Main Themes Research Articles

Impacts of the COVID-19 pandemic on health and social professionals working with people with disabilities: A qualitative study.

Since the beginning of the COVID-19 pandemic, protection and isolation measures established by the Canadian and Quebec governments have directly affected the work of health and social professionals (HSPs). These measures have added pressure on HSPs, complexified their work and added tasks to their already busy workload. However, few studies have explored in depth the impacts of the pandemic on HSPs working with people with disabilities. The objective of this study was to qualitatively explore the experiences of HSPs working among people with disabilities in the province of Quebec, Canada, during the COVID-19 pandemic (January and February 2021), including the impact on their work, the relationships with their colleagues, and on their immediate social and familial environment. HSPs participated in a semi-structured interview. A mixed thematic analysis approach, combining inductive and deductive coding, was carried out using N'Vivo 12. Fifty-five HSPs participated in the interviews (mean [SD] age, 42 [9]). They mostly identified as women (91%). Three main themes representing the impacts of the pandemic were identified, including 1) Health and Well-being; 2) Family and social networks including the subthemes; 2.1) Fear of being a vector of contamination for their loved ones; 2.2) Work-family balance; 2.3) Social Network, and finally 3) Work, highlighting, including 3.1) Workload and adaptative strategies developed; 3.2) Relationship with colleagues; 3.3) Perceived support received at work, and 3.4) Services offered to patients. These findings highlight the importance of closely tracking and supporting the well-being of HSPs.

Drivers and obstacles on refugee entrepreneurship. The host country perspective

Refugee entrepreneurship encompasses the enterprising endeavors undertaken by individuals forced to flee their home countries. This research area has gained scholarly traction due to its profound relevance in the socio-economic perspective. To provide a comprehensive understanding of this phenomenon, a thorough systematic literature review was conducted, drawing upon the Scopus and Web of Science databases. The review scrutinized a corpus of 57 scholarly articles, which were analyzed and categorized into two main themes: the profile of refugees regarding their entrepreneurial intentions, and the contextual factors within the host countries that either facilitate or impede their entrepreneurial pursuits. Refugee entrepreneurship is associated with the necessity-driven perspective, as individuals often embark on entrepreneurial ventures due to the shortage of viable employment opportunities in their host countries. However, there exists a nuanced perspective wherein some refugees leverage their innate entrepreneurial traits, finding resonance between the economic landscapes of their home and host countries. Nevertheless, the inception of entrepreneurial endeavors is invariably accompanied by some obstacles, spanning legal, financial, and socio-economic domains. These obstacles do not deter the entrepreneurial spirit ingrained within many refugees. Instead, they serve as catalysts for resilience and innovation, prompting the formulation of adaptive strategies to surmount barriers and carve out pathways to success, underscoring the economic activity of displaced individuals and exemplifying their capacity to effectuate positive change amidst adversity.

Tensions in caring for chronic patients' medication adherence: A qualitative study in Cyprus.

Medication adherence (MA) to recommended treatment is a multi-faceted problem and an ongoing challenge for healthcare providers (HCPs) to monitor. This qualitative study with 10 HCPs in Cyprus aims to explore HCPs' perceptions and strategies used on addressing medication non-adherence (MNA) in patients with chronic conditions. Two main themes emerged from the analysis reflecting the ways that HCPs described their reactions to MNA of their patients: (1) "Relying on information provision to improve MA" and (2) "Trying to understand patients' perspective." HCPs reported empathizing with patients and engaging in discussions to understand patients' perspective and reasons for MNA, so as to explore alternative solutions. Simultaneously, some HCPs reflected that the techniques used to improve MA are solely centered around information on medication and side-effects. HCPs experienced an internal conflict between providing patient-centered care versus using directive approaches to improve MA. Findings suggest how HCPs could thoroughly address patients' individual barriers.

