Storytelling to Capture the Health Care Perspective of People Who Are Homeless

Utilizing a hermeneutic philosophical approach, the researchers explored the perceptions and experiences of people who are homeless in Mobile, Alabama, receiving health care and interacting with health care providers. Using the voice of the participants, discussions among the researchers, and supporting literature reinforcing key concepts, a framework was created illustrating the lived experience. The following themes were identified: social determinants of health, compromised systems, professionalism, dehumanization, engagement, and downward trajectory. The experiences described and themes identified indicate a breakdown in therapeutic relationships between homeless individuals and health care providers, contributing to the continuing destabilization common in this population.

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469-P: Health Care Providers’ Experiences with a Virtual Reality Program Focused on Diabetes, Social Determinants of Health, and Appalachian Culture

Diabetes ◽

10.2337/db21-469-p ◽

2021 ◽

Vol 70 (Supplement 1) ◽

pp. 469-P

Author(s):

ELIZABETH A. BEVERLY ◽

CARRIE LOVE ◽

MATTHEW LOVE

Keyword(s):

Health Care ◽

Virtual Reality ◽

Social Determinants Of Health ◽

Health Care Providers ◽

Social Determinants ◽

Determinants Of Health ◽

Care Providers ◽

Appalachian Culture

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The Association between Social Determinants of Health and Self-Reported Diabetic Retinopathy: An Exploratory Analysis

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18020792 ◽

2021 ◽

Vol 18 (2) ◽

pp. 792

Author(s):

Emily L. Silverberg ◽

Trevor W. Sterling ◽

Tyler H. Williams ◽

Grettel Castro ◽

Pura Rodriguez de la Vega ◽

...

Keyword(s):

High School ◽

Health Care ◽

Diabetic Retinopathy ◽

Social Determinants Of Health ◽

Health Care Providers ◽

Social Determinants ◽

Determinants Of Health ◽

Outcome Variable ◽

Diabetic Patients ◽

Care Providers

One-third of Americans with diabetes will develop diabetic retinopathy (DR), the leading cause of blindness in working-age Americans. Social determinants of health (SDOHs) are conditions in a person’s environment that may impact health. The objective of this study was to determine whether there is an association between SDOHs and DR in patients with type II diabetes. This cross-section study used data from the 2018 Behavioral Risk Factor Surveillance System (BRFSS). This study included people with self-reported diabetes in the US in 2018 (n = 60,703). Exposure variables included homeownership, marital status, income, health care coverage, completed level of education, and urban vs. rural environment. The outcome variable was DR. Logistic regression analysis were applied to calculate odds ratios (ORs) and 95% confidence intervals (CIs). Alaskan Native/Native American (OR 2.11; 95% CI: 1.14–3.90), out of work (OR 2.82; 95% CI: 1.62–4.92), unable to work (OR 2.14; 95% CI: 1.57–2.91), did not graduate high school (OR 1.91; 95% CI: 1.30–2.79), only graduated high school (OR 1.43; 95% CI 1.08–1.97), or only attended college or technical school without graduating (OR 1.42; 95% CI: 1.09–1.86) were SDOHs associated with DR in patients with diabetes. Health care providers should identify these possible SDOHs affecting their diabetic patients.

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Developing Innovative Virtual Reality Simulations to Increase Health Care Providers' Understanding of Social Determinants of Health

Journal of Continuing Education in the Health Professions ◽

10.1097/ceh.0000000000000400 ◽

2021 ◽

Vol Publish Ahead of Print ◽

Author(s):

Susan V. Brammer ◽

Saundra L. Regan ◽

Chris M. Collins ◽

Gordon L. Gillespie

Keyword(s):

Health Care ◽

Virtual Reality ◽

Social Determinants Of Health ◽

Health Care Providers ◽

Social Determinants ◽

Determinants Of Health ◽

Care Providers

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Facing the Need: Screening Practices for the Social Determinants of Health

