2f:I[703058,["/_next/static/immutable/chunks/3bhq_5eh1d760.js","/_next/static/immutable/chunks/1855-ogyi8eh4.js","/_next/static/immutable/chunks/2pfsjpn6k6zlg.js","/_next/static/immutable/chunks/26c7v3_3uwnwu.js","/_next/static/immutable/chunks/25a3ozcrvi1ff.js","/_next/static/immutable/chunks/2r4wx50nvjh_4.js","/_next/static/immutable/chunks/23fsw06hsi5b1.js","/_next/static/immutable/chunks/06_yt270h41rg.js","/_next/static/immutable/chunks/3ezsiz-7shkna.js","/_next/static/immutable/chunks/20x2y96ldu5wx.js","/_next/static/immutable/chunks/2lxntcm3pd1_h.js","/_next/static/immutable/chunks/00dgco8irq3jw.js","/_next/static/immutable/chunks/00nwe-kq0rboc.js","/_next/static/immutable/chunks/2051ffx3xzio9.js"],"PaperListPageClient"] 30:T767,On March 28, 2025, a 7.7-magnitude earthquake struck the Sagaing region of Myanmar, resulting in 3,816 deaths and 5,104 injured, with Mandalay Region sustaining the most severe damage. Singapore Emergency Medical Team (SGEMT), verified by the World Health Organization (WHO) in 2024 as a Type-1 fixed Emergency Medical Team (EMT), was deployed in response. This mixed-methods study reports on the patient case mix and operational challenges encountered during the deployment. Data were derived from daily situation reports, clinical health records consistent with the WHO minimum data set (MDS), post-deployment review proceedings, and unstructured interviews with administrative, clinical, and logistics leads.Deployment was delayed by diplomatic complexities and logistical challenges in freight transport. Clinical operations commenced on April 8, 2025 at Bahtoo Stadium, Mandalay, where SGEMT managed 1,803 patients over eight days. Quantitatively, 21.6% presented with direct earthquake-related injuries, 7.9% with conditions indirectly related to displacement, and 70.5% with chronic or unrelated conditions, reflecting patterns observed in other post-earthquake responses. Acute respiratory infections were the predominant infectious disease. Most patients were female, underscoring the importance of gender-sensitive approaches. The integration of a physiotherapist in a Type-1 facility, beyond WHO EMT minimum standards, enhanced clinical efficacy and rehabilitative capacity.Qualitatively, thematic analysis guided by the 4Cs of disaster partnering -coordination, cooperation, communication, and collaboration - revealed critical enablers and constraints within the Association of Southeast Asian Nations (ASEAN) humanitarian framework. Findings highlight the need to reinforce regional coordination mechanisms to strengthen future disaster response in complex geopolitical situations.31:T7f8,Abstract On March 28, 2025, a 7.7-magnitude earthquake struck the Sagaing region of Myanmar, resulting in 3,816 deaths and 5,104 injured, with Mandalay Region sustaining the most severe damage. Singapore Emergency Medical Team (SGEMT), verified by the World Health Organization (WHO) in 2024 as a Type-1 fixed Emergency Medical Team (EMT), was deployed in response. This mixed-methods study reports on the patient case mix and operational challenges encountered during the deployment. Data were derived from daily situation reports, clinical health records consistent with the WHO minimum data set (MDS), post-deployment review proceedings, and unstructured interviews with administrative, clinical, and logistics leads. Deployment was delayed by diplomatic complexities and logistical challenges in freight transport. Clinical operations commenced on April 8, 2025 at Bahtoo Stadium, Mandalay, where SGEMT managed 1,803 patients over eight days. Quantitatively, 21.6% presented with direct earthquake-related injuries, 7.9% with conditions indirectly related to displacement, and 70.5% with chronic or unrelated conditions, reflecting patterns observed in other post-earthquake responses. Acute respiratory infections were the predominant infectious disease. Most patients were female, underscoring the importance of gender-sensitive approaches. The integration of a physiotherapist in a Type-1 facility, beyond WHO EMT minimum standards, enhanced clinical efficacy and rehabilitative capacity. Qualitatively, thematic analysis guided by the 4Cs of disaster partnering –coordination, cooperation, communication, and collaboration – revealed critical enablers and constraints within the Association of Southeast Asian Nations (ASEAN) humanitarian framework. Findings highlight the need to reinforce regional coordination mechanisms to strengthen future disaster response in complex geopolitical situations.32:T8a5,In 2022 the Faculty of Pre-hospital Care (FPHC) report on "Valuing Staff, Valuing Patients" was published, outlining the need to "seek out and remedy secondary stressors", such as training burdens or financial costs. Since that original publication, COVID-19 and the increased demand for healthcare have presented additional challenges, and staff wellbeing remains an increasing concern. The aim of the FPHC Wellbeing Group was to develop a FPHC Wellbeing Charter, to put the recommendations of the report into practice in a document that outlines achievable measures for all pre-hospital organisations to improve their staff and volunteers' wellbeing. Questionnaires and focus groups, alongside a literature search and the original FPHC report were utilised to develop the Charter. This was led by the FPHC Wellbeing Group. Participants were sought from a range of pre-hospital organisations including National Health Service ambulance trusts, air ambulance organisations and voluntary organisations such as Mountain Rescue. The Charter has been reviewed by the FPHC Executive Committee. Two hundred eighty-one responses to the questionnaire were obtained and six focus groups were held representing the majority of pre-hospital organisations. As a result of this a FPHC Wellbeing Charter has been developed with four main sections: policies for a good organisation; facilities for a good organisation; support for colleagues in a good organisation and