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In this exploratory, descriptive study we examined how discussion goals were accomplished during face-to-face and online case-based discussions facilitated by the same co-instructors. An analysis of discussion transcripts suggests that despite different instructor and student participation patterns across contexts, the instructors' goals of creating social cohesion and supporting students' case understanding were equally met. However, coverage of the targeted problem space indicated greater attention to \"problem finding\" (i.e., identifying relevant issues) by face-to-face students and greater attention to \"problem solving\" (i.e., identifying workable solutions) by online students, as indicated by the frequencies with which these different aspects were discussed. We interpret results by considering how the affordances of each context shaped both teacher-student interactions and students' coverage of the problem-finding and problem-solving space.

Background Safe medication management for older adults after hospital discharge requires a well-coordinated, interprofessional, patient-centered approach. This study aimed to describe the perceived needs for collaborative medication management for older adults taking several different medications at home after hospital discharge. Methods A qualitative descriptive study was conducted using semi-structured interviews with older adults (n = 28), informal (n = 17), and professional caregivers (n = 13). Results Findings revealed four main needs: older adults and informal caregivers’ perceived needs for greater involvement in discharge planning; older adults’ perceived needs to be informed, listened to, and to be actively involved in decision-making; informal caregivers’ perceived needs for help in supporting and coordinating medication management; and older adults’ and informal and professional caregivers’ perceived needs for better communication and coordination between professional caregivers. Conclusion This study revealed two underutilized pathways towards improving collaborative medication management: medication follow-up involving a community healthcare professional taking an overarching responsibility and empowering older adults and their informal caregivers in medication management after hospital discharge.

Daily physics is the study of physics that raises problems and applications in everyday human life. This study aims to describe the structure of physics learning in everyday life that supports physics learning in the era of scientific information disclosure and its implementation. This qualitative descriptive research was conducted by examining the structure of everyday physics learning and observing the responses of research subjects with physics and social backgrounds who participated in the daily physics lessons. The results of this study indicate that the structure of learning physics in everyday life is designed to be followed by all participants from both exact and non-exact groups as part of the Whole Person Education program. Subjects with a background in Physics explain daily physics learning followed by discussions based on popular events in everyday life that are studied from the physics side easily and strengthen the understanding of physics concepts that they already have. Subjects with social backgrounds explain daily physics learning, followed by presenting examples that occur in everyday life, such as birthday balloons that can be attached to walls and others. These examples can be easily accepted and understood by all participants. However, participants with social backgrounds find it quite difficult when the discussion enters the discussion of abstractions such as equations and formulas. This research concludes that the structure of everyday physics is very supportive of learning physics for many people in the era of scientific information disclosure.

This is the second part in a two-part research study on clinical data abstraction. Clinical data abstraction is the process of capturing key administrative and clinical data elements from a medical record. Very little is known about how the abstraction function is organized and managed today. A research study to gather data on how the clinical data abstraction function is managed in healthcare organizations across the country was performed. Results show that the majority of the healthcare organizations surveyed have a decentralized system, still perform the abstraction in-house as part of the coding workflow, and use manual abstraction followed by natural language processing (NLP) and simple query. The qualifications and training of abstractors varied across abstraction functions, however coders followed by nurses and health information management (HIM) professionals were the three top performers in abstraction. While, in general, abstraction is decentralized in most enterprises, two enterprise-wide abstraction models emerged from our study. In Model 1, the HIM department is responsible for coding, as well as all of the abstraction functions except the cancer registry and trauma registry abstraction. In Model 2, the quality department is responsible for all of the abstraction functions except the cancer registry, trauma registry, and coding function.

We report the development of a strategy for obtaining a truly voluntary and informed consent for sexual and reproductive health (SRH) research with Burma-born refugees settled in Australia. Using a qualitative descriptive research design, we interviewed 29 providers of refugee services (PRS) including health care professionals (doctors, nurses, midwives), bilingual supporting staff (interpreters, social workers, settlement workers, community liaison officers) and administrative staff (practice managers, reception staff) who provide primary care services to refugees. Interviews were audio recorded, transcribed, and subjected to thematic analysis. Four themes emerged: (a) unique values of Burma-born people, (b) unfamiliarity with Western concepts of research, (c) usefulness of individual consent discussions with potential participants, and (d) need for verification of voluntary participation prior to research interview. Results were used to develop a three-stage process of research consent. The first stage comprises of community information sessions to introduce concepts of research including explanations of voluntary participation and informed consent. Secondly, consent discussions for interested participants are undertaken with their preferred interpreter. Finally, voluntary participation is confirmed just prior to the interview. This three-stage process of research consent will serve as a useful tool for PRS to support cross cultural SRH research interactions involving interpreters and participants.

