect of the Plickers Application on Fourth-Grade Students’ Learning Motivation in Learning Integrated Themes

The Plickers app is an online learning assessment technology that uses smartphones and coded cards. Using this app it only takes 3-5 minutes to scan the card and get instant results. This study aims to determine the motivation of students in using the application. Plickers Application. This is Field Research. This research was conducted at SDN 33 Sawahan in the even period of 2021/2022. The subjects of this study were 18 fifth grade elementary school students learning comprehensive themes. Data was obtained by distributing questionnaires. Data analysis is descriptive and qualitative. The results showed that overall, 75% of students were motivated by: 1) 87% interested, 2) 85% benefited, 3) 74% felt confident, 4) 83% satisfied with the Plickers application. The results of this study can be concluded that Class V students respond positively to the use of the Plickers application for integrated thematic learning in elementary schools.

A Pattern for Assessing the Health System Governance in the Islamic Republic of Iran: A Thematic Analysis

Background: Governance in the health system is not just a vision, or a model for delivering services, but a key element in planning, implementing and evaluating activities to improve health. The main purpose of this study was to design a pattern for assessing Iran's Health System Governance.
 Methods: The present study was descriptive in terms of purpose, qualitative in terms of application, and qualitative in terms of data type, which was conducted based on thematic analysis and deductive-inductive approach. 14 health system experts were selected through non-random-purposive sampling. To calculate reliability, test-retest reliability and coder reliability were used, which were 70 and 87 %, respectively. Also, Waltz and Basel method was used to assess the content validity of the extracted indices which was 85 %.
 Results: After 6 stages of thematic analysis, 137 basic themes, 15 organizing themes and 5 comprehensive themes (health system accountability, health system participation, health system policy formulation, health system service provision, health system efficiency and quality) were obtained, and finally, a model for assessing the governance of the health system in the Islamic Republic of Iran was designed. Organizational accountability included 7 themes, ethical accountability, 9, and legal accountability included 6 .Financial accountability included 8 basic themes, and efficiency and quality, 10 basic themes. Implementation included 8 themes, comprehensiveness, 4, reporting, 12, and transparency, 6. Structural policy included 23 themes, social inclusion and justice policy, 6, and fiscal policy included 11 basic themes. Medical services included 4 themes, financial services, 7, human services and human rights, 9, and information and technology services included 7 basic themes. In this pattern, participation and policy formulation were considered input, and accountability, efficiency and quality and service delivery were considered output.
 Conclusion: Lack of a clear definition for an appropriate interdepartmental cooperation, Lack of meritocracy, having a guild oriented attitude, conflict of interests, not using a policymaking approach based on a collective evidence and wisdom are among the shortcomings of the current health system governance. In addition, healthcare costs imposed on people are too high.

Investigative factors affecting social anxiety based on the brain-behavior model: a qualitative study

Background and Aim: Social anxiety disorder usually appears in childhood or early adolescence and often has long-term effects on several areas of a person's life, including school and education; Population-based studies have assessed the prevalence of social anxiety disorder among adolescents using clinical diagnostic interviews. This research was conducted with the aim of investigative the components of social anxiety based on the brain-behavior model. Method: The method of qualitative research was using the theme method with Etrid-Sterling approach. With the purposeful sampling method, by reviewing texts from reliable sources in the field of social anxiety based on brain-behavior models in the years 1960-2023, the desired information was collected with 39 articles until theoretical saturation. Then the obtained information was coded and classified. Results: In the first stage of coding, 112 basic themes were extracted from the texts. In the second stage, 22 organizing themes were abstracted based on the degree of validity of the obtained concepts. In the third stage, 3 themes including low sensitivity of behavioral activation, high sensitivity of behavioral inhibition and heightened reactive sensitivity of fight, flight and flop were identified as comprehensive themes related to the components of social anxiety based on the behavioral brain model. Validation of data was checked and confirmed using content validity and reliability of themes using the Holsti method. Conclusion: Based on the results of the research, the awareness of researchers and therapists about the components of social anxiety based on the brain-behavior model should be considered in the design and application of more effective treatments that activate the behavior of people with social anxiety.

The pattern of business behaviour case study: Iran's cement industry

The purpose of this study is to identify business behaviours and their impact on the performance of Iran's cement industry. Therefore, indicators of business behaviour were determined, and finally the pattern of business behaviour was developed. This study was conducted with a mixed approach. In the qualitative part, by using thematic analysis method and Maxqda.Pro.2018.1 software, data from interviews were collected and analysed. In the quantitative part, SPSS and Smart PLS statistical software were used to analyse the data from the questionnaires. The statistical technique of structural equation modelling was used to test the research hypotheses. According to the findings, organising themes including 60 concepts and comprehensive themes including nine major categories and 218 basic themes were identified. Five hypotheses were confirmed and four hypotheses were rejected. The novelty of the subject of business behaviour and its modelling in different dimensions and components, were innovation of this research.

