Home medicines reviews: a qualitative study of GPs' experiences

This qualitative study explored GPs’ experiences with pharmacist-led home medicines reviews (HMRs) and the barriers and facilitators to GPs using HMRs to optimise medicines for older people. Semi-structured interviews were conducted with 32 GPs Australia-wide. Purposeful sampling was undertaken to obtain a representative group in terms of age, gender and location. Data were analysed using framework analysis. Overall, GPs found HMRs useful for educating patients about their medicines, improving adherence and understanding the patient’s home environment. Barriers to effective use of HMRs included patient resistance to having medicines reviewed and limited access to HMRs in regional or rural areas. GPs differed in the extent and way they use HMRs. One group found HMRs very useful, wanted more access to HMRs and reported frequent interactions with pharmacists. A second group was ambivalent, and perceived HMRs could be useful but had limitations in what they can achieve. A third group was sceptical, and reported HMRs rarely provide new insights, and recommendations were not clinically relevant to patients. Understanding GPs’ expectations and preferences through interprofessional communication and partnerships are ways to address these barriers. Future improvements to the HMR program may include incentives and resources that promote collaboration between GPs and pharmacists.

Download Full-text

Effective Factors of the Entrepreneurship Development in Isfahan University of Medical Sciences: A qualitative study

Quarterly Journal of Management Strategies in Health System ◽

10.18502/mshsj.v4i3.2057 ◽

2019 ◽

Author(s):

Masoud Ferdosi ◽

Yasamin Molavi Taleghani

Keyword(s):

Qualitative Study ◽

Medical Sciences ◽

Structured Interviews ◽

Framework Analysis ◽

Factors Affecting ◽

Effective Factors ◽

Entrepreneurship Development ◽

Health Area ◽

Purposeful Sampling ◽

Health Experts

Background: Promotion and institutionalization of the entrepreneurial culture in the health system is one of the most important components of entrepreneurship development and economic success of countries. Thus, the present study was conducted with the aim of identifying the factors affecting the development of entrepreneurship in the health area, Isfahan University of Medical Sciences in 2017. Methods: This applied qualitative study was conducted in 2017. First, 10 health experts in Isfahan University of Medical Sciences were selected using semi-structured interviews based on the purposeful sampling method. The Delphi method was used to prioritize the factors. To analyze the qualitative data, the framework analysis method of Max QDA 10 software was used. Furthermore, descriptive statistics were used by SPSS 22 for analyzing the Delphi phase data. Results: In the initial phase, 3 themes (contextualizing, operational, consolidation and institutionalization) and 15 classes were extracted. Then, in the Delphi phase, 12 factors were determined as the effective factors on the entrepreneurship development in the health area. The most important factors in the development of entrepreneurship included empowerment of work forces, customers and stakeholders, as well as attracting internal and external capitals for initiating business with a mean of 4.73. Conclusion: In strategies of entrepreneurship development in the health area, policymakers are recommended to base their measures and decisions on differentiating the identified factors. In other words, this differentiation improves the entrepreneurship opportunities and outcomes based on the environmental conditions and current resources.

Download Full-text

Knowledge Translation Improvement Strategies in Universities of Medical Sciences in Iran: A Qualitative Study

Ethiopian Journal of Health Sciences ◽

10.4314/ejhs.v31i1.15 ◽

2021 ◽

Vol 31 (1) ◽

Author(s):

Sogand Tourani ◽

Narges Rafiei ◽

Shahnaz Rimaz ◽

Seyed Kazem Malakouti ◽

Alireza Heidari

Keyword(s):

Qualitative Study ◽

Knowledge Translation ◽

Knowledge Production ◽

Data Organization ◽

Health Plans ◽

Medical Sciences ◽

Structured Interviews ◽

Framework Analysis ◽

Improvement Strategies

BACKGROUND፡ Recently, one of the challenges in the health system of the country is the need for research contributing to policy-making. Therefore, it is crucial to develop activities in the field of knowledge Translation (KT). This study aimed to propose KT improvement strategies in universities of medical sciences in Iran.METHODS: In this qualitative study, 18 semi-structured interviews were conducted with key informants from the medical universities in Iran during January-July 2018. The transcribed documents were analyzed using the Gale framework analysis approach. Data organization was carried out using MAXQDA version 10 software.RESULTS: According to framework analysis, six KT improvement strategies were identified including improving the abilities and skills of researchers, improving the processes and quality of knowledge production, revising policies and laws, mproving the prerequisites, culture-building, and promoting the, use of evidence.CONCLUSION: Given the challenges and strategies outlined in this study, it seems that the mechanism of KT and its effects on improving health plans for policymakers and researchers has not been elucidated yet. Therefore, considerable changes in prerequisites, knowledge production processes, academic procedures, policies and laws are necessary for implementing KT in universities of medical sciences in Iran.

