Why do users continue to use GCAI? A mixed-methods study

Introduction: Nurses are the backbone of a hospital supporting the patients, doctors and the administrator. The study of job satisfaction of nurses is of utmost importance as it is beneficial for the quality care of patients and management of a hospital. Aims: Aim of the study is to assess the level of job satisfaction and find out the factors contributing to the same. Materials & Methods: A mixed-method exploratory sequential study was conducted among nursing personnel at R.G. Kar Medical College and Hospital, Kolkata, over 8 months. The quantitative phase involved a crosssectional survey of 113 nurses selected through proportionate random sampling, using a structured questionnaire on job satisfaction. The qualitative phase included focus group discussions and in-depth interviews with key nursing staff, analyzed thematically to explore factors influencing job satisfaction. Result: A study of 113 nursing personnel at R.G. Kar Medical College and Hospital, selected via proportionate random sampling, examined job satisfaction across intrinsic, extrinsic, and interpersonal domains. Most participants were aged 25–35, married, from nuclear families, and held BSc Nursing or GNM qualifications. Findings showed moderate satisfaction from intrinsic and extrinsic factors, with interpersonal relationships being the strongest contributor. Socio-demographic factors such as marital status, number of earning members, children, years of experience, residence, education, and place of posting significantly influenced satisfaction scores. Qualitative analysis highlighted fulfillment from patient care, stress from workload, nurse shortages, security issues, shift challenges, infection control concerns, inadequate recognition, pay dissatisfaction, and work-life balance issues. Participants suggested improving staffing, structured shifts, professional training, hospital security, and better support from colleagues and administrators to enhance job satisfaction and wellbeing. Conclusion: Job satisfaction among nursing personnel at R.G. Kar Medical College is shaped by intrinsic, extrinsic, and interpersonal factors, with interpersonal relationships playing a key role. Socio-demographic variables and work environment elements like workload and recognition significantly influence satisfaction levels. Enhancing staffing, professional growth, and organizational support is crucial for improving nurses’ job satisfaction and well-being.

Background:The coronavirus disease 2019 (COVID-19) pandemic has resulted in inducting trainee resident doctors (RDs) in the care of COVID-19 patients. Limited research has been conducted to understand the impact of domains other than physical and emotional health on their lives. The focus has been to understand the negative consequences of COVID-19 duties, disregarding the possibility of any positive impact that could have emerged.Aim:This mixed-methods study (qualitative and quantitative) aims to explore the holistic and comprehensive impacts of COVID-19 duties on RD's lives.Materials and Methods:This is a mixed-methods convergent design study conducted in a 1400-bed multispecialty teaching hospital in a metropolitan city in India. A phenomenological approach was used for the qualitative part of the study, and the data were collected using focus group discussions (FGDs). For quantitative purposes, the World Health Organization Quality of Life Brief Version (WHOQOL-BREF) questionnaire was administered.Results:Qualitative findings show themes of negative impact covering domains of physical, emotional, social, and professional life. Themes that reveal a positive impact have emerged in the social, professional, and personal domains of the RDs' lives. Quantitative and qualitative results were in agreement with all the questions covered in the WHOQOL-BREF scale; however, the qualitative data findings extend far beyond.Conclusion:In the course of the COVID-19 duties, the RD has suffered in multiple domains, yet it has allowed them to self-reflect and change. As a consequence, they have grown as individuals in many areas of their lives. Working in COVID-19 wards has had a holistic impact on the RDs and has transformed them into better doctors.

