Qualitative Study Research Articles

Teachers with a refugee background work as educators in Germany

This study's focus is to determine refugee teachers' views regarding their ability to work as teachers in Germany, their initiatives, and the challenges they face. In this context, the study was conducted based on qualitative research methodology. In order to collect data a total of 265 teachers residing in the 16 states of Germany were reached. Upon examining the results, it is observed that the majority of participants express a desire to work as teachers in Germany, while only a few have actually obtained the opportunity to work as teachers in Germany. More than half of the participants who are currently working as teachers reside in the North Rhine-Westphalia state. When analyzing the results, it becomes evident that a significant portion of the participants are strongly inclined to pursue a teaching career in Germany. However, the data reveals that the actual attainment of employment as teacher in Germany remains relatively low among the respondents. Furthermore, it is noteworthy that a majority of the teachers currently employed in the profession are concentrated in the North Rhine-Westphalia state.

Intergovernmental networks and local government capacity for disaster management in North Sumatra

The objective of this study is to examine the impact of decentralization on disaster management in North Sumatra Province. Specifically, it will analyze the intergovernmental networks, local government resilience, leadership, and communication within disaster management agencies. The study used a hybrid research approach, integrating qualitative and quantitative methodologies to investigate the connections between these factors and their influence on disaster response and mitigation. The study encompassed 144 personnel from diverse government tiers in North Sumatra and performed a meta-analysis on the implementation of disaster management. Intergovernmental networks were discovered to enhance collaboration in disaster management by eliminating regulatory gaps and efficiently allocating logistics. Nevertheless, local governments have obstacles as a result of limited resources and inadequate expertise, notwithstanding the progress made in infrastructure technology. The F test results reveal that leadership and communication have a substantial impact on the performance of BPBD personnel. The meta-assessment classifies its impact as extraordinarily high, suggesting comprehensive evaluation and successful achievement of goals in disaster management planning. Efficient cooperation among relevant parties is essential in handling calamities in North Sumatra. The government, commercial sector, NGOs, universities, and society have unique responsibilities. To improve effectiveness, governments should encourage private sector involvement, while institutions can increase their research contributions.

Sustainable Business Strategies: Exploring the Role of Corporate Social Responsibility and Virtual Reality in Enhancing Brand Value

This study explores the intersection of Corporate Social Responsibility (CSR) and Virtual Reality (VR) in developing sustainable business strategies that enhance brand value. Employing a qualitative research methodology through a comprehensive literature review and library research, the paper investigates how CSR initiatives, when integrated with immersive VR technologies, contribute to long-term brand equity and consumer engagement. The research highlights CSR's evolving role in aligning corporate activities with social and environmental goals, which not only strengthens stakeholder relationships but also increases brand loyalty. In parallel, VR technologies are gaining traction in marketing and brand communication, offering immersive experiences that create deeper emotional connections with consumers. The study analyzes recent case studies and academic discussions, illustrating how VR can enhance CSR's impact by making initiatives more accessible and engaging to a broader audience. This synergy between CSR and VR not only fosters a stronger brand identity but also provides a competitive advantage by differentiating brands in an increasingly socially conscious marketplace. The findings suggest that businesses leveraging CSR strategies alongside VR can cultivate a sustainable brand narrative that resonates with both customers and stakeholders, thereby improving overall brand value and driving sustainable growth. Future research is encouraged to further examine specific industries where these strategies can be most effectively implemented.

Understanding the severity of attachment injury-related stress symptoms via the reasons for forgiveness and unforgiveness identified by injured romantic partners

