Older Patients' Expectations of a "Senior-Friendly Hospital"

2006 ◽  
Vol 12 (3) ◽  
pp. 52 ◽  
Author(s):  
Simone Pettigrew

With the ageing of populations around the world, hospitals seeking to maximise the satisfaction of their patients will need to ensure their services meet the expectations of the growing segment of older patients. Four focus groups were conducted in Perth, Western Australia, to explore those aspects of a hospital stay that are considered to be most important to older patients. The focus group participants nominated nursing care, meals, admission procedures, communication processes and physical facilities as those aspects of hospital service that are of particular importance to older patients. They noted that these issues are likely to be relevant to some degree to all patients but that, due to the needs of older patients, they become especially critical in later years. These findings have similarities with those generated by other studies but are more extensive than described elsewhere and thus provide more detailed guidance for hospital managers seeking to ensure their facilities are senior-friendly.

2019 ◽  
Vol 6 (1) ◽  
pp. 15-22
Author(s):  
Adriano De Oliveira Sampaio ◽  
Inés Martins

ABSTRACTThis article analyzes the sense production that a group of young Catalans came up with after seeing some advertising pieces about Brazil’s self-promotion campaign (2011-2014) abroad and after some posters’ presentations about the advertising campaign “Brazil. The world is here”. Discourse Analysis and focus groups were used as a technique to analyze and to collect the interviews. The results show us that the binomial similarity / difference - essential for a brand positioning construction - is practically non-existent in those campaigns, which causes a homogenization of them in several countries.RESUMENEl artículo se centra en el análisis sobre los significados que un grupo de jóvenes catalanes elaboran de las campañas turísticas de autopromoción de Brasil (2011-2014) en el exterior antes y después de la presentación de los carteles de la campaña publicitaria “Brasil. O mundo se encontra aquí”. Fueron utilizados el análisis del discurso y el focus-group como técnica de recolección de las entrevistas. Los resultados obtenidos nos han permitido comprobar que el binomio semejanza/diferencia –esencial para la construcción do posicionamiento de marcas- es prácticamente inexistente en las campañas analizadas, lo que provoca la homogenización de las campañas turísticas de diferentes países.


2017 ◽  
Vol 3 (5) ◽  
pp. 472
Author(s):  
Adriano Oliveira ◽  
Carlos Gadelha ◽  
Simara Costa

Esse artigo mostra as visões de mundo dos eleitores para com o processo eleitoral de dois municípios de Pernambuco através do método qualitativo. A técnica focus groups (grupos focais) foi utilizada para a coleta de dados e posterior construção da interpretação dos contextos sociais abordados. Inicialmente, narramos as visões de mundo dos eleitores. Nesta narrativa evidenciamos o que os eleitores pensam sobre economia local, problemas da cidade e como ocorre a disputa eleitoral.  Em seguida, os dados contidos na narrativa sofrem interpretação. Dela surgem conceitos que clarificam a dinâmica eleitoral dos municípios pesquisados. O poder da prefeitura na disputa eleitoral, a relação íntima entre indivíduo e político e a limitação explicativa do voto retrospectivo para a compreensão da escolha do eleitor são as principais conclusões deste artigo.   PALAVRAS-CHAVES: Eleitor; Método qualitativo; Relação íntima; Voto retrospectivo.     ABSTRACT This article shows the voters' views of the world on the electoral process of two municipalities of Pernambuco through the qualitative method. The focus group technique was used to collect data and later construct the interpretation of the social contexts addressed. Initially, we narrate the voters' views of the world. In this narrative we show what the voters think about local economy, city problems and how the electoral dispute occurs. Then the data contained in the narrative undergo interpretation. From it arise concepts that clarify the electoral dynamics of the cities surveyed. The power of the prefecture in the electoral contest, the intimate relationship between individual and politician, and the explanatory limitation of the retrospective vote for the understanding of voter choice are the main conclusions of this article.   KEYWORDS: Elector; Qualitative method; Intimate relationship; Retrospective vote.     RESUMEN Este artículo muestra las visiones de mundo de los electores para con el proceso electoral de dos municipios de Pernambuco a través del método cualitativo. La técnica focus groups (grupos focales) fue utilizada para la recolección de datos y posterior construcción de la interpretación de los contextos sociales abordados. Inicialmente, narra las visiones de mundo de los votantes. En esta narrativa evidenciamos lo que los electores piensan sobre economía local, problemas de la ciudad y cómo ocurre la disputa electoral. A continuación, los datos contenidos en la narrativa sufren interpretación. De ahí surgen conceptos que clarifican la dinámica electoral de los municipios investigados. El poder del ayuntamiento en la disputa electoral, la relación íntima entre individuo y político y la limitación explicativa del voto retrospectivo para la comprensión de la elección del elector son las principales conclusiones de este artículo.   PALAVRAS CLAVE: Elector; Método cualitativo; Relación íntima; Voto retrospectivo.  