continued professional development, study leave and examination support in a good organisation. Within the policies section there are four sub-sections: rotas and rest; illness/return to work; patient outcome follow-up and parental leave (including maternity policies). The FPHC Wellbeing Charter outlines 'why' and 'how' organisations can take measures to improve their staff and volunteer's wellbeing. Much of the emphasis of the Charter is on reducing secondary stressors by improving simple things, recognising that whilst pre-hospital clinicians and volunteers are often involved in difficult events, daily stresses have a significant cumulative impact. It is anticipated that this will not be a static document; however, a minimum baseline has been set.33:Tb35,Abstract Background In 2022 the Faculty of Pre-hospital Care (FPHC) report on “Valuing Staff, Valuing Patients” was published, outlining the need to “seek out and remedy secondary stressors”, such as training burdens or financial costs. Since that original publication, COVID-19 and the increased demand for healthcare have presented additional challenges, and staff wellbeing remains an increasing concern. The aim of the FPHC Wellbeing Group was to develop a FPHC Wellbeing Charter, to put the recommendations of the report into practice in a document that outlines achievable measures for all pre-hospital organisations to improve their staff and volunteers’ wellbeing. Methods Questionnaires and focus groups, alongside a literature search and the original FPHC report were utilised to develop the Charter. This was led by the FPHC Wellbeing Group. Participants were sought from a range of pre-hospital organisations including National Health Service ambulance trusts, air ambulance organisations and voluntary organisations such as Mountain Rescue. The Charter has been reviewed by the FPHC Executive Committee. Results Two hundred eighty-one responses to the questionnaire were obtained and six focus groups were held representing the majority of pre-hospital organisations. As a result of this a FPHC Wellbeing Charter has been developed with four main sections: policies for a good organisation; facilities for a good organisation; support for colleagues in a good organisation and continued professional development, study leave and examination support in a good organisation. Within the policies section there are four sub-sections: rotas and rest; illness/return to work; patient outcome follow-up and parental leave (including maternity policies). Conclusion The FPHC Wellbeing Charter outlines ‘why’ and ‘how’ organisations can take measures to improve their staff and volunteer’s wellbeing. Much of the emphasis of the Charter is on reducing secondary stressors by improving simple things, recognising that whilst pre-hospital clinicians and volunteers are often involved in difficult events, daily stresses have a significant cumulative impact. It is anticipated that this will not be a static document; however, a minimum baseline has been set. 34:T459,A total of 32 participants were included in the study (mean [range] age, 32 [18-57] years; 17 transgender men, 11 transgender women, and 4 nonbinary participants). Ten participants (31%) self-rated their skin as currently clear or almost clear, 11 (34%) reported mild acne, and 11 (34%) had moderate to severe acne. Participants described experiences of rejection and bullying related to acne and admitted avoiding social interactions in which they anticipated acne-related discrimination, which led to feelings of depression and anxiety. Acne worsened body appearance dissatisfaction. Transgender women reported acne interfering with feminine gender expression. Transgender men often normalized acne development, sometimes viewing acne positively as an early sign of testosterone action. Most participants tried over-the-counter acne treatments and commonly sought acne treatment advice from physicians, peers, online forums, and social media. Barriers to acne treatments included cost, lack of multidisciplinary care, mistrust toward the health care system, and lack of transgender-specific acne care education.35:Ta92,While acne is common in transgender and gender-diverse people and is associated with gender-affirming hormone therapy, little research has examined these factors and their impact in gender minority groups. To examine the lived experiences of acne and acne treatment in transgender and gender-diverse participants. This mixed-methods analysis was conducted at a multidisciplinary gender center at a public safety-net hospital and endocrinology and dermatology clinics at a tertiary academic center from January 4, 2021, to April 7, 2022, using semistructured interviews and surveys. Participants were transgender or gender-diverse adults who had received gender-affirming hormone therapy. Data analysis was performed from November 11, 2021, to March 31, 2023. Current diagnosis of acne. Interviews exploring the experience of acne and acne treatment were audio recorded, transcribed verbatim, coded using minority stress theory and the socioecological model, and analyzed using thematic analysis. Themes were triangulated with survey data on gender, self-reported acne severity, skin-specific quality-of-life impact, and treatment experience. A total of 32 participants were included in the study (mean [range] age, 32 [18-57] years; 17 transgender men, 11 transgender women, and 4 nonbinary participants). Ten participants (31%) self-rated their skin as currently clear or almost clear, 11 (34%) reported mild acne, and 11 (34%) had moderate to severe acne. Participants described experiences of rejection and bullying related to acne and admitted avoiding social interactions in which they anticipated acne-related discrimination, which led to feelings of depression and anxiety. Acne worsened body appearance dissatisfaction. Transgender women reported acne interfering with feminine gender expression. Transgender men often normalized acne development, sometimes