Healthcare providers’ caring for Thai teenage parents: A focus group study

Midwifery ◽  
2019 ◽  
Vol 69 ◽  
pp. 172-178
Author(s):  
Atcharawadee Sriyasak ◽  
Anna-Lena Almqvist ◽  
Chaweewan Sridawruang ◽  
Elisabet Häggström-Nordin
Author(s):  
Shaun Speed ◽  
Zeyuan Sun ◽  
Zhenmi Liu

Abstract Background: Cardiovascular disease (CVD) is the leading cause of death for Chinese migrants around the world. Chinese CVD patients rely heavily on their native Chinese language, cultural values and beliefs, which adds challenges for the healthcare providers to offer primary healthcare services with standard protocol. The inappropriate treatment could lead to life loss, mistrust in doctor-patient relationship and heavy burden for healthcare funding. Methods: 28 participants were included for focus group study with the grounded theory methodology. Results: There is considerable misunderstanding among the Chinese community about the role of primary care doctors in the treatment of cardiovascular disease resulting in the variable use of primary care services. Conclusion: Chinese CVD patients or identified risk factors for CVD arguably need closer management, culturally sensitive advice, support and robust follow-up compared to the general population. Doctors and nurses should enhance their practice and give them confidence in their interaction with Chinese patients on the basis of how they think and behave in relation to help seeking.


Author(s):  
Anne Fee ◽  
Sonja McIlfatrick ◽  
Assumpta Ryan

Abstract Formal support comprises services provided by health, social care and community-based agencies (CBAs), including charities. Evidence indicates poor uptake of formal support by older male care-givers who often fail to accept help until a crisis point is reached. Given the growing recognition of caregiving as gendered, there is a need for an enhanced understanding of how support providers can assess and address the needs of this caregiving sub-group. The aim of this study was to explore formal care providers’ perspectives of support for older male spousal care-givers through focus group interviews. The study was conducted in a region in the United Kingdom (UK) with four CBAs (participants: n = 33), and five statutory healthcare providers (participants: n = 51). Thematic data analysis resulted in the identification of three themes: Service Priorities, Engaging Men, Assessment of Need. Findings revealed that service flexibility was key to providing support; difficulties in engaging men in support and low take-up of carers’ assessments were potential barriers to support. Social workers should have an in-depth understanding of how caregiving is gendered and how this may influence the support needs of older male spousal care-givers. Enhanced carers’ assessment training, which highlights collaboration in planning and delivery of tailored support, may result in support that enables older male care-givers to sustain their caregiving role.


2020 ◽  
Author(s):  
Ching-Fang Lee ◽  
Li-Kang Chi ◽  
Jian-Pei Huang ◽  
Chen-Ju Lin

BACKGROUND Overweight and obese women tend to gain excessive weight and have adverse outcomes during pregnancy. Despite the increasing number of health-related apps, there is still a lack of a user-based app to help prevent excessive gestational weight gain (GWG) and extend the longevity of the changes in behavior needed to maintain a woman’s optimal weight during pregnancy. OBJECTIVE The aim of this study was to identify the problems and needs for designing an mHealth app for obese and overweight pregnant women that they can continue to use to control their GWG. METHODS We used a qualitative interpretive approach and analytical induction to present the findings of three focus group sessions involving 13 overweight and obese pregnant women in Taipei, Taiwan. This study was conducted from July to October 2019. RESULTS Five problems and 10 needs were identified related to the use of an app to control overweight and obese women’s GWG. These problems were 1) an information gap, 2) a lack of support, 3) perceived complications of using the app(s), 4) easily forgetting the app(s), and 5) low motivation. The 10 main needs were 1) prenatal examination, 2) credible information, 3) short and easily understandable information, 4) a network community of peer support, 5) feedback from and interaction with healthcare providers, 6) a convenient and user-friendly interface, 7) goal-setting, 8) evaluation and tracking, 9) reminders, and 10) incentives for systematic celebrations and rewarding success. CONCLUSIONS The results of this study will help in the development of a user-based app that serves as a guide based on evidenced and informative practices. CLINICALTRIAL No


2017 ◽  
Vol 32 (1) ◽  
pp. 216-230 ◽  
Author(s):  
Lucy Ellen Selman ◽  
Lisa Jane Brighton ◽  
Shane Sinclair ◽  
Ikali Karvinen ◽  
Richard Egan ◽  
...  

Background: Spiritual distress is prevalent in advanced disease, but often neglected, resulting in unnecessary suffering. Evidence to inform spiritual care practices in palliative care is limited. Aim: To explore spiritual care needs, experiences, preferences and research priorities in an international sample of patients with life-limiting disease and family caregivers. Design: Focus group study. Setting/participants: Separate patient and caregiver focus groups were conducted at 11 sites in South Africa, Kenya, South Korea, the United States, Canada, the United Kingdom, Belgium, Finland and Poland. Discussions were transcribed, translated into English and analysed thematically. Results: A total of 74 patients participated: median age 62 years; 53 had cancer; 48 were women. In total, 71 caregivers participated: median age 61 years; 56 were women. Two-thirds of participants were Christian. Five themes are described: patients’ and caregivers’ spiritual concerns, understanding of spirituality and its role in illness, views and experiences of spiritual care, preferences regarding spiritual care, and research priorities. Participants reported wide-ranging spiritual concerns spanning existential, psychological, religious and social domains. Spirituality supported coping, but could also result in framing illness as punishment. Participants emphasised the need for staff competence in spiritual care. Spiritual care was reportedly lacking, primarily due to staff members’ de-prioritisation and lack of time. Patients’ research priorities included understanding the qualities of human connectedness and fostering these skills in staff. Caregivers’ priorities included staff training, assessment, studying impact, and caregiver’s spiritual care needs. Conclusion: To meet patient and caregiver preferences, healthcare providers should be able to address their spiritual concerns. Findings should inform patient- and caregiver-centred spiritual care provision, education and research.


2008 ◽  
Author(s):  
Ellen H. McWhirter ◽  
Marina Valdez ◽  
Alisia R. Caban ◽  
Christina L. Aranda

2019 ◽  
Vol 40 (1) ◽  
pp. 5-17
Author(s):  
I Castroviejo Fernández ◽  
S Jourdain ◽  
N Kacenelenbogen ◽  
PR Smeesters

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