scholarly journals “Vaccination needs to be easy for the people, right ?”: a qualitative study of the roles of physicians and pharmacists regarding vaccination in Switzerland

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e053163
Author(s):  
Meliha Jusufoska ◽  
Marta Abreu de Azevedo ◽  
Josipa Tolic ◽  
Michael J Deml ◽  
Philip E Tarr

ObjectiveVaccination in pharmacies has been a key component of national vaccination strategies to facilitate vaccination access. Qualitative data on the perspectives of professional stakeholders on vaccination in pharmacies and on the professional relations of pharmacists with physicians regarding increasing immunisation rates is limited. We conducted a qualitative study in Switzerland. The main aim was to gain further insight into professional stakeholders’ perspectives on vaccination counselling and administration conducted in pharmacies, and to further understand their views on physicians’ and pharmacists’ roles in increasing immunisation rates.DesignWe conducted semistructured qualitative interviews. We coded and analysed transcripts using thematic analysis.SettingFace-to-face interviews took place in German-speaking and French-speaking regions of Switzerland.ParticipantsWe interviewed 14 key vaccination stakeholders including health authorities, heads of pharmacy management and professional association boards. All participants had a background in medicine or pharmacy.ResultsThree main themes emerged from the qualitative data: (1) Participants viewed pharmacists as competent to provide vaccination counselling and administration based on their university training; (2) interprofessional cooperation between physicians and pharmacists on vaccination topics is limited and should be improved; and (3) pharmacists play an important role in increasing immunisation rates by facilitating vaccination access and through provision of vaccination counselling.ConclusionBy providing vaccination counselling and administering vaccines, pharmacists play an important public health role. Healthcare policies and health authorities should encourage more involvement of pharmacists and encourage interprofessional cooperation between physicians and pharmacists in order to improve vaccination counselling and increase immunisation rates.

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Justina N. Amadhila ◽  
Gisela H. Van Rensburg

Abstract Background The baby and mother friendly initiative is a breastfeeding programme in Namibia aimed to protect, promote and support breastfeeding. The purpose of this study was to describe nurse managers’ perceptions and experiences of implementing the baby and mother friendly initiative in order to identify its successes and failures, as well as to develop guidelines for the strengthening of the programme. Methods An evaluation research design to collect qualitative data through face-to-face interviews was conducted. A total of 33 interviews with nurse managers in charge of the baby and mother friendly hospitals, were conducted. Results This study gave insight into the strength and weaknesses in the implementation of the programme implementation and make recommendations for improvement thereof. Four themes emerged from the study, namely: the extent of programme implementation, perceived benefits of the programme, challenges/hindrance to the implementation of the programme and recommendations for strengthening of the programme. The information was used to develop and validate guidelines that would help to strengthen the implementation of the programme. Conclusions The study makes a contribution to the body of knowledge in nursing in that it provides guidelines for the strengthening of the baby and mother programme.


2020 ◽  
Author(s):  
Ayomide Ilori

UNSTRUCTURED This study investigated self-policing COVID-19 and civic responsibilities in Lagos Metropolis, Nigeria adopting an online qualitative interview due to the current lockdown that denied field (face to face) interview. Fifty out of the feedbacks from the online interview were picked randomly to arrive at the conclusion of this study. The feedbacks suggested that there is adequate awareness of the COVID-19 pandemic among the people living in Lagos Metropolis, Nigeria and that they are following the directives of federal and state governments in an effort to reduce the community transmission of the infectious diseases. However, the ban on public gatherings and movements has made it impossible for many homes to meet their basic needs especially feeding. The government provided palliatives have also been largely insufficient to cater for the vulnerable. There could be a crisis (such as hunger) and the breakdown of law and order if the government does not increase their capacity to mitigate the hardship which the ongoing lockdown has imposed on the people. INTERNATIONAL REGISTERED REPORT RR2-https://doi.org/10.1101/2020.05.08.20092080


2020 ◽  
Author(s):  
Ateeb Ahmad Parray ◽  
Sonia Sohely ◽  
Susmita Mallick ◽  
Fatema Tuz Zahura ◽  
Bijoynee Mistry ◽  
...  

Abstract This qualitative study surfaces the kinds of acculturation and adaptation related problems that international students faced while they studied at the largest public university in Bangladesh. Qualitative data was collected and analyzed through face-to-face interviews with 82 international students. Findings show that in terms of acculturation, students faced homesickness, language barriers, socio-cultural issues and academic reactions to their new life. In terms of adaptation related issues, students faced psychological distress, practical issues like financial constraints, perceived discrimination and social exclusion. Considering these findings, it can be inferred that host language, social engagement, academic environment and hostel life play an important role in the acculturation experiences of international students. This study highlights the importance of host language in determining the friendships and overall adaptation of the international students.


