1
|
Yakın D, Arntz A. Understanding the reparative effects of schema modes: an in-depth analysis of the healthy adult mode. Front Psychiatry 2023; 14:1204177. [PMID: 37941965 PMCID: PMC10628052 DOI: 10.3389/fpsyt.2023.1204177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Accepted: 09/15/2023] [Indexed: 11/10/2023] Open
Abstract
Objectives Evidence in favor of schema therapy's effectiveness in treating personality disorders is growing. One of the central and recently popular concepts of schema therapy is schema modes [i.e., temporary emotional-cognitive-behavioral states resulting from the activation of early maladaptive schemas (EMSs)]. A key aspect herein is self-reparenting, i.e., a healing relationship between the healthy adult (HA, i.e., compassionate and healthy emotional states, and functional dealing with reality) and the child modes (i.e., representation of fragile and hurt feelings and dysfunctional coping). Through an in-depth qualitative analysis, we aimed to better understand the components of the HA that enable self-reparenting. Method Purposive sampling procedures were used to recruit eligible participants (n = 10) with relatively strong HA modes, as determined by high scores on positive affect and satisfaction with life measures and low scores on EMSs and psychopathological symptom measures. Semi-structured 45- to 60-min face-to-face interviews were conducted individually, in which individuals were asked to help the child modes reflected in the pictures. Interviews were then analyzed using deductive thematic analysis in MaxQDA. Results and discussion The analysis revealed three superordinate themes comprising of a total of 10 group themes: (1) bonding between HA and the vulnerable child modes ("Bond"); (2) balancing expression and inhibition of adult and child mode emotions ("Balancing"); and (3) opposing demanding and critical voices and maladaptive coping styles ("Battle"). Furthermore, a strong HA mode seems to have a reciprocal relationship with the child modes: the HA gives nurturance and protection to the child modes, and the child modes boost up the HA with spontaneity and happiness. In conclusion, emotional stability and resilience may be highest when HA-child mode interaction happens bidirectionally; when the child modes get reparented by the HA, and the HA is informed by the child modes.
Collapse
Affiliation(s)
- Duygu Yakın
- Department of Clinical Psychology, University of Amsterdam, Amsterdam, Netherlands
| | | |
Collapse
|
2
|
Lochner C, Prochwicz K, Grünblatt E. Editorial: Obsessive-compulsive related disorders (OCRD) across the lifespan. Front Psychiatry 2023; 14:1296074. [PMID: 37867764 PMCID: PMC10588464 DOI: 10.3389/fpsyt.2023.1296074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Accepted: 09/27/2023] [Indexed: 10/24/2023] Open
Affiliation(s)
- Christine Lochner
- SAMRC Unit on Risk and Resilience in Mental Disorders, Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
| | - Katarzyna Prochwicz
- Institute of Psychology, Faculty of Philosophy, Jagiellonian University, Kraków, Poland
| | - Edna Grünblatt
- Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric University Hospital Zurich, University of Zurich, Zürich, Switzerland
- Neuroscience Center Zurich, University of Zurich and the ETH Zurich, Zürich, Switzerland
- Zurich Center for Integrative Human Physiology, University of Zurich, Zürich, Switzerland
| |
Collapse
|
3
|
Mulaw GF, Masresha SA, Feleke FW. Exploring Barriers to Vitamin A Supplementation Uptake and Program Implementation Among Children Aged 6-59 Months in Ethiopia: A Qualitative Approach. Int J Public Health 2023; 68:1606167. [PMID: 37841973 PMCID: PMC10572360 DOI: 10.3389/ijph.2023.1606167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Accepted: 09/15/2023] [Indexed: 10/17/2023] Open
Abstract
Background: Children in Ethiopia do not receive the recommended dose of vitamin A supplementation (VAS). Objective: This study aimed to explore the barriers to VAS uptake and program implementation among children aged 6-59 months in Ethiopia. Methods: Data were collected qualitatively using focus group discussions and in-depth interviews. The data were audio-recorded, transcribed, and inductively coded. The results were displayed using thematic analysis and the well-spoken verbatim of the respondents. Results: The barriers to VAS uptake were low parental awareness of the program and low interest or motivation, low promotion of the program among health professionals, an excessive workload for health extension workers, and low professional attention to VAS compared to other health services. Conclusion: Both client-side and supply-side issues posed significant obstacles to the uptake of VAS. It is important to educate mothers about VAS. Health workers should receive refresher training to raise their level of concern about VAS's importance and its schedule. It's crucial to initiate outreach programs for remote communities. The departmentalization of health extension packages will improve service and access.
Collapse
Affiliation(s)
- Getahun Fentaw Mulaw
- Department of Public Health, College of Health Sciences, Woldia University, Woldia, Ethiopia
| | | | | |
Collapse
|
4
|
Kartsoni E, Bakalis N, Markakis G, Zografakis-Sfakianakis M, Patelarou E, Patelarou A. Distance Learning in Nursing Education during the COVID-19 Pandemic: Psychosocial Impact for the Greek Nursing Students-A Qualitative Approach. Healthcare (Basel) 2023; 11:healthcare11081178. [PMID: 37108012 PMCID: PMC10138316 DOI: 10.3390/healthcare11081178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Revised: 04/06/2023] [Accepted: 04/17/2023] [Indexed: 04/29/2023] Open
Abstract
(1) Background: The COVID-19 pandemic posed a major threat to global health and on the educational field. The purpose of this study is to identify and illustrate the psychosocial adaptation of nursing students to the sudden and exclusive application of distance learning during the COVID-19 pandemic; (2) Methods: A qualitative interview research has been designed. Two focus groups of seven members each and six individual interviews were conducted in a sample of undergraduate nursing students in Greece from 3 March 2021, to 9 April 2021.; (3) Results: A qualitative thematic analysis of the data identified six themes: 1. Challenges; 2. Concerns; 3. Social changes; 4. Negative Emotions; 5. Evaluation; and 6. Teaching strategies.; (4) Conclusions: During its implementation, it identified gaps and weaknesses in the entire academic community. The study of the psychosocial adaptation of the academic community is considered crucial, as it can highlight the individual difficulties in distance learning and contribute to the improvement of the methods of its the improvement of its methods.
Collapse
Affiliation(s)
- Evangelia Kartsoni
- Department of Nursing, School of Health Sciences, Hellenic Mediterranean University, 71410 Heraklion, Greece
| | - Nikolaos Bakalis
- Department of Nursing, School of Health Rehabilitation Sciences, University of Patras, 26504 Patra, Greece
| | - George Markakis
- Department of Social Work, School of Health Sciences, Hellenic Mediterranean University, 71410 Heraklion, Greece
| | | | - Evridiki Patelarou
- Department of Nursing, School of Health Sciences, Hellenic Mediterranean University, 71410 Heraklion, Greece
| | - Athina Patelarou
- Department of Nursing, School of Health Sciences, Hellenic Mediterranean University, 71410 Heraklion, Greece
| |
Collapse
|
5
|
Palal D, Jadhav SL, Gangurde S, Thakur K, Rathod H, S J, Verma P, Nallapu S, Revikumar A, Nair GR. People's Perspective on Out-of-Pocket Expenditure for Healthcare: A Qualitative Study From Pune, India. Cureus 2023; 15:e34670. [PMID: 36909087 PMCID: PMC9993438 DOI: 10.7759/cureus.34670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/02/2023] [Indexed: 02/08/2023] Open
Abstract
Background Out-Of-Pocket Expenditure (OOPE) directly reflects the burden of health expenses that households bear. Despite the availability of social security schemes providing healthcare benefits, a high proportion of Indian households are still incurring OOPE. In order to recognize the reasons behind OOPE, a comprehensive understanding of people's attitudes and behavior is needed. Methodology By purposive sampling, 16 in-depth interviews were conducted using an interview guide in the catchment area of urban and rural health centers of a tertiary healthcare hospital. Interviews were conducted in Marathi and Hindi and were audio tape-recorded after taking informed consent. The interviews were transcribed and translated into English, followed by a thematic analysis. Results Although most participants knew that government hospitals provide facilities and experienced doctors, inconvenience and unsatisfactory quality deter them from utilizing government facilities. A few had experiences with government schemes; almost all concur that the formality and procedure of claiming insurance are cumbersome and all have had bad experiences. Cost of medications and consultation accounted for the majority of the healthcare expenditures. While some participants had benefitted from insurance, few regretted not enrolling in one. Conclusion The awareness regarding government schemes was derisory. Government-financed health insurance schemes and their utilization are crucial to reducing OOPE. Efforts should be made to increase accessibility to public healthcare services. Nevertheless, there is potential to redress the barriers to improve scheme utilization.
Collapse
Affiliation(s)
- Deepu Palal
- Community Medicine, Dr. D. Y. Patil Medical College Hospital and Research Centre, Pune, IND
| | - Sudhir L Jadhav
- Community Medicine, Dr. D. Y. Patil Medical College Hospital and Research Centre, Pune, IND
| | - Shweta Gangurde
- Community Medicine, Dr. D. Y. Patil Medical College Hospital and Research Centre, Pune, IND
| | - Kavita Thakur
- Community Medicine, Dr. D. Y. Patil Medical College Hospital and Research Centre, Pune, IND
| | - Hetal Rathod
- Community Medicine, Dr. D. Y. Patil Medical College Hospital and Research Centre, Pune, IND
| | - Johnson S
- Community Medicine, Dr. D. Y. Patil Medical College Hospital and Research Centre, Pune, IND
| | - Prerna Verma
- Community Medicine, Dr. D. Y. Patil Medical College Hospital and Research Centre, Pune, IND
| | - Sandeep Nallapu
- Community Medicine, Dr. D. Y. Patil Medical College Hospital and Research Centre, Pune, IND
| | - Akhil Revikumar
- Community Medicine, Dr. D. Y. Patil Medical College Hospital and Research Centre, Pune, IND
| | - Gayatri R Nair
- Community Medicine, Dr. D. Y. Patil Medical College Hospital and Research Centre, Pune, IND
| |
Collapse
|
6
|
Teixeira DN, Narciso I, Henriques MR. Driving for Success in Family Reunification-Professionals' Views on Intervention. Int J Environ Res Public Health 2022; 19:16594. [PMID: 36554475 PMCID: PMC9778863 DOI: 10.3390/ijerph192416594] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 12/02/2022] [Accepted: 12/05/2022] [Indexed: 06/17/2023]
Abstract
Family reunification is a complex process and is consensually considered the best solution for children in care, as soon as the family has changed the dysfunctional patterns that prevent child safety and well-being. Intervention throughout the entire process is crucial to the success of family reunification. This study aimed to explore and understand child protection professionals' views on factors influencing (un)successful family reunification trajectories. Using a qualitative design, 33 Portuguese child protection professionals participated in five focus groups. The thematic analysis revealed a set of influential factors within three different systemic levels: child, family, and child welfare system. The latter level was clearly predominant, pointing to the powerful role of the intervention as a vehicle for successful family reunification. The results showed the relevance attributed by the professionals to some main intervention guidelines, children-professionals' relationships, multisystemic assessment and intervention, coordinated work of intervention teams, and sufficient time between the court decision and the child's re-entry into the family home. The need for early intervention and its continuity after the child's reintegration into the home also emerged as relevant factors. This study provides in-depth knowledge of professionals' views on the intervention process, thus contributing to a comprehensive understanding of (un)successful family reunification trajectories.
Collapse
Affiliation(s)
- Diana N. Teixeira
- Center for Psychology at University of Porto (CPUP), Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal
| | - Isabel Narciso
- Research Center for Psychological Science (CICPsi), Faculty of Psychology, University of Lisbon, Alameda da Universidade, 1649-013 Lisboa, Portugal
| | - Margarida R. Henriques
- Center for Psychology at University of Porto (CPUP), Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal
| |
Collapse
|
7
|
Effa C, Al Onazi MM, Spencer N, Pritchard L, Fletcher I, McNeely ML. Exploring the validity of the body image scale with survivors of breast cancer: A cognitive interview approach. Eur J Cancer Care (Engl) 2022; 31:e13717. [PMID: 36168095 DOI: 10.1111/ecc.13717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2021] [Revised: 07/24/2022] [Accepted: 09/01/2022] [Indexed: 11/27/2022]
Abstract
OBJECTIVE The aim of this study is to explore the construct validity of the Body Image Scale for Cancer Questionnaire (BIS) using cognitive interviews. METHODS Twelve breast cancer survivors participated in a cognitive interview while completing the BIS. Each participant was asked to think-out-loud while answering items, and an interviewer asked probing questions relating to the participants' comprehension, example retrieval, certainty of answer and other decision-making factors. Interviews were audio recorded and transcribed, and the data were analysed deductively and inductively. RESULTS The participants' interpretations of the questions varied significantly. Several participants perceived the phrasing of some questions to be leading. The participants were able to provide examples of how their physical, physiological and body function affected their body image. The participants expressed positive attitudes towards, and gratitude for their body, which was not captured by the questionnaire. At times, the participants felt uncertain in how to respond appropriately to specific items, and the participants found some items challenging to answer. Finally, the BIS included sensitive questions that elicited emotional reactions and discomfort for some participants. CONCLUSION The findings of this study provide insight into, and suggestions for potential questionnaire revisions that may enhance the validity and relevance of the BIS for use with breast cancer survivors.
