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Seidman LC, Handy AB, Temme CR, Greenfield SF, Payne LA. Reflections on the group dynamic in a group cognitive behavioral therapy intervention for young adult women with moderate to severe dysmenorrhea: a qualitative analysis. J Psychosom Obstet Gynaecol 2023; 44:2264486. [PMID: 37800565 PMCID: PMC10640904 DOI: 10.1080/0167482x.2023.2264486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Accepted: 09/24/2023] [Indexed: 10/07/2023] Open
Abstract
A recent group cognitive behavioral therapy (gCBT) intervention for dysmenorrhea conducted by our team demonstrated feasibility, acceptability, and preliminary efficacy at reducing menstrual pain. This study aimed to use qualitative analyses to explore participants' reflections about the intervention's group dynamic. Participants included 20 young women ages 18-24 years with average menstrual pain of 8.0 (SD = 1.1) on a 0-10 (0 = none, 10 = worst pain possible) numeric rating scale. Semi-structured individual and group interviews were conducted after the intervention. Researchers then conducted deductive, iterative thematic analysis using a template analysis approach. Two themes were generated: benefit and logistics. The benefit theme included two sub-themes: (1) camaraderie (an emotional, psychological, or social connection between participants); and (2) sharing (information, advice, or experiences). The logistics theme highlighted how the structure of the group influenced the dynamic and was divided into two sub-themes according to the time frame being described: (1) reactions (participants' experiences with how the group dynamic was facilitated); and (2) future (how the group structure could be improved). Results of this study contribute to the growing body of literature related to gCBT for pain conditions. Future research is needed to optimize the group dynamic and evaluate its specific therapeutic role in the treatment.
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Affiliation(s)
| | | | | | | | - Laura A. Payne
- McLean Hospital, Belmont, MA
- Harvard Medical School, Boston, MA
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Siles-González J, Solano-Ruiz C. Structural Dialectic Model of Care: A Guide to Beliefs, Scenarios and Social Actors Analysis in Nursing Research. J Relig Health 2022; 61:1792-1815. [PMID: 33543357 DOI: 10.1007/s10943-021-01183-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/13/2021] [Indexed: 06/12/2023]
Abstract
The structural dialectic model of care provides a data analysis method that facilitates the identification of beliefs and structural and functional characteristics. To demonstrate the relevance of the structural dialectic model of care for data analysis integrating beliefs, scenarios and social actors. The characteristics and functions of the model are described and explained through an analysis of its application in fifteen doctoral theses (2009-2017). This model has three structures, the functional unit (beliefs), the functional element (social agents), and the functional framework (scenarios). The Structural Dialectic Model of Care constitutes a useful methodological tool for studies of nursing, organizing analysis of the data according to the dynamic and dialectical nature of their structures.
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Affiliation(s)
| | - Carmen Solano-Ruiz
- Department of Nursing, University of Alicante, 03080, Alicante, CP, Spain
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Pelfrey CM, Goldman AS, DiazGranados DJ. What does team science look like across the CTSA consortium? A qualitative analysis of the Great CTSA Team Science Contest submissions. J Clin Transl Sci 2021; 5:e154. [PMID: 34527293 PMCID: PMC8411266 DOI: 10.1017/cts.2021.812] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2021] [Revised: 06/08/2021] [Accepted: 07/02/2021] [Indexed: 11/07/2022] Open
Abstract
INTRODUCTION The Great CTSA Team Science Contest (GTSC) was developed to discover how Clinical and Translational Science Award (CTSA) hubs promote and support team science [1]. The purpose of this study was a secondary qualitative analysis of the GTSC submissions to better understand the diversity of team science initiatives across the CTSA consortium. METHODS Secondary qualitative analysis of the GTSC data addressed the following research questions, which defined the top-level coding: (1) What CTSA component sponsored it? (2) Who was the team doing the work? (3) Who were the intended beneficiaries? (4) What was the intended outcome? (5) What strategies did they use? (6) What translational science (TS) stage was addressed? (7) How do they align with the NCATS team science strategic goals? (8) How do the CTSA's team science efforts align with the National Academies Research Council (NRC) recommendations for enhancing the effectiveness of team science? RESULTS The GTSC received 170 submissions from 45 unique CTSA hubs. Qualitative analysis revealed a great variety of team science strategies for virtually all team science stakeholders. In addition to strategies to promote team science, results show successful examples that focus on outcomes and illustrate ways of measuring success. CONCLUSIONS The GTSC shows that the CTSA consortium is involved in an extremely diverse array of team science activities, which align well with both the NRC recommendations for enhancing the effectiveness of team science and the NCATS strategic goals for team science. Future research should evaluate the efficacy of team science strategies.