2007 ◽  
Vol 30 (4) ◽  
pp. 61
Author(s):  
S. Malhotra ◽  
R. Hatala ◽  
C.-A. Courneya

The mini-CEX is a 30 minute observed clinical encounter. It can be done in the outpatient, inpatient or emergency room setting. It strives to look at several parameters including a clinical history, physical, professionalism and overall clinical competence. Trainees are rated using a 9-point scoring system: 1-3 unsatisfactory, 4-6 satisfactory and 7-9 superior. Eight months after the introduction of the mini-CEX to the core University of British Columbia Internal Medicine Residents, a one hour semi-structured focus group for residents in each of the three years took place. The focus groups were conducted by an independent moderator, audio-recorded and transcribed. Using a phenomenological approach the comments made by the focus groups participants were read independently by three authors, organized into major themes. In doing so, several intriguing common patterns were revealed on how General Medicine Residents perceive their experience in completing a mini-CEX. The themes include Education, Assessment and Preparation for the Royal College of Physicians and Surgeons Internal Medicine exam. Resident learners perceived that the mini-CEX process provided insight into their clinical strengths and weaknesses. Focus group participants favored that the mini-CEX experience will benefit them in preparation, and successful completion of their licensing exam. Daelmans HE, Overmeer RM, van der Hem-Stockroos HH, Scherpbier AJ, Stehouwer CD, van der Vleuten CP. In-training assessment: qualitative study of effects on supervision and feedback in an undergraduate clinical rotation. Medical Education 2006; 40(1):51-8. De Lima AA, Henquin R, Thierer J, Paulin J, Lamari S, Belcastro F, Van der Vleuten CPM. A qualitative study of the impact on learning of the mini clinical evaluation exercise in postgraduate training. Medical Teacher January 2005; 27(1):46-52. DiCicco-Bloom B, Crabtree BF. The Qualitative Research Interview. Medical Education 2006; 40:314-32.


Impact ◽  
2020 ◽  
Vol 2020 (7) ◽  
pp. 45-47
Author(s):  
Naoko Fujii

The majority of human beings will be admitted to hospital at some point over the course of their lives. For the more fortunate among us, these hospital stays will be brief and will barely register as a significant experience. However, for others, being admitted for weeks or months at a time will be necessary in order to combat and recover from whatever it was that made admittance to hospital necessary. While it is easy to think of many reasons why a prolonged hospital stay might be undesirable, one that may escape our attention is the clothes that are worn by patients during their stay. Once a patient has been assigned a bed, they are often given a gown which they put on without thought and then lie down. The gowns that are given to patients are generally designed with healthcare professionals in mind. For example, in Japan pyjamas and yukata (bathrobes) are used as hospital gowns because they have a front opening that is easy to use during treatment and nursing care. In addition, the other gowns can be opened from the ankle to the crotch using the zip. Dr Naoko Fujii has focused her career on designing clothes for hospital patients and believes that there is a way to satisfy the practical needs of a hospital and the care it gives at the same time as satisfying the requirements of patients. She is now focusing her attention on this challenge.


