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P Grant M, A M Philip J, Deliens L, Komesaroff PA. 'It's communication between people who are going through the same thing': experiences of informal interactions in hospital cancer treatment settings. Support Care Cancer 2023; 31:440. [PMID: 37395843 DOI: 10.1007/s00520-023-07900-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Accepted: 06/23/2023] [Indexed: 07/04/2023]
Abstract
PURPOSE In hospital settings, patients, visitors, and staff engage in many interactions outside formal clinical encounters. Whilst many of these may be inconsequential, others contribute significantly to how patients and their carers experience cancer and its treatment. This article aims to explore the experiences and significance of interactions that occur outside formal clinical encounters in hospital cancer treatment settings. METHODS Semi-structured interviews were conducted with cancer patients, carers, and staff recruited from two hospital sites and cancer support groups. Hermeneutic phenomenology informed lines of questioning and data analysis. RESULTS Thirty-one people participated in the study: 18 cancer patients, four carers, and nine staff members. The experiences of informal interactions were grouped into three themes: connecting, making sense, and enacting care. The participants described how these encounters allowed connection with others in the hospital spaces, facilitating a sense of belonging, normality, and self-worth. Through these interactions, individuals participated in making sense of their experiences, to better anticipate the decisions and challenges that might lie ahead. By connecting with other individuals, they cared for others and felt cared for themselves, and were able to learn from, teach, and support each other. CONCLUSIONS Outside the confines of the clinical discourses participants negotiate terms of engagement, sharing of information, expertise, and their own personal stories that they may employ to contribute to the individuals around them. These interactions occur within a loose and evolving framework of social interactions, an 'informal community', in which cancer patients, carers, and staff members play active and meaningful roles.
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Affiliation(s)
- Matthew P Grant
- Palliative Nexus Research Group, Department of Medicine, University of Melbourne, Melbourne, Australia.
- Department of Palliative Medicine, St Vincent's Hospital Melbourne, Melbourne, Australia.
- Centre of Expertise in Palliative Care Utrecht, Department of General Practice, Julius Centre, University Medical Centre Utrecht, Utrecht, The Netherlands.
| | - Jennifer A M Philip
- Palliative Nexus Research Group, Department of Medicine, University of Melbourne, Melbourne, Australia
- Department of Palliative Medicine, St Vincent's Hospital Melbourne, Melbourne, Australia
| | - Luc Deliens
- End-of-Life Care Research Group, Vrije Universiteit Brussel (VUB) and Ghent University, Brussels, Belgium
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2
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Hicks A, Lloyd A. Agency and liminality during the COVID-19 pandemic: Why information literacy cannot fix vaccine hesitancy. J Inf Sci 2022. [PMCID: PMC9483135 DOI: 10.1177/01655515221124003] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
This article employs a sociological and dialogical information perspective to
identify what shape information literacy practice takes for people who are
hesitant about the COVID-19 vaccine. An information perspective places
information and people’s relations with information at the centre of the
inquiry. The study carried out 14 semi-structured interviews with UK adults who
had not yet received or taken up their invitation to have the COVID-19 vaccine.
Outcomes of this study suggest that information literacy practices related to
vaccine hesitancy emerged through the liminal space and in relation to agentic
performance, which was catalysed through engagement with experiential, corporeal
and social information. This study has implications for the teaching of
information literacy, in particular, the idea that being informed is an
affirmative action that will automatically empower learners to make appropriate
choices.
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Leñero-Cirujano M, Torres-González JI, González-Ordi H, Moro-Tejedor MN, Gómez-Higuera J. Diseño de un instrumento de medida del humor en profesionales sanitarios. ENFERMERIA CLINICA 2022. [DOI: 10.1016/j.enfcli.2022.07.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Wilson H, Semaka A, Katz SJ. A Qualitative Analysis of Methotrexate Self-injection Education Videos on YouTube: A Change in the Right Direction. J Clin Rheumatol 2022; 28:240-244. [PMID: 35483091 DOI: 10.1097/rhu.0000000000001841] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND Patients are increasingly turning to the Internet for health guidance, requiring awareness from clinicians of constantly changing resources and quality of available information. A previous study demonstrated a minority of YouTube videos were useful for teaching methotrexate (MTX) self-injection; however, YouTube content constantly evolves, and previous results may not represent current videos. This study provides an update on previous work from 2014 evaluating the quality of YouTube videos demonstrating self-administered subcutaneous MTX injections. Our aim was to evaluate how YouTube videos on MTX injection have changed and evaluate the current video quality. METHODS "Methotrexate injection" was searched on YouTube. The first 75 videos were analyzed independently by 2 reviewers. Videos were classified as useful, misleading/irrelevant, or a personal patient view and rated for reliability, comprehensiveness, and quality. RESULTS Of the 75 videos reviewed, 12 were classified as useful (16%), 43 misleading/irrelevant (57.3%), and 20 personal patient views (26.7%). Although this represents a substantial increase from previous results in the proportion of videos deemed misleading/irrelevant (57.3% vs. 27.5%) ( p = 0.0011), their reliability and global quality scores were higher. CONCLUSIONS Concordant with the previous study, only a small proportion of the total videos were deemed useful videos for MTX injection specifically. However, reliability and global quality scores for all videos increased from the previous study, suggesting more videos provide reliable information with regard to MTX overall, even if it does not speak to self-injection directly. Logistics of the YouTube algorithm may still impede access to the "best" videos for patient teaching; therefore, clinicians should be prepared to recommend strategies for patients to find high-quality videos.
