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Song L, Liu C, Zhou Y, Ju C, Luo Q, Cheng J, Huang D, Chen H, Chen J, Tan W, Hu X, Liu Y, Smith GD. Experiences and Understanding of Well-Being in Lung Transplant Recipients in China: A Phenomenological Qualitative Study. J Adv Nurs 2025; 81:2535-2545. [PMID: 39333017 DOI: 10.1111/jan.16479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2024] [Revised: 09/01/2024] [Accepted: 09/06/2024] [Indexed: 09/29/2024]
Abstract
AIM To explore lung transplant recipients' perceptions of well-being when they are facing uncertain health outcomes, including identifying the factors to enhance well-being. DESIGN A qualitative descriptive study. METHODS A purposive sample of 11 lung transplantation recipients who were hospitalised in the Department of Organ Transplantation of a tertiary university hospital was recruited in China. A descriptive qualitative study using thematic analysis of semistructured interviews. Themes were organised within a PERMA model. Colaizzi's qualitative analysis was used to analyse the data. RESULTS Five major themes and 11 categories were generated: (1) mindset shift [optimism and hope and living in the moment]; (2) meaning in life [self-care, priority change and value realisation]; (3) health benefits [improved health and behavioural changes]; (4) perceived support [support from family, the health care team and others]; (5) unmet support needs. CONCLUSION Lung transplant recipients could perceive well-being from five aspects that caused significantly favourable transformation across a variety of aspects in patients' lives. These findings may support nursing staff when caring for this patient group, making them aware of multifaceted nature of well-being. They could offer insight into potential pathways for the development of nurse-led tailored interventions, based on specific elements of PERMA model. IMPACT This work adds to a growing body of knowledge about well-being amongst lung transplant patients. These findings may support nursing staff when caring for this patient group, making them aware of multifaceted nature of well-being and illustrating factors that promote positive well-being in this group, based on specific elements of PERMA model. REPORTING METHOD This study followed the Consolidated Criteria for Reporting Qualitative Research checklist. PATIENT OR PUBLIC CONTRIBUTION Two lung transplant recipients were involved in the early phases of this study. They helped in formulating the interview outline.
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Affiliation(s)
- Liqin Song
- School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong, China
- Department of Nursing, First People's Hospital of Foshan, Foshan, Guangdong, China
| | - Chunqin Liu
- School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong, China
| | - Ying Zhou
- School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong, China
- Department of Nursing, Guangzhou Hua Shang College, The School of Health and Medicine, Guangzhou, Guangdong, China
| | - Chunrong Ju
- Department of Nursing, National Center for Respiratory Medicine, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China
| | - Qing Luo
- School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong, China
| | - Jing Cheng
- Department of Nursing, National Center for Respiratory Medicine, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China
| | - Danxia Huang
- Department of Nursing, National Center for Respiratory Medicine, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China
| | - Huifang Chen
- School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong, China
| | - Jiani Chen
- School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong, China
| | - Wenying Tan
- School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong, China
| | - Xinyang Hu
- School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong, China
| | - Yimeng Liu
- School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong, China
| | - Graeme D Smith
- School of Health Sciences, Caritas Institute of Higher Education, Hong Kong, SAR, China
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Wasmuth S, Rattray NA, Cheng P, Crow S, Myers J, Burns DS, Myers LJ, Hook B, Lustig A, Perkins AJ, Cheatham AJ, Bravata DM. A developmental formative evaluation of a pilot participatory music program for veterans with housing insecurity. BMC Public Health 2023; 23:1583. [PMID: 37596545 PMCID: PMC10439562 DOI: 10.1186/s12889-023-16427-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2022] [Accepted: 07/31/2023] [Indexed: 08/20/2023] Open
Abstract
BACKGROUND Interventions are needed to improve well-being and promote community reintegration among Veterans with housing insecurity. The objective was to conduct a developmental formative evaluation of a participatory music program. METHODS This single-site, pilot study implemented a participatory music program at a U.S. Department of Veterans Affairs (VA) Homeless Domiciliary that included one-hour sessions (group music instruction and ensemble playing), 3 times per week for 3 months. Intervention development was guided by the Model of Human Occupation (MOHO). Evaluation was guided by the MOHO and the Consolidated Framework for Implementation Evaluation (CFIR). Qualitative data were collected via semi-structured interviews from participants and non-participants, and were analyzed using an interdisciplinary, constant comparison qualitative analysis technique. RESULTS Sixteen program participants and 8 non-participants were enrolled, age range 26-59 (mean 41; standard deviation, 11) years; 75% were White. The sample for this study (N = 12) included five participants and seven non-participants. Semi-structured interview responses produced three salient themes illuminating Veterans' perspectives: (1) key characteristics of the intervention (the relative advantage of the participatory program over other problem-focused programs; the importance of a supportive, encouraging teaching; the group setting; the role of music); (2) the therapeutic power of the program (based on it being enjoyable; and serving as an escape from preoccupations); and (3) the context and culture (which included Veterans supporting each other and the Domiciliary setting). CONCLUSIONS Veterans described the benefits of a participatory music intervention compared to problem-based groups, which included enjoyment, skill acquisition facilitating pride, escape, reconnecting with their identity prior to current problems, and experiencing positive aspects of Veteran culture such as mutual support and discipline. These data support ongoing research about participatory music programs to support Veterans with housing insecurity.
