Facilitators and Barriers of Mother Engagement in a Home-based Parenting Program Following Concerns of Child Maltreatment

2022 ◽  
pp. 0192513X2110675
Author(s):  
Alison Fogarty ◽  
Holly Rominov ◽  
Monique Seymour ◽  
Kirsty Evans ◽  
Catherine Fisher ◽  
...  
Keyword(s):  
Child Maltreatment ◽  
Young Children ◽  
Therapeutic Relationship ◽  
Thematic Analysis ◽  
Home Visiting ◽  
Parenting Program ◽  
Structured Interviews ◽  
Home Based ◽  
Strength Based ◽  
Facilitators And Barriers

The current study aimed to explore mothers’ perceptions of facilitators and barriers to engagement in the HoPES program, an intensive home-visiting intervention for families with young children identified as having child maltreatment concerns. Seven mothers who had participated in the program participated in semi-structured interviews about their experiences. Thematic analysis was conducted using NVivo Version 12. Themes relating to facilitators of engagement included the following: (1) clinician behaviours; (2) treatment relevance/acceptability; (3) strong therapeutic relationship; (4) mothers’ cognitions and beliefs about treatment and (5) program delivery. Themes relating to barriers to engagement included the following: (1) contextual/external barriers to treatment; (2) treatment relevance/acceptability; (3) mothers’ cognitions and beliefs about treatment and (4) program processes. This study highlights the important role which services and clinicians have in engaging parents at risk of child maltreatment. Specifically, the prioritisation of the therapeutic relationship through all intervention processes, and the utilisation of strength-based approaches, may facilitate engagement.

scholarly journals ‘I was really, really shocked’: A sociological exploration of the transition experiences of English Youth Academy male footballers from school to work

2021 ◽  
pp. 101269022110054
Author(s):  
Nicola Hague ◽  
Graeme Law
Keyword(s):  
Young Children ◽  
Children And Adolescents ◽  
Thematic Analysis ◽  
School To Work ◽  
Structured Interviews ◽  
Professional Career ◽  
Professional Experiences ◽  
Transitional Experiences ◽  
The World ◽  
Different Types

The world of football arguably brings together and unites people in support of their teams and countries, while inspiring young children and adolescents to dream of a professional career. Existing research in the field has sought to begin to understand what professional footballers experience on their journey through the game. However, much of this UK-based research has focused on first team players and their professional experiences, including transitions from youth team to first team and to retirement. This study, therefore, aimed to examine players during their youth academy scholarship at one English Championship club. This study focused on the transitional experiences of youth players from school to the academy and their resulting embodying of a footballer’s identity. Twelve semi-structured interviews with players aged 17–19, were conducted and then analysed by thematic analysis using figurational sociology concepts. Three different types of transition were identified. Among other reasons, early specialisation in football was a prevalent factor that partly influenced the way the players experienced their transition. The transition into the academy coincided with the transition from youth to adulthood that was arguably anything but linear as players managed the dominant sub-cultures present in the club.

scholarly journals Patient Perspectives on Home-Based Rehabilitation Exercise and General Physical Activity after Total Hip Arthroplasty: A qualitative study (PHETHAS-2)

2020 ◽  
Author(s):  
Anne Groendahl Poulsen ◽  
Janni Dahlgaard Gravesen ◽  
Merete Noergaard Madsen ◽  
Lone Ramer Mikkelsen ◽  
Thomas Bandholm ◽  
...  
Keyword(s):  
Physical Activity ◽  
Everyday Life ◽  
Exercise Program ◽  
Main Theme ◽  
Structured Interviews ◽  
Theoretical Underpinning ◽  
Home Based ◽  
Facilitators And Barriers ◽  
General Physical ◽  
Rehabilitation Exercise

Abstract Objectives To investigate patient-perceived facilitators and barriers to home-based rehabilitation exercise and general physical activity after THA. Design Using a qualitative design, twenty-two semi-structured interviews were conducted and analyzed using an interpretive thematic analysis approach, with theoretical underpinning from the concept conduct of everyday life. The study is embedded within the PHETHAS-1 trial, quantitatively investigating recovery outcomes after a home-based rehabilitation exercise program. Setting A regional hospital in Denmark between January 2018 and May 2019. Participants Twenty-two patients who had undergone THA and performed home-based rehabilitation exercise. Results The main theme Wishing to return to the well-known everyday life and the subtheme General physical activity versus rehabilitation exercise were identified. Generally, the participants found the home-based rehabilitation exercise boring but were motivated by the goal of returning to their habitual conduct of everyday life and perform their usual general physical activities. Participants enrolled in the PHETHAS-1 study used the enrollment as part of their motivation for doing the exercises. Both pain and no pain were identified as barriers for doing the home-based rehabilitation exercise. Pain could cause insecurity while no pain could cause the rehabilitation exercise to be perceived as pointless. Conclusions The overall goal for the THA patients was to return to their habitual everyday life. This goal served as a facilitator for undertaking home-based rehabilitation exercise. Being able to perform their usual activities paradoxically became a barrier for some of the participants, as they were more motivated towards general physical activity than the rehabilitation exercise.

