Deductive Thematic Analysis Research Articles

Relationally competent attitudes and actions: a systematic review of general practice literature

Objective To explore core elements from Teachers’ Relational Competence in general practice literature regarding building relationships in consultations, specifying actions doctors take to create and maintain relationship quality with patients. This systematic literature review aims to map and propose a similar framework for the doctor-patient relationship. Background The doctor-patient relationship, a well-researched yet complex field, often lacks clear descriptions. In recent definitions of patient-centred medicine, the responsibility of this relationship falls on the doctor, though how both relationship and responsibility is enacted needs clarification. Pedagogical literature on the student-teacher relationship provides a framework for relational competence, incorporating the needs and interactions between teacher and student and their alignment with institutional goals. Methods A systematic review of two databases yielded 1256 hits. After screening, 15 studies were included and assessed. A qualitative synthesis was conducted through iterative and thematic deductive analysis. Results Four relationally competent attitudes identified were: Attention to emotion, Devotion, Mentalization, and Time-oriented presence. Four relationally competent actions identitfied were: Being open, Attunement, Offering Support, and Using humor. Additionally, Trust and Continued connectedness were found as components of both attitudes and actions. Conclusion An explanatory framework for professional relational competence for GPs includes concrete actions and specific attitudes before and during consultations. These consist of four key attitudes and four categories of actions with several subgroups of actions. Two additional components to the framework was found.

Perceptions of the Use of Mobile Technologies for Smoking Cessation: Focus Group Study With Individuals of Low Socioeconomic Status Who Smoke.

The use of mobile technologies to deliver behavioral health interventions, including smoking cessation support, has grown. Users' perceptions are important determinants of the adoption and use of new technologies. However, little is known about users' perceptions of mobile technologies as smoking cessation aids, particularly among disadvantaged individuals who smoke. This study aimed to examine the acceptance of mobile technologies for smoking cessation among young adults with low socioeconomic status who smoke. In total, 38 current cigarette smokers, 18 to 29 years old, who wanted to quit and did not have a 4-year college degree nor were enrolled in a 4-year college, participated in 12 semistructured digital focus groups. The moderation guide was guided by the Unified Theory of Acceptance and Use of Technology. Discussions were audio recorded, transcribed verbatim, and coded for the Unified Theory of Acceptance and Use of Technology constructs (ie, effort expectancy, facilitating conditions, performance expectancy, and social influence), sentiment (ie, negative, neutral, and positive), and purpose of using mobile technologies (ie, lifestyle and health management and smoking cessation) following a deductive thematic analysis approach. Participants had positive experiences using mobile technologies for lifestyle and health management, primarily for fitness and dietary purposes. Salient themes were facilitating conditions of use (44/80, 55%), with prior experiences and costs subthemes, followed by perceived usefulness of mobile technologies in helping users attain health goals (22/80, 27.50%), which were generally positive. Ease of use (11/80, 13.75%) and social influences (3/80, 3.75%) were minimally discussed. Conversely, participants had limited awareness of smoking cessation uses of mobile technologies, which was the primary barrier under facilitating conditions discussed (33/51, 64.70%). Participants expressed skepticism about the usefulness of mobile technologies in helping them quit smoking (14/51, 27.45%). Effort expectancy was not discussed, given participants' limited prior use. Social influences on mobile technology use for smoking cessation were minimally discussed (4/51, 7.84%). The use of mobile technologies for smoking cessation was unknown to young adults with low socioeconomic status who smoke. To reduce cigarette smoking and associated health disparities, increasing awareness and use of evidence-based mobile-based smoking cessation interventions are needed. Smoking cessation interventions should incorporate features perceived as useful and easy to use to capitalize on positive user experiences and the acceptability of mobile technologies for lifestyle and health management.

Healthcare innovation adoption in Africa: the case of long-lasting insecticide nets in Ghana using protection motivation theory

Objective Studies have shown that healthcare innovation adoption is complex. Using Long-lasting insecticidal nets (LLINs), an innovation for malaria prevention, the study aimed to understand factors considered in the adoption of healthcare innovations in Africa. Methods and Measures Using qualitative methods, we interviewed 10 household heads in Ghana who had freely received LLINs during a malaria campaign. We analyzed our data using a deductive thematic analysis approach utilizing the protection motivation theory (PMT) as our framework. Results We found that the constructs of PMT: perceived severity, perceived vulnerability, perceived response efficacy, and perceived self-efficacy influenced the adoption of healthcare innovation (i.e. LLINs). We also found that misconceptions about malaria infection and prevention influenced the perceived response efficacy of LLINs which could undermine LLINs usage. Conclusion The constructs of PMT are important in the decision to use LLINs. Misconceptions about malaria infection and prevention could undermine the decision to use LLINs. Future studies should investigate ways to address these misconceptions.

