Individual In-depth Interviews Research Articles

First things first: measuring French Medical schools’ deans motivation to engage in smoke-free campus

Abstract Smoke-free campuses (SFC) prohibit smoking and vaping on all university grounds and for all users. Around a hundred of papers was published on that topic revealing how they reduce initiation and increase smoking cessation among students. Whereas it is key for the success of all project, including SFC, very rare research has investigated attitude of high-level leaders of universities toward SFC, their perceived barriers and motivation to adopt it. To fill this gap, we interviewed deans of medical schools in France, where SFC are limited. In-depth individual interviews were conducted on 31 deans and two associate-deans (representing 31 out of 35 French medical schools). Questions rose knowledge of SFC, perception of this measure, self-role to play and other factors influencing implementation. We targeted medical schools because they train future prescribers of smoking cessation, and can act as a model for policy dissemination to other schools. The 23 hours of interviews were analyzed using thematic analysis with Nvivo14. Regarding diffusion in 2023, only one medical school had a SFC, six were implementing it, 23 had no SFC and one abandoned it. 28 held positive attitudes towards SFC, explained by its impact on health and the mission of medical schools. Most of them considered SFC feasible with resources and engagement of students. Identified barriers were competing priority, lack of funding and of support from users and risk of stigmatization of smokers. A majority of deans thought they had a role to play in initiating, promoting and moderating the policy. SFC are recommended by the WHO but there is important room for improvement for their diffusion in France. Yet, a majority of deans we interviewed appeared motivated to adopt it. Solutions to encourage them and overcome barriers must be found. Key messages • Diffusion of SFC among medical schools remains limited in France. • Deans’s positive attitude towards SFC bring hope for a better diffusion of SFC among French universities.

Christian Communities During Russia’s War Against Ukraine: Perception of the Churches’ Aid Involvement Through the Eyes of Poles from Lviv—A Pilot Study

The purpose of this study is to present the perceptions of Poles from Lviv regarding the aid involvement of Christian churches during Russia’s war against Ukraine. Christian churches appear privileged and effective sites of aid delivery in the narratives of respondents. However, this does not mean that they have a monopoly on aid activities. The foundation that underpins these activities is particularly evident in the categories highlighted in this article: the role of clergy in local communities (leaders), personal knowledge of society, church infrastructure, and the churches’ experience gained during the USSR’s persecution of religion. The assistance identified by respondents boils down to material and emotional support, experiencing religious practices, and involvement in direct activity on the war front. The research was based on individual in-depth interviews (IDIs), conducted in December 2023.

Beyond the Ire of Flames: Work Experiences of Bureau of Fire Protection (BFP) Station Chiefs

Fire occurrences have significantly risen in recent years. These fires endanger lives, cause economic damage, and harm the environment. Uncontrolled fires are a major reason for building collapses and injuries. Building fires cause trauma due to the loss of belongings and the building itself. Existing fire safety systems are failing due to unaddressed factors causing building fires (Rathnayake et al., 2020). This study explored the experiences of the station chiefs of the Bureau of Fire Protection in Iloilo Province, Philippines, through a qualitative research method. The participants of this study were the selected ten (10) BFP station chiefs. All participants were subjected to an individual in-depth interview. The findings of this study are described in emergent themes. Six (6) emergent themes described the positive and negative experiences of the informants in the performance of their duties. For the positive experiences, two (2) emergent themes were developed, namely Personal Satisfaction Through Job Fulfillment and Workplace Camaraderie and Support. For the negative experiences, four (4) emergent themes were also developed, namely: Inadequate Resources and Financial Challenges, Complexity of Leadership and Personnel Management, Bombarded with Public Dissatisfaction, and Operational Delays and Equipment Failures. Meanwhile, three (3) emergent themes were formulated to explain how the participants address the challenges encountered in the performance of their duties, namely: Empowering Collaboration and Support Networks, Bolstering Preventive Measures and Education, and Embodying Resilience and Adaptability. Finally, three (3) emergent themes were created to express the aspirations of participants to improve the quality of their services, namely Continuous Training and Professional Development, Adequate Fiscal Allocation and Service Facilities, and Improvement of Personnel and Staffing Issues. Based on the emergent themes identified, it is recommended that the fire station chiefs be enhanced by providing them with specialized training and career development programs. This can be accomplished by the successful integration of the latest firefighting technologies in the specialized training to enhance the response effectiveness of their station.

