“I Have Everything to Win and Nothing to Lose”: Patient Experiences of Mobilization Out of Bed Immediately After Abdominal Surgery

Abstract Objective Early mobilization is advocated for patients going through abdominal surgery; however, little is known about the patient experience of being mobilized immediately after surgery. The purpose of this study was to explore patient experiences of mobilization immediately after elective abdominal cancer surgery. Methods This interview study used qualitative content analysis. With the use of purposeful sampling, a total of 23 participants who had been mobilized immediately after abdominal surgery were recruited at a university hospital in Stockholm, Sweden. Individual face-to-face interviews were conducted within 1 to 4 days after surgery and took place at the surgical ward where the participants were treated. A semi-structured guide was used. All interviews were audio recorded and transcribed verbatim. Results The content analysis revealed 3 categories that emerged into 1 overarching theme: “to do whatever it takes to get home earlier.” The participants experienced that mobilization out of bed had an impact on their physical and mental well-being. Motivation and the experiences of themselves and others were factors that affected patient attitudes toward early mobilization. Preparation and competent caregivers were emphasized as important factors that enabled the patient to feel safe and confident during mobilization. Conclusions Patients experienced mobilization as an important part of the care that had an impact on recovery and well-being, physically as well as mentally, both immediately and over time. Impact As this is the first study to our knowledge to investigate patient experiences of mobilization immediately after abdominal surgery, this information can be used to support the development of early mobilization protocols in hospital settings.

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Hospital and nursing home patients’ experiences with delirium assessments: A qualitative content analysis

Nordic Journal of Nursing Research ◽

10.1177/2057158519882823 ◽

2019 ◽

Vol 40 (1) ◽

pp. 52-58

Author(s):

Helle Svenningsen ◽

Dorthe Sørensen

Keyword(s):

Content Analysis ◽

Nursing Home ◽

Qualitative Method ◽

Healthcare Professionals ◽

Qualitative Content Analysis ◽

Well Being ◽

Relevant Information ◽

Delirium Assessment ◽

Face To Face ◽

Nursing Home Patients

To explore hospital and nursing home patients’ experiences with delirium assessments and better understand their attitudes, we used a qualitative method to summarise, in everyday terms, specific events observed by researchers and experienced by patients. We performed participant observations of delirium assessments of eight patients and conducted individual semi-structured face-to-face interviews with seven other patients. We carried out content analysis using an inductive approach. Our findings indicate that patients approached delirium assessment with initial scepticism due to a lack of knowledge. Their scepticism changed to complete acceptance after the assessment’s purpose was explained. However, some patients gave up on the assessment due to cognitive challenges, lack of energy, fatigue, or language barriers. Patients appreciated that professionals were interested in their mental and physical well-being. Despite initial scepticism, the patients found the delirium assessment valuable when they better understood its purpose. Thus, healthcare professionals should provide patients with relevant information about delirium assessments.

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The stakeholders’ perceptions of the requirements of implementing innovative educational approaches in nursing: a qualitative content analysis study

BMC Nursing ◽

10.1186/s12912-021-00647-7 ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Alireza Nikbakht Nasrabadi ◽

Nooredin Mohammadi ◽

Zahra Rooddehghan ◽

Enayat A. Shabani ◽

Fatemeh Bakhshi ◽

...

Keyword(s):

Content Analysis ◽

Nursing Education ◽

Nursing Students ◽

Teaching And Learning ◽

Qualitative Content Analysis ◽

Faculty Members ◽

Nursing Schools ◽

Face To Face ◽

Purposeful Sampling ◽

Qualitative Descriptive

Abstract Background Improving the competencies of nurses requires improving educational methods through the use of novel methods in teaching and learning. We aim to explore the perceptions of stakeholders (including nursing education directors, faculty members and nursing students) of the requirements of implementing innovative educational approaches in nursing. Methods In this qualitative descriptive study, 19 participants, including educational directors, faculty members, and undergraduate and graduate nursing students, were selected through the purposeful sampling method. Achieving the theoretical saturation in extracted categories was considered as a criterion for determining the sample size and the completion of sampling. The data were collected from December 2019 to May 2020 in nursing schools of Tehran, Iran, through in-depth semi-structured individual face-to-face interviews and were then analyzed based on the Graneheim and Lundman method. Results Using qualitative content analysis, eight sub-themes and three themes were extracted. The extracted themes were ‘novel educational policymaking’, ‘Innovative education-oriented platform’, and ‘managing barriers of innovative educational approaches’. Conclusions Developing and implementing innovative educational approaches entail providing appropriate context, structure, and required facilities by the policymaking system and educational authorities. In addition, developing capacity and related competencies of faculty members and students as the major stakeholders in employing these approaches is crucial.