Collapse
Affiliation(s)
- Corrie Effa
- Faculty of Rehabilitation Medicine, Department of Physical Therapy, University of Alberta, Edmonton, Alberta, Canada
| | - Mona M Al Onazi
- Faculty of Rehabilitation Medicine, Department of Physical Therapy, University of Alberta, Edmonton, Alberta, Canada
| | - Nancy Spencer
- Faculty of Kinesiology, Sport and Recreation, University of Alberta, Edmonton, Alberta, Canada
| | - Lesley Pritchard
- Faculty of Rehabilitation Medicine, Department of Physical Therapy, University of Alberta, Edmonton, Alberta, Canada
| | - Ian Fletcher
- Clinical Psychology, Division of Health Research, Lancaster University, Lancaster, UK
| | - Margaret L McNeely
- Faculty of Rehabilitation Medicine, Department of Physical Therapy, University of Alberta, Edmonton, Alberta, Canada.,Department of Oncology, Cross Cancer Institute, University of Alberta, Edmonton, Alberta, Canada
| |
Collapse
|
8
|
Mahaffey BL, Tilley JL, Molina LK, Gonzalez A, Park E, Lobel M. "How am I going to make it through pregnancy?" A qualitative examination of prenatal maternal stress. Birth 2022; 49:253-260. [PMID: 34655239 PMCID: PMC9157395 DOI: 10.1111/birt.12598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/08/2020] [Accepted: 09/15/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND Prenatal maternal stress (PNMS) is common among childbearing women, and there is substantial evidence that persistent high levels of stress during pregnancy are associated with adverse birth outcomes and poorer postpartum mental health. Therefore, the purpose of this study was to examine the idiographic experiences of women who experienced elevated PNMS during their current or most recent pregnancy. METHODS Six focus groups were conducted, and data were collected from 26 women (n = 16 pregnant and n = 10 postpartum) at a large medical center in the United States (US). Data from the semi-structured focus group prompts were analyzed by two independent raters using conventional content analysis21 . RESULTS Three key themes emerged from the data: (1) Navigating Changing Circumstances, (2) Being a "Good" Mother, and (3) Loss of Control and Autonomy. DISCUSSION The current study offers one of the first in-depth examinations of the experiences of highly stressed pregnant women using a qualitative approach and identifies stressors rarely described in quantitative research. These findings suggest that women's ability to prioritize their self-care, and receive structural/institutional supports in the workplace and instrumental support at home, and overall health literacy promote successful coping with stress and highlight important future directions for intervention.
Collapse
Affiliation(s)
| | | | | | | | - Elyse Park
- Massachusetts General Hospital, Department of Psychiatry
| | - Marci Lobel
- Stony Brook University, Department of Psychology
| |
Collapse
|
9
|
Ullah A, Graue M, Haugstvedt A. Adolescent's Experiences with Diabetes Self-Management and the Use of Carbohydrate Counting in Their Everyday Life with Type 1 Diabetes. Patient Prefer Adherence 2022; 16:887-896. [PMID: 35411133 PMCID: PMC8994650 DOI: 10.2147/ppa.s354696] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2021] [Accepted: 02/26/2022] [Indexed: 12/02/2022] Open
Abstract
AIM The aim of this study was to describe adolescents' experiences with diabetes self-management and the use of carbohydrate counting as a tool for calculating insulin doses in everyday life with type 1 diabetes. METHODS We used a qualitative study design. Individual interviews were conducted with 14 adolescents (seven boys and seven girls, aged 16-18 years) with type 1 diabetes by using a semi-structured interview guide. We used purposive sampling, recruiting the participants from one paediatric outpatient clinic in Norway. Thematic analysis was used for the data analysis. FINDINGS We identified two main themes, each comprising three subthemes: (1) "Diabetes treatment is difficult but can be well adapted" with subthemes "Diabetes influences my entire life, with a lot of fuss and takes time", "Having diabetes turned out to be manageable", and "Need some help and support, but not too much"; (2) "Carbohydrate counting is useful but often not used" with subthemes "One counts the carbs, then the pump calculates the insulin doses", "Carbohydrate counting gives better blood glucose, but I do not always bother to use it", and "After a while, one just uses one's own experience.". CONCLUSION The study showed that adolescents with type 1 diabetes experienced that the diabetes treatment influenced their entire life in a substantial manner. Nevertheless, the demands of the disease and the treatment tasks were perceived very differently. Some articulated that carbohydrate counting was appreciated as a suitable tool for dosing insulin and optimizing glycaemic control. Others did not use carbohydrate counting at all and described to use their own experience. The findings support the importance of individualizing diabetes follow-up and adapt the training in treatment tools to everyone's situation and preferences.
Collapse
Affiliation(s)
- Aisha Ullah
- Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway
- Department of Paediatrics, Innlandet Hospital, Elverum, Norway
| | - Marit Graue
- Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway
| | - Anne Haugstvedt
- Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway
- Correspondence: Anne Haugstvedt, Email
| |
Collapse
|
10
|
Koliouli F, Issari P, Mitrou A. Lived experiences of Idiopathic Inflammatory Bowel Disease (IBD) patients and the perceived impact of the COVID-19 pandemic. J Health Psychol 2021; 27:1379-1393. [PMID: 34875898 DOI: 10.1177/13591053211059382] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
Abstract
The aim of this qualitative, experiential study is to explore the lived experiences of Idiopathic Inflammatory Bowel Disease (IBD) patients related to psycho-emotional, social, and professional dimensions of their lives in general and, secondly, how they are affected by the COVID-19 pandemic. Semi-structured interviews were conducted online on a sample of 10 IBD Greek-speaking patients by the end of the first lockdown period in Greece (June 2020). Thematic Analysis was employed. Research findings include participant psycho-emotional experiences, perceived social and work-related implications of the IBD disease, social support, and perceived positive outcomes in patients' lives, before and during the COVID-19 pandemic.
Collapse
Affiliation(s)
| | - Philia Issari
- National and Kapodistrian University of Athens, Greece
| | | |
Collapse
|
11
|
Couture-Wilhelmy L, Chaubet P, Gadais T. Winning Conditions for the Adoption and Maintenance of Long-Term Healthy Lifestyles According to Physical Activity Students. Int J Environ Res Public Health 2021; 18:ijerph182111057. [PMID: 34769580 PMCID: PMC8583117 DOI: 10.3390/ijerph182111057] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Revised: 10/04/2021] [Accepted: 10/05/2021] [Indexed: 11/21/2022]
Abstract
The literature has not yet well documented the relative elements of the adoption of healthy lifestyle habits (HLHs) over the long term. More especially, researchers are calling to complete the corpus with qualitative or mixed estimates that would allow them to better explain the conditions necessary for the adoption or maintenance of HLHs over the long term. The present study seeks to understand the winning conditions for the adoption and maintenance of HLHs. Semi-structured group interviews were conducted with three groups of university students (two in Bachelor’s degree in physical education (PE) and one in Master’s degree in physical activity science), all in favor with HLHs. The results identify some dominant winning conditions in the adoption and maintenance of HLHs, such as the role of the family environment, the role of diversity and choice in physical activities during youth, the physical and social environment, autonomy and also mental health, which is closely linked with physical health. Results were modelled in the form of an ideal pathway, which traces the impact of winning conditions from childhood to adulthood. The originality of this study stands out, among other things, because of its innovative methodology; therefore, this study opens the door to future qualitative research in the field. Investigating pathways, considering the different phases of development of children and adolescents to identify factors of change and maintenance of HLHs now seems to be an interesting and necessary avenue for research in the field.
Collapse
Affiliation(s)
- Laurence Couture-Wilhelmy
- Département des Sciences de l’activité Physique, Université du Québec à Montréal, Montréal, QC H2X 1Y4, Canada; (L.C.-W.); (P.C.)
- Chaire UNESCO en Développement Curriculaire, Université du Québec à Montréal, Montréal, QC H2X 1Y4, Canada
- Centre de Recherche Interdisciplinaire sur la Formation et la Profession Enseignante (CRIFPE), Université du Québec à Montréal, Montréal, QC H2X 1Y4, Canada
| | - Philippe Chaubet
- Département des Sciences de l’activité Physique, Université du Québec à Montréal, Montréal, QC H2X 1Y4, Canada; (L.C.-W.); (P.C.)
- Chaire UNESCO en Développement Curriculaire, Université du Québec à Montréal, Montréal, QC H2X 1Y4, Canada
- Centre de Recherche Interdisciplinaire sur la Formation et la Profession Enseignante (CRIFPE), Université du Québec à Montréal, Montréal, QC H2X 1Y4, Canada
| | - Tegwen Gadais
- Département des Sciences de l’activité Physique, Université du Québec à Montréal, Montréal, QC H2X 1Y4, Canada; (L.C.-W.); (P.C.)
- Chaire UNESCO en Développement Curriculaire, Université du Québec à Montréal, Montréal, QC H2X 1Y4, Canada
- Centre de Recherche Interdisciplinaire sur la Formation et la Profession Enseignante (CRIFPE), Université du Québec à Montréal, Montréal, QC H2X 1Y4, Canada
- Correspondence: ; Tel.: +1-514-987-3000 (ext. 3704)
| |
Collapse
|
12
|
Richter S, Demirer I, Nocon M, Pfaff H, Karbach U. When do physicians perceive the success of a new care model differently? BMC Health Serv Res 2021; 21:1058. [PMID: 34615527 PMCID: PMC8495962 DOI: 10.1186/s12913-021-07061-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2020] [Accepted: 09/15/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The health care innovation "MamBo - people with multimorbidity in outpatient care: patient-focused and needs-oriented healthcare management" aims to improve the efficiency and quality of care for multimorbid patients by delegating tasks (e.g. taking over house calls or coordinating specialist appointments) to a monitoring and coordination assistant (MoniKa). Participating physicians are very important for the success of the health care innovation due to their direct involvement as practitioners and their task of enrolling patients. The aim of this part of the evaluation study is therefore to identify the physicians' personal values, which influence the individual perception of the project's advantages and thus possibly the acceptance and sustainable implementation of new care structures. METHODS Two Focus groups (n = 4; n = 6) and three individual interviews with general practitioners and specialists who decided to implement the health care innovation within the first year were conducted. The semi-structured guidelines were developed by the research team. The interviews were analysed according to the content analysis by Mayring. We used the learning model of operant conditioning to place our study results in a theoretical context. RESULT Two central personal values of the participants, which determine the desired advantages of the health care innovation were identified: More patient-oriented and more economic-oriented values. Participants with more patient-oriented values quickly perceived advantages, which seems to be beneficial for the acceptance of the new care structures. Economic-oriented participants tended to be more critical. The benefits of the health care innovation, which was expressed, for example, in an improvement of the practice routine, has not yet been perceived by this group, or only to a limited extent. CONCLUSIONS The results suggest that the respective values of the participants define the individual perceived advantages and thus, the assessment of the success of the health care innovation in general. These findings could be used in the implementation process by increasing the motivation of the project participants through typified supervision. TRIAL REGISTRATION The study has been registered in the German Clinical Trials Register ( DRKS00014047 ).
