Secondary Analysis Of Qualitative Data Research Articles

“You're only a receptionist, what do you want to know for?”: Street-level bureaucracy on the front line of primary care in the United Kingdom

IntroductionIn care settings across the globe non-clinical staff are involved in filtering patients to the most appropriate source of care. This includes primary care where general practice receptionists are key in facilitating access to individual surgeries and the wider National Health Service. Despite the complexity and significance of their role little is known of how the decision-making behaviors of receptionists impact policy implementation and service delivery. By combining the agent-based implementation theory of street-level bureaucracy with a tri-level analytical framework this work acknowledges the impact of the decisions made by receptionists as street-level bureaucrats and demonstrates the benefits of using the novel framework to provide practical insight of the factors influencing those decisions. MethodsA secondary analysis of qualitative data gathered from a series of semi-structured interviews conducted with 19 receptionists in the United Kingdom in 2019 was used to populate a tri-level framework: the micro-level relates to influences on decision making acting at an individual level, the meso-level influences at group and organizational levels, and the macro–level influences at a societal or policy level. ResultsAt the micro-level we determined how receptionists are influenced by the level of rapport developed with patients and would use common sense to interpret urgency. At the meso-level, influences included their position at the forefront of premises, the culture of the workplace, and the processes and protocols used by their practice. At the macro-level, participants described the impact of limited health service capacity, the lack of mandatory training, and the growth in the use of digital technologies. ConclusionsStreet-level bureaucracy, complemented with a tri-level contextual analysis, is a useful theoretical framework to understand how health workers, such as receptionists, attempt to provide universality without sufficient resource, and could potentially be applied to other kinds of public service workers in this way. This theoretical framework also benefits from being an accessible foundation on which to base practice and policy changes.

Parent Experiences with the Process of Sharing Inpatient Safety Concerns for Children with Medical Complexity: A Qualitative Analysis.

To describe the process of identifying and reporting inpatient safety concerns from the perspective of parents of children with medical complexity (CMC). We conducted a secondary analysis of qualitative data from semi-structured interviews with 31 English and Spanish-speaking parents of CMC at two tertiary children's hospitals. Interviews lasted 45-60minutes and were audio-recorded, translated, and transcribed. Three researchers inductively and deductively coded transcripts using an iteratively refined codebook with validation by a fourth researcher. Thematic analysis was used to develop a conceptual model of the process of inpatient parent safety reporting. We identified four steps illustrating the process of inpatient parent safety concern reporting 1) parent recognizing concern, 2) parent reporting concern, 3) staff/hospital response continuum, and 4) parent feelings of validation/invalidation. Many parents endorsed that they were the first to catch a safety concern and were identified as unique reporters of safety information. Parents typically described reporting their concerns verbally and in real-time to the person they felt could quickly remedy the situation. There was a spectrum of validation. Some parents reported their concerns were not acknowledged and addressed, which led them to feel overlooked, disregarded, or judged. Others reported their concerns were acknowledged and addressed, resulting in parents feeling heard and seen and often leading to changes in clinical care. Parents described a multi-step process of reporting safety concerns during hospitalization and a spectrum of staff response and validation. These findings can inform family-centered interventions that support safety concern reporting in the inpatient setting.

Patterns of Corporate Punishment in Corruption Crimes in the Indonesian Legal System

The issue of criminalizing corruption crimes involving corporations has become a concern because, recently, the phenomenon of corruption in several cases has involved corporations that are not easily subject to criminal sanctions. This research aims to analyze the criminal liability for corporations as perpetrators of corruption crimes in the Indonesian legal system and the pattern of punishment for corporations that commit corruption crimes. This research method applies the normative juridical method with a qualitative analysis of secondary data. The results show that law enforcement officials who determine corporations as suspects in corruption crimes and punish them but have difficulty in ensnaring corporations. One of the causes is the incomplete provisions regarding corporations as legal subjects in the anticorruption law. In addition, investigators have difficulty finding evidence and determining the identity of corporate offenders. The pattern of punishment for corporations is to apply a cumulative-alternative punishment pattern aimed at the corporation and its management. For corporations, the type of punishment imposed is fines or economic punishment aimed at recovering losses due to corruption or administrative punishment such as revocation of business licenses, while for the management, the punishment imposed is imprisonment and fines.
 Keywords: sentencing, corruption, corporation

