1
|
Foster F, Kanderzhanova A, Umbetkulova S, Stolyarova V, Sarria-Santamera A, Cobb-Zygadlo D. "Who Else If Not Us": An Exploratory-Descriptive Qualitative Study of Kazakhstani Frontline Professionals' Experience and Perceptions During the Coronavirus Disease 2019 Pandemic. QUALITATIVE HEALTH RESEARCH 2024; 34:507-516. [PMID: 38061388 DOI: 10.1177/10497323231216363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/09/2024]
Abstract
Little is known about the experiences of frontline professionals in Kazakhstan. Although studies of frontline workers have been conducted worldwide, it is imperative that caution should be exercised when extrapolating findings from disparate societies and generalizing them to Central Asian countries. As such, the purpose of this study was to explore and describe the firsthand experiences, perceptions, and knowledge gained from the experience of Kazakh frontline physicians and nurses during the COVID-19 pandemic. An exploratory-descriptive qualitative (EDQ) study was conducted over the course of a year in COVID-19 hospitals in Kazakhstan, with physicians (n = 23) and nurses (n = 7). Each participant was interviewed three times between May 2021 and May 2022. Braun and Clarke's six-step method was used for the thematic analysis. Three overarching themes and subthemes were identified: (1) Longitudinal Journey ("Nobody knew, nobody understood, nobody was ready"; "It's just life"); (2) Facets of Professionalism ("In my lifetime this is something unique"; "Who else if not us"; "We survived the war and the enemy"); and (3) Facets of Resilience ("God's providence"; "A good word heals too"). In light of the lack of research that has previously been conducted in Kazakhstan, the results of this study offer important new insight into the experiences of medical professionals during the COVID-19 epidemic.
Collapse
Affiliation(s)
- Faye Foster
- Nazarbayev University School of Medicine, Astana, Kazakhstan
| | | | | | | | | | | |
Collapse
|
2
|
Kaunda-Khangamwa BN, Munthali A, Manderson L. Ethnographic understandings of sexual and reproductive health and HIV care for adolescents in Blantyre, Malawi. Sex Reprod Health Matters 2023; 31:2209956. [PMID: 37224431 DOI: 10.1080/26410397.2023.2209956] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023] Open
Abstract
Sexual and reproductive health (SRH) care and support are provided to adolescents living with HIV, with the aim to build safer sex negotiation skills, sexual readiness and reproductive preparedness while reducing unintended pregnancies and sexually transmitted infections. We consider how different settings might either constrain or facilitate access to resources and support. Ethnographic research was conducted in Malawi in teen club clinic sessions at an enhanced antiretroviral clinic from November 2018 to June 2019. Twenty-one individual and five group interviews were conducted with young people, caregivers, and healthcare workers, and were digitally recorded, transcribed, and translated into English for thematic analysis. Drawing on socio-ecological and resilience theories, we considered the different ways in which homes, schools, teen club clinics, and community settings all functioned as interactional, relational, and transformational spaces to allow young people to talk about and receive information on sexuality and health. Young people perceived that comprehensive SRH support enhanced their knowledge, sexual readiness, and reproductive preparedness. However, their desire to reproduce at an early age complicated their adoption of safer sex negotiation skills and SRH care. Engaging and talking about SRH and related issues varied according to physical and social space, suggesting the value of multiple locations for support and resources for young people with HIV.
Collapse
Affiliation(s)
- Blessings N Kaunda-Khangamwa
- Research Consultant, School of Global and Public Health, Kamuzu University of Health Sciences, MAC CDAC, Blantyre, Malawi
- Honorary Researcher, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa
| | - Alister Munthali
- Professor of Research, Centre for Social Research, University of Malawi, Zomba, Malawi
| | - Lenore Manderson
- Distinguished Professor of Public Health and Medical Anthropology, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa
- Adjunct Professor, School of Social Sciences, Monash University, Melbourne, Australia
| |
Collapse
|
3
|
Rosa D, Bonetti L, Villa G, Allieri S, Baldrighi R, Elisei RF, Ripa P, Giannetta N, Amigoni C, Manara DF. Moral Distress of Intensive Care Nurses: A Phenomenological Qualitative Study Two Years after the First Wave of the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph192215057. [PMID: 36429775 PMCID: PMC9690457 DOI: 10.3390/ijerph192215057] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Revised: 11/03/2022] [Accepted: 11/13/2022] [Indexed: 06/01/2023]
Abstract
BACKGROUND The COVID-19 pandemic has imposed great pressure on healthcare facilities, exposing healthcare professionals to various challenges that may result in the onset of moral distress, a condition of psychological distress caused by the inability to act as it would be most morally appropriate. The purpose of this research was to investigate the experience lived by nurses who worked in an intensive care unit during the COVID-19 pandemic. METHODS This is a phenomenological study using interpretative phenomenological analysis. Sixteen nurses who worked in the COVID-19 Intensive Care Unit of Northern Italian Hospitals from January to April 2022 were selected through purposive sampling. Data on experiences, thoughts, and symptoms were collected through semi-structured interviews with in-person and remote modalities. RESULTS Five themes and fourteen subthemes emerged from the study. The themes are: (1) pride, isolation, and fear; (2) teamwork and organisation; (3) moral/ethical aspect; (4) true heroes; and (5) dignity. CONCLUSIONS This study highlights the impact of the COVID-19 pandemic on intensive care unit nurses. It has emerged that the risk of moral distress is high among healthcare workers in the front line of the fight against the virus. This condition should be avoided and managed through early psychological interventions, sharing of experiences, and a good organization that supports decision-making and professional well-being.
Collapse
Affiliation(s)
- Debora Rosa
- Istituto Auxologico Italiano-IRCCS, Piazzale Brescia 20, 20149 Milan, Italy
| | - Loris Bonetti
- Department of Nursing, Nursing Research Centre, Ente Ospedaliero Cantonale (EOC), 6500 Bellinzona, Switzerland
- Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, 6928 Manno, Switzerland
| | - Giulia Villa
- Center for Nursing Research and Innovation, Vita-Salute San Raffaele University, 20132 Milan, Italy
| | - Sara Allieri
- Center for Nursing Research and Innovation, Vita-Salute San Raffaele University, 20132 Milan, Italy
| | - Riccardo Baldrighi
- Center for Nursing Research and Innovation, Vita-Salute San Raffaele University, 20132 Milan, Italy
| | - Rolando Francesco Elisei
- Ospedale San Giuseppe Gruppo Multimedica, Nursing Degree Course, University of Milan, 20122 Milan, Italy
| | - Paola Ripa
- Ospedale San Giuseppe Gruppo Multimedica, Nursing Degree Course, University of Milan, 20122 Milan, Italy
| | - Noemi Giannetta
- School of Nursing, UniCamillus—Saint Camillus International University of Health and Medical Sciences, 00131 Rome, Italy
| | - Carla Amigoni
- Istituto Auxologico Italiano-IRCCS, Piazzale Brescia 20, 20149 Milan, Italy
| | - Duilio Fiorenzo Manara
- Center for Nursing Research and Innovation, Vita-Salute San Raffaele University, 20132 Milan, Italy
| |
Collapse
|
4
|
Villa G, Galli E, Allieri S, Baldrighi R, Brunetti A, Giannetta N, Manara DF. Frontline Involvement in Population COVID-19 Vaccinations: Lived Experience of Nursing Students. Healthcare (Basel) 2022; 10:healthcare10101985. [PMID: 36292432 PMCID: PMC9601827 DOI: 10.3390/healthcare10101985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2022] [Revised: 10/06/2022] [Accepted: 10/07/2022] [Indexed: 11/04/2022] Open
Abstract
(1) Background: The globally promoted vaccination campaign has been shown to be the solution for the COVID-19 pandemic, reducing transmission, hospitalisation and the need for intensive care. Although several studies have examined the experiences of healthcare workers during the pandemic, few studies have investigated healthcare student experiences. The aim of this study is to explore the lived experience of third-year nursing students during the COVID-19 vaccination campaign. (2) Methods: A phenomenological qualitative method was adopted. The researchers selected third-year students undertaking a bachelor’s nursing degree who took part in the COVID-19 vaccination campaign at a high-volume vaccination centre in the period from May to August 2021. (3) Results: Thirteen students were included in the study. Three themes and twelve subthemes emerged from the study. The themes were: a challenging experience; it is not as easy as it seems; a learning experience worth living; and teamwork and trust leading to professional development. (4) Conclusions: Participation in the vaccination campaign was a novelty for students in their degree program. Students emphasized the positive aspects of having the opportunity to participate in the vaccination campaign and help the entire community in the fight against COVID-19.
Collapse
Affiliation(s)
- Giulia Villa
- Center for Nursing Research and Innovation, Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, 20132 Milan, Italy
| | - Emanuele Galli
- Nursing School San Raffaele Hospital, Vita-Salute San Raffaele University, 20132 Milan, Italy
- IRCSS San Raffaele Scientific Institute, 20132 Milan, Italy
| | - Sara Allieri
- Nursing School San Raffaele Hospital, Vita-Salute San Raffaele University, 20132 Milan, Italy
| | - Riccardo Baldrighi
- Nursing School San Raffaele Hospital, Vita-Salute San Raffaele University, 20132 Milan, Italy
| | - Adelaide Brunetti
- Nursing School San Raffaele Hospital, Vita-Salute San Raffaele University, 20132 Milan, Italy
| | - Noemi Giannetta
- School of Nursing, UniCamillus—Saint Camillus International University of Health and Medical Sciences, 00131 Rome, Italy
- Correspondence:
| | - Duilio Fiorenzo Manara
- Center for Nursing Research and Innovation, Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, 20132 Milan, Italy
| |
Collapse
|
5
|
Kinitz DJ. The Emotional and Psychological Labor of Insider Qualitative Research Among Systemically Marginalized Groups: Revisiting the Uses of Reflexivity. QUALITATIVE HEALTH RESEARCH 2022; 32:1635-1647. [PMID: 35790140 DOI: 10.1177/10497323221112620] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
In response to decades-long exclusionary practices, academic institutions are now recruiting early career researchers (ECRs) from systemically marginalized populations who specialize in equity-related research. As a result, these ECRs are likely to conduct research within their communities on topics that have personal relevance-insider research. Methodological training for insider research places an emphasis on methods, such as reflexivity, to ensure rigor; however, the emotional and psychological impacts of these research methods on the researcher are seldom discussed. Therefore, I use analytic autoethnography to illustrate the embodied impacts of conducting insider research using an example of personal relevance and argue that methodological practices require an embodied reflexivity that centers the researcher and the impacts the research has on them. This paradoxically rewarding and taxing work necessitates changes in methodological training and practice, institutional support, and an openness to innovation when calling for equity, diversity, and inclusion in the academy.
