scholarly journals 155 The Development of a National Transfer Document for Older Persons, when Transferring Between Residential and Acute Care Settings

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Pauline O'Reilly ◽  
Pauline Meskell ◽  
Owen Doody ◽  
Michelle Kiely ◽  
Jane O'Doherty ◽  
...  
Keyword(s):  
Focus Group ◽  
Acute Care ◽  
Older Persons ◽  
Information Needs ◽  
Integrative Review ◽  
Focus Group Interviews ◽  
Convenience Sample ◽  
Acute Care Settings ◽  
Group Interviews ◽  
Qualitative Methodologies

Abstract Background The transition of older persons between care settings is recognised as a particularly critical and vulnerable period (Renom-Guiteras et al. 2014). Appropriate documentation and processes are key in assisting the provision of quality, safe, person-centred care when transferring older persons from residential to acute care settings. This paper reports on the design phase of a national transfer document for older persons. The objective was to inform the development of a draft national transfer document. Methods Development consisted of two phases 1) an integrative review and 2) focus group interviews with stakeholders. The review was guided by Whittemore and Knafl‘s (2005) integrative review framework. Data from studies using both quantitative and qualitative methodologies were extracted and thematically analysed. Using a qualitative descriptive approach, focus group interviews (n=8) were conducted with a convenience sample of key stakeholders (n=68) to establish their perspectives regarding transfer documents. Data were analysed using content analysis. Results from both phases were integrated to guide the development of the draft document. A multidisciplinary panel of experts in older persons care, reviewed and provided feedback on the draft transfer document. Results Within the review, thirty identified papers focused on transfer documentation between residential and acute care. Results indicated that using a standardised document can potentiate the delivery and acceptance of relevant person-centred information between all parties when transferring an older person between residential and acute care settings. Qualitative interview findings highlighted important aspects for consideration regarding the layout, content and format of future transfer documentation. Following collaboration with the expert panel the transfer document was developed for piloting. Conclusion Consistency and clarity of information is key for a successful transfer of older persons from residential to acute settings. Information needs to be evidence-based, current, and subject to response and change in accordance with best available international practice.

scholarly journals KAVA CONSUMPTION AND FAMILY VIOLENCE

2021 ◽  
Vol 8 (9) ◽  
pp. 303-310
Author(s):  
Malakai Ofanoa ◽  
Samuela Ofanoa
Keyword(s):  
New Zealand ◽  
Focus Group ◽  
Family Violence ◽  
Family Relationships ◽  
Family Income ◽  
Social Issues ◽  
Focus Group Interviews ◽  
Convenience Sample ◽  
The Family ◽  
Group Interviews

Kava drinking has become an intrinsic part of Tongan culture. It involves regular participation and high consumption of kava drink in kava clubs and other kava venues in Tonga and New Zealand. However, mounting evidence has indicated that the reasons for, and perceived effects of kava consumption are yet to be fully understood (Nosa and Ofanoa, 2009, Ofanoa, 2010). A qualitative study to explore the issues related with Tongan men abusing kava consumption was conducted in Tonga and Auckland, New Zealand (Ofanoa, 2010).   The study used culturally safe, Pacific qualitative research approaches of Kakala (Thaman, 1997) and Talanga (Ofanoa, 2010) to obtain information related to the issue. There were focus group interviews conducted with a convenience sample of 104 Tongan men across 5 kava clubs each in Tonga and Auckland, New Zealand. The analysis of the focus group interviews in both places involved a general inductive approach.   The findings reported that kava use is socially sanctioned and easily accessible in both countries.  Further, kava presents concerning health and social issues. It increases poor family relationships that leads to family violence. Usually the family violence happens after kava sessions. The Kava men sleep long hours; they spent a lot of their family income in Kava sessions and makes many excuses. Moreover, kava men are usually very lazy to work, and slow to recover in the next day. Hence, the poor wives usually shoulder everything in the family. In many instances, some of them behave violently and aggressively.  When such practices happen consistently, family violence starts, and many husbands physically abuse their wives. Evidently, one end up in the hospital with serious injuries or both husband and wife appear in court. The study concludes that Tongan men in both countries cannot continue to hide the truth that their abusive consumption of kava contributes to family violence. Hence, there is a tremendous need for urgent actions to prevent and minimize this practice. Further, since addressing the issue is sensitive and complex, a call for multi-sectoral and multi-disciplinary effort with the Tongan society in both Tonga and New Zealand is required to minimize the risks and optimize the benefits of kava use.

