scholarly journals Exploring senior managers’ perceptions of the COVID-19 Crisis in Iran: a qualitative content analysis study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mostafa Bijani ◽  
Shahnaz Karimi ◽  
Aliasghar Khaleghi ◽  
Yousef Gholampoor ◽  
Zhila Fereidouni

Abstract Background Identification of the experience of senior managers in tackling biological crises can be a roadmap for future crisis management planning. The aim of the present study was to investigate the experiences of senior managers during the COVID-19 crisis. Methods This is a descriptive qualitative research. Data were collected using in-depth and semi-structured individual interviews. Accordingly, 20 senior managers of medical universities with experience in managing the COVID-19 crisis were enrolled in the study using purposive sampling. Data were collected from February 2020 to May 2021. For data analysis, qualitative content analytical approach was used. Results According to the results, 4 main themes and 10 sub-themes were obtained; they included dealing with issues and challenges in the face of COVID-19 disease (Structural challenges, Cultural challenges, Educational challenges, COVID-19 complexity); individual and managerial competencies (Individual competencies, Managerial competencies); comprehensive, accountable, and efficient management (Comprehensive and accountable management, efficient management); and professional and organizational self-efficacy (Professional self-efficacy, organizational self-efficacy) were obtained. Conclusions In the present study, a number of senior managers’ experiences in the COVID-19 crisis management were identified. Managers and policymakers of the health system are suggested to use the results of the present study to effectively manage the crisis and improve crisis management in various health-related areas by providing an effective cultural and organizational context.

2019 ◽  
Author(s):  
Soleiman Ahmady ◽  
Zohrehsadat Mirmoghtadaie ◽  
Davood Rasouli

Abstract Background Interprofessional education is one of the most important educational methods for developing team work encounter with many challenges, especially in developing countries. The purpose of this study was to identify the important challenges of Interprofessional education in Iran's medical educational system. Methodology The qualitative content analysis was used to explain the perception and experience of 15 professors and experts regarding the challenges of Interprofessional education with semi structured interviews. The interviews were analyzed with Graneheim and Lundman qualitative approach in the MAXQDA software V.12 interviews were completed. Findings According to the participants, the important challenges to designing and implementation of Interprofessional education was: 1) educational challenges, 2) structural challenges and 3) cultural challenges. Conclusion Because of the importance of Interprofessional education to enhancing medical education, policymakers need to understand the importance of IPE and address the barriers and challenges they face. Also the Structures must be created and attitudes change.


Author(s):  
Ruslan Savenko

UDC 6585:330   Savenko Ruslan, doctor of sciences, professor. Poltava national technical Yuri Kondratyuk university. Dynamic monitoring in anti-crisis management of state economic security. This paper aimed at the problem of improvement the management system of economic security of natural use objects on a regional level using the organized digital dynamic monitoring for informational provision and justifying the options of efficient management decisions of operative and strategic importance by criteria of ecological, economic and social security. Monitoring of the regional (territorial) natural objects provides constant systematic observation of the processes that take place inside of a “region-state” system and at world’s natural resources market. It needed to create the informational database for efficient management of a nature-use system. We suggest plan of making the scientific and research institute in PoltNTU for conducting investigations based on continuous informational monitoring. Keywords: monitoring, management system, ecological-economic-social security, natural use resources, algorithm, scientific and research institute, management decisions.


Author(s):  
Hye Jin Yoo ◽  
JaeLan Shim ◽  
Namhee Kim

This study aimed to explore health risk perceptions, changes in health-related behaviors, and life experiences of mothers with school-age children during the early coronavirus disease (COVID-19) pandemic. Data were collected between 16 July and 10 September 2020, by individual interviews and analyzed through qualitative content analysis. After the twelve participants’ experiences were analyzed, four themes and ten sub-themes were derived. The four themes were: “Struggling to identify the substance of COVID-19,” “Taking the initiative to protect the health of the family,” “Frustrated by the brutal reality of no end in sight,” and “Trying to adjust wisely to an inevitable new lifestyle.” The findings suggest that while the world remains in an ongoing battle with COVID-19, national health institutions should prepare a health education system for specific infection prevention methods that can be practiced by individuals in daily life.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alina Kasdorf ◽  
◽  
Gloria Dust ◽  
Vera Vennedey ◽  
Christian Rietz ◽  
...  

