This paper explores the phenomenon of fluid resonance occurring within a narrow gap between a vessel and a vertical wharf, taking ships berthing in front of a gravity wharf as the research background. Using the open-s...This paper explores the phenomenon of fluid resonance occurring within a narrow gap between a vessel and a vertical wharf, taking ships berthing in front of a gravity wharf as the research background. Using the open-source software Open FOAM~?, a two-dimensional viscous-flow numerical wave flume was developed to simulate the fluid resonant motions induced by transient focused wave groups with different spectral peak periods and wave amplitudes. The results indicate that for all the incident focused wave amplitudes considered, the amplitudes of the free surface elevation in the gap, horizontal wave force and moment all exhibit a bimodal variation trend with increasing spectral peak period. The peak values of the above amplitude-period curve appear near the resonant period of the first and second harmonic components of the free surface elevation. However, the variation in the vertical wave force versus the spectral peak period presents different patterns. In addition, the first-to fourth-order harmonic components in the wave surface and forces are further examined via the four-phase combination method. The results show that the first-to secondorder harmonic components play a dominant role in the overall amplitude.展开更多
The concepts of patient and public involvement (PPI) have been recognized and linked with quality in health services internationally and in Europe. In England, for more than a decade, NHS policies have increasingly qu...The concepts of patient and public involvement (PPI) have been recognized and linked with quality in health services internationally and in Europe. In England, for more than a decade, NHS policies have increasingly quoted patient-centred services. Limited evidence exists about the implementation of PPI policies and strategies within organisations;three studies only have explored health professionals’ perceptions of PPI. Although nurses’ positive support for patient and public involvement has been noted, comparatively little is known about senior nurses’ experiences of embedding PPI. A national consultation utilising three focus groups aimed to explore senior nurses’ perceptions of challenges and facilitators for PPI implementation. Four Strategic Health Authorities (SHAs) and eleven Primary Care Trusts (PCTs) in England, with fifteen senior nurses with leadership roles and direct PPI experience, participated. Nurses’ perceptions on patient and public involvement, challenges and facilitators for its implementation were discussed. Focus groups were digitally recorded and transcribed verbatim;anonymised transcripts were validated by participants and analysed with thematic analysis. Limited resources, patient representation and recruitment, complexities of implementing PPI and national policy changes were challenging. Commissioning limitations, lack of feedback on patient experience, limited staff awareness, negative attitudes, management of patients and public expectations constituted further challenges. Nursing role characteristics and informal involvement activities, PPI policy and cultural change, commissioning PPI competencies, related service frameworks, providing feedback on patient experiences to staff and recognition of involvement benefits were recognised as facilitators. Findings provided new insights into senior nurses’ experiences and evidence that progress towards meaningful, effective PPI remains slow. However, recognition of existing nursing role characteristics and potential delivery problems created by expanded nursing roles, informal PPI practice and internal organisational sharing of patient feedback may bring an “emerging productive partnership” with nurses enabling and contributing to effective PPI.展开更多
This study is to investigate the effectiveness and safety of bloodletting puncture(BP)for acute ischemic stroke(AIS)when used in combination with standard treatment,as well as the patients'feelings and attitudes t...This study is to investigate the effectiveness and safety of bloodletting puncture(BP)for acute ischemic stroke(AIS)when used in combination with standard treatment,as well as the patients'feelings and attitudes toward the treatment.This is a mixed method research which includes a multi-center,superiority,randomized controlled clinical trial,and focus group interview.A total of 360 AIS participants will be enrolled.They will be randomized into one of the following two groups for 7 d:(a)BP with standard treatment group(n=180);(b)standard treatment group(n=180).The primary outcome will be National Institute of Health stroke scale(NIHSS)score at day 7 after treatment.Secondary outcomes will be changes of Glasgow Coma Scale score,NIHSS score,mRS and Traditional Chinese Medicine syndrome score from baseline to 7,14,and 30 d after treatment,recurrence rate and all-cause mortality rate within 30 d,and the safety assessments.The focus group will be conducted with a purposive sample of 1-2 acupuncturists and 1-2 patients respectively at each center at 7 and 30 d after treatment.We designed a mixed method study to evaluate the effect of BP,an acupuncture therapy for patients with AIS.If the findings of this study confirm the effectiveness of BP to reduce the NIHSS score and other related outcomes and patients are willing to accept the therapy,we believe this study will help the implementation of this therapy in clinical practice,and provide new evidence for the treatment of AIS.展开更多
