scholarly journals Finding the Balance Between Collaboration and Autonomy Among School Nurses in Interactions With Schools

2020 ◽  
pp. 105984052091892
Author(s):  
Arnfinn Helleve ◽  
Unni Vere Midthassel ◽  
Roger Andre Federici
Keyword(s):  
Qualitative Interviews ◽  
School Nurses ◽  
Barriers And Facilitators ◽  
Personal Relationships ◽  
School Staff ◽  
National Guidelines ◽  
Personnel Recruitment ◽  
Personal Relations ◽  
Negative Impacts ◽  
Over Time

In Norway, new national guidelines for school service emphasize the importance of establishing structured collaboration with schools. Nevertheless, few studies have explored the characteristics of such collaboration. The purpose of the present study is to explore how principals, teachers, and school nurses collaborate and to identify barriers and facilitators of structured collaboration. The study is based on 46 qualitative interviews conducted in five Norwegian municipalities in 2018 and 2019. The results reveal that school nurses are highly valued among the school staff but collaborations between teachers and school nurses varied both within and between schools, often for arbitrary reasons such as personal relations and office locations at schools. Personal relationships built over time as well as regular meetings, seemed to foster stronger collaboration, while discontinuity in personnel, recruitment difficulties, and sick and maternity leaves were frequently reported factors that seemed to have negative impacts on collaboration.

Medication Adherence Changes in Blacks with Diabetes: A Mixed Methods Study

2020 ◽  
Vol 44 (2) ◽  
pp. 257-270 ◽  
Author(s):  
Deepika Rao ◽  
Martha Maurer ◽  
Jodi Meyer ◽  
Jiaying Zhang ◽  
Olayinka O. Shiyanbola
Keyword(s):  
Mixed Methods ◽  
Medication Adherence ◽  
Illness Perceptions ◽  
Qualitative Interviews ◽  
Barriers And Facilitators ◽  
Interpersonal Factors ◽  
Sequential Mixed Methods ◽  
Over Time

Objectives: In this study, we conducted a longitudinal evaluation of changes in medication adherence and the role of psychosocial and interpersonal factors in these changes among Blacks with type 2 diabetes mellitus (T2DM), and determined barriers and facilitators of T2DM medication adherence. Methods: We used an explanatory sequential mixed methods design for a sample of 287 black adult patients with T2DM in Wisconsin. Two surveys quantitatively evaluated changes in medication adherence, psychosocial factors, and interpersonal factors over time. We conducted 10 semi-structured qualitative interviews to explore participants' perceptions of these changes. Data integration of the quantitative and qualitative findings elucidated barriers and facilitators of medication adherence. Results: Increased adherence was significantly correlated with less concerns about medicines (r = -0.31), higher self-efficacy (r = 0.47), lesser depressive symptoms (r = -0.26), and lesser negative illness perceptions (r = -0.26) at both baseline and follow-up. Patient perceptions of adherence changes included adherence motivators, social support, and complex medication regimens. Integration showed that barriers and facilitators both existed in individuals who had an increase or a decrease in adherence over time. Conclusions: Specific beliefs of Blacks towards T2DM medications must be addressed to improve their adherence. Interventions must be tailored using interpersonal factors.

scholarly journals Reaching Herd Immunity During the SARS-CoV-2 Pandemic: What School Nurses Need to Know

2021 ◽  
pp. 1942602X2110449
Author(s):  
Elizabeth Barnby ◽  
Mark Reynolds ◽  
Jenny Gordon
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
School Administrators ◽  
Herd Immunity ◽  
School Nurses ◽  
National Association ◽  
School Staff ◽  
Clear Understanding ◽  
To Receive ◽  
Over Time

The National Association of School Nurses supports pandemic control efforts. School nurses are advocates for their students, caregivers, school staff, teachers, and school administrators. With a clear understanding of how the SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) virus evolves over time and changes transmissibility through mutations, school nurses gain understanding in epidemiologic calculation of herd immunity. To understand why the estimates of herd immunity fluctuate, as often reported in the news, school nurses need to understand how epidemiologist calculate this number. Obtaining herd immunity will protect the most vulnerable in the population. If all countries have access to vaccines and populations choose to receive vaccinations, herd immunity is more likely to be obtained. Equipped with knowledge of how herd immunity is calculated, school nurses are in a position to educate and advocate for the use of vaccines.