Examining the implementation of the language in education policy in Tana River County: a case of a Pokomo speakers’ school

ABSTRACT The language in education policy (LiEP) in Kenya calls for the use of mother tongue for pre-primary and lower grades of primary education. However, its implementation has been erratic. This study sought to explore the implementation of LiEP in Tsana Primary School, situated in Tana River County, Kenya, where the local language is Kipfokomu. Using an ethnographic approach, the study involved interviews and observations with Grade 3 students, their parents or guardian, and teachers from Grades 1 to 3. Relevant documents were also reviewed, and thematic analysis was conducted on the collected data. The study revealed two main themes: (1) the lack of a supportive environment for Kipfokomu in the classroom, and (2) the presence of Kipfokomu resource materials on the school premises, but their limited availability in the classroom setting. These findings suggest challenges in implementing LiEP, as teachers often prioritise English over the local language. Despite the presence of essential resources intended to support LiEP, the persistent challenges undermine its effectiveness. Understanding these challenges can inform policy improvements and more effective strategies for implementing mother tongue-based education, ensuring that the educational system better serves linguistic and cultural diversity.

Family resilience in a crisis: A qualitative study of family resilience in multimember infected families in the context of COVID-19.

This study aimed to understand the family experience and identify family resilience factors to help families adapt to and cope with COVID-19. A purposive sample of 21 patients (from nine families) diagnosed with COVID-19 were recruited for interviews. Participants were interviewed using a semistructured question guide to explore family experiences. Deductive content analysis was used to develop emerging themes. Deductive findings included three main themes: belief systems, family organizational patterns, and communication and problem solving. These themes can be applied to the analysis and conclusions related to family resilience during a crisis such as the COVID-19 pandemic. This study reveals the coping process of families after multiple members were diagnosed with COVID-19, from the establishment and reinforcement of belief systems to the determination of how the family copes with risks and finally their ability to withstand risks. In addition, the study supports the concept that family resilience can be demonstrated during epidemics. Considering that the COVID pandemic might persist for a significant period of time, doctors and nurses must focus not only on individuals but also on the overall recovery of the family and develop interventions aimed at improving family resilience during these challenging times. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Teachers’ Perspectives of Enacting Student Voice in Primary Physical Education

Purpose: Broadly speaking, student voice can be defined as initiatives that involve consultation of, feedback from, and engagement with students regarding their own education. This study’s aim was to explore teachers’ experiences and perceptions of enacting student voice in primary physical education. Method: Participants included six primary school health and physical education specialist teachers within Victoria, Australia. Data were collected via six rich and detailed one-on-one semistructured interviews. Results: Three main themes include: (a) “same-same but different” highlighting participants’ varying conceptualizations and enactment of student voice, (b) “language matters” emphasizing the importance of language used when discussing and implementing student voice, and (c) “barriers and challenges to implementation” capturing participants’ experience and limiting factors to the enactment of student voice practices. Discussion/Conclusion: Grounded in education for transformation and patterns of partnership theories, the discussion focuses on the disassociation between teachers’ perceived understanding and enactment and the implications for students resulting from the misalignment.

Examining How High School Athletic Directors Leverage Communication With Key Stakeholder Groups to Inform Performance Appraisals of Head Coaches

To ensure that head coaches are effective in leading athletic programs, interscholastic athletic directors engage in a performance appraisal process that reviews coaching efforts. Given the demands of the athletic director role, these leaders are reliant on stakeholders to provide insight that informs the coaching evaluation. Therefore, using the tenets of stakeholder theory, the purpose of this study was to analyze the role that stakeholder feedback plays as athletic directors develop the full picture of coaching performance during an evaluation. Participants (N = 25) featured high school athletic directors represented across school classification (i.e., 1A, 2A, 3A, and 4A) and school type (i.e., public and private). Through semistructured interviews and a subsequent thematic analysis, saturation was achieved at this sample size. Two main themes (i.e., main stakeholder groups and leveraging stakeholder feedback) emerged and demonstrate how key stakeholders should be considered as important sources of information guiding interscholastic athletic directors when leading coaching evaluations.

