Feltman: evaluating the utilisation of an Aboriginal diabetes education tool by health professionals

2018 ◽  
Vol 24 (6) ◽  
pp. 496
Author(s):  
Hannah Xu ◽  
Christina Geros ◽  
Emma Turner ◽  
Mikaela Egan ◽  
Kristie Cocotis ◽  
...  
Keyword(s):  
Content Analysis ◽  
Health Professionals ◽  
Diabetes Prevention ◽  
Diabetes Education ◽  
Evidence Base ◽  
Structured Interviews ◽  
Community Members ◽  
Face To Face ◽  
Education Tool ◽  
Barriers And Challenges

Diabetes contributes considerably to the health disparities in the Aboriginal population. To address the lack of Aboriginal-specific diabetes education tools, Feltman was designed for health professionals to deliver diabetes prevention and management information. This qualitative study aims to explore how this resource was used and its perceived effect on diabetes prevention and management in Victorian Aboriginal communities. Convenience sampling was used to recruit 18 participants (n=6 were Aboriginal) who had attended Feltman training between 2010 and 2016. Semi-structured interviews conducted via telephone or face-to-face were audio-recorded, transcribed and analysed via content analysis. Content analysis identified three main categories regarding Feltman: (1) utilisation in Aboriginal and mainstream health services; (2) as a comprehensive, engaging tool that supports understanding of diabetes; and (3) the barriers and challenges to Feltman’s use. Overall, Feltman was regarded as a culturally appropriate diabetes education tool that is visual, tactile, engaging, supportive of health literacy and perceived to enhance Community members’ understanding of diabetes prevention and management. This is the first study to provide insight into Feltman’s implementation; adding to the evidence-base for Aboriginal-specific diabetes education tools.

The sound of death rattle I: are relatives distressed by hearing this sound?

2006 ◽  
Vol 20 (3) ◽  
pp. 171-175 ◽  
Author(s):  
Bee L Wee ◽  
PG Coleman ◽  
R Hillier ◽  
SH Holgate
Keyword(s):  
Content Analysis ◽  
Therapeutic Intervention ◽  
Health Professionals ◽  
Terminal Care ◽  
Structured Interviews ◽  
Thematic Content Analysis ◽  
Face To Face ◽  
Dying Patients ◽  
Death Rattle ◽  
Impending Death

Background: Death rattle is the noisy, rattling breathing that occurs in many dying patients. Health professionals intervene because the sound is said to distress attendant relatives. We found no formal study to confirm or refute relatives’ distress, so we decided to ask the relatives. Method: Face-to-face semi-structured interviews with 27 bereaved relatives to investigate their experience of terminal care and what their response had been to the sound of death rattle if this had occurred. Interview transcripts were subjected to thematic content analysis. Results: We found that almost half of the 12 relatives who had heard the sound of death rattle had been distressed by it. The others were either neutral about the sound or found it a helpful signal of impending death. Conclusion: We confirmed that some relatives do find it distressing to hear the sound of death rattle. However, our expectation that relatives are universally disturbed by this sound was unfounded. There is no justification for a ‘blanket’ approach to therapeutic intervention when death rattle occurs. A better understanding is required of how relatives make sense of the sound of death rattle.

scholarly journals Why do Irish pig farmers use medications? Barriers for effective reduction of antimicrobials in Irish pig production

2021 ◽  
Vol 74 (1) ◽  
Author(s):  
Alessia Diana ◽  
Sylvia Snijders ◽  
Alison Rieple ◽  
Laura Ann Boyle
Keyword(s):  
Management Practices ◽  
Structured Interviews ◽  
Pig Production ◽  
Face To Face ◽  
Potential Barriers ◽  
Eu Countries ◽  
Lack Of Information ◽  
Personal Action ◽  
Barriers And Challenges ◽  
Attitudinal Changes

Abstract Background In addressing the threat of antimicrobial resistance, it is critical to understand the barriers to the uptake of strategies for the reduction of antimicrobial use (AMU) in the pig industry. In several EU countries, factors such as education level, habits and social pressures are recognised as affecting farmers’ decision-making process in relation to AMU. However, there is a lack of information on the Irish scenario. The aim of this study was to investigate pig farmers’ perspectives and their behaviour towards AMU to identify potential barriers to effectively reduce AMU in Irish pig production. We conducted face-to-face semi-structured interviews with 30 pig farmers, 5 pig veterinarians and 4 focus groups of pig farm personnel. We employed qualitative analyses to explore the objective of the study. Results Qualitative analysis revealed six convergent themes as potential barriers: perceptions about the need for AMU on farm, concept of animal welfare and associated management practices, legislation, culture, economics and standards of communication/type of advice-network. Overall, pig farmers believed that there is poor communication between stakeholders (i.e. farmers, vets and advisors) and a lack of reliable people to approach for advice. They considered themselves as operating responsibly in terms of AMU compared to their national and international colleagues and expressed the importance of a so-called ‘Irish solution’ to the problem of AMU because it was associated with what ‘has always been done’ and was therefore considered reliable and safe. Conclusions Barriers and challenges were in line with those identified in other EU countries highlighting similarities in behavioural and attitudinal patterns among pig farmers. Overall, farmers appeared to be more likely to rely on previous experiences or to wait for an imposed change (e.g. legislation) instead of taking personal action. Thus, considerable behavioural and attitudinal changes are needed to adopt a more responsible AMU in Irish pig production and to develop effective intervention strategies.

