scholarly journals A qualitative study of foundation year two (F2) doctor's attitudes towards psychiatry carried out in Northern Ireland

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S21-S21
Author(s):  
Michael Doris ◽  
Kathyrn Mitchell ◽  
Damien Hughes ◽  
Lorraine Parks ◽  
Angela Carragher
Keyword(s):  
Northern Ireland ◽  
Qualitative Data ◽  
Medical Profession ◽  
A Priori ◽  
Training Programme ◽  
Training Level ◽  
Framework Analysis ◽  
Generic Skills ◽  
Postgraduate Level ◽  
Psychiatry Trainee

AimsRecruitment into psychiatry is a major issue nationally. Northern Ireland (NI) consistently punching above it's weight with psychiatry recruitment - in a region that only attracts 31.8% of F2s to enter into any training programme, Core psychiatry has been consistently oversubscribed. Here we look to examine the experiences of F2s in NI, including those who have had a placement in psychiatry and those who have not - what can we learn from NI?BackgroundThe exposure to psychiatry during the F2 year is a crucial time for recruitment to psychiatry. In NI, where there has been an 100% fill rate at core training level for many years, trainees and consultants have pointed towards a positive experience in the F2 year.MethodQuestionnaires were given out at a sample of F2 Generic Skills sessions, gathering a range of quantitative and qualitative data. A representative sample of over half of current F2s wrote about there preconceptions and experiences of psychiatry, whether they had worked in it or not. An a priori approach was taken towards generating codes as part of a framework analysis from which 4 major themes were identified.Result93/148 F2 doctors who were approached responded to the survey of which 36.6% had experienced a Foundation placement in psychiatry. Major qualitative themes that emerged were exposure to psychiatry, the nature of working in psychiatry, being valued and stigma. Doctors who had an F2 placement were much more likely to be willing to pursue a career in it, regardless of whether they had been allocated a placement with psychiatry by choice or not.ConclusionThis survey adds to the literature that exposure to psychiatry in undergraduate and postgraduate level has a huge role in shaping attitudes towards the specialty of psychiatry, and indeed the likelihood of a foundation doctor going on to become a psychiatry trainee. Stigma in the medical profession towards mental illness and psychiatry remains prevalent.

scholarly journals Who wants to be a psychiatrist? Northern Ireland foundation doctors (2006–2018) are positive toward psychiatry as career choice

2020 ◽  
Vol 44 (4) ◽  
pp. 134-138 ◽  
Author(s):  
Michael Doris ◽  
Amy Grimason ◽  
Damien Hughes ◽  
Edel O'Neill ◽  
Lorraine Parks ◽  
...  
Keyword(s):  
Northern Ireland ◽  
Career Choice ◽  
Influencing Factor ◽  
Training Programme ◽  
Clinical Implications ◽  
Foundation Programme ◽  
Level Training ◽  
Psychiatry Trainee

Aims and methodNorthern Ireland presents itself as an anomaly – a region in which only 31.8% of doctors enter into any training programme after completion of the Foundation Programme, but where Core Psychiatry has been consistently oversubscribed. Here, we aim to find what other regions can learn from this success. All doctors of any grade, working in psychiatry, who had been though the Foundation Programme were questioned on their motivations for becoming a psychiatry trainee.ResultsSixty-two doctors currently working in psychiatry responded, including over 60% of current trainees, and 45% stated they had not considered a career in psychiatry before their foundation attachment. Over 80% preferred foundation placements in FY2 only, rather than in either foundation year 1 or FY2.Clinical implicationsThis survey identifies that for the majority of people who ultimately chose to train in psychiatry, in a region that has consistently attracted candidates to core and higher level training, completion of a foundation psychiatry post was an influencing factor in this decision. A strong majority of doctors prefer the foundation psychiatry placement to be offered in FY2.

scholarly journals 26 Introducing the Sherpa Model for Managing Multi-Morbidity to Trainee GPS: Outcomes and Relevance to Elderly CareÂ

2021 ◽  
Vol 50 (Supplement_1) ◽  
pp. i7-i11
Author(s):  
D Swancutt ◽  
E Jack ◽  
H Neve ◽  
J Tredinnick-Rowe ◽  
N Axford ◽  
...  
Keyword(s):  
Qualitative Data ◽  
Geriatric Medicine ◽  
Training Programme ◽  
Case Mix ◽  
Shared Decision ◽  
Health Issues ◽  
Number Of Patients ◽  
Consultation Model ◽  
Framework Approach