"It feels terrible that people are making decisions for me": Reflections and experiences of individuals with psychiatric disability who have substitute decision makers for treatment.

In Canada and elsewhere, making treatment decisions for a person with serious mental illness (SMI) who was found incapable for treatment decisions via a substitute decision maker (SDM) is the norm. This practice is often called into question from a rights-based perspective. The literature on the views of affected individuals is limited. We explore the experiences of adults with SMI who have had SDMs to gain more in-depth understanding. We conducted semistructured interviews with 11 consumers of psychiatric services who have had experiences with SDM (range 1-12 years) at an urban hospital in Toronto, Canada. Thematic analysis showed five main themes and related subthemes, including: (1) strong dissatisfaction with and rejection of the SDM's role and purpose; (2) pervasive sense of stigma associated with having a SDM; (3) ongoing struggles to gain autonomy; (4) mixed changes in relationship with and views about SDM; and (5) views on how to improve SDM process. Our study highlights substantial dissatisfaction with the current SDM system and approaches among adults with SMI who have had SDMs. Issues of stigma and struggles to regain autonomy are prevalent. We discuss the personal, clinical, and social-legal contexts in which they occur, particularly in light of the United Nations' Convention on the Rights of Persons with Disabilities that calls for replacing SDMs with supported decision making. Rights-based approaches to care carry substantial practice implications and call for thoughtful change management. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Unveiling the patient-centered approach: exploring the needs of Javanese stroke patients in home health services

Home-based care can be effective, efficient, safe, and affordable, if this care is performed using a patient-centered approach. Patient-centered care prioritizes the patient’s needs and preferences. The issue of patient-centered care remains the focus of various parties. This study aimed to explore the expectations of patients who have experienced a stroke, their family caregivers as recipients of home-based care services and healthcare workers as home-based care providers. This study used a qualitative explorative model. Semi-structured interviews were conducted with 19 participants, in addition to 4 focus group discussions. Data was analyzed using a content analysis approach with open code 13 software and the results were presented in COREQ systematics for qualitative studies. There were four main themes present in the results: physical well-being, self-actualization, psychological condition and balance between family burden and coping. Physical limitations were highlighted as the most burden some for the majority of the participants. At the time of the study, the majority of the patients, their family and health workers were diligently working towards to achieving the best outcome regarding physical well-being. Physical well-being is a fundamental need. Reaching this goal, could lead to better self-actualization, better physiological condition and improving the burden on families. This study may be useful as preliminary data to compile a home-based care construct indicators for stroke patients.

The Effect of Video-Based Simulation Training on Nursing Students' Motivation and Academic Achievement: A Mixed Study.

This study was conducted to determine the effect of video-based simulation education on nursing students' motivation and academic achievement. The research was designed in a mixed model. A quasi-experimental method with a pretest-posttest control group was used for the quantitative part, and the descriptive phenomenology approach was used as the qualitative research method. The sample of the study consisted of second-year nursing students in two state universities in eastern Turkey. The data were collected with the Student Information Form, the Academic Achievement Test, and the Motivation Resources and Problems Scale using Google Forms Web application. Qualitative data were collected through online semistructured interview forms and focus group interviews. According to the results, the posttest academic achievement and Motivation Resources and Problems Scale mean scores of the students in the intervention group were significantly higher than those of the control group ( P < .05). In the analysis of the qualitative, three main themes emerged: We felt fortunate that it increased information retention," "We felt like we were in real practice environment," and "It made us feel that we were nurses." The results showed the use of video-based simulation can be suggested as a strategy to promote classroom teaching and engage students.