Legal effectiveness in promoting development policies: A case study of North Aceh Indonesia

This research evaluated the effectiveness of the Law on the Governing of Aceh (LoGA) as the legal basis for regional development policies in the North Aceh District, Indonesia. Despite its enactment in 2006, the district has faced persistent challenges, including high poverty rates and poor economic growth. The LoGA was intended to accelerate development in Aceh after the conflict and tsunami, reflecting the legal aspirations of the region (reconsidered). Therefore, using a qualitative approach, including interviews, observations, and analysis of secondary data, this research evaluated the effectiveness of the LoGA based on its provisions, enforcement, infrastructure and facilities, political landscape, cultural factors, and societal impacts. The result showed significant substantive, institutional, and societal challenges, which led to legal uncertainty, ineffective policy implementation, and the necessity for policy revision and community involvement.

Anthropological Sociology Of Sharia Economic Law On The Practice Of Gold Arisan Contracts Of Indonesian Sharia Pawnshops

This research analyzes in depth the practice of gold gathering at Sharia Pawnshop from the perspective of sociology, anthropology and sharia economic law to reveal the complex dynamics in modern sharia economic practices and their impact on wider society. This understanding also provides insight into how local traditions and global norms interact in increasingly complex contexts. The author uses qualitative research methods and secondary data analysis. These data will be analyzed using sociological and anthropological theoretical approaches to sharia economic law. The results of this research are that the Gold Arisan practice at Sharia Pawnshop is a collective system of buying gold like traditional arisan. It builds social relationships, reflects cultural values, and adheres to sharia economic principles without usury. Sharia economic laws such as Qardh, Murabahah, and Rahn play an important role. Sociologically, this forms a complex social network. From an anthropological perspective, it reflects the values ​​and traditions of society. From the perspective of economic sharia law, comply with strict principles including the prohibition of usury and asset management. This analysis provides an in-depth understanding of financial practices in the context of culture, social norms and Islamic law, as well as the impact of social interactions.

Between New Responsibility and Daily Routines - The Role of the VERAH in GP Care: A Qualitative Secondary Data Case Study of the Introduction of Software-Based Case Management

The concept of Care Assistant in General Practice (VERAH) was developed in order to integrate non-medical staff more strongly into primary care and thus to meet the increasing demand for care and the simultaneous shortage of medical staff. VERAHs are increasingly responsible for software-supported case management and are thus confronted with new tasks. The aim of this study was therefore to explore the role of the VERAH in primary care practices. The present study is a qualitative secondary data analysis; the data collection took place within the projects VESPEERA and TelePraCMan. Twenty individual interviews and two focus group meetings were conducted with a total of 30 physicians, VERAHs and medical assistants from primary care. The data were analysed qualitatively according to Emerson. Contextual and socio-demographic data were collected with an accompanying questionnaire. The VERAHs of all primary care practices from which interview partners participated performed tasks within software-supported case management. Concerning the role of the VERAH, three themes were identified in the interviews: a) concrete tasks of the VERAH in software-supported case management within the practice team, b) relevance of software-supported case management within the activities of the VERAHS and c) relationship between VERAHs and patients. Taking over tasks in software-supported case management can contribute to strengthening and expanding the role of the VERAH. In the future, more attention should be paid to a clear description of the new role, and the conditions of the VERAHs' task fulfilment should be considered.

Situated Personhood: Insights from Caregivers of Minimally Communicative Individuals

For caregivers of minimally communicative individuals, providing support in the absence of clearly meaningful responses is ethically fraught. We conducted a secondary analysis of qualitative data from caregivers of individuals who are minimally communicative, including persons with advanced dementia and individuals in disorders of consciousness. Our analysis led to two central claims: (1) Personhood is a threshold concept that is situated, relational, and dynamic and (2) in circumstances in which personhood is difficult to judge, caregivers can “fill the gap” to reach the threshold through a repertoire of strategies. Because personhood is in part an attribution from others, a situational loss of personhood does not preclude restoration, nor does it eliminate moral status.

