The Significance of Saturation

Morse, Janice M.

doi:10.1177/104973239500500201

Cited by 1,980 publications

(1,400 citation statements)

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“…This ensured the inclusion of information-rich informants [18]. Participants were recruited until a saturation point was reached, where no more new information was extracted from the data [17,19,20]. …”

Section: Methodsmentioning

confidence: 99%

Factors affecting effective ventilation during newborn resuscitation: a qualitative study among midwives in rural Tanzania

Moshiro

Ersdal

Mdoe

et al. 2018

Global Health Action

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Background: Intrapartum-related hypoxia accounts for 30% of neonatal deaths in Tanzania. This has led to the introduction and scaling-up of the Helping Babies Breathe (HBB) programme, which is a simulation-based learning programme in newborn resuscitation skills. Studies have documented ineffective ventilation of non-breathing newborns and the inability to follow the HBB algorithm among providers. Objective: This study aimed at exploring barriers and facilitators to effective bag mask ventilation, an essential component of the HBB algorithm, during actual newborn resuscitation in rural Tanzania. Methods: Eight midwives, each with more than one year’s working experience in the labour ward, were interviewed individually at Haydom Lutheran Hospital, Tanzania. The audio recordings were transcribed and translated into English and analysed using qualitative content analysis. Results: Midwives reported the ability to monitor labour properly, preparing resuscitation equipment before delivery, teamwork and frequent ventilation training as the most effective factors in improving actual ventilation practices and promoting the survival of newborns. They thought that their anxiety and fear due to stress of ventilating a non-breathing baby often led to poor resuscitation performance. Additionally, they experienced difficulties assessing the baby’s condition and providing appropriate clinical responses to initial interventions at birth; hence, further necessary actions and timely initiation of ventilation were delayed. Conclusions: Efforts should be focused on improving labour monitoring, birth preparedness and accurate assessment immediately after birth, to decrease intrapartum-related hypoxia. Midwives should be well prepared to treat a non-breathing baby through high-quality and frequent simulation training with an emphasis on teamwork training.

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Section: Methodsmentioning

confidence: 99%

Factors affecting effective ventilation during newborn resuscitation: a qualitative study among midwives in rural Tanzania

Moshiro

Ersdal

Mdoe

et al. 2018

Global Health Action

View full text Add to dashboard Cite

show abstract

“…We conducted interviews with interns (PGY-1) and with senior residents (PGY-2 and PGY-3) until we reached theoretical saturation 21,22 for both groups. We employed standard techniques of qualitative analysis including a focused scope of inquiry and regular team meetings to assess the adequacy and comprehensiveness of all analytic results.…”

Section: Data Collectionmentioning

confidence: 99%

“Learning by Doing”—Resident Perspectives on Developing Competency in High-Quality Discharge Care

et al. 2012

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BACKGROUND: Reducing readmissions and post-discharge adverse events by improving the quality of discharge care has become a national priority, yet we have limited understanding about how physicians learn to provide high-quality discharge care. METHODS: We conducted in-depth, in-person interviews with housestaff physicians with qualitative analysis by a multi-disciplinary team using the constant comparative method to explore learning about highquality discharge care as a systems-based practice and to identify opportunities to improve training around these concepts. RESULTS: We analyzed interview transcripts from 29 internal medicine residents: 17 (59 %) were interns (PGY-2 or PGY-3), 12 (41 %) seniors, and 17 (59 %) were female. We identified a recurrent theme of lack of formal training about the discharge process, substantial peerto-peer instruction, and "learning by doing" on the wards. Within this theme, we identified five specific concepts related to systems-based practice and highquality discharge care which residents learned during residency: (1) teamwork and the interdisciplinary nature of discharge planning; (2) advanced planning strategies to anticipate challenges in the discharge process; (3) patient safety and the concept of a "safe discharge;" (4) patient continuity of care and learning from post-discharge outcomes and; (5) documentation of discharge plans as a valuable skill. CONCLUSIONS: Discharge care is an overlooked opportunity to teach concepts of systems-based practice explicitly as learning about discharge care is unstructured and individual experiences may vary considerably. Educational interventions to standardize learning about discharge care may improve the development of systems-based practice during residency and help improve the overall quality of discharge care at teaching hospitals.KEY WORDS: discharge care; quality of care; core competencies; residency education.

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“…7,8 Because we could identify a coherent theme of responses per each stakeholder category, we did not pursue a follow-up mailing. Upon receiving responses, three independent groups of researchers examined the responses to identify common threads and to develop key categories.…”

Section: Analytic Approachmentioning

confidence: 99%

Understanding Barriers to Implementing Quality Lunch and Nutrition Education

Cho

Nadow

2004

Journal of Community Health

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Food services and nutrition education are priorities for the Coordinated School Health Program in Massachusetts, which is a CDC-funded partnership between the Massachusetts Departments of Education and Public Health. Despite funding and resources provided by governmental and non-governmental agencies, schools are facing barriers in effectively creating a healthy nutritional environment. A qualitative survey was conducted to understand barriers to implementing quality lunch and nutrition education programs perceived by superintendents, principals, food service directors, nurses, and health educators in Massachusetts. The results suggest that while funding can initially enable schools to provide quality lunch, but without changes in students' preference for unhealthy food and parental and community involvement in fostering students' healthy eating behavior, the lunch programs cannot achieve a sustainable success. Lack of opportunity for communication among food service staff, health educators, and teachers appears to hinder the coordination necessary to promote school lunch as well as school-wide nutrition education. Respondents acknowledged that the state's academic assessment system is the priority issue in their schools, but expressed that the interests and initiatives of superintendents and principals in the lunch and nutrition education programs can be enhanced. Overall, the results suggest that successful implementation of quality lunch and nutrition education programs require not only the collaborative efforts of school administration and staff but also the support of parents, community, and the mass media.

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The Significance of Saturation

Cited by 1,980 publications

References 0 publications

Factors affecting effective ventilation during newborn resuscitation: a qualitative study among midwives in rural Tanzania

Factors affecting effective ventilation during newborn resuscitation: a qualitative study among midwives in rural Tanzania

“Learning by Doing”—Resident Perspectives on Developing Competency in High-Quality Discharge Care

Understanding Barriers to Implementing Quality Lunch and Nutrition Education

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