Lived Experiences, Emotional and Psychological Needs of Covid-19 Emergency Service Nurses: A Qualitative Study

Nurses, who play an important role during the COVID-19 pandemic, are exposed to emotional and psychological stress due to unforeseen risks. The aim of this study was to investigate the experiences of nurses who are at the forefront in the emergency department, where COVID-19 suspected cases are first encountered, and to analyze their emotional and psychological needs in the light of Alderfer's Existence-Relationship-Growth theory. Data were collected from 20 May to 15 June 2020 in Muğla, Türkiye. 10 nurses working in the COVID-19 emergency department constituted the study sample. The descriptive phenomenological study was planned according to the qualitative research paradigm, based on the Consolidated Qualitative Research Reporting Criteria checklist. The interviews were conducted face-to-face and analyzed using Colaizzi's seven-step method. As a result of the analysis of the data, when the psychological needs of clinical nurses were evaluated in terms of Existence-Relatedness-Growth theory, it was determined that their health and safety needs were priority and they needed respect and understanding in their relationships. The life experiences of nurses working in the emergency room, under two main themes as “patient care process experiences” and “feelings”, and their emotional and psychological needs under three themes as “need to exist”, “need to establish relationship” and “need to develop” gathered under. During the COVID-19 pandemic, it was determined that the existence, relationship, and growth needs of emergency nurses were affected by each other.

Financial Toxicity Experiences of Patients With Cancer in Indonesia: An Interpretive Phenomenological Analysis

ObjectivesFinancial toxicity (FT) is an important adverse effect of cancer. Recent systematic reviews have shown that FT may lead to treatment nonadherence and impaired health-related quality of life, both of which may adversely influence the survival rates of patients. However, less is known about how patients endure FT, particularly in low- and middle-income countries. The purpose of this study was to explore how patients with cancer experience and cope with FT in Indonesia. MethodsSemistructured in-depth interviews were conducted to explore the experiences of Indonesian patients with cancer. Qualitative data were analyzed using interpretive phenomenological analysis approach. We purposefully recruited 8 patients undergoing active treatment (aged 27-69 years) who had been diagnosed of cancer over 5 years before and possessed health insurance at the time of diagnosis. ResultsWe identified 2 main themes: (1) the experienced financial burden, with subthemes underinsurance, out-of-pocket nonhealthcare cancer-related costs, and negative income effect from employment disruption, and (2) the financial coping strategies, with subthemes reallocating household budget, seeking family support, rationalizing treatment decisions, and topping up insurance for family members. ConclusionsThis is the first interpretive phenomenological study on FT in the literature and the first qualitative FT study in Indonesia. Our findings provide insight into the occurrence of FT and coping strategies used by Indonesian patients with cancer. The subjective experiences of patients may be considered to further improve oncology care, support the need for measurement of FT, and provide mitigation programs for patients.

Identifying Main Themes in Diabetes Management Interviews Using Natural Language Processing-Based Text Mining.

This study aimed to identify the main themes from exit interviews of adult patients with type 2 diabetes after completion of a diabetes education program. Eighteen participants with type 2 diabetes completed an exit interview regarding their program experience and satisfaction. Semistructured interview questions were used, and the interviews were auto-recorded. The interview transcripts were preprocessed and analyzed using four natural language processing-based text-mining techniques. The top 30 words from the term frequency and term frequency-inverse document frequency each were derived. In the N-gram analysis, the connection strength of "diabetes" and "education" was the highest, and the simultaneous connectivity of word chains ranged from a maximum of seven words to a minimum of two words. Based on the CONvergence of iteration CORrelation (CONCOR) analysis, three clusters were generated, and each cluster was named as follows: participation in a diabetes education program to control blood glucose, exercise, and use of digital devices. This study using text mining proposes a new and useful approach to visualize data to develop patient-centered diabetes education.