viewing acne positively as an early sign of testosterone action. Most participants tried over-the-counter acne treatments and commonly sought acne treatment advice from physicians, peers, online forums, and social media. Barriers to acne treatments included cost, lack of multidisciplinary care, mistrust toward the health care system, and lack of transgender-specific acne care education. In this mixed-methods study, transgender and gender-diverse individuals reported experiencing acne-related stigma and facing barriers to acne treatment. Multilevel changes, such as developing strategies to reduce acne stigma, providing transgender-specific acne care education, facilitating multidisciplinary acne care, and expanding transgender-friendly clinical environments, are recommended to reduce the impact of acne in transgender individuals.36:Td48,ImportanceWhile acne is common in transgender and gender-diverse people and is associated with gender-affirming hormone therapy, little research has examined these factors and their impact in gender minority groups.ObjectiveTo examine the lived experiences of acne and acne treatment in transgender and gender-diverse participants.Design, Setting, and ParticipantsThis mixed-methods analysis was conducted at a multidisciplinary gender center at a public safety-net hospital and endocrinology and dermatology clinics at a tertiary academic center from January 4, 2021, to April 7, 2022, using semistructured interviews and surveys. Participants were transgender or gender-diverse adults who had received gender-affirming hormone therapy. Data analysis was performed from November 11, 2021, to March 31, 2023.ExposureCurrent diagnosis of acne.Main Outcomes and MeasuresInterviews exploring the experience of acne and acne treatment were audio recorded, transcribed verbatim, coded using minority stress theory and the socioecological model, and analyzed using thematic analysis. Themes were triangulated with survey data on gender, self-reported acne severity, skin-specific quality-of-life impact, and treatment experience.ResultsA total of 32 participants were included in the study (mean [range] age, 32 [18-57] years; 17 transgender men, 11 transgender women, and 4 nonbinary participants). Ten participants (31%) self-rated their skin as currently clear or almost clear, 11 (34%) reported mild acne, and 11 (34%) had moderate to severe acne. Participants described experiences of rejection and bullying related to acne and admitted avoiding social interactions in which they anticipated acne-related discrimination, which led to feelings of depression and anxiety. Acne worsened body appearance dissatisfaction. Transgender women reported acne interfering with feminine gender expression. Transgender men often normalized acne development, sometimes viewing acne positively as an early sign of testosterone action. Most participants tried over-the-counter acne treatments and commonly sought acne treatment advice from physicians, peers, online forums, and social media. Barriers to acne treatments included cost, lack of multidisciplinary care, mistrust toward the health care system, and lack of transgender-specific acne care education.Conclusions and RelevanceIn this mixed-methods study, transgender and gender-diverse individuals reported experiencing acne-related stigma and facing barriers to acne treatment. Multilevel changes, such as developing strategies to reduce acne stigma, providing transgender-specific acne care education, facilitating multidisciplinary acne care, and expanding transgender-friendly clinical environments, are recommended to reduce the impact of acne in transgender individuals.25:[[["$","script","0",{"type":"application/ld+json","dangerouslySetInnerHTML":{"__html":"{\"@context\":\"https://schema.org\",\"@type\":\"CollectionPage\",\"name\":\"Mixed-Methods Study: study design Research & Clinical Takeaways\",\"description\":\"Explore peer-reviewed papers on Mixed-Methods Study (study design). Clinician-written summaries and actionable practice insights. 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Study is set within a single program (EDIFICE), so findings may not transfer to other healthcare systems. GP data came from open-ended questionnaires rather than in-depth interviews, which may reduce depth of professional insights.","practice_takeaway":"GPs should seek FH-specific training and establish clear referral links with lipid clinics before undertaking cascade testing. Providing patients with plain-language FH resources at diagnosis can reduce distress and improve understanding of the need for family testing."}},{"doi":"10.1007/s10896-026-01152-8","pmid":null,"title":"Placing Queer Voices at the Center of Methods: A Composite Character Approach for Representing LGBTQIASB + Lived Experiences of Violence","journal_title":"Journal of Family Violence","journal_issn":"0885-7482","published_at":"2026-08-17T00:00:00.000Z","url":"https://doi.org/10.1007/s10896-026-01152-8","source_score":5,"is_retracted":false,"is_open_access":true,"raw_metadata":{"pubmed":false,"crossref":true,"unpaywall":true},"created_at":"2026-08-29T06:19:07.907Z","updated_at":"2026-08-29T06:19:07.907Z","tags":[{"paper_doi":"10.1007/s10896-026-01152-8","tag_type":"age_group","value":"mixed","value_numeric":null},{"paper_doi":"10.1007/s10896-026-01152-8","tag_type":"category","value":"Psychology, Clinical","value_numeric":null},{"paper_doi":"10.1007/s10896-026-01152-8","tag_type":"condition","value":"Intimate Partner Violence","value_numeric":null},{"paper_doi":"10.1007/s10896-026-01152-8","tag_type":"condition","value":"Same-Sex Domestic Abuse","value_numeric":null},{"paper_doi":"10.1007/s10896-026-01152-8","tag_type":"impact_flag","value":"practice_changing","value_numeric":null},{"paper_doi":"10.1007/s10896-026-01152-8","tag_type":"level_of_evidence","value":"4","value_numeric":null},{"paper_doi":"10.1007/s10896-026-01152-8","tag_type":"sample_size","value":"n=746","value_numeric":746},{"paper_doi":"10.1007/s10896-026-01152-8","tag_type":"sex","value":"mixed","value_numeric":null},{"paper_doi":"10.1007/s10896-026-01152-8","tag_type":"study_design","value":"Mixed-Methods