Abstract Background Primary care trainees are traditionally taught to use a consultation model which focuses on eliciting the patients’ main reason for consulting “today”. As the number of patients with multi-morbidity increases, this approach is often inappropriate or unhelpful. Patients can be left without an understanding of their interacting health issues. The SHERPA model provides a biopsychosocial framework for consulting patients with multi-morbidity. We aimed to examine the responses to this model when integrated into a training programme for newly registered GPs. Methods Sixteen participants provide qualitative data on their experience and follow-up use of SHERPA. Four hours of teaching were observed. Twenty-four feedback templates on training (n = 18) and SHERPA application (n = 6) were collected. Individual semi-structured one-to-one interviews were conducted with trainees (n = 5) and trainers (n = 3). Data were transcribed and, using the Framework approach, systematically analysed focussing on the trainees’ reaction to the teaching sessions and their ability to use the SHERPA consultation model. Results Participants engaged well with the teaching sessions, enjoying the scenarios and bringing observations from their own experience. Five participants went on to apply SHERPA successfully with their patients. Barriers to using this approach were: not seeing appropriate patients with multi-morbidities (due to current placement or patient type); time; lack of confidence and familiarity; concern about missing important immediate clinical issues; and viewing the approach as “in addition” rather than key to shared decision-making. Conclusion The SHERPA model was viewed as a helpful addition by trainee GPs, although practical issues, fears and not seeing it as their priority for their case-mix, limited their application of it. Regular support from trainers, where trainees reflect on their experience of using SHERPA, could increase their confidence and familiarity with this method. These findings suggest that SHERPA may be relevant to other specialities such as geriatric medicine, where multi-morbidity is common.

scholarly journals Peer mentoring in psychiatry: a trainee-led initiative

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S149-S149
Author(s):  
Zoe Moore ◽  
Linda Irwin ◽  
Stuart Brown ◽  
Julie Anderson ◽  
Stephen Moore
Keyword(s):  
Northern Ireland ◽  
Peer Mentoring ◽  
Training Session ◽  
Application Form ◽  
Face To Face ◽  
Mentoring Relationship ◽  
Educational Supervision ◽  
Video Calling ◽  
Psychiatry Trainee

AimsOur aim was to establish a Peer Mentoring Network within Psychiatry Training in Northern Ireland.Recognising that starting a new job can be a stressful time in any junior doctor's career, we wanted to ensure that new Core Trainees (CT1s) joining our Specialty Programme were well supported through this transition.Although Clinical and Educational Supervision is well established in providing a support structure for trainees, we believed that a peer mentoring relationship, (with allocation of a Higher Psychiatry Trainee as mentor), would be of additional benefit.It was hoped that the scheme would prove mutually beneficial to both mentee and mentor.MethodWe delivered a presentation at CT1 induction and sent out follow-up emails to encourage participation. Higher trainees were also sent information via email and asked to complete a basic application form if interested in becoming a mentor. Prospective mentors then attended a one-day training session.Two lead mentors, (also higher trainees), were allocated to oversee the scheme, with additional supervision from two lead Consultants. Mentor-Mentee matches were made based on information such as location, sub-specialty affiliations and outside interests.Matched pairs were advised about the intended frequency and nature of contacts. Check-in emails were sent halfway through the year and feedback evaluations completed at the end.Result95% of trainees who completed the evaluations said they would recommend the scheme to colleagues.Mentees reported benefits in terms of personal and professional development, whilst mentors reported improved listening, coaching, and supervisory skills.A small number of trainees highlighted that 6 monthly rotations impacted on ability to maintain face to face contacts.Recruitment and engagement have improved annually. We are currently running the third year of the scheme and have achieved 100% uptake amongst CT1s and are over-subscribed with mentors, (19 mentors to 13 mentees).ConclusionThe majority of feedback received has been positive and interest in the scheme continues to grow.Potential issues relating to location of postings has been overcome, at least in part, by recent changes to ways of working and the use of alternative forms of contact, such as video calling.Having exceeded demand in terms of mentor recruitment, we hope to extend the scheme to include trainees of other grades, and particularly those who are new to Northern Ireland.We are excited to see where the next stage of our journey takes us and hope that others will be inspired to embark on similar schemes within their areas of work.

scholarly journals Selective Consent and Dissent: Professional Response to Reform in the Post-Crisis Greek NHS