Collapse
Affiliation(s)
- Simone Richter
- University of Cologne, Faculty of Medicine and University Hospital Cologne, Faculty of Human Sciences, Institute for Medical Sociology, Health Services Research, and Rehabilitation Science, Eupener Strasse 129, 50933, Cologne, Germany.
| | - Ibrahim Demirer
- University of Cologne, Faculty of Medicine and University Hospital Cologne, Faculty of Human Sciences, Institute for Medical Sociology, Health Services Research, and Rehabilitation Science, Eupener Strasse 129, 50933, Cologne, Germany
| | - Maya Nocon
- University of Cologne, Faculty of Medicine and University Hospital Cologne, Faculty of Human Sciences, Institute for Medical Sociology, Health Services Research, and Rehabilitation Science, Eupener Strasse 129, 50933, Cologne, Germany
| | - Holger Pfaff
- University of Cologne, Faculty of Medicine and University Hospital Cologne, Faculty of Human Sciences, Institute for Medical Sociology, Health Services Research, and Rehabilitation Science, Eupener Strasse 129, 50933, Cologne, Germany
| | - Ute Karbach
- Department of Rehabilitation Sociology, Faculty of Rehabilitation Sciences, Technical University Dortmund, Dortmund, Germany
| |
Collapse
|
13
|
Bailey DE, Muir AJ, Cary MP, Ammarell N, Seaver S, Scirica E, Mah'moud M, Anderson RA. Adaptive Challenges and Family Support: Patient Self-Management during Treatment for Chronic Hepatitis C. Nurs Sci Q 2021; 34:405-412. [PMID: 34538181 DOI: 10.1177/08943184211031602] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The authors describe a family's adaptive challenges and adaptive work during a family member's treatment for Chronic Hepatitis C. We audiorecorded index and final clinical visits and interviewed participants (patients and providers) following the visits. We interviewed by telephone and reviewed medical records over the course of treatment. Transcripts were analyzed using directed content analysis. Three themes were identified: family adaptive challenges, patient-described aspects of family members' adaptive challenges, and family adaptive work. There were four subthemes related to family adaptive work. The adaptive leadership framework for chronic illness provided direction for future family intervention.
Collapse
Affiliation(s)
| | - Andrew J Muir
- Division of Gastroenterology, Duke University School of Medicine, Durham, NC, USA
| | | | | | - Sarah Seaver
- Baker Center for Primary Care, Linville, NC, USA
| | | | | | - Ruth A Anderson
- University of North Carolina-Chapel Hill, School of Nursing, Chapel Hill, NC, USA
| |
Collapse
|
14
|
Cerbin-Koczorowska M, Przymuszala P, Zielinska-Tomczak L, Wawrzyniak E, Marciniak R. Is there a time and place for health education in chain pharmacies? Perspectives of Polish community pharmacists. Health Soc Care Community 2021; 29:e56-e66. [PMID: 33247859 DOI: 10.1111/hsc.13242] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Revised: 09/22/2020] [Accepted: 11/01/2020] [Indexed: 06/12/2023]
Abstract
Pharmaceutical practice has evolved significantly from the provision of drugs to a more patient-centred model. However, the ownership structure of pharmacies may impact the level of cognitive services provided by them. The discrepancy may be observed between pharmacists' opinions on how involved they should get and their actual involvement in health promotion and disease prevention. Given the growing market share of pharmacy chains in Europe, this study aimed to investigate the attitudes of pharmacists employed in them towards their role as health educators. It applies Ajzen's theory of planned behaviour to examine pharmacists' perspectives with the use of semi-structured in-depth interviews. A total of 10 semi-structured face-to-face interviews were conducted in May 2017 among Polish pharmacists employed in chains. Obtained results showed that respondents welcomed the possibility of providing health education, but simultaneously they seek physicians' and patients' acceptance for undertaking this task. Competency gaps and unfavourable working conditions may also decrease pharmacists' intention to serve as health educators. Including the role of a health educator to the scope of the pharmacists' practice requires a precise definition of their competencies and responsibilities together with additional training aimed to fill potential gaps in their qualifications. The pharmacists' image as a health educator should also be widely communicated to patients and other healthcare professionals.
Collapse
Affiliation(s)
| | - Piotr Przymuszala
- Department of Medical Education, Poznan University of Medical Sciences, Poznan, Poland
| | | | | | - Ryszard Marciniak
- Department of Medical Education, Poznan University of Medical Sciences, Poznan, Poland
| |
Collapse
|
15
|
Bordeleau M, Léonard G, Gauthier L, Ferland CE, Backonja M, Vollert J, Marchand S, Jackson P, Cantin L, Prud’Homme M. Classification of Qualitative Fieldnotes Collected During Quantitative Sensory Testing: A Step Towards the Development of a New Mixed Methods Approach in Pain Research. J Pain Res 2021; 14:2501-2511. [PMID: 34434059 PMCID: PMC8380625 DOI: 10.2147/jpr.s301655] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2021] [Accepted: 06/16/2021] [Indexed: 11/23/2022] Open
Abstract
PURPOSE Quantitative sensory testing (QST) is a standardized method to assess somatosensory function. The collection of qualitative information, during the QST procedure, could be an interesting way to facilitate the characterization of altered sensory perception and the identification of different pain phenotypes. The aims of this study were 1) to classify qualitative fieldnotes of sensory abnormalities collected during an independent QST study, and 2) to generate a qualitative interview guide that could be included in the traditional QST procedure as a step towards the implementation of a mixed methods approach. PATIENTS AND METHODS QST data were collected from 48 chronic neuropathic pain patients treated with spinal cord stimulation (SCS). Three body areas, with or without SCS, were tested: the painful limb targeted by SCS, the contralateral area, and the ipsilateral upper limb. After each trial of each QST modality, patients were encouraged to report any sensory abnormalities they could identify with a pain quality scale or using their own words. RESULTS Qualitative self-reported sensory abnormalities were dichotomized into two groups: altered sensory intensities and altered sensory perceptions. Altered sensory intensities were classified as sensory loss or sensory gain subgroups. Altered sensory perceptions were classified as paresthesia and dysesthesia subgroups Overall, 630 qualitative fieldnotes of altered sensations were collected: 385 on the painful limb, 173 at the contralateral area, and 72 at the ipsilateral upper limb. Based on these qualitative data, we propose a standardized method to collect qualitative data involving 9 open- and close-ended questions and 21 codes. CONCLUSION Our findings have highlighted the value of qualitative sensory evaluation during QST and constitute an important milestone in the development of a mixed methods protocol in phenotyping research.
Collapse
Affiliation(s)
- Martine Bordeleau
- Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada
- Research Center on Aging, CIUSSS de l’Estrie-CHUS, Sherbrooke, QC, Canada
| | - Guillaume Léonard
- Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada
- Research Center on Aging, CIUSSS de l’Estrie-CHUS, Sherbrooke, QC, Canada
| | - Lynn Gauthier
- Department of Family and Emergency Medicine, Faculty of Medicine, Université Laval, Quebec City, QC, Canada
- Équipe de recherche Michel-Sarrazin en oncologie psychosociale et soins palliatifs, Quebec City, QC, Canada
- Oncology Division, CHU de Québec-Université Laval Research Center, Quebec City, QC, Canada
- Université Laval Cancer Research Center, Quebec City, QC, Canada
| | - Catherine Estelle Ferland
- Department of Anesthesia, McGill University, Montreal, QC, Canada
- Integrated Program in Neuroscience, McGill University, Montreal, QC, Canada
- Shriners Hospitals for Children-Canada, Montreal, QC, Canada
| | - Miroslav Backonja
- Department of Neurology, University of Wisconsin, Madison, WI, USA
- Department of Neurology, University of Washington, Seattle, WA, USA
| | - Jan Vollert
- Pain Research, MSK lab, Department of Surgery and Cancer, Imperial College London, London, UK
- Division of Neurological Pain Research and Therapy, Department of Neurology, University Hospital of Schleswig-Holstein, Campus Kiel, Kiel, Germany
- Department of Anaesthesiology, Intensive Care and Pain Medicine, University Hospital Muenster, Münster, Germany
- Neurophysiology, Mannheim Center of Translational Neuroscience (MCTN), Medical Faculty Mannheim, Heidelberg University, Heidelberg, Germany
| | - Serge Marchand
- Research Center on Aging, CIUSSS de l’Estrie-CHUS, Sherbrooke, QC, Canada
- Sherbrooke University Hospital Research Center (CRCHUS), Sherbrooke, QC, Canada
| | - Philip Jackson
- CIRRIS, Quebec City, QC, Canada
- CERVO Brain Research Center, Quebec City, QC, Canada
- School of Psychology, Laval University, Quebec City, QC, Canada
| | - Léo Cantin
- Centre de recherche du CHU de Québec – Université Laval, Axe neurosciences, Quebec City, QC, Canada
- Department of Surgery, Division of neurosurgery, CHU de Québec – Université Laval, Quebec City, QC, Canada
| | - Michel Prud’Homme
- Centre de recherche du CHU de Québec – Université Laval, Axe neurosciences, Quebec City, QC, Canada
- Department of Surgery, Division of neurosurgery, CHU de Québec – Université Laval, Quebec City, QC, Canada
| |
Collapse
|
16
|
Specht K, Primdahl J, Jensen HI, Elkjaer M, Hoffmann E, Boye LK, Thude BR. Frontline nurses' experiences of working in a COVID-19 ward-A qualitative study. Nurs Open 2021; 8:3006-3015. [PMID: 34324267 PMCID: PMC8441898 DOI: 10.1002/nop2.1013] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Revised: 06/03/2021] [Accepted: 07/19/2021] [Indexed: 11/25/2022] Open
Abstract
Aim To explore how nurses experienced working in a newly organized COVID‐19 ward with high‐risk patients during a new and unknown pandemic. Design A qualitative explorative study using a phenomenological‐hermeneutic approach. Methods Semi‐structured individual telephone interviews were conducted in June–July 2020 with 23 nurses working in COVID‐19 wards from three regional hospitals in Denmark. The nurses had been transferred from other departments at their hospital to the newly organized COVID‐19 wards. Data analysis was influenced by Paul Ricoeur's theory of narrative and interpretation, including three analytical levels: naïve reading, structural analysis and critical interpretation and discussion. Results During the structural analysis four themes were generated: (a) Challenging and uncertain situation, but also a positive experience (b) Professional and personal development (c) Lack of nurses' rights during a pandemic (d) Reward in itself or a desire for financial reward.
Collapse
Affiliation(s)
- Kirsten Specht
- Department of Orthopaedic Surgery, Hospital Sønderjylland, University Hospital of Southern Denmark, Aabenraa, Denmark.,Department of Regional Health Research, University of Southern Denmark, Odense, Denmark
| | - Jette Primdahl
- Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.,Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, Sønderborg, Denmark.,Hospital Sønderjylland, University Hospital of Southern Denmark, Aabenraa, Denmark
| | - Hanne Irene Jensen
- Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.,Department of Anaesthesiology and Intensive Care, Kolding Hospital, University Hospital of Southern Denmark, Kolding, Denmark.,Department of Anaesthesiology and Intensive Care, Vejle Hospital, University Hospital of Southern Denmark, Vejle, Denmark
| | - Mette Elkjaer
- Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.,Department of Emergency Medicine, Hospital Sønderjylland, University Hospital of Southern Denmark, Aabenraa, Denmark.,Research Unit of Health Sciences, University Hospital of Southern Denmark, Esbjerg, Denmark
| | - Eva Hoffmann
- Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.,Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, Sønderborg, Denmark.,Department of Emergency Medicine, Hospital Sønderjylland, University Hospital of Southern Denmark, Aabenraa, Denmark.,University College South Denmark, Aabenraa, Denmark
| | - Lilian Keene Boye
- Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.,Department of Emergency Medicine, Hospital Sønderjylland, University Hospital of Southern Denmark, Aabenraa, Denmark
| | - Bettina Ravnborg Thude
- Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.,Medical Research Unit, University Hospital of Southern Denmark, Sønderborg, Denmark
| |
Collapse
|
17
|
Armant A, Ollierou F, Gauvin J, Jeoffrion C, Cougot B, Waelli M, Moret L, Beauvivre K, Fleury-Bahi G, Berrut G, Tripodi D. Psychosocial and Organizational Processes and Determinants of Health Care Workers' (HCW) Health at Work in French Public EHPAD (Assisted Living Residences): A Qualitative Approach Using Grounded Theory. Int J Environ Res Public Health 2021; 18:ijerph18147286. [PMID: 34299739 PMCID: PMC8304826 DOI: 10.3390/ijerph18147286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/24/2021] [Revised: 06/22/2021] [Accepted: 07/03/2021] [Indexed: 11/29/2022]
Abstract
In a context marked by negative health indicators that make structural aspects more salient, this paper aimed at understanding and explaining the processes and determinants at work that positively and negatively interfere with the professionals’ health in the French public nursing home environment. To this purpose, the qualitative approach by grounded theory was chosen. In total, 90 semi-structured interviews were recorded and 43 were transcribed; in addition, 10 observations of 46 participations in meetings and working groups were carried out in four public service and hospital establishments. Our results indicate that the role of health workers, its definition, and its execution are fundamental to the understanding of their health at work. Two protective and constructive processes are involved in the maintenance and development of the professionals’ health in this work, with considerable confrontations with death and suffering: individual and collective control of emotional and cognitive commitment, and the development of resources for formation, information, and cooperation. Nonetheless, they are jeopardized when a lasting imbalance is generated between the work’s demands and the available resources. This leads to a loss spiral in organizational, inter-individual, and individual resources that makes it difficult to sustain work.