Study","value_numeric":null},{"paper_doi":"10.1007/s10896-026-01152-8","tag_type":"warning","value":"Focus group and interview samples are small (n=21 and n=67 respectively); qualitative themes are illustrative, not statistically representative.","value_numeric":null},{"paper_doi":"10.1007/s10896-026-01152-8","tag_type":"warning","value":"The paper metadata (DOI, journal, title) references a 2026 publication on composite character methodology for LGBTQIASB+ violence research, but the full text provided is actually a separate 2006 UK report by Donovan, Hester et al. on same-sex domestic abuse. The structured data extracted reflects the actual full text (the 2006 report), not the 2026 paper described in the abstract.","value_numeric":null},{"paper_doi":"10.1007/s10896-026-01152-8","tag_type":"warning","value":"The study predates the marriage equality era and major UK legal reforms; some institutional context may have shifted since publication.","value_numeric":null},{"paper_doi":"10.1007/s10896-026-01152-8","tag_type":"warning","value":"The survey sample is non-random and community-recruited, so prevalence estimates should not be interpreted as population-level figures.","value_numeric":null}],"summaries":{"what_studied":"A UK-wide multi-method study (2005–2006) comparing domestic abuse in same-sex vs. heterosexual relationships, using a community survey (n=746), five focus groups (n=21), and semi-structured interviews (n=67) with lesbian, gay, bisexual, and queer adults.","key_result":"Over one-third of same-sex survey respondents (38.4%) self-reported domestic abuse; 77.8% reported emotional abuse ever, 40.1% physical abuse ever, and 40.5% sexual abuse ever. Most survivors sought help informally (friends: 57.9%), while only 9% contacted police. About 22% sought no help at all.","limitations":"Sample was community-recruited (not random), so prevalence figures cannot be generalized to all same-sex couples. The survey was predominantly white (94.8%) and higher-income, limiting ethnic and socioeconomic diversity. Reliance on self-report and self-definition of abuse likely led to underreporting, especially for rape and emotional abuse.","practice_takeaway":"Clinicians and public agencies should not assume domestic abuse is a heterosexual-only problem — same-sex survivors rarely self-identify or seek formal help, often fearing disbelief or heterosexist responses. Training on same-sex domestic abuse and proactive, non-assumptive screening are needed across criminal justice, primary care, and LGBT services."}},{"doi":"10.1097/pec.0000000000003665","pmid":"42504117","title":"Caregiver Health Information-Seeking Behavior During Pandemics, Disasters, and Emergencies Within Pediatric Advocacy and Health Care Networks","journal_title":"Pediatric Emergency Care","journal_issn":"0749-5161","published_at":"2026-07-27T00:00:00.000Z","url":"https://doi.org/10.1097/pec.0000000000003665","source_score":1,"is_retracted":false,"is_open_access":false,"raw_metadata":{"pubmed":true,"crossref":true,"unpaywall":true},"created_at":"2026-08-01T13:21:58.827Z","updated_at":"2026-08-01T13:21:58.827Z","tags":[{"paper_doi":"10.1097/pec.0000000000003665","tag_type":"age_group","value":"pediatric","value_numeric":null},{"paper_doi":"10.1097/pec.0000000000003665","tag_type":"category","value":"Emergency Medicine","value_numeric":null},{"paper_doi":"10.1097/pec.0000000000003665","tag_type":"condition","value":"Emergency Preparedness","value_numeric":null},{"paper_doi":"10.1097/pec.0000000000003665","tag_type":"condition","value":"Pediatric Special Health Care Needs","value_numeric":null},{"paper_doi":"10.1097/pec.0000000000003665","tag_type":"impact_flag","value":"limited_evidence","value_numeric":null},{"paper_doi":"10.1097/pec.0000000000003665","tag_type":"level_of_evidence","value":"4","value_numeric":null},{"paper_doi":"10.1097/pec.0000000000003665","tag_type":"sample_size","value":"n=285","value_numeric":285},{"paper_doi":"10.1097/pec.0000000000003665","tag_type":"sex","value":"mixed","value_numeric":null},{"paper_doi":"10.1097/pec.0000000000003665","tag_type":"study_design","value":"Mixed-Methods Study","value_numeric":null},{"paper_doi":"10.1097/pec.0000000000003665","tag_type":"warning","value":"Recruitment through established advocacy networks (PPN, EMSC FAN, FVAOs) introduces selection bias toward already-engaged caregivers.","value_numeric":null},{"paper_doi":"10.1097/pec.0000000000003665","tag_type":"warning","value":"Sample is heavily skewed toward caregivers of children with special health care needs (88%), which may not reflect the general pediatric caregiver population.","value_numeric":null},{"paper_doi":"10.1097/pec.0000000000003665","tag_type":"warning","value":"Study design is labeled 'mixed-methods' (explanatory sequential); level of evidence assigned as 4 given the primarily descriptive, non-interventional nature.","value_numeric":null}],"summaries":{"what_studied":"This mixed-methods study examined how caregivers of children (88% caring for children with special health care needs) seek health information during pandemics, disasters, and emergencies, including source preferences and barriers, using a 21-item survey (n=285) and semistructured interviews (n=40) recruited through pediatric advocacy and health care networks from January–June 2024.","key_result":"Caregivers spent an average of 3.38 hours/week seeking health information; current top sources were professional/institutional relational (30.2%) and personal/social networks (29.6%), yet preferred sources were asynchronous professional/institutional (+45.7% gap) and online media/learning (+55.4% gap). Availability and cost were the top barriers for current sources, while preferred sources had notably fewer barriers (availability 4.9%, cost 5.6%, internet access 2.3%).","limitations":"Sample was recruited through established advocacy networks, likely overrepresenting engaged caregivers and those of children with special health care needs (88%), limiting generalizability. Geographic spread across 33 states but with only 48 rural respondents may underrepresent rural perspectives. Self-reported survey data are subject to recall bias.","practice_takeaway":"Clinicians and health systems should develop hybrid communication strategies—combining real-time professional access with flexible, asynchronous online resources—to better meet caregivers' needs during emergencies. Reducing cost and access barriers to preferred information channels could meaningfully narrow existing health information gaps, especially for families of children with special health care needs."