Journal articles on the topic 'Convergent mixed-methods design'
To see the other types of publications on this topic, follow the link: Convergent mixed-methods design.
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 journal articles for your research on the topic 'Convergent mixed-methods design.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.
1
Turner, Scott F., Laura B. Cardinal, and Richard M. Burton. "Research Design for Mixed Methods." Organizational Research Methods 20, no. 2 (July 8, 2016): 243–67. http://dx.doi.org/10.1177/1094428115610808.
Full textAbstract:
All methods individually are flawed, but these limitations can be mitigated through mixed methods research, which combines methodologies to provide better answers to our research questions. In this study, we develop a research design framework for mixed methods work that is based on the principles of triangulation. Core elements for the research design framework include theoretical purpose, i.e., theory development and/or theory testing; and methodological purpose, i.e., prioritizing generalizability, precision in control and measurement, and authenticity of context. From this foundation, we consider how the multiple methodologies are linked together to accomplish the theoretical purpose, focusing on three types of linking processes: convergent triangulation, holistic triangulation, and convergent and holistic triangulation. We then consider the implications of these linking processes for the theory at hand, taking into account the following theoretical attributes: generality/specificity, simplicity/complexity, and accuracy/inaccuracy. Based on this research design framework, we develop a roadmap that can serve as a design guide for organizational scholars conducting mixed methods research studies.
2
Roy, Sunanda Siddhartha. "SIMPLIFYING THE COMPLEX MIXED METHODS DESIGNS." SCHOLARLY RESEARCH JOURNAL FOR HUMANITY SCIENCE AND ENGLISH LANGUAGE 9, no. 47 (October 1, 2021): 11631–37. http://dx.doi.org/10.21922/srjhsel.v9i47.7706.
Full textAbstract:
Research design is the technical aspect of a study which includes the planning of the research, visualising the data taking into consideration the problems that are associated in using the data in the study. There are three main research approaches, i.e., quantitative, qualitative and mixed methods. Mixed methods research involves combining or integration of quantitative and qualitative research procedures and data in a research study. The article illustrates the three main models of Mixed Methods Design i.e., Explanatory sequential, Exploratory sequential and Convergent mixed methods design. The main focus of the article is on Complex Mixed Methods Designs. Some of the designs are illustrated with figures for better understanding. A table to help investigators choose the appropriate mixed methods design is also provided. The Complex Mixed Methods designs involve more steps and procedures enabling them to fit in complex projects. Mixed methods research can produce a more complete knowledge as it includes both qualitative and quantitative approaches.
3
Alwashmi, Meshari F., John Hawboldt, Erin Davis, and Michael D. Fetters. "The Iterative Convergent Design for Mobile Health Usability Testing: Mixed Methods Approach." JMIR mHealth and uHealth 7, no. 4 (April 26, 2019): e11656. http://dx.doi.org/10.2196/11656.
Full text
4
Hatta, Taichi, Keiichi Narita, Kazuhiro Yanagihara, Hiroshi Ishiguro, Toshinori Murayama, and Masayuki Yokode. "Crossover Mixed Analysis in a Convergent Mixed Methods Design Used to Investigate Clinical Dialogues About Cancer Treatment in the Japanese Context." Journal of Mixed Methods Research 14, no. 1 (August 19, 2018): 84–109. http://dx.doi.org/10.1177/1558689818792793.
Full textAbstract:
The convergent mixed methods design is a common mixed methods research strategy; however, a challenge arises when data are collected concurrently but not analyzed completely independently due to overlapping research aims or certain styles of reasoning. The aims of this study were to (1) implement a crossover-tracks analysis in a convergent design wherein qualitative and quantitative strands were intertwined and informed each other and (2) examine a working hypothesis about the relationship between temporal change in clinical dialogues to examine the strength of patients’ motivation to participate in a clinical consultation. Using hypothetico-deductive method, the dynamic analytical approach shifted between inductive and deductive approaches. The qualitative and quantitative results were merged, and a joint-display depicted the relation for the final interpretation.
5
Puhy, Chandler, Nalini Prakash, Clarissa Lacson, and Joke Bradt. "Multicultural teaching competence among undergraduate faculty: a convergent mixed methods study." Journal for Multicultural Education 15, no. 4 (November 4, 2021): 459–73. http://dx.doi.org/10.1108/jme-05-2021-0059.
Full textAbstract:
Purpose Increased student diversity in universities across the USA has increased the need for post-secondary educators to develop multicultural teaching competence (MTC). Most studies of MTC focus on educators teaching grades K-12. The purpose of this study is to determine how faculty members rate themselves in terms of MTC, what multicultural knowledge and skills faculty report and how they integrate these skills into their teaching practice and what barriers exist to developing and implementing MTC. The purpose of this study was to examine the factors that impact undergraduate faculty integration of multicultural awareness and attitudes into their teaching practices to enhance student learning. Design/methodology/approach A convergent mixed methods study used survey and interview data from undergraduate faculty. Select items from the MTC Inventory (MTCI) and social justice scales (SJS) were administered. Interviews (N = 7) were transcribed and analyzed using thematic analysis. Quantitative and qualitative data were compared to examine convergence and divergence. Findings Quantitative results revealed undergraduate faculty’s awareness, knowledge and skills as indicated by percent agreement with items from the MTCI and SJS instruments. Qualitative findings included the following four themes: knowledge building, addressing diversity in the classroom, barriers and challenges, and needs and recommendations. Qualitative data corroborated or explained many of the quantitative results and provided insight into these trends and barriers that impact MTC. Originality/value This is the first study of its kind, to our knowledge, that has used a mixed methods research design to examine factors that impact MTCs and associated barriers among a sample of undergraduate faculty across disciplines in one urban university.
6
Moseholm, Ellen, and Michael D. Fetters. "Conceptual models to guide integration during analysis in convergent mixed methods studies." Methodological Innovations 10, no. 2 (July 2017): 205979911770311. http://dx.doi.org/10.1177/2059799117703118.
Full textAbstract:
Methodologists have offered general strategies for integration in mixed-methods studies through merging of quantitative and qualitative data. While these strategies provide researchers in the field general guidance on how to integrate data during mixed-methods analysis, a methodological typology detailing specific analytic frameworks has been lacking. The purpose of this article is to introduce a typology of analytical approaches for mixed-methods data integration in mixed-methods convergent studies. We distinguish three dimensions of data merging analytics: (1) the relational dimension, (2) the methodological dimension, and (3) the directional dimension. Five different frameworks for data merging relative to the methodological and directional dimension in convergent mixed-methods studies are described: (1) the explanatory unidirectional approach, (2) the exploratory unidirectional approach, (3) the simultaneous bidirectional approach, (4) the explanatory bidirectional approach, and (5) the exploratory bidirectional approach. Examples from empirical studies are used to illustrate each type. Researchers can use this typology to inform and articulate their analytical approach during the design, implementation, and reporting phases to convey clearly how an integrated approach to data merging occurred.
7
Nzabonimpa, Jean Providence. "Quantitizing and qualitizing (im-)possibilities in mixed methods research." Methodological Innovations 11, no. 2 (May 2018): 205979911878902. http://dx.doi.org/10.1177/2059799118789021.
Full textAbstract:
Mixed methods research has gained momentum over the past decade, but critics rightly charge that the integration of qualitative and quantitative data remains an unresolved methodological issue. While each of the dualistic and canonized methodological paradigms has its own way of handling analysis, researchers in mixed methods as a new paradigm have invested considerable efforts in more complex mixed analysis. They use the quantitizing of qualitative data and qualitizing of quantitative data as the strategies to effect data integration in mixed methods research. While attempts have been made to achieve quantitizing and qualitizing of data, few empirical studies have been conducted in a two-phase convergent parallel mixed methods design to investigate such data conversion approaches, especially dichotomization, within a single inquiry. To contribute to this ongoing methodological quest, this article explores the possibilities and impossibilities offered by either strategy to convert narratives into numerical data and numerical data into narratives.
8
Santos, Ana Paula Sousa. "Nursing students' errors in clinical learning. Qualitative outcomes in Mixed Methods Research." Revista Brasileira de Enfermagem 72, no. 1 (February 2019): 170–76. http://dx.doi.org/10.1590/0034-7167-2018-0592.
Full textAbstract:
ABSTRACT Objective: to analyze factors associated with nursing students' errors during clinical learning, and their perceptions regarding these events and the opportunity for learning and development provided by them. Method: Convergent Mixed Method design according Creswell and Clark. Qualitative dimension included face to face and internet interviews. Data analysis followed Miles and Huberman method. Results: Nursing student's errors were revealed according to their perceptions. They occurred in all phases of the nursing process and in transversal skills. Errors were acknowledged as learning and developmental opportunities. Final considerations: Students acknowledged their errors and ascribe to themselves reasons and what could have prevented what happened. Mixed Method was a very adequate design to study phenomena. Qualitative dimension was essential to reveal and achieve the objectives. Suggestions founded on the findings are presented.
