Patients’ perception of quality of life after traumatic brachial plexus injury – a qualitative study

Hand Therapy ◽  
2019 ◽  
Vol 24 (2) ◽  
pp. 55-61 ◽  
Author(s):  
Chhaya V Verma ◽  
Sujata Yardi ◽  
Vinita Puri ◽  
Tanvee Vora
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Injury ◽  
Holistic Approach ◽  
Phenomenological Approach ◽  
Face To Face ◽  
Interview Guide ◽  
Interpretative Phenomenological Approach ◽  
Perception Of Quality ◽  
Patient’S Perception ◽  
The Impact

Introduction Advancements in reconstructive surgery for traumatic brachial plexus injury explain the need for better rehabilitation programmes. Therefore, an understanding of an individual patient’s perception through their journey of treatment for a traumatic brachial plexus injury is needed. Methods Thirteen patients with traumatic brachial plexus injury were selected using non-probability purposive sampling. Data were collected in the form of in-depth face-to-face interviews in a clinic setting of a tertiary government hospital using an explorative qualitative method. An interview guide comprising open-ended, nondirective semi structured questions was used and data were analyzed using an interpretative phenomenological approach. Results Eleven subthemes under the overarching theme of patient perception were identified. These subthemes illustrate perception of each individual participants’ journey of treatment for traumatic brachial plexus injury. Conclusion Our study following a qualitative approach throws light on the impact of injury and an adult individual’s perception and may thereby help to develop a more comprehensive and holistic approach towards patient care.

scholarly journals Postgraduate work-based learning: a qualitative study

2019 ◽  
Vol 9 (4) ◽  
pp. 637-649
Author(s):  
Victoria Stewart ◽  
Matthew Campbell ◽  
Sara S. McMillan ◽  
Amanda J. Wheeler
Keyword(s):  
Qualitative Study ◽  
Lived Experience ◽  
Professional Practice ◽  
Phenomenological Approach ◽  
Learning Opportunities ◽  
Limited Attention ◽  
Content Type ◽  
Postgraduate Students ◽  
Interpretative Phenomenological Approach ◽  
The Impact

Purpose The purpose of this paper is to explore the experiences of students and teachers who had participated in a postgraduate work-based praxis course within a Master of mental health practice qualification. Design/methodology/approach This qualitative study used an interpretative phenomenological approach to understand the lived experience of students and course convenors participating in a work-based praxis course. Seven students and two convenors were recruited. Interview and reflective portfolio data were analysed thematically. Findings The main themes identified were the importance of planning, the value of partnerships, the significance of learning in the workplace and how the facilitation of work-based learning differs from coursework. Originality/value Work-based learning within postgraduate coursework qualifications can support higher-level learning, knowledge and skills has received limited attention in the literature. This study supported the value of providing postgraduate students with work-based learning opportunities, resulting in the application of new or advanced skills, within their existing work roles. This study is important, because it provides insights into the student experience of postgraduate work-based learning and the impact of this learning on professional practice.

scholarly journals The Secondary Impact of Traumatic Brain Injury

2018 ◽  
Vol 26 (1) ◽  
pp. 77-85 ◽  
Author(s):  
Jane Townshend ◽  
Alyson Norman
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Family Members ◽  
Information Provision ◽  
Phenomenological Approach ◽  
Loss And Grief ◽  
Interpretative Phenomenological Approach ◽  
Long Term Impact ◽  
And Coping ◽  
The Impact

This study seeks to contribute to our understanding of the lived experiences of family members and friends of individuals with traumatic brain injury (TBI). The study employed an interpretative phenomenological approach, enabling family members and friends to identify and reflect upon the factors they themselves considered most significant about the impact of TBI on someone close to them, and how this experience has affected their own lives and their relationship with the TBI survivor. Eleven participants, two males and nine females aged 22–79, were from the United Kingdom. Several strong and interconnected themes emerged from the interviews, clustering into four superordinate themes: “continuity and discontinuity”; “damage, loss, and grief”; “roles and responsibility”; and “coping and not coping.” The study findings identify the importance of support and information provision for family members and friends of those with TBI to help them manage the long-term impact of TBI.

