scholarly journals Obstacles and facilitators of therapeutic alliance among adolescents with anorexia nervosa, their parents and their psychiatrists: A qualitative study

2019 ◽  
Vol 25 (1) ◽  
pp. 16-32 ◽  
Author(s):  
Jordan Sibeoni ◽  
Laurence Verneuil ◽  
Léa Poulmarc’h ◽  
Massimiliano Orri ◽  
Elise Jean ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Qualitative Study ◽  
Therapeutic Alliance ◽  
Collaborative Work ◽  
Active Role ◽  
Structured Interviews ◽  
Entire Family ◽  
Adolescent Parent ◽  
Parent Relationship ◽  
Definition Of

Background: Therapeutic alliance is one of the most important aspects of treatment of adolescents with anorexia nervosa. Little is known about the facilitators and obstacles of its process in this situation. We aimed to explore the experience of therapeutic alliance in inpatient treatment among adolescents with anorexia nervosa, their parents and their psychiatrists. Methods: This qualitative study, using semi-structured interviews, took place in France. Data collection by purposive sampling continued until we reached theoretical sufficiency. Data analysis was thematic. Results: Forty-one participants were included, 15 teenaged girls, 18 parents and 8 psychiatrists. Analysis showed two themes: (1) what facilitates an alliance in treatment – with four facilitators: (a) human qualities, (b) an active role in the treatment, (c) taking time and (d) taking care of the entire family and (2) what impedes an alliance in treatment with four obstacles: (a) being too close or too distant, (b) focusing on weight, (c) control and constraints and (d) psychiatrization. Conclusion: Collaborative work between paediatricians and psychiatrists could facilitate therapeutic alliance with parents. Definition of therapeutic alliance in this situation should be enlarged to include the adolescent–parent relationship. It is necessary to construct specific items to integrate these specific aspects to existing scales.

scholarly journals “I’ve Heard of It, Yes, but I Can’t Remember What Exactly It Was”—A Qualitative Study on Awareness, Knowledge, and Use of the UV Index

2021 ◽  
Vol 18 (4) ◽  
pp. 1615
Author(s):  
Katharina Diehl ◽  
Tatiana Görig ◽  
Charlotte Jansen ◽  
Maike Carola Hruby ◽  
Annette B. Pfahlberg ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Qualitative Content Analysis ◽  
Sun Protection ◽  
Structured Interviews ◽  
Protection Factor ◽  
Protection Measures ◽  
Uv Index ◽  
Correct Definition ◽  
Definition Of

Pharmacists and pharmaceutical technicians play an important role in counselling customers regarding sunscreen use and sun protection measures. A potentially helpful tool that can be used during counselling is the ultraviolet index (UVI), which informs individuals when and what sun protection measures are needed at a specific place and time. Our aim in this qualitative study was to explore awareness, knowledge, and use of the UVI during counselling in pharmacies. We used semi-structured interviews with pharmacists and pharmaceutical technicians (n = 20) to answer our research questions. Interviews were audiotaped, transcribed verbatim, and analyzed using qualitative content analysis. During the interviews pharmacists and pharmaceutical technicians revealed a lot of uncertainty and lack of knowledge regarding the UVI. Eight professionals were able to give a correct definition of UVI. Amongst others, the UVI was confused with sun protection factor. Overall, the UVI was hardly used during the counselling of customers. The UVI was developed to provide guidance when which type of sun protection is required to avoid detrimental effects of ultraviolet radiation. For effective implementation, both the general population and health professionals (e.g., pharmacists) have to increase their knowledge about the UVI. This would strengthen its use during professional counselling in pharmacies and may help to reduce the incidence of skin cancer over the long term.

scholarly journals Exploring the experience of being viewed as “not sick enough”: a qualitative study of women recovered from anorexia nervosa or atypical anorexia nervosa

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Kari Eiring ◽  
Trine Wiig Hage ◽  
Deborah Lynn Reas
Keyword(s):  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Qualitative Study ◽  
Help Seeking ◽  
Severity Of Illness ◽  
Physical Sign ◽  
Structured Interviews ◽  
Restrictive Eating ◽  
Eating Disorder Symptoms ◽  
Atypical Anorexia Nervosa

