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Framework Analysis (framework + analysis)
Selected AbstractsA multidimensional conceptual framework for analysing public involvement in health services researchHEALTH EXPECTATIONS, Issue 1 2008Sandy R. Oliver BA PhD Abstract Objective To describe the development of a multidimensional conceptual framework capable of drawing out the implications for policy and practice of what is known about public involvement in research agenda setting. Background Public involvement in research is growing in western and developing countries. There is a need to learn from collective experience and a diverse literature of research, policy documents and reflective reports. Methods Systematic searches of research literature, policy and lay networks identified reports of public involvement in research agenda setting. Framework analysis, previously described for primary research, was used to develop the framework, which was then applied to reports of public involvement in order to analyse and compare these. Findings The conceptual framework takes into account the people involved; the people initiating the involvement; the degree of public involvement; the forum for exchange; and methods used for decision making. It also considers context (in terms of the research focus and the historical, geographical or institutional setting), and theoretical basis. Conclusions The framework facilitates learning across diverse experiences, whether reported in policy documents, reflections or formal research, to generate a policy- and practice-relevant overview. A further advantage is that it identifies gaps in the literature which need to be filled in order to inform future research about public involvement. [source] Patient delay in oral cancer: a qualitative study of patients' experiencesPSYCHO-ONCOLOGY, Issue 6 2006S.E. Scott Abstract Up to 30% of patients delay seeking the advice of a healthcare professional after self-discovery of symptom(s) of oral cancer. Reasons for this patient delay are poorly understood. The aim of the present study was to explore patients' initial experiences and reactions to developing symptoms of oral cancer, and to identify factors influencing their decision to consult a health care professional. In-depth semi-structured interviews were conducted with 17 consecutive patients who had received a diagnosis of oral squamous cell carcinoma, but had yet to start treatment. Participants were asked about their beliefs about their symptoms over the course of the disease and their decision to seek help. The tape-recorded interviews were transcribed verbatim and analysed using ,Framework analysis'. Oral symptoms were rarely attributed to cancer and were frequently interpreted as minor oral conditions. As a result of these beliefs, patients tended to postpone seeking help or fail to be concerned over their symptoms. Prior to seeking help, patients responded to symptoms by using self-medication, changing the way they ate and disclosing their discovery of symptoms to friends or family. Problems with access to healthcare professionals and patients' social responsibilities acted as barriers to prompt help-seeking. This study has documented that an individual's interpretation of oral cancer symptoms may be misguided and this can adversely affect subsequent help-seeking behaviour. Copyright © 2005 John Wiley & Sons, Ltd. [source] Perspectives of parents and tutors on a self-management program for parents/guardians of children with long-term and life-limiting conditions: "a life raft we can sail along with" ,JOURNAL OF COMMUNITY PSYCHOLOGY, Issue 7 2008Julie Barlow The lay-led, community-based Supporting Parents Programme (SPP) aims to assist parents caring for children with long-term or life-limiting conditions through support and cognitive behavioral techniques. The value of the SPP from the perspectives of parent participants and tutors was examined in focus groups and telephone interviews. Data were analyzed using framework analysis. Parents perceived a commonality of emotions and practical issues, valued meeting similar others, felt less isolated, more positive, motivated, and more calm; some had found the "real me again." Changes were attributed to techniques learned. Parents were anxious of being cast adrift at the end of SPP. Tutors needed more support and additional training around child protection and confidentiality. © 2008 Wiley Periodicals, Inc. [source] Multicultural Crisis Communication: Towards a Social Constructionist PerspectiveJOURNAL OF CONTINGENCIES AND CRISIS MANAGEMENT, Issue 4 2006Jesper Falkheimer Crisis communication is a field dominated by case studies and is lacking of systematic knowledge and theoretical framework analysis. Functionalist and objectivist perspectives have dominated the field even though there are exceptions. This may be one reason why multicultural approaches to crisis communication, increasingly relevant in contemporary society, are very few and undeveloped. The aim in the article is to give a critical analysis of research that has been done on crisis communication as well as intercultural public relations and develop a different theoretical framework. We propose the use of ethnicity, focusing collective cultural identity as dynamic, relational and situational in crisis theory and practice. Ethnic differences seem to escalate during crises. Media use and access are also discussed. A Swedish survey shows, among other things, that people with a foreign background read mainstream newspapers more seldom than average Swedes, but that the access to Internet and mobile phones is very high. Based on a social constructionist epistemology, the article ends with four proposals for future research and practice in multicultural crisis communication: (1) audience-orientation , focusing sense-making, (2) a proactive and interactive approach , focusing dialogue, (3) a community-focused approach , focusing a long-range pre-crisis perspective and, (4) an ethnicity-approach towards intercultural communication. [source] Patients' attitudes and beliefs about back pain and its management after physiotherapy for low back painPHYSIOTHERAPY RESEARCH INTERNATIONAL, Issue 3 2007Stephen May Abstract Background and Purpose.,Contemporary guidelines for the management of low back pain often consider patient involvement and responsibility an essential component; however, there has been little exploration of patients' opinions about back pain and its management. Method.,A qualitative study of patients' perspectives of back pain in the UK; 34 semi-structured interviews were conducted with participants who had recently received physiotherapy for back pain; interviews were transcribed and analysed using framework analysis. A topic guide was used to steer the interview and themes were extracted from the data. Results.,Thirteen key themes were revealed; seven of these related to issues of satisfaction with physiotherapy and are described elsewhere. The six themes considered here dealt with the participants' experience of and attitudes to back pain and its management. Themes were: the impact of back pain on their life; perspectives about back pain; its management; their involvement in its management; what strategies they had for self-management; and expectations about the episode of physiotherapy beforehand. Conclusions.,In this group of participants with a history of back pain and physiotherapy treatment a common finding was a degree of acceptance of the back pain problem and the belief that patient involvement in management was essential. These findings would suggest that many patients with back pain may respond positively to the message of self-management. However, acceptance of this message was not automatic, but generally occurred gradually in line with patients' experience of back pain and treatment. Copyright © 2007 John Wiley & Sons, Ltd. [source] Synergy and sustainability in rural procedural medicine: Views from the coalfaceAUSTRALIAN JOURNAL OF RURAL HEALTH, Issue 1 2010Andrew Swayne Abstract Objective:,The practice of rural and remote medicine in Australia entails many challenges, including a broad casemix and the remoteness of specialist support. Many rural practitioners employ advanced procedural skills in anaesthetics, surgery, obstetrics and emergency medicine, but the use of these skills has been declining over the last 20 years. This study explored the perceptions of rural general practitioners (GPs) on the current and future situation of procedural medicine. Design:,The qualitative results of data from a mixed-method design are reported. Free-response survey comments and semistructured interview transcripts were analysed by a framework analysis for major themes. Setting:,General practices in rural and remote Queensland. Participants:,Rural GPs in Rural and Remote Metropolitan Classification 4,7 areas of Queensland. Main outcome measure:,The perceptions of rural GPs on the current and future situation of rural procedural medicine. Results:,Major concerns from the survey focused on closure of facilities and downgrading of services, cost and time to keep up skills, increasing litigation issues and changing attitudes of the public. Interviews designed to draw out solutions to help rectify the perceived circumstances highlighted two major themes: ,synergy' between the support from medical teams and community in ensuring ,sustainability' of services. Conclusions:,This article presents a model of rural procedural practice where synergy between staff, resources and support networks represents the optimal way to deliver a non-metropolitan procedural service. The findings serve to remind educators and policy-makers that future planning for sustainability of rural procedural services must be broad-based and comprehensive. [source] | ||||||||||