scholarly journals From the Mouth of Babes: Getting Vaccinated Doesn’t Have to Hurt

2014 ◽  
Vol 25 (4) ◽  
pp. 196-200 ◽  
Author(s):  
Anna Taddio ◽  
Andrew F Ilersich ◽  
Anthony N Ilersich ◽  
Jenny Wells

BACKGROUND: Analgesic interventions are not commonly administered during childhood vaccination, despite the fact that two-thirds of children are afraid of needles and one-tenth are noncompliant with immunization.OBJECTIVE: To explore children’s experiences of vaccination and preferences for analgesia.METHODS: A total of 17 children (four to 14 years of age) at an independent school in Toronto (Ontario) participated in three focus-group interviews. The majority had previous experience with pain management interventions during vaccination. Thematic content analysis was used to analyze interview transcripts.RESULTS: The findings were categorized into three main themes: experience of vaccination; roles and responsibilities regarding pain management; and impact of pain management. Children easily recalled previous vaccinations and discussed fear and distress experienced by themselves and others. Children believed that parents and immunizers should prepare them ahead of time and use interventions to manage and monitor pain. They also wanted adults to support their efforts to lead pain management. Children discussed benefits of managing pain, including reduced unnecessary suffering, improved vaccination experience, reduced risk of developing needle fears and reduced noncompliant behaviours. They were knowledgeable about strategies for reducing pain including distraction, topical anesthetics and injection techniques. They contrasted vaccination with and without pain management, and indicated a preference for pain management.CONCLUSION: Children reported that managing vaccination pain is important and that analgesic interventions should routinely be used. Incorporating pain management in the process of vaccination has the potential to improve children’s experiences with vaccination and promote more positive attitudes and behaviours.

2012 ◽  
Vol 92 (10) ◽  
pp. 1292-1305 ◽  
Author(s):  
Leti van Bodegom-Vos ◽  
John Verhoef ◽  
Margot Dickmann ◽  
Marjon Kleijn ◽  
Ingrid van Vliet ◽  
...  

Background Although the increasing complexity and expansion of the body of knowledge in physical therapy have led to specialized practice areas to provide better patient care, the impact of specialization on guideline implementation has been scarcely studied. Objectives The objective of this study was to identify the similarities and differences in barriers to the implementation of a Dutch rheumatoid arthritis (RA) guideline by generalist and specialist physical therapists. Design This observational study consisted of 4 focus group interviews in which 24 physical therapists (13 generalist and 11 specialist physical therapists) participated. Methods Physical therapists were asked to discuss barriers to the implementation of the RA guideline. Data were analyzed qualitatively using a directed approach to content analysis. Both the interviews and the interview analysis were informed by a previously developed conceptual framework. Results Besides a number of similarities (eg, lack of time), the present study showed important, although subtle, differences in barriers to the implementation of the RA guideline between generalist physical therapists and specialist physical therapists. Generalist physical therapists more frequently reported difficulties in interpreting the guideline (cognitive barriers) and had less favorable opinions about the guideline (affective barriers) than specialist physical therapists. Specialist physical therapists were hampered by external barriers that are outside the scope of generalist physical therapists, such as a lack of agreement about the roles and responsibilities of medical professionals involved in the care of the same patient. Conclusions The identified differences in barriers to the implementation of the RA guideline indicated that the effectiveness of implementation strategies could be improved by tailoring them to the level of specialization of physical therapists. However, it is expected that tailoring implementation strategies to barriers that hamper both generalist and specialist physical therapists will have a larger effect on the implementation of the RA guideline.


2017 ◽  
Vol 13 (28) ◽  
pp. 1
Author(s):  
Synnove Hofseth Almas ◽  
Halvard Nilsen ◽  
Randi Spjutoy ◽  
Froydis Vasset

Interprofessional collaborative learning (IPL) is a requirement in health and social education, primary in student placements. This study explored IPL as shadowing with seven participants at a department of physical medicine and rehabilitation in a hospital. Seven participants were divided into two groups (n=3; n=4) when caring for two patients. Both groups wrote a rehabilitation plan together with the patients. In a submitted template, the students reflected on roles and responsibilities of health care professionals. To examine how the informants expressed their experiences of IPL, focus group interviews were conducted with each group and transcribed. The focus group transcripts, together with submitted templates, were then analysed using Giorgis’ model of content analysis. All informants expressed that IPL led to acquired knowledge about each other’s responsibilities in healthcare. Participants were aware of differences and similarities between their responsibilities. They reported that leadership and communication are prerequisites for collaborative practice.