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Affiliation(s)
| | - Amy Semaka
- From the Faculty of Medicine and Dentistry
| | - Steven Joseph Katz
- Division of Rheumatology, University of Alberta, Edmonton, Alberta, Canada
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Leñero-Cirujano M, Torres-González JI, González-Ordi H, Moro-Tejedor MN, Gómez-Higuera J. Design of an instrument to measure humor in health professionals. ENFERMERÍA CLÍNICA (ENGLISH EDITION) 2022; 33:115-122. [PMID: 35907472 DOI: 10.1016/j.enfcle.2022.07.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/22/2022] [Accepted: 07/11/2022] [Indexed: 10/16/2022]
Abstract
AIM The objective of this study was to develop an instrument for measuring humor in health professionals. METHODS Observational, transversal and descriptive study of mixed methodology. The instrument was designed in several phases: literature review, item generation, determination of the scale format, review by the expert panel, pilot study, reevaluation by the expert panel, and test-retest. The pertinence, relevance and comprehension of the items were analyzed. Interobserver agreement was calculated with Kappa and the intraclass correlation coefficient considering values ≥0.61. Pared sample Student's t test and Pearson's correlation coefficient were used. A level of statistical significance was established at P < 0.05. RESULTS The Three-Dimensional Scale of Humor in Health Professionals consists of 50 items measured with a 5-point Likert scale based on the degree of agreement. Experts' panel evaluated the global scale with 3.57 (0.79) points out of 5. An interobserver reliability of 0.69 (P < 0.001) was obtained in the pilot study. A Pearson correlation coefficient of 0.71 (P = 0.002) and an intraclass correlation coefficient of 0.69 (P = 0.001) resulted in the test-retest. No statistically significant differences were observed between test-retest scores. CONCLUSION The Three-Dimensional Scale of Humor in Health Professionals is an innovative tool for measuring humor in the health context. This scale is created specifically for health professionals. It's necessary its validation in future studies.
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Habib B, Buckeridge D, Bustillo M, Marquez SN, Thakur M, Tran T, Weir DL, Tamblyn R. Smart About Meds (SAM): a pilot randomized controlled trial of a mobile application to improve medication adherence following hospital discharge. JAMIA Open 2021; 4:ooab050. [PMID: 34345805 PMCID: PMC8325487 DOI: 10.1093/jamiaopen/ooab050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2021] [Revised: 05/10/2021] [Accepted: 06/17/2021] [Indexed: 11/14/2022] Open
Abstract
Objective The objectives of this pilot study were (1) to assess the feasibility of a larger evaluation of Smart About Meds (SAM), a patient-centered medication management mobile application, and (2) to evaluate SAM’s potential to improve outcomes of interest, including adherence to medication changes made at hospital discharge and the occurrence of adverse events. Materials and Methods We conducted a pilot randomized controlled trial among patients discharged from internal medicine units of an academic health center between June 2019 and March 2020. Block randomization was used to randomize patients to intervention (received access to SAM at discharge) or control (received usual care). Patients were followed for 30 days post-discharge, during which app use was recorded. Pharmacy claims data were used to measure adherence to medication changes made at discharge, and physician billing data were used to identify emergency department visits and hospital readmissions during follow-up. Results Forty-nine patients were eligible for inclusion in the study at hospital discharge (23 intervention, 26 control). In the 30 days of post-discharge, 15 (65.2%) intervention patients used the SAM app. During this period, intervention patients adhered to a larger proportion of medication changes (83.7%) than control patients (77.8%), including newly prescribed medications (72.7% vs 61.7%) and dose changes (90.9% vs 81.8%). A smaller proportion of intervention patients (8.7%) were readmitted to hospital during follow-up than control patients (15.4%). Conclusion The high uptake of SAM among intervention patients supports the feasibility of a larger trial. Results also suggest that SAM has the potential to enhance adherence to medication changes and reduce the risk of downstream adverse events. This hypothesis needs to be tested in a larger trial. Trial registration Clinicaltrials.gov, registration number NCT04676165.
