Influence of culture, religion and experience on the decision of Pakistani women in Lothian, Scotland to use postnatal contraception: a qualitative study

2020 ◽  
pp. bmjsrh-2019-200497
Author(s):  
Annette Gallimore ◽  
Tasneem Irshad ◽  
Michelle Cooper ◽  
Sharon Cameron
Keyword(s):  
Thematic Analysis ◽  
Quality Information ◽  
Structured Interviews ◽  
Translation Services ◽  
Tailored Approach ◽  
Pakistani Women ◽  
The Individual ◽  
First And Second Generation ◽  
Inductive Thematic Analysis ◽  
Experience Difficulty

IntroductionEvidence suggests that Pakistani women may experience difficulty accessing postnatal contraceptive (PNC) services. The study aimed to identify experience and decision-making around PNC provision for Pakistani women in Lothian, and to explore the views and experience of maternity staff who provide PNC counselling.MethodsQualitative research including focus groups and 1:1 semi-structured interviews with women and staff. Participants were first- and second-generation Pakistani women with a child/children aged up to 5 years, or pregnant; community and hospital midwives, obstetric doctors who counsel or provide PNC. Data were coded and categorised using QSR NVIVO10. Inductive thematic analysis was carried out.ResultsWomen were receptive to discussion of contraception, including antenatally, and welcomed translated information. Some said the decision on PNC was theirs or made jointly with their husband; however, they acknowledged that in some marriages the husband will take the decision. Women stated they may face family expectation to have a baby early in marriage. Language was identified as a challenge by maternity staff, who utilised translation services to ensure women received the information they needed on contraception.ConclusionsPakistani women value antenatal discussion about PNC. Maternity staff have an important role in providing quality information on contraception and should be supported with translated resources in a range of formats. Most importantly, staff should adopt a tailored approach to identify the individual woman’s needs and preferences.

scholarly journals Integrating sport and exercise medicine clinics into the National Health Service: a qualitative study

2020 ◽  
Vol 6 (1) ◽  
pp. e000888
Author(s):  
Dane Vishnubala ◽  
Katherine Rose Marino ◽  
Margaret Kathryn Pratten ◽  
Andy Pringle ◽  
Steffan Arthur Griffin ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Thematic Analysis ◽  
Heavy Exercise ◽  
Structured Interviews ◽  
Ultrasound Education ◽  
Exercise Medicine ◽  
Sport And Exercise ◽  
Inductive Thematic Analysis

ObjectivesTo explore the services National Health Service (NHS)-based sport and exercise medicine (SEM) clinics can offer, and the barriers to creating and integrating SEM services into the NHS.MethodsSemi-structured interviews were undertaken to collect data from identified ‘stakeholders’. Stakeholders were identified as individuals who had experience and knowledge of the speciality of SEM and the NHS. An inductive thematic analysis approach was taken to analyse the data.ResultsN=15 stakeholder interviews. The management of musculoskeletal (MSK) injuries (both acute and chronic) and concussion were highlighted as the two key services that SEM clinics can offer that would most benefit the NHS. MSK ultrasound was also mentioned by all stakeholders as a critical service that SEM clinics should provide. While exercise medicine is an integral part of SEM, SEM clinics should perhaps not have a heavy exercise medicine focus. The key barriers to setting up SEM clinics were stated to be convincing NHS management, conflict with other specialities and a lack of awareness of the speciality.ConclusionThe management of acute MSK injuries and concussion should be the cornerstone of SEM services, ideally with the ability to provide MSK ultrasound. Education of others on the speciality of SEM, confirming consistent ‘unique selling points’ of SEM clinics and promoting how SEM can add value to the NHS is vital. If the successful integration of SEM into the NHS is not widely achieved, we risk the NHS not receiving all the benefits that SEM can provide to the healthcare system.