2020 ◽  
Vol 32 (S1) ◽  
pp. 69-69
Author(s):  
Marlene C. Neves Rosa ◽  
Flávia Silva ◽  
Monica Reis

Background:Burden of care might be highly dependent of specific characteristics of the disease (Lee et al., 2019). Uncertainties remain about factors that influence burden of care in Parkinson Disease (PD).Aim:To identify a list of ICF-related domains identified by caregivers of older patients with PD.Methods:Caregivers of people with PD were recruited in Portugal Parkinson Foundation, if they take care of someone with PD older than 65 yrs, and for more than 6 hours/day. A focus group was video recorded, based on the following questions: Can you please tell us how did you spent your day before you're a caregiver; there are any differences in your daily routine now? How do you feel or think when you're caring for a relative? Can you tell us if there is any kind of daily activity more pleasant or more embarrassing? Verbal interactions during focus group were transcribed and codified using International Classification of Functioning and Disability (ICF) domains.Results:Seven caregivers (5 females; 40-73 yrs; 5 were spousal) were enrolled. Thirty-six caregivers’ references were about body functions and structures (91.67% - mental functions: “I feel tired…it is a constant monotony”); fifty-seven references were about activities and participation (“I need to assist him with bathing”; “when he wants to standing from his favourite chair, he always need help…and his body is very stiff”);eleven references were about environmental factors, mostly about medication and family/health professionals assistance.Discussion:Our results demonstrated that caregivers are worried about their mental health and routine preservation, which is in accordance with previous studies in this topic (Tessitore et al.,2018). However, new caregivers’ perceptions were found in our study, which are very specific domains in PD: body motion rigidity and medication for patients’ psychomotor agitation. A previous study stated that control of mental symptoms in PD are the most powerful predictors of caregivers' burden (Hooker et al., 2000), but do not consider the importance of Parkinson’s motor symptoms.Conclusion:Burden of care in PD is mostly associated with the need of preservation in daily routines, but also with management of mental and motor symptoms in PD.


2021 ◽  
Vol 20 ◽  
pp. 160940692110151
Author(s):  
Sarah C. Hunt ◽  
Nancy L. Young

The primary objective of this systematic review was to investigate how Western focus groups and Indigenous sharing circles have been blended for the study of Indigenous children’s health. The secondary objective of this study was to propose recommendations for adapting focus groups to include elements of sharing circles. This systematic review was conducted using a systematic search of original research articles published between 2009 and 2020 that (a) focused on North American Indigenous children’s health and (b) used group-based qualitative methods including focus groups and sharing circles. Each of the articles was screened for relevance and quality. The methods sections were reviewed, subjected to qualitative content analysis, and codes were analyzed to identify common themes and synthesize results. We identified 29 articles, most of which followed a community-based participatory research approach. In these publications, most included a community advisory board, ethics approval was obtained, and in some cases, community members were included as research assistants. There was evidence that sharing circles and focus group methods had been blended in the recent Indigenous children’s health literature. This was particularly apparent in the authors’ approaches to recruitment, location, facilitation techniques, question format and reimbursement. Several groups have published results that describe approaches that successfully incorporated aspects of Indigenous sharing circles into Western focus groups, thus establishing a research method that is culturally safe and appropriate for the study of Indigenous children’s health.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
F Zastrow ◽  
K Neher ◽  
H Hassel