2019 ◽  
Vol 69 (682) ◽  
pp. e321-e328 ◽  
Author(s):  
Jennifer Newbould ◽  
Josephine Exley ◽  
Sarah Ball ◽  
Jennie Corbett ◽  
Emma Pitchforth ◽  
...  

BackgroundTo better manage patient demand, some general practices have implemented a ‘telephone first’ approach in which all patients seeking a face-to-face appointment first have to speak to a GP on the telephone. Previous studies have suggested that there is considerable scope for this new approach, but there remain significant concerns.AimTo understand the views of GPs and practice staff of the telephone first approach, and to identify enablers and barriers to successful adoption of the approach.Design and settingA qualitative study of the telephone first approach in 12 general practices that have adopted it, and two general practices that have tried the approach but reverted to their previous system.MethodA total of 53 qualitative interviews with GPs and practice staff were conducted. Transcriptions of the interviews were systematically analysed.ResultsStaff in the majority of practices reported that the approach was an improvement on their previous system, but all practices experienced challenges; for example, where practices did not have the capacity to meet the increase in demand for telephone consultations. Staff were also aware that the new system suited some patients better than others. Adoption of the telephone first approach could be very stressful, with a negative impact on morale, especially reported in interviews with the two practices that had tried but stopped the approach. Interviewees identified enablers and barriers to the successful adoption of a telephone first approach in primary care. Enablers to successful adoption were: understanding demand, practice staff as pivotal, making modifications to the approach, and educating patients.ConclusionPractices considering adopting or clinical commissioning groups considering funding a telephone first approach should consider carefully a practice’s capacity and capability before launching.


2020 ◽  
Vol 19 (4) ◽  
Author(s):  
Tahere Moghadas ◽  
Maryam Sedaghati Kesbakhi

Background: The nursing process is a framework for nursing care. It is a systematic and dynamic method that can be used in all health care environments. Objectives: We aimed to explore the factors that may influence the implementation of the nursing process by nursing students. Methods: A qualitative study was conducted through semi-structured face-to-face interviews. Fifteen nursing students were selected by purposive sampling. Inclusion criteria include sixth to eighth-semester nursing students who have experience of using the nursing process in clinical wards., The Graneheim and Lundman content analysis method was used to analyze the qualitative data. Results: After analyzing the data, we created three main categories (awareness of the nursing process, individual-managerial factors, and the reflection of the nursing process). Conclusions: Factors that influence the implementation of the nursing process by nursing students are varied. Therefore, nurse educators should remove barriers and provide facilities to promote the nursing process’s implementation.


2018 ◽  
Author(s):  
Marjo-Riitta Anttila ◽  
Heikki Kivistö ◽  
Arja Piirainen ◽  
Katja Kokko ◽  
Anita Malinen ◽  
...  

BACKGROUND Even though technology is becoming increasingly common in rehabilitation programs, insufficient data are as yet available on rehabilitees’ perceptions and experiences. It is important to understand their abilities when using technology for remote rehabilitation. OBJECTIVE This is a qualitative study on technology experiences of persons affected by cardiovascular disease assessed before remote rehabilitation. The aim of the study was to explore rehabilitees’ experiences and attitudes toward technology before 12 months of remote rehabilitation. METHODS Qualitative interviews were conducted with 39 rehabilitees in four focus groups. The subjects were aged 34 to 77 years (average age 54.8 years) and 74% (29/39) of them were male. They had been diagnosed with coronary artery disease and were undergoing treatment in a rehabilitation center. The interviews were conducted between September 2015 and November 2016. Data were analyzed using Glaser’s mode of the grounded theory approach. RESULTS The result of the study was an “identifying e-usage” experience category, which refers to the rehabilitees’ notions of the use of information and communication technologies (e-usage) in the process of behavior change. The main category comprises four subcategories that define the rehabilitees’ technology experience. These subcategories are “feeling outsider,” “being uninterested,” “reflecting benefit,” and “enthusiastic using.” All rehabilitees expected that technology should be simple, flexible, and easy to use and learn. The results reflecting their technology experience can be used in e-rehabilitation programs. Rehabilitees who feel like outsiders and are not interested in technology need face-to-face communication for the major part of rehabilitation, while rehabilitees who reflect benefit and are enthusiastic about the use of technology need incrementally less face-to-face interaction and feel that Web-based coaching could offer sufficient support for rehabilitation. CONCLUSIONS The findings show that persons affected by heart disease had different experiences with technology and expectations toward counseling, while all rehabilitees expected technology to be easy to use and their experiences to be smooth and problem-free. The results can be used more widely in different contexts of social and health care for the planning of and training in remote rehabilitation counseling and education. CLINICALTRIAL ISRCTN Registry ISRCTN61225589; http://www.isrctn.com/ISRCTN61225589 (Archived by WebCite at http://www.webcitation.org/74jmrTXFD)


BMJ Open ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. e035675
Author(s):  
Rozemarijn Lidewij van Bruchem-Visser ◽  
Gert van Dijk ◽  
Francesco Mattace Raso ◽  
Inez de Beaufort