scholarly journals Pivoting during the pandemic: A case study of the Senior Companion Program Plus

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 811-811
Author(s):  
Noelle Fields ◽  
Ling Xu ◽  
Erin Roark ◽  
Sruthi Sundar ◽  
Ishan Williams ◽  
...  
Keyword(s):  
Phenomenological Approach ◽  
Team Members ◽  
Face To Face ◽  
Participant Engagement ◽  
Older Volunteers ◽  
Phone Calls ◽  
The Status ◽  
Stress Burden ◽  
Access To Food ◽  
The Impact

Abstract Introduction Growing research supports the use of older volunteers to provide respite and community-based assistance to persons with ADRD and their caregivers. This study explores the impact of COVID-19 on a face-to-face, peer-led psychoeducational intervention for African American ADRD family caregivers, the Senior Companion Program Plus (SCP-Plus), and its subsequent need to ‘pivot’ during the pandemic. Method: The SCP-Plus was a randomized control trial across three states that assessed program impact on ADRD family caregiver stress/burden, coping, and social support. In spring 2020, the SCP-Plus intervention was halted because of the potential risk to participants due to COVID-19 (n = 20 enrolled dyads). In an effort to maintain rapport and trust, critical to retention in research studies, team members began weekly (March-April) and then bi-weekly calls (May-December) for the purpose of providing a social check-in and to provide updates on the status of the intervention. Results A total of 396 calls lasting approximately 10 minutes each were completed. Participants shared concerns around safety, access to food/supplies/masks/testing, feelings of stress and loss, concern for others, and the importance of technology as a means of social connection. Although the intervention aspect of the SCP-Plus ultimately ended due to COVID-19, information gleaned from these check-ins were used to pivot the study. The study moved forward by using a descriptive phenomenological approach to capture dyads’ lived experiences during COVID-19. Discussion Overall, purposeful participant engagement through weekly/bi-weekly phone calls suggests that this is a promising strategy for participant retention as well as for pivoting research.

scholarly journals Social Networks in Limbo. The Experiences of Older Adults During COVID-19 in Ghana

2021 ◽  
Vol 9 ◽  
Author(s):  
Emmanuel Akwasi Asante ◽  
Kofi Awuviry-Newton ◽  
Kwamina Abekah-Carter
Keyword(s):  
Older Adults ◽  
Social Networks ◽  
Community Outreach ◽  
Phenomenological Approach ◽  
Professional Services ◽  
Middle Income ◽  
Face To Face ◽  
Outreach Workers ◽  
The Government ◽  
The Impact

While studies exploring COVID-19 and its global influence have begun, social networks and support among older adults in low-and middle-income countries, such as Ghana have been inadequate despite its enormous relevance. Thus, the study presents the voices of older adults in Jamestown, Accra and their social networks during the COVID-19 pandemic in Ghana. Using a phenomenological approach, data were collected from 15 older adults through in-depth interviews on older adults' social network experiences during COVID-19 pandemic situation. Older adults generally struggled to maintain connections with their family members, friends, neighbors, and the community, especially during the lockdown. They ascribed their limited interaction to COVID-19 preventive measures, such as social distancing and the limitation of face-to-face meetings imposed by the government. Loneliness, stress, and depression are also linked to the breakdown of social networks. The findings provide a deeper understanding of the impact of COVID-19 on older adults' quality of life. It emerged that the Ghanaian society could reconsider the professional services of gerontologists, social workers, community outreach workers, and philanthropists in mitigating loneliness, stress, and depression among older adults in current and future pandemics.

scholarly journals The impact of study abroad experiences on international students’ employability: a preliminary study on Chinese engineering students in US

2021 ◽  
Author(s):  
Qian Huang
Keyword(s):  
Study Abroad ◽  
Job Search ◽  
Engineering Students ◽  
Positive Impact ◽  
Phenomenological Approach ◽  
Structured Interview ◽  
Search Process ◽  
Interpretative Phenomenological Approach ◽  
Long Term Impact ◽  
The Impact