IntroductionFailure to provide comfort and care to a romantic partner in a moment of need for support can result in feelings of betrayal and abandonment, and impact trust. This type of relationship trauma is referred to as an attachment injury, which can have negative psychological consequences for the injured partner and for some, it is more difficult to adjust. It appears that forgiveness favors reconciliation in couples who have experienced an attachment injury, whereas unforgiveness can prevent its resolution. But, are the reasons for forgiving or not forgiving a partner associated with adjustment to an attachment injury in injured partners? ObjectivesThis mixed-methods (qualitative and quantitative) study aimed to (1) identify the reasons for forgiving and not forgiving an attachment injury and to organize these reasons into themes, and (2) examine the associations between the forgiveness and unforgiveness themes and the severity of injury-related stress symptoms. MethodA total of 84 participants who forgave and 50 who did not forgive their partner provided reasons for their decision and completed a measure of injury-related stress symptoms. Data were analyzed using thematic content analysis and multiple regressions. ResultsSeven themes of reasons for forgiveness and eleven themes of reasons for unforgiveness were identified. The forgiveness theme Strong partner commitment to repairing the injury on the part of the injuring partner was associated with lower injury-related stress symptoms, whereas the forgiveness theme I understand my partner and/or the context in which the injury occurred was associated with higher injury-related stress symptoms. The themes of reasons for unforgiveness were not significantly associated with injury-related stress symptoms. ConclusionThis study provides a foundation for the development of a psychosocial model of forgiveness and unforgiveness among partners who experienced an attachment injury in their romantic relationship.

Intersectional Discrimination in Mental Health Care: A Systematic Review With Qualitative Evidence Synthesis.

Discriminatory practices in mental health care undermine the right to health of marginalized service users. Intersectional approaches enable consideration of multiple forms of discrimination that occur simultaneously and remain invisible in single-axis analyses. The authors reviewed intersectionality-informed qualitative literature on discriminatory practices in mental health care to better understand the experiences of marginalized service users and their evaluation and navigation of mental health care. The authors searched EBSCO, PubMed, MEDLINE, and JSTOR for studies published January 1, 1989-December 14, 2022. Qualitative and mixed-methods studies were eligible if they used an intersectional approach to examine discrimination (experiences, mechanisms, and coping strategies) in mental health care settings from the perspective of service users and providers. A qualitative evidence synthesis with thematic analysis was performed. Fifteen studies were included in the qualitative evidence synthesis. These studies represented the experiences of 383 service users and 114 providers. Most studies considered the intersections of mental illness with race, sexual and gender diversity, or both and were performed in the United States or Canada. Four themes were identified: the relevance of social identity in mental health care settings, knowledge-related concerns in mental health care, microaggressions in clinical practice, and service users' responses to discriminatory practices. Discriminatory practices in mental health care lead to specific barriers to care for multiply marginalized service users. Universities and hospitals may improve care by building competencies in recognizing and preventing discrimination through institutionalized training.

Unleashing the secrets of academic writing: exploring Indonesian language courses in higher education

Academic writing has been a widely substantial course in higher education as it plays a vital role in cultivating students’ academic writing skills. Drawing on qualitative descriptive study, this study aims to explore the fundamental requirements for academic writing to base the creation of an effective learning framework. Data consisted of teaching materials, semester learning plan (SLP), assessment tools, and guidelines for academic writing from three universities in Surakarta, Central Java, Indonesia. Findings reveal that learning materials and the SLP have both strengths and weaknesses. Despite these, there is diversity in learning and assessment methods. Adopted teaching methods encompass project-based learning, problemsolving, and lectures, while learning assessment includes portfolio techniques, project assessment, and written exams. These findings provide insight into the imperative of academic writing in the academic setting. This serves as a basis for the development of more effective learning methods. Thus, the proposed model for academic writing adopts a project-based approach to improve students’ writing by integrating indigenous wisdom to promote students' character development.

