PubMed Health⌕ Search

Biomedical subjects

R B Addison

Publications and source records attributed to R B Addison.

7 recordsLinked to original sources
PubMed1994

Desirable features of qualitative research.

Family medicine investigators are beginning to use qualitative approaches to research questions. This paper reviews guidelines for qualitative research from several social sciences, and summarizes discussions of "standards" for qualitative research among health professionals. From these sources, the authors propose desirable characteristics of qualitative research. These include values of empathy, collaboration, service, and moral sensitivity; characteristics of clarity and coherence; techniques of participatory dialogue, triangulation, purposeful sampling, and immersion in context; and outcomes of useful knowledge and behavior effectively shared with readers.

Ethics, Professional↗
PubMed1994

Studying burnout.

Explore the source record for details and available documents.

Burnout, Professional↗
PubMed1992

Comparison of support services offered by residencies in six specialties, 1979-80 and 1988-89.

The purpose of this study was to determine the availability of each of 19 support services offered by residencies in six specialties in 1988-89 and to compare the results with those of a similar survey performed a decade earlier. A questionnaire was sent to a random sample (576 residencies) of the nation's programs in family practice, internal medicine, obstetrics-gynecology, pediatrics, psychiatry, and surgery. Nearly all responding programs (493) scheduled residents on-call every third night or less frequently. Training programs in all the specialties studied, except pediatrics, offered fewer part-time residencies and, except psychiatry, offered more child care services. Night-shift rotations were used more often in internal medicine, obstetrics-gynecology, and pediatrics programs than in the other specialties. Family practice programs were more likely to offer support groups and various seminar-type experiences. Despite the recent attention to residents' working hours and conditions, many programs in many specialties do not yet offer a variety of commonly utilized, effective support services for residents during training. The authors conclude that with mounting pressure from legislative and regulating bodies, now is the time for the profession to voluntarily incorporate support services for residents into training programs.

Humans↗
PubMed1992

Support services for family practice residents.

BACKGROUND: Internship and residency are stressful experiences for physicians in training. Residency programs vary in their provision of supportive services for residents. METHODS: A random sample of 50% of the nation's family practice residency programs was surveyed to determine the prevalence of 19 support services, 10 of which were assessed a decade previously. Programs were also asked about on-call frequency, vacation benefits, and program size. RESULTS: Approximately 91% of the programs responded. The surveys indicated that residents were on call an average of once every four nights, a 10% decrease from a decade ago. The prevalence of three support services had increased over the last decade: seminars and speakers on the stresses and conflicts of being a physician, support groups for residents, and child care services. "Night-float" rotations and part-time residencies are the least offered support services of those studied. CONCLUSIONS: Support for family practice residents is increasing, yet in many cases remains inadequate.

Family Practice↗
PubMedDate not supplied

Toward a good death: an interpretive investigation of family practice residents' practices with dying patients.

BACKGROUND: Physicians' encounters with dying patients are often problematic. This study was designed to facilitate understanding of what happens when residents encounter dying patients. METHODS: The research involved observing and interviewing 28 family practice residents as they worked with dying patients. The primary research technique was that of a grounded interpretive investigation. RESULTS: We found that working toward a "good death" was a central theme of the residents' everyday actions. At critical points, however, two important forces steered residents away from this central theme: biomedical technology and anxiety. Residents reacted to these forces by distancing, moving back toward a good death, or moving further from a good death. CONCLUSION: Understanding the oscillating course toward a good death will help residents, medical educators, and other physicians deal with dying patients and their families in more meaningful and satisfying ways.

Attitude of Health Personnel↗