Facilitators and barriers to developing firefighter resilience

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Rebecca Rose Conway ◽  
Sara Waring
Keyword(s):  
Thematic Analysis ◽  
Design Methodology ◽  
Evidence Base ◽  
Structured Interviews ◽  
Content Type ◽  
Formal Support ◽  
The United Kingdom ◽  
Support Mechanisms ◽  
Facilitators And Barriers ◽  
Potential Improvement

PurposeDeveloping resilience is vital for firefighters and other practitioners exposed to trauma as part of their day-to-day work in maintaining physical and mental resilience. However, further understanding of what factors facilitate and hinder the development of firefighter resilience and why is needed. The current study evaluates efficacy of support mechanisms currently in place and develops an evidence base for interventions to support development of firefighter resilience.Design/methodology/approachSemi-structured interviews were conducted with 12 firefighters from across two regions in the United Kingdom, the Northwest and Southeast of England. Thematic analysis was used to analyse transcripts, highlighting themes within, and across, services to identify what factors affect development of firefighter resilience and why.FindingsThematic analysis highlighted four key themes shared by firefighters across regions: “informal support”, “formal support”, “basic welfare measures” and “trust”. Importantly, how effective formal measures are perceived to be and the willingness for firefighters to access these resources was dependent upon the level of trust held in senior management. Firefighters across locations highlighted levels of trust were affected by industrial actions which created divides. Accordingly, one way firefighter resilience may be further promoted is by altering how formal support mechanisms are accessed.Originality/valueAlthough existing research has found factors which promote resilience of firefighters, evaluation of specific services is lacking. The current research highlights areas among two UK services where resilience is effectively being promoted and areas for potential improvement.

scholarly journals Reablement professionals’ perspectives on client characteristics and factors associated with successful home-based reablement: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mads Nibe Stausholm ◽  
Louise Pape-Haugaard ◽  
Ole Kristian Hejlesen ◽  
Pernille Heyckendorff Secher
Keyword(s):  
Qualitative Study ◽  
Thematic Analysis ◽  
Driving Forces ◽  
Shared Understanding ◽  
Structured Interviews ◽  
Client Characteristics ◽  
Group Collaboration ◽  
Factors Associated ◽  
Home Based ◽  
Staff Group

Abstract Background To understand what is needed to achieve a successful Danish home-based reablement service from the perspective of reablement professionals. Methods Semi-structured interviews and observations were conducted with nine professionals within a municipal visitation unit in the Northern Denmark Region. Thematic analysis was used to analyze the interviews. Results Four major themes emerged during this study: “Heterogeneity of clients and mixed attitudes towards the reablement intervention”, “Shared understanding and acknowledging the need for help as the first step in reablement”, “Commitment and motivation are essential for successful reablement”, and “Homecare helpers as most important team players”. The findings indicate that the clients had both mixed characteristics and attitudes about participating in the reablement intervention. Essential factors for successful reablement included a shared understanding of the reablement intervention, commitment, and motivation in terms of client involvement and staff group collaboration. Conclusions Shared understanding of the reablement intervention, commitment, and motivation was found to be essential factors and the driving forces in relation to successful reablement.

scholarly journals “I still put them on her plate”: A qualitative study exploring strategies implemented by parents to promote vegetable intake

2021 ◽  
Author(s):  
Chandani Nekitsing ◽  
Pam Blundell-Birtill ◽  
Marion Hetherington
Keyword(s):  
Preschool Children ◽  
Thematic Analysis ◽  
Vegetable Intake ◽  
Structured Interviews ◽  
Mixed Methods Approach ◽  
Home Based ◽  
Variable Success ◽  
Tailored Approach ◽  
Fussy Eating ◽  
Food Fussiness