9
SARICAN, Elif. "Are the Learning Styles of Elementary School Students Related to Their Academic Success? A Study of Mixed Research Methods." International Journal of Psychology and Educational Studies 8, no. 4 (October 31, 2021): 110–24. http://dx.doi.org/10.52380/ijpes.2021.8.4.606.
Full textAbstract:
The aim of this study is to point out the relationship between learning styles and the academic. The purpose of this study is to show the relationship between learning styles and academic achievement of 4th grade elementary students. The study was designed according to the convergent parallel design, one of the mixed research designs in which quantitative and qualitative research methods are used together. While the quantitative and qualitative data are collected together in accordance with the convergent parallel design, the data analysis is presented separately in the results section. The study group of the research consists of 163 grade 4 primary school students, 74 girls (n=74) and 89 (n=89) boys, taught in a government primary school in Istanbul Turkey. To find out whether learning styles predict academic achievement, linear regression analysis was conducted. On the other hand, descriptive analysis and content analysis were used in the qualitative data analysis. In this study, it was found that learning styles predict academic achievement. It was also found that students tend to discover their own learning methods, and depending on which method they prefer, the academic area in which they succeed differs.
10
Lamprecht, Christiaan, and Timothy C. Guetterman. "Mixed methods in accounting: a field based analysis." Meditari Accountancy Research 27, no. 6 (February 12, 2019): 921–38. http://dx.doi.org/10.1108/medar-11-2018-0403.
Full textAbstract:
Purpose This study aims to advance mixed methods as a research methodology in accounting through three research objectives: develop a typology of mixed methods research (MMR) features from current literature, analyse accounting papers published in two leading South African journals against these features, and offer recommendations for best practice going forward. Design/methodology/approach This paper follows five elements for a MMR review study: identify the methodological aim and choice of discipline; identify the relevant accounting MMR literature and collect the data; develop a codebook and analysis procedures to assess the reviewed papers against; report on the MMR findings; and discuss the findings and make recommendations. Findings The use of MMR as a methodological approach is increasing; however, in many instances published papers revealed limited methodological detail. Furthermore, most accounting MMR studies use a convergent MMR design, with data collected qualitatively using interviews/focus groups and quantitatively using questionnaires. Finally, accounting education studies is the topic within accounting research that mostly use MMR. Research limitations/implications The study is limited to a five-year period and the prevalence of applicable MMR articles during that period in two journals. Practical implications This paper presents advantages of using MMR in accounting studies and offer recommendations for best practice to answer the complex accounting research questions of today. Originality/value This study is the first systematic examination of how mixed methods is used in accountancy research as reflected in South African journals.
11
Reid, Clodagh, Conor Keighrey, Niall Murray, Rónán Dunbar, and Jeffrey Buckley. "A Novel Mixed Methods Approach to Synthesize EDA Data with Behavioral Data to Gain Educational Insight." Sensors 20, no. 23 (November 30, 2020): 6857. http://dx.doi.org/10.3390/s20236857.
Full textAbstract:
Whilst investigating student performance in design and arithmetic tasks, as well as during exams, electrodermal activity (EDA)-based sensors have been used in attempts to understand cognitive function and cognitive load. Limitations in the employed approaches include lack of capacity to mark events in the data, and to explain other variables relating to performance outcomes. This paper aims to address these limitations, and to support the utility of wearable EDA sensor technology in educational research settings. These aims are achieved through use of a bespoke time mapping software which identifies key events during task performance and by taking a novel approach to synthesizing EDA data from a qualitative behavioral perspective. A convergent mixed method design is presented whereby the associated implementation follows a two-phase approach. The first phase involves the collection of the required EDA and behavioral data. Phase two outlines a mixed method analysis with two approaches of synthesizing the EDA data with behavioral analyses. There is an optional third phase, which would involve the sequential collection of any additional data to support contextualizing or interpreting the EDA and behavioral data. The inclusion of this phase would turn the method into a complex sequential mixed method design. Through application of the convergent or complex sequential mixed method, valuable insight can be gained into the complexities of individual learning experiences and support clearer inferences being made on the factors relating to performance. These inferences can be used to inform task design and contribute to the improvement of the teaching and learning experience.
12
Bochnia, Anna-Kristin, Senja Maarit Ruohonen, Mihkel Pajuste, and Ellen Kathrine Hansen. "Evaluating an integrative lighting design for elderly homes – a mixed methods approach." IOP Conference Series: Earth and Environmental Science 1099, no. 1 (November 1, 2022): 012028. http://dx.doi.org/10.1088/1755-1315/1099/1/012028.
Full textAbstract:
Abstract The experience of light in a space and the physiological effect of light combined is complex to study. Methods which combine parameters from the fields of the biological, visual and atmospheric effects of light through a combination of both qualitative and quantitative data collection on site, seem more important than ever to validate the potentials of integrative lighting. A case study, conducted in two elderly homes in Copenhagen and Aarhus, in Denmark, is used to evaluate a mixed methods approach, assessing an integrative lighting design solution. Luminaires with circadian settings are implemented as a supplementary lighting with the aim of supporting various objectives, including biological stimulation and a homely atmosphere in the elderly homes. To evaluate the implementation of the lighting, a convergent mixed methods approach is used, collecting quantitative and qualitative data. In parallel to collecting quantitative measurements, such as melanopic equivalent daylight illuminance (mEDI) and photopic lux, semi-structured interviews based on questionnaires and card-sorting, on the same subjects, are carried out. To evaluate the approach for evaluating the implementation of this integrative lighting design, three criteria are introduced: a) integration, b) flexibility and c) validity. The integration of results enabled to compare the different methods and findings to identify and study correlations, differences or contradictions. That was conducted across the three topics: biological, visual, and atmospheric effects of the integrative lighting design solution. A framework for a holistic approach for evaluating lighting in elderly homes was defined, with an indication of the need for further development in an iterative process.
13
Guetterman, Timothy C., Wayne A. Babchuk, Michelle C. Howell Smith, and Jared Stevens. "Contemporary Approaches to Mixed Methods–Grounded Theory Research: A Field-Based Analysis." Journal of Mixed Methods Research 13, no. 2 (June 1, 2017): 179–95. http://dx.doi.org/10.1177/1558689817710877.
Full textAbstract:
Key scholars have lauded benefits of integrating mixed methods and grounded theory—or mixed methods–grounded theory (MM-GT)—yet there have been few attempts to ascertain in what ways researchers use MM-GT. Our aim was to systematically, but not exhaustively, examine applications of MM-GT and offer procedural guidelines. We identified 61 empirical MM-GT articles and developed a codebook for analysis. MM-GT was widely used across disciplines. Most published MM-GT provided little methodological detail regarding grounded theory, mixed methods, and their integration; theoretical development was noticeably absent; and the majority followed a convergent mixed methods design. This inquiry contributes to emerging discussions regarding the ways in which MM-GT can or should be used to more fully realize the potential of this approach.
14
Taft, Seth A., Jocelyn W. Armes, and Jacob D. Holster. "A Mixed-Methods Investigation of Migrating Music Teachers’ Job Fit." Bulletin of the Council for Research in Music Education, no. 232 (April 1, 2022): 26–44. http://dx.doi.org/10.5406/21627223.232.02.
Full textAbstract:
Abstract The purpose of this study was to explore music teacher migration through the lens of job fit. Using a convergent mixed-methods design, we surveyed music teachers who were in their current positions for at least 2 years and had held a previous position for at least 2 years (N = 74). Participants completed a questionnaire consisting of quantitative measures of current and previous job fit, then responded to qualitative items about the positive and negative aspects of their current and previous jobs. Results indicated that music teachers typically exhibited better fit in their current jobs than in their previous jobs. However, qualitative responses suggested that fulfillment of basic needs may have been more influential in their occupational decisions than job fit. We also determined that job fit involves multiple layers of influence including position features, local contexts, and general contexts. Implications are discussed for in-service music teachers and music teacher education.
15
Holtrop, Jodi Summers, Georges Potworowski, Lee A. Green, and Michael Fetters. "Analysis of Novel Care Management Programs in Primary Care: An Example of Mixed Methods in Health Services Research." Journal of Mixed Methods Research 13, no. 1 (September 27, 2016): 85–112. http://dx.doi.org/10.1177/1558689816668689.
Full textAbstract:
While health services researchers are using mixed methods research in large-scale studies with “big data” and incorporating data transformation for merging qualitative and quantitative data sets, these developments are not widely known to the broader mixed methods research community. Our purpose in this article is to introduce health services research to the broader mixed methods audience, to examine the potential for novel innovations in mixed methods research procedures, and to illustrate these points through a project on care management that used a convergent mixed methods design. In addition to traditional analytical procedures, we illustrate two qualitative to quantitative data transformation procedures, one using normalization process theory and a second, fuzzy set qualitative comparative analysis.
