scholarly journals A qualitative inquiry into the barriers and facilitators to achieving home death

2017 ◽  
Vol 10 (2) ◽  
pp. e18-e18 ◽  
Author(s):  
Meelad Sayma ◽  
Dina Saleh ◽  
Doa’a Kerwat ◽  
Shiraz Jamshaid ◽  
Aaniya Ahmed ◽  
...  

ObjectivesTo explore the barriers and facilitators to patients achieving death at home.MethodsIn-depth, semistructured interviews with end-of-life care experts were conducted to develop an insight into the barriers and facilitators to achieving death at home. Thirty-three interviews were conducted compromising of a mixture of face-to-face and tele interviews. Experts included healthcare professionals working in the community, hospital and policy/academic settings. Thematic analysis was undertaken on interview transcripts.ResultsThree overarching themes, further divided into a total of 12 subthemes were identified. The three themes were ‘managing people’, ‘education' and ‘planning’. The ‘managing people’ theme included subthemes of patient preferences and family influences; the ‘education’ theme encompassed knowledge and training, perceptions of death and communication and the ‘planning’ theme contained seven subthemes including ‘coordination’, ‘resources’ and ‘cost’.ConclusionsMultiple barriers and facilitators to achieving death at home were identified in this study. Of particular significance was the identification of the fear and stigma associated with death among doctors, patients and their families serving as a barrier to home death, not previously identified in the literature. Additionally, the importance of social networks and resource provision were highlighted as key in influencing patient death at home.

2020 ◽  
Vol 29 (5) ◽  
pp. 640-649 ◽  
Author(s):  
Amy Barrette ◽  
Katherine Harman

Context: Pain in sport has been normalized to the point where athletes are expected to ignore pain and remain in the game despite the possible detrimental consequences associated with playing through pain. While rehabilitation specialists may not have an influence on an athlete’s competitive nature or the culture of risk they operate in, understanding the consequences of those factors on an athlete’s physical well-being is definitely in their area of responsibility. Objective: To explore the factors associated with the experiences of subelite athletes who play through pain in gymnastics, rowing, and speed skating. Design: The authors conducted semistructured interviews with subelite athletes, coaches, and rehabilitation specialists. They recruited coach participants through their provincial sport organization. Athletes of the recruited coaches who were recovering from a musculoskeletal injury and training for a major competition were then recruited. They also recruited rehabilitation specialists who were known to treat subelite athletes independently by e-mail. Setting: An observation session was conducted at the athlete’s training facility. Interviews were then conducted either in a room at the university or at a preferred sound-attenuated location suggested by the participant. Participants: The authors studied 5 coaches, 4 subelite athletes, and 3 rehabilitation specialists. Interventions: The authors photographed athletes during a practice shortly before an important competition, and we interviewed all the participants after that competition. Our photographs were used during the interview to stimulate discussion. Results: The participant interviews revealed 3 main themes related to playing through pain. They are: Listening to your body, Decision making, and Who decides. Conclusion: When subelite athletes, striving to be the best in their sport continue to train with the pain of an injury, performance is affected in the short-term and long-term consequences are also possible. Our study provides some insight into the contrasting forces that athletes balance as they decide to continue or to stop.


Author(s):  
Thomas Connolly ◽  
Carole Gould ◽  
Gavin J. Baxter ◽  
Tom Hainey

Technology, and in particular the Web, have had a significant impact in all aspects of society including education and training with institutions investing heavily in technologies such as Learning Management Systems (LMS), ePortfolios and more recently, Web2.0 technologies, such as blogs, wikis and forums. The advantages that these technologies provide have meant that online learning, or eLearning, is now supplementing and, in some cases, replacing traditional (face-to-face) approaches to teaching and learning. However, there is less evidence of the uptake of these technologies within vocational training. The aims of this chapter is to give greater insight into the potential use of educational technologies within vocational training, demonstrate that eLearning can be well suited to the hands-on nature of vocational training, stimulate further research into this area and lay foundations for a model to aid successful implementation. This chapter discusses the implementation of eLearning within a vocational training course for the engineering industry and provides early empirical evidence from the use of Web2.0 technologies provided by the chosen LMS.


2016 ◽  
Vol 35 (1) ◽  
pp. 1-13 ◽  
Author(s):  
Kristin A. Reynolds ◽  
Corinne A. Isaak ◽  
Tracy DeBoer ◽  
Maria Medved ◽  
Jino Distasio ◽  
...  