Beyond the Bullet Proof Vest: Untold Stories of Philippine National Police Special Action Force (PNP SAF) Commandos

The ever-changing demographics of society, the rise in terrorism and its complexity, as well as agitations, violent protests, a variety of political activities, left-wing terrorism, insurgency, and militancy, as well as the enforcement of economic and social laws, have all contributed to the difficulty of achieving the peaceful society that we all desire. This study explored the lived experiences of Philippine National Police-Special Action Force (PNP-SAF) Commandos in Negros Island, Philippines through a qualitative research method. The participants of this study were the selected ten (10) PNP-SAF commandos. Four (4) participants were subjected to individual in-depth interviews, while the other six (6) participants were subjected to a focus group discussion. The findings of this study are described in emergent themes. Six (6) emergent themes described the positive and negative experiences of the participants in the implementation of counterterrorism programs. For the positive experiences, three (3) emergent themes were developed, namely: Personal Satisfaction and Job Fulfillment, Recognition from the Community, and Influence on Community Peace and Order. For the negative experiences, three (3) emergent themes were also developed, namely: Financial Constraints and Limited Resources, Familial Longings while on Mission, and Infiltration in Hotspot Areas. Meanwhile, two (2) emergent themes were formulated to explain how the participants address the challenges encountered in the implementation of counterterrorism programs, namely Coordination and Collaboration with Other Agencies and Community Engagement and Trust-Building Programs. Finally, two (2) emergent themes were created to express the aspirations of the participants to improve the implementation of counterterrorism programs, namely Continuous Training and Skills Development and Adequate Financial and Logistical Support. Based on the emergent themes identified, it is recommended that the PNP-SAF commandos be exposed to continuous training and ongoing collaboration between agencies and partners to ensure an efficient response to counterterrorism and counterinsurgency incidents. By allocating an appropriate budget and implementing the requisite enhancement training and programs, the SAF commandos may be able to increase their effectiveness in implementing these initiatives.

“I thought I was Probably Going to Die due to People Looking at me with Pity”: A Phenomenological Qualitative Study on the Lived Cancer Stigma Experiences of Breast Cancer Patients

It has been stated that there is a need for more recognition of the "stigma concept," which negatively affects the lives of patients with breast cancer during the diagnosis and treatment process. There are no recent studies on the experiences of Turkish women with breast cancer about stigmatization that employ qualitative methods. This study aims to examine in depth the lived stigma experiences of women with breast cancer during the diagnosis and treatment process. In total, 18 phenomenological semistructured in-depth individual interviews were conducted with patients with breast cancer between December 2023 and March 2024. Data were analyzed using Collaizzi's 7-step descriptive analysis approach. Four main themes and 8 subthemes developed from the phenomenological analysis of the interviews: (1) Cancer Metaphors: "A dark journey," "A bomb falling on the house!" and "Cancer = death!"; (2) Social Stigma: "Cancer = an infectious disease," "Negative and Disturbing Attitudes/Approaches of People"; (3) Internalized Stigma, and (4) Coping: "Acceptance" and "Social support." It was determined that the patients experienced social stigmatization due to negative attitudes of people toward cancer, perceiving it as infectious and approaching them with pity or demonstrating disturbing expressions. In addition, their social interactions were negatively affected due to the internalized stigma, and they were in an effort to cope with all the problems they experienced. The study highlighted the psychological needs of patients with breast cancer related to "stigmatization." Cancer nurses should monitor the stigmatization experiences of women with breast cancer, reveal their perceptions of internalized stigma, and implement programs to cope with stigma. It is also recommended that interventional studies, including coping programs with "stigma" for patients with breast cancer, should be conducted in future research.