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Affiliation(s)
- Clara M. Pelfrey
- Clinical and Translational Science Collaborative (CTSC), Center for Clinical Investigation, Case Western Reserve University, Cleveland, OH, USA
| | - Ann S. Goldman
- George Washington University Milken Institute School of Public Health, Department of Epidemiology, Clinical and Translational Science Institute at Children's National (CTSI-CN), Washington, DC, USA
| | - Deborah J. DiazGranados
- School of Medicine, Department of Medicine, Wright Center for Clinical and Translational Research, Virginia Commonwealth University, Richmond, VA, USA
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Abstract
This chapter provides an overview of qualitative research approaches in the study of health, disease, and health service delivery and summarizes important considerations when designing research studies to address questions that ask the "how," "why," or "what" of a particular issue. As qualitative research encompasses distinct methodologies, brief descriptions of the main approaches and examples from the literature are provided. Guidance on how to evaluate quality in the design and reporting of qualitative studies is also discussed.
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Westergren A, Edin K, Christianson M. Reproducing normative femininity: Women's evaluations of their birth experiences analysed by means of word frequency and thematic analysis. BMC Pregnancy Childbirth 2021; 21:300. [PMID: 33853542 PMCID: PMC8045345 DOI: 10.1186/s12884-021-03758-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2020] [Accepted: 03/24/2021] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Given the significance of the birth experience on women's and babies' well-being, assessing and understanding maternal satisfaction is important for providing optimal care. While previous research has thoroughly reviewed women's levels of satisfaction with the childbirth experience from a multitude of different angles, there is a dearth of papers that use a gender lens in this area. The aim of this study is to explore through a gender perspective the circumstances attributed to both women's assessment of a positive birth experience and those which contribute to a lack of satisfaction with their birth experience. METHODS Through the use of a local birth evaluation form at a Swedish labour ward, 190 women gave written evaluations of their birth experiences. The evaluations were divided into groups of positive, ambiguous, and negative evaluations. By means of a latent and constructionist thematic analysis based on word count, women's evaluations are discussed as reflections of the underlying sociocultural ideas, assumptions, and ideologies that shape women's realities. RESULTS Three themes were identified: Grateful women and nurturing midwives doing gender together demonstrates how a gender-normative behaviour may influence a positive birth experience when based on a reciprocal relationship. Managing ambiguous feelings by sympathising with the midwife shows how women's internalised sense of gender can make women belittle their negative experiences and refrain from delivering criticism. The midwifery model of relational care impeded by the labour care organisation describes how the care women receive during labour and birth is regulated by an organisation not always adapted to the benefit of birthing women. CONCLUSIONS Most women were very satisfied, predominantly with emotional support they received from the midwives. The latent constructionist thematic analysis also elicited women's mixed feelings towards the birth experience, with the majority of negative experiences directed towards the labour care organisation. Recognising the impact of institutional and medical discourses on childbirth, women's birth evaluations demonstrate the benefits and challenges of gender-normative behaviour, where women's internalised sense of gender was found to affect their experiences. A gender perspective may provide a useful tool in unveiling gender-normative complexities surrounding the childbirth experience.
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Affiliation(s)
- Agneta Westergren
- Department of Nursing, Umeå University, SE-901 87, Umeå, Sweden.
- The Graduate School of Gender Studies, Umeå University, Umeå, Sweden.