Raising awareness of prostate cancer amongst black communities in the south of England

ABSTRACT Background: Black men are more likely to be diagnosed with prostate cancer than white men and may present with prostate cancer at a much later stage during the cancer journey. This could be due to a lower awareness of the signs and symptoms of prostate cancer, an unwillingness to report symptoms or a lack of trust in the healthcare system or a combination of these. Aim: The aims of this study were to raise awareness of prostate cancer in black communities in South of England and to evaluate the engagement and raising awareness campaigns. Method: This project involved two phases. The first phase focused on raising awareness of prostate cancer in black men and their families. The awareness was delivered using public facing activities such as stands and talks with participants. Additionally, online awareness activities were undertaken with either black men alone or black men and their families. The second phase of the project involved an evaluation of the raising awareness campaigns through interviews. A total of 320 black men and their families were involved in the awareness sessions and of these, 12 black men were interviewed. The interview transcripts were analysed using thematic analysis. Results: Analysis of the data generated three main themes including: increased knowledge and mindset change regarding prostate cancer, empowered to take community and personal action, as well as strategies and tools to raise awareness of prostate cancer among black communities. Conclusion: The raising awareness campaigns had a positive effect in terms of increasing black men's awareness of the risk factors associated with prostate cancer. Moreover, the campaigns enabled them to make lifestyle adjustments that could help them to reduce their likelihood of developing prostate cancer. Additionally, the participant's knowledge had improved, and they were empowered and motivated to make a difference to their lives and that of their communities.

Relationships between global orientations and attitudes toward integration policies: A sequential explanatory mixed methods approach.

Based upon a mixed methods follow-up explanation model, the present research examined the relationships between global orientations and the attitudes toward integration policies among both locals (majority group) and South Asians (minority group) in Hong Kong. In Study 1, quantitative data were collected from a community sample of 1,614 adults comprising 1,007 locals and 607 South Asians in three minority groups (Indians, Nepalese, and Pakistanis). In Study 2, a follow-up explanation phase of qualitative investigation was conducted, with 12 in-depth semistructured focus group discussions among seven locals and 49 South Asians, generating three main themes and six subthemes. Quantitative results showed that the positive link between multicultural acquisition and instrumental integration policies was significantly stronger for South Asians than for locals, and that ethnic protection was negatively associated with a positive attitude toward symbolic integration policies in the majority group but had no effects in the minority group. The three main themes generated from the qualitative results include alleviating minority disadvantage, preserving majority privilege, and embracing diversity for the common good. The combined quantitative and qualitative results suggest that the differential relationships of multicultural acquisition and ethnic protection with support for specific integration policies can be understood with the underlying structural power asymmetry between the majority and minority groups. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

A systematic review on the formative assessment practice in teaching and learning in secondary school

Formative assessment is an assessment that is conducted throughout the teaching and learning process. Therefore, teachers should play an important role in mastering the appropriate approaches to practicing formative assessment. According to previous studies, some teachers are unable to comprehend the roles of formative assessment practices in teaching and learning, which prevents them from using them effectively in the classroom. Many researchers have conducted research related to the practice of formative assessment in schools due to this issue. Therefore, this article aims to conduct a systematic literature review (SLR) on past studies related to the practice of formative assessment in teaching and learning in secondary schools. This SLR writing process has been referred to as the Preferred Reporting Items for systematic review and meta-analysis (PRISMA) writing standard. To find related articles and resources in this systematic literature review, two main databases, namely Web of Science and Scopus, were used. A total of 19 articles were extracted from 366 from 2017 to 2021, with exceptions and inclusion criteria considered. Based on the theme analysis, this SLR has three main themes: assessment diversity; assessment strategies, and student learning development. Thus, this study suggests that all compulsory levels of education understand formative assessment conceptually and its implementation comprehensively. This can be disseminated through teacher professional development training programs. It is hoped that such programs will develop teachers who are committed to integrating the concept and practice of assessment for the benefit of students in twenty-first century education.

Teaching in a New World: A Novice Teacher Educator’s Pursuit for Change

Purpose: To understand the process of an international doctoral physical education teacher education instructor instituting change during one semester of teaching a university course in the United States. Method: Data included reflexive journal entries, recordings of peer debriefing meetings with a critical friend, informal WhatsApp messages, and anonymous feedback from students. Data were analyzed through thematic analysis. Results: The three main themes were (a) action research as a tool for change, (b) the challenges of the first year as a doctoral physical education teacher education instructor, and (c) the power of reflection. We discuss the main challenges the first author faced and the complexities of the process of developing her pedagogical philosophies in teaching higher education for the first time in a new culture. Conclusions: Action research served as a tool to overcome challenges, develop confidence, and autonomy. The support system provided by her advisors was the main asset for achieving pedagogical change.

