scholarly journals Salutogenesis Theory and Methods: Developments, Innovations and Next Steps

2022 ◽  
pp. 565-567
Author(s):  
Lenneke Vaandrager
Keyword(s):  
Sense Of Coherence ◽  
Future Development ◽  
Health Professionals ◽  
Rapid Growth ◽  
Qualitative Approaches ◽  
Wide Range ◽  
Practice Teaching ◽  
Approaches To Study ◽  
Theory Research ◽  
Theoretical Issues

AbstractPart VIII of this book presents ideas for the future development of salutogenesis theory, research methodology, practice, teaching and capacity building. This overview chapter highlights several theoretical issues in further developing the sense of coherence (SOC) construct, followed by how we can use qualitative approaches to study the SOC, including a wide range of examples. Another important future field discussed in this part is how to strengthen the salutogenic capacity of health professionals. The rapid growth of communication digitalization is also taken up in a chapter on the digital lifeworld and salutogenesis. Part VIII concludes with a chapter written by all editors of the Handbook, wrapping it up under the title Salutogenesis for Thriving Societies, which I suggest is a ‘must read’ for all.

scholarly journals Staff experiences of enhanced recovery after surgery: systematic review of qualitative studies

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e022259 ◽  
Author(s):  
Rachel Cohen ◽  
Rachael Gooberman-Hill
Keyword(s):  
Systematic Review ◽  
Health Professionals ◽  
Multidisciplinary Team ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Professional Staff ◽  
Qualitative Studies ◽  
Diverse Range ◽  
Qualitative Approaches ◽  
Wide Range

ObjectivesTo conduct a systematic review of qualitative studies which explore health professionals’ experiences of and perspectives on the enhanced recovery after surgery (ERAS) pathway.DesignSystematic review of qualitative literature using a qualitative content analysis. Literature includes the experiences and views of a wide range of multidisciplinary team and allied health professional staff, to incorporate a diverse range of clinical and professional perspectives.Data sourcesPsycINFO, Medline, CINAHL and PubMed were searched in May 2017.Eligibility criteria for selecting studiesThe searches included relevant qualitative studies across a range of healthcare contexts. We included studies published from 2000 to 2017, as an appropriate time frame to capture evidence about ERAS after implementation in the late 1990s. Only studies published in the English language were included, and we included studies that explicitly stated that they used qualitative approaches.Data extraction and synthesisLiterature searches were conducted by the first author and checked by the second author: both contributed to the extraction and analysis of data. Studies identified as relevant were assessed for eligibility using the Critical Appraisal Skills Programme guidance.ResultsEight studies were included in the review, including studies in six countries and in four surgical specialties. Included studies focus on health professionals’ experiences of ERAS before, during and after implementation in colorectal surgery, gastrointestinal surgery, abdominal hysterectomy and orthopaedics. Five main themes emerged in the analysis: communication and collaboration, resistance to change, role and significance of protocol-based care, and knowledge and expectations. Professionals described the importance of effective multidisciplinary team collaboration and communication, providing thorough education to staff and patients, and appointing a dedicated champion as means to implement and integrate ERAS pathways successfully. Evidence-based guidelines were thought to be useful for improvements to patient care by standardising practices and reducing treatment variations, but were thought to be too open to interpretation at local levels. Setting and managing ‘realistic’ expectations of staff was seen as a priority. Staff attitudes towards ERAS tend to become more favourable over time, as practices become successfully ‘normalised’. Strengths of the review are that it includes a wide range of different studies, a variety of clinical populations, diversity of methodological approaches and local contexts. Its limitation is the inclusion of a small number of studies, although these represent six countries and four surgical specialties, and so our findings are likely to be transferable.ConclusionsStaff feel positive about the implementation of ERAS, but find the process is complex and challenging. Challenges can be addressed by ensuring that multidisciplinary teams understand ERAS principles and guidelines, and communicate well with one another and with patients. Provision of comprehensive, coherent and locally relevant information to health professionals is helpful. Identifying and recruiting local ERAS champions is likely to improve the implementation and delivery of ERAS pathways.PROSPERO registration numberCRD42017059952

scholarly journals Qualitative Approaches to the Study of the Sense of Coherence

2022 ◽  
pp. 581-609
Author(s):  
Avishai Antonovsky ◽  
Gillie Pragai Olswang ◽  
Lenneke Vaandrager
Keyword(s):  
Sense Of Coherence ◽  
Rapid Growth ◽  
Life Stories ◽  
Quality Criteria ◽  
Qualitative Studies ◽  
Qualitative Approaches ◽  
The Future ◽  
Qualitative Methodologies ◽  
Research Studies