There is a growing body of research examining the experiences of homeless older adults in Canada. Fourteen participants (11 males & 3 females) ages 46 to 57, recruited from the At Home / Chez Soi project in Winnipeg, completed individual semistructured interviews exploring their experiences of homelessness. Most participants reported lifelong intermittent homelessness. We identified 5 main themes that captured the experience of homelessness for older adults: pathways to homelessness; controlled lives; centrality of social relationships; shame and desire for self-reliance; and the challenge of disentanglement from the cycle of homelessness. This study provides insight into the experiences of homeless older adults in Canada. Findings suggest a need for policies and programs to meet the unique needs of homeless older adults.


2005 ◽  
Vol 14 (5) ◽  
pp. 528-549 ◽  
Author(s):  
Jannick P. Rolland ◽  
Frank Biocca ◽  
Felix Hamza-Lup ◽  
Yanggang Ha ◽  
Ricardo Martins

Distributed systems technologies supporting 3D visualization and social collaboration will be increasing in frequency and type over time. An emerging type of head-mounted display referred to as the head-mounted projection display (HMPD) was recently developed that only requires ultralight optics (i.e., less than 8 g per eye) that enables immersive multiuser, mobile augmented reality 3D visualization, as well as remote 3D collaborations. In this paper a review of the development of lightweight HMPD technology is provided, together with insight into what makes this technology timely and so unique. Two novel emerging HMPD-based technologies are then described: a teleportal HMPD (T-HMPD) enabling face-to-face communication and visualization of shared 3D virtual objects, and a mobile HMPD (M-HMPD) designed for outdoor wearable visualization and communication. Finally, the use of HMPD in medical visualization and training, as well as in infospaces, two applications developed in the ODA and MIND labs respectively, are discussed.


Author(s):  
Lauren Dempsey

The outbreak of COVID-19 in 2020 led to a UK lockdown, where citizens were asked to stay at home for an undefined period. This forced people to make sudden decisions regarding where to live and who they would not see. Through 18 semi-structured interviews with individuals aged 27-72, this paper explores how people maintained friend-based, romantic, familial and professional relationships during lockdown in Spring 2020. The enforced separation following lockdown motivated people to reconsider how they conducted relationships in and outside the home. Within the household, people verbally and physically renegotiated boundaries to ensure relationship harmony. Computer-mediated communication (CMC) was utilised to maintain connections with estranged relationships, as people accessed new platforms to replicate familiar face-to-face (F2F) processes online. This article considers the disruption to relationships experienced during this time, providing an in-the-moment insight into the use of CMC in maintaining relationships during the first UK lockdown.


2021 ◽  
Vol 4 (4) ◽  
pp. 886-891
Author(s):  
Bagus Dwi Cahyono ◽  
Nurul Huda ◽  
Evy Aristawati

ABSTRAK Kondisi pandemic Covid-19 merubah dunia, hal yang tidak lazim menjadi lazim. Semua kegiatan dilakukan dari rumah, hal ini memicu seseorang mengalami stress dan menurunkan imun dalam tubuh. Kondisi pandemic memaksa remaja melakukan semua kegiatan di rumah.  Remaja rentan mengalami stress, hal ini bisa menurunkan daya tahan tubuhnya dan lebih rentan sakit. Jika remaja sering mengalami sakit, maka akan mempengaruhi proses pertumbuhan dan perkembangannya. Orang tua memiliki peranan penting dalam menjaga kondisi anaknya. Pandemic Covid-19 mengharuskan pembelajaran dilakukan secara online, tapi di Madin Al Muhajirin pembelajaran dilakukan dengan tatap muka karena sudah masuk zona hijau. Pemberian pengetahuan dan latihan tehnik peningkatan imunitas jiwa serta penerapan protocol kesehatan dalam kegiatan pembelajaran saat new normal era adalah hal yang harus segera dilakukan agar santri memiliki pengetahuan serta terampil menerapkan terapi aktivitas kelompok serta penerapan protocol kesehatan baik dilakukan di rumah maupun di lingkungan madrasah diniyah. Metode yang digunakan dalam pengabdian ini adalah penyuluhan pada 27 santri. Hasil evaluasi sebagian besar santri (80%) memahami dan mengerti tentang dan mampu mempraktekkan cara cuci tangan, menggunakan masker dan melepas masker, serta melakukan kegiatan terapi aktivitas kelompok. Kata Kunci : imunitas jiwa, protokol kesehatan, pembelajaran new normal  ABSTRACT The conditions of the Covid-19 pandemic have changed the world; things that are not uncommon are becoming commonplace. All activities are carried out from home; this triggers a person to experience stress and lowers immunity in the body. Pandemic conditions force teenagers to do all activities at home. Teenagers are prone to anxiety; this can reduce their immune system and are more prone to illness. If adolescents often experience illness, it will affect the process of growth and development. Parents have an essential role in maintaining the condition of their children. The Covid-19 pandemic requires learning to be done online, but at Madin Al Muhajirin, learning is done face-to-face because it has entered the green zone. Giving knowledge and training in mental immunity enhancement techniques and implementing health protocols in learning activities during the new normal era must be done immediately so that students can implement group activity therapy and implement health protocols both at home and in Madrasah Diniyah circles. The method used in this service was counseling 27 students. The results of the evaluation most of the students (80%) understand and understand about and can practice how to wash hands, use masks and remove masks, and carry out group therapy activities. Keywords: mental immunity, health protocol, new normal learning


