How practice nurses engage with parents during their consultations about the MMR vaccine: a qualitative study

Abstract Aim: We aimed to understand practice nurses’ perceptions about how they engage with parents during consultations concerning the measles, mumps and rubella (MMR) vaccine. Background: The incidence of measles is increasing globally. Immunisation is recognised as the most significant intervention to influence global health in modern times, although many factors are known to adversely affect immunisation uptake. Practice nurses are a key member of the primary care team responsible for delivering immunisation. However, little is known how practice nurses perceive this role. Methods: Semi-structured interviews were undertaken with 15 practice nurses in England using a qualitative descriptive approach. Diversity in terms of years of experience and range of geographical practice settings were sought. These interviews were recorded, transcribed verbatim and open-coded using qualitative content analysis to manage, analyse and identify themes. Findings: Three themes were derived from the data: engaging with parents, the informed practice nurse and dealing with parental concerns: strategies to promote MMR uptake. During their consultations, practice nurses encountered parents who held strong opinions about the MMR vaccine and perceived this to be related to the parents’ socio-demographic background. Practice nurses sought to provide parents with tailored and accurate sources of information to apprise their immunisation decision-making about the MMR vaccine.

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Intensive care nurses’ experiences of Covid-19 care: A practical and ethical challenge – a qualitative descriptive design

Nordic Journal of Nursing Research ◽

10.1177/20571585211062794 ◽

2021 ◽

pp. 205715852110627

Author(s):

Anna-Lena Stenlund ◽

Gunilla Strandberg

Keyword(s):

Intensive Care ◽

Qualitative Content Analysis ◽

Treatment Strategies ◽

Ethical Challenge ◽

Ethical Challenges ◽

Structured Interviews ◽

Intensive Care Nurses ◽

Qualitative Descriptive ◽

Heavy Burden ◽

New Treatment

The Covid-19 pandemic has generated new experiences of intensive care. It has entailed new working methods, treatment strategies, and ethical dilemmas. The aim of this study was to describe intensive care nurses’ experiences of Covid-19 care and its ethical challenges. Data collection consisted of 11 individual semi-structured interviews and a qualitative content analysis was used. The COREQ checklist was followed. Three main themes emerged: to meet Covid-19 patients’ needs for specifically tailored intensive care; to have a changed approach to the excluded relatives is unethical, but defensible; and to strive to protect ethical values needs to be considered as good enough. In conclusion, ICU nurses shouldered a heavy burden in taking responsibility for the safety of these patients, continuously learning about new treatment strategies. Caring for Covid-19 patients was to strive to make the best of the situation.

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Abstract NS3: The Influence of Chinese Culture on Caregiving Role Perceptions Among Stroke Caregivers

Stroke ◽

10.1161/str.47.suppl_1.ns3 ◽

2016 ◽

Vol 47 (suppl_1) ◽

Author(s):

Xichenhui Qiu ◽

Janet W SIT ◽

Haixia Feng

Keyword(s):

Filial Piety ◽

Chinese Culture ◽

Qualitative Content Analysis ◽

Descriptive Study ◽

Structured Interviews ◽

Day Range ◽

Analysis Process ◽

The Family ◽

Qualitative Descriptive ◽

Spouse Caregivers

Introduction: Among the estimated 22.5 million stroke survivors in China, 78% of them require home care. Previous research has indicated that culture can have a significant impact on caregivers’ perceptions of the caregiving role. There is a dearth of research on stroke caregivers’ perceptions within the Chinese culture. Objective: To explore how Chinese culture influences the perceptions of the caregiving role among stroke caregivers. Methods: In this qualitative descriptive study, 14 stroke caregivers were recruited from a 1800-bed regional hospital in China. Caregivers were on average 58 years old (range 46-74), 78% female, 50% spouse-caregivers and 50% children-caregivers. Caregivers spent on average 14 hours per day (range 5-24) providing care. All were 1st time caregivers who had provided stroke caregiving < 12 months. Individual, semi-structured interviews were conducted. Qualitative content analysis was performed. Strategies to achieve trustworthiness include triangulation of the data in the analysis process, member checking and peer debriefing. Results: Three themes emerged from the interviews. (1) Caregiving is a natural expected part of life. All caregivers accepted caregiving for the sick family member as an expected part of life. This perception is deeply rooted in Chinese culture. (2) Caregiving is a culturally prescribed obligation. Spouse caregivers believe that it is their moral obligation to take care of their sick life partner. Female caregivers emphasized their position and role in the family to take up caregiving for sick relative. (3) Caregiving is an expression of reciprocal love within the immediate family. Tangible caregiving and support during adversity are viewed as expression of reciprocal love among family members. Particularly, the children-caregivers believed in the virtue of filial piety and perceived stroke caregiving as a means of repaying their parents. Conclusions: Our findings highlight an underlying acceptance and devotion of undertaking stroke caregiving within the Chinese culture. Researchers and clinicians that plan to develop an intervention to support Chinese stroke caregivers need to consider integrating these findings.