Collapse
Affiliation(s)
- David J Kinitz
- Social and Behavioural Health Sciences Division, Dalla Lana School of Public Health, 7938University of Toronto, Toronto, ON, Canada
| |
Collapse
|
6
|
Seiberth K, Thiel A, John JM. “It's My Country I'm Playing for”—A Biographical Study on National Identity Development of Youth Elite Football Players With Migrant Background. Front Sports Act Living 2022; 4:893019. [PMID: 35903403 PMCID: PMC9322345 DOI: 10.3389/fspor.2022.893019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Accepted: 05/13/2022] [Indexed: 11/17/2022] Open
Abstract
Sport represents a prominent topic for public and scientific debates on national identity. Looking at Germany, public discourses on national belonging have primarily focused on national elite football and on German-born international football players with Turkish background. Representing the biggest ethnic community in Germany and being highly represented in German youth elite football, athletes with Turkish background are prime examples for the complexity and ambiguity of identity formations in modern immigration countries in general and in youth elite football in particular. Current research has particularly focused on national identity formations of (youth) elite players with migrant background. However, there is a lack of studies that address the process of national identity development in youth elite sport. For that reason, the study aimed to explore stories of national identity development from the perspective of youth football players with Turkish background in German youth elite football. By conducting 10 expert interviews and biographical mappings, we identified specific types, strands, and trajectories of national identity development. Overall, we identified three types of narratives on national identity development: “going with the nomination(s),” “reconsidering national belonging,” and “adding up chances”. Our findings illustrate that national identity development in youth elite sport is particularly shaped by youth elite sport and the national team question. Hence, the stories indicate that international careers not necessarily foster national identification with a nation but can also reduce feelings of national belonging sustainably.
Collapse
Affiliation(s)
- Klaus Seiberth
- Institute of Sports Science and Kinesiology, University Stuttgart, Stuttgart, Germany
- *Correspondence: Klaus Seiberth
| | - Ansgar Thiel
- Institute of Sports Science, University of Tübingen, Tübingen, Germany
| | - Jannika M. John
- Institute of Sports Science, University of Tübingen, Tübingen, Germany
| |
Collapse
|
7
|
Huang YJ, Acquati C, Cheung M. Family communication and coping among racial-ethnic minority cancer patients: A systematic review. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:e605-e620. [PMID: 34716631 DOI: 10.1111/hsc.13623] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/08/2020] [Revised: 10/09/2021] [Accepted: 10/11/2021] [Indexed: 06/13/2023]
Abstract
The ability to actively cope with cancer has been extensively associated with better patient-reported outcomes (PROs). This systematic review aims to synthesise the available literature assessing the experience of cancer patients from racial-ethnic minoritised groups. Given the role of sociocontextual factors, greater emphasis was placed on the relationship between family communication and cancer patients' coping within the three largest racial-ethnic minority groups in the United States. Five databases (CINAHL, MEDLINE, PsycINFO, PubMed, Web of Science) were used to search for peer-reviewed empirical studies published between 2008 and 2021, investigating family communication patterns, coping, and well-being among Black/African American, Asian, and Hispanic/Latinx cancer survivors. Short reports, chapters, abstracts/summaries, systematic reviews, and conference proceedings were excluded. This review was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement (PRISMA). The Criteria for Critically Appraising Systematic Reviews and Meta-Analyses were used to assess the quality and risk of bias in the included studies. The synthesis process focused on study aims, methods, measures of interests, sample characteristics, data analysis, and study findings. A total of 117 articles were identified, of which 9 met the inclusion criteria. The selected articles were cross-sectional, implementing both quantitative and qualitative designs. Studies included breast, prostate, and mixed cancer types. Sample sizes of quantitative studies ranged from 64 to 338 respondents, while qualitative studies' samples ranged between 9 and 43 participants. Family communication and coping styles varied across minoritised groups, with open family communication contributing to effective individual and family coping. However, empirical evidence about the nature and contribution of family communication to the coping process is sparse. Future research is needed to increase knowledge and psychosocial assessment techniques and interventions targeting family communication and coping among minority communities.
Collapse
Affiliation(s)
- Yu-Ju Huang
- Graduate College of Social Work, University of Houston, Houston, Texas, USA
| | - Chiara Acquati
- Graduate College of Social Work, University of Houston, Houston, Texas, USA
- Department of Health Disparities Research, UT MD Anderson Cancer Center, Houston, Texas, USA
| | - Monit Cheung
- Graduate College of Social Work, University of Houston, Houston, Texas, USA
| |
Collapse
|
8
|
Wanat M, Boylan AM, Borek AJ. Value, challenges and practical considerations when designing, conducting and analysing a longitudinal qualitative study in family medicine. Fam Med Community Health 2021; 9:fmch-2021-001283. [PMID: 34810204 PMCID: PMC8609937 DOI: 10.1136/fmch-2021-001283] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Qualitative longitudinal design has a long tradition in a variety of social science disciplines and is increasingly used in applied healthcare research, including family medicine. While there are many definitions of longitudinal qualitative research (LQR), its most common characteristics are multiple data collection points and its focus on temporality, which prioritise the study of change and continuity. Thus, LQR can provide insights into the nature, causes and consequences of change (or its absence). In this paper, we discuss the key steps and considerations related to designing and conducting LQR in family medicine and community health. These include (1) deciding on the length of data collection and timing and number of interviews, (2) planning recruitment: attrition versus oversampling, (3) approaching data collection: asking the same or different questions, (4) planning and conducting the analysis and writing up findings, and (5) conducting ethical LQR. We also highlight what LQR can offer family medicine and community health, including (1) allowing exploration of views and experiences of a variety of participants over time; (2) following participants through important transitions; (3) studying implementation of new practices, processes or interventions; (4) exploring the importance of historical change and/or macro context on individuals’ lives; and (5) developing a deeper understanding of phenomena under study. While a lot of attention has been paid to using LQR when studying patients’ and/or carers’ experiences, we highlight its value when studying a variety of actors relevant to family medicine, including healthcare professionals and policy makers.
Collapse
Affiliation(s)
- Marta Wanat
- Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, Oxfordshire, UK
| | - Anne-Marie Boylan
- Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, Oxfordshire, UK
| | - Aleksandra J Borek
- Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, Oxfordshire, UK
| |
Collapse
|
9
|
Lobo R, McCausland K, Bates J, Hallett J, Donovan B, Selvey LA. Sex workers as peer researchers - a qualitative investigation of the benefits and challenges. CULTURE, HEALTH & SEXUALITY 2021; 23:1435-1450. [PMID: 32744466 DOI: 10.1080/13691058.2020.1787520] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
Best practice in sex work research advocates for a 'nothing about us without us' methodology. This study employed sex workers as peer researchers to assist in evaluating the sexual health outcomes and well-being of sex workers in Western Australia. All eight peer researchers were invited to reflect on their experiences as peer researchers through semi-structured interviews, and seven peer researchers participated. Giving sex workers a voice and the opportunity to facilitate change for their peers was the primary driver for participation. Some peer researchers from English speaking backgrounds experienced challenges engaging and communicating with study participants for whom English was not their first language. Others experienced role conflict on hearing viewpoints contrary to their own beliefs. Access to support from the project team and other peer researchers was a key enabler for undertaking the peer researcher role. The majority of peer researchers were motivated to participate in the research by the possibility of future changes to sex work-related legislation, and support for sex workers based on the research findings. Research partnerships with peer researchers that offer employment throughout the research process, including co-authorship of journal articles, opportunities for leadership roles and collaboration in research translation activities can increase research impact.
Collapse
Affiliation(s)
- Roanna Lobo
- Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Curtin University, Perth, Western Australia, Australia
| | - Kahlia McCausland
- Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Curtin University, Perth, Western Australia, Australia
| | - Julie Bates
- Urban Realists Planning & Health Consultants, Sydney, New South Wales, Australia
| | - Jonathan Hallett
- Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Curtin University, Perth, Western Australia, Australia
| | - Basil Donovan
- The Kirby Institute, UNSW Sydney, Sydney, New South Wales, Australia
- Sydney Sexual Health Centre, Sydney Hospital, Sydney, New South Wales, Australia
| | - Linda A Selvey
- School of Public Health, Curtin University, Perth, Western Australia, Australia
| |
Collapse
|
10
|
Nielsen DS, Abdulkadir LS, Rehling C, Sodemann M. Interpreters' experiences of participating in an introduction course in the healthcare sector. An ethnographic field observation study. Nurs Open 2021; 8:1201-1208. [PMID: 34482651 PMCID: PMC8046114 DOI: 10.1002/nop2.736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Revised: 09/24/2020] [Accepted: 11/03/2020] [Indexed: 11/10/2022] Open
Abstract
AIM We aimed to explore how interpreters experienced being part of a special designed health introduction course and to obtain their perspectives on the learning process. The overall aim was to improve health care to patients with language barriers. DESIGN With a hermeneutic phenomenological approach, we used participant observations as a method for collecting data. METHOD The teaching methods used were case-based learning, role-play and active involvement including dialogs, discussions and critical reflections. The interpreters were divided into teams of 10-15 interpreters. Over the duration of 6 weeks, teaching sessions were conducted, with 3 hr/week planned. RESULTS The findings emphasize the importance of providing the interpreters with education, supervision and a work environment where they can confidentially share and get competent feedback on their experiences and linguistic skills, in order to ensure patients get the correct information in their native language.
Collapse
Affiliation(s)
- Dorthe S. Nielsen
- Migrant Health ClinicOdense University HospitalOdenseDenmark
- Center for Global HealthUniversity of Southern DenmarkOdenseDenmark
- Health Sciences Research CenterUniversity Colle of LillebaeltOdenseDenmark
| | | | | | - Morten Sodemann
- Migrant Health ClinicOdense University HospitalOdenseDenmark
- Center for Global HealthUniversity of Southern DenmarkOdenseDenmark
| |
Collapse
|
11
|
Bardwell G, Austin T, Maher L, Boyd J. Hoots and harm reduction: a qualitative study identifying gaps in overdose prevention among women who smoke drugs. Harm Reduct J 2021; 18:29. [PMID: 33678163 PMCID: PMC7937364 DOI: 10.1186/s12954-021-00479-3] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Accepted: 02/26/2021] [Indexed: 12/19/2022] Open
Abstract
BACKGROUND Smoking or inhaling illicit drugs can lead to a variety of negative health outcomes, including overdose. However, most overdose prevention interventions, such as supervised consumption services (SCS), prohibit inhalation. In addition, women are underrepresented at SCS and are disproportionately impacted by socio-structural violence. This study examines women's experiences smoking illicit drugs during an overdose epidemic, including their utilization of a women-only supervised inhalation site. METHODS Qualitative research methods included on-site ethnographic observation and semi-structured interviews with 32 participants purposively recruited from the women-only site. Data were coded and analyzed using NVivo 12 and thematic analysis was informed by gendered and socio-structural understandings of violence. RESULTS Participants had preferences for smoking drugs and these were shaped by their limited income, inability to inject, and perceptions of overdose risk. Participants expressed the need for services that attend to women's specific experiences of gendered, race-based, and structural violence faced within and outside mixed-gender social service settings. Results indicate a need for sanctioned spaces that recognize polysubstance use and drug smoking, accommodated by the women-only SCS. The smoking environment further fostered a sociability where participants could engage in perceived harm reduction through sharing drugs with other women/those in need and were able to respond in the event of an overdose. CONCLUSIONS Findings demonstrate the ways in which gendered social and structural environments shape women's daily experiences using drugs and the need for culturally appropriate interventions that recognize diverse modes of consumption while attending to overdose and violence. Women-only smoking spaces can provide temporary reprieve from some socio-structural harms and build collective capacity to practice harm reduction strategies, including overdose prevention. Women-specific SCS with attention to polysubstance use are needed as well as continued efforts to address the socio-structural harms experienced by women who smoke illicit drugs.