Purpose The steady rise in aged population has brought many challenges such as social, economic and health care that confront of the older people in their later life. The purpose of this study is to understand the nature of challenges among the older people and to assess the role of social security programmes for the welfare of the older people. The qualitative descriptive research has been applied in this paper. Design/methodology/approach The qualitative descriptive research has been applied in this paper. The study was conducted in a sample of 220 elderly living in Lucknow, Uttar Pradesh, using purposive sampling. The study was based on interviews. The order of questions and samples depended on the information flow during the interviews. The purposes of using the qualitative descriptive research in the present study are to satisfy the researcher’s curiosity and desire for better understanding to discuss the challenges faced by older people (these challenges are social vulnerability, poor economic conditions, poor health and no familiarity with government programmes), to understand the practicability of the study in extensive way and to explain why any phenomenon occurs or why older people face problems in later life. Findings The first finding demonstrates that the different challenges among older people such as social, economic and health challenges are affecting their way of life and sense of well-being and are fracturing their social bonds from the family and society. The second finding indicates that only 46.3% older people are benefitted from government pension programmes schemes. While the numbers of older people are unknown from other government welfare programmes such as health programmes, concession for older people and maintenance and welfare of parent and senior citizen act are not able to work properly due to lack of awareness and lack of proper communication between older people and government bodies. Originality/value This is an original work of the author. The research work is based on primary data that examine the nature of challenges such as health, economic and social challenges faced by older people in later life and impact of these problems on the well-being of older people.

Indonesia is rich in cultures encompassing the understanding of various values that must be learned by students. Learning based on a cultural perspective relating to natural phenomena in life is called ethnoscience. Surabaya as a metropolitan city has various cultures including Remo dance, batik, rujak cingur, lontong balap, fish preservation, and semanggi. There are many scientific concepts that can be explored through these cultures. This study aimed to explore scientific concepts through these cultures in elementary schools. This study used descriptive research design with transformative, verification, and knowledge conceptualization stages. Results showed that many scientific concepts extracted from ethnoscience, for instance in rujak cingur, were related to the concepts of friction force, healthy food, and physical and chemical changes. With ethnoscience-based science learning, students are expected to learn happily and master the science concepts easily.

Purpose The purpose of this study is to seek answer to the following question: Does participating in storytelling changes participants’ life experiences in their journey of recovery? The study explores participants’ experiences of engaging in a storytelling programme in a community mental health team in a large New Zealand city. The programme aims to provide a safe environment to support and increase participants’ engagement with services and the community. Currently, there is limited literature on consumer’s experiences of engaging in therapeutic storytelling programmes in the international or New Zealand context. Design/methodology/approach Following ethical approval, eight adult participants were recruited to the study. Data were collected through semi-structured interviews and analysed using the six-phase process of thematic analysis, developed by Braun and Clarke. Findings Three main themes emerged from the data. The first theme, breaking barriers, was described by participants as to how they overcame barriers. The second theme, creating positive memories, uncovered the positive experiences that participants gained from the programme. The final theme, becoming a new person, described some of the transformative experiences that emerged through participation in the programme. Originality/value This is the first qualitative study in the New Zealand context that has explored the value of a storytelling programme from a consumer’s perspective. The findings suggest that participating in a storytelling programme can contribute to a participant’s journey of recovery; the use of myths, legends and group work is fundamental to those from collective cultures with oral traditions. The ongoing value of storytelling as a therapeutic tool requires further research and the development of a clearer evidence base to inform practice.

Mining has become a very lucrative business for the global economic powers. On the African continent, this seemingly opportunity for developing African countries like Nigeria, Ghana and South Africa that enjoy huge mineral deposits comes with its repercussions in relation to their respective economic performances as they open their doors to selected top economies of the world. This paper therefore looks at the general mining environment on the continent as a whole, narrowed down to specialized countries of Africa on coal mining, crude oil and gold mining with emphasis in the South African, Nigerian and Ghanaian context. Using descriptive research design and the correlation method of analysis, this conceptual paper identifies that with the Africa mining industry is becoming more scrambled for and this has left wavering relationship with the economic growth on the African continent despite the improvements on the economies of the scramblers. As recommendation however, the study suggested that the various governments in Africa should review some obsolete negotiation terms which are against the modern realities in the mining sector so as not to be overtaken by events as they open their doors to foreign investors in the mining sectors.

The purpose of this study is to investigate the association between destination image, e-WOM, and destination selection. In addition, this study intends to examine the role of e-WOM as a mediator in the relationship between destination image and destination choice. On the basis of earlier research, a pilot study was conducted to establish the instrument's validity and reliability.A descriptive research design and a positivist approach were applied to the present investigation. A sample of 380 valid questionnaires was analyzed for the present study. To obtain data from travellers who visited Kashmir Valley, the convenience sample technique was used. SPSS.20 and AMOS software were utilised for data analysis. Using AMOS software and the Structured Equation Modelling (SEM) methodology, the stated assumptions were tested. The analysis indicated that the image of a destination has a significant impact on tourist destination selection. In addition, the results demonstrated that e-WOM mediates the relationship between destination image and destination choice.