scholarly journals Informing the personalisation of interventions for parents of children with conduct problems: a qualitative study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Kathy McKay ◽  
Eilis Kennedy ◽  
Rob Senior ◽  
Stephen Scott ◽  
Jonathan Hill ◽  
...  
Keyword(s):  
Conduct Problems ◽  
Evidence Base ◽  
Structured Interviews ◽  
Topic Guide ◽  
Parenting Programme ◽  
Face To Face ◽  
Parents And Children ◽  
Phenomenological Perspective ◽  
Multi Phase ◽  
Purposive Sample

Abstract Background Parenting programmes aim to alleviate behavioural problems in children, including conduct disorder. This study was part of a multi-phase mixed-methods project seeking to extend the reach of parenting programmes for the treatment of conduct problems through developing an evidence base to inform a personalised approach. It explored the narratives of parents of children with behavioural and conduct problems about parenting programmes to identify how such programmes could be personalised in order to extend their reach to parents and children who do not currently benefit. Methods Face-to-face semi-structured interviews with a purposive sample of 42 parents, who had different experiences of parenting programmes. Interviews were conversational and informed by a topic guide. Analysis of transcripts of audio-recorded interviews drew on inductive thematic approaches and was framed largely within a phenomenological perspective. Results Parents’ accounts demonstrated three themes: 1) a personalised approach needs to include the child; 2) a supportive school matters; and, 3) the programme needs to feel personal. Parents were more likely to have a positive experience at a parenting programme, and for their child to demonstrate positive behavioural changes, when they felt their concerns were validated within the group and they also felt supported by the child’s teachers. Parents whose children had been assessed prior to undertaking the programme were also more likely to perceive the programme to be beneficial, compared to parents who felt their child’s individual issues were never considered. Conclusions Our findings point to the potential for personalised approaches to extend the reach of parenting programmes to parents and children who do not currently benefit from such programmes. Important in personalising parenting programmes is assessing children before parents are referred, to directly work with children as well as parents, and to work collaboratively with parents and children to identify which families are most suited to group support or one-to-one support and how this may change depending on circumstances.

scholarly journals Communication with patients using negative wound pressure therapy and their adherence to treatment

2019 ◽  
Vol 28 (11) ◽  
pp. 738-756
Author(s):  
Christine J. Moffatt ◽  
Susie Murray ◽  
Aimee Aubeeluck ◽  
Isabelle Quere
Keyword(s):  
Health Professionals ◽  
Patient Adherence ◽  
Study Data ◽  
Adherence To Treatment ◽  
Structured Interviews ◽  
Pressure Therapy ◽  
Face To Face ◽  
Patient Health ◽  
Data Saturation ◽  
Ongoing Support

Objective: The purpose of this study was to explore the challenges of communication between patients and health professionals, and patient adherence to treatment for hard-to-heal wounds when using negative wound pressure therapy (NPWT). Methods: Face-to-face, semi-structured interviews were conducted with patients undergoing NPWT. Specific features of the NPWT device were the priority for discussion although other factors central to communication and adherence were also explored. Results: A total of 24 patients took part in the study. Data saturation was achieved during the analysis. Patients required ongoing support to understand complex and often protracted treatment and this was particularly important when specialist technology was used. A distinction was highlighted between those who decided not to adhere with therapy and those who did so unintentionally. Participants faced difficulties in their communications with health professionals and in ensuring their needs were listened to and addressed. Conclusion: Further research is needed to achieve a better understanding of this distinction and to evaluate interventions which can sustain adherence behaviours. Further exploration of how to establish concordant patient/health professional communications is warranted.

scholarly journals Barriers to and facilitators of ultra-processed food consumption: perceptions of Brazilian adults

2017 ◽  
Vol 21 (1) ◽  
pp. 68-76 ◽  
Author(s):  
Luara Bellinghausen Almeida ◽  
Fernanda Baeza Scagliusi ◽  
Ana Clara Duran ◽  
Patricia Constante Jaime
Keyword(s):  
Content Analysis ◽  
Food System ◽  
Processed Foods ◽  
Age Group ◽  
Processed Food ◽  
Structured Interviews ◽  
Health Concerns ◽  
Face To Face ◽  
Regulatory Measures ◽  
Eating Practices

