Instruction of assignment:

Qualitative Analyses You have been provided with excerpts from transcripts evaluating the experience of being hospitalized. You are to code the transcripts and identify the common themes that emerge. With the themes identified, you are to write up your qualitative findings remembering to tell the story- describe what the theme is, how it appeared and give illustrations supporting what you are describing. This assignment will develop your skills in data coding and categorization in order to describe the essence or meaning from qualitative data. You are being given short responses from multiple individuals - the actual data set would be much larger. This is a qualitative study looking at the phenomenon of the "patient experience" while being hospitalized. The purpose of the study is to gather information as to how patients view the experience- what do they perceive as excellent and what do they perceive as problematic. The overall research question is "What is the experience of quality care for adult patients hospitalized in an acute care facility? This assignment has three components and can be submitted in a single WORD document.

#1 In Vivo coding. Within theTranscript

Read the transcripts at least once with no coding at all- get familiar with the data. Complete line by line in-vivo coding of your data; use the transcript file itself. Use highlighting, and comments to provide the in-vivo coding. #2 A Diagram. Across Transcripts Look for similar findings across transcripts...these represent patterns in your data Collapse common codes together into categories and themes Present your themes making sure that you attach illustrations to theme as well as your own conceptual discussion.

#3 A Narrative. Tell the Story The paper is to be a presentation of the major findings from your analysis. It is to combine your personal analysis (themes, categories and codes) with extracted illustrations to support your analysis. It should be written making sure you are answering the research question(s).

Transcript:

I appreciate your taking the time to speak with me. As I said before, we are interested in hearing about your experience with your recent hospitalization- what you thought worked and what you thought didn't. Our goal is to better understand the patient experience so that we can be constantly improving.

First, I am interested in understanding what you might think excellent care is. Can you reflect on your most recent hospitalization and share when you thought the care was excellent?

This is the first time I was at this hospital and it was a different experience. Everyone was so professional- from the physicians to nurses to the nursing assistants. It was as if they really cared about who I was and what I wanted. When I came in they asked me if I wanted to wear a hospital gown or would I be more comfortable in my own clothes- have you ever heard such a thing? I of course did not want the hospital gown- I hate that feeling of flapping in the wind- it is humiliating. But right from the beginning they asked me- what was I expecting from the hospitalization. Was there anything they could do for me that would ease the experience for me? I told them - I just want to make sure that I was not in a lot of pain. I can't tell you how many times nurses came in and asked me about my pain. Whether it was being managed to my expectations. They included me in the conversation about how I was doing. I never suffered.

Another thing that was excellent was that I rarely had to ask for information- it was routinely given. When nurses made rounds, when they came in to give medications- they were always giving me information- one nurse she explained my blood results and told me what it meant in terms of my condition- like what did it mean that my hemoglobin was going down- she explained it in relation to the bleeding I was having and how they would be watching it to see if I needed blood. I never had to ask about what was happening as it was automatically shared. That is so different- usually you have to beg to be listened to and get the information you need.

Can you provide any examples of when you were not satisfied or not happy with the care you were receiving?

Not really. But I would suggest... knock on the door before you come in- people would come into my room day and night and it feels like I was being invaded.