scholarly journals Barriers and Facilitators to Seek Help for Substance Use Disorder among Dutch Physicians: A Qualitative Study

2021 ◽  
pp. 1-10
Author(s):  
Pauline M. Geuijen ◽  
Esther Pars ◽  
Joanneke M. Kuppens ◽  
Aart H. Schene ◽  
Hein A. de Haan ◽  
...  
Keyword(s):  
Substance Use ◽  
Health Services ◽  
Social Relationships ◽  
Barriers And Facilitators ◽  
Structured Interviews ◽  
Individual Physician ◽  
Physician Health ◽  
Seeking Help ◽  
The Individual

<b><i>Introduction:</i></b> Substance use disorders (SUDs) among physicians affect their health, quality of life, but potentially also their quality of care. Despite the availability of effective specific Physician Health Programs (PHPs), physicians with SUD often experience barriers when seeking professional help. Therefore, we studied barriers and facilitators when seeking help for SUD among physicians from a multiple perspective approach. <b><i>Methods:</i></b> A qualitative design was adopted for 2 sub-studies. First, answers of 2 open-ended questions (about anticipated barriers and facilitators) of an existing questionnaire were analyzed. This questionnaire was filled out by 1,685 general physicians (response rate = 47%). The answers of these open-ended questions were coded inductively. Second, 21 semi-structured interviews (about experienced barriers and facilitators) were performed with physician SUD-patients, significant others, and PHP employees. Themes identified in the first sub-study were used to deductively code the interview transcripts. Results were reported in accordance with the Consolidated Criteria for Reporting Qualitative Research guidelines. <b><i>Results:</i></b> Barriers were found at the level of the individual physician (negative feelings and lack of disease awareness), whereas facilitators were found at the level of social relationships (confrontation with SUD and social support) and health services (supportive approach, good accessibility, and positive image of services). The interviews emphasized the importance of nonjudgmental confrontation by social relationships in the process of seeking help for SUD. <b><i>Conclusion:</i></b> Physicians with SUD face barriers when seeking help for SUD mostly at the level of the individual physician. Health services and people around physicians with SUD could facilitate the help-seeking process by offering confidential and nonpunitive support. Future studies should explore whether the barriers and facilitators identified in this study also hold for other mental health issues.

scholarly journals Quality of life and its association with current substance use, medication non-adherence and clinical factors of people with schizophrenia in Southwest Ethiopia: a hospital-based cross-sectional study

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Defaru Desalegn ◽  
Shimelis Girma ◽  
Tilahun Abdeta
Keyword(s):  
Quality Of Life ◽  
Substance Use ◽  
Linear Regression ◽  
Social Relationships ◽  
Social Relationship ◽  
Linear Regression Analysis ◽  
Physical Illness ◽  
Negative Association ◽  
Physical Domain