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Affiliation(s)
- Sally Wasmuth
- Department of Occupational Therapy, Indiana University-Purdue University, Indianapolis, IN, USA
| | - Nicholas A Rattray
- Department of Veteran Affairs, Health Services Research and Development (HSR&D) Precision Monitoring to Transform Care (PRISM) Quality Enhancement Research Initiative (QUERI), United States, Richard L. Roudebush VA Medical Center, HSR&D Mail Code 11H, 1481 West 10th Street, IN, 46202, Indianapolis, USA
- HSR&D Center for Health Information and Communication (CHIC), United States Department of Veteran Affairs, Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA
- Department of Internal Medicine, Indiana University School of Medicine, Indianapolis, IN, USA
- Department of Anthropology, Indiana University-Purdue University, Indianapolis, IN, USA
| | - Phillip Cheng
- School of Medicine, Indiana University, IN, Indianapolis, USA
| | - Shannon Crow
- Department of Veteran Affairs, Health Services Research and Development (HSR&D) Precision Monitoring to Transform Care (PRISM) Quality Enhancement Research Initiative (QUERI), United States, Richard L. Roudebush VA Medical Center, HSR&D Mail Code 11H, 1481 West 10th Street, IN, 46202, Indianapolis, USA
| | - Jennifer Myers
- Department of Veteran Affairs, Health Services Research and Development (HSR&D) Precision Monitoring to Transform Care (PRISM) Quality Enhancement Research Initiative (QUERI), United States, Richard L. Roudebush VA Medical Center, HSR&D Mail Code 11H, 1481 West 10th Street, IN, 46202, Indianapolis, USA
- HSR&D Center for Health Information and Communication (CHIC), United States Department of Veteran Affairs, Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA
| | - Debra S Burns
- Department of Music and Arts Technology, Indiana University-Purdue University, Indianapolis, IN, USA
| | - Laura J Myers
- Department of Veteran Affairs, Health Services Research and Development (HSR&D) Precision Monitoring to Transform Care (PRISM) Quality Enhancement Research Initiative (QUERI), United States, Richard L. Roudebush VA Medical Center, HSR&D Mail Code 11H, 1481 West 10th Street, IN, 46202, Indianapolis, USA
- HSR&D Center for Health Information and Communication (CHIC), United States Department of Veteran Affairs, Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA
- Department of Internal Medicine, Indiana University School of Medicine, Indianapolis, IN, USA
| | - Brittany Hook
- United States Department of Veteran Affairs, Domiciliary Care for Homeless Veterans Program (DCHV), IN, Indianapolis, USA
| | - Anne Lustig
- United States Department of Veteran Affairs, Domiciliary Care for Homeless Veterans Program (DCHV), IN, Indianapolis, USA
| | - Anthony J Perkins
- Department of Veteran Affairs, Health Services Research and Development (HSR&D) Precision Monitoring to Transform Care (PRISM) Quality Enhancement Research Initiative (QUERI), United States, Richard L. Roudebush VA Medical Center, HSR&D Mail Code 11H, 1481 West 10th Street, IN, 46202, Indianapolis, USA
- Department of Biostatistics, Indiana University School of Medicine, Indianapolis, IN, USA
| | - Ariel J Cheatham
- Department of Veteran Affairs, Health Services Research and Development (HSR&D) Precision Monitoring to Transform Care (PRISM) Quality Enhancement Research Initiative (QUERI), United States, Richard L. Roudebush VA Medical Center, HSR&D Mail Code 11H, 1481 West 10th Street, IN, 46202, Indianapolis, USA
- HSR&D Center for Health Information and Communication (CHIC), United States Department of Veteran Affairs, Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA
| | - Dawn M Bravata
- Department of Veteran Affairs, Health Services Research and Development (HSR&D) Precision Monitoring to Transform Care (PRISM) Quality Enhancement Research Initiative (QUERI), United States, Richard L. Roudebush VA Medical Center, HSR&D Mail Code 11H, 1481 West 10th Street, IN, 46202, Indianapolis, USA.
