General Themes Research Articles

Using patient comments from a standardised experience survey to investigate their perceptions and prioritise improvement actions: a thematic and syntactic analysis

BackgroundAlthough patient experience surveys flourish in many countries with the aim to improve quality of care, questions remain concerning their ability to become effective drivers of change within institutions. The patient comments from the French national patient experience hospital survey were analysed using an innovative structured approach to characterise patient experience and identify field actions for the institutions.MethodsThe comments were taken from the two open-ended questions comprised in the patient experience survey of the Hospices Civils de Lyon between 2018 and 2019. The comments analysis methodology consisted in three steps: thematic analysis; syntactic analysis; generation of statistics for the creation of a patient journey and prioritisation of sub-themes. The STROBE statement checklist was followed.ResultsOver a year, 79.7% of the 7 362 respondents left at least one comment at the end of the survey and were included in the study, for a total of 5 868 surveys and 10 061 comments. These led to the identification of 28 general themes and 184 specific sub-themes. From the patient journey created, 23 sub-themes were prioritised and gathered into four key categories: relationship between patient and staff; environment; surgery and pain management; information and care coordination. For each of them, the actions and expectations formulated by the respondents were described.ConclusionsThe analysis of patient comments obtained from a standardised survey allowed to characterise the patient journey using data that describes patient experience, enabling a prioritisation of actions aiming to improve practice and quality of care at the institution, department, and staff level.

“Analisis Wacana Pesan Dakwah Dalam Film I-Tanggang: Mother Of All Lies”

The film I-Tanggang: Mother of Lies tells the story of a disobedient child and a mother who lies, causing extreme conflict in 3 family stories that are told and have 12 episodes. It is important to explain that da'wah messages can be conveyed through various media, one of which is film media, so that when watching a film you don't just enjoy the storyline. But, also da'wah messages which are of course very useful. Thus, the researcher wants to review and describe the preaching message contained in the film I-Tanggang: Mother of All Lies. The problems to be uncovered in this study are: the macro discourse structure, the superstructure and the micro structure of the dakwah messages contained in the dialogue texts of the film characters I-Tanggang: Mother of Lies in the story of the character Syafiq. The type of research that the researchers used was a qualitative approach, collecting data through text observation and documentation, while the data analysis technique used was media text analysis using the Teun A. Van Dijk discourse analysis model. Based on the results of the research that the writer did, in the film I-Tanggang: Mother of All Lies, which tells the story of one of the main characters, namely the character Syafiq, there is a da'wah message about faith. (about reciting basmallah and surrendering to Allah SWT.), about sharia (punishment for those who commit adultery and the wife's obedience to her husband), and morals (about hard work and responsibility). The general theme in the film I-Tanggang: Mother Of All Lies is about a syndrome where sufferers always lie and manipulate circumstances, about the important role of parents in educating children, and how a teenager's patience in facing difficulties. life and the twists and turns of problems that he shouldn't have experienced, with mixed storylines (forward and backward plots).

Queer Faculty in the Academy: Is It Getting Better?

ABSTRACT This paper weaves the author’s personal experience as an out lesbian researcher of LGBTQ health with contemporary research on LGBTQ faculty members’ experiences. It also draws from the literature on other marginalized faculty members’ experiences (women, faculty of color) to identify common themes that prevent the full inclusion of diverse faculty in higher education. Structural oppression is often invisible and university’s focus on values of meritocracy, individual effort, competition, and elitism create unspoken barriers to faculty success. The paper discusses three general themes: the paradox of visibility (including being out on faculty, doing LGBTQ research, and being an advocate/activist), curricular issues, and internalizing of oppression. The final section outlines strategies for overcoming some of the barriers, including LGBTQ-specific organizing and community building and creating coalitions across marginalized faculty groups.

