‘Do it yourself’ sexual health care: the user experience

Sexual Health ◽  
2011 ◽  
Vol 8 (1) ◽  
pp. 23 ◽  
Author(s):  
Paula Baraitser ◽  
Kirsty Collander Brown ◽  
Zachary Gleisner ◽  
Vikki Pearce ◽  
Usha Kumar ◽  
...  
Keyword(s):  
Sexual Health ◽  
Time Pressure ◽  
Waiting Times ◽  
The Self ◽  
Self Management ◽  
Structured Interviews ◽  
Management Options ◽  
Waiting Room ◽  
Sexual Health Care ◽  
Additional Support

Objectives: To describe client experience of self-management within a busy walk-in, sexual health service. Self-management in this context is self-registration and take-home pregnancy tests, chlamydia (Chlamydia trachomatis) and gonorrhoea (Neisseria gonorrhoeae) tests, or condoms dispensed from a free vending machine. Methods: Twenty-four in-depth, semi-structured interviews with users; 19 structured written reports from mystery shoppers paid to visit the service and report their experience; demographic details of those using the self-management option from the clinic database and 40 h of recorded observation in the clinic waiting room. Results: Between 2 September 2008 and 1 September 2009, 18 657 people had 28 545 attendances at the service. Of these, 1845 (6.5%) attendances were self-managed by 1555 individuals (8.3% of all clients). Of those who self-managed, 646 (35%) obtained a chlamydia and gonorrhoea test only, 597 (32%) obtained condoms only and 488 (27%) obtained a pregnancy test only. Users valued the opportunity to self-manage because of the reduced waiting times, autonomy and privacy that such a service offers. Some prefer the additional support offered within a clinical consultation. Users made personalised decisions about self-management based on time pressure, need for additional services and preferred source of support. Users often required help and advice from client support workers to complete the self-management process. This created problems with confidentiality. Conclusions: Self-management is an acceptable option within sexual health services if informal support is available. Self-management options in clinical services could mean that 8% of clients at 6% of visits do not need to see a clinician, thus freeing up clinical capacity.

Masculine Bodies, Selfies, and the (Re)configurations of Intimacy

2017 ◽  
Vol 21 (1) ◽  
pp. 112-130 ◽  
Author(s):  
Begonya Enguix ◽  
Erick Gómez-Narváez
Keyword(s):  
Qualitative Data ◽  
Visual Analysis ◽  
The Self ◽  
Self Management ◽  
Body Parts ◽  
Structured Interviews

This article is part of a research about the use of selfies in two different apps, Grindr and Instagram. We are interested in exploring how selfies relate to masculine bodies and produce different negotiations of intimacy. Selfies are personal, bodily centered, and highly visible. Understanding their production can contribute to the discussion on the digital exposure of intimacy and on the (self) management of masculine bodies. We consider selfies as discursive media that merge the visual and the discursive. Through their practice, users actively negotiate their masculine bodies and their intimacies and question and/or affirm hegemonies. Based on visual analysis and qualitative data obtained from observation and structured interviews, our results point out to the active production of selfies in relation to the different apps and to different styles of bodies that (in)visibilize different body parts and/or emotional traits. Selfies (re)present hegemonic, resistant, and emergent bodies with different understandings of intimacy.

scholarly journals Self-management strategies of graduate employees to enhance work engagement

2021 ◽  
Vol 47 ◽  
Author(s):  
Nelesh Dhanpat ◽  
Dorothy L. Danguru ◽  
Oyisa Fetile ◽  
Kholeka Kekana ◽  
Kholosa N. Mathetha ◽  
...  
Keyword(s):  
Employee Engagement ◽  
Work Engagement ◽  
Management Strategies ◽  
Theory And Practice ◽  
The Self ◽  
Self Management ◽  
Research Approach ◽  
Structured Interviews ◽  
Managerial Implications ◽  
Value Add

Orientation: The hiring of graduates is valuable to organisations. It is necessary to understand the self-management behaviours they display and the behaviours required to keep them engaged.Research purpose: The purpose of this study was to explore how self-management strategies enhance work engagement of recent graduates who find themselves in a new environment of the world of work.Motivation for the study: Employee engagement is of both academic and practitioner interest. With organisations hiring graduates, it is valuable to understand the self-management behaviours needed to remain engaged.Research approach/design and method: A qualitative research approach was employed through an interpretivist research paradigm. A purposive sample of 12 graduate employees (median age = 24) in various fields of work were interviewed (women = 11, men = 1; black = 11, coloured = 1). The graduates participated in semi-structured interviews. A thematic analysis was conducted and five themes emerged.Main findings: Through an inductive approach, the five themes that emerged concerning self-management strategies used by graduates to enhance their work engagement are goal setting, self-cueing, self-observation, self-reward and self-punishment and work engagement practices.Practical/managerial implications: Self-management strategies help to sustain an engaged workforce. Organisations that make use of graduate recruitment will largely benefit from the findings.Contribution/value-add: There is limited research on the topic pertaining to graduate employees. Graduates remain relevant in the organisation, and hence, the study makes a contribution to theory and practice. A model is presented with recommendations for graduates and the organisation, which, when implemented, have the potential to enhance work engagement.

