Abstract:
BACKGROUND:The main objective of this methodological manuscript was to illustrate the role of using qualitative research in emergency settings. We outline rigorous criteria applied to a qualitative study assessing perceptions and experiences of staff working in Australian emergency departments. METHODS:We used an integrated mixed-methodology framework to identify different perspectives and experiences of emergency department staff during the implementation of a time target government policy. The qualitative study comprised interviews from 119 participants across 16 hospitals. The interviews were conducted in 2015-2016 and the data were managed using NVivo version 11. We conducted the analysis in three stages, namely: conceptual framework, comparison and contrast and hypothesis development. We concluded with the implementation of the four-dimension criteria (credibility, dependability, confirmability and transferability) to assess the robustness of the study, RESULTS: We adapted four-dimension criteria to assess the rigour of a large-scale qualitative research in the emergency department context. The criteria comprised strategies such as building the research team; preparing data collection guidelines; defining and obtaining adequate participation; reaching data saturation and ensuring high levels of consistency and inter-coder agreement. CONCLUSION:Based on the findings, the proposed framework satisfied the four-dimension criteria and generated potential qualitative research applications to emergency medicine research. We have added a methodological contribution to the ongoing debate about rigour in qualitative research which we hope will guide future studies in this topic in emergency care research. It also provided recommendations for conducting future mixed-methods studies. Future papers on this series will use the results from qualitative data and the empirical findings from longitudinal data linkage to further identify factors associated with ED performance; they will be reported separately.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Forero R,Nahidi S,De Costa J,Mohsin M,Fitzgerald G,Gibson N,McCarthy S,Aboagye-Sarfo Pdoi
10.1186/s12913-018-2915-2subject
Has Abstractpub_date
2018-02-17 00:00:00pages
120issue
1issn
1472-6963pii
10.1186/s12913-018-2915-2journal_volume
18pub_type
杂志文章abstract:BACKGROUND:Tort law has legitimate social purposes of deterrence, punishment and compensation, but medical tort law does none of these well. Tort law could be counterproductive in medicine, encouraging costly defensive practices that harm some patients, restricting access to care in some settings and discouraging innov...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-10-150
更新日期:2010-06-02 00:00:00
abstract:BACKGROUND:Anganwadi Workers (AWWs) are a group of 1.4 million community health workers that operate throughout rural India as a part of the Integrated Child Development Services program. AWWs are responsible for disseminating key health information regarding nutrition, family planning, and immunizations to the women a...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05857-4
更新日期:2020-12-07 00:00:00
abstract:BACKGROUND:The introduction of non-VKA oral anticoagulants (NOACs) has changed the landscape of preventing thromboembolism events in many countries. However, the prescription trends of oral anticoagulant (OAC) in China are still unclear, which were evaluated in this study through data extracted and summarized from 5 ma...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-5072-3
更新日期:2020-03-12 00:00:00
abstract:BACKGROUND:Accurate TNM stage information is essential for cancer health services research, but is often impractical and expensive to collect at the population-level. We evaluated algorithms using administrative healthcare data to identify patients with metastatic gastric cancer. METHODS:A population-based cohort of g...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3125-7
更新日期:2018-05-02 00:00:00
abstract:BACKGROUND:Nursing care plays a prominent role in determining the overall satisfaction of patients' hospitalization experience. Studies have shown that satisfaction with nursing care is the best indicator of patients' satisfaction with healthcare facilities. The aim of the current study was intended to determine the le...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-3898-3
更新日期:2019-01-21 00:00:00
abstract:BACKGROUND:Family-centered care (FCC), based on collaborative participation of the family along with a team of health care providers, is found to increase the well-being of sick infants in neonatal critical care units. Over the last 4 years, the neonatal unit of Dr. Ram Manohar Lohia Hospital in Delhi has innovated and...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4017-1
更新日期:2019-03-21 00:00:00
