Selective Coding Research Articles

Barefoot Walking (Earthing) Craze and Policy Support Among Community-Dwelling Older Adults in South Korea: A Grounded Theory Analysis

Barefoot walking is currently a craze in South Korean communities. In particular, the elderly are participating in barefoot walking (earthing) to improve their physical and mental health due to their increasing desire for a healthy life. The purpose of this study was to analyze causes, processes, and consequences of the barefoot walking craze among the elderly in Korean society. The research method used was the grounded theory method. Thirty-five elderly people participating in barefoot walking were selected as participants. Data were analyzed according to open coding, axial coding, and selective coding proposed by Strauss and Corbin. First, an open coding phase yielded 61 concepts, 18 subcategories, and 7 categories through continuous questioning and comparative analysis. Second, in the axial coding stage, causal, contextual, and mediating conditions, action/interaction strategies, and consequences were presented, centering on the phenomenon. Causal conditions and contextual conditions contributing to the phenomenon of barefoot walking were identified as “motivation to participate” and “barefoot walking environment,” respectively. “Participating in barefoot walking” was identified as a phenomenon in the axial coding paradigm. The intervening condition was analyzed as “information about barefoot walking.” The action/interaction strategy was analyzed as “spreading the value of barefoot walking.” In the axial coding paradigm, consequences that emerged through the action/interaction strategy were “restoring physical and mental health” and “community spread and nuisance.” Third, in the selective coding stage, “barefoot walking as a daily routine” was derived as the core category, and the narrative outline was presented. To create a sustainable barefoot walking environment in Korea, it is necessary to have a healthy civic consciousness that coexists and harmonizes with nature.

Broken rung roles in the female leadership deficit phenomenon in Indonesia

The underrepresentation of women in top management positions is marked by a decline in participation as the hierarchy rises. This study investigates the impact of the "broken rung" phenomenon—referring to unfair promotion systems as a key barrier to female career advancement—on the leadership deficit among women in Indonesia. Using a qualitative methodology and a phenomenological approach, data were collected through semi-structured in-depth interviews. The research analysis followed four stages of coding: open coding, axial coding, selective coding, and process coding. Findings reveal that gender stereotypes in certain industries and occupations contribute to the scarcity of female leaders. The shortage of female leaders initially stems from the limited presence of women in specific industries, influenced by these stereotypes. The "broken rung" is not the primary factor in Indonesia’s female leadership deficit, as there were already few women in specific sectors before unfair company systems impacted them. The root cause is not an unfriendly promotion system, but rather the unequal distribution of female workers across industries. Feminine-dominated sectors see higher female representation, while masculine-dominated sectors do not. Unfortunately, a significant portion of jobs are perceived as masculine, leading to an overrepresentation of male-dominated industries.

Overcoming non-usage of e-mental health: A qualitative study in a Dutch general practice

Abstract Background Worldwide percentages of people with mental health problems are substantial and increased during the COVID pandemic (to about 25 % in the general population). E-mental health has potential to help with waiting lists, rising health care costs and work pressure. To reach the desired effects, participants need to use the technology as intended. Non-usage though is a common problem. Research question is: what elements obstruct the intention to use e-mental Health interventions, plus what are barriers to bridging the intention-behaviour gap? Methods In a qualitative study, semi-structured interviews were conducted (interview guide). We recruited patients who were invited for an e-mental health intervention in a Dutch general practice but did not start the intervention. Data saturation occurred with 11 patients. Open, axial and selective coding was done on the transcribed interviews using the software ATLAS.ti. Results Five main themes were associated with non-use: 1) ‘Expectations about the eHealth in general’ were neutral to positive. 2) ‘thresholds to start e-mental health’ were: negative expectations about the content, lacking mental capacity due to mental problems, missing personal contact, the therapy with the mental health professional in general did not fit their needs or aversion towards more screen time. 3) ‘lack of planning’. 4) lacking encouragement from mental health professional 5) ‘Expectations from therapy in general’. (a.o. face-to-face contact and tailoring) Conclusions Embedding the e-mental health more into regular therapy has potential to overcome non-usage. The mental health care professional has social influence to increase usage, by a clear and convincing introduction plus joint review of the exercises during consultations. This study needs to be repeated in other clinical settings. Future research should also include age (computer use) and disease prognosis to define when e-mental health is a suitable solution for patients. Key messages • E-mental health interventions have potential to help with waiting lists, rising health care costs and workload, but non usage is a problem. • Embedding the e-mental health more into regular therapy has potential to overcome non-usage.

