Principles Of Content Analysis Research Articles

Clinical reasoning for the continuation or discontinuation of hip precautions after total hip arthroplasty in Switzerland: a qualitative study.

Growing evidence raises doubts about the need for routine hip precautions after primary total hip replacements to reduce the risk of postoperative dislocation. However, hip precautions are still routinely and widely prescribed in postoperative care in Switzerland. We aimed to investigate experts' clinical reasoning for hip precaution recommendations after total hip arthroplasty. Using a convenience sampling strategy, 14 semi-structured expert interviews were conducted with surgeons, physiotherapists, and occupational therapists in the vicinity of an inpatient rehabilitation clinic in Switzerland. Data analysis followed Mayring's principle of inductive and deductive structuring content analysis. Expert statements from the interviews were summarised into four main categories and 10 subcategories. Categories included statements on the incidences of dislocation and underlying risk factors; current preferences and use of hip precautions; their effect on physical function, anxiety, or costs; and patient's adherence to the movement restrictions. Hip surgeons routinely prescribed hip precautions, although in different variations. Fear of dislocation and caution are barriers to changing current practice. Some surgeons are considering individualised prescribing based on patients' risk of dislocation, which therapists would welcome. A lack of clear instructions from the surgeon leads to ambiguity among therapists outside the acute hospital. A shared understanding of the need for and nature of hip precautions, guidelines from societies, or at least specific instructions from surgeons to therapists are warranted.

The Needs of Patients With Chronic Disease in Transitional Care From Hospital to Home in Sudan: A Qualitative Study.

The growing burden of chronic non-communicable diseases demands improved post-discharge care. The Sudanese healthcare system faces challenges in providing coordinated care for patients with chronic conditions after hospital discharge. This qualitative study explored the experiences of patients with chronic disease in transitional care from hospital to home to identify improvement targets. Purposive sampling was used to interview 17 participants from different hospitals in Khartoum, Sudan. Audio recordings were transcribed and analyzed using principles of content analysis to identify themes and the relationship between them. Thematic analysis revealed 4 main themes describing the perceived needs of the patients. These were (1) feeling well-informed about post-discharge care goals and plans; (2) feeling cared for during hospital admission and follow-up visits; (3) feeling safe during the transitional care process; and (4) having access to follow-up services. This study highlights the importance of improving hospital patient education through effective communication to facilitate care transitions.

When the outside penetrates the inside: the relationship between Palestinian Israeli and Jewish Israeli social workers in mixed cities during the events of May 2021

ABSTRACT The violent national events that occurred in Israel in May 2021 heightened the sense of anxiety and insecurity for Palestinian and Jewish citizens alike, particularly in mixed cities. This study examines the dynamics, emotions, and perceptions of Palestinian-Israeli and Jewish-Israeli social workers in mixed cities against the backdrop of these events. The study included in-depth interviews with 25 Palestinian-Israeli and Jewish-Israeli social workers in welfare departments in six mixed cities in Israel. The analysis was encoded inductively, informed by the principles of content analysis. Two themes emerged: (1) overt and hidden conflicts between social workers of both nationalities; and (2) challenges to cooperation against the background of the conflict. The research findings enable a deep and broad understanding of the complexity of the personal, national, and professional identities of Palestinian-Israeli and Jewish-Israeli social workers in Israel, reflected in their relationships with colleagues of the other nationality. Raising awareness of these aspects will facilitate developing appropriate tools for intervention programs and a direct and sensitive reference to these issues within the curricula of social work schools in Israel.

The handball referee’s personality through the lens of players and coaches

Refereeing in handball is a complex exercise involving numerous decisions and interactions among players and coaches. To meet the demands of officiating a game, (e.g., withstand the pressure generated by spectators or managing critical situations), referees need to have a certain personality type. Since the sport of handball faces an acute shortage of referees and the recruitment of suitable individuals becomes increasingly difficult, personality research can provide practical guidance for the identification of potential candidates. When determining the personality characteristics necessary for refereeing, taking an external perspective and collecting information from others can provide a more objective assessment of an individual’s personality than self-assessment. For this reason, an online qualitative survey was conducted to collect data from 89 German handball players and 35 coaches. Based on the principles of qualitative content analysis, a large part of the responses could first be structured and assigned to the five-factor model. The remaining responses were then categorised, which allowed four categories to emerge: (i) character and leadership, (ii) judgement and decision-making, (iii) game management, and (iv) physical fitness and cognitive demands. The findings contribute to expanding knowledge about the crucial personality characteristics that shape handball referees’ personality and suggest that the performance profile of handball referees shows similarities to that of other team sports officials. In our conclusion, we outline research directions with high practical relevance for the recruitment and development of referees, e.g., the study of referees’ assertiveness, need for evaluation, preference for consistency, or self-efficacy.