16
Muñoz-Llerena, Antonio, Pablo Caballero-Blanco, and Elena Hernández-Hernández. "Fostering Youth Female Athletes’ Decision-Making Skills through Competitive Volleyball: A Mixed Methods Design." International Journal of Environmental Research and Public Health 19, no. 20 (October 14, 2022): 13261. http://dx.doi.org/10.3390/ijerph192013261.
Full textAbstract:
Decision-making is one of the most important life skills for young athletes to succeed in their daily lives and can be improved through Positive Youth Development (PYD) programs. Although the application of this type of programs has increased within educational and recreational sports, there is a lack of research relating PYD through competitive sports. Therefore, the objective of this study was to determine whether an intervention with competitive female youth players improves their decision-making. A hybrid PYD program was applied (37 trainings and 14 games) using convergent mixed methods. 15 girls (8–10 years) and a male coach participated in the study. Semi-structured interviews and field notes were used to collect qualitative data and the Decision-Making Style in Sport questionnaire was used to collect quantitative data. The results showed a positive perception of the improvement in decision-making in both the players and the coach; however, there was no statistical significance between the pretest and the posttest, and the integration between qualitative and quantitative data was mostly discrepant. Despite the lack of significance in the statistical analysis, the findings suggest that the intervention program appears to have beneficial effects on the development of decision-making skills in the players.
17
Kutscher, Elisabeth L., and Elizabeth D. Tuckwiller. "A Mixed Methods Study of K–12 Influences on College Participation for Students With Disabilities." Career Development and Transition for Exceptional Individuals 43, no. 2 (February 13, 2020): 101–14. http://dx.doi.org/10.1177/2165143420905104.
Full textAbstract:
This study investigated K–12 experiences individuals with disabilities perceived as influencing their transition to and participation in postsecondary education. Using a convergent transformative mixed methods research design, the study integrated findings from interviews and surveys ( n = 13) using multiple correspondence analysis. Qualitative analyses yielded eight K–12 facilitators of postsecondary education participation. Quantitative results showed participants reported access to at least one previously identified high school predictor, high levels of self-determination, and neutral identification with a disability community. Finally, integrated findings revealed that endorsement of facilitators was associated with experiencing a challenging transition to postsecondary education. Research and practice implications are discussed.
18
Bounajim, Dolly, Arif Rachmatullah, Madeline Hinckle, Bradford Mott, James Lester, Andy Smith, Andrew Emerson, et al. "Applying Cognitive Load Theory to Examine STEM Undergraduate Students’ Experiences in An Adaptive Learning Environment: A Mixed-Methods Study." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 65, no. 1 (September 2021): 556–60. http://dx.doi.org/10.1177/1071181321651249.
Full textAbstract:
This study examined undergraduate STEM students’ experiences using an online introductory computer programming learning environment equipped with an automated hint generation system. Following a convergent parallel mixed methods design, this study utilized both quantitative and qualitative data from student experiential data. Analysis by level of prior knowledge demonstrated that elements of the learning environment did not cater to their learning needs and cognitive architecture. Cognitive Load Theory was used to contextualize system elements against both higher and lower prior experience learners, ultimately pointing to a need to design better scaffolds and hints to the needs of novice CS learners.
19
LoGiudice, Jenna A., and Susan Bartos. "Experiences of Nurses During the COVID-19 Pandemic: A Mixed-Methods Study." AACN Advanced Critical Care 32, no. 1 (March 15, 2021): 14–26. http://dx.doi.org/10.4037/aacnacc2021816.
Full textAbstract:
Background The first wave of coronavirus disease 2019 was a global event for which nurses had limited time to prepare before receiving an influx of high-acuity patients and navigating new plans of care. Objectives To understand nurses’ lived experiences during the COVID-19 outbreak and to examine their resiliency. Methods A convergent mixed methods design was applied in this study. For the quantitative portion, resiliency was measured by using the Brief Resilience Coping Scale. Colaizzi’s phenomenological method was used for qualitative analysis. Results A total of 43 nurses participated in the study. The mean score on the Brief Resilience Coping Scale was 14.4. From 21 robust narratives, Colaizzi’s qualitative method yielded 5 themes to describe the experience of being a nurse during the pandemic. Conclusions Understanding the lived experience provides a unique lens through which to view nursing during a global pandemic, and it serves as a starting point to ensure future safeguards are in place to protect nurses’ well-being.
20
Nicod, Elena, Laia Maynou, Erica Visintin, and John Cairns. "Why do health technology assessment drug reimbursement recommendations differ between countries? A parallel convergent mixed methods study." Health Economics, Policy and Law 15, no. 3 (September 6, 2019): 386–402. http://dx.doi.org/10.1017/s1744133119000239.
Full textAbstract:
AbstractUsing quantitative and qualitative research designs, respectively, two studies investigated why countries make different health technology assessment (HTA) drug reimbursement recommendations. Building on these, the objective of this study was to (a) develop a conceptual framework integrating the factors explaining these decisions, (b) explore their relationship and (c) assess if they are congruent, complementary or discrepant. A parallel convergent mixed methods design was used. Countries included in both previous studies were selected (England, Sweden, Scotland and France). A conceptual framework that integrated and organised the factors explaining the decisions from the two studies was developed. Relationships between factors were explored and illustrated through case studies. The framework distinguishes macro-level factors from micro-level ones. Only two of the factors common to both studies were congruent, while two others reached discrepant conclusions (stakeholder input and external review of the evidence processes). The remaining factors identified within one or both studies were complementary. Bringing together these findings contributed to generating a more complete picture of why countries make different HTA recommendations. Results were mostly complementary, explaining and enhancing each other. We conclude that differences often result from a combination of factors, with an important component relating to what occurs during the deliberative process.
21
Fàbregues, Sergi, Quan Nha Hong, Elsa Lucia Escalante-Barrios, Timothy C. Guetterman, Julio Meneses, and Michael D. Fetters. "A Methodological Review of Mixed Methods Research in Palliative and End-of-Life Care (2014–2019)." International Journal of Environmental Research and Public Health 17, no. 11 (May 29, 2020): 3853. http://dx.doi.org/10.3390/ijerph17113853.
Full textAbstract:
Mixed methods research has been increasingly recognized as a useful approach for describing and explaining complex issues in palliative care and end-of-life research. However, little is known about the use of this methodology in the field and the ways in which mixed methods studies have been reported. The purpose of this methodological review was to examine the characteristics, methodological features and reporting quality of mixed methods articles published in palliative care research. The authors screened all articles published in eight journals specialized in palliative care between January 2014 and April 2019. Those that reported a mixed methods study (n = 159) were included. The Good Reporting of a Mixed Methods Study (GRAMMS) criteria were used to assess reporting quality. Findings showed that 57.9% of the identified studies used a convergent design and 82.4% mentioned complementarity as their main purpose for using a mixed methods approach. The reporting quality of the articles generally showed a need for improvement as authors usually did not describe the type of mixed methods design used and provided little detail on the integration of quantitative and qualitative methods. Based on the findings, recommendations are made to improve the quality of reporting of mixed methods articles in palliative care.
22
Veziroglu-Celik, Mefharet, and Ibrahim Hakki Acar. "Teaching Approaches and Practices of Student Teachers in Early Childhood Education: A Convergent Mixed Methods Study." Journal of Education and Training Studies 6, no. 11 (October 17, 2018): 234. http://dx.doi.org/10.11114/jets.v6i11.3634.
Full textAbstract:
This study examined the teaching approaches and practices of student teachers in early childhood education using a convergent parallel mixed methods design. The participants were 112 student teachers for the quantitative strand and 29 randomly selected student teachers for the qualitative strand of the study. Participants reported on their teaching approaches in the quantitative strand, and video recordings of teaching practices of student teachers were used in the qualitative strand of the study. Quantitative data were analyzed using cluster analyses, and qualitative data were analyzed using an observational coding of behaviors, following that which the quantitative and qualitative results were merged. Cluster analyses showed that student teachers to be categorized into three groups (traditional, constructivist, and mixed) that reflect their teaching approaches. The qualitative analyses from the video recordings consistently showed that student teachers reflected their perceptions of teaching approaches in their practice. Findings from the current study highlight the importance of understanding student teachers’ teaching approaches and practices in early childhood.
23
Roca, Judith, Silvia Gros Navés, Olga Canet-Velez, Jordi Torralbas-Ortega, Glòria Tort-Nasarre, Tijana Postic, and Laura Martínez. "Service Learning in the Nursing Bachelor Thesis: A Mixed-Methods Study." International Journal of Environmental Research and Public Health 19, no. 19 (September 29, 2022): 12387. http://dx.doi.org/10.3390/ijerph191912387.