Collapse
Affiliation(s)
- Anne Armant
- Work and Health Innovation Research Laboratory, Department of Occupational Medicine and Environmental Health, Nantes University Hospital, F 44093 Nantes, France; (A.A.); (F.O.); (J.G.); (B.C.); (K.B.)
- Laboratoire de Psychologie des Pays de la Loire LPPL-EA 4638, Department of Psychology, University of Nantes, F 44000 Nantes, France;
| | - Florian Ollierou
- Work and Health Innovation Research Laboratory, Department of Occupational Medicine and Environmental Health, Nantes University Hospital, F 44093 Nantes, France; (A.A.); (F.O.); (J.G.); (B.C.); (K.B.)
| | - Jules Gauvin
- Work and Health Innovation Research Laboratory, Department of Occupational Medicine and Environmental Health, Nantes University Hospital, F 44093 Nantes, France; (A.A.); (F.O.); (J.G.); (B.C.); (K.B.)
| | - Christine Jeoffrion
- Laboratoire Inter-Universitaire de Psychologie, Personnalité, Cognition et Changement Social LIP/PC2S—EA 4145, Université of Grenoble Alpes, F 38058 Grenoble, France;
| | - Baptiste Cougot
- Work and Health Innovation Research Laboratory, Department of Occupational Medicine and Environmental Health, Nantes University Hospital, F 44093 Nantes, France; (A.A.); (F.O.); (J.G.); (B.C.); (K.B.)
- Qualité de Vie et Santé Psychologique (QualiPsy) EE1901, UFR Arts et Sciences Humaines, University of Tours, F 37000 Tours, France
| | - Mathias Waelli
- Management des Organisation en Santé MOS, EA 7348, Ecole des Hautes Etudes en Santé Publique EHESP, F 35043 Rennes, France;
| | - Leila Moret
- Methods in Patients-Centered Outcomes and Health Research-SPHERE, UMR INSERM U 1246–EA 4275, 22 Bd Bénoni Goullin, University of Nantes, F 42200 Nantes, France;
| | - Kristina Beauvivre
- Work and Health Innovation Research Laboratory, Department of Occupational Medicine and Environmental Health, Nantes University Hospital, F 44093 Nantes, France; (A.A.); (F.O.); (J.G.); (B.C.); (K.B.)
- Laboratoire de Psychologie des Pays de la Loire LPPL-EA 4638, Department of Psychology, University of Nantes, F 44000 Nantes, France;
| | - Ghozlane Fleury-Bahi
- Laboratoire de Psychologie des Pays de la Loire LPPL-EA 4638, Department of Psychology, University of Nantes, F 44000 Nantes, France;
| | - Gilles Berrut
- Gerontology Department, Pôle Hospitalo-Universitaire Gérontologie, Nantes University Hospital, F 44093 Nantes, France;
| | - Dominique Tripodi
- Work and Health Innovation Research Laboratory, Department of Occupational Medicine and Environmental Health, Nantes University Hospital, F 44093 Nantes, France; (A.A.); (F.O.); (J.G.); (B.C.); (K.B.)
- Laboratoire de Psychologie des Pays de la Loire LPPL-EA 4638, Department of Psychology, University of Nantes, F 44000 Nantes, France;
- Correspondence:
| |
Collapse
|
18
|
Abstract
Humanoid robots have already been shown to be useful in healthcare. To ensure successful interactions with humanoid robots, is it essential that the factors that influence users' sense of security be understood. Ensuring patients' sense of security is considered a key principle of good caring. The aim of this study was to illuminate users' sense of security with humanoid robots in healthcare. Twelve semi-structured interviews were conducted. The participants consisted of five women and seven men aged 24-77. Before being interviewed, the participants were shown a video vignette with Pepper, a fully developed humanoid robot, used in the daily care of patients. The data material was analyzed using qualitative content analysis. Most participants perceived the use of humanoid robots in healthcare to be both positive and negative. The overarching theme was: Ambivalent sense of security with humanoid robots in healthcare. The four categories revealed were: Humanoid robots are both reliable and unreliable, Humanoid robots are both safe and unsafe, Humanoid robots are both likable and scary, and Humanoid robots are both caring and uncaring. Here we increased knowledge of whether patients perceive a sense of security with humanoid robots in healthcare, including which fears users have. This is vital information that should be taken into consideration when further developing and introducing humanoid robots into the healthcare setting.
Collapse
Affiliation(s)
- Linda Nyholm
- Department of Caring Science, Åbo Akademi University, Vaasa, Finland
| | | | | |
Collapse
|
19
|
Groba B, Nieto-Riveiro L, Canosa N, Concheiro-Moscoso P, Miranda-Duro MDC, Pereira J. Stakeholder Perspectives to Support Graphical User Interface Design for Children with Autism Spectrum Disorder: A Qualitative Study. Int J Environ Res Public Health 2021; 18:4631. [PMID: 33925424 PMCID: PMC8123795 DOI: 10.3390/ijerph18094631] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/29/2021] [Revised: 04/19/2021] [Accepted: 04/23/2021] [Indexed: 11/17/2022]
Abstract
The development of digital supports for people with autism has increased considerably in recent years. Technology designers and developers have interpreted the needs and learning styles of people with autism in different ways. As a result, there are generic, non-specific or heterogeneous guidelines for the design and development of technology for people with autism. This study aims to identify and describe the recommended elements to support graphical user interface design for children with Autism Spectrum Disorder (ASD), considering the stakeholders' perspective, engaged in a computer application development. A qualitative, longitudinal, multicentre study was carried out. A sample of 39 participants belonging to four groups of stakeholders participated: children with autism, family members, professionals with experience in the intervention with children with autism, and professionals with expertise in the design and development of assistive technology. The techniques used to formalise the collection of information from participants were semi-structured interviews and observation. MAXQDA 2020 software (Verbi Software, Berlin, Germany) was used to analyse the data. The result is a guide with suggestions to support an interface design that emerges from the stakeholder perspectives. This study provides useful information to offer alternatives for children with ASD and facilitate the understanding of daily life.
Collapse
Affiliation(s)
| | - Laura Nieto-Riveiro
- CITIC, Research Group TALIONIS, Faculty of Health Sciences, Universidade da Coruña, 15071 A Coruña, Spain; (B.G.); (N.C.); (P.C.-M.); (M.d.C.M.-D.); (J.P.)
| | | | | | | | | |
Collapse
|
20
|
Stars I, Smane L, Pucuka Z, Roge I, Pavare J. Impact of Pediatric COVID-19 on Family Health-Related Quality of Life: A Qualitative Study from Latvia. Glob Pediatr Health 2021; 8:2333794X211012394. [PMID: 33997124 PMCID: PMC8072840 DOI: 10.1177/2333794x211012394] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2021] [Revised: 04/15/2021] [Accepted: 03/31/2021] [Indexed: 11/15/2022] Open
Abstract
Information on family health-related quality of life (FHRQoL) among families of children with the coronavirus disease 2019 (COVID-19) is limited. This qualitative study explores the impact of pediatric COVID-19 on FHRQoL from the parents' perspective. Semi-structured interviews were conducted with parents (n = 20) whose children had tested positive for the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Inductive thematic analysis revealed the following 10 themes that represented parents' perception of FHRQoL while taking care of a child with COVID-19: pediatric COVID-19 as a disease with many unknowns; emotional saturation; internal family relationships in the context of "a new experience"; routine household activities and daily regimen while family is in lockdown; plenty of free time; a wide social support network; social stigma associated with COVID-19; different options for work; savings and debts; challenges with family housing and transport availability. Our results show that parents experience multiple effects of pediatric COVID-19 with regard to FHRQoL.
Collapse
Affiliation(s)
| | - Liene Smane
- Riga Stradins University, Riga, Latvia.,Children's Clinical University Hospital, Riga, Latvia
| | - Zanda Pucuka
- Riga Stradins University, Riga, Latvia.,Children's Clinical University Hospital, Riga, Latvia
| | - Ieva Roge
- Children's Clinical University Hospital, Riga, Latvia
| | - Jana Pavare
- Riga Stradins University, Riga, Latvia.,Children's Clinical University Hospital, Riga, Latvia
| |
Collapse
|
21
|
Poli S, Rimondini M, Gajofatto A, Mazzi MA, Busch IM, Gobbin F, Schena F, Del Piccolo L, Donisi V. "If You Can't Control the Wind, Adjust Your Sail": Tips for Post-Pandemic Benefit Finding from Young Adults Living with Multiple Sclerosis. A Qualitative Study. Int J Environ Res Public Health 2021; 18:ijerph18084156. [PMID: 33919974 PMCID: PMC8070973 DOI: 10.3390/ijerph18084156] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/26/2021] [Revised: 04/08/2021] [Accepted: 04/09/2021] [Indexed: 12/22/2022]
Abstract
The COVID-19 outbreak has impacted the wellbeing of people worldwide, potentially increasing maladaptive psychological responses of vulnerable populations. Although young adults with multiple sclerosis (yawMS) might be at greater risk of developing psychological distress linked to the pandemic, they might also be able to adapt to stress and find meaning in adverse life events. The aim of the present study was to explore benefit finding in response to the pandemic in a sample of yawMS. As part of a larger project, data were collected using a cross-sectional, web-based survey. Benefit finding was analysed using a qualitative thematic approach; descriptive and inferential statistics were performed to describe the sample and compare sub-groups. Out of 247 respondents with mostly relapsing-remitting MS, 199 (31.9 ± 6.97 years) reported at least one benefit. Qualitative analysis showed that during the pandemic yawMS found benefits related to three themes: personal growth, relational growth, and existential growth. No differences in benefit finding were found between age sub-groups (18–30 vs. 31–45). Participants reported a wide range of benefits, some of which seem to be specific to MS or the pandemic. Results have been transformed into tips to be introduced in clinical practice to promote resilience in yawMS through meaning making.
Collapse
|
22
|
Saadi A, Antoine-Moussiaux N, Marcotty T, Thys S, Sahibi H. Using qualitative approaches to explore the challenges of integrated programmes for zoonosis control in developing countries: Example of hydatidosis control in Morocco. Zoonoses Public Health 2021; 68:393-401. [PMID: 33554481 DOI: 10.1111/zph.12814] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2020] [Revised: 01/11/2021] [Accepted: 01/25/2021] [Indexed: 11/30/2022]
Abstract
Cystic echinococcosis, rabies and bovine tuberculosis are major neglected zoonoses in many developing countries, including Morocco. A common step in their control strategies is the management of slaughterhouses and/or the control of dog populations. This study used a qualitative approach to identify the barriers to the implementation of the cystic echinococcosis control programme in Morocco that focused on slaughterhouses and dog control. This approach could be used to understand the causes leading to the defective management of other zoonoses, and to go beyond the often-invoked 'lack of means' reason to explain failure in disease control in the Global South. Specifically, slaughterhouse observation and in-depth individual interviews with stakeholders involved in the cystic echinococcosis control programme were carried out in five Moroccan regions (Rabat-Sale-Kenitra, Mellal-Khenifra, Sous-Masaa, Laayoune-Sakia El Hamra and Guelmim-Oued Noun) for 3 years (from 2014 to 2016). Interviews (n = 81) were with agents responsible of the services managing slaughterhouses and dog population control, and also with slaughterers. Recordings were fully transcribed and narratives were analysed with the RQDA package and the R software. Triangulations and the criteria proposed by Guba and Lincon were used to assess the approach validity. This analysis revealed that in addition to 'lack of means', zoonosis control programmes can be hindered by overlapping authority/functions among the involved authorities, conflicts of interest, lack of proper training and professional practices. Zoonosis control requires the commitment of all structures, the establishment of a national and inter-regional strategy, and the updating of the legislative arsenal.