Preservice Teachers’ Assessment Literacy Within Models-Based Practice

Purpose: Using the assessment literacy framework, the purpose of this study was to explore preservice teachers understanding and enactment of the message system during an early field experience. Method: Six PTs employed SE seasons totaling 540 min. Seven qualitative data methods were utilized. Data analysis included deductive and inductive analysis using a thematic approach. Trustworthiness included data triangulation, peer debriefing, negative case analysis, and the maintenance of an audit trail. Results: Three main themes derived from the data included: instructional decisions were driven by the SE model and informal assessment; formal assessment was driven by the structure of SE; and high assessment value but low assessment literacy. Discussion/Conclusion: The SE model drove PTs to use formal assessment, but primarily in an evaluative manner. The PTs lacked assessment literacy, felt pressure to follow the model, did not use assessment to inform teaching, and had concerns for future assessment use.

A 5-Year Review of a Tracheostomy Quality Improvement Initiative: Reducing Adverse Event Frequency and Severity.

The number of tracheostomies performed annually in resource-rich countries is estimated at 250,000. While an essential procedure, approximately 20% to 30% of patients will experience at least 1 tracheostomy-related adverse event. Within tracheostomy careand across wider health care environments, quality improvement (QI) programs have been shown to reduce patient harm and improve outcomes. Herein we report on a 5-year long, tracheostomy QI initiative aimed at improving patient experience and reducing the frequency and severity of adverse events. A 5-year (ongoing) QI initiative led by the Cardiff and Vale University Health Board tracheostomy team, within a tertiary, 1000-bedded hospital in South Wales, United Kingdom. The QI initiative has focused on 3 main themes: (1) Education and training; (2) Clinical oversight and decision making; and (3) improved data collection. Data were collected from existing tracheostomy databases. Over the past 5 years, we have observed a sustained reduction in both the frequency and severity of adverse events, with less than 1 patient per 100 experiencing a moderate or severe adverse event. This has resulted in improvements in patient experience and a cost reduction of £GBP364,726 per annum. Our 5-year ongoing tracheostomy QI initiative has resulted in improved outcomes with increased achievement of tracheostomy weaning markers and sustained reductions in both the frequency and severity of adverse events. A continuous focus on QI is associated with improved patient and service outcomes. These improvements can be spread and scaled to benefit more patients and organizations.

Climate Change Awareness in Pregnant Women: A Qualitative Study

Objective: This study was conducted to determine the awareness of climate change in pregnant women. Methods: In this study, a qualitative research approach was adopted. A phenomenological research design was used to conduct the study. The research was carried out with pregnant women who applied to the pregnant outpatient clinic of Aydın Adnan Menderes University Hospital between 01.09.2022 and 15.09.2022. With qualitative research, a semi-structured interview form prepared by the researchers was used to determine the climate change awareness among pregnant women. A total of 12 pregnant women were interviewed by audio recording. Interviews were analyzed using the MAXQDA 2022 program. The thematic analysis of the interviews identified 6 main themes. While analyzing the data, descriptive analysis technique was used. This study was based on COREQ guidelines for reporting qualitative research. Results: It has been seen that most of pregnant women follow the news and developments about climate change occasionally. Pregnant women, who stated that the causes related to climate change are generally caused by humans, expressed the necessity of educating people and raising their awareness in taking precautions against climate change. It was found that the knowledge of pregnant women about the impact of climate change, which negatively affects health in many ways, on maternal and child health during pregnancy was incomplete and insufficient. Discussion: It was determined that the awareness of pregnant women about climate change was formed but was not sufficient. It is thought that the study will support the literature in raising awareness about climate change.