Designing a Strategic Model for International Marketing of Iranian Handmade Carpets

The purpose of this study is to design a strategic model for international marketing of Iranian handmade carpets - a combined approach. The present study, in terms of its basic applied purpose, in terms of nature, survey research and in terms of paradigm, combined-exploratory research, sampling in the qualitative part of the research was done purposefully and in the quantitative part was done by simple random sampling. In the qualitative stage with 12 experts, who were mainly academic experts in the field of international marketing and senior managers of companies exporting Iranian handmade carpets, the interviews continued until theoretical saturation was achieved, and the sample of the quantitative section consisted of 196 people selected according to the Cochran's formula and the research tool in the qualitative section has been identified using the exploratory method of strategic components of international marketing of Iranian handmade carpets and the factors affecting it and in a small part it was evaluated through descriptive-survey research. The sampling method in the qualitative part was purposeful and in the quantitative part was simple random. The research tool in the qualitative part of exploratory interview was semi-structured and in a small part, for the strategic evaluation of international marketing of Iranian handmade carpets, a researcher-made questionnaire was used, which was designed based on the themes obtained in the qualitative stage. In the qualitative part, the analysis of the interviews was performed using the content analysis method. The validity and reliability of the components were examined and Cronbach's alpha of all the above components was 0.7 and during it; the most important basic, organizing and comprehensive themes on the components of the factors affecting the international marketing strategy of Iranian handmade carpets were assessed. Quantitatively, through structural equation methods, the accuracy of the research model was confirmed and it turned out that the selection of concepts, dimensions and indicators had a high accuracy in the handmade carpet industry and it can provide a suitable framework for compiling a vision document for the handmade carpet industry.

Abstract 10619: Determination of Cost Drivers and Variation Associated with Isolated Aortic Valve Replacement Surgery: Evaluating the Impact of Interval Feedback and Barriers and Facilitators of Cost Awareness among Cardiac Surgeons and Health Care Providers

Introduction: Marked variation among surgeons and relevant health care providers (HCPs) in aortic valve replacement (AVR) costs was demonstrated. Despite presentation of these data to HCPs, cost variation persists. We sought input from cardiac HCPsregarding intraoperative cost awareness, decision making and potential motivators towards greater cost consideration. Objectives: Three fold purpose: I) Determine the primary intraoperative cost drivers of performing an isolated AVR in a single-center Canadian hospital, II) Evaluate the impact of communicating cost and driver variability on decision making, and III) Identify the barriers and facilitators of incorporating cost considerations in isolated AVRs among HCPs. Methods: From May 2017-May 2019, data was collected on AVR cost drivers (n=216). There were three phases of data feedback to HCPs. Separate focus groups were held (Phase III) for cardiac HCPs including surgeons, anesthesiologists, perfusionists , residents, and OR nurses (n=27). Semi-structured interviews were used to elicit provider perspectives. Transcribed audio data was analyzed through the use of thematic analysis to develop a core set of common and comprehensive themes. Results: Data collection demonstrated marked inter-surgeon variation around the surgical costs of procedures. After feedback to HCPs, variation persisted and the median cost for AVRs increased. Five themes were identified from HCP groups: cost awareness, intraoperative decision making, influence surrounding intraoperative cost decision making, provider-based motivation for implementing intraoperative cost decision making, and cost drivers for an AVR. Conclusions: No difference in cost or variation before and after data feedback to HCPs was insufficient to impact surgeon’s behaviour in case costing, which motivated the qualitative work in the form of focus groups. HCPs demonstrated low cost awareness regarding cost drivers of AVRs. They expressed interest in engaging in cost decision making that was informed by cost containment. Measures such as listing the price of cost drivers in the OR and providing cost feedback could potentially encourage engagement in cost decision making for AVRs.

Under consent: participation of people with HIV in an Ebola vaccine trial in Canada

BackgroundLittle is known about volunteers from Northern research settings who participate in vaccine trials of highly infectious diseases with no approved treatments. This article explores the motivations of HIV immunocompromised study participants in Canada who volunteered in a Phase II clinical trial that evaluated the safety and immunogenicity of an Ebola vaccine candidate.MethodsObservation at the clinical study site and semi-structured interviews employing situational and discursive analysis were conducted with clinical trial participants and staff over one year. Interviews were recorded, transcribed and analysed using critical qualitative interpretivist thematic analytical techniques. Patterns were identified, clustered and sorted to generate distinct and comprehensive themes. We then reassembled events and contexts from the study participants’ stories to develop two ideal portraits based on "composite characters" based on study participants features. These provide ethnographically rich details of participants’ meaningful social worlds while protecting individual identities.ResultsTen of the 14 clinical trial participants, and 3 study staff were interviewed. Participant demographics and socio-economic profiles expressed limited contextual diversity. Half were men who have sex with men, half were former injection drug users experiencing homelessness, one was female, none were racialized minorities and there were no people from HIV endemic countries. Fully 90% had previous involvement in other clinical studies. Their stories point to particular socio-economic situations that motivated their participation as clinical labor through trial participation.ConclusionsOur findings support Fisher’s argument of “structural coercion” in clinical trial recruitment of vulnerable individuals experiencing precarious living conditions. Clinical trials should provide more detail of the structural socio-economic conditions and healthcare needs which lie “under consent” of study participants. Going well beyond an overly convenient narrative of altruism, ethical deliberation frameworks need to sufficiently address the structural conditions of clinical trials. We offer concrete possibilities for this and acknowledge that further research and clinical data should be made available underlying study participant contexts with regards to recruitment and participation in resource poor settings, in both the South and the North.

Experiences of digital communication with automated patient interviews and asynchronous chat in Swedish primary care: a qualitative study

ObjectivesTo explore staff experiences of working with a digital communication platform implemented throughout several primary healthcare centres in Sweden.DesignA descriptive qualitative approach using focus group interviews. Qualitative content analysis was...