2020 ◽  
Author(s):  
Chao Bian ◽  
Bing Ye ◽  
Anna Hoonakker ◽  
Alex Mihailidis

Abstract Background The rapid development of technology such as sensors and artificial intelligence in recent years enables monitoring frailty criteria to assess frailty early and accurately from a remote location such as a home. However, research shows technologies being abandoned or rejected by users due to a lack of compatibility and consumer involvement with the technologies. This study aims to understand older adult’s perceptions and preferences of technologies that can be potentially used to assess frailty in home settings. Methods This study is a qualitative study in which data were collected through focus group interviews. We recruited 15 older participants. Questions were asked to achieve the goal of understanding their attitudes on the technologies. These questions include 1) the concerns or barriers of installing and using the presented technology in daily life at home, 2) the reasons participants like or dislike a particular technology, 3) what makes a particular technology more acceptable, and 4) participants’ preferences in choosing technologies. Data were transcribed, coded and categorized, and finally synthesized to understand the attitudes towards presented technologies.Results A total of 15 older adults aged 65 and older were recruited. Three focus group sessions were conducted with five participants in each session. In the findings, the attitudes and perspectives of participants on the technologies for assessing frailty were presented in four areas: A) general attitude towards using the technologies, B) concerns about the technologies, C) existing living habits or patterns related to using the technologies, and D) constructive suggestions related to the technologies.Conclusions This study focuses on understanding the attitudes and perceptions of older adults on several technologies that could potentially be used to assess frailty in home settings. Participants generally have positive attitudes towards allowing the technologies to be installed and used at their home. Some technologies were found to be more acceptable if used under certain conditions. However, questions and concerns still remain. The study also found the living habits or patterns of older adults could affect the design and use of technology. Lastly, many valuable suggestions have been made by participants.


2017 ◽  
Vol 7 (1) ◽  
pp. 58 ◽  
Author(s):  
Sulaiman Alrabah ◽  
Shu-hua Wu

The study targeted a group of 27 students at a college in Kuwait who were enrolled in a Content and Language Integrated Learning (CLIL) English course during the academic year 2015-2016. The purpose of the study was to monitor students’ assessments of their writing competence in English and to measure their attitudes toward the CLIL course. Data collection utilized a total of five focus-group interviews with the students which were recorded and transcribed, and a category system was generated to describe the commonalities in the participants’ responses. Additionally, an online survey using Google Forms was based on the categories delineated from the interview data. The Microsoft Excel program was used for counting the means, standard deviations, and percentages for each of the survey items. The results of the study indicated that the majority of the students (80%) thought that the CLIL course enhanced their writing competence both within and beyond the sentence level. Writing skills within the sentence level included the accurate use of punctuation marks and capitalization rules. Writing skills beyond the sentence level included paragraph organization, use of proper transition words, and writing cause-and-effect paragraphs. Approximately 20% of the students did not think CLIL improved their writing competence beyond the sentence level. Furthermore, the students displayed highly positive attitudes toward all aspects of the CLIL course. Implications were drawn for specialized teacher training to cope with the demands of CLIL courses, and longitudinal studies to track students’ development of writing competence over time.


2020 ◽  
Vol 7 (3) ◽  
pp. 231-242
Author(s):  
Esther Ogundipe ◽  
Marit Borg ◽  
Tommy Thompson ◽  
Tor Knutsen ◽  
Cathrine Johansen ◽  
...  

AbstractThe study contributes to the existing literature on the value of street football teams in recovery, by exploring how persons with mental health and/or substance abuse problems experience participation in street football teams. In total, 51 persons experiencing mental health and/or substance abuse challenges who played in street football teams, in Norway, participated in focus group interviews. The interviews were recorded and transcribed verbatim. Data were analyzed using thematic content analysis, and resulted in three major themes: (1) The spirit of the football team, (2) More than just a pitch, and (3) The country’s best follow-up system. Overall, our findings highlighted the importance of community and communal efforts through acts of citizenship, in facilitating and promoting social inclusion for persons in challenging life situations. Street football is one measure than can be helpful in this context. Communities, policy makers and funders need to acknowledge and gain more insight and understanding of the value that street football teams represent. There is also a need for further studies exploring what contributes to community in our highly individualistic society.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
I O Spjeldnæs ◽  
R Agdal