Caregiver knowledge and attitudes relating to paediatric pneumonia and antimicrobial stewardship: a qualitative study

ObjectiveThe objective of this study was to understand caregiver perspectives and experiences relating to the treatment of paediatric community-acquired pneumonia (CAP).Design, setting and patientsThis was a phenomenological qualitative study involving...

The Covid-19 Pandemic and the Students' Limited Digital Competence in Writing Scientific Papers

This study aims to explore the correlation between students’ digital competence and indecision with the challenges they encounter during the online scientific writing assistance process amid the Covid-19 pandemic. Students faced multiple forms of hesitation, communication breakdowns, and missed opportunities for discussion during this process. The research findings target guidelines for writing scientific papers. Qualitative data was collected through an online survey of 100 students from public universities in Indonesia. The research instrument employed an online questionnaire distributed to students via the Google Forms application. Data analysis was conducted using qualitative and interpretive approaches based on the principles of content analysis. The results revealed that students experienced profound doubts and confusion when it came to organizing their thoughts while conducting research and writing scientific papers as final projects. This research suggests that students’ digital intelligence alone is insufficient for accessing the information required by their intellectual intelligence in writing scientific papers.
 Keywords: digital competence, scientific papers, Covid-19 pandemic

Physicians’ and Machine Learning Researchers’ Perspectives on Ethical Issues in the Early Development of Clinical Machine Learning Tools: Qualitative Interview Study

Background Innovative tools leveraging artificial intelligence (AI) and machine learning (ML) are rapidly being developed for medicine, with new applications emerging in prediction, diagnosis, and treatment across a range of illnesses, patient populations, and clinical procedures. One barrier for successful innovation is the scarcity of research in the current literature seeking and analyzing the views of AI or ML researchers and physicians to support ethical guidance. Objective This study aims to describe, using a qualitative approach, the landscape of ethical issues that AI or ML researchers and physicians with professional exposure to AI or ML tools observe or anticipate in the development and use of AI and ML in medicine. Methods Semistructured interviews were used to facilitate in-depth, open-ended discussion, and a purposeful sampling technique was used to identify and recruit participants. We conducted 21 semistructured interviews with a purposeful sample of AI and ML researchers (n=10) and physicians (n=11). We asked interviewees about their views regarding ethical considerations related to the adoption of AI and ML in medicine. Interviews were transcribed and deidentified by members of our research team. Data analysis was guided by the principles of qualitative content analysis. This approach, in which transcribed data is broken down into descriptive units that are named and sorted based on their content, allows for the inductive emergence of codes directly from the data set. Results Notably, both researchers and physicians articulated concerns regarding how AI and ML innovations are shaped in their early development (ie, the problem formulation stage). Considerations encompassed the assessment of research priorities and motivations, clarity and centeredness of clinical needs, professional and demographic diversity of research teams, and interdisciplinary knowledge generation and collaboration. Phase-1 ethical issues identified by interviewees were notably interdisciplinary in nature and invited questions regarding how to align priorities and values across disciplines and ensure clinical value throughout the development and implementation of medical AI and ML. Relatedly, interviewees suggested interdisciplinary solutions to these issues, for example, more resources to support knowledge generation and collaboration between developers and physicians, engagement with a broader range of stakeholders, and efforts to increase diversity in research broadly and within individual teams. Conclusions These qualitative findings help elucidate several ethical challenges anticipated or encountered in AI and ML for health care. Our study is unique in that its use of open-ended questions allowed interviewees to explore their sentiments and perspectives without overreliance on implicit assumptions about what AI and ML currently are or are not. This analysis, however, does not include the perspectives of other relevant stakeholder groups, such as patients, ethicists, industry researchers or representatives, or other health care professionals beyond physicians. Additional qualitative and quantitative research is needed to reproduce and build on these findings.