Abstract Background Despite common misconceptions, an individual may be seriously ill with a restrictive eating disorder without an outwardly recognizable physical sign of the illness. The aim of this qualitative study was to investigate the perspectives of individuals who have previously battled a restrictive eating disorder who were considered “not sick enough” by others (e.g., peers, families, healthcare professionals) at some point during their illness, and to understand the perceived impact on the illness and recovery. Such misconceptions are potentially damaging, and have been previously linked with delayed help-seeking and poorer clinical outcomes. Methods Seven women who had recovered from anorexia nervosa or atypical anorexia nervosa participated in semi-structured interviews. Interviews were transcribed and interpretive phenomenological analysis was used. Results Three main themes emerged: (1) dealing with the focus upon one’s physical appearance while battling a mental illness, (2) “project perfect”: feeling pressure to prove oneself, and (3) the importance of being seen and understood. Participants reported that their symptoms were occasionally met with trivialization or disbelief, leading to shame, confusion, despair, and for some, deterioration in eating disorder symptoms which drove further weight loss. In contrast, social support and being understood were viewed as essential for recovery. Conclusion To facilitate treatment seeking and engagement, and to optimize chances of recovery, greater awareness of diverse, non-stereotypical presentations of restrictive eating disorders is needed which challenge the myth that weight is the sole indicator of the presence or severity of illness.

scholarly journals Street Clinic Nursing for coping with vulnerabilities

Rev Rene ◽  
2021 ◽  
Vol 22 ◽  
pp. e67967
Author(s):  
Giulia Romano Bombonatti ◽  
Débora de Souza Santos ◽  
Dalvani Marques ◽  
Fernanda Mota Rocha
Keyword(s):  
Qualitative Study ◽  
Nursing Care ◽  
Nursing Staff ◽  
Participant Observation ◽  
Collaborative Work ◽  
Health Inequities ◽  
Homeless Population ◽  
Structured Interviews ◽  
Nursing Team

Objective: to unveil the perceptions of the Street Clinic nursing staff about coping with vulnerabilities. Methods: qualitative study, carried out by means of participant observation of the team’s activities, recording in a field diary and semi-structured interviews with the nursing team, totaling 17 participants. Results: situations experienced by people living on the streets that deepen health inequities by violating rights were revealed. Among the nursing work tools, the potential of collaborative work, listening, and welcoming technologies stand out as mediators of a more humanized care. There is a need for specific strategies to guide nursing care on the streets. Conclusion: nursing has great potential for addressing the vulnerabilities of the homeless population using soft and soft-hard technologies.

Challenges of the Relative Value Unit Experience in Iran: A Qualitative Study

2021 ◽  
Vol 15 (5) ◽  
pp. 1249-1255
Author(s):  
S. Forootan ◽  
S. Hajebrahimi ◽  
B. Najafi ◽  
A. Janati
Keyword(s):  
Qualitative Study ◽  
Service Providers ◽  
Health Sector ◽  
Active Role ◽  
Structured Interviews ◽  
Group Discussions ◽  
Provider Behavior ◽  
Income Disparities ◽  
Relative Value ◽  
Data Content

Background: The Relative Value Unit (RVU) is a value scale and plays a key role in the physician reimbursement system. The health sector has faced challenges such as providers’ dissatisfaction, income disparities, and reduced service quality which is said to be due to improper RVUs. Always there are debates about it. This study aims to identify the challenges of the RVU experience in Iran from the perspective of the service providers, payers and, policymakers. Methods: This qualitative study was conducted in 2020. Data were collected from November 2019 to February 2020. Thirty experts participated in the study and were categorized into four groups: insurance organizations’ managers, surgeons, health economists, and health policymakers. Focus Group Discussions and semi-structured interviews were held to collect data. Content analysis was conducted to analyze data. Results: According to the expert, the challenges of RVU in Iran are classified into five scopes. Financial, payment, macro-organization, regulation, and persuasion scope. Each scope’s result was categorized into main themes and relevant sub-themes. Conclusions: The RVU has an important impact on the health system, provider behavior, and even patients. Paying attention to required infrastructures, decision- makers’ conflict of interests, decrease the Ministry of Health and Medical Education’s authority, and expanding the active role of involved organizations to increase their commitment to the successful implantation of RVU is necessary. Keywords: Relative Value Unit, Challenge, Expert opinion, Qualitative study, Iran.

scholarly journals Challenges and opportunities of building an entrepreneurial discovery process through university–industry interaction: A Norwegian case study

2020 ◽  
pp. 095042222097834
Author(s):  
Thomas Brekke
Keyword(s):  
Collaborative Work ◽  
Active Role ◽  
Policy Implications ◽  
Discovery Process ◽  
Structured Interviews ◽  
Regional Innovation ◽  
Bottom Up ◽  
Entrepreneurial Discovery ◽  
University College ◽  
Challenges And Opportunities