AbstractIn recent years, there has been rapid growth in qualitative studies of the sense of coherence (SOC). This chapter aims to address the following questions: how is the SOC measured qualitatively, when is such measurement relevant or preferable, and what should we strive to achieve as we continue developing qualitative approaches?Based on our search of the literature, we report on four types of research: studies that intentionally and directly measured the SOC using qualitative methodologies, studies designed within the salutogenic framework that were open to analyzing people’s life stories or artwork and which looked for expressions which reflect the SOC, studies interpreting their findings in hindsight in terms of the SOC, and studies that did not originate with salutogenesis in mind and came to appreciate that something akin to the SOC had been measured.Qualitative salutogenic research is expanding. Its theoretical and empirical contributions include demonstrating the utility in SOC research of thick descriptions of microanalytic behaviors and methods to document SOC development. An important step for the future is to develop quality criteria for qualitative salutogenic studies.

scholarly journals Post-stroke fatigue: an exploratory study with patients and health professionals to develop a patient-reported outcome measure

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Ingrid Johansen Skogestad ◽  
Marit Kirkevold ◽  
Petra Larsson ◽  
Christine Råheim Borge ◽  
Bent Indredavik ◽  
...  
Keyword(s):  
Future Development ◽  
Health Professionals ◽  
Outcome Measure ◽  
Patient Reported Outcome ◽  
Stroke Survivors ◽  
Structured Interviews ◽  
Post Stroke ◽  
Patient Reported Outcome Measure ◽  
Patient Reported ◽  
Initial Hospital

Abstract Background Post-stroke fatigue (PSF) is commonly reported and described as disabling by patients recovering from stroke. However, a major challenge is how to accurately diagnose and assess PSF. Therefore, the aim of this study was to explore PSF as it is experienced by stroke survivors and described by health professionals to guide future development of a PSF-specific PROM. Methods Individual semi-structured interviews were conducted with stroke survivors experiencing PSF (n = 9) and three focus groups were conducted with health professionals (n = 16). Data were analyzed through inductive content analysis. Results The analysis revealed four themes illustrating the experience and descriptions of PSF: 1) PSF characteristics, 2) interfering and aggravating factors, 3) management, and 4) PSF awareness, which refers to stroke survivors first becoming aware of PSF after their initial hospital admission. Conclusion This study highlights the complexity and multidimensionality of PSF. The results from this study will guide future development of a PSF-PROM and support its content validity.

scholarly journals An exploration of migrant women’s perceptions of public health messages to reduce stillbirth in the UK: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tomasina Stacey ◽  
Melanie Haith-Cooper ◽  
Nisa Almas ◽  
Charlotte Kenyon
Keyword(s):  
Public Health ◽  
Perinatal Mortality ◽  
Health Professionals ◽  
Health Messages ◽  
Migrant Women ◽  
Global Public Health ◽  
Wide Range ◽  
Public Health Messages ◽  
Associated Risk Factors ◽  
The Uk

Abstract Background Stillbirth is a global public health priority. Within the United Kingdom, perinatal mortality disproportionately impacts Black, Asian and minority ethnic women, and in particular migrant women. Although the explanation for this remains unclear, it is thought to be multidimensional. Improving perinatal mortality is reliant upon raising awareness of stillbirth and its associated risk factors, as well as improving maternity services. The aim of this study was to explore migrant women’s awareness of health messages to reduce stillbirth risk, and how key public health messages can be made more accessible. Method Two semi-structured focus groups and 13 one to one interviews were completed with a purposive sample of 30 migrant women from 18 countries and across 4 NHS Trusts. Results Participants provided an account of their general awareness of stillbirth and recollection of the advice they had been given to reduce the risk of stillbirth both before and during pregnancy. They also suggested approaches to how key messages might be more effectively communicated to migrant women. Conclusions Our study highlights the complexity of discussing stillbirth during pregnancy. The women in this study were found to receive a wide range of advice from family and friends as well as health professionals about how to keep their baby safe in pregnancy, they recommended the development of a range of resources to provide clear and consistent messages. Health professionals, in particular midwives who have developed a trusting relationship with the women will be key to ensuring that public health messages relating to stillbirth reduction are accessible to culturally and linguistically diverse communities.

scholarly journals Effects of self-management education programmes on self-efficacy for osteoarthritis of the knee: a systematic review of randomised controlled trials

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Daisuke Uritani ◽  
Hitoshi Koda ◽  
Sho Sugita
Keyword(s):  
Health Professionals ◽  
Self Efficacy ◽  
Randomised Controlled Trials ◽  
Management Education ◽  
Self Management ◽  
Controlled Trials ◽  
Face To Face ◽  
Knee Oa ◽  
Wide Range ◽  
Randomised Controlled

