scholarly journals When Values Get in the Way of Conversations: Reflections on Dealing With Discriminatory Remarks and Behaviors in Qualitative Interviewing

2020 ◽  
Vol 19 ◽  
pp. 160940692096540
Author(s):  
S. T. Kulnik ◽  
J. Egbunike ◽  
J. Francois
Keyword(s):  
Healthcare Professionals ◽  
Qualitative Interviews ◽  
Qualitative Interview ◽  
Critical Discussion ◽  
Critical Examination ◽  
Qualitative Interviewing ◽  
Qualitative Interview Study ◽  
Practical Guidance ◽  
And Behaviors ◽  
Legal Frameworks

As healthcare researchers conducting qualitative interviews, we might encounter participants who make remarks or display behaviors which go against principles of valuing diversity, equality and human rights; in other words, remarks and behaviors which could indicate racist, homophobic, xenophobic, islamophobic, sexist, misogynist, classist, etc. views and attitudes. In this article, we offer our reflections on how as researchers we might deal with such situations. We draw on methodological literature and on our own experiences as researchers, educators and practitioners in healthcare, to provide a critical discussion around researcher awareness and anticipation of emotional triggers, management and leadership of research, and understanding of ethics and legal frameworks of equality. We summarize and signpost toward methodological views under which such instances might be considered, including interpretivist and constructivist interpretations, and the concepts of positionality and adversarial discourse. Lastly, we offer practical suggestions for dealing with such occurrences in the context of qualitative research studies in healthcare, and for using researcher reflexivity as a strategy to surface and work through these situations. We hope that this article will provide accessible theoretical and practical guidance, for example to healthcare professionals who embark on their first qualitative interview study as part of a postgraduate course. Equally, we hope that this article will be of interest to more experienced researchers and invite further critical examination of the issues we highlight.

scholarly journals Confidence of recurrent cellulitis self-diagnosis among people with lymphoedema: a qualitative interview study

2019 ◽  
Vol 70 (691) ◽  
pp. e130-e137
Author(s):  
Mitesh Patel ◽  
Siang Ing Lee ◽  
Nick J Levell ◽  
Peter Smart ◽  
Joe Kai ◽  
...  
Keyword(s):  
Healthcare Professionals ◽  
Qualitative Interviews ◽  
Qualitative Interview ◽  
Accurate Diagnosis ◽  
Diagnostic Process ◽  
Perceived Trust ◽  
Research Priority ◽  
Qualitative Interview Study ◽  
History Of ◽  
Recurrent Nature

BackgroundCellulitis can sometimes be challenging for healthcare professionals to diagnose, with no validated diagnostic criteria available. Supporting healthcare professionals to make a more accurate diagnosis of cellulitis in different groups, such as those with lymphoedema, is a cellulitis research priority. However, to the authors knowledge, no previous studies have looked at the involvement of non-healthcare professionals in the diagnostic process.AimTo explore the experience of people with lymphoedema and recurrent cellulitis in the diagnosis of lower-limb cellulitis.Design and settingSingle, semi-structured, qualitative interviews carried out between 29 October and 19 December 2018.MethodAdults with a suspected episode of cellulitis who had been diagnosed in the last 12 months or had a history of recurrent cellulitis were interviewed.ResultsThree key themes emerged: the recurrent nature of cellulitis symptoms, participants’ experience of getting a cellulitis diagnosis, and participants’ suggestions of how cellulitis diagnosis might be improved. Generally, people with lymphoedema experienced similar clinical features during each of their own recurrent cellulitis episodes and were confident that they could make a self-diagnosis of cellulitis. This is also reflected in the participants’ perceived trust from the healthcare professional in being able to make a self-diagnosis. A diagnostic checklist and educational resources were suggested as methods to improve diagnosis.ConclusionSelected people with lymphoedema who have recurrent cellulitis are confident in self-diagnosing their own recurrent cellulitis episodes. There may be a role for greater involvement of people with lymphoedema in their cellulitis diagnosis.

scholarly journals Experiences of a National Early Warning Score (NEWS) intervention in care homes during the COVID-19 pandemic: a qualitative interview study

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e045469
Author(s):  
Rachel Stocker ◽  
Siân Russell ◽  
Jennifer Liddle ◽  
Robert O Barker ◽  
Adam Remmer ◽  
...  
Keyword(s):  
Early Warning ◽  
Healthcare Professionals ◽  
Care Home ◽  
Qualitative Interview ◽  
Interview Study ◽  
Care Homes ◽  
Early Warning Score ◽  
Service Utilisation ◽  
Qualitative Interview Study ◽  
National Early Warning Score

