When cancer cannot be cured: A qualitative study on relationship changes in couples facing advanced melanoma

2016 ◽  
Vol 14 (6) ◽  
pp. 652-663
Author(s):  
Natalie Drabe ◽  
Josef Jenewein ◽  
Steffi Weidt ◽  
Lucia Engeli ◽  
Caroline Meier ◽  
...  

AbstractObjective:The aim of this qualitative study was to gain a deeper understanding about couples' relationship changes over time (the first six months) after one partner is diagnosed with an incurable advanced melanoma (stage III or IV).Method:In semistructured interviews, eight patients and their partners were asked separately about potential changes in their relationship since diagnosis. The same questions were asked again six months later, but focusing on relationship changes over the preceding six months. Some 32 audiotaped interviews were analyzed applying qualitative content analysis.Results:At baseline (t1), relationship changes were mostly reported in terms of caring, closeness/distance regulation, and communication patterns. While changes in caregiving and distance/closeness regulation remained main issues at six months follow-up (t2), greater appreciation of the relationship and limitations in terms of planning spare time also emerged as major issues. Unexpectedly, 50% of patients and partners reported actively hiding their negative emotions and sorrows from their counterparts to spare them worry. Furthermore, qualitative content analysis revealed relationship changes even in those patients and partners who primarily reported no changes over the course of the disease.Significance of results:Our findings revealed a differentiated and complex picture about relationship changes over time, which also might aid in the development of support programs for couples dealing with advanced cancer, focusing on the aspects of caring, closeness/distance regulation, and communication patterns.

2019 ◽  
Vol 40 (2) ◽  
pp. 73-80
Author(s):  
Ylva Wessman ◽  
Christel Bahtsevani

Diabetic peripheral neuropathy is a diabetes-related complication with vague and progressive symptoms with few available treatments. The aim of this study was to describe the experiences of diabetic peripheral neuropathy among adults living with type 1 diabetes. Twelve interviews were performed and qualitative content analysis was used. The overarching theme ‘living with challenges in the shadow of diabetes’ substantiated by the categories ‘pay attention to changes over time’, ‘frequent needs to facilitate living’ and ‘burdens to manage’ represents a daily awareness of the complication where autodidactic strategies were implemented. The conclusion indicates that it might be beneficial if nurses in diabetes care initiate an open-minded dialogue with adults with diabetic peripheral neuropathy to highlight their experiences and to discuss further strategies to facilitate living.


2019 ◽  
Author(s):  
Veikko Pelto-Piri ◽  
Lars Kjellin ◽  
Ulrika Hylén ◽  
Emanuele Valenti ◽  
Stefan Priebe

Abstract Objectives The objective of the study was to investigate how mental health professionals describe and reflect upon different forms of informal coercion. Results In a deductive qualitative content analysis of focus group interviews, several examples of persuasion, interpersonal leverage, inducements, and threats were found. Persuasion was sometimes described as being more like a negotiation. Some participants worried about that the use of interpersonal leverage and inducements risked to pass into blackmail in some situations. In a following inductive analysis, three more categories of informal coercion was found: cheating, using a disciplinary style and referring to rules and routines. Participants also described situations of coercion from other stakeholders: relatives and other authorities than psychiatry. The results indicate that informal coercion includes forms that are not obviously arranged in a hierarchy, and that its use is complex with a variety of pathways between different forms before treatment is accepted by the patient or compulsion is imposed.


