Coupling Lean and Experience-Based Design for Measuring and Incorporating Patient Emotional Experience Into the Redesign of Health Care

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Amy E. London ◽  
C. Craig Blackmore ◽  
Amy E. Tufano ◽  
Eli J. Quisenberry ◽  
Paul Plsek
Keyword(s):  
Health Care ◽  
Emotional Experience

scholarly journals A study to assess the effectiveness of manual pressure on lumbar region to reduce pain during Intra Muscular Injection among Infants

2020 ◽  
Vol 11 (3) ◽  
pp. 4218-4221
Author(s):  
Kala Barathi S ◽  
Merlin P
Keyword(s):  
Health Care ◽  
Intramuscular Injection ◽  
Rating Scale ◽  
Demographic Variable ◽  
Emotional Experience ◽  
Procedural Pain ◽  
Blood Collection ◽  
Lumbar Region ◽  
Seek Health Care ◽  
Manual Pressure

Pain is an undesirable tactile and emotional experience related with real or potential tissue harm. Pain prompts people to seek health care more often than any other symptom. It is one of the most important areas of care because people cannot function fully when they are in pain. Pain prompts people to seek health care more often than any other symptom. Painful procedures in the hospital are blood collection, intramuscular injection and intravenous injection etc. this procedural pain is relieved by non pharmacological measures. Procedural pain is the most common cause for pain during provision of nursing care. So as the part of nursing profession, it is our responsibility to use effective strategies to reduce procedural pain. Especially in infant’s routine immunization, bruises and childhood illness mean that pain is a part of everyday experiences of all children and infants. Because infants cannot describe their pain and emotions, it is important to observe the behavioural response of the children to assess the pain. So the present study is done to determine the effectiveness of manual pressure on lumbar region to reduce pain during intramuscular injection among infants in selected hospital, Thiruvalur. Quantitative approach with quasi experimental design was adopted to conduct this study with 60 infants who were selected with purposive sampling technique. The data was collected using structured questionnaire to assess the demographic variable and FLACC pain rating scale for assessing the pain level. The results of the study are out of 60 samples (56.6%) had moderate pain and (43.4%) had mild pain in the experimental group.

Understanding Health Care Brokering Among Young and Middle-Aged Adults

2020 ◽  
Vol 31 (4) ◽  
Author(s):  
James Ball ◽  
Jennifer Banas ◽  
Matthew Bice
Keyword(s):  
Health Care ◽  
Health Information ◽  
Personal Growth ◽  
Limited English Proficiency ◽  
Emotional Experience ◽  
Depth Information ◽  
Health Care Information ◽  
Structured Interviews ◽  
Academic Impact ◽  
Complete Health

Background: Health care brokering occurs when people with limited English proficiency rely on others to interpret health information. The purpose of this study was too describe what kinds of health brokering task individuals do, describe the emotional experience and academic impact of health brokering, and identify what kinds of support/services participants have access to or would want to have access to. Methods: A mixed methods approach was used to complete this study. Students and employees at a Midwestern university that is designated as a Hispanic Serving Institution were asked to complete a survey and participate in semi-structured interviews to get in-depth information about health care brokering. Results: The survey indicated the most common activities that health care brokers complete were looking up health information on the Internet and talking/translating to a doctor or nurse. Thee majority of participants had to miss class or work to complete health care brokering tasks and they reported feeling a mix of emotions while completing these tasks. The semi-structured interviews revealed four themes: lost opportunities, opportunity for personal growth, the stress of translation, and desired supports. Conclusion:  The diversity of this country is unlikely to change and it is important for health promotion professionals to explore and implement strategies to help families’ complete health care brokering tasks. Providing health care information and terms in all languages at the doctor’s offi ce seems like an attainable first step.

scholarly journals Patient Experience and Expression of Unpleasant Emotions During Health Care Encounters

