The district nurse's perceptions of elderly patients’ oral health: A qualitative interview study

2007 ◽  
Vol 65 (3) ◽  
pp. 177-182 ◽  
Author(s):  
Kerstin Andersson ◽  
Gunilla Nordenram ◽  
Inger Wårdh ◽  
Britta Berglund
Keyword(s):  
Oral Health ◽  
Elderly Patients ◽  
Qualitative Interview ◽  
Interview Study ◽  
Qualitative Interview Study

scholarly journals Elderly patients’ and GPs’ perspectives of patient–GP communication concerning polypharmacy: a qualitative interview study

2017 ◽  
Vol 19 (04) ◽  
pp. 355-364 ◽  
Author(s):  
Andrea C. Schöpf ◽  
Maike von Hirschhausen ◽  
Erik Farin ◽  
Andy Maun
Keyword(s):  
Elderly Patients ◽  
Medication Safety ◽  
Active Role ◽  
Qualitative Interview ◽  
Interview Study ◽  
Medication Regimen ◽  
Structured Interviews ◽  
Open Communication ◽  
Qualitative Interview Study ◽  
Asking Questions

AimThe aim of this study was to explore elderly patients’ and general practitioners’ (GPs’) perceptions of communication about polypharmacy, medication safety and approaches for empowerment.BackgroundTo manage polypharmacy, GPs need to know patients’ real medication consumption. However, previous research has shown that patients do not always volunteer all information about their medication regimen, for example, such as the intake of over-the-counter medication or the alteration or discontinuation of prescribed medication.MethodA qualitative interview study including patients of at least 65 years old with polypharmacy (⩾5 medications) and their GPs in a German Primary Healthcare Centre. The transcripts from the semi-structured interviews (n=6 with patients; n=3 with GPs) were analysed using a framework analytical approach.FindingsWe identified three themes: differing medication plans: causes?; dialogue concerning medication: whose responsibility?; supporting patients’ engagement: how? While GPs stated that patients do not always report or might even conceal information, all patients reported that they could speak openly about everything with their GPs. In this context, trust might act as a double-edged sword, as it can promote open communication but also prevent patients from asking questions. Both GPs and patients could name very few ways in which patients could be supported to become more informed and active in communication concerning polypharmacy and medication safety.ConclusionThis study shows that patients’ awareness of the significance of their active role in addressing polypharmacy needs to be increased. This includes understanding that trusting the doctor does not preclude asking questions or seeking more information. Thus, interventions which improve patients’ communication skills and address specific issues of polypharmacy, particularly in elderly patients, should be designed. GPs might support patients by ‘inviting’ their contribution.

scholarly journals ‘I’m not Sherlock Holmes’: Suspicions, secrecy and silence of transplant professionals in the human organ trade

2019 ◽  
Vol 17 (6) ◽  
pp. 764-783
Author(s):  
Frederike Ambagtsheer ◽  
Linde Van Balen
Keyword(s):  
Qualitative Interview ◽  
Interview Study ◽  
Safe Distance ◽  
Sherlock Holmes ◽  
Human Organ ◽  
Qualitative Interview Study ◽  
Organ Trade ◽  
The Subject

This article presents the results of a qualitative interview study amongst 41 Dutch transplant professionals. The overarching aim was to acquire in-depth understanding of transplant professionals’ experiences with and attitudes towards patients who purchase kidneys. We found that transplant professionals occasionally treat patients who are suspected of kidney purchases abroad. However, they turn a blind eye to their patients’ suspected purchases. Secrecy and silence function as a tacit agreement between patients and their caregivers that keeps the subject of kidney purchase at a safe distance and allows transplant professionals to ignore its suspected occurrence. They thus participate in the building of walls of secrecy and silence in the organ trade.

scholarly journals Experiences of a National Early Warning Score (NEWS) intervention in care homes during the COVID-19 pandemic: a qualitative interview study

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e045469
Author(s):  
Rachel Stocker ◽  
Siân Russell ◽  
Jennifer Liddle ◽  
Robert O Barker ◽  
Adam Remmer ◽  
...  
Keyword(s):  
Early Warning ◽  
Healthcare Professionals ◽  
Care Home ◽  
Qualitative Interview ◽  
Interview Study ◽  
Care Homes ◽  
Early Warning Score ◽  
Service Utilisation ◽  
Qualitative Interview Study ◽  
National Early Warning Score

BackgroundThe COVID-19 pandemic has taken a heavy toll on the care home sector, with residents accounting for up to half of all deaths in Europe. The response to acute illness in care homes plays a particularly important role in the care of residents during a pandemic. Digital recording of a National Early Warning Score (NEWS), which involves the measurement of physical observations, started in care homes in one area of England in 2016. Implementation of a NEWS intervention (including equipment, training and support) was accelerated early in the pandemic, despite limited evidence for its use in the care home setting.ObjectivesTo understand how a NEWS intervention has been used in care homes in one area of North-East England during the COVID-19 pandemic, and how it has influenced resident care, from the perspective of stakeholders involved in care delivery and commissioning.MethodsA qualitative interview study with care home (n=10) and National Health Service (n=7) staff. Data were analysed using thematic analysis.ResultsUse of the NEWS intervention in care homes in this area accelerated during the COVID-19 pandemic. Stakeholders felt that NEWS, and its associated education and support package, improved the response of care homes and healthcare professionals to deterioration in residents’ health during the pandemic. Healthcare professionals valued the ability to remotely monitor resident observations, which facilitated triage and treatment decisions. Care home staff felt empowered by NEWS, providing a common clinical language to communicate concerns with external services, acting as an adjunct to staff intuition of resident deterioration.ConclusionsThe NEWS intervention formed an important part of the care home response to COVID-19 in the study area. Positive staff perceptions now need to be supplemented with data on the impact on resident health and well-being, workload, and service utilisation, during the pandemic and beyond.

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