School adjustment experiences of ventilator-dependent children: A phenomenological study of mothers' perspectives

PurposeThis study aimed to describe the experiences of ventilator-dependent children (VDC) in adjusting to school life from the perspectives of their mothers. Design and methodThis study employed a descriptive phenomenological approach. From July 2021 to September 2022, ten mothers of VDC were recruited via purposive sampling and underwent in-depth individual interviews. Data were analyzed using Colaizzi's phenomenological method. This study adheres to the COREQ guidelines for qualitative study. FindingsFour themes emerged: (1) the transition and burden of the mother's role; (2) positive adjustment and assessment of resources; (3) develop strategies to meet health and learning needs; (4) expectations for accessible school environments. ConclusionsThe mothers extensively assessed and adjusted their coping strategies on a rolling basis to ensure that their children received the resources that met their individual needs, promoted peer interactions, and helped adjustment to school life. The children's improvement and progress surpassed their mothers' expectations and demonstrated the benefits of a school education. Future educational settings should focus on building accessible school environments for special needs children. Practice implicationsThese findings allow healthcare professionals to assess the needs of VDC at different educational levels and create care plans that meet their healthcare and educational needs. This study also provides a reference for amending policies and regulations on individualized educational programs for VDC and developing guidelines for realizing accessible school environments to help them adjust to school life.

The effect of climate crisis on bipolar disorder: A qualitative study about experiences of individuals diagnosed with bipolar disorder.

It can be said that the bipolar disorder is influenced by weather events. It is stated that climate change can have direct and indirect effects on bipolar disorder. Determining the impact of the climate crisis on individuals with bipolar disorder may assist in the development of preventive, protective and active treatment interventions for this group. The aim of this study was to determine the views and experiences of people with bipolar disorder about the impact of the climate crisis on their illness. The study was conducted using the phenomenological method, one of the qualitative study methods. Purposive sampling was used to select the sample for the study. In-depth individual interviews were conducted with the selected sample group. Data saturation was reached with 11 participants and data collection was finalized. The study data was collected using a personal information form and an open-ended structured interview form in which participants were asked about their views and experiences of the climate crisis. Voice recordings were transcribed, and categories, sub-themes and themes were formed. Based on the statements of people with a bipolar diagnosis, the study formed the themes of emotional impact, negative physical impact, impact on daily life, impact on symptoms, negative impact on recovery and ways of coping. People with a bipolar diagnosis are negatively affected by the impact of the climate crisis in many areas. There is a need to develop intervention programmes to arm people with a bipolar diagnosis against the negative effects of the climate crisis.

51 Feasibility of paediatric postoperative telemedicine in Nunavik

Abstract Background To access surgical care, Inuit children from Nunavik are relocated by plane to an urban tertiary hospital. Current processes that require an in-person follow-up appointment extend their stay away from home despite an overall low rate of postoperative complications. Telemedicine presents the opportunity to reduce this delay, but little is known about its feasibility for paediatric postoperative care in Nunavik. Objectives To determine the feasibility of paediatric postoperative telemedicine in Nunavik. Design/Methods In this mixed methods study using a convergent parallel design (August 2022 – May 2023), we recruited eleven healthcare providers who regularly interact with Inuit families of Nunavik. We conducted individual semi-structured in-depth interviews about postoperative care in this setting and analyzed the data thematically. In parallel, we conducted a narrative synthesis of the literature and gathered input from collaborators to assess the potential resources needed to enable postoperative telemedicine in the region. We then determined the capability for telemedicine in each of the fourteen villages of Nunavik using data provided by the regional health board. A meeting with specialists responsible for telemedicine in the region was held to discuss findings and future steps. We analyzed and compared qualitative and quantitative results to determine the degree of postoperative telemedicine readiness in the region. Results The main themes influencing the feasibility of telemedicine were general considerations for telemedicine use as a follow-up modality, patient characteristics most suitable for postoperative telemedicine, resources needed for telemedicine use as a follow-up modality, and the feasibility of postoperative telemedicine as determined by healthcare providers. All interviewees deemed paediatric postoperative telemedicine in this region feasible but highlighted conditions for its success. The narrative review uncovered limited literature on telemedicine use in Nunavik. As of January 2023, the two regional hospitals and three health centers had full capabilities for postoperative telemedicine. The nine other health centers had partial capabilities, mainly due to limited access to stable high-speed Internet and Internet bandwidth. Only regional hospitals had access to hospitalization, imaging, readaptation, and laboratory departments. The participating specialists deemed telemedicine feasible if patient load and burden of administrative work are manageable. Conclusion Postoperative paediatric telemedicine in Nunavik is feasible from a resource, healthcare providers and specialists standpoint. Leveraging centers with appropriate capacity would allow the increase in telemedicine usage in Nunavik. Next steps in this research program include interviews with families to evaluate their needs, preferences and attitudes toward postoperative paediatric telemedicine.