Social Workers’ Perceptions of the Effect of Interpersonal Factors on Older Adults’ Decision to Remain in Abusive Relationships

Abstract Older adults who are abused by their offspring often find it difficult to cooperate with professionals to end the abuse. In these situations, social workers face an ethical dilemma between respecting the older adult’s right to autonomy and intervening in a paternalistic way to prevent harm. This qualitative study aimed to examine the effect of interpersonal factors on the decision-making ability of older adults who do not experience significant cognitive and mental decline and choose to remain in abusive relationships. Twenty-one social workers specialising in the field of aging participated in a semi-structured interview based on a vignette. The analysis was encoded inductively, informed by the principles of content analysis. Two themes emerged: (i) Older adults’ feelings towards their abusive adult children, including love and concern, shame and guilt and relationships with symbiotic characteristics; (ii) Older adults’ motivation to stay in the abusive relationships, based either on utilitarian motivation or on their fear of the abuser. The study’s findings can serve as a foundation for the development of a tool for evaluating the influence of abusive relationships on older adults’ decision-making ability, which considers not only their personal characteristics but also their interactions and relationships with their surroundings.

Internet-Induced?: A Re-examination of Sources of Writing Errors in Educated Nigerian English

This study examines writing errors in the written discourse of Nigerian university-educated users of English (sophisticated variety). The aim is to determine the extent to which non-standard usages attested in the writing of Educated Nigerians are manifestations of the impact of internet language. The population of this study comprised three hundred (300) respondents who are university educated users of the English language. They were selected by a stratified random sampling technique from six universities in South- South Nigeria. Usage features considered distinctively internet features which occurred in the studied texts were identified and coded using the principles of Content Analysis. The analysis shows that internet language features like Alphanumeric features, initialisms respelling, shortening, and symbols occurred in varying frequencies in the subjects’ productions. Moreover, the analysis shows that these internet language features are not necessarily induced by the electronic medium alone, but by other factors like inconsistencies in the linguistic system as well as the inability of English language users to discern the requirements of specific writing contexts.

The Impact of Place-Based Education Approach in Teaching Social Studies to Grade Four Students

The objective of this study was to assess the influence of incorporating place-based education (PBE) into Social Studies lessons on the academic attainment and contentment of fourth-grade students. Employing a mixed-methods approach, the efficacy of this initiative was gauged through achievement tests, observations, and semi-structured interviews. Through cluster random sampling, 24 grade four students participated in four months of Social Studies instruction using the PBE method. Data derived from the learning achievement test underwent analysis involving mean scores, standard deviation, and the Wilcoxon signed-rank test. Concurrently, qualitative data from interviews and observations underwent content analysis. The analysis of pretest and post-test scores revealed a marked discrepancy between the post-test mean (x̅= 22.71) and the pretest mean (x̅= 18.63), signifying a substantial 4.08 mean difference. This pointed to a notable improvement in post-test scores in contrast to the pretest. Examination of qualitative data, framed by content analysis principles, demonstrated a noteworthy impact on students' contentment with their learning experiences. The study's findings highlight the potential of extending PBE implementation to other subjects, echoing its positive effects on students' educational engagement and satisfaction.

Food healthiness judgements among Brazilian and German lay adults.

This study investigated which foods are most saliently judged as healthy and unhealthy in Brazil and Germany and the reasons for these judgements. Dietary guidelines in the two countries differ in that those in Brazil are based on a food processing classification rather than nutrient profiling, whereas dietary guidelines in Germany do not include the processing level of food. In an online study with 355 lay adults (Brazil n = 205, Germany n = 150), we explored which foods are listed as healthy and unhealthy using a free-listing method. The main reasons for these healthiness judgements were then identified with a one or two-word phrase and compared between countries. Saliency analysis was conducted to identify the 15 most salient healthy and unhealthy foods in each country. Principles of content analysis were used to assess the reasons why these 15 items were listed as most salient by the participants. Results showed that both Brazilians and Germans listed mostly natural or minimally processed food (e.g. fruits, vegetables, grains, fish and milk) as healthy, whereas types of convenience and fast food, sweets and other ultra-processed foods (e.g. chocolate, soda, French fries, pizza and hamburger) were the most salient unhealthy items listed in both countries. Differences in culturally relevant items listed in each country are discussed. Further, in both countries, despite differences in their dietary guidelines, food healthiness judgements for the most salient items listed relied heavily on the nutritional content of food, reinforced the 'good/healthy' and 'bad/unhealthy' dichotomy, and were centred on benefits or harms to the body (e.g. prevention or cause of diseases and weight control). The similarity of food healthiness judgements between the two countries, together with their agreement with conventional health claims and dietary guidelines, suggest that lay Brazilian and German adults are knowledgeable about the general concepts of 'healthy' and 'unhealthy' food. Finally, these findings suggest that rather than just providing more nutritional information, policymakers and health professionals need to take into account the multiple psychosocial and environmental determinants of eating in these countries.

