Acts of xenophobia among nurse educators: A qualitative study

Background

Xenophobia has been in existence for centuries, though subtle and not too pronounced as of recent years. It has now pervaded all spheres including businesses, academia and industries. Previous studies have found it to be disruptive both to organizations and employees.

Purpose

To explore acts of xenophobia among nurse educators, underpinned by the frustration and aggression theory.

Method

A qualitative study involving twenty-five nurse educators in Botswana was carried out between July 2019 and August 2020. Open-ended semi-structured questions were used to collect face to face in-depth interviews from participants.

Findings

Dehumanizing comments, labelling and discrimination were the three themes that emerged from interpretative analysis. Affected persons were mostly foreign nationals and people of different ethnic groupings.

Conclusion

The study concluded that there is need for a policy that addresses acts of xenophobia and an intervention to mitigate acts of xenophobia.

Experience of coronary heart disease patients with a nurse-led eHealth cardiac rehabilitation: Qualitative process evaluation of a randomized controlled trial

BACKGROUND

A previous randomized controlled trial (NeCR) has indicated the effectiveness of nurse-led eHealth cardiac rehabilitation (CR) on modifying the behaviors of patients with coronary heart disease. However, limited qualitative studies explore the experiences of using eHealth CR that led to such benefits.

OBJECTIVE

The study aimed to explore the experiences of patients who participated in the NeCR program.

METHODS

A descriptive qualitative study was employed among 20 intervention group patients who used the eHealth CR website and ranked differently (0-35th percentile, >35th percentile, and > 70% percentile) in the improvement of health-promoting behaviors.

RESULTS

Five themes emerged: the NeCR program has promoted behavior change and mitigated emotional distress post-CHD. Patients described how the NeCR influenced cognitive determinants (knowledge and skill acquisition, having a roadmap, self-monitoring, and self-evaluation and resolution) and offered social support (professional counseling and peer interaction via multimedia chat) toward such change. Patients also appreciated the high affordability, accessibility, reliability of the NeCR, and expressed psychological, contextual, and technical barriers.

CONCLUSIONS

Providing eHealth CR during patient discharge is warranted as an affordable, accessible, and reliable alternative to obtain health benefits. Extensive behavior change techniques, actionable CR guidance, and increased awareness are widely perceived enablers. Offering professional support and moderation is critical for early post-discharge consultation and for introducing direct peer interaction to reassure patients.