Racialised staff–patient relationships in inpatient mental health wards: a realist secondary qualitative analysis of patient experience data

BackgroundThe current study is a secondary analysis of qualitative data collected as part of EURIPIDES, a study which assessed how patient experience data were used to improve the quality of...

Experiences of fear of recurrence in patients with sarcoma

Abstract Background: Fear of cancer recurrence (FCR) is often described as the most distressing consequence of cancer and has a negative impact on quality of life. There have been few investigations into the FCR in patients with sarcomas. We sought to explore the patient's FCR after a sarcoma diagnosis to determine when these fears were presented and the strategies patients used to address these fears. Methods: This was a secondary analysis of qualitative semi-structured interview data from patients with sarcoma, as part of a study to develop a patient-reported outcome measure. This study included 121 patients from across the United Kingdom aged 13–82 years. Telephone and face-to-face interviews focused on the experiences of living with and beyond a sarcoma diagnosis, based on the domains of quality of life (physical, emotional, and social well-being). A secondary analysis was performed using the Common-Sense Model. Results: The following four key themes were identified: triggers for FCR (symptoms and events), discussion of FCR, consequences of FCR (negative impact on quality of life), and strategies used to deal with FCR. Conclusion: Patients with sarcoma reported a FCR at different stages of treatment and how these fears played a role in their daily lives. Despite these experiences, the identification and management of FCR have not been reported as a core component of routine clinical practice.

Unlocking the Economic Viability and Potential of North Eastern Airports: An Analytic Study with Opportunity and Challenges

Purpose: This research study aims to analyze the economic viability and potential of North Eastern airports in India by conducting a qualitative secondary data analysis. The study explores the opportunity and challenges in aviation industry in North East.
 
 Theoretical Framework: The study focuses on the economic potential and challenges of North Eastern airports. It uses various theoretical frameworks, including airport economics, regional development, transportation demand, and sustainability. It also considers policy alignment, stakeholder engagement, and impact on tourism. The goal is to analyze opportunities and barriers, helping to harness the economic viability of these airports in the region.
 
 Design/Methodology/Approach: Employing a qualitative research approach, this study conducts a thematic analysis of existing secondary data and reports. By examining government documents, airport statistics, tourism data, and academic research, the study seeks to uncover patterns, themes, and trends related to the economic impact of North Eastern airports.
 
 Research, Practical & Social Implication: The findings have practical implications for policymakers, airport authorities, and stakeholders seeking to harness the economic potential of the region. The core implication of this study is to promotion of North Eastern Airway development and tackle the challenges.
 
 Findings: The thematic analysis of secondary data reveals a positive correlation between increased airport infrastructure and economic indicators. Enhanced air connectivity has led to economic diversification, but there are numerous challenges too.
 
 Originality/Value: This study explores the challenges and opportunities in North Eastern airports and its effect on economic viability. The study also acknowledges the potential challenges, including government support, environmental considerations, community involvement, and regulatory compliance. By employing an analytical approach, the study seeks to provide insights into how strategic airport development can serve as a catalyst for economic growth while addressing potential obstacles.

Urgent call for protection and use of transboundary watercourses. Some legal reflections

AbstractThe use of transboundary water resources has received special international attention in recent years. Although riparian countries recognize the benefits of cross‐border rivers and enter into agreements with countries sharing the transboundary rivers by means of legal rules, treaties, and principles, they have done excessive riverine exploitation activities to maximize their socio‐economic benefits, causing the imbalance in the ecosystems and peace. This study aims to conduct a secondary analysis of primary qualitative data to research the common legal frameworks on international water law such as Helsinki Rules, UN Watercourses Conventions, and UNECE Water Convention, together with a case study on the Mekong River Agreement. Bilateral, multilateral, international treaties and principles are currently not enforceable enough to compel riparian countries strictly to comply with these legal rules and principles on equitable and sustainable water coordination and development. Besides, there are still internal conflicts among the upper and lower riparian countries over the equitable and reasonable use of transboundary river watercourses due to lack of punitive sanctions. There is an urgent need to establish a specialized international water management commission designated by all nations with the utmost power to regulate human‐related activities concerning transboundary watercourses to govern equitable and sustainable management and development of the transboundary water use. Besides, current international law principles have to be revised to fill the gap of disagreement and potential conflicts between upstream, middle stream and downstream countries.