scholarly journals Building a Patient-Centered Weight Management Program: A Mixed Methods Project to Obtain Patients’ Information Needs and Ideas for Program Structure

Pharmacy ◽  
2019 ◽  
Vol 7 (4) ◽  
pp. 165
Author(s):  
Austin Arnold ◽  
Erin Holmes ◽  
Meagen Rosenthal
Keyword(s):  
Mixed Methods ◽  
Focus Group ◽  
Weight Management ◽  
Information Needs ◽  
Management Program ◽  
Further Education ◽  
Weight Management Program ◽  
Focus Group Interviews ◽  
Cross Sectional Survey ◽  
Group Interviews

Achieving and maintaining weight loss for large segments of the population remains elusive, despite evidence demonstrating the value of many weight management programs. This study aimed to gather patients’ perceptions on weight management education needs, and ideas for the structure of a weight management program to be delivered in community pharmacies. This was an exploratory mixed methods study combining qualitative focus group interviews with a cross-sectional survey. Three focus group interviews were conducted, along with a brief survey based on focus groups findings and sent to all eligible participants. The survey allowed for individual responses on the program components and narrowing down of focus group findings. Nearly half of the respondents (45.9%) wanted further education on limiting carbohydrate and sugar intake. Participants were most interested in identifying different exercises appropriate for those with physical limitations (48.6%). Most participants preferred 1 h meetings (70.3%) that contain a mix of one-on-one and group meeting formats (67.6%). The results of the study suggest a three-month weight management program, with a combination of group and individual in-person meetings occurring twice per month, would be of most interest to patients.

scholarly journals Health Care Personnel’s Perspective on Potential Electronic Health Interventions to Prevent Hospitalizations for Older Persons Receiving Community Care: Qualitative Study

10.2196/12797 ◽  
2020 ◽  
Vol 22 (1) ◽  
pp. e12797
Author(s):  
Martha Therese Gjestsen ◽  
Siri Wiig ◽  
Ingelin Testad
Keyword(s):  
Health Care ◽  
Focus Group ◽  
Older Persons ◽  
Community Care ◽  
Health Care Personnel ◽  
Focus Group Interviews ◽  
Individual Interviews ◽  
Patient Groups ◽  
Electronic Health ◽  
Group Interviews

Background The use of electronic health (eHealth) interventions is suggested to help monitor and treat degenerative and chronic diseases through the use of sensors, alarms, and reminders and can potentially prevent hospitalizations for home-dwelling older persons receiving community care. It is increasingly recognized that the health care personnel’s acceptance of a technological application remains a key challenge in adopting an intervention, thus interventions must be perceived to be useful and fit for purpose by the actual users. Objective The aim of this study was to identify and explore the perspectives of managers and health care personnel in community care regarding the use of eHealth interventions in terms of prevention of hospitalizations for home-dwelling older persons receiving community care. Methods A case study with a qualitative approach was carried out in community care in a Norwegian municipality, comprising individual interviews and focus group interviews. A total of 5 individual interviews and 2 focus group interviews (n=12) were undertaken to provide the health care personnel’s and managers’ perspective regarding the use of eHealth interventions, which could potentially prevent hospitalizations for home-dwelling older persons receiving community care. Data were analyzed by way of systematic text condensation, as described by Malterud. Results The data analysis of focus group interviews and individual interviews resulted in 2 categories: potential technological applications and potential patient groups. Discussions in the focus groups generated several suggestions and wishes related to technical applications that they could make use of in their day-to-day practice. The health care personnel warranted tools and measures to enhance and document their clinical observations in contact with patients. They also identified patient groups, such as patients with chronic obstructive pulmonary disease or dehydration or urinary tract infections, for whom hospitalizations could potentially have been prevented. Conclusions We have shown that the health care personnel in community care warrant various technological applications that have the potential to improve quality of care and resource utilization in the studied municipality. We have identified needs and important matters in practice, which are paramount for acceptance and adoption of an intervention in community care.