Collapse
Affiliation(s)
- Geoff Bardwell
- British Columbia Centre on Substance Use, 400-1045 Howe Street, Vancouver, BC, V6Z 2A9, Canada.
- Department of Medicine, University of British Columbia, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC, V6Z 1Y6, Canada.
| | - Tamar Austin
- British Columbia Centre on Substance Use, 400-1045 Howe Street, Vancouver, BC, V6Z 2A9, Canada
| | - Lisa Maher
- Faculty of Medicine, Kirby Institute for Infection and Immunity, UNSW Sydney, Wallace Wurth Building, Sydney, NSW, 2052, Australia
| | - Jade Boyd
- British Columbia Centre on Substance Use, 400-1045 Howe Street, Vancouver, BC, V6Z 2A9, Canada
- Department of Medicine, University of British Columbia, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC, V6Z 1Y6, Canada
| |
Collapse
|
12
|
Williams M, Jordan A, Scott J, Jones MD. Pharmacy professionals' views regarding the future of NHS patient medicines helpline services: a multimethod qualitative study. BMC Health Serv Res 2021; 21:137. [PMID: 33579266 PMCID: PMC7880211 DOI: 10.1186/s12913-021-06144-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Accepted: 02/02/2021] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Patient medicines helpline services (PMHS) have been established at some National Health Service (NHS) hospitals, to provide patients with post-discharge medicines-related support. However, findings suggest that many PMHS are provided sub-optimally due to a lack of resources. This study sought to examine pharmacy professionals' perceptions of the future of PMHS. METHODS Participants comprised pharmacy professionals from NHS Trusts in England that provided a PMHS. Invitations to participate in a qualitative survey and then an interview were sent to pharmacy services at all NHS Trusts that provided a PMHS. This resulted in 100 survey participants and 34 interview participants. Data were analysed using Braun and Clarke's inductive reflexive thematic analysis. RESULTS Two themes were generated: Enhancing value for service users and Improving efficiency. Enhancing value for service users identifies pharmacy professionals' suggestions for improving the value of PMHS for service users. These include providing access methods extending beyond the telephone, and providing patients/carers with post-discharge follow-up calls from a pharmacist to offer medicines-related support. Improving efficiency identifies that, in the future, and in line with NHS plans for efficiency and shared resources, PMHS may become centralised or provided by community pharmacies. Centralised services were considered to likely have more resources available to provide a patient medicines information service compared to hospital pharmacies. However, such a change was perceived to only increase efficiency if patient information can be shared between relevant healthcare settings. CONCLUSIONS PMHS are perceived by pharmacy professionals as likely to become centralised in the future (i.e., provided regionally/nationally). However, such change is dependent upon the sharing of patients' information between hospitals and the centralised hub/s or pharmacies. To enhance the value of PMHS for service users, providers should consider establishing other methods of access, such as email and video consultation. Considering the uncertainty around the future of PMHS, research should establish the best way to support all patients and carers regarding medicines following hospital discharge.
Collapse
Affiliation(s)
- Matt Williams
- Department of Pharmacy & Pharmacology, University of Bath, 5 West, Claverton Down, BA2 7AY,, Bath, UK
| | - Abbie Jordan
- Department of Psychology & Centre for Pain Research, University of Bath, Bath, UK
| | - Jenny Scott
- Department of Pharmacy & Pharmacology, University of Bath, 5 West, Claverton Down, BA2 7AY,, Bath, UK
| | - Matthew D Jones
- Department of Pharmacy & Pharmacology, University of Bath, 5 West, Claverton Down, BA2 7AY,, Bath, UK.
| |
Collapse
|
13
|
Cianfrocca C, Caponnetto V, Donati D, Di Stasio E, Tartaglini D, Lancia L. The opinions and feelings about their educational needs and role of familial caregivers of Parkinson's Disease patients: a qualitative study. ACTA BIO-MEDICA : ATENEI PARMENSIS 2020; 91:e2020002. [PMID: 33263347 PMCID: PMC8023112 DOI: 10.23750/abm.v91i12-s.10264] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/18/2020] [Accepted: 07/21/2020] [Indexed: 11/23/2022]
Abstract
BACKGROUND AND AIM OF THE WORK In the advanced stages of Parkinson's Disease, patients need complex care and support, especially at home, where they often receive assistance by familial caregivers. However, caregivers may be or feel unable to cope with their role and, despite the needs of caregivers are often assessed in the literature, their opinions and feelings about these needs are not widely explored yet. This study aimed at exploring the opinions and feelings about their educational needs and role of familial caregivers of Parkinson's Disease patients. METHODS A qualitative study was conducted from October to December 2017 in a polyclinic of central Italy. Fourteen caregivers voluntarily participated in the study; semi-structured face-to-face interviews were conducted, and audio recorded until data saturation. Two investigators reviewed the transcribed notes, created Meaning Units, Sub-categories and finally the Categories with emerged themes. RESULTS The analysis of the 14 interviews generated three categories: supportiveness of healthcare educational programs; sense of inability to manage caregiver tasks; need for interaction with other familial caregivers. CONCLUSIONS The caregivers declared their belief that healthcare educational courses can be useful in helping them live and understand the caregiving tasks and expressed their need to share their experiences with other caregivers. In fact, they often they felt abandoned and poorly trained for the patient's management at the home. The clinical practice should allow healthcare professionals to meet the training and emotional needs of caregivers and create a trust relationship with them to make caregivers skilled in caring for patients.
Collapse
Affiliation(s)
- Claudia Cianfrocca
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
| | | | - Daniele Donati
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
| | - Enrico Di Stasio
- Institute of Biochemistry and Clinical Biochemistry, Catholic University of 'Sacro Cuore', Rome, Italy; Univeristy Polyclinic Foundation A. Gemelli IRCCS, Rome, Italy.
| | | | - Loreto Lancia
- Department of Health, Life and Environmental Sciences, University of L'Aquila, Edificio Rita Levi Montalcini - Via G. Petrini - 67100 L'Aquila, Italy.
| |
Collapse
|
14
|
Montgomery L, Plano Clark VL, Twitty D, Budney AJ, Prochaska JJ, Winhusen T. Is it "loud" enough?: A qualitative investigation of blunt use among African American young adults. J Ethn Subst Abuse 2020; 21:747-761. [PMID: 32744476 DOI: 10.1080/15332640.2020.1801548] [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: 10/23/2022]
Abstract
Heavy blunt use is common among young adult cannabis users, especially African Americans. This exploratory qualitative study aimed to examine how African American young adults understand, talk about and experience their blunt use. Semi-structured interviews were conducted with adults reporting daily or almost daily blunt use in the past month (N = 20; 75% male). Thematic analysis of the audio-recorded interviews revealed aspects of how blunts are described, made and used among heavy blunt users. The three emergent themes have implications for the assessment of cannabis use and intervention development for heavy blunt users.
Collapse
Affiliation(s)
| | | | - Dylanne Twitty
- University of Cincinnati College of Medicine, Cincinnati, Ohio
| | | | | | | |
Collapse
|
15
|
Williams M, Jordan A, Scott J, Jones MD. Service users' experiences of contacting NHS patient medicines helpline services: a qualitative study. BMJ Open 2020; 10:e036326. [PMID: 32595161 PMCID: PMC7322281 DOI: 10.1136/bmjopen-2019-036326] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVES Patient medicines helpline services (PMHS) are available from some National Health Service (NHS) Trusts in the UK to provide medicines information to hospital patients and carers. To date, studies of PMHS have examined the views of service users via satisfaction surveys. This study used qualitative methods to explore service users' experiences of using a PMHS, including perceived benefits and areas for improvement. DESIGN Qualitative, using semi-structured interviews. SETTING This study was conducted across seven NHS Trusts in England. PARTICIPANTS Forty users of PMHS were individually interviewed over the telephone. Interviews were audio-recorded, transcribed verbatim and analysed using Braun and Clarke's inductive reflexive thematic analysis. Ethical approval was obtained before study commencement. RESULTS Participants predominantly called a PMHS for themselves (82%; carers: 18%). Two main themes were generated. Theme 1: timeliness-PMHS provide support during the uncertain transition of care period from hospital to home, when patients and carers often feel vulnerable because support is less available. PMHS met service users' needs for timely and easily accessible support, and quick resolution of their issues. PMHS could be improved with staffing beyond typical work week hours, and by having staff available to answer calls instead of using an answerphone. Theme 2: PMHS are best-placed to help-PMHS were perceived as best-placed to answer enquiries that arose from hospital care. Service users felt reassured from speaking to pharmacy professionals, and PMHS were perceived as the optimal service in terms of knowledge and expertise regarding medicines-related questions. However, several participants were initially unaware that their PMHS existed. CONCLUSIONS PMHS are perceived to be a valuable means of accessing timely medicines-related support when patients and carers may be feeling particularly vulnerable. However, their availability and promotion could be improved. We recommend that providers of PMHS consider whether this is achievable, in order to better meet the needs of service users.
Collapse
Affiliation(s)
- Matt Williams
- Department of Pharmacy & Pharmacology, University of Bath, Bath, UK
| | - Abbie Jordan
- Psychology and Centre for Pain Research, University of Bath, Bath, UK
| | - Jennifer Scott
- Department of Pharmacy & Pharmacology, University of Bath, Bath, UK
| | - Matthew D Jones
- Department of Pharmacy & Pharmacology, University of Bath, Bath, UK
| |
Collapse
|
16
|
Malatzky C, Mohamed Shaburdin Z, Bourke L. Exploring the role-based challenges of providing culturally inclusive health care for maternal and child health nurses: Qualitative findings. Nurs Open 2020; 7:822-831. [PMID: 32257270 PMCID: PMC7113514 DOI: 10.1002/nop2.457] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2019] [Revised: 01/24/2020] [Accepted: 01/27/2020] [Indexed: 11/09/2022] Open
Abstract
Aims To explore how maternal and child health nurses (MCHNs) working in a specific regionally located service perceive and experience delivering health care to a diverse population. Design Qualitative exploratory study. Methods Qualitative interviews were conducted with MCHNs (N = 6) working in a particular regionally located service. Data were selectively coded, categorized and interpreted through a process of argument writing influenced by poststructuralist thought and Foucauldian conceptualizations of power. Results The data analysed were interpreted into the following categories: (a) system-level expectations of the maternal and child health role; (b) what these system-level expectations mean for the role and practice of MCHNs; and (c) what MCHNs themselves report prioritizing in their work. The analysis suggests that a substantial hindrance to the development and support of culturally safe, inclusive and quality maternal and child health care lies in the very ways contemporary health institutions seek to discipline the routine practices of MCHNs.
