Browsing by Subject "thematic analysis"

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  • Laukka, Elina; Huhtakangas, Moona; Heponiemi, Tarja; Kujala, Sari; Kaihlanen, Anu-Marja; Gluschkoff, Kia; Kanste, Outi (2020)
    Background: The popularity of web-based patient-professional communication over patient portals is constantly increasing. Good patient-professional communication is a prerequisite for high-quality care and patient centeredness. Understanding health care professionals' experiences of web-based patient-professional communication is important as they play a key role in engaging patients to use portals. More information is needed on how patient-professional communication could be supported by patient portals in health care. Objective: This systematic review of qualitative studies aims to identify how health care professionals experience web-based patient-professional communication over the patient portals. Methods: Abstract and full-text reviews were conducted by 2 reviewers independently. A total of 4 databases were used for the study: CINAHL (EBSCO), ProQuest (ABI/INFORM), Scopus, and PubMed. The inclusion criteria for the reviewed studies were as follows: the examination of health care professionals' experiences, reciprocal communication between patients and health care professionals, peer-reviewed scientific articles, and studies published between 2010 and 2019. The Joanna Briggs Institute's quality assessment criteria were used in the review process. A total of 13 included studies were analyzed using a thematic synthesis, which was conducted by 3 reviewers. Results: A total of 6 analytical themes concerning health care professionals' experiences of web-based patient-professional communication were identified. The themes were related to health care professionals' work, change in communication over patient portals, patients' use of patient portals, the suitability of patient portals for communication, the convenience of patient portals for communication, and change in roles. Conclusions: Health care professionals' experiences contain both positive and negative insights into web-based patient-professional communication over patient portals. Most commonly, the positive experiences seem to be related to the patients and patient outcomes, such as having better patient engagement. Health care professionals also have negative experiences, for example, web-based patient-professional communication sometimes has deficiencies and has a negative impact on their workload. These negative experiences may be explained by the poor functionality of the patient portals and insufficient training and resources. To reduce health care professionals' negative experiences of web-based patient-professional communication, their experiences should be taken into account by policy makers, health care organizations, and information technology enterprises when developing patient portals. In addition, more training regarding web-based patient-professional communication and patient portals should be provided to health care professionals.
  • Klockars, Stella (Helsingin yliopisto, 2020)
    To handle the pressure and maintain healthy mental wellbeing, employees would benefit from knowing how to manage their work motivation. Autonomously motivated employees do their job because they enjoy it or because of its personal importance. The self-determination theory states that employees, who are autonomously motivated experience positive outcomes, beneficial for both individuals and organizations. In order to be optimally motivated, the psychological needs of autonomy, competence and relatedness must be satisfied. Previously, the self-determination theory has mostly focused on how social agents (e.g. managers) can create environments that satisfy these needs. However, employees themselves can also use techniques to self-manage their motivation, such as self-kindness or goal setting. The aims of this thesis are to examine how employees from a public sector organization describe how they manage their work motivation. Moreover, problems in which participants describe using 11 self-motivational techniques are examined. This study uses data from a six-week observational study, where 18 participants responded to brief mobile questionnaires five times during workdays. At the end of the study, individual interviews took place, which will be analysed with thematic analysis. The most frequently used techniques among the participants were goal setting, supporting others and obtaining support. Next, by interpreting different situations for which self-motivational techniques were used, I identified eight themes concerning problems: self-doubt, negative mindset, boring tasks, inability to change tasks, managing chaos, feeling stuck, need of social interaction and negative social interruptions. One technique could be used for solving different problems. The results of the research question, on how the participants describe their use of the techniques, show three main themes: self-management choice guided by self-concept, effects of study participation, and interconnectedness, and five sub-themes. The results show that the participants’ ways of managing their motivation were affected by e.g. their self- concept, their work role and the study participation. Moreover, in some cases, the participants did not separate between self-motivational techniques and regular work behaviour and that some aspects of the techniques led to uncertainty, such as how the participants had interpreted having used them and whether it was done consciously or not. In conclusion, the results shed light on how these techniques have been used and understood, which might have implications for how future research can study how employees can manage their own motivation. This study is among the first qualitative studies to investigate how people use self-enactable techniques to improve their quality of work motivation.
  • Holmgren, Nathalie Christine (Helsingin yliopisto, 2019)
    To nations of the 21st century, the concept known as nation branding has become a common way to encounter economic, political, and social issues. However, many researchers question whether nation branding actually makes a difference during more serious circumstances, such as an economic crisis. This study looks at the branding strategies of the Greek National Tourism Organization (GNTO) during the crisis years 2010–2015, with the aim of achieving a better understanding of how nation branding is conducted during a crisis. The research questions were the following: What were the nation-branding strategies of Greece during the crisis years 2010–2015? Are there signs or mentions of the crisis in the strategies? How does the Greek nation branding correspond to the findings of previous research? The data used in the study consists of strategic documents by the GNTO and the Greek Ministry of Tourism, and was collected from the website of GNTO as well as the European Commission (EC). The data was thematically analyzed based on the dimensions of Anholt’s nation-brand hexagon. The texts were first coded according to the predetermined themes (Tourism, People, Culture & Heritage, Investment & Immigration, Governance, and Exports), after which the branding under each theme was further studied. The analysis revealed that the branding strategies of the GNTO to a great extent corresponded to the findings of previous research, and the six nation-brand dimensions appeared to be clearly visible in the strategies. The Tourism theme was the most prominent theme in the data, followed by Culture & Heritage and People. Governance and Exports can be said to be the least common themes in the 2010–2015 strategies. In addition to the six nation-brand dimensions, a crisis perspective was added to the analysis. The Crisis theme was more visible than expected based on the theory of the economic crisis taboo. There was little to none economic crisis taboo to be found in the material. Future studies could look deeper into the ways that the crisis affected the Greek nation brand and vice versa. Examining the work of GNTO and other Greek organizations further to see to what extent these actors cooperate in the building of Brand Greece would also be beneficial.