abstract:BACKGROUND:Chronic disease is a leading cause of death globally, where inadequate fruit and vegetable consumption and inadequate physical activity are consistently implicated as key contributing risk factors for such diseases. People with a mental health condition are reported to experience a higher prevalence of such ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-5059-0
更新日期:2020-03-12 00:00:00
abstract:BACKGROUND:Caring for people with dementia living in their own homes is a challenging care issue that raises ethical dilemmas of how to balance autonomy with their safety and well-being. The theoretical framework for this study consisted of the concepts of autonomy, beneficence, non-maleficence, paternalism and from th...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-1217-1
更新日期:2016-01-19 00:00:00
abstract:BACKGROUND:Potentially avoidable hospitalizations represent an indirect measure of access to effective primary care. However many approaches have been proposed to measure them and results may differ considerably. This work aimed at examining the agreement between the Weissman and Ansari approaches in order to measure p...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-014-0661-7
更新日期:2015-01-22 00:00:00
abstract:BACKGROUND:Previous studies have investigated process and structure indicators of nutritional care as well as their use in nursing homes (NHs), but the relative weight of these indicators in predicting the risk of malnutrition remains unclear. Aims of the present study are to describe the quality indicators of nutritio...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-0881-5
更新日期:2015-06-06 00:00:00
abstract:BACKGROUND:To explore the perceptions of health workers on the risks of contracting tuberculosis at Namwala District Hospital. Tuberculosis literature indicates that health workers are at risk of contracting tuberculosis while conducting their daily duties in the workplace. This is mainly attributed to low tuberculosis...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05877-0
更新日期:2020-11-12 00:00:00
abstract:BACKGROUND:Return to work after gynaecological surgery takes much longer than expected, irrespective of the level of invasiveness. In order to empower patients in recovery and return to work, a multidisciplinary care program consisting of an e-health intervention and integrated care management including participatory w...
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/1472-6963-12-29
更新日期:2012-02-01 00:00:00
abstract:BACKGROUND:To our knowledge no study has at the same time assessed patients' satisfaction and their expectations concerning the organizational and contextual aspects of health care provided by their primary care physician (PCP). Assessing these aspects is important to inform future primary healthcare service planning. ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-0985-y
更新日期:2015-08-14 00:00:00
abstract:BACKGROUND:Co-production and co-design approaches to quality improvement (QI) efforts are gaining momentum in healthcare. Yet, these approaches can be challenging, not least when it comes to patient involvement. The aim of this study was to examine what might influence QI efforts in which patients are involved, as expe...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05970-4
更新日期:2020-12-02 00:00:00
abstract:BACKGROUND:Almost every Western healthcare system is changing to make their services more centered around out-patient care. In particular, long-term or geriatric patients who have been discharged from the hospital often require home-based care and therapy. Therefore, several programs have been developed to continue the...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/1472-6963-10-291
更新日期:2010-10-14 00:00:00
abstract:BACKGROUND:Clinical practice improvements based on quality-register data are influenced by multiple factors. Although there is agreement that information from quality registers is valuable for quality improvement, practical ways of organising register use have been notoriously difficult to realise. The present study so...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-4944-x
更新日期:2020-02-11 00:00:00
abstract:BACKGROUND:An estimated 65,000 abortions occurred in Zimbabwe in 2016, and 40 % resulted in complications that required treatment. Quality post-abortion care (PAC) services are essential to treat abortion complications and prevent future unintended pregnancies, and there have been recent national efforts to improve PAC...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05110-y
更新日期:2020-03-24 00:00:00
abstract:BACKGROUND:Clinical guidelines are an integral part of healthcare. Whilst much progress has been made in ensuring that guidelines are well developed and disseminated, the gap between routine clinical practice and current guidelines often remains wide. A key reason for this gap is that implementation of guidelines typic...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-014-0648-4
更新日期:2014-12-21 00:00:00