Objective:Barriers to healthcare in Ghana are multifaceted.Many people,including patients and providers,face them at different levels.To address these barriers,there is a need to explore the role of an intercultural h...Objective:Barriers to healthcare in Ghana are multifaceted.Many people,including patients and providers,face them at different levels.To address these barriers,there is a need to explore the role of an intercultural healthcare system.This paper explores and provides the first evidence on ways through which an intercultural healthcare system can reduce the sociocultural and economic barriers to healthcare in Ghana.Methods:Focus group discussions with 35 participants comprising 17 healthcare users,11 formal healthcare providers and 7 alternative healthcare providers were conducted to gather data.Thematic analyses were performed on the transcribed data and presented based on a posteriori inductive reduction approach.Results:Findings reveal that an intercultural healthcare system in Ghana can help reduce barriers to healthcare,especially cultural,social and economic barriers,by fostering an enhanced relationship between culture and healthcare,promoting affordable healthcare and promoting effective communication between healthcare providers and users.Weak institutional support,lack of strong political will and commitment,lack of training to meet standards of practice,poor registration and regulatory measures,and lack of universal acceptance inhibit implementation of an intercultural healthcare system in Ghana.Conclusion:The support for intercultural healthcare system and the agreement on its perceived ability to reduce social,cultural and economic healthcare barriers for service users offer an opportunity for policymakers to demonstrate a stronger political will and improved commitment for effective education and training,enforcement of regulatory measures,inclusion of intercultural healthcare in medical school curricula across the country,and community engagement.展开更多
Objective: The purpose of this study was to better understand black community college students’ beliefs on obesity in their community. Methods: Participants were 18 - 21 years old and African American/Hispanic Black....Objective: The purpose of this study was to better understand black community college students’ beliefs on obesity in their community. Methods: Participants were 18 - 21 years old and African American/Hispanic Black. Focus group sessions were conducted with a discussion guide. Thematic analysis was used to analyze results. Results: Five focus groups were conducted. Four major themes emerged: My Culture Matters, The Effects of Slavery are Still Present, Meet Me Where I Want to Be, Not Where Society Wants Me, and If They Have Been Fat, They Get Me. It is clear that weight programs need to be sensitive to cultural preferences. Conclusion: Our results present unique factors related to overweight/obesity in the Black community.展开更多
Background: Employees’ dissatisfaction is as a result of confrontations of two divergent views, compliance with collective labor agreement and the company’s profitability requirements. However, the documentation of ...Background: Employees’ dissatisfaction is as a result of confrontations of two divergent views, compliance with collective labor agreement and the company’s profitability requirements. However, the documentation of internal and external environmental impacts on the employees is poor. Our objective was to study workers’ origin of dissatisfaction from the negative impact of Fludor Benin SA internal and external environment. Population and methods: It was a cross-sectional study, conducted from 11th September 2013 to 08th January 2014, on Fludor Benin SA employees. Data collection was carried out over ten (10) sessions through administration of Focus Group Discussion modules coupled with psychodrama (FGD-psychodrama) and conducted fortnightly. The module was intended for a group of twelve employees per session. It lasted 2 hours and ended with a game comprising a set of sixteen (16) cards. Each participant’s 16-card deck allowed the “player” to identify the likely origin of his dissatisfaction at work. Results: One hundred and twenty (120) employees were expected, but only ninety-nine (99) had participated in the FGD-psychodrama. The rate of participation was 82.5%. The average age of the employees was 35.4 ± 7.4 years, while sex-ratio was 23.75. Average seniority was 9.3 ± 3.2 years. The employees’ robot profile was: 39 (39.39%) passive employees, 18 (18.19%) disappointed employees, 17 (17.17%) unmotivated employees, 14 (14.14%) dedicated to the company but barely recognized and 11 (11.11%) unhappy employees. The reasons for dissatisfaction originated from matrimonial home 25 (25.25%), workplace 23 (23.23%) and use of drugs 11 (11.11%). Seventy-seven 77 (77.78%) employees were satisfied with the FGD-psychodrama modules. Conclusion: FGD-psychodrama may be an effective tool to restore unhealthy corporate atmosphere, help employees to discern the origin of their dissatisfaction and change their perception about stressful situations prevailing in their workplace.展开更多