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Patients’ experiences with the advanced practice nurse role in Swiss family practices: a qualitative study

BMC Nursing ◽

10.1186/s12912-020-00482-2 ◽

2020 ◽

Vol 19 (1) ◽

Author(s):

Nicole Schönenberger ◽

Beat Sottas ◽

Christoph Merlo ◽

Stefan Essig ◽

Stefan Gysin

Keyword(s):

Patient Perspective ◽

Qualitative Content Analysis ◽

Core Competencies ◽

Holistic Approach ◽

Well Being ◽

Added Value ◽

Advanced Practice ◽

Structured Interviews ◽

Practice Nurses ◽

Family Practices

Abstract Background Considering shortages of general practitioners (GP) and strategies for improving the quality of health care provision, many countries have implemented interprofessional care models with advanced practice nurses (APN). International evidence suggests that APN care results in high patient satisfaction. In Switzerland, the role is still new, and the patient perspective has not yet been researched. Our aim was therefore to explore patients’ experiences with the APN role in Swiss family practices. Methods We conducted 22 semi-structured interviews in four different family practices with patients aged 18 to 97 suffering from minor acute to multiple chronic diseases, and who had at least one consultation with an APN. All interviews were audiotaped, transcribed verbatim, and analysed using qualitative content analysis. Results The analysis resulted in five themes: Despite the unfamiliarity, all patients were willing to be consulted by an APN because it was recommended by their GP (1); after several encounters, most participants perceived differences between the APN and the GP consultation in terms of the length and style of the consultations as well as the complexity of their tasks (2); the interviewees emphasised coaching, guidance, care coordination, and GP-assisting tasks as APN core competencies and attributed the characteristics empathetic, trustworthy, and competent to the APN role (3); most patients especially valued home visits and the holistic approach of the APNs, but they also noticed that in certain cases GP supervision was required (4); and due to the close collaboration between the APN and the GP, patients felt safe, well cared for and experienced improvements in physical and psychological well-being as well as in daily activities (5). Conclusion Our results suggested that patients value the APNs’ competencies, despite their initial lack of role knowledge. Trust in the GP seemed to be the most important factor for patients’ receptiveness toward the APN role. Overall, patients perceived an added value due to the enlargement of the scope of practice offered by APNs. The patient perspective might provide valuable insights for further APN role implementation in Swiss family practices.

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Exploring the necessity of establishing a doctor of nursing practice program from experts’ views: a qualitative study

BMC Medical Education ◽

10.1186/s12909-021-02758-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Mozhgan Rivaz ◽

Paymaneh Shokrollahi ◽

Elahe Setoodegan ◽

Farkhondeh Sharif

Keyword(s):

Content Analysis ◽

Nursing Education ◽

Nursing Practice ◽

Qualitative Content Analysis ◽

Nurse Leaders ◽

Structured Interviews ◽

Doctor Of Nursing Practice ◽

Crucial Component ◽

Qualitative Descriptive ◽

Alternative Solutions

Abstract Background Complex healthcare systems increasingly demand influential nurse leaders adept at managing changes in unstable environments. The doctor of nursing practice (DNP) prepares the nurses for the most advanced level of clinical practice. The aim of this study was to explore the necessity of establishing a DNP program in Iran from experts’ views. Methods The study used a qualitative descriptive approach. The participants consisted of 13 faculty members and Ph.D. candidates selected using purposive sampling. Data were collected through focus group and semi-structured interviews, and analyzed using qualitative content analysis. Results The content analysis led to the extraction of two main categories: “providing infrastructures” and “DNP as an opportunity to make positive outcomes.“ Conclusions It is concluded that it is not necessary to establish a DNP program for Iran’s nursing education system. Supplying infrastructures is a crucial component to establishing a new program in Iran. Although DNP, as an opportunity to drive positive changes, is recommended, in the current situation, using alternative solutions may yield better outcomes than establishing a DNP program.