Corporate social and digital responsibility in esports

PurposeThe esports industry has experienced a dynamic growth. In this context, a significant evolution in the logic of corporate social responsibility (CSR) can be observed, particularly in the digital sphere. By extending Carroll’s three-dimensional model to include corporate digital responsibility (CDR), this paper addresses a key research question: How does CSR evolve and develop in the dynamic digital industry of esports?Design/methodology/approachThis study employed a qualitative multiple case study research design. It drew on secondary data from 50 professional esports organisations and key players in CSR development in the global esports industry, such as game publishers, pro-teams, pro-athletes, event organisers, and governing bodies. A content analysis of 50 official websites and 72 public annual, CSR, and environmental reports for the financial years ending in 2021 and 2022 was conducted.FindingsOur empirical findings not only map the territory of esports CSR and CDR but also provide practical insights. These insights are later synthesized to develop an esports CSR/CDR framework that extends Carroll’s three-dimensional model. CSR and CDR domains of esports are theoretically grounded (business performance, responsiveness, social issues, and digital responsibilities), while practical implications for managers and academics are forwarded.Originality/valueThis paper stands out as a pioneering empirical study, filling a significant research gap in the fields of CSR and CDR in esports. To the best of our knowledge, it is the first to illuminate these concepts within the unique ecosystem of esports, thereby contributing to the evolving understanding of CSR in the digital context.

An Exploratory Expert-Study for Multi-Type Haptic Feedback for Automotive Virtual Reality Tasks.

Previous research has shown that integrating haptic feedback can improve immersion and realism in automotive VR applications. However, current haptic feedback approaches primarily focus on a single feedback type. This means users must switch between devices to experience haptic stimuli for different feedback types, such as grabbing, collision, or weight simulation. This restriction limits the ability to simulate haptics realistically for complex tasks such as maintenance. To address this issue, we evaluated existing feedback devices based on our requirements analysis to determine which devices are most suitable for simulating these three feedback types. Since no suitable haptic feedback system can simulate all three feedback types simultaneously, we evaluated which devices can be combined. Based on that, we devised a new multi-type haptic feedback system combining three haptic feedback devices. We evaluated the system with different feedback-type combinations through a qualitative expert study involving twelve automotive VR experts. The results showed that combining weight and collision feedback yielded the best and most realistic experience. The study also highlighted technical limitations in current grabbing devices. Our findings provide insights into the effectiveness of haptic device combinations and practical boundaries for automotive virtual reality tasks.

Utilizing fillers for addressing speaking challenges, improving self-confidence and motivation in EFL learning

This qualitative case study aimed to explore fillers usage to address speaking challenges related to the improvement of self-confidence and motivation in speaking practices done by two English foreign language (EFL) learners of the English department of one of the Islamic Universities in Malang, Indonesia. Data were collected through observations and in-depth interviews to two students employing filler strategies to address speaking challenges related to the improvement of self-confidence and motivation during their speaking exercises. The research revealed that both learners used fillers to address speaking challenges during the conversation due to their linguistic components’ shortage such as a limited mastery of vocabularies and having a little understanding on grammar. Fillers might bring them to have more self-confidence in speaking practices shown by not being afraid of making mistakes when they practice speaking with their speaking partners. Fillers might bring them to have more motivation in speaking shown by their enthusiasm to get involved in the discussion whether in group or class discussions. Thus, fillers usage is prominent due to its potential to address speaking challenges, enhance self-confidence and motivation, eventually contributing to an overall improvement in language proficiency particularly in speaking skill.

Not in the file: How competency committees work with undocumented contributions.

Competence committees (CCs) centre their work around documentation of trainees' performance; undocumented contributions (i.e. informal, unrecorded material like personal judgements, experiential anecdotes and contextual information) evoke suspicion even though they may play a role in decision making. This qualitative multiple case study incorporates insights from a social practice perspective on writing to examine the use of undocumented contributions by the CCs of two large post-graduate training programmes, one in a more procedural (MP) speciality and the other in a less procedural (LP) one. Data were collected via observations of meetings and semi-structured interviews with CC members. In the analysis, conversations were organised into triptychs of lead-up, undocumented contribution(s), and follow-up. We then created thick descriptions around the undocumented contributions, drawing on conversational context and interview data to assign possible motivations and significance. We found no instances in which undocumented contributions superseded the contents of a trainee's file or stood in for missing documentation. The number of undocumented contributions varied between the MP CC (six instances over two meetings) and the LP CC (22 instances over three meetings). MP CC discussions emphasised Entrustable Professional Activity (EPA) observations, whereas LP CC members paid more attention to narrative data. The divergent orientations of the CCs-adding an 'advis[ing]/guid[ing]' role versus focusing simply on evaluation-offers the most compelling explanation. In lead-ups, undocumented contributions were prompted by missing and flawed documentation, conflicting evidence and documentation at odds with members' perceptions. Recognising other 'red flags' in documentation often required professional experience. In follow-ups, purposes served by undocumented contributions varied with context and were difficult to generalise; we, therefore, provide deeper analysis of two vignettes to illustrate. Our data suggest undocumented contributions often serve best efforts to ground decisions in documentation. We would encourage CC practices and policies be rooted in more nuanced approaches to documentation.