Abstract Background Schizophrenia was ranked as one of the top ten illnesses contributing to the global burden of disease. But little is known about the quality of life among people with schizophrenia, in particular in low-income countries. This study was aimed to examine the association of quality of life with current substance use, medication non-adherence and clinical factors of people with schizophrenia at Jimma University Medical Center, psychiatry clinic, Southwest Ethiopia. Methods Institution based cross-sectional study design was employed. Study participants were recruited using a systematic random sampling method and a sample fraction of two was used after the first person was identified by the lottery method. we used the World Health Organization Quality of Life Scale-Brief version (WHOQoL-BREF) and 4-item Morisky Medication Adherence Scale (MMAS-4) to assess the quality of life and medication non-adherence respectively. Data about current substance use was assessed by yes/no questions. Descriptive statistics, such as frequency, mean and standard deviations were computed to describe the characteristics of the study population. Data entry was done using EpiData version 3.1 then exported to SPSS statistics version 25 for analysis and analyzed using multiple linear regression. The assumption for linear regression analysis including the presence of a linear relationship between the outcome and predictor variable, the test of normality, collinearity statistics, auto-correlation and homoscedasticity were checked. Un-standardized Beta (β) coefficients with 95% confidence interval (CI) and P-value < 0.05 were computed to assess the level of association and statistical significance in the final multiple linear regression analysis. Result In this study 31.65% of participants were medication non-adherent and total mean scores of quality of life showed a lower level of satisfaction in social relationship domain (10.14 ± 3.12). Our study showed 152(43.3%), 248(70.7%) and 97(27.6%) of respondents had used tobacco, Khat and alcohol atleast once during the past 3 months respectively. Final adjusted multiple regression model showed medication non-adherence has significant negative association with physical domain (beta = − 4.42, p < 0.001), psychological (beta = − 4.49, p < 0.001), social relationships (beta = − 2.29, p < 0.001) and environmental domains (beta = − 4.95, p < 0.001). Treatment duration has significant negative association with psychological domain (beta = − 0.17, p < 0.04), social relationship (beta = − 0.14, p < 0.005), environmental domain (beta = − 0.24, p < 0.02) and overall quality of life (beta = − 0.67, p < 0.02). Having comorbid physical illness has significant negative association with physical domain (beta = − 2.74, p < 0.001), psychological (beta = − 2.13, p < 0.004), social relationships (beta = − 1.25, p < 0.007), environmental domain (beta = − 3.39, p < 0.001) and overall quality of life (beta = − 9.9, p < 0.001). Current tobacco use has significant negative association with physical domain (beta = − 1.16, p < 0.004), psychological (beta = − 1.23, p < 0.001), social relationships (beta = − 0.88, p < 0.001), environmental domains (beta = − 1.98, p < 0.001) and overall quality of life (beta = − 5.73, p < 0.001). Also, current chewing khat has significant negative association with physical domain (beta = − 1.15, p < 0.003), psychological (beta = − 1.58, p < 0.001), environmental domains (beta = − 2.63, p < 0.001) and overall quality of life (beta = − 6.22, p < 0.001). Conclusion The social relationship domain of quality of life has the lowest mean score. Medication non-adherence, treatment duration, having a comorbid physical illness, current tobacco use and current chewing khat were found to have a statistically significant association with the overall quality of life. Therefore, treatments aimed to improve social deficits, medication non-adherence, comorbid physical illness and decrease substance abuse is imperative.

scholarly journals How Social Relationships Influence Substance Use Disorder Recovery: A Collaborative Narrative Study

2019 ◽  
Vol 13 ◽  
pp. 117822181983337 ◽  
Author(s):  
Henning Pettersen ◽  
Anne Landheim ◽  
Ivar Skeie ◽  
Stian Biong ◽  
Morten Brodahl ◽  
...  
Keyword(s):  
Substance Use ◽  
Social Relationships ◽  
Substance Use Disorder ◽  
Service Providers ◽  
Treatment Strategies ◽  
Support Network ◽  
Structured Interviews ◽  
Narrative Study ◽  
Study Planning ◽  
Caring Relationship

Individuals with a substance use disorder (SUD) often have fewer social support network resources than those without SUDs. This qualitative study examined the role of social relationships in achieving and maintaining stable recovery after many years of SUD. Semi-structured interviews were conducted with 18 participants, each of whom had been diagnosed with a SUD and each of whom had been abstinent for at least 5 years. A resource group of peer consultants in long-term recovery from SUDs contributed to the study planning, preparation, and initial analyses. The relationship that most participants described as helpful for initiating abstinence was recognition by a peer or a caring relationship with a service provider or sibling. These findings suggest that, to reach and maintain abstinence, it is important to maintain positive relationships and to engage self-agency to protect oneself from the influences of negative relationships. Substance use disorder service providers should increase the extent to which they involve the social networks of clients when designing new treatment approaches. Service providers should also focus more on individualizing services to meet their clients on a personal level, without neglecting professionalism or treatment strategies.