The Politics of Demographic Change: Addressing the Youth Bulge in Ivory Coast

This research explores the relationship between youth bulge and political instability, using Ivory Coast as a case study. Despite being one of the world's poorest continents, Africa is experiencing a quick and considerable youth bulge, posing difficulties to political stability. The youth bulge phenomenon, which is defined by a disproportionate increase in the youthful population compared to other age groups, has historically been linked to political upheaval, as evidenced by events such as the Arab Spring. Lack of democracy, economic restrictions, and ethnic or religious discrimination are among the factors that contribute to political instability during a youth bulge. This study uses a qualitative research approach and secondary data analysis to investigate the impact of the youth bulge on the Ivory Coast political scene. The findings suggest a high youth unemployment rate of 35.7%, as well as considerable differences in educational access and political participation among young people. This lack of political engagement exacerbates the confusion, resulting in rebellion and instability. The study emphasizes the significance of tackling socioeconomic difficulties and increasing political inclusion to counteract the negative consequences of the youth bulge on political stability in Ivory Coast and other contexts.

Holistic Engagement and White Neoliberal Social Work: Resistance or Accommodation?

ABSTRACT The article situates key themes on holistic engagement practice (HEP) within the context of white neoliberal social work practice. Through a secondary analysis of qualitative data using a critical phenomenological framework, the authors analyze the narratives of social workers who completed a 2-day training on holistically engaged social work practice and reflected on the impacts of the training on their work and lives. The authors explore the role that neoliberal structures, along with social work culture, training and institutional expectations, play in the meaning participants assign to HEP, and their ability to engage such practices in their daily personal and professional lives. Findings reveal themes around the culture of busyness, self-care as a means to an end, the challenges of vulnerability, and importance of relational social work. These findings shed light on the structural and cultural changes needed in the profession to embody whole person practice. Implications focus on needed structural changes in organizations and in social work education, as well as the need for practitioners to have opportunities for longer- term immersion in holistic practices.

A Critical Ecological Exploration of Peer Socialization Agents’ Sense of Belonging

Abstract: Peer socialization agents (PSAs; e.g., resident assistants, orientation leaders) are trained to facilitate belonging through formal socialization initiatives. We used secondary qualitative data analysis, in combination with a critical constructivist approach, to explore PSAs’ sense of belonging and the contexts in which they experience it through ecological systems theory. Findings demonstrated that PSAs rarely experienced a broad sense of belonging, contrary to prevailing wisdom that links involvement and belonging. PSAs are charged with fostering belonging for others while simultaneously navigating systems that undermine their feelings of belonging. Rather than experiencing widespread feelings of belonging, PSAs often experienced it only in specific microsystems that affirmed their identities and experiences, including student groups, organizations, or affinity spaces. Finally, we highlight implications for research and practice.

Applying a Power and Gender Lens to Understanding Health Care Provider Experience and Behavior: A Multicountry Qualitative Study.

A limited but growing body of literature shows that health care providers (HCPs) in reproductive, maternal, and newborn health face challenges that affect how they provide services. Our study investigates provider perspectives and behaviors using 4 interrelated power domains-beliefs and perceptions; practices and participation; access to assets; and structures-to explore how these constructs are differentially experienced based on one's gender, position, and function within the health system. We conducted a framework-based secondary analysis of qualitative in-depth interview data gathered with different cadres of HCPs across Kenya, Malawi, Madagascar, and Togo (n=123). We find across countries that power dynamics manifest in and are affected by all 4 domains, with some variation by HCP cadre and gender. At the service interface, HCPs' power derives from the nature and quality of their relationships with clients and the community. Providers' power within working relationships stems from unequal decision-making autonomy among HCP cadres. Limited and sometimes gendered access to remuneration, development opportunities, material resources, supervision quality, and emotional support affect HCPs' power to care for clients effectively. Power manifests variably among community and facility-based providers because of differences in prevailing hierarchical norms in routine and acute settings, community linkages, and type of collaboration required in their work. Our findings suggest that applying power-and secondarily, gender lenses-can elucidate consistencies in how providers perceive, internalize, and react to a range of relational and environmental stressors. The findings also have implications on how to improve the design of social behavior change interventions aimed at better supporting HCPs.