Conversations with Panamanian Parents Regarding Their Children with Disabilities

Abstract Over 8 million children under the age of 14 live with a disability in Latin American and Caribbean (LAC) countries. These children are often denied educational opportunities and related services that have the potential to enhance their quality of life. In this qualitative study, we conducted a secondary analysis of interviews with eight parents of individuals with disabilities living in the Republic of Panama. The aim of this study was to examine the parental perceptions of disability, communication supports afforded to individuals with disabilities, and enablers and barriers families face when raising, educating, and finding services for their children. Four general themes emerged from the analysis of the transcript: child characteristics, child communication, sources of support, and barriers to inclusion. Implications and possible solutions are discussed.

Cultural Capability in the Professional Care of Nurses for Medical Tourists in Iran: A Qualitative Study

Background: Medical tourists create an issue that needs to be investigated in different parts of the world. Increasing expectations of health tourists for health services improves the quality of nursing care services for foreign clients. Due to globalization, nurses are required to handle the increasing number of overseas visitors and immigrants. Objectives: This study was conducted to assess cultural capability in the professional care of nurses for medical tourists in Iran. Methods: We conducted 23 semi-structured interviews in 2021 - 2022 in this qualitative study. The interviewees included nurses from international wards and wards with international patients, patients, patient companions, and doctors. The interviews were conducted using a goal-oriented method. After recording, the data were analyzed using the conventional qualitative content analysis of Lundman and Graneheim. Results: In this study, a main theme called “Cultural capability in professional care” was categorized into 8 categories: “Culture-oriented language communication,” “Culture-oriented communication interactions,” "Cultural humility," "valuing cultural diversity," "context-based client training," and "respectful communication.". Conclusions: Cultural capability in the professional care of nurses is important for providing comprehensive and quality care because patients come with different cultural beliefs and from different geographical areas.

(Invited) Photoelectrochemical CO2 Reduction (CO2R) with Si- and III-V Based Systems

One means to produce carbon-based fuels and chemicals in a sustainable manner is by means of solar photoelectrochemical (PEC) CO2 reduction (CO2R). Many R&D challenges need to be addressed in order to advance this technological area toward commercial applications. This paper will focus on developing catalytic interfaces onto silicon and III-V semiconductor based systems, and exploring the impacts of various microenvironments and reaction conditions on efficiency, selectivity, and durability. Interfaces based on copper-based catalysts will be a general theme, leading to a range of multi-carbon products by means of PEC CO2R.

Parental Perspectives on Communication from Health Care Providers following a Newborn Diagnosis of Congenital Cytomegalovirus Infection: A Secondary Analysis of a Qualitative Study.

The study objective was to identify communication messages that parents of children diagnosed with congenital cytomegalovirus (cCMV) infection reported as essential and helpful. We performed a secondary analysis of focus groups and interviews conducted with 41 parents of children with cCMV who had enrolled in a long-term follow-up cCMV study at an academic medical center. Three groups of parents who had children with cCMV participated in the study: parents with children symptomatic at birth, parents with children asymptomatic at birth who later developed sensorineural hearing loss, and parents with children asymptomatic at birth who remained asymptomatic into adulthood. Using a health marketing approach, we identified six general themes from the focus group sessions: initial diagnosis, likely health outcome(s), comfort and coping, symptom watch, resources, and prevention. Receiving the initial diagnosis was shocking for many parents, and they wanted to know how their child would or could be affected. They valued access to the information, follow-up visits for early detection of hearing loss and other developmental delays, and support from other parents. Parents wished to obtain this information from their pediatrician but felt that experts offered more up-to-date knowledge about prognosis, monitoring, and treatment. With more U.S. states implementing cCMV screening strategies which would lead to more infant diagnoses, it will be necessary for providers to meet parents' expectations and communication needs.