A Multi-level Analysis of Thirty-two Societies on Marital and Family Satisfaction

2011 ◽  
Vol 12 (3) ◽  
pp. 325-342 ◽  
Author(s):  
YOSHINORI KAMO ◽  
MAKIKO HORI
Keyword(s):  
Quality Of Life ◽  
Social Relationships ◽  
Family Relationships ◽  
Marital Quality ◽  
Subjective Assessment ◽  
Family Satisfaction ◽  
Multi Level ◽  
The Individual ◽  
Level Analysis

When we examine the quality of life for each individual, several specific dimensions need to be considered. Health conditions and quality of family relationships are critical. When the individual in question is married, his/her marital quality is important. When he/she has a job, subjective assessment of that job is important. Social relationships regarding friends, neighbors, colleagues, relatives, etc. may be critical also. Although the quality of life is more than the sum of qualities of these specific areas of one's life, it is still determined to a great extent by the qualities of these sub-areas, including marital and family relationships (Proulxet al., 2007).

Investigating the voice of the young offender

2017 ◽  
Vol 19 (1) ◽  
pp. 77-88 ◽  
Author(s):  
Heidi Trivasse
Keyword(s):  
Young Person ◽  
Structured Interviews ◽  
Youth Justice ◽  
National Guidelines ◽  
Children's Services ◽  
Content Type ◽  
Children’S Services ◽  
The Individual ◽  
The Voice

Purpose The purpose of this paper is to fulfil national guidelines for greater participation of young people within Children’s Services and specifically explored young offenders’ (YOs) views and experiences of the Youth Justice Service (YJS). Design/methodology/approach Semi-structured interviews were used to gather qualitative evidence regarding the experiences of 11 YOs. The interviews were created with four subsections: demographic information, positive and negative aspects of the YJS, feelings regarding YJS involvement, and hindsight and future plans. Interview transcripts were analysed using thematic analysis. Findings Two main themes arose: how participants perceived their journey through the YJS, and the relationships participants had with both the professionals and activities. Overall, the genuineness and parental quality of the relationships between YOs and YJS workers, and the personal relevance of the work, both appeared more important than formal interventions. Practical implications Implications for YJS practice suggest the need to create a context of genuine care. This includes building a relationship with, and working collaboratively with the YO, the provision of structure and boundaries, ensuring clarity in service provision and tailoring work to the individual and the offence. Originality/value This work satisfies Children’s Services guidance to obtain the view of the young person. It evaluates work within a specific YJS and provides implications for altering the focus of this work. The outcomes offer wider implications for all YJS provisions.

scholarly journals Exploring The Role of Advanced Clinical Practitioners (ACPs) and Their Contribution To Health Services in England.

2021 ◽  
Author(s):  
Claire Mann ◽  
Stephen Timmons ◽  
Catrin Evans ◽  
Ruth Pearce ◽  
Charlotte Overton Research ◽  
...  
Keyword(s):  
Health Services ◽  
Workforce Development ◽  
Sampling Technique ◽  
Barriers And Facilitators ◽  
Positive Contribution ◽  
Snowball Sampling ◽  
Structured Interviews ◽  
Contributing Factors ◽  
National Implementation

