scholarly journals Behind the Scenes of Online Therapeutic Feedback in Blended Therapy for Depression: Mixed-Methods Observational Study

2018 ◽  
Vol 20 (5) ◽  
pp. e174 ◽  
Author(s):  
Mayke Mol ◽  
Els Dozeman ◽  
Simon Provoost ◽  
Anneke van Schaik ◽  
Heleen Riper ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Observational Study

scholarly journals The utility of wearable fitness trackers and implications for increased engagement: An exploratory, mixed methods observational study

2020 ◽  
Vol 6 ◽  
pp. 205520761990005 ◽  
Author(s):  
Zakkoyya H. Lewis ◽  
Lauren Pritting ◽  
Anton-Luigi Picazo ◽  
Milagro JeanMarie-Tucker
Keyword(s):  
Mixed Methods ◽  
Observational Study ◽  
Fitness Trackers

scholarly journals Giving back: A mixed methods observational study of the contributions of US-based Nigerian physicians to their home country

2015 ◽  
Vol 81 (1) ◽  
pp. 45
Author(s):  
J. Nwadiuko ◽  
K. James ◽  
G.E. Switzer ◽  
J.L. Stern ◽  
L. Hagander ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Observational Study ◽  
Home Country

scholarly journals Diagnosis and Care of Chronic Health Conditions Among Medicaid Expansion Enrollees: a Mixed-Methods Observational Study

2019 ◽  
Vol 34 (11) ◽  
pp. 2549-2558 ◽  
Author(s):  
Ann-Marie Rosland ◽  
Edith C. Kieffer ◽  
Renuka Tipirneni ◽  
Jeffrey T. Kullgren ◽  
Matthias Kirch ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Observational Study ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Medicaid Expansion ◽  
Chronic Health

scholarly journals A Mixed-Methods Observational Study of Human Milk Sharing Communities on Facebook

2014 ◽  
Vol 9 (3) ◽  
pp. 128-134 ◽  
Author(s):  
Maryanne Tigchelaar Perrin ◽  
L. Suzanne Goodell ◽  
Jonathan C. Allen ◽  
April Fogleman
Keyword(s):  
Mixed Methods ◽  
Observational Study ◽  
Human Milk ◽  
Human Milk Sharing

scholarly journals Unwelcome memento mori or best clinical practice? Community end of life anticipatory medication prescribing practice: A mixed methods observational study

2021 ◽  
pp. 026921632110433
Author(s):  
Ben Bowers ◽  
Kristian Pollock ◽  
Stephen Barclay
Keyword(s):  
Mixed Methods ◽  
General Practitioner ◽  
Observational Study ◽  
End Of Life ◽  
Community Nursing ◽  
Memento Mori ◽  
Life Planning ◽  
End Of Life Planning ◽  
Prescribing Practice ◽  
Clinical Records

Background: Anticipatory medications are injectable drugs prescribed ahead of possible need for administration if distressing symptoms arise in the final days of life. Little is known about how they are prescribed in primary care. Aim: To investigate the frequency, timing and recorded circumstances of anticipatory medications prescribing for patients living at home and in residential care. Design: Retrospective mixed methods observational study using General Practitioner and community nursing clinical records. Setting/participants: 329 deceased adult patients registered with Eleven General Practitioner practices and two associated community nursing services in two English counties (30 most recent deaths per practice). Patients died from any cause except trauma, sudden death or suicide, between 4 March 2017 and 25 September 2019. Results: Anticipatory medications were prescribed for 167/329 (50.8%) of the deceased patients, between 0 and 1212 days before death (median 17 days). The likelihood of prescribing was significantly higher for patients with a recorded preferred place of death (odds ratio [OR] 34; 95% CI 15–77; p < 0.001) and specialist palliative care involvement (OR 7; 95% CI 3–19; p < 0.001). For 66.5% of patients (111/167) anticipatory medications were recorded as being prescribed as part of a single end-of-life planning intervention. Conclusion: The variability in the timing of prescriptions highlights the challenges in diagnosing the end-of-life phase and the potential risks of prescribing far in advance of possible need. Patient and family views and experiences of anticipatory medication care, and their preferences for involvement in prescribing decision-making, warrant urgent investigation.