Download Full-text

Personality disorder co-morbidity in primary care ‘Improving Access to Psychological Therapy’ (IAPT) services: a qualitative study exploring patient perspectives on treatment experience

Behavioural and Cognitive Psychotherapy ◽

10.1017/s1352465820000594 ◽

2020 ◽

pp. 1-15

Author(s):

Gary Lamph ◽

John Baker ◽

Tommy Dickinson ◽

Karina Lovell

Keyword(s):

Mental Health ◽

Primary Care ◽

Personality Disorder ◽

Qualitative Study ◽

Patient Group ◽

Stepped Care ◽

Research Approach ◽

Structured Interviews ◽

Framework Analysis ◽

Co Morbidity

Abstract Background: High numbers of people present with common mental health disorders and co-morbid personality disorder traits in primary care ‘Improving Access to Psychological Therapies’ (IAPT) services in England and they receive sub-optimal treatments. No previous studies have explored the treatment experiences or needs of this patient population in England. Aims: This qualitative study explored the treatment experiences of patients (n = 22) with common mental health difficulties and co-morbid personality disorder as indicated by a score of 3 or more on the ‘Standardised Assessment of Personality – Abbreviated Scale’ (SAPAS) in receipt of primary care-based IAPT treatment. Method: A qualitative health research approach was used. Qualitative individual face-to-face semi-structured interviews were conducted. All interviews were audio recorded, data were transcribed verbatim and analysed using a framework analysis approach. Results: Findings revealed a need to adapt away from prescriptive cognitive behavioural therapy (CBT) treatment models towards more flexible, personalised and individualised treatment with this patient group. Time to emotionally offload, build a therapeutic relationship and link past experiences to presenting problems were highlighted as important. Conclusions: For the first time, the needs and treatment experiences of this patient group have been explored. This paper provides a unique patient experience insight that should be considered when exploring new approaches to working with and developing effective interventions via a stepped care approach.

Download Full-text

Spiritual self-care in adolescents: a qualitative study

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2019-0248 ◽

2020 ◽

Vol 0 (0) ◽

Author(s):

Nafiseh Hekmati Pour ◽

Gholam Reza Mahmoodi-Shan ◽

Abbas Ebadi ◽

Nasser Behnampour

Keyword(s):

Content Analysis ◽

Qualitative Study ◽

Self Care ◽

Spiritual Needs ◽

Religious Activities ◽

Spiritual Beliefs ◽

Structured Interviews ◽

Purposeful Sampling ◽

Spiritual Self ◽

Age Range

AbstractObjectivesOne of the existential questions during adolescence is about the ambiguity in spiritual realms. Adolescents at this age not only have the spiritual, psychological, and unique needs, but also have spiritual needs that help them to relax and solve problems. Therefore, this qualitative study aimed to understand the concept of spiritual self-care in Iranian adolescents in 2019.MethodsThis qualitative study with content analysis approach was conducted on 14 adolescents with the age range of 14–20 years, who had been selected by purposeful sampling method. Data were collected by semi-structured interviews which were carried out between 4 March 2019 and 20 August 2019.ResultsThe interviews were transcribed immediately after the recording, and then were analyzed using direct content analysis. A total of 252 primary codes related to the adolescents’ spiritual self-care were extracted from the analysis, which determined 4 main aspects of spiritual self-care (spiritual belief, spiritual experience, social-religious activities, and spiritual growth).ConclusionsThe findings of this study showed that, spiritual self-care is a form of self-care by which a person uses his or her spiritual beliefs, teachings, and experiences as a source of control over stress and crises, and will be able to cope with problems.

Download Full-text

The anticipated and the lived experience of home and in-centre haemodialysis: Is there a disconnect?

Journal of Health Psychology ◽

10.1177/1359105316630135 ◽

2016 ◽

Vol 22 (12) ◽

pp. 1524-1533 ◽

Cited By ~ 3

Author(s):

Rabiya Majeed-Ariss ◽

A Jayanti ◽

T Schulz ◽

A Wearden ◽

S Mitra

Keyword(s):

Qualitative Study ◽

Lived Experience ◽

Barriers And Facilitators ◽

Structured Interviews ◽

Framework Analysis ◽

Patient Factors ◽

Home Haemodialysis ◽

Advantages And Disadvantages ◽

Patients Experience

This qualitative study aimed to explore home haemodialysis and in-centre haemodialysis patients’ experience, to illuminate barriers and facilitators in the uptake and maintenance of home haemodialysis. Thirty-two semi-structured interviews with patients receiving home haemodialysis or in-centre haemodialysis were analysed using framework analysis. Four themes emerged: ‘perceptions of self’; ‘impact of haemodialysis on family’; ‘perceived advantages and disadvantages of home haemodialysis and in-centre haemodialysis’ and ‘practical issues and negotiating haemodialysis’. The lived experience of home haemodialysis was in contrast to the lived experience of in-centre haemodialysis and to the anticipated experience of home haemodialysis, highlighting patient factors that contributed to under-usage of home haemodialysis.