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Patients’ experiences with the advanced practice nurse role in Swiss family practices: a qualitative study

10.21203/rs.3.rs-34308/v4 ◽

2020 ◽

Author(s):

Nicole Schönenberger ◽

Beat Sottas ◽

Christoph Merlo ◽

Stefan Essig ◽

Stefan Gysin

Keyword(s):

Patient Perspective ◽

Qualitative Content Analysis ◽

Core Competencies ◽

Holistic Approach ◽

Well Being ◽

Added Value ◽

Advanced Practice ◽

Structured Interviews ◽

Practice Nurses ◽

Family Practices

Abstract Background: Considering shortages of general practitioners (GP) and strategies for improving the quality of health care provision, many countries have implemented interprofessional care models with advanced practice nurses (APN). International evidence suggests that APN care results in high patient satisfaction. In Switzerland, the role is still new, and the patient perspective has not yet been researched. Our aim was therefore to explore patients’ experiences with the APN role in Swiss family practices.Methods: We conducted 22 semi-structured interviews in four different family practices with patients aged 18 to 97 suffering from minor acute to multiple chronic diseases, and who had at least one consultation with an APN. All interviews were audiotaped, transcribed verbatim, and analysed using qualitative content analysis.Results: The analysis resulted in five themes: Despite the unfamiliarity, all patients were willing to be consulted by an APN because it was recommended by their GP (1); after several encounters, most participants perceived differences between the APN and the GP consultation in terms of the length and style of the consultations as well as the complexity of their tasks (2); the interviewees emphasised coaching, guidance, care coordination, and GP-assisting tasks as APN core competencies and attributed the characteristics empathetic, trustworthy, and competent to the APN role (3); most patients especially valued home visits and the holistic approach of the APNs, but they also noticed that in certain cases GP supervision was required (4); and due to the close collaboration between the APN and the GP, patients felt safe, well cared for and experienced improvements in physical and psychological well-being as well as in daily activities (5). Conclusion: Our results suggested that patients value the APNs’ competencies, despite their initial lack of role knowledge. Trust in the GP seemed to be the most important factor for patients’ receptiveness toward the APN role. Overall, patients perceived an added value due to the enlargement of the scope of practice offered by APNs. The patient perspective might provide valuable insights for further APN role implementation in Swiss family practices.

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Patients’ experiences with the advanced practice nurse role in Swiss family practices: a qualitative study

10.21203/rs.3.rs-34308/v1 ◽

2020 ◽

Author(s):

Nicole Schönenberger ◽

Beat Sottas ◽

Christoph Merlo ◽

Stefan Essig ◽

Stefan Gysin

Keyword(s):

