scholarly journals Developing a Sense of Knowing and Acquiring the Skills to Manage Pain in Children with Profound Cognitive Impairments: Mothers’ Perspectives

2017 ◽  
Vol 2017 ◽  
pp. 1-11 ◽  
Author(s):  
Bernie Carter ◽  
Janine Arnott ◽  
Joan Simons ◽  
Lucy Bray

Children with profound cognitive impairment (PCI) are a heterogenous group who often experience frequent and persistent pain. Those people closest to the child are key to assessing their pain. This mixed method study aimed to explore how parents acquire knowledge and skills in assessing and managing their child’s pain. Eight mothers completed a weekly pain diary and were interviewed at weeks 1 and 8. Qualitative data were analysed using thematic analysis and the quantitative data using descriptive statistics. Mothers talked of learning through a system of trial and error (“learning to get on with it”); this was accomplished through “learning to know without a rule book or guide”; “learning to be a convincing advocate”; and “learning to endure and to get things right.” Experiential and reflective learning was evident in the way the mothers developed a “sense of knowing” their child’s pain. They drew on embodied knowledge of how their child usually expressed and responded to pain to help make pain-related decisions. Health professionals need to support mothers/parents to develop their knowledge and skills and to gain confidence in pain assessment and they should recognise and act on the mothers’ concerns.

Author(s):  
Aras BOZKURT ◽  
Mujgan BOZKAYA

<p>The aim of this mixed method study is to identify evaluation criteria for interactive e-books. To find answers for the research questions of the study, both quantitative and qualitative data were collected through a four-round Delphi study with a panel consisting of 30 experts. After that, a total of 20 interactive e-books were examined with heuristic inquiry methodology. In the final phase, the results of the Delphi technique and the heuristic inquiry results were integrated. As a result, four themes, 15 dimensions, and 37 criteria were developed for interactive e-books. Lastly, the results and their implications are discussed in this paper and suggestions for further research are presented.</p>


2019 ◽  
Author(s):  
Abdullah Deyap Arar Alenezi

This study aimed at evaluating the EFL textbook ` Get Ready 1&amp;2` used in the fourth grade of primary school from the perspectives of male and female teachers in Arar city in Saudi Arabia. The textbook was published by Macmillan, and it was specially developed for use within Saudi Arabia’s cultural environment and for both boys’ and girls’ schools. The Ministry of Education has started using this textbook in schools in the current academic year 2013/2014. This study will focus on teachers’ perspectives, and it will be a macro evaluation. The researcher designed a mixed method study by gathering both quantitative and qualitative data. The researcher distributed a close-ended questionnaire consisted of 55 items and nine categories for 30 teachers to gather quantitative data and carried out an interview with five male teachers to gather qualitative data. The study evaluated the textbook in terms of the layout and design, objectives, skills, supplementary materials, topics and content, cultural values, structure and vocabulary, activities and tasks, and teachers’ manual. In general, the findings of the study revealed that teachers were satisfied about the textbook in all of the nine categories with some demerits. The cultural values category got the highest mean score of 4.54 out of 5.00 whereas the skills category got the lowest mean score of 3.47 out of 5.00. In the light of these findings, the researcher reports some recommendations to address the drawbacks of the textbook and other problems that have an impact on properly delivering the textbook.


2019 ◽  
Vol 13 (2) ◽  
pp. 379
Author(s):  
Astri Hanjarwati ◽  
Jamil Suprihatiningrum ◽  
Siti Aminah

 This research was conducted to investigate the perceptions of persons with disabilities and stakeholders regarding the promotion and development of Friendly and Inclusive Communities in Bantul Regency, DIY and Kendari City, Southeast Sulawesi. The study was designed using transformative mixed-method, with the framework of KIPA (Knowledge, Inclusion, Participation, and Access) as a theoretical framework core. The first step was carried out by an empirical survey through distributing questionnaires to 48 respondents in Bantul Regency and 52 respondents in Kendari City. The results of data analysis from questionnaire contents were processed through descriptive statistics to describe respondents' perceptions quantitatively. Quantitative results are used as a reference in qualitative data collection, namely through in-depth interviews with selected respondents. The results of the study show that both persons with disabilities and stakeholders have a positive perception of the promotion and development of a friendly and inclusive community in their area. Although knowledge about disability, inclusion and the issues that surround it is still limited, but both persons with disabilities and stakeholders claim the need for a Friendly and Inclusive Community to be realized. Repondents of persons with disabilities also added that participation and access to development by and for persons with disabilities needs to be improved both in terms of quantity and quality.Penelitian ini dilakukan untuk menginvestigasi persepsi penyandang disabilitas dan stakeholders mengenai promosi dan pengembangan Komunitas Ramah dan Inklusif di Kabupaten Bantul, DIY dan Kota Kendari, Sulawesi Tenggara. Penelitian didesain menggunakan transformative mixed-method, dengan kerangka KIPA (Knowledge, Inclusion, Participation, and Access) sebagai core theoretical framework. Langkah pertama dilakukan dengan survey empiris melalui penyebaran kuesioner kepada 48 responden di Kabupaten Bantul dan 52 responden di Kota Kendari. Hasil analisis data dari isian kuesioner diolah melalui statistik deskriptif untuk menggambarkan persepsi responden secara kuantitatif. Hasil kuantitatif dijadikan sebagai rujukan dalam pengambilan data secara kualitatif, yaitu melalui in-depth interview kepada responden terpilih. Hasil penelitian menunjukkan baik penyandang disabilitas maupun stakeholders memiliki persepsi yang positif terhadap promosi dan pengembangan Komunitas Ramah dan Inklusif di daerah mereka. Meskipun pengetahuan mengenai disabilitas, inklusi dan isu-isu yang melingkupinya masih terbatas, namun baik penyandang disabiltias dan stakeholders mengaku perlunya Komunitas Ramah dan Inklusif untuk diwujudkan. Reponden penyandang disabilitas juga menambahkan bahwa partisipasi dan akses pembangunan oleh dan untuk penyandang disabilitas perlu ditingkatkan baik dari segi kuantitas maupun kualitas.   