Full textAbstract:
The Final Degree Project (FDP) is a module that, although intended for the completion of a bachelor thesis (BT), consists of theoretical and clinical teaching. Therefore, introducing service learning (SL) can support student adjustments to the real-world professional role. This study plans to evaluate a teaching innovation project that combines BT and SL through Kirkpatrick’s four-level model (reaction, learning, behaviour and results). It takes the form of a convergent parallel mixed-methods design study. The participants were 15 final-year students obtaining a Bachelor of Nursing degree, 4 BT supervising mentors and 4 nurses. At the request of a hospital institution, in their BT, students completed a review of evidence-based nursing protocols. For data collection, the researchers used: an SL questionnaire, student narratives, mentor field diaries and nurse interviews. According to student opinion, the results showed high satisfaction rates (4.44 out of 5), the most developed skills were Independent Work and Information Management, but they signal the need to reinforce the research methodology skills. Finally, positive feedback from all participants is that using SL promotes both the opinion that the BT is useful and also promotes a collaboration between academic and clinical settings.
24
de Lima e Silva, Leonardo Xavier, Douglas A. MacDonald, Mario P. Simões, Aurino Lima Ferreira, and Luiziane Souza Vasconcelos de Lima. "Expressions of Spirituality and States of Consciousness in Brazilian Postpartum Mothers: A Convergent Mixed-Methods Study." International Journal of Childbirth 9, no. 4 (December 1, 2019): 193–202. http://dx.doi.org/10.1891/ijcbirth-d-19-00033.
Full textAbstract:
PURPOSEThe purpose of this study was to examine the how different aspects of the birthing environment were associated with a parturient's states of consciousness, spirituality, and satisfaction with the childbirth experience.DESIGNThe study utilized a convergent mixed methods research design involving both quantitative and qualitative components with convenience sampling. In total, 276 Brazilian postpartum women completed a states of consciousness mini-test and the Expressions of Spirituality Inventory—Revised. A small subsample of women who gave birth in different settings were also interviewed. Quantitative data were examined using descriptive statistics, bivariate correlations, and analysis of variance and covariance. Qualitative interview data were thematically analyzed.MAJOR FINDINGSHome birth and the absence of a physician were associated with a higher occurrence of favorable non-ordinary states and satisfaction with childbirth. Spiritually-inclusive birth preparation was found to be associated with most spirituality and states of consciousness variables and more than childbirth satisfaction.MAIN CONCLUSIONNon-ordinary states emerged from a parturient's sense of security with their surroundings and from preparation for childbirth. Spiritual experiences were related to pre-existing spiritual beliefs and practices.
25
Nomura, Kenta, and Norikazu Kobayashi. "Developing a Group Program for Older Males to Participate in Social Activities in Japan: A Mixed-Methods Study." American Journal of Men's Health 15, no. 2 (March 2021): 155798832198989. http://dx.doi.org/10.1177/1557988321989899.
Full textAbstract:
This study analyzes the effect of social participation in a program that encourages participation in social activities as an approach to counteract the social isolation of elderly males in Japan. The design of this study was an open-label, before-and-after trial for a single group using the convergent design of the mixed-methods study. This program led to significant improvement in independent living and interest in society, but it did not help increase satisfaction with social activities. Additionally, a qualitative data identify that this program encouraged subjects to proactivity participate in social activities. While it has been identified that this program may have had a considerable effect by integrating quantitative and qualitative data, it is necessary to improve the program to further promote change in the subjects’ social behavior.
26
Bacchus, Loraine J., Ana Maria Buller, Giulia Ferrari, Petra Brzank, and Gene Feder. "“It’s Always Good to Ask”: A Mixed Methods Study on the Perceived Role of Sexual Health Practitioners Asking Gay and Bisexual Men About Experiences of Domestic Violence and Abuse." Journal of Mixed Methods Research 12, no. 2 (June 8, 2016): 221–43. http://dx.doi.org/10.1177/1558689816651808.
Full textAbstract:
Development of joint displays is a valued approach to merging qualitative and quantitative findings in mixed methods research. This study aimed to illustrate a case series mixed methods display and the utility of using mixed methods for broadening our understanding of domestic violence and abuse. Using a convergent design, 532 gay and bisexual men participated in a Health and Relationship Survey in a U.K. sexual health service and 19 in an interview. Quantitative and qualitative data were analyzed separately and integrated at the level of interpretation and reporting. There were inconsistencies in perceptions and reports of abuse. Men were supportive of selective enquiry for domestic violence and abuse by practitioners (62.6%; 95% confidence interval = 58.1% to 66.7%) while being mindful of contextual factors.
27
Silvert, Colby J., Rafael Q. Landaverde, John Diaz, Mary T. Rodriguez, and Dharmendra Kalauni. "Exploring graduate students’ socialization to international agriculture: A mixed methods needs assessment." Advancements in Agricultural Development 4, no. 1 (January 20, 2023): 17–31. http://dx.doi.org/10.37433/aad.v4i1.277.
Full textAbstract:
Internationalization of higher education’s agricultural disciplines is essential to account for agrifood system trends toward globalization and multiculturalism. Professional and academic associations can play a formative role preparing graduate students for their agricultural careers. Guided by socialization theory, this needs assessment explores graduate students’ perceived needs, expectations, and ideas to optimize engagement with associations focused on international agriculture. A convergent mixed methods design integrated and contrasted quantitative and qualitative data from an online survey—filled by 26 student participants—and qualitative data from a virtual fishbone focus group with seven participants. Students’ perceptions appear responsive to trends toward globalized food systems and demonstrate their desire for socialization to gain internationally focused capacities and connections to opportunities in a variety of global agricultural areas. Findings indicate associations geared toward internationally oriented scholarship and academics should expand to better encompass international development practice. Doing so would provide greater insight into practitioners’ priorities and facilitate alternative career pathways for graduate students interested in practice. Additionally, findings point to needs for student mentoring and communication efforts focused on equitable and inclusive engagement with first generation students and students in developing countries who may be financially inhibited from traveling for in-person socialization activities.
28
Dening, Jedha, Karly Zacharia, Kylie Ball, Elena S. George, and Sheikh Mohammed Shariful Islam. "Exploring engagement with a web-based dietary intervention for adults with type 2 diabetes: A mixed methods evaluation of the T2Diet study." PLOS ONE 17, no. 12 (December 30, 2022): e0279466. http://dx.doi.org/10.1371/journal.pone.0279466.
Full textAbstract:
Background Improved understanding of participant engagement in web-based dietary interventions is needed. Engagement is a complex construct that may be best explored through mixed methods to gain comprehensive insight. To our knowledge, no web-based dietary intervention in people with type 2 diabetes (T2D) has previously used a mixed methods approach. The aim of this study was to explore factors that may contribute to effective engagement in a web-based dietary program for people with T2D. Methods This study employed a mixed methods intervention design, with a convergent design embedded for post-intervention evaluation. The convergent design collected and analyzed quantitative and qualitative data independent of each other, with the two datasets merged/compared during results/interpretation. Quantitative data collected from intervention group participants (n = 40) were self-administered questionnaires and usage data with average values summarized. Qualitative data were participant semi-structured interviews (n = 15) incorporating a deductive-inductive thematic analysis approach. Results The results from the quantitative and qualitative data indicated positive overall engagement with the web-based dietary program. Factors that contributed to effective engagement were sustained frequency and intensity of engagement; structured weekly program delivery; participants affective engagement prior to and during the intervention, with positive affective states enhancing cognitive and behavioral engagement; and participants experience of value and reward. In addition, the user-centered development process employed prior to intervention delivery played an important role in facilitating positive engagement outcomes. Conclusion This study yielded novel findings by integrating qualitative and quantitative data to explore engagement with a web-based dietary program involving people with T2D. Effective engagement occurred in this intervention through a combination of factors related to usage and participants’ affective, cognitive and behavioral states. The engagement outcomes that emerged will be useful to current and future researchers using digital technologies to deliver lifestyle interventions for T2D or other chronic health conditions.
29
Coyle, Camille, Sarah Buggy, Olivia Cagney, Louise Farragher, Caitriona Lee, Darren Patje, and Jean Long. "Housing with support for older people: a mixed-methods systematic review protocol." HRB Open Research 3 (September 11, 2020): 64. http://dx.doi.org/10.12688/hrbopenres.13124.1.
Full textAbstract:
Background: The implementation of housing with support is rapidly expanding, particularly as life expectancy is increasing throughout the world. This expansion is likely to intensify in the context of coronavirus disease 2019 (COVID-19), which has revealed the risks of relying primarily on nursing homes. This mixed-methods systematic review aims to: 1) explore older people’s perceptions and experiences of housing with support and 2) examine the impact of providing housing with support for older people. Methods: The databases Ovid Medline, Ovid Social Policy & Practice, EBSCO CINAHL, and EBSCO SOCIndex will be searched, and grey literature will also be identified. Quality assessment will be carried out using Joanna Briggs Institute’s Critical Appraisal Checklist for Qualitative Research as well as a tool from the National Institutes of Health for observational cohort studies. This review will employ convergent parallel design; as such, qualitative and quantitative findings will be synthesised separately in the initial stage of analysis. The results from the qualitative and quantitative syntheses will then be integrated in the final stage of the analysis. Conclusion: This systematic review will synthesise the evidence regarding older people’s perceptions and experiences of housing with support and the impact of providing housing with support for older people on their quality of life.