Collapse
Affiliation(s)
| | | | - Lisa Bourke
- The University of MelbourneSheppartonVic.Australia
| |
Collapse
|
17
|
Heinsch M, Sampson D, Huens V, Handley T, Hanstock T, Harris K, Kay-Lambkin F. Understanding ambivalence in help-seeking for suicidal people with comorbid depression and alcohol misuse. PLoS One 2020; 15:e0231647. [PMID: 32302340 PMCID: PMC7164619 DOI: 10.1371/journal.pone.0231647] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2019] [Accepted: 03/29/2020] [Indexed: 11/27/2022] Open
Abstract
Help-seeking prior to a suicide attempt is poorly understood. Participants were recruited from a previous research trial who reported a history of suicidal behaviours upon follow-up. Qualitative interviews were conducted with six adults to understand their lived experience of a suicide attempt and the issues affecting help-seeking prior to that attempt. Participants described being aware of personal and professional supports available; however, were ambivalent about accessing them for multiple reasons. This paper employs an ecological systems framework to better understand the complex and multi-layered interpersonal, societal and cultural challenges to help-seeking that people with suicidal ideation can experience.
Collapse
Affiliation(s)
- Milena Heinsch
- Priority Research Centre for Brain & Mental Health, University of Newcastle, Callaghan, NSW, Australia
- School of Social Work, Faculty of Arts and Humanities, University of Newcastle, Callaghan, NSW, Australia
| | - Dara Sampson
- Priority Research Centre for Brain & Mental Health, University of Newcastle, Callaghan, NSW, Australia
| | - Valerie Huens
- School of Psychology, Faulty of Science, University of Newcastle, Callaghan, NSW, Australia
| | - Tonelle Handley
- Priority Research Centre for Brain & Mental Health, University of Newcastle, Callaghan, NSW, Australia
- Centre for Rural and Remote Mental Health, Orange, NSW, Australia
| | - Tanya Hanstock
- School of Psychology, Faulty of Science, University of Newcastle, Callaghan, NSW, Australia
| | - Keith Harris
- School of Psychology, Charles Sturt University, Port Macquarie, NSW, Australia
- School of Psychology, University of Queensland, Brisbane St Lucia, QLD, Australia
| | - Frances Kay-Lambkin
- Priority Research Centre for Brain & Mental Health, University of Newcastle, Callaghan, NSW, Australia
- National Drug and Alcohol Research Centre, UNSW, Randwick, NSW, Australia
| |
Collapse
|
18
|
Greenhawt M, Marsh R, Gilbert H, Matlock D. Authors' response. Ann Allergy Asthma Immunol 2019; 121:642-643. [PMID: 30389086 DOI: 10.1016/j.anai.2018.08.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2018] [Accepted: 08/29/2018] [Indexed: 11/28/2022]
Affiliation(s)
- Matthew Greenhawt
- Children's Hospital Colorado, University of Colorado School of Medicine, Section of Allergy and Immunology, Aurora, Colorado.
| | - Rebekah Marsh
- Department of Pediatrics, University of Colorado School of Medicine, Adult and Child Consortium for Health Outcomes Research and Delivery Science, Aurora, Colorado
| | - Hannah Gilbert
- Children's Hospital Colorado, University of Colorado School of Medicine, Section of Allergy and Immunology, Aurora, Colorado
| | - Daniel Matlock
- Department of Medicine, Division of Geriatric Medicine, University of Colorado School of Medicine, Aurora, Colorado; Veterans Affairs Eastern Colorado Geriatric Research Education and Clinical Center, Denver, Colorado
| |
Collapse
|
19
|
Matthews JG, Zawadzki R, Haselkorn T, Rosén K. Clarification of epicutaneous immunotherapy trial phase 3 results and methods for qualitative survey design. Ann Allergy Asthma Immunol 2019; 121:641-642. [PMID: 30389085 DOI: 10.1016/j.anai.2018.07.045] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2018] [Accepted: 07/27/2018] [Indexed: 10/28/2022]
Affiliation(s)
| | | | | | - Karin Rosén
- Aimmune Therapeutics, Inc, Brisbane, California.
| |
Collapse
|
20
|
Kaunda-Khangamwa BN, van den Berg H, McCann RS, Kabaghe A, Takken W, Phiri K, van Vugt M, Manda-Taylor L. The role of health animators in malaria control: a qualitative study of the health animator (HA) approach within the Majete malaria project (MMP) in Chikwawa District, Malawi. BMC Health Serv Res 2019; 19:478. [PMID: 31299974 PMCID: PMC6624973 DOI: 10.1186/s12913-019-4320-x] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2019] [Accepted: 07/02/2019] [Indexed: 12/31/2022] Open
Abstract
BACKGROUND Malaria continues to place a high burden on communities due to challenges reaching intervention target levels in Chikwawa District, Malawi. The Hunger Project Malawi is using a health animator approach (HA) to address gaps in malaria control coverage. We explored the influence of community-based volunteers known as health animators (HAs) in malaria control. We assessed the impact of HAs on knowledge, attitudes, and practices towards malaria interventions. METHODS This paper draws on the qualitative data collected to explore the roles of communities, HAs and formal health workers attending and not attending malaria workshops for malaria control. Purposive sampling was used to select 78 respondents. We conducted 10 separate focus group discussions (FGDs)-(n = 6) with community members and (n = 4) key informants. Nine in-depth interviews (IDIs) were held with HAs and Health Surveillance Assistants (HSAs) in three focal areas near Majete Wildlife Reserve. Nvivo 11 was used for coding and analysis. We employed the framework analysis and social capital theory to determine how the intervention influenced health and social outcomes. RESULTS Using education, feedback sessions and advocacy in malaria workshop had mixed outcomes. There was a high awareness of community participation and comprehensive knowledge of the HA approach as key to malaria control. HAs were identified as playing a complementary role in malaria intervention. Community members' attitudes towards advocacy for better health services were poor. Attendance in malaria workshops was sporadic towards the final year of the intervention. Respondents mentioned positive attitudes and practices on net usage for prevention and prompt health-seeking behaviours. CONCLUSION The HA approach is a useful strategy for complementing malaria prevention strategies in rural communities and improving practices for health-seeking behaviour. Various factors influence HAs' motivation, retention, community engagement, and programme sustainability. However, little is known about how these factors interact to influence volunteers' motivation, community participation and sustainability over time. More research is needed to explore the acceptability of an HA approach and the impact on malaria control in other rural communities in Malawi.
Collapse
Affiliation(s)
- Blessings N. Kaunda-Khangamwa
- The School of Public Health and Family Medicine, University of Malawi, College of Medicine, Blantyre, Malawi
- The Malaria Alert Centre, University of Malawi, College of Medicine, Blantyre, Malawi
- The University of Witwatersrand, School of Public Health, Johannesburg, South Africa
| | - Henk van den Berg
- Amsterdam UMC, location Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands
| | - Robert S. McCann
- Wageningen University and Research Centre, Wageningen, The Netherlands
- Training and Research Unit of Excellence, University of Malawi, College of Medicine, Blantyre, Malawi
| | - Alinune Kabaghe
- The School of Public Health and Family Medicine, University of Malawi, College of Medicine, Blantyre, Malawi
- Training and Research Unit of Excellence, University of Malawi, College of Medicine, Blantyre, Malawi
| | - Willem Takken
- Wageningen University and Research Centre, Wageningen, The Netherlands
| | - Kamija Phiri
- The School of Public Health and Family Medicine, University of Malawi, College of Medicine, Blantyre, Malawi
- Training and Research Unit of Excellence, University of Malawi, College of Medicine, Blantyre, Malawi
| | - Michele van Vugt
- Amsterdam UMC, location Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands
| | - Lucinda Manda-Taylor
- The School of Public Health and Family Medicine, University of Malawi, College of Medicine, Blantyre, Malawi
- Training and Research Unit of Excellence, University of Malawi, College of Medicine, Blantyre, Malawi
| |
Collapse
|
21
|
Bertelsen AS, Ryg J, Masud T, Nielsen DS. Wishes and needs of older persons who have experienced a fall: A qualitative study. Nurs Open 2019; 6:1105-1112. [PMID: 31367436 PMCID: PMC6650679 DOI: 10.1002/nop2.303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2019] [Revised: 04/10/2019] [Accepted: 04/29/2019] [Indexed: 11/28/2022] Open
Abstract
AIM The aim of this study was to explore the needs and wishes in everyday life of older persons who have experienced a fall. DESIGN A hermeneutic-phenomenological design with semi-structured interviews. METHOD Interviews were analysed using systematic text condensation. RESULTS Nine patients (5 women, 4 men) were included. The participants were between 67-95 years old. Seven of the nine participants had suffered from recurrent falls. The analysis revealed four themes: "To maintain meaningfulness in everyday life after experiencing a fall", "Contact with professionals can be a prerequisite for feeling well and motivated after a fall", "A need for assistive technology and aids in everyday life" and "Asking for help can be a challenge". Our findings highlight that older-person-centred care and treatment are essential to address the complex variations in needs and wishes of older persons who have experienced a fall.
Collapse
Affiliation(s)
| | - Jesper Ryg
- Department of Geriatric MedicineOdense University HospitalOdenseDenmark
- Department of Clinical ResearchUniversity of Southern DenmarkOdenseDenmark
| | - Tahir Masud
- Department of Geriatric MedicineOdense University HospitalOdenseDenmark
- Department of Clinical ResearchUniversity of Southern DenmarkOdenseDenmark
- Department of Geriatric MedicineNottingham University Hospitals Trust NHSNottinghamUK
| | | |
Collapse
|
22
|
Hanson S, Brabrand M, Lassen AT, Ryg J, Nielsen DS. What Matters at the End of Life: A Qualitative Study of Older Peoples Perspectives in Southern Denmark. Gerontol Geriatr Med 2019; 5:2333721419830198. [PMID: 30815513 PMCID: PMC6381425 DOI: 10.1177/2333721419830198] [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] [Subscribe] [Scholar Register] [Received: 11/12/2018] [Revised: 01/02/2019] [Accepted: 01/07/2019] [Indexed: 11/16/2022] Open
Abstract
What matters at the end of life (EOL) among the older population in Denmark is poorly investigated. We used focus groups and in-depth interviews, to identify perspectives within the EOL, along with what influences resuscitation, decision making, and other treatment preferences. We included eligible participants aged ≥65 years in the Region of Southern Denmark. Five focus groups and nine in-depth interviews were conducted, in total 31 participants. We found a general willingness to discuss EOL, and experiences of the process of dying were present among all participants. Three themes emerged during the analysis: (a) Being independent is crucial for the future, (b) Handling and talking about the EOL, and (c) Conditions in Everyday Life are Significant. Life experiences seemed to affect the degree of reflection of EOL and the decision-making process. Knowing your population of interest is crucial, when developing an approach or using an advance care plan from another setting.