scholarly journals Culture, Sexuality and Indigenous Healing in Pakistan: Exploring Sexual Health Care through Hakeems and Herbalists

2020 ◽  
Vol 1 (4) ◽  
pp. 7
Author(s):  
Abdul Qadar ◽  
Zia Ur Rehman
Keyword(s):  
Sexual Health ◽  
Participant Observation ◽  
Structured Interviews ◽  
Indigenous Healing ◽  
Cultural Logic ◽  
Sexual Health Care ◽  
Cultural Order ◽  
Term Basis

Objective: This paper aims to understand the relationship between sexuality, culture, and male sexual health through the role of hakeems as an indigenous healing framework in Pakistan. Study Design: Participant observation (by first author) and personal practice (by second author). Place and Duration of Study: At a matab where second author practices hikmat is located in Islamabad. The fieldwork in the form of collaborative learning has been going on since September 2019 to date. Materials and Methods: This research is based on the participant observation at the matab where people come to seek herbal medicine and consultancy from the hakeem. Narrative account of anthropologist and practice of certified hakeem, through an interactive exchange of ideas about questions of the study, was employed. The study has taken information in the form of semi-structured interviews from the patients who either gave consent or asked to remain anonymous. Results: Results have shown that the nature of the relation between sexuality and cultural order have compelled people to seek hikmat as indigenous healing on a long-term basis. The framework of indigenous healers has helped to understand the cultural logic of sexuality, which is embedded more closely in the practice of hakeems than the biomedical regime. Conclusion: Cultural competence, in this case the same cultural background of the hakeem and patients, adds to our understanding of the indigenous healing framework, sexuality, and culture.

“They really hear you out”: Lessons on providing contraceptive care from a community-based sexual health clinic

2021 ◽  
pp. e20210018
Author(s):  
Karyn Fulcher ◽  
Amber Archibald ◽  
Jenny Francoeur
Keyword(s):  
Sexual Health ◽  
Best Practice ◽  
Family Doctor ◽  
Health Clinic ◽  
Task Sharing ◽  
Structured Interviews ◽  
Community Based ◽  
Sexual Health Care ◽  
Supportive Environment

Individuals in Canada may obtain prescription contraception from a family doctor, a walk-in clinic, or sexual health clinic. While there are guidelines for best practice in contraceptive care, the quality of this care varies widely. Access to any contraceptive care is also a concern, partly due to increasing pressures on physicians’ time. These issues have led to calls to expand contraceptive care into the purview of nurses and other qualified health professionals, a ‘task-sharing’ approach. Here, we use data from semi-structured interviews with providers and patients at a sexual health clinic in British Columbia to examine the benefits of such an approach as implemented in this particular clinic. We conducted semi-structured interviews with physicians, nurses, volunteer peer contraceptive educators, and patients about their experience providing or obtaining care at the clinic, and thematically analyzed the resulting data. Interviewees identified four key benefits in the clinic’s approach: the value of a specialized sexual health clinic where providers had a wealth of experience providing sexual health care; the time and attention given by providers relative to practitioners at other types of clinics; the increased efficiency facilitated by a task-sharing approach; and the inclusive and supportive environment. Although some aspects of this clinic’s strategy are not transferrable to all settings, implementing elements of this model in other settings could increase access to quality contraceptive care.

scholarly journals Striving for autonomy in everyday diabetes self-management—qualitative exploration via grounded theory approach

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e058885
Author(s):  
Viola Sallay ◽  
Andrea Klinovszky ◽  
Sára Imola Csuka ◽  
Norbert Buzás ◽  
Orsolya Papp-Zipernovszky
Keyword(s):  
Grounded Theory ◽  
Family Relationships ◽  
Personal Autonomy ◽  
The Self ◽  
Self Management ◽  
Future Research ◽  
Theory Approach ◽  
Structured Interviews ◽  
Everyday Experiences ◽  
Grounded Theory Approach