This study provides new insights into the entrepreneurial role of universities in an entrepreneurial discovery process. Over the past decades, European policies have encouraged universities to identify opportunities and develop new partnerships and connections with society. This analysis focuses on the Vestfold region of Norway, which contains an institutionally rich and specialised electronic industry, supported by a university college. The development of entrepreneurial discovery as a process capability at the regional level is examined using qualitative analysis based on semi-structured interviews. Regional actors developed regional innovation capabilities based on a bottom-up entrepreneurial discovery approach, in which a local university college played an active role. Entrepreneurial discovery capabilities entail a rigorous assessment of the region’s knowledge base, experimentation and the institutionalisation of new collaborative work forms that mobilise industry–university interaction aimed at identifying and facilitating the emergence and growth of new domains. The article highlights the challenges and opportunities of a bottom-up entrepreneurial discovery approach and concludes with policy implications.

scholarly journals The parental experience and perceptions of blenderized tube feeding for children with medical complexity

2021 ◽  
Author(s):  
Joanna Soscia ◽  
Sherri Adams ◽  
Eyal Cohen ◽  
Clara Moore ◽  
Jeremy N Friedman ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Tertiary Care ◽  
Tube Feeding ◽  
Structured Interviews ◽  
Children With Medical Complexity ◽  
Entire Family ◽  
Parental Experience ◽  
Enteral Tube Feeding ◽  
Medical Complexity ◽  
Psychosocial Implications

Abstract Objectives Parents of children with medical complexity are often expected to implement complicated plans of care, such as enteral tube feeding, to support the health of their child. Enteral feeding can have psychosocial implications for the parent, child, and family. Blenderized tube feeding (BTF) refers to the administration of pureed food and drinks through a feeding tube. Little is known regarding parents’ experiences with BTF. Therefore, the purpose of this qualitative study was to understand the lived experience of BTF from the parent’s perspective. Methods This qualitative study was a grounded theory analysis utilizing semi-structured interviews of parents who provided at least 50% of their child’s diet through BTF. Participants were recruited using purposive sampling from the Complex Care Program at a tertiary care paediatric centre. Interviews were conducted until thematic saturation was achieved. Themes were identified using constant comparative analysis of transcribed interviews. Results Parents (n=10) felt that BTF positively affected the experience of tube feeding and enhanced their child’s health and wellbeing. Parents described BTF as a means of self-empowerment and a mechanism to normalize feeding and care for the entire family. Despite reporting BTF as more time consuming than formula feeding, all parents were satisfied with having made the change, and planned on continuing the diet. Conclusion BTFs can improve the experience of tube feeding and positively address some of the negative psychosocial implications of enteral tube feeding, providing a sense of normalcy and control for parents caring for a child with medical complexity.

scholarly journals Multi-business companies: The Leonisa case

2018 ◽  
Vol 34 (60) ◽  
Author(s):  
Felipe Alzate Fernández ◽  
Luz María Rivas Montoya
Keyword(s):  
Qualitative Study ◽  
Formal Structure ◽  
Structured Interviews ◽  
Joint Management ◽  
Internal Management ◽  
Set Up ◽  
Definition Of ◽  
Divisional Structure ◽  
Textile Sector ◽  
Corporate Level

The joint management of multi-business companies is a challenge that deserves to be studied from an administrative perspective. This exploratory work aims to show how Leonisa, a Colombian multi-business company in the textile sector, has managed its business. Particularly, it presents the purposes of forming the Leonisa group, as well as its main corporate functions. In addition, it identifies the multi-divisional structure adopted for the joint management of its businesses from two fronts, commercial and industrial. This qualitative study is based on semi-structured interviews with managers from various businesses and levels of this multi-business company. The findings show that Leonisa is characterized by not having a corporate center (CC) with a formal structure. Instead, these headquarters are evidenced by the functions exercised by its directors at the corporate level of the strategy, such as: 1) definition of the business portfolio and 2) internal management of centralized processes. These two functions are performed from the CC, which is set up according to the needs of the business as a whole at specific times. In other words, Leonisa does not have an autonomous corporate center, but it does have a multi-divisional structure wherefrom to manage its entire business.

scholarly journals Mothers as active contributors to post-earthquake recovery in Christchurch

2018 ◽  
Vol 30 (3) ◽  
pp. 19-30
Author(s):  
Angelina Terese Jennings ◽  
Nicky Stanley-Clarke ◽  
Polly Yeung
Keyword(s):  
Qualitative Study ◽  
Sense Of Belonging ◽  
Disaster Recovery ◽  
Active Role ◽  
Disaster Resilience ◽  
Structured Interviews ◽  
Recovery Effort ◽  
Married Mothers ◽  
Core Characteristics ◽  
Post Disaster