The occupational therapy process in workplace wellness: A qualitative study of client experience.

Occupational therapy presently has a limited presence within the workplace wellness industry and the profession's contribution within this area of practice is not fully understood. Occupational therapy's holistic, occupation-based, and client-centered approach has the potential to provide a valuable contribution to the field of workplace wellness. To explore the experience of organizational employees participating in a workplace wellness program centered in the occupational therapy domain and process. Six occupational therapy workplace wellness program participants completed in-depth semi-structured interviews one month after program completion followed by deductive thematic analysis of transcripts. Three themes emerged (sustainable change across context, process matters, and therapeutic relationship supporting wellness), along with subthemes, describing the participant experience. The structured and individualized process of occupational therapy delivered within a workplace wellness program was appreciated by participants as a means of addressing workplace wellness and providing sustainable wellness results.

Barriers and Facilitators to the Applicability of Adult Daycare Centers in Saudi Arabia: A Qualitative Study.

Adult daycare centers (ADCs) enable older adults to socialize and enjoy planned group activities while receiving healthcare services. These centers also assist caregivers by empowering them to remain in the workforce. This study aims to explore the challenges in establishing ADCs in Saudi Arabia (SA) from the perspectives of healthcare professionals, healthcare policymakers, older adults, and caregivers. Additionally, this study's objective is to identify the barriers, facilitators, and applicability of ADCs in SA. A qualitative study was conducted using semi-structured individual interviews. Inductive and deductive thematic analyses were employed to identify common themes regarding the barriers and facilitators to the applicability of ADCs in SA. Five researchers independently examined the transcripts using inductive analysis. Deductive analysis mapped the themes to Campinha-Bacote's cultural competence model. Data were collected from 46 participants, including caregivers, older adults, healthcare professionals, and healthcare policymakers. The findings highlight that the main facilitators to establishing ADCs in SA are the expected positive impact on the psychological and physical well-being of older adults and their caregivers. Conversely, cost and transportation, in addition to cultural considerations are possible barriers. This study identified the perceived benefits of ADCs for older adults and caregivers from a Saudi societal perspective. Thematic analysis showed that ADC's applicability in SA is possible, with some modifications to fit within the Saudi context. Additional efforts are necessary to promote the concepts and services that ADCs provide for older adults and to encourage support for these centers by non-profit organizations and the government.

Digital transformation and religious entrepreneurship in Nigeria: integrating artificial intelligence toward competitive advantage

PurposeBased on the technology acceptance model (TAM), this study contextually examines the level of willingness of religious entrepreneurs to accept and implement artificial intelligence (AI) tools. Furthermore, it aims to explore the challenges and prospects of AI adoption among entrepreneurs.Design/methodology/approachFollowing a qualitative approach, the data were collected from 12 informants from different segments of religious entrepreneurship in Nigeria. Semi-structured interviews and deductive thematic analysis were used to collect data.FindingsThe findings show that religious entrepreneurs demonstrate commendable level of awareness of the availability and usefulness of AI tools that support secular and sacred entrepreneurial pursuits. Furthermore, findings indicate that they have fully integrated AI in their secular entrepreneurial affairs but still demonstrate restraints in implementing it in certain sacred functions. Several challenges including shortage of finance, trained manpower and equipment are faced by the entrepreneurs.Originality/valueTheoretically, the findings demonstrate that AI awareness and perceived usefulness influence the intention of religious entrepreneurs to integrate AI into religious entrepreneurship, while perceived ease of use does not.

Exploring the relationship between neurologists and older persons with multiple sclerosis through the lens of social support theory.

