Consent on the labour ward: a qualitative study of the views and experiences of healthcare professionals

ObjectivesTo support the adaptation and translation of an evidence-based chronic kidney disease (CKD) self-management intervention to the Chinese context, we examined the beliefs, perceptions and needs of Chinese patients with CKD and healthcare professionals (HCPs) towards CKD self-management.DesignA basic interpretive, cross-sectional qualitative study comprising semistructured interviews and observations.SettingOne major tertiary referral hospital in Henan province, China.Participants11 adults with a diagnosis of CKD with CKD stages G1–G5 and 10 HCPs who worked in the Department of Nephrology.ResultsFour themes emerged: (1) CKD illness perceptions, (2) understanding of and motivation towards CKD self-management, (3) current CKD practice and (4) barriers, (anticipated) facilitators and needs towards CKD self-management. Most patients and HCPs solely mentioned medical management of CKD, and self-management was largely unknown or misinterpreted as adherence to medical treatment. Also, the majority of patients only mentioned performing disease-specific acts of control and not, for instance, behaviour for coping with emotional problems. A paternalistic patient–HCP relationship was often present. Finally, the barriers, facilitators and needs towards CKD self-management were frequently related to knowledge and environmental context and resources.ConclusionsThe limited understanding of CKD self-management, as observed, underlines the need for educational efforts on the use and benefits of self-management before intervention implementation. Also, specific characteristics and needs within the Chinese context need to guide the development or tailoring of CKD self-management interventions. Emphasis should be placed on role management and emotional coping skills, while self-management components should be tailored by addressing the existing paternalistic patient–HCP relationship. The use of electronic health innovations can be an essential facilitator for implementation.

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Understanding health-seeking and adherence to treatment by patients with esophageal cancer at the Uganda cancer Institute: a qualitative study

BMC Health Services Research ◽

10.1186/s12913-021-06163-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Nakimuli Esther ◽

Ssentongo Julius ◽

Mwaka Amos Deogratius

Keyword(s):

Esophageal Cancer ◽

Data Collection ◽

Qualitative Study ◽

Cancer Patients ◽

Healthcare Professionals ◽

Transport Cost ◽

Adherence To Treatment ◽

Health Seeking ◽

Long Distance ◽

Cancer Symptoms

Abstract Background In the low- and middle-income countries, most patients with esophageal cancer present with advanced stage disease and experience poor survival. There is inadequate understanding of the factors that influence decisions to and actual health-seeking, and adherence to treatment regimens among esophageal cancer patients in Uganda, yet this knowledge is critical in informing interventions to promote prompt health-seeking, diagnosis at early stage and access to appropriate cancer therapy to improve survival. We explored health-seeking experiences and adherence to treatment among esophageal cancer patients attending the Uganda Cancer Institute. Methods We conducted an interview based qualitative study at the Uganda Cancer Institute (UCI). Participants included patients with established histology diagnosis of esophageal cancer and healthcare professionals involved in the care of these patients. We used purposive sampling approach to select study participants. In-depth and key informant interviews were used in data collection. Data collection was conducted till point of data saturation was reached. Thematic content analysis approach was used in data analyses and interpretations. Themes and subthemes were identified deductively. Results Sixteen patients and 17 healthcare professionals were included in the study. Delayed health-seeking and poor adherence to treatment were related to (i) emotional and psychosocial factors including stress of cancer diagnosis, stigma related to esophageal cancer symptoms, and fear of loss of jobs and livelihood, (ii) limited knowledge and recognition of esophageal cancer symptoms by both patients and primary healthcare professionals, and (iii) limited access to specialized cancer care, mainly because of long distance to the facility and associated high transport cost. Patients were generally enthused with patient – provider relationships at the UCI. While inadequate communication and some degree of incivility were reported, majority of patients thought the healthcare professionals were empathetic and supportive. Conclusion Health system and individual patient factors influence health-seeking for symptoms of esophageal cancer and adherence to treatment schedule for the disease. Interventions to improve access to and acceptability of esophageal cancer services, as well as increase public awareness of esophageal cancer risk factors and symptoms could lead to earlier diagnosis and potentially better survival from the disease in Uganda.

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Healthcare Professionals’ Perspectives on the Cross-Sectoral Treatment Pathway for Women with Gestational Diabetes during and after Pregnancy—A Qualitative Study

Journal of Clinical Medicine ◽

10.3390/jcm10040843 ◽

2021 ◽

Vol 10 (4) ◽

pp. 843

Author(s):

Anne Timm ◽

Karoline Kragelund Nielsen ◽

Ulla Christensen ◽

Helle Terkildsen Maindal

Keyword(s):