scholarly journals Telehealth sounds a bit challenging, but it has potential: participant and physiotherapist experiences of gym-based exercise intervention for Achilles tendinopathy monitored via telehealth

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
F. Hasani ◽  
P. Malliaras ◽  
T. Haines ◽  
S. E. Munteanu ◽  
J. White ◽  
...  
Keyword(s):  
Focus Group ◽  
Thematic Analysis ◽  
Exercise Intervention ◽  
Achilles Tendinopathy ◽  
Interpretive Description ◽  
Structured Interviews ◽  
Potential Participant ◽  
Delivery Of Care ◽  
Exercise Interventions ◽  
Inductive Thematic Analysis

Abstract Background Although telehealth is becoming more popular for delivery of care for individuals with musculoskeletal pain, to our knowledge telehealth has not been used to manage Achilles tendinopathy. This research aimed to explore the experience of participants and physiotherapists with gym-based exercise interventions for Achilles tendinopathy monitored via videoconference. Methods A qualitative, interpretive description design was performed using semi-structured interviews (8 participants) and a focus group (7 physiotherapists). Participants and physiotherapists were interviewed about their experiences of the use of telehealth during a gym-based exercise intervention incorporating different calf load parameters for Achilles tendinopathy. We employed an inductive thematic analysis approach to analyse the data. Results Three themes identified from both participants and physiotherapists included i) acceptability of telehealth; ii) enablers to adherence with telehealth; and iii) barriers to adherence with telehealth. Two extra themes arose from participants regarding adherence with gym-based exercise, including enablers to adherence with the exercise intervention, and barriers to adherence with the exercise intervention. Both participants and physiotherapists expressed overall satisfaction and acceptability of telehealth monitoring of gym-based exercise. Conclusion Gym-based exercise intervention for Achilles tendinopathy involving weekly telehealth monitoring was acceptable to both participants and physiotherapists. Potential enablers and barriers were identified that may improve adherence to this type of intervention.

scholarly journals The value of domiciliary medication reviews: a thematic analysis of patient views

2021 ◽  
Author(s):  
Patricia McCormick ◽  
Bridget Coleman ◽  
Ian Bates
Keyword(s):  
Thematic Analysis ◽  
Outcome Measure ◽  
Service Users ◽  
Structured Interviews ◽  
Main Outcome Measure ◽  
Healthcare Settings ◽  
Medication Reviews ◽  
Informal Carers ◽  
The Individual ◽  
Patient Centric

AbstractBackground Medication reviews are recognised as essential to tackling problematic polypharmacy. Domiciliary medication reviews (DMRs) have become more prevalent in recent years. They are proclaimed as being patient-centric but published literature mainly focuses on clinical outcomes. However, it is not known where the value of DMRs lies for patients who participate in them. Objective To determine the value of domiciliary medication reviews to service users. Setting Interviews took place with recipients of domiciliary medication reviews residing in the London boroughs of Islington and Haringey. Method Semi-structured interviews analysed using thematic analysis. Main outcome measure Themes and sub-themes identified from interview transcripts. Results Five themes were identified: advantages over traditional settings, attributes of the professional, adherence, levels of engagement and knowledge. Conclusion For many patients, the domiciliary setting is preferred to traditional healthcare settings. Patients appreciated the time spent with them during a DMR and felt listened to. Informal carers felt reassured that the individual medication needs of their relative had been reviewed by an expert.

scholarly journals “We Want to Be Educated!” A Thematic Analysis of Gifted Students’ Views on Education in Norway

2021 ◽  
Vol 41 (3) ◽  
pp. 219-238
Author(s):  
Astrid Lenvik ◽  
Elisabeth Hesjedal ◽  
Lise Øen Jones
Keyword(s):  
Educational Policy ◽  
Thematic Analysis ◽  
Educational System ◽  
Educational Experiences ◽  
Gifted Students ◽  
Education For All ◽  
Thematic Approach ◽  
The Individual ◽  
Inductive Thematic Analysis

