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Mullen N, Ashby S, Haskins R, Osmotherly P. The perceptions and knowledge of prognosis of physiotherapists in musculoskeletal practice: An exploratory qualitative study. Musculoskelet Sci Pract 2024; 73:103142. [PMID: 38991615 DOI: 10.1016/j.msksp.2024.103142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2024] [Revised: 07/04/2024] [Accepted: 07/07/2024] [Indexed: 07/13/2024]
Abstract
QUESTION(S) What are the perceptions and knowledge of physiotherapists who treat musculoskeletal disorders towards prognosis? DESIGN Exploratory phenomenological study. PARTICIPANTS 15 physiotherapists involved in the treatment of musculoskeletal disorders. DATA ANALYSIS Data were collected through semi-structured interviews and analysed using inductive coding and thematic analysis. RESULTS Four themes were identified. First, participants perception of prognosis was influenced by how they defined prognosis. Participants often perceived that prognosis was the timeline to recovery related to function, tissue health, or pain. Second, some participants could not recall foundational knowledge about prognosis being taught during their entry-level physiotherapy program. Others recalled it being taught in relation to the tissue healing model. Third, participants described learning about prognosis through experience, professional development, or from peers. Finally, participants identified that a potential learning opportunity is to conceptualise prognosis as separate outcomes associated with function, tissue health, and pain. Each can impact upon prognosis, have a prognosis of their own, and can occur simultaneously. CONCLUSION How physiotherapists perceive and understand the concept of prognosis is influenced by their foundational knowledge. It appears for physiotherapists, prognosis may be conceptualised within the biomedical model of health. Indeed, physiotherapists may perceive that prognosis is the timeline for recovery determined by the tissue model of healing. Physiotherapists also rely on experiential knowledge gained from clinical practice, professional development, and their peers to enhance learning about prognosis. The understanding of prognosis may be enhanced if physiotherapists conceptualise prognosis in terms of the multifactorial outcomes associated with function, tissue health, and pain.
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Affiliation(s)
- Nicholas Mullen
- School of Health Sciences, The University of Newcastle, University Dr, Callaghan, NSW, 2308, Australia.
| | - Samantha Ashby
- School of Health Sciences, The University of Newcastle, University Dr, Callaghan, NSW, 2308, Australia.
| | - Robin Haskins
- John Hunter Hospital Outpatient Service, Hunter New England Health, Lookout Rd, New Lambton Heights, NSW, 2305, Australia.
| | - Peter Osmotherly
- School of Health Sciences, The University of Newcastle, University Dr, Callaghan, NSW, 2308, Australia.
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Zhang X, Wang Y, Chen Y, Yang H, Luan X. Role cognition of assigned nurses supporting Hubei Province in the fight against COVID-19 in China: a hermeneutic phenomenological study. Front Psychol 2024; 15:1287944. [PMID: 38487660 PMCID: PMC10939063 DOI: 10.3389/fpsyg.2024.1287944] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Accepted: 02/05/2024] [Indexed: 03/17/2024] Open
Abstract
Aims During the COVID-19 epidemic, nurses played a crucial role in clinical treatment. As a special group, front-line nurses, especially those assigned to support Hubei Province in the fight against COVID-19 between February and April 2020, brought diverse experiences from different provinces in China in taking care of COVID-19 patients and role cognition. Therefore, our purpose is to explore the real coping experience and role cognition of front-line nurses during the novel coronavirus outbreak to provide relevant experience references for society and managers in the face of such major public health emergencies in the future. Design This qualitative study was performed using the phenomenological hermeneutics method. Method This is a qualitative phenomenological study. Semi-structured in-depth interviews were used to collect data. The interviewees were 53 front-line nurses who assisted and supported the fight against COVID-19 in Hubei Province during the COVID-19 epidemic. Data were collected through individual online and telephone interviews using a semi-structured interview during March 2020. The COREQ guidance was used to report this study. Results The findings revealed that front-line nurses assisting in the fight against COVID-19 developed a context-specific role cognition of their work and contribution to society. The qualitative analysis of the data revealed 15 sub-categories and 5 main categories. These five themes represented the different roles identified by nurses. The roles included expectations, conflicts, adaptation, emotions, and flow of blessing. Belief in getting better, a sense of honor, and training could help them to reduce feelings of conflict in this role and adapt more quickly. Discussion This article discusses the real coping experience and role cognition of front-line nurses during the novel coronavirus epidemic. It provides relevant experience references for society and managers to face similar major public health emergencies in the future. This study makes a significant contribution to the literature because it demonstrates how non-local nurses sent to Hubei to work perceived their roles as part of a larger narrative of patriotism, duty, solidarity, and hope.