}},{"doi":"10.1136/bmjsrh-2026-203347","pmid":"42481391","title":"Adolescents’ motivations for obtaining online medication abortion in the United States: a mixed-methods analysis","journal_title":"BMJ Sexual & Reproductive Health","journal_issn":"2515-1991","published_at":"2026-07-21T00:00:00.000Z","url":"https://doi.org/10.1136/bmjsrh-2026-203347","source_score":5,"is_retracted":false,"is_open_access":false,"raw_metadata":{"pubmed":true,"crossref":true,"unpaywall":true},"created_at":"2026-07-24T13:38:19.578Z","updated_at":"2026-07-24T13:38:19.578Z","tags":[{"paper_doi":"10.1136/bmjsrh-2026-203347","tag_type":"age_group","value":"adolescent","value_numeric":null},{"paper_doi":"10.1136/bmjsrh-2026-203347","tag_type":"category","value":"Obstetrics & Gynecology","value_numeric":null},{"paper_doi":"10.1136/bmjsrh-2026-203347","tag_type":"condition","value":"Medication Abortion","value_numeric":null},{"paper_doi":"10.1136/bmjsrh-2026-203347","tag_type":"condition","value":"Unwanted Pregnancy","value_numeric":null},{"paper_doi":"10.1136/bmjsrh-2026-203347","tag_type":"impact_flag","value":"limited_evidence","value_numeric":null},{"paper_doi":"10.1136/bmjsrh-2026-203347","tag_type":"level_of_evidence","value":"4","value_numeric":null},{"paper_doi":"10.1136/bmjsrh-2026-203347","tag_type":"modality","value":"Telehealth Abortion Service","value_numeric":null},{"paper_doi":"10.1136/bmjsrh-2026-203347","tag_type":"sample_size","value":"n=558","value_numeric":558},{"paper_doi":"10.1136/bmjsrh-2026-203347","tag_type":"sex","value":"female","value_numeric":null},{"paper_doi":"10.1136/bmjsrh-2026-203347","tag_type":"study_design","value":"Mixed-Methods Study","value_numeric":null},{"paper_doi":"10.1136/bmjsrh-2026-203347","tag_type":"warning","value":"The study draws from a single US telemedicine provider, which may skew motivations toward those already inclined to use online services. Findings may not generalize to adolescents who seek or complete in-person abortion care. Email content analysis was conducted on an unspecified 'subsample,' so the proportion analyzed is unclear.","value_numeric":null}],"summaries":{"what_studied":"This mixed-methods study examined why adolescents under 18 in all 50 US states chose an online asynchronous telemedicine service for medication abortion over in-person clinic care, using survey data and email content analysis from requests made July–November 2022.","key_result":"Of 558 adolescents over 5 months, the top motivations were privacy (66%), comfort at home (64%), secrecy from partner/family (64%), affordability of pills at home (47%), preference for self-managed care (47%), and wanting support from a partner/friend (45%); email communications also revealed cost and lack of credit card/digital payment access as added barriers.","limitations":"Single telemedicine service limits generalizability; self-selected sample may not represent all adolescents seeking online medication abortion; reliance on pre-selected reasons and anonymized emails limits depth of motivational data.","practice_takeaway":"Adolescents seeking medication abortion online are primarily driven by privacy needs and structural barriers—clinicians and telehealth services should address payment accessibility (e.g., alternative payment options) and cost to reduce disparities in access for this age group."}},{"doi":"10.1016/j.auec.2026.07.001","pmid":"42448527","title":"Nursing leadership in emergency and critical care settings: An explanatory mixed-method study","journal_title":"Australasian Emergency Care","journal_issn":"2588-994X","published_at":"2026-07-14T00:00:00.000Z","url":"https://doi.org/10.1016/j.auec.2026.07.001","source_score":1,"is_retracted":false,"is_open_access":false,"raw_metadata":{"pubmed":true,"crossref":true,"unpaywall":true},"created_at":"2026-07-19T13:39:56.362Z","updated_at":"2026-07-19T13:39:56.362Z","tags":[{"paper_doi":"10.1016/j.auec.2026.07.001","tag_type":"age_group","value":"adult","value_numeric":null},{"paper_doi":"10.1016/j.auec.2026.07.001","tag_type":"category","value":"Emergency Medicine","value_numeric":null},{"paper_doi":"10.1016/j.auec.2026.07.001","tag_type":"condition","value":"Critical Care","value_numeric":null},{"paper_doi":"10.1016/j.auec.2026.07.001","tag_type":"condition","value":"Emergency Care","value_numeric":null},{"paper_doi":"10.1016/j.auec.2026.07.001","tag_type":"condition","value":"Nursing Leadership","value_numeric":null},{"paper_doi":"10.1016/j.auec.2026.07.001","tag_type":"impact_flag","value":"limited_evidence","value_numeric":null},{"paper_doi":"10.1016/j.auec.2026.07.001","tag_type":"level_of_evidence","value":"4","value_numeric":null},{"paper_doi":"10.1016/j.auec.2026.07.001","tag_type":"modality","value":"Transformational Leadership","value_numeric":null},{"paper_doi":"10.1016/j.auec.2026.07.001","tag_type":"sample_size","value":"n=17","value_numeric":17},{"paper_doi":"10.1016/j.auec.2026.07.001","tag_type":"sex","value":"mixed","value_numeric":null},{"paper_doi":"10.1016/j.auec.2026.07.001","tag_type":"study_design","value":"Mixed-Methods Study","value_numeric":null},{"paper_doi":"10.1016/j.auec.2026.07.001","tag_type":"warning","value":"Full quantitative sample size is not reported in the abstract; only the qualitative