Grounded Theory Content Analysis Research Articles

Abstract TP111: Attitudes and Perceptions Regarding Patient Engagement and Knowledge Translation in Stroke Research: Results From the PERSPECT Qualitative Study

Background: Patient engagement and knowledge translation are increasingly recognized as critical components of stroke research. However, it is unclear how these components are currently perceived by interested parties. Methods: The PERSPECT (Priorities and Expectations of Researchers, Donors, Patients, and the Public Regarding the Funding and Conduct of Stroke Research) qualitative study involved in-depth, semi-structured interviews with patients, members of the general public, researchers, and donors, including board members of funding organizations and philanthropists. Participants were asked to discuss their thoughts about the role of patient and public engagement in stroke research and on the translation/dissemination of research findings. Collected data were analyzed through constant comparison and theme identification, followed by grounded theory content analysis. Results: Forty-one interviews were completed (11 with researchers and 10 for each patients, public and donors). An important theme that emerged was a need to re-evaluate and broaden conventional definitions of “expertise” in the context of selecting grant application review panels, recognizing the value of lived experience alongside that of education and professional experience. Whereas participants identified an important role for patient voices in guiding research direction and design; concerns were raised about the limited public awareness and understanding of medical research, which may hinder meaningful, advantageous involvement in the research process, as well as trust in evidence-based recommendations. In this regard, lay participants highlighted media-driven misinformation and a lack of credible lay-language resources as impeding effective dissemination of research findings. Conclusions: All four participant groups recognized the importance of knowledge end-users being engaged in research from its early stages, including decision-making about funding allocation. Impactful involvement seems however hindered by knowledge and communication gaps between the research and lay communities. Our results underscore the importance of efforts to make ongoing research and study findings more visible, accessible, and comprehensible.

Abstract TP95: Stakeholder Perspectives Regarding Conventional and Alternative Funding Paradigms for Stroke Research: Results From the Perspect Qualitative Study

Background: Stroke research is underfunded, but there is a paucity of data on the perspectives of researchers, funders, patients and the public about current funding paradigms. Understanding their priorities and opinions is important to guide meaningful innovation. Methods: The PERSPECT (Priorities & Expectations of Researchers, Donors, Patients and the Public Regarding the Funding & Conduct of Stroke Research) study involved in-depth, semi-structured one-on-one interviews with stroke researchers, funding organization representatives/philanthropists, patients, and members of the public. Participants were sampled using three axes (age, sex, ethnicity) to ensure diversity. They were asked to discuss thoughts about the state of stroke research funding and any potential or desired alternatives to current funding models. Qualitative analyses of transcripts included constant comparison and grounded theory content analysis. The study ended when the standard of thematic saturation was attained. Results: Forty-one interviews were completed (11 researchers, 10 research funders/philanthropists, 10 patients, 10 lay citizens). Researchers, philanthropists, patients, and public participants expressed a desire for greater transparency with grant funding processes, and voiced concerns that current models fostered bias towards certain topics and researchers. Patients and donors felt that conventional processes at times seemed disconnected from their interests. Crowdfunding was identified as an alternative strategy that could facilitate democratization in terms of topics studied, exploration of new frontiers, integration of diverse methods, and capacity building for less established researchers/centers. However, participants emphasized the importance of expert review, as in current processes, in building trust in proposal quality. They noted that successful crowdfunding strategies would require innovative approaches from researchers to promote their work. Conclusions: Our findings revealed stakeholder concerns about transparency and equity with current research funding paradigms. Stakeholders recognize crowdfunding as a useful alternative approach, but incorporation of expert review will be important to engender trust.

The Relationship Between Electronic Word-of-Mouth and Consumer Engagement: An Exploratory Study

There has been a significant shift in the purchase of media by brands in the last decade. Brands have moved from spending money on the ever-present television and print media to the ubiquitous digital media of today. Consumers, however, are wary of marketing communications from companies and prefer reviews and opinions from friends or other consumers. In the new hyperconnected world, they are online reviews (i.e., electronic word-of-mouth or eWOM). Consequently, it has become imperative for marketers to measure and manage eWOM, and several companies today rely on social media command centres (SMCCs) for this. Companies use SMCCs to unearth fans and reveal influencers. The prevalent thinking is that by actively interacting with these influencers, eWOM can be positively impacted, which, in turn, may enhance the engagement of prospective customers with the brand. The present study proposes a model for the relationship between eWOM and consumer engagement (CE). Additionally, it details a comprehensive classification framework of CE and reveals both the experts’ and consumers’ perspectives in this field by adopting a grounded theory–content analysis approach. The findings suggest that eWOM leads to CE.