Transcript Auto scroll search expand close Search Transcript Search Up Search Down Close Search Tools Tools icon close Download PDFopens in new window Cite Cite icon close Format APA APA Chicago Harvard MLA AMA Haynes-Brown, T. (Academic). (2023). Creating a theoretical model in a mixed methods study: exploring how teachers’ beliefs shape their actions [Video]. Sage Research Methods. https://doi.org/10.4135/9781529627602 Haynes-Brown, Tashane. "Creating a Theoretical Model in a Mixed Methods Study: Exploring How Teachers’ Beliefs Shape Their Actions." In Sage Video. : SAGE Publications, Ltd., 2023. Video, 00:37:10. https://doi.org/10.4135/9781529627602. Haynes-Brown, T., 2023. Creating a Theoretical Model in a Mixed Methods Study: Exploring How Teachers’ Beliefs Shape Their Actions, Sage Video. [Streaming Video] London: Sage Publications Ltd. Available at: <https://doi.org/10.4135/9781529627602 & gt; [Accessed 16 Mar 2023]. Haynes-Brown, Tashane. Creating a Theoretical Model in a Mixed Methods Study: Exploring How Teachers’ Beliefs Shape Their Actions. Online video clip. SAGE Video. London: SAGE Publications, Ltd., 8 Nov 2022. doi: https://doi.org/10.4135/9781529627602. 16 Mar 2023. Creating a Theoretical Model in a Mixed Methods Study: Exploring How Teachers’ Beliefs Shape Their Actions [Streaming video]. 2023. doi:10.4135/9781529627602. Accessed 03/16/2023 copy to clipboard or Export to your reference manager Endnote Endnote Reference Manager ProCite RefWorks BibTeX Zotero Medlars Mendeley Word Export Cancel Share Share icon close Share via Email Please log in from an authenticated institution or log into your member profile to access the email feature. Sign in/register Embed Embed icon close Embed this Content Add this content to your learning management system or webpage by copying the code below into the HTML editor on the page. Look for the words HTML or </>. Learn More about Embedding Video icon link (opens in new window) Clip - https://methods.sagepub.com/video/exploring-how-teachers-beliefs-shape-their-actions Embed code: Copy to clipboard Select a length: Entire video Entire video Select a size: 420x236 640x360 853x480 Sample View: (opens in new window) Cancel Get link Get link icon close Select a length: Entire video Entire video Link to this page directly with a permalink: https://methods.sagepub.com/video/exploring-how-teachers-beliefs-shape-their-actions Copy to clipboard Cancel

Chronic stress, known to contribute to negative physical and mental health outcomes, is closely associated with broader issues of material hardship, poor neighborhood conditions, residential instability, and inadequate housing conditions. However, few studies have comprehensively explored pathways to stress in a low-income housing environment. A mixed-methods pilot study investigated the concept of energy insecurity by looking at the impacts of weatherization and energy efficiency interventions on low-income households in the South Bronx neighborhood of New York City. In-depth interviews were conducted with 20 low-income heads of household; participants also completed health, housing and budget assessments. Physical deficiencies, economic hardship, and health issues all interacted to directly and indirectly produce living conditions that contribute to chronic stress. Households with higher stress reported more health problems. Poor quality housing led to coping responses that increased expenses, which in turn increased stress around housing and energy affordability. This study provides further support for the connections between both health and the built environment and between low socio-economic status populations and net negative health outcomes. Energy insecurity is an important contributor to chronic stress in low-income households, and isolating pathways to stress where there is potential for interventions is important for future policy and housing-based strategies.

BackgroundDropout from community-based health insurance (CBHI) membership is a common problem in low-income countries, even if its implementation leads to substantial improvement in the utilization of essential health services. Few studies have addressed the factors contributing to dropout rates in southern Ethiopia. Therefore, the purpose of this study was to determine the rate of CBHI dropout in southern Ethiopia as well as any contributing factors.MethodsThis mixed-method cross-sectional study was conducted among 460 randomly selected CBHI-enrolled households at the Arba Minch Health and Demography Surveillance System site from November 1, 2021, to April 30, 2022. The quantitative data were collected by an open data kit (ODK). using an interviewer-based structured questionnaire and analyzed using Statistical Package for the Social Sciences (SPSS) version 25.0. Multivariable logistic regression was applied to identify significant variables. The qualitative data were used to support the quantitative findings and were gathered through in-depth interviews (by the CBHI coordinator and three purposively selected health extension workers) and focus group discussions (in two randomly selected villages). The qualitative data were analyzed using thematic analysis. Finally, triangulation was used to present both the quantitative and qualitative findings.ResultsThis study found that 92 (21.5%) people stopped their community-based health insurance membership. The presence of sick adults [AOR = 0.281, 95% CI (0.136–0.581)], trust of participants in the contracted health facilities [AOR = 0.227, 95% CI (0.121–0.436)], and poor knowledge of the participants [AOR = 5.518, 95% CI (1.526–19.950)] were significant predictors.ConclusionThe magnitude of the dropout rate was high in this study when compared with the national target. The absence of a sick adult, the absence of trust among participants, and the poor knowledge status of the participants were significant predictors. We suggest that the health facility managers, the CBHI coordinating office, and the district health office give priority to implementing a wide range of knowledge improvement activities and a transparent system in public health facilities. Studies with longitudinal research designs are called for at a wide range of national levels to address the limitations of this study.