2020 ◽  
Author(s):  
MariaGabriela Uribe Guajardo ◽  
Andrew James Baillie ◽  
Eva Louie ◽  
Vicki Giannopoulos ◽  
Katie Wood ◽  
...  

Abstract (250 words)In substance use treatment settings, there is a high prevalence of comorbid mental health problems. Yet an integrated approach for managing comorbidity, implementation of evidence-based intervention in drug and alcohol settings remains problematic. Technology can help the adoption of evidence-based practice and successfully implement effective treatment health care pathways. This study sought to examine aspects of electronic resources utilisation (barriers and facilitators) by clinicians participating in the PCC training. MethodA self-report questionnaire and a semi-structured interview was designed to measure overall satisfaction with the PCC portal and e-resources available throughout the 9-month intervention for participating clinicians. An adapted version of the ‘Non-adoption, Abandonment, Scale-up, Spread and, Sustainability’ (NASSS) framework was used to facilitate discussion in regards to the study findings. ResultsA total of 20 clinicians from drug and alcohol services responded to all the measures. Facilitators of portal use included: i. clinician acceptance of the PCC portal; ii. guidance from the clinical supervisor or clinical champion that encouraged the use of e-resources. Some of the barriers included: i. complexity of the illness (condition), ii. clinicians’ preference (adopter system) for face-to-face resources and training modes (e.g. clinical supervision, clinical champion workshops), and iii. lack of face-to-face training on how to use the portal (technology and organisation).ConclusionBased on the NASSS framework, we were able to identify several barriers and facilitators including such as the complexity of the illness, lack of face-to-face training and clinician preference for training mediums. Recommendations include ongoing consultation of clinicians to assist in the development of tailored e-health resources and offering in-house training on how to operate and effectively utilise these resources.


2018 ◽  
Vol 3 (1) ◽  
Author(s):  
Anthony KOLA-OLUSANYA

As soon as decision makers are expected to make differences towards sustainable future, young adults’ ability to make informed and sound decisions is considered essential towards securing our planet. This study provides an insight into young adults’ knowledge of key environment and sustainability issues. To answer the key research questions, data were obtained using a qualitative phenomenographic research approach and collected through 18 face-to-face in-depth interviews with research participants. The findings of this study suggest that young adults lived experiences that play a huge role in their level of awareness of topical environmental and sustainability issues critical to humanity’s future on earth. 


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Teruyoshi Kobayashi ◽  
Mathieu Génois

AbstractDensification and sparsification of social networks are attributed to two fundamental mechanisms: a change in the population in the system, and/or a change in the chances that people in the system are connected. In theory, each of these mechanisms generates a distinctive type of densification scaling, but in reality both types are generally mixed. Here, we develop a Bayesian statistical method to identify the extent to which each of these mechanisms is at play at a given point in time, taking the mixed densification scaling as input. We apply the method to networks of face-to-face interactions of individuals and reveal that the main mechanism that causes densification and sparsification occasionally switches, the frequency of which depending on the social context. The proposed method uncovers an inherent regime-switching property of network dynamics, which will provide a new insight into the mechanics behind evolving social interactions.


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