Abstract Background Little is known about the nature of patients’ transitions between healthcare settings in the last year of life (LYOL) in Germany. Patients often experience transitions between different healthcare settings, such as hospitals and long-term facilities including nursing homes and hospices. The perspective of healthcare professionals can therefore provide information on transitions in the LYOL that are avoidable from a medical perspective. This study aims to explore factors influencing avoidable transitions across healthcare settings in the LYOL and to disclose how these could be prevented. Methods Two focus groups (n = 11) and five individual interviews were conducted with healthcare professionals working in hospitals, hospices and nursing services from Cologne, Germany. They were asked to share their observations about avoidable transitions in the LYOL. The data collection continued until the point of information power was reached and were audio recorded and analysed using qualitative content analysis. Results Four factors for potentially avoidable transitions between care settings in the LYOL were identified: healthcare system, organization, healthcare professional, patient and relatives. According to the participants, the most relevant aspects that can aid in reducing unnecessary transitions include timely identification and communication of the LYOL; consideration of palliative care options; availability and accessibility of care services; and having a healthcare professional taking main responsibility for care planning. Conclusions Preventing avoidable transitions by considering the multicomponent factors related to them not only immediately before death but also in the LYOL could help to provide more value-based care for patients and improving their quality of life.


BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e029565
Author(s):  
Barbara Seebacher ◽  
Roger J Mills ◽  
Markus Reindl ◽  
Laura Zamarian ◽  
Raija Kuisma ◽  
...  

IntroductionSelf-efficacy refers to individuals’ confidence in their ability to perform relevant tasks to accomplish desired goals. This is independent of their actual abilities. In people with multiple sclerosis (MS), self-efficacy has been shown to powerfully influence motivation and health-related behaviour, such as adherence to prescribed treatment or physical activity. So far, a rigorously tested German language self-efficacy questionnaire for people with MS is missing.MethodsThe purpose of this study is to translate the original Unidimensional Self-Efficacy Scale for Multiple Sclerosis (USE-MS) into German and to validate the German USE-MS (USE-MS-G). Based on Bandura’s concept of self-efficacy and international guidelines for questionnaire development, the patient-led development of the pre-final German version will involve a forward–backward translation process, synthesis of translations, expert committee review and consensus with the original test developers. At two centres in Tyrol, Austria, content and face validity and cultural adaption for Austria will be established using face-to-face semistructured cognitive interviews of 30 people with MS (PwMS). A further 292 PwMS with minimal to severe disability will be tested at two timepoints to validate the USE-MS-G.ResultsMixed methods analyses will be applied. Interviews will be transcribed and analysed employing qualitative content analysis. External validity will be explored using Spearman’s Rank correlation coefficients of the USE-MS-G with the 13-item Resilience Scale, General Self-Efficacy Scale, Multiple Sclerosis International Quality of Life questionnaire, Hospital Anxiety and Depression Scale and MS-specific Neurological Fatigue Index. Test–retest reliability, internal consistency and floor and ceiling effects will be evaluated. Internal validity will be examined using Rasch analysis.Ethics and disseminationEthical approval was received from the Ethics Committee of the Medical University of Innsbruck, Austria (reference number EK1260/2018; 13.12.2018). Results from this study will be disseminated to the participants and MS Societies, and to clinicians and researchers through peer-reviewed publications and conferences.Study registrationISRCTN Registry; trial ID ISRCTN14843579; prospectively registered on 02. 01. 2019; http://www.isrctn.com/ISRCTN14843579


2017 ◽  
Vol 39 (7) ◽  
pp. 2107-2130 ◽  
Author(s):  
Bernadett Csurgó ◽  
Luca Kristóf

Our article aims to study the attitudes of the elite to family life and gender equality. This is a social group who still experiences significant gender imbalances. We focus on attitudes to family life, which has thus far been underresearched in elite literature. With the help of the analysis of 34 individual interviews with members of the Hungarian political, economic, and cultural elite, we identify and present three types of narrative identities: dominant, deferential, and egalitarian. The main finding from our qualitative content analysis is that egalitarian partnership norms which were discussed in every narrative and gender equality appear in most cases as a norm among the elite. However, there is a narrative tension between this norm and the couples’ actual experiences of their family life. We conclude our article with some comments on how the ideology of egalitarian essentialism strengthens gender inequalities reinforcing the underrepresentation of women in elite positions.