Language teachers’ awareness of their accents at a Thai university

Abstract The need to incorporate Global Englishes (GE) awareness and informed practices into English language teaching (ELT) has encouraged practitioners to revisit their language curricula and include Other Englishes in their language teaching practices, impacting how language is taught and learned. The present study explores how five non-native English language teachers at a university in Thailand are aware of and view their accents when speaking English and how such awareness is reflected in their language pedagogy for Global English Language Teaching (GELT). Findings from the in-depth semi-structured individual interviews reveal that participants are aware of their accents and have a favorable disposition toward their own accent, linking it to their heightened sense of linguistic ownership based on their nationality and race. In their pedagogical practices, such awareness enables the participants to innovate their language teaching, giving an important implication in integrating GE awareness and informed practices into ELT. The findings also demonstrate how important teachers’ accents are in encouraging and incorporating GE-informed practices into ELT.

Paediatric Emergency Nurses' Perception of Medication Errors: A Qualitative Study.

To explore paediatric emergency nurses' perceptions of medication administration errors. A qualitative, ethnomethodological, descriptive study. The participants were nurses working in the paediatric emergency department. Data were collected through in-depth individual interviews with paediatric emergency nurses. The study excluded nurses employed for less than six months. Ten individual interviews were carried out. All interviews were face-to-face and audio-recorded with the participant's consent. Interviews took between 52 min and 1 h 25 min. A questions guide was followed during the interviews. The analysis of the data was carried out according to the scheme proposed by Taylor and Bogdan. The participants' discourse revealed three main categories: Safety culture, transmitted by supervisors and safety groups. Teamwork, with good communication and a positive relationship. Error management, the lack of formal support and negative feelings despite an understanding of the multifactorial nature of errors. The study identifies several challenges in the healthcare system. Emphasis was placed on the perception of errors in terms of patient harm, while near misses or dose delays or omissions are not treated as errors. Although institutions have implemented safety culture strategies, nurses have not fully embraced them. There is a need to promote a positive safety culture and a safe working environment that encourages communication within the team. The hospital should provide training in safe management and patient safety and develop effective protocols. This study was not registered.

Peer Support Workers in Mental Health Services: A Qualitative Exploration of Emotional Burden, Moral Distress and Strategies to Reduce the Risk of Mental Health Crisis.

This research aimed to explore the experience of emotional burden among peer support workers (PSWs) in mental health care in Poland. It also examined the issue of moral distress in relation to this professional group and identified institutional sources of support for the well-being of PSWs in the workplace. The data presented in the article are derived from fourteen qualitative in-depth individual interviews with PSWs employed in four mental health centres with different organisational structures. The narratives of PSWs revealed several experiences that could be considered to be moral distress. The inability to assist patients was found to be associated with both individual and institutional barriers. Furthermore, our findings suggest that organisations can implement a number of specific practices to ensure the wellbeing of PSWs, which dissemination would be beneficial to teams employing PSWs.

“It’s not like we go and chat just because we see each other’s name on the screen”: online students’ experiences of social and academic community

Online students are becoming an increasingly big part of the student population in higher education. Interaction and collaboration is beneficial for academic performance and well-being, but can be challenging to facilitate in the online context. Through individual in-depth interviews, we have investigated online students’ experiences of academic and social community, as well as the role study flexibility can play in their participation in such communities. The thematic analysis resulted in four themes. Theme 1, Expectations of being self-sufficient, shows that many participants made good use of the flexibility of the studies by being organised and independent. However, the expectation of independence became a potential barrier to participation. Theme 2, Collaboration if valuable and flexible, describes how most participants desired increased collaboration with their peers, given that it was flexible and of academic value. Theme 3, Study groups as important but fragile communities, illustrates study groups as the participants’ primary learning communities, but finds that maintaining them over time could be challenging. Theme 4, Digital distance, depicts many participants’ challenges with connecting digitally with others. We discuss these findings in the light of self-determination theory, showing how flexibility can become both a facilitator and a barrier for basic need satisfaction in online education, and that participation and collaboration seemed to be more closely connected to the need for competence than for relatedness. The main implication of the study is that online studies should strive to create a need-supportive environment that facilitates academic community while acknowledging many online students’ necessity for flexibility.