2018 ◽  
Vol 33 (2) ◽  
pp. 262-279 ◽  
Author(s):  
Sharon C Bolton ◽  
Vasilis Charalampopoulos ◽  
Lila Skountridaki
Keyword(s):  
Qualitative Data ◽  
Medical Profession ◽  
Economic Recession ◽  
Analytical Framework ◽  
Welfare States ◽  
Distinct Form ◽  
Clinical Autonomy ◽  
Hospital Doctors ◽  
State Relations

Utilising the sociology of the professions as an analytical framework, the article explores the response of the Greek medical profession to state-imposed managerialism during times of economic recession and socio-political turbulence. It is argued that the case of southern welfare states, permeated by clientelism and corruption, underpins a distinct form of professional–state relations, currently missing from relevant theoretical discussions. Rich qualitative data collected from practising hospital doctors in Greece reveal a willingness to concede elements of clinical autonomy in exchange for the minimisation of the role of a corrupt state in the organisation of the Greek National Health Service.

How we view our theoretical competency: Early childhood pre-service teachers' self-evaluation of a professional placement experience

2012 ◽  
Vol 37 (2) ◽  
pp. 141-147 ◽  
Author(s):  
Joseph Agbenyega
Keyword(s):  
Decision Making ◽  
Qualitative Research ◽  
Early Childhood ◽  
Professional Practice ◽  
Qualitative Data ◽  
Mentor Teachers ◽  
Theoretical Knowledge ◽  
Framework Analysis ◽  
Self Evaluation ◽  
Theoretical Approaches

RECENT EFFORTS TO RENOVATE the teaching of young children have led to a greater emphasis on teachers' theoretical understandings of children and teaching, and how they translate their understandings into practice. This qualitative research analysed and discussed how early childhood pre-service teachers in one Australian university perceived their theoretical competence and how they used this in their pedagogical decision making and adaptations in their professional placement. The paper investigated how the pre-service teachers justified and enacted decisions about which pedagogical and theoretical approaches to use in their classrooms, and how they reconciled potential conflicts and contradictions between their own ideas, pedagogical and theoretical knowledge, and those of their mentor teachers. A framework analysis of rich qualitative data obtained through focus groups in class illuminated the pre-service teachers' theoretical competency, theoretical confidence, theoretical preparation and theoretical reflexivity. The paper concludes with recommendations for improving early childhood pre-service teachers' professional practice.

scholarly journals Nutrition Education and Community Pharmacy: A First Exploration of Current Attitudes and Practices in Northern Ireland

Pharmacy ◽  
2019 ◽  
Vol 7 (1) ◽  
pp. 27 ◽  
Author(s):  
Pauline Douglas ◽  
Helen McCarthy ◽  
Lynn McCotter ◽  
Siobhan Gallen ◽  
Stephen McClean ◽  
...  
Keyword(s):  
Northern Ireland ◽  
Nutrition Education ◽  
Phase 1 ◽  
Community Pharmacists ◽  
Education Programme ◽  
Training Programme ◽  
Phase 2 ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Attitudes And Practices

Community pharmacist is one of the most prominent and accessible healthcare professions. The community pharmacists’ role in healthcare is evolving, with opportunities being taken to reduce pressure on primary care services. However, the question remains of how well community pharmacists are equipped for this changing role. This was a sequentially designed study using a mix of methods to explore nutrition education among community pharmacists in Northern Ireland. It consisted of two phases. Phase 1 was a cross-sectional exploration to map the attitudes and practice of Northern Ireland (NI) pharmacists towards diet-related health promotion and disease prevention. An online questionnaire with open and closed questions to gain both quantitative and qualitative responses was developed and distributed to community pharmacists practising in NI. A total of 91% considered nutrition important in reducing the global burden of disease. While the majority (89%) believed patients would value nutritional advice from a pharmacist, 74% were not confident in providing advice to a patient with diabetes. From the consensus gained in Phase 1 a nutrition education intervention (Phase 2) for pre-registration pharmacists was developed using the Hardens 10 question system. The training programme was advertised to pre-registration pharmacy students in NI. It was delivered by nutrition experts who have education qualifications. The intervention was evaluated using a before and after questionnaire that assessed knowledge, attitudes, and practice (KAP). Phase 2 did find sustained improvement from the baseline in KAP but there was a decline from immediately post-training to three months post-training. This suggests the need to further embed nutrition education. The education programme was found to be effective for the target population and sets the stage for the development of an implementation strategy for a wider roll-out with evaluation.