Abstract Background Healthy aging is one of the major challenges currently faced by an aging population. Food literacy (FL) refers to the ability to apply knowledge and practical skills regarding healthy and sustainable nutrition into everyday life. The project “GUSTO” is sponsored by the Bavarian State Ministry of Health and Care and aims to contribute to enjoyable aging by developing the nutritional skills of people aged 65 and over. This community-based program comprises independent working groups of older adults guided by peer moderators. The FL intervention is developed in cooperation with the target group. Methods The nutritional situation of older adults was first established through a literature research. The results of this research were compared to the “self-perceived food literacy scale” by Poelman et al. (2018) and the “nutritional framework for literacy courses” by Johannsen et al. (2019). The resulting data provided a basis for focus group discussions carried out in six municipalities, supported by local practice partners. In six guided focus group discussions, a number of recurring themes were identified and summarized. Results The focus groups consisted of a total of 44 people between 62 and 88 years of age (average age: 73.1 ± 6.1 years). 22.7 % were men. The group discussions revealed resources used and barriers encountered in terms of FL and interests of older adults. It was evident that, due to the high density of information available, the participants found it difficult to identify reliable information and to implement it in their everyday life. At the request of the focus groups, topics such as the best before date and the use of food waste were added to the intervention. Conclusions Older adults find it challenging to identify reliable nutritional information and implement it in their everyday life. With the help of the participatory approach outlined in this study, target group-related issues can be identified and taken into account in the intervention. Key messages Older adults can be involved in the development of an FL intervention. A participatory approach allows target group-related issues and specific needs to be taken into account in the intervention.


2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S198-S198
Author(s):  
Wendy Stead ◽  
Jennifer Manne-Goehler ◽  
Jasmine R Marcelin ◽  
Carlos Del Rio ◽  
Douglas Krakower

Abstract Background Large and persistent inequities in academic advancement exist between men and women faculty in academic Infectious Diseases (ID). To identify and characterize beliefs about why these inequities persist in ID, we asked ID faculty members to share their thoughts and experiences with the advancement process. Characteristics of Focus Group Participants Summary of Main Emergent Themes from Focus Group Analysis Methods We conducted four 60-minute focus groups with ID faculty members during IDWeek 2019. We enrolled women that were diverse geographically and in academic rank (i.e., Instructor/Assistant, Associate, Full Professor). We assigned women to focus groups by rank to minimize social desirability bias across rank. Our fourth focus group included only men who were Full Professors, to capture additional perspectives about barriers to advancement and solutions. (Table 1) We analyzed focus group discussion transcripts using content analysis. Results We identified nine main themes regarding inequities in academic advancement of women in ID. (Table 2) In all 4 focus groups, gender bias as a barrier to academic advancement was a major theme. Women Full Professors emphasized explicit gender bias such as sexual harassment and “predatory mentoring,” whereas women Instructors/Assistant Professors more frequently cited barriers related to implicit bias, such as obscure maternity leave policies and divisional meetings scheduled during childcare hours. Women Associate Professors cited implicit and explicit gender bias, while men Full Professors focused primarily on implicit bias. Women Instructors/Assistant Professors experienced the greatest difficulty in balancing demands of family with career, though this was a prominent theme in all groups. The perception that women less often utilize negotiation to advance themselves was a dominant theme for women Associate Professors, though all groups raised examples of this theme. Conclusion Gender bias, both implicit and explicit, is an important and ongoing barrier to equitable academic advancement of women in ID. Difficulty balancing demands of family with career and gender differences in professional negotiation are also perceived barriers that can be targeted by innovative programs and interventions to address gender disparities in academic advancement. Disclosures All Authors: No reported disclosures


Author(s):  
Ellen J. Bass ◽  
Andrew J. Abbate ◽  
Yaman Noaiseh ◽  
Rose Ann DiMaria-Ghalili

There is a need to support patients with monitoring liquid intake. This work addresses development of requirements for real-time and historical displays and reports with respect to fluid consumption as well as alerts based on critical clinical thresholds. We conducted focus groups with registered nurses and registered dietitians in order to identify the information needs and alerting criteria to support fluid consumption measurement. This paper presents results of the focus group data analysis and the related requirements resulting from the analysis.


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