Negotiating Masculinity across Borders

2016 ◽  
Vol 20 (3) ◽  
pp. 317-344 ◽  
Author(s):  
Stephen Cho Suh
Keyword(s):  
Human Capital ◽  
South Korea ◽  
Return Migration ◽  
Hegemonic Masculinity ◽  
Qualitative Interviews ◽  
Korean American ◽  
Return Migrants ◽  
A Site ◽  
Ethnic Return Migration ◽  
Over Time

Recent studies of ethnic return migration have explained why (economic, political, and affective) and where (Asia and Europe) this phenomenon has primarily occurred. Of the research available, however, few have examined the manner in which framings and practices of gender impact the experiences of those who participate in these transnational sojourns. This study fills this void by examining how Korean American male ethnic return migrants understand and negotiate their masculine identities, as they “return” to their ancestral homeland of South Korea. Utilizing data from in-depth qualitative interviews, this study finds that respondents initially configure South Korea as a site where they may redeem their marginalized masculine identities by taking advantage of the surplus human capital afforded to them by their American status. Over time, however, “returnees” come to realize the fluidity of masculinity and its ideals, exposing the tenuousness of their claims to hegemonic masculinity even in South Korea.

scholarly journals Temporal trends in tolvaptan use after revision of national heart failure guidelines in Japan

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yusuke Yamazaki ◽  
Yasuyuki Shiraishi ◽  
Shun Kohsaka ◽  
Yuji Nagatomo ◽  
Keiichi Fukuda ◽  
...  
Keyword(s):  
Heart Failure ◽  
Clinical Practice ◽  
Mortality Rate ◽  
Risk Score ◽  
Temporal Trends ◽  
National Guidelines ◽  
Hospital Outcomes ◽  
Trends Over Time ◽  
Multicenter Registry ◽  
Over Time

AbstractWithin no definite diuretic protocol for acute heart failure (AHF) patients and its variation in regional clinical guidelines, the latest national guidelines in Japan commends use of tolvaptan in diuretic-resistant patients. This study aimed to examine trends in tolvaptan usage and associated outcomes of AHF patients requiring hospitalization. Between April, 2018 and October, 2019, 1343 consecutive AHF patients (median 78 [69–85] year-old) were enrolled in a prospective, multicenter registry in Japan. Trends over time in tolvaptan usage, along with the severity of heart failure status based on the Get With The Guideline-Heart Failure [GWTG-HF] risk score, and in-hospital outcomes were investigated. During the study period, tolvaptan usage has increased from 13.0 to 28.7% over time (p for trend = 0.07), and 49.4% started tolvaptan within 3 days after admission. The GWTG-HF risk score in the tolvaptan group has significantly decreased over time, while that in the non-tolvaptan group has unchanged. There were no differences in the in-hospital mortality rate between the patients with and without tolvaptan (6.7% vs. 5.8%). After revision of the Japanese clinical practice guidelines for AHF in March 2018, tolvaptan usage for AHF patients has steadily increased. However, in-hospital outcomes including mortality do not seem to be affected.

scholarly journals Stopping to Listen: Using Qualitative Methods to Inform a Web-Based Platform for Adults With Neurofibromatosis

2021 ◽  
Vol 8 ◽  
pp. 237437352110496
Author(s):  
Ethan G. Lester ◽  
Paula J. Popok ◽  
Victoria A. Grunberg ◽  
Alejandro Baez ◽  
Farahdeba Herrawi ◽  
...  
Keyword(s):  
Psychosocial Support ◽  
Qualitative Interviews ◽  
Psychosocial Care ◽  
Barriers And Facilitators ◽  
Web Based ◽  
Positive Attitudes ◽  
Efficient Access ◽  
Semistructured Interviews ◽  
Life Context ◽  
Specific Factors