Collapse
Affiliation(s)
- Stine Hanson
- University of Southern Denmark, Esbjerg, Denmark.,Hospital of South West Jutland, Esbjerg, Denmark
| | - Mikkel Brabrand
- University of Southern Denmark, Esbjerg, Denmark.,Hospital of South West Jutland, Esbjerg, Denmark
| | | | - Jesper Ryg
- University of Southern Denmark, Esbjerg, Denmark.,Odense University Hospital, Denmark
| | - Dorthe S Nielsen
- University of Southern Denmark, Esbjerg, Denmark.,Odense University Hospital, Denmark.,University College Lillebaelt, Denmark
| |
Collapse
|
23
|
|
24
|
Kuukka J, Uusiautti S, Määttä K. Online console game club as a resource a case study of the perceived meaning of club membership. INTERNATIONAL JOURNAL OF ADOLESCENCE AND YOUTH 2019. [DOI: 10.1080/02673843.2019.1566079] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Affiliation(s)
- Juho Kuukka
- Department of Education, University of Lapland, Rovaniemi, Finland
| | - Satu Uusiautti
- Department of Education, University of Lapland, Rovaniemi, Finland
| | - Kaarina Määttä
- Department of Education, University of Lapland, Rovaniemi, Finland
| |
Collapse
|
25
|
Mlotshwa L, Manderson L, Chasela C, Merten S. Talking about sex in pregnancy: reflections from the field in urban South Africa. CULTURE, HEALTH & SEXUALITY 2018; 20:1157-1170. [PMID: 29381125 DOI: 10.1080/13691058.2017.1420233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Qualitative research with close engagement in the field allows researchers and participants to build relationships and establish trust, enabling researchers to collect meaningful and sensitive information. Drawing on findings from a study conducted in an urban setting in South Africa, we discuss the challenges faced when interviewing pregnant women with HIV infection, retaining them in the study, and extending the study to include their partners. We discuss the dynamics of pregnancy and draw lessons from interviews concerned with personal, sensitive issues. The study on which we draw was conducted in Johannesburg, South Africa, and was nested in a larger prospective cohort study of women and their infants, which in turn was part of a case control study. Sensitive topics are difficult and complex, but to ignore these and stay in safe territory is to ignore some of the most pressing questions of our time. It is important that those who conduct interviews are well trained and able to engage empathetically with participants, and that some form of counselling is available for both participants and researchers.
Collapse
Affiliation(s)
- Langelihle Mlotshwa
- a Epidemiology and Public Health , Swiss Tropical and Public Health Institute, University of Basel , Basel , Switzerland
- b Epidemiology and Biostatistics, School of Public Health , University of the Witwatersrand , Johannesburg , South Africa
| | - Lenore Manderson
- c School of Public Health , University of the Witwatersrand , Johannesburg , South Africa
| | - Charles Chasela
- b Epidemiology and Biostatistics, School of Public Health , University of the Witwatersrand , Johannesburg , South Africa
- d Right to Care, EQUIP Health , Johannesburg , South Africa
| | - Sonja Merten
- a Epidemiology and Public Health , Swiss Tropical and Public Health Institute, University of Basel , Basel , Switzerland
| |
Collapse
|
26
|
Alshahrani S, Magarey J, Kitson A. Relatives' involvement in the care of patients in acute medical wards in two different countries-An ethnographic study. J Clin Nurs 2018. [PMID: 29514398 DOI: 10.1111/jocn.14337] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
AIMS AND OBJECTIVES To explore the nature of relatives' involvement in the care of patients in acute medical settings in Australia and Saudi Arabia and to explore the perceptions, attitudes and experiences of nurses. BACKGROUND There is little known about how relatives respond to being involved in patient care and the impact this has on the quality of care. Equally, little is known about how nurses enable such involvement. Previous studies have focused on settings such as critical care and paediatrics where relatives' involvement as advocates is mostly acknowledged and accepted. DESIGN The study used a qualitative ethnographic approach based on an interpretive paradigm. METHODS Data collection was carried out in medical settings in two major hospitals: one in Australia and another in Saudi Arabia. Data were collected by observations and interviews over a 6-month period, with 3 months spent in each setting. RESULTS In both fields, relatives and nurses faced ongoing ambiguity about the role relatives should play in the hospital environment. Nurses were challenged by the unpredictability of relatives' participation in patient care. The nurses' fear of taking responsibility and uncertainty about the relatives' role led them to take varied and individualised approaches to the involvement of relatives in patient care. Relatives were unclear about how to behave in the role; what the needs of patients were; and whether they were contributing positively to care and this resulted in frustration. CONCLUSION The results show that ambiguity regarding the role of relatives led to problems in patient care such as safety concerns and conflict with nurses. RELEVANCE TO CLINICAL PRACTICE This study identified the need for patients' relatives and nursing staff to more actively engage in negotiating and managing their respective roles in acute medical areas. This could be supported by the development and use of a set of principles or guidelines for nurses, relatives and patients regarding relatives' involvement in hospital care settings to reduce ambiguity for all involved.
Collapse
Affiliation(s)
| | - Judy Magarey
- Adelaide Nursing School, The University of Adelaide, Adelaide, SA, Australia
| | - Alison Kitson
- College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia
| |
Collapse
|
27
|
Clarkson CE, Adams N. A qualitative exploration of the views and experiences of women with Pregnancy related Pelvic Girdle Pain. Physiotherapy 2018; 104:338-346. [DOI: 10.1016/j.physio.2018.05.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2017] [Accepted: 05/15/2018] [Indexed: 11/26/2022]
|
28
|
Hall AJ, Burrows L, Lang IA, Endacott R, Goodwin VA. Are physiotherapists employing person-centred care for people with dementia? An exploratory qualitative study examining the experiences of people with dementia and their carers. BMC Geriatr 2018; 18:63. [PMID: 29499661 PMCID: PMC5834867 DOI: 10.1186/s12877-018-0756-9] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2017] [Accepted: 02/27/2018] [Indexed: 11/12/2022] Open
Abstract
Background People with dementia may receive physiotherapy for a variety of reasons. This may be for musculoskeletal conditions or as a result of falls, fractures or mobility difficulties. While previous studies have sought to determine the effectiveness of physiotherapy interventions for people with dementia, little research has focused on the experiences of people receiving such treatment. The aim of this study was to gain an in-depth understanding of people’s experiences of receiving physiotherapy and to explore these experiences in the context of principles of person-centred care. Methods Semi-structured interviews were undertaken with people with dementia or their carers between September 2016 and January 2017. A purposive sampling strategy recruited participants with dementia from the South West of England who had recently received physiotherapy. We also recruited carers to explore their involvement in the intervention. Thematic analysis was used to analyse the data. Results A total of eleven participants were recruited to the study. Six people with dementia were interviewed and five interviews undertaken separately with carers of people with dementia. Three themes were identified. The first explores the factors that enable exercises to be undertaken successfully, the second deals with perceived resource pressures, and the final theme “the physiotherapy just vanished” explores the feeling of abandonment felt when goals and expectations of physiotherapy were not discussed. When mapped against the principles of person-centred care, our participants did not describe physiotherapy adopting such an approach. Conclusion Lack of a person-centred care approach was evident by ineffective communication, thus failing to develop a shared understanding of the role and aims of physiotherapy. The incorporation of person-centred care may help reduce the frustration and feelings of dissatisfaction that some of our participants reported. Electronic supplementary material The online version of this article (10.1186/s12877-018-0756-9) contains supplementary material, which is available to authorized users.
Collapse
Affiliation(s)
- Abigail J Hall
- NIHR CLAHRC South West Peninsula, University of Exeter Medical School, Exeter, UK.
| | - Lisa Burrows
- NIHR CLAHRC South West Peninsula, Plymouth University, Plymouth, UK
| | - Iain A Lang
- NIHR CLAHRC South West Peninsula, University of Exeter Medical School, Exeter, UK
| | - Ruth Endacott
- School of Nursing and Midwifery (Faculty of Health & Human Sciences), Plymouth University, Plymouth, UK
| | - Victoria A Goodwin
- NIHR CLAHRC South West Peninsula, University of Exeter Medical School, Exeter, UK
| |
Collapse
|
29
|
Villa G, Manara DF, Brancato T, Rocco G, Stievano A, Vellone E, Alvaro R. Life with a urostomy: A phenomenological study. Appl Nurs Res 2018; 39:46-52. [DOI: 10.1016/j.apnr.2017.10.005] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2017] [Revised: 09/22/2017] [Accepted: 10/15/2017] [Indexed: 10/18/2022]
|
30
|
Creighton G, Oliffe JL, Ferlatte O, Bottorff J, Broom A, Jenkins EK. Photovoice Ethics: Critical Reflections From Men's Mental Health Research. QUALITATIVE HEALTH RESEARCH 2018; 28:446-455. [PMID: 28962540 PMCID: PMC5764141 DOI: 10.1177/1049732317729137] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
As photovoice continues to grow as a method for researching health and illness, there is a need for rigorous discussions about ethical considerations. In this article, we discuss three key ethical issues arising from a recent photovoice study investigating men's depression and suicide. The first issue, indelible images, details the complexity of consent and copyright when participant-produced photographs are shown at exhibitions and online where they can be copied and disseminated beyond the original scope of the research. The second issue, representation, explores the ethical implications that can arise when participants and others have discordant views about the deceased. The third, vicarious trauma, offers insights into the potenial for triggering mental health issues among researchers and viewers of the participant-produced photographs. Through a discussion of these ethical issues, we offer suggestions to guide the work of health researchers who use, or are considering the use of, photovoice.
Collapse
Affiliation(s)
| | - John L Oliffe
- 1 University of British Columbia, Vancouver, British Columbia, Canada
| | - Olivier Ferlatte
- 1 University of British Columbia, Vancouver, British Columbia, Canada
| | - Joan Bottorff
- 1 University of British Columbia, Vancouver, British Columbia, Canada
| | - Alex Broom
- 2 University of New South Wales, Sydney, New South Wales, Australia
| | - Emily K Jenkins
- 1 University of British Columbia, Vancouver, British Columbia, Canada
| |
Collapse
|
31
|
Forrester-Jones R, Beecham JK, Barnoux M, Oliver D, Couch E, Bates C. People with intellectual disabilities at the end of their lives: The case for specialist care? JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2017; 30:1138-1150. [PMID: 28875573 DOI: 10.1111/jar.12412] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/12/2017] [Indexed: 11/28/2022]
Abstract
BACKGROUND People with intellectual disabilities have a shorter life expectancy, but healthcare improvements mean that they are beginning to live longer, with associated health difficulties. This means that there is an urgent need to focus research on ageing as well as end-of-life care. This study aimed to explore a specialist intellectual disability service for older people who are dying and how it related to their quality of life and to costs associated with care provided. METHOD Data were collected for nine residents and 15 staff members of the specialist service. A single case study design with mixed methods including observations, interviews, standardized questionnaires and costs analysis was utilized. RESULTS We found positive results regarding overall quality of life, although individuals had limited social networks. Placement fees paid by local health trusts and social services departments were slightly higher than the estimated cost of care reflecting good financial management by a small voluntary sector organization. CONCLUSION Whilst the philosophical arguments around "specialist" care persist, this service fills a gap in intellectual disability care provision.