School closures in March 2020 due to the COVID-19 pandemic precipitated losses of critical student resources as physical, mental, emotional, and social needs escalated. Identifying the challenges, strategies, and changes in school nurse (SN) practice in Massachusetts during this pandemic is fundamental to understanding how to manage future anticipated pandemics while protecting children, communities, and SNs. The purpose of this mixed-methods descriptive study in the second year of the global pandemic was to (a) listen to SN voices through a novel online survey including the prompts of challenges, strategies, and practice changes and (b) describe the SN experience of COVID-19 response in Massachusetts schools, including identification of intent to leave school nursing. Responses were analyzed using descriptive qualitative analysis (n = 73). The prompts each elicited subthemes that coalesced to a cohesive theme: Finding one's way required the support of others to pave untraversed roads.

IntroductionApproximately 1 in 3 patients currently in hospital is in their last year of life. Palliative care is a neglected part of medical education (Charlton, 2008)2. A majority of junior...

e21004 Background: Sacred moments – brief periods of deep interconnectedness between clinicians and patients – have been associated with enhanced well-being and therapeutic alliance. While these moments have been described in radiation oncology and general hospital patients, they have been unexplored in medical oncology, where relationship-centered care is particularly crucial. We thus assessed the frequency and themes around sacred moments experienced by clinicians caring for patients with cancer. Methods: We conducted an exploratory, mixed methods study at an NCI-designated Comprehensive Cancer Center through purposeful sampling of clinicians. Participants completed a semi-structured interview and a survey. Interviews were recorded, transcribed, and de-identified. Thematic analysis was performed on textual data of transcripts using an inductive coding approach. The survey assessed demographics, frequency of sacred moments, and their impact. Using a 5-point Likert scale, participants rated how these moments influenced career fulfillment, sense of meaning, and connection with patients. Results: We interviewed 24 clinicians: attendings (70%), fellows (20%), and advanced practice providers (10%). Of 23 survey respondents, specialties included medical oncology (65%), hematology (13%), surgical oncology (13%), and palliative medicine (9%). A majority of participants were female (65%), with a range of experience (56% 0-10 years, 43% &gt;10 years’ in practice). All 24 clinicians reported having experienced a sacred moment during a patient encounter in their career, with 95% of participants reporting at least monthly occurrences. All agreed these moments enhanced their professional fulfillment, allowed for connection with their patients, and reminded them of why they went into their career. Three main themes emerged from the qualitative interviews: 1) Sacred moment catalysts: changes in patient clinical status, continuity of patient-clinician relationships 2) Cultivation strategies: intentional presence, partnership with the patient, recognizing shared humanity, and 3) Career fulfillment: sense of purpose, increased likelihood of goal aligned care with patients (Table 1). Conclusions: Sacred moments among oncology clinicians are common, professionally fulfilling, and serve as a reminder of why they pursued oncology. Future work will examine the patient perspective and developing interventions to increase the frequency of these meaningful interactions. Themes and illustrative quotes. Catalysts “I followed her for several years, and suddenly she very rapidly deteriorated. We stood together and sobbed.” Cultivation “ My principle if I go into the room is I’m going to spend as much time as that patient needs, and share some human interaction.” Fulfillment “It’s what's kept me enjoying the practice of medicine.” “Feels more like what medicine is supposed to be.”

