scholarly journals Effects of a geriatric education program for emergency physicians: a mixed-methods study

2020 ◽  
Vol 35 (3) ◽  
pp. 216-227
Author(s):  
Gijs Hesselink ◽  
Özcan Sir ◽  
Ekin Öztürk ◽  
Nikki Heiwegen ◽  
Marcel Olde Rikkert ◽  
...  
Keyword(s):  
Older Adults ◽  
Mixed Methods ◽  
Social History ◽  
Education Program ◽  
Qualitative Data ◽  
Mixed Methods Study ◽  
Medical Decision ◽  
Geriatric Syndromes ◽  
Emergency Physicians ◽  
Geriatric Education

Abstract Emergency physicians (EPs) often regard care for older adults as complex, while they lack sufficient geriatric skills. This study evaluates the effect of a geriatric education program on EPs’ geriatric knowledge, attitude and medical practice when treating older adults. A mixed-methods study was performed on EPs from two Dutch hospitals. Effects were measured by pre–post tests of EPs’ (n = 21) knowledge of geriatric syndromes and attitudes toward older adults, and by a retrospective pre–post analysis of 100 records of patients aged 70 years or more. Six EPs were purposively sampled and interviewed after completion of the education program. The program significantly improved EPs’ geriatric knowledge. EPs indicated that the program improved their ability and attentiveness to recognize frailty and geriatric syndromes. The program also significantly improved EPs’ attention for the older patient’s social history and circumstances (P = 0.04) but did not have a significant effect on medical decision making. EPs valued especially the case-based teaching and indicated that the interactive setting helped them to better understand and retain knowledge. Combined quantitative and qualitative data suggest that EPs benefit from geriatric emergency teaching. Future enhancement and evaluation of the geriatric education program is needed to confirm benefits to clinical practice and patient outcomes.

Uncertainty about cellulitis and unmet patient information needs: a mixed methods study

2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X697349
Author(s):  
Anna Lalonde ◽  
Emma Teasdale ◽  
Ingrid Muller ◽  
Joanne Chalmers ◽  
Peter Smart ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Information Needs ◽  
Qualitative Data ◽  
Information Provision ◽  
Mixed Methods Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Face To Face ◽  
Patient Information Needs ◽  
History Of

BackgroundCellulitis is a common painful infection of the skin and underlying tissues that recurs in approximately a third of cases. Patients’ ability to recover from cellulitis or prevent recurrence is likely to be influenced by their understanding of the condition.AimTo explore patients’ perceptions of cellulitis and their information needs.MethodMixed methods study comprising semi-structured, face-to-face interviews and cross-sectional survey, recruiting through primary care, secondary care and advertising. Adults aged 18 or over with a history of cellulitis (first or recurrent) were invited to complete a survey, take part in an interview or both. Qualitative data was analysed thematically.ResultsThirty interviews were conducted between August 2016 and July 2017. Qualitative data revealed low prior awareness of cellulitis, uncertainty around diagnosis, concern/surprise at the severity of cellulitis, and perceived insufficient information provision. People were surprised they had never heard of the condition and that they had not received advice or leaflets giving self-care information. Some sought information from the internet and found this bewildering. Two hundred and forty surveys were completed (response rate 17%). These showed that, while most people received information on the treatment of cellulitis (60.0%, n = 144), they reported receiving no information about causes (60.8%, n = 146) or prevention of recurrence (73.3%, n = 176).ConclusionThere is a need for provision of basic information for people with cellulitis, particularly being informed of the name of their condition, how to manage acute episodes, and how to reduce risk of recurrence.

scholarly journals Insights from an early stage development mixed methods study on arts-based interventions for older adults following hospitalisation

2021 ◽  
pp. 102745
Author(s):  
Amanda M. Clifford ◽  
Joanne Shanahan ◽  
Hilary Moss ◽  
Triona Cleary ◽  
Morgan Senter ◽  
...  
Keyword(s):  
Older Adults ◽  
Mixed Methods ◽  
Early Stage ◽  
Mixed Methods Study ◽  
Stage Development

Analyzing trends in the aural decoding errors of Japanese EFL learners

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Kriss Lange ◽  
Joshua Matthews
Keyword(s):  
Mixed Methods ◽  
Qualitative Data ◽  
Mixed Methods Study ◽  
First Year ◽  
Formulaic Language ◽  
Decoding Skills ◽  
Efl Learners ◽  
Japanese University ◽  
Syntactic Knowledge ◽  
L2 Listening