Patient Perspective ◽

Qualitative Content Analysis ◽

Core Competencies ◽

Holistic Approach ◽

Well Being ◽

Added Value ◽

Advanced Practice ◽

Structured Interviews ◽

Practice Nurses ◽

Family Practices

Abstract Background: Considering shortages of general practitioners (GP) and strategies for improving the quality of health care provision, many countries have implemented interprofessional care models with advanced practice nurses (APN). International evidence suggests that APN care results in high patient satisfaction. In Switzerland, the role is still new, and the patient perspective has not yet been researched. Our aim was therefore to explore patients’ experiences with the APN role in Swiss family practices.Methods: We conducted 22 semi-structured interviews in four different family practices with patients aged 18 to 97 suffering from minor acute to multiple chronic diseases, and who had at least one consultation with an APN. All interviews were audiotaped, transcribed verbatim, and analysed using qualitative content analysis.Results: The analysis resulted in five themes: Despite the unfamiliarity, all patients were willing to be consulted by an APN because it was recommended by their GP (1); after several encounters, most participants perceived differences between the APN and the GP consultation in terms of the length and approach of the consultations as well as the complexity of their tasks (2); the interviewees emphasised coaching, guidance, care coordination, and GP-assisting tasks as APN core competencies and attributed the characteristics empathetic, trustworthy, and competent to the APN role (3); most patients especially valued home visits and the holistic approach of the APNs, but they also noticed that in certain cases GP supervision was required (4); and due to the close collaboration between the APN and the GP, patients felt safe, well cared for and experienced improvements in physical and psychological well-being as well as in daily activities (5). Conclusion: Our results suggest that patients value the APNs’ competencies, despite their initial lack of role knowledge. Overall, they perceived an added value due to the enlargement of the scope of practice offered by APNs. The patient perspective might provide valuable insights for further APN role implementation in Swiss family practices.

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Public health care nurses’ views of mothers’ mental health in paediatric healthcare services: a qualitative study

Primary Health Care Research & Development ◽

10.1017/s1463423615000055 ◽

2015 ◽

Vol 16 (05) ◽

pp. 470-480 ◽

Cited By ~ 11

Author(s):

Gunilla Borglin ◽

Johanna Hentzel ◽

Doris M. Bohman

Keyword(s):

Public Health ◽

Mental Health ◽

Qualitative Content Analysis ◽

Healthcare Services ◽

Public Health Care ◽

Public Health Nurses ◽

Routine Practice ◽

Structured Interviews ◽

Mother And Child ◽

Nurses Perceptions

AimTo investigate public health nurses’ perceptions and experiences of mental health and of the prevention of mental ill health among women postpartum, within paediatric healthcare services.BackgroundAlthough maternal health following childbirth should be a priority within primary care, it is known that women postpartum do not always receive the support they need to adapt to and cope with motherhood. Research implies that postnatal problems lack recognition and are not always acknowledged in routine practice. Few studies have been presented on this topic or from the perspective of nurses.MethodsFor this study, eight semi-structured interviews were conducted with public health nurses, and the transcribed texts were analysed through a process inspired by Burnard’s description of the four-step qualitative content analysis.FindingsThree categories – external influences on postpartum mental health, screening for and preventing postpartum mental ill health and paediatric healthcare services as a platform for support – were interpreted to reflect the nurses’ perceptions and experiences of mental health among women postpartum and of the prevention of mental ill health among women postpartum.ConclusionWe found that public health nurses can have an important role in supporting mothers’ mental health postpartum. Although caution is warranted in interpreting our results, the findings concur with those of other studies, highlighting that an equal care emphasis on both the mother and child can be an important aspect of successful support. Implementing person-centred care might be one strategy to create such an emphasis, while also promoting the mental health of new mothers. Public health nurses have a unique opportunity to support mothers’ transition into healthy motherhood, especially because they are likely to meet both mothers and children on a regular basis during the first year after birth.

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Patients’ experiences with the advanced practice nurse role in Swiss family practices: a qualitative study

10.21203/rs.3.rs-34308/v3 ◽

2020 ◽

Author(s):

Nicole Schönenberger ◽

Beat Sottas ◽

Christoph Merlo ◽

Stefan Essig ◽

Stefan Gysin

Keyword(s):