Abstract Background An extended role being explored globally is that of the advanced clinical practitioner (ACP). In England this is an extended role for allied health professions, nurses and midwives. ACP education is organised by Health Education England (HEE) who organise an accredited training programme for ACPs alongside a multi-professional framework. This paper draws on research commissioned to evaluate the national implementation of the ACP role to inform the development of a Centre for Advancing Practice in the UK but has implications for others considering their ACP provision. This paper focuses on three key research questions: 1) What is the role of ACPs in England? 2) What are the barriers and facilitators to implementing the role? and 3) What is the contribution of ACPs to health services in England? Methods Semi-structured interviews were conducted in 2020 with 63 participants across a range of stakeholder groups and clinical areas. A purposive snowball sampling technique was used to identify participants meeting the inclusion criteria. Interviews were recorded and transcribed verbatim, anonymised and thematically analysed. Results We report on three aspects as highlighted from the data (1) The role of ACPs, (2) Barriers to and facilitators of the ACP role implementation (3) Contribution of ACPs to health services in England. The ACP role in England was undertaken in a broad range of clinical contexts. ACPs worked towards being an autonomous practitioner and most were independent prescribers. In England ‘advanced clinical practitioner’ was not a protected title. There were high levels of variability and ambiguity of understanding and deployment of the ACP role in England. Conclusions This study outlines the contribution that ACPs make to health services and contributing factors to the success of the ACP role in England. We demonstrated the range in which the role is successful in England. We identified key barriers and facilitators to implementing this role. Finally, the work showed the positive contribution that ACPs can make to service redesign and workforce development as well as patient outcomes, whilst accepting that there is much work to do to ensure protected status and parity across all professions and clinical contexts.

scholarly journals The psychosocial impacts caused by diagnosis and treatment of Coeliac Disease

2016 ◽  
Vol 50 (1) ◽  
pp. 65-70 ◽  
Author(s):  
Susy Rocha ◽  
Lenora Gandolfi ◽  
Josenaide Engracia dos Santos
Keyword(s):  
Coeliac Disease ◽  
Social Relationships ◽  
Disease Diagnosis ◽  
University Hospital ◽  
Structured Interviews ◽  
Psychosocial Effects ◽  
Substantial Impact ◽  
Psychosocial Impacts ◽  
Negative Impacts

Abstract OBJECTIVE To comprehend the psychosocial effects that Coeliac Disease diagnosis entails. METHOD Qualitative study, achieved through semi-structured interviews, analyzed in accordance to the Association of ideas map Technique. A total 12 recently-diagnosed patients from the Centro de diagnóstico, tratamento e apoio ao paciente com doença celíaca (Coeliac Disease Prevention, Support and Treatment Diagnose Centre) from the Hospital Universitário de Brasília (University Hospital of Brasilia) were enrolled for the study, between the years of 2013 and 2014. RESULTS The interviewed patients presented negative impacts in three categories: psychoaffective, family and social relationships, indicating issues with social readaptation once the treatment had started, as well as difficulty coping with a gluten free diet. CONCLUSION Coeliac Disease holds substantial impact on psychological functions, family and social relationships to diagnosed patients, requiring a clinical biopsychological assistance for better adherence to treatment and patients quality of life.

Living with dementia: the felt worth of support workers

2019 ◽  
pp. 1-21
Author(s):  
Leigh Anne Hale ◽  
Matthew Lee Jenkins ◽  
Beth Mayland ◽  
Yvette Buttery ◽  
Pauline Norris ◽  
...  
Keyword(s):  
Conceptual Model ◽  
Interpersonal Relationships ◽  
Significant Finding ◽  
Structured Interviews ◽  
People With Dementia ◽  
The Individual ◽  
Individual Strategies ◽  
Private Homes

Abstract Considering the important role that paid support workers play in care of older people with dementia, it is vital that researchers and relevant organisations understand the factors that lead to them feeling valued for the work that they do, and the consequences of such valuing (or lack thereof). The current study employed semi-structured interviews to understand the individual experiences of 15 support workers based both in residential care homes and private homes. The General Inductive Approach was used to analyse the interview transcriptions and to develop a conceptual model that describes the conditions that lead to support workers feeling valued for the work that they do. This model consists of organisational or individual strategies, the context in which support work takes place, and various interactions, actions and intervening conditions that facilitate or prevent support workers feeling valued. A significant finding in this research was the role of interpersonal relationships and interactions which underlie all other aspects of the conceptual model developed here. By understanding the importance of how employers, families of older adults with dementia and peers interact with support workers, we may promote not only the quality of work that support workers deliver, but also the wellbeing of the support workers themselves.

scholarly journals Invisible rights: Barriers and facilitators to access and use of interpreter services in health care settings by Polish migrants in Norway