Objective: To evaluate the skills and confidence status of house officers in managing dental patients.&#x0D; Study Design: Mixed method (Sequential-explanatory) study.&#x0D; Place and Duration of Study: Altamash Institute of Dental Medicine, Karachi Pakistan, from Mar 2019 to Mar 2020.&#x0D; Methodology: A self-administered questionnaire was developed for the 1st phase of the study. After validation from the content experts, a pilot test was run on 18 house officers before administering the questionnaire. It included 46 dental procedures; participants rated their skills and confidence in performing them using a Likert scale of 1 to 5 points ranging from poor to excellent. In the 2nd phase, sixteen face-to-face interviews were conducted to explain the reasons for acquiring skills and confidence status.&#x0D; Results: The response rate was 100%. Fifty-eight house officers filled out the questionnaire. Participants with multiple rotations reported significantly above average confidence status with multiple rotations of retainer insertion (81%), treatment of malocclusion using removable appliances (82%), fissure sealants (78%), anterior endodontic (80%), posterior amalgam (69%), oral hygiene (69%), and diagnosis of caries (67%), TMJ disorders (69%), rubber dam placement (71%) and properly prescribed recommended medicine (65%) when compared to the single rotation. The most important high-confidence status themes in evaluating skills were practising the procedures and internal motivation.&#x0D; Conclusion: Multiple rotations with repeated practice sessions enhanced house officers' skills and confidence status.Procedures that were least practised scored the lowest in overall mean confidence.Keywords: Confidence status, Curriculum, Dental graduates, Dental procedures, Evaluation, House officers, Skills.

BackgroundThe coronavirus disease 2019 (COVID-19) pandemic presented the world with a sudden need for additional medical professionals. Senior medical students were identified as potential workers and many worldwide graduated early to serve as Junior Physicians in hospitals. The authors sought to identify factors that informed the decision to work, describe experiences in this capacity, and elucidate benefits for trainees.MethodsThe investigators conducted a mixed-methods observational cohort study of early medical graduates eligible to work as Junior Physicians at two New York medical centers in April/May 2020 during an initial surge in COVID-19 hospitalizations. Graduates were surveyed, and a sample of Junior Physicians participated in a focus group. Survey responses of those who worked were compared to those who did not. Focus group responses were transcribed, coded, and thematically analyzed.ResultsFifty-nine graduates completed the study methods and 39 worked as Junior Physicians. Primary reasons for working included duty to help (39 [100%]), financial incentive (32 [82%]), desire to learn about pandemic response (25 [64%]), and educational incentive (24 [62%]). All had direct contact with COVID-19 patients, believed working was beneficial to their medical training, and were glad they worked. None contracted a symptomatic infection while working. Compared with non-Junior Physicians, Junior Physicians reported increased comfort levels in completing medical intern-level actions like transitions of care functions, such as writing transfer notes (P < 0.01), writing discharge orders (P = 0.01), and providing verbal sign out (P = 0.05), and they reported more comfort in managing COVID-19 patients. Sixteen themes emerged from the focus group and were placed into four categories: development of skills, patient care, safety, and wellness.ConclusionsSenior medical students chose to work as Junior Physicians for both personal and educational reasons. Experiences were beneficial to trainees and can inform future innovations in medical education.

