scholarly journals ‘Getting to clinic study’: A mixed methods study of families who fail to attend hospital outpatient clinics

2019 ◽  
Vol 56 (4) ◽  
pp. 506-511 ◽  
Author(s):  
Carey‐Ann Christie‐Johnston ◽  
Rachel O'Loughlin ◽  
Harriet Hiscock
Keyword(s):  
Mixed Methods ◽  
Mixed Methods Study ◽  
Outpatient Clinics ◽  
Hospital Outpatient ◽  
Clinic Study

Utility of group treatment for trauma‐affected refugees in specialised outpatient clinics in Denmark: A mixed methods study of practitioners’ experiences

2019 ◽  
Vol 19 (2) ◽  
pp. 105-116 ◽  
Author(s):  
Helle Dølvik Brochmann ◽  
Josefine Holst Nymand Calundan ◽  
Jessica Carlsson ◽  
Stig Poulsen ◽  
Charlotte Sonne ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Group Treatment ◽  
Mixed Methods Study ◽  
Outpatient Clinics

scholarly journals Characteristics of children who do not attend their hospital appointments, and GPs’ response: a mixed methods study in primary and secondary care

2017 ◽  
Vol 67 (660) ◽  
pp. e483-e489 ◽  
Author(s):  
Lydia RM French ◽  
Katrina M Turner ◽  
Hannah Morley ◽  
Lisa Goldsworthy ◽  
Debbie J Sharp ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Child Protection ◽  
Secondary Care ◽  
Mixed Methods Study ◽  
Process Of Care ◽  
Care Needs ◽  
Hospital Outpatient ◽  
Formal Policy ◽  
Paediatric Outpatient ◽  
Outpatient Appointments

BackgroundChildren who do not attend (DNA) their hospital outpatient appointments are a concern because this potentially compromises the child’s health and incurs financial cost. Little is known about children who DNA or the views of GPs to non-attendance.AimTo describe the characteristics of children who DNA hospital paediatric outpatient appointments, and explore how GPs view and respond to DNAs.Design and settingA mixed methods study of data from all new referrals to a children’s hospital in the South West of England between 1 September and 31 October 2012.MethodData were extracted from patients’ hospital and GP records, and Stata was used to analyse the data quantitatively. Analysis focused on describing the characteristics of children who DNA, and the process of care that followed. Practices that had either the highest or lowest number of DNAs were purposefully sampled for GPs who had referred children to secondary care at the study hospital within the previous year. Interviews were held between May 2014 and July 2015, and were analysed thematically.ResultsChildren who DNA are more likely to be from an area of greater deprivation (adjusted odds ratio [AOR] 1.02, 95% confidence interval [CI] = 1.00 to 1.02, P = 0.04), and with a child protection alert in their hospital notes (AOR 2.72, 95% CI = 1.26 to 5.88, P = 0.01). Non-attendance is communicated poorly to GPs, rarely coded in patients’ GP records, and few GP practices have a formal policy regarding paediatric DNAs.ConclusionNon-attendance at hospital outpatient appointments may indicate a child’s welfare is at risk. Communication between primary and secondary care needs to be improved, and guidelines developed to encourage GPs to monitor children who DNA.

Determining Emotional Tone and Verbal Behavior in Patients With Tinnitus and Hyperacusis: An Exploratory Mixed-Methods Study

2019 ◽  
Vol 28 (3) ◽  
pp. 660-672
Author(s):  
Suzanne H. Kimball ◽  
Toby Hamilton ◽  
Erin Benear ◽  
Jonathan Baldwin
Keyword(s):  
Mixed Methods ◽  
Verbal Behavior ◽  
Coping Strategies ◽  
Mixed Methods Study ◽  
Self Report ◽  
Anxiety And Depression ◽  
Negative Consequences ◽  
Emotional Tone ◽  
Explanatory Mixed Methods ◽  
Quantitative Results

Purpose The purpose of this study was to evaluate the emotional tone and verbal behavior of social media users who self-identified as having tinnitus and/or hyperacusis that caused self-described negative consequences on daily life or health. Research Design and Method An explanatory mixed-methods design was utilized. Two hundred “initial” and 200 “reply” Facebook posts were collected from members of a tinnitus group and a hyperacusis group. Data were analyzed via the LIWC 2015 software program and compared to typical bloggers. As this was an explanatory mixed-methods study, we used qualitative thematic analyses to explain, interpret, and illustrate the quantitative results. Results Overall, quantitative results indicated lower overall emotional tone for all categories (tinnitus and hyperacusis, initial and reply), which was mostly influenced by higher negative emotion. Higher levels of authenticity or truth were found in the hyperacusis sample but not in the tinnitus sample. Lower levels of clout (social standing) were indicated in all groups, and a lower level of analytical thinking style (concepts and complex categories rather than narratives) was found in the hyperacusis sample. Additional analysis of the language indicated higher levels of sadness and anxiety in all groups and lower levels of anger, particularly for initial replies. These data support prior findings indicating higher levels of anxiety and depression in this patient population based on the actual words in blog posts and not from self-report questionnaires. Qualitative results identified 3 major themes from both the tinnitus and hyperacusis texts: suffering, negative emotional tone, and coping strategies. Conclusions Results from this study suggest support for the predominant clinical view that patients with tinnitus and hyperacusis have higher levels of anxiety and depression than the general population. The extent of the suffering described and patterns of coping strategies suggest clinical practice patterns and the need for research in implementing improved practice plans.

EXPERIENCES, FRUSTRATIONS, AND BARRIERS, OF IPAD USAGE IN THE SPECIAL EDUCATION: LIFE SKILLS CLASSROOM FROM EDUCATORS PERSPECTIVE

2018 ◽  
pp. 61-67
Author(s):  
D. J. Sullivan ◽  
S. Labby ◽  
A. Koptelov ◽  
S. L. Sullivan
Keyword(s):  
Special Education ◽  
Mixed Methods ◽  
Communication Systems ◽  
Life Skills ◽  
Mixed Methods Study ◽  
Educational Tool ◽  
Special Educator ◽  
Communications Systems ◽  
Communication Device ◽  
Communication Devices

The purpose of this mixed methods study was to determine the barriers that special educator teachers encounter when using iPads within the Life Skills classroom. The research investigates the experiences, frustrations, and barriers through educators’ perceptions of iPad implementation. The influence of these issues suggests why iPad usage is not a device that special education classrooms are using in a widespread daily manner. Exploration of iPads as an educational tool and as a communication device is also discussed, along with considerations of other communications systems such as Picture Exchange Communication Systems and Alternative and Augmented Communication Devices is considered. Recommendations for further possible research are also discussed.

Rapid Evaluation of the Special Measures for Quality and Challenged Provider Regimes: A mixed-methods study

2020 ◽  
Author(s):  
Naomi Fulop ◽  
Estela Capelas Barbosa ◽  
Melissa Hill ◽  
Jean Ledger ◽  
Pei Li Ng ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Mixed Methods Study ◽  
Rapid Evaluation
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