This study aims to examine how study abroad experiences influence Chinese engineering students’ employability. Employability in this study is defined as capabilities, processes and performances before job search, during job search and after job search. This study aims to explore how study abroad experiences contribute to engineering students’ global competencies; how study abroad experiences influence engineering graduates’ job search process; what the long-term impact of study abroad experience on engineering graduates’ early careers are. This study adopts interpretative phenomenological approach via semi-structured interview. The preliminary findings include: firstly, study abroad experience is a premise for Chinese engineering students for being screened during job search both in China and abroad; secondly, study abroad allows students to discover their real interests which decided their career directions; thirdly, students kept learning and self-reflecting which contribute to their capabilities building; fourthly, study abroad trained engineering students with soft skills. Moreover, recommendation from professors and alumni facilitate the job search. Lastly, personal value and family reason influence graduates’ career decisions in working in China or abroad. Conclusion was drawn that study abroad experiences have positive impact on engineering students’ employability building, job search process and their early careers.

Brachial plexus injury: factors affecting functional outcome in spinal accessory nerve transfer for the restoration of elbow flexion

2003 ◽  
Vol 98 (2) ◽  
pp. 307-312 ◽  
Author(s):  
Amir Samii ◽  
Gustavo Adolpho Carvalho ◽  
Madjid Samii
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Injury ◽  
Elbow Flexion ◽  
Nerve Graft ◽  
Musculocutaneous Nerve ◽  
Accessory Nerve ◽  
Time Interval ◽  
Content Type ◽  
The Impact ◽  
Fine Print

Object. Between 1994 and 1998, 44 nerve transfers were performed using a graft between a branch of the accessory nerve and musculocutaneous nerve to restore the flexion of the arm in patients with traumatic brachial plexus injuries. A retrospective study was conducted, including statistical evaluation of the following pre- and intraoperative parameters in 39 patients: 1) time interval between injury and surgery; and 2) length of the nerve graft used to connect the accessory and musculocutaneous nerves. Methods. The postoperative follow-up interval ranged from 23 to 84 months, with a mean ± standard deviation of 36 ± 13 months. Reinnervation of the biceps muscle was achieved in 72% of the patients. Reinnervation of the musculocutaneous nerve was demonstrated in 86% of the patients who had undergone surgery within the first 6 months after injury, in 65% of the patients who had undergone surgery between 7 and 12 months after injury, and in only 50% of the patients who had undergone surgery 12 months after injury. A statistical comparison of the different preoperative time intervals (0–6 months compared with 7–12 months) showed a significantly better outcome in patients treated with early surgery (p < 0.05). An analysis of the impact of the length of the interposed nerve grafts revealed a statistically significant better outcome in patients with grafts 12 cm or shorter compared with that in patients with grafts longer than 12 cm (p < 0.005). Conclusions. Together, these results demonstrated that outcome in patients who undergo accessory to musculocutaneous nerve neurotization for restoration of elbow flexion following brachial plexus injury is greatly dependent on the time interval between trauma and surgery and on the length of the nerve graft used.

scholarly journals The impact of an indigenous proverb on women’s mental health: A phenomenological approach

Curationis ◽  
2015 ◽  
Vol 38 (2) ◽  
Author(s):  
Seepaneng S. Phiri ◽  
Fhumulani M. Mulaudzi ◽  
Tanya Heyns
Keyword(s):  
Mental Health ◽  
Phenomenological Approach ◽  
Single Women ◽  
Cultural Issues ◽  
Women’S Mental Health ◽  
Social Clubs ◽  
Face To Face ◽  
Women's Mental Health ◽  
Healthcare Settings ◽  
The Impact