The potential of non-clinical guidance alongside e-mental Health to overcome non adherence

Abstract Background Mental health problems account worldwide for over an eighth of the global burden of disease and waiting lists nowadays are commonplace. E-Health has potential to reduce mental illness, whilst waiting for therapy or as a stand alone. A big problem with implementation of E-health in clinical practice is non adherence. Non-clinical guidance could make a difference as compared to the non guidance modus. Our research question is: what factors contribute to the potential of non-clinical guidance in overcoming non adherence for e-mental Health for patients with depressive, anxiety and stress symptoms? Methods We did a qualitative study in a Dutch general practice. The treatment consisted of several modules accompanied by non-clinical guidance by a healthcare assistant. Out of 190 invited patients, 31 patients participated. Eight weeks after being invited, 11 semi-structured interviews were conducted until data saturation. Thematic analysis was used with open, axial and selective coding. Results Three major themes emerged: 1) The patients were satisfied with the non-clinical guidance in almost all aspects: Negative comments arose from an urge for more contact or tailoring. 2) The form of the guidance (e.g. non-clinical; used interface) was subordinate to the amount and tailoring of it. 3) Adherence could further be improved through a more personal introduction, explaining the benefits of certain exercises and more time management. Conclusions The potential of non-clinical guidance in overcoming non adherence for e-mental Health can be improved by further tailoring and increasing the interactivity when needed. Further research is also needed, after the suggested improvements, whether the intervention is effective, compared to a therapist guided and a non guided version. This study needs to be repeated in other clinical settings. Key messages • Non-clinical guidance, alongside e-mental health has potential to help with non adherence, thereby decreasing the burden of waiting lists. • Non-clinical guidance was positively received by patients who received e-mental health, although further tailoring could make online treatment even a larger success.

Tenant Right-to-Counsel and Adverse Birth Outcomes in New York, New York

In 2017, New York, New York, launched the United States' first right-to-counsel program, guaranteeing lawyers to low-income tenants in select zip codes, which was associated with reducing eviction risk by half. Given documented associations between evictions during pregnancy and adverse birth outcomes, the right-to-counsel program may be associated with improved birth outcomes. To measure associations between zip code-level right-to-counsel access and risk of adverse birth outcomes, including preterm birth and low birth weight, among infants born to Medicaid-insured birthing parents. This retrospective cohort study leveraged the staggered rollout of New York's right-to-counsel program from January 2016 to February 2020 as a natural experiment using a population-based sample of live births to Medicaid-insured birthing parents residing in New York, New York. Data were analyzed from February 2022 to September 2024. Zip code right-to-counsel status 9 months prior to birth. Adverse birth outcomes were measured using individual birth records from the New York Bureau of Vital Statistics. Outcomes included dichotomous indicators of low birth weight (<2500 g), preterm birth (<37 weeks' gestation), and a composite of both. Difference-in-differences linear probability models controlled for year, month, and zip code and included clustered standard errors. Among 260 493 live births (mean [SD] birthing parent age, 29 [6] years) from January 2016 to February 2020, 43 081 births (17%) were to birthing parents residing in zip codes where right-to-counsel was available during pregnancy. Exposure to right-to-counsel during pregnancy was associated with statistically significant reductions in infants' probability of adverse birth outcomes, with reductions of 0.73 (95% CI, 0.06-1.41) percentage points in low birth weight, 0.91 (95% CI, 0.10-1.71) percentage points in preterm birth, and 0.96 (95% CI, 0.09-1.84) percentage points in the composite outcome in treated vs untreated zip codes. This cohort study found that right-to-counsel was associated with reduced risk of adverse birth outcomes among Medicaid-insured birthing parents. These findings suggest that eviction prevention via right-to-counsel may have benefits that extend beyond the courtroom and across the life-course.

