scholarly journals Comparative Perspectives on Geriatrics-Surgery Co-Management Program by Specialty and Staff Role

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 325-326
Author(s):  
Sonia Pandit ◽  
Mark Simone ◽  
Alyson Michener ◽  
Lisa Walke ◽  
Ingrid Nembhard
Keyword(s):  
Survey Data ◽  
Management Program ◽  
Case Managers ◽  
Advanced Practice ◽  
Structured Interviews ◽  
Surgical Specialty ◽  
Shared Data ◽  
Qualitative Thematic Analysis ◽  
Patient Complexity ◽  
Wallis Anova

Abstract Co-management programs between geriatrics and surgical specialties have gained popularity in the last few years. Little is known about how these programs are perceived across surgical specialties and staff roles. We conducted a mixed methods study to assess perspectives on a geriatrics-surgery co-management program (GSCP) at a hospital where geriatricians co-manage patients 65 or older admitted to Orthopedic Trauma, General Trauma, and Neurosurgery. We used semi-structured interviews (n=13) and online surveys (n=45) to explore program value, facilitators, use, understanding, and impact by specialty and staff roles (physicians, advanced practice providers, nurses, case managers, social workers). Interview transcripts were analyzed using qualitative thematic analysis, and survey data were analyzed using Kruskal-Wallis, ANOVA, and Fisher’s exact tests. Interviews revealed three themes: 1) GSCP is valued because of geriatricians’ expertise in older adults, relationship with patients and families, and skill in addressing social determinants of health; 2) GSCP facilitators include consistent availability of geriatricians, clear communication, and collaboration via shared data-driven goals; and 3) GSCP use varies by surgical specialty and role depending on expertise and patient complexity. Survey data analysis affirmed interview themes and showed significant differences (p-values<0.05) between perspectives of surgical specialties and roles on GSCP use, understanding, impact, and which specialty should manage specific clinical issues. Findings suggest that while there are similarities across surgical specialties and roles regarding the value of, and facilitators for, a GSCP, specialties and roles differ in use, understanding, and perceived program impact on care. These findings suggest strategies for optimizing this intervention across groups.

scholarly journals The Importance of Perceived Relevance: A Qualitative Evaluation of Patient’s Perceptions of Value and Impact Following a Low-Intensity Group-Based Pain Management Program

Medicina ◽  
2021 ◽  
Vol 57 (1) ◽  
pp. 46
Author(s):  
Joshua W. Pate ◽  
Elizabeth Tran ◽  
Seema Radhakrishnan ◽  
Andrew M. Leaver
Keyword(s):  
Pain Management ◽  
Qualitative Evaluation ◽  
Management Program ◽  
Structured Interviews ◽  
Patient Beliefs ◽  
Pain Management Program ◽  
Westmead Hospital ◽  
Group A ◽  
Perceived Relevance ◽  
Beliefs And Attitudes

Background and objectives: Limited evidence exists exploring perceptions of which aspects of a pain management program are perceived as valuable and impactful. The aim of this study was to explore patient beliefs about which aspects of a pain management program were valued and/or had perceived impact. Materials and Methods: One-on-one structured interviews were conducted with 11 adults three months after their completion of the Spark Pain Program at Westmead Hospital, Sydney, Australia. Concepts in the transcripts were inductively identified and explored, utilizing thematic analysis to better understand their relevance to the study aim. Results: Four themes emerged: (1) “The program overall was positive, but…”; (2) “I valued my improved knowledge and understanding of pain, but…”; (3) “I valued the stretching/relaxation/pacing/activity monitoring”; and (4) “I valued being part of a supportive and understanding group”. Participants reported that they liked being treated as an individual within the group. A lack of perceived personal relevance of key messages was identified in some participants; it appears that patients in pain programs must determine that changes in knowledge, beliefs, and attitudes are personally relevant in order for the changes to have a significant impact on them. Conclusions: This study provides new insights into aspects of a pain management program that were perceived as valuable and impactful, areas that “missed the mark”, and hypotheses to guide the implementation of service delivery and program redesign.

A Qualitative Study of Developing Competency in Thyroid Surgery: A Resident’s Perspective With 5 Year Follow Up

2021 ◽  
pp. 000348942199691
Author(s):  
Gabriela DeVries ◽  
Megan Rudolph ◽  
Howard David Reines ◽  
Philip E. Zapanta
Keyword(s):  
Qualitative Study ◽  
Learning Strategies ◽  
Thyroid Surgery ◽  
Washington Dc ◽  
Structured Interviews ◽  
Self Directed Learning ◽  
Surgical Specialty ◽  
Long Term Follow Up ◽  
The Individual