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Affiliation(s)
- Xu Zhang
- School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
| | - Yaqian Wang
- School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
| | - Yuanyuan Chen
- Qilu Hospital of Shandong University, Jinan, Shandong, China
| | - Hailing Yang
- Qilu Hospital of Shandong University, Jinan, Shandong, China
| | - Xiaorong Luan
- Infection Management Department, Qilu Hospital of Shandong University, Jinan, Shandong, China
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Mullen N, Ashby S, Haskins R, Osmotherly P. The experiences and preferences of individuals living with a musculoskeletal disorder regarding prognosis: A qualitative study. Musculoskeletal Care 2023; 21:987-996. [PMID: 37139716 DOI: 10.1002/msc.1777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Revised: 04/23/2023] [Accepted: 04/25/2023] [Indexed: 05/05/2023]
Abstract
QUESTION(S) What are the experiences and preferences of individuals living with a musculoskeletal disorder regarding prognosis? DESIGN Exploratory phenomenological study. PARTICIPANTS Individuals aged 18-year or older currently experiencing a musculoskeletal disorder and receiving treatment from a physiotherapist. DATA ANALYSIS Data were collected through semi-structured interviews and analysed using inductive coding and thematic analysis. RESULTS Five themes were identified. First, participants described seeking a cause for their pain. This influenced their experience of prognosis as they perceived a diagnosis was required to inform their prognosis. Second, whilst participants wished to receive a prognosis from their physiotherapist, this was often not their experience. Third, participants perceived that physiotherapists have the potential to impact prognosis through exercise prescription, management of conditions, and improving function. Fourth, receiving a prognosis can have both a positive and negative impact on the individual. Positive impacts include planning for the future, motivation, knowledge acquisition, and instilling hope. However, receiving a prognosis can be disheartening if a patient's expectations are unmet. Finally, participants have several preferences regarding receiving a prognosis including when and how often the prognosis is discussed, what prognostic information is provided, how the prognosis is presented, and what prognosis based on. CONCLUSION Individuals wish to receive a prognosis, although this is not always their experience. Individuals perceive that physiotherapists have the ability to provide a prognosis and impact their prognosis. Furthermore, receiving a prognosis has an impact on itself. To ensure patient-centred care, physiotherapists should explicitly discuss the prognosis with patients and consider their preferences when providing a prognosis.
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Affiliation(s)
- Nicholas Mullen
- School of Health Sciences, The University of Newcastle, Newcastle, Australia
| | - Samantha Ashby
- School of Health Sciences, The University of Newcastle, Newcastle, Australia
| | - Robin Haskins
- John Hunter Hospital Outpatient Service, Hunter New England Health, Newcastle, Australia
| | - Peter Osmotherly
- School of Health Sciences, The University of Newcastle, Newcastle, Australia
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Mullen N, Ashby S, Haskins R, Osmotherly P. The perceptions of individuals with musculoskeletal disorders towards prognosis: An exploratory qualitative study. Musculoskeletal Care 2022. [PMID: 36567482 DOI: 10.1002/msc.1728] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2022] [Revised: 12/14/2022] [Accepted: 12/17/2022] [Indexed: 12/27/2022]
Abstract
QUESTION(S) How do individuals living with musculoskeletal disorders perceive the concept of prognosis? DESIGN Exploratory phenomenological study. PARTICIPANTS Individuals aged 18 years or older currently experiencing a musculoskeletal disorder. DATA ANALYSIS Single semi-structured one-on-one interviews were conducted. Data was analysed using inductive coding and thematic analysis. RESULTS Five themes were identified. First, participants defined prognosis as the likely outcome associated with their diagnosis. Their prognosis was often associated with outcomes related to pain, tissue health, and function. Second, participants perceived pain as having a negative impact on their prognosis by limiting their function and having a psychological impact. Third, participants held biomedical views in that tissue health was perceived as a cause for their pain and that tissue healing was essential for pain cessation. It was also difficult for participants to distinguish between pain related to tissue damage, and pain that was not. Fourth, participants use their ability to complete leisure and functional activities to determine the success of their recovery. Finally, participants perceived receiving individual prognoses for pain, tissue health, and function that may be simultaneously occurring as both important and beneficial. CONCLUSION Overall, participants viewed receiving prognostic information as important and beneficial. When constructing their views on prognosis participants perceived that pain, tissue health, and functional ability could all impact upon prognosis, whilst having a prognosis of their own. Physiotherapists should consider conceptualising and discussing prognosis in terms of pain, tissue health, and function when managing musculoskeletal disorders.