2020 ◽  
Vol 7 (6) ◽  
pp. 969-972
Author(s):  
Richard E Heyman ◽  
Katherine J W Baucom ◽  
Jill Giresi ◽  
Liza J Isaac ◽  
Amy M Smith Slep
Keyword(s):  
Health Care ◽  
Patient Experience ◽  
Emotional Experience ◽  
Dental Clinic ◽  
Health Care Context ◽  
Health Care Encounters ◽  
Patients Experience

To examine the concordance between patients’ experience and expression of unpleasant emotions in a health care context, 21 patients presenting to a university dental clinic were observed for expressed unpleasant emotions and patients provided the intensity of their experienced unpleasant emotions. We found low convergence between experience and expression. Most of the time that patients experience unpleasant emotions they do not express them, and 80% of the time patients express unpleasant emotions they are not experiencing them at the time. Providers need to frequently check in with patients regarding their emotional experience during appointments, as it is infrequently accessible to providers.

scholarly journals Musical experience from psychological and therapeutic perspective

2015 ◽  
Vol 2 ◽  
pp. 154
Author(s):  
Mirdza Paipare
Keyword(s):  
Health Care ◽  
Therapeutic Effect ◽  
Emotional Experience ◽  
Human Life ◽  
Research Data ◽  
Musical Experience ◽  
Scientific Application ◽  
Art Therapist ◽  
Therapeutic Perspective

The author of the paper is a musician, educator and certified music/art therapist. This enables her to view this particular issue both from musicians, teachers and music/art therapist’s view. Within a three-year period research was conducted and the research data on the role of musical emotions in human life were summarised. The research results allow to draw meaningful conclusions on the role of musical emotional experience not only in a person’s life, but also to identify the musical emotions impact on vital areas of human life, concerning the senses, emotions, perception, behaviour, culture, identity. Findings of the study show that scientific application of music provides not only aesthetic, but also educational and even therapeutic effect. Interpretation of the obtained results shows their applicability in pedagogy, psychology, music science, and health care.

The surrogate's experience in authorizing a do not resuscitate order

2008 ◽  
Vol 6 (1) ◽  
pp. 13-19 ◽  
Author(s):  
Catherine M. Handy ◽  
Daniel P. Sulmasy ◽  
Cindy K. Merkel ◽  
Wayne A. Ury
Keyword(s):  
Health Care ◽  
New York ◽  
Subjective Experience ◽  
Emotional Experience ◽  
New York State ◽  
Health Care Personnel ◽  
Do Not Resuscitate ◽  
Phenomenological Research Design ◽  
Qualitative Phenomenological ◽  
Dnr Orders

ABSTRACTObjective:Little is known about the subjective experience of surrogates who authorize do not resuscitate (DNR) orders. This experience seems especially acute in settings such as New York State, where patients and surrogates generally give written consent for DNR orders. The goal of this study is to investigate the subjective and emotional experience of surrogates who authorize DNR orders in this setting.Methods:A qualitative, phenomenological research design was used. Surrogates of patients on the medical service were approached no earlier than 1 day and no later than 7 days after authorizing a DNR order. The interview guide was open-ended and included general prompts. Interviews were taped and transcribed. Researchers then coded the transcripts and examined the data for clusters of themes. They then met to discuss and recode disagreements.Results:Saturation was met after 10 subjects were interviewed. The following major surrogate themes were found: (1) Signing a DNR order is a process, not an isolated act. (2) The presence or absence of good quality communication and psychological support from health care personnel are among the most important factors in this process. (3) The process of signing a DNR order can raise many negative emotions including guilt, ambivalence, and conflict. (4) Prior discussions, documents such as living wills, and consensus among family members make it easier to determine the patient's wishes and carry them out by signing the DNR. (5) The surrogates believed that signing a DNR order is a prerequisite to obtaining adequate opioid analgesia.Significance of results:The experience of authorizing a DNR order is a complex and emotional decision-making process. Evidence of the patient's prior wishes and support from health care personnel make the process easier. It is disconcerting that surrogates viewed DNR orders as a prerequisite to obtaining relief for a patient's pain or suffering.