Penerapan Metode Visualisasi Kolaborasi Aksi (ViKA) pada Pembelajaran Menyimak Teks Berita Kelas VIII

The learning method is an important part of the learning component. The selection of the right learning method can support the maximum achievement of learning objectives. Learning methods must continue to innovate so that it is not monotonous and boring for students. The Action Collaboration Visualization Method (ViKA) is one of the innovative and creative Indonesian language learning methods. The ViKA method is used in learning to listen to news texts for class VIII. The aims of this study are (1) to describe the Visualization of Collaborative Action (ViKA) method, (2) to describe the preparation for the application of the ViKA method in learning to listen to news texts for class VIII, (3) to describe the steps in applying the ViKA method in learning to listen to news texts for class VIII, (4) describe the advantages and disadvantages of the ViKA method. The method used in this research is descriptive qualitative. The main data source in this research is the ViKA learning method. The research instrument used was student worksheets related to news text elements. Data collection techniques using documentation techniques. This study uses descriptive data analysis techniques in the form of an explanation of the ViKA learning method. The subjects in this study were 15 grade VIII students. The results of this study indicate that there are differences in the results of student worksheets before and after the ViKA method is applied. Student worksheet results have increased after the ViKA method was applied. An abstract must be in English, consists of 150-250 words length, and contains at least: general theme of the article, focus, question, method, and general argument or main finding. Use this document as a template if you are using Microsoft Word 7.0 or later. Otherwise, use this document as an instruction set.

Urban variables for adaptation to global warming in a hot-humid climate. Cuban cities as a case study

This article discusses the variables that condition the influence of urban morphology on the thermal environment in outdoor spaces and those on which it is possible to act to procure, by passive means, that is, acting on the modifiers of the urban form, better adaptation to global warming in hot – humid climates. It corresponds to the first step of an ongoing research aiming to classify and to evaluate urban morphologies in Cuba in order to propose transformations for a better adaptation to climate change. The current theoretical investigation aimed at characterizing the state of the art, trends and good practices in this field. To facilitate the processing of the collected information, the variables identified by various authors were ordered by scales as well as by general and specific themes. According to the results, proposals to adapt the urban morphologies to the global warming will be done taking into account the street canyon, the built mass including buildings, and assuming orientation, finishing materials and the urban green as modifiers of the geometry, acting on the two last ones.

Augmented reality-The way forward in patient education for intracranial aneurysms? A qualitative exploration of views, expectations and preferences of patients suffering from an unruptured intracranial aneurysm regarding augmented reality in patient education.

Objectives: The goal of this project is to explore the views, expectations and preferences of patients with an unruptured intracranial aneurysm regarding the use of AR in patient education. Methods: To gain an in-depth understanding of the patients' perspective, a face-to-face interview study was conducted using an interview protocol with a predefined topic list. All interviews were audio-recorded and transcribed verbatim afterwards. Transcripts were analyzed using thematic content analyses. Coding was performed using Atlas.ti software. Results: Seventeen interviews were conducted. The views, expectations and preferences of patients regarding patient education with AR could be subdivided into 15 categories, which could be grouped into 4 general themes: 1) experiences with current patient education, 2) expectations of AR in patient education, 3) opportunities and limitations of AR, and 4) out-of-hospital use of an AR application. Patients' expectations were predominantly positive regarding improving patients' understanding of their medical situation and doctor-patient communication. Discusssion: This study suggests that patients with unruptured intracranial aneurysms are open to receive patient education regarding their disease with AR. Patients expect that AR models can help patients with intra-cranial aneurysms better understand their disease, treatment options and risks. Additionally, patients expect AR could improve doctor-patient communication.

The pursuit of intimacy: intimate relationship development for women with physical disabilities.