Norwegian educational policy focuses on inclusive, equivalent, and adapted education for all. We followed procedures for an inductive thematic approach to explore the educational experiences of seventeen gifted students (age twelve – fifteen). The inductive thematic analysis revealed three key themes: the educational system, the joy of learning, and problematic issues concerning school and learning. Our results are discussed in light of educational policy and Gagné’s Differentiated Model of Giftedness and Talent, and indicate that the Norwegian educational system does not meet these gifted students’ needs at either the individual or systemic levels. This study is vital for gaining a better understanding of the Norwegian perspective as well as the wider Nordic setting.

Refugee children’s resilience: A qualitative social ecological study of life in a camp

2020 ◽  
Author(s):  
Nilüfer Kuru ◽  
Michael Ungar
Keyword(s):  
Thematic Analysis ◽  
Ecological Study ◽  
Developmental Outcomes ◽  
Refugee Camp ◽  
Structured Interviews ◽  
Personal Traits ◽  
Social Ecological ◽  
Physical Wellbeing ◽  
Values And Beliefs ◽  
Inductive Thematic Analysis

Abstract A social ecological theory of resilience shows that the process of resilience not only depends on an individual child’s personal traits but also on the capacity of the child’s environment to provide the resources required for the child to use these traits to achieve psychological and physical wellbeing in contexts of adversity. The aim of this study is to investigate how refugee mothers influence their children’s developmental outcomes despite exposure to the large number of risk factors they experience living in a refugee camp. Ten Syrian mothers of children aged 5–7-years-old participated in both semi-structured interviews and focus groups conducted while they were living in a refugee camp in Turkey. Using an inductive thematic analysis, findings show that participants found unconventional ways to build their children’s social capital, provide an education and maintain culturally grounded values and beliefs when facing with multiple distal and proximal challenges. These findings highlight the importance of understanding resilience as a psychosocial and interactive process occurring at multiple systemic levels (in this case, child, mother, and camp). Improving the functioning of larger systems may be an efficacious way of creating stable and nurturing environments for children to experience greater resilience.

scholarly journals ‘She’s not obese, she’s a normal 5-year-old and she keeps up with the other kids’: families’ reasons for not attending a family-based obesity management programme

2019 ◽  
Vol 140 (3) ◽  
pp. 148-152
Author(s):  
RC Povey ◽  
LJ Cowap ◽  
K Scholtens ◽  
MJ Forshaw
Keyword(s):  
Childhood Obesity ◽  
Thematic Analysis ◽  
Management Programme ◽  
The Other ◽  
Healthy Lifestyles ◽  
Obesity Management ◽  
Tailored Approach ◽  
Family Based ◽  
The Impact ◽  
Inductive Thematic Analysis

Aims: To discover the reasons behind invited families’ lack of engagement with a family-based childhood obesity programme in a deprived area. Methods: Interviews were conducted with 10 families who were invited to join the programme, but declined to engage. There were two distinct subgroups of participants: those who had no interest in attending the programme and those who showed initial interest yet did not continue attending. The two subgroups were analyzed separately using inductive thematic analysis, and then compared. Results: Analysis identified eight themes overall. For both groups, when the service was perceived to be not needed (‘I didn’t see how that would help’), the families disengaged with it. For both groups, this perception was partly related to the perceived appearance of their children: either that they were not obese (‘I didn’t think my son was overweight’) or that they were growing into their size. There was also a similarity in both groups that they perceived that they were already following healthy lifestyles. In addition, several of the themes arising from the families who had no initial interest were related to the impact of the letter that parents received detailing the result of their child being weighed and measured at school. This angered parents (‘I was disgusted’), and there was a feeling that the approach was too generic. Conclusion: This study identified a number of potential reasons behind why families may decline to engage with a childhood obesity programme in a deprived area. Across all families, if the programme was perceived as not needed, they would disengage. For those who did not engage at all, the initial communication of the child’s body mass index (BMI) is crucial. Recommendations include taking a more personal and tailored approach for the initial communication and shifting the focus of the programmes onto healthier lifestyles.