Explanation of the Opportunity Identification Model Based on Gender Restrictions Affecting Women's Entrepreneurial Identity

Background: Stereotypical beliefs and gender biases play a limiting and discouraging role in the development of women's entrepreneurship, which can have a significant impact on women's willingness to become entrepreneurs. Methods: This research aims to identify and analyze the gender-based limitations affecting the entrepreneurial opportunities of female entrepreneurs using a mixed-methods approach. This research is applied in terms of its objective. In the qualitative phase, 14 experts were selected using a purposeful sampling method. Data collection was conducted through library studies and semi-structured interviews. In this section, the data were analyzed in three stages: open, axial, and selective coding, which resulted in the identification of 51 indicators and 12 components. The research questionnaire was designed based on these indicators. In the quantitative section, the statistical population was all female entrepreneurs in the pharmaceutical companies under study, which totaled 425 people. Using Cochran's formula and a simple random sampling method, 170 people were selected as the sample size. Data collection was carried out using a researcher-made questionnaire, whose reliability was confirmed with a Cronbach's alpha coefficient of 0.89 and validity using expert opinion. Data analysis was performed using SPSS23 and PLS3 Smart software. Results: Based on the research findings, 12 components of social, cultural, economic, educational, legal, behavioral, personality, individual, commercialization, knowledge enhancement, entrepreneurial awareness, and market recognition limitations were identified under the title of dimensions and components of gender-based limitations affecting women's entrepreneurial opportunities. The results also showed that social limitations (β=-0/578), cultural limitations (β=-0/429), economic limitations (β=-0/408), educational limitations (β=-0/346), legal limitations (β=-0/297), behavioral limitations (β=-0/215), personality limitations (β=-0/189), and individual limitations (β=-0/138) have a negative and significant impact on entrepreneurial opportunities

Immersion in open-world games based on Grounded theory -- A case study of Genshin Impact

In recent years, with the expansion of the game market and the rapid growth of game users, the game market has great potential. At the same time, open world games are loved by the vast majority of users. [Purpose/Significance] Explore the factors that affect the immersion of players in open world games, drive the improvement of the quality of open world games, help improve the industrial ecology, and achieve richer functional values. [Research design/Methods] Taking the open world adventure role-playing game "Genshin Impact" as a case study, semi-structured interview was used to obtain first-hand interview data, and coded research was conducted using grounded theory. Through several processes such as open coding, spindle coding, selective coding and theoretical saturation testing, the corresponding theoretical model is finally formed. [Conclusion/Finding] The results show that the basic feature of immersion performance is concentration. The two factors, the in-game condition and the out-of-game condition, together constitute the pre-factors that produce immersion. After entering the state of immersion, the main performance is to produce tension and emotional resonance. [Innovation/Value] builds a theoretical model for the generation of immersion in open world games, which lays a theoretical foundation for future theoretical model testing and empirical research.

Nurses and policymakers role in preparing adolescents with HIV for self-disclosure in Eswatini.

Nurses in Eswatini are best positioned to assist adolescents living with HIV to disclose their status to others. Nonetheless, it is evident that many nurses are not actively involved in the disclosure process. The aim of this study was to explore the process of nurses in preparing adolescents for self-disclosure and describe the role of policymakers in enabling adolescents to disclose their HIV status to others. The study was conducted in four facilities, one from each of the four regions of the country, after getting ethical clearance from a Public University Higher Degrees Ethics Committee and the Eswatini Health and Human Research Review Board. In-depth interviews were conducted on 28 participants: 24 nurses and 4 policymakers. The three steps of open, axial and selective coding were used to analyse data until theoretical saturation was achieved. Adolescents were assisted to disclose by providing them with HIV information to empower them, encouraged to enrol in teen club because it created a conducive environment for peer-to-peer support, and they were given ongoing psychosocial support to prepare them for self-disclosure. Adolescent HIV management workshops were not routinely done because such training relied on funders. Nurses are not preparing adolescents satisfactorily to disclose. Prioritising the training of nurses would lead to a remarkable increase in the rate of HIV self-disclosure by Swati adolescents.Contribution:This study is the first of its kind in Eswatini, and the results will contribute to the review of HIV management guidelines and promote adolescent self-disclosure.