2019 ◽  
Vol 18 (2) ◽  
pp. 303-311 ◽  
Author(s):  
Faribah Sepahvand ◽  
Foorozan Atashzadeh Shoorideh ◽  
Soroor Parvizy ◽  
Mansoureh Zagheri Tafreshi

Objective: Nurses’ organizational commitment is one of the most important factors that facilitates their professional evolution and influences the method of care provision, quality of care, and patients’ satisfaction. The aim of this study was identified the factors that affect nurses’ perceived organizational commitment. Material and Methods: This qualitative study, conducted on 16 clinical nurses employed in Social Security Hospital of Khorramabad, Iran, during five months from May to September 2015, used deep semi-structured interviews. Purposive sampling method was used for the selection of nurses and the data were analyzed using conventional qualitative content analysis. Lincoln & Guba’s criteria were used to secure data accuracy and stability. Results: Sixteen subcategories, five categories, and three themes were distilled during content analysis process. The abstracted themes included “organizational factors”, “occupational challenges”, and “contributory management”. Conclusion: Our findings showed that numerous factors present in nurses’ profession and work environment may influence the rate of nurses’ interest and commitment in the hospital and the related organization. Hence, nurse managers can foster the promotion of nurses’ organizational commitment through creating the required suitable conditions. Bangladesh Journal of Medical Science Vol.18(2) 2019 p.303-311


2012 ◽  
Vol 26 (3) ◽  
pp. 435-453 ◽  
Author(s):  
Karin Moesch ◽  
Erwin Apitzsch

Psychological Momentum (PM) is commonly referred to in competitive sports, but still has to be considered elusive from a scientific perspective. This study explores coaches’ perception of triggers, strategies and characteristics of PM in female elite handball teams. Semi-structured interviews with nine coaches were evaluated using a qualitative content analysis. The results revealed that positive and negative PM were characterized by factors regarding behavior, cognition, confidence, emotions, and the team. Triggers for positive PM were categorized into confidence, players’ individual factors, team factors, and team-opponent-factors, whereas triggers for negative PM related to coach factors, confidence, external factors, players’ individual factors, and team factors. Moreover, strategies emerged that are considered beneficial for controlling PM. The results are discussed with emphasis on behavioral aspects, confidence, emotions, team factors, and application. Foundations based on this study and recent research lead to the assumption that PM is probably best portrayed in a circular approach.


2018 ◽  
Vol 30 (30) ◽  
pp. 102-124
Author(s):  
Martina HECZKO ◽  
Josef SMOLÍK

The development and direction of Japan’s security policy is a topic of strategic importance in the region of East Asia, especially in the light of recent development of reinterpretation of the pacifist Constitution in terms of collective defense and its exercise. The aim of this article was to reveal and analyze trends and dissimilarities in Japan’s security policy after the end of the Cold War through the use of both quantitative and qualitative content analysis. The objects of the analysis were four subsequent revisions of National Defense Program Guidelines, a basic strategic document, from years 1995, 2004, 2010 and 2013. The first quantitative part revealed significant security concepts, which the strategic documents concentrated most on and their changes over time. The second qualitative part provided for a complex relationship model of security policy and influencing categories, and their gradual development in time.


2016 ◽  
Vol 10 (5) ◽  
pp. 151 ◽  
Author(s):  
Shima Messripour ◽  
Ozra Etemadi ◽  
Seyed Ahmad Ahmadi ◽  
Rezvanosadat Jazayeri

<p>Due to the higher statistics of male infidelity, the focus of previous studies has been on investigating the reasons for infidelity in this gender group. On the other hand; since marital infidelity is a phenomenon that affects every country’s culture, people, and even families, the results of research studies conducted overseas cannot be fully implicated to Iranian families. To this end, this study aimed at analyzing the reasons behind infidelity in women with extra-marital relationships in the form of a qualitative study. This study was conducted through a qualitative research approach and by using the content analysis method. Participants included 11 women referred to the counseling centers in the city of Isfahan. Purposive sampling was used and continued until data saturation. Semi-structured interviews were employed as the primary method of data collection. The data were analyzed via qualitative content analysis and constant comparative analysis methods. After the examination and division of the basic concepts, 800 initial codes were extracted from interviews. The categories were created based on the codes following several reviews and summarizations on the basis of similarities. By the nature, these conceptual and abstract themes were named in three categories of intrapersonal factors, marital conflicts, and sexual reasons. The factors affecting female infidelity in this study had three dimensions. These factors included intrapersonal factors, marital conflicts, and sexual reasons. These findings can help psychologists, family counselors, and planners in the field of the social sciences identify the efficient scopes and purposes.</p>