‘We struggle and muddle.’ A qualitative study exploring community ABI therapists’ experiences of using, training in and implementing behaviour interventions

2020 ◽  
pp. 1-16
Author(s):  
Jai Jason Carmichael ◽  
Amelia J. Hicks ◽  
Kate Rachel Gould ◽  
Timothy J. Feeney ◽  
Penelope Analytis ◽  
...  
Keyword(s):  
Content Analysis ◽  
Thematic Analysis ◽  
Community Integration ◽  
Community Practice ◽  
Structured Interviews ◽  
Clinician Training ◽  
Australian Community ◽  
Challenging Behaviours ◽  
Inductive Thematic Analysis

Abstract Objectives: Individuals with acquired brain injury (ABI) may present with challenging behaviours (CB) that place themselves and others at risk of harm and impact their community integration. It is crucial for community ABI therapists to successfully train in and implement behaviour interventions. The current study aimed to investigate community ABI therapists’ experiences of using, training in and implementing behaviour interventions. An additional aim was to determine these therapists’ understanding of Positive Behaviour Support (PBS), one approach to addressing CB with a focus on improving quality of life. Methods: Semi-structured interviews were conducted with 24 Australian community ABI therapists about their experiences of using, training in and implementing behaviour interventions and understanding of PBS. Inductive thematic analysis and content analysis were performed on interview transcripts. Findings: The thematic analysis resulted in the generation of six themes which described the difficulties participants faced in training in and delivering behaviour interventions and identified their training and implementation needs. The content analysis resulted in 10 categories that characterised participants’ understanding of PBS, which centred around the absence of consequences, a focus on antecedents, person-centred practice and encouraging prosocial alternatives to CB. Conclusions: The findings highlight a need and desire for more practical and interactive clinician training in behaviour interventions for individuals with ABI. Moreover, the findings suggest a limited understanding of PBS amongst community ABI therapists. Important considerations for the development of clinician training in ABI behaviour interventions and subsequent implementation into community practice are discussed.

scholarly journals A framework exploring the therapeutic alliance between elite athletes and physiotherapists: a qualitative study

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
W. M. Charmant ◽  
P. J. van der Wees ◽  
J. B. Staal ◽  
R. van Cingel ◽  
J. M. Sieben ◽  
...  
Keyword(s):  
Therapeutic Alliance ◽  
Thematic Analysis ◽  
Elite Athlete ◽  
Time Pressure ◽  
Elite Athletes ◽  
External Environment ◽  
External Factors ◽  
Structured Interviews ◽  
Improve Treatment ◽  
Inductive Thematic Analysis

Abstract Background The therapeutic alliance (TA) is the bond between a patient and a physiotherapist during collaboration on recovery or training. Previous studies focused on the TA between physiotherapists and patients of the general population. Little information exists on whether this is similar in the demanding environment of elite athletes. The aim of this study was to investigate the components of TA between elite athletes and physiotherapists. Methods Ten elite athletes and ten physiotherapists were interviewed using one-on-one semi-structured interviews between June 2020 and October 2020. Athletes were included if they competed at national or international championships. Physiotherapists had to treat elite athletes on a regular basis. Interview questions were based on TA components of the general physiotherapy population. The interviews were transcribed and coded using inductive thematic analysis. Results The analysis resulted in an elite athlete TA framework which consists of nine themes and ten subthemes that could influence the TA. The nine themes are trust, communication, professional bond, social bond, elite athlete, physiotherapist, time, pressure and adversity, and external factors. This showed that the TA consists of bonds on different social levels, depends on the traits of both elite athletes and physiotherapists, and can be positively and negatively influenced by the external environment. The influences from the external environment seem to be more present in the elite athlete TA compared to the TA in the general physiotherapy setting. Multiple relations between themes were discovered. Trust is regarded as the main connecting theme. Conclusion This study provides a framework to better understand the complex reality of the TA between elite athletes and physiotherapists. Compared to the general physiotherapy setting, new themes emerged. The created framework can help elite athletes and physiotherapists to reflect and improve their TA and subsequently improve treatment outcomes.

