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https://www.readbyqxmd.com/read/28095933/understanding-older-adults-resilience-during-the-brisbane-floods-social-capital-life-experience-and-optimism
#1
Lauren Brockie, Evonne Miller
OBJECTIVE: The purpose of this study was to explore how social capital or the impact of life and previous disaster experience facilitated resilience in older adults who experienced the 2011 and 2013 floods in Brisbane, Australia. METHODS: Data were drawn from in-depth interviews of 10 older adults from Brisbane who were evacuated in both the 2011 and 2013 floods. A combined qualitative approach drawing from the methods of constructivist grounded theory and narrative inquiry was applied and the data were analyzed by using (inductive) line-by-line and axial coding...
January 18, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28094909/integrated-working-for-enhanced-health-care-in-english-nursing-homes
#2
Glenda Cook, Anne McNall, Juliana Thompson, Philip Hodgson, Lynne Shaw, Daniel Cowie
BACKGROUND: The increasingly complex nature of care home residents' health status means that this population requires significant multidisciplinary team input from health services. To address this, a multisector and multiprofessional enhanced healthcare programme was implemented in nursing homes across Gateshead Council in Northern England. STUDY AIMS: To explore the views and experiences of practitioners, social care officers, and carers involved in the enhanced health care in care home programme, in order to develop understanding of the service delivery model and associated workforce needs for the provision of health care to older residents...
January 2017: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/28093833/cracking-the-code-residents-interpretations-of-written-assessment-comments
#3
Shiphra Ginsburg, Cees Pm van der Vleuten, Kevin W Eva, Lorelei Lingard
CONTEXT: Interest is growing in the use of qualitative data for assessment. Written comments on residents' in-training evaluation reports (ITERs) can be reliably rank-ordered by faculty attendings, who are adept at interpreting these narratives. However, if residents do not interpret assessment comments in the same way, a valuable educational opportunity may be lost. OBJECTIVES: Our purpose was to explore residents' interpretations of written assessment comments using mixed methods...
January 16, 2017: Medical Education
https://www.readbyqxmd.com/read/28090438/exploring-mental-health-providers-interest-in-using-web-and-mobile-based-tools-in-their-practices
#4
Stephen M Schueller, Jason J Washburn, Matthew Price
A growing number of Internet sites and mobile applications are being developed intended for use in clinical practice. However, during the development process (e.g., creating features and determining use cases), the needs and interests of providers are often overlooked. We explored providers' interests using a mixed-methods approach incorporating both qualitative and quantitative research methods. A first study used an interview approach to identify the challenges providers faced, tools they used, and any use of computers and apps specifically...
May 2016: Internet Interventions: the Application of Information Technology in Mental and Behavioural Health
https://www.readbyqxmd.com/read/28077073/student-midwives-perceptions-on-the-organisation-of-maternity-care-and-alternative-maternity-care-models-in-the-netherlands-a-qualitative-study
#5
J Catja Warmelink, T Paul de Cock, Yvonne Combee, Marloes Rongen, Therese A Wiegers, Eileen K Hutton
BACKGROUND: A major change in the organisation of maternity care in the Netherlands is under consideration, going from an echelon system where midwives provide primary care in the community and refer to obstetricians for secondary and tertiary care, to a more integrated maternity care system involving midwives and obstetricians at all care levels. Student midwives are the future maternity care providers and they may be entering into a changing maternity care system, so inclusion of their views in the discussion is relevant...
January 11, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28076344/qualitative-aspects-of-the-process-of-neonatal-hearing-screening-program-in-mexico-evaluated-from-the-parental-perspective
#6
Maria Del Consuelo Martínez Wbaldo, María de Los Ángeles Torres Lagunas
INTRODUCTION: The Universal Newborn Hearing Screening Program in Mexico began in 2010. Its results, published in 2013 by the National Council for the Development and Inclusion of Persons with Disabilities (CONADIS), report low coverage and, currently, there is a dearth of information about its activities. This study describes the process of the program from the epistemological perspective of women whose children participated in the program, evaluating it under the sustenance of the constructivist-respondent model in search of aspects that could help explain its results...
December 12, 2016: Medwave
https://www.readbyqxmd.com/read/28074675/the-emergence-of-an-abstract-grammatical-category-in-children-s-early-speech
#7
Stephan C Meylan, Michael C Frank, Brandon C Roy, Roger Levy
How do children begin to use language to say things they have never heard before? The origins of linguistic productivity have been a subject of heated debate: Whereas generativist accounts posit that children's early language reflects the presence of syntactic abstractions, constructivist approaches instead emphasize gradual generalization derived from frequently heard forms. In the present research, we developed a Bayesian statistical model that measures the degree of abstraction implicit in children's early use of the determiners "a" and "the...