The Journal of Law Medicine & Ethics ◽

10.1177/1073110517737543 ◽

2017 ◽

Vol 45 (3) ◽

pp. 431-441 ◽

Cited By ~ 3

Author(s):

Joanna Theiss ◽

Marsha Regenstein

Keyword(s):

Health Care ◽

Social Determinants Of Health ◽

Health Care Providers ◽

Social Determinants ◽

Qualitative Interviews ◽

Determinants Of Health ◽

Care Providers ◽

Screening Practices ◽

The Social ◽

Care Approach

Despite evidence that social factors can result in poor health outcomes, and the emergence of payment models that encourage the use non-medical interventions to improve health, many health care providers do not identify the social determinants of health within patient populations through routine screening. This Article explores the possible reasons for this inconsistency by considering screening practices in medical-legal partnerships (MLPs), the health care approach most concerned with identifying and treating the social determinants of health. Through an analysis of the results of a national survey and qualitative interviews with MLPs, we discovered that screening is not operationalized or consistent within many MLPs. We conclude that although health care providers may recognize the value of screening, they are not yet embracing the practice, perhaps because of an unspoken fear that fulsome screening identifies so many unmet social and legal needs that community-based resources cannot satisfy demand. This fear is unfounded. Approaches such as MLP demonstrate that social and legal needs can be efficiently treated through collaboration with other professionals, often within the health care setting. Nevertheless, providers must first operationalize screening to truly understand the scope of the need in their patient populations and collaborate to address those needs.

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The Lived Experience of Syrian Refugees in Canada: A Phenomenological Study

The Qualitative Report ◽

10.46743/2160-3715/2021.4334 ◽

2021 ◽

Author(s):

Khaldoun Aldiabat ◽

Enam Alsrayheen ◽

Catherine Aquino-Russell ◽

Michael Clinton ◽

Roger Russell

Keyword(s):

Health Care ◽

Social Determinants Of Health ◽

Health Care Providers ◽

Social Determinants ◽

Lived Experiences ◽

Phenomenological Study ◽

Determinants Of Health ◽

Syrian Refugees ◽

Care Providers ◽

The Social

Health care providers in Canada are expected to take care of people from a variety of cultural backgrounds, and it is difficult for health care providers to deeply understand the lived experiences of some individuals to provide them with culturally sensitive care. Syrian refugees comprise one such group of newcomers to Canada. This phenomenological study aimed to uncover the meaning of the lived experiences of Syrian refugees using Giorgi’s (2009) method. Seven participants’ descriptions were viewed through the lens of the social determinants of health model. Seven essences of the general structural description or the meaning Syrian refugees gave to their experiences of living in Canada were synthesized. Syrian refugees live paradoxical experiences that are both rewarding and less rewarding when viewed through the lens of the social determinants of health (social support, environment, culture, education, health services, employment, and income). These experiences have influenced their health in both positive and negative ways. This study highlights the need for more culturally sensitive health care interventions and assistance for Syrian refugees/newcomers in Canada. As a next step, an action research study involving Syrian refugees as co-researchers may help address the social determinant of health risks in this population.

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Having a Sibling With Schizophrenia: A Phenomenological Study

Research and Theory for Nursing Practice ◽

10.1891/rtnp.20.3.247 ◽

2006 ◽

Vol 20 (3) ◽

pp. 247-264 ◽

Cited By ~ 25

Author(s):

Alexia Barnable ◽

Alice Gaudine ◽

Lorna Bennett ◽

Robert Meadus

Keyword(s):

Health Care ◽

Lived Experience ◽

Health Care Providers ◽

Phenomenological Study ◽

Hermeneutic Phenomenology ◽

Limited Attention ◽

Care Providers ◽

The Impact

Limited attention has been paid to experiences of individuals with siblings diagnosed with schizophrenia. The purpose of this article is to address this gap by exploring the impact of having a brother or sister with schizophrenia. The lived experience of 6 individuals with a sibling with schizophrenia was explored using van Manen’s (1997) Hermeneutic Phenomenology. Four themes were identified: struggling to understand, struggling with the system, caring for the sibling, and seeing beyond the illness. Health care providers need to re-evaluate current approaches for assisting individuals to cope with having a sibling with schizophrenia. Inclusion in the plan of care and recognition of their struggle is essential for individuals having a sibling with schizophrenia.