abstract:BACKGROUND:The healthcare needs of physician are not well studied. METHODS:We surveyed physicians attending a large primary care conference about their access and perceived barriers to receiving healthcare services. RESULTS:Response rate was 46 % (270/592). The majority were trained in family medicine. The age catego...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1728-4
更新日期:2016-09-06 00:00:00
abstract:BACKGROUND:Patient-centered care ideally considers patient preferences, values and needs. However, it is unclear if policies such as wait time strategies for hip and knee replacement surgery (TJR) are patient-centred as they focus on an isolated episode of care. This paper describes the accounts of people scheduled to ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-531
更新日期:2013-12-23 00:00:00
abstract:BACKGROUND:In low- and middle-income countries (LMICs), addressing the high prevalence of mental disorders is a challenge given the limited number and unequal distribution of specialists, as well as scarce resources allocated to mental health. The Mental Health Gap Action Programme (mhGAP) and its accompanying Interven...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-1992-y
更新日期:2017-01-17 00:00:00
abstract:BACKGROUND:Little is known about the participation of surgeons in preventative health activities in the non-admitted hospital care setting. The aim of this study was to identify which preventive health activities surgeons practice and to explore their attitudes towards preventive health. METHODS:A mixed methods study ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4186-y
更新日期:2019-06-06 00:00:00
abstract:BACKGROUND:The necessity of outpatient postpartum care has increased due to shorter hospital stays. In a health care system, where postpartum care after hospital discharge must be arranged by families themselves, this can be challenging for those experiencing psychosocial disadvantages. Therefore, we compared character...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05359-3
更新日期:2020-06-22 00:00:00
abstract:BACKGROUND:Blood borne infectious agents such as hepatitis B virus (HBV), hepatitis C virus (HCV) and human immune deficiency virus (HIV) constitute a major occupational hazard for healthcare workers (HCWs). To some degree it is inevitable that HCWs sustain injuries from sharp objects such as needles, scalpels and spli...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-276
更新日期:2013-07-17 00:00:00
abstract:BACKGROUND:The prevention of mother-to-child transmission of human immunodeficiency virus (HIV) is lauded as one of the more successful HIV prevention measures. However, despite some gains in the prevention of mother-to-child transmission of HIV (PMTCT) in sub-Saharan Africa, mother-to-child transmission rates are stil...
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/1472-6963-14-S1-S10
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Moderate and deep sedation are well-established techniques in many developed countries, and several guidelines have been published. However, they have received attention in China only in recent years. The aim of this study is to investigate current paediatric sedation practices in tertiary children's hospita...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4885-4
更新日期:2020-01-08 00:00:00
abstract:BACKGROUND:Cell-free fetal DNA sequencing based non-invasive prenatal testing (NIPT) for Down syndrome (DS) has become widely available. In Hong Kong, obstetric providers in the public sector refer women identified at high risk of having a child with Down syndrome to obstetric providers in the private sector for NIPT. ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3540-9
更新日期:2018-09-21 00:00:00
abstract:BACKGROUND:Prevalence studies usually depend on self-report of disease status in survey data or administrative data collections and may over- or under-estimate disease prevalence. The establishment of a linked data collection provided an opportunity to explore the accuracy and completeness of capture of information abo...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-481
更新日期:2013-11-19 00:00:00
abstract:BACKGROUND:Empirical evidence on how ownership type affects the quality and cost of medical care is growing, and debate on these topics is ongoing. Despite the fact that the private sector is a major provider of hospital services in Greece, little comparative information on private versus public sector hospitals is ava...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-11-234
更新日期:2011-09-23 00:00:00
abstract:BACKGROUND:Hospital deaths following several hospital admissions or long hospital stays may be indicative of a low quality of dying. Although place of death has been extensively investigated at population level, hospital use in the last months of life and its determinants have been studied less often, especially in Eur...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-7-69
更新日期:2007-05-08 00:00:00