2017 ◽  
Vol 16 (2) ◽  
pp. 78-85 ◽  
Author(s):  
Namino Ottewell

Purpose The purpose of this paper is to examine a time trend in newspaper reporting of mental illness in Japan between 1987 and 2014. Design/methodology/approach Four high-circulation national newspapers (the Yomiuri newspaper, the Asahi newspaper, the Mainichi newspaper and the Nikkei Newspaper) were selected for analysis. Articles were analysed using qualitative content analysis (n=448). Findings Whilst articles concerning the dangerousness of those with mental illness occupied a high proportion of coverage between 1987 and 2014, an overall shift is apparent whereby there is now more reporting of mental illness in relation to stress than in relation to dangerousness, particularly for depression. In contrast, schizophrenia was often reported in the context of violent crime. Information on the treatment, symptoms and prevalence of mental illness was rarely reported. Social implications While the nature of newspaper coverage of mental illness has been changing, there still is over-representation of dangerousness of mental illness, particularly of schizophrenia. For improving the public’s images of mental illness, it is hoped to reduce the proportion of reporting about dangerousness and to increase the proportion of reporting about treatment, symptoms and prevalence of mental illness and personal stories of those affected. Originality/value The present study is the first to examine changes in Japanese newspaper coverage over time and at the variation in reporting among diagnoses.


2017 ◽  
Vol 6 (1) ◽  
pp. 16-27
Author(s):  
Gabriela Cássia Ritt ◽  
Marco Daniel Pereira ◽  
Daniela Centenaro Levandowski

Aim Adolescent motherhood is considered a condition of vulnerability that can be further complicated by the presence of HIV infection, but little is known about how adolescent mothers experience this process. The aim of this study was to analyse the experience of motherhood among adolescents living with HIV. Method Seven mothers (15-21 years) recruited in specialized services in Porto Alegre/Brazil, whose babies’ ages ranged from four to six months, were interviewed. Interviews were tape-recorded and transcribed verbatim. Results The qualitative content analysis of the interviews revealed a positive vision of motherhood, related to satisfaction with the maternal role and personal fulfilment. Pregnancy and motherhood served to these adolescents as an encouragement for self-care. The mothers’ difficulties were related to HIV and to the repercussions of this clinical condition, especially feelings of frustration and incompleteness of motherhood on the impossibility of breastfeeding, as well as fear facing the risk of MTCT. Conclusion Future research of longitudinal design and with larger samples will be important to extend the knowledge of the specificities of this experience over time for young people of different ages and social backgrounds.


Author(s):  
Farzaneh Valizadeh ◽  
Farahnaz Heshmat ◽  
Solmaz Mohammadi ◽  
Zahra Motaghi

Objective: Different factors have an important role in the positive and negative childbirth experiences of the mothers. The parturient mother’s privacy preservation is one of the factors for increasing the mothers’ satisfaction consistent with natural childbirth. Hence, this study aimed to investigate the factors affecting the parturient mother’s privacy preservation. Materials and methods: Content analysis was used in this qualitative study that is based on the semi structured individual interviews with women who had experienced natural vaginal delivery, midwives, and the specialist in a maternity ward from 2018 to 2021 in Shahroud, Iran. The collected data were analyzed simultaneously with the sampling procedure using a five-step qualitative content analysis method. To ensure the robustness of the data, Lincoln and Guba's four criteria (credibility, dependability, confirmability, and transferability) were used. Results: The findings of the study with 40 participants resulted in the extraction of 28 codes, 9 subcategories, and 2 main categories entitled extra-and intra personal factors affecting the mother’s privacy. Conclusion: To foster the mother’s awareness of her rights and privacy during pregnancy and delivery, continuous education, monitoring, and evaluating both the students and the staff to respect preserving the mother’s privacy is necessary to develop an instrument to measure the preservation of the mother’s privacy in the maternity ward.


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