The Social Context of Caregiving Work in Health Care: Pushing Conceptual and Methodological Frontiers

2020 ◽  
Vol 47 (2) ◽  
pp. 123-143 ◽  
Author(s):  
Timothy J. Vogus ◽  
Allison S. Gabriel ◽  
Laura E. McClelland
Keyword(s):  
Health Care ◽  
Social Context ◽  
Emotional Experience ◽  
Social Supports ◽  
Health Care Sector ◽  
Social Location ◽  
Special Issue ◽  
Social Approach ◽  
The Social ◽  
Whole Person

As the demands and nature of caregiving work in the health-care sector become more varied and challenging, our research and theories need to match this evolving reality. This editorial introduces theories of caregiving work and then uses each of the four papers featured in the special issue to advance a more nuanced and social approach to theorizing and studying the emotional experience of caregiving work. The articles and editorial explore the implications of whole person organizational and social supports, (un)shared social location between caregivers and patients, the complexity and consequences of emotional experience, and novel measurement and analytic tools to study them.

Addressing Concerns of Pediatric Trainees Caring for Patients With Human Immunodeficiency Virus Infection

PEDIATRICS ◽  
1993 ◽  
Vol 92 (4) ◽  
pp. 622-625
Author(s):  
Keyword(s):  
Health Care ◽  
New York ◽  
Human Immunodeficiency Virus ◽  
New York City ◽  
Hiv Infection ◽  
York City ◽  
Emotional Experience ◽  
Pediatric Residents ◽  
Increased Risk ◽  
Immunodeficiency Virus

Since the recognition of the human immunodeficiency virus (HIV) as the cause of HIV infection and the acquired immunodeficiency syndrome (AIDS), studies have determined that the risk of infection to the health care worker through occupational exposure is extremely low. However, the perception of risk can have potential psychologic consequences for health care workers providing medical care to HIV-infected patients. What is it that makes caring for HIV-infected patients an unsettling emotional experience? While occupational risks accompany all work, physicians have in the recent past perceived themselves with little vulnerability to a devastating disease. Medical professionals at the turn of the century had alarmingly high rates of mortality from tuberculosis, and today, if not immunized, they are at increased risk for hepatitis B. HIV infection carries formidable biologic and social consequences that contribute to the psychologic stress that may accompany caring for infected patients. Because H1V-infected patients are dealt with extensively in tertiary centers, there are significant implications for resident and medical student training, especially in urban locales where the rate of HIV infection is high. The emotional risks of caring for patients with HIV infection have had scant documentation, but there is growing evidence for concern. A study of 250 residents in New York City documented that 19% of pediatric residents and 36% of medical residents had needle-stick exposure to HIV in 1986. A 1988 study of 294 pediatric residents in 11 New York City programs revealed that 205 of the residents (69.7%) had been stuck with a blood-contaminated needle on 588 separate occasions. While there was considerable concern expressed by residents over acquiring HIV, more than half did not want to know whether they were HIV seropositive.

scholarly journals Health-Support Needs of Widows in South Africa: A Phenomenological Inquiry

2018 ◽  
Vol 81 (3) ◽  
pp. 507-522
Author(s):  
Gopolang L. Sekgobela ◽  
Doriccah M. Peu ◽  
Anna E. van der Wath
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Health Care Services ◽  
Emotional Experience ◽  
Support Needs ◽  
Require Time ◽  
Primary Health ◽  
Health Support ◽  
Primary Health Care Nurses

Community health care should facilitate effective adaptation to widowhood. In South Africa, the primary health-care nurses, who are the first-line health-care services, seem to miss opportunities for identifying and effectively managing widows experiencing health risks. This study explored the health-support needs of widows. We purposively selected 12 participants, who were widows between 25 and 65 years old residing in an urban area of South Africa. Data were gathered during unstructured individual phenomenological interviews and analyzed using a descriptive phenomenological method. Widowhood is an embodied and intense emotional experience with a cognitive impact. Related to these experiences are widows’ health-support needs. Widows have a need to be listened to and to be understood and cared for; attitudes and skills which require time and availability from primary health-care nurses. Widows expressed a need to engage in support groups, receive home visits, and receive health education from primary health-care nurses.

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