Primary Health Care Services Sector (PHCSS) of Dubai Health Authority (DHA) provides many services dedicated to seniors. However, there have been no studies to date that consulted the seniors themselves regarding thes...Primary Health Care Services Sector (PHCSS) of Dubai Health Authority (DHA) provides many services dedicated to seniors. However, there have been no studies to date that consulted the seniors themselves regarding these services. Thus, this study was conducted to investigate the age-friendliness of outpatient clinic’s services provided in PHCSS from perspective of elderly service recipients. Methods: Three focus groups were designed. The focus groups included receivers of care (senior patients and caregivers for senior patients) and healthcare providers (physicians, nurses, administrators and medical record officers). The discussed topics in the focus groups were based on WHO’s recommended three domains of improvement for an age-friendly Primary Health Care (PHC): Information, education and training, community-based health care management systems, and the physical environment.展开更多
Background: Many studies have focused on exploring the concept of care from patient and nurse perspectives, but knowledge is limited regarding student perceptions. Objective: To explore the meanings given to the conce...Background: Many studies have focused on exploring the concept of care from patient and nurse perspectives, but knowledge is limited regarding student perceptions. Objective: To explore the meanings given to the concept of professional care from the perspective of graduate students in nursing and pastoral care. Research design: A qualitative study was employed with the formation of six focus groups. Data were analyzed via a thematic content analysis of the discussions. Participants and research context: Thirty-one students attending a University College in Oslo participated. Findings: Seven main themes and forty-four subthemes were identified. Major themes included reverence and respect for the dignity and value of human life, bonding, sensitive to self and other, communication, competence, willfulness and deep caring. Discussion: Different levels of intentionality, professional comportment and caring consciousness were revealed in the discussions. Findings also lend support to major beliefs and values in Watson’s Human Caring Theory. Conclusion: The focus groups generated valuable detail of complex experiences behind student’s perceptions, attitudes, beliefs and actions. Focus group methodology can enhance holistic nursing practice by providing opportunities to explore and clarify holistic care values, create opportunities for self-awareness and transformative learning in education, clinical practice, administration and research.展开更多
Background: With the inflation of economic constraints on health care and demand to increase care quality, there is an increasing need to develop a clear understanding of what actions by health professionals are perce...Background: With the inflation of economic constraints on health care and demand to increase care quality, there is an increasing need to develop a clear understanding of what actions by health professionals are perceived as threatening quality care. Objective: To explore graduate nursing and pastoral care student’s perceptions of missed care in Norway. Research design: A qualitative study was employed with the formation of six focus groups. Data was analyzed via a thematic content of the discussions. Participants and research context: Thirty-one students attending a University College in Oslo participated. Findings: Five major themes and thirty subthemes were identified. Major themes included labor constraints, organizational contraints, professional constraints, communication constaints and emotional strain. Discussion: Findings of this study resonate with other research as well as with studies on missed nursing care. Findings also lend support to the definition of missed nursing care actions as required care that is omitted, either in part or whole, or delayed. Conclusion: The findings from this study extend understanding of what barriers health professionals perceive as inhibiting them from offering quality care. The focus groups provided a valuable flora for discussion regarding what participants perceived as missed.展开更多
Focus group discussion is an exploratory research technique used to collect data through group interaction. This technique provides the opportunity to observe interaction among participants on a topic under this study...Focus group discussion is an exploratory research technique used to collect data through group interaction. This technique provides the opportunity to observe interaction among participants on a topic under this study. This paper contributes to an understanding on the cyber terrorism conceptual framework through the analysis of focus group discussion. The proposed cyber terrorism conceptual framework which was obtained during the qualitative study by the authors has been used as a basis for discussion in the focus group discussion. Thirty (30) participants took part in the focus group discussion. The overall results suggest that the proposed cyber terrorism framework is acceptable by the participants. The present study supports our initial research that the cyber terrorism conceptual framework constitutes the following components: target, motivation, tools of attack, domain, methods of attack and impact.展开更多