AbstractObjectiveTo explore how individuals perceive the availability of ultra-processed foods in their neighbourhoods and the barriers to and facilitators of consumption of such foods.DesignA qualitative design was chosen. In-depth, face-to-face semi-structured interviews were conducted and a content analysis was performed.SettingSão Paulo, Brazil.SubjectsA purposeful sample of adults (n 48), stratified by sex and age group (20–39 years and 40–59 years).ResultsAll participants perceived their neighbourhoods as favourable regarding the availability of ultra-processed foods. Three barriers were identified: health concerns, not appreciating the taste of these foods and not being used to eating them. Five facilitators, however, were identified: appreciating the taste of these foods, their children’s preference, convenience, addiction and cost.ConclusionsParticipants perceived their neighbourhoods as favourable to the consumption of ultra-processed foods and reported more facilitators than barriers to their consumption. Reported barriers point to the need to include measures promoting a healthy food system and traditional eating practices. The facilitators reinforce the idea that these foods are habit-forming and that regulatory measures to offset the exposure to ultra-processed foods are necessary.

scholarly journals Fatigue in children and adolescents with cancer from the perspective of health professionals

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Michele Cristina Miyauti da Silva ◽  
Luís Carlos Lopes Júnior ◽  
Lucila Castanheira Nascimento ◽  
Regina Aparecida Garcia de Lima
Keyword(s):  
Content Analysis ◽  
Continuing Education ◽  
Children And Adolescents ◽  
Health Professionals ◽  
Exploratory Study ◽  
Physical Therapists ◽  
Qualitative Approach ◽  
Structured Interviews ◽  
Thematic Content Analysis ◽  
Assistant Nurses

ABSTRACT Objective: to investigate health professionals' knowledge about the concept, assessment and intervention in fatigue in children and adolescents with cancer. Method: exploratory study with qualitative approach, with 53 health professionals (10 nurses, 33 assistant nurses, 3 physicians, 3 nutritionists, 2 psychologists and 2 physical therapists). Semi structured interviews were held, which were recorded and analyzed by means of inductive thematic content analysis. Results: the data were organized around three themes: knowledge of health professionals about fatigue; identification of fatigue and interventions to relieve fatigue. Conclusion: the results indicate the health professionals' limited knowledge about fatigue, as well as the lack of investment in their training and continuing education. Most of all, the lack of research on the theme in the Brazilian context remains a barrier to support improvements in care for this symptom in children and adolescents with cancer.

scholarly journals Faculty Retention in Medical Universities in the County Cities of Iran: A Qualitative Content Analysis

2019 ◽  
Author(s):  
Maria Shaterjalali ◽  
Yousef Gholampoor ◽  
Ali Khani Jeihooni ◽  
Yaser Mansoori ◽  
Reza Homayounfar ◽  
...  
Keyword(s):  
Content Analysis ◽  
Qualitative Content Analysis ◽  
Research Performance ◽  
Structured Interviews ◽  
Executive Management ◽  
Economic Dimension ◽  
Face To Face ◽  
Academic Activities ◽  
The University ◽  
Second Category

Abstract Background and purpose: Faculty are the cornerstone of academic medicine and are important assets for any institution offering higher education. Recruitment and retention of capable faculty are essential to maintain and improve the quality of education and research performance of universities. The purpose of the present study is to discover the views, experiences, and attitudes of faculty to identify the reasons for attrition and retention of faculty in the medical universities of county cities of Iran. Methods: This is a qualitative study and the method used is of content analysis. The participants included 12 faculty transferred to type 1 university, 4 faculty with transfer request, and 4 faculty members with more than ten years of experience working in the University of county cities no relocate request. Data were collected using semi-structured interviews face to face and via telephone. To measure the trustworthiness of the data, we used four components of credibility, transferability, dependability, and confirmability proposed by Lincoln and Guba. Results : The findings were divided into 3 categories and 14 sub-categories: the first category was the retention attractors, including 4 sub-categories of facilitated communication, proximity to type one university, gaining experience, and support of authorities; the second category was the retention threats, including 6 subcategories of social infrastructures, individual dimension, occupational dimension, economic dimension, sense of respect, and executive management dimension; and the third category was the retention strategies, including 4 sub-categories of the process of recruiting and promotion, inter-university collaboration with type one universities, facilitating scientific growth, and fulfilling the safety needs. Conclusion : Several factors play role in the retention of faculties in medical schools. Authorities can create a more positive environment by devising a suitable reward system, supporting academic activities, and increasing the level of practical autonomy of faculty to develop a sense of belonging among the workforce, and reduce the intention to transfer of their human resources.