scholarly journals Exploring emoji as a viable cultural tool in WhatsApp communications among Malaysian undergraduates

2021 ◽  
Vol 7 (3D) ◽  
pp. 351-362
Author(s):  
Ahmad Fakrusy Syakirin Ahmad Sabri ◽  
Siti Zanariah Yusoff ◽  
Isyaku Hassan
Keyword(s):  
Social Relations ◽  
Thematic Analysis ◽  
Digital Communication ◽  
Qualitative Approach ◽  
Structured Interviews ◽  
Positive Attitudes ◽  
Communication Efficiency ◽  
Social Media Platforms ◽  
Almost All ◽  
Inductive Thematic Analysis

An emoji is a form of a symbol in communication available on almost all social media platforms. Its convenience brings potential implications for its usage in digital communication. This study aims to explore the effectiveness of emojis in WhatsApp communication and the influence of culture on emoji usage among undergraduates in Malaysia. The study employed a qualitative approach in which semi-structured interviews were conducted with eight undergraduates of Universiti Sultan Zainal Abidin (UniSZA). The data were analyzed using inductive thematic analysis. Overall, the findings revealed that emojis increase communication efficiency. The participants have positive attitudes towards emoji usage. They describe emojis as viable symbols that help them to maintain social relations and express feelings. Additionally, the findings showed that Malaysian culture influences emoji communication by promoting harmony and relationships as well as instilling high context values in emoji usage. This research concludes that emojis can influence WhatsApp Communication positively if utilized correctly.

scholarly journals Saskatchewan Physicians’ Opinions of Their Personalized Prescribing Profiles Related to Opioids, Benzodiazepines, Stimulants, and Gabapentin

2021 ◽  
Vol 107 (1) ◽  
pp. 7-16
Author(s):  
Derek Jorgenson ◽  
Diar Alazawi ◽  
Julia Bareham ◽  
Nicole Bootsman
Keyword(s):  
Quality Improvement ◽  
High Risk ◽  
Thematic Analysis ◽  
Audit And Feedback ◽  
Prescription Medications ◽  
Prescribing Practices ◽  
Structured Interviews ◽  
The World ◽  
The Individual ◽  
Prescribing Information

ABSTRACT Overdoses of prescription medications continue to be a significant concern for health systems around the world. Medical regulators in several jurisdictions have started generating personalized prescribing profiles for individual physicians as an audit and feedback tool to reduce the sub-optimal prescribing of high-risk drugs such as opioids, benzodiazepines and stimulants. However, little is known about how to most effectively communicate the data in these prescriber profiles to the intended recipients. The aim of this study was to collect the opinions of physicians in Saskatchewan, Canada, regarding their personalized prescriber profiles. One-on-one semi-structured interviews were completed in January 2019 with 17 physicians who were given access to personalized profiles containing their prescribing information on opioids, benzodiazepines, stimulants and gabapentin. Interviews were recorded and data was analyzed using thematic analysis. Respondents thought the profiles were a useful tool that had significant potential to improve their prescribing practices. However, many physicians also thought the profiles were confusing and difficult to interpret. Several recommendations were made to improve the prescriber profiles, which may be applicable to other jurisdictions currently using, or planning to develop, similar quality improvement tools. These recommendations include: limiting the use of abbreviations and acronyms; being explicit regarding the intent of the profiles; ensuring comparator data is relevant to the individual recipient; using a combination of numbers and visuals to display data; and providing detailed context regarding what the data means.

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