Understanding the barriers and facilitators to intimate relationship development among women with physical disabilities is crucial for promoting positive rehabilitation outcomes. This study investigates these factors using a Consensual Qualitative Research approach. The research team utilized Consensual Qualitative Research. Consensual Qualitative Research is widely used in various social services to address limitations inherent limitations of other qualitative methods. Women with various physical disabilities (n=6) were identified and interviewed using a utilized a semi-structured interview. Their attitudes towards intimacy, outcome expectancy, and self-concept of women with physical disabilities were examined. The impact of physical disabilities, including disability stigma, on these factors was also assessed. Data was coded utilizing multiple researcher consensus as well as an auditor to consensually agree upon domains and core ideas while taking into account validity and trustworthiness, as per the methodology chosen. The study discovered general themes (100% representation) concerning core values and barriers to intimacy, societal barriers to intimate relationships, and hope for future relationships. Typical themes (50-83% representation) included non-romantic intimacy, physical barriers to intimacy, perceived limitations, and negative outcome expectancies. Across the board, the influence of disability limitations, identity, and societal attitudes became evident. The role of rehabilitation professionals in advocating for social skills development and self-confidence enhancement emerged as crucial. The study illuminated barriers to intimacy among women with physical disabilities, such as societal stigma and self-concept associated with disability. The critical role of rehabilitation professionals in normalizing intimacy discussions and equipping individuals with necessary social skills and self-confidence was underscored. This focus could yield enhanced intimate relationship outcomes and improve the quality of life for women with physical disabilities.

Advances in Clinical Decision Support Systems: Contributions from the 2022 Literature.

To summarize significant research contributions published in 2022 in the field of clinical decision support (CDS) systems and select the best papers for the Decision Support section of the International Medical Informatics Association (IMIA) Yearbook 2023. A renewed search query for identifying CDS scholarship was developed using Medical Subject Headings (MeSH) terms and related keywords. The query was executed in PubMed in January 2023. The search results were reviewed in three stages by two reviewers: title-based triaging, followed by abstract screening, and then full text review. The resulting articles were sent for external review to identity best paper candidates. A total of 1,939 articles related to CDS were retrieved. Of these, 11 articles were selected as candidates for best papers. The general themes of the final three best papers are (1) reducing documentation burden through in-line guidance for clinical notes, (2) clinician engagement for continuous improvement of CDS, and (3) mitigating healthcare-related carbon emissions using scalable and accessible CDS, respectively. The field of clinical decision support remains highly active and dynamic, with innovative contributions to a range of clinical domains from primary to acute care. Interoperability issues, documentation burden, clinician acceptance, and the need for effective integration into existing healthcare workflows are among the prominent challenges and areas of interest faced by CDS implementation efforts.

A qualitative study exploring the social contagion of attitudes and uptake of COVID-19 vaccinations

ABSTRACT Vaccination attitudes and uptake can spread within social networks. This study aims to understand the perceived social contagion mechanisms of vaccination uptake in the context of COVID-19 pandemic. Eleven semi-structured interviews were conducted following a purposive sampling of three hesitant, three anti- COVID-19 vaccine and five pro- COVID-19 vaccine (27% females). Thematic Analysis suggested two general themes reflecting the type of contagion: 1) information contagion and 2) behavior contagion. Transcending these themes was the notion of ownership of choice/decision. Almost all participants used the media and experts as the main source of information regarding vaccination. They influenced – and they were being influenced by – friends and family members with whom they share similar traits and attitudes and have a close relationship of trust and intimacy. Also, being exposed to positive attitudes and beliefs toward vaccination and COVID-19 vaccines, enhanced vaccination behaviors. However, the vaccination decision-making process was not perceived as a passive process – there was ownership over the decisions made. This study highlights the perceived mechanisms of social contagion. It also suggests that the meaning individuals pose on their social world is crucial on their decision-making. Policymakers are advised to consider including social networks of individuals and trusted sources (i.e. healthcare providers) when delivering interventions or educational campaigns on vaccinations.

"Let me tell you what I think about online psychological help." A thematic analysis of voluntary opinions collected at the onset of the COVID-19 pandemic.