phase size (n=17) is specified, so the sample_size tag reflects qualitative participants only.","value_numeric":null},{"paper_doi":"10.1016/j.auec.2026.07.001","tag_type":"warning","value":"Full text was inaccessible (publisher CAPTCHA block); summary is based solely on the abstract and results sections provided.","value_numeric":null},{"paper_doi":"10.1016/j.auec.2026.07.001","tag_type":"warning","value":"Study is set in a single hospital in Honduras — findings may not generalize broadly to other low-income or high-income healthcare systems.","value_numeric":null}],"summaries":{"what_studied":"This mixed-method study examined self-reported leadership behavior among emergency and critical care nurses at a tertiary public hospital in Honduras, analyzing factors associated with transformational leadership and related organizational outcomes.","key_result":"Humanized care was a positive predictor of transformational leadership (p = 0.042), while self-perceived clinical experience (p = 0.001) and teamwork incentive (p = 0.013) were negatively associated with it; qualitative themes identified structural barriers including workload, staffing shortages, and organizational culture constraints.","limitations":"- Study conducted in a single tertiary hospital in Honduras, limiting generalizability even within low-income settings.\n- Sample size for the qualitative phase was small (n=17 interviews), which may not capture full range of experiences.\n- Full quantitative sample size is not reported in the abstract, making effect size interpretation difficult.","practice_takeaway":"In resource-limited emergency and critical care settings, fostering humanized care practices may support transformational nursing leadership more than relying on clinical experience alone. Nurse managers should advocate for structural reforms — adequate staffing, supervision, and organizational culture change — alongside leadership education."}},{"doi":"10.1136/bmjresp-2025-003761","pmid":"42230301","title":"Integrating interstitial lung abnormality detection into lung cancer screening: a mixed methods approach for care pathway development","journal_title":"BMJ Open Respiratory Research","journal_issn":"2052-4439","published_at":"2026-06-02T00:00:00.000Z","url":"https://doi.org/10.1136/bmjresp-2025-003761","source_score":2,"is_retracted":false,"is_open_access":true,"raw_metadata":{"pubmed":true,"crossref":true,"unpaywall":true},"created_at":"2026-06-10T14:24:18.273Z","updated_at":"2026-06-10T14:24:18.273Z","tags":[{"paper_doi":"10.1136/bmjresp-2025-003761","tag_type":"age_group","value":"adult","value_numeric":null},{"paper_doi":"10.1136/bmjresp-2025-003761","tag_type":"category","value":"Respiratory System","value_numeric":null},{"paper_doi":"10.1136/bmjresp-2025-003761","tag_type":"condition","value":"Interstitial Lung Abnormality","value_numeric":null},{"paper_doi":"10.1136/bmjresp-2025-003761","tag_type":"condition","value":"Interstitial Lung Disease","value_numeric":null},{"paper_doi":"10.1136/bmjresp-2025-003761","tag_type":"impact_flag","value":"limited_evidence","value_numeric":null},{"paper_doi":"10.1136/bmjresp-2025-003761","tag_type":"level_of_evidence","value":"4","value_numeric":null},{"paper_doi":"10.1136/bmjresp-2025-003761","tag_type":"sample_size","value":"n=86","value_numeric":86},{"paper_doi":"10.1136/bmjresp-2025-003761","tag_type":"sex","value":"mixed","value_numeric":null},{"paper_doi":"10.1136/bmjresp-2025-003761","tag_type":"study_design","value":"Mixed-Methods Study","value_numeric":null},{"paper_doi":"10.1136/bmjresp-2025-003761","tag_type":"warning","value":"Findings reflect the Alberta, Canada healthcare context (publicly funded, universal system with PCPs managing LCS incidental findings); applicability to other healthcare systems may be limited.","value_numeric":null},{"paper_doi":"10.1136/bmjresp-2025-003761","tag_type":"warning","value":"The study captures clinician perspectives only — no patient outcomes data are reported, limiting direct clinical impact assessment.","value_numeric":null},{"paper_doi":"10.1136/bmjresp-2025-003761","tag_type":"warning","value":"The total sample size of n=86 combines survey respondents and interviewees across three clinician groups; these are not independent cohorts and should not be treated as a single patient sample.","value_numeric":null}],"summaries":{"what_studied":"This mixed-methods study surveyed and interviewed PCPs (n=20 surveys, 9 interviews), respirologists (n=39 surveys, 10 interviews), and radiologists (8 interviews) in Alberta, Canada (May–December 2024) to assess current practice patterns, knowledge gaps, and the need for a standardised care pathway for interstitial lung abnormalities (ILAs) detected through lung cancer screening (LCS).","key_result":"61% of PCPs had never heard of the term ILA, and only 13% felt comfortable managing ILAs; 64% of respirologists lacked a standardised ILA management approach; yet 100% of PCPs and 79% of respirologists supported developing a standardised referral pathway. Key barriers included heterogeneous radiology reporting (ILAs documented in the impression section in only ~50–57% of cases per cited literature), knowledge gaps in ILA natural history, and limited healthcare capacity.","limitations":"- Self-selected participants may over-represent physicians with prior interest in ILD, introducing selection bias.\n- Findings are specific to Alberta's publicly funded healthcare system, limiting generalisability to other settings.\n- Radiologists were excluded from the survey component, so quantitative data on their practice patterns are absent.","practice_takeaway":"Most PCPs and respirologists lack standardised ILA knowledge and management protocols, so clinicians involved in LCS programmes should expect to receive ILA referrals they may feel unprepared for. Ensuring ILAs are consistently flagged in the **impression section** of radiology reports and developing clear, evidence-based referral pathways are immediate actionable steps to reduce care gaps."