Abstract Background Social media includes webpages, apps and digital games, where content can be created and shared, and participation in social networks is possible. It is known that social media impacts the lives of youth in a complex way. So far, little is known about how immigrant youth use social media and how that impacts their lives. The immigrant population is heterogeneous and complex, but overall, experiences a heavier burden of disease. In this study, we explored how immigrant youth use social media, and particularly how social media could contribute to health promotion. Methods We collaborated with non-governmental organisations to establish six focus group interviews that lasted for two hours each. The interviews were transcribed and analyzed by thematic content analysis. Results Immigrant youth met both barriers and benefits related to their background through their participation on social media. Barriers related to lack of knowledge about relevant social codes and to limited access due to negative social control. Benefits were the social interaction with people of similar identity. The youth navigated and carved rooms on social media to discuss topics like identity, social control, and to escape attributed identities and social control. They used several platforms established by immigrant youth and their organisations that contributed positively. Conclusions Social media represents arenas that serve as resources for immigrant youth. We found examples of use and platforms established by immigrant youth that can be incorporated into public health strategies. Yet, social media consists of social codes and structures, and unequal accessibility, like other social arenas. Such barriers can be addressed by providing more equal access to these social arenas. Key messages To youth with immigrant background in Norway, social media represents valuable arenas for health promotion. Social media signifies fruitful opportunities to navigate identities and social control.


2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Maria Wickström ◽  
Margareta Larsson ◽  
Berit Höglund

Abstract Background Different types of staff support individuals with intellectual disability (ID) in their daily life, in schools, leisure activities and in special accommodations. This study aimed to gain a deeper understanding of experiences and perceptions regarding sexual and reproductive health and rights (SRHR) among staff. Methods Data were collected in mid-Sweden in four focus groups with altogether 20 participants, 18 women and 2 men aged between 18 and 65 years. They had different professions and worked among youth and adults with ID aged 18–40 years in schools, accommodations and with leisure activities. Their working experience varied from 3 years to more than 20 years. Interviews were audio recorded, transcribed and analysed with content analysis. Results The participants generally described positive attitudes towards sexuality for people with ID, both among themselves and in society. However, many situations such as ensuring privacy, balancing between waiting and acting, issues around contraception and reproduction were difficult to address and participants had hesitations about childbearing. They described different strategies such as showing respect, enhancing self-esteem and decision making ability and using interprofessional support to cope with frustrating situations. They lacked a clear mandate from managers as well as written guidelines and policies. They requested education and support from peers, supervisors and other professionals. Conclusion Participants in the study were generally open-minded and accepting towards sexuality among young people with ID. They thought it was difficult to deal with reproduction/parenthood and felt unprepared and frustrated in certain situations. The participants requested a clear mandate from managers, organizational guidelines, more education and inter-professional support. We believe these findings can inform the development of policy and support the implementation of SRHR related guidelines to support staff working with young people with ID.


2015 ◽  
Vol 9 (3) ◽  
pp. 72-87
Author(s):  
Гарнес Солвег ◽  
Garnes Solveg ◽  
Гронхауг Кхелль ◽  
Gronkhaug Kkhell

Tourist organizations are destination-based institutions that draw together stakeholders with interests in tourism. Our present knowledge of the governance of such organizations is limited. The aim of this research was to explore directors’ roles and responsibilities, and determine whom they see themselves working for. Focus group interviews with 37 directors in Norwegian organizations revealed that boards undertake several responsibilities. There seemed to be a gap between what they considered important and the level of attention given to specific responsibilities. The study further revealed that a shareholder perspective was present, yet limited in the context of tourist organizations. A stakeholder perspective could partly explain their behavior. Boards of directors in tourist organizations care for many interests, not merely the organization’s owners. Theoretical and managerial implications based on the study results are highlighted.


2018 ◽  
Vol 2 (2) ◽  
pp. 104-111
Author(s):  
Po. Abas Sunarya ◽  
George Iwan Marantika ◽  
Adam Faturahman

Writing can mean lowering or describing graphic symbols that describe a languageunderstood by someone. For a researcher, management of research preparation is a veryimportant step because this step greatly determines the success or failure of all researchactivities. Before a person starts with research activities, he must make a written plan commonlyreferred to as the management of research data collection. In the process of collecting researchdata, of course we can do the management of questionnaires as well as the preparation ofinterview guidelines to disseminate and obtain accurate information. With the arrangement ofplanning and conducting interviews: the ethics of conducting interviews, the advantages anddisadvantages of interviews, the formulation of interview questions, the schedule of interviews,group and focus group interviews, interviews using recording devices, and interview bias.making a questionnaire must be designed with very good management by giving to theinformation needed, in accordance with the problem and all that does not cause problems at thestage of analysis and interpretation.


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