ObjectivesThe rapid worldwide increase in the incidence of diabetes significantly influences the lives of individuals, families and communities. Diabetes self-management requires personal autonomy and the presence of a supportive social environment. These attributes can considerably ameliorate the outcomes of the chronic condition. However, little is known about individual variations in overcoming the illness-related challenges and in the achievement of autonomy in daily activities. This paper seeks to bridge this knowledge gap.DesignThis qualitative study used the grounded theory approach. Semi-structured interviews were conducted, and the data collection and data analysis probed participant experiences of autonomy through the self-management of their daily socio-physical environments.SettingParticipants were recruited from the outpatient ward of a university clinic in Hungary.ParticipantsThe study was conducted with 26 adult patients with type 2 diabetes mellitus (15 females and 11 males aged between 26 and 80 years; M=62.6 years; SD=13.1). The inclusion criteria were: T2D diagnosis at least 1 year before the beginning of the study; prescribed insulin injection therapy; aged over 18 years; native Hungarian speaker and not diagnosed with dementia or any form of cognitive impairment.ResultsThe study established three principal aspects of the active construction of personal autonomy in diabetes self-management: coping strategies vis-à-vis threats posed by the symptoms and the treatment of the disease; autonomous ways of creating protective space and time and relationship processes that support everyday experiences of self-directedness.ConclusionsThe results of this study confirm the validity of the self-determination theory in diabetes self-management. They also imply that pathways towards constructing everyday experiences of self-directedness in participants lead through self-acceptance, supporting family relationships and a doctor–patient relationship characterised by partnership. The tentative empirical model of pathways towards patients’ experience of self-directedness can serve as a framework for future research, patient-centred clinical practice, and education.

scholarly journals Getting personal: investigating how living with universal credit affects emotions and identities

2021 ◽  
Author(s):  
◽  
Sophia Constance Negus
Keyword(s):  
Labour Market ◽  
Analytical Framework ◽  
The Self ◽  
Self Management ◽  
Structured Interviews ◽  
Market Society ◽  
Working Age ◽  
Negative Impacts ◽  
The Impact

This thesis investigates the impacts of Universal Credit (UC) on emotions, wellbeing, identities, and the ‘self’. The findings are of growing importance as increasing numbers of people are receiving UC. Six million people now engage with a ‘violent’ system (Cooper and Whyte, 2017) which pushes people further from the labour market, society, health, and their ‘self’. UC introduced radical changes to British working-age social security, with aims to ‘simplify’ the system, reduce costs and fraud, and ‘make work pay’. Since launching in 2013, there has been growing evidence on the negative impacts of UC, yet, little is known about the impact UC has on emotions, wellbeing, identities, and the ‘self’, a gap in knowledge this thesis addresses. A geographically bound case-study was adopted using semi-structured interviews and participant-solicited diaries to investigate the diverse realities and impacts of UC. The analytical framework utilises several concepts and theories, drawing upon Elias (1994) as it is argued UC is a ‘civilising offensive’ (Powell, 2013), and Goffman (1997/2007) to explore the impacts on identities. This thesis provides empirical contributions to knowledge surrounding the extent and severity of the impacts of UC on emotions and the ‘self’. The research found that harm inflicted from UC carries serious consequences and the experiences indicate a systemic erosion of people, lives, and possibilities. The findings demonstrate how UC is experienced as dehumanizing and destabilising of emotions, wellbeing and the ‘self’. It provides important insights into how people respond to UC and the significant resources spent on ‘self-management’ as individuals attempt to preserve their identities which are under threat from institutional scrutiny, stigma and increasing poverty. Therefore, this thesis provides an important contribution to knowledge surrounding the corrosive nature of UC.

scholarly journals Addressing the transition to a chronic condition: exploring independent adoption of self-management by patients with ANCA-associated vasculitis

2021 ◽  
Author(s):  
Ian Litchfield ◽  
Sheila Greenfield ◽  
Lorraine Harper ◽  
Keyword(s):  
Side Effects ◽  
Chronic Condition ◽  
Management Strategies ◽  
Management Programme ◽  
Self Management ◽  
Structured Interviews ◽  
Management Processes ◽  
Additional Support ◽  
Post Hoc ◽  
Consistent Information

Abstract Objective Improvements in care have led to the recognition of Anti-neutrophil cytoplasm antibody associated vasculitis (AAV) as a chronic condition yet the self-management strategies considered a critical component of the care model for patients with more prevalent chronic conditions are yet to be formally integrated into the treatment of AAV patients. The work we present here aims to identify those self-management processes and tasks already being adopted by patients with AAV to help inform existing care and the development of a structured self-management programme. Methods We conducted a series of focus groups and semi-structured interviews with AAV patients collating the data and performing a post-hoc deductive analysis based on a consolidated framework of self-management processes. Results Despite the unique attributes and demands of AAV, patients adopted self-management behaviours previously identified and supported in patients with more prevalent chronic diseases. They proactively accessed information on their disease and learnt to mitigate their symptoms and side effects; they pursued a range of health promotion activities and accessed support from their social network and beyond and ultimately learnt to integrate the condition into their everyday life. Conclusions Our work has highlighted some key areas of self-management that might be usefully and immediately addressed including the provision of more consistent information relating to evolving symptoms and side-effects, additional support in accessing both appropriate care and community-based resources and the use of interventions to bolster resilience. Our findings will inform the development of tailored self-management programme but meantime provide a more contemporary context for current clinician-patient conversations.