- HSR&D Center for Health Information and Communication (CHIC), United States Department of Veteran Affairs, Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA.
- Department of Internal Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
- Department of Neurology, Indiana University School of Medicine, Indianapolis, IN, USA.
- Regenstrief Institute, Indianapolis, IN, USA.
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Schiavio A, Nijs L. Implementation of a Remote Instrumental Music Course Focused on Creativity, Interaction, and Bodily Movement. Preliminary Insights and Thematic Analysis. Front Psychol 2022; 13:899381. [PMID: 35668984 PMCID: PMC9165424 DOI: 10.3389/fpsyg.2022.899381] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2022] [Accepted: 05/05/2022] [Indexed: 11/13/2022] Open
Abstract
In a newly designed collaborative online music course, four musical novices unknown to each other learned to play the clarinet starting from zero. Over the course of 12 lessons, a special emphasis was placed on creativity, mutual interaction, and bodily movement. Although addressing these dimensions might be particularly challenging in distance learning contexts, a thematic analysis of semi-structured interviews with the learners revealed how the teaching approach proposed has generally facilitated learning. Qualitative findings highlight the importance of establishing meaningful relationships with the musical instrument as well as with other students to build musicality, and of the interplay between creativity and control in individual and collective music-making activities. We suggest that remote music tuition with a small group can be a valuable resource to start learning music and that a creative, collaborative, and movement-based approach can contribute to musical growth.
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Affiliation(s)
- Andrea Schiavio
- Centre for Systematic Musicology, University of Graz, Graz, Austria
| | - Luc Nijs
- Institute of Psychoacoustics and Electronic Music (IPEM), Department of Art, Music, and Theatre Sciences, Ghent University, Ghent, Belgium
- CORPoREAL, Royal Conservatory of Antwerp, Antwerp, Belgium
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Xu Y, Wang Q, Zhang D, Lin P. The Influence of Sense of Place on Elementary School Students' Creativity During the COVID-19 Pandemic: The Mediating and Buffering Effects of Psychological Resilience. Front Psychol 2022; 13:775624. [PMID: 35558704 PMCID: PMC9088518 DOI: 10.3389/fpsyg.2022.775624] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2021] [Accepted: 03/23/2022] [Indexed: 12/18/2022] Open
Abstract
Purpose To understand the relationship between sense of place and creativity and the mechanisms that affect this relationship, the researchers constructed a mediation model to examine the effect of sense of place on creativity and the mediating role of psychological resilience in elementary school students during the COVID-19 pandemic. Methods A total of 1,711 students in an elementary school in Beijing, China, were surveyed using Chinese-language versions of the Sense of Place Scale, the Psychological Resilience Scale-Short Version, and the Innovative Behavior Inventory. SPSS (version 23) and PROCESS plug-in (version 3.3) were used for correlation and mediation analyses. Results (1) Correlation analysis revealed that sense of place was positively related to psychological resilience (r = 0.445, p < 0.01) and creativity (r = 0.590, p < 0.01). (2) Psychological resilience was also positively correlated with creativity (r = 0.625, p < 0.01). (3) Further, after controlling for gender and grade level, it was found that sense of place directly predicted creativity and that sense of place also indirectly predicted creativity through psychological resilience. The direct effect (0.45) and the mediating effect (0.23) accounted for 65.95 and 34.05% of the total effect, respectively. Conclusion The results demonstrate that sense of place is a positive predictor of creativity and can play a facilitating role to some extent. Moreover, psychological resilience is a mediating factor, acting as a buffer between sense of place and creativity. These results contribute to a more comprehensive understanding of the mechanisms influencing creativity.
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Affiliation(s)
- Yanhua Xu
- College of Resource Environment and Tourism, Capital Normal University, Beijing, China
| | - Qiaoling Wang
- College of Resource Environment and Tourism, Capital Normal University, Beijing, China.,Beijing Academy of Educational Sciences, Beijing, China
| | - Dongmei Zhang
- College of Resource Environment and Tourism, Capital Normal University, Beijing, China
| | - Peiying Lin
- College of Teacher Education, Capital Normal University, Beijing, China
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