scholarly journals The value of domiciliary medication reviews: a thematic analysis of patient views

2021 ◽  
Author(s):  
Patricia McCormick ◽  
Bridget Coleman ◽  
Ian Bates
Keyword(s):  
Thematic Analysis ◽  
Outcome Measure ◽  
Service Users ◽  
Structured Interviews ◽  
Main Outcome Measure ◽  
Healthcare Settings ◽  
Medication Reviews ◽  
Informal Carers ◽  
The Individual ◽  
Patient Centric

AbstractBackground Medication reviews are recognised as essential to tackling problematic polypharmacy. Domiciliary medication reviews (DMRs) have become more prevalent in recent years. They are proclaimed as being patient-centric but published literature mainly focuses on clinical outcomes. However, it is not known where the value of DMRs lies for patients who participate in them. Objective To determine the value of domiciliary medication reviews to service users. Setting Interviews took place with recipients of domiciliary medication reviews residing in the London boroughs of Islington and Haringey. Method Semi-structured interviews analysed using thematic analysis. Main outcome measure Themes and sub-themes identified from interview transcripts. Results Five themes were identified: advantages over traditional settings, attributes of the professional, adherence, levels of engagement and knowledge. Conclusion For many patients, the domiciliary setting is preferred to traditional healthcare settings. Patients appreciated the time spent with them during a DMR and felt listened to. Informal carers felt reassured that the individual medication needs of their relative had been reviewed by an expert.

scholarly journals Mental health nurses’ perceptions of attachment style as a construct in a medium secure hospital: a thematic analysis

2015 ◽  
Vol 10 (4) ◽  
pp. 218-233 ◽  
Author(s):  
Nikki Boniwell ◽  
Leanne Etheridge ◽  
Ruth Bagshaw ◽  
Joanne Sullivan ◽  
Andrew Watt
Keyword(s):  
Attachment Theory ◽  
Attachment Style ◽  
Thematic Analysis ◽  
Service User ◽  
Attachment Styles ◽  
Personality Development ◽  
Educational Interventions ◽  
Service Users ◽  
Structured Interviews ◽  
Content Type

Purpose – Attachment Theory can be regarded as central to the concept of relational security. There is a paucity of research examining the coherence of this construct for ward-based staff. The paper aims to discuss these issues. Design/methodology/approach – Five female nurses from the acute admission and assessment ward of a UK medium secure unit acted as participants. Semi-structured interviews were conducted, and inductive thematic analysis was applied. Findings – Six themes; “staff-service user relationships”, “staff diversities”, “service user backgrounds”, “variability in service users’ presentations”, “service users with personality disorder are problematic” and “nurses do not use attachment” emerged from the data. The nurses used heuristic models of attachment-related behaviour and they lacked knowledge of constructs associated with Attachment Theory. Research limitations/implications – Acute admissions may not be representative of all treatment contexts. Traditional models of attachment style may have only limited relevance in forensic services. Practical implications – Limited knowledge and confidence in the nurses regarding how Attachment Theory might apply to service users is interesting because it may limit the extent to which care, treatment and risk management might be informed by an understanding of service user representations of therapeutic relationships. Training and educational interventions for nurses that enhance understanding of personality development and attachment styles are warranted. Originality/value – The importance of nurses for achieving relational security is emphasised and the adequacy of their training is questioned.

scholarly journals Measuring meaningful markers of change

2019 ◽  
Vol 53 (2) ◽  
pp. 177-193
Author(s):  
Helen Stocks ◽  
Alex Kyriakopoulos ◽  
Tony Ashton
Keyword(s):  
Thematic Analysis ◽  
Outcome Measure ◽  
Patient Reported Outcome ◽  
Therapeutic Modality ◽  
Service Users ◽  
Specific Patient ◽  
Patient Reported Outcome Measure ◽  
Patient Reported ◽  
Life Improvement

The current research aimed to identify areas of recovery specific to Group Analytic Psychotherapy (GAT) to facilitate the development of a suitable patient reported outcome measure (PROM) for this therapeutic modality. Two focus groups comprising respectively of four group analytic therapists or four service users were asked about components of recovery that they felt were specific to receiving GAT. Thematic Analysis (as described by Braun and Clarke, 2006) was employed to explore their views. Three overarching themes emerged from these groups: improvement in intrapsychic and interpsychic relationships; improvement in quality of life; improvement in functionality and symptom reduction. A conceptual model emerged with regards to how those themes could inform the development on a GAT specific patient reported outcome measure.