Pre-implementation Assessment of An Antimicrobial Stewardship Program for Acute Respiratory Infections within Emergency and Urgent Care Settings

BackgroundInappropriate antibiotic use in emergency department (ED) and urgent care center (UCC) settings is a major public health concern, yet few antibiotic stewardship programs have been designed for these settings. We report a qualitative pre-implementation workflow analysis of five ED and UCC settings investigating the facilitators and barriers to incorporating an adapted CDC Get Smart antibiotic stewardship intervention for antibiotic-nonresponsive acute respiratory infections.MethodsSeventeen semi-structured interviews were conducted at two academic medical centers using purposeful sampling of physicians, nurses, and administrators in adult and pediatric EDs and UCC. Interviews were recorded, transcribed, and analyzed independently by two researchers using NVivo 11. Grounded theory content analysis using the Evidence-Based Practice Implementation conceptual framework was performed for barriers and facilitators of implementation of antibiotic stewardship interventions in acute care settings and emergent themes.ResultsFacilitators to implementation included ability to display bilingual patient education materials while patients wait and within densely populated patient care areas, venues for provider education, the use of guidelines for antibiotic use, and willingness to use discharge tools like viral prescription pads. Barriers to implementation were communication deficiencies among providers, maintaining provider awareness, timing of interventions into the clinical workflow, and concern that long wait times may increase antibiotic prescribing. New ideas included incorporating stewardship education into the triage process.ConclusionThis study provides a framework for adaptation of existing antibiotic stewardship strategies to match the clinical workflow ED and UCC settings based on an analysis of the unique challenges inherent within these environments. It also provides a model for the development and pre-implementation assessment of antibiotic stewardship to account for, and adapt to, site-specific conditions.Disclosures All authors: No reported disclosures.

What’s Love Got to Do with It? A Qualitative Grounded Theory Content Analysis of Romance Narratives in the PG Era of World Wrestling Entertainment (WWE) Programming

Although numerous studies have examined cultural representations of love and romance in myriad media sources, scarce attention has been paid to such representations in the genre of sports entertainment. As the most popular brand within this genre, World Wrestling Entertainment (WWE) is an important conduit of cultural knowledge in which to investigate narratives about modern romance. Using qualitative grounded theory content analysis methods, the current study examined representations of romance narratives in WWE’s two highest rated programs (Monday Night Raw and Friday Night Smackdown!) over a 6 month period. Fifty-two episodes comprising 105 h of televised programming were analyzed. Data analysis revealed evidence of six central romance narratives (Prince Charming, Dark Romance, Femme Fatale, Gold Digger, Cougar, and Woman Scorned). The meanings of these narratives were frequently contradictory in nature, revealing complex ideas about the nature of heterosexual romance. Many of the romantic relationships presented contained elements of multiple narratives, suggesting conflicting presentations of heterosexual gender relations not just across but also within individual relationships. Implications of these findings through the lens of social learning and schema theories are provided.

Career in Open Source? Relevant Competencies for Successful Open Source Developers / Karriere in Open Source? Relevante Kompetenzen für erfolgreiche Open Source Entwickler

Summary Open Source (OS) offers new ways of career for software developers. The article describes relevant competencies in a systematic structure along characteristic principles and challenges in Open Source projects. The results are based on a Grounded Theory content analysis of interviews with Open Source software developers, their project managers and human resource managers in Open Source software companies. Implications for future Human Resource Management in software companies are presented as an outlook.

The meaning of healing: transcending suffering.

Medicine is traditionally considered a healing profession, but it has neither an operational definition of healing nor an explanation of its mechanisms beyond the physiological processes related to curing. The objective of this study was to determine a definition of healing that operationalizes its mechanisms and thereby identifies those repeatable actions that reliably assist physicians to promote holistic healing. This study was a qualitative inquiry consisting of in-depth, open-ended, semistructured interviews with Drs. Eric J. Cassell, Carl A. Hammerschlag, Thomas S. Inui, Elisabeth Kubler-Ross, Cicely Saunders, Bernard S. Siegel, and G. Gayle Stephens. Their perceptions regarding the definition and mechanisms of healing were subjected to grounded theory content analysis. Healing was associated with themes of wholeness, narrative, and spirituality. Healing is an intensely personal, subjective experience involving a reconciliation of the meaning an individual ascribes to distressing events with his or her perception of wholeness as a person. Healing may be operationally defined as the personal experience of the transcendence of suffering. Physicians can enhance their abilities as healers by recognizing, diagnosing, minimizing, and relieving suffering, as well as helping patients transcend suffering.