Abstract Background Enhancing self-efficacy to manage symptoms and functions is an important aspect of self-management for patients with knee osteoarthritis (OA). Many reports have investigated the effects of self-management education programmes for arthritis patients. However, a study that exclusively focuses on patients with OA in the same joints is required to clarify the effects of self-management programmes because individuals with knee OA experience physical and psychological difficulties different from those experienced by individuals with other arthritis diseases. Furthermore, previous studies have reported a wide range of delivery styles of self-management education programmes. This systematic review aimed to evaluate the effects of group-based and face-to-face self-management education programmes conducted by health professionals targeting self-efficacy for knee OA exclusively. Methods The MEDLINE, CENTRAL, EMBASE, CINAHL, Web of Science, and PEDro databases were searched to identify quantitative measures used in randomised controlled trials (RCTs) to assess the effects of self-management education programmes targeting self-efficacy in patients with knee OA. We included studies in which medical professional-delivered self-management education programmes were conducted in a group-based and face-to-face manner in community or outpatient settings. Results Seven RCTs from five countries were included in this review. Our retrieved studies included various types of self-management education programmes such as cognitive behavioural counselling, pain management education, physical education, weight management education, and arthritis self-efficacy management education, and control arms. They assessed various aspects of self-efficacy, including pain, physical function, arthritis symptoms excluding pain, weight management, mobility, and self-regulation. The total score of the Arthritis Self-Efficacy Scale was also measured. Some studies have reported beneficial effects of group-based and face-to-face self-management education programmes on self-efficacy for management of pain and other symptoms and for self-regulatory, knee OA. However, the results of the included studies were varied and inconsistent. Conclusions The current review only included seven studies, and there was a wide range of clinical heterogeneity among these studies. Thus, the effects of group-based and face-to-face self-management education programmes conducted by health professionals on self-efficacy for knee OA exclusively are inconclusive to date. Therefore, high-quality studies are required to provide significant information on clinicians, patients, and healthcare professionals in the future.

scholarly journals REAPing the benefits: development and use of a structured evaluation framework to codify learning resources for Global Health professionals

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Meike Schleiff ◽  
Elizabeth Hahn ◽  
Caroline Dolive ◽  
Lillian James ◽  
Anant Mishra ◽  
...  
Keyword(s):  
Global Health ◽  
Health Professionals ◽  
Learning Opportunities ◽  
Evaluation Framework ◽  
Course Quality ◽  
Health Leadership ◽  
Wide Range ◽  
Meaningful Engagement ◽  
Online Activities ◽  
Competency Domains

Abstract Background The learning opportunities for global health professionals have expanded rapidly in recent years. The diverse array of learners and wide range in course quality underscore the need for an improved course vetting process to better match learners with appropriate learning opportunities. Methods We developed a framework to assess overall course quality by determining performance across four defined domains Relevance, Engagement, Access, and Pedagogy (REAP). We applied this framework across a learning catalogue developed for participants enrolled in the Sustaining Technical and Analytic Resources (STAR) project, a global health leadership training program. Results The STAR learning activities database included a total of 382 courses, workshops, and web-based resources which fulfilled 531 competencies across three levels: core, content, and skill. Relevance: The majority of activities were at an understanding or practicing level across all competency domains (486/531, 91.5%). Engagement: Many activities lacked any peer engagement (202/531, 38.0%) and had limited to no faculty engagement (260/531, 49.0%). Access: The plurality of courses across competencies were offered on demand (227/531, 42.7%) and were highly flexible in pace (240/531, 45.2%). Pedagogy: Of the activities that included an assessment, most matched activity learning objectives (217/531, 40.9%). Conclusions Through applying REAP to the STAR project learning catalogue, we found many online activities lacked meaningful engagement with faculty and peers. Further development of structured online activities providing learners with flexibility in access, a range of levels of advancement for content, and opportunities to engage and apply learning are needed for the field of global health.

