scholarly journals Navigating Cognitive Dissonance: A Qualitative Content Analysis Exploring Medical Students’ Experiences of Moral Distress in the Emergency Department

2019 ◽  
Vol 3 (4) ◽  
pp. 331-339 ◽  
Author(s):  
Caitlin Schrepel ◽  
Joshua Jauregui ◽  
Alisha Brown ◽  
Jamie Shandro ◽  
Jared Strote
Keyword(s):  
Emergency Department ◽  
Content Analysis ◽  
Medical Students ◽  
Cognitive Dissonance ◽  
Moral Distress ◽  
Qualitative Content Analysis

The challenge of integrating justice and care in neonatal nursing

2011 ◽  
Vol 19 (1) ◽  
pp. 80-90 ◽  
Author(s):  
Elisabeth O C Hall ◽  
Berit S Brinchmann ◽  
Hanne Aagaard
Keyword(s):  
Content Analysis ◽  
Moral Distress ◽  
Qualitative Content Analysis ◽  
Ethics Of Care ◽  
Well Being ◽  
Neonatal Care ◽  
Neonatal Nursing ◽  
Small Things ◽  
Justice And Care ◽  
Health And Well Being

The aim of this study was to explore neonatal nurses’and mothers of preterm infants’experiences of daily challenges. Interviews took place asking for good, bad and challenging experiences. Data were analysed using qualitative content analysis and findings were clustered in two categories: good and challenging experiences, each containing three themes. The good experiences were: managing with success as a nurse, small things matter for mothers, and a good day anyhow for mothers and nurses. The challenging experiences were: mothering in public, being pulled between responsibilities, and adverse things stick under the nurses’skin. The study shows that small daily clinical matters become big issues and could lead to moral distress, and that nurses integrate ethics of justice and ethics of care while mothers are concerned about health and well-being of their specific infant only. The challenge for nursing to integrate fairness and sensitive care in family-oriented neonatal care is discussed.

scholarly journals Semantic Clustering to Augment Qualitative Content Analysis in Exploring Reasons for Emergency Department Transfer Delays

2020 ◽  
Author(s):  
Laura-Maria Peltonen ◽  
Sanna Salanterä ◽  
Hans Moen
Keyword(s):  
Emergency Department ◽  
Content Analysis ◽  
Health Service Research ◽  
Qualitative Content Analysis ◽  
Service Research ◽  
Future Research ◽  
Data Sets ◽  
Semantic Clustering ◽  
Transfer Delay ◽  
Clustering Approach

The aim of the study was to explore emergency department transfer delays and to assess the potential of using a semantic clustering approach to augment the content analysis of transfer delay data. Data were collected over a period of 5 months from two hospitals. A set of (unique) phrases describing reasons for transfer delays (n=333) were clustered using the k-means with 1) cluster centroids initiated in an unsupervised fashion and 2) a semi-supervised version where the cluster centroids were initiated with keywords. The unsupervised algorithm clustered 77 % and the semi-supervised 86 % of the phrases to suitable clusters. We chose the better performing approach to augment our content analysis. Three main categories for transfer delays were found as a result. These included 1) insufficient staffing resources, 2) transportation and bed issues, and 3) patient and care related reasons. The findings inform the audit of organisational processes, accuracy of staffing and workflow to reduce transfer delays. Future research should explore implications of semantic clustering approaches to other narrative data sets in health service research.

scholarly journals Canada-wide mixed methods analysis evaluating the reasons for inappropriate emergency department presentation in patients with a history of atrial fibrillation: the multicentre AF-ED trial

BMJ Open ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. e033482
Author(s):  
Kathryn Lauren Hong ◽  
Corinne Babiolakis ◽  
Brigita Zile ◽  
Milena Bullen ◽  
Sohaib Haseeb ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Emergency Department ◽  
Logistic Regression ◽  
Content Analysis ◽  
Random Effects ◽  
Qualitative Content Analysis ◽  
Primary Objective ◽  
Urgent Care ◽  
Ventricular Rate ◽  
History Of

ObjectivesThe primary objective of this study was to ascertain the reasons for emergency department (ED) attendance among patients with a history of atrial fibrillation (AF).DesignAppropriate ED attendance was defined by the requirement for an electrical or chemical cardioversion and/or an attendance resulting in hospitalisation or administration of intravenous medications for ventricular rate control. Quantitative and qualitative responses were recorded and analysed using descriptive statistics and content analysis, respectively. Random effects logistic regression was performed to estimate the OR of inappropriate ED attendance based on clinically relevant patient characteristics.ParticipantsParticipants ≥18 years with a documented history of AF were approached in one of eight centres partaking in the study across Canada (Ontario, Nova Scotia, Alberta and British Columbia).ResultsOf the 356 patients enrolled (67±13, 45% female), the majority (271/356, 76%) had inappropriate reasons for presentation and did not require urgent ED treatment. Approximately 50% of patients(172/356, 48%) were driven to the ED due to symptoms, while the remainder presented on the basis of general fear or anxiety (67/356, 19%) or prior medical advice (117/356, 33%). Random effects logistic regression analysis showed that patients with a history of congestive heart failure were significantly more likely to seek urgent care for appropriate reasons (p=0.03). Likewise, symptom-related concerns for ED presentation were significantly less likely to result in inappropriate visitation (p=0.02). When patients were surveyed on alternatives to ED care, the highest proportion of responses among both groups was in favour of specialised rapid assessment outpatient clinics (186/356, 52%). Qualitative content analysis confirmed these results.ConclusionsImproved education focused on symptom management and alleviating disease-related anxiety as well as the institution of rapid access arrhythmias clinics may reduce the need for unnecessary healthcare utilisation in the ED and subsequent hospitalisation.Trial registration numberNCT03127085

A Qualitative Content Analysis of Gender Transitions in the Workplace

2012 ◽  
Author(s):  
Melanie E. Brewster ◽  
Esther N. Tebbe ◽  
Brandon L. Velez
Keyword(s):  
Content Analysis ◽  
Qualitative Content Analysis
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