Patient Perspective ◽

Qualitative Content Analysis ◽

Core Competencies ◽

Holistic Approach ◽

Well Being ◽

Added Value ◽

Advanced Practice ◽

Structured Interviews ◽

Practice Nurses ◽

Family Practices

Abstract Background: Considering shortages of general practitioners (GP) and strategies for improving the quality of health care provision, many countries have implemented interprofessional care models with advanced practice nurses (APN). International evidence suggests that APN care results in high patient satisfaction. In Switzerland, the role is still new, and the patient perspective has not yet been researched. Our aim was therefore to explore patients’ experiences with the APN role in Swiss family practices.Methods: We conducted 22 semi-structured interviews in four different family practices with patients aged 18 to 97 suffering from minor acute to multiple chronic diseases, and who had at least one consultation with an APN. All interviews were audiotaped, transcribed verbatim, and analysed using qualitative content analysis.Results: The analysis resulted in five themes: Despite the unfamiliarity, all patients were willing to be consulted by an APN because it was recommended by their GP (1); after several encounters, most participants perceived differences between the APN and the GP consultation in terms of the length and approach of the consultations as well as the complexity of their tasks (2); the interviewees emphasised coaching, guidance, care coordination, and GP-assisting tasks as APN core competencies and attributed the characteristics empathetic, trustworthy, and competent to the APN role (3); most patients especially valued home visits and the holistic approach of the APNs, but they also noticed that in certain cases GP supervision was required (4); and due to the close collaboration between the APN and the GP, patients felt safe, well cared for and experienced improvements in physical and psychological well-being as well as in daily activities (5). Conclusion: Our results suggest that patients value the APNs’ competencies, despite their initial lack of role knowledge. Trust in the GP seems to be the most important factor for patients’ receptiveness toward the APN role. Overall, patients perceived an added value due to the enlargement of the scope of practice offered by APNs. The patient perspective might provide valuable insights for further APN role implementation in Swiss family practices.

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Main Influencing Factors of Quality Determination of Collaborative Open Data Pages

Information ◽

10.3390/info11060283 ◽

2020 ◽

Vol 11 (6) ◽

pp. 283

Author(s):

Ralf-Christian Härting ◽

Włodzimierz Lewoniewski

Keyword(s):

Influencing Factors ◽

Qualitative Content Analysis ◽

Open Data ◽

Knowledge Bases ◽

Poor Quality ◽

Process Efficiency ◽

Sources Of Information ◽

Structured Interviews

Collaborative knowledge bases allow anyone to create and edit information online. One example of a resource with collaborative content is Wikipedia. Despite the fact that this free encyclopedia is one of the most popular sources of information in the world, it is often criticized for the poor quality of its content. Articles in Wikipedia in different languages on the same topic, can be created and edited independently of each other. Some of these language versions can provide very different but valuable information on each topic. Measuring the quality of articles using metrics is intended to make open data pages such as Wikipedia more reliable and trustworthy. A major challenge is that the ‘gold standard’ in determining the quality of an open data page is unknown. Therefore, we investigated which factors influence the potentials of quality determination of collaborative open data pages and their sources. Our model is based on empirical data derived from the experience of international experts on knowledge management and data quality. It has been developed by using semi-structured interviews and a qualitative content analysis based on Grounded Theory (GT). Important influencing factors are: Better outcomes, Better decision making, Limitations, More efficient workflows for article creation and review, Process efficiency, Quality improvement, Reliable and trustworthy utilization of data.

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Nurses’ Perceptions of the Factors Contributing to the Development of the Love of the Profession: A Qualitative Content Analysis

Nursing Reports ◽

10.3390/nursrep11030066 ◽

2021 ◽

Vol 11 (3) ◽

pp. 702-713

Author(s):

Mohsen Adib-Hajbaghery ◽

Shahnaz Bolandian-Bafghi ◽

Mitra Zandi

Keyword(s):

Content Analysis ◽

Nursing Students ◽

Public Perception ◽

Qualitative Content Analysis ◽

Analysis Approach ◽

Structured Interviews ◽

Self Evaluation ◽

Wide Range ◽

Conventional Content Analysis ◽

Nurses Perceptions

As a professional value, the love of the profession can significantly affect nurses’ professional practice, behaviors and commitment. Many different factors can affect the love of the profession. The exploration of nurses’ experiences of these factors can provide valuable data for development of the love of the profession. The aim of this study was to explore nurses’ perceptions of the factors contributing to the development of the love of the profession. This qualitative study was conducted in 2020–2021 using the conventional content analysis approach. The participants were thirteen nurses with different organizational positions purposively recruited from different settings in Iran. The data were collected via semi-structured interviews, and were analyzed via the conventional content analysis approach proposed by Graneheim and Lundman. The factors contributing to the development of the love of the profession were categorized into four main categories, namely the public perception of the profession (with three subcategories), educational variables (with two subcategories), the characteristics of the profession (with four subcategories), and nurses’ self-evaluation (with three subcategories). The love of the profession is affected by a wide range of personal, educational, professional and social factors. The manipulation of these factors would help to develop nurses’ and nursing students’ love of the profession, and encourage people to choose nursing as a career.

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