Objectives: The Accreditation Council for Graduate Medical Education has guidelines on assessing surgical qualifications based on experience. Attending surgeons have various assumptions on how their trainees learn and acquire surgical skills. This study primarily investigates the resident’s perspective on gaining experience and achieving competency in thyroid surgical procedures. Methods: A qualitative study using semi-structured interviews was designed to derive themes that discuss the acquisition of competency in thyroid surgery. After IRB approval, data was collected from 2012 to 2014 at 4 academic centers in the Washington, DC area. Fourteen chief residents specializing in either general surgery or otolaryngology were interviewed until saturation was achieved. These semi-structured interviews were transcribed and broken up into codes utilizing Moustakas’ analysis. A comprehensive list of master themes in regards to achieving competency in thyroid surgery was developed. A follow up survey of the surgeons was undertaken at 5 years to determine if the perceptions during residency persisted in practice. Results: Surgical specialty residents experience and learn thyroid surgery in 5 learning themes: 1. Self—directed learning is significant during residency. 2. Repetition with graduated autonomy is key. 3. Effective mentors are competent surgeons who challenge residents and use positive teaching techniques. 4. Residents employ active learning through the “see one, do one, teach one” philosophy. 5. Learning from complexity is of importance to residency training. After several years in practice, the most important theme in learning after residency was repetition of cases. Conclusions: This study demonstrates how residents progress in approaching competency in thyroid surgery. Adult learning strategies are preferred, and programs should incorporate tailored techniques to meet the individual needs of the residents. Perceptions of what is most important shifted in long-term follow up. Further study is needed to assure competency in residency and in practice.

scholarly journals Disconnection in Information Exchange During Pediatric Trauma Transfers: A Qualitative Study

2021 ◽  
Vol 8 ◽  
pp. 237437352110565
Author(s):  
Hadley S Sauers-Ford ◽  
James B Aboagye ◽  
Stuart Henderson ◽  
James P Marcin ◽  
Jennifer L Rosenthal
Keyword(s):  
Qualitative Study ◽  
Information Exchange ◽  
Pediatric Patients ◽  
Traumatic Injury ◽  
Pediatric Trauma ◽  
Structured Interviews ◽  
Theoretical Concepts ◽  
Qualitative Thematic Analysis ◽  
Clinician Communication ◽  
Flow Of Information

Pediatric patients experiencing an emergency department (ED) visit for a traumatic injury often transfer from the referring ED to a pediatric trauma center. This qualitative study sought to evaluate the experience of information exchange during pediatric trauma visits to referring EDs from the perspectives of parents and referring and accepting clinicians through semi-structured interviews. Twenty-five interviews were conducted (10 parents and 15 clinicians) and analyzed through qualitative thematic analysis. A 4-person team collaboratively identified codes, wrote memos, developed major themes, and discussed theoretical concepts. Three interdependent themes emerged: (1) Parents’ and clinicians’ distinct experiences result in a disconnect of information exchange needs; (2) systems factors inhibit effective information exchange and amplify the disconnect; and (3) situational context disrupts the flow of information contributing to the disconnect. Individual-, situational-, and systems-level factors contribute to disconnects in the information exchanged between parents and clinicians. Understanding how these factors’ influence information disconnect may offer avenues for improving patient–clinician communication in trauma transfers.

scholarly journals Soft Factor In the Implementation of Quality Management Program in Majlis Agama Islam Selangor (MAIS)

2018 ◽  
Vol 10 (3) ◽  
Author(s):  
Musaiyadah Ahmadun ◽  
Siti Arni Basir ◽  
Osman Md Rasip
Keyword(s):  
Quality Management ◽  
Qualitative Method ◽  
Training And Development ◽  
Management Program ◽  
Depth Information ◽  
Soft Or ◽  
Structured Interviews ◽  
Soft Factor ◽  
Soft Factors

Many studies on the implementation of quality management programs were carried out by previous researchers. However, the study on the soft or human factors in the implementation of quality management programs is still poorly explored. Therefore, this article aims to analyze soft factors in the implementation of quality management programs at Selangor Islamic Religious Council or Majlis Agama Islam Selangor (MAIS). This study uses a qualitative method involving MAIS as a case study. Semi-structured interviews were used as a data collection method and supported by relevant documents collected from MAIS. A total of fifteen informants comprising top management and MAIS officers were interviewed to obtain in-depth information on the subjects studied. The findings reveal that there are six soft factors emerged in the implementation of quality management programs at MAIS namely leadership, training and development, teamwork, customer focus, Syura and rewards. This study demonstrates that soft factors has helped facilitate the implementation of quality management programs in MAIS. The results of this study can be used as guidance by managers in public or corporate organizatons in their efforts to implement quality management programs effectively.