Although healthcare practitioners (HCPs) are a valuable source of social support, research on support provided by neurologists to older persons with multiple sclerosis (pwMS) remains limited. To explore expectations of pwMS aged 55 years or older regarding MS care and to identify support types, met and unmet needs within their relationship with neurologists. Utilizing a mixed-methods approach, we analyzed survey data from Swiss Multiple Sclerosis Registry participants. Quantitative data included Likert scales gauging the importance of various aspects of MS care for pwMS both in and out of neurological care. Qualitative data were derived from three open-ended questions, focusing on neurologist-provided support for pwMS in neurological care. Data underwent descriptive and deductive thematic analysis, using Cutrona and Suhr framework for coding social support. Among the 286 participants (median age 61.0 years, interquartile range (IQR) 57.0-66.0; median disease duration 23.5 years, IQR 15.0-31.0), 84.6% (N = 244) were under neurological care. Quantitative findings highlighted the significance of HCP expertise and consultation time. Qualitative analysis identified all social support domains in the neurologist-pwMS relationship, with informational support being most prevalent, followed by emotional support. Neurologists' expertise, availability, comprehensive advising, listening, and validation emerged as key themes. Unmet needs were relatively infrequent and concerned insufficient information on complementary medicine, empathy, and understanding of symptoms like fatigue. Older pwMS see neurologists as adequate providers of comprehensive support and particularly value neurologists' sufficient availability, informational and emotional support. Areas for improvement include attention to complementary medicine and empathy.

Life after Lockdown: An Exploratory Qualitative Study of Behaviors and Impacts of Avoiding COVID-19 in Individuals at High Risk of Severe COVID-19 and Their Caregivers.

This exploratory qualitative study involved semi-structured interviews with adults and caregivers of adults at high risk of severe COVID-19, addressing current COVID-19 avoidance and protective behaviors and how these behaviors impacted their lives. Results were interpreted in a separate think tank session. Insights were developed into a conceptual model of COVID-19 avoidance and protective behaviors and the associated impacts on health-related quality of life and overall functioning. Data were interpreted using a hybrid inductive and deductive thematic analysis. Twelve high-risk individuals and two caregivers were interviewed across four focus groups (April-July 2022). Major behavioral themes included physical distancing, physical and medical protection, quality of support services and networks, and information to make decisions. Major impacts included family, social, and emotional functioning; work and finances; and healthcare access. The final conceptual model comprised 13 behaviors to avoid COVID-19 categorized within four themes, and 13 impacts within five themes. Individuals at high risk of severe COVID-19 and their caregivers continue practicing COVID-19 avoidance behaviors post-lockdown and feel left behind by the general population. Our conceptual model may be used to inform health authorities and other governing bodies' decisions in executing strategies aimed at improving these individuals' lives.

Australian medical regulations and strengthened continuing professional development (CPD): A policy implementation gap analysis with the specialist medical colleges

Introduction: Starting from 2023, Australian medical practitioners must meet new mandatory continuing professional development (CPD) requirements for registration renewal. In particular, each year they must complete 12.5 hours of educational activities and 25 hours of CPD activities related to reviewing performance and measuring outcomes, with a minimum of 5 hours each for reviewing performance and measuring outcomes activities, and they are encouraged to use patient health data and large eHealth datasets for better insights. Despite concerns regarding data accessibility and outcome measurement, specialist medical colleges are implementing these requirements. This study aims to explore factors influencing colleges’ efforts and provide recommendations for future research and action to enable data-driven CPD practices. Methods: A policy implementation gap analysis employing semi-structured interviews as a standalone method was conducted with participating colleges. Four colleges agreed to participate, with a total of 18 participants recruited from either the colleges’ staff who are responsible for interpreting and implementing CPD regulatory policies or the colleges’ CPD committees. Interviews were analysed using inductive and deductive thematic analysis. Data collection, data analysis and final results were reported using the COREQ checklist. Results: Three themes were identified from the interview analysis: (1) colleges' organisational structure and their roles and responsibilities within the Australasian CPD ecosystem, (2) challenges and enablers for policy implementation and (3) organisational needs and future actions at college level and necessary pre-conditions at ecosystemic level for strengthened CPD. Conclusions: Internal and external organisational factors are hindering colleges’ efforts to implement policy. More research, a reassessment of colleges’ roles, responsibilities and structure, and collaboration among colleges and data holders are necessary to enable full policy implementation and strengthened CPD practices.

Community Development Program for Australian- Filipino Youths at Risk of Extremism

This research explores depth understanding on the multifaceted aspects of community development programs catered to the Filipino-Australian youths of West Melbourne, Victoria, Australia with specific objective to deviate them from risks and extremism, and contribute meaningfully in keeping peace and order to the community they belong. Employing qualitative design, with deductive thematic analysis as method in analyzing data, qualitative interviews to 12 Australian-Filipino youths and elders in the community were done. A semi-structured questionnaire anchored from the 8 domains of the Community Programs to Promote Youth Development (CPPYD) was used. Participants revealed that majority of the 8 domain aspects of the CPPYD, namely physical and psychological safety, clear, consistent and appropriate structure, supportive relationships, opportunities to belong, support for efficacy and mattering, opportunities for skill building and integration of family, school and community efforts, is a good bases in developing the community development program for the Filipino-Australian youths of West Melbourne, Australia. Recommendation to strengthen community networks and engagement, enhance resource allocation, and promote a holistic community program were thereby given.