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Dancing With Death in the Dust of Coronavirus: The Lived Experience of Iranian Nurses

Creative Nursing ◽

10.1891/crnr-d-20-00046 ◽

2020 ◽

Vol 26 (4) ◽

pp. e82-e89

Author(s):

Fatemeh Bahramnezhad ◽

Parvaneh Asgari

Keyword(s):

Health Care ◽

Lived Experience ◽

Health Care Providers ◽

Health Care Systems ◽

Phenomenological Approach ◽

Care Providers ◽

Care Systems ◽

Interpretative Phenomenological Approach ◽

Communication Challenges ◽

Novel Coronavirus

The novel coronavirus disease (COVID-19) pandemic as a public health emergency poses dramatic challenges for health-care systems. The experiences of health-care workers are important in planning for future outbreaks of infectious diseases. This study explored the lived experiences of 14 nurses in Tehran, Iran caring for coronavirus patients using an interpretative phenomenological approach as described by Van Manen. In-depth interviews were audio-recorded between March 10 and May 5, 2020. The essence of the nurses' experiences caring for patients with COVID-19 was categorized as three themes and eight subthemes: (a) Strong pressure because of coronavirus: initial fear, loneliness, communication challenges, exhaustion. (b) Turn threats into opportunities: improvement of nursing image, professional development. (c) Nurses' expectations: expectations of people, expectations of government. The findings of this study showed that identifying the challenges and needs of health-care providers is necessary to create a safe health-care system and to prepare nurses and expand their knowledge and attitudes to care for patients in new crises in the future.

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Exploring the lived experiences of pregnant women and community health care providers during the pandemic of COVID-19 in Bangladesh through a phenomenological analysis

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-04284-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Sadika Akhter ◽

Feroza Akhter Kumkum ◽

Farzana Bashar ◽

Aminur Rahman

Keyword(s):

Health Care ◽

Pregnant Women ◽

Community Health ◽

Lived Experience ◽

Health Care Providers ◽

Health Workers ◽

Maternal And Newborn Health ◽

Community Health Care ◽

Care Providers ◽

The Government

Abstract Background Like many countries, the government of Bangladesh also imposed stay-at-home orders to restrict the spread of severe acute respiratory syndrome coronavirus-2 (COVID-19) in March, 2020. Epidemiological studies were undertaken to estimate the early possible unforeseen effects on maternal mortality due to the disruption of services during the lockdown. Little is known about the constraints faced by the pregnant women and community health workers in accessing and providing basic obstetric services during the pandemic in the country. This study was conducted to explore the lived experience of pregnant women and community health care providers from two southern districts of Bangladesh during the pandemic of COVID-19. Methods The study participants were recruited through purposive sampling and non-structured in-depth interviews were conducted. Data was collected over the telephone from April to June, 2020. The data collected was analyzed through a phenomenological approach. Results Our analysis shows that community health care providers are working under tremendous strains of work load, fear of getting infected and physical and mental fatigue in a widely disrupted health system. Despite the fear of getting infected, the health workers are reluctant to wear personal protective suits because of gender norms. Similarly, the lived experience of pregnant women shows that they are feeling helpless; the joyful event of pregnancy has suddenly turned into a constant fear and stress. They are living in a limbo of hope and despair with a belief that only God could save their lives. Conclusion The results of the study present the vulnerability of pregnant women and health workers during the pandemic. It recognizes the challenges and constraints, emphasizing the crucial need for government and non-government organizations to improve maternal and newborn health services to protect the pregnant women and health workers as they face predicted waves of the pandemic in the future.

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