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https://www.readbyqxmd.com/read/28436048/dealing-with-the-tension-how-residents-seek-autonomy-and-participation-in-the-workplace
#1
Francisco M Olmos-Vega, Diana H J M Dolmans, Nicolas Vargas-Castro, Renée E Stalmeijer
CONTEXT: The workplace can be a strenuous setting for residents: although it offers a wealth of learning opportunities, residents find themselves juggling their responsibilities. Even though supervisors regulate what is afforded to residents, the former find it difficult to strike the proper balance between residents' independence and support, which could create tensions. But what tensions do residents experience during clinical supervision and how do they cope with them to maximise their learning opportunities? Understanding how residents act on different affordances in the workplace is of paramount importance, as it influences their learning...
April 24, 2017: Medical Education
https://www.readbyqxmd.com/read/28431536/-popping-nana-back-into-bed-a-qualitative-exploration-of-paramedic-decision-making-when-caring-for-older-people-who-have-fallen
#2
Paul Simpson, Ric Thomas, Jason Bendall, Bill Lord, Stephen Lord, Jacqueline Close
BACKGROUND: Older fallers constitute a large proportion of ambulance work, and as many as 25% are not transported to hospital following paramedic assessment. The objective of this study was to explore the decision making process used by paramedics when caring for older fallers. METHODS: A qualitative study was conducted using constructivist grounded theory methodology. Purposive sampling was used to recruit paramedics to participate in semi-structured interviews and focus groups...
April 21, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28428813/perinatal-depression-in-nigeria-perspectives-of-women-family-caregivers-and-health-care-providers
#3
Ademola Adeponle, Danielle Groleau, Lola Kola, Laurence J Kirmayer, Oye Gureje
BACKGROUND: Perinatal maternal depression is common and undertreated in many sub-Saharan African countries, including Nigeria. While culture shapes the social determinants and expression of depressive symptoms, there is a dearth of research investigating these processes in African contexts. METHODS: To address this gap, we conducted in-depth interviews with 14 women with perinatal depression, 14 of their family caregivers and 11 health providers, using the McGill Illness Narrative Interview as part of a larger trial of a stepped-care intervention...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/28426536/exploring-the-interaction-between-nursing-decision-making-and-patient-outcomes-in-2-european-cancer-centers-a-qualitative-study
#4
Dario Valcarenghi, Annamaria Bagnasco, Giuseppe Aleo, Gianluca Catania, Milko Zanini, Bruno Cavaliere, Franco Carnevale, Loredana Sasso
BACKGROUND: In some clinical settings, nurses have difficulty describing the outcomes of their caring activities. Understanding the reasons for this could help nurse leaders to improve the effectiveness and visibility of nursing practice and safeguard nurses' working conditions. OBJECTIVE: The aims of this study were to understand how nurses working in 2 different adult cancer centers make healthcare decisions and assess the respective outcomes on their patients...
April 20, 2017: Cancer Nursing
https://www.readbyqxmd.com/read/28425318/exploring-families-experiences-of-health-contributions-to-a-model-of-family-health
#5
Sarah L Smith, Beth DeGrace, Carrie Ciro, Ami Bax, Andrea Hambrick, Jennifer James, Alexandra Evans
Child health and developmental outcomes are influenced by the health of the family and the context created. Research suggests symptoms of poor family health (e.g. suboptimal family interactions, parenting stress) yet there is limited understanding of the factors which contribute to robust family health which may unveil opportunities for targeted intervention and family health promotion. The present study examined families' experiences of family health and factors contributing to family health. We performed a qualitative study using constructivist grounded theory methods to guide our understanding of family health for families with typically developing children aged 5-18...
April 20, 2017: Psychology, Health & Medicine
https://www.readbyqxmd.com/read/28418205/it-s-not-just-what-you-know-junior-trainees-approach-to-follow-up-and-documentation
#6
Dani C Cadieux, Mark Goldszmidt
CONTEXT: In teaching hospitals, junior trainees (first-year residents and third-year medical students) are responsible for patient follow-up and documentation under the supervision of senior team members. In order to support trainees in their role, supervisors need to understand how trainees approach these tasks and how they can be coached to develop best practices. OBJECTIVES: The purpose of our study was to explore the range of practices used by junior trainees in clinical settings...
April 18, 2017: Medical Education
https://www.readbyqxmd.com/read/28412270/how-surgeons-conceptualize-talent-a-qualitative-study-using-sport-science-as-a-lens
#7
Rune Dall Jensen, Mette Krogh Christensen, Kori A LaDonna, Mikkel Seyer-Hansen, Sayra Cristancho
OBJECTIVES: Debates prevail regarding the definition of surgical talent, and how individuals with the potential to become talented surgeons can be identified and developed. However, over the past 30 years, talent has been studied extensively in other domains. The objectives of this study is to explore notions of talent in surgery and sport in order to investigate if the field of surgical education can benefit from expanding its view on talented performances. Therefore, this study aims to use the sport literature as a lens when exploring how surgeons conceptualize and define talent...