  • Barbashina, Emma (Helsingin yliopisto, 2020)
    This study analyses the refugees’ activity during the integration period in Finland within the framework of acts of citizenship proposed by the British theorist Engin Isin. The purpose is to investigate what acts of citizenship refugees perform to constitute themselves as citizens and what factors prevent them from pursuing acts of citizenship as well as to examine the influence of moving to the Capital region on constituting refugees as citizens. The method of qualitative interview is used for this study. Thirteen interviews, including two paired ones, were conducted between June and October 2019. The interviewees were selected among the clients of the Immigrant Services of the city of Espoo on the criterion of moving to this city after living in another municipality outside the Capital Region of Finland. The results show that during their integration process, refugees are focused on performing the following acts that enable them to constitute themselves as citizens: Finnish language learning, job search, political activity and establishment of social relations. The analysis also shows that the lack of integration conditions outside the Finnish Capital Region and difficulties in obtaining available social services prevent refugees from constituting themselves as citizens during their integration. This research points to the differences in integration conditions in different regions of Finland and brings to the conclusion that although there are organizations providing guidance on access to the Finnish social security system, the understanding of Finnish bureaucracy among the refugee population remains a big challenge. The study also demonstrates that refugees are not passive, but rather put an effort to improve their situation, take the initiative, and thus change the common perception of a refugee.
  • Palsola, Minttu; Renko, Elina; Kostamo, Katri; Lorencatto, Fabiana; Hankonen, Nelli (2020)
    Objectives Intervention participants' responses to and engagement with interventions are a key intermediate step between interventions and intended outcomes. The aim of this study was to qualitatively investigate crucial aspects of engagement, namely acceptability (experienced cognitive and emotional responses to the intervention), receipt (comprehension of intervention content), and skill enactment (skill performance in target settings), within the Let's Move It, a multi-component school-based physical activity intervention. Design A longitudinal qualitative study embedded in a cluster-randomized trial, with individual interviews of purposefully sampled intervention participants immediately post-intervention (n = 21) and at 14 months (n = 14). Methods Semi-structured interviews were analysed using thematic analysis. Abductive coding process was taken to identify categories for themes. Results The analysis resulted in 12 themes and 18 subthemes. Overall, participants reported perceived effectiveness of and affective attitude towards the intervention (acceptability) and understood the main messages and skills (receipt). For example, findings indicated comprehension of the non-judgemental nature and choice-providing messages of the intervention underpinned by self-determination theory. Despite reporting understanding how and why to perform the skills, not using them was a highlighted theme (skill enactment), particularly for self-regulatory techniques such as planning. Friends' role as key self-motivation technique was a prevalent theme. In the within-individual analysis, three different engager types were identified: positive, ambivalent, and negative. Conclusion Identifying misunderstandings and difficulties in skill acquisition can help interpret main trial outcomes and inform further intervention optimization. This study provides an example of how to use thematic analysis to assess acceptability, receipt, and enactment in interventions.
  • Brunila, Mikael (Helsingin yliopisto, 2019)
    Since the beginning of the housing crisis in Spain in 2008, la Plataforma por Afectados de la Hipoteca (PAH) has grown to become one of the most dynamic and powerful social movements in the country. In my Master’s thesis, I use theories from political economy, Cultural-Historical Activity Theory (CHAT), and a minor reading of the work of political philosopher Benedict de Spinoza, to look at the path two people who were “affected by mortgage” took from emotional and financial distress towards collective and transformative agency. Instead of leap-frogging from the personal crisis of our informants to the point of empowerment, I utilise the concept of expansive learning to dwell on the different stages in the process. Through the Spinozan concept of affects and contemporary neuropsychological theories of emotion, I distinguish between different instances of emotion and affect that the informants express as they reflect over how they chose to challenge the banks demanding that they give up their homes. Through collectively processing the hierarchies associated with debt and money, and by expanding the object of their activities from merely overcoming an untenable situation with their mortgage to a wider, shared framework of mutual aid, the informants show how expansive learning in the context of PAH appears as a joyful sensation of an increased capacity to act upon the world together with others. In this framework, expansive learning can, following Spinoza, be understood as a formation of common notions, as people who are dispossessed or risk dispossession encounter each other to find shared ground in their experiences and move from lonely, sad, and passive affects to a joyful and active feeling of collective power. To understand this process, I use thematic analysis together with a theory of affect and emotion to show how phases in the cycle of learning can be understood as successive transitions towards a joyful capacity to act upon the world together with others. Finally, I look at how the intrusion of global financial actors has imposed a serious threat and challenge to this local process of empowerment.