Collapse
Affiliation(s)
- Aouatif Saadi
- Fundamental and Applied Research for Animals and Health (FARAH), University of Liege, Liege, Belgium.,Department of Pathology and Veterinary Public Health, Parasitological Unit, Agronomic and Veterinary Institute Hassan II, Rabat, Morocco
| | - Nicolas Antoine-Moussiaux
- Fundamental and Applied Research for Animals and Health (FARAH), University of Liege, Liege, Belgium
| | - Tanguy Marcotty
- Integrated Veterinary Research Unit, Department of Veterinary Medicine, University of Namur, Namur, Belgium
| | - Séverine Thys
- Faculty of Medicine and Health Sciences, Department of Vaccinology, University of Antwerp, Antwerp, Belgium
| | - Hamid Sahibi
- Department of Pathology and Veterinary Public Health, Parasitological Unit, Agronomic and Veterinary Institute Hassan II, Rabat, Morocco
| |
Collapse
|
23
|
Jang H, Lovarini M, Clemson L, Willis K, Lord S, Sherrington C. Fall prevention programs for culturally and linguistically diverse groups: program provider perspectives. Ethn Health 2021; 26:299-317. [PMID: 29962210 DOI: 10.1080/13557858.2018.1493436] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/23/2016] [Accepted: 04/26/2018] [Indexed: 06/08/2023]
Abstract
Objectives: Older people from culturally and linguistically diverse (CALD) backgrounds are one of the fastest growing and rapidly ageing population segments in Australia. This qualitative study aims to explore the experiences, needs and challenges that individual program providers encountered in implementing and delivering a fall prevention program for CALD groups and meeting the linguistic, cultural and contextual needs of the program participants.Design: Semi-structured in-depth interviews were conducted with a convenience sample of 24 program providers implementing, delivering or supporting fall prevention programs including Stepping On for CALD groups. Interview transcripts were analysed using thematic analysis.Results: Two major themes emerged: (1) extra layers of complexity are needed in program planning, delivery, recruitment and enabling participation of older people from CALD background and (2) program leaders 'going the extra mile' influences success of the program. Complexity included accommodating the linguistic and sociocultural needs in planning the programs, knowing and using the 'right way' to reach and deliver the program to CALD groups and understanding the nuances of facilitating program participation. While it was important to ensure the acceptability and accessibility of the program for the older people from diverse CALD communities, it was the drive and determination of the program leader and their striving for cultural relevance that made the program possible. Sustainability and wider implementation requires unique support and additional resources.Conclusion: These findings can be used by program providers, policy-makers and health researchers to improve the capacity of fall prevention programs to better respond to the growing diversity in needs and preferences among older populations in Australia and internationally.
Collapse
Affiliation(s)
- Haeyoung Jang
- Faculty of Health Sciences, The University of Sydney, Lidcombe, Australia
| | - Meryl Lovarini
- Faculty of Health Sciences, The University of Sydney, Lidcombe, Australia
| | - Lindy Clemson
- Faculty of Health Sciences, The University of Sydney, Lidcombe, Australia
| | - Karen Willis
- School of Allied Health, La Trobe University, Parkville, Australia
- Allied Health, Melbourne Health, Parkville, Australia
| | - Stephen Lord
- Neuroscience Research Australia (NeuRA), Sydney, Australia
| | | |
Collapse
|
24
|
Terp K, Weis J, Lundqvist P. Parents' Views of Family-Centered Care at a Pediatric Intensive Care Unit-A Qualitative Study. Front Pediatr 2021; 9:725040. [PMID: 34513770 PMCID: PMC8424181 DOI: 10.3389/fped.2021.725040] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2021] [Accepted: 08/04/2021] [Indexed: 12/02/2022] Open
Abstract
Purpose: To describe parents' views of family-centered care at a pediatric intensive care unit. Design and Methods: A qualitative descriptive study with a deductive and inductive approach was conducted based on the principles of family-centered care. Inclusion criteria were parents of children cared for at a pediatric intensive care unit for at least 48 h. Parents of children who died during the hospital stay were excluded. The sample consisted of spontaneous responses from 70 parents to five open questions in the EMpowerment of PArents in THe Intensive Care questionnaire, which was completed at discharge. The spontaneous responses were analyzed using thematic analysis. Results: The analysis of the parents' statement illuminated that partnership, the essence of family-centered care, appeared incomplete. Partnership was particularly evident regarding parents' experiences of being treated with empathy and respect. It also seemed prominent in situations where the professional team provided support to the child, parents, and family. Based on the parents' statements there was potential for development of the family-centered care approach in aspects such as decision-making concerning care and treatment, as well as improving person-centered communication on order to capture parents' experiences and needs in the highly technological pediatric intensive care unit environment. Conclusions: Although in general parents were satisfied with the care, areas for improvement were identified such as participation in decision-making about care and treatment as well as person-centered communication. The results can contribute to future quality improvement interventions focusing family centered care at pediatric intensive care units.
Collapse
Affiliation(s)
- Karina Terp
- Department of Health Sciences, Lund University, Lund, Sweden
| | - Janne Weis
- Department of Neonatology, Copenhagen University Hospital, Copenhagen, Denmark
| | - Pia Lundqvist
- Department of Health Sciences, Lund University, Lund, Sweden
| |
Collapse
|
25
|
Ripamonti SC, Galuppo L, Provasoli G, Benozzo A. Unmasking Reflexivity in HR Managers During the COVID-19 Lockdown in Italy. Front Psychol 2020; 11:588128. [PMID: 33424703 PMCID: PMC7786014 DOI: 10.3389/fpsyg.2020.588128] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2020] [Accepted: 10/30/2020] [Indexed: 01/04/2023] Open
Abstract
This paper explores how some Italian HR managers narrate the changes imposed by the COVID-19 threat in the workplace. Events since December 2019 have presented exceptional circumstances to which HR managers have reacted in very different ways. This study explored how HR managers came to introduce organizational changes aimed at coping with the emergency, as well as how employees were involved in those organizational changes. The article is based on a thematic analysis of some interviews with Italian HR managers whose companies decided to switch working from home on a massive scale. We wanted to offer some reflections on the actions taken by a few HR managers and Italian companies to keep working at a time when most workers were forced to respect the lockdown.
Collapse
Affiliation(s)
| | - Laura Galuppo
- Department of Psychology, Catholic University of Milan, Milan, Italy
| | - Giulia Provasoli
- Department of Psychology, Catholic University of Milan, Milan, Italy
| | - Angelo Benozzo
- Department of Human and Social Science, University of Valle d'Aosta, Aosta, Italy
| |
Collapse
|
26
|
Adam CJM, Fortané N, Ducrot C, Paul MC. Transition Pathways Toward the Prudent Use of Antimicrobials: The Case of Free-Range Broiler Farmers in France. Front Vet Sci 2020; 7:548483. [PMID: 33134347 PMCID: PMC7577212 DOI: 10.3389/fvets.2020.548483] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2020] [Accepted: 08/19/2020] [Indexed: 12/21/2022] Open
Abstract
Reducing antimicrobial use (AMU) on farms is key for controlling the rise of resistant bacteria that have the potential capacity to infect humans via direct animal contact or via the food chain or the environment. To reduce AMU, antimicrobials must be used in a prudent and rational manner. Extensive efforts have been made recently to identify the cognitive and behavioral barriers to the appropriate use of antimicrobials by various livestock sector stakeholders. However, most studies carried out thus far have only partly captured the dynamic and systemic dimension of the processes involved in changes of practices related to AMU on farms. To shed light on the transition pathways implemented to reduce AMU, a qualitative study was conducted in France based on 28 semi-structured interviews with farmers, technicians and veterinarians from the free-range broiler production sector. Based on the thematic analysis of verbatims, we identified technical improvements which are key contributors to reduced AMU. We also highlighted some gaps in knowledge regarding AMU and antimicrobial resistance. We found that, rather than individual motivations alone, the extent to which farmers are embedded in collective organizations is decisive for changes in practices, and downstream operators (distributors and slaughterers) play a key role in the beginning of AMU transition pathways. As a result, we show that change in AMU requires a global rethinking of the overall socio-technical system rather than modifications of a single element in a farming system. Our results also highlight that transition pathways toward reduced AMU cannot just rely on trigger events, but also involves medium or long-term processes, with actors' experiences and practices being modified on an incremental basis over time. Our study sheds light on the need for multi and trans-disciplinary research involving the social sciences to analyze interactions between stakeholders and the collective actions implemented to tackle the challenge of AMU reduction.
Collapse
Affiliation(s)
- Cécile J M Adam
- IHAP, ENVT, INRAE, Université de Toulouse, Toulouse, France.,UMR EPIA, INRAE, VetAgroSup, Saint-Genès-Champanelle, France
| | - Nicolas Fortané
- UMR IRISSO, CNRS, INRAE, Université Paris Dauphine, PSL, Paris, France.,London School of Hygiene and Tropical Medicine (LSHTM), London, United Kingdom
| | | | | |
Collapse
|
27
|
Acheampong AK, Ganga-Limando M, Aziato L. Perceived enablers of exclusive breastfeeding by teenage mothers in Ghana. S Afr Fam Pract (2004) 2020; 62:e1-e5. [PMID: 33054255 PMCID: PMC8377796 DOI: 10.4102/safp.v62i1.5108] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2020] [Accepted: 03/13/2020] [Indexed: 11/10/2022] Open
Abstract
Background Exclusive breastfeeding for the first 6 months can prevent diseases, boost immunity and improve quality of lives of infants. Ghana implemented programmes aimed at reaching the global target of increasing exclusive breastfeeding for the first 6 months to at least 50% by the year 2025. The country witnessed a decline in the overall rate of exclusive breastfeeding and an increase in the number of teenage mothers. Globally, teenage mothers are less likely to breastfeed than mothers of other age groups. Understanding enablers of exclusive breastfeeding by teenage mothers is important for any intervention aimed at improving exclusive breastfeeding rates and the quality of lives of infants. Method The study used a qualitative, exploratory, descriptive and contextual design, with focus groups. A total of six group discussions were conducted with 30 pregnant teenagers recruited from six public hospitals. Results Seven enablers emerged from the analysis of data. These included positive beliefs about the benefits of breast milk, family history of positive exclusive breastfeeding outcomes, support of the intimate partner, approval of closed-family members, expert opinions of antenatal care staff, teenage-oriented breastfeeding education and community-based breastfeeding education. Conclusion Health professionals and policy makers could learn from these enablers and use them to promote exclusive breastfeeding practices amongst teenage mothers in Ghana.
Collapse
|
28
|
Råberus A, Holmström IK, Galvin K, Sundler AJ. The nature of patient complaints: a resource for healthcare improvements. Int J Qual Health Care 2020; 31:556-562. [PMID: 30346537 DOI: 10.1093/intqhc/mzy215] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2018] [Revised: 07/31/2018] [Accepted: 10/10/2018] [Indexed: 01/03/2023] Open
Abstract
OBJECTIVE The aim of this study was to explore the nature, potential usefulness and meaning of complaints lodged by patients and their relatives. DESIGN A retrospective, descriptive design was used. SETTING The study was based on a sample of formal patient complaints made through a patient complaint reporting system for publicly funded healthcare services in Sweden. PARTICIPANTS A systematic random sample of 170 patient complaints was yielded from a total of 5689 patient complaints made in a Swedish county in 2015. MAIN OUTCOME MEASURE Themes emerging from patient complaints analysed using a qualitative thematic method. RESULTS The patient complaints reported patients' or their relatives' experiences of disadvantages and problems faced when seeking healthcare services. The meanings of the complaints reflected six themes regarding access to healthcare services, continuity and follow-up, incidents and patient harm, communication, attitudes and approaches, and healthcare options pursued against the patient's wishes. CONCLUSIONS The patient complaints analysed in this study clearly indicate a number of specific areas that commonly give rise to dissatisfaction; however, the key findings point to the significance of patients' exposure and vulnerability. The findings suggest that communication needs to be improved overall and that patient vulnerability could be successfully reduced with a strong interpersonal focus. Prerequisites for meeting patients' needs include accounting for patients' preferences and views both at the individual and organizational levels.
Collapse
Affiliation(s)
- Anna Råberus
- Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden
| | - Inger K Holmström
- School of Health, Care and Social Welfare, Mälardalens University, Västerås, Sweden.,Department of Public Health and Caring Sciences, Uppsala University, Sweden
| | | | - Annelie J Sundler
- Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden
| |
Collapse
|
29
|
Yilmaz E, Toğaç HK, Çetinkaya A, Toğaç S. A qualitative study of the operating room experience of patients who underwent surgery under spinal anesthesia: "It was like an adventure". Nurs Health Sci 2020; 22:648-657. [PMID: 32141160 DOI: 10.1111/nhs.12708] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2019] [Revised: 03/02/2020] [Accepted: 03/03/2020] [Indexed: 10/24/2022]
Abstract
This study aimed to explore the experiences of the people who underwent orthopedic surgery under spinal anesthesia and to report their feelings and thoughts. The study was carried out using a qualitative approach. Twenty-one patients were interviewed who underwent orthopedic surgery on the first or second postoperative day. Content analysis was performed after the collection of raw data. NVIVO 12 Pro software was used for data analysis. The frequency count (f) and participant codes (P) were used for the presentation of the findings. The themes and frequency counts obtained by analyzing the interviews with the patients were as follows: "Time passed like watching a movie" (f = 213), "Like an adventure" (f = 587), and "See, feel, look" (f = 405). Five of 21 participants (23.8%) stated that they would not recommend spinal anesthesia. The findings generally indicated the anxiety caused by the unknown, fear in the preanesthetic period, operation experienced like an adventure, and a process generally completed with satisfaction.