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QOLP-27. NEURO-ONCOLOGICAL PATIENTS' AND CAREGIVERS' PSYCHOSOCIAL BURDEN DURING THE COVID-19 PANDEMIC – A PROSPECTIVE STUDY WITH QUALITATIVE CONTENT ANALYSIS

Neuro-Oncology ◽

10.1093/neuonc/noab196.747 ◽

2021 ◽

Vol 23 (Supplement_6) ◽

pp. vi188-vi189

Author(s):

Mirjam Renovanz ◽

Julia Binswanger ◽

Carolin Kohl ◽

Felix Behling ◽

Susan Noell ◽

...

Keyword(s):

Content Analysis ◽

Brain Tumor ◽

Qualitative Content Analysis ◽

Well Being ◽

Psychosocial Assessment ◽

Considerable Proportion ◽

Psychosocial Burden ◽

Public And Private ◽

Oncological Patients ◽

A Prospective Study

Abstract OBJECTIVE The COVID-19 pandemic may reinforce psychosocial distress of neuro-oncological patients. We aimed to 1) differentiate the burden caused by the pandemic vs. the tumor and 2) establish topics relevant for brain tumor patients (BTPs) and caregivers. METHODS Patients and caregivers were prospectively assessed from April 2020 – July 2020 by a 10-item comprising interview over the phone, including qualitative and quantitative questions. They were quantitatively evaluated i.a. by the Distress Thermometer (DT, score 1-10). The qualitative questions were analyzed using structured content analysis: The interview questions defined the main categories. Subcategories were derived by an inductive approach assessing the frequency of patients' and caregivers' answers. RESULTS A total of 69 patients and 20 caregivers were interviewed; n= 36 were female (49%), mean age was 53 years (range 32-81). Patients' disease-related DT scores were higher than the COVID-19-related DT scores: the median of the disease-related DT score was 7 (range 2-10) vs. median of COVID-19-related distress: 5.0 (range 2-7). Caregivers perceived a higher burden due to the disease (DT median disease: 8; range 2-10 vs. DT pandemic: 3, range 0-10). A total of 5 main and 21 subcategories were elaborated, most frequently mentioned were "restrictions in public and private affairs" (28%), "changes in the psychological well-being" (23%), "limited social interaction by contact restriction" (25%). Subcategories relevant for caregivers were similar to those of BTPs. CONCLUSION A considerable proportion of patients and caregivers still perceived the brain tumor disease as more burdensome than the pandemic. We established main and subcategories of interview items possibly of great relevance to patients during these difficult times, which could be implemented in the content-related adaption of the psychosocial assessment.

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Reasons to stop drinking alcohol among patients with rheumatoid arthritis in Sweden: a mixed-methods study

BMJ Open ◽

10.1136/bmjopen-2018-024367 ◽

2018 ◽

Vol 8 (12) ◽

pp. e024367 ◽

Cited By ~ 3

Author(s):

Ingrid Larsson ◽

Maria L E Andersson

Keyword(s):

Rheumatoid Arthritis ◽

Content Analysis ◽

Mixed Methods ◽

Qualitative Content Analysis ◽

Well Being ◽

Work And Family ◽

Drinking Alcohol ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Open Question

ObjectivesThe aims were to identify patients with rheumatoid arthritis (RA) who had stopped drinking alcohol and compare them with patients drinking alcohol, and to explore reasons for stopping drinking alcohol.DesignA sequential explanatory mixed methods design was used.SettingSix rheumatology clinics in Southern Sweden Better Anti-Rheumatic FarmacOTherapy cohort.ParticipantsA total of 1509 patients completed the questions about alcohol and were included in the study. 86 of these had stopped drinking alcohol and 72 responded to the open question and their answers were analysed with qualitative content analysis.Outcome measuresThe quantitative data were from a cross-sectional survey assessing disease severity, physical function (Health Assessment Questionnaire, HAQ) and health-related quality of life (EuroQol five dimensions, EQ5D), pain, fatigue, patient global assessment (PatGA) and lifestyle factors, for example, alcohol. The questions assessing alcohol included an open question ‘Why have you stopped drinking alcohol?’ResultsThe patients who stopped drinking alcohol were older (median (min-max) 69 (36–90) vs 66 (23–95), p=0.011), had worse HAQ (1.00 (0–2.75) vs 0.50 (0–3.00), p<0.001), worse EQ5D (0.69 (−0.02–1.00) vs 0.76 (−0.58–1.00), p<0.001) worse PatGA (5 (0–10) vs 3 (0–10), p<0.001), more pain (5 (0–10) vs 3 (0–10), p<0.001) and more fatigue (6 (0–10) vs 4 (0–10), p<0.001 compared with patients drinking alcohol. The qualitative content analysis revealed five categories describing reasons for patients with RA to stop drinking alcohol: illness and treatment; health and well-being; work and family; faith and belief; and dependences and abuse.ConclusionsThe patients who had stopped drinking had worse physical functioning and higher levels in pain-related variables. Most stopped drinking due to their illness or a desire to improve health.

