scholarly journals Promoting nursing competence in municipal healthcare services: An interview study of experienced nurses’ perceptions

2017 ◽  
Vol 38 (3) ◽  
pp. 135-142 ◽  
Author(s):  
Tone Glad ◽  
Trude Høgvold Olsen ◽  
Anne Clancy
Keyword(s):  
Professional Competence ◽  
Qualitative Content Analysis ◽  
High Standard ◽  
Healthcare Services ◽  
Workplace Environment ◽  
Experienced Nurses ◽  
Working Environments ◽  
Two Factors ◽  
Nurses Perceptions ◽  
Access To Knowledge

The purpose of this study was to explore factors in the municipal workplace environment that can facilitate experienced nurses in promoting their professional competence. This is of particular importance when critically ill patients are discharged from hospital. We interviewed nine nurses who had more than five years’ experience in the Norwegian municipal healthcare services and analysed data using qualitative content analysis. We found that the informants have to cope with situations for which they have not been adequately prepared. Two factors in their workplace environment influenced the promotion of their professional competence in such situations: access to knowledge and information, and supportive collegial relationships. Experienced nurses are an important resource for information and support. However, the findings also suggest that nurses at all levels of competence are dependent on working environments that promote a high standard of nursing.

Public health care nurses’ views of mothers’ mental health in paediatric healthcare services: a qualitative study

2015 ◽  
Vol 16 (05) ◽  
pp. 470-480 ◽  
Author(s):  
Gunilla Borglin ◽  
Johanna Hentzel ◽  
Doris M. Bohman
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Qualitative Content Analysis ◽  
Healthcare Services ◽  
Public Health Care ◽  
Public Health Nurses ◽  
Routine Practice ◽  
Structured Interviews ◽  
Mother And Child ◽  
Nurses Perceptions

AimTo investigate public health nurses’ perceptions and experiences of mental health and of the prevention of mental ill health among women postpartum, within paediatric healthcare services.BackgroundAlthough maternal health following childbirth should be a priority within primary care, it is known that women postpartum do not always receive the support they need to adapt to and cope with motherhood. Research implies that postnatal problems lack recognition and are not always acknowledged in routine practice. Few studies have been presented on this topic or from the perspective of nurses.MethodsFor this study, eight semi-structured interviews were conducted with public health nurses, and the transcribed texts were analysed through a process inspired by Burnard’s description of the four-step qualitative content analysis.FindingsThree categories – external influences on postpartum mental health, screening for and preventing postpartum mental ill health and paediatric healthcare services as a platform for support – were interpreted to reflect the nurses’ perceptions and experiences of mental health among women postpartum and of the prevention of mental ill health among women postpartum.ConclusionWe found that public health nurses can have an important role in supporting mothers’ mental health postpartum. Although caution is warranted in interpreting our results, the findings concur with those of other studies, highlighting that an equal care emphasis on both the mother and child can be an important aspect of successful support. Implementing person-centred care might be one strategy to create such an emphasis, while also promoting the mental health of new mothers. Public health nurses have a unique opportunity to support mothers’ transition into healthy motherhood, especially because they are likely to meet both mothers and children on a regular basis during the first year after birth.

scholarly journals Working in a minefield; Nurses’ strategies for handling medicine administration interruptions in hospitals, -a qualtiative interview study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Johanne Alteren ◽  
Marit Hermstad ◽  
Lisbeth Nerdal ◽  
Sue Jordan
Keyword(s):  
Patient Safety ◽  
Qualitative Content Analysis ◽  
Inductive Reasoning ◽  
Hospital Management ◽  
Exploratory Research ◽  
Structured Interviews ◽  
Experienced Nurses ◽  
Working Environments ◽  
Level Of Understanding ◽  
Medicine Administration

Abstract Background Administering medicines is one of the most high-risk tasks in health care. However, nurses are frequently interrupted during medicine administration, which jeopardises patient safety. Few studies have examined nurses’ experiences and the strategies they adopt to cope with interruptions during medicine rounds. This paper identifies nurses’ strategies for handling and reducing interruptions and ensuring safety during medicine rounds, within the confines of the hospitals’ organisational systems. Methods This descriptive and exploratory research study was undertaken with experienced nurses in Norwegian hospitals in 2015 using semi-structured interviews. Interviews were designed to elicit experiences and strategies used for handling interruptions to medicine rounds. Data were analysed using qualitative content analysis based on inductive reasoning to identify meaningful subjects and reach an interpretive level of understanding regarding nurses’ experiences. Results All 19 senior nurses who were approached were interviewed. From 644 condensed meaning units, we identified eight interpretative units and three themes: ‘working in environments of interruptions’, ‘personal coping strategies’, and ‘management-related strategies’. Nurses’ working environments were characterised by interruptions and distractions, which often threatened patient safety. To handle this unpredictability and maintain ward organisation, nurses developed their own personal strategies to overcome inherent problems with their working conditions, the absence of effective management, and colleagues’ reluctance to assume responsibility for minimising interruptions. Conclusions Administration of medicines in hospitals can be described as ‘working in a minefield’. Our findings indicate that the hospital management, in cooperation with nurses and other healthcare professionals, should take responsibility for improving the routine process of medicine administration by minimising avoidable interruptions. Patient safety can be improved when the hospital management takes steps to protect nurses’ work environments and assumes responsibility for resolving these challenges.