Type 2 Diabetes ◽

Qualitative Study ◽

Gestational Diabetes ◽

Healthcare Professionals ◽

Care Pathway ◽

Adverse Outcomes ◽

Treatment Pathway ◽

Healthy Behaviors ◽

The Cross

Gestational diabetes mellitus (GDM) increases the risk of adverse outcomes during and after pregnancy, including a long-term risk of type 2 diabetes. Women with GDM are treated by numerous healthcare professionals during pregnancy and describe a lack of preventive care after pregnancy. We aim to investigate healthcare professionals’ perspectives on the cross-sectoral treatment pathway for women with GDM—during and after pregnancy. A qualitative study was conducted using systematic text condensation. Nine healthcare professionals (two general practitioners, four midwives, two obstetricians and one diabetes nurse) were interviewed and eight health visitors participated in two focus group discussions., Three major themes emerged: (1) “professional identities”, which were identified across healthcare professionals and shaped care practices; (2) ”unclear guidelines on type 2 diabetes prevention after GDM”, which contributed to uncertainty about tasks and responsibilities during and after pregnancy; and (3) “cross-sectoral collaboration”, which relied heavily on knowledge transfers between hospitals, general practice and the local municipality. The findings implicate that clear, transparent guidelines for all sectors should be prioritized to strengthen cross-sectoral care to women with GDM during and after pregnancy. As a result, strong cross-sectoral care throughout the GDM care pathway may improve maternal health by supporting healthy behaviors, facilitate weight loss and reduce the risk of subsequent GDM and early onset diabetes.

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Family and healthcare professionals’ perceptions of a pilot hospice at home programme for children: a qualitative study

BMC Palliative Care ◽

10.1186/s12904-016-0161-0 ◽

2016 ◽

Vol 15 (1) ◽

Cited By ~ 9

Author(s):

Maria Brenner ◽

Michael Connolly ◽

Des Cawley ◽

Frances Howlin ◽

Jay Berry ◽

...

Keyword(s):

Qualitative Study ◽

Healthcare Professionals ◽

Hospice At Home ◽

At Home

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Attitudes of chiropractors to evidence-based practice and how this compares to other healthcare professionals: A qualitative study

Clinical Chiropractic ◽

10.1016/j.clch.2011.06.003 ◽

2011 ◽

Vol 14 (3) ◽

pp. 106-111 ◽

Cited By ~ 14

Author(s):

Gary Hall

Keyword(s):

Qualitative Study ◽

Healthcare Professionals ◽

Evidence Based Practice ◽

Evidence Based

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Protective and Risk Factors of Italian Healthcare Professionals during the COVID-19 Pandemic Outbreak: A Qualitative Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18020453 ◽

2021 ◽

Vol 18 (2) ◽

pp. 453

Author(s):

Amalia De Leo ◽

Eloisa Cianci ◽

Paolo Mastore ◽

Caterina Gozzoli

Keyword(s):

Risk Factors ◽

Qualitative Study ◽

Extrinsic Motivation ◽

Healthcare Professionals ◽

Well Being ◽

Organizational Level ◽

Emotional Impact ◽

Snowball Sampling ◽

Structured Interviews ◽

Interpersonal Level

The COVID-19 pandemic put the Italian health system under great stress. The sudden reorganization of work practices and the emotional impact of the large number of the victims had many consequences on the well-being of the healthcare professionals (HCPs) involved in managing the crisis. In the available literature, most studies have focused on the risk aspects while only few studies also take into account protective factors. For this reason, it was decided to conduct, within psycho-sociological perspective, a qualitative study with the aim to explore in depth the protective and risk factors as experienced by HCPs who worked in the Italian healthcare system during the COVID-19 outbreak. A total of 19 semi-structured interviews were conducted with HCPs–9 nurses and 10 physicians (7M and 12F) with an average age of 43 (SD = 13.4)–selected using snowball sampling. Considering three different levels of analysis the results highlight the protective and risk factors: personal history level (intrinsic/ethical motivation and flexible role versus extrinsic motivation and static role), interpersonal level (perception of supportive relationships with colleagues, patients, and family versus bad relationships), and organizational level (good leadership and sustainable work purpose versus absence of support from management and undefined or confused tasks).

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Experience of nurses in the process of donation of organs and tissues for transplant

Revista Latino-Americana de Enfermagem ◽

10.1590/0104-1169.3276.2406 ◽

2014 ◽

Vol 22 (2) ◽

pp. 226-233 ◽

Cited By ~ 11

Author(s):

Edvaldo Leal de Moraes ◽

Marcelo José dos Santos ◽

Miriam Aparecida Barbosa Merighi ◽

Maria Cristina Komatsu Braga Massarollo

Keyword(s):

Qualitative Study ◽

Healthcare Professionals ◽

Phenomenological Approach ◽

Individual Interviews ◽

Donation Process ◽

Tissue Procurement ◽

The City

OBJECTIVE: to investigate the meaning of the action of nurses in the donation process to maintain the viability of organs and tissues for transplantation.METHOD: this qualitative study with a social phenomenological approach was conducted through individual interviews with ten nurses of three Organ and Tissue Procurement Services of the city of São Paulo.RESULTS: the experience of the nurses in the donation process was represented by the categories: obstacles experienced in the donation process, and interventions performed. The meaning of the action to maintain the viability of organs and tissues for transplantation was described by the categories: to change paradigms, to humanize the donation process, to expand the donation, and to save lives.FINAL CONSIDERATIONS: knowledge of the experience of the nurses in this process is important for healthcare professionals who work in different realities, indicating strategies to optimize the procurement of organs and tissues for transplantation.

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