Collapse
Affiliation(s)
| | | | | | - David Oliver
- The Tizard Centre, University of Kent, Canterbury, UK
| | - Elyse Couch
- The Tizard Centre, University of Kent, Canterbury, UK
| | - Claire Bates
- The Tizard Centre, University of Kent, Canterbury, UK
| |
Collapse
|
32
|
Kemp CL, Ball MM, Morgan JC, Doyle PJ, Burgess EO, Dillard JA, Barmon CE, Fitzroy AF, Helmly VE, Avent ES, Perkins MM. Exposing the Backstage: Critical Reflections on a Longitudinal Qualitative Study of Residents' Care Networks in Assisted Living. QUALITATIVE HEALTH RESEARCH 2017; 27:1190-1202. [PMID: 27651072 PMCID: PMC5860917 DOI: 10.1177/1049732316668817] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
In this article, we analyze the research experiences associated with a longitudinal qualitative study of residents' care networks in assisted living. Using data from researcher meetings, field notes, and memos, we critically examine our design and decision making and accompanying methodological implications. We focus on one complete wave of data collection involving 28 residents and 114 care network members in four diverse settings followed for 2 years. We identify study features that make our research innovative, but that also represent significant challenges. They include the focus and topic; settings and participants; scope and design complexity; nature, modes, frequency, and duration of data collection; and analytic approach. Each feature has methodological implications, including benefits and challenges pertaining to recruitment, retention, data collection, quality, and management, research team work, researcher roles, ethics, and dissemination. Our analysis demonstrates the value of our approach and of reflecting on and sharing methodological processes for cumulative knowledge building.
Collapse
Affiliation(s)
| | | | | | | | | | | | | | | | | | | | - Molly M. Perkins
- Emory University, Atlanta, Georgia, USA
- Birmingham/Atlanta Veterna’s Affairs Geriatric Research, Education, and Clinical Center, Atlanta, Georgia, USA
| |
Collapse
|
33
|
Eun Y, Hong IW, Bruera E, Kang JH. Qualitative Study on the Perceptions of Terminally Ill Cancer Patients and Their Family Members Regarding End-of-Life Experiences Focusing on Palliative Sedation. J Pain Symptom Manage 2017; 53:1010-1016. [PMID: 28192224 DOI: 10.1016/j.jpainsymman.2016.12.353] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/06/2016] [Revised: 10/23/2016] [Accepted: 12/29/2016] [Indexed: 11/29/2022]
Abstract
CONTEXT Patients with terminal cancer experience refractory symptoms in the last days of life. Although palliative sedation (PS) is recommended for patients suffering unbearable symptoms with imminent death, it requires clear communication between physicians and patients/caregivers. Understanding the demands and perceptions of patients and caregivers in the end-of-life phase are needed for effective communication. OBJECTIVE To explore patient experiences regarding end-of-life status and PS. METHODS The study was performed between October and December, 2013 with eligible terminal cancer patients and their families in a non-religious, tertiary healthcare facility in Korea. Eligibility criteria were a hospitalized cancer patient with a life expectancy of less than three months and who had never experienced PS. Data were collected via face-to-face in-depth interviews and analyzed using the constant comparative method of qualitative analysis. Saturation was achieved after conducting interviews with 13 patients or care-giving family members. RESULTS Enrolled patients raised the following issues: 1) simultaneously harboring the hope of prolonging life and wishing for a peaceful death, 2) experiencing difficulties in having honest conversations with caregivers regarding death, 3) possessing insufficient knowledge and information regarding PS, and 4) hoping for the decision on PS to be made before suffering becomes too great. CONCLUSION Terminally ill cancer patients and their caregivers expressed conflicting desires in hoping to prolong life and simultaneously wishing to experience a peaceful death. Improvements in the communications that occur among physicians, patients, and caregivers on the issues of prognosis and PS are needed.
Collapse
Affiliation(s)
- Young Eun
- College of Nursing, Institute of Health Sciences, Gyeongsang National University, Korea
| | - In-Wha Hong
- Department of Nursing, Gyeongnam Provincial Geochang College, Korea
| | - Eduardo Bruera
- Department of Palliative Care and Rehabilitation Medicine, University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Jung Hun Kang
- Department of Internal Medicine, School of Medicine, Institute of Health Sciences, Gyeongsang National University, Korea.
| |
Collapse
|
34
|
Nielsen D, Minet L, Zeraiq L, Rasmussen DN, Sodemann M. Older migrants in exile: the past holding hands with the present - a qualitative study. Scand J Caring Sci 2017; 31:1031-1038. [PMID: 28439912 DOI: 10.1111/scs.12428] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2016] [Accepted: 12/14/2016] [Indexed: 11/28/2022]
Abstract
The aim of this study was to explore the everyday life conditions experienced by older migrants and their reasons for specific age- and health-related behaviour during the conduct of everyday life. The study comprised 16 qualitative interviews with migrants aged 56-96 years from Palestine, Lebanon, Iraq and Somalia. The three themes that emerged from the conditions, meanings and reasons analysis illustrated that the older persons were trapped in various ways -without language, in fragmented families and in an unfamiliar structure. We identified these themes as The importance of the life history, Lost in language barriers and Having a national sense of belonging. The main findings emphasise the vulnerability of older migrants in a resettlement country. With an unclear national identity and without the local language, older migrants struggle to develop a clear vision of their role in a minority community in a foreign country. Besides language skills and the need for interpreters, health professionals need to consider issues such as life history, traumas and national belonging when their usual approaches to managing health-related topics have failed.
Collapse
Affiliation(s)
- Dorthe Nielsen
- Migrant Health Clinic, Odense University Hospital, Odense, Denmark.,Institute of Clinical Research, University of Southern Denmark, Odense, Denmark.,Health Sciences Research Center, University College Lillebaelt, Odense, Denmark
| | - Lisbeth Minet
- Institute of Clinical Research, University of Southern Denmark, Odense, Denmark.,Department of Rehabilitation, REHAB - Unit of Rehabilitation Research, Odense University Hospital, University of Southern Denmark, Odense, Denmark.,Health Sciences Research Center, University College Lillebaelt, Odense, Denmark
| | - Lina Zeraiq
- Migrant Health Clinic, Odense University Hospital, Odense, Denmark.,Institute of Clinical Research, University of Southern Denmark, Odense, Denmark
| | - Dlama Nggida Rasmussen
- Migrant Health Clinic, Odense University Hospital, Odense, Denmark.,Institute of Clinical Research, University of Southern Denmark, Odense, Denmark
| | - Morten Sodemann
- Migrant Health Clinic, Odense University Hospital, Odense, Denmark.,Institute of Clinical Research, University of Southern Denmark, Odense, Denmark
| |
Collapse
|
35
|
Burles MC. Negotiating post-research encounters: reflections on learning of participant deaths following a qualitative study. ACTA ACUST UNITED AC 2017. [DOI: 10.1080/13576275.2017.1291605] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
36
|
Chibanda D, Cowan F, Verhey R, Machando D, Abas M, Lund C. Lay Health Workers' Experience of Delivering a Problem Solving Therapy Intervention for Common Mental Disorders Among People Living with HIV: A Qualitative Study from Zimbabwe. Community Ment Health J 2017; 53:143-153. [PMID: 27221123 DOI: 10.1007/s10597-016-0018-2] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/27/2015] [Accepted: 05/19/2016] [Indexed: 12/11/2022]
Abstract
There is growing evidence supporting the use of lay health workers (LHWs) to address the treatment gap for common mental disorders (CMD) through task-shifting. This study looks at the experience of LHWs delivering a problem solving therapy (PST) intervention for CMD for people living with HIV (PLWH) in a primary health care setting. Semi-structured interviews of LHWs (n = 7) and PLWH (10) who received PST were carried out using thematic content analysis. Over a 4 year period LHWs developed indigenous concepts of PST which were: Opening the mind (Kuvhura pfungwa), uplifting (kusimudzira), strengthening and strengthening further (kusimbisa and kusimbisisa) respectively. Using terms locally conceived through knowledge sharing amongst LHWs made it acceptable to deliver PST as part of their daily work. Indigenous terms conceived and developed by LWHs to describe components and processes of PST contribute to the therapy's acceptability and continued use in primary care facilities.
Collapse
Affiliation(s)
- Dixon Chibanda
- Department of Psychiatry, University of Zimbabwe, Harare, Zimbabwe.
- Zimbabwe Aids Prevention Project, Department of Community Medicine, University of Zimbabwe, Harare, Zimbabwe.
| | | | - Ruth Verhey
- Zimbabwe Aids Prevention Project, Department of Community Medicine, University of Zimbabwe, Harare, Zimbabwe
| | | | - Melanie Abas
- Institute of Psychiatry, King's College London, London, UK
| | - Crick Lund
- University of Cape Town, Cape Town, South Africa
| |
Collapse
|
37
|
Javaid MA, Arfeen MI. Impact of eGovernment on Citizen Satisfaction: A Case of Federal Government Agencies in Pakistan. INFORM SYST 2017. [DOI: 10.1007/978-3-319-65930-5_19] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
38
|
Varpio L, Ajjawi R, Monrouxe LV, O'Brien BC, Rees CE. Shedding the cobra effect: problematising thematic emergence, triangulation, saturation and member checking. MEDICAL EDUCATION 2017; 51:40-50. [PMID: 27981658 DOI: 10.1111/medu.13124] [Citation(s) in RCA: 400] [Impact Index Per Article: 57.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/13/2016] [Revised: 03/24/2016] [Accepted: 05/16/2016] [Indexed: 05/10/2023]
Abstract
CONTEXT Qualitative research is widely accepted as a legitimate approach to inquiry in health professions education (HPE). To secure this status, qualitative researchers have developed a variety of strategies (e.g. reliance on post-positivist qualitative methodologies, use of different rhetorical techniques, etc.) to facilitate the acceptance of their research methodologies and methods by the HPE community. Although these strategies have supported the acceptance of qualitative research in HPE, they have also brought about some unintended consequences. One of these consequences is that some HPE scholars have begun to use terms in qualitative publications without critically reflecting on: (i) their ontological and epistemological roots; (ii) their definitions, or (iii) their implications. OBJECTIVES In this paper, we share our critical reflections on four qualitative terms popularly used in the HPE literature: thematic emergence; triangulation; saturation, and member checking. METHODS We discuss the methodological origins of these terms and the applications supported by these origins. We reflect critically on how these four terms became expected of qualitative research in HPE, and we reconsider their meanings and use by drawing on the broader qualitative methodology literature. CONCLUSIONS Through this examination, we hope to encourage qualitative scholars in HPE to avoid using qualitative terms uncritically and non-reflexively.