scholarly journals Employee-driven Innovation in Welfare Services

2014 ◽  
Vol 4 (2) ◽  
pp. 159 ◽  
Author(s):  
Thomas Wihlman ◽  
Magnus Hoppe ◽  
Ulla Wihlman ◽  
Hélène Sandmark
Keyword(s):  
Empirical Studies ◽  
Organizational Slack ◽  
Full Potential ◽  
Management Support ◽  
Structured Interviews ◽  
The Public ◽  
Welfare Services ◽  
Qualitative Thematic Analysis ◽  
New Ideas ◽  
Innovation Processes

There is a growing interest in both employee-driven innovation (EDI) and innovation in welfare services, but a lack of empirical studies addressing innovation from the employee perspective. Accordingly, this study was designed to contribute with well-grounded empirical knowledge, aiming to explore the barriers to and opportunities for participation in innovation experienced by employees of the Swedish welfare services. In order to reach the aim, a qualitative thematic analysis of 27 semi-structured interviews with employees in four municipalities was performed. The study identified three main themes, with a great impact on the innovative performance of the studied organizations: support, including leadership and innovation processes; development, including creativity and learning; and organizational culture, which includes attitudes and communication, all essential ingredients in EDI. Experienced barriers for innovation were unclear or non-existing innovation processes with ambiguous goals, insufficient learning, and deficient organizational slack, thus creating a tension between day-to-day work and innovation and hindering reflection and exploration. Attitudes of colleagues and lack of communication were also barriers to implementing innovation, suggesting the need for better management support for a communicative and open culture. Opportunities were found, including commitment to innovation and willingness to try new ideas, but the employees must be given the mandate and sufficient time to develop the potential that emerges from continuous learning, time for reflection, and user dialogue. The conclusion was that incremental innovations existed, but the full potential of these did not benefit the entire organization due to inadequate communication and lack of innovation processes. The study improves our understanding of how employees regard their involvement in innovation. It also discusses how to make better use of employees’ resources in innovation processes and contributes to important knowledge about EDI in the public sector. On the basis of our results, we suggest a model of EDI for use in practice.

CONSIDERATIONS OF TALENT MANAGEMENT IN RETENTION OF ACADEMICS IN THE NATIONAL UNIVERSITY OF LESOTHO

2021 ◽  
Author(s):  
Theressa Madzingesu Zengeya ◽  
◽  
Gregory Alexander ◽  
Desiree Pearl Larey ◽  
◽  
...  
Keyword(s):  
Social Theory ◽  
Qualitative Methodology ◽  
Management Practices ◽  
Talent Management ◽  
Symbolic Capital ◽  
Management Program ◽  
Structured Interviews ◽  
Design And Implementation ◽  
National University ◽  
The University

The aim of the study was to examine the contribution of talent management practices at the National University of Lesotho in the retention of talented academics. The university has immense competition within the local, regional and international labour market. It isthreatened by high mobility and low retention of highly qualified staff, which has affected the quality of learning, especially postgraduate programmes. The study employed Bourdieu’s social theory and Adam’s theory of equity as a theoretical lens to understand talent management practices to retain talented academics. Bourdieu’s theory was used to offer insight on the various forms of capital, and how the capitals could be instrumental in the design and implementation of talent management practices in order to increase retention of talent in universities. In this study ‘talent’ is used to refer to holders of doctorates, associate professors and professors or researchers of new information and theories and inventors of new technology with great potential to make a significant impact on the university’s productivity. A literature review was undertaken to examine how the social theory of Bourdieu, particularly the conversion of different kinds of capital (symbolic capital) are used by the university to recognise the value of talented academics in order to retain these academics. Following a qualitative methodology and purposive sampling, data was generated through semi-structured interviews and document analysis to advance a critical and interpretive understanding of the perspectives of talent management from both management and talented academics in the university. Thematic analysis was used to synthesise the data. The data from fourteen (14) participants composed of management and academics revealed that, though the university is implementing talent management practices, it does not have an official and structured talent management program, which is imperative in retaining academics. This study concludes by advocating the design and implementation of a formal, contextual and structured talent management framework, in consultation with all key stakeholders, in order to increase retention of talent academics in the National University of Lesotho.

Italian Undergraduates Join Facebook, but Keep a Critical Distance

2013 ◽  
Vol 4 (2) ◽  
pp. 13-24
Author(s):  
Paolo Ferri ◽  
Nicola Cavalli ◽  
Andrea Mangiatordi ◽  
Marina Micheli ◽  
Andrea Pozzali ◽  
...  
Keyword(s):  
Social Network ◽  
University Students ◽  
Survey Data ◽  
Undergraduate Students ◽  
Qualitative Methodology ◽  
Critical Distance ◽  
Educational Tool ◽  
Structured Interviews ◽  
Critical Attitude ◽  
Privacy Issues

Facebook is the most popular social network site in Italy, and its usage is particularly spread among younger generations. This paper explores how undergraduate students use Facebook, and what meanings they attach to it. Research was performed in 2008 and in 2009 at a Italian university, with a triangulation of quantitative and qualitative methodology. The authors’ survey data show the quick adoption of Facebook. In 2008 half of the students were completely unfamiliar with Facebook, while in 2009 59% of them were using it on a regular basis. Evidence coming from semi-structured interviews with randomly selected university students show that the massive adoption of Facebook goes hand in hand with a general critical attitude. Concerns about privacy issues were common, and they can also lead to a kind of detachment from this site. Implications on the perspective use of Facebook as an educational tool are discussed in the paper.