Introduction: Psychosocial care for people with neurofibromatosis (NF) is challenging to access. Therefore, we sought to develop a self-guided web-based treatment platform for people with NF based on the live video relaxation response resiliency program for NF (3RP-NF). Here we report on qualitative interviews with adult patients who participated in the 3RP-NF to: (a) understand participant perceptions of the 3RP-NF program and (b) gather feedback for a self-guided web-based treatment platform (i.e., NF-Web). Methods: We conducted individual semistructured interviews ( N = 23; videoconferencing). We utilized both the Framework method and a hybrid deductive and inductive approach to analyze qualitative data. Results: We examined findings within the following themes for both 3RP-NF and NF-Web: (a) general attitudes, (b) barriers and facilitators, and (c) program-specific factors. Participants endorsed positive attitudes towards the 3RP-NF and NF-Web and described unique barriers and facilitators to each and provided suggestions regarding technology, NF-specific needs, and ways to promote social support virtually. Conclusions: This study highlights the importance of gathering participant feedback when designing novel, illness-specific interventions. In future studies, we aim to provide people with NF effective and efficient access to psychosocial support that matches their needs and life context. Results are informing NF-Web development.

scholarly journals Engaging the Canadian Diaspora: Youth social identities in a Canadian border city1

2010 ◽  
Vol 44 (3) ◽  
pp. 405-433 ◽  
Author(s):  
S. Nombuso Dlamini ◽  
Barat Wolfe ◽  
Uzo Anucha ◽  
Miu Chung Yan
Keyword(s):  
African Descent ◽  
Qualitative Interviews ◽  
Immigrant Youth ◽  
Social Identities ◽  
Barriers And Facilitators ◽  
Important Resource ◽  
Final Settlement

Abstract This paper is based on qualitative interviews undertaken with immigrant youth of African descent in Windsor, Ontario; it describes their sojourner lives across geographic borders and their final settlement in Windsor. The paper also offers narrations of the activities that enabled them to formulate friendships and the barriers and facilitators to the development of friendships across races. Critical findings reported in this paper reveal the ways that youth use resources in their travels to construct and negotiate their identities and to formulate new friendships. An important resource used by the majority of the youth was that of an imagined homeland, which consequently impacted on how they viewed and acted on the racial boundary critical in the formation of friendships in the Diaspora.

scholarly journals Shotguns Vs Lasers: Identifying Barriers and Facilitators to Scaling-Up Plant Molecular Farming for High-Value Health Products

2019 ◽  
Author(s):  
Jonathan Menary ◽  
Matthew Hobbs ◽  
Sara Mesquita de Albuqurque ◽  
Agata Pacho ◽  
Pascal M. W. Drake ◽  
...  
Keyword(s):  
Social Acceptance ◽  
Molecular Farming ◽  
Qualitative Interviews ◽  
Crop Improvement ◽  
Cost Effective ◽  
Scaling Up ◽  
Barriers And Facilitators ◽  
Horizon 2020 ◽  
Plant Molecular Farming ◽  
Health Products

Plant molecular farming (PMF) is a convenient and cost-effective way to produce high-value recombinant proteins that can be used in the production of a range of health products, from pharmaceutical therapeutics to cosmetic products. New plant breeding techniques (NPBTs) provide a means to enhance PMF systems more quickly and with greater precision than ever before, and have the potential to produce health and health-related products that are superior to current mammalian systems. However, the feasibility, regulatory standing and social acceptability of both PMF and NPBTs are in question. This paper qualitatively explores the perceptions of key stakeholders on two European Union (EU) Horizon 2020 programmes – Pharma-Factory and Newcotiana – towards the barriers and facilitators of PMF and NPBTs in Europe. One-on-one qualitative interviews were undertaken with N=20 individuals involved in one or both of the two projects at 16 institutions in seven countries (Belgium, France, Germany, Italy, Israel, Spain and the UK). The findings indicate that the current EU regulatory environment and the perception of the public towards biotechnology are seen as the main barriers to scaling-up PMF and NPBTs. Competition from existing systems and the lack of plant-specific regulations likewise present challenges for PMF developing beyond its current niche. However, respondents felt that the communication of the benefits and purpose of NPBT PMF could provide a platform for improving the social acceptance of genetic modification. The importance of the media in this process was highlighted. This article explores the justifications used by scientists for the use of NPBTs for crop improvement and suggests that the multi-level perspective framework is a useful tool for understanding the systemic factors that have shaped the development of PMF up until today.