30
Coyle, Camille, Sarah Buggy, Olivia Cagney, Louise Farragher, Caitriona Lee, Darren Patje, and Jean Long. "Housing with support for older people: a mixed-methods systematic review protocol." HRB Open Research 3 (November 11, 2020): 64. http://dx.doi.org/10.12688/hrbopenres.13124.2.
Full textAbstract:
Background: The implementation of housing with support is rapidly expanding, particularly as life expectancy is increasing throughout the world. This expansion is likely to intensify in the context of coronavirus disease 2019 (COVID-19), which has revealed the risks of relying primarily on nursing homes. This mixed-methods systematic review aims to: 1) explore older people’s perceptions and experiences of housing with support and 2) examine the impact of providing housing with support for older people on their quality of life. Methods: The databases Ovid Medline, Ovid Social Policy & Practice, EBSCO CINAHL, and EBSCO SOCIndex will be searched, and grey literature will also be identified. Quality assessment will be carried out using Joanna Briggs Institute’s Critical Appraisal Checklist for Qualitative Research as well as a tool from the National Institutes of Health for observational cohort studies. This review will employ convergent parallel design; as such, qualitative and quantitative findings will be synthesised separately in the initial stage of analysis. The results from the qualitative and quantitative syntheses will then be integrated in the final stage of the analysis. Conclusion: This systematic review will synthesise the evidence regarding older people’s perceptions and experiences of housing with support and the impact of providing housing with support for older people on their quality of life.
31
Stridsman, Marie, Anna Strömberg, Jeroen Hendriks, and Ulla Walfridsson. "Patients’ Experiences of Living with Atrial Fibrillation: A Mixed Methods Study." Cardiology Research and Practice 2019 (December 3, 2019): 1–10. http://dx.doi.org/10.1155/2019/6590358.
Full textAbstract:
Introduction. Awareness of epidemiological and clinical consequences of atrial fibrillation (AF) has increased, as have disease-related costs. Less attention has been paid to patient-related issues, such as understanding how symptoms, different therapies, and lifestyle adjustments affect daily life. We aimed to describe patients’ experiences of living with AF. Methods. The study design used a parallel convergent mixed methods approach. Patients with AF were included in the SMURF study and referred for catheter ablation. Patients completed questionnaires on symptoms, health-related quality of life, depression, anxiety, and perceived control and were interviewed. The datasets were analysed separately using inductive content analysis and descriptive statistics. Data were merged to obtain a final interpretation. Results. Nineteen patients were interviewed and 18 completed questionnaires. Twelve of the patients were male, mean age 60 years (45–75 years). Inductive qualitative analysis revealed three categories: (i) symptoms and concerns limiting life, (ii) dimensions of worries, and (iii) strategies for management. The most common symptoms were tiredness, weakness/fatigue, and breathlessness during activities, and the most pronounced negative impacts on health-related quality of life (HRQOL) were physically related, shown in the ASTA questionnaire. The most negative SF-36 scores were found in role limitations due to physical health problems and vitality. HADS revealed five patients with some degree of anxiety and four with some degree of depression. Patients had lower scores on perceived control than perceived helplessness in CAS. Patients’ perceived control was higher than their families’, and families experienced more helplessness. Conclusions. The mixed methods design deepens our understanding of challenges faced by patients. Patients experienced a limited ability to perform activities of daily living due to AF which created different kinds of worries that encouraged the use of various strategies to manage their lives. Healthcare providers need to be aware that relationships between patients and their relatives can change, and therefore they need to be supported and integrated into the care system.
32
Ross Perfetti, Angela, Hannah Peifer, Scott Massa, Laura J. Di Taranti, Mahrukh Choudhary, Meredith Collard, Della George, et al. "Mixing Beyond Measure: Integrating Methods in a Hybrid Effectiveness–Implementation Study of Operating Room to Intensive Care Unit Handoffs." Journal of Mixed Methods Research 14, no. 2 (May 4, 2019): 207–26. http://dx.doi.org/10.1177/1558689819844038.
Full textAbstract:
During hospital handoffs, patient care and information are transferred between teams. Handoffs can expose patients to preventable harm related to lost information or misunderstandings between care teams. In the Handoffs and Transitions in Critical Care (HATRICC) project, we used a convergent mixed methods approach to design, implement, and evaluate a standardized process for handoffs between operating rooms and intensive care units. The value of this work to the field of mixed methods research is in illustrating how sustained, real-time integration of qualitative and quantitative methods contribute to an appropriate, acceptable, and ultimately more effective intervention. This approach allows for a nuanced understanding of implementation and effectiveness outcomes in a high-acuity clinical discipline largely characterized by quantitative approaches to improvement research.
33
Estrada Molina, Odiel. "The Effects of WhatsApp and Telegram on Student Engagement: An Analysis from the Mixed-Methods Approach." Education Research International 2022 (July 13, 2022): 1–14. http://dx.doi.org/10.1155/2022/2881404.
Full textAbstract:
One of the most studied variables in virtual online education is engagement because it contributes to retention and academic performance. Several studies show that the didactic design of the virtual course, the role of the teacher, interactivity, interaction, time spent in the virtual environment, and the use of digital social networks increase engagement. However, there is a lack of research that compares which of the two digital social networks, WhatsApp or Telegram, promotes higher levels of engagement. This study’s objective is to analyze the effect of the educational use of Telegram on student engagement. An experiment (pretest and posttest with a control group) is designed using a mixed-methods approach based on a convergent or concurrent triangulation design. The study populations (coincides with the sample) are those enrolled (n = 229) in the six editions of a virtual postgraduate course. The techniques used for data analysis were scatter plots, content analysis of teachers’ narratives, and statistical methods. The triangulation of the quantitative and qualitative results confirms that the educational use of digital social networks promotes engagement in all experimental groups (use of the virtual learning environment and Telegram) obtaining greater significant differences than in the control groups. It is concluded that the use of the following Telegram functionalities, chat groups, peer assessments, support for various types of online interaction, the exchange of digital media, and the design of surveys contributed, under the guidance of teachers, is to increase the student’s engagement.
34
Doyle, Louise, Jan de Vries, Agnes Higgins, Brian Keogh, Padraig McBennett, and Marié T. O’Shea. "A mixed-methods longitudinal evaluation of a one-day mental health wellness intervention." Health Education Journal 76, no. 2 (September 27, 2016): 244–56. http://dx.doi.org/10.1177/0017896916662075.
Full textAbstract:
Objectives: This study evaluated the impact of a one-day mental health Wellness Workshop on participants’ mental health and attitudes towards mental health. Design: Convergent, longitudinal mixed-methods approach. Setting: The study evaluated Wellness Workshops which took place throughout the Republic of Ireland. Method: Questionnaires measuring hope, mental health self-efficacy, attitudes towards mental health and perceived impact on wellbeing were administered to participants before the workshop ( n = 415), 1 week after ( n = 221) and 3 months after ( n = 110). Semi-structured interviews were carried out with 24 participants to generate a more in-depth understanding of the impact of the workshop. Results: Quantitative findings relating to hope, mental health self-efficacy and attitudes towards mental health did not identify statistically significant changes; however, participants’ perceptions of the effect of the workshop on wellbeing suggested a positive impact which was maintained over time. Qualitative findings, however, suggested that hope and self-efficacy were improved and the simplicity and utility of the wellness strategies disseminated in the workshop, in addition to the warmth and openness of the narrative approach used by the facilitators, were central to the perceived positive impact. Conclusion: This evaluation demonstrates the potential for wellness interventions to have a subjective improvement in wellbeing in members of the general public.
35
Lowe, Cabella, Harry Hanuman Sing, Mitchell Browne, Meshari F. Alwashmi, William Marsh, and Dylan Morrissey. "Usability Testing of a Digital Assessment Routing Tool: Protocol for an Iterative Convergent Mixed Methods Study." JMIR Research Protocols 10, no. 5 (May 18, 2021): e27205. http://dx.doi.org/10.2196/27205.
