"You're Used To Being The One That Can Fix Things…": A Qualitative Snapshot of Colorectal Surgeons During COVID-19.
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ABSTRACT:
SUBMITTER: Byrnes ME
PROVIDER: S-EPMC7725433 | biostudies-literature | 2020 Dec
REPOSITORIES: biostudies-literature
Publications
"You're Used To Being The One That Can Fix Things…": A Qualitative Snapshot of Colorectal Surgeons During COVID-19.
Byrnes Mary E ME Varlamos Christopher J CJ Rivard Samantha J SJ Duby Ashley A AA De Roo Ana C AC Hibbard Clarice E CE Callow Matthew J MJ Dimick Justin B JB Byrn John C JC
Diseases of the colon and rectum 20201201 12
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Project description:Belonging to a community is essential for wellbeing, but potentially unattainable for those dissimilar from a group. In the present work, we ask whether belongingness is better predicted by acting and thinking like peers or believing you act and think like peers. Students (N = 1181) reported their belonging and how much they, their friends, and an "average student" endorsed local behavioral norms and general values. We calculated difference scores for behaviors and values capturing perceived similarity to the average, actual similarity to the average, and accuracy around the norm. Key results indicate that perceived behavioral similarity to the average, when controlling for other differences, predicts belonging and most robustly mediates between identity and belonging. Using social network analysis, we find behavioral differences from friends are meaningfully linked to network density and racial homophily. Efficient interventions for enhanced belonging could highlight similarities between students and their peers.
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Project description:ObjectiveEmbedded librarianship has received much attention in recent years. A model of embeddedness rarely discussed to date is that of research-embedded health librarians (REHLs). This study explores the characteristics of Canadian REHLs and the situations in which they are employed.MethodsThe authors employed a sequential, mixed-method design. An online survey provided descriptive statistics about REHLs' positions and work experiences. This informed a series of focus group interviews that expanded upon the survey. Through constant comparison, we conducted qualitative descriptive analysis of the interviews.ResultsBased on twenty-nine survey responses and four group interviews, we created a portrait of a "typical" REHL and discovered themes relevant to REHL work. REHLs may identify more strongly as researchers than as librarians, with corresponding professional needs and rewards. REHLs value "belonging" to the research team, involvement in full project lifecycles, and in-depth relationships with nonlibrarian colleagues. Despite widely expressed job satisfaction, many REHLs struggle with isolation from library and information science peers and relative lack of job security.ConclusionsREHLs differ from non-embedded health librarians, as well as from other types of embedded librarians. REHLs' work also differs from just a decade or two ago, prior to widespread Internet access to digital resources.ImplicationsGiven that research-embedded librarianship appears to be a distinct and growing subset of health librarianship, libraries, master's of library and information science programs, and professional associations will need to respond to the support and education needs of REHLs or risk losing them to the health research field.
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Project description:PurposeTo explore financial incentives as an intervention to improve colorectal cancer screening (CRCS) adherence among traditionally disadvantaged patients who have never been screened or are overdue for screening.ApproachWe used qualitative methods to describe patients' attitudes toward the offer of incentives, plans for future screening, and additional barriers and facilitators to CRCS.SettingKaiser Permanente Washington (KPWA).ParticipantsKPWA patients who were due or overdue for CRCS.MethodWe conducted semi-structured qualitative interviews with 37 patients who were randomized to 1 of 2 incentives (guaranteed $10 or a lottery for $50) to complete CRCS. Interview transcripts were analyzed using a qualitative content approach.ResultsPatients generally had positive attitudes toward both types of incentives, however, half did not recall the incentive offer at the time of the interview. Among those who recalled the offer, 95% were screened compared to only 25% among those who did not remember the offer. Most screeners stated that staying healthy was their primary motivator for screening, but many suggested that the incentive helped them prioritize and complete screening.ConclusionsIncentives to complete CRCS may help motivate patients who would like to screen but have previously procrastinated. Future studies should ensure that the incentive offer is noticeable and shorten the deadline for completion of FIT screening.
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Project description:BackgroundExploring parental motives for providing smartphones and tablets to young children is important to better understand ways to optimise healthy use of mobile screens in early childhood. To date, no study has qualitatively examined the factors underpinning parental motives of providing mobile screens to young children, using a theoretically driven approach.MethodsWe conducted 45 in-depth, semi structured online interviews with primary caregivers of toddlers and pre-schoolers from diverse family backgrounds who participated in a large online survey in Australia. Themes were generated from the transcribed interviews using template thematic analysis. The coding was completed deductively using the Theory of Planned Behaviour (TPB) and data-driven induction.ResultsParticipants consistently reported a spectrum of attitudes, subjective norms and perceived behavioural control aspects which drove their decision to provide or not provide a mobile screen device to their child. Five main descriptive themes were generated, guided by the TPB: (1) Convenience, connection, and non-traditional learning experience; (2) Negative behavioural consequences and potential activity displacement through mobile screens; (3) Influences of society and resources; (4) Managing and achieving a balance; (5) External challenges.ConclusionsOverall, the findings demonstrated that parents experienced cognitive dissonance between their attitudes and behaviour, primarily from perceived behavioural control and subjective norms negating the influence of attitudes on their motives to provide a device. These insights offer important avenues for public health messaging and resources to better involve and support parents in decision-making relating to mobile screens in everyday lives of young children.
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