2018 ◽  
Vol 47 (7) ◽  
pp. 755-764 ◽  
Author(s):  
Elżbieta Anna Czapka ◽  
Jennifer Gerwing ◽  
Mette Sagbakken
Keyword(s):  
Health Care ◽  
Health Personnel ◽  
Ad Hoc ◽  
Health Condition ◽  
Barriers And Facilitators ◽  
Structured Interviews ◽  
Health Care Settings ◽  
Interpreter Services ◽  
Polish Migrants

Aims: Polish migration to Norway is a relatively new phenomenon. Many Polish migrants do not speak Norwegian or have insufficient knowledge of the language, which makes it difficult or impossible to communicate with health personnel. The main aim of the study was to identify barriers and facilitators to Polish migrants’ access and use of interpreter services in health care settings in Norway. Methods: Nineteen semi-structured interviews with Polish migrants were carried out in 2013 and 2014. Thematic analysis was performed to identify barriers and facilitators related to the use of interpreter services. Results: Participants often received information regarding their health condition and treatment in a language they did not fully understand. They reported that their access to interpretation services was limited or denied for a variety of reasons, such as reluctance of health personnel to book an interpreter and overestimation of patient’s language skills. In many cases, using friends, relatives or bilingual staff instead of professional interpreters compromised the quality of interpretation. Conclusions: Even though migrants are entitled to free interpreter services, Polish migrants experience several barriers accessing interpreters in health care settings. A variety of practices such as selective use and use of unqualified and ad hoc interpreters reveals a failure to meet recommended standards of interpretation services. Not involving professional interpreters in language-discordant consultations constitutes a serious threat to practitioners’ ability to work as competent professionals, potentially risking the quality and safety of health care for these patients.

scholarly journals Human error and patient safety in health services/O erro humano e a segurança do paciente nos serviços de saúde/Error humano y la seguridad del paciente en los servicios de salud

2014 ◽  
Vol 3 (3) ◽  
pp. 115
Author(s):  
Francisco Gilberto Fernandes Pereira ◽  
Joselany Áfio Caetano
Keyword(s):  
Patient Safety ◽  
Health Services ◽  
Human Error ◽  
Human Condition ◽  
Quality Of Services ◽  
Palabras Clave ◽  
De Se ◽  
Reflective Study ◽  
The Individual