Collapse
Affiliation(s)
- Emel Yilmaz
- Faculty of Health Science Department of Surgical Nursing, Manisa Celal Bayar University, Manisa, Turkey
| | - Hülya K Toğaç
- Faculty of Health Science Department of Surgical Nursing, Manisa Celal Bayar University, Manisa, Turkey
| | - Aynur Çetinkaya
- Department of Public Health Nursing, Manisa Celal Bayar University, Faculty of Health Science, Manisa, Turkey
| | - Soner Toğaç
- Department of Orthopedics and Traumatology, Manisa Merkezefendi State Hospital, Manisa, Turkey
| |
Collapse
|
30
|
De Sutter M, De Sutter A, Sundahl N, Declercq T, Decat P. Inter-professional collaboration reduces the burden of caring for patients with mental illnesses in primary healthcare. A realist evaluation study. Eur J Gen Pract 2019; 25:236-242. [PMID: 31373254 PMCID: PMC6853250 DOI: 10.1080/13814788.2019.1640209] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Background: The implementation of primary care for mental health is often insufficient, which leaves its mark on staff. A team-based approach of mental healthcare prevents poor staff morale. A community health centre (CHC), therefore, set up a project promoting interprofessional collaboration with a mental health team (MHT). Objectives: This study aimed to understand how an MHT would influence staff morale in a primary care setting, aiming to formulate some recommendations for future projects. Methods: In 2017, interviews and a focus group discussion were conducted among the staff of a CHC. Using a qualitative approach, we aimed to unravel contextual factors and mechanisms that determine the effect of an MHT on staff morale. Results: The project relieved the burden of the patient encounters and staff members felt more valuable to patients. Underlying mechanisms were recognition, altered attitudes towards patients and role clarity. Facilitating factors were intercultural care mediators and a positive team atmosphere, whereas inhibiting factors were inefficient time management and communicative issues. Conclusion: Our study elucidated mechanisms and the contextual factors by which an MHT in general practice improves staff morale. KEY MESSAGES An MHT improves staff morale in a CHC, through nurturing recognition, through altering staff members' attitudes and through ensuring role clarity. Pitfalls are inefficient time management and poor communication. Policymakers should stimulate interprofessional collaboration in primary mental health.
Collapse
Affiliation(s)
- Marieke De Sutter
- Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
| | - An De Sutter
- Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
| | - Nora Sundahl
- Department of Radiation Oncology and Experimental Cancer Research, Ghent University Hospital, Ghent, Belgium
| | - Tom Declercq
- Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
| | - Peter Decat
- Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
| |
Collapse
|
31
|
Wigert H, Fors A, Nilsson S, Dalenius K, Golsäter M. A Person-Centred Approach When Encountering Students With Recurrent Pain: School Nurses' Experiences. J Sch Nurs 2019; 37:249-258. [PMID: 31311402 DOI: 10.1177/1059840519864158] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Stress has a negative impact on students' daily lives and can be associated with recurrent pain. School nurses play a key role in supporting young people with stress-related pain. The purpose of this qualitative interview study was to elucidate school nurses' experiences of encountering students with recurrent pain when practicing person-centred care. The school nurses were based at public and private schools and worked with students aged 12-19. Data were collected through interviews with 18 school nurses and analyzed with deductive content analysis. The school nurses felt that actively listening to the students' narratives about daily life with recurrent pain, and co-creation of a health plan, encouraged the students to participate as partners in their own care and strengthened their relation with the students. The application of a person-centred approach in school health care meant that traditional knowledge transfer was replaced with a dialogue that reflects both the student's and school nurse's perspective.
Collapse
Affiliation(s)
- Helena Wigert
- Institute of Health and Care Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.,Centre for Person-Centred care (GPCC), Institute of Health and Care Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.,Division of Neonatology, Sahlgrenska University Hospital, Gothenburg, Sweden
| | - Andreas Fors
- Institute of Health and Care Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.,Centre for Person-Centred care (GPCC), Institute of Health and Care Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.,Närhälsan Research and Development Primary Health Care, Region Västra Götaland, Gothenburg, Sweden
| | - Stefan Nilsson
- Institute of Health and Care Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.,Centre for Person-Centred care (GPCC), Institute of Health and Care Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden
| | | | - Marie Golsäter
- Child Health Care and Futurum, Region Jönköping County, Barnhälsovården, Jönköping, Sweden.,CHILD Research Group, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| |
Collapse
|
32
|
Werner P, Shpigelman CN, Raviv Turgeman L. Family caregivers' and professionals' stigmatic experiences with persons with early-onset dementia: a qualitative study. Scand J Caring Sci 2019; 34:52-61. [PMID: 31058357 DOI: 10.1111/scs.12704] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2018] [Accepted: 03/31/2019] [Indexed: 11/28/2022]
Abstract
OBJECTIVES Recently, research has focused on understanding the needs of persons with early-onset dementia and their family caregivers who often experience stigmatic beliefs. However, to date, research has not provided a thorough and deep understanding of the stigma formation process and its implications for this population. Thus, the aim of the present study was to explore the stigma formation process as experienced by family members as informal caregivers of persons with early-onset dementia, and professionals as formal caregivers who are involved in the development, management and provision of services. METHOD We conducted three focus groups with 16 participants, including spouses of a person with early-onset dementia and professionals. The focus groups' transcripts were analysed following a thematic analysis procedure. RESULTS Results indicated that both family members and professionals encounter stigmatic experiences because of their association with younger persons with dementia. Lack of knowledge emerged as the main antecedent and emotional burden as the main consequence of stigma. CONCLUSION Stigmatic experiences emerged as a pervasive and complex phenomenon among formal and informal caregivers of persons with early-onset dementia, suggesting the need to developing a comprehensive and integrated approach to reduce them at the individual, professional and societal levels.
Collapse
Affiliation(s)
- Perla Werner
- Department of Community Mental Health, University of Haifa, Haifa, Israel
| | | | | |
Collapse
|
33
|
Jones K, Williams J, Sipsma H, Patil C. Adolescent and emerging adults' evaluation of a Facebook site providing sexual health education. Public Health Nurs 2018; 36:11-17. [PMID: 30272378 DOI: 10.1111/phn.12555] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2018] [Revised: 09/01/2018] [Accepted: 09/12/2018] [Indexed: 11/25/2022]
Abstract
OBJECTIVE To explore participants' evaluation of an online sexual health intervention posted on Facebook and identify appealing and effective ways to present sexual health content to adolescents and emerging adults (AEAs). DESIGN AND MEASURES A qualitative approach using peer moderated focus groups was used to elicit reflections on the Facebook site's content, appeal, and ease of navigation. Focus group discussions were transcribed, coded, and analyzed for themes using conventional content analysis. Demographic data were analyzed with SPSS. SAMPLE Participants (n = 63) were recruited from a Midwestern university and both an urban and rural high school. Eight focus groups were conducted. RESULTS Participants reported significant concerns with the stigma associated with having sexual health conversations with parents, peers or providers. Participants thought the Facebook site provided reliable sexual health information, was not condescending, and was more visually appealing than other sites frequented by technology-proficient AEA. AEAs suggested developing an independent sexual health education website. CONCLUSION Findings demonstrate the importance for having accurate and reliable sexual health information available on the internet. The use of visually appealing social media to communicate sexual health content that is interactive, informative, and user-friendly and meets the educational needs of AEA in the Midwest is recommended.
Collapse
Affiliation(s)
- Krista Jones
- Department of Health Systems Sciences, University of Illinois at Chicago College of Nursing, Champaign, Illinois
| | - Jeff Williams
- Department of Biobehavioral Health Sciences, University of Illinois at Chicago College of Nursing, Champaign, Illinois
| | - Heather Sipsma
- Department of Public Health, Benedictine University, Lisle, Illinois
| | - Crystal Patil
- Department of Biobehavioral Health Sciences, University of Illinois at Chicago College of Nursing, Chicago, Illinois
| |
Collapse
|
34
|
Holmström IK, Bohlin S, Wanhainen A, Björck M, Fröjd C. Swedish men and smoking: Views on screening-detected abdominal aortic aneurysm. Nurs Health Sci 2018; 21:119-125. [PMID: 30238675 DOI: 10.1111/nhs.12570] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2018] [Revised: 07/11/2018] [Accepted: 07/31/2018] [Indexed: 11/30/2022]
Abstract
Abdominal aortic aneurysms (AAA), most common among elderly male smokers, often show no symptoms before rupture. To facilitate better care and counselling targeted to smoking cessation for these patients, more knowledge is required about their views. Therefore, the aim of the present study was to describe the views on AAA and smoking among male smokers with screening-detected AAA. A qualitative approach with individual interviews with 16 men with screening-detected AAA was applied. Three had quit smoking by the time of the interviews. Thematic analysis was performed, and four themes emerged: (i) accepting the course of life; (ii) the elusive AAA: a disturbing experiencing or merely a minor inconvenience?; (iii) being in safe hands; and (iv) smoking as an unexpected topic of discussion. Most of the participants felt they were in "safe hands", although thoughts about death were also evoked. However, the information about smoking cessation was unexpected, and the relationship between AAA and smoking unclear. Presenting the connection between AAA and smoking in a clear manner and motivating smoking cessation in an individually-targeted way are important.
Collapse
Affiliation(s)
- Inger K Holmström
- School of Health Care and Social Welfare, Mälardalen University, Västerås, Sweden.,Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
| | - Sofia Bohlin
- Department of Surgical Sciences, Section of Vascular Surgery, Uppsala University, Uppsala, Sweden
| | - Anders Wanhainen
- Department of Surgical Sciences, Section of Vascular Surgery, Uppsala University, Uppsala, Sweden
| | - Martin Björck
- Department of Surgical Sciences, Section of Vascular Surgery, Uppsala University, Uppsala, Sweden
| | - Camilla Fröjd
- Department of Surgical Sciences, Section of Vascular Surgery, Uppsala University, Uppsala, Sweden
| |
Collapse
|
35
|
Servaty R, Perger G, Harth V, Mache S. Working in a cocoon: (Co)working conditions of office nomads - a health related qualitative study of shared working environments. Work 2018; 60:527-538. [PMID: 30103360 DOI: 10.3233/wor-182760] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND The flexible working and business model of coworking spaces inherits the provision of workspace and further the construction of a network for entrepreneurs, creative and knowledge workers. Until now, research on coworking spaces is scarce in the field of health sciences. OBJECTIVE This study investigated reasons and motives for working in coworking spaces and working conditions under health related aspects. Demands and resources while working in coworking spaces were analyzed according to a theoretical model for (Job-demands-resources model - JDR) perceived working conditions. METHODS Twenty semi-structured qualitative interviews were conducted with coworkers (n = 14) and coworking operators (n = 6) in Berlin, Hamburg, and Munich. Participants were asked to describe the reasons and motivations for working in coworking spaces and their perceived working conditions. Transcripts were analyzed according to content analysis. RESULTS The most mentioned reason for using coworking spaces were the community aspect (n = 15) followed by the alternative to home office (n = 12). Negative job demands seem to result from unfavorable ergonomic conditions, working disruptions, miscommunications and missing privacy. Time flexibility, social surrounding and increased productivity were interpreted as job resources. CONCLUSIONS These results can be seen as a basis for further quantitative research in order to generalize these findings, by testing hypotheses and develop workplace-related concepts for health management.
Collapse
Affiliation(s)
- Ricarda Servaty
- University of Applied Sciences, Hamburg, Germany.,Institute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | | | - Volker Harth
- Institute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Stefanie Mache
- Institute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| |
Collapse
|
36
|
Abstract
Background Nursing homes are confronted with a significant change in their client structure. Palliative care gains importance in caring for residents until the end of their life. Relatives play a crucial role in caring for older people in nursing homes, especially in palliative care. As the perspective of relatives on palliative care culture in nursing homes has not yet been studied extensively, research in this field still has an exploratory character. Aim The aim of the paper is to highlight some of the most important insights into themes and issues that relatives of persons having died in a nursing home find essential, with a view to fostering a well-established palliative care culture. Methods Within a qualitative approach, four focus group interviews were conducted. Findings Findings indicate that good communication is a core element of a well-established palliative care culture. Direct contact with relatives, talking about death and dying and the opportunity to be involved in decision-making all support a good palliative care culture. The fact that residents have a diverse range of social backgrounds, for example, regarding ethnicity, gender and living with dementia, influences palliative care in nursing homes and has to be taken into account. Conclusions To create a good palliative care culture, management has to support this approach, continuously develop appropriate structures and act in a competent way.