간호대학 교수의 이직의도 극복 경험

Objectives This study is to understand the experience of nursing professors overcoming turnover intention and to clarify the meaning and structure of the experience. Specifically, it is to derive a general structure by grasping from their perspective how nursing professors overcome the turnover situation. Methods This study is a qualitative study applying Giorgi(2009)'s phenomenological research method. The study participants are professors of nursing department who have worked as full-time professors for more than 5 years, and a total of 5 people understood the purpose of this study and voluntarily agreed to participate. Data collection was collected through individual in-depth interviews and observations from March 1, 2024 to May 18, 2024. The number of interviews for each participant was 2-4, and interviews were conducted at a place the participant wanted, and the time required for one interview was about 1 hour. Purposeful sampling was performed to select participants. The collected data went through a cyclical repetitive process of data collection and analysis based on the phenomenological research method developed by Giorgi(2009). Results The general structure of the experience of nursing professors overcoming the intention to turnover derived from the results of this study was ‘extreme situation that is difficult to endure’, ‘confirm reality’, ‘promoting stability’, ‘growth’, and ‘construction of place’, and a total of 5 upper themes, 8 lower themes, and 40 semantic units were derived. Conclusions Their experience was a series of processes in which they began to consider turnover through physical and psychological difficulties, confusion, and conflict while starting a nursing professor, but they identified their reality and promoted stability to build a position as their growth took place. Problems related to turnover of nursing professors are not limited to individual professors' problems, but it is necessary to carefully recognize experiences and difficulties at various levels. However, since coping with turnover is carried out on a personal level, it is desirable to seek systematic and concrete solutions at the formal level. This study walks the overall understanding of nursing professors who have overcome turnover by looking at the nursing professor's experience of overcoming turnover intention and provides evidence to understand the experience of nursing professors who have overcome turnover intention from a phenomenological point of view based on this result. It aims to contribute to improving the quality of nursing education for nursing students by allowing nursing professors to focus on nursing education without changing jobs.

Exploring Physicians' Perceptions of Digital Health's Impact on the Patient-Physician Relationship in the Primary Health Care Setting: Qualitative Descriptive Study.

Digital health has become essential for effective clinical practice. However, the successful adoption of digital health is dependent on the strength of the patient-physician relationship. The patient-physician relationship shapes the quality of care and impacts health care outcomes, especially in primary care. However, the impact of the increasing use of digital health on the patient-physician relationship is uncertain. This study aims to explore the types of digital health primary care physicians use and understand their impact on the patient-physician relationship from their perspective. This exploratory qualitative descriptive study used individual in-depth interviews guided by a semistructured topic guide. We purposively sampled physicians from 6 general primary care clinics in Singapore and used thematic analysis to identify emergent themes. We conducted 12 interviews. We found that primary care physicians in Singapore had minimal exposure to digital health beyond the scope of institutional implementation. The three key themes that emerged were as follows: (1) evolving roles of both physicians and patients; (2) impact on trust, knowledge acquisition, and longitudinal care; and (3) adoption and use factors of digital health impacting patient-physician relationships. The adoption and use factors comprised "social and personal," "technical and material," and "organization and policy" factors. The study identified that, while primary care physicians held mostly positive views on adopting digital health in improving the patient-physician relationship, they were concerned that digital health might erode trust, hinder proper knowledge acquisition, and reduce humanistic interaction. These concerns called for a nuanced approach to ensure that digital health would not compromise the patient-physician relationship. This could be achieved by ensuring that physicians possess the necessary skills, knowledge, and positive attitude, while health care organizations would provide robust IT capabilities and support. We recommend that education be refined and government policies on digital health adoption and use be revised to align with the goal of strengthening the patient-physician relationship.

