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Carcello K, McLennon S. “Personal road map for recovery:” examining the therapeutic use of weblogs by stroke survivors with aphasia. Disabil Rehabil 2022; 44:1933-1938. [DOI: 10.1080/09638288.2020.1812122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- Karen Carcello
- College of Nursing, University of Tennessee-Knoxville, Knoxville, TN, USA
| | - Susan McLennon
- College of Nursing, University of Tennessee-Knoxville, Knoxville, TN, USA
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Holloway A, Chandler C, Aviles Reinso L, Clarissa C, Putri A, Choi H, Pan JF, Mitra U, Hewitt J, Cluckie G, Smart A, Noble H, Harris R, Reid J, Kelly DM. Young Adults Rehabilitation Needs and Experiences following Stroke (YARNS): A review of digital accounts to inform the development of age-appropriate support and rehabilitation. J Adv Nurs 2021; 78:869-882. [PMID: 34632610 DOI: 10.1111/jan.15076] [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] [Received: 04/26/2021] [Revised: 09/03/2021] [Accepted: 10/01/2021] [Indexed: 11/30/2022]
Abstract
AIMS To explore younger adults' experiences of stroke rehabilitation to inform practice, education and future health policy. DESIGN Qualitative analysis of digital and other media sources on public platforms. METHODS Between March and June 2020, the experiences of younger adult stroke survivors aged 18 to 45 at the time of the stroke were collected. Data were gathered from publicly available sources, including social media, and from English-speaking users. In total, 117 accounts from 103 participants were identified from films, autobiographical books, blogs, websites, videos, Twitter and Instagram. Data analysis followed narrative and multimodal analysis with a focus on rehabilitation needs. RESULTS Younger adult stroke survivors make sense of their experience by reflecting on how stroke has impacted their lives. Accounts reflected an emotional journey between the past self, the present self and evolving self, as well as associated challenges such as the impact on relationships and careers. The majority of accounts presented transitions as problematic, including the receipt of the initial diagnosis, or sometimes misdiagnosis, to returning home and achieving long-term rehabilitation goals. Specialist stroke nurses were considered essential in the rehabilitation process. CONCLUSION A complex process of recovery follows stroke for younger adult stroke populations. Challenges to the rehabilitation process need to be better understood and the role of nursing highlighted in future service provision. A series of age-related challenges were highlighted that require attention to improve the care and support offered. IMPACT This article informs clinicians, educators, and policymakers of the age-related needs of young adult stroke survivors. Focusing on the individual and the development of age-appropriate person-centred stroke care is important. The study highlights the role of stroke nursing and challenges the current policy focus on older stroke populations as well as arguing for greater awareness of age-appropriate stroke rehabilitation in younger adults following stroke.
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Affiliation(s)
- Aisha Holloway
- Nursing Studies, School of Health in Social Science, University of Edinburgh, Edinburgh, UK
| | - Colin Chandler
- Nursing Studies, School of Health in Social Science, University of Edinburgh, Edinburgh, UK
| | - Lissette Aviles Reinso
- Nursing Studies, School of Health in Social Science, University of Edinburgh, Edinburgh, UK
| | - Catherine Clarissa
- Nursing Studies, School of Health in Social Science, University of Edinburgh, Edinburgh, UK
| | - Arcellia Putri
- Nursing Studies, School of Health in Social Science, University of Edinburgh, Edinburgh, UK
| | - HyeRi Choi
- Nursing Studies, School of Health in Social Science, University of Edinburgh, Edinburgh, UK
| | - Jo-Fan Pan
- University of Manchester, Manchester, UK
| | - Udita Mitra
- St. George's University Hospitals NHS Foundation Trust, London, UK
| | - Jonathan Hewitt
- Cardiff University, Aneurin Bevan Health Board, Llandough Hospital, Cardiff, UK
| | - Gillian Cluckie
- St. George's University Hospitals NHS Foundation Trust, London, UK
| | - Alison Smart
- School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK
| | - Helen Noble
- School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK
| | - Ruth Harris
- Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK
| | - Joanne Reid
- School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK
| | - Daniel M Kelly
- School of Healthcare Sciences, Cardiff University, Cardiff, UK
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Chen H, Wang Y, Liu Z. The experiences of frontline nurses in Wuhan: A qualitative analysis of nurse online diaries during the COVID-19 pandemic. J Clin Nurs 2021; 31:2465-2475. [PMID: 34570940 PMCID: PMC8662013 DOI: 10.1111/jocn.16056] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/12/2021] [Indexed: 01/21/2023]
Abstract
Aims and objective To explore the experiences of frontline nurses through analyzing nurse online diaries during the pandemic. Background Over 42,600 healthcare professionals took care of patients with COVID‐19 in Wuhan in the initial months between 23 January 2020 and 8 April 2020. Many used to write online diaries on Sina Microblog and still wrote about their experiences in the front line on this site. However, there has been little research on frontline nurses' experiences in the initial months of the pandemic through analyzing their narratives. Design A qualitative descriptive design. Methods A qualitative content analysis was used to analyze online diaries written by frontline nurses in Wuhan. A total of 205 entries in online diaries were collected from 12 frontline nurses, as accessible to those who subscribed to Sina Microblog social media site, between 23 January 2020 and 8 April 2020. NVivo12 was used to help analyze the data, and COREQ reporting guidelines were also used in this study. Results Two themes were identified: constructing a better self and constructing a strong support network. A better self was constructed in describing positive emotions, commitment to care, pride and achievements, and whole‐person growth. A strong support network was constructed through social support via different sources and gaining self‐support via narrating their personal experiences in diaries. Conclusions Frontline nurses demonstrated personal growth, psychological well‐being, and professionalism in the process of constructing a better self and a strong support network. Relevance to clinical practice The findings indicate that frontline nurses can use narratives as debriefing opportunities and a way of gaining self‐support. We suggest that online communities of professional support be used as an essential platform for sharing narratives and gaining a more comprehensive understanding of frontline nurses in the COVID‐19 pandemic and other global public health events.