The effect of the anglophone crisis on youth sexual and reproductive health in the Northwest region of Cameroon: a qualitative study

Background The ongoing armed conflict in the two English-speaking regions of Cameroon, named the “Anglophone crisis”, has had a deleterious impact on the health and wellbeing of the populations inhabiting these regions, especially adolescents and youth, but there is sparse evidence on the effect of the crisis on adolescent and youth sexual and reproductive health (SRH). This study aimed to describe the effects of the crisis on adolescent SRH and identify stakeholder recommendations for strategies to address the SRH of youth in their crisis-impacted communities. Methods This was a secondary analysis of qualitative data collected during discussion forums with 316 community stakeholders, including parents (n=63), youths (n=81), religious leaders (29), neighborhood leaders (n=23), secondary school teachers (n=28), health professionals (n=37), pharmacists (n=5), local drug vendors (n=13), media representatives (n=12), and non-governmental organization representatives (n=29), in Bamenda, northwest region, Cameroon. A total of 12 homogenous discussion groups of 5 to 41 participants in each were conducted between May and July 2020. Session recordings were transcribed and then analyzed using Dedoose qualitative data management software and a text analysis approach. Results The results indicate that the crisis led to internal displacements and idleness among adolescent and youth, which increased their social and economic vulnerabilities, including to sexual violence and transactional sex. Resulting SRH effects were unplanned pregnancies, sexually transmitted Infections, unsafe abortions, maternal mortality, and psychosocial distress. Community stakeholders recommended that strategies to improve adolescent and youth SRH outcomes in these conflict-hit regions focus on spreading information about SRH, providing SRH services, and addressing issues of idleness. Conclusions The armed conflict in the Northwest region of Cameroon has had consequences on adolescent and youth’s adverse SRH outcomes, such as unintended pregnancies, transactional sex, rapes, unsafe abortions, and maternal death. The findings of this study highlight the importance of raising awareness on SRH risks of adolescents and youth and the necessity of adopting a community approach in developing interventions and policies to improve adolescent and youth SRH in regions affected by armed conflicts.

Barriers to Informational Support for Care Partners of People With Aphasia After Stroke.

Care partners of people with aphasia after stroke need various informational supports, such as aphasia education and resources for psychosocial support. However, informational support may vary across clinicians, and access to these supports remains a persistent unmet need. Using implementation science frameworks can help to assess the gap between what is known about an issue and what is occurring in practice. The aim was to identify barriers to providing informational support for care partners of people with aphasia after stroke. We performed a secondary analysis of qualitative data collected from two of our previous studies. New themes were identified by comparing feedback from both speech-language pathologists and care partners, and previously assigned codes were interpreted relative to the Knowledge to Action (KTA) framework. We identified four implementation themes that were specifically related to the action cycle of the KTA framework: (a) Aphasia rehabilitation tends to exclude care partners, (b) aphasia rehabilitation can be hard to understand, (c) structure is lacking for care partner check-ins, and (d) care partner informational support rarely extends beyond the acute phases of recovery. The results suggest that changes are needed at both systemic and care provider levels to ensure that tailored information is provided to care partners of people with aphasia.