January 1, 2017: Psychological Science
https://www.readbyqxmd.com/read/28067092/-its-all-part-of-the-big-change-a-grounded-theory-study-of-women-s-identity-during-menopause
#8
Judith Sergeant, Rosemary Rizq
This study explores the impact of menopause on women's identity and considers the effect of sociocultural factors on their experience of this stage of life. Semi-structured interviews were conducted with 11 women and analysed following constructivist Grounded Theory methods. Women described uncertainty produced by their changing bodies. Menopause was interpreted as marking transition to another phase of life, which necessitated renegotiation of role and status in the face of menopause narratives questioning women's relevance, vigour, attractiveness and emotional stability...
January 9, 2017: Journal of Psychosomatic Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28062898/why-vascular-surgeons-and-interventional-radiologists-collaborate-or-compete-a-look-at-endovascular-stent-placements
#9
Eric J Keller, Jeremy D Collins, Megan Crowley-Matoka, Howard B Chrisman, Magdy P Milad, Robert L Vogelzang
PURPOSE: To understand how cultural differences between vascular surgeons (VSs) and interventional radiologists (IRs) affect their clinical decision making and inter-specialty relationships. METHODS: Twenty-four conversational interviews were conducted with IRs and VSs about their approaches to patient care, views of their specialty and others, and solutions to any expressed concerns. Interview transcripts were systematically analyzed to identify and compare key themes according to the constructivist grounded theory and content analysis using NVivo 10 software...
January 6, 2017: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/28060983/-teaching-practices-and-learning-strategies-in-health-careers
#10
Constanza Carrasco Z, Cristhian Pérez V, Graciela Torres A, Eduardo Fasce H
BACKGROUND: Medical Education, according to the constructivist education paradigm, puts students as the protagonists of the teaching and learning process. It demands changes in the practice of teaching. However, it is unclear whether this new model is coherent with the teachers’ ways to cope with learning. AIM: To analyze the relationship between teaching practices and learning strategies among teachers of health careers in Chilean universities. MATERIAL AND METHODS: The Teaching Practices Questionnaire and Learning Strategies Inventory of Schmeck were applied to 200 teachers aged 24 to 72 years (64% females)...
September 2016: Revista Médica de Chile
https://www.readbyqxmd.com/read/28029741/envisaging-the-use-of-ebp-how-nurse-academics-facilitate-ebp-use-in-theory-and-practice-across-australian-undergraduate-programs
#11
Gulzar Malik, Lisa McKenna, Debra Griffiths
AIM: This paper is drawn from a grounded theory study that aimed to investigate processes undertaken by academics when integrating evidence-based practice (EBP) into undergraduate curricula. This paper focuses on how nurse academics facilitated students to apply EBP in theory and practice. BACKGROUND: Facilitating undergraduate nursing students to develop skills within an EBP framework is vital to achieving evidence-based care. Studies on EBP conducted globally suggests that there is a need to investigate approaches used by nurse academics in facilitating students' understanding and use of EBP during their nurse education...
December 28, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28029609/seeking-control-in-the-midst-of-uncertainty-women-s-experiences-of-choosing-mode-of-birth-after-caesarean
#12
Sarah Munro, Patricia Janssen, Kitty Corbett, Elizabeth Wilcox, Nick Bansback, Jude Kornelsen
PROBLEM: Clinical practice guidelines indicate that over 80% of women with a previous caesarean should be offered a planned vaginal birth after caesarean (VBAC), however only one third of eligible women choose to plan a VBAC. To support informed choices for birth after caesarean, it is necessary to understand the factors that influence women's decision-making. AIM: The goal of this study was to explore attitudes towards and experiences with decision-making for mode of delivery after caesarean from the perspectives of Canadian women...
October 28, 2016: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/28029347/enhancing-the-clinical-reasoning-skills-of-postgraduate-students-in-internal-medicine-through-medical-nonfiction-and-nonmedical-fiction-extracurricular-books
#13
H S Kiran, Thomas V Chacko, K A Sudharshana Murthy, H Basavana Gowdappa
OBJECTIVE: To improve the clinical reasoning skills of postgraduate students in internal medicine through 2 kinds of extracurricular books: medical nonfiction and nonmedical fiction. METHODS: Clinical reasoning is difficult to define, understand, observe, teach, and measure. This is an educational innovation under an experimental framework based on a cognitive intervention grounded in constructivist and cognitivist theories. This study was conducted from June 1, 2014, through May 31, 2015...
October 28, 2016: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/28012191/neither-foolish-nor-finished-identity-control-among-older-adults-with-hiv-in-rural-malawi
#14
Emily Freeman
Prevalence of HIV after age 50 is considerable, especially in southern Africa. Negative social constructions of HIV in older age, and the health consequences of ageing with the virus, mean that having HIV presents a challenge for many people's roles and social memberships, threatening to disrupt their sense of self. Using constructivist grounded theory and qualitative data from rural Malawi, this paper describes how older men and women deal with these identity challenges. Drawing on a symbolic interactionist framework, it uses identity control theory to explore how the study's participants presented their post-diagnosis behaviours in ways that maintained their most significant pre-diagnosis identities as 'adults', a label they gave to the core identity of being a person who belongs in the social world...