Intimate Partner Violence Directed at Men: Experiences of Violence, Help-seeking, and Potential Gender Role Conflict Among Portuguese Men

Recent research has shed light on how men in same-sex and different-sex relationships experience Intimate Partner Violence (IPV), and how it may contribute to their Gender Role Conflict (GRC), through which men face a dissonance with their gender roles. However, knowledge on these topics is still lacking. We aim to better understand men’s experiences of violence in their same-sex or different-sex relationships by identifying their dynamics and the specific barriers and facilitators to seeking help. Semi-structured interviews were conducted with 14 adult men (Heterosexual, n = 6; Gay, n = 5; Bisexual, n = 2; Not disclosed, n = 1) who self-identified as having been targets of IPV. The interview protocol considered the literature on IPV and the feedback from stakeholders in victim support services. The results were analyzed following the principles of Content Analysis. Our findings suggest that men are negatively impacted by their abusive relationships, with physical, psychological, sexual, and economic violence having been perpetrated by their same-sex or different-sex partners. Some men reported being further stigmatized in their help-seeking experiences. Gay and bisexual men indicated specific processes that played a significant role in their experiences. Some men revealed discomfort with the identity of “victim”, which may be linked to possible GRC processes. In sum, IPV impacts men in different-sex and same-sex relationships, and our findings provide new insights about how violence and help-seeking are experienced in the Portuguese cultural setting. Future efforts should focus on assessing possible GRC processes in this population and provide adequate information and tailored services to the specific needs of these men.

Use of video group consultations by general practice staff during the COVID-19 pandemic

Background: Video group consultations (VGCs) are one approach to delivering care using a virtual platform for a group of patients with the same or similar health conditions. However, little is known about the use and uptake of VGCs in the UK.Aim: To describe the use and uptake of VGCs by UK general practice staff during the coronavirus disease 2019 pandemic.Method: A cross-sectional design using an online questionnaire. Data analysis adopted the principles of content analysis and demographic data were analysed descriptively.Findings: A total of 36 participants completed the questionnaire across nine UK regions and representing 36 general practices. A lack of standardisation regarding the use and uptake of VGCs across UK general practices was identified, hindering implementation, scale-up and delivery.Conclusion: While the VGC model looks promising, further research is needed to demonstrate its use and uptake, developing a more robust evidence base for implementation.

Pharmacy Students Practicing Health Advocate Competency Roles in Workplace-Based Training

ObjectiveHealth advocacy competency roles are found in the educational outcomes of many health disciplines, yet their development is neglected in the professional curriculum and clinical learning environment. We explored how pharmacy students conceptualize health advocacy through their practice in workplace-based learning and any feedback they receive. MethodsWe conducted a longitudinal diary study of Canadian pharmacy students completing Advanced Pharmacy Practice Experiences in hospital and community practices in their graduating year. At pre-determined intervals, 25 students recorded workplace-based activities they recognized as health advocacy and any feedback they received from supervisors, patients, or other staff. Written diary data from 180 records were analyzed by 5 researchers according to inductive content analysis steps and principles. ResultsPharmacy student records reflecting health advocacy roles were organized into 5 categories including, (1) disease prevention; (2) health promotion; (3) seamless care; (4) usual pharmacist care; and (5) professional advocacy. Although many activities were consistent with current competency role descriptions, they do not reflect educational outcomes associated with patient- or systems-level support necessary to address socio-political determinants of health. Although Advanced Pharmacy Practice Experience in training evaluation reports included scores for items related to health advocacy competency, few students confirmed receiving specific written or verbal feedback. ConclusionPharmacy students construct health advocacy roles in workplace-based training through biomedical-oriented practices with little direct input offered by supervisors. Pharmacy educational outcomes require contemporary updates to health advocacy competency descriptions which offer examples for practical enactment at system-level and recommendations for feedback and assessment.