Is It Important for Healthcare Services to Place the Onus on Patient Satisfaction in Their Brand?

2021 ◽  
pp. 296-308
Author(s):  
Styliani Giossi ◽  
Achilleas G. Gkamanis ◽  
Georgios G. Gkamanis
Keyword(s):  
Patient Satisfaction ◽  
High Standard ◽  
Healthcare Services ◽  
Branding Strategy ◽  
Media Communication ◽  
Semiotic Approach ◽  
Linguistic Level ◽  
Social Media Communication ◽  
Clinical Equipment

Due to the advent of computers, internet, and social media communication, the marketing of services has changed, and consequently, organizations of any kind need to specify a brand image strategy and position it successfully in customer minds without cultural limitations. A semiotic approach for examining the branding strategy was applied on the websites of some healthcare services organizations which were taken as representative case studies. This research study seeks to point out the significance of the signs, either in the linguistic level or the iconic level of analysis, in order to make easily understandable the main issues of a branding strategy. The quality of services, the high standard of scientific expertise, and the availability of clinical equipment are the dominant issues of the examining branding strategies, whereas patient satisfaction and their further quality of life are completely ignored. A suggested innovative branding approach is shown to help entrepreneurs, branding designers, and marketers of healthcare services recognize the value of patient satisfaction.

scholarly journals ICTs and Music in Special Learning Disabilities

2016 ◽  
Vol 4 (3) ◽  
pp. 12 ◽  
Author(s):  
Athanasios Drigas ◽  
Paraskevi Theodorou
Keyword(s):  
Information And Communication Technologies ◽  
Learning Difficulties ◽  
Communication Technologies ◽  
Research Field ◽  
Future Research ◽  
Research Perspectives ◽  
Two Factors ◽  
Information And Communication ◽  
Access To Knowledge

Τhis study is a critical review of published scientific literature on the use of Information and Communication Technologies (ICT), Virtual Reality, multimedia, music and their applications in children with special learning difficulties.  Technology and music are two factors that are recognized as tools which ensure quality of life, success and access to knowledge and learning resources. In the following papers of the last decade (2006-2015) are proposed models of music therapy for students with special learning difficulties in a psycho educational setting. There are also defined future research perspectives concerning the applications of technology in this particular research field.

scholarly journals Patients’ perceptions of safety in emergency medical services: an interview study

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e037488
Author(s):  
Anu Venesoja ◽  
Maaret Castrén ◽  
Susanna Tella ◽  
Veronica Lindström
Keyword(s):  
Patient Safety ◽  
Emergency Medical Services ◽  
Professional Competence ◽  
Qualitative Content Analysis ◽  
Medical Services ◽  
Individual Interviews ◽  
Driving Skills ◽  
Emergency Medical ◽  
Perceptions Of Safety

BackgroundResearch on patient safety in emergency medical services (EMS) has mainly focused on the organisation’s and/or the EMS personnel’s perspective. Little is known about how patients perceive safety in EMS. This study aims to describe the patients’ experiences of their sense of safety in EMS.MethodsA qualitative design with individual interviews of EMS patients (n=21) and an inductive qualitative content analysis were used.ResultsPatients’ experiences of EMS personnel’s ability or inability to show or use their medical, technical and driving skills affected the patients’ sense of safety. When they perceived a lack of professionalism and knowledge among EMS personnel, they felt unsafe. Patients highlighted equality in the encounter, the quality of the information given by EMS personnel and the opportunity to participate in their care as important factors creating a sense of safety during the EMS encounter. Altogether, patients’ perceptions of safety in EMS were connected to their confidence in the EMS personnel.ConclusionsOverall, patients felt safe during their EMS encounter, but the EMS personnel’s professional competence alone is not enough for them to feel safe. Lack of communication or professionalism may compromise their sense of safety. Further work is needed to explore how patients’ perceptions of safety can be used in improving safety in EMS.

scholarly journals Encounters with Persons Who Frequently Use Psychiatric Emergency Services: Healthcare Professionals’ Views

2020 ◽  
Vol 17 (3) ◽  
pp. 1012
Author(s):  
Manuela Schmidt ◽  
Sigrid Stjernswärd ◽  
Pernilla Garmy ◽  
Ann-Christin Janlöv
Keyword(s):  
Healthcare Professionals ◽  
Emergency Services ◽  
Qualitative Content Analysis ◽  
Healthcare Services ◽  
Psychiatric Emergency ◽  
Psychiatric Nurses ◽  
Psychiatric Emergency Services ◽  
Individual Interviews ◽  
Self Compassion ◽  
Assistant Nurses