April 12, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28410975/engagement-of-nurses-in-their-profession-qualitative-study-on-engagement
#8
Rosa García-Sierra, Jordi Fernández-Castro, Fermín Martínez-Zaragoza
OBJECTIVE: To identify common issues of nurses with high engagement to enable us to develop the construct as it applies to nursing in more depth. METHOD: Based on the constructivist paradigm and with a phenomenological approach, a qualitative content analysis was conducted using an inductive approach. Participants were nurses working in direct care in different healthcare areas. The sample size was determined by data saturation and 15 participants were interviewed...
April 12, 2017: Enfermería Clínica
https://www.readbyqxmd.com/read/28404229/-we-don-t-know-we-ve-never-had-anybody-like-you-before-barriers-to-perinatal-care-for-women-with-physical-disabilities
#9
Lesley A Tarasoff
BACKGROUND: While more women with physical disabilities are becoming mothers, many encounter barriers to perinatal care and experience poor outcomes. Little is known about the perinatal care experiences and outcomes of women with physical disabilities in Canada. OBJECTIVE: This qualitative study sought to understand the perinatal care experiences and outcomes of women with physical disabilities in one Canadian province, with an emphasis on identifying barriers to care...
April 5, 2017: Disability and Health Journal
https://www.readbyqxmd.com/read/28389681/-adna-research-from-a%C3%A2-historical-perspective
#10
Elsbeth Bösl
aDNA studies are a cooperative field of research with a broad range of applications including evolutionary biology, genetics, anthropology and archaeology. Scientists are using ancient molecules as source material for historical questions. Colleagues from the humanities are observing this with both interest and concern because aDNA research is affecting academic identities and both concepts of history and historiography. aDNA research developed in a way that can be described as a Hype Cycle (Chackie Fenn)...
April 7, 2017: NTM
https://www.readbyqxmd.com/read/28388945/a-qualitative-study-protocol-of-ageing-carers-caregiving-experiences-and-their-planning-for-continuation-of-care-for-their-immediate-family-members-with-intellectual-disability
#11
Lisa Pau Le Low, Wai Tong Chien, Lai Wah Lam, Kayla Ka Yin Wong
BACKGROUND: Understanding the difficulties and needs of the family carers in taking care of a person with ID can facilitate the development of appropriate intervention programmes and services to strengthen their caring capacity and empower them to continue with their caring roles. This study aims to explore ageing family carers' caregiving experiences and the plans they have to provide care for themselves and their ageing children with mild or moderate intellectual disability (ID). METHOD: A constructivist grounded theory will be used to interview around 60 carers who have a family member with mild or moderate ID and attending sheltered workshops in Hong Kong...
April 7, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28376917/decision-making-on-terminating-pregnancy-for-muslim-arab-women-pregnant-with-fetuses-with-congenital-anomalies-maternal-affect-and-doctor-patient-communication
#12
Anat Gesser-Edelsburg, Nour Abed Elhadi Shahbari
BACKGROUND: This study focused on decision-making on terminating pregnancy for Arab Muslim women in Israel who were pregnant with fetuses diagnosed with congenital anomalies. It examined the impact of the doctor-patient interaction on the women's decision, especially in light of social and religious pressures not to terminate under any circumstances. Our goal was to identify perceptions and attitudes of Muslim Arab women who choose to continue their pregnancy following the detection of congenital anomalies in prenatal tests...
April 4, 2017: Reproductive Health
https://www.readbyqxmd.com/read/28372936/-every-person-s-just-different-women-s-experiences-with-counseling-for-early-pregnancy-loss-management
#13
Robin Wallace, Angela DiLaura, Christine Dehlendorf
BACKGROUND: Women have strong preferences for their choice of early pregnancy loss (EPL) management. However, current practice patterns suggest that some women may not be offered counseling about the full range of management options. To develop a foundation for quality counseling about EPL treatment, we elicited patients' perspectives regarding their preferences and values for communication during this decision-making process. METHODS: Twenty-one individual interviews were conducted with women who recently experienced EPL...
March 31, 2017: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/28348163/process-factors-facilitating-and-inhibiting-medical-ethics-teaching-in-small-groups
#14
Miriam Ethel Bentwich, Ya'arit Bokek-Cohen
PURPOSE: To examine process factors that either facilitate or inhibit learning medical ethics during case-based learning. METHODS: A qualitative research approach using microanalysis of transcribed videotaped discussions of three consecutive small-group learning (SGL) sessions on medical ethics teaching (MET) for three groups, each with 10 students. RESULTS: This research effort revealed 12 themes of learning strategies, divided into 6 coping and 6 evasive strategies...