Researcher Knowledge, Attitudes, and Communication Practices for Genomic Data Sharing

2020 ◽  
pp. 155626462096930
Author(s):  
Heather P. Nick ◽  
Kelsey Kehoe ◽  
Amanda Gammon ◽  
Jorge L. Contreras ◽  
Kimberly A. Kaphingst
Keyword(s):  
Data Sharing ◽  
Pediatric Patients ◽  
Genomic Data ◽  
Basic Knowledge ◽  
Structured Interviews ◽  
Principal Investigators ◽  
Qualitative Thematic Analysis ◽  
Communication Practices ◽  
Nih Policy ◽  
Cancer Studies

This study examines knowledge, attitudes, and communication practices toward genomic data sharing among principal investigators and research coordinators engaged in cancer and non-cancer studies. We conducted 25 individual semi-structured interviews and conducted a qualitative thematic analysis. Most interviewees had basic knowledge of data sharing requirements, but lacked specific details of recent changes to NIH policy. Principal investigators perceived more risks to participants for data sharing than the research coordinators who generally obtained consent. Interviewees perceived a trend toward providing fewer data sharing options to participants in the consent process, and had observed that parents of pediatric patients asked more questions than adult patients. Our findings highlight potential areas for improvement related to data sharing during consent processes.

Wellbeing and experiences of Chinese and Vietnamese carers of people with mental illness in Australia

2020 ◽  
pp. 136346152095262
Author(s):  
Abner Weng Cheong Poon ◽  
Maria Cassaniti ◽  
Michele Sapucci ◽  
Rosaleen Ow
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Support Groups ◽  
Negative Impact ◽  
Cultural Safety ◽  
Structured Interviews ◽  
People With Mental Illness ◽  
Qualitative Thematic Analysis

Many studies show that carers of people with mental illness experience a negative impact on their wellbeing. Given the growing number of people relocating to Australia every year, there are limited studies examining the experience of carers of people with mental illness from culturally and linguistically diverse communities in Australia. Using cultural safety as a conceptual framework, this exploratory study recruited 14 carers of Chinese and Vietnamese heritage who were attending culturally and linguistically oriented support groups in Sydney, Australia. Standardised, validated scales were administered to measure carers’ wellbeing and knowledge of recovery. Structured interviews were conducted to understand carers’ perceived needs. Descriptive statistical and qualitative thematic analysis were used. Findings show that carers experienced social isolation and psychological distress, had multiple diverse needs and had a reasonably good understanding of recovery. Six themes were identified: i) obtaining information in own language; ii) attaining emotional support from support groups; iii) needing respite services to cope with caregiving responsibilities; iv) involvement in planning of treatment and care; v) migration process influencing caregiving, and; vi) cultural and transcultural factors influencing caregiving experience. Findings indicate that some carers might be experiencing some level of culturally unsafe practices in mainstream mental health services. Implications for support groups and mental health services are discussed.

Factors Influencing Adoption of Information Technologies for Public Transportation Project Inspection: A WSDOT Case Study

2019 ◽  
Vol 2673 (2) ◽  
pp. 1-12
Author(s):  
Julian Yamaura ◽  
Stephen T. Muench ◽  
Kim Willoughby
Keyword(s):  
Organizational Change ◽  
Change Management ◽  
Public Transportation ◽  
Information Technologies ◽  
User Study ◽  
New Technology ◽  
Management Program ◽  
Lessons Learned ◽  
Structured Interviews

This paper presents a case study of the organizational change process associated with the Washington State Department of Transportation (WSDOT) year-long research program that implemented a cloud-based mobile project inspection application to 18 project engineering offices (PEO) across the state. Ultimately, four out of the 18 PEOs decided to adopt the new technology. Data from semi-structured interviews and a user study conducted two months after implementation are used to identify organizational change strategies used by WSDOT, and how those relate to ideas from the general literature on change management. The loss of upper management program leaders, inadequate communication and training to prepare personnel for the change, and policy and procedural uncertainties in integrating the change with other systems and operations were found to be factors that may have influenced the outcome of the program. While this paper focuses on one DOT’s efforts, other DOTs may have similar organizational structures and implementation efforts, and the findings and lessons learned could serve as a representative model for how such implementation might best be accomplished in a DOT and how that might differ from traditional change management guidance.

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