| | - Kerstin Edin
- Department of Nursing, Umeå University, SE-901 87, Umeå, Sweden
- Department of Epidemiology and Global Health, Umeå University, Umeå, Sweden
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Duvernoy I, Gambino M. Where to find nature? Connecting with nature in urban and non-urban areas in southwestern France. GeoJournal 2021; 87:2771-2786. [PMID: 33716386 PMCID: PMC7936234 DOI: 10.1007/s10708-021-10392-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 02/09/2021] [Indexed: 06/12/2023]
Abstract
Visiting natural areas is considered an important factor of well-being. Along with urbanization, an extensive literature has developed that examines the presence of natural areas in urban settings for the benefit of urban dwellers. However, little is known about how much people perceive the presence of nature in different types of areas (such as city or countryside) and the places where they seek this presence. In this article, we present a study of these two questions through the interviews of 52 inhabitants from 13 municipalities (cities, suburbs and other areas) in Southern France. Through the quotes where nature was mentioned, we studied their perceptions of its presence in the different categories of areas they distinguish (city, countryside, mountain, seaside), as well as the various places where they established a contact with nature. Our results highlight the ranking of the areas where such a connection is pursued. Their interviews show both the importance of the residence itself as a place of contact with nature, and of the mobility patterns that make people feel closer to nature, such as relocation, multiple residences, short outings and longer trips. This qualitative study attempts to enrich the vision of the human connection with nature beyond the present focus on such connections in the city.
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Affiliation(s)
- Isabelle Duvernoy
- UMR AGIR, Université de Toulouse, INRAE, 31320 Castanet-Tolosan, France
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Fritzen-Pedicini C, Bleasdale SC, Brosseau LM, Moritz D, Sikka M, Stiehl E, Jones RM. Utilizing the focused conversation method in qualitative public health research: a team-based approach. BMC Health Serv Res 2019; 19:306. [PMID: 31088551 PMCID: PMC6518626 DOI: 10.1186/s12913-019-4107-0] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2018] [Accepted: 04/17/2019] [Indexed: 11/19/2022] Open
Abstract
Background Qualitative research studies are becoming increasingly necessary to understand the complex challenges in the healthcare setting. Successfully integrating interdisciplinary teams of investigators can be challenging, as investigators inherently view data through their disciplinary lens. Thus, new methods, such as focused conservation, are needed to facilitate qualitative data analysis by interdisciplinary teams. The purpose of this manuscript is to provide a clear description of how we implemented the focused conversation method to facilitate an organized data-driven discussion that responded to our study objectives and ensured participation of our interdisciplinary team. The focused conversation method has not, to our knowledge, been utilized for this purpose to date. Methods To better understand the experience of healthcare personnel (HCP) during preparations for the 2014–2015 Ebola Virus Disease (EVD) outbreak, we interviewed HCP who participated in decision making about EVD preparations and training of workers in the use of enhanced personal protective equipment ensembles in the metropolitan Chicagoland area of Illinois to attain a priori research objectives. We identified a systematic method – the focused conversation method – that enabled our interdisciplinary team to interactively contribute to the framing, analysis and interpretation of the data that would enable us to focus on our research objectives. Results The focused conversation developed to support our a priori research objective about the training of HCP in preparations included objective, reflective, interpretive and decisional questions. These questions grounded the conversation in the data, while leveraging discipline-specific lenses and professional experience in the analysis and interpretation. Insights from the conversation were reviewed later against interview transcripts to ensure validity. The conversation identified areas for future research directions and deficiencies in the interview instrument. Conclusions The focused conversation is an efficient, organized method for analysis of qualitative data by an interdisciplinary team.
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Affiliation(s)
- Charissa Fritzen-Pedicini
- Division of Environmental and Occupational Health Sciences, School of Public Health, University of Illinois at Chicago, 1603 W Taylor Street (M/C 923), Chicago, IL, 60612, USA
| | - Susan C Bleasdale
- Division of Infectious Diseases, College of Medicine, University of Illinois at Chicago, Chicago, USA
| | - Lisa M Brosseau
- Division of Environmental and Occupational Health Sciences, School of Public Health, University of Illinois at Chicago, 1603 W Taylor Street (M/C 923), Chicago, IL, 60612, USA
| | - Donna Moritz
- Division of Infectious Diseases, College of Medicine, University of Illinois at Chicago, Chicago, USA
| | - Monica Sikka
- Division of Infectious Diseases, College of Medicine, University of Illinois at Chicago, Chicago, USA
| | - Emily Stiehl
- Division of Health Policy and Administration, School of Public Health, University of Illinois at Chicago, Chicago, USA
| | - Rachael M Jones
- Division of Environmental and Occupational Health Sciences, School of Public Health, University of Illinois at Chicago, 1603 W Taylor Street (M/C 923), Chicago, IL, 60612, USA.