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Affiliation(s)
- Nicholas Mullen
- School of Health Sciences, The University of Newcastle, Newcastle, New South Wales, Australia
| | - Samantha Ashby
- School of Health Sciences, The University of Newcastle, Newcastle, New South Wales, Australia
| | - Robin Haskins
- John Hunter Hospital Outpatient Service, Hunter New England Health, Newcastle, New South Wales, Australia
| | - Peter Osmotherly
- School of Health Sciences, The University of Newcastle, Newcastle, New South Wales, Australia
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Siu JYM, Chan EA, Li ASC, Lee YM. Motivations and deterrents of blood donation among blood donors during the COVID-19 pandemic in Hong Kong. Health Expect 2022; 25:3192-3201. [PMID: 36245309 DOI: 10.1111/hex.13626] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2022] [Revised: 08/06/2022] [Accepted: 10/02/2022] [Indexed: 01/28/2023] Open
Abstract
BACKGROUND The COVID-19 pandemic has resulted in a reduction in blood donations and limited blood supply in many countries. The theory of planned behaviour has been widely used in past studies to understand the factors influencing blood donation. However, this theory limits analyses to the individual level. Furthermore, most research on the determinants of blood donation during the COVID-19 pandemic is quantitative in nature, with relevant qualitative research being rare. OBJECTIVES To investigate the motivators and demotivators for donating blood among current blood donors during COVID-19 pandemic. DESIGN Forty in-depth, individual semistructured interviews were conducted with current blood donors from December 2020 to March 2021 in Hong Kong. Thematic content analysis was adopted in the data analysis. RESULTS The majority of the participants (n = 37) were demotivated from donating blood during the COVID-19 pandemic. Factors at the perceptual, social and institutional levels interacted to cause this reluctance. Only three participants felt more motivated to donate blood. The data revealed that sociocultural forces and government pandemic prevention policies strongly affected the participants' motivations to donate blood during the pandemic. CONCLUSION This study presents a macro understanding of blood donation behaviour by investigating the institutional, social and perceptual factors influencing current blood donors during the COVID-19 pandemic. This adds a more comprehensive understanding of blood donation where the theory of planned behaviour is widely used in past studies. PUBLIC CONTRIBUTION The participants shared their experiences in the interviews. Their experiences provide hints for explaining the decreasing blood donation during the pandemic times.
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Affiliation(s)
- Judy Yuen-Man Siu
- Department of Applied Social Sciences, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hong Kong, People's Republic of China.,Interdisciplinary Centre for Qualitative Research, The Hong Kong Polytechnic University, Hong Kong, People's Republic of China.,Research Centre for Sharp Vision, The Hong Kong Polytechnic University, Hong Kong, People's Republic of China
| | - Engle Angela Chan
- Interdisciplinary Centre for Qualitative Research, The Hong Kong Polytechnic University, Hong Kong, People's Republic of China.,School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, People's Republic of China, Hong Kong
| | - Angus Siu-Cheong Li
- Department of Applied Social Sciences, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hong Kong, People's Republic of China
| | - Yik Mun Lee
- Hong Kong Red Cross Blood Transfusion Service, Hospital Authority, Hong Kong, People's Republic of China
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Moussaoui LS, Blondé J, Chaduc-Lemoine C, Baldelli S, Desrichard O, Waldvogel S. How to increase first-time donors' returns? The postdonation letter's content can make a difference. Transfusion 2022; 62:1377-1387. [PMID: 35676888 PMCID: PMC9543148 DOI: 10.1111/trf.16933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2022] [Revised: 04/05/2022] [Accepted: 04/05/2022] [Indexed: 11/30/2022]
Abstract
Background Retention of first‐time donors is pivotal for blood collection centers. The present study built on research showing the importance of donor identity among regular donors and sought to compare the effectiveness of various communication strategies on return rate. Study Design and Methods Postal letters were sent to a large sample of first‐time whole blood donors (N = 1219) a few weeks following their first donation. Four versions of this letter were differently constructed in a way to boost the acquisition of donor identity (i.e., by including information about their ABO and Rh(D) blood group, emphasizing the salience of donor identity, offering a keyring with personalized information, or specifying the percentage of those sharing the same ABO and Rh(D) blood group). One version with no identity‐related information served as a control condition. Participants' subsequent blood donations were tracked for 5–22 months after receiving the letter. Results Survival analysis showed that the return rate was significantly higher among those who had received information about the percentage of the country's population with the same ABO and Rh(D) blood group (in comparison with the four other versions). There was no significant effect on the blood type rarity. Conclusion Blood collection centers could orient the strategy employed to communicate with first‐time donors to improve donors' retention. Arousing a sense of social identification with others with the same blood type may reveal a promising avenue.