ABSTRACT Objective: to discuss about human error and its implications on health services weaving parallel considerations on Patient Safety. Methodology: this is a reflective study, from the expert authors dialogical interpretation of the theme, which emerged from the thematic axes: contextualizing the phenomenon of uncertainty in health services; discussion from the perspective of error as inherent human condition, showing its multifaceted definition and consequences; and convergences between the error and Patient Safety. Results: in the area of health, human error is related to multiple factors, which travels from those causes inherent to the patient, those institutional, financial, structural, and human factors, such as lack of knowledge and skills. The error should commonly be used to generate learning situations that will translate into real improvements in the quality of services and care, which converges to the need to institutionalize a culture that prevails in the health and welfare of the individual assisted, giving rise to patient safety itself. Final considerations: the best way to prevent human error is to know the probability of its occurrence, as well as knowing typifies them, and relate its causes and consequences. Keywords: Patient safety. Medical erros. Health services. RESUMO Objetivo: discutir acerca do erro humano e suas implicações nos serviços de saúde tecendo considerações paralelas com a Segurança do Paciente. Metodologia: trata-se de um estudo reflexivo, realizado a partir da interpretação dialógica de autores experts na temática, dos quais emergiram os eixos temáticos: contextualização do fenômeno da insegurança nos serviços de saúde; discussão da perspectiva do erro como condição inerente do ser humano, demonstrando sua multifacetada definição e consequências; e, as convergências entre o erro e a Segurança do Paciente. Resultados: na área de saúde, o erro humano está atrelado a múltiplos fatores, que trafegam desde aquelas causas inerentes ao próprio paciente, àquelas institucionais, financeiras, estruturais, e de fatores humanos, como a falta de conhecimento e habilidades. O erro deve, comumente, ser utilizado para gerar situações de aprendizado que se converterão em melhorias efetivas da qualidade dos serviços e cuidados prestados, o que converge para a necessidade de se institucionalizar uma cultura em que prevaleça a saúde e o bem-estar do indivíduo assistido, fazendo emergir a segurança do paciente propriamente dita. Considerações finais: a melhor forma de prevenção do erro humano é conhecer a possibilidade de sua ocorrência, bem como saber tipificá-los, e relacionar suas causas e consequências. Descritores: Segurança do paciente. Erros médicos. Serviços de saúde. RESUMEN Objetivo: Discutir acerca de los errores humanos y sus implicaciones en los servicios de salud que tejen consideraciones paralelas sobre la Seguridad del Paciente. Metodología: se trata de un estudio reflexivo, de la interpretación dialógica autores expertos del tema, que surgió a partir de los ejes temáticos: contextualizar el fenómeno de la incertidumbre en los servicios de salud; discusión desde la perspectiva del error como condición inherente al ser humano, mostrando su definición multifacética y consecuencias; y convergencias entre el error y la Seguridad del Paciente. Resultados: en el área de la salud, el error humano se relaciona con múltiples factores, que viaja de esas causas inherentes al paciente, los factores institucionales, financieras, estructurales y humanos, como la falta de conocimientos y habilidades. El error normalmente se debe utilizar para generar situaciones de aprendizaje que se traducirán en mejoras reales en la calidad de los servicios y la atención, que converge a la necesidad de institucionalizar una cultura que prevalece en la salud y el bienestar del individuo asistida, dando lugar a sí mismo la seguridad del paciente. Consideraciones finales: la mejor manera de prevenir el error humano es conocer la probabilidad de que se produzcan, así como conocer los tipifica, y relacionar sus causas y consecuencias. Palabras clave: Seguridad del paciente. Errores médicos. Servicios de salud. 

scholarly journals How I Deal With Breast Cancer: Iranian Women Survivors Coping Strategies - Content Analysis

2022 ◽  
Author(s):  
E Manouchehri ◽  
A Taghipour ◽  
A Ebadi ◽  
F Homaei Shandiz ◽  
Robab Latifnejad Roudsari
Keyword(s):  
Breast Cancer ◽  
Content Analysis ◽  
Cancer Survivors ◽  
Coping Strategies ◽  
Women Survivors ◽  
Breast Cancer Survivors ◽  
Behavioral Strategies ◽  
Structured Interviews ◽  
Seeking Help

Abstract Background: Breast cancer is the most frequent cancer in Iran. Understanding the coping strategies employed by cancer survivors can provide valuable information for designing interventions to help them adapt to their problems produced by cancer and its treatment. This study aimed to explore the coping strategies of BC survivors in Iran.Methods: This qualitative study was conducted in Mashhad, Northeast of Iran, between April to December 2021. 14 breast cancer survivors were selected through purposive sampling method. The data were collected using semi-structured interviews. Data were analyzed using conventional content analysis adopted by Graneheim & Lundman. MAXQDA 12 software, was used for data organization. Components of trustworthiness including credibility, dependability, confirmability and transferability were considered.Results: The main themes which emerged from participants' data analysis were "behavioral coping strategies" and "emotional coping strategies". Behavioral strategies such as change nutritional habits, improving lifestyle, trying to stay active, seeking help for improvement of physical and mental needs and efforts to increase knowledge and literacy about BC. The psychological strategies were denying the breast cancer, psychological empowerment, spirituality and seeking help of family and relatives. Conclusion: Our findings provide in-depth understanding of Iranian women’s strategies for coping with BC. The qualified teams of psychiatrics, oncologists and reproductive health specialists need to contribute significantly to an upgraded coping of patients to cancer that could lead to higher quality of life.

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