Download Full-text

Potential Causes and Outcomes of Communication Conflicts at the Workplace -A Qualitative Study in Pakistan

Journal of Management Info ◽

10.31580/jmi.v11i1.54 ◽

2016 ◽

Vol 3 (3) ◽

pp. 1-5 ◽

Cited By ~ 1

Author(s):

Sadia Deep ◽

Hussain Othman ◽

Berhanuddin Mohd Salleh

Keyword(s):

Qualitative Study ◽

Sampling Technique ◽

Natural Phenomenon ◽

Structured Interviews ◽

Development Organizations ◽

Library Research ◽

Purposeful Sampling ◽

Communication Conflict ◽

Potential Factors ◽

And Training

Occurring communication conflict among employees is a natural phenomenon at any workplace. However, for the effective resolution of these conflicts, it is indispensable to know the potential factors triggering these conflicts and making them destructive. This paper intends to investigate the causes, outcomes and the subsequent resolution of communication conflicts among employees at the workplace in the developing sector in Pakistan. The data for this qualitative study has gathered from library research and semi-structured interviews taken from the eighteen employees belonging to the three development organizations from the area of Peshawar and Islamabad in Pakistan. To derive sample for the study, a purposeful sampling technique has used. The analysis and transcription of the interview have made through following thematic techniques. The findings from this study reveal the poor communication, misunderstanding, and lack of other soft skills and traits as the significant causes of the communication conflicts while lacking of trust, stress, resignation and transferring are found to be potential outcomes. Some suggestions such as strong leadership and training of employees are also given for the effective resolution of these conflicts.

Download Full-text

Policy Making Challenges in the scope of Oral Health in Developing Countries A Qualitative Study of the Islamic Republic of Iran

10.21203/rs.2.16823/v1 ◽

2019 ◽

Author(s):

Mohammad Mohammadpour ◽

Peivand Bastani ◽

Arash Ghanbarzadegan ◽

Jamshid Bahmai

Keyword(s):

Oral Health ◽

Qualitative Study ◽

Developing Country ◽

Policy Making ◽

Middle Eastern ◽

Developed Countries ◽

Health Improvement ◽

Snowball Sampling ◽

Structured Interviews ◽

Framework Analysis

Abstract Background As the strategies proposed for oral health improvement in developed countries do not adapt for the setting of the developing ones, this study is to identify the challenges of oral health policy making in developing countries.Methods It was a qualitative study conducted in 2019 in Iran as a middle-eastern developing country. The study population included all the experts who have enough experience in the scope and have the eagerness to participate. Snowball sampling was used to include the participants and after 12 semi-structured interviews saturation was achieved. Guba and Lincoln criteria containing acceptability, validity, reliability, and transferability were used to assure the study reliability and finally five-stage framework analysis method was used to analyze the data.Results The analysis of the results of the interviews resulted in the identification of 7 main themes and 20 sub-themes as the main challenges of achieving oral health in a developing country. The main themes identified were: policy making, implementing, educational, stewardship, prevention, insurance, and resource allocating. Conclusion: According to the present results, it seems that national coverage of oral health and the integration of these services in prevention ones and serious attention to the private sector can be considered as the most important strategies for achieving improved oral health.

Download Full-text

Responding to rural adversity: a qualitative study of alcohol and other drug service users’ experiences of service response to COVID-19 in Western Australia’s Southwest

Australasian Psychiatry ◽

10.1177/10398562211036125 ◽

2021 ◽

pp. 103985622110361

Author(s):

Mathew Coleman ◽

Michael Taran ◽

Beatriz Cuesta-Briand

Keyword(s):

Qualitative Study ◽

Rural Areas ◽

Service Provision ◽

Lived Experiences ◽

Service Users ◽

Health Issues ◽

Structured Interviews ◽

Mental Health Issues ◽

Southwest Region ◽

The Impact

Objective This study reports on the impact of the COVID-19 pandemic on the lived experiences of people with substance use problems in accessing services in the Southwest region of Western Australia, and its implications for preparedness in a context of rural adversity. Method This was a qualitative study informed by the principles of phenomenology. Data were collected through semi-structured interviews and subjected to thematic analysis. Results Twenty-two participants were interviewed. Two main themes were identified: disruption to supportive connections; and bridging the connection gap: local service response to the COVID-19 pandemic. Conclusions The COVID-19 pandemic restrictions exacerbated social isolation and mental health issues, and disrupted services and treatment in the Southwest. Our results demonstrate that local alcohol and other drug services in rural areas can successfully respond to crises by assertively and flexibly adapting their service provision.