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Affiliation(s)
- Bettina Habib
- Clinical and Health Informatics Research Group, McGill University, Montreal, Canada
| | - David Buckeridge
- Clinical and Health Informatics Research Group, McGill University, Montreal, Canada.,Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Canada
| | - Melissa Bustillo
- Clinical and Health Informatics Research Group, McGill University, Montreal, Canada
| | | | - Manish Thakur
- Clinical and Health Informatics Research Group, McGill University, Montreal, Canada
| | - Thai Tran
- Clinical and Health Informatics Research Group, McGill University, Montreal, Canada
| | - Daniala L Weir
- Clinical and Health Informatics Research Group, McGill University, Montreal, Canada.,Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Canada.,Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada
| | - Robyn Tamblyn
- Clinical and Health Informatics Research Group, McGill University, Montreal, Canada.,Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Canada.,Department of Medicine, McGill University Health Center, Montreal, Canada
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Felice Tong YY, Karunaratne S, Youlden D, Gupta S. The Impact of Room-Sharing on Length of Stay After Total Hip or Knee Arthroplasty: A Retrospective Study. Arthroplast Today 2021; 8:289-294.e2. [PMID: 34095406 PMCID: PMC8167312 DOI: 10.1016/j.artd.2021.03.017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/09/2021] [Revised: 03/17/2021] [Accepted: 03/24/2021] [Indexed: 12/24/2022] Open
Abstract
Background Prolonged length of stay (LOS) after elective total hip (THA) and knee (TKA) arthroplasty is often associated with worse patient outcomes. Social support through room-sharing has been identified as a factor that may reduce LOS in a hospital setting, but has not yet been examined in an orthopedic population. The aim of this study was to evaluate the effect of single- vs shared-room accommodation after elective TKA or THA on hospital LOS. Method A retrospective study was conducted using data from hospital medical records at our institution. Patients receiving unilateral, elective THA or TKA over a 2-year period were eligible. Patients were allocated to either a single room or four-bed shared room. The primary outcome was LOS; secondary outcomes included complications, discharge destination, and return to operating theater. Results One hundred eighty-five patients (70 THA, 115 TKA; mean age 65.74 ± 10.38, 59% female) were included, of whom 82 were allocated to a single room and 103 to a shared room. There was no statistically significant difference in LOS between the 2 groups (5.18 ± 2.21 days [single] vs 4.88 ± 2.12 days [shared]; mean difference −0.29 [95% CI −0.92-0.33], P = .36). Analysis modeling for multiple confounders found no association among room allocation, LOS, and discharge destination. However, more patients in single rooms required discharge to rehabilitation (27% vs 9%) and return to theater (7% vs 1%). Conclusions Room allocation did not correlate with a difference in LOS in patients undergoing elective THA or TKA.
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Affiliation(s)
- Yui Yee Felice Tong
- Sydney Medical Program, University of Sydney, Camperdown, New South Wales, Australia.,Department of Orthopaedics, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia
| | - Sascha Karunaratne
- Department of Orthopaedics, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia
| | - Daniel Youlden
- Department of Orthopaedics, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia
| | - Sanjeev Gupta
- Department of Orthopaedics, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia
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Stauner M, Primdahl J. A sanctuary from everyday life: rheumatology patients' experiences of in-patient multidisciplinary rehabilitation - a qualitative study. Disabil Rehabil 2020; 44:1872-1879. [PMID: 32898449 DOI: 10.1080/09638288.2020.1809721] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
PURPOSE To explore how rheumatology patients experience the personal impact of an inpatient rehabilitation stay and to elucidate the impact of contextual factors on the outcome. METHODS Exploratory qualitative individual interviews were conducted with 15 rheumatology patients (73% female) who had completed a two-week inpatient rehabilitation stay. Data collection, analysis and interpretation of data were performed within a phenomenological-hermeneutic framework inspired by Paul Ricoeur's interpretative philosophy. RESULTS The analysis derived one core theme, A sanctuary from everyday life, and five subthemes: (1) Being seen, heard and acknowledged as an equal and whole person; (2) Professional care and compassion; (3) Social relations and interactions between patients; (4) Individual rehabilitation, but challenges regarding shared decision making; and (5) Rehabilitation as a personal process but problems with coherence and transferability of learning to everyday life. CONCLUSION Patients experience inpatient rehabilitation as a sanctuary, in the following three ways; through individually planned multidisciplinary interventions at the hospital; recognition and compassion from the multidisciplinary staff and through social relationships and interactions with fellow patients. There is a need for improved coordination across primary and secondary health care, to ease coherence and transfer of learning to the patients' everyday lives.IMPLICATIONS FOR REHABILITATIONPatients can find peace and energy to care for themselves because they are away from everyday life when admitted for inpatient multidisciplinary rehabilitation.Patients need to be prepared for shared decision-making in order to be able to participate in formulating personal and meaningful goals for rehabilitation.There is a need for awareness of organisational and life transitions, to secure transfer of elements from the rehabilitation stay to the patient's everyday life.Rehabilitation professionals should be aware of the significance of fellow patients and facilitate and support the patient-patient relationships.