There is a need for cost-efficient methods in consumer research. Existing qualitative methods are expensive to conduct. This paper aims to improve the focus group method. The objective was to improve focus groups with...There is a need for cost-efficient methods in consumer research. Existing qualitative methods are expensive to conduct. This paper aims to improve the focus group method. The objective was to improve focus groups with different aims： shorter time conducting interviews, interview greater number of respondents, deliver results faster than traditionally analysis of data, and lower total cost. CurroCus groups of 15-45 minutes duration were tested in five different experiments, including 70 to 160 respondents in groups of 7-11 respondents. The name of the new method is formed from the word ＂Curro＂ in Latin that means speed in English, and ＂Cus＂ that is the last syllable of the word ＂focus＂, thereby forming a new word： CurroCus~ on the method. The results from testing of the CurroCus~ group method at different cases showed that trained moderators and observers could collect relevant responses in a given time for each group. It was possible to process a number of 6 to 10 respondents for each group. By conducting several successive groups, saturation of information was reached after an adequate number of CurroCus~ groups. Therefore, the total number of respondents can be optimized and results can be more precise, with reduced risk of inaccuracy. At the same time, the cost for each case can be lowered substantially, in our cases to approximately 1/10 of a traditional focus group cost. The role （skills） of the moderator is important. A disadvantage is the risk that some of the respondents are not able to express their thoughts in due time when time is limited. There is a need for more research on all parts of the CurroCus group process.展开更多
Background: To understand what life is like for US children with a diagnosis of Growth Hormone Deficiency or Idiopathic Short Stature, the impact of short stature on Health related Quality of Life (HrQoL) was qualitat...Background: To understand what life is like for US children with a diagnosis of Growth Hormone Deficiency or Idiopathic Short Stature, the impact of short stature on Health related Quality of Life (HrQoL) was qualitatively examined and needs for care from the young patients and their parents perspective were identified. Methods: Focus group discussions with 26 American-English speaking and nine American-Spanish speaking children and their parents were conducted, transcribed verbatim and subsequently qualitatively analyzed by two independent raters, using an existing coding guideline, based on the multidimensional HrQoL concept and a special software (VERBI-Software MAXQDA 10). Results: A total of 1313 statements for the English-speaking and 447 statements for the Spanish-speaking families were categorized. In the US, the strongest frequency of mention was found for the HrQoL dimension “Social” across respondents, followed by “Treatment” and “Emotion”. Conclusion: Conducting and analyzing data generated from focus groups ensure that young patients’ experiences of disease are represented in the measure of outcomes for use in clinical trials and patient care.展开更多
Racial/ethnic minority populations are under- represented in clinical trials and Hispanic participation rates are particularly low. This study assessed barriers and facilitators to clinical trials participation by Med...Racial/ethnic minority populations are under- represented in clinical trials and Hispanic participation rates are particularly low. This study assessed barriers and facilitators to clinical trials participation by Medicaid eligible Mexican- Americans and their serving physicians. Qualitative data from two focus groups conducted among Mexican-American Medicaid eligible patients and four physician focus groups were analyzed. Mexican-American patients have a basic understanding of clinical trials. While most are open to participating in clinical research, not speaking English, time, and transportation were identified as barriers. Physicians believe that desperation and financial need are the primary patient motivators for participation. Barriers to physician recruitment and referral include: lack of information about clinical trials, concern that study participation may not be in the patient’s best interest, and lack of staffing and time to conduct trials. Ample opportunities exist to engage providers and patients in future efforts to increase Mexican-American patient recruitment into clinical trials.展开更多
目的探讨基于焦点解决模式下的团体舞动治疗在精神分裂症患者中的应用效果。方法采用方便抽样法,选取2024年1—12月南京市佑安医院中医神志科住院的90例精神分裂症患者作为研究对象,采用随机数字表法分成观察组(45例)和对照组(45例)。2...目的探讨基于焦点解决模式下的团体舞动治疗在精神分裂症患者中的应用效果。方法采用方便抽样法,选取2024年1—12月南京市佑安医院中医神志科住院的90例精神分裂症患者作为研究对象,采用随机数字表法分成观察组(45例)和对照组(45例)。2组患者均接受精神科药物治疗以及常规的临床康复护理,观察组在常规干预基础上加入基于焦点解决模式下的团体舞动训练,每周2次,共12周。比较2组患者在干预前后阳性与阴性症状量表(positive and negative syndrome,PANSS)、世界卫生组织生存质量测定量表(World Health Organization quality of life-bref,WHOQOL-BREF)和社会功能缺陷筛选量表(social disability screening schedule,SDSS)的评分。结果干预后,观察组的PANSS评分、SDSS评分均低于对照组(P<0.05);观察组WHOQOL-BREF评分高于对照组,差异均有统计学意义(P<0.05)。结论基于焦点解决模式下的团体舞动治疗能够改善精神分裂症患者的精神症状,提高其生活质量,促进社会功能恢复,对患者重新融入并适应社会生活具有积极的推动作用。展开更多