CONSUMER CONFUSION AND ITS IMPACT ON DECISION MAKING AMONG FEMALE CONSUMERS IN INDONESIA’S ONLINE COSMETICS AND PERSONAL CARE INDUSTRY

This study examines consumer confusion and its impact on decision-making among female consumers in Indonesia's online cosmetics and personal care industry. With the rise of online shopping due to its convenience and extensive product information, consumer confusion—defined as the inability to correctly interpret various aspects of product information—has become a significant issue. A mixed-method approach was used, combining quantitative surveys and qualitative interviews. Data was collected through an online survey and analyzed using PLS-SEM, followed by semi-structured interviews that were manually coded through open, axial, and selective coding. The findings reveal that informational sources—overload, similarity, and ambiguity positively impact overall consumer confusion. Additionally, utilitarian decision-makers show higher levels of confusion compared to hedonic decision-makers. Previous brand experience was found to mitigate the negative effects of overload and ambiguity confusion on decision quality and enhance decision quality in the case of similarity confusion. Furthermore, overload and ambiguity confusion negatively impacts decision quality, whereas similarity confusion shows a positive impact. Finally, all informational sources of confusion positively impact decision postponement and cognitive dissonance. This study extends existing knowledge in marketing and consumer behavior, particularly regarding consumer confusion in the cosmetics sector. It offers practical insights for companies and brand managers to develop strategies that reduce consumer confusion, such as simplifying decision-making processes, providing clear product information, and leveraging previous brand experiences. These strategies aim to enhance decision quality, reduce decision postponement, and mitigate cognitive dissonance among consumers. Finally, the study suggests directions for future research in consumer confusion.

Environmental Psychological Characteristic Supporting the Football Player’s Development in Indonesia and Malaysia

Background. The development path of a football player toward becoming a professional player involves four main aspects: physical, technical, tactical, and psychological ones. Objectives. This study aimed to examine the psychological characteristics of the environment that influence and contribute to the development of football players under 17 years old in Indonesia and Malaysia. Materials and methods. This study used a qualitative approach, namely evolved grounded theory, and the data collection process was conducted using three distinct methods: semi-structured interviews, observation, and document analysis. Twenty-five coaches participated in this study, comprising fifteen coaches from various football academies in Malaysia and ten coaches from Indonesia. All coaches involved in this study have a license and at least five years of experience as coaches under 17. The data collected and analyzed began with open coding, axial coding, and selective coding, and the analysis was assisted by using qualitative research software, namely N-Vivo 14. Results. The findings revealed that several aspects influenced player development, such as policy support, including structured and competitive age group competitions, a healthy football ecosystem; other results have been defined as relationships and cooperation supported by family, friendship between clubs, and teamwork. Finally, the study underscored the significance of involving coaching factors, including passion, patience, and coach psychological treatment abilities. These are the psychological characteristics of the environment that can influence the development of football players. Conclusions. It is hoped that the results of this study can be used as a reference for coaches, the Indonesian Football Association, and the Malaysian Football Association to create a policy that can support football players under 17 years from all aspects, including psychology.

Interprofessional Management of (Risk of) Malnutrition and Sarcopenia: A Grounded Theory Study from the Perspective of Professionals.

As our global population ages, malnutrition and sarcopenia are increasingly prevalent. Given the multifactorial nature of these conditions, effective management of (risk of) malnutrition and sarcopenia necessitates interprofessional collaboration (IPC). This study aimed to understand primary and social care professionals' barriers, facilitators, preferences, and needs regarding interprofessional management of (risk of) malnutrition and sarcopenia in community-dwelling older adults. We conducted a qualitative, Straussian, grounded theory study. We collected data using online semi-structured focus group interviews. A grounded theory data analysis was performed using open, axial, and selective coding, followed by developing a conceptual model. We conducted five online focus groups with 28 professionals from the primary and social care setting. We identified five selective codes: 1) Information exchange between professionals must be smooth, 2) Regular consultation on the tasks, responsibilities, and extent of IPC is needed; 3) Thorough involvement of older adults in IPC is preferred; 4) Coordination of interprofessional care around the older adult is needed; and 5) IPC must move beyond healthcare systems. Our conceptual model illustrates three interconnected dimensions in interprofessional collaboration: professionals, infrastructure, and older adults. Based on insights from professionals, interprofessional collaboration requires synergy between professionals, infrastructure, and older adults. Professionals need both infrastructure elements and the engagement of older adults for successful interprofessional collaboration.