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Affiliation(s)
- Maria Stauner
- University of Southern Denmark, Odense 5230, Denmark
| | - Jette Primdahl
- Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.,Danish Hospital for Rheumatic Diseases, Sønderborg, Denmark.,Hospital of Southern Jutland, University Hospital of Southern Denmark, Aabenraa, Denmark
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9
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Hantel S, Benkenstein M. The stranger in my room: The fellow patient as the fourth dimension of patient satisfaction. Health Serv Manage Res 2020; 33:136-142. [PMID: 31973588 DOI: 10.1177/0951484820901667] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVE To test the hypothesis that the fellow patient is a relevant dimension of patient satisfaction and has a notable influence on patient evaluations of hospitals. DATA SOURCES/STUDY SETTING An empirical survey was conducted to collect primary data. In the study, patients in German hospitals were asked about their perceived satisfaction with fellow patients, physicians, nursing staff, and facilities. STUDY DESIGN Linear regression models were used to estimate the influence of each dimension on patient satisfaction. Various quality criteria further confirmed the quality of the extended patient satisfaction model. PRINCIPAL FINDINGS The study confirmed fellow patient influence as a fourth dimension of patient satisfaction. The fellow patient had the highest impact on patient satisfaction and increases the variance of the patient satisfaction model significantly. CONCLUSION The findings suggest that patient satisfaction models should include the fourth dimension, "fellow patient." In addition to the impact of the other satisfaction dimensions, both studies highlighted the significant influence of the fellow patient on patient satisfaction. Moreover, hospital managers should try to use the impact of the fellow patient to create satisfaction, which would benefit both hospitals and patients.
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Affiliation(s)
- Saskia Hantel
- Universitat Rostock, Institute of Marketing and Service Research, Rostock, Germany
| | - Martin Benkenstein
- Universitat Rostock, Institute of Marketing and Service Research, Rostock, Germany
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10
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Missel M, Borregaard B, Schoenau MN, Sommer MS. A sense of understanding and belonging when life is at stake—Operable lung cancer patients' lived experiences of participation in exercise. Eur J Cancer Care (Engl) 2019; 28:e13126. [DOI: 10.1111/ecc.13126] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2018] [Revised: 04/28/2019] [Accepted: 06/07/2019] [Indexed: 11/29/2022]
Affiliation(s)
- Malene Missel
- Department of Cardiothoracic Surgery Copenhagen University Hospital Copenhagen Denmark
| | - Britt Borregaard
- Department of Cardiothoracic and Vascular Surgery Odense University Hospital Odense C Denmark
| | - Mai Nanna Schoenau
- Department of Cardiothoracic Surgery Copenhagen University Hospital Copenhagen Denmark
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Simonÿ C, Andersen IC, Bodtger U, Birkelund R. Accommodating to a troubled life - chronic obstructive pulmonary disease patients' experiences and perceptions of self-image during the course of rehabilitation. Disabil Rehabil 2019; 42:2510-2518. [PMID: 30763522 DOI: 10.1080/09638288.2018.1563641] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Background: To tailor future rehabilitation programmes for patients with chronic pulmonary obstructive disease, there is a need for more in-depth knowledge about what is essential to these patients and how they perceive their self-image while participating in rehabilitation. Therefore, this study aims to explore patients' experiences and perception of self-image during pulmonary rehabilitation.Methods: Twenty-one patients were followed by participant observations during standard rehabilitation complicity supplemented with final individual interviews. Phenomenological-hermeneutic analysis and interpretation were applied.Results: Through a rewarding peer fellowship, patients became engaged in rehabilitation and improved their capacity to embrace and manage their illness. Through a humorous interplay, encouragement to live with the life-threating disease developed. While understanding themselves in a wider perspective, patients enhanced enablement to shape life according to personal satisfaction. Although participating in the group-based programme was mostly invigorating, it was, however, sometimes perceived as a stressful overload. More individualized support from healthcare professionals was warrented.Conclusions: Group-based pulmonary rehabilitation can support chronic pulmonary obstructive disease patients towards significant change in self-image and health behaviour, leading to improved illness management. Enlarged opportunities to benefit from peer-fellowship and enhanced focus on what is essential to the participants might expand the rehabilitation yields.