Tuberculosis Research Trends in Indonesian Health Scientific Journals: From Research Design to Data Analysis

This study aims to analyze various tuberculosis articles that have been published in health scientific journals in Indonesia. These involve the frequency of the number of publications per year, type of research, research subjects, and topics that are often raised by the researchers in their research. This research method used the principle of content analysis which focused on findings from various studies on tuberculosis that have been published in scientific journals in Indonesia. Data were collected from content analysis in journals related to tuberculosis. The results of the journal’s content analysis published in SINTA-1 with the tuberculosis subject area in the last ten years as a whole show the progress from year to year. There are four things that become the subjects of study analysis, namely the number of publications per year (the publication of tuberculosis articles in the SINTA 1 journal decreased in 2019 because of the emergence of the Coronavirus in that year and began to plague in the following years); research type (in this study the results obtained that of the 27 articles analyzed, 23 of them were quantitative types). Subject (tuberculosis patients sampled in this study included the intensive phase and the advanced phase patients) and research topic (topics around knowledge are still the variables that researchers are most interested in).

Online learning support to reinforce motivation of university students during homeschool exodus

Due to the perplexity of students’ experience during online learning, they are demotivated in the current academic set-up. The support that they receive is crucial for their academic journey. This study aimed to determine the learning support to reinforce students’ motivation during homeschool exodus. It also examines how they deal with emergency remote education and the learning support they need to maximize their motivation during their exodus to homeschool classes. Guided by the principles of content analysis, analysis of the transcripts elucidate that students desire for digital empathetic language, relational, financial, familial, environmental, and technological learning support to reinforce their learning motivations and engage them for academic continuity during this emergency education. Drawing on motivation through context-specific materials, scholarship support, positive feedback, socialization strategies, and group dynamics during online learning can encourage students to persevere academically in times of radical changes.

Refugee and migrants' involvement in participatory spaces in a US practice-based research network study: Responding to unanticipated priorities.

Refugees and migrants face suboptimal involvement in spaces for primary healthcare decision-making. Given the rising numbers of resettled refugees and migrants in primary care settings in the United States, there is an urgent need for patient-centred outcome research in practice-based research networks (PBRNs) with diverse ethnolinguistic communities. This study explored whether researchers, clinicians and patients would achieve consensus on (1) a common set of clinical problems that were applicable across a PBRNand (2) potential clinical interventions to address those problems to inform a patient-centred outcomes research (PCOR) study in a similar research network. In this qualitative participatory health research study, patients from diverse ethnolinguistic communities and clinicians from seven practices in a US PBRN discussed preferences for PCOR responsive to patients and the clinicians who serve them in language-discordant settings. Researchers and an advisory panel that included patients and clinicians from each participating practice held regular advisory meetings to monitor progress on project milestones and solve emerging problems. Participants took part in 10 sessions using Participatory Learning in Action and the World Café methods to identify and prioritise their ideas, using questions set for them by the advisory panel. Data were analysed based on principles of qualitative thematic content analysis. Participants identified common barriers in language-discordant healthcare settings, principally patient-clinician communication barriers and suggestions to overcome these barriers. A key finding was an unanticipated consensus about the need for attention to healthcare processes rather than a clinical research priority. Negotiation with research funders enabled further analysis of potential interventions for care processes to improve communication and shared decision-making in consultations and the practice as a whole. PCOR studies should examine interventions for improving communication between patients from diverse ethnolinguistic communities and primary care staff if the sorts of harms experienced by patients experiencing language-discordant healthcare are to be reduced or prevented. Flexibility and responsiveness from funders to unanticipated findings are key structural supports for participatory health research in primary care clinical settings with this population and others who experience marginalisation and exclusion. Patients and clinicians participated in the study both in the formulation of the study question, data collection, analysis and dissemination of these results; consented to their individual participation;and reviewed early drafts of the manuscript.