Analyzing supply-side moral hazard behaviors in Botswana's health care market: A qualitative study

This paper aims to analyse the behaviours and practices of health care service providers that constitute supply-side abuse of the medical health insurance schemes premised on the notion that patients visit doctors precisely to learn what amount and type of care is medically necessary. Using qualitative methods, individual in-depth interviews were carried on private health service practitioners and thematic analysis via SPSS. The study identifies systemic abuses like overcharging, billing for services not provided, and over prescription. Implication of these findings show that Fee-for-Service Payment Models incentivize providers to deliver more services, leading to potential over-utilization and increased costs in Botswana’s healthcare; due to information asymmetry providers may prioritize quantity over quality of care exploiting patients’ lack of knowledge to recommend unnecessary tests or treatments to maximize on revenue but also costs. On how to minimize supply side moral hazards, the propositions is for pursuance of cost containment strategies to ensure the smooth operation of the schemes like price listings, educate beneficiaries on cost implications and sustainability threats. These propositions can be instituted through an industry led bench-marking, on nationally through regulatory frameworks since moral hazards are an economic cost as inefficiencies brings mis-allocation of resources to enhance the sustainability of medical aid-based health care provisioning.

Determinants of Low Coverage of the Free Surgical Care Programme for Trachomatous Trichiasis in Rural Guinea in 2022.

This study aimed to describe the experiences of healthcare personnel and patients in the organization of free surgical campaigns and care for trachomatous trichiasis in the health district of Siguiri in Guinea, including challenges experienced in providing surgical care. This was an explanatory qualitative study conducted in 2022 in the health district of Siguiri. A total of 20 participants were interviewed including patients (n = 7; 35%), community health workers (n = 4; 20%), health services managers, and healthcare providers (n = 8; 40%). Two main data collection technics were used: documentary review and in-depth individual interviews. All interviews were transcribed and manually coded using an Excel extraction spreadsheet. Data were analysed using inductive and deductive approaches. The results showed several organizational, structural, and community challenges that underlined the low surgical coverage of trachomatous trichiasis in the health district of Siguiri. Organizational challenges included the low involvement of local actors in planning activities, the limited timeframe of the campaigns, and the lack of logistics for activities supervision and patients' transportation to surgery sites. Structural challenges included the inadequacy of health centres to provide surgical services, poor health infrastructures, and sanitation conditions in some areas. Individual challenges included remoteness of surgical sites and costs associated with services provision including medicines. Community challenges included fear of surgery and the coincidence of the campaigns with agricultural and mining activities. The results of the study call on the national neglected tropical disease program and its partners to adopt and promote micro-planning of trachomatous trichiasis surgical activities, with the effective participation of local stakeholders in endemic health districts. They should also envision integrating the management of surgical treatment including costs associated with care (transportation, food, rehabilitation support for patients who have undergone surgery) and complications of surgical procedures for an expansion of the trachomatous trichiasis free surgical care coverage in endemic health districts in Guinea.

Midwifery in Turkey within the Framework of The Areas of Competence and Proficiency: A Qualitative Study

Objective: The objective of this study is to evaluate the proficiency and competence of the midwifery profession in Turkiye through the eyes of midwives, academic midwives, student midwives, and women receiving care from midwives. Methods: This research is qualitative research conducted using the phenomenological research design. The interviews were conducted on an online platform. The sample group was selected through purposive sampling and was completed using the individual in-depth interview technique with 20 participants. The study was reported according to the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist. Results: Data saturation was reached because of interviewing 20 participants. The transcripts of the interviews were systematically examined, and the study results were gathered around the areas of competence and proficiency determined. Within the framework of these main themes, competence in midwifery is included under the headings of "Public Health," "Pregnancy," "Birth," "Postpartum," "Newborn," and "Women and Counseling." Proficiency in midwifery is included under the headings of "General Qualification," "Before Pregnancy," "Pregnancy and Antenatal," "Childbirth and Care During Childbirth," and "Continuous Care for Woman and Newborn." An intense/strong relationship was detected between the main themes. Conclusion: As a result, it was revealed that the most emphasis was placed on the proficiency and competence of midwives related to childbirth. It can be stated that the study results will shed light on the health policies in different areas to be developed for the midwifery profession in Türkiye.