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Affiliation(s)
- Charlotte Simonÿ
- Institute of Regional Health University of Southern Denmark, Odense, Denmark.,Department of Physiotherapy and Occupational Therapy, Slagelse Hospital, Slagelse, Denmark
| | | | - Uffe Bodtger
- Institute of Regional Health University of Southern Denmark, Odense, Denmark.,Department of Respiratory Medicine, Naestved Hospital, Naestved, Denmark
| | - Regner Birkelund
- Institute of Regional Health University of Southern Denmark, Odense, Denmark.,Department of Health Research, Vejle Sygehus, Vejle, Denmark
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Laursen J, Kornholt J, Betzer C, Petersen TS, Christensen MB. General Practitioners' Barriers Toward Medication Reviews in Polymedicated Multimorbid Patients: How can a Focus on the Pharmacotherapy in an Outpatient Clinic Support GPs? Health Serv Res Manag Epidemiol 2018; 5:2333392818792169. [PMID: 30246058 PMCID: PMC6144514 DOI: 10.1177/2333392818792169] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2018] [Revised: 07/09/2018] [Accepted: 07/09/2018] [Indexed: 11/20/2022] Open
Abstract
Purpose: The aim of this study was to explore whether general practitioners (GPs) experienced barriers toward medication reviews in polymedicated, multimorbid patients, and how a clinical pharmacologist with a focus on pharmacotherapy can support the GPs in an outpatient clinic. Design: The study was descriptive and exploratory and had a qualitative design with a phenomenological/hermeneutic orientation for the interviews. Participants: The study comprised 14 interviews with 14 different GPs from the Capital Region of Denmark. Results: Three themes emerged from the interviews: (1) The care of patients With polypharmacy is challenged by the lack of professional dialogue and collaboration between GPs and hospital-based clinical pharmacologists, (2) the relationship between the patients with polypharmacy and the GP is characterized by care and individual considerations, and (3) the culture encourages adding medication and inhibits dialogue about medication withdrawal even for patients with polypharmacy. Conclusion and implications for practice: This study found that the primary barriers toward multimorbid patients with polypharmacy were the need for communication and teamwork with specialists (cardiologists, neurologists, endocrinologists, etc). Often, GPs felt that the specialists at the hospitals were more concerned about following standards and guidelines regarding specific diseases instead of a more holistic patient approach. To improve management of polypharmacy patients, the GPs suggest that a joint force is necessary, a partner-like relationship with greater transparency regarding information transfer, feedback, and shared decision-making, but also more education in the pharmacological field is essential.
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Affiliation(s)
- Jannie Laursen
- Department of Clinical Pharmacology, Bispebjerg and Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark
| | - Jonatan Kornholt
- Department of Clinical Pharmacology, Bispebjerg and Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark
| | - Cecilie Betzer
- Department of Clinical Pharmacology, Bispebjerg and Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark
| | - Tonny S Petersen
- Department of Clinical Pharmacology, Bispebjerg and Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark
| | - Mikkel B Christensen
- Department of Clinical Pharmacology, Bispebjerg and Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark
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Hosseini FA, Momennasab M, Yektatalab S, Zareiyan A. Presence: the cornerstone of spiritual needs among hospitalised patients. Scand J Caring Sci 2018; 33:67-76. [DOI: 10.1111/scs.12602] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2018] [Accepted: 06/25/2018] [Indexed: 11/27/2022]
Affiliation(s)
- Fahimeh Alsadat Hosseini
- Students Research Committee Department of Nursing School of Nursing and Midwifery Shiraz University of Medical Sciences Shiraz Iran
| | - Marzieh Momennasab
- Department of Nursing School of Nursing and Midwifery Shiraz University of Medical Sciences Shiraz Iran
| | - Shahrzad Yektatalab
- Department of Nursing Community Based Psychiatric Care Research Center Shiraz University of Medical Sciences Shiraz Iran
| | - Armin Zareiyan
- Public Health Nursing Department AJA University of Medical Sciences Tehran Iran
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14
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Borregaard B, Ludvigsen MS. Exchanging narratives-A qualitative study of peer support among surgical lung cancer patients. J Clin Nurs 2017; 27:328-336. [PMID: 28557003 DOI: 10.1111/jocn.13903] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/25/2017] [Indexed: 11/27/2022]
Abstract