scholarly journals A hospital-based mixed-methods observational study to evaluate a hip and knee replacement quality improvement project

2021 ◽  
Vol 33 (7) ◽  
pp. 272-294
Author(s):  
Thomas W. Wainwright ◽  
David McDonald
Keyword(s):  
Quality Improvement ◽  
Mixed Methods ◽  
Observational Study ◽  
Knee Replacement ◽  
Clinical Pathways ◽  
Contextual Factors ◽  
Care Process ◽  
Improvement Project ◽  
Content Type ◽  
Care Processes

PurposeHealth services continue to face economic and capacity challenges. Quality improvement (QI) methods that can improve clinical care processes are therefore needed. However, the successful use of current QI methods within hospital settings remains a challenge. There is considerable scope for improvement of elective clinical pathways, such as hip and knee replacement, and so the use and study of QI methods in such settings is warranted.Design/methodology/approachA model to manage variability was adapted for use as a QI method and deployed to improve a hip and knee replacement surgical pathway. A prospective observational study, with a mixed-methods sequential explanatory design (quantitative emphasised) that consisted of two distinct phases, was used to assess its effectiveness.FindingsFollowing the use of the novel QI method and the subsequent changes to care processes, the length of hospital stay was reduced by 18%. However, the interventions to improve care process highlighted by the QI method were not fully implemented. The qualitative data revealed that staff thought the new QI method (the model to manage variability) was simple, effective, offered advantages over other QI methods and had highlighted the correct changes to make. However, they felt that contextual factors around leadership, staffing and organisational issues had prevented changes being implemented and a greater improvement being made.Originality/valueThe quality of QI reporting in surgery has previously been highlighted as poor and lacking in prospective and comprehensively reported mixed-methods evaluations. This study therefore not only describes and presents the results of using a novel QI method but also provides new insights in regard to important contextual factors that may influence the success of QI methods and efforts.

scholarly journals Unwelcome memento mori or best clinical practice? Community end-of-life anticipatory medication prescribing practice: a mixed methods observational study

2021 ◽  
Author(s):  
Ben Bowers ◽  
Kristian Pollock ◽  
Stephen Barclay
Keyword(s):  
Mixed Methods ◽  
General Practitioner ◽  
Observational Study ◽  
End Of Life ◽  
Community Nursing ◽  
Memento Mori ◽  
Life Planning ◽  
End Of Life Planning ◽  
Prescribing Practice ◽  
Clinical Records

Background: Anticipatory medications are injectable drugs prescribed ahead of possible need for administration if distressing symptoms arise in the final days of life. Little is known about how they are prescribed in primary care. Aim: To investigate the frequency, timing and recorded circumstances of anticipatory medications prescribing for patients living at home and in residential care. Design: Retrospective mixed methods observational study using General Practitioner and community nursing clinical records. Setting/participants: 329 deceased adult patients registered with Eleven General Practitioner practices and two associated community nursing services in Hertfordshire and Cambridgeshire, England (30 most recent deaths per practice). Patients died from any cause except trauma, sudden death or suicide, between 4 March 2017 and 25 September 2019. Results: Anticipatory medications were prescribed for 167/329 (50.8%) of the deceased patients, between 0 and 1212 days before death (median 17 days). The likelihood of prescribing was significantly higher for patients with a recorded preferred place of death (odds ratio [OR] 34; 95% CI 15-77; p < 0.001) and specialist palliative care involvement (OR 7; 95% CI 3-19; p < 0.001). For 66.5% of patients (111/167) anticipatory medications were recorded as being prescribed as part of a single end of-life planning intervention. Conclusion: The variability in the timing of prescriptions highlights the challenges in diagnosing the end-of-life phase and the potential risks of prescribing far in advance of possible need. Patient and family preferences for involvement in anticipatory medications prescribing decision-making and their experiences of care warrant urgent investigation.

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