Full textAbstract:
Background Musculoskeletal conditions account for 16% of global disability, resulting in a negative effect on millions of patients and an increasing burden on health care utilization. Digital technologies that improve health care outcomes and efficiency are considered a priority; however, innovations are often inadequately developed and poorly adopted. Further, they are rarely tested with sufficient rigor in clinical trials—the gold standard for clinical proof of efficacy. We have developed a new musculoskeletal Digital Assessment Routing Tool (DART) that allows users to self-assess and be directed to the right care. DART requires usability testing in preparation for clinical trials. Objective This study will use the iterative convergent mixed methods design to assess and mitigate all serious usability issues to optimize user experience and adoption. Using this methodology, we will provide justifiable confidence to progress to full-scale randomized controlled trials when DART is integrated into clinical management pathways. This study protocol will provide a blueprint for future usability studies of mobile health solutions. Methods We will collect qualitative and quantitative data from 20-30 participants aged 18 years and older for 4 months. The exact number of participants recruited will be dependent on the number of iterative cycles required to reach the study end points. Building on previous internal testing and stakeholder involvement, quantitative data collection is defined by the constructs within the ISO 9241-210-2019 standard and the system usability scale, providing a usability score for DART. Guided by the participant responses to quantitative questioning, the researcher will focus the qualitative data collection on specific usability problems. These will then be graded to provide the rationale for further DART system improvements throughout the iterative cycles. Results This study received approval from the Queen Mary University of London Ethics of Research Committee (QMREC2018/48/048) on June 4, 2020. At manuscript submission, study recruitment was on-going, with data collection to be completed and results published in 2021. Conclusions This study will provide evidence concerning mobile health DART system usability and acceptance determining system improvements required to support user adoption and minimize suboptimal system usability as a potential confounder within subsequent noninferiority clinical trials. Success should produce a safe effective system with excellent usability, facilitating quicker and easier patient access to appropriate care while reducing the burden on primary and secondary care musculoskeletal services. This deliberately rigorous approach to mobile health innovation could be used as a guide for other developers of similar apps. International Registered Report Identifier (IRRID) DERR1-10.2196/27205
36
Done, Rishani Deepika Gangodage, Jina Oh, Mihae Im, and Jiyoung Park. "Pediatric Nurses' Perspectives on Family-Centered Care in Sri Lanka: A Mixed-Methods Study." Child Health Nursing Research 26, no. 1 (January 31, 2020): 72–81. http://dx.doi.org/10.4094/chnr.2020.26.1.72.
Full textAbstract:
Purpose: This study was conducted to investigate nurses’ perceptions and performance of family-centered care (FCC) at a children’s hospital in Sri Lanka and to explore the feasibility of implementing FCC in the context of the Sri Lankan healthcare system.Methods: A convergent, parallel, mixed-methods design was applied to understand Sri Lankan nurses’ perspectives on FCC. In total, 157 nurses working at a large teritagy children’s hospital responded to a self-report survey and 18 nurses participated in focus group interviews.Results: Of the factors of FCC, family participation in caring for children received the highest score (4.09±0.51) for perceptions, and information-sharing received the highest score (3.54±0.55) for performance. The qualitative data revealed the following five themes: (a) importance of the family in caring for children; (b) helping families during children’s hospitalization; (c) taking steps to implement FCC, even with imperfect knowledge; (d) barriers in the current situation; and (e) suggested strategies to promote FCC.Conclusion: Participants endorsed the concept of FCC and demonstrated some aspects of it in their day-to-day practice. The results indicate a clear knowledge deficit and several challenges, which need to be addressed to effectively implement FCC.
37
Abd Rahman, Anita, Rosliza Abdul Manaf, Poh Ying Lim, Subapriya Suppiah, and Muhammad Hanafiah Juni. "Developing a Risk Governance Framework on Radiological Emergency, Preparedness, and Response for Emergency Responders: Protocol for a Mixed Methods Study." JMIR Research Protocols 10, no. 8 (August 13, 2021): e25877. http://dx.doi.org/10.2196/25877.
Full textAbstract:
Background Risk governance involves processes and mechanisms to understand how risk decisions are taken and executed. This concept has gained a reputation over time as being essential for emerging comprehensive management that defines the success of an organization. While guiding documents that explain the use of risk management related to nuclear safety and security are available worldwide, few locally conducted studies have explained risk governance practices in areas where hazard usage is known, such as in radiological emergencies. Objective This paper describes a protocol that was used to determine several factors that influence emergency responders’ perceptions toward radiological risk practices and visualize the risk radiological framework for emergency preparedness and response. Methods A mixed methods study with a convergent design was performed. A qualitative analysis was performed using a case study approach where 6 key informants were purposely sampled for in-depth interview, and a cross-sectional study involving a self-administered questionnaire was conducted among approximately 260 emergency respondents from national regulatory, research, and services organizations. NVivo (version 12, QSR International) was used to analyze the interview transcripts and emerging themes were identified through abductive coding. Simultaneously, multiple logistic regression analysis was used to determine significant predictors that form the equation model. Results The study is still underway. Qualitative findings were based on transcript-coding that informed the relevant thematic analysis, while statistical analyses including multiple logistic regression analysis measured the adjusted odds ratio of significant variables for the equation model. The study is expected to conclude in late 2021. Conclusions Important emerging themes and significant factors that are related to the emergency responders’ perceptions regarding radiological governance practices were determined through the convergent design. This potentially facilitated the development of a plausible radiological risk governance framework. Furthermore, our results will provide key insights that can be used in future studies. International Registered Report Identifier (IRRID) DERR1-10.2196/25877
38
Taylor, Paul, Miriam J. Johnson, and Dawn Wendy Dowding. "Clinical decision-making at the end of life: a mixed-methods study." BMJ Supportive & Palliative Care 10, no. 3 (October 18, 2018): e26-e26. http://dx.doi.org/10.1136/bmjspcare-2018-001535.
Full textAbstract:
ObjectivesTo improve the ability of clinical staff to recognise end of life in hospital inpatients dying as a result of cancer and heart failure, and to generate new hypotheses for further research.MethodsThis mixed-methods study used decision theory as a theoretical basis. It involved a parallel databases-convergent design, incorporating findings from previously published research, with equal priority to study groups and synthesis by triangulation. The individual arms were (1) a retrospective cohort study of 102 patients with cancer and 81 patients with heart failure in an acute trust in the North of England, and(2) a semistructured interview study of 19 healthcare professionals caring for the same patient groups.ResultsThe synthesis of findings demonstrated areas of agreement, partial agreement, silence and dissonance when comparing the cohort findings with the interview findings. Trajectories of change are identified as associated with poor prognosis in both approaches, but based on different parameters. Management of patients has a significant impact on decision-making. The decision process requires repeated, iterative assessments and may benefit from a multidisciplinary approach. Uncertainty is a defining characteristic of the overall process, and objective parameters only have a limited role in predicting end of life.ConclusionsThe role of uncertainty is important as a trigger for discussions and a defined stage in a patient’s illness journey. This is consistent with current approaches to recognising irreversible deterioration in those with serious illness. This study contributes ongoing evidence that these concepts are vital for decision-making.
39
Palazuelos, Daniel, Ranu Dhillon, Adrianne Katrina Nelson, Kevin P. Savage, Rosabelle Conover, Joel T. Katz, and Joseph J. Rhatigan. "Training Toward a Movement: Career Development Insights From the First 7 Years of a Global Health Equity Residency." Journal of Graduate Medical Education 10, no. 5 (October 1, 2018): 509–16. http://dx.doi.org/10.4300/jgme-d-18-00213.1.
Full textAbstract:
ABSTRACT Background The Doris and Howard Hiatt Residency in Global Health Equity and Internal Medicine at Brigham and Women's Hospital provides global health training during residency, but little is known about its effect on participants' selection of a global health career. Objective We assessed the perceptions of residency graduates from the first 7 classes to better understand the outcomes of this education program, and the challenges faced by participants. Methods We interviewed 27 of 31 physicians (87%) who graduated from the program between 2003 and 2013 using a convergent mixed-methods design and a structured interview tool that included both open-ended and forced-choice questions. We independently coded and analyzed qualitative data using a case study design, and then wove together the qualitative and quantitative data at the interpretation phase using a parallel convergent mixed-methods design. Results Entering a career focused on social justice was cited as the most common motivator for selecting to train in global health. Most respondents (83%, 20 of 24) reported they were able to achieve this goal despite structural barriers, such as lower salaries compared with peers, a lack of mentors in the field, poorly structured and undersupported career pathways at their institutions, and unique work-life challenges. Conclusions A majority of graduates from 1 dedicated residency program in global health and internal medicine reported they were able to continue to engage in global health activities after graduation and, despite identified challenges, reported that they planned long-term careers in global health.
40
Granel-Giménez, Nina, Patrick Albert Palmieri, Carolina E. Watson-Badia, Rebeca Gómez-Ibáñez, Juan Manuel Leyva-Moral, and María Dolors Bernabeu-Tamayo. "Patient Safety Culture in European Hospitals: A Comparative Mixed Methods Study." International Journal of Environmental Research and Public Health 19, no. 2 (January 14, 2022): 939. http://dx.doi.org/10.3390/ijerph19020939.