AIM AND OBJECTIVE The aim of this study was to examine how hospitalised, surgical lung cancer patients experience talking to a former patient, and how the former patient experiences the role as supportive. BACKGROUND During hospitalisation, patients often create a community in which they can engage with fellow patients. The exchange of experiences with others in a similar situation might increase opportunities for support and complement nursing care, but there is a need for more evidence and understanding on the topic. DESIGN The methodological framework is based on the French philosopher Paul Ricoeur's text interpretation theory. Qualitative interviews were conducted with nine patients, including a peer informant, using a narrative structure. The analysis was conducted on three levels: (i) naïve reading, (ii) structural analysis and (iii) critical interpretation . RESULTS Four themes were developed from the analysis of the interviews: Exchanging emotional thoughts is easier with a peer; Talking to a peer reduces loneliness; Being ambiguous about a relationship with fellow patients; and Being the main person in the conversation with a peer. Sharing stories about having similar symptoms and undergoing similar journeys predominated, and the key feature of the contact between patients was the commonality of their stories. CRITICAL INTERPRETATION AND CONCLUSION Telling one's story to a former patient, and thereby creating a joint, common story, is the essence of this study. The support received in this process can be empowering because knowledge of the illness experience is shared and increased. This can help create new coping strategies. The contact with a former patient offered a way to confirm one's thoughts and to find a way out of the illness perspective, by seeing how the former patient had recovered. RELEVANCE TO CLINICAL PRACTICE The nursing field faces challenges in the relational aspect of caring because of ever greater efficient and shortened hospital stays; therefore, the peer support concept is becoming increasingly relevant. Patient peers offer each other their own perspectives, and it is important to raise awareness of the value of this and incorporate it into patient stays in hospital.
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Affiliation(s)
- Britt Borregaard
- Department of Cardiothoracic- and Vascular Surgery, Odense University Hospital, Odense C, Denmark.,University of Southern Denmark, Odense C, Denmark
| | - Mette Spliid Ludvigsen
- Clinical Research Unit, Randers Regional Hospital, Randers, Denmark.,Department of Clinical Medicine, Aarhus University, Aarhus, Denmark
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15
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Lijia T, Rui-Xi Z, Long G, Lei C, Yujie L, Jin-Yun H, Zhen-Hu W. Relationship between patients in hospital affects recovery from total knee arthroplasty (TKA)-A prospective study. J Orthop Sci 2017; 22:880-885. [PMID: 28709832 DOI: 10.1016/j.jos.2017.05.016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/26/2016] [Revised: 03/22/2017] [Accepted: 05/23/2017] [Indexed: 02/09/2023]
Abstract
BACKGROUND The interaction between patients is rather important source of information about surgery and recovery. Patients always prefer particularly to compare themselves with others of relatively similar ability, opinion and situation. Exploration of patients' dyads, however, is rare and needs further elaboration as to the significance of fellow patients. This study was designed to determine in whether and how preoperative assignment affects TKA's results. METHODS We assessed early post-operative outcomes in a cohort of 520 TKA patients. Preoperative, and postoperative outcome measures at 6-months following TKA were analyzed and compared between patients who were hospitalized with a roommate whose surgical status was either similar (preoperative) or dissimilar (postoperative) and whose type of surgery was either similar (TKA) or dissimilar (THA). Mean scores, and postoperative change in scores were calculated. Outcome measures evaluated included WOMAC, SF-36, patient affiliation, preoperative anxiety, expectation and analgesic consumption, length of hospital stay. RESULTS patients were more willing to have serious conversations with roommates whose surgical status was dissimilar (postoperative) and whose type of surgery was similar (TKA). And their SF-36 and WOMAC scores to be significantly improved better. Besides, they were released from hospital more quickly and showed significantly less preoperative anxiety. CONCLUSIONS We recommend implementation of an assignment policy that patients prior to TKA should be assigned into a postoperative roommate undergoing TKA as well.
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Affiliation(s)
- Teng Lijia
- Chinese PLA General Hospital, Beijing, 100853, China; The 261st Hospital of Chinese PLA, Beijing, 100094, China
| | - Zeng Rui-Xi
- Department of Plastic and Reconstructive Surgery, First Affiliated Hospital Sun Yat-sen University, Guangzhou, 510080, China
| | - Gong Long
- 252 Hospital of Chinese PLA, No. 991 Baihua East Road, Beishi District, Baoding City, Hebei, 071000, China.
| | - Chen Lei
- 252 Hospital of Chinese PLA, No. 991 Baihua East Road, Beishi District, Baoding City, Hebei, 071000, China
| | - Liu Yujie
- Chinese PLA General Hospital, Beijing, 100853, China.
| | - He Jin-Yun
- Department of Plastic and Reconstructive Surgery, First Affiliated Hospital Sun Yat-sen University, Guangzhou, 510080, China.
| | - Wang Zhen-Hu
- 252 Hospital of Chinese PLA, No. 991 Baihua East Road, Beishi District, Baoding City, Hebei, 071000, China.