INTRODUCTION: An understanding of mothers as a subset of women who are active contributors to a recovery effort is crucial to building disaster resilience. This study explored the post-disaster experiences of mothers from the two Christchurch earthquakes in 2010 and 2011 to consider factors which both helped and hindered their recovery.METHOD: This research was a qualitative study involving semi-structured interviews with six married mothers who were present during the 2010 and 2011 Christchurch earthquakes. Interviews focused on understanding the personal, environmental and psychological impacts of the earthquakes. Data were analysed using thematic analysis.FINDINGS: Three key findings were established, highlighting: 1) Elements of resilience are essential for recovery; 2) mothers playing a constructive and proactive role in their community post-disaster; and 3) the importance of a sense of belonging to enhance post-disaster recovery.CONCLUSION: While participants were affected practically and psychologically by the earthquakes, core characteristics of resilience such as positivity, hope, flexibility and adaptability were portrayed in supporting their post-disaster recovery. These mothers played an active role in the recovery of their community and felt a clear sense of belonging which enhanced their recovery.

scholarly journals Parent Experiences Caring for a Child With Bronchiolitis: A Qualitative Study

2020 ◽  
Vol 7 (6) ◽  
pp. 1362-1368
Author(s):  
Alyson Campbell ◽  
Lisa Hartling ◽  
Samantha Louie-Poon ◽  
Shannon D Scott
Keyword(s):  
Qualitative Study ◽  
Information Needs ◽  
Qualitative Description ◽  
Acute Lower Respiratory Infection ◽  
Children And Families ◽  
Structured Interviews ◽  
Entire Family ◽  
Knowledge Deficits ◽  
Study Participants ◽  
Parents Experiences

Background: Bronchiolitis is an acute lower respiratory infection, with significant impacts on children and families and strains on the health care system. Understanding parents’ experiences and information needs caring for a child with bronchiolitis is crucial to highlight misconceptions or issues contributing to the high burden. The objective of this qualitative study was to describe parents’ experiences caring for a child with bronchiolitis. Methods: Qualitative description guided this study. Participants were recruited from the Stollery Children’s Hospital emergency department (ED), a specialized pediatric ED in a major Canadian urban center. Semi-structured interviews were conducted with 15 parents. Results: Five major themes were identified: (a) their children’s symptoms and behaviors, (b) bronchiolitis affects the entire family, (c) factors influencing parent’s decision to go to ED, (d) ED experience for parents and their children, and (e) bronchiolitis treatment and management. Interviews revealed bronchiolitis has significant effects on both children and families and parents are generally unaware of bronchiolitis symptoms, treatment, and management. Conclusions: Our study highlights that parents have knowledge deficits when it comes to recognizing the presence and severity of bronchiolitis symptoms. Parents would benefit from having more evidence-based resources to enhance their knowledge about the nature of bronchiolitis.

scholarly journals How do diagnostic self-tests change healthcare relationships? A qualitative study

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Roussel ◽  
S Rondeaux ◽  
T Braeckman ◽  
C De Vriese ◽  
S Van Den Broucke
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Health Professionals ◽  
Information Exchange ◽  
Interprofessional Collaboration ◽  
Active Role ◽  
Structured Interviews ◽  
Self Medication ◽  
Data Saturation ◽  
Care Relationships

Abstract Background Diagnostic self-tests in Belgian pharmacies are a recent phenomenon. While considered a way to empower patients to take informed decisions, self-tests also challenge the relationship between patients and health professionals and between pharmacists and general practitioners. This study explored how the introduction of diagnostic self-tests in pharmacies influences the health care relationships. Methods A qualitative study, part of the Care-test research program, was conducted using semi-structured interviews with 18 patients, 25 doctors, and 16 pharmacists from Brussels. Data collection ended after data saturation. Reflexive thematic analysis was performed. Results Mutual partnership approaches were not mainstreamed and mainly intuitive when existing, with patients being often more in demand for a partnership with their doctors than what their doctors offered. This perceived lack of dialogue led some patients to autonomous behaviours, qualified as “non-adherence” by professionals (self-medication with medicinal herbs, unilateral adaptation of therapies including those for HIV-infection and for orphan disease, etc.). Not all the patients, however, were in demand for a more active role. Some deferred to the doctor's choice, but they did not experience another kind of relationship. The doctor-pharmacist collaboration mainly entailed factual information exchange, although more collaborative relationships exist. Current collaborations related to self-tests were limited due to their novelty and controversial nature. While patients were generally in favour of diagnostic self-tests, professionals had divided opinions about them. Conclusions The study reveals divergent views between patients and health professionals and amongst professionals, about self-tests and the need for a partnership between patients and professionals. This suggests a need for health professionals to be better skilled in dealing with participative approaches. Key messages Mutual partnership and Interprofessional collaboration are not mainstreamed in health care. Patients, doctors and pharmacists had divergent views about diagnostic self-tests and about the need for partnership.

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