Collapse
Affiliation(s)
- Elisabeth Reitinger
- Associate Professor, Institute for Palliative Care and Organisational Ethics, University of Klagenfurt, Vienna, Austria
| | - Patrick Schuchter
- Researcher and Lecturer, Institute for Palliative Care and Organisational Ethics, University of Klagenfurt, Vienna, Austria
| | - Katharina Heimerl
- Associate Professor, Institute for Palliative Care and Organisational Ethics, University of Klagenfurt, Vienna, Austria
| | - Klaus Wegleitner
- Assistant Professor, Institute for Palliative Care and Organisational Ethics, University of Klagenfurt, Vienna, Austria
| |
Collapse
|
37
|
Hiswåls AS, Marttila A, Mälstam E, Macassa G. Experiences of unemployment and well-being after job loss during economic recession: Results of a qualitative study in east central Sweden. J Public Health Res 2017; 6:995. [PMID: 29291191 PMCID: PMC5736997 DOI: 10.4081/jphr.2017.995] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2017] [Revised: 09/11/2017] [Accepted: 09/11/2017] [Indexed: 11/23/2022] Open
Abstract
Introduction: Several studies have revealed an association between unemployment and ill health, and shown that unemployment can affect people differently. This study aimed to provide an understanding of the experiences of unemployment and perceptions of wellbeing among persons who involuntary lost their work during the recent economic recession in Gävle Municipality. Methods: Sixteen unemployed men and women aged 28-62 were interviewed face-to-face. A purposeful sampling strategy was used in order to suit the research question and to increase the variation among informants. The interview texts were analysed using thematic analysis. Results: Six different themes emerged from the accounts: The respondents perceived work as the basis for belonging, and loss of work affected their social life and consumption patterns due to changes in their financial situation. They also expressed feelings of isolation, loss of self-esteem, and feelings of hopelessness, which affected their physical well-being. Longer duration of unemployment increased the respondents’ negative emotions. The respondents reported activities, structure, and affiliation in other contexts as part of their coping strategy against poor mental health. Conclusions: After job loss, the respondents experienced feelings of loss of dignity and belonging as a human being. They also felt worry, insecurity, and stress due to their changed financial situation, which in turn led to isolation and loss of self-esteem. Social support and having other activities gave the respondents structure and meaning. Significance for public health The most recent economic recession, which started in 2008, raised major concerns that it would negatively affect population health. This article describes and discuss the experiences of unemployment and well-being among individuals who lost their job due to the economic recession in Gävle Municipality. The significance of the article is that it shows how central it is to get a better understanding of the experiences of hardship and perceptions of health and overall well-being among people who lost their work involuntarily. Findings of this study can be used to inform policy makers as well as provide guidance for health promotion activities among groups who are prone to unemployment. Furthermore results of the study can be of interest to similar geographic contexts.
Collapse
Affiliation(s)
- Anne-Sofie Hiswåls
- Department of Health Sciences, Section of Public Health Sciences, Mid-Sweden University, Sweden.,Department of Occupational and Public Health Science, University of Gävle, Sweden
| | - Anneli Marttila
- Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
| | - Emelie Mälstam
- Department of Occupational and Public Health Science, University of Gävle, Sweden
| | - Gloria Macassa
- Department of Health Sciences, Section of Public Health Sciences, Mid-Sweden University, Sweden.,Department of Occupational and Public Health Science, University of Gävle, Sweden.,Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.,Epidemiology Unit-ISPUP, University of Porto Medical School, Portugal
| |
Collapse
|
38
|
Arnautovska U, O'Callaghan F, Hamilton K. Applying the Integrated Behavior Change Model to Understanding Physical Activity Among Older Adults: A Qualitative Study. J Sport Exerc Psychol 2017; 39:43-55. [PMID: 28573943 DOI: 10.1123/jsep.2015-0330] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
We explored older adults' experiences of physical activity (PA) and related decision-making processes underlying PA. Twenty Australians (Mage = 73.8 years) participated in semistructured interviews. Data were analyzed using thematic analysis, and identified themes were matched deductively within motivational, volitional, and implicit processes of the integrated behavior change model for PA. Motivational influences such as participants' time orientation toward health and perceptions of what PA should be like were frequently featured in participants' narratives. Volitional processes were also identified, with participants reporting different ways of coping with competing priorities. Physical surroundings and habitual PA were the identified themes within implicit processes. Together, these findings contribute to a better understanding of subjective experiences of older adults regarding PA. They also add to a more contextual understanding of multiple decision-making processes underpinning older adults' PA engagement. Identified concepts may be used in future research and PA interventions targeting older adults.
Collapse
|
39
|
Abstract
Expectations prior to needle-related procedures can influence individuals' decision making and compliance with immunization programmes. To protect from human papilloma virus (HPV) and cervical cancer, the immunization needs to be given before sexual debut raising interest for this study's aim to investigate how 11 to 12-year-old girls narrate about their expectations prior to HPV vaccination. A total of 27 girls aged 11 to 12 years participated in this qualitative narrative study by writing short narratives describing their expectations. The requirement for inclusion was to have accepted HPV vaccination. Data were subjected to qualitative content analysis. Findings showed the following expectations: going to hurt, going to be scared and going to turn out fine. The expectations were based on the girls' previous experiences, knowledge and self-image. The latent content revealed that the girls tried to transform uneasiness to confidence. The conclusion drawn from this study is that most girls of this age seem confident about their ability to cope with possible unpleasantness related to vaccinations. However, nurses need to find strategies to help those children who feel uneasy about needle-related procedures.
Collapse
Affiliation(s)
- M Forsner
- Division of Nursing and Health, School of Education, Health and Social Sciences, Dalarna University, Falun, Sweden
| | - S Nilsson
- Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden
| | - B Finnström
- Department of Nursing, Health and Culture, University West, Trollhättan, Sweden
| | - E Mörelius
- Division of Activity, Health and Care, Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden
| |
Collapse
|
40
|
Zanjari N, Sharifian Sani M, Hosseini Chavoshi M, Rafiey H, Mohammadi Shahboulaghi F. Perceptions of Successful Ageing Among Iranian Elders: Insights From a Qualitative Study. Int J Aging Hum Dev 2016; 83:381-401. [PMID: 27380778 DOI: 10.1177/0091415016657559] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The aim of this article is to explore the perceptions of successful ageing among Iranian elderly. The data were collected in Tehran city on 60 older adults using a semistructured interview. The collected data were analyzed using directed content analysis. The findings revealed various dimensions of successful ageing among Iranian older adults. Social well-being is the most prevalent dimension of successful ageing, followed by psychological well-being, physical health, spirituality and transcendence, financial security, and an elder-friendly environmental and social context. Also, the findings from this study provide a new understanding of successful ageing in the context of Iran and contribute additional elements. This qualitative study highlights the importance of multidimensional and contextual viewpoints to successful ageing. In conclusion, to achieve multidimensional successful ageing, the interaction between all levels of successful ageing such as individual, family, and environment must be considered.
Collapse
Affiliation(s)
- Nasibeh Zanjari
- Department of Social Welfare, School of Education Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Maryam Sharifian Sani
- Department of Social Welfare, School of Education Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Meimanat Hosseini Chavoshi
- Crawford School of Public Policy, College of Asia and the Pacific, Australian National University, Australia
| | - Hassan Rafiey
- Department of Social Welfare, School of Education Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | | |
Collapse
|
41
|
Fortané N, Bonnet-Beaugrand F, Hémonic A, Samedi C, Savy A, Belloc C. Learning Processes and Trajectories for the Reduction of Antibiotic Use in Pig Farming: A Qualitative Approach. Antibiotics (Basel) 2015; 4:435-54. [PMID: 27025634 PMCID: PMC4790306 DOI: 10.3390/antibiotics4040435] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2015] [Revised: 10/02/2015] [Accepted: 10/12/2015] [Indexed: 11/16/2022] Open
Abstract
Since 2011, French public policy has been encouraging a reduction in the use of antibiotics in animal farming. The aim of this article is to look at how some farms have already managed to lower their consumption of antibiotics, and to highlight the levers of change in farming health practices. Our research uses a qualitative study based on 21 semi-structured interviews with farmers and veterinarians in the French pig-farming sector. We use the notion of "trajectory of change" to examine, over time, the intersection of the technical, economic, social and organisational determinants which affect the reduced use of antibiotics. The "learning process" concept makes it possible to take account of the way in which the actors assimilate, appropriate and implement new health practices. We have identified three interdependent levels of learning: technical learning, cognitive learning and organisational learning.
Collapse
Affiliation(s)
- Nicolas Fortané
- Institut National de la Recherche Agronomique (INRA), UR 1323 RiTME, 65 boulevard de Brandebourg, F-94205 Ivry-sur-Seine, France.
| | - Florence Bonnet-Beaugrand
- LUNAM Université, Oniris, Ecole nationale vétérinaire, agroalimentaire et de l'alimentation Nantes-Atlantique, UMR Biologie, Epidémiologie et Analyse de Risque en santé animale, CS 40706, F-44307 Nantes, France.
- Institut National de la Recherche Agronomique (INRA), UMR1300, F-44307 Nantes, France.
| | - Anne Hémonic
- IFIP-Institut du porc, Domaine de la Motte au Vicomte, BP 35104, F-35651 Le Rheu, France.
| | - Carole Samedi
- LUNAM Université, Oniris, Ecole nationale vétérinaire, agroalimentaire et de l'alimentation Nantes-Atlantique, UMR Biologie, Epidémiologie et Analyse de Risque en santé animale, CS 40706, F-44307 Nantes, France.
- Institut National de la Recherche Agronomique (INRA), UMR1300, F-44307 Nantes, France.
| | - Arnaud Savy
- Institut National de la Recherche Agronomique (INRA), UR 1323 RiTME, 65 boulevard de Brandebourg, F-94205 Ivry-sur-Seine, France.
| | - Catherine Belloc
- LUNAM Université, Oniris, Ecole nationale vétérinaire, agroalimentaire et de l'alimentation Nantes-Atlantique, UMR Biologie, Epidémiologie et Analyse de Risque en santé animale, CS 40706, F-44307 Nantes, France.
- Institut National de la Recherche Agronomique (INRA), UMR1300, F-44307 Nantes, France.
| |
Collapse
|
42
|
Björklund O, Häggström E, Nyström L. Young Finnish Unemployed Men's Experiences of Having Participated in a Specific Active Labor Market Program. Am J Mens Health 2015; 11:1426-1435. [PMID: 26345403 DOI: 10.1177/1557988315604020] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The purpose of the present study was to describe young Finnish unemployed men's experiences of having participated in a specific active labor market program, intended to fight unemployment and offered at a resource center. Fifteen young unemployed Finnish men in the age range 18 to 27 years were interviewed face-to-face. Purposive sampling was used to increase the variation among informants. The interview texts were analyzed using both manifest and latent qualitative content analysis. The present results reported that the young men felt that they, thanks to the program at the resource center, had acquired daily routines and could ultimately believe in the future. The young men described how they now had a structure, economic support, and that they could return to their daily life. The informants also described how they could see new possibilities and believe in oneself. There is a lack of empirical studies assessing the possible impact of active labor market programs on the unemployed based on participants' own experiences. Further research is needed to describe and elucidate in more detail the effects of targeted support measures and the needs of unemployed men of different ages and living in different contexts.