scholarly journals Issues Faced by Prosthetists and Physiotherapists During Lower-Limb Prosthetic Rehabilitation: A Thematic Analysis

2022 ◽  
Vol 2 ◽  
Author(s):  
Shruti Turner ◽  
Athina Belsi ◽  
Alison H. McGregor
Keyword(s):  
Thematic Analysis ◽  
Lower Limb ◽  
Limb Amputation ◽  
Service Users ◽  
Prosthetic Rehabilitation ◽  
Structured Interviews ◽  
User Perspective ◽  
Prosthetic Socket ◽  
Clinician Perspectives ◽  
Insight Into

Successful prosthetic rehabilitation is essential to improve the physical and mental outcomes of people with lower-limb amputation. Evaluation of prosthetic services from a prosthesis user perspective have been published and commissioned by the national bodies, however, the perspectives of clinicians working with service users during rehabilitation have not to date been sought. We sought to determine factors impacting lower-limb prosthetic rehabilitation from a clinician's perspective to inform studies focusing on prosthetic and socket design and fitting. Six clinician (2 prosthetists, 4 physiotherapists) interviewees were self-selected from a survey exploring issues and frustrations during lower-limb prosthetic rehabilitation. Semi-structured interviews explored the impactors on and frustrations with rehabilitation and the prosthetic socket. A thematic analysis was subsequently conducted to identify themes in the responses. Five themes were identified: Service Disparity, Body Impactors, Consequences of Ill-Fit, Prosthesis Irritants, and Limitations of Practice. Each theme, though distinct, relates to the others either as a cause or consequence and should be viewed as such. Addressing the themes will have benefits beyond the issues addressed but also expand into the other themes. This study provides an insight into the clinician perspectives on lower-limb prosthetic rehabilitation, which has not been formally documented to date.

Influence of culture, religion and experience on the decision of Pakistani women in Lothian, Scotland to use postnatal contraception: a qualitative study

2020 ◽  
pp. bmjsrh-2019-200497
Author(s):  
Annette Gallimore ◽  
Tasneem Irshad ◽  
Michelle Cooper ◽  
Sharon Cameron
Keyword(s):  
Thematic Analysis ◽  
Quality Information ◽  
Structured Interviews ◽  
Translation Services ◽  
Tailored Approach ◽  
Pakistani Women ◽  
The Individual ◽  
First And Second Generation ◽  
Inductive Thematic Analysis ◽  
Experience Difficulty

IntroductionEvidence suggests that Pakistani women may experience difficulty accessing postnatal contraceptive (PNC) services. The study aimed to identify experience and decision-making around PNC provision for Pakistani women in Lothian, and to explore the views and experience of maternity staff who provide PNC counselling.MethodsQualitative research including focus groups and 1:1 semi-structured interviews with women and staff. Participants were first- and second-generation Pakistani women with a child/children aged up to 5 years, or pregnant; community and hospital midwives, obstetric doctors who counsel or provide PNC. Data were coded and categorised using QSR NVIVO10. Inductive thematic analysis was carried out.ResultsWomen were receptive to discussion of contraception, including antenatally, and welcomed translated information. Some said the decision on PNC was theirs or made jointly with their husband; however, they acknowledged that in some marriages the husband will take the decision. Women stated they may face family expectation to have a baby early in marriage. Language was identified as a challenge by maternity staff, who utilised translation services to ensure women received the information they needed on contraception.ConclusionsPakistani women value antenatal discussion about PNC. Maternity staff have an important role in providing quality information on contraception and should be supported with translated resources in a range of formats. Most importantly, staff should adopt a tailored approach to identify the individual woman’s needs and preferences.

An exploratory study of Behavioural Specialist experiences of involving service users in the development of their positive behavioural support plans

2017 ◽  
Vol 23 (2) ◽  
pp. 160-174 ◽  
Author(s):  
Bethany Kruger ◽  
Ruth Northway
Keyword(s):  
Learning Disabilities ◽  
Learning Disability ◽  
Thematic Analysis ◽  
Exploratory Study ◽  
Research Study ◽  
Service Users ◽  
Exploratory Research ◽  
Challenging Behaviour ◽  
Structured Interviews ◽  
Behavioural Support

There is limited research that explores the experiences of how behavioural specialists actively involve people with a learning disability and challenging behaviour in the development of their positive behavioural support (PBS) plan. Accordingly, this exploratory research study aimed to explore this little understood area of practice. Methods: The study included semi-structured interviews comprised of nine Behavioural Specialists in three focus groups across two health boards. A descriptive thematic analysis study. Findings: Three major themes and 11 minor themes were identified illustrating how people with learning disabilities and behaviours that challenge were involved in developing their PBS plan. Significantly, the themes illustrated the complexity of truly involving service users in the process. Conclusion: Inclusion of people with a learning disability and behaviours that challenge in their PBS plan poses significant challenges. Person-centred care struggles to be truly embedded in the PBS model.