March 27, 2017: Journal of Medical Ethics
https://www.readbyqxmd.com/read/28345475/understanding-bladder-management-on-a-palliative-care-unit-a-grounded-theory-study
#15
Iris Gutmanis, Melissa Hay, Joshua Shadd, Janette Byrne, Sarah McCallum, Kristen Bishop, Patricia Whitfield, Cathy Faulds
BACKGROUND: Research regarding factors associated with nursing-initiated changes to bladder management at end-of-life is sparse. OBJECTIVES: To explore the process of Palliative Care Unit (PCU) nurses' approach to bladder management changes. METHODS: Nursing staff from one PCU in London, Canada were interviewed regarding bladder management care practices. A constructivist grounded theory was generated. RESULTS: Four interconnected themes emerged: humanity (compassionate support of patients); journey (making the most of a finite timeline); health condition (illness, functional decline); and context (orders, policies, supplies)...
March 16, 2017: International Journal of Palliative Nursing
https://www.readbyqxmd.com/read/28335820/exploring-the-tensions-of-being-and-becoming-a-medical-educator
#16
Ahsan Sethi, Rola Ajjawi, Sean McAleer, Susie Schofield
BACKGROUND: Previous studies have identified tensions medical faculty encounter in their roles but not specifically those with a qualification in medical education. It is likely that those with postgraduate qualifications may face additional tensions (i.e., internal or external conflicts or concerns) from differentiation by others, greater responsibilities and translational work against the status quo. This study explores the complex and multi-faceted tensions of educators with qualifications in medical education at various stages in their career...
March 23, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28333526/learning-higher-order-generalizations-through-free-play-evidence-from-2-and-3-year-old-children
#17
Zi L Sim, Fei Xu
Constructivist views of cognitive development often converge on 2 key points: (a) the child's goal is to build large conceptual structures for understanding the world, and (b) the child plays an active role in developing these structures. While previous research has demonstrated that young children show a precocious capacity for concept and theory building when they are provided with helpful data within training settings, and that they explore their environment in ways that may promote learning, it remains an open question whether young children are able to build larger conceptual structures using self-generated evidence, a form of active learning...
April 2017: Developmental Psychology
https://www.readbyqxmd.com/read/28321866/bridging-worlds-participatory-thinking-in-jungian-context
#18
Robin S Brown
Introducing the 'participatory' paradigm associated with the work of transpersonalists Richard Tarnas and Jorge Ferrer, the author outlines an approach to Jung's archetypal thinking that might offer a more adequate basis in which to ground a non-reductive approach to practice. In order to demonstrate the relevance of this outlook at the present time, the author begins by examining recent debates concerning the nature of 'truth' in the clinical setting. Reflecting on the difficulties analysts face in attempting to maintain professional authority without falling into an implicit authoritarianism, it is argued that any approach to therapy seeking to orient itself towards 'the unconscious' must posit the challenges of pluralism as a central concern for practice...
April 2017: Journal of Analytical Psychology
https://www.readbyqxmd.com/read/28292636/who-we-are-and-what-we-can-become-an-analysis-of-professional-identity-formation-in-ir
#19
Eric J Keller, Katherine A McGee, Scott A Resnick, Scott O Trerotola, Karim Valji, Matthew S Johnson, Jeremy D Collins, Robert L Vogelzang
PURPOSE: To characterize the unique experiences, values, and perspectives of interventional radiology (IR) fellows. MATERIALS AND METHODS: Sixteen fellows from 4 US vascular and IR programs were interviewed within 2 months of beginning and 2-3 months following their 2015-2016 fellowships about patient interactions, training experiences, and views of IR and other specialties. Interviews were systematically analyzed for dominant themes by using constructivist grounded theory...
March 11, 2017: Journal of Vascular and Interventional Radiology: JVIR
https://www.readbyqxmd.com/read/28280948/-wear-some-thick-socks-if-you-walk-in-my-shoes-agency-resilience-and-well-being-in-communities-of-north-american-sex-workers
#20
Theodore R Burnes, Elizabeth M Rojas, Irena Delgado, Tianna E Watkins
Using a participatory action research (PAR) paradigm, this study investigated how 35 individuals involved in the sex work industry exemplified aspects of agency and intentional well-being under harsh work environments. Using PAR and qualitative research, sex workers were asked to identify research questions and help to design a study investigating the relationship between well-being and sex worker agency. Participants in the study each completed one semi-structured individual interview to share their experiences in the sex work industry...
March 9, 2017: Archives of Sexual Behavior
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