scholarly journals Information Needs at the O.R. Waiting Room

2021 ◽  
Author(s):  
Giuliana Colussi ◽  
Eliana Frutos ◽  
Romina Rapisarda ◽  
Janine Sommer ◽  
Juan Descalzo ◽  
...  
Keyword(s):  
Operating Room ◽  
Information Needs ◽  
Waiting Times ◽  
Personal Health Records ◽  
Personal Health ◽  
Administrative Staff ◽  
Structured Interviews ◽  
Waiting Room ◽  
Staff Members ◽  
Patient’S Experience

The objective of this study was to investigate the difficulties and information needs that both patients and their companions have in the context of a scheduled surgery. Observations in the operating room waiting zone and semi-structured interviews were conducted to patients with scheduled surgeries, their companions, administrative staff members and surgeons. We developed a journey map to explain the patient’s experience through the perioperative process. The emerging categories were Fragmented communication, Understanding the surgical process and Waiting times. Knowing the information needs of patients and companions was important to identify problems and opportunities for improvement in our institution’s Personal Health Records.

Improving the sexual health of young people experiencing homelessness

2021 ◽  
Vol 26 (11) ◽  
pp. 560-566
Author(s):  
Fiona McGregor ◽  
Martha Paisi ◽  
Ann Robinson ◽  
Jill Shawe
Keyword(s):  
Young People ◽  
Sexual Health ◽  
Contraceptive Use ◽  
Demographic Data ◽  
Models Of Care ◽  
Structured Interviews ◽  
Policy And Practice ◽  
Sexual Health Care ◽  
Initial Care ◽  
The Uk

The sexual health needs of young people experiencing homelessness in the UK have not been researched adequately. This study aimed to examine knowledge and attitudes around sexual health and contraceptive use amongst this vulnerable group to develop suitable models of care in the community. A qualitative ethnographic case-study following Burawoy's extended case method was used. Semi-structured interviews with 29 young people experiencing homelessness and five key workers in London hostels were carried out together with ethnographic observations and analysis of documentary evidence. Thematic analysis was undertaken. Demographic data were collected. Three significant themes were identified: risks and extreme vulnerability, relationships and communication difficulties and emergence of a culture of homelessness. Young people experiencing homelessness require specialist delivery of sexual health care in safe surroundings. Initial care should focus on assessment of basic needs and current state of being. Establishing trusting relationships and considering ongoing vulnerability, can help promote meaningful and personalised sexual healthcare both at policy and practice level.

scholarly journals Development and validation of oral chemotherapy self-management scale

2020 ◽  
Author(s):  
Qi Peng ◽  
Wanying Wu
Keyword(s):  
Reliability And Validity ◽  
Oral Chemotherapy ◽  
The Self ◽  
Assessment Tools ◽  
Self Management ◽  
Validity And Reliability ◽  
Structured Interviews ◽  
Good Reliability ◽  
Chemotherapy Drugs ◽  
Management Ability

Abstract Background: With the increase of oral chemotherapy drugs, patients receiving cancer treatment prefer oral chemotherapy versus intravenous, given equal efficacy and toxicity. However, they need to take an active part in their care, which is vital with home-based oral therapy, therefore the self-management is important for patients with oral chemotherapy. Unfortunately, the development of self-management assessment tools for oral chemotherapy still lags behind. Methods: The OCSMS item pool was formulated based on literature review and semi-structured interviews, An initial scale containing 5 dimensions and 38 items was constructed through research seminar, Delphi survey and pilot testing. To assess the validity and reliability, We recruited 261 patients from cancer hospital in China.Results: A 36-item scale was developed with five dimensions identified through factor analysis: daily life management, symptom management, medication management, emotional cognitive management and social support. Cronbach’s coefficient Alpha, split-half coefficient, test-retest reliability and S-CVI/UA scores were 0.929, 0.773, 0.966 and 0.833, respectively, indicating that OCSMS has good reliability and validity.Conclusions: The OCSMS is a valid, reliable measurement method of the self-management ability of patients with oral chemotherapy. The OCSMS shows potential as a tool to ensure the safety of patients with cancer. The OCSMS may help evaluate the effectiveness of interventions to improve the self-management ability of patients.

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