An exploration of stakeholders’ perceptions of the extent to which the individual and collective views of patients with long-term conditions and their carers are heard and used to inform commissioning decisions within primary care

2020 ◽  
Vol 70 (suppl 1) ◽  
pp. bjgp20X711149
Author(s):  
Jane Brooks
Keyword(s):  
Primary Care ◽  
Monitoring And Evaluation ◽  
Current Evidence ◽  
Practical Implementation ◽  
Structured Interviews ◽  
Long Term Conditions ◽  
Healthcare Settings ◽  
Accessible Information ◽  
The Individual

BackgroundInvolving patients and carers in decisions that influence the delivery of health services is a statutory requirement across the NHS. However, current evidence suggests a gap exists between the theory, legislation and policy intentions and their practical implementation.AimThis research aimed to identify the nature and extent of that perceived gap.MethodAdopting a mixed-methods approach using questionnaires and semi-structured interviews, stakeholders’ perceptions were explored regarding the extent to which the views of patients with long-term conditions and their carers are heard and used within primary care, across four clinical commissioning groups. Descriptive statistics were used to analyse the quantitative data; thematic analysis was applied to explore the qualitative data.ResultsData analysis demonstrated considerable difference between patients’ and carers’ perceptions and those of healthcare professionals regarding how well involvement is implemented. Three key themes emerged that were perceived to influence the effectiveness of involvement. These related to the need for effective communication of relevant, accessible information that meets people’s requirements; the need to take account of individuals’ expectations, ability, motivation, assumptions, and previous experience; and the need for organisations to provide effective systems and processes, including adequate time and focused training to support involvement, in addition to robust monitoring and evaluation of the extent to which outputs from involvement influence commissioning decisions.ConclusionThe literature suggests that no existing framework addresses all three key themes. Therefore, a revised framework for involvement was developed, informed by the three key themes, that can be tested across a larger sample and different healthcare settings.

scholarly journals Saskatchewan Physicians’ Opinions of Their Personalized Prescribing Profiles Related to Opioids, Benzodiazepines, Stimulants, and Gabapentin

2021 ◽  
Vol 107 (1) ◽  
pp. 7-16
Author(s):  
Derek Jorgenson ◽  
Diar Alazawi ◽  
Julia Bareham ◽  
Nicole Bootsman
Keyword(s):  
Quality Improvement ◽  
High Risk ◽  
Thematic Analysis ◽  
Audit And Feedback ◽  
Prescription Medications ◽  
Prescribing Practices ◽  
Structured Interviews ◽  
The World ◽  
The Individual ◽  
Prescribing Information

ABSTRACT Overdoses of prescription medications continue to be a significant concern for health systems around the world. Medical regulators in several jurisdictions have started generating personalized prescribing profiles for individual physicians as an audit and feedback tool to reduce the sub-optimal prescribing of high-risk drugs such as opioids, benzodiazepines and stimulants. However, little is known about how to most effectively communicate the data in these prescriber profiles to the intended recipients. The aim of this study was to collect the opinions of physicians in Saskatchewan, Canada, regarding their personalized prescriber profiles. One-on-one semi-structured interviews were completed in January 2019 with 17 physicians who were given access to personalized profiles containing their prescribing information on opioids, benzodiazepines, stimulants and gabapentin. Interviews were recorded and data was analyzed using thematic analysis. Respondents thought the profiles were a useful tool that had significant potential to improve their prescribing practices. However, many physicians also thought the profiles were confusing and difficult to interpret. Several recommendations were made to improve the prescriber profiles, which may be applicable to other jurisdictions currently using, or planning to develop, similar quality improvement tools. These recommendations include: limiting the use of abbreviations and acronyms; being explicit regarding the intent of the profiles; ensuring comparator data is relevant to the individual recipient; using a combination of numbers and visuals to display data; and providing detailed context regarding what the data means.