Caring for the child with a tracheostomy through the eyes of their caregiver: A photovoice study

PurposeThis qualitative descriptive study aimed to explore the daily experiences of caregivers of children with medical complexity with a tracheostomy at home. MethodsThis study used photovoice, a participatory action research methodology. Adult English-speaking caregivers of children with a tracheostomy, living in Texas, with access to a smartphone were recruited. Photographs taken by participants and an interview guide were used to guide semi-structured interviews with caregivers. ResultsEight participants were recruited. After analyzing photographs and caregiver interviews, four main themes were identified: role transition, daily challenges, finding support, and thriving in the new normal. ConclusionsCaregivers take on multiple roles, including providing medical care, advocating for their children, and educating others. While facing emotional challenges such as guilt, fear, and exhaustion, caregivers rely on external support systems, emphasizing the need for nurses and healthcare providers to provide comprehensive support and improve the accessibility of home nursing services. Practice implicationsThe findings of this study can inform nurse-led interventions and advocacy efforts aimed at supporting marginalized children with medical complexity with a tracheostomy and their families. These efforts may include enhancing communication and collaboration between families, healthcare workers, and the public, providing comprehensive, proactive support for caregivers, and improving access to home nursing services.

Environmental analysis in UK modern methods of construction (MMC) housing: insights from early-stage architectural design process

PurposeModern Methods of Construction (MMC) have been promoted as a solution to address housing shortages and meet sustainability goals in the UK. However, the practical functioning of MMC, particularly in relation to early-stage environmental analyses, remains underexplored. This study aims to fill this gap by providing empirical insights into how architects engage in environmental analysis in early-stage MMC housing designs.Design/methodology/approachThis qualitative pilot study is based on a detailed case study of a UK architectural firm specializing in modular housing. Semi-structured interviews were conducted with eight architects with varying MMC experience. Thematic analysis of the qualitative data allowed for the exploration of key themes influencing early-stage environmental analysis, offering a narrative account of architects’ experiences in MMC practices.FindingsThe study reveals that environmental analysis in MMC is shaped by social, organisational and project-based factors. Three key themes emerged: uncertainty in environmental assumptions, dependencies on external consultants and the dominance of Passivhaus principles in design decisions. These factors challenge the integration of environmental considerations during the early design stages of MMC projects.Research limitations/implicationsAs this is a single case study, the findings might not be generalizable. Future research should expand on multiple firms and project settings to validate and broaden these findings.Originality/valueThis study provides an in-depth understanding of the challenges architects face when integrating environmental analysis into MMC. This reveals the relational and interdependent nature of environmental analysis in MMC projects, where decisions are shaped by multiple social, organisational and project-specific factors. By emphasizing these interdependencies, this study provides original insights into how environmental considerations can be integrated more effectively into the early design stages of MMC projects.

Growing up with Congenital Heart Disease: A Qualitative Research Study of Parents’ and Clinicians’ Experiences and Perspectives

Growing up with Congenital Heart Disease: A Qualitative Research Study of Parents’ and Clinicians’ Experiences and Perspectives

Negative and Positive Experiences During the COVID-19 Pandemic in Canadians With Developmental Disabilities: AOne-Year Ontario-Based Survey.