A survey of obstetrical anesthesia health equity practices at academic centers in the United States (US)

BackgroundLimited research has explored obstetrical anesthesiologists' perceptions of healthcare disparities associated with labor and delivery. The objective of this study was to evaluate the perception of obstetrical anesthesia related healthcare disparities, drivers of disparities, and potential solutions. MethodsAn online survey was emailed to division leads at Accreditation Council for Graduate Medical Education (ACGME) accredited obstetrical anesthesiology programs in the United States. The survey included a mixture of yes/no, select all that apply, and free-text questions. Descriptive statistics were used to characterize variable distribution. Free text responses were categorized into themes by selective coding. Results149 surveys were delivered, 74 surveys were conducted (50 %), and 57 were completed entirely (38 %). Fifty-seven percent of participants reported perceived presence of obstetrical/obstetrical anesthesia related healthcare disparities. Most participants reported that they consider a patient's cultural preferences during clinical management, collect race/ethnicity data, implement specific practices to address disparities, and analyze outcome data by social determinants of health. The majority of participants reported using additional relevant practice features, including translator services, quality improvement practices, provider rounds, standardized protocols, and cultural competency or diversity training. Thematic analysis of free text responses into drivers of disparities mapped to 6 themes: language barriers, racism or bias, socioeconomics or social determinants of health, access or quality of care, patient-provider interactions or cultural sensitivity, and individual patient factors. ConclusionMost academic obstetrical anesthesia center division leads reported perceived presence of obstetric anesthesia related health care disparities. Efforts should be made to devise targeted solutions to this multifaceted, pervasive problem.

Exploring Factors Contributing to High Turnover Rate Among Digital Film Technicians: A Grounded Theory Approach

This study aimed to clarify the core elements affecting the turnover intention of grassroots employees in the digital film industry and to construct a model of the factors affecting the turnover rate in this industry. Adopting the grounded theory approach, which encompasses coding techniques such as open, axial, and selective coding, this research involved the participation of 21 grassroots practitioners to explore the causal and influencing factors of the turnover intention of grassroots practitioners in the digital film industry. The results show that determined by the unstable nature of the job and fierce market competition, interpersonal interaction is a core element that influences whether practitioners continue with or leave their jobs. The over-reliance on interpersonal skills leads to negative psychological outcomes and difficulties in career advancement for practitioners. The interpersonal interaction-focused influences model reflects the correlation between the willingness of individuals to leave and the market environment and organizational culture.

Explaining the Family-Centred Care of Young People With Depressive Disorders and Suicidal Ideations: A Grounded Theory Study.

This study aimed to develop a theory to guide family members caring for young people with depressive disorders and suicidal ideations. Strauss and Corbin's Grounded Theory. Theoretical sampling was used to recruit primary family caregivers (aged 22-60) of young people experiencing depressive disorders and suicidal ideations from hospitals and psychiatric clinics in Taiwan. Data were collected using interviews (n = 23) in 2023. Data were analysed using Corbin & Strauss' analytical framework, including open, axial and selective coding until theoretical saturation was reached. A paradigm model was used to link the 13 categories and develop a substantive theory to help guide family members in the care of their young persons with depressive disorders and suicidal ideations. The core category that emerged was 'Struggling to contain the young person's life by adjusting, assisting, and protecting them from diving into depression'. Other key categories interconnected with this core category were-creating a nurturing environment, adjusting to changes, protecting the young person's safety and assisting with their medical treatment. Family caregivers could use this theory as a guide to enhance the care of young persons experiencing depressive disorders and suicidal ideations and accompany them alongside the healing process. Nursing professionals could provide psychoeducation to family caregivers on how to hold the young person gently and acquire compassion for the young persons' lived experience, thoughts and emotions, by creating a nurturing environment, adjusting to changes, protecting their safety and assisting with their medical treatment. This theory provides valuable guidance for future intervention research aimed at improving family caregivers' ability to care for young persons with depressive disorders and suicidal ideations. The COREQ guidelines were utilised. No patient or public contribution.