A Flawed Construct? Understanding and Unpicking the Concept of Resilience in the Context of Economic Hardship

2017 ◽  
Vol 17 (3) ◽  
pp. 409-424 ◽  
Author(s):  
Paul Hickman
Keyword(s):  
Northern Ireland ◽  
Qualitative Data ◽  
Economic Hardship ◽  
Analytical Tool ◽  
Social Scientists ◽  
Negative Experience ◽  
Policy Makers ◽  
Individual Resilience ◽  
The Subject ◽  
Study Participants

Increasingly, the construct of resilience has been used by social scientists and (social) policy makers in relation to individual resilience to economic hardship. There are a number of issues within the literature on the subject that are unresolved including: whether it is an attribute or a process; the extent to which resilience is a positive phenomenon; the extent to which individuals living in economic hardship have agency; and whether it is finite. The article unpacks these issues, drawing on qualitative data from a longitudinal study in Northern Ireland. It found resilience to be a negative experience for study participants, although they did exhibit a number of attributes that may be described as being positive. They were often unable to exercise ‘positive’, transformative agency, because the choices available were limited and pernicious in nature. The article concludes that as an analytical tool for exploring the experiences of people living in economic hardship, the construct of resilience is not helpful.

RELATIONAL TOPOLOGICAL MAP

2010 ◽  
Vol 09 (04) ◽  
pp. 353-370
Author(s):  
LAZHAR LABIOD ◽  
NISTOR GROZAVU ◽  
YOUNÈS BENNANI
Keyword(s):  
Qualitative Data ◽  
A Priori ◽  
Large Data ◽  
Large Data Sets ◽  
Data Sets ◽  
Topological Order ◽  
Topological Map ◽  
Binary Matrix ◽  
Relational Analysis ◽  
Binary Matrices

This paper introduces a relational topological map model, dedicated to multidimensional categorial data (or qualitative data) arising in the form of a binary matrix or a sum of binary matrices. This approach is based on the principle of Kohonen's model (conservation of topological order) and uses the Relational Analysis formalism by maximizing a modified Condorcet criterion. This proposed method is developed from the classical Relational Analysis approach by adding a neighborhood constraint to the Condorcet criterion. We propose a hybrid algorithm, which deals linearly with large data sets, provides a natural clusters identification and allows a visualization of the clustering result on a two-dimensional grid while preserving the a priori topological order of this data. The proposed approach called Relational Topological Map (RTM) was validated on several databases and the experimental results showed very promising performances.

scholarly journals Stressors, self-reported overall health, potential protective factors and the workplace well-being of nurses during the COVID-19 pandemic in Switzerland: a longitudinal mixed-methods study protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e057021
Author(s):  
Claudia Ortoleva Bucher ◽  
Philippe Delmas ◽  
Annie Oulevey Bachmann ◽  
Ingrid Gilles
Keyword(s):  
Mixed Methods ◽  
Structural Equation ◽  
Qualitative Data ◽  
A Priori ◽  
Health Resources ◽  
Well Being ◽  
Knowledge Mapping ◽  
Data Types ◽  
Human Research Ethics ◽  
Informed Consent Form

IntroductionThe COVID-19 pandemic was making a huge impact on Europe’s healthcare systems in the spring of 2020, and most predictive models concurred that pandemic waves were in the offing. Most studies adopted a pathogenic approach to the subject; few used a salutogenic approach. These showed, however, that nurses can retain their health despite a pandemic by mobilising generalised resistance resources. Our study aims to understand how nurses working in Switzerland’s hospitals protected their health and workplace well-being during the COVID-19 pandemic by investigating the moderating effects of the health resources they mobilised against the stressors inherent to the situation. The study aims to explore and describe the stressors and the resources nurses used to remain healthy during the COVID-19 pandemic.Method and analysisWe will use a concurrent mixed-methods panel design with qualitative analyses ancillary to quantitative analyses. Quantitative data will be collected using electronic questionnaires at four time points over 2 years. Qualitative data will be collected using focus groups. Nurses from Switzerland’s two main linguistic regions who had direct, indirect or no contact with patients with COVID-19 will be invited to participate. The a priori sample size will be at least 3631 participants at T0 and 1852 at T4. Longitudinal structural equation modelling and knowledge mapping will be used to analyse quantitative and qualitative data, respectively. The results derived from the two data types will then be compared and discussed using a side-by-side approach to determine whether they agree or disagree and how they complement each other to achieve our aims.Ethics and disseminationNurses will receive an electronic informed consent form. The data collected will be stored on a secure server at the authors’ institution. This research project was approved by the Human Research Ethics Committee of the Canton of Vaud (2020-02845).

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