The COVID-19 pandemic shifted many aspects of life from face-to-face to an online form, including psychological help. Many people had to face the choice of adjourning contact with a psychologist or shifting it to the Internet. This study aimed to develop an understanding of attitudes and opinions toward relatively new phenomenon in Poland - online psychological help. Seventy two (N=72) statements about relationship between COVID-19 pandemic and online psychological help from (potential) patients were included in this research. The statements were collected from a community sample via open-ended question for volunteers added to an online survey conducted regarding an existing project. The statements were exclusively written responses to the following question: If you want to provide us with something about the relationships between the COVID-19 pandemic and online help/psychotherapy, please let us know below. By reason of exploratory character of our study and general phenomenological philosophical approach and constructionist approach, a thematic analysis method was used to analyze the data. The analysis led us to identify three general themes with sub-themes that refer to meaningful aspects of online psychological help: 1. Online psychological help situates in the shadow of face-to-face help, 1.1. It frustrates the needs, especially the need for psychological contact, 1.2. It contributes to negative emotions, 1.3. It is sometimes better than the face-to-face help; 2. Online psychological help is a solution during the COVID-19 pandemic, 2.1. It provides a sense of continuity during lockdown, 2.2. It is a means to adapt to exceptional circumstances, 3. The concerns about the credibility and effectiveness of online psychological help. The results show (potential) patients' attitudes (including emotions, thoughts, and concerns) toward online psychological help. The perspective presented here could be beneficial to professionals. A better understanding of client/patient attitudes will allow for more accurate customization of the online help and sensitize psychologists to the emotions that may occur about online psychological help. It could also be beneficial for patients to understand how other people would feel about online psychological help and develop ones' own self-awareness of the attitudes toward online psychological help.

DESIGNING ENTREPRENEURIAL BUSINESS MODEL IN THE IRANIAN CLUB INDUSTRY IN POST-CORONAVIRUS CONDITIONS

The purpose of this study was to investigate the COVID-19 and the challenges facing the club industry in developing countries. In this qualitative-analytical study, 17 sports experts, sports club managers, and sports entrepreneurs were interviewed based on purposive and triangular sampling methods. The data analysis was also performed by open and axial coding, of which 6 concepts and 42 categories were classified under 6 general themes. The main concepts include government support, financial issues, club activity, sponsorship, mental consequences, and social media. This study highlights the role of sports entrepreneurship in overcoming problems. Managers must use the ability of entrepreneurship because entrepreneurship is considered essential in the economy and provides the impetus for economic growth. Sports entrepreneurship can overcome the coronavirus crisis and solve the problems that have arisen.

Language of Vietnamese School Science Textbooks

This paper explores textual meanings realised in the theme resources of a Vietnamese lower secondary school science textbook – Sinh h?c 8 (Biology 8). The theoretical framework employed for analysis is Systemic Functional Linguistics. The data for analysis is ten texts selected randomly from the textbook. The units of analysis are major independent clause simplexes and hypotactic clause complexes which have a subordinate clause in initial position. The research has brought to light a number of significant findings of which eight stand out. First, all five types of general Themes: simple Theme, multiple Theme, clausal Theme, unmarked Theme, and marked Theme are employed in the texts. Second, of the four mood function Themes: Subject Theme, Predicator Theme, Complement Theme, and Adjunct Theme, Subject Theme takes up the largest proportion. Third, of the three mood function simple Themes: simple Subject Theme, simple Predicator Theme and simple Adjunct Theme, simple Subject Theme has the highest number. Fourth, between textual + topical Theme and interpersonal + topical Theme, textual + topical Theme predominates. Fifth, of the three mood type simple Subject Theme: simple Subject Theme in declarative clause, simple Subject Theme in imperative clause and simple Subject Theme in interrogative clause, simple Subject Theme in declarative clause accounts for the highest number. Sixth, between simple Predicator Theme and multiple Predicator Theme, simple Predicator Theme has a much higher proportion. Seventh, of the nine types of simple Adjunct Theme examined, six are found in the texts, among which spatial location Adjunct Theme takes the highest number. And Eighth, Complement Theme, multiple Adjunct Theme, textual + interpersonal + topical Theme, interpersonal + topical/Subject Theme, matter Adjunct Theme, role Adjunct Theme, and stance Adjunct Theme are not found in the texts. It is concluded that Vietnamese textbook writers have employed quite a variety of theme resources to construct textual meanings and to create coherence and continuity of their texts.

The challenge of education for sustainability in higher education: key themes and competences within the University of the Basque Country.