Understanding the experiences of people with developmental disabilities during the initial period of COVID-19 pandemic. Individuals with developmental disabilities and their caregivers completed baseline and up to five follow-up online surveys using the CRISIS-AFAR measures, between July 2020 and September 2021. We used qualitative (thematic analysis) and quantitative (MANOVA) analytic methods. One hundred and eighteen participants (64 caregivers on individuals 6-62 years, 54 self-reporting individuals aged 17-55 years) completed baseline survey; 46 participants (23 caregivers, 23 self-reporting adults) completed ≥1 follow-up. Qualitative themes included uncertainty, and negative and positive influences on behaviours and routines, daily life and mental wellness. Those experiencing positive impacts did not stably perceive so longitudinally. Despite both negative and positive influences on individuals with developmental disabilities and their families, the prolonged pandemic had wide-ranging repercussions. Emergency preparedness planning should consider the disruptive effects of public health measures on routine and support for this vulnerable population.

Factors Influencing the Professional Skepticism of Independent Auditors in Financial Statement Audits

The author employed a qualitative research method by soliciting the opinions of experts in the field of auditing. From this, the author identified five primary factors influencing professional skepticism, which include: the auditors' professional knowledge and experience, the auditors' ethical standards, the auditors' personality, the relationships between auditors and their superiors, colleagues, and clients, as well as the workload. Through quantitative research methods, the author determined that three factors – auditors' professional knowledge and experience, auditors' ethical standards, and auditors' personality – positively affect the professional skepticism of independent auditors in financial statement audits.

Teachers’ Perspectives on AI-Driven Quillionz for Generating EFL Reading Comprehension Quizzes

Emerging artificial intelligence (AI) has significant impacts on language learning and teaching, providing innovative pedagogies in sustainable educational settings. Among the powerful tools stands Quillionz (https://www.quillionz.com), a free AI-powered platform for building questions, quizzes, and assessments. Nevertheless, there has been little research on teachers’ experiences and perceptions of using Quillionz in EFL classroom settings. This study set out to explore teachers’ perspectives on utilizing Quillionz to generate reading comprehension quizzes for non-English major students through a pre and post-survey design. The research employed both qualitative and quantitative methods with Likert-scale questionnaires distributed to 48 English teachers from a vocational college in Hanoi before and after using Quillionz over four weeks. A paired sample T-Test was conducted to explore shifts in teachers’ perceptions. Subsequently, in-depth interviews were carried out with 10 randomly selected participants for further investigation. The findings revealed positive views among teachers towards Quillionz, its identified potential, and suggestions for more effective implementation. This paper makes a significant contribution to the integration of technology in language teaching, thereby enhancing students’ learning experiences.

Managerial ethical principles and behaviours for nurse managers: A Delphi method.

Managerial ethical principles and behaviours guide the roles, duties, responsibilities, behaviours, and relationships of nurse managers in healthcare institutions. The aim of this study was to establish the managerial ethical principles and behaviours for nurse managers. What are the managerial ethical principles and behaviours for nurse managers? The Delphi method, one of the qualitative research methods, was used in this study. The Delphi process consisted of two rounds. Data were collected by e-Delphi technique. 42 experts were included in the first Delphi round and 39 in the second Delphi round. These experts consisted of nurse managers, academicians studying in the field of ethics and nursing management. Participation in the study was voluntary and informed consent of the experts was obtained before the study. Approval was obtained from the ethics committee of the university at which the researcher worked (Approval date: 24.07.2020, Decision No: 2020/12-16). At the end of the Delphi rounds, eight managerial ethical principles and 29 ethical behaviours of these principles were identified. The distribution of these behaviours and principles were: justice (six behaviours), equality (two behaviours), honesty (two behaviours), fairness (two behaviours), responsibility (eight behaviours), confidentiality (two behaviours), clarity (two behaviours), and humanity (five behaviours). These managerial ethical principles and behaviours are intended to guide nurse managers when providing nursing services but should be updated accordingly in line with changing conditions and developments.