BackgroundThe COVID-19 pandemic has taken a heavy toll on the care home sector, with residents accounting for up to half of all deaths in Europe. The response to acute illness in care homes plays a particularly important role in the care of residents during a pandemic. Digital recording of a National Early Warning Score (NEWS), which involves the measurement of physical observations, started in care homes in one area of England in 2016. Implementation of a NEWS intervention (including equipment, training and support) was accelerated early in the pandemic, despite limited evidence for its use in the care home setting.ObjectivesTo understand how a NEWS intervention has been used in care homes in one area of North-East England during the COVID-19 pandemic, and how it has influenced resident care, from the perspective of stakeholders involved in care delivery and commissioning.MethodsA qualitative interview study with care home (n=10) and National Health Service (n=7) staff. Data were analysed using thematic analysis.ResultsUse of the NEWS intervention in care homes in this area accelerated during the COVID-19 pandemic. Stakeholders felt that NEWS, and its associated education and support package, improved the response of care homes and healthcare professionals to deterioration in residents’ health during the pandemic. Healthcare professionals valued the ability to remotely monitor resident observations, which facilitated triage and treatment decisions. Care home staff felt empowered by NEWS, providing a common clinical language to communicate concerns with external services, acting as an adjunct to staff intuition of resident deterioration.ConclusionsThe NEWS intervention formed an important part of the care home response to COVID-19 in the study area. Positive staff perceptions now need to be supplemented with data on the impact on resident health and well-being, workload, and service utilisation, during the pandemic and beyond.

scholarly journals Would primary healthcare professionals prescribe a polypill to manage cardiovascular risk? A qualitative interview study: Table 1

BMJ Open ◽  
2013 ◽  
Vol 3 (3) ◽  
pp. e002498 ◽  
Author(s):  
Satnam K Virdee ◽  
Sheila M Greenfield ◽  
Kate Fletcher ◽  
Richard J McManus ◽  
F D Richard Hobbs ◽  
...  
Keyword(s):  
Cardiovascular Risk ◽  
Primary Healthcare ◽  
Healthcare Professionals ◽  
Qualitative Interview ◽  
Interview Study ◽  
Qualitative Interview Study

scholarly journals GP views on strategies to cope with increasing workload: a qualitative interview study

2017 ◽  
Vol 67 (655) ◽  
pp. e148-e156 ◽  
Author(s):  
Rebecca FR Fisher ◽  
Caroline HD Croxson ◽  
Helen F Ashdown ◽  
FD Richard Hobbs
Keyword(s):  
Primary Care ◽  
Healthcare Professionals ◽  
Qualitative Interviews ◽  
Self Management ◽  
Telephone Triage ◽  
Workload Management ◽  
Qualitative Interview Study ◽  
Data Saturation ◽  
The Uk ◽  
Maximum Variation Sample

BackgroundThe existence of a crisis in primary care in the UK is in little doubt. GP morale and job satisfaction are low, and workload is increasing. In this challenging context, finding ways for GPs to manage that workload is imperative.AimTo explore what existing or potential strategies are described by GPs for dealing with their workload, and their views on the relative merits of each.Design and settingSemi-structured, qualitative interviews with GPs working within NHS England.MethodAll GPs working within NHS England were eligible. Of those who responded to advertisements, a maximum-variation sample was selected and interviewed until data saturation was reached. Data were analysed thematically.ResultsResponses were received from 171 GPs, and, from these, 34 were included in the study. Four main themes emerged for workload management: patient-level, GP-level, practice-level, and systems-level strategies. A need for patients to take greater responsibility for self-management was clear, but many felt that GPs should not be responsible for this education. Increased delegation of tasks was felt to be key to managing workload, with innovative use of allied healthcare professionals and extended roles for non-clinical staff suggested. Telephone triage was a commonly used tool for managing workload, although not all participants found this helpful.ConclusionThis in-depth qualitative study demonstrates an encouraging resilience among GPs. They are proactively trying to manage workload, often using innovative local strategies. GPs do not feel that they can do this alone, however, and called repeatedly for increased recruitment and more investment in primary care.

scholarly journals Is simulation-based team training performed by personnel in accordance with the INACSL Standards of Best Practice: SimulationSM?—a qualitative interview study

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Anne Strand Finstad ◽  
Randi Ballangrud ◽  
Ingunn Aase ◽  
Torben Wisborg ◽  
Luis Georg Romundstad ◽  
...  
Keyword(s):  
Best Practice ◽  
Healthcare Professionals ◽  
Qualitative Interviews ◽  
Team Training ◽  
Public Hospitals ◽  
Clinical Simulation ◽  
International Nursing ◽  
Qualitative Interview Study ◽  
Simulation Based ◽  
Almost All