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Affiliation(s)
- Hua Chen
- School of International Education, Shandong University of Finance and Economics, Jinan, P.R. China.,School of Foreign Languages and Literature, Shandong University, Jinan, P.R. China
| | - Ying Wang
- School of Foreign Languages and Literature, Shandong University, Jinan, P.R. China
| | - Zengmei Liu
- School of International Education, Shandong University of Finance and Economics, Jinan, P.R. China
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The experience of close personal relationships after stroke: scoping review and thematic analysis of qualitative literature. BRAIN IMPAIR 2021. [DOI: 10.1017/brimp.2021.12] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Abstract
Background and Purpose:
Psychosocial difficulties, including changed relationships are among the most pervasive and concerning issues following stroke. This study aimed to collate and thematically analyse qualitative literature describing the experience of close personal relationships from the perspective of stroke survivors.
Method:
Using a scoping review methodology, four databases (CINAHL/EBSCO, MEDLINE/Pubmed, Embase, Psychinfo) were systematically searched, yielding 3100 citations. Following exclusion of duplicates and screening against inclusion criteria at title/abstract and full text levels, 53 articles were included in the review. Data were charted and thematically analysed.
Results:
While research has increased since 2000, longitudinal designs are few. Four overarching themes and 12 subthemes were identified. ‘Social disruption’ described changing social worlds, lost social opportunities and shrinking networks. ‘Changed relationships’ included changed family and spousal relationships and changed parenting relationships. The third theme ‘relationships help’ highlighted positive aspects including belonging, support and a life worth living. The final theme was ‘coping with an altered social world’ and described adjustment and emotional responses.
Conclusions:
Relationships are an important aspect of life post stroke but are subject to changes and challenges. This article brings together a breadth of qualitative data to describe lived experiences. Further research, in particular, longitudinal research is required.
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Sormunen T, Westerbotn M, Aanesen A, Fossum B, Karlgren K. Social media in the infertile community-using a text analysis tool to identify the topics of discussion on the multitude of infertility blogs. WOMEN'S HEALTH (LONDON, ENGLAND) 2021; 17:17455065211063280. [PMID: 34856827 PMCID: PMC8646758 DOI: 10.1177/17455065211063280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Revised: 10/14/2021] [Accepted: 11/11/2021] [Indexed: 11/16/2022]
Abstract
BACKGROUND Infertility affects one in six couples. New digital resources exist which enable the study of lived experience of persons with infertility. Blogging represents a forum for sharing narratives and experiences. To provide high quality care for persons with a history of infertility, it is crucial to ascertain what they value as significant in their situation. Blogs with a focus on infertility may provide this information. OBJECTIVES The aim of this study was to gain insight into which infertility-related issues are discussed on Swedish infertility blogs. METHODS In total, 70 infertility blogs were identified on the Internet and 25 met the inclusion criteria. A quantitative-qualitative content analysis was performed with the support of the Gavagai Explorer text analysis software. RESULTS A total of 4508 postings were retrieved from the blogs, all of which were written by women. The outcome of the analysis resulted into the following topics: Emotions (16.8%), Relations (12.5%), Time and waiting (7.1%), Body (6.6%), Care and treatment (4.2%), Food and diet (1.4%) and Exercise (0.5%). For most topics, there was a balance between positive and negative statements, but the body topic stood out by having more negative than positive sentiment. CONCLUSION By considering the topics expressed in blogs, health care personnel are provided with an opportunity to better understand the situation of individuals affected by infertility.
