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Nurs Res ; 68(6): E8-E12, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31693558


BACKGROUND: Scarce and differing reasons for including closing questions in qualitative research exist, but how data generated from these questions are used remains uncertain. OBJECTIVES: The purpose of the study was to understand if and how researchers use closing questions in qualitative research, specifically the research questions were: (a) "Why do qualitative researchers include or exclude closing questions during interviews?" and (b) "How do qualitative researchers use data from closing questions?" METHODS: A qualitative descriptive design using a single, asynchronous, web-based, investigator-designed survey containing 14 items was used to collect data. Convenience and snowball sampling were used to recruit participants. Data were analyzed using descriptive statistics and qualitative content analysis. Codes were developed from the qualitative data. Subcategories were derived from similar codes, and these subcategories were further scrutinized and were used to create broad categories. RESULTS: The number of respondents per question ranged from 76 to 99; most identified nursing and sociology as their academic disciplines, lived in the United States, and were involved in qualitative research for 1-10 years. Data, the interview, the interviewee, and the interviewer were broad categories to emerge as reasons for including closing questions. Only one respondent reported a reason for excluding closing questions. The uses of closing question data were described in four broad categories: analysis, data, the interview guide, and inquiry. DISCUSSION: Researchers frequently included closing questions in qualitative studies. The reasons for including these questions and how data are used vary, and support limited previously published literature. One unique reason, adding "new breath" to the interview, emerged. Study findings can aid qualitative researchers in deciding whether to include closing questions.

Internet , Entrevistas como Assunto , Pesquisa Qualitativa , Inquéritos e Questionários , Tomada de Decisões , Humanos
Am J Nurs ; 118(8): 13, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-30048265
Qual Health Res ; 28(9): 1395-1405, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29577844


Low rates of documentation of sexual histories have been reported and research on sexual history taking (SHT) has focused on the content of, barriers to collecting, and interventions to improve documentation of sexual histories. Absent from this literature is an understanding of the contextual factors affecting SHT. To address this gap, a focused ethnography of one health center was conducted. Data were collected through observations of health care encounters and interviews with health care providers (HCPs). No SHT was observed and this was likely influenced by patients' characteristics, communication between patients and HCPs, the prioritization of patients' basic needs, and time constraints imposed upon encounters. Given that the health center studied serves patients experiencing homelessness, behavioral health concerns, and opioid use disorder, findings illuminate areas for future inquiry into a patient population affected by social as well as physiologic determinants of health and potentially at high risk for adverse sexual health outcomes.

Centros Comunitários de Saúde/organização & administração , Pessoas em Situação de Rua , Anamnese/normas , Comportamento Sexual , Antropologia Cultural , Atitude do Pessoal de Saúde , Comunicação , Centros Comunitários de Saúde/normas , Competência Cultural , Feminino , Comportamentos de Risco à Saúde , Humanos , Masculino , Transtornos Relacionados ao Uso de Opioides/epidemiologia , Relações Profissional-Paciente
Public Health Nurs ; 35(3): 238-245, 2018 05.
Artigo em Inglês | MEDLINE | ID: mdl-29424085


OBJECTIVES: To design and implement a case study on the cervical cancer screening program in Botswana to teach public and global health competencies to undergraduate nursing students. DESIGN AND SAMPLE: The case study was developed following a review of the literature on the epidemiology and health policies of cervical cancer in Botswana, and an interview with an obstetrician/gynecologist engaged in both clinical practice and research in Botswana. The case study has been implemented over seven semesters to students enrolled in the Nursing in the Community course at the University of Pennsylvania. Approximately 75-100 students are enrolled each semester. MEASURES: Student's perceptions of epidemiologic skills gained and group functioning. Students responded to an open-ended question about lessons learned and offered suggestions to improve the learning experience. RESULTS: Faculty assessment of student deliverables demonstrated that students achieved the learning objectives and mastered necessary competencies. More than 70% (n = 69) of the students indicated that they acquired relevant skills at greater than a satisfactory level. Generally, students had great experiences working in groups measured across five dimensions: engagement/contribution, creativity/resilience, on task/works independently, social interaction/communication, and preparedness. However, isolated cases of poor group functioning were reported for engagement/contribution, and creativity/resilience. CONCLUSION: The case study, which has been revised with respect to length, content and group processes, has been valuable in educating undergraduate nursing students in a more engaging way that mimics real life public health nursing scenarios. Students achieved both public and global health competencies through participation in the case study.

Competência Clínica , Detecção Precoce de Câncer , Bacharelado em Enfermagem/organização & administração , Saúde Global/educação , Enfermagem em Saúde Pública/educação , Neoplasias do Colo do Útero/prevenção & controle , Botsuana , Feminino , Humanos , Aprendizagem , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Estudos de Casos Organizacionais , Estudantes de Enfermagem/psicologia , Estudantes de Enfermagem/estatística & dados numéricos
Pain ; 158(4): 760, 2017 04.
Artigo em Inglês | MEDLINE | ID: mdl-28301401
Nurse Educ Today ; 50: 8-11, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28002756


BACKGROUND: Situated in a research-intensive School of Nursing, the Advanced Qualitative Collective (AQC) provides an innovative educational forum for the study of qualitative research by doctoral and postdoctoral scholars. This long-standing collective is guided by a faculty facilitator using a collaborative co-learning approach to address individual and group needs, from the conception of research projects through dissemination of completed qualitative research. This article describes the dynamics of the AQC and the ways a co-created pedagogical entity supports professional development among its diverse members. The informal, participatory style, and dynamic content used by the AQC resists a course structure typical of doctoral education in health sciences, and promotes engagement and self-direction. The AQC provides opportunities for members to examine theoretical frameworks and methodologies rarely addressed within a positivism-dominant learning environment while simultaneously serving as an alternative exemplar for the pedagogy of research.

Docentes/psicologia , Aprendizagem , Pesquisa Qualitativa , Projetos de Pesquisa , Comportamento Cooperativo , Currículo , Educação de Pós-Graduação em Enfermagem , Humanos , Pesquisa em Educação de Enfermagem , Estudantes de Enfermagem
J Assoc Nurses AIDS Care ; 25(6): 496-507, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25305026


Oral preexposure prophylaxis (PrEP) is in its infancy as an approved biomedical intervention; therefore, research is needed to understand the issues surrounding its implementation. The purpose of this literature review is to report the empirical research about PrEP to identify the salient issues surrounding its implementation. PubMed, Medline, and CINAHL databases were searched, yielding 45 articles meeting inclusion criteria for the review. Overall, we found patient awareness of PrEP varied and its use was low. Awareness was higher among providers. Patients were willing to use PrEP, but both patients' and providers' concerns may have impacted implementation of this intervention. PrEP requires a prescription, yet only five of the 45 articles addressed provider-level factors. Research involving providers is needed to ensure that patient risk of becoming infected with HIV is accurately assessed, that PrEP is provided to those at high risk for HIV infection, and that frequent follow-up is conducted.

Antirretrovirais/administração & dosagem , Infecções por HIV/prevenção & controle , Conhecimentos, Atitudes e Prática em Saúde , Profilaxia Pré-Exposição , Antibioticoprofilaxia , Feminino , Pessoal de Saúde , Necessidades e Demandas de Serviços de Saúde , Humanos , Aceitação pelo Paciente de Cuidados de Saúde