}},{"doi":"10.1111/pai.70366","pmid":"42219663","title":"Demanding, but definitely worth it! A mixed‐methods study on parental experiences with early‐life oral immunotherapy","journal_title":"Pediatric Allergy and Immunology","journal_issn":"0905-6157","published_at":"2026-05-31T00:00:00.000Z","url":"https://doi.org/10.1111/pai.70366","source_score":1,"is_retracted":false,"is_open_access":true,"raw_metadata":{"pubmed":true,"crossref":true,"unpaywall":true},"created_at":"2026-06-10T14:24:15.061Z","updated_at":"2026-06-10T14:24:15.061Z","tags":[{"paper_doi":"10.1111/pai.70366","tag_type":"age_group","value":"child","value_numeric":null},{"paper_doi":"10.1111/pai.70366","tag_type":"age_group","value":"infant","value_numeric":null},{"paper_doi":"10.1111/pai.70366","tag_type":"category","value":"Allergy","value_numeric":null},{"paper_doi":"10.1111/pai.70366","tag_type":"condition","value":"Food Allergy","value_numeric":null},{"paper_doi":"10.1111/pai.70366","tag_type":"impact_flag","value":"confirms_prior","value_numeric":null},{"paper_doi":"10.1111/pai.70366","tag_type":"level_of_evidence","value":"3","value_numeric":null},{"paper_doi":"10.1111/pai.70366","tag_type":"modality","value":"Oral Immunotherapy","value_numeric":null},{"paper_doi":"10.1111/pai.70366","tag_type":"sample_size","value":"n=124","value_numeric":124},{"paper_doi":"10.1111/pai.70366","tag_type":"sex","value":"mixed","value_numeric":null},{"paper_doi":"10.1111/pai.70366","tag_type":"study_design","value":"Mixed-Methods Study","value_numeric":null},{"paper_doi":"10.1111/pai.70366","tag_type":"warning","value":"The age range 'under 3 years' spans neonates through toddlers; both 'infant' and 'child' age group tags are applied as the paper does not report a precise age breakdown.","value_numeric":null},{"paper_doi":"10.1111/pai.70366","tag_type":"warning","value":"The level of evidence is rated 3 given the non-randomized prospective design with no comparator group; the mixed-methods label encompasses both quantitative questionnaire data and a small qualitative focus group (n=10), so qualitative findings should be interpreted with caution regarding generalizability.","value_numeric":null}],"summaries":{"what_studied":"This sequential explanatory mixed-methods study assessed the feasibility of early oral immunotherapy (eOIT, started <3 years of age) from a parental perspective, enrolling parents of 124 children with 189 treated food allergies from the ORKA prospective intervention study, using anxiety questionnaires, monthly feasibility questionnaires, daily adherence diaries, and post-treatment focus groups.","key_result":"Parents reported low anxiety (mean STAI score 32.6/80), high confidence, and positive feasibility ratings (mean score 16.1–23.6/60); adherence was 96.7% during dose escalation and 94.7% during maintenance, with a 9.7% dropout rate. Five qualitative themes emerged: driven by hope, the hidden burden, navigating obstacles, guiding hands, and gratitude in the journey.","limitations":"Focus groups included only 10 participants, limiting qualitative breadth. The study draws from a single prospective intervention (ORKA), which may select for more motivated families. No control group was used to compare parental experiences with standard avoidance management.","practice_takeaway":"eOIT in children under 3 is feasible with high adherence and parental buy-in, but clinicians should proactively address the emotional and practical burden — especially at treatment initiation — through structured education, hands-on dosing guidance, and psychosocial support."}},{"doi":"10.1071/py25276","pmid":"42093044","title":"How a community-engaged therapeutic garden immersion shapes rural intentions among medical students and strengthens student–community partnerships","journal_title":"Australian Journal of Primary Health","journal_issn":"1448-7527","published_at":"2026-05-07T00:00:00.000Z","url":"https://doi.org/10.1071/py25276","source_score":1,"is_retracted":false,"is_open_access":true,"raw_metadata":{"pubmed":true,"crossref":true,"unpaywall":true},"created_at":"2026-05-17T13:21:41.240Z","updated_at":"2026-05-17T13:21:41.240Z","tags":[{"paper_doi":"10.1071/py25276","tag_type":"age_group","value":"adult","value_numeric":null},{"paper_doi":"10.1071/py25276","tag_type":"category","value":"Primary Health Care","value_numeric":null},{"paper_doi":"10.1071/py25276","tag_type":"condition","value":"Medical Education","value_numeric":null},{"paper_doi":"10.1071/py25276","tag_type":"condition","value":"Rural Workforce Maldistribution","value_numeric":null},{"paper_doi":"10.1071/py25276","tag_type":"impact_flag","value":"limited_evidence","value_numeric":null},{"paper_doi":"10.1071/py25276","tag_type":"level_of_evidence","value":"4","value_numeric":null},{"paper_doi":"10.1071/py25276","tag_type":"modality","value":"Community-Engaged Learning","value_numeric":null},{"paper_doi":"10.1071/py25276","tag_type":"sample_size","value":"n=32","value_numeric":32},{"paper_doi":"10.1071/py25276","tag_type":"sex","value":"mixed","value_numeric":null},{"paper_doi":"10.1071/py25276","tag_type":"study_design","value":"Mixed-Methods Study","value_numeric":null},{"paper_doi":"10.1071/py25276","tag_type":"warning","value":"Sample size reflects 22 students plus 10 community members (total n=32 participants); the n=32 tag covers both groups combined. Study cohort had high baseline rural interest, which may limit generalisability to less rural-inclined student populations. No control group or longitudinal outcome data were available to confirm lasting impact on rural career choices.","value_numeric":null}],"summaries":{"what_studied":"A mixed-methods study evaluated a short, community-engaged therapeutic gardening immersion for Year 3 medical students (n=22) in two rural Western Australian Wheatbelt towns, assessing effects on rural career intentions, community partnerships, and understanding of social determinants of health.","key_result":"20 of 22 students had high