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Conradi N, Hermsen A, Krause K, Gorny I, Strzelczyk A, Knake S, Rosenow F. Hemispheric language lateralization in presurgical patients with temporal lobe epilepsy: Improving the retest reliability of functional transcranial Doppler sonography. Epilepsy Behav 2019; 91:48-52. [PMID: 30217756 DOI: 10.1016/j.yebeh.2018.08.014] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2018] [Revised: 08/09/2018] [Accepted: 08/12/2018] [Indexed: 11/16/2022]
Abstract
Since its introduction, functional transcranial Doppler sonography (fTCD) has been extensively applied in research and clinical settings and has now become part of the routine presurgical work-up of patients with epilepsy. Because of its importance in planning neurosurgical interventions and predicting possible cognitive risks, the reproducibility of fTCD in determining hemispheric language lateralization (HLL) has to be ensured. In the present study, fTCD was performed twice in 33 initially lateralized patients with temporal lobe epilepsy (TLE) as part of their presurgical work-up, using a standard word generation paradigm. Initially, the standard analysis, including only the statistical examination of fTCD data, was applied, and a rather poor retest reliability of r = 0.41 was obtained (p = 0.017). Because of doubts concerning appropriate task performance in some patients, subsequently, a two-step data analysis was introduced, including an additional qualitative evaluation of fTCD data regarding (1) instruction-compliant task performance, (2) sufficient quality of the baseline phase, and (3) adequate increase in cerebral blood flow velocity (CBFV) during the activation phase. Attributable to a more valid interpretation of fTCD data after the application of the qualitative step, the reproducibility of HLL significantly improved (p = 0.007) to a high retest reliability of r = 0.84 (p < 0.000). In clinical settings, psychological and situational factors seem to strongly influence the reproducibility of fTCD determining HLL. Accordingly, we highly recommend the complementation of the standard statistical examination of fTCD data by an additional qualitative evaluation (two-step data analysis), as this extra security is particularly desirable because of its direct implications for the further evaluation of neurosurgical interventions. This article is part of the Special Issue "Individualized Epilepsy Management: Medicines, Surgery and Beyond".
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Affiliation(s)
- Nadine Conradi
- Epilepsy Center Frankfurt Rhine-Main, Department of Neurology, Goethe University, Frankfurt am Main, Germany.
| | - Anke Hermsen
- Epilepsy Center Frankfurt Rhine-Main, Department of Neurology, Goethe University, Frankfurt am Main, Germany
| | - Kristina Krause
- Epilepsy Center Hessen, Department of Neurology, Philipps-University Marburg, Marburg, Germany
| | - Iris Gorny
- Epilepsy Center Hessen, Department of Neurology, Philipps-University Marburg, Marburg, Germany
| | - Adam Strzelczyk
- Epilepsy Center Frankfurt Rhine-Main, Department of Neurology, Goethe University, Frankfurt am Main, Germany
| | - Susanne Knake
- Epilepsy Center Hessen, Department of Neurology, Philipps-University Marburg, Marburg, Germany
| | - Felix Rosenow
- Epilepsy Center Frankfurt Rhine-Main, Department of Neurology, Goethe University, Frankfurt am Main, Germany
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Garza CM, Nigg CR, Konishi M, An JY, Wagner AF, Goya DK. Risk and Protective Factors of Alcohol Use Identified by Community Providers and Stakeholders in Hawai'i: Qualitative Data Analysis. Hawaii J Med Public Health 2018; 77:183-187. [PMID: 30083430 PMCID: PMC6077954] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
The purpose of this study was to identify community providers' perspectives on risk and protective factors for youth alcohol use in Hawai'i to inform future trainings of providers. A total of 104 providers within communities and prevention organizations in Hawai'i were asked to list risk and protective factors for underage drinking in each of the socioecological levels (individual, family, community, and society). The majority of participants were female (66.3%). Overall, 507 risk and protective factors were listed. There were significantly more risk factors identified (54.8%) than protective factors (45.2%). Participants identified significantly fewer society level risk and protective factors than all other levels. The top three overall themes identified by participants were resources (8.3%), peer influence (7.7%), and family function (6.9%). These results not only provide information about how providers conceptualize substance abuse, but may also indicate that it is necessary to continue training providers in how to identify society level factors influencing individuals' substance use. It is recommended that more research should be conducted with community providers in Hawai'i to understand the attitudes about prevention in the community. Such research may allow for improvements in prevention strategies by providing a larger picture of substance use in the community.