December 24, 2016: Sociology of Health & Illness
https://www.readbyqxmd.com/read/28001442/-it-s-just-not-the-culture-a-qualitative-study-exploring-residents-perceptions-of-the-impact-of-institutional-culture-on-feedback
#15
Subha Ramani, Sarah E Post, Karen Könings, Karen Mann, Joel T Katz, Cees van der Vleuten
: Phenomenon: Competency-based medical education requires ongoing performance-based feedback for professional growth. In several studies, medical trainees report that the quality of faculty feedback is inadequate. Sociocultural barriers to feedback exchanges are further amplified in graduate and postgraduate medical education settings, where trainees serve as frontline providers of patient care. Factors that affect institutional feedback culture, enhance feedback seeking, acceptance, and bidirectional feedback warrant further exploration in these settings...
December 21, 2016: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/28000238/falls-prevention-among-older-people-and-care-providers-protocol-for-an-integrative-review
#16
C de la Cuesta-Benjumea, M A Henriques, E Abad-Corpa, B Roe, M I Orts-Cortes, B Lidón-Cerezuela, A Avendaño-Céspedes, J L Oliver-Carbonell, C S Ardila
AIM: To review the evidence about the role of care providers in fall prevention in older adult's aged≥65 years, this includes their views, strategies and approaches on falls prevention and effectiveness of nursing interventions. BACKGROUND: Some falls prevention programmes are successfully implemented and led by nurses and it is acknowledged the vital role they play in developing plans for fall prevention. Nevertheless, there has not been a systematic review of the literature that describes this role and care providers' views on fall's prevention initiatives...
December 21, 2016: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/27960120/negotiating-the-bio-medical-gaze-experiences-of-trans-specific-healthcare-in-sweden
#17
Ida Linander, Erika Alm, Anne Hammarström, Lisa Harryson
In Sweden as well as in other western countries persons with trans experiences have to go through a clinical evaluation in order to get access to gender-confirming medical procedures. The aim of this study is to analyse care-users' experiences of navigating and negotiating access to gender-confirming medical procedures in Sweden. Biomedicalisation is used as a theoretical framework in order to analyse how technoscientific and neoliberal developments are parts of constructing specific experiences within trans-specific care...
November 24, 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/27937001/preventive-strategies-and-processes-to-counteract-bullying-in-health-care-settings-focus-group-discussions
#18
Margaretha Strandmark K, GullBritt Rahm, Bodil Wilde Larsson, Gun Nordström, Ingrid Rystedt
The aim of the present study was to explore preventive strategies and processes to counteract bullying in workplaces. Data were collected by individual interviews and focus group discussions at one hospital and two nursing home wards for elderly, a total of 29 participants. In the analysis of the interviews we were inspired by constructivist grounded theory. Persistent work with a humanistic value system by supervisor and coworkers, raising awareness about the bullying problem, strong group collaboration, and conflict management, along with an open atmosphere at the workplace, appears to be imperative for accomplishing a policy of zero tolerance for bullying...
December 12, 2016: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/27918171/the-complexities-of-power-in-feminist-multicultural-psychotherapy-supervision
#19
Alexis V Arczynski, Susan L Morrow
The goal of the present study was to understand how current feminist multicultural supervisors understand and implement their feminist multicultural principles into clinical supervision. We addressed this aim by answering the following research question: How do self-identified feminist multicultural psychotherapy supervisors conceptualize and practice feminist supervision that is explicitly multicultural? The perspectives of 14 participant supervisors were obtained by using semistructured initial interviews, follow-up interviews, and feedback interviews and were investigated via a feminist constructivist grounded theory design and analysis...
December 5, 2016: Journal of Counseling Psychology
https://www.readbyqxmd.com/read/27917532/do-women-have-a-choice-care-providers-and-decision-makers-perspectives-on-barriers-to-access-of-health-services-for-birth-after-a-previous-cesarean
#20
Sarah Munro, Jude Kornelsen, Kitty Corbett, Elizabeth Wilcox, Nick Bansback, Patricia Janssen
BACKGROUND: Repeat cesarean delivery is the single largest contributor to the escalating cesarean rate worldwide. Approximately 80 percent of women with a past cesarean are candidates for vaginal birth after a cesarean (VBAC), but in Canada less than one-third plan VBAC. Emerging evidence suggests that these trends may be due in part to nonclinical factors, including care provider practice patterns and delays in access to surgical and anesthesia services. This study sought to explore maternity care providers' and decision makers' attitudes toward and experiences with providing and planning services for women with a previous cesarean...
December 5, 2016: Birth
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