“It’s Good to Have a Voice”: What Do Students Think about the Impact of a Flexible Curricular Implementation of Student-Centered Pedagogies on Their Own Learning Experiences?

While there is extensive evidence that student-centered pedagogies (SCPs) develop multidimensional (motor, cognitive, social) outcomes in students, the coalesced use of some of the core pedagogies of student-centered models (SCMs) can facilitate the achievement of more than one educational theme in the same intervention and may facilitate student engagement in more representative physical education (PE) experiences. In this study, students’ voices are explored concerning the impact of a flexible and coalesced curricular implementation of SCPs on their own PE learning experiences. An insider action-research design was implemented for one entire school year (50 lessons of 90 min each) with 25 students aged 16–17 years, enrolled in the 12th grade at a high school in Portugal. A qualitative data collection source was used (semi-structured focus-group interviews), analyzed through a mixed inductive–deductive thematic analysis. The findings emphasize that a flexible and coalesced curricular implementation of various SCPs over an extended period of time, considering the sport content, the context, and the skill level of students, seems to contribute to the development of more positive learning experiences for students. In summary, these learning experiences require that teachers learn to listen and respond to students’ voices.

Critical Exploration of Eliza’s Use of Restricted Code and Elaborated Code in Pygmalion

This research paper explored the character of Eliza Doolittle in Pygmalion and its movie adaptation, My Fair Lady, through the use of Restricted and Elaborated Code. These concepts examined Eliza’s transformation from a common flower girl to a duchess at the hands of Henry Higgins. The research employed the qualitative method and used Restricted Code and Elaborated Code concepts presented by Basildon Bernstein in his 2003 book, Theoretical Studies towards a Sociology of Language (Class, Codes and Control) for deductive thematic analysis. Given the context, Eliza’s dialogues and the settings in the play and the movie where she delivered those dialogues were also taken into account because the relationship between social class and language could not be ignored in the society Eliza inhabits. The study also focused on her dilemmas, dreams, desires and struggles to determine the outcomes of Eliza’s transformation, whether it was a blessing or a curse. By analysing Eliza’s use of language and interactions, the findings offered insights into the power dynamics of language and social class in shaping individual’s identity.

Filling the gaps in the COVID-19 pandemic response: medical personnel in the US military health system

BackgroundThe COVID-19 pandemic was an unprecedented public health emergency that heavily affected the healthcare workforce. Although the Military Health System (MHS) has robust capabilities and was able to deploy medical staff to support civilian hospitals during the crisis, it too was adversely impacted by personnel issues. We aimed to identify and address gaps in understanding the impact of the COVID-19 pandemic on healthcare personnel in the MHS.MethodsWe conducted semi-structured key informant interviews with 28 MHS stakeholders, including policymakers, program managers, and healthcare providers. We recruited respondents using purposive and snowball sampling until we reached thematic saturation. Interviews were conducted virtually from December 2022 to March 2023 and coded by deductive thematic analysis using NVivo.ResultsBurnout and mental health concerns across the workforce increased during the pandemic, although some felt military culture facilitated resilience. Reduction in personnel was noted and slow hiring processes and noncompetitive wages hindered hiring, contributing to staffing shortages. Initial disruptions occurred in training and skills readiness, although these issues were reduced over time. Concerns remain about newer trainees’ preparedness and teaching staff’s availability in the MHS.ConclusionThis study uniquely assessed the impact of the COVID-19 pandemic response on the MHS healthcare workforce through in-depth key informant interviews. Multi-pronged strategies are needed to promote personnel well-being in complex healthcare systems like the MHS.

