ABSTRACT
Introduction This study aims to reveal the current status and issues on global health competency (GHC) education as well as the perceptions and opinions of nursing academics at universities and vocational colleges about providing GHC education to their students at basic nursing education programs.Methods A Japanese open-ended questionnaire and qualitative content analyses facilitated the first-ever evaluation of Japanese nursing education by standard GHC items developed by Wilson et al. (2012) in the Americas. Using NVivo 11 Plus software, qualitative descriptions of the respondents obtained were coded and the data with similar content were organized into core categories.Results A total of 331 Japanese nursing academics, including 66 deans, 135 principals, and other educators at universities and vocational colleges responded to the questionnaire. The academics recognized the importance of GHC education for their students in basic nursing education programs to adapt to globalization in Japan. On the other hand, they noted the difference in education curricula with the Americas and commented that advanced GHC indicators such as assessment and analysis skills were not feasible in current Japanese nursing education. Insufficient time and specialized instructors in GHC education were other reasons for the reluctance to provide GHC education for nursing academics.Conclusions Incorporating GHC elements into existing courses and promoting nursing educators’ understanding and skills of GHC education through FDs may effectively alleviate their concerns about lack of time and personnel while providing GHC education to their nursing students. Promoting an open, detailed discussion and active conversation among educators is also necessary to reduce the barriers and gradually promote GHC education starting with what can be implemented.
ABSTRACT
PURPOSE: The aim of this study was to explore patients' experience of participation in their hospital care. METHODS: Face-to-face interviews using a semi-structured interview guide were conducted with a total of 21 patients in a tertiary hospital in Seoul, South Korea. Collected data were analyzed using a qualitative content analysis. RESULTS: Two categories of patients' experience of participation in hospital care emerged: 1) Reactive participatory activity, 2) active participatory activity. Major participatory activities included ‘complying with medical instructions’, ‘listening’, ‘responding’ and ‘questioning’. Healthcare professionals' attentive attitudes and explanation, and availability of care equipment were facilitating factors affecting patient participation in their care, whereas limited accessibility to and poor communication with healthcare professionals, inconvenient patient room, and patient factors were barriers to their participation. CONCLUSION: The findings in this study reveal that patients tend to participate in their care in a reactive way and that healthcare professionals have a significant role in facilitating patients' participation. Furthermore, the care environment and patient factors need to be considered to promote patient participation in hospital care.
Subject(s)
Humans , Delivery of Health Care , Korea , Patient Participation , Patients' Rooms , Seoul , Tertiary Care CentersABSTRACT
Background: Nurses can play a fundamental role in organizational learning being the largest group providing healthcare services; however, factors affecting their organizational learning are yet to be identified. Aims: To explore factors hindering organizational learning from the perspective of Iranian nurses. Study Design: Qualitative content analysis on in depth semi-structured interview texts. Place and Duration of Study: Kerman University of medical sciences hospitals, between February and December 2014. Methodology: We recruited 16 nurses (5 men, 11 women; with a mean age of 36.4 years) working in clinical wards of hospitals affiliated to Kerman University of Medical Sciences. All interviews were transcribed verbatim immediately after they were conducted. Data were analyzed subsequently. Results: The data analysis from 16 nurses included in the study, revealed 5 main themes, including undirected training, role ambiguity, unfavorable work conditions, inadequate professional capabilities and feelings of subordination. Conclusion: Identifying factors hindering organizational learning from the perspective of nurses allows healthcare managers and policymakers to promote the quality of their nursing services and achieve patient and personnel satisfaction while facilitating organizational learning through designing need-based training courses for nurses, redefining nurses’ job description, revising nursing students' selection processes and trusting in nurses' capabilities.
ABSTRACT
Many parents confront the NICU environment as medical staffs are busy with the physical aspects of care by ignoring other important needs and omitting physicians’ view. Aim: Identify essential factors in communication process that tend to increase stress among the NICU parents. The Study Design: Eighteen NICU parents from different hospitals in the city of Isfahan were selected for in-depth interviews. Qualitative content analysis included open coding, categorization and abstraction of data. Results: Data analysis identified stress provoking factors for NICU parents in four categories as confusion in nurse-parent, nurse-physician communication, negligence in physician-parent communication, inappropriate nurse-physician communication, and the medical diagnosis communication process. Conclusion: Our findings indicated that NICU parent presence was very low. It is necessary for the hospital management and NICU staff to develop communication skills training sessions for less stressful parent experiences in NICU. Moreover, the Ministry of Health should authorize policy development and guidelines to improve relationship between medical staff, physicians, nurses and NICU families aimed at better neonatal outcomes.
ABSTRACT
OBJECTIVE: This study determines the usability of the experimental u-Healthcare services program by examining the prior experience of COPD patients. METHODS: A qualitative content analysis and in-depth interviews were conducted. A total of eight COPD patients with prior experience in u-Healthcare services were interviewed between August 12, 2009 and September 10, 2009. RESULTS: The participants were asked open questions on u-Healthcare services, including their general experience, major attributes, service expectations, future usage intentions, and education and training needs. The participants were also asked to indicate current healthcare inconveniences that u-Healthcare services might solve. CONCLUSION: The results of this study based on patient experience suggest the potential viability of u-Healthcare services.