Background: Proverbs and idioms represent cultural and societal beliefs and values inherited from the forefathers. An example is lebitla la mosadi ke bogadi. Over many decades African people have used such ancient instructions to counsel women to be resilient in their marriages thus impacting on their mental health.Objective: The purpose of this article was to explore and describe that proverb and its impact on women’s mental health.Method: Hermeneutic phenomenology was used to explore and describe the prover band its impact on indigenous women’s mental health. The population included married, divorced, widowed and single women who were attending social clubs or networks in the cities of Tshwane and Johannesburg. Snowball and purposive sampling was used to select 57 participants. Five face-to-face interviews and eight focus groups interviews were conducted. Colaizzi’s data analysis method was used to analyse data.Results: Oppression and stigmatisation of women and their families and harmful effects that may result in death were identified as having an impact on women’s mental health. Some women shared that they were oppressed in many ways. In addition, they feared stigmatisation should they wish to divorce. They constantly lived in fear of being harmed or killed by their spouses.Conclusion: There was a need for nurses to develop awareness regarding cultural issues so that women are better served in primary healthcare settings. Women who are suspected of experiencing abuse, should be screened for abuse so that they can be assisted accordingly.

scholarly journals Resilience in Adolescent Chronic Pain: An Exploration of Coping Mechanisms and Protective Psychological Factors

2020 ◽  
Vol 7 (1) ◽  
pp. 55
Author(s):  
Manuella Widjaja ◽  
Rachel Szwimer ◽  
Richard Hovey
Keyword(s):  
Chronic Pain ◽  
Social Life ◽  
Sleep Disturbances ◽  
Phenomenological Approach ◽  
Coping Mechanisms ◽  
Healing Time ◽  
Negative Consequences ◽  
Career Trajectories ◽  
Interpretative Phenomenological Approach ◽  
The Impact

Introduction: Adolescents living with Chronic Pain (CP) are vulnerable to negative outcomes such as disability and impaired quality of life; they often miss schools, are unable to maintain social contacts, have sleep disturbances, and suffer from anxiety and depression. The continuation of avoidance coping behaviour beyond normal healing time had also been shown to result in negative consequences such as Disuse Syndrome—a state associated with physical deconditioning, sick role behaviour, psychosocial withdrawal, as well as negative and catastrophic beliefs.Objective: This study uses an interpretative phenomenological approach to explore individual positive thought processes, adaptation efforts, coping mechanisms, as well as resilience resources (beneficial social situations and solid family ties) that adolescents adopt to minimize the impact of pain and its consequences. The ultimate goal is to liaise with fellow physicians, allied researchers, and policy makers to modify, adapt, and improve current adolescent CP services. This way, we can help patients foster skills that will allow them to adapt positively, regain a balanced social life, and live successfully despite their pain.Results / Findings: Central to all accounts is a sense of interrupted life—phrases with negative connotations such as “couldn’t do” and “had to stop” are repeatedly used to express feelings of loss of control.To regain control over their situation, participants create within themselves a positive internal dialogue: they reconstruct the meaning of normalcy, practice acceptance, make downward social comparisons, and engage in daily positive affirmations. While chronic pain disrupts their career trajectories, the experience of living with pain has instilled in them the pursuit of significance. This pursuit is propelled by the imagery of a full life and seems to be particular to this age group. Ironically, some participants are seen to be grateful for their pain. Living with pain has gifted them with intuitive empathy for the suffering of others, as well as the emotional credibility to help.

scholarly journals The Ontology of Scholar-Administrators: Empirical Inferences from Five Senior Administrators Who Published

2016 ◽  
Author(s):  
Aaron Coe ◽  
Ravi Chinta
Keyword(s):  
Lived Experience ◽  
Phenomenological Approach ◽  
Future Research ◽  
Case Histories ◽  
Senior Administrators ◽  
Detailed Case ◽  
The People ◽  
Interpretative Phenomenological Approach ◽  
The University ◽  
The Impact

The purpose of this study was to fill a gap in existing literature on scholar-administrators and understand the lived experience of scholar-administrators who published. Using an interpretative phenomenological approach to extract themes from detailed case studies of five senior academic administrators who have published, the researchers’ empirical inferences from the five detailed case histories reveal the challenges and rewards of producing scholarship as a scholar-administrator. Their findings show that the administrators were more connected to the people within and outside the university, their own field of practice, and with the university. The impact of scholarship on scholar-administrators goes beyond publications. Continuation of being a scholar-practitioner has significant impact on networking scope of administrators keeping the educational entities they lead abreast of environmental trends to adapt to. Future research should replicate our study to increase the generalizability of its findings.

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