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Affiliation(s)
- Lisa S Moussaoui
- Health Psychology Research Group, Faculty of Psychology and Education, Geneva University, Geneva, Switzerland
| | - Jerôme Blondé
- Social Influence Research Group, Faculty of Psychology and Education, Geneva University, Geneva, Switzerland
| | - Coralie Chaduc-Lemoine
- Blood Transfusion Center, Department of Medical Specialties, HUG - Geneva University Hospitals, Geneva, Switzerland
| | - Serena Baldelli
- Directorate of Communications and Marketing, HUG - Geneva University Hospitals, Geneva, Switzerland
| | - Olivier Desrichard
- Health Psychology Research Group, Faculty of Psychology and Education, Geneva University, Geneva, Switzerland
| | - Sophie Waldvogel
- Blood Transfusion Center, Department of Medical Specialties, HUG - Geneva University Hospitals, Geneva, Switzerland
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Ou-Yang J, Li SJ, Bei CH, He B, Chen JY, Liang HQ, Fu YS. Blood donor recruitment in Guangzhou, China, during the 2019 novel coronavirus (COVID-19) epidemic. Transfusion 2020; 60:2597-2610. [PMID: 32627205 PMCID: PMC7361411 DOI: 10.1111/trf.15971] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Revised: 06/26/2020] [Accepted: 06/26/2020] [Indexed: 12/02/2022]
Abstract
Background The coronavirus disease 2019 (COVID‐19) epidemic affected blood collection in Guangzhou, China. Study Design and Methods This paper includes three studies. The observational study reported the trends of blood collection during the epidemic in Guangzhou, China. The cross‐sectional survey investigated factors influencing blood donation during the COVID‐19 epidemic, and a self‐administered questionnaire was given to 1584 street whole blood donors (SWBDs) who donated during the epidemic. The randomized controlled trial involved 19 491 SWBDs who donated in 2019 but did not donate during the epidemic. Trial participants were randomly assigned to two intervention groups: Group 1 completed Questionnaire 1, which contained precautionary measures in response to COVID‐19 and other messages about blood donation during the epidemic; Group 2 completed Questionnaire 2, which did not include this information. A control group did not receive any questionnaire. Results As measures were implemented, the number of blood donors increased accordingly. Both first‐time and repeat SWBDs perceived the same level of blood need and donated blood because it would save lives. SWBDs who completed Questionnaire 1 expressed a greater intention to donate during the epidemic. Enabling blood donors to perceive a higher level of blood need and a lower level of COVID‐19 infection risk related to blood donation mobilized experienced SWBDs to donate within 3 weeks. Intention‐to‐treat analyses and average‐treatment‐effect‐on‐the‐treated estimations confirmed that Questionnaire 1 could motivate SWBDs to actually donate blood. Conclusion Various measures could ease blood shortage during the COVID‐19 epidemic. Administration of Questionnaire 1 could increase blood donations during the epidemic.
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Affiliation(s)
- Jian Ou-Yang
- Guangzhou Blood Center, Guangzhou, Guangdong, China.,The Key Medical Disciplines and Specialties Program of Guangzhou, Guangzhou, Guangdong, China
| | - Shi-Jie Li
- Guangzhou Blood Center, Guangzhou, Guangdong, China.,The Key Medical Disciplines and Specialties Program of Guangzhou, Guangzhou, Guangdong, China
| | - Chun-Hua Bei
- Guangzhou Blood Center, Guangzhou, Guangdong, China.,The Key Medical Disciplines and Specialties Program of Guangzhou, Guangzhou, Guangdong, China
| | - Bo He
- Guangzhou Blood Center, Guangzhou, Guangdong, China.,The Key Medical Disciplines and Specialties Program of Guangzhou, Guangzhou, Guangdong, China
| | - Jin-Yan Chen
- Guangzhou Blood Center, Guangzhou, Guangdong, China.,The Key Medical Disciplines and Specialties Program of Guangzhou, Guangzhou, Guangdong, China
| | - Hua-Qin Liang
- Guangzhou Blood Center, Guangzhou, Guangdong, China.,The Key Medical Disciplines and Specialties Program of Guangzhou, Guangzhou, Guangdong, China
| | - Yong-Shui Fu
- Guangzhou Blood Center, Guangzhou, Guangdong, China.,The Key Medical Disciplines and Specialties Program of Guangzhou, Guangzhou, Guangdong, China.,School of Laboratory Medicine and Biotechnology, Southern Medical University, Guangzhou, Guangdong, China
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