scholarly journals Health Care Personnel’s Perspective on Potential Electronic Health Interventions to Prevent Hospitalizations for Older Persons Receiving Community Care: Qualitative Study (Preprint)

2018 ◽  
Author(s):  
Martha Therese Gjestsen ◽  
Siri Wiig ◽  
Ingelin Testad
Keyword(s):  
Health Care ◽  
Focus Group ◽  
Older Persons ◽  
Community Care ◽  
Health Care Personnel ◽  
Focus Group Interviews ◽  
Individual Interviews ◽  
Patient Groups ◽  
Electronic Health ◽  
Group Interviews

BACKGROUND The use of electronic health (eHealth) interventions is suggested to help monitor and treat degenerative and chronic diseases through the use of sensors, alarms, and reminders and can potentially prevent hospitalizations for home-dwelling older persons receiving community care. It is increasingly recognized that the health care personnel’s acceptance of a technological application remains a key challenge in adopting an intervention, thus interventions must be perceived to be useful and fit for purpose by the actual users. OBJECTIVE The aim of this study was to identify and explore the perspectives of managers and health care personnel in community care regarding the use of eHealth interventions in terms of prevention of hospitalizations for home-dwelling older persons receiving community care. METHODS A case study with a qualitative approach was carried out in community care in a Norwegian municipality, comprising individual interviews and focus group interviews. A total of 5 individual interviews and 2 focus group interviews (n=12) were undertaken to provide the health care personnel’s and managers’ perspective regarding the use of eHealth interventions, which could potentially prevent hospitalizations for home-dwelling older persons receiving community care. Data were analyzed by way of systematic text condensation, as described by Malterud. RESULTS The data analysis of focus group interviews and individual interviews resulted in 2 categories: potential technological applications and potential patient groups. Discussions in the focus groups generated several suggestions and wishes related to technical applications that they could make use of in their day-to-day practice. The health care personnel warranted tools and measures to enhance and document their clinical observations in contact with patients. They also identified patient groups, such as patients with chronic obstructive pulmonary disease or dehydration or urinary tract infections, for whom hospitalizations could potentially have been prevented. CONCLUSIONS We have shown that the health care personnel in community care warrant various technological applications that have the potential to improve quality of care and resource utilization in the studied municipality. We have identified needs and important matters in practice, which are paramount for acceptance and adoption of an intervention in community care.

Management Strategy for Distributing Questionnaires and Interview Guidelines in the Research Data Collection Process

2018 ◽  
Vol 2 (2) ◽  
pp. 104-111
Author(s):  
Po. Abas Sunarya ◽  
George Iwan Marantika ◽  
Adam Faturahman
Keyword(s):  
Focus Group ◽  
Data Collection ◽  
Management Strategy ◽  
Research Data ◽  
Accurate Information ◽  
Focus Group Interviews ◽  
Good Management ◽  
Research Activities ◽  
Data Collection Process ◽  
Group Interviews

Writing can mean lowering or describing graphic symbols that describe a languageunderstood by someone. For a researcher, management of research preparation is a veryimportant step because this step greatly determines the success or failure of all researchactivities. Before a person starts with research activities, he must make a written plan commonlyreferred to as the management of research data collection. In the process of collecting researchdata, of course we can do the management of questionnaires as well as the preparation ofinterview guidelines to disseminate and obtain accurate information. With the arrangement ofplanning and conducting interviews: the ethics of conducting interviews, the advantages anddisadvantages of interviews, the formulation of interview questions, the schedule of interviews,group and focus group interviews, interviews using recording devices, and interview bias.making a questionnaire must be designed with very good management by giving to theinformation needed, in accordance with the problem and all that does not cause problems at thestage of analysis and interpretation.

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