Browsing by Subject "qualitative study"

Now showing 1 - 4 of 4
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    Attitudes toward Language Variation: Evidence from a Qualitative Study of Sociolinguistic Interviews
    (2021) Opusunju, Shelby D
    Due to the multimodal nature of speech perception, social information such as race, gender, or accent gleaned from hearing and seeing a conversational partner can have an influence on how we perceive their speech. One’s preexisting beliefs about language and social identity can not only impact how we perceive the speech of others, but provide a window into what shapes their own speech patterns. This paper examines the sociolinguistic attitudes and beliefs of 46 participants in interviews conducted as part of the “Race, Ethnicity, and Speech Intelligibility in Normal Hearing and Hearing Impairment” project. Responses these participants gave in their sociolinguistic interviews suggested that a large number of them viewed a stereotypical English speaker as a white, highly educated, accentless speaker of American or British English, and (with few exceptions) did not view their authentic speech patterns as aligning with those of this stereotypical speaker due to a broad range of regional, cultural and linguistic differences. Future analysis of these interviews may reveal how these participants' linguistic attitudes may influence how their speech is perceived by listeners.
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    Identifying medication-related needs of HIV patients: foundation for community pharmacist-based services
    (University of Minnesota, College of Pharmacy, 2014) Kauffman, Yardlee; Barkowitz, Elana; Cerussi, Nicole; Pringle, Jan; McGivney, Melissa
    Background: Patients living with HIV/AIDS have complex medication regimens. Pharmacists within community pharmacy settings can have a role managing patients living with HIV/AIDS. Patients’ perspectives surrounding implementation about community pharmacist-based services is needed as limited information is available. Objective: To identify medication-related needs of HIV-infected patients who receive prescriptions from a community pharmacy. To determine patient perspectives and knowledge of community pharmacist-based services. Methods: A qualitative research study involving in-depth, semi-structured interviews with patients was conducted. Inclusion criteria included: HIV positive men and women at least 18 years of age who receive care at a HIV clinic, currently take medication(s) and use a community pharmacy for all prescription fills. Patients were recruited from one urban and one rural health center. Patients answered questions about their perceptions and knowledge about the role and value of pharmacy services and completed a demographic survey. The recordings of the interviews were transcribed verbatim and were analyzed using principles of Grounded Theory. Results: Twenty-nine interviews were conducted: 15 participants from the urban site and 14 from the rural site. Five main themes emerged including: patients experience ongoing and varying medication-related needs; patients desire a pharmacist who is caring, knowledgeable and integrated with health care providers; patients expect ready access to drug therapy; patients value an individualized patient encounter, and patients need to be informed that a pharmacist-service exists. Conclusion: Patients with HIV value individualized and personal encounters with pharmacists at time intervals that are convenient for the patient. Patients felt that a one-on-one encounter with a pharmacist would be most valuable when initiating or modifying medication therapy. These patient perspectives can be useful for pharmacists and pharmacies interested in providing advanced care to patients with HIV.
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    Primary Care Providers’ experiences with Pharmaceutical Care-based Medication Therapy Management Services
    (University of Minnesota, College of Pharmacy, 2012) Maracle, Heather L.; Oliveira, Djenane Ramalho de; Brummel, Amanda
    This study explored primary care providers’ (PCPs) experiences with the practice of pharmaceutical care-based medication therapy management (MTM). Qualitative, semi-structured interviews were conducted with six PCPs who have experiences working with MTM pharmacists for at least three years. The first author conducted the interviews that were audio-taped, transcribed, and coded independently. The codes were then harmonized via discussion and consensus with the other authors. Data were analyzed for themes using the hermeneutic-phenomenological method as proposed by Max van Manen. Three men and three women were interviewed. On average, the interviewees have worked with MTM pharmacists for seven years. The six (6) themes uncovered from the interviews included: (1) “MTM is just part of our team approach to the practice of medicine”: MTM as an integral part of PCPs’ practices; (2) “Frankly it’s education for the patient but it’s also education for me”: MTM services as a source of education; (3) “It’s not exactly just the pharmacist that passes out the medicines at the pharmacy”: The MTM practitioner is different from the dispensing pharmacist; (4) “So, less reactive, cleaning up the mess, and more proactive and catching things before they become so involved”: MTM services as preventative health care efforts; (5)“I think that time is the big thing”: MTM pharmacists spend more time with patients; (6) “There’s an access piece, there’s an availability piece, there’s a finance piece”: MTM services are underutilized at the clinics. In conclusion, PCPs value having MTM pharmacists as part of their team in ambulatory clinics. MTM pharmacists are considered an important source of education to patients as well as to providers as they are seen as having a unique body of knowledge –medication expertise. All PCPs highly treasure the time and education provided by the MTM pharmacists, their ability to manage and adjust patients’ medications, and their capability to address patients’ medication experiences. MTM pharmacists are seen as being different from dispensing pharmacists, and PCPs usually highlight that difference to patients as they refer them to MTM services. Lastly, it is apparent that MTM pharmacists struggle to explain what their role is within the healthcare team and they need to find a more effective way to explain the unique value they add to the care of patients.
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    Violence Prevention as a Public Health Goal in Ramsey County, MN: Paths Forward for Equitable, Community-Centered Priority Setting Processes
    (2021-05) Dorman, Amy, R
    Public health priority setting processes through Community Health Improvement Plans at the local level are designed to be community-centered. Yet, debate continues around whether objective, data-driven decision-making or subjective, person-driven decision-making should be most influential in the priority setting processes of local health departments. When marginalized communities and health issues like domestic and sexual violence are often not adequately represented in quantitative data, questions around the equity of objective, data-driven decisions are crucial to consider. While subjective, person-driven decision-making may provide space for conversations that lift up populations and issues that data-driven processes miss, the power and privilege of those in the room – and who has the power to invite participants into the room in the first place – are paramount. This qualitative study discovered that the prioritization of violence prevention as a public health goal in Ramsey County, MN depended largely upon individual actor power (subjective) rather than data-driven (objective) factors. Opportunities remain for increased community member engagement and co-creation of public health policies through a priority setting process that acknowledges the power and privilege of individual actors who are invited and able to participate in the priority setting process. A path forward to health equity in local health department procedures and programs must center community input through continuous community member participation, relationship building, and increased accessibility of the public health priority setting process.