This study explored strategies implemented by parents to encourage their children to eat vegetables, especially when children exhibit fussy eating. The study involved a mixed methods approach using semi-structured interviews with twenty parents of preschool children (aged 2-5 years) with a high and low level of food fussiness (established by questionnaire). All interviews were audio recorded, then verbatim transcribed and analyzed using thematic analysis. Thematic analysis revealed seven main themes with sixteen subthemes encompassing various vegetable promoting strategies. These included (1) Instructed knowledge, (2) Experiential learning, (3) Food manipulation, (4) Reinforcement, (5) Encouragement of autonomy (6) Commitment to a food ideal and (7) Inherent values. Parents used a range of methods to encourage their children to eat vegetables but there were no major differences by level of food fussiness. Parents talked about variable success in applying strategies even with the same child. Home based strategies were more diverse and personalized to the child than those tested in most research studies. Therefore, interventions to promote vegetable intake in preschool children will benefit from co-production with parents adopting a tailored approach to match the needs of the specific child.

scholarly journals The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
K. E. Grailey ◽  
E. Murray ◽  
T. Reader ◽  
S. J. Brett
Keyword(s):  
Thematic Analysis ◽  
Healthcare Workers ◽  
Evidence Synthesis ◽  
Psychological Safety ◽  
Structured Interviews ◽  
Situational Context ◽  
Safety Research ◽  
Modifiable Factors ◽  
Wide Range ◽  
Facilitators And Barriers

Abstract Introduction Psychological safety is the shared belief that the team is safe for interpersonal risk taking. Its presence improves innovation and error prevention. This evidence synthesis had 3 objectives: explore the current literature regarding psychological safety, identify methods used in its assessment and investigate for evidence of consequences of a psychologically safe environment. Methods We searched multiple trial registries through December 2018. All studies addressing psychological safety within healthcare workers were included and reviewed for methodological limitations. A thematic analysis approach explored the presence of psychological safety. Content analysis was utilised to evaluate potential consequences. Results We included 62 papers from 19 countries. The thematic analysis demonstrated high and low levels of psychological safety both at the individual level in study participants and across the studies themselves. There was heterogeneity in responses across all studies, limiting generalisable conclusions about the overall presence of psychological safety. A wide range of methods were used. Twenty-five used qualitative methodology, predominantly semi-structured interviews. Thirty quantitative or mixed method studies used surveys. Ten studies inferred that low psychological safety negatively impacted patient safety. Nine demonstrated a significant relationship between psychological safety and team outcomes. The thematic analysis allowed the development of concepts beyond the content of the original studies. This analytical process provided a wealth of information regarding facilitators and barriers to psychological safety and the development of a model demonstrating the influence of situational context. Discussion This evidence synthesis highlights that whilst there is a positive and demonstrable presence of psychological safety within healthcare workers worldwide, there is room for improvement. The variability in methods used demonstrates scope to harmonise this. We draw attention to potential consequences of both high and low psychological safety. We provide novel information about the influence of situational context on an individual’s psychological safety and offer more detail about the facilitators and barriers to psychological safety than seen in previous reviews. There is a risk of participation bias - centres involved in safety research may be more aligned to these ideals. The data in this synthesis are useful for institutions looking to improve psychological safety by providing a framework from which modifiable factors can be identified.

Facilitators and Barriers to Implementation of an Evidence-Based Parenting Intervention to Prevent Child Maltreatment

2011 ◽  
Vol 17 (1) ◽  
pp. 86-95 ◽  
Author(s):  
Cheri J. Shapiro ◽  
Ronald J. Prinz ◽  
Matthew R. Sanders
Keyword(s):  
Child Maltreatment ◽  
Service Providers ◽  
Triple P ◽  
Evidence Based ◽  
Structured Interviews ◽  
Service Workers ◽  
Self Confidence ◽  
Service Training ◽  
Facilitators And Barriers ◽  
Evidenced Based

The prevention of child maltreatment via parenting interventions requires implementation on a broad scale, which is facilitated by drawing on a multidisciplinary array of service workers located in multiple settings. This underscores the importance of understanding factors that impact worker implementation of evidenced-based parenting and family support interventions. This study involved structured interviews with 174 service providers from several disciplines who had been trained previously in the delivery of the Triple P-Positive Parenting Program. These follow-up interviews, conducted an average of about 2 years after professional in-service training, provided the basis for examining predictors of sustained program use. Predictors examined included facilitators and barriers to program use, as well as organizational and provider-level characteristics such as attitudes toward evidence-based interventions. Highlighting the importance of a systems–contextual perspective on implementation, several provider and organization-level characteristics significantly predicted program use including provider self-confidence after training, fit of program with ongoing duties, availability of posttraining support, and perceived benefit of intervention for children and families. Implications for prevention and implementation science are discussed in view of the challenges inherent in the field of child maltreatment.

scholarly journals The use of playing by the nursing staff on palliative care for children with cancer