The Use of Smartphones to Communicate the Gospel of Jesus Christ

There have been many changes in the organisational structure, leadership style, and divisional groups of the Christian Church that form their own identity and brand. For each group, sect and denomination, the methods used differ widely. Musical instruments were also introduced into church worship over time. While many of these organisations have maintained the foundational message of Christ, many have begun to adopt newer technology to communicate both internally and externally about their ministry. Smartphones are ubiquitous, and they are an advancement in new media technology, particularly with the introduction of the Internet. The internet and WEB 2.0 applications made it possible for smartphones to emerge. As internet speeds increased, the experience of accessing information became more seamless. Making the gospel message visual and sharing it over social media through the use of smartphones allows the gospel message to reach a wider audience in a shorter period of time. When God spoke to Moses, he communicated with him visually. Through his prophets like Hosea 12:10, Numbers 12:6 and Isaiah 1:1 he also used visions, dreams, and the spoken word. The Bible also mentions an increase in knowledge, and new media innovations are part of that process. As a result, this paper investigated the use of smartphones to share messages during church services and whether such usage is a digital distraction. This paper employed a qualitative secondary data analysis as well as focus groups with pastors and congregational members. This paper was conceptualised using the Uses and Gratification Theory (UGT) which is essentially an audience-centered approach to understanding mass communication. According to the findings, appropriate smartphone use can be a very effective communication device; however, not everyone uses them correctly. It is clear that new media is constantly evolving, and it would be advantageous for the local church to intentionally use smartphones to engage in ministry and share the gospel message. As a further study, it would be interesting to conduct comparative research on the use of smartphones and social media among other religious groups.

Perlindungan Hukum Terhadap Data Pasien Telemedicine Dalam Menerima Pelayanan Medis Berbasis Online

The implementation of telemedicine healthcare services utilizes electronic systems that are susceptible to hacking and illegal access by unauthorized parties. Article 15 of Information and Electronic Transactions Law, which is responsible for data security in electronic system providers, still lacks clear norms that require legal certainty in telemedicine implementation. In practice, data breaches are frequently found in electronic system providers. This has the potential to create legal risks that may result in the violation of patient data confidentiality and medical records through telemedicine applications. This research aims to identify and analyze the legal protection for patient data in telemedicine, as well as the efforts and criminal liability of healthcare service facilities regarding patients' personal data during online medical services. The research adopts a normative juridical approach with a statute approach to legal provisions. The data analysis method used in this research is qualitative normative analysis of primary and secondary data. The findings of this research highlight the legal protection for patient data in telemedicine, as stipulated in the Republic of Indonesia Law Number 27 of 2022 concerning Personal Data Protection, along with policies implemented by healthcare service facilities as controllers of personal data. The legal protection for telemedicine patient data includes personal data and medical records, while the accountability of healthcare service facilities entails administrative sanctions and imprisonment in accordance with the Personal Data Protection Law if unlawful acts that harm patients, such as data breaches or the release of false data. Patient data, including personal information and medical records, are crucial and confidential, thus requiring protection.

Primary care in Northern Ontario for transgender people in the context of the COVID-19 pandemic: A qualitative secondary analysis.

To examine changes to primary care practice for transgender clients resulting from government mandated public health measures in response to COVID-19 in Northern Ontario. Secondary analysis of qualitative data using interview transcripts from a dataset that included 15 interviews conducted between October 2020 and April 2021. The dataset came from a convergent mixed method study exploring the delivery of primary care services to transgender individuals in Northern Ontario. Qualitative interviews with primary care practitioners including nurse practitioners, nurses, physicians, social workers, psychotherapists, and pharmacists providing care for transgender people in Northern Ontario were included in the secondary analysis. Fifteen primary care practitioner providing care to transgender individuals in Northern Ontario participated in the parent study. Practitioners described their understanding of the effect of the early stages of the COVID-19 pandemic changes on their practice and the care experience for their transgender patients. Two themes were identified and described by participants: (1) a change in the delivery of care; and (2) barriers and facilitators to care. Practitioners' primary care experiences in the early waves of COVID suggest the integral use of telehealth in Northern Ontario transgender care. Nurses working in advance practice and nurse practitioners are essential in providing continuity of care for their transgender clients. Identification of initial practice changes for the primary care of trans people will illuminate avenues for further research. The urban, rural, and remote practice settings in Northern Ontario provide an opportunity for increasing access for gender diverse people in these areas and for developing increased understanding of uptake of telemedicine practice. Nurses are integral to primary care for transgender patients in Northern Ontario.