Supportive supervision of the Community health workers (CHWs) is critical for their efficient functioning in various health programmes. CHWs in India are supervised by facilitators known as ASHA Sahyogini. Our study aimed to investigate the linkage between the knowledge and skills of CHW facilitators and their CHWs. To understand the problems encountered by the CHW facilitators while assisting their CHWs. Also, to determine the perceptions of CHWs on the nature of supportive supervision of their facilitators. A mixed-method explanatory study using purposive sampling was conducted in a rural block of Madhya Pradesh (Central India). The CHWs were categorized into relatively high performing (RHP) and relatively low performing (RLP) groups based on their performance-based incentives received during (2017-2018). The quantitative component comprised of self-administered questionnaire and skill assessment while the qualitative component comprised of three focused group discussions with RHP, RLP CHWs and their facilitators. The mean (SD) supportive supervision score given by CHW facilitators were found to be significantly associated with CHW's performance. Problems faced by CHW facilitators while assisting their CHWs resulted from inadequate education of CHWs, insufficient incentives, transport problems and repetitive surveys. While some CHWs perceived to have received good assistance from their facilitators, there were a few who were not dependent on their facilitators and executed duties by themselves. CHW's performance cannot be ascribed completely to the CHW facilitator's performance. The challenges perceived by CHW facilitators were unmodifiable and required them to strongly motivate and support their CHWs to improve their functionality.

Background Technological advances and societal expectations are transforming professional-patient relationships, while interpersonal therapeutic interactions remain essential to palliative care.1,2,3 Harm can be experienced as an ‘unfolding series of negative events…inextricably linked with feeling unsafe’.4 Negotiating safe care that remains sensitive to patients’ priorities can create tensions with safety standards, while failure to consider these can result in avoidable harms including worsened symptoms and disrupted dying.5,6 Aims Demonstrate how QHR can deepen understanding of safety and risk in palliative care. Showcase use of social research methods to identify implications for professional learning by integrating incident analysis with multi-voiced constructions of interpersonal safety work.4,7 Methods We developed innovative mixed method combinations of systematic review techniques with cross-sectional quantitative descriptive analysis and interpretative qualitative meta-syntheses of data from UK National incident reporting systems, stakeholder perspectives and published literature.8,9 Details will be given with each case study presented. Results QHR enables professional learning about insights into everyday safety challenges and realities for patients, informal carers and professional working practices. Patients are vulnerable not only to generic safety risks but also additional risks specific to the last phase of life. For example, many harms are mediated through medication work with problematic consequences. Advance care planning (ACP) is often postulated as a solution to care challenges. Our qualitative analysis of ACP incidents demonstrates safe ACP requires not simply theoretical knowledge but acceptance of socially constructed roles and responsibilities with applied metacognitive skills and emotional intelligence. We present a new analysis of intersectionality between enactment of patient, carer and professional medication management, contributing factors to unsafe care, and professional reporter’s perceptions and patient constructions of safety. Conclusion QHR can drive a holistic approach to interpersonal patient safety in palliative care. Mixed methods QHR using social theories to develop multi-voiced perspectives of safety generates ‘real world’ learning. References den Herder-van der Eerden M, van Wijngaarden J, Payne S, et al. Integrated palliative care is about professional networking rather than standardisation of care: A qualitative study with healthcare professionals in 19 integrated palliative care initiatives in five European countries. Palliative Medicine2018;32:1091–1102. den Herder-van der Eerden M, Ebenau A, Payne S, et al. Integrated palliative care networks from the perspectives of patients: A cross-sectional explorative study in five European countries, Palliative Medicine2018;32:1103–1113. Sampson C, Finlay I, Byrne A, et al. The practice of palliative care from the „perspective of patients and carers BMJ Supportive & Palliative Care2014;4:291–298. Collier A, Sorensen R, Iedema R. Patients’ and families’ perspectives of patient safety at the end of life: a video-reflexive ethnography study. Int J Qual Health Care2016;28:66–73. Williams H, Donaldson L, Noble S, et al. Quality improvement priorities for safer out-of-hours palliative care: lessons from a mixed methods analysis of a national incident reporting database. Palliative Medicine, in review 2019;33:346–356. Yardley I, Yardley S, Williams H, et al. Patient safety in palliative care: A mixed methods study of reports to a national database of serious incidents. Palliative Medicine, 2018;32:1353–1362. Pound P, Britten N, Morgan M, et al. Resisting medicines: A synthesis of qualitative studies of medicine taking. Social Science & Medicine2005;61:133–155. Carson-Stevens A, Hibbert P, Williams H, et al. Characterising the nature of primary care patient safety incident reports in the England and wales national reporting and learning system: A mixed-methods agenda-setting study for general practice. Southampton (UK): NIHR Journals Library 2016. Carson-Stevens A, Hibbert P, Avery A, et al. A cross-sectional mixed methods study protocol to generate learning from patient safety incidents reported from general practice. BMJ Open5:e009079. doi:10.1136/bmjopen-2015-009079.