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Affiliation(s)
- Taina Sormunen
- Department of Clinical Science and Education, Karolinska Institutet, Södersjukhuset, Stockholm, Sweden
- Department of Health Promoting Science, Sophiahemmet University, Stockholm, Sweden
| | - Margareta Westerbotn
- Department of Clinical Science and Education, Karolinska Institutet, Södersjukhuset, Stockholm, Sweden
- Department of Nursing Science, Sophiahemmet University, Stockholm, Sweden
| | - Arthur Aanesen
- Department of Health Promoting Science, Sophiahemmet University, Stockholm, Sweden
- Sophiahemmet Hospital, Stockholm, Sweden
| | - Bjöörn Fossum
- Department of Clinical Science and Education, Karolinska Institutet, Södersjukhuset, Stockholm, Sweden
- Department of Nursing Science, Sophiahemmet University, Stockholm, Sweden
| | - Klas Karlgren
- Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden
- Department of Research, Education, Development, and Innovation, Södersjukhuset, Stockholm, Sweden
- Department of Health and Functioning, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway
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Feler J, Tan A, Sammann A, Matouk C, Hwang DY. Decision Making Among Patients with Unruptured Aneurysms: A Qualitative Analysis of Online Patient Forum Discussions. World Neurosurg 2019; 131:e371-e378. [DOI: 10.1016/j.wneu.2019.07.161] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2019] [Revised: 07/21/2019] [Accepted: 07/22/2019] [Indexed: 10/26/2022]
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Litchman ML, Tran MJ, Dearden SE, Guo JW, Simonsen SE, Clark L. What Women With Disabilities Write in Personal Blogs About Pregnancy and Early Motherhood: Qualitative Analysis of Blogs. JMIR Pediatr Parent 2019; 2:e12355. [PMID: 31518332 PMCID: PMC6715048 DOI: 10.2196/12355] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/28/2018] [Revised: 11/26/2018] [Accepted: 01/30/2019] [Indexed: 12/16/2022] Open
Abstract
BACKGROUND More than 1 in 10 women of reproductive age identify as having some type of disability. Most of these women are able to become pregnant and have similar desires for motherhood as women without disability. Women with disability, however, face greater stigma and stereotyping, additional risk factors, and may be less likely to receive adequate reproductive health care compared with their peers without disability. More and more individuals, including those with disability, are utilizing the internet to seek information and peer support. Blogs are one source of peer-to-peer social media engagement that may provide a forum for women with disability to both share and obtain peer-to-peer information and support. Nevertheless, it is not clear what content about reproductive health and pregnancy and/or motherhood is featured in personal blogs authored by women with spinal cord injury (SCI), traumatic brain injury (TBI), spina bifida, and autism. OBJECTIVE The objective of this study was twofold: (1) to examine the information being shared in blogs by women with 4 types of disabilities, namely, SCI, TBI, spina bifida, and autism, about reproductive health, disability, health care, pregnancy, and motherhood; and (2) to classify the content of reproductive health experiences addressed by bloggers to better understand what they viewed as important. METHODS Personal blogs were identified by searching Google with keywords related to disabilities, SCI, TBI, spina bifida, and autism, and a variety of keywords related to reproductive health. The first 10 pages of each database search in Google, based on the relevance of the search terms, were reviewed and all blogs in these pages were included. Blog inclusion criteria were as follows: (1) written by a woman or care partner (ie, parent or spouse) of a woman with a self-identified diagnosis of SCI, TBI, spina bifida, or autism; (2) focused on the personal experience of health and health care during the prepregnancy, prenatal, antepartum, intrapartum, and/or postpartum periods; (3) written in English; and (4) published between 2013 and 2017. A descriptive and thematic qualitative analysis of blogs and corresponding comments was facilitated with NVivo software and matrix analysis. RESULTS Our search strategy identified 125 blogs that met all the inclusion criteria; no blogs written by women with spina bifida were identified. We identified 4 reproductive health themes featured in the blog of women with disabilities: (1) (in)accessible motherhood, (2) (un)supportive others, (3) different, but not different, and (4) society questioning motherhood. CONCLUSIONS This analysis of personal blogs about pregnancy and health care written by women with SCI, TBI, and autism provides a glimpse into their experiences. The challenges faced by these women and the adaptations they made to successfully navigate pregnancy and early motherhood provide insights that can be used to shape future research.
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Affiliation(s)
| | - M J Tran
- College of Nursing, University of Utah, Salt Lake City, UT, United States
| | - Susan E Dearden
- College of Nursing, University of Utah, Salt Lake City, UT, United States
| | - Jia-Wen Guo
- College of Nursing, University of Utah, Salt Lake City, UT, United States
| | - Sara E Simonsen
- College of Nursing, University of Utah, Salt Lake City, UT, United States
| | - Lauren Clark
- College of Nursing, University of Utah, Salt Lake City, UT, United States
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