The Perspectives of Iranian EFL Teachers on the Integration of ICT into their Teaching Practices

2015 ◽  
pp. 94-119
Author(s):  
Parivash Mozafari ◽  
David Wray
Keyword(s):  
Thematic Analysis ◽  
Capital City ◽  
Structured Interviews ◽  
Face To Face ◽  
Depth Data ◽  
Efl Teachers ◽  
Information And Communication ◽  
Multiple Case ◽  
The Individual

This chapter reports the findings of a multiple-case study that was carried out during October-January 2013 held with 9 Iranian EFL teachers -five male, four females- from across 6 schools in the capital city of Tehran. Underpinned by a socio-cultural epistemology and utilising an interpretivist qualitative paradigm, this study aimed to explore participants' perspectives on the integration of computer and other ICT (information and communication technology) tools into their teaching. The focus was the individual and contextual factors which had influenced and shaped the perceptions and practices of these teachers. In so doing, in-depth data was collected based on a total of 36 face to face individual semi- structured interviews that were guided by 27 observations of classroom practices. Thematic analysis of the data indicated that ICT uptake by participants was seriously hampered by several interacting and interrelated areas that influenced participants' perspectives and practices.

scholarly journals A conceptual framework for improving well-being in people with a diagnosis of psychosis

2013 ◽  
Vol 23 (4) ◽  
pp. 377-387 ◽  
Author(s):  
B. Schrank ◽  
S. Riches ◽  
V. Bird ◽  
J. Murray ◽  
A. Tylee ◽  
...  
Keyword(s):  
Thematic Analysis ◽  
Sense Of Self ◽  
Well Being ◽  
Service Users ◽  
Narrative Synthesis ◽  
Structured Interviews ◽  
Recent Systematic Review ◽  
Client Group ◽  
Factors Influencing ◽  
Group A

Background.Well-being is important for people with severe mental illness, such as psychosis. So far, no clear concept of well-being exists for this client group. A recent systematic review and narrative synthesis developed a static framework of well-being components. The present study aims to validate the static framework and to illuminate the processes by which well-being is experienced by people with psychosis.Methods.Semi-structured interviews were conducted with 23 service users with psychosis exploring their experience of well-being. Thematic analysis was used to analyse the data employing techniques taken from grounded theory to enhance the rigour of the analysis. Respondent validation was undertaken with 13 of the 23 participants.Results.Three superordinate categories of well-being were identified: current sense of self; transition to enhanced sense of self and enhanced sense of self. In the dynamic process of improving well-being the current sense of self undergoes a transition to an enhanced sense of self. The four factors influencing the transition are consistent with the static framework of well-being, hence validating the static framework. In addition, we identified three determinants of current sense of self and seven indicators of enhanced sense of self, which represent the achievement of improved well-being.Conclusions.This study provides an empirically defensible framework for understanding well-being in terms of determinants, influences and indicators. The influences are targets for interventions to improve well-being, and the indicators are outcome domains to assess the effectiveness of services in supporting well-being.

Worry and time: the unseen costs of informal care

2016 ◽  
Vol 12 (4) ◽  
pp. 249-260 ◽  
Author(s):  
Tanisha Jowsey ◽  
Lyndall Strazdins ◽  
Laurann Yen
Keyword(s):  
Chronic Illness ◽  
Social Status ◽  
Informal Care ◽  
Thematic Analysis ◽  
Sense Of Self ◽  
Care Recipient ◽  
Care Practice ◽  
Structured Interviews ◽  
Loved One ◽  
Informal Carers

Objectives The objective of this study is to examine the experiences of informal carers in terms of how their time spent caring is related to worry. Is worry about a care recipient a care practice, and if so, to what extent it can be understood temporally? Methods Classical phenomenology underpinned this study. Three qualitative studies of people living with chronic illness in Australia were conducted between 2009 and 2013. Semi-structured interviews were conducted. Interviews were audio recorded and transcribed verbatim. Phenomenological thematic analysis of the data was undertaken. Results Twenty-five informal carers participated. The findings pivot around three interconnected themes: time, worry and cost. Worry was identified as a temporally bound unseen cost to carers that informs carer identity irrespective of culture, ethnicity, or social status. Discussion Worry is a practice that most carers report engaging in and it is one that comes with a temporal cost—it keeps people busy looking after the needs of others during the day and it keeps some people awake when they would rather be sleeping. Worry takes time and effort, it informs people’s construction of their own sense of self, motivates acts of care, and informs carers’ imaginings of what their future and that of their loved one(s) may entail.

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