Download Full-text

Evaluating the Structural Reform of Outpatient Psychotherapy in Germany (ES-Rip Trial) - A Qualitative Study of Provider Perspectives

10.21203/rs.3.rs-685887/v1 ◽

2021 ◽

Author(s):

Poß-Doering Regina ◽

Hegelow Martin ◽

Borchers Milena ◽

Hartmann Mechthild ◽

Kruse Johannes ◽

...

Keyword(s):

Qualitative Study ◽

Intrinsic Motivation ◽

Rural Areas ◽

Information Exchange ◽

Structural Reform ◽

Framework Analysis ◽

Outpatient Psychotherapy ◽

Psychotherapeutic Treatment ◽

Cross Sectional ◽

Provider Perspectives

Abstract Background: Access to outpatient mental healthcare can be challenging for patients. In Germany, a national structural reform was implemented in 2017 to accelerate and enhance access to outpatient psychotherapy and reduce waiting times. During the first phase of the study ’Evaluation of a structural reform of the outpatient psychotherapy guideline (ES-RiP)’ and embedded into a process evaluation, the implementation was to be evaluated through assessing general practitioners’ (GPs) and psychotherapists’ (PTs) perspectives regarding utilization of provided new measures, and perceived potential for optimization. Particular focus was on patients with a comorbidity of mental disorders and chronic physical conditions (cMPs). Methods: This exploratory cross-sectional qualitative study used on-site and online focus group discussions and semi-structured open-ended telephone interviews with GPs and outpatient PTs. Generated data were analyzed using thematic framework analysis. Descriptive statistics were used to analyze participant characteristics collected via a socio-demographic questionnaire. Results: Perspectives on the structural reform were heterogenous. GPs and PTs considered the component of timely initial psychotherapeutic assessment consultations beneficial. GPs disapproved of their deficits in detailed information about the structural reform and exchange with outpatient PTs. Improvement suggestions included structured short information exchange and joint quality circles. The overall number of available outpatient PTs in rural areas was perceived as insufficient. For patients with cMPs, GPs saw patient barriers for therapy access and continuity in low intrinsic motivation, physical impediments and older age. PTs also saw patient challenges regarding low intrinsic motivation and keeping scheduled appointments. They considered post-reform administrative efforts to be high and reported that the regulations (conformity) lead to planning difficulties and financial losses. Reform elements were tailored to fit in with PTs key therapy areas. Stronger networking and joint lectures were suggested as remedy for the currently still limited exchange with GPs. Unlike the GPs, PTs emphasized that accepting patients into psychotherapeutic treatment was independent of a possibly present chronic physical disease.Conclusions: The findings contribute to understanding the integration of the delivered structural reform into daily care processes and provides an indication about reached targets and potential improvements. Further phases of the ES-RiP study can build on the findings and broaden insights. Trial registration: Registration-ID DRKS00020344 (DRKS German Register of Clinical Trials; https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00020344)

Download Full-text

Meanings and Experiences of Being Transgender: A Qualitative Study among Transgender Youth

The Qualitative Report ◽

10.46743/2160-3715/2019.3594 ◽

2019 ◽

Author(s):

Hossein Afrasiabi ◽

Marjan Junbakhsh

Keyword(s):

Qualitative Study ◽

Sampling Method ◽

Research Data ◽

Structured Interviews ◽

Transgender People ◽

Transgender Youth ◽

Purposeful Sampling

Our aim in this qualitative study was to explore the meaning and experiences of transgender youth in their everyday interactions. Participants included 24 transgender youth from Yazd and Isfahan Cities (Iran). We selected participants through purposeful sampling method. Research data were collected through semi-structured interviews. The interview transcripts were analyzed using theoretical coding techniques. The results showed that transgender people like to present their favorite identity in behaviors, wearing and social appearances, their social and domestic acceptance is deferred as the society defines transgender as a taboo and ostracizes persons. They felt themselves in a converse body and under pressure for coexistence by peers and neighbors. They attempt to save their desired identity through daydreaming and performing identity role in solitude.

Download Full-text