Objective:Patient safety culture is a concern in every healthcare organization,therefore,the healthcare leadership is encountering issues related to patient safety across the globe.In India,there is limited research a...Objective:Patient safety culture is a concern in every healthcare organization,therefore,the healthcare leadership is encountering issues related to patient safety across the globe.In India,there is limited research and information about patient safety culture among healthcare stakeholders and there is relatively little qualitative research available that captures the factors of patient safety culture.Hence,this study aims to explore the perception of healthcare professionals on patient safety culture.Methods:An exploratory qualitative study design was adopted in a tertiary care hospital.Structured focus group discussion(FGD)(n=4)among healthcare professionals and two in-depth interview focus groups were audio-recorded and transcribed.Two coders reviewed transcripts using the editing approach and organized codes into themes.The data were analyzed through MAXQDA 2022(VERBI Software GmbH,Berlin,Germany),qualitative data analysis software,and descriptive analysis technique.The main codes and themes were generated using inductive and deductive method and smart coding was done.Results:Overall,there were 190 unique mentions of codes related to patient safety culture from 4 FGDs.They were categorized into 6 major themes and subcodes were derived via smart coding using the MAXQDA software.“Resources and constraints”was the most prominent code,followed by management support,manpower shortage,burnout,and lack of personnel commitment.Conclusions:The study highlights significant gaps in patient safety culture within the healthcare setting,with resource constraints,management support,and manpower shortages emerging as critical challenges.Burnout and lack of personnel commitment further exacerbate these issues,underscoring the need for targeted interventions.展开更多
基金financially supported by the National Natural Science Foundation of China (Grant No. 52371277)the State Key Laboratory of Hydraulic Engineering Intelligent Construction and Operation (Tianjin University)(Grant No. HESS-2323)+2 种基金the Postgraduate Research&Practice Innovation Program of Jiangsu Province (Grant No. KYCX24_4071)the Guangdong Basic and Applied Basic Research Foundation (Grant No. 2023A1515010890)the Open foundation of Key Laboratory of Port.Waterway&Sedimentation Engineering (Grant No. Yk224001-1)。
文摘This paper explores the phenomenon of fluid resonance occurring within a narrow gap between a vessel and a vertical wharf, taking ships berthing in front of a gravity wharf as the research background. Using the open-source software Open FOAM~?, a two-dimensional viscous-flow numerical wave flume was developed to simulate the fluid resonant motions induced by transient focused wave groups with different spectral peak periods and wave amplitudes. The results indicate that for all the incident focused wave amplitudes considered, the amplitudes of the free surface elevation in the gap, horizontal wave force and moment all exhibit a bimodal variation trend with increasing spectral peak period. The peak values of the above amplitude-period curve appear near the resonant period of the first and second harmonic components of the free surface elevation. However, the variation in the vertical wave force versus the spectral peak period presents different patterns. In addition, the first-to fourth-order harmonic components in the wave surface and forces are further examined via the four-phase combination method. The results show that the first-to secondorder harmonic components play a dominant role in the overall amplitude.
文摘The concepts of patient and public involvement (PPI) have been recognized and linked with quality in health services internationally and in Europe. In England, for more than a decade, NHS policies have increasingly quoted patient-centred services. Limited evidence exists about the implementation of PPI policies and strategies within organisations;three studies only have explored health professionals’ perceptions of PPI. Although nurses’ positive support for patient and public involvement has been noted, comparatively little is known about senior nurses’ experiences of embedding PPI. A national consultation utilising three focus groups aimed to explore senior nurses’ perceptions of challenges and facilitators for PPI implementation. Four Strategic Health Authorities (SHAs) and eleven Primary Care Trusts (PCTs) in England, with fifteen senior nurses with leadership roles and direct PPI experience, participated. Nurses’ perceptions on patient and public involvement, challenges and facilitators for its implementation were discussed. Focus groups were digitally recorded and transcribed verbatim;anonymised transcripts were validated by participants and analysed with thematic analysis. Limited resources, patient representation and recruitment, complexities of implementing PPI and national policy changes were challenging. Commissioning limitations, lack of feedback on patient experience, limited staff awareness, negative attitudes, management of patients and public expectations constituted further challenges. Nursing role characteristics and informal involvement activities, PPI policy and cultural change, commissioning PPI competencies, related service frameworks, providing feedback on patient experiences to staff and recognition of involvement benefits were recognised as facilitators. Findings provided new insights into senior nurses’ experiences and evidence that progress towards meaningful, effective PPI remains slow. However, recognition of existing nursing role characteristics and potential delivery problems created by expanded nursing roles, informal PPI practice and internal organisational sharing of patient feedback may bring an “emerging productive partnership” with nurses enabling and contributing to effective PPI.