Author(s):  
Hatice Leblebici ◽  
Azmi Türkan

In this study, teacher candidates’ attitudes, self-efficacy perceptions towards inclusive education, and their situation towards in-class practices were determined. A total of a hundred thirty three pre-service teachers participated in the research voluntarily. The study was designed according to the parallel mixed methods research in which both quantitative and qualitative data (QUAN + QUAL) were used together. As data collection tools, “Attitude Scale towards Inclusive Education”, “Self-Efficacy Scale for Inclusive Education” and “In-class Practice Scale for Inclusive Education” were used. In addition, during the collection of qualitative data, teacher candidates were asked to complete the statement, “In my opinion, inclusive education is like…. because….” To determine their metaphorical perceptions. When the results of the study were examined, teacher candidates, it was determined that the perceptions of self-efficacy towards inclusive education and the concern for personal equipment differ in terms of various variables. In addition, the participants chose the positive metaphors that they produced for inclusive education. Among these metaphors, respect for differences, acceptance of diversity is expressed as coexistence due to the structure of inclusive education that unites society.


2019 ◽  
Vol 12 (9) ◽  
pp. 55
Author(s):  
Nafilah M. Aloairdhi

Writing is an important skill in language learning and in academic achievement. The level of writing anxiety could affect students&#39; achievements positively or negatively. This research aimed to examine the writing anxiety among Saudi female learners enrolled in English language departments at some Saudi universities. It also aimed to identify the sources of writing anxiety. To this end, a mixed method study was designed in which Writing Apprehension Test (WAT) Scale by Daly and Miller (1975) and an open-ended question were used to collect necessary data from 105 randomly selected learners. For data analysis, two different statistical procedures in Statistical Package for Social Sciences (SPSS) and a specific formula suggested by Daly and Miller (1975) were applied. Coding was applied to qualitative data. The results indicated that the participants (N = 105) experience moderate level of writing anxiety. In addition, the main sources of writing anxiety were evaluation, generating ideas, grammar, time pressure, and lack of confidence.


2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Amy Grove ◽  
Aileen Clarke ◽  
Graeme Currie ◽  
Andy Metcalfe ◽  
Catherine Pope ◽  
...  

Abstract Background Clinical leadership is fundamental in facilitating service improvements in healthcare. Few studies have attempted to understand or model the different approaches to leadership which are used when promoting the uptake and implementation of evidence-based interventions. This research aims to uncover and explain how distributed clinical leadership can be developed and improved to enhance the use of evidence in practice. In doing so, this study examines implementation leadership in orthopaedic surgery to explain leadership as a collective endeavour which cannot be separated from the organisational context. Methods A mixed-method study consisting of longitudinal and cross-sectional interviews and an embedded social network analysis will be performed in six NHS hospitals. A social network analysis will be undertaken in each hospital to uncover the organisational networks, the focal leadership actors and information flows in each organisation. This will be followed by a series of repeated semi-structured interviews, conducted over 4 years, with orthopaedic surgeons and their professional networks. These longitudinal interviews will be supplemented by cross-sectional interviews with the national established surgical leaders. All qualitative data will be analysed using a constructivist grounded theory approach and integrated with the quantitative data. The participant narratives will enrich the social network to uncover the leadership configurations which exist, and how different configurations of leadership are functioning in practice to influence implementation processes and outcomes. Discussion The study findings will facilitate understanding about how and why different configurations of leadership develop and under what organisational conditions and circumstances they are able to flourish. The study will guide the development of leadership interventions that are grounded in the data and aimed at advancing leadership for service improvement in orthopaedics. The strength of the study lies in the combination of multi-component, multi-site, multi-agent methods to examine leadership processes in surgery. The findings may be limited by the practical challenges of longitudinal qualitative data collection, such as ensuring participant retention, which need to be balanced against the theoretical and empirical insights generated through this comprehensive exploration of leadership across and within a range of healthcare organisations.