The Impact of Project Management Methodologies on Project Success

2019 ◽  
pp. 418-437
Author(s):  
Hazem Abdulla ◽  
Mukhtar Alhashimi ◽  
Allam Mohammed Hamdan
Keyword(s):  
Project Management ◽  
Oil And Gas ◽  
Project Success ◽  
Qualitative Interviews ◽  
Oil And Gas Industry ◽  
Success Rates ◽  
Gas Industry ◽  
Survey Responses ◽  
The Impact ◽  
Over Time

This study assessed the impact of project management methodologies (PMMs) on project success in the oil and gas industry in the Kingdom of Bahrain. It also explored the different project methodologies used along with their strengths and weaknesses. Quantitative approach with the support of qualitative interviews was used to achieve the objectives of this research. A total of 95 survey responses were received and 17 interviews were conducted. Projects in the oil and gas industry are more about safety than speed, and hence, the use of comprehensive methodologies and applying the relevant methodology elements are important for oil and gas projects. Furthermore, the companies in the oil and gas industry in Bahrain have to pay more attention to their project management methodologies and get it evolved and improved over time to achieve higher project success rates.

scholarly journals Implementing health technology assessment in Kuwait: a qualitative study of perceived barriers and facilitators

2019 ◽  
Vol 35 (6) ◽  
pp. 422-426 ◽  
Author(s):  
Basshar Darawsheh ◽  
Evi Germeni
Keyword(s):  
Developing Countries ◽  
Health Technology Assessment ◽  
Technology Assessment ◽  
Qualitative Interviews ◽  
Healthcare Providers ◽  
Health Technology ◽  
Barriers And Facilitators ◽  
Policy Makers ◽  
Face To Face ◽  
Key Stakeholders

AbstractObjectivesThis study sought to explore main barriers and facilitators to implementing health technology assessment (HTA) in Kuwait from the perspective of key stakeholders.MethodsSemi-structured qualitative interviews were conducted with ten key stakeholders: seven healthcare providers working at various departments of the Kuwaiti Ministry of Health (MOH), and three academics with substantial experience in teaching HTA or related fields. Interviews were conducted face-to-face, audio-recorded, and transcribed verbatim. Data were analyzed using an inductive thematic approach.ResultsParticipating stakeholders reported several factors that might act as a barrier to building HTA in Kuwait: minimal awareness of HTA, lack of institutional and human capacity, a fragmented healthcare system, poor communication between researchers and policy makers, the country's wealth, politics, as well as data quality, availability, and sharing. Institutionalizing HTA as a politically empowered body, enforcing its recommendation by law, and benefiting from neighboring countries' experiences were suggested as possible ways to move forward.ConclusionStudies exploring the unique challenges that high-income developing countries may face in implementing HTA are still scarce. The results of this study are consistent with evidence coming from other developing countries, while also suggesting that the abundance of financial resources in the country is a double-edged sword; it has the potential to facilitate the development of HTA capacity, but also hinders recognizing the need for it.

scholarly journals Auckland’s Urban Sprawl, Policy Ambiguities and the Peri-Urbanisation to Pukekohe

Urban Science ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 1 ◽  
Author(s):  
Cristian Silva
Keyword(s):  
New Zealand ◽  
Ecosystem Services ◽  
Urban Space ◽  
Urban Sprawl ◽  
Agricultural Activities ◽  
Environmentally Sustainable ◽  
City Regions ◽  
The Creation ◽  
Negative Impacts ◽  
Over Time

Urban sprawl has been discussed extensively with regard to its negative impacts. On this basis, regulations have been put in place to control sprawling suburbanization, including the establishment of restricted areas for expansion defined by administrative urban boundaries. Overall, these measures have not been at all successful, considering that city-regions continue to expand inorganically, often reinforcing urban sprawl patterns. As clear evidence of the weaknesses of planning regimes of control, these unsuccessful attempts are partly explained by a series of policy ambiguities that contradict the meaning of planning as a prescriptive discipline. This ambiguity is justified by the need to frame flexible regulations that allow adaptation to unforeseen events over time. In this paper, using the case of Auckland, New Zealand, it is demonstrated that instead of planning flexibility, there is planning “ambiguity” accompanied by weak opposition from rural regimes, which deliberately contributes to urban sprawl. This is relevant considering that the inorganic encroachment of rural lands diminishes the huge environmental potential of the peri-urban space of Auckland, its ecosystem services, and agricultural activities—all elements that encourage the creation of more environmentally sustainable peripheral landscapes as a counterpoint to traditional sprawling suburbanization.

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