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Affiliation(s)
- Codie M Garza
- Office of Public Health Studies, University of Hawai'i at Manoa, Honolulu, HI (CMG, CRN, MK, AFW, DKG)
- School of Nursing, Rutgers, The State University of New Jersey, Camden, NJ (JA)
| | - Claudio R Nigg
- Office of Public Health Studies, University of Hawai'i at Manoa, Honolulu, HI (CMG, CRN, MK, AFW, DKG)
- School of Nursing, Rutgers, The State University of New Jersey, Camden, NJ (JA)
| | - Minami Konishi
- Office of Public Health Studies, University of Hawai'i at Manoa, Honolulu, HI (CMG, CRN, MK, AFW, DKG)
- School of Nursing, Rutgers, The State University of New Jersey, Camden, NJ (JA)
| | - Ji-Young An
- Office of Public Health Studies, University of Hawai'i at Manoa, Honolulu, HI (CMG, CRN, MK, AFW, DKG)
- School of Nursing, Rutgers, The State University of New Jersey, Camden, NJ (JA)
| | - Allison F Wagner
- Office of Public Health Studies, University of Hawai'i at Manoa, Honolulu, HI (CMG, CRN, MK, AFW, DKG)
- School of Nursing, Rutgers, The State University of New Jersey, Camden, NJ (JA)
| | - Danilyn K Goya
- Office of Public Health Studies, University of Hawai'i at Manoa, Honolulu, HI (CMG, CRN, MK, AFW, DKG)
- School of Nursing, Rutgers, The State University of New Jersey, Camden, NJ (JA)
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Abstract
There is a growing recognition for the important role played by qualitative research and its usefulness in many fields, including the emergency care context in Africa. Novice qualitative researchers are often daunted by the prospect of qualitative data analysis and thus may experience much difficulty in the data analysis process. Our objective with this manuscript is to provide a practical hands-on example of qualitative content analysis to aid novice qualitative researchers in their task.
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Affiliation(s)
- Christen Erlingsson
- Department of Health and Caring Sciences, Linnaeus University, Kalmar 391 82, Sweden
- Corresponding author.
| | - Petra Brysiewicz
- School of Nursing & Public Health, University of KwaZulu-Natal, Durban 4041, South Africa
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de Wit L, Fenenga C, Giammarchi C, di Furia L, Hutter I, de Winter A, Meijering L. Community-based initiatives improving critical health literacy: a systematic review and meta-synthesis of qualitative evidence. BMC Public Health 2017; 18:40. [PMID: 28728547 PMCID: PMC5520348 DOI: 10.1186/s12889-017-4570-7] [Citation(s) in RCA: 45] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2017] [Accepted: 07/05/2017] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND Critical health literacy enables older adults to make informed health decisions and take actions for the health and wellbeing of themselves and their community, within their own social and cultural context. A community-based approach has the potential to improve the critical health literacy of older adults and their communities. However, it is not clear how such initiatives consider critical health literacy. Therefore, this study explored how community-based initiatives address the critical health literacy of older adults and their communities. METHODS A systematic literature search was conducted. Two reviewers independently screened titles and abstracts, as well as the quality of the methodological and community-based elements of the studies. In addition, a meta-synthesis was carried out, consisting of a qualitative text analysis of the results sections of the 23 included studies. RESULTS We identified two main themes, which are practices that contribute to the critical health literacy of older adults as well as their communities: 1) collaborative learning, and 2) social support. In these practices we identified reciprocity as a key characteristic of both co-learning and social support. CONCLUSIONS This study provides the first overview of community-based initiatives that implicitly address the critical health literacy of older adults and their community. Our results demonstrate that in the context of one's own life collaborative learning and social support could contribute to people's understanding and ability to judge, sift and use health information. We therefore suggest to add these two practices to the definition of critical health literacy.