One of the major challenges for higher education institutions in the last decade has been (and will continue to be) the integration of sustainability into their curricula and the development of sustainability competences in students. Education for Sustainability (ES) can help prepare students to meet the challenges of making societies more sustainable. However, as a first step toward this goal, teachers need to incorporate ES into their teaching. In this regard, this research aimed to analyze if members of the teaching staff have started this integration and, if so, which sustainability-related topics have been introduced and which skills do they consider contribute to the development of future graduates. A questionnaire was administered to teaching staff at the University of the Basque Country in 2022. A total of 403 teachers completed the questionnaire, expressing their perceptions through open-ended questions. In general terms teachers incorporate ES into their teaching (71.22%). However, they do this mainly within the framework of two general themes: "Environmental awareness and energy" - most used by teachers of experimental sciences and engineering - and "Social commitment," most used by teachers of social sciences and those who are familiar with the UN 2030 Agenda for Sustainable Development. Regarding the key competences that ES provides for future graduates, those most frequently mentioned were "training of professionals committed to society" and "critical thinking and ethics." These competences were particularly notable in the discourse of teachers who were aware of the 2030 Agenda and who use active methodologies in their classrooms. Finally, the opinion that sustainability has little to do with their teaching (28.78%) was notably expressed by teachers less familiar with the 2030 Agenda. Thus, it can be concluded that, aside from knowledge of the 2030 Agenda, factors such as the sustainability policy of the institution, area of teaching expertise, and the use of active methodologies all play a significant role in determining whether competences for sustainable development are integrated into higher education teaching.

Exploring physical and biological manifestations of burnout and post-traumatic stress disorder symptoms in healthcare workers: a scoping review protocol

IntroductionThe COVID-19 pandemic has strained the mental and physical well-being of healthcare workers (HCW). Increased work-related stress and limited resources have increased symptoms of anxiety, depression, insomnia and post-traumatic stress...

Exploration of System Chief Nurse Executive's Leadership Practices to Support, Mentor, Develop, and Retain Nurse Leaders.

In 2019, the National Academy of Science identified clinician burnout as a growing public health concern. The COVID-19 pandemic has only compounded this crisis and transformed it into an escalating fracture within the US health care system. Concurrently evolving with this emergency is a rise in the number of nurses who intend to leave the profession. Frontline nurse leaders are the lynchpin in ensuring health care systems function. These leaders have accountability over patient care and clinician well-being. Focused efforts must address clinician burnout. However, without addressing the well-being of frontline nurse leaders, the fault line in our health care system becomes a vast chasm. Recently, published literature began to emerge describing and addressing frontline clinician burnout. Unfortunately, only a few, if any, address issues related to leaders. The aim of this qualitative case study research was to explore and discover general themes in system chief nurse executive leadership practices that support, mentor, develop, and retain nurse leaders as a basis for future research. Three major themes were identified for future study and exploration: enhancing leadership development programs; improving leader work environments; and focusing on leader well-being and support. Further research is needed to evaluate the effectiveness of these themes.

Pelatihan Digital Marketing dan English for Hospitality Bagi Manajemen dan Staf Kasuari Exotic Resort Magelang

The inclining situation of the Covid-19 pandemic has also pushed back the tourism economy, including hospitality. The purpose of this activity is to carry out community service activities with the general theme of capacity building at Kasuari Exotic Resort located in Bandongan Subdistrict, Magelang Regency, Central Java Province. The topics conveyed were about digital marketing and English for hotels. The target participants were management and staff at Kasuari Exotic Resort. This activity lasted for 3 (three) months starting from November 2022 to January 2023 in accordance with the agreement of both parties. This activity was carried out entirely in the Kasuari Exotic Resort Meeting Room. This activity involving a team of lecturers and students and the management and staff assigned from Kasuari Exotic Resort as participants. The materials given were Photography, Videography, English for Hospitality, Tourism Finance Management, E-Business, E-Commerce, Basic Web and SEO, and Digital Marketing