基金Scientific and Technological Innovation Project of China Academy of Chinese Medical Sciences:Research Design and Application of Mixed Methods in Traditional Chinese Medicine (No.CI2021B003)Evidence-based Ability Construction Project of National Administration of Traditional Chinese Medicine:Evidencebased Ability Improvement and Platform Construction of Traditional Chinese Medicine in Encephalopathy (No.2019XZZX-NB014)+2 种基金CACMS Innovation Fund:Research Priorities on Screening and Evaluating Appropriate and Effective Health Technologies in Specific Disease Field of TCM (No.CI2021A05503)CACMS Innovation Fund:Evaluation Method and Demonstration Research of Traditional Chinese Medicine Health Technology Assessment (No.CI2021A00701-3)the Fundamental Research Funds for the Central Public Welfare Research Institutes:Evidence Mapping and Scoping Review of Chinese Patent Medicines for Clearing Heat and Detoxifying (No.ZZ13-YQ-075)
文摘This study is to investigate the effectiveness and safety of bloodletting puncture(BP)for acute ischemic stroke(AIS)when used in combination with standard treatment,as well as the patients'feelings and attitudes toward the treatment.This is a mixed method research which includes a multi-center,superiority,randomized controlled clinical trial,and focus group interview.A total of 360 AIS participants will be enrolled.They will be randomized into one of the following two groups for 7 d:(a)BP with standard treatment group(n=180);(b)standard treatment group(n=180).The primary outcome will be National Institute of Health stroke scale(NIHSS)score at day 7 after treatment.Secondary outcomes will be changes of Glasgow Coma Scale score,NIHSS score,mRS and Traditional Chinese Medicine syndrome score from baseline to 7,14,and 30 d after treatment,recurrence rate and all-cause mortality rate within 30 d,and the safety assessments.The focus group will be conducted with a purposive sample of 1-2 acupuncturists and 1-2 patients respectively at each center at 7 and 30 d after treatment.We designed a mixed method study to evaluate the effect of BP,an acupuncture therapy for patients with AIS.If the findings of this study confirm the effectiveness of BP to reduce the NIHSS score and other related outcomes and patients are willing to accept the therapy,we believe this study will help the implementation of this therapy in clinical practice,and provide new evidence for the treatment of AIS.
文摘Objective:Barriers to healthcare in Ghana are multifaceted.Many people,including patients and providers,face them at different levels.To address these barriers,there is a need to explore the role of an intercultural healthcare system.This paper explores and provides the first evidence on ways through which an intercultural healthcare system can reduce the sociocultural and economic barriers to healthcare in Ghana.Methods:Focus group discussions with 35 participants comprising 17 healthcare users,11 formal healthcare providers and 7 alternative healthcare providers were conducted to gather data.Thematic analyses were performed on the transcribed data and presented based on a posteriori inductive reduction approach.Results:Findings reveal that an intercultural healthcare system in Ghana can help reduce barriers to healthcare,especially cultural,social and economic barriers,by fostering an enhanced relationship between culture and healthcare,promoting affordable healthcare and promoting effective communication between healthcare providers and users.Weak institutional support,lack of strong political will and commitment,lack of training to meet standards of practice,poor registration and regulatory measures,and lack of universal acceptance inhibit implementation of an intercultural healthcare system in Ghana.Conclusion:The support for intercultural healthcare system and the agreement on its perceived ability to reduce social,cultural and economic healthcare barriers for service users offer an opportunity for policymakers to demonstrate a stronger political will and improved commitment for effective education and training,enforcement of regulatory measures,inclusion of intercultural healthcare in medical school curricula across the country,and community engagement.
文摘Objective: The purpose of this study was to better understand black community college students’ beliefs on obesity in their community. Methods: Participants were 18 - 21 years old and African American/Hispanic Black. Focus group sessions were conducted with a discussion guide. Thematic analysis was used to analyze results. Results: Five focus groups were conducted. Four major themes emerged: My Culture Matters, The Effects of Slavery are Still Present, Meet Me Where I Want to Be, Not Where Society Wants Me, and If They Have Been Fat, They Get Me. It is clear that weight programs need to be sensitive to cultural preferences. Conclusion: Our results present unique factors related to overweight/obesity in the Black community.
文摘Background: Employees’ dissatisfaction is as a result of confrontations of two divergent views, compliance with collective labor agreement and the company’s profitability requirements. However, the documentation of internal and external environmental impacts on the employees is poor. Our objective was to study workers’ origin of dissatisfaction from the negative impact of Fludor Benin SA internal and external environment. Population and methods: It was a cross-sectional study, conducted from 11th September 2013 to 08th January 2014, on Fludor Benin SA employees. Data collection was carried out over ten (10) sessions through administration of Focus Group Discussion modules coupled with psychodrama (FGD-psychodrama) and conducted fortnightly. The module was intended for a group of twelve employees per session. It lasted 2 hours and ended with a game comprising a set of sixteen (16) cards. Each participant’s 16-card deck allowed the “player” to identify the likely origin of his dissatisfaction at work. Results: One hundred and twenty (120) employees were expected, but only ninety-nine (99) had participated in the FGD-psychodrama. The rate of participation was 82.5%. The average age of the employees was 35.4 ± 7.4 years, while sex-ratio was 23.75. Average seniority was 9.3 ± 3.2 years. The employees’ robot profile was: 39 (39.39%) passive employees, 18 (18.19%) disappointed employees, 17 (17.17%) unmotivated employees, 14 (14.14%) dedicated to the company but barely recognized and 11 (11.11%) unhappy employees. The reasons for dissatisfaction originated from matrimonial home 25 (25.25%), workplace 23 (23.23%) and use of drugs 11 (11.11%). Seventy-seven 77 (77.78%) employees were satisfied with the FGD-psychodrama modules. Conclusion: FGD-psychodrama may be an effective tool to restore unhealthy corporate atmosphere, help employees to discern the origin of their dissatisfaction and change their perception about stressful situations prevailing in their workplace.