Second language learners’ academic emotions in grammar learning with explicit attention to grammatical complexity

ABSTRACT Grammatical complexity, a hot topic in grammar research, poses great challenges for second language (L2) learners. This study aims to investigate L2 learners’ emotional reactions to L2 grammar learning, and the epistemic emotional sources related to grammatical complexity. Thirty sophomore English majors aged between 19 and 20 from a natural class were recruited in the present study. Through qualitative research design, the data consisted of 30 written narrative reflections with each containing a self-report on emotional experiences and a recalled summary of learning strategies, along with 10 semi-structured interviews. A deductive content analysis approach and thematic analysis were used for the data analysis. The present study revealed five main findings. First, delight and anxiety are saliently representative achievement-related activity emotions; second, disappointment represents the typical retrospective outcome emotion; third, hope is the typical prospective outcome emotion; fourth, the social aspects of the present context elicit the emotion of gratitude, whereas the cognitive aspects of grammatical complexity cause a more complicated emotional state; fifth, epistemic emotions are mainly evoked by thinking-related factors, syntactic rules, and the practical application of syntactic rules. Pedagogical implications for L2 grammar teaching were discussed.

Sensemaking of Subordinates’ Perception Through Supervisor Interactions and Its Role in Informing HRM Practices: A South Asian Perspective

The dyadic relationship between subordinate-supervisor garners significant focus within organizational studies and human resource management (HRM), being deemed a perpetual source of the organization’s most direct experiences. Nonetheless, these interactions are transient, as the dyadic and complex nature of their relationship transcends simple exchanges at workplace. The study provides an in-depth analysis of sensemaking in the context of modern-day organizations, particularly focusing on South Asian workplaces. Sensemaking is a cognitive process that individuals undergo when they encounter changes in their work environment, seeking clarity and formulating appropriate responses. The paper examines sensemaking’s influential role in shaping HRM practices. The authors adopted a deductive thematic analysis method to analyze 30 nominated texts using the MAXQDA content analysis tool. The authors propose a conceptual model based on five key themes derived from sensemaking: perception of supervisory behavior, perception of work relationship aspects, perception of workplace culture, opportunities-challenges in HRM practice, and outcomes of subordinate perception informing HRM practice. The study concludes that sensemaking is deeply embedded in the institutional, cultural, and organizational fabric of South Asian workplaces, and it significantly influences HRM practices.

Implementing a mental health app intervention in a university setting: multi-methods evaluation study

Purpose The number of university students seeking mental health support is rapidly increasing. To provide additional psychological support to students accessing well-being services, this study aimed to pilot a mental health Web application (app) called Orpheus®. Design/methodology/approach Guided by student consultations, a multi-methods approach was adopted, including an examination of in-app data, chart reviews of routinely collected student information and interviews with mental health practitioners. Usage data were analysed descriptively. Changes in mental health outcomes were examined using means, standard deviations and reliable change indices for anxiety and depression scores. Inductive and deductive thematic analysis was conducted on qualitative data from staff interviews and student feedback. Findings A total of 26 students registered an account with 39 completed app visits. On 37 of the 39 (94.9%) occasions, students reported reductions in the intensity of unwanted negative emotions. Statistically significant reductions in the average pooled anxiety and depression scores were observed. Of the 15 students who completed pre- and post-routine outcome measures, between 20% and 60% showed reliable and meaningful symptom improvements. Students reported that the app was helpful and easy to set up and use, with no adverse events. Practitioners highlighted barriers and facilitators related to the technology features, situational contexts and individual differences. Originality/value Integrating Orpheus in real-world settings resulted in promising implementation processes, potential for future uptake and positive outcomes. However, ongoing research, staff training and app testing are needed to further improve the implementation processes for digital mental health interventions.

Exploring academic and clinical nurses’ perspectives on evidence-based nursing course for undergraduates from perspectives of academic-practice partnerships: a qualitative study

AimTo explore nurses’ perceptions of evidence-based nursing courses for undergraduates through academic-practice partnerships.DesignA deductive thematic analysis based on the practice-academic logic model.MethodsFifteen academic and clinical nurses were interviewed between November and December 2023, either online or through face-to-face meetings. Each interview lasted 20–30 min. The interview outline was constructed based on the practice-academic partnership logic model, which was followed during the process of recorded, analyzed, and checked.ResultsThemes identified include inputs (e.g., stakeholder commitment), activities (e.g., communication), outputs (e.g., nursing projects), and outcomes (e.g., improved competence). These themes highlight the various aspects and outcomes of academic-practice partnerships in evidence-based nursing courses.ConclusionEffective academic-practice partnerships are crucial for developing evidence-based nursing courses, leading to positive educational and professional outcomes.ImpactNurses’ perceptions provide valuable guidelines for developing effective evidence-based nursing courses.Patient or public contributionNo patient or public users participated in this study.