Full textAbstract:
Background: Poorly organized health systems with inadequate leadership limit the development of the robust safety cultures capable of preventing consequential adverse events. Although safety culture has been studied in hospitals worldwide, the relationship between clinician perceptions about patient safety and their actual clinical practices has received little attention. Despite the need for mixed methods studies to achieve a deeper understanding of safety culture, there are few studies providing comparisons of hospitals in different countries. Purpose: This study compared the safety culture of hospitals from the perspective of nurses in four European countries, including Croatia, Hungary, Spain, and Sweden. Design: A comparative mixed methods study with a convergent parallel design. Methods: Data collection included a survey, participant interviews, and workplace observations. The sample was nurses working in the internal medicine, surgical, and emergency departments of two public hospitals from each country. Survey data (n = 538) was collected with the Hospital Survey on Patient Safety Culture (HSOPSC) and qualitative date was collected through 24 in-depth interviews and 147 h of non-participant observation. Survey data was analyzed descriptively and inferentially, and content analysis was used to analyze the qualitative data. Results: The overall perception of safety culture for most dimensions was ‘adequate’ in Sweden and ‘adequate’ to ‘poor’ in the other countries with inconsistencies identified between survey and qualitative data. Although teamwork within units was the most positive dimension across countries, the qualitative data did not consistently demonstrate support, respect, and teamwork as normative attributes in Croatia and Hungary. Staffing and workload were identified as major areas for improvement across countries, although the nurse-to-patient ratios were the highest in Sweden, followed by Spain, Hungary, and Croatia. Conclusions: Despite all countries being part of the European Union, most safety culture dimensions require improvement, with few measured as good, and most deemed to be adequate to poor. Dimension level perceptions were at times incongruent across countries, as observed patient safety practices or interview perspectives were inconsistent with a positive safety culture. Differences between countries may be related to national culture or variability in health system structures permitted by the prevailing European Union health policy.
41
Alshaali, Saeed Khalifa, and Somayyah Abdulla AlYammahi. "The Innovation Management Modelling in the Water Sector in the United Arab Emirates: A Mixed-Methods Study." Journal of Management and Sustainability 12, no. 2 (June 21, 2022): 1. http://dx.doi.org/10.5539/jms.v12n2p1.
Full textAbstract:
The United Arab Emirates (UAE) is encountering a scarcity of water resources. It is counting on innovation management to alleviate the situation. In that context, there is a need for a managerial framework for this subject. Therefore, the aim of the current study is to build up an innovative managerial model. To establish this model, we applied a convergent, parallel, mixed-methods design. The study participants (n = 42) consisted mostly of leaders and experts working for the main water institutions. We analysed the quantitative method via partial least squares structural equation modelling (PLS-SEM), a SmartPLS software. Qualitative method procedures were conducted starting from coding, categorising, obtaining themes, and lastly, the establishment of grounded theory. We obtained two rigid inputs (quantitative and qualitative models) for the last phase (mixed-methods analysis). The quantitative findings revealed a significant and robust relationship (t value = 26.6, p = 0.000, coefficient = 0.888, R2 = 0.788). The qualitative findings also produced a steady grounded theory. Both quantitative and qualitative models were crossed according to the ‘convergence coding matrix’ and ‘triangulation analysis protocol’. Ultimately, we built a holistic framework named ‘the UAE water innovation model’, consisting of 12 components (meta-themes). This model should be adopted as the main guide for innovation management and strategy in water public sector institutions. Globally, this model could be a significant contribution, and it would be applicable to any country in the world with the same arid environment as the UAE.
42
Gander, Michelle. "Professional staff in universities: Career needs, values, attitudes and behaviours." Australian Journal of Career Development 27, no. 3 (September 24, 2018): 160–71. http://dx.doi.org/10.1177/1038416218775746.
Full textAbstract:
This article outlines a concurrent complementarity, mixed methods research design to explore the careers of university professional staff through the application of a contemporary career profile framework. Two hundred and twenty-six participants from Australia and the UK completed a multi-method questionnaire. Integration occurred at three points: the conceptualisation stage using a multi-method instrument; the experiential stage where the quantitative data results acted as a priori themes for the theoretical thematic analysis; and the inferential stage where both convergent and divergent triangulation of the results took place to provide a broader and deeper understanding of the phenomenon under study. This methodological design aims to demonstrate the usefulness of mixed methods in carrying out careers research. The findings extend the career profile theory by highlighting individual needs, related behaviours and outcomes and by suggesting that there are various psychological mechanisms acting to drive career behaviours.
43
Clementson, Casey J. "A mixed methods investigation of flow experience in the middle school instrumental music classroom." Research Studies in Music Education 41, no. 1 (June 19, 2018): 43–60. http://dx.doi.org/10.1177/1321103x18773093.
Full textAbstract:
Although flow theory is one way of measuring the quality of a student’s experience in a music ensemble, the majority of flow research utilizes samples of high school or collegiate level musicians thus causing us to generalize findings to young adolescent (middle school) populations. Using a convergent parallel mixed methods design, the purpose of this study was to examine factors that may contribute to flow experiences of students in a middle school band. Quantitative data (surveys that included the Experience Sampling Method) and qualitative data (case study of an eighth grade band) were analyzed separately before being merged into a final analysis. Results provide evidence to support that flow is an individualized experience even though students were not in flow based on self-perceived ratings of challenge and skill. Mixed methods results also suggest that young adolescent students may not conceptualize flow in the same manner as older adolescents, thus erroneously suggesting that flow did not occur. Recommendations for future research include exploring alternative vocabulary for flow characteristics for use in Experience Sampling Method surveys, expanding the sample to include music programs at multiple middle schools to create additional regression model predictor variables, and longitudinal explorations of flow over time within large ensembles.
44
Andrikopoulou, Elisavet, Philip J. Scott, and Helena Herrera. "Mixed methods protocol for a realist evaluation of electronic personal health records design features and use to support medication adherence (ePHRma)." BMJ Health & Care Informatics 27, no. 1 (January 2020): e100046. http://dx.doi.org/10.1136/bmjhci-2019-100046.
Full textAbstract:
BackgroundNational Health Service policy suggests that increasing usage of electronic personal health records (PHR) by patients will result in cost savings and improved public health. Medication adherence means that patients take their prescribed medication as agreed with their doctors. Some of the claimed benefits of PHRs are decreasing healthcare costs and improving medication adherence and patient outcomes.MethodsThis is a mixed methods convergent study, primarily qualitative. The qualitative and quantitative data collection and analysis will occur in parallel, and then be synthesised. We are interviewing and surveying adults with long-term conditions to identify what are the most important and useful features of their current PHR. The data collection comprises patient demographics, the Medication Adherence Questionnaire, the personality scale Big Five Inventory-2 Extra-Short Form and the WHO Quality of Life-BREF scale. Qualitative data will be analysed using the Framework method.EthicsWe have received a favourable ethical opinion from the Health Research Authority/Research Ethics Committee.
45
Myers-Coffman, Katherine, Felicity A. Baker, Brian P. Daly, Robert Palisano, and Joke Bradt. "The Resilience Songwriting Program for Adolescent Bereavement: A Mixed Methods Exploratory Study." Journal of Music Therapy 56, no. 4 (2019): 348–80. http://dx.doi.org/10.1093/jmt/thz011.
Full textAbstract:
Abstract Music therapy research with youth who are grieving often reports on a combination of interventions, such as lyric analysis, improvisation, and/or songwriting. Unfortunately, the lack of theoretical transparency in how and why these interventions affect targeted outcomes limits interpretation and application of this important research. In this exploratory study, the authors evaluated the impact of an 8-session, theory-driven group songwriting program on protective factors in adolescent bereavement, and also sought to better understand adolescents' experiences of the program. Using a single-group, pretest-posttest convergent mixed methods design, participants were enrolled from three study sites and included 10 adolescents (five girls and five boys), ages 11–17 years, who self-identified as grieving a loss. Outcomes measured included grief, coping, emotional expression, self-esteem, and meaning making. Qualitative data were captured through in-session journaling and semi-structured interviews. There were no statistically significant improvements for grief, self-esteem, coping, and meaning making. Individual score trends suggested improvements in grief. The majority of the participants reported greater inhibition of emotional expression, and this was statistically significant. Thematic findings revealed that the program offered adolescents a sense of togetherness, a way to safely express grief-related emotions and experiences verbally and nonverbally, and opportunities for strengthening music and coping skills. These findings suggest that engaging in collaborative therapeutic songwriting with grieving peers may decrease levels of grief, enhance creative expression, and provide social support. More research is needed on measuring self-esteem, emotional expression, coping, and meaning making outcomes in ways that are meaningful to adolescents.
46
Sinclair, Ka`imi, Kelly Gonzales, Claire Woosley, Tish Rivera-Cree, and Dedra Buchwald. "An Intersectional Mixed Methods Approach to Understand American Indian Men’s Health." International Journal of Mens Social and Community Health 3, no. 2 (September 8, 2020): e66-e89. http://dx.doi.org/10.22374/ijmsch.v3i2.35.