Collapse
Affiliation(s)
- Lara Varpio
- Department of Medicine, Faculty of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA
| | - Rola Ajjawi
- Centre for Research in Assessment and Digital Learning (CRADLE), Deakin University, Melbourne, Victoria, Australia
| | - Lynn V Monrouxe
- Chang Gung Medical Education Research Centre, Chang Gung Memorial Hospital, Linkou, Taiwan
| | - Bridget C O'Brien
- Department of Medicine, University of California San Francisco, San Francisco, California, USA
| | - Charlotte E Rees
- HealthPEER (Health Professions Education and Education Research), Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia
| |
Collapse
|
39
|
Abstract
Purpose
This is the first study to compile statistical data to describe the functions and responsibilities of physicians in formal and informal leadership roles in the Canadian health system. This mixed-methods research study offers baseline data relative to this purpose, and also describes physician leaders’ views on fundamental aspects of their leadership responsibility.
Design/methodology/approach
A survey with both quantitative and qualitative fields yielded 689 valid responses from physician leaders. Data from the survey were utilized in the development of a semi-structured interview guide; 15 physician leaders were interviewed.
Findings
A profile of Canadian physician leadership has been compiled, including demographics; an outline of roles, responsibilities, time commitments and related compensation; and personal factors that support, engage and deter physicians when considering taking on leadership roles. The role of health-care organizations in encouraging and supporting physician leadership is explicated.
Practical implications
The baseline data on Canadian physician leaders create the opportunity to determine potential steps for improving the state of physician leadership in Canada; and health-care organizations are provided with a wealth of information on how to encourage and support physician leaders. Using the data as a benchmark, comparisons can also be made with physician leadership as practiced in other nations.
Originality/value
There are no other research studies available that provide the depth and breadth of detail on Canadian physician leadership, and the embedded recommendations to health-care organizations are informed by this in-depth knowledge.
Collapse
|
40
|
Khowaja AR, Qureshi RN, Sawchuck D, Oladapo OT, Adetoro OO, Orenuga EA, Bellad M, Mallapur A, Charantimath U, Sevene E, Munguambe K, Boene HE, Vidler M, Bhutta ZA, von Dadelszen P. The feasibility of community level interventions for pre-eclampsia in South Asia and Sub-Saharan Africa: a mixed-methods design. Reprod Health 2016; 13 Suppl 1:56. [PMID: 27357579 PMCID: PMC4943500 DOI: 10.1186/s12978-016-0133-0] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Globally, pre-eclampsia and eclampsia are major contributors to maternal and perinatal mortality; of which the vast majority of deaths occur in less developed countries. In addition, a disproportionate number of morbidities and mortalities occur due to delayed access to health services. The Community Level Interventions for Pre-eclampsia (CLIP) Trial aims to task-shift to community health workers the identification and emergency management of pre-eclampsia and eclampsia to improve access and timely care. Literature revealed paucity of published feasibility assessments prior to initiating large-scale community-based interventions. Arguably, well-conducted feasibility studies can provide valuable information about the potential success of clinical trials prior to implementation. Failure to fully understand the study context risks the effective implementation of the intervention and limits the likelihood of post-trial scale-up. Therefore, it was imperative to conduct community-level feasibility assessments for a trial of this magnitude. METHODS A mixed methods design guided by normalization process theory was used for this study in Nigeria, Mozambique, Pakistan, and India to explore enabling and impeding factors for the CLIP Trial implementation. Qualitative data were collected through participant observation, document review, focus group discussion and in-depth interviews with diverse groups of community members, key informants at community level, healthcare providers, and policy makers. Quantitative data were collected through health facility assessments, self-administered community health worker surveys, and household demographic and health surveillance. RESULTS Refer to CLIP Trial feasibility publications in the current and/or forthcoming supplement. CONCLUSIONS Feasibility assessments for community level interventions, particularly those involving task-shifting across diverse regions, require an appropriate theoretical framework and careful selection of research methods. The use of qualitative and quantitative methods increased the data richness to better understand the community contexts. TRIAL REGISTRATION NCT01911494.
Collapse
Affiliation(s)
- Asif Raza Khowaja
- />Division of Women & Child Health, Aga Khan University, Karachi, Pakistan
- />Department of Obstetrics and Gynaecology, and the Child and Family Research Institute, University of British Columbia, Vancouver, Canada
| | | | - Diane Sawchuck
- />Department of Obstetrics and Gynaecology, and the Child and Family Research Institute, University of British Columbia, Vancouver, Canada
| | - Olufemi T. Oladapo
- />Centre for Research in Reproductive Health (CRRH), Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State Nigeria
| | - Olalekan O. Adetoro
- />Centre for Research in Reproductive Health (CRRH), Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State Nigeria
| | - Elizabeth A. Orenuga
- />Centre for Research in Reproductive Health (CRRH), Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State Nigeria
| | - Mrutyunjaya Bellad
- />KLE University’s JN Medical College, Belgaum & SN Medical College, Bagalkot, India
| | - Ashalata Mallapur
- />KLE University’s JN Medical College, Belgaum & SN Medical College, Bagalkot, India
| | - Umesh Charantimath
- />KLE University’s JN Medical College, Belgaum & SN Medical College, Bagalkot, India
| | - Esperança Sevene
- />Manhiça Health Research Centre (CISM), Mozambique and Faculty of Medicine, Universidade Eduardo Mondlane (UEM), Maputo, Mozambique
| | - Khátia Munguambe
- />Manhiça Health Research Centre (CISM), Mozambique and Faculty of Medicine, Universidade Eduardo Mondlane (UEM), Maputo, Mozambique
| | - Helena Edith Boene
- />Manhiça Health Research Centre (CISM), Mozambique and Faculty of Medicine, Universidade Eduardo Mondlane (UEM), Maputo, Mozambique
| | - Marianne Vidler
- />Department of Obstetrics and Gynaecology, and the Child and Family Research Institute, University of British Columbia, Vancouver, Canada
| | - Zulfiqar A. Bhutta
- />Division of Women & Child Health, Aga Khan University, Karachi, Pakistan
| | - Peter von Dadelszen
- />Department of Obstetrics and Gynaecology, and the Child and Family Research Institute, University of British Columbia, Vancouver, Canada
| | - CLIP Working Group
- />Division of Women & Child Health, Aga Khan University, Karachi, Pakistan
- />Department of Obstetrics and Gynaecology, and the Child and Family Research Institute, University of British Columbia, Vancouver, Canada
- />Centre for Research in Reproductive Health (CRRH), Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State Nigeria
- />KLE University’s JN Medical College, Belgaum & SN Medical College, Bagalkot, India
- />Manhiça Health Research Centre (CISM), Mozambique and Faculty of Medicine, Universidade Eduardo Mondlane (UEM), Maputo, Mozambique
| |
Collapse
|
41
|
De Stefano C, Normand D, Jabre P, Azoulay E, Kentish-Barnes N, Lapostolle F, Baubet T, Reuter PG, Javaud N, Borron SW, Vicaut E, Adnet F. Family Presence during Resuscitation: A Qualitative Analysis from a National Multicenter Randomized Clinical Trial. PLoS One 2016; 11:e0156100. [PMID: 27253993 PMCID: PMC4890739 DOI: 10.1371/journal.pone.0156100] [Citation(s) in RCA: 50] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2015] [Accepted: 05/08/2016] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND The themes of qualitative assessments that characterize the experience of family members offered the choice of observing cardiopulmonary resuscitation (CPR) of a loved one have not been formally identified. METHODS AND FINDINGS In the context of a multicenter randomized clinical trial offering family members the choice of observing CPR of a patient with sudden cardiac arrest, a qualitative analysis, with a sequential explanatory design, was conducted. The aim of the study was to understand family members' experience during CPR. All participants were interviewed by phone at home three months after cardiac arrest. Saturation was reached after analysis of 30 interviews of a randomly selected sample of 75 family members included in the trial. Four themes were identified: 1- choosing to be actively involved in the resuscitation; 2- communication between the relative and the emergency care team; 3- perception of the reality of the death, promoting acceptance of the loss; 4- experience and reactions of the relatives who did or did not witness the CPR, describing their feelings. Twelve sub-themes further defining these four themes were identified. Transferability of our findings should take into account the country-specific medical system. CONCLUSIONS Family presence can help to ameliorate the pain of the death, through the feeling of having helped to support the patient during the passage from life to death and of having participated in this important moment. Our results showed the central role of communication between the family and the emergency care team in facilitating the acceptance of the reality of death.
Collapse
Affiliation(s)
- Carla De Stefano
- AP-HP, Urgences, Samu 93, hôpital Avicenne, 93000 Bobigny, France
- AP-HP, Department of Child and Adolescent Psychiatry and General Psychiatry, Avicenne Hospital, Paris, France
- Paris 13 Sorbonne University, Paris Cité, Laboratoire UTRPP (EA 4403), Inserm 669, France, 93000 Bobigny, France
- * E-mail:
| | - Domitille Normand
- AP-HP, Department of Child and Adolescent Psychiatry and General Psychiatry, Avicenne Hospital, Paris, France
| | - Patricia Jabre
- AP-HP, Urgences, Samu 93, hôpital Avicenne, 93000 Bobigny, France
- Inserm U970, Centre de Recherche Cardiovasculaire de Paris, Université Paris Descartes, Paris, France
- AP-HP, Samu de Paris, hôpital Necker-Enfants Malades, Paris, France
| | - Elie Azoulay
- AP-HP, réanimation médicale, hôpital Saint-Louis, Paris, France
| | | | - Frederic Lapostolle
- AP-HP, Urgences, Samu 93, hôpital Avicenne, 93000 Bobigny, France
- Paris 13 Sorbonne University, Paris Cité, EA 3509, 93000 Bobigny, France
| | - Thierry Baubet
- AP-HP, Department of Child and Adolescent Psychiatry and General Psychiatry, Avicenne Hospital, Paris, France
- Paris 13 Sorbonne University, Paris Cité, Laboratoire UTRPP (EA 4403), Inserm 669, France, 93000 Bobigny, France
| | - Paul-Georges Reuter
- AP-HP, Urgences, Samu 93, hôpital Avicenne, 93000 Bobigny, France
- Paris 13 Sorbonne University, Paris Cité, EA 3509, 93000 Bobigny, France
| | - Nicolas Javaud
- AP-HP, Urgences, Samu 93, hôpital Avicenne, 93000 Bobigny, France
- Paris 13 Sorbonne University, Paris Cité, EA 3509, 93000 Bobigny, France
| | - Stephen W. Borron
- Department of Emergency Medicine, Texas Tech University HSC, El Paso, TX, United States of America
| | - Eric Vicaut
- AP-HP, Unité de Recherche Clinique, hôpital Fernand Widal, Paris, France
| | - Frederic Adnet
- AP-HP, Urgences, Samu 93, hôpital Avicenne, 93000 Bobigny, France
- Paris 13 Sorbonne University, Paris Cité, EA 3509, 93000 Bobigny, France
| |
Collapse
|
42
|
Benoot C, Bilsen J. An Auto-Ethnographic Study of the Disembodied Experience of a Novice Researcher Doing Qualitative Cancer Research. QUALITATIVE HEALTH RESEARCH 2016; 26:482-489. [PMID: 26612885 DOI: 10.1177/1049732315616625] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Qualitative health researchers who explore individuals' experiences of illness are exposed to an emotionally demanding work environment. After doing 49 interviews with cancer patients living alone, I was confronted with serious emotional distress that kept me from my work for almost 6 months. Because there is a need for discussion within academia about the emotional risks encountered by researchers, I used auto-ethnography to explore what I call the "three disembodied experiences" I encountered during the research: disembodiment linked with suppression of emotions, disembodiment linked with distal traumatization, and disembodiment linked with overidentification with the participant. I illustrate these concepts with personal stories of doing research with cancer patients living alone. I conclude that writing down experiences of doing qualitative research in an embodied and reflexive way holds two advantages: It can protect the researcher and enhance the quality of research.