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Affiliation(s)
- Liesbeth de Wit
- University of Groningen, Population Research Centre / Urban and Regional Studies Institute, Landleven 1, P.O. Box 800, 9700 AV Groningen, The Netherlands
| | - Christine Fenenga
- University of Groningen, Population Research Centre / Urban and Regional Studies Institute, Landleven 1, P.O. Box 800, 9700 AV Groningen, The Netherlands
- Amsterdam Institute for Global Health and Development, Trinity Building C, 3rd Floor Pietersbergweg 17, P.O. Box 22700, 1100 DE Amsterdam, The Netherlands
| | - Cinzia Giammarchi
- Agenzia Regionale Sanitaria (The Regional Agency for Health), Marche Region, Via Gentile da Fabriano n.3 nel palazzo Rossini, 60125 Ancona, Italy
| | - Lucia di Furia
- Agenzia Regionale Sanitaria (The Regional Agency for Health), Marche Region, Via Gentile da Fabriano n.3 nel palazzo Rossini, 60125 Ancona, Italy
| | - Inge Hutter
- International Institute of Social Studies, The Hague, of Erasmus University Rotterdam, The Netherlands, Kortenaerkade 12, 2518 AX The Hague, The Netherlands
| | - Andrea de Winter
- Department of Health Sciences, University of Groningen, University Medical Center Groningen, Postbus 196, 9700 AD, Groningen, The Netherlands
| | - Louise Meijering
- University of Groningen, Population Research Centre / Urban and Regional Studies Institute, Landleven 1, P.O. Box 800, 9700 AV Groningen, The Netherlands
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Greenwood M, Kendrick T, Davies H, Gill FJ. Hearing voices: Comparing two methods for analysis of focus group data. Appl Nurs Res 2017; 35:90-93. [PMID: 28532735 DOI: 10.1016/j.apnr.2017.02.024] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2016] [Accepted: 02/01/2017] [Indexed: 11/19/2022]
Abstract
AIM This paper compares two qualitative approaches used to thematically analyse data obtained from focus groups conducted with critical care nurses from Australia. BACKGROUND Focus groups are an effective mechanism to generate understanding and gain insight into the research participants' world. Traditional verbatim transcription of participants' recorded words necessitates significant investment of time and resources. An alternative approach under reported in the literature is to directly analyse the audio recordings. To identify the effectiveness of the audio recording only approach, the study aimed to independently compare two qualitative methods of data analysis, namely the traditional transcribed method with the audio recording method. METHODS The study to revise the specialist critical care competency standards included focus groups conducted in each state in Australia (n=12) facilitated by experienced researchers. Two of the research team analysed transcribed focus group data and two team members were blinded to the transcription process and directly analysed audio recordings from the focus groups. A process of thematic analysis used independently by the two teams was used to identify themes. RESULTS When the findings were compared, the themes generated using each technique were consistent and there were no different themes or subthemes identified. The two techniques appeared to be comparable. Overarching key themes were consistent with the approach. CONCLUSION The direct analysis method appears to have advantages. It is cost effective, trustworthy and possibly a superior alternative when used with focus group data. However, the audio only method requires experienced researchers who understand the context and if combining the two approaches takes time to do.
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Affiliation(s)
- Melanie Greenwood
- School of Health Sciences, University of Tasmania, Private Bag 135, Hobart, Tasmania, Australia.
| | - Tina Kendrick
- NETS, NSW, School of Health Sciences, University of Tasmania, Australia.
| | - Hugh Davies
- School of Nursing & Midwifery, Edith Cowan University, Perth, Western Australia 6027, Australia.
| | - Fenella J Gill
- School of Nursing, Midwifery and Paramedicine, Faculty Health Sciences, Curtin University, GPO Box U1987, Perth, Western Australia 6845, Australia; Princess Margaret Hospital for Children, PO Box D184, Perth, Western Australia 6840, Australia.
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Garfield S, Jheeta S, Husson F, Jacklin A, Bischler A, Norton C, Franklin BD. Lay involvement in the analysis of qualitative data in health services research: a descriptive study. Res Involv Engagem 2016; 2:29. [PMID: 29507764 PMCID: PMC5831865 DOI: 10.1186/s40900-016-0041-z] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/30/2016] [Accepted: 08/05/2016] [Indexed: 05/17/2023]
Abstract
PLAIN ENGLISH SUMMARY There is a consensus that patients and the public should be involved in research in a meaningful way. However, to date, lay people have been mostly involved in developing research ideas and commenting on patient information.We previously published a paper describing our experience with lay partners conducting observations in a study of how patients in hospital are involved with their medicines. In a later part of the same study, lay partners were also involved in analysing interviews that a researcher had conducted with patients, carers and healthcare professionals about patient and carer involvement with medicines in hospital. We therefore wanted to build on our previous paper and report on our experiences with lay partners helping to conduct data analysis. We therefore interviewed the lay members and researchers involved in the analysis to find out their views.Both lay members and researchers reported that lay partners added value to the study by bringing their own perspectives and identifying further areas for the researcher to look for in the interviews. In this way researchers and lay partners were able to work together to produce a richer analysis than would have been possible from either alone. ABSTRACT Background It is recognised that involving lay people in research in a meaningful rather than tokenistic way is both important and challenging. In this paper, we contribute to this debate by describing our experiences of lay involvement in data analysis.Methods We conducted semi-structured interviews with the lay partners and researchers involved in qualitative data analysis in a wider study of inpatient involvement in medication safety. The interviews were transcribed verbatim and coded using open thematic analysis.Results We interviewed three lay partners and the three researchers involved. These interviews demonstrated that the lay members added value to the analysis by bringing their own perspectives; these were systematically integrated into the analysis by the lead researcher to create a synergistic output. Some challenges arose, including difficulties in recruiting a diverse range of members of the public to carry out the role; however there were generally fewer challenges in data analysis than there had been with our previous experience of lay partners' involvement in data collection.Conclusions Lay members can add value to health services research by being involved in qualitative data analysis.