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Grandparenting - A Matter of Love and Care: A Review of the Literature 1990-2000

International Journal for Human Caring ◽

10.20467/1091-5710.6.3.55 ◽

2002 ◽

Vol 6 (3) ◽

pp. 55-62 ◽

Cited By ~ 3

Author(s):

Elisabeth O.C. Hall,

Keyword(s):

Content Analysis ◽

Literature Review ◽

Qualitative Content Analysis ◽

Well Being ◽

Analysis Data ◽

Health Problems ◽

Future Research ◽

Review Of The Literature ◽

Human Caring ◽

Health And Well Being

This article presents findings from a literature review concerning grandparenting in healthcare. Using qualitative content analysis, data were collected from CINAHL and organized in three categories: transition to grandparenthood; grandparental roles; and grandparental health and well-being due to transitions and roles. The review demonstrated a growing number of studies on grandparents rearing grandchildren and sparse studies on other issues. Grandparenting is discussed in a human caring paradigm as a phenomenon based on love and care, and as containing suffering that gives health problems. Directions for future research encompass how nurses include grandparents in the care of the sick grandchild.

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The challenge of integrating justice and care in neonatal nursing

Nursing Ethics ◽

10.1177/0969733011412101 ◽

2011 ◽

Vol 19 (1) ◽

pp. 80-90 ◽

Cited By ~ 11

Author(s):

Elisabeth O C Hall ◽

Berit S Brinchmann ◽

Hanne Aagaard

Keyword(s):

Content Analysis ◽

Moral Distress ◽

Qualitative Content Analysis ◽

Ethics Of Care ◽

Well Being ◽

Neonatal Care ◽

Neonatal Nursing ◽

Small Things ◽

Justice And Care ◽

Health And Well Being

The aim of this study was to explore neonatal nurses’and mothers of preterm infants’experiences of daily challenges. Interviews took place asking for good, bad and challenging experiences. Data were analysed using qualitative content analysis and findings were clustered in two categories: good and challenging experiences, each containing three themes. The good experiences were: managing with success as a nurse, small things matter for mothers, and a good day anyhow for mothers and nurses. The challenging experiences were: mothering in public, being pulled between responsibilities, and adverse things stick under the nurses’skin. The study shows that small daily clinical matters become big issues and could lead to moral distress, and that nurses integrate ethics of justice and ethics of care while mothers are concerned about health and well-being of their specific infant only. The challenge for nursing to integrate fairness and sensitive care in family-oriented neonatal care is discussed.

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The Mental Health Crises of the Families of COVID-19 Victims: A Qualitative Study

10.21203/rs.3.rs-35698/v1 ◽

2020 ◽

Author(s):

fateme mohammadi ◽

Khodayar Oshvandi ◽

Farshid Shamsaei ◽

Fateme Cheraghi ◽

mostafa bijani

Keyword(s):

Mental Health ◽

Content Analysis ◽

Cultural Context ◽

Job Insecurity ◽

Qualitative Content Analysis ◽

Individual Interviews ◽

Medical Centers ◽

Purposeful Sampling ◽

The Future ◽

Data Saturation

Abstract Background: The bereaved families of COVID-19 victims are among the most vulnerable social groups in the COVID-19 pandemic. This highly infectious and contagious disease has afflicted these families with numerous psychological crises which have not been studied much yet. The present study is an attempt at investigating the psychological challenges and issues which the families of COVID-19 victims are faced with. The present study aims to identify the Mental Health crises which the families of COVID-19 deceased victims are going through.Methods: A qualitative research, the present study uses a conventional content analysis design. The participants were 16 members of the families of COVID-19 victims selected from medical centers in Iran from February to May 2020 via purposeful sampling. Sampling continued to the point of data saturation Data were collected via semi-structured individual interviews conducted online. The collected data were analyzed according to the conventional qualitative content analysis approach.Results: Analyses of the data yielded two main themes—emotional shock and fear of the future—with nine categories. Conclusion: The families of COVID-19 deceased victims are affected by various psychological crises which have exposed them to a deep sense of loss and emotional shock. In addition, the instability in the family following the loss of a family member and job insecurity due to the COVID crisis have caused them to be very worried about the future. Therefore, there is an urgent need for a cultural context which recognizes and supports all the various aspects of the mental health of these families.