A Qualitative Assessment of Reasons for Living and Dying in the Context of Feeling Trapped Among Adults in the United Kingdom

Objective Contemporary approaches to suicide assessment and treatment incorporate reasons for living (RFL) and reasons for dying (RFD). This study qualitatively explored individuals’ self-described RFL and RFD in the context of suicidal thinking and behaviors. Method Within a community United Kingdom (UK) sample, adults (N = 331, aged 16+) responded to eight open-ended questions probing their experiences of suicide, defeat, and entrapment. Utilizing these data, which were collected from a larger online survey examining risk and protective factors for suicidal behaviors, this study explored RFL and RFD within these narratives. After the research team established an initial code book, RFL and RFD codes were subsequently analyzed through inductive and deductive thematic analyses. Results The present study identified five complimentary RFD-RFL themes: (1) Hopelessness-Hopefulness, (2) Stress of Responsibilities-Duty to Responsibilities, (3) Social Disconnection-Social Connection, (4) Death as Sin-Desire for an Afterlife, and (5) Temporary Escapes as Coping-Entrapment (i.e., a lack of escape). Three subthemes within the RFD theme Entrapment were General/Unspecified, By Feelings, and Within Self. Conclusions Identified themes reflect the existing quantitative RFL and RFD literature. The identified RFL and RFD themes are discussed with reference to their clinical applications in advancing suicide-specific assessments and interventions. We propose a dimensional framework for RFD and RFL which informs future suicidal behaviors research and practice.

Characterizing Spanish-speaking patients' patient-centered care experiences in the emergency department.

Patient-centered care (PCC) is an essential component of high-quality health, yet patients with non-English language preferences (NELP) experience worse PCC outcomes. Additionally, there are likely unique aspects to PCC for patients with NELP in the emergency department (ED). To inform the development of strategies to improve PCC for NELP in the ED, we sought to understand how Spanish-speaking ED patients experience care and the factors that influenced their perceptions of the patient-centeredness of that care. We conducted a single-center qualitative study using semistructured interviews with adult, Spanish-speaking patients who had been discharged home from the ED. Interviews were conducted using an interview guide, recorded, transcribed, and analyzed iteratively in Spanish using inductive and deductive thematic analysis. We conducted 19 interviews with participants from 24 to 72 years old. Participants were born in seven different Spanish-speaking countries. Participants identified three domains of PCC: patient, medical team's skills, and system. Several of the identified themes such as shared decision making, open communication, compassionate care, and coordination of follow-up care are often incorporated into PCC definitions. However, other themes, including uncertainty leading to fear, use of professional interpreters to promote understanding, receiving equitable care, technical proficiency, and efficiency of care expand upon existing domains in PCC definitions. We now have a more nuanced understanding of how Spanish-speaking patients with NELP experience PCC in the ED and what matters to them. Several of the themes identified in this analysis add details about what matters to patients within the domains of previous PCC definitions. This suggests that the conceptualization of PCC may vary based on the setting where care is provided and the population who is receiving this care. Future work should consider patient population and setting when conceptualizing PCC.

Categories of Tree Protection Legislative Provisions of Local Planning Authorities in Peninsular Malaysia

This study was conducted to identify categories of urban tree protection legislative provisions (TPLP) implementable by the local planning authorities (LPAs) in Peninsular Malaysia through a deductive thematic analysis of Act 172, Act 267, Act 171, Act 133, Act 536 and Park By-Laws. The results show that Malaysian urban TPLP categories are mainly found only in Act 172 and Act 267, and they are: 1) Tree Felling Prohibition, 2) Tree Preservation Order (TPO), and 3) Tree Protection Planning Conditions. The first category is for the LPAs to prohibit tree felling or other tree damaging activities without their consent. The second category is about orders made by LPAs to protect specific trees or groups of trees in the interests of amenity. The third category is pertaining to conditions imposed by LPAs on a grant of planning permission (Kebenaran Merancang) that requires the applicants to retain and protect any tree in the development. The outcomes of the analysis further suggested that Malaysian protected urban trees can also be group into two: 1) Regulated Trees, and 2) Registered Trees. The former category are trees with girth exceeding 0.8 m (Act 172) and 1.0 m (Act 267) protected by Tree Felling Prohibition provisions. The latter are trees protected by TPO provisions of both Act 172 and Act 267. All protected urban trees are subjects of the Tree Protection Planning Conditions. If properly implemented, the TPLP would be a vital tool for environmental conservation efforts.