명예퇴직 여성 교원이 경험하는 삶의 적응 과정에 관한 근거이론적 접근

Purpose: The purpose of this study was to explore and explain the experiences that honorably retired female teachers have after retirement and the process by which they adapt to life. Accordingly, the research questions are: First, what is the life experienced by honorably retired female teachers, and what are the difficulties? Second, what are the adaptation processes and types of adaptation experienced by honorably retired female teachers? Methods: To this end, we used the grounded theory methodology of Strauss and Corbin (1998), selected research participants through theoretical sampling, conducted semi-structured questionnaires and in- depth interviews with eleven female teachers who had experienced honorable retirement within the past three years, and analyzed the raw data. Results: Open coding resulted in 483 concepts, 118 subcategories, and 21 categories. As a result, the causal condition was 'experiencing the limits of maintaining a teaching career', the central phenomenon was 'living as an ordinary person without any affiliation', and the contextual condition was 'accepting and transitioning to life as a retiree', action/interaction strategy was 'entering the process of self- integration', and the result was 'gradually satisfying the need for self-actualization'. The core categories derived from selective coding are 'entering a stable old age through acceptance of changes in life and self-reflection and then advancing to the stage of mature self-realization'. It was found to go through an adaptation stage of 'introduction period', 'confusion period', 'change period', and 'actualization period'. Conclusion: By presenting a theoretical framework for the post-retirement adaptation of honorably retired female teachers, it is expected to be used as a useful tool in active research on honorably retired female teachers and in the development of retirement adaptation programs.

Designing the Model of Human Resources Analytics in Health System with Grounded Theory

Background: Given the necessity of attracting, retaining, and developing human capital within the health system, the process of human resources analytics in this context is of paramount importance, and it plays a significant role in evidence-based decision-making and policy formulation. Therefore, the aim of the present study was to design a model for human resources analytics in the health system. Methods: This research is practical in nature and utilized a qualitative approach based on grounded theory. In 2023, semi-structured interviews were conducted with 14 experts and managers from Kerman University of Medical Sciences, using purposive sampling until theoretical saturation was achieved. Throughout the process, interviews were continuously compared, and notes were taken during and after the interviews. The collected data from each interview were then analyzed using open, axial, and selective coding with the assistance of MaxQDA20 software. Through categorizing the open codes, axial categories were identified and in the final step, relationships among core categories were established through selective coding. Additionally, the validity and reliability of the findings were assessed and confirmed based on the four criteria of credibility, dependability, confirmability and transferability. Results: In identifying the codes and categories related to human resources analytics, a total of 370 open codes, 61 subcategories, and 24 main categories were generated. These were ultimately examined across 6 main axes, including the central phenomenon, causal conditions, contextual conditions, intervening conditions, strategies and consequences. Conclusion: It is recommended that in order to enhance and develop the human resources analytics process within the health system, attention be paid to the extracted model and its dimensions and components, particularly the identified causal conditions, contextual conditions, and strategies

Healthcare professionals’ perspectives on the barriers and facilitators of integrated childhood obesity care

BackgroundBoth the causes and consequences of childhood obesity can be complex. To provide healthcare that is suitably tailored to the specific needs of children with obesity integrated care is required. The objective of this study was to explore the perceived barriers and facilitators of healthcare professionals (HCPs) in providing integrated care for children with obesity, to support them in tailoring the healthcare approach.MethodsIn this qualitative study, semi-structured in-depth interviews were conducted with 18 healthcare professionals with experience in childhood obesity care; pediatricians, youth healthcare nurses and a youth healthcare physician. A two-phased thematic content analysis was performed: an inductive analysis with open and selective coding and a deductive analysis with axial coding using the patient-centered care model by Stewart.ResultsOverall, the healthcare professionals defined the etiology of obesity as complex, and experienced the integrated care as complicated. The results fit into the four theme-structure of the patient-centered care model, with the integrated care system as an additional fifth theme. The main barriers were perceived within the sub-themes of illness and healthcare experiences, and sensitivity over talking about weight-related issues. The main facilitators were perceived within the sub-themes of conducting a biomedical, psychosocial and lifestyle assessment, tailoring the approach to families’ situation and investing in a family-professional relationship. Weight stigma appeared to be an underlying barrier for healthcare professionals that impacted, both explicitly and implicitly, upon all themes.ConclusionsHealthcare professionals providing integrated care for children with obesity, experience this type of care as complicated and comprising many barriers and facilitators regarding the four themes of the patient-centered care model and the fifth theme of the integrated care system. This paper demonstrates the patient-centered care model could prove helpful structuring a tailored approach within integrated care. This approach supports healthcare professionals in adopting a broad perspective towards individual and environmental factors and investing in the relationship, with respect to the sensitivity and complexity of childhood obesity.