Collapse
|
43
|
Martin A, O'Meara P, Farmer J. Consumer perspectives of a community paramedicine program in rural Ontario. Aust J Rural Health 2015; 24:278-83. [DOI: 10.1111/ajr.12259] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/24/2015] [Indexed: 11/27/2022] Open
Affiliation(s)
- Angela Martin
- La Trobe Rural Health School; College of Science, Health and Engineering; La Trobe University; Bendigo Victoria Australia
| | - Peter O'Meara
- La Trobe Rural Health School; College of Science, Health and Engineering; La Trobe University; Bendigo Victoria Australia
| | - Jane Farmer
- La Trobe Rural Health School; College of Science, Health and Engineering; La Trobe University; Bendigo Victoria Australia
| |
Collapse
|
44
|
Germeni E, Bianchi M, Valcarenghi D, Schulz PJ. Longitudinal qualitative exploration of cancer information-seeking experiences across the disease trajectory: the INFO-SEEK protocol. BMJ Open 2015; 5:e008933. [PMID: 26443660 PMCID: PMC4606418 DOI: 10.1136/bmjopen-2015-008933] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION Α substantial corpus of literature has sought to describe the information-seeking behaviour of patients with cancer. Yet, available evidence comes mainly from cross-sectional studies, which provide 'snapshots' of patients' information needs and information-seeking styles at a single time point. Only a few longitudinal studies currently exist; however, these are quantitative in nature and, despite successfully documenting changes in patients' information needs throughout the clinical course of cancer, they have failed to provide an evidence-based interpretation of the causes and consequences of change. The goal of this study is threefold: First, we wish to provide a holistic understanding of how cancer information-seeking behaviour may evolve across different stages of the patient journey. Second, we will seek to elucidate the contextual and intervening conditions that may affect possible changes in information seeking. Third, we will attempt to identify what the consequences of these changes are, while heightening their implications for clinical practice and policy. METHODS AND ANALYSIS We will carry out a longitudinal qualitative study, based on face-to-face, in-depth interviews with approximately 25 individuals diagnosed with cancer. Patients will be recruited from 2 oncology hospitals located in Ticino, Switzerland, and will be interviewed at 3 different time points: (1) within 2 weeks after receiving the cancer diagnosis; (2) within 2 weeks after their initial treatment; and (3) 6 months after their initial treatment. All interviews will be recorded and transcribed verbatim. A grounded theory approach will be used for the analysis of the data. ETHICS AND DISSEMINATION The study protocol has been approved by the Ethics Committee of Canton Ticino (CE 2813). Participation in the study will be voluntary, and confidentiality and anonymity ensured. Prior to study participation, patients will be asked to provide signed informed consent. Findings will be disseminated in international peer-reviewed journals and presented in relevant conferences.
Collapse
Affiliation(s)
- Evi Germeni
- Institute of Communication and Health, Faculty of Communication Sciences, University of Lugano, Lugano, Switzerland
| | - Monica Bianchi
- Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland (SUPSI), Manno, Switzerland
| | - Dario Valcarenghi
- Oncology Institute of Southern Switzerland (IOSI), Bellinzona, Switzerland
| | - Peter J Schulz
- Institute of Communication and Health, Faculty of Communication Sciences, University of Lugano, Lugano, Switzerland
| |
Collapse
|
45
|
Pugach MR, Goodman LA. Low-income women’s experiences in outpatient psychotherapy: A qualitative descriptive analysis. COUNSELLING PSYCHOLOGY QUARTERLY 2015. [DOI: 10.1080/09515070.2015.1053434] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
46
|
Being a surgeon--the myth and the reality: a meta-synthesis of surgeons' perspectives about factors affecting their practice and well-being. Ann Surg 2015; 260:721-8; discussion 728-9. [PMID: 25379843 DOI: 10.1097/sla.0000000000000962] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVES Synthesize the findings from individual qualitative studies about surgeons' account of their practice. BACKGROUND Social and contextual factors of practice influence doctors' well-being and therapeutic relationships. Little is known about surgery, but it is generally assumed that surgeons are not affected by them. METHODS We searched international publications (2000-2012) to identify relevant qualitative research exploring how surgeons talk about their practice. Meta-ethnography (a systematic analysis of qualitative literature that compensates for the potential lack of generalizability of the primary studies and provides new insight by their conjoint interpretation) was used to identify key themes and synthesize them. RESULTS We identified 51 articles (>1000 surgeons) from different specialties and countries. Two main themes emerged. (i) The patient-surgeon relationship, described surgeons' characterizations of their relationships with patients. We identified factors influencing surgical decision making, communication, and personal involvement in the process of care; these were surgeon-related, patient-related, and contextual. (ii) Group relations and culture described perceived issues related to surgical culture (image and education, teamwork, rules, and guidelines); it highlighted the influence of a social dimension on surgical practice. In both themes, we uncovered an emotional dimension of surgeons' practice. CONCLUSIONS Surgeons' emphasis on technical aspects, individuality, and performance seems to impede a modern patient-centered approach to care and to act as a barrier to well-being. Our findings suggest that taking into account the relational and emotional dimensions of surgical practice (both with patients and within the institution) might improve surgical innovation, surgeons' well-being, and the attractiveness of this specialty.
Collapse
|
47
|
Greenwood A, Theadom A, Kersten P, McPherson KM. Exploring researchers' experiences of working with people with acquired brain injury. Brain Inj 2015; 29:592-600. [PMID: 25790259 DOI: 10.3109/02699052.2014.1002422] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
PURPOSE This study aimed to investigate the challenges and positive experiences of researchers who work with people who have experienced an acquired brain injury and their families. METHODS People who were currently or had previously worked as a researcher in the field of acquired brain injury (using either quantitative or qualitative methods) were invited to participate in a focus group or individual interview about their experiences. An expert reference group meeting was held to discuss strategies that could be implemented to enhance the researcher experience based on the interview data. RESULTS A total of 19 researchers who worked across four different research teams took part in the study. Six inter-connected themes were identified: researcher motivation, meaning and fulfillment; human connection; knowing and understanding the role; complexity of brain injury in the research context; the research process; and state of the researcher. A number of recommendations for supporting researchers more effectively were identified. DISCUSSION Researchers described a number of positive aspects as well as tensions they encountered in their role. The findings highlight the need to ensure researchers are supported effectively to ensure the quality of research studies in the field of brain injury.
Collapse
Affiliation(s)
- Andrea Greenwood
- Person Centred Research Centre, Health and Rehabilitation Institute and
| | | | | | | |
Collapse
|
48
|
Wakefield CE, McLoone JK, Donovan LA, Cohn RJ. Thank you for your lovely card: ethical considerations in responding to bereaved parents invited in error to participate in childhood cancer survivorship research. MEDICINE, HEALTH CARE, AND PHILOSOPHY 2015; 18:113-119. [PMID: 25070880 DOI: 10.1007/s11019-014-9587-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Research exploring the needs of families of childhood cancer survivors is critical to improving the experiences of future families faced by this disease. However, there are numerous challenges in conducting research with this unique population, including a relatively high mortality rate. In recognition that research with cancer survivors is a relational activity, this article presents a series of cases of parents bereaved by childhood cancer who unintentionally received invitations to participate in survivorship research. We explore six ethical considerations, and compare our experiences with that described previously. Our considerations include the sharing of confidential information with external parties to confirm past patients' vital status and appropriate researcher responses to bereaved parents. The management of researchers' emotional safety when working with illness populations and the fact that study invitations can elicit grief responses in non-bereaved families are discussed. To conclude, we argue for the benefits of inviting bereaved parents whose children died after treatment completion in survivorship research. Such parents' early survivorship experiences will otherwise be systemically neglected. We argue that discussing complex cases can assist researchers to protect participants' and researchers' emotional well-being. We hope to contribute to the dearth of discussion about research operating procedures to address these issues.
Collapse
Affiliation(s)
- Claire E Wakefield
- Kids Cancer Centre, Sydney Children's Hospital, High St, Randwick, NSW, 2031, Australia,
| | | | | | | |
Collapse
|
49
|
Carone L, Tischler V, Dening T. Football and dementia: A qualitative investigation of a community based sports group for men with early onset dementia. DEMENTIA 2014; 15:1358-1376. [PMID: 25427788 DOI: 10.1177/1471301214560239] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This study investigates the impact of a weekly group providing sport and physical activities for men with early onset dementia established by Notts County Football in the Community (NCFC). There were three aims: to investigate the effect of early onset dementia on individuals with the condition and their carers; to examine the perceptions of current levels of service provision for people with early onset dementia; and to analyse the impact of the group. Men with dementia (n = 5) attending the sessions, their carers (n = 5), NCFC coaching staff (n = 5) and people organizing/facilitating the sessions (n = 5) were interviewed. Semi-structured interviews explored the participants' experiences of dementia, their opinions on current service provisions and on the sessions. Data were analysed using thematic analysis. Four main themes were found: loss related to the condition of dementia and its impact on relationships ('Loss'); lack of age-appropriate services for people with early onset dementia ('Lack of Resources'); enjoyment and positive anticipation related to the group for all involved ('Enjoyment and Anticipation'); and 'the Notts County Effect' which attributed the success of the sessions to the strong brand of the football club, and to personalized service in a "dementia-free" environment. The NCFC sessions provided a safe low-cost intervention with positive effects upon quality of life for both people with early onset dementia, their carers and the staff involved. This suggests that the service may be valuable to a wider range of people living in different areas.
Collapse
Affiliation(s)
| | - Victoria Tischler
- University of the Arts London - London College of Fashion, London, UK
| | - Tom Dening
- Centre for Dementia, Institute of Mental Health, University of Nottingham, Nottingham, UK
| |
Collapse
|
50
|
Occupational Stress Research: Considering the Emotional Impact for the Qualitative Researcher. ACTA ACUST UNITED AC 2014. [DOI: 10.1108/s1479-3555(2013)0000011014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register]
|