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16
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Uhrenfeldt L, Martinsen B, Jørgensen LB, Sørensen EE. The state of Danish nursing ethnographic research: flowering, nurtured or malnurtured - a critical review. Scand J Caring Sci 2017; 32:56-75. [PMID: 28795475 DOI: 10.1111/scs.12466] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2016] [Accepted: 03/08/2017] [Indexed: 11/28/2022]
Abstract
BACKGROUND Nursing was established in Denmark as a scholarly tradition in the late nineteen eighties, and ethnography was a preferred method. No critical review has yet summarised accomplishments and gaps and pointing at directions for the future methodological development and research herein. AIM This review critically examines the current state of the use of ethnographic methodology in the body of knowledge from Danish nursing scholars. METHODS We performed a systematic literature search in relevant databases from 2003 to 2016. The studies included were critically appraised by all authors for methodological robustness using the ten-item instrument QARI from Joanna Briggs Institute. RESULTS Two hundred and eight studies met our inclusion criteria and 45 papers were included; the critical appraisal gave evidence of studies with certain robustness, except for the first question concerning the congruity between the papers philosophical perspective and methodology and the seventh question concerning reflections about the influence of the researcher on the study and vice versa. In most studies (n = 34), study aims and arguments for selecting ethnographic research are presented. Additionally, method sections in many studies illustrated that ethnographical methodology is nurtured by references such as Hammersley and Atkinson or Spradley. CONCLUSIONS Evidence exists that Danish nursing scholars' body of knowledge nurtures the ethnographic methodology mainly by the same few authors; however, whether this is an expression of a deliberate strategy or malnutrition in the form of lack of knowledge of other methodological options appears yet unanswered.
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Affiliation(s)
- Lisbeth Uhrenfeldt
- Faculty of Nursing and Health Science, Nord University, Bodø, Norway.,Department of Health Science and Technology, Aalborg University, Aalborg Ø, Denmark.,Danish Centre of Systematic reviews: An Affiliate Center of Joanna Briggs Institute, The Center of Excellence- Clearing House, Aalborg University, Aalborg Ø, Denmark
| | - Bente Martinsen
- Department of Public Medicine, Aarhus University, Aarhus, Denmark
| | | | - Erik Elgaard Sørensen
- Department of Clinical Medicine, Clinical Nursing Research Unit, Aalborg University Hospital, Aalborg University, Aalborg, Denmark
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17
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Sadruddin S, Jan R, Jabbar AA, Nanji K, Tharani A. Patient education and mind diversion in supportive care. ACTA ACUST UNITED AC 2017; 26:S14-S19. [DOI: 10.12968/bjon.2017.26.10.s14] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Salima Sadruddin
- Senior Instructor, School of Nursing and Midwifery, Aga Khan University, Karachi, Pakistan
| | - Rafat Jan
- Professor, School of Nursing and Midwifery, Aga Khan University
| | - Adnan A Jabbar
- Assistant Professor, Department of Medical Oncology, Aga Khan University Hospital, Karachi, Pakistan
| | - Kashmira Nanji
- Lecturer, Department of Family Medicine, Aga Khan University Hospital
| | - Ambreen Tharani
- Assistant Professor, School of Nursing and Midwifery, Aga Khan University
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18
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Szalai M, Szirmai A, Füge K, Makai A, Erdélyi G, Prémusz V, Bódis J. Special aspects of social support: Qualitative analysis of oncologic rehabilitation through a belly dancing peer support group. Eur J Cancer Care (Engl) 2017; 26. [PMID: 28194904 DOI: 10.1111/ecc.12656] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/06/2016] [Indexed: 11/29/2022]
Abstract
Tumour-related peer support groups (PSGs) show long-term development in quality of life and coping, and decrease distress in cancer care. To clarify channels of social support in oncologic rehabilitation by combined exercise and psychosocial therapy, individual semi-structured interviews were conducted after 1 year additional belly dance rehabilitation in a closed PSG among 51 patients with malignant tumour diagnosis in Budapest, Hungary. Interview data were transcribed and analysed using qualitative content analysis (ATLAS.ti 6 Win). Results suggest that group experience provides emotional-, practical- and informational support. We could point out specific social effects of "role model" function and extend the coping model. The group dispose all the features of effective suggestion and may be effectively applied as additional therapy for patients with malignancies. The extended coping model and the introduction of "role model" function could be useful for PSGs' efficacy assessment.