ObjectivesOvertreatment is increasingly seen as a challenge in clinical practice and can lead to unnecessary interventions, poor healthcare outcomes and increasing costs. However, little is known as to what exactly causes overtreatment. In 2015, the Royal Dutch Medical Association (RDMA) attempted to address this problem and distinguished several mechanisms that were thought to drive overtreatment. In 14 qualitative interviews among Dutch physicians, we investigated which mechanisms played a role in decision-making and whether all mechanisms were considered equally important.DesignWe asked physicians to present a case from personal experience, in which the patient or family requested continuing treatment against the advice of the physician.ParticipantsFourteen physicians from five different medical areas agreed to participate.SettingInterviews were held face-to-face at the workplace of the physician.ResultsThree closely related mechanisms were mentioned most frequently as drivers of overtreatment, as perceived by the physician: ‘death is not a common topic of conversation’, ‘‘never give up’ is the default attitude in our society’ and ‘patients’ culture and outlook on life influences their perception of death’. The mechanism ‘medical view taking priority’ was mentioned to be an inhibitor of overtreatment.ConclusionsOf the 15 mechanisms described by the report of the Steering Committee of the RDMA, not all mechanisms were mentioned as driving overtreatment. Three mechanisms were mentioned most as being a driver of overtreatment (‘death is not a common topic of conversation’; ‘‘never give up’ is the default attitude in our society’' and ‘patients’ culture and outlook on life influences their perception of death’), some played no role at all, and others were considered to be inhibitors of overtreatment, especially the mechanism ‘medical view taking priority’.


Author(s):  
Jupriani . ◽  
Mukhaiyar . ◽  
Agusti Efi

The birthday of the Prophet Muhammad SAW is one of the religious and cultural ceremonies carried out by the people of West Sumatra, precisely in Padang Pariaman. The MaulidPariaman ceremony is performed in a unique tradition by using cultural attributes that are only found in that area. This Maulid ritual is usually performed exactly in the months of Rabiul Awal, Rabiul Akhir, and Jumadil Awal (Arabic Calendar) or Mauluik, Adiakmauluik, Adiak MauluikK aduo (Pariaman Calendar). This research is a qualitative study using interview data as informants. Data processing uses descriptive qualitative data analysis techniques. The results of this study found that there are changes in the jamba and pinumkopi performed at Pariaman. A very revolutionary change occurred in jamba and pinumkopi. The alteration occurs in a modern way. The conclusion of this study shows that the changes that occur in jamba and pinumkopi in Pariaman do not change function and meaning. However, Change occurs because there is social change.


2016 ◽  
Vol 38 (3) ◽  
pp. 365-385 ◽  
Author(s):  
Serena Galli ◽  
Wiebke Bretschneider ◽  
Bernice Simone Elger ◽  
Violet Handtke ◽  
David Shaw

Objective: Due to the higher morbidity prevalent in the increasing older population, prisons are facing new challenges on a structural, ethical, and financial level. This study’s goal was to explore older prisoners’ views and experiences regarding the quality of medical services. Method: In this qualitative study, 35 semi-structured interviews were conducted with older inmates aged 50 years and above in 12 different prisons in the German-speaking (23 interviews) and the French-speaking parts (12 interviews) of Switzerland. Results: The majority of older prisoners in this sample expressed concerns about quality of treatment throughout incarceration. Topics addressed reached from quality of the entrance to routine examinations, quality of the treatment received, and delays in care and services provided. Conclusion: This study’s findings suggest that healthcare in prison is often perceived as insufficient and inadequate by older inmates.


2020 ◽  
Vol 79 (1) ◽  
pp. 15-25
Author(s):  
Jean Philippe Décieux ◽  
Philipp Emanuel Sischka ◽  
Anette Schumacher ◽  
Helmut Willems

Abstract. General self-efficacy is a central personality trait often evaluated in surveys as context variable. It can be interpreted as a personal coping resource reflecting individual belief in one’s overall competence to perform across a variety of situations. The German-language Allgemeine-Selbstwirksamkeit-Kurzskala (ASKU) is a reliable and valid instrument to assess this disposition in the German-speaking countries based on a three-item equation. This study develops a French version of the ASKU and tests this French version for measurement invariance compared to the original ASKU. A reliable and valid French instrument would make it easy to collect data in the French-speaking countries and allow comparisons between the French and German results. Data were collected on a sample of 1,716 adolescents. Confirmatory factor analysis resulted in a good fit for a single-factor model of the data (in total, French, and German version). Additionally, construct validity was assessed by elucidating intercorrelations between the ASKU and different factors that should theoretically be related to ASKU. Furthermore, we confirmed configural and metric as well as scalar invariance between the different language versions, meaning that all forms of statistical comparison between the developed French version and the original German version are allowed.


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