2020 ◽  
Vol 29 (3) ◽  
pp. 211-235
Author(s):  
Joan Barnatt ◽  
Lisa Andries D’Souza ◽  
Ann Marie Gleeson ◽  
Kara Mitchell Viesca ◽  
Jessica Wery

This mixed-method study utilizes survey and interview data reflecting teacher candidates’ beliefs about intercultural competence to identify areas of targeted support in teacher preparation. Intercultural competence is operationalized by performance on the Cultural Intelligence Survey (CQS) identifying relative areas of strength and weakness in four dimensions. Participants reported awareness of cultural differences and motivation to interact with those from other cultures, with less confidence in their knowledge base and ability to adapt behavior in intercultural interactions. Qualitative data provided explanatory support for understanding how program elements influenced intercultural competence along a developmental trajectory of learning.


2020 ◽  
Vol 18 (3) ◽  
pp. 436-441
Author(s):  
Amanda Douglas Helen ◽  
Madhusudan Subedi ◽  
Rajesh Gongal

Background: Medical humanities is taught in medical schools in the  western countries, partly to address the lack of compassion within healthcare. It seeks to develop understanding of human experiences relating to disease, disability and death, through humanities, arts and social sciences. In 2018, Patan Academy of Health Sciences Nepal introduced an eight-week medical humanities course for new medical students. This study aims to evaluate the course from the student participants’ view, exploring their perceptions and experiences. Methods: A mixed method study was used to assess the perceptions of  65 students who completed a semi-structured survey, comprising eight items, with five point- Likert scale and three open response questions. Quantitative data was analysed with results expressed as mean, standard deviation and percentage. Qualitative data was coded and analysed thematically. Results: The students’ perception of the course was strongly positive where 98.5% agreed or strongly agreed it was enjoyable and interesting (items 1,2) and should be continued (item 9). 97% agreed or strongly agreed it made them think differently (item 5) and 96.9% that it was relevant to future careers (item 6). 96.9% agreed or strongly agreed the course helped them understand doctor’s caring roles (item 10) and 92.3% believed it will make them better doctors (item 11). Three themes emerged from open response questions related to perceptions- enjoyable and interesting, positive personal impact and valuable and important. Conclusions: The students had positive perceptions of the medical humanities course, recognizing its’ impact, importance and its value in medical education. Its expansion in the undergraduate curriculum should be considered. Keywords: Evaluation;medical humanities; Nepal; perceptions;students


2019 ◽  
Vol 21 (6) ◽  
pp. 47-81
Author(s):  
Mariana Mostardeiro de Aguiar ◽  
Rossano André Dal-Farra

This article aims to investigate the conceptions and perceptions of students from the 8th and 9th year of the middle school regarding the four scopes of basic sanitation articulated with the themes addressed in the curriculum each year. Forty-nine students from a state school in Estância Velha/RS participated with activities involving questionnaires application, photovoice and image evaluations from the perspective of Mixed Method Research. Qualitative data were from observations present in the logbook and answers to the open-ended questions of the questionnaires. The quantitative are the scores attributed by the students analysed with the tools of descriptive statistics and with the non-parametric test of Kruskal-Wallis. The results showed that the use of images and the attribution of scores articulated with qualitative data were fruitful to understand the perceptions and conceptions of the students. It was evidenced that sewage and water supply were the most frequently remembered elements regarding basic sanitation, followed by solid waste. However, drainage was not remembered as a component of basic sanitation, requiring the construction of integrative educational practices from the four scopes seeking to expand students' perceptions and conceptions about basic sanitation and its relevance in contemporaneity.


Author(s):  
Monica Augustin Mshanga

This study observed challenges faced by Ward Officers (WOs) in practicing accountability and participation in the wards in Arusha city. The study adopted descriptive research design and used mixed method research approach. The population involved 175 ward officers in 25 wards in Arusha city from which a sample of 70 ward officers was drawn, but only 68 (97%) of them participated. Purposive sampling and simple random technique were used to obtain respondents. Data was collected through questionnaires and interview guide. Quantitative data were analysed using descriptive statistics, while qualitative data were subjected to thematic analysis. Findings revealed that challenges faced by WOs in practicing accountability and participation in their wards includes: little turn up of citizens in political election, lack of interests to participate in decision making, misuse of resources and environmental pollution, corruption and insufficient funds. The study recommended that local government authorities should educate its people on the importance of participating on different development activities from planning to implementation, and WOs should ensure ward information are accessible by the public.


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