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Game Streamers’ Practices on Twitch and Management of Well-Being

Journal of Communication Technology - Special Issue of Communication Technology and Well-Being (Part 2) ◽

10.51548/joctec-2021-004 ◽

2021 ◽

Vol 4 (1) ◽

Author(s):

Valerie Yu ◽

Katrina Alvarez ◽

Vivian Chen

Keyword(s):

Content Analysis ◽

Coping Strategies ◽

Qualitative Content Analysis ◽

Academic Research ◽

Well Being ◽

Negative Effects ◽

Psychological Well Being ◽

Noticeable Increase

There has been a noticeable increase in coverage and academic research on the physical and psychological well-being of game streamers. Existing studies have identified challenges and possible negative effects to streamers’ well-being, and they have also explored how streamers utilize the technological features of streaming platforms in their streaming practices. However, scant research has investigated the links between the use of platform features and the management of well-being issues. This study examined how streamers use technological features, the negative well-being issues of streamers, and their coping strategies for these issues. Based on a qualitative content analysis of 23 hours of video interviews with 23 different game streamers discussing well-being issues related to streaming, findings indicate that challenges to well-being arise from prioritizing different outcomes in their streaming practices, and it is game streamers’ resilience and self-aware platform feature use that enables them to face these challenges.

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A Study of Nurses’ Stress Management in Facing and Caring for COVID-19 Patients: A Qualitative Content Analysis

10.21203/rs.3.rs-970198/v1 ◽

2021 ◽

Author(s):

Mahboobeh Hosseini Moghaddam ◽

Zinat Mohebbi ◽

Banafsheh Tehranineshat

Keyword(s):

Content Analysis ◽

Stress Management ◽

Personal Growth ◽

Professional Growth ◽

Qualitative Content Analysis ◽

Well Being ◽

Teaching Hospitals ◽

Individual Interviews ◽

The Face ◽

Qualitative Descriptive

Abstract Background Being in the frontline of the battle against COVID-19, nurses need to be capable of stress management to maintain their physical and psychological well-being in the face of a variety of stressors. The present study aims to explore the challenges, strategies, and outcomes of stress management in nurses who face and provide care to COVID-19 patients. Methods The present study is a qualitative descriptive work that was conducted in teaching hospitals affiliated with Shiraz University of Medical Sciences, Iran, from June 2020 to March 2021. Fourteen nurses who were in practice in units assigned to COVID-19 patients were selected via purposeful sampling. Data were collected through semi-structured, individual interviews conducted online. The collected data were analyzed using MAXQDA 10 according to the conventional content analysis method suggested by Graneheim and Lundman. Results The data collected in the interviews resulted in 14 subcategories under 4 main categories: providing care with uncertainty and anxiety, facing psychological and mental tension, creating a context for support, and experiencing personal-professional growth. Conclusions Despite their concern over contracting the infection and transmitting it to their families, nurses feel compelled to provide professional care to patients under all circumstances. Work overload and working in exhausting conditions lead to nurses’ physical and psychological burnout, thus their need for the support of authorities and their families. Based on the nurses’ experiences, the primary outcomes of caring for COVID-19 patients are personal growth and professional empowerment.

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Hospital preparedness challenges in biological disasters: A qualitative study

Disaster Medicine and Public Health Preparedness ◽

10.1017/dmp.2020.434 ◽

2020 ◽

pp. 1-13

Author(s):

Mohsen Aminizadeh ◽

Mehrdad Farrokhi ◽

Abbas Ebadi ◽

Gholam Reza Masoumi ◽

Pirhossein Kolivand ◽

...

Keyword(s):

Content Analysis ◽

Health System ◽

Qualitative Method ◽

Qualitative Content Analysis ◽

Structured Interviews ◽

Purposeful Sampling ◽

Safety And Health ◽

Data Saturation ◽

Hospital Preparedness ◽

Study Participants

Abstract Objective: Identification of hospital preparedness challenges against biological events such as COVID-19 is essential to improve dynamics, quality and business continuity confidence in the health system. Accordingly, the purpose of the present study is to evaluate the challenges of hospital preparedness in biological events. Methods: This study employed a qualitative method using content analysis in which 20 healthcare managers and experts who are experienced in biological events were selected through purposeful sampling. The data collection was done through semi-structured interviews, which continued until data saturation. The data were analyzed using qualitative content analysis as well as the Landman and Graneheim Approach. Results: Six main concepts (training and practice, resource management, safety and health, patient management, risk communication, and laboratory and surveillance) and 14 sub-concepts were extracted on hospital preparedness challenges in biological events through analyzing interviews. Conclusions: The present study indicated that the health system of the country faces many challenges in response to biological events and threats. Moreover, study participants indicated that Iranian hospitals were not prepared for biological events. It is recommended to design preparedness plans of hospitals based on preparedness standards for biological events. In addition, comprehensive measures are required to enhance their capacity to respond to biological emergencies.

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