IntroductionProtracted refugee situations create complex contexts that present significant health risks for young children. Effective hand hygiene practices by caregivers can reduce respiratory infections and diarrhoeal disease, the two largest contributors to mortality among children between 1 month and 5 years of age. This study documented handwashing patterns and access to water, sanitation and hygiene (WASH) infrastructure among caregivers of young children living along the Thai–Myanmar border, one of the world’s most protracted and complex refugee and immigration contexts. It also examined the association between handwashing and socio-demographic variables and captured participants’ explanations for when and how hands are washed. The study broadened the scope of previous research by also including the large number of caregivers living outside formal camps.MethodsCaregivers of children attending 11 preschools in Tak province, Thailand participated in a mixed-methods cross-sectional study. Quantitative questionnaire data (n = 384) were supplemented by a thematic analysis of data from in-depth interviews (n = 9).ResultsFewer than half the caregivers reported routinely washing their hands before preparing meals or after using the latrine/toilet. Fewer than one-in-five routinely used soap in these situations. Interviewees explained that handwashing was only necessary when a substance could be felt or seen, in which case wiping with a cloth or a rinsing with water were sufficient to clean hands. However, their explanations also suggested some potential avenues for culturally appropriate and feasible interventions to improve hand hygiene.ConclusionThe results confirmed previous research on the multi-dimensional barriers to good hand hygiene in protracted refugee situations and other low-resource settings. Additional investment to overcome shortages in the infrastructure necessary to support good hand hygiene and creative means of drawing on and developing human capital will be necessary to realize the potential hand hygiene holds for reducing ill-health and mortality among young children living in these contexts.

BackgroundPharmacy professionals are experts in therapeutic knowledge, experience, and skills that are used to ensure desired patient outcomes, utilizing the best available clinical evidence and interventions in collaboration with the health care team. They perceive themselves as a provider of technical, standardized, and individualized advice. The objective of this study was thus to assess the perception of pharmacy professionals towards their current professional roles in the health care system in Dessie, a city in the north-east Ethiopian region.MethodsA mixed-methods sequential explanatory study was used to assess the perception of pharmacy professionals towards their professional roles in Dessie city administration from December 15–30, 2019. The study participants were all pharmacy professionals working at health facilities in Dessie. Self-administered questionnaires were used to collect quantitative data, and face-to-face key informant interviews were used for qualitative data collection. Data were entered, processed, and analyzed using SPSS 25.0 statistical software, and thematic analysis was used for the qualitative exploration using QDA Miner Lite software (v2.0.7, free edition version).ResultThe study had a 97.7% response rate. Of the 301 participants, 173 (57.5%) were male. Most of the participants had a positive perception, while 38 (12.6%) had a poor perception of their current professional roles. Lack of physical access, poor initiatives, poor communication skills, and a lack of administrative support for pharmaceutical care were statistically significant at a p value of 0.05 and a 95% confidence interval. From the qualitative data, two major themes emerged: perceived roles and determinants (perceived facilitators and barriers).ConclusionPharmacy professionals’ roles were found to be influenced by a lack of physical access, poor initiatives, poor communication skills, and poor administrator support. Pharmaceutical care requires everyone’s involvement in addressing these factors for successful performance and a better outcome and in considering perceived facilitators and barriers.

IntroductionHigh-performing primary care is recognised as the foundation of an effective and efficient healthcare system. Many medical graduates report they are not prepared for independent practice. To date, no research...