2014 ◽  
Vol 35 (3) ◽  
pp. 111-116 ◽  
Author(s):  
Vanessa Albuquerque Soares ◽  
Liliane Faria da Silva ◽  
Emília Gallindo Cursino ◽  
Fernanda Garcia Bezerra Goes
Keyword(s):  
Palliative Care ◽  
Nursing Staff ◽  
Thematic Analysis ◽  
Health Professionals ◽  
Public Hospital ◽  
Structured Interviews ◽  
Children With Cancer ◽  
Descriptive Research ◽  
Qualitative Descriptive ◽  
Facilitators And Barriers

This study aimed to describe ways of using play by the nursing staff on palliative care of children with cancer and analyze the facilitators and barriers of the use of playing on this type of care. Qualitative, descriptive research developed on November 2012 with 11 health professionals, in a public hospital of the state of Rio de Janeiro. Semi-structured interviews and thematic analysis of the information were conducted. The use of playing before procedures was highlighted as a facilitator on palliative care. The child's physical condition, one's restriction, resistance of some professionals and the lack of time for developing this activity, made the use of play harder. We concluded that playing enables the child with cancer, in palliative care, a humanized assistance, being fundamental to integrate it on the care for these children.

‘Are we on the same wavelength?’ International nurses and the process of confronting and adjusting to clinical communication in Australia

2017 ◽  
Vol 13 (3) ◽  
pp. 263-274 ◽  
Author(s):  
Tonia Crawford ◽  
Peter Roger ◽  
Sally Candlin
Keyword(s):  
Communication Skills ◽  
Thematic Analysis ◽  
Care Setting ◽  
Linguistically Diverse ◽  
The Other ◽  
Culturally And Linguistically Diverse ◽  
Central Theme ◽  
Structured Interviews ◽  
Clinical Communication ◽  
Professional Experiences

Effective communication skills are important in the health care setting in order to develop rapport and trust with patients, provide reassurance, assess patients effectively and provide education in a way that patients easily understand (Candlin and Candlin, 2003). However with many nurses from culturally and linguistically diverse (CALD) backgrounds being recruited to fill the workforce shortfall in Australia, communication across cultures with the potential for miscommunication and ensuing risks to patient safety has gained increasing focus in recent years (Shakya and Horsefall, 2000; Chiang and Crickmore, 2009). This paper reports on the first phase of a study that examines intercultural nurse patient communication from the perspective of four Registered Nurses from CALD backgrounds working in Australia. Five interrelating themes that were derived from thematic analysis of semi-structured interviews are discussed. The central theme of ‘adjustment’ was identified as fundamental to the experiences of the RNs and this theme interrelated with each of the other themes that emerged: professional experiences with communication, ways of showing respect, displaying empathy, and vulnerability.

scholarly journals Reluctance to Accept Palliative Care and Recommendations for Improvement: Findings From Semi-Structured Interviews With Patients and Caregivers

2021 ◽  
pp. 104990912110126
Author(s):  
Valeria Cardenas ◽  
Anna Rahman ◽  
Yujun Zhu ◽  
Susan Enguidanos
Keyword(s):  
Palliative Care ◽  
Controlled Trial ◽  
Insurance Coverage ◽  
Healthcare Providers ◽  
Health Condition ◽  
Insurance Companies ◽  
Structured Interviews ◽  
Care Services ◽  
Home Based ◽  
Palliative Care Services

Background: Despite some insurance plans now paying for home-based palliative care, recent reports have suggested that insurance coverage for palliative care may be insufficient in expanding patient access to home-based palliative care. Aim: To identify patients’ and caregivers’ perceived barriers to home-based palliative care and their recommendations for overcoming these barriers. Design: We conducted a qualitative study using semi-structured individual interviews. Our interview protocol elicited participants’ perspectives on home-based palliative care services; positive and negative aspects of the palliative program explanation; and suggestions for improving messaging around home-based palliative care. Setting/Participants: Twenty-five participants (patients, proxies, and their caregivers) who were eligible for a randomized controlled trial of home-based palliative care were interviewed by telephone. Results: Themes related to home-based palliative care referral barriers included reluctance to have home visits, enrollment timing, lack of palliative care knowledge, misconceptions about palliative care, and patients’ self-perceived health condition. Themes related to recommendations for overcoming these obstacles included ensuring that palliative care referrals come from healthcare providers or insurance companies and presenting palliative care services more clearly. Conclusion: Findings reinforce the need for additional palliative care education among patients with serious illness (and their caregivers) and the importance of delivering palliative care information and referrals from trusted sources.

Sign in / Sign up

Export Citation Format

Share Document