文摘Primary Health Care Services Sector (PHCSS) of Dubai Health Authority (DHA) provides many services dedicated to seniors. However, there have been no studies to date that consulted the seniors themselves regarding these services. Thus, this study was conducted to investigate the age-friendliness of outpatient clinic’s services provided in PHCSS from perspective of elderly service recipients. Methods: Three focus groups were designed. The focus groups included receivers of care (senior patients and caregivers for senior patients) and healthcare providers (physicians, nurses, administrators and medical record officers). The discussed topics in the focus groups were based on WHO’s recommended three domains of improvement for an age-friendly Primary Health Care (PHC): Information, education and training, community-based health care management systems, and the physical environment.
文摘Background: Many studies have focused on exploring the concept of care from patient and nurse perspectives, but knowledge is limited regarding student perceptions. Objective: To explore the meanings given to the concept of professional care from the perspective of graduate students in nursing and pastoral care. Research design: A qualitative study was employed with the formation of six focus groups. Data were analyzed via a thematic content analysis of the discussions. Participants and research context: Thirty-one students attending a University College in Oslo participated. Findings: Seven main themes and forty-four subthemes were identified. Major themes included reverence and respect for the dignity and value of human life, bonding, sensitive to self and other, communication, competence, willfulness and deep caring. Discussion: Different levels of intentionality, professional comportment and caring consciousness were revealed in the discussions. Findings also lend support to major beliefs and values in Watson’s Human Caring Theory. Conclusion: The focus groups generated valuable detail of complex experiences behind student’s perceptions, attitudes, beliefs and actions. Focus group methodology can enhance holistic nursing practice by providing opportunities to explore and clarify holistic care values, create opportunities for self-awareness and transformative learning in education, clinical practice, administration and research.
文摘Background: With the inflation of economic constraints on health care and demand to increase care quality, there is an increasing need to develop a clear understanding of what actions by health professionals are perceived as threatening quality care. Objective: To explore graduate nursing and pastoral care student’s perceptions of missed care in Norway. Research design: A qualitative study was employed with the formation of six focus groups. Data was analyzed via a thematic content of the discussions. Participants and research context: Thirty-one students attending a University College in Oslo participated. Findings: Five major themes and thirty subthemes were identified. Major themes included labor constraints, organizational contraints, professional constraints, communication constaints and emotional strain. Discussion: Findings of this study resonate with other research as well as with studies on missed nursing care. Findings also lend support to the definition of missed nursing care actions as required care that is omitted, either in part or whole, or delayed. Conclusion: The findings from this study extend understanding of what barriers health professionals perceive as inhibiting them from offering quality care. The focus groups provided a valuable flora for discussion regarding what participants perceived as missed.
文摘Focus group discussion is an exploratory research technique used to collect data through group interaction. This technique provides the opportunity to observe interaction among participants on a topic under this study. This paper contributes to an understanding on the cyber terrorism conceptual framework through the analysis of focus group discussion. The proposed cyber terrorism conceptual framework which was obtained during the qualitative study by the authors has been used as a basis for discussion in the focus group discussion. Thirty (30) participants took part in the focus group discussion. The overall results suggest that the proposed cyber terrorism framework is acceptable by the participants. The present study supports our initial research that the cyber terrorism conceptual framework constitutes the following components: target, motivation, tools of attack, domain, methods of attack and impact.
文摘There is a need for cost-efficient methods in consumer research. Existing qualitative methods are expensive to conduct. This paper aims to improve the focus group method. The objective was to improve focus groups with different aims： shorter time conducting interviews, interview greater number of respondents, deliver results faster than traditionally analysis of data, and lower total cost. CurroCus groups of 15-45 minutes duration were tested in five different experiments, including 70 to 160 respondents in groups of 7-11 respondents. The name of the new method is formed from the word ＂Curro＂ in Latin that means speed in English, and ＂Cus＂ that is the last syllable of the word ＂focus＂, thereby forming a new word： CurroCus~ on the method. The results from testing of the CurroCus~ group method at different cases showed that trained moderators and observers could collect relevant responses in a given time for each group. It was possible to process a number of 6 to 10 respondents for each group. By conducting several successive groups, saturation of information was reached after an adequate number of CurroCus~ groups. Therefore, the total number of respondents can be optimized and results can be more precise, with reduced risk of inaccuracy. At the same time, the cost for each case can be lowered substantially, in our cases to approximately 1/10 of a traditional focus group cost. The role （skills） of the moderator is important. A disadvantage is the risk that some of the respondents are not able to express their thoughts in due time when time is limited. There is a need for more research on all parts of the CurroCus group process.