Beyond teaching: the extended role of informal entrepreneurship education and training in challenging contexts

PurposeWe seek to understand how informal entrepreneurship education and training (EET) processes support marginalised women in challenging institutional contexts into gainful participation in entrepreneurial activities, facilitating empowerment and emancipation.Design/methodology/approachThe study employs an inductive qualitative approach drawing on in-depth individual interviews, a focus group and observation of how female informal EET educators facilitate hands-on EET to marginalised female entrepreneurs in Uganda.FindingsWe specify a range of novel complementary practices that informal EET educators undertake during the main instructional EET stage and present the wraparound purposive work, both pre-and-post the instructional stage, they enact to support female empowerment processes for their disadvantaged learners. We then propose a grounded model capturing practices enacted by EET practitioners that illuminates ways in which informal EET can contribute to processes of empowerment and emancipation.Originality/valueOur contributions are twofold. First, we conceptualise EET educators as institutional entrepreneurs undertaking institutional work beyond core teaching. Second, we specify a range of novel complementary practices they undertake before, during and after the conventional instructional part. This illuminates how EET can contribute to processes of empowerment and emancipation. Drawing on data from a unique institutional context, we illuminate novel practices enacted by informal EET educators thereby extending both the pedagogy and the realm of entrepreneurship education with implications for grander empowerment and emancipatory outcomes beyond the development of entrepreneurial competencies.

“We Pupils Had to Hear…” Marginalised Youths’ Experiences of Racialising Language and Symbolic Violence in Swedish Schools

Guided by Pierre Bourdieu’s theoretical approaches of symbolic capital and symbolic violence, this article examines the everyday mechanisms of ‘otherising’ language practices in schools that reinforce racism against marginalised youths in Sweden. The empirical material is based on focus group discussions and individual in-depth interviews with youths with migrant backgrounds in Sweden. The stories told by the participants in this study indicate how young people with immigrant backgrounds are discursively racialised and otherised as a group that does not belong to Swedish society, through the articulation of negative opinions, attitudes, and ideologies as part of established colonial discourses. It is argued that the marginalisation of migrants in Sweden, which is a consequence of social policy, has even resulted in utilisation of a marginalised language — one that deviates from the majority language in several different ways.

Immunosuppressive medication adherence and affecting factors in solid organ transplantation patients: a mixed-methods study

Objectives: Transplantation is a form of treatment that requires long-term pharmacotherapy. After transplantation, patients may have difficulty adapting to medication use for various reasons, and this may result in rejection. The aim of this study is to determine participants’ medication compliance and the factors affecting it. Methods: The research was conducted with a sequential explanatory mixed method. In the study, quantitative data were collected using the Turkish Immunosuppressive Medication Adherence Scale, and qualitative data were collected using the In-Depth Individual Interview Guide. Quantitative data were analyzed using statistical methods, and qualitative data were examined according to Braun and Clarke's thematic analysis framework. Results: In this study, 62.3% of the participants were male, 37.0% were 50 years old and over, 71.3% lived with their spouse, 54.0% had primary and secondary school education, and 42.0% could not work due to their current health condition. From a clinical perspective, it was determined that 78% of the transplants were kidney transplants, and 41.3% were more than 4 years after transplantation. 74.3% of the transplants were from living donors. The mean score of the immunosuppressive medication compliance scale was determined to be 40.91±4.09. In the qualitative data analysis of the study, factors affecting medication adherence were examined and the themes of "individual factors", "complexity of the regimen" and "social support resources" were obtained. The sub-themes of the individual factors theme are reluctance, hopelessness and addiction; Sub-themes of the complexity of the regimen theme are drug side effects and polypharmacy; The sub-themes of the social support resources theme are loneliness and family pressure. Conclusions: The factors influencing medication adherence among organ transplant recipients have been investigated, revealing that adherence levels vary significantly depending on various factors. These findings underscore the importance of tailored care strategies and individualized support approaches.