2021 ◽  
Vol 8 (2) ◽  
pp. 238-256
Author(s):  
Boyie S. Dlamini ◽  
P. E. Zwane

  Abstract Towards the end of 2019 the world experienced the Coronavirus disease (Covid 19) pandemic which affected operations of education systems. This reflective study examines how a lecturer and students built hope and  self-efficacy under Covid 19 educational contexts.  Self-efficacy–hopeful thinking model and Bernstein Framework were used in this study. The sample consisted of 515 students and 1 lecturer and it was sampled through purposeful stratified sampling. Data was collected through the lecturer’s self-reflection on his ability to build hope, self-efficacy to meet academic demands. The lecturer also observed students’ behaviours. The data was analysed through content analysis. Findings indicated that Covid 19 educational contexts mediated on students’ levels of  hope, acadmic investment and created false impression that University academic year had been lost. Some students developed low level of self-efficacy belief which forced them to approach educational problems without conviction and hopeful thinking. The findings indicated that lecturer’s behaviour towards students contributed to the improvement of a high sense of self-efficacy belief  and effort investment in their  work. The lecturer maintained hopefullness and confidence among students. The study concluded that educational processes under the uncertainties of Covid 19 were paradigm shift for the lecturer and students’ academic life. It provided opportunities to transform and reconstruct pedagogical discourses in relation to Covid 19 educational contexts. It may be recommended that lecturers and others within institutions may be urged to reflect on Covid 19 educational challenges and embrace them rather than avoid them.  Key words: Covid 19, Hope, Self-efficacy, Effort, Empathy


Author(s):  
Md Shaheb Ali ◽  
Shah J. Miah

Business intelligence (BI) has proliferated due to its growing application for business decision support. Research on organizational factors may offer significant use in BI implementation. However, a limited number of studies focus on organizational factors for revealing adverse impacts on effective decision support. The aim of this theoretical study is to conduct a literature analysis to identify organizational factors relevant to BI implementation. Through a systematic literature review, a qualitative content analysis on 49 relevant sample articles for generating themes inductively is adopted to reveal organizational factors. Findings suggest two contexts: information management that integrates factors such as technological capability and personnel capability and organizational context that integrates factors such as organizational capability, managerial decision, and organizational culture for facilitating embedding information management capability for BI implementation in businesses. It is hoped that these contextual understanding can be useful for further BI implementations.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Martin Eriksson Crommert ◽  
Karolina Petrov Fieril ◽  
Catharina Gustavsson

Abstract Background Although an increased inter-recti distance, also known as diastasis recti, is common after pregnancy, evidence-based knowledge about the condition is relatively limited. In particular, little is known about the consequences as perceived by the women. The objective of the present study was to describe how postpartum women with increased inter-recti distance experience the condition as well as the contacts they have had with healthcare providers regarding their symptoms. Methods A purposeful sampling approach was used to recruit 19 participants from an existing study cohort of 144 women. All participants had an inter-recti distance of at least two finger widths and at least one child, with the youngest child between the ages of 1 and 6 years. Individual interviews based on a semi-structured interview guide were performed and subsequently analysed using qualitative content analysis. Results Four categories emerged from the interviews: the body’s function and ability has changed; the body does not look like it used to; uncomprehending attitudes and treatment in their surroundings; and trying to acquire an understanding of and strategies to cope with the diastasis. The findings reveal that women with increased inter-recti distance might experience fear of movement and engage in avoidance behaviour. In combination with feelings of physical instability in the midsection of their bodies and body dissatisfaction, many of the women restrict their everyday lives and physical activities. Conclusions The findings indicate that increased inter-recti distance is a complex phenomenon that affects the women in a multitude of ways, highlighting the importance of considering the condition for each individual in her own context from a biopsychosocial perspective.


BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e037488
Author(s):  
Anu Venesoja ◽  
Maaret Castrén ◽  
Susanna Tella ◽  
Veronica Lindström

BackgroundResearch on patient safety in emergency medical services (EMS) has mainly focused on the organisation’s and/or the EMS personnel’s perspective. Little is known about how patients perceive safety in EMS. This study aims to describe the patients’ experiences of their sense of safety in EMS.MethodsA qualitative design with individual interviews of EMS patients (n=21) and an inductive qualitative content analysis were used.ResultsPatients’ experiences of EMS personnel’s ability or inability to show or use their medical, technical and driving skills affected the patients’ sense of safety. When they perceived a lack of professionalism and knowledge among EMS personnel, they felt unsafe. Patients highlighted equality in the encounter, the quality of the information given by EMS personnel and the opportunity to participate in their care as important factors creating a sense of safety during the EMS encounter. Altogether, patients’ perceptions of safety in EMS were connected to their confidence in the EMS personnel.ConclusionsOverall, patients felt safe during their EMS encounter, but the EMS personnel’s professional competence alone is not enough for them to feel safe. Lack of communication or professionalism may compromise their sense of safety. Further work is needed to explore how patients’ perceptions of safety can be used in improving safety in EMS.


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