Abstract Background Anesthesia personnel was among the first to implement simulation and team training including non-technical skills (NTS) in the field of healthcare. Within anesthesia practice, NTS are critically important in preventing harmful undesirable events. To our best knowledge, there has been little documentation of the extent to which anesthesia personnel uses recommended frameworks like the Standards of Best Practice: SimulationSM to guide simulation and thereby optimize learning. The aim of our study was to explore how anesthesia personnel in Norway conduct simulation-based team training (SBTT) with respect to outcomes and objectives, facilitation, debriefing, and participant evaluation. Methods Individual qualitative interviews with healthcare professionals, with experience and responsible for SBTT in anesthesia, from 51 Norwegian public hospitals were conducted from August 2016 to October 2017. A qualitative deductive content analysis was performed. Results The use of objectives and educated facilitators was common. All participants participated in debriefings, and almost all conducted evaluations, mainly formative. Preparedness, structure, and time available were pointed out as issues affecting SBTT. Conclusions Anesthesia personnel’s SBTT in this study met the International Nursing Association for Clinical Simulation and Learning (INACSL) Standard of Best Practice: SimulationSM framework to a certain extent with regard to objectives, facilitators’ education and skills, debriefing, and participant evaluation.

scholarly journals The Experience of Participating in an Internet-Based Cognitive Behavioral Therapy Program Among Patients with Cardiovascular Disease and Depression: A Qualitative Interview Study

2022 ◽  
Author(s):  
Mats Westas ◽  
Ghassan Mourad ◽  
Gerhard Andersson ◽  
Margit Neher ◽  
Johan Lundgren ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Controlled Trial ◽  
Qualitative Interview ◽  
Interview Study ◽  
Cognitive Behavioral ◽  
Qualitative Interview Study ◽  
And Behaviors ◽  
The Impact

Abstract Background Depression in cardiovascular disease (CVD) is associated with poor outcomes and there is a treatment gap of depression in CVD patients. Recently we found that an Internet-based cognitive behavioral therapy (iCBT) tailored for CVD patients led to reduced symptoms of depression. However, we still have little knowledge about CVD patients’ experiences of working with iCBT. The aim of this study was therefore to explore CVD patients experience of engaging with a tailored iCBT program. Methods A qualitative interview study using inductive thematic analysis. Data was obtained from 20 patients with CVD and depressive symptoms who had participated in a randomized controlled trial (RCT) evaluating the impact of a nine-week iCBT program on depression. Results Three main themes emerged: (1) Taking control of the disease, (2) Not just a walk in the park, and (3) Feeling a personal engagement with the iCBT program. The first theme included comments that the tailored program gave the patients a feeling of being active in the treatment process and helped them achieve changes in thoughts and behaviors necessary to take control of their CVD. The second theme showed that patients also experienced the program as demanding and emotionally challenging. However, it was viewed as helpful to challenge negative thinking about living with CVD and to change depressive thoughts. In the third theme patients reported that the structure inherent in the program, in the form of organizing their own health and the scheduled feedback from the therapist created a feeling of being seen as an individual. The feeling of being acknowledged as a person also made it easier to continuously work with the changes necessary to improve their health. Conclusions Engaging in an iCBT program tailored for patients with CVD and depression was by the patients perceived as helpful in the treatment of depression. They experienced positive changes in emotions, thoughts, and behaviors which a result of learning to take control of their CVD, being confirmed and getting support. The patients considered working with the iCBT program as demanding and emotionally challenging, but necessary to achieve changes in emotions, thoughts, and behaviors.

scholarly journals What Are the Positives? Exploring Positive Welfare Indicators in a Qualitative Interview Study with Livestock Farmers

Animals ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. 694 ◽  
Author(s):  
Belinda Vigors ◽  
Alistair Lawrence
Keyword(s):  
Qualitative Interviews ◽  
Genetic Selection ◽  
Qualitative Interview ◽  
Welfare Indicators ◽  
Qualitative Interview Study ◽  
Livestock Farmers ◽  
Human Animal ◽  
On Farm ◽  
Primary Management ◽  
Positive Animal

To support the furtherance of positive animal welfare, there is a need to develop meaningful and practical positive welfare indicators for on-farm welfare assessment. Considering the perspectives of farmers is arguably critical in this regard. Doing so helps ensure positive welfare indicators reflect farmers’ existing welfare norms and attitudes and, are thus, of practical relevance to them. However, a key issue for such development is the dearth of knowledge on farmers’ perspectives of positive welfare. To address this, this study uses qualitative interviews to directly examine livestock farmers’ perspectives of positive welfare. Findings reveal that farmers describe elements of positive welfare which are broadly in line with indicators suggested in the positive welfare literature. These elements include animal autonomy, play, positive affect, positive human-animal relationships, social interaction, and appropriate genetic selection. Additionally, this study finds that farmers construct the reduction of negative aspects of welfare as their primary management concern and mostly construct positive welfare as arising indirectly from this. Insights into the importance that farmers of different sectors and systems give to different aspects of positive welfare indicators are also explored. The implications of these findings and the similitudes between farmers’ perspectives and the positive welfare literature are discussed.

Sign in / Sign up

Export Citation Format

Share Document