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Affiliation(s)
- M Szalai
- Department of Head and Neck Surgery, National Institute of Oncology, Budapest, Hungary.,Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - A Szirmai
- Doctoral School of Psychology, Faculty of Humanities, Eötvös Loránd University, Budapest, Hungary
| | - K Füge
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - A Makai
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - G Erdélyi
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - V Prémusz
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - J Bódis
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary.,Department of Obstetrics and Gynaecology, Medical School, University of Pécs, Pécs, Hungary
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19
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Borregaard B, Lerbæk B, Bak S, Ludvigsen MS. Deep sternal wound infection after cardiac surgery - A phenomenological-hermeneutic study of patients’ experiences with negative pressure wound therapy. ACTA ACUST UNITED AC 2016. [DOI: 10.18261/issn.1892-2686-2016-03-04] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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20
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Abstract
Purpose
– The purpose of this paper is to explore information behaviour and the information barriers transgendered people encounter. This study produces new information about the information needs in the construction of the transgendered identity, the changing of the information needs during this phase, utilized information sources, information sharing and barriers encountered in the information behaviour displayed by transgendered people.
Design/methodology/approach
– Semi-structured interviews were used to explore the information behaviour of 12 transgendered participants. This study represents a phenomenological-hermeneutic approach. A qualitative content analysis was used in analysing the data with categories derived from previous research and research questions.
Findings
– Serendipity played an important role at the beginning of the participants’ information seeking phase: the young individual would not have terms corresponding to his or her experience because of the invisibility of the transgender phenomenon in the culture. The barriers to seeking information were psychological, demographic, role-related or interpersonal, environmental or source characteristic. Fear was apparent as a barrier in the surrounding culture often caused by expectations, attitudes in the family environment and people around. Source characteristic barriers were related to the lack of terms and vocabulary required to seek information and also the lack of the information itself. Information about transgender and gender minorities was essential in building up a clear gender identity, and the most relevant information sources of this sort of information this were other transgendered people and the experience-based information they had shared.
Originality/value
– The information behaviour of transgendered people has not been previously studied. In this study a model of information behaviour and information barriers was made. The model includes individual’s information practices, sources of information and also the barriers affecting information behaviour.
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Berthelsen CB, Kristensson J. Spouses’ involvement in older patients’ fast-track programmes during total hip replacement using case management intervention. A study protocol of the SICAM-trial. J Adv Nurs 2015; 71:1169-80. [DOI: 10.1111/jan.12602] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/18/2014] [Indexed: 11/29/2022]
Affiliation(s)
- Connie Bøttcher Berthelsen
- Orthopaedic Department; Regional Hospital of Køge; Denmark
- Section of Nursing; Institute of Public Health; Aarhus University; Denmark
| | - Jimmie Kristensson
- Department of Health Sciences; Lund University; Sweden
- The Swedish Institute for Health Sciences; Lund University; Sweden
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22
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Andersen LS, Larsen BH, Birkelund R. A companionship between strangers - learning from fellow people with cancer in oncology wards. J Adv Nurs 2014; 71:271-80. [DOI: 10.1111/jan.12490] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/28/2014] [Indexed: 11/28/2022]
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23
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Lloyd A, Bonner A, Dawson-Rose C. The health information practices of people living with chronic health conditions: Implications for health literacy. JOURNAL OF LIBRARIANSHIP AND INFORMATION SCIENCE 2013. [DOI: 10.1177/0961000613486825] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The health literacy concept is often limited to descriptions of a patient’s functional relationship with text. This description does not acknowledge the range of information sources that people draw from in order to make informed decision about their health and treatment. A socio-cultural understanding of the practice of health literacy and the construction of the health information landscape is described, and draws from two studies of people with two different but complex and life-threatening chronic health conditions: chronic kidney disease and human immunodeficiency virus. Health information is experienced by patients as a chronic health condition landscape, and develops from three information sources, namely epistemic, social and corporeal sources. Participants in both studies used activities that involved orienting and sharing activities to understand the landscape that was used to inform their decision making. These findings challenge the traditional conceptions of health literacy and suggest an approach that views the landscape of chronic illness as being socially, physically and contextually constructed. This suggests recasting health literacy away from a sole interest in skills and towards understanding how information practices facilitate people becoming health literate.
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Affiliation(s)
| | - Ann Bonner
- Queensland University of Technology, Australia
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