baseline rural interest; post-immersion, students reported reduced social distance, stronger belonging, clearer insight into rural social determinants, and positive professional identity development. Community members noted tangible outputs and students acting as social catalysts, but flagged need for sustained planning and resources.","limitations":"Small single-cohort sample (n=22 students, n=10 community members) limits generalisability; no longitudinal follow-up to confirm whether rural career intentions translated into actual rural practice; high baseline rural interest may have introduced selection bias.","practice_takeaway":"A brief garden-based rural immersion can build student–community relationships and contextual learning about health determinants in a short time. Program designers should co-create tasks with host communities, plan logistics early, and build recurring partnership cycles to sustain gains."}},{"doi":"10.1111/add.70410","pmid":"42029003","title":"Characterizing public comments via Regulations.gov in response to proposed cannabis rescheduling in the United States","journal_title":"Addiction","journal_issn":"0965-2140","published_at":"2026-04-24T00:00:00.000Z","url":"https://doi.org/10.1111/add.70410","source_score":43,"is_retracted":false,"is_open_access":false,"raw_metadata":{"pubmed":true,"crossref":true,"unpaywall":true},"created_at":"2026-05-09T13:22:37.450Z","updated_at":"2026-05-09T13:22:37.450Z","tags":[{"paper_doi":"10.1111/add.70410","tag_type":"age_group","value":"mixed","value_numeric":null},{"paper_doi":"10.1111/add.70410","tag_type":"category","value":"Psychiatry","value_numeric":null},{"paper_doi":"10.1111/add.70410","tag_type":"condition","value":"Cannabis Use","value_numeric":null},{"paper_doi":"10.1111/add.70410","tag_type":"condition","value":"Substance Use Policy","value_numeric":null},{"paper_doi":"10.1111/add.70410","tag_type":"impact_flag","value":"practice_changing","value_numeric":null},{"paper_doi":"10.1111/add.70410","tag_type":"level_of_evidence","value":"4","value_numeric":null},{"paper_doi":"10.1111/add.70410","tag_type":"modality","value":"Drug Policy / Regulatory Classification","value_numeric":null},{"paper_doi":"10.1111/add.70410","tag_type":"sample_size","value":"n=42913","value_numeric":42913},{"paper_doi":"10.1111/add.70410","tag_type":"sex","value":"mixed","value_numeric":null},{"paper_doi":"10.1111/add.70410","tag_type":"study_design","value":"Mixed-Methods Study","value_numeric":null},{"paper_doi":"10.1111/add.70410","tag_type":"warning","value":"Public comments are a self-selected, non-representative sample; findings reflect engaged commenters, not the broader U.S. population or patient population.","value_numeric":null},{"paper_doi":"10.1111/add.70410","tag_type":"warning","value":"The 'impact_flag' of practice_changing is applied loosely here — this is a policy/public opinion study, not a clinical trial; its influence on practice is indirect.","value_numeric":null},{"paper_doi":"10.1111/add.70410","tag_type":"warning","value":"Thematic justification percentages are derived from only 200 manually annotated comments, so confidence intervals for some subgroups (e.g., opponents, n=7) are very wide and should be interpreted cautiously.","value_numeric":null}],"summaries":{"what_studied":"A mixed-methods analysis of 42,913 public comments submitted to Regulations.gov (May–July 2024) in response to the DEA's proposal to reschedule cannabis from Schedule I to Schedule III, examining sentiment (support, oppose, or insufficient) and thematic justifications using manual coding and LLM-based classification.","key_result":"Most comments (63.50%, 95% CI 63.06–63.99%) found the Schedule III proposal insufficient and favored further rescheduling or full de-scheduling; 28.85% supported it; only 6.74% opposed it. Supporters cited therapeutic benefits (56.7%) and economic impacts (27.8%); opponents cited public health risks (100%), addictiveness (71.4%), and underage use concerns (57.1%).","limitations":"Public comments on Regulations.gov are self-selected and not representative of the general population. LLM classification, while validated at 88% agreement (F1=0.86), may still misclassify nuanced comments. Manual thematic coding was limited to 200 sampled comments, yielding wide confidence intervals for some subgroups.","practice_takeaway":"Clinicians and policymakers should note that public discourse strongly favors going beyond Schedule III — therapeutic access, criminal justice reform, and economic factors dominate pro-change arguments, while addiction and youth safety concerns anchor opposition. 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Themes included rejection/bullying, avoidance of social situations, depression/anxiety, worsened body appearance dissatisfaction, interference with feminine expression (transgender women), normalization as a sign of testosterone action (transgender men), common use of over-the-counter treatments, advice-seeking from clinicians/peers/online sources, and barriers such as cost, lack of multidisciplinary care, mistrust of the health system, and limited transgender-specific acne education.","practice_takeaway":"Screen for acne-related stigma and mental health effects in transgender and gender-diverse patients on gender-affirming hormones, and proactively address treatment barriers. Provide transgender-specific acne education, coordinate multidisciplinary care, and foster transgender-friendly clinical environments as recommended."}}],"initialOffset":14,"fetchConfig":{"kind":"tags","tags":[{"tag_type":"study_design","value":"Mixed-Methods Study"}]},"breadcrumbItems":[{"name":"Home","href":"/"},{"name":"Research Hub","href":"/hub"},{"name":"Study Designs","href":"/hub/tag/study_design"},{"name":"Mixed-Methods Study"}],"hrefConfig":{"basePath":"/hub/papers","webViewQueryParams":{"hub_ctx":"tag","hub_tag_type":"study_design","hub_tag_value":"Mixed-Methods Study"}}}]]

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