Full textAbstract:
This study used a parallel, convergent, mixed-methods design with TribalCrit theory and intersectionality as analytical frameworks to identify how the identities of American Indian men intersect with broader structures and systems in shaping their eating and physical activity choices and behaviors, and in eliciting recommendations for a men’s lifestyle intervention. American Indian men were recruited in Minneapolis, Minnesota, and Portland, Oregon, between March and December 2017, and in Phoenix, Arizona, in December 2019 to participate in a survey and focus groups. The survey included questions on demographics and physical and cultural activities men engage in, perceived social support for lifestyle behaviors, masculine characteristics, and values important to American Indian men. The six-item Kessler Psychological Distress Scale was used to assess psychological distress. Focus groups were audio recorded and transcribed for a phenomenological analysis. Descriptive statistics and correlations were computed for survey data. We conducted 15 focus groups with 151 adult American Indian men in three urban sites. The mean age of participants ranged from 36 to 51 across the sites; 7–32% were college graduates; 13–22% were currently married, and 28–41% were working full time. The most important values reported by participants were being strong mentally and emotionally, a good parent, responsible, spiritual, and a good spouse or partner. On the K6 psychological distress scale, 63–70% scored ≥5 but <13 (moderate mental distress), and 8–15% scored ≥13, indicating severe mental distress. Younger age was significantly correlated with higher mean K6 score (P < 0.0001). Settler colonialism that took root in the United States imposed cultural and gender hegemony, which in turn enforced a patriarchal capitalist system that has had long-lasting and deleterious effects on American Indians, particularly American Indian men.
47
Tibbs, Maria, Aileen O'Reilly, Maeve Dwan O'Reilly, and Amanda Fitzgerald. "Online synchronous chat counselling for young people aged 12–25: a mixed methods systematic review protocol." BMJ Open 12, no. 4 (April 2022): e061084. http://dx.doi.org/10.1136/bmjopen-2022-061084.
Full textAbstract:
IntroductionYouth mental health is a global issue, with 75% of many serious mental health difficulties emerging before the age of 25. An increase in the popularity of online counselling for young people’s mental health has been seen in recent years, due to their accessibility, cost-effectiveness and reduced stigmatising effects. Online synchronous chat counselling consists of real-time, text-based, one-to-one chats with a mental health professional and/or trained volunteer. Literature to date examining the effectiveness of these interventions has been limited, and little is known about their design features, their acceptance, effectiveness and the therapeutic processes that contribute to their working.Methods and analysisA mixed-methods systematic review of the literature will be conducted. PsycINFO MEDLINE, CINAHL, Web of Science and relevant grey literature will be searched for peer-reviewed, English language studies between January 1995 and June 2021. Backward and forward reference checking will be conducted. Quality of included articles will be examined using the Mixed Methods Appraisal Tool and a combination of the TIDieR checklist and a prepopulated data table will be used for extraction. A mixed methods review adopting a convergent-integrated design will be employed. Quantitative data will be transformed and analysed simultaneously alongside qualitative data using narrative synthesis.Ethics and disseminationThe research does not require ethical approval. Findings will be disseminated through peer-reviewed publications, academic conference presentations, academic social media and invited workshops, webinars and seminars.PROSPERO registration numberCRD42021256016.
48
Quintiens, Bert, Tinne Smets, Kenneth Chambaere, Lieve Van Den Block, Luc Deliens, and Joachim Cohen. "Researching two Compassionate Cities: study protocol for a mixed-methods process and outcome evaluation." Palliative Care and Social Practice 16 (January 2022): 263235242211376. http://dx.doi.org/10.1177/26323524221137601.
Full textAbstract:
Background/Objectives: Compassionate Cities are social ecology approaches that apply a set of actions, targeting a broad range of stakeholders, with the intention of renormalising caring, dying, loss and grieving in everyday life. While several initiatives have been described in the literature, a rigorous evaluation of their processes and outcomes is lacking. This article describes the protocol for a mixed-methods study to evaluate the development process and the outcomes of two Compassionate Cities in Flanders, Belgium. Methods and Analysis: We will use a convergent multiphase mixed-methods design, in which a combination of qualitative and quantitative data collection methods will be triangulated in the data analysis stage to capture both development processes and outcomes. Our design includes a quasi-experimental component of a quantitative outcome evaluation in both Compassionate Cities and two comparable control cities with no formal Compassionate City programme. Both Compassionate Cities will be co-created in collaboration with local stakeholders. A critical realism lens will be applied to understand how and why certain processes manifest themselves. Discussion: The creation of Compassionate Cities implies high levels of complexity, adaptivity, unpredictability and uncertainty. This requires various data collection methods that can be applied flexibly. A researcher taking on the role of active participant in the project’s development has several advantages, such as access to scholarly information. Reflexivity in this role is paramount to questioning where the ownership of the project lies. By applying a critical realism lens, we remain cautious about our interpretations, and we test the homogeneity of our findings through other forms of data collection. Conclusion: This is the first published study protocol to describe both a process and outcome evaluation of a Compassionate City project. By transparently describing our aims and data collection methods, we try to maximise information exchange among researchers and to inform others who desire to implement and evaluate their own initiatives.
49
Montero-Pons, Laura, Gemma Falguera-Puig, Rosa García-Sierra, Josep Maria Manresa-Domínguez, Azahara Reyes-Lacalle, Rosa Cabedo-Ferreiro, Judit Cos-Busquets, Ana Zaragoza Marfà, Maria Pilar Sancho Pérez, and Dolors Rodríguez-Martín. "Adolescents and Young Adults Evaluating a Website for Affective-Sexual Information and Education: A Mixed-Methods Study Protocol." International Journal of Environmental Research and Public Health 19, no. 24 (December 9, 2022): 16586. http://dx.doi.org/10.3390/ijerph192416586.
Full textAbstract:
The website Sexe Joves is a website on sexuality of the Department of Health of the Government of Catalonia (Spain). This study aims to understand the experiences and opinions of people aged 14 to 25 regarding this website, taking into account sex, gender identity, sexual orientation, socioeconomic status and location within Catalonia (urban, semiurban and rural areas). With the objective of improving the website and adpating the resources allocated to it, this study evaluates whether this population is familiar with it and uses it, as well as the website’s usability and accessibility (digital equity), usefulness and the relevance of its content. A parallel convergent triangulation design is used: a qualitative study using a social constructivist perspective, and an observational, descriptive and cross-sectional quantitative study. We conduct a discourse analysis of participants and use an “ad hoc” questionnaire to collect quantitative data. A descriptive analysis of all variables is carried out. Affective-sexual education aimed at young people must stem from their participation and the whole range of sexual and gender diversity in order to reach the entire population equally. This analysis will contribute to the design of new strategies for the wesbite Sexe Joves, a public health resource, in order to improve affective-sexual education for young people.
50
Balasubramanian, Bhuvaneshwari, Vasundharaa S. Nair, Nimmy George, Ashok V. Reddy, Priya Treesa Thomas, and Girish B. Kulkarni. "A Bio-Psychosocial Framework for Chronic Daily Headaches: A Mixed Methods Study." Journal of Patient Experience 8 (January 2021): 237437352110496. http://dx.doi.org/10.1177/23743735211049672.
Full textAbstract:
Chronic daily headaches (CDH) are primarily understood from a psychophysiological formulation. A broad biopsychosocial understanding, where there is equal importance given to biological, psychological and socio-cultural factors, is underexplored in headache. Socio-cultural factors, such as gender, socio-economic factors can perpetuate and worsen the condition. For an effective and sustainable intervention, these factors need to be considered. The current study aims to explore and develop a biopsychosocial framework for headache disorders. A convergent parallel mixed methods design was used and participants were recruited from a tertiary referral care hospital, Bengaluru, India. Headache Assessment Sheet, GAD 7, HDRS, PSS and B COPE were used in the quantitative phase. The data was analysed using r software. Qualitative phase of the study, in depth interview guide was used and data analysed thematically. Quantitative phase, 38 participants were recruited. The average age, was 38.02 (±10.17), majority of the participants being females 31 (81.58%). The mean duration of illness was 8.63 (±4.73) years. The anxiety scores positively correlated with pain intensity (r = 0.50 at P ≤ .001) and the median anxiety scores varied with photophobia ( P ≤ .03). The anxiety scores correlated with PSS (r = 0.428 at P ≤ .007) and HDRS (r = 0.428 at P ≤ .007) scores. Gender variations in coping were seen, avoidant coping having higher median scores in women. ( P ≤ .08). In qualitative phase of the study, six participants were recruited. Three main themes emerged from the qualitative phase of the study: headache - an illness, headache factors and the impact. Chronic daily headaches are influenced by biological, psychological, environmental and socio-cultural factors. A bio-psychosocial framework will help to understand and develop targeted interventions.