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Introduction: Collaboration with relatives and volunteers is important to maintain the quality of life in times of growing care demands and rising staff shortages. It requires finding new ways of working. The aim of this study was to explore the experiences of care professionals, managers and coaches in taking care together with relatives and volunteers. Methods: Semi-structured online interviews were conducted with 17 respondents, including 6 care professionals, 4 managers and 7 coaches. The transcripts were then thematically analysed in MAXQDA in three phases: open -, axial -and selective coding. Results: Ten themes were identified and categorized on micro-, meso- and macro level. Themes of micro level concern the roles and alignment from care professionals, relatives and volunteers. Mesos level comprise themes on team-, department level and organisational level. Themes on macro level transcend individual care organisations. Discussion: The findings emphasize the relevance of the collaboration between care professionals, relatives and volunteers. Also the need for support and agreements on policy level were underlined. The results show that a cultural change is really needed to provide care together with relatives, volunteers and care professionals as one team.

Research on Influencing Factors of Catch-Up in Complex Product Systems: Taking the China Manned Space Engineering Application System as an Example

In the face of escalating global competition in science and technology, complex product systems (CoPS) have emerged as a significant indicator of comprehensive national strength. The exploration of the catch-up phenomenon holds substantial implications for subsequent development of CoPS. Existing CoPS research often focuses on a single engineering task (such as high-speed rail) and market logic (such as the telecommunications industry), examining the catch-up phenomenon from a single or hard-power perspective. However, the China Manned Space Engineering Application System (CMSEAS), with its significant international influence and dual characteristics of scientific research and engineering development, presents a different scenario. Its market value is difficult to be reflected in a short time, making the relevance of existing research limited. This study selected CMSEAS as a case, and acquired data through interviews, internal meetings, on-site observations, official websites, archives, and other forms. Based on grounded theory, open coding, axial coding, selective coding, and a saturation test were carried out, and a catch-up model of CoPS was constructed by considering various influencing factors. The results show that the catch-up is driven by five major factors: support force is the basic condition for its gradual growth; the management system, technical capability, and human resource are interdependent and serve as the direct drivers of the catch-up; and social influence plays a significant role in propelling the catch-up indirectly. Notably, the setup of a general department, interaction among different factors, cultural soft power, and social influence serve as useful complements to previous studies.

A Phenomenological Exploration of Pandemic Experiences Among Individuals with a History of Depression

Depressive disorders are a common psychiatric illness affecting 12% of adults worldwide. This disorder represents a major problem for the general health of society and is the third leading cause of disability worldwide. In addition, the prevalence of depression appears to have increased worldwide following the Covid-19 pandemic. This study aims to find out what experiences people with depression have had in the era of Corona. Methods: The present research was a qualitative study using an interpretative phenomenological method. The number of research participants was nine. Data were collected using semi-structured interviews and analyzed in three stages with open, selective and central coding. Results: After reviewing and analyzing the data, five major themes, 10 secondary themes, and 19 primary themes were identified. The main themes included fear of death and illness, conscious acceptance of reality and improvement of lifestyle, the extent of communication, confusion of the social structure of the family economy and the use of coping strategies. Conclusion: The outbreak of COVID-19 has brought with it other problems such as anxiety, tension and loneliness, in addition to the impact on lifestyle, activities, habits, interests and mental health, in addition to the recurrence of the disease in depressed people.