scholarly journals Experiences of Health Providers and patients in COVID‑19: A SWOT analysis

2021 ◽  
Author(s):  
Aliasghar kheirkhah ◽  
Ehsan Movahed ◽  
Fereshte gheyabi ◽  
Fatemeh kave Farsani ◽  
Fatemeh Rigabadi
Keyword(s):  
Content Analysis ◽  
Data Analysis ◽  
Health System ◽  
Swot Analysis ◽  
Qualitative Content Analysis ◽  
Main Theme ◽  
Health Providers ◽  
Structured Interviews ◽  
Community Members ◽  
The Family

Abstract Background: Health providers and patients face many problems in preventing and controlling COVID-19 in the family and the health system.Aim: The aim of the present study was to explore experiences of health providers and patients in COVID‑19.Methods: directional qualitative content analysis was applied and 15 participants, including 10 patients with COVID-19 and 5 health providers. Data were collected using semi-structured interviews and analyzed by Lundman and Graneheim qualitative content analysis methods. The MAXQDA10 software was used to manage qualitative data analysis.Results: During the data analysis, "strengths", "weaknesses", "opportunities", and "threats" were defined in terms of categories. The " Benefits and Barriers " was determined as the main theme.Conclusion: Community members and policymakers should support and reinforce the positive experiences of patients and health providers and the health system and families need to be more prepared for the crisis.

Acceptability and willingness to participate in the Tailored Activity Program: perceptions of people living with dementia, their care partners and health professionals

2020 ◽  
Vol 21 (3) ◽  
pp. 259-273
Author(s):  
Sally Bennett ◽  
Catherine Travers ◽  
Jacki Liddle ◽  
Sandra Smith ◽  
Lindy Clemson ◽  
...  
Keyword(s):  
Health Professionals ◽  
Willingness To Participate ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Face To Face ◽  
Activity Program ◽  
Care Partners ◽  
The Usa ◽  
Qualitative Descriptive ◽  
To Receive

AbstractObjectives:The Tailored Activity Program (TAP) is an evidence-based occupational therapist-led intervention for people living with dementia and their care partners at home, developed in the USA. This study sought to understand its acceptability to people living with dementia, their care partners, and health professionals, and factors that might influence willingness to participate prior to its implementation in Australia.Methods:This study used qualitative descriptive methods. Semi-structured interviews were conducted with people living with dementia in the community (n = 4), their care partners (n = 13), and health professionals (n = 12). People living with dementia were asked about health professionals coming to their home to help them engage in activities they enjoy, whereas care partners’ and health professionals’ perspectives of TAP were sought, after it was described to them. Interviews were conducted face-to-face or via telephone. All interviews were recorded and transcribed. Framework analysis was used to identify key themes.Results:Analysis identified four key themes labelled: (i) TAP sounds like a good idea; (ii) the importance of enjoyable activities; (iii) benefits for care partners; and (iv) weighing things up. Findings suggest the broad, conditional acceptability of TAP from care partners and health professionals, who also recognised challenges to its use. People living with dementia expressed willingness to receive help to continue engaging in enjoyable activities, if offered.Discussion:While TAP appeared generally acceptable, a number of barriers were identified that must be considered prior to, and during its implementation. This study may inform implementation of non-pharmacological interventions more broadly.

scholarly journals Workshifting – a tool to manage shortage of nurses? A content analysis at a medical ward at a university hospital in Sweden

2019 ◽  
Vol 8 (2) ◽  
pp. 21
Author(s):  
Tove Nyman ◽  
Susanne Trinh ◽  
Kristina Rosengren
Keyword(s):  
Content Analysis ◽  
Registered Nurses ◽  
Health Professionals ◽  
Qualitative Content Analysis ◽  
Work Organization ◽  
Medical Ward ◽  
University Hospital ◽  
Structured Interviews ◽  
Holistic View ◽  
Ensure Patient Safety

Background: Workshifting is a new model for redistributing tasks due to the shortage of health professionals such as registered nurses (RNs). Therefore, this study aim to describe registered nurses' experiences with workshifting in a medical ward at a university hospital in Sweden.Methods: Manifest qualitative content analysis with an inductive approach was used based on seven semi-structured interviews with RNs working in a medical ward at Sahlgrenska University Hospital in Gothenburg, Sweden.Results: One category, communication skills for increased cooperation, and three subcategories, Manage different skills, Changed work content and Lack of holistic nursing, were described. A healthy work environment (reasonable workload, interesting work tasks/content) is an important factor for attracting health professionals such as RNs.Conclusion: Workshifting redistributes tasks to added staff members such as pharmacists and assistant nurses, which decreases the RN workload; however, task-oriented work results in the lack of a holistic view of nursing. Moreover, enlarged teams need well-developed communication arenas to ensure patient safety and efficient work organization. 

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