Abstract Japanese EFL learners’ difficulty with accurately decoding connected English speech motivated this mixed methods study. The aural decoding capacities of 63 first-year Japanese university students, with low to intermediate level English proficiency, were first measured with a battery of paused transcription tests (PTT). The transcriptions were clusters of three-words that each possessed attributes typical of co-articulated speech. In addition, after each test, a subgroup of 10 participants individually listened to the same PTT and recounted introspective self-observations of their perceived difficulties with the aural decoding tasks in their L1. These quantitative and qualitative data were used to identify four trends in decoding errors which were categorized as follows: limited collocation familiarity, syntactic knowledge constraints, difficulties utilizing co-text, and L1 phonological influence. This study investigates some of the difficulties associated with aural decoding, highlights the challenges of identifying the origins of decoding errors and suggests that more focus is needed on developing decoding skills as well as knowledge of formulaic language in L2 listening education.

scholarly journals 0721 Daytime Sleepiness and Napping in Nursing-Home Eligible Community Dwelling Older Adults: A Mixed Methods Study

SLEEP ◽  
2018 ◽  
Vol 41 (suppl_1) ◽  
pp. A268-A268
Author(s):  
M V McPhillips ◽  
J Li ◽  
P Z Cacchione ◽  
V V Dickson ◽  
N S Gooneratne ◽  
...  
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Mixed Methods ◽  
Daytime Sleepiness ◽  
Community Dwelling ◽  
Mixed Methods Study ◽  
Community Dwelling Older Adults

Multicultural teaching competence among undergraduate faculty: a convergent mixed methods study

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Chandler Puhy ◽  
Nalini Prakash ◽  
Clarissa Lacson ◽  
Joke Bradt
Keyword(s):  
Mixed Methods ◽  
Qualitative Data ◽  
Teaching Practice ◽  
Mixed Methods Study ◽  
Student Diversity ◽  
Content Type ◽  
Knowledge And Skills ◽  
Teaching Competence ◽  
Quantitative Results ◽  
K 12

Purpose Increased student diversity in universities across the USA has increased the need for post-secondary educators to develop multicultural teaching competence (MTC). Most studies of MTC focus on educators teaching grades K-12. The purpose of this study is to determine how faculty members rate themselves in terms of MTC, what multicultural knowledge and skills faculty report and how they integrate these skills into their teaching practice and what barriers exist to developing and implementing MTC. The purpose of this study was to examine the factors that impact undergraduate faculty integration of multicultural awareness and attitudes into their teaching practices to enhance student learning. Design/methodology/approach A convergent mixed methods study used survey and interview data from undergraduate faculty. Select items from the MTC Inventory (MTCI) and social justice scales (SJS) were administered. Interviews (N = 7) were transcribed and analyzed using thematic analysis. Quantitative and qualitative data were compared to examine convergence and divergence. Findings Quantitative results revealed undergraduate faculty’s awareness, knowledge and skills as indicated by percent agreement with items from the MTCI and SJS instruments. Qualitative findings included the following four themes: knowledge building, addressing diversity in the classroom, barriers and challenges, and needs and recommendations. Qualitative data corroborated or explained many of the quantitative results and provided insight into these trends and barriers that impact MTC. Originality/value This is the first study of its kind, to our knowledge, that has used a mixed methods research design to examine factors that impact MTCs and associated barriers among a sample of undergraduate faculty across disciplines in one urban university.

scholarly journals Perceived social risk in medical decision-making for physical child abuse: a mixed-methods study

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Heather T. Keenan ◽  
Kristine A. Campbell ◽  
Kent Page ◽  
Lawrence J. Cook ◽  
Tyler Bardsley ◽  
...  
Keyword(s):  
Decision Making ◽  
Child Abuse ◽  
Mixed Methods ◽  
Medical Decision Making ◽  
Mixed Methods Study ◽  
Medical Decision ◽  
Social Risk ◽  
Physical Child Abuse

Bridging the Digital Divide for Older Adults via Intergenerational Mentor-Up

2018 ◽  
Vol 29 (7) ◽  
pp. 786-795 ◽  
Author(s):  
Othelia Eun-Kyoung Lee ◽  
Do-Hong Kim
Keyword(s):  
Older Adults ◽  
Digital Divide ◽  
Social Isolation ◽  
Technology Use ◽  
Qualitative Data ◽  
Training Needs ◽  
Mixed Methods Study ◽  
Ehealth Literacy ◽  
Intergenerational Interaction ◽  
Parallel Fashion

Objectives: The effectiveness of Intergenerational Mentor-Up (IMU), an innovative intervention that engages college students in tutoring older adults, was examined with regard to eHealthy literacy and social isolation. Method: A total of 55 older adults (mean age = 73.82) participated in the six-session IMU tutorials. In this mixed methods study, quantitative and qualitative data were collected in a parallel fashion. Participants were interviewed after participating in the IMU. Results: Older adults presented significant improvement between pre- and postsurveys in various outcomes such as eHealth literacy, technophobia, self-efficacy, and interest in technology. Intergenerational interaction brought about by IMU helped to decrease social isolation among older adults. Qualitative data revealed that individualized training, modifications, adaptations, and intergenerational interactions can decrease their anxiety and boost their confidence. Discussion: Study findings enable the identification of the training needs to help close the digital divide and allow these older adults to reap the benefits of technology use.

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