Experiences of patient-initiated discharge from an inpatient withdrawal management service: a qualitative descriptive study

ABSTRACT Background Patient-initiated discharges, also known as against medical advice discharges, are a common occurrence in inpatient withdrawal management settings. The purpose of this qualitative descriptive study was to gain an understanding of patient perspectives of their reasons for and experiences of patient-initiated discharge from an inpatient withdrawal management service. Methods A consecutive sample of patients were recruited from an inpatient withdrawal management service. Qualitative descriptive methodology was used with semi-structured telephone interviews as the method of data collection. Interviews were transcribed and then analyzed following the principles of conventional content analysis. Results Interviews were conducted with 13 participants. Factors that precipitated patient-initiated discharge were related to external pressures experienced by the patient, dissatisfaction with treatment or the hospital environment, and difficulties related to the COVID-19 pandemic. Participants often experienced strong emotions prior to leaving early and found conversations with staff about patient-initiated discharge difficult. Overall, participants had mixed perceptions of their discharge experience. Conclusions This study is an important addition to the literature as the first to qualitatively examine patient perspectives of patient-initiated discharge from an inpatient withdrawal management service. Future studies should explore interventions to mitigate patient-initiated discharges or improve the associated processes when they cannot be avoided.

Sepsis survivors and caregivers perspectives on post-acute rehabilitation and aftercare in the first year after sepsis in Germany.

Sepsis survivors often suffer from new morbidities. Current rehabilitation therapies are not tailored to their specific needs. The perspective of sepsis survivors and their caregivers on rehabilitation and aftercare is insufficiently understood. We aimed to assess how sepsis survivors in Germany rated the suitability, extent and satisfaction with rehabilitation therapies that they underwent in the year following the acute sepsis episode. Prospective mixed-methods, multicenter study among a cohort of adult ICU-treated sepsis survivors and their caregivers. Interviews were conducted 6 and 12 months after ICU discharge by telephone and comprised closed as well as open-ended questions. Primary outcomes were the utilization and patient satisfaction with inpatient and outpatient rehabilitation and post-sepsis aftercare in general. Open-ended questions were analyzed according to the principles of content analysis. Foun hundred interviews were performed with 287 patients and/or relatives. At 6 months after sepsis, 85.0% of survivors had applied for and 70.0% had undergone rehabilitation. Among these, 97% received physical therapy, but only a minority reported therapies for specific ailments including pain, weaning from mechanical ventilation, cognitive deficits of fatigue. Survivors were moderately satisfied with the suitability, extent, and overall results of received therapies and perceived deficits in the timeliness, accessibility, and specificity of therapies as well as deficits in the structural support frameworks and patient education. From the perspective of survivors who undergo rehabilitation, therapies should already begin in hospital, be more appropriate for their specific ailments and include better patient and caregiver education. The general aftercare and structural support framework should be improved.

US Leverage Tools in Iran in 1950s - 1960s

The study presents an analysis of American influence in Iran after the World War II. The author describes how American foreign policy concepts worked in Iran, and opened a window into the country for American oil industries. The importance and relevance of the article lie in the fact that the players have not changed significantly, nor have the rules of the game and the actions they evoke changed much. Although the foreign policy toolkit of the US has been modernized, very often old methods are still practiced in the region, thus the study and analysis of those are very valuable today. The author tries to identify the problems of Iran in the second half of the 20th century, to study them in parallel with American foreign policy concepts, to present and analyze how American concepts paved the way for the expansionist policy of the United States. The key finding of the research shows that every American foreign policy concept was basically implemented only in case of the continuity of the power of the same party. Thus, Republican D. Eisenhower promoted the concept of supporting American oil tycoons. After him, Democrat J.F. Kennedy did not continue this approach in full, but only retained some elements. J.F. Kennedy believed that if the Iranian government was headed by a skilled prime minister, an adherent of Western values, who could properly manage the Iranian economy, then Iran would become a regional ally for the United States rather than a dependent country. After J.F. Kennedy, L. Johnson continued the foreign policy approach regarding Iran by promoting the country’s reformation through the White revolution. However, as history proved, the White Revolution failed to solve all the socioeconomic problems of Iran in the short term. Instead, the monarchy faced new and already fatal problems. The sources for this paper were the archives of the US presidents, the archives of the US State Department, the memoirs of a number of politicians, the correspondence between the US presidents and the Shah, as well as the Iranian press of that time. The author has applied the historical-comparative method, using the principles of content analysis.