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Affiliation(s)
- S. Garfield
- Centre for Medication Safety and Service Quality, Imperial College Healthcare NHS Trust, London, UK
- Research Department of Practice and Policy, UCL School of Pharmacy, Mezzanine Floor, BMA House, Tavistock Square, London, UK
| | - S. Jheeta
- Centre for Medication Safety and Service Quality, Imperial College Healthcare NHS Trust, London, UK
| | - F. Husson
- Centre for Medication Safety and Service Quality, Imperial College Healthcare NHS Trust, London, UK
| | - A. Jacklin
- Centre for Medication Safety and Service Quality, Imperial College Healthcare NHS Trust, London, UK
| | - A. Bischler
- Pharmacy Department, Chelsea and Westminster Healthcare NHS Foundation Trust, London, UK
| | - C. Norton
- King’s College London, Faculty of Nursing and Midwifery and Imperial College Healthcare NHS Trust, London, 57 Waterloo Road, London, SE1 8WA UK
| | - B. D. Franklin
- Centre for Medication Safety and Service Quality, Imperial College Healthcare NHS Trust, London, UK
- Research Department of Practice and Policy, UCL School of Pharmacy, Mezzanine Floor, BMA House, Tavistock Square, London, UK
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Blanchet Garneau A, Pepin J. A constructivist theoretical proposition of cultural competence development in nursing. Nurse Educ Today 2015; 35:1062-1068. [PMID: 26077350 DOI: 10.1016/j.nedt.2015.05.019] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/23/2014] [Revised: 04/30/2015] [Accepted: 05/25/2015] [Indexed: 06/04/2023]
Abstract
Cultural competence development in healthcare professions is considered an essential condition to promote quality and equity in healthcare. Even if cultural competence has been recognized as continuous, evolutionary, dynamic, and developmental by most researchers, current models of cultural competence fail to present developmental levels of this competence. These models have also been criticized for their essentialist perspective of culture and their limited application to competency-based approach programs. To our knowledge, there have been no published studies, from a constructivist perspective, of the processes involved in the development of cultural competence among nurses and undergraduate student nurses. The purpose of this study was to develop a theoretical proposition of cultural competence development in nursing from a constructivist perspective. We used a grounded theory design to study cultural competence development among nurses and student nurses in a healthcare center located in a culturally diverse urban area. Data collection involved participant observation and semi-structured interviews with 24 participants (13 nurses and 11 students) working in three community health settings. The core category, 'learning to bring the different realities together to provide effective care in a culturally diverse context', was constructed using inductive qualitative data analysis. This core category encompasses three dimensions of cultural competence: 'building a relationship with the other', 'working outside the usual practice framework', and 'reinventing practice in action.' The resulting model describes the concurrent evolution of these three dimensions at three different levels of cultural competence development. This study reveals that clinical experience and interactions between students or nurses and their environment both contribute significantly to cultural competence development. The resulting theoretical proposition of cultural competence development could be used not only to guide initial and continuing nursing education, but also to help redefine quality of care in a culturally diverse context.
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Affiliation(s)
- Amélie Blanchet Garneau
- Faculty of Nursing, University of Montreal, C.P. 6128, succ. Centre-Ville, Montréal, Québec H3C 3J7, Canada.
| | - Jacinthe Pepin
- Faculty of Nursing, University of Montreal, C.P. 6128, succ. Centre-Ville, Montréal, Québec H3C 3J7, Canada.
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