Medical futility at the end of life: the first qualitative study of ethical decision-making methods among Turkish doctors

BackgroundThe swift advancement of intensive care medicine, coupled with technological possibilities, has prompted numerous ethical inquiries regarding decision-making processes concerning the withholding or withdrawal of treatment due to medical futility. This study seeks to delineate the decision-making approaches employed by intensive care physicians in Türkiye when faced with medical futility at the end of life, along with an ethical evaluation of these practices.MethodsGrounded theory, a qualitative analysis method was employed, conducting semi-structured, in-depth interviews with eleven intensive care physicians in Türkiye. The subsequent text analysis was carried out using MAXQDA software.ResultsParticipants assert that the decisions made by Turkish physicians determine whether treatment is futile, rely on medical consensus, and lack a standardized decision-making process. The decisions are influenced by legal and social pressures, resource constraints, and occasional conflicts of interest. The significance of professional hierarchy is notable, with limited consideration given to the opinions of nurses and other staff. The unstructured medical consensus processes are shaped by normative concepts such as benefit, age, justice, and conscience. Furthermore, it was observed that the conscientious opinions of physicians carry more weight than adherence to ethical principles and guidelines.ConclusionTo create optimal conditions for doctors to make ethically justifiable decisions, the dynamics within the treatment team should be improved, emphasizing the minimization of hierarchy, and ensuring the active participation of all team members in the decision-making process. Additionally, efforts should be directed toward narrowing the gap between the conscience of the individual doctor and established ethical principles. A potential solution lies in the nationwide implementation of clinical ethics committees and the establishing of clinical ethics guidelines, aiming to address, and overcome the identified challenges.

MASLD: What We Have Learned and Where We Need to Go-A Call to Action.

Since its introduction in 1980, fatty liver disease (now termed metabolic dysfunction-associated steatotic liver disease [MASLD]) has grown in prevalence significantly, paralleling the rise of obesity worldwide. While MASLD has been the subject of extensive research leading to significant progress in the understanding of its pathophysiology and progression factors, several gaps in knowledge remain. In this pictorial review, the authors present the latest insights into MASLD, covering its recent nomenclature change, spectrum of disease, epidemiology, morbidity, and mortality. The authors also discuss current qualitative and quantitative imaging methods for assessing and monitoring MASLD. Last, they propose six unsolved challenges in MASLD assessment, which they term the proliferation, reproducibility, reporting, needle-in-the-haystack, availability, and knowledge problems. These challenges offer opportunities for the radiology community to proactively contribute to their resolution. The authors conclude with a call to action for the entire radiology community to claim a seat at the table, collaborate with other societies, and commit to advancing the development, validation, dissemination, and accessibility of the imaging technologies required to combat the looming health care crisis of MASLD.

Repurposing prescribed hydromorphone: Alternative uses of safer supply and tablet-injectable opioid agonist treatment to meet unaddressed health needs

BackgroundIn response to the ongoing overdose crisis in Canada, a number of opioid agonist treatment and safer supply programs provide people at high overdose risk with daily-dispensed tablet hydromorphone, with some requiring witnessed ingestion and others providing take-away doses. While these programs are intended to reduce overdose events by limiting people's use of the contaminated drug supply, the experiences of people receiving hydromorphone vary. In this article we explore the ways people repurpose hydromorphone to address unmet needs. MethodsThis article draws on in-depth qualitative interviews from two studies evaluating hydromorphone tablet distribution programs in British Columbia, Canada. We used thematic analysis to identify themes related to repurposing hydromorphone. We compared themes across the two studies to identify any similarities or differences in relation to the ways study participants discussed repurposing hydromorphone tablets. We utilize vignettes – snapshots of participant experiences – to analyse and represent the data. ResultsFour vignettes demonstrate how hydromorphone tablets are often being used to address and resolve unmet needs of people who use drugs. While most participants reported reducing their use of illicit drugs, a variety of instrumental uses of tablet hydromorphone were also discussed, including reducing anxiety, addressing sleep issues, withdrawal management, and managing chronic pain. ConclusionOur findings demonstrate how people who use drugs are maximizing the benefits of tablet hydromorphone distribution to address unmet needs. Hydromorphone distribution programs represent a public health and harm reduction intervention that is usefully addressing experiences related to structural vulnerabilities (such as inadequate pain management), which are often overlooked amongst stigmatized groups.