Collapse
Affiliation(s)
- Ove Björklund
- 1 University of Gävle, Gävle, Sweden.,2 Åbo Akademi University, Vaasa, Finland
| | - Elisabeth Häggström
- 1 University of Gävle, Gävle, Sweden.,2 Åbo Akademi University, Vaasa, Finland
| | | |
Collapse
|
43
|
Al-Amer R, Ramjan L, Glew P, Darwish M, Salamonson Y. Translation of interviews from a source language to a target language: examining issues in cross-cultural health care research. J Clin Nurs 2014; 24:1151-62. [PMID: 25181257 DOI: 10.1111/jocn.12681] [Citation(s) in RCA: 45] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/15/2014] [Indexed: 11/28/2022]
Abstract
AIMS AND OBJECTIVES To illuminate translation practice in cross-language interview in health care research and its impact on the construction of the data. BACKGROUND Globalisation and changing patterns of migration have created changes to the world's demography; this has presented challenges for overarching social domains, specifically, in the health sector. Providing ethno-cultural health services is a timely and central facet in an ever-increasingly diverse world. Nursing and other health sectors employ cross-language research to provide knowledge and understanding of the needs of minority groups, which underpins cultural-sensitive care services. However, when cultural and linguistic differences exist, they pose unique complexities for cross-cultural health care research; particularly in qualitative research where narrative data are central for communication as most participants prefer to tell their story in their native language. Consequently, translation is often unavoidable in order to make a respondent's narrative vivid and comprehensible, yet, there is no consensus about how researchers should address this vital issue. DESIGN An integrative literature review. METHODS PubMed and CINAHL databases were searched for relevant studies published before January 2014, and hand searched reference lists of studies were selected. RESULTS This review of cross-language health care studies highlighted three major themes, which identify factors often reported to affect the translation and production of data in cross-language research: (1) translation style; (2) translators; and (3) trustworthiness of the data. CONCLUSION A plan detailing the translation process and analysis of health care data must be determined from the study outset to ensure credibility is maintained. A transparent and systematic approach in reporting the translation process not only enhances the integrity of the findings but also provides overall rigour and auditability. RELEVANCE TO CLINICAL PRACTICE It is important that minority groups have a voice in health care research which, if accurately translated, will enable nurses to improve culturally relevant care.
Collapse
Affiliation(s)
- Rasmieh Al-Amer
- School of Nursing and Midwifery, University of Western Sydney, Penrith, NSW, Australia
| | | | | | | | | |
Collapse
|
44
|
Abstract
Studies have shown that the experiences and consequences of unemployment can affect people differently depending on, for example, age and gender. The purpose of the present study was to describe young Finnish men's experiences of being unemployed as well as how their experiences of health emerged. Fifteen young unemployed Finnish men in the age range 18 to 27 years were interviewed face to face. Purposive sampling was used to increase the variation among informants. The interview texts were analyzed using both manifest and latent qualitative content analysis. The present results showed that the young men were strongly negatively affected by being unemployed. They described how they had slowly lost their foothold. They also described feelings of shame and guilt as well as a flight from reality. The present results show that even young men who have only experienced shorter periods of unemployment, in this study periods between 2 and 6 months, are negatively affected, for example, with regard to their identity and emotional life. Further research is needed to describe and elucidate in more detail the effects of unemployment on men of different ages and living in different contexts.
Collapse
Affiliation(s)
- Ove Björklund
- University of Gävle, Faculty of Health and Occupational Studies, Department of Health and caring Sciences, Gävle, Sweden Åbo Akademi University, Department of Caring Sciences, Vasa, Finland
| | - Maud Söderlund
- Åbo Akademi University, Department of Caring Sciences, Vasa, Finland
| | - Lisbet Nyström
- Åbo Akademi University, Department of Caring Sciences, Vasa, Finland
| | - Elisabeth Häggström
- University of Gävle, Faculty of Health and Occupational Studies, Department of Health and caring Sciences, Gävle, Sweden Åbo Akademi University, Department of Caring Sciences, Vasa, Finland
| |
Collapse
|
45
|
Magnier KM, Wang R, Dale VHM, Pead MJ. Challenges and responsibilities of clinical teachers in the workplace: an ethnographic approach. J Vet Med Educ 2014; 41:155-161. [PMID: 24637357 DOI: 10.3138/jvme.0813-111r1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
This study aimed to explore the complex role of the clinical teacher in the workplace, with a view to identifying effective teaching practices. An ethnographic case-study approach was taken, including participant observations and semi-structured interviews with three participants that were selected from two participating veterinary institutions. The clinical teacher has several responsibilities, such as establishing a rapport with learners and maximizing the use of case-based learning opportunities to provide instruction and support to individual learners in a safe but challenging environment. Associated difficulties include balancing the competing demands of students' learning needs and patients' welfare, as well as maximizing the learning opportunities within available case material. Participants in this study demonstrated a reflective approach, adjusting their teaching approach "in action" and "on action" as appropriate.
Collapse
|
46
|
Johannessen A, Povlsen L, Bruvik F, Ulstein I. Implementation of a multicomponent psychosocial programme for persons with dementia and their families in Norwegian municipalities: experiences from the perspective of healthcare professionals who performed the intervention. Scand J Caring Sci 2013; 28:749-56. [PMID: 24350617 DOI: 10.1111/scs.12107] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2013] [Accepted: 11/20/2013] [Indexed: 11/30/2022]
Abstract
BACKGROUND A randomised controlled intervention study was conducted in 17 Norwegian municipalities to provide home-dwelling people with dementia and their families with knowledge and skills to cope with the emerging problems and stresses of everyday life. It included training health professionals to carry out the intervention. Since little is known about possible benefits for health professionals of participating in such a study in terms of knowledge and change of practice as well as their views on whether the intervention is useful, we carried out this study. AIM To investigate the outcome of the study from the perspective of the healthcare professionals who participated in the intervention. METHOD Interviews with 19 health professionals were performed during 2012, using three focus groups and six individual interviews. The sample was purposive and included informants aged 34-61 years from 13 municipalities. RESULTS Three main categories emerged: challenges, new knowledge and service development. The category challenges details the challenges connected with professionals' participation in the intervention and how they dealt with them and is described in three subcategories. The category new knowledge demonstrates the knowledge the professionals achieved while conducting the intervention and is described through three subcategories. Service development presented how the informants' experiences could contribute to improve the provision of care and details in one subcategory. CONCLUSION The results revealed a need for more knowledge among health professionals about the situation of home-dwelling persons with dementia and their families. The study indicated that health professionals must be more aware of these persons' abilities to find their own solutions to their problems. Structured individual interventions as well as group-based interventions in the early stages of dementia and throughout the course of the disorder seem beneficial. There is a need for better collaboration between the specialist health services, GPs and health workers in the municipalities.
Collapse
Affiliation(s)
- Aud Johannessen
- Ageing and Health, Norwegian Centre for Research, Education and Service Development, Vestfold Hospital Trust, Tønsberg, Norway
| | | | | | | |
Collapse
|
47
|
Canzan F, Heilemann MV, Saiani L, Mortari L, Ambrosi E. Visible and invisible caring in nursing from the perspectives of patients and nurses in the gerontological context. Scand J Caring Sci 2013; 28:732-40. [PMID: 24304337 DOI: 10.1111/scs.12105] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2013] [Accepted: 11/06/2013] [Indexed: 11/27/2022]
Abstract
AIM Just as in many countries all over the world, the number of older people in Italy has increased rapidly. Consequently, an increasing number of nurses are engaged in the care of older patients. However, due to a lack of understanding of how nurses and patients perceive caring, nursing care may be compromised. The aim of this study is to explore, describe and compare the perceptions of gerontological nurses and patients related to the dimensions of caring in nursing in an Italian hospital setting. METHODS In this qualitative descriptive study, a variety of analytic techniques were used to analyse semi-structured interview data from a purposeful sample of 20 nurses and 20 patients from geriatric units in two different Italian hospitals. FINDINGS Although both nurses and patients gave rich descriptions of caring experiences, patients described features of caring in nursing that were visible (including nurses' caring gestures, giving attention and being competent) while nurses predominantly emphasised aspects of caring that were relatively invisible (such as reflecting on the patient's past needs, evaluating the nursing care rendered, planning for more appropriate future nursing care, taking multiple complex contextual factors into account to protect the patient and being competent). CONCLUSION Our data revealed more nuanced insight into the meaning of invisible and visible caring in nursing within the gerontological context than has been previously reported in the literature. This has implications for nursing education and practice because it may help nurses meet the actual needs of older patients in hospital settings.
Collapse
Affiliation(s)
- Federica Canzan
- Education and Lifelong Learning Science, University of Verona, Verona, Italy
| | | | | | | | | |
Collapse
|
48
|
Richards N, Ingleton C, Gardiner C, Gott M. Awareness contexts revisited: indeterminacy in initiating discussions at the end-of-life. J Adv Nurs 2013; 69:2654-64. [PMID: 23600793 DOI: 10.1111/jan.12151] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/09/2013] [Indexed: 11/26/2022]
Abstract
AIMS To explore if and how information about a transition to a palliative care approach was communicated to patients recently discharged from hospital and who fulfilled standardized criteria for palliative care need. BACKGROUND Palliative care philosophy and, more recently, UK palliative care policy, endorse a context of 'open' awareness, where all parties openly acknowledge that the patient's death is approaching. The perceived benefits of making the patient aware of their prognosis encompass a variety of planning activities, which mean that death, when it occurs, is arguably more in keeping with the wishes of the patient. DESIGN A qualitative inductive interview study conducted in 2010-2011. METHODS Fifteen semi-structured interviews were conducted with 15 patients and 3 family carers. All patients were identified as having palliative care needs according to standardized criteria, 3-6 months after discharge from hospital. A thematic analysis was undertaken. FINDINGS Contrary to the professed ideal of 'open' awareness, some participants were only partially aware and others wholly unaware that they were likely to be approaching the end-of-life. Those identified as unaware were over 85. Participants displayed a reluctance to acquire knowledge which would require them to face the imminence of death. CONCLUSION Philosophy and policy aside, people do not always conform to the autonomy paradigm of a self-directed life followed by a self-directed death.
Collapse
Affiliation(s)
- Naomi Richards
- Department of Sociological Studies, The University of Sheffield, UK
| | | | | | | |
Collapse
|
49
|
Abstract
Purpose Asthma is a common chronic disease with gender differences in terms of severity and quality of life. This study aimed to understand the gendered practices of male asthmatic adolescents in terms of living with and managing their chronic disease. The study applied a sociological perspective to identify the gender-related practices of participants and their possible consequences for health and disease. Patients and methods The study used a combined ethnomethodology and grounded theory design, which was interpreted using Bourdieu’s theory of practice. We aimed to discover how participants interpreted their social worlds to create a sense of meaning in their everyday lives. The study was based on multistage focus group interviews with five adolescent participants at a specialist center for asthmatic children and youths. We took necessary precautions to protect the participants, according to the principles of the Declaration of Helsinki. The study protocol was approved by the Regional Committee for Medical Research Ethics and the hospital’s research department. Results The core concept for asthmatic male adolescents was being men. They were focused on being nonasthmatic, and exhibited ambivalence towards the principles of the health services. Physical activity supported their aim of being men and being nonasthmatic, as well as supported their treatment goals. Being fearless, unconcerned, “cool,” and dependent also supported the aim of being men and being nonasthmatic, but not the health service principle of regular medication. Occasionally, the participants were asthmatic when they were not able to or gained no advantages from being nonasthmatic. Their practice of being men independently of being asthmatic emphasized their deeply gendered habits. Conclusion Understanding gender differences in living with and managing asthma is important for health workers. Knowledge of embodied gendered habits and their reproduction in social interactions and clinical work should be exploited as a resource during the supervision of asthmatic adolescent boys.
Collapse
Affiliation(s)
- Thomas Westergren
- Faculty of Health and Sport Science, Department of Health and Nursing Science, University of Agder, Grimstad, Norway
| | | |
Collapse
|
50
|
Goetz K, Szecsenyi J, Campbell S, Rosemann T, Rueter G, Raum E, Brenner H, Miksch A. The importance of social support for people with type 2 diabetes - a qualitative study with general practitioners, practice nurses and patients. Psychosoc Med 2012; 9:Doc02. [PMID: 22879856 PMCID: PMC3413874 DOI: 10.3205/psm000080] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE Social support is an important element of family medicine within a primary care setting, delivered by general practitioners and practice nurses in addition to usual clinical care. The aim of the study was to explore general practitioner's, practice nurse's and people with type 2 diabetes' views, experiences and perspectives of the importance of social support in caring for people with type 2 diabetes and their role in providing social support. METHODS Interviews with general practitioners (n=10) and focus groups with practice nurses (n=10) and people with diabetes (n=9). All data were audio-recorded, fully transcribed and thematically analysed using qualitative content analysis by Mayring. RESULTS All participants emphasized the importance of the concept of social support and its impacts on well-being of people with type 2 diabetes. Social support is perceived helpful for people with diabetes in order to improve diabetes control and give support for changes in lifestyle habits (physical activity and dietary changes). General practitioners identified a lack of information about facilities in the community like sports or self-help groups. Practice nurses emphasized that they need more training, such as in dietary counselling. CONCLUSIONS Social support given by general practitioners and practice nurses plays a crucial role for people with type 2 diabetes and is an additional component of social care. However there is a need for an increased awareness by general practitioners and practice nurses about the influence social support could have on the individual's diabetes management.
Collapse
Affiliation(s)
- Katja Goetz
- Department of General Practice and Health Services Research, University Hospital Heidelberg, Germany
| | | | | | | | | | | | | | | |
Collapse
|