文摘Background: To understand what life is like for US children with a diagnosis of Growth Hormone Deficiency or Idiopathic Short Stature, the impact of short stature on Health related Quality of Life (HrQoL) was qualitatively examined and needs for care from the young patients and their parents perspective were identified. Methods: Focus group discussions with 26 American-English speaking and nine American-Spanish speaking children and their parents were conducted, transcribed verbatim and subsequently qualitatively analyzed by two independent raters, using an existing coding guideline, based on the multidimensional HrQoL concept and a special software (VERBI-Software MAXQDA 10). Results: A total of 1313 statements for the English-speaking and 447 statements for the Spanish-speaking families were categorized. In the US, the strongest frequency of mention was found for the HrQoL dimension “Social” across respondents, followed by “Treatment” and “Emotion”. Conclusion: Conducting and analyzing data generated from focus groups ensure that young patients’ experiences of disease are represented in the measure of outcomes for use in clinical trials and patient care.
文摘Racial/ethnic minority populations are under- represented in clinical trials and Hispanic participation rates are particularly low. This study assessed barriers and facilitators to clinical trials participation by Medicaid eligible Mexican- Americans and their serving physicians. Qualitative data from two focus groups conducted among Mexican-American Medicaid eligible patients and four physician focus groups were analyzed. Mexican-American patients have a basic understanding of clinical trials. While most are open to participating in clinical research, not speaking English, time, and transportation were identified as barriers. Physicians believe that desperation and financial need are the primary patient motivators for participation. Barriers to physician recruitment and referral include: lack of information about clinical trials, concern that study participation may not be in the patient’s best interest, and lack of staffing and time to conduct trials. Ample opportunities exist to engage providers and patients in future efforts to increase Mexican-American patient recruitment into clinical trials.
文摘目的探讨基于焦点解决模式下的团体舞动治疗在精神分裂症患者中的应用效果。方法采用方便抽样法,选取2024年1—12月南京市佑安医院中医神志科住院的90例精神分裂症患者作为研究对象,采用随机数字表法分成观察组(45例)和对照组(45例)。2组患者均接受精神科药物治疗以及常规的临床康复护理,观察组在常规干预基础上加入基于焦点解决模式下的团体舞动训练,每周2次,共12周。比较2组患者在干预前后阳性与阴性症状量表(positive and negative syndrome,PANSS)、世界卫生组织生存质量测定量表(World Health Organization quality of life-bref,WHOQOL-BREF)和社会功能缺陷筛选量表(social disability screening schedule,SDSS)的评分。结果干预后,观察组的PANSS评分、SDSS评分均低于对照组(P<0.05);观察组WHOQOL-BREF评分高于对照组,差异均有统计学意义(P<0.05)。结论基于焦点解决模式下的团体舞动治疗能够改善精神分裂症患者的精神症状,提高其生活质量,促进社会功能恢复,对患者重新融入并适应社会生活具有积极的推动作用。
文摘Objective:Patient safety culture is a concern in every healthcare organization,therefore,the healthcare leadership is encountering issues related to patient safety across the globe.In India,there is limited research and information about patient safety culture among healthcare stakeholders and there is relatively little qualitative research available that captures the factors of patient safety culture.Hence,this study aims to explore the perception of healthcare professionals on patient safety culture.Methods:An exploratory qualitative study design was adopted in a tertiary care hospital.Structured focus group discussion(FGD)(n=4)among healthcare professionals and two in-depth interview focus groups were audio-recorded and transcribed.Two coders reviewed transcripts using the editing approach and organized codes into themes.The data were analyzed through MAXQDA 2022(VERBI Software GmbH,Berlin,Germany),qualitative data analysis software,and descriptive analysis technique.The main codes and themes were generated using inductive and deductive method and smart coding was done.Results:Overall,there were 190 unique mentions of codes related to patient safety culture from 4 FGDs.They were categorized into 6 major themes and subcodes were derived via smart coding using the MAXQDA software.“Resources and constraints”was the most prominent code,followed by management support,manpower shortage,burnout,and lack of personnel commitment.Conclusions:The study highlights significant gaps in patient safety culture within the healthcare setting,with resource constraints,management support,and manpower shortages emerging as critical challenges.Burnout and lack of personnel commitment further exacerbate these issues,underscoring the need for targeted interventions.