Evaporite Palynology: a case study on the Permian (Lopgingian) Zechstein Sea

2021 ◽  
pp. jgs2020-174
Author(s):  
Martha E. Gibson ◽  
David J. Bodman
Keyword(s):  
Thermal Conductivity ◽  
Heat Flux ◽  
Rapid Growth ◽  
Western Europe ◽  
Thermal Maturity ◽  
Near Surface ◽  
Wide Range ◽  
Terrestrial Environments ◽  
Insight Into

Evaporites characterize the Lopingian of Europe but present obstacles for biostratigraphic analysis. Here we present a case study for processing the Lopingian Zechstein Group evaporites of central-western Europe for the recovery of palynomorph assemblages. We demonstrate that full recovery is easily achieved with two main modes of palynomorph preservation observed; palynomorphs are either exceptionally well-preserved and orange-brown in colour, or poorly-preserved, brown-black, opaque and fragmented. The latter are reminiscent of palynomorphs of high thermal maturity. However, we propose that the intact nature of preservation is a result of the rapid growth of near-surface halite crystals, with their darkening a consequence of locally-enhanced heat flux due to the relatively high thermal conductivity of salt. This case study has enabled novel insight into an otherwise undescribed environment, and demonstrates the utility and possibility of extracting palynomorphs from a variety of rock salt types. This method should be applicable to a wide range of ancient evaporite and could also be applied to other Permian evaporite systems, which are used as analogues for extra-terrestrial environments.

scholarly journals Health inequalities within professional health education at the University of Malta

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C Copperstone ◽  
M Bonello
Keyword(s):  
Public Health ◽  
Health Professional ◽  
Health Inequalities ◽  
Health Professionals ◽  
Professional Training ◽  
Mesh Terms ◽  
Wide Range ◽  
Professional Health ◽  
The University ◽  
And Training

Abstract Background Addressing health inequalities is a crucial public health issue. It is thus imperative that health professionals are equipped with explicit competences to recognise and address health inequalities. Methods This is a multi-phase mixed-methods study exploring health inequalities and training within professional health curricula at the University of Malta. Phase One consists of a scoping study which explores whether and how health inequalities feature within the health professions' undergraduate curricula. This involved a systematic search of undergraduate health professional curricula, including competency profiles in each programme of study, using information available in the public domain. Academic year reviewed was 2019-2020. To ensure harmonisation, the two independent reviewers used the following search strategy: a) using a keyword descriptive approach (MeSH terms divided into two levels: direct, level one, and more general keywords, level two) and b) a more subjective approach to assess wider topic elements. Results Preliminary results emanating from mapping of 19 different programmes of study will be presented. A wide range of occurrences, from zero occurrences in some programmes to a maximum of one occurrence for level one and 12 for level two keywords in other programmes, was observed. Conclusions There is a wide disparity between the awareness of and training of inequalities across different professional training programmes. This provides the groundwork for Phase Two of this research during which public health stakeholders' attitudes and perceptions on health professional training and current practices will be explored. Findings from this study will provide the evidence and the impetus for possible interdisciplinary modules and/or continuous professional development programmes in health inequalities. Key messages The need for developing short courses/reviewing health curricula to incorporate health inequalities is encouraged. Public health professionals have a responsibility to address health inequalities in their professional practice.

Teamwork

2018 ◽  
pp. 587-594
Author(s):  
Maria Flynn ◽  
Dave Mercer
Keyword(s):  
Health Professionals ◽  
Healthcare Setting ◽  
Healthcare Services ◽  
Health Condition ◽  
Illness Episode ◽  
Wide Range ◽  
Working Together ◽  
Effective Organization

The importance of teamworking has been long established in healthcare, with nurses working both as part of a nursing team and as members of the wider multidisciplinary team. The effective organization and delivery of healthcare services depends upon a wide range of health professionals, patients, families, and carers working together to achieve the best health outcomes and quality of life. Whether healthcare is necessary for an acute illness episode, helping someone with a long-term health condition achieve an acceptable level of function, or supporting a person who is dying, placing people at the centre of care decisions demands effective teamworking. Understanding the nature and characteristics of teams can help nurses to work effectively and uphold professional caring values when working with people in any healthcare setting. This chapter outlines the key definitions and characteristics of teamworking.

Actor-Network Theory and the Online Investor

2012 ◽  
Vol 4 (2) ◽  
pp. 25-31
Author(s):  
Arthur Adamopoulos ◽  
Martin Dick ◽  
Bill Davey
Keyword(s):  
Network Analysis ◽  
Network Theory ◽  
Actor Network Theory ◽  
Actor Network ◽  
Wide Range ◽  
Human Actors ◽  
Theory Research ◽  
The Way

An actor-network analysis of the way in which online investors use Internet-based services has revealed a phenomenon that is not commonly reported in actor-network theory research. An aspect of the research that emerged from interviews of a wide range of online investors is a peculiar effect of changes in non-human actors on the human actors. In this paper, the authors report on the particular case and postulate that this effect may be found, if looked for, in many other actor-network theory applications.

Sign in / Sign up

Export Citation Format

Share Document