Encounters and interactions between healthcare professionals and patients are central in healthcare services and delivery. Encountering persons who frequently use psychiatric emergency services (PES), a complex patient group in a complex context, may be particularly challenging for healthcare professionals. The aim of the study was to explore healthcare professionals’ experiences of such encounters. Data were collected via individual interviews (N = 19) and a focus group interview with healthcare professionals consisting of psychiatric nurses, assistant nurses, and physicians. The data were analyzed with qualitative content analysis. This study focused on the latent content of the interview data to gain a rich understanding of the professionals’ experiences of the encounters. Two themes were identified: “Nurturing the encounter with oneself and colleagues for continuous, professional improvement” and “Striving for a meaningful connection with the patient”. The professionals experienced their encounters with persons who frequently use PES as caring, professional, and humane processes. Prerequisites to those encounters were knowing and understanding oneself, having self-acceptance and self-compassion, and working within person-centered cultures and care environments.

The Family Talk Intervention in palliative home care when a parent with dependent children has a life-threatening illness: A feasibility study from parents’ perspectives

2020 ◽  
pp. 1-7 ◽  
Author(s):  
Anette Alvariza ◽  
Li Jalmsell ◽  
Rakel Eklund ◽  
Malin Lövgren ◽  
Ulrika Kreicbergs
Keyword(s):  
Home Care ◽  
Professional Competence ◽  
Qualitative Content Analysis ◽  
Open Communication ◽  
Palliative Home Care ◽  
Dependent Children ◽  
Disease Trajectory ◽  
Life Threatening Illness ◽  
The Family ◽  
Life Threatening

Abstract Objective One of the main goals of the Family Talk Intervention (FTI) is to increase communication within families with dependent children about illness-related consequences and to support parenting. FTI is family-centered and includes six manual-based meetings led by two interventionists. This study aims to evaluate the feasibility of the FTI in terms of acceptability from the perspective of parents in families with dependent children where one parent receives specialized palliative home care. Method A descriptive design employing mixed methods was used to evaluate the FTI in specialized palliative home care. In total, 29 parents participated in interviews and responded to a questionnaire following FTI. Qualitative content analysis and descriptive statistics were used for analyses. Results FTI responded to both the ill parent's and the healthy co-parent's expectations, and they recommended FTI to other families. Parents found the design of FTI to be well-structured and flexible according to their families’ needs. Many parents reported a wish for additional meetings and would have wanted FTI to start earlier in the disease trajectory. Parents also would have wished for a more thorough briefing with the interventionists to prepare before the start. The importance of the interventionists was acknowledged by the parents; their professional competence, engagement, and support were vital for finding ways to open communication within the family. The FTI meetings provided them with a setting to share thoughts and views. Parents clearly expressed that they would never have shared thoughts and feelings in a similar way without the meetings. Significance of results According to parents, FTI was found acceptable in a palliative home care context with the potential to add valuable support for families with minor children when a parent is suffering from a life-threatening illness.

scholarly journals Dementia in People with a Turkish Migration Background: Experiences and Utilization of Healthcare Services

2020 ◽  
Vol 77 (2) ◽  
pp. 865-875
Author(s):  
Jessica Monsees ◽  
Tim Schmachtenberg ◽  
Wolfgang Hoffmann ◽  
Amy Kind ◽  
Andrea Gilmore-Bykovskyi ◽  
...  
Keyword(s):  
Family Caregivers ◽  
Help Seeking ◽  
Qualitative Content Analysis ◽  
Relevant Information ◽  
Healthcare Services ◽  
Migration Background ◽  
Structured Interviews ◽  
Migrant Populations ◽  
Turkish Culture ◽  
Willingness To Use

Background: As the proportion of older people with migration background (PwM) increases, the proportion of older PwM with dementia might also increase. Dementia is underdiagnosed in this group and a large proportion of PwM with dementia and family caregivers are not properly supported. Healthcare utilization is lower among older migrant populations. Thus, a better understanding of how PwM and family caregivers perceive their situation and how they experience healthcare services is needed to improve utilization of the healthcare system. Objective: Analyze how family caregivers of PwM with dementia experience their situation, why healthcare services are utilized less often, and what can be done to reverse this. Methods: Eight semi-structured interviews were conducted with people with Turkish migration background caring for PwM with dementia. Qualitative content analysis was used for data analysis. Results: Daily care was performed by one family member with the support of others. Healthcare services were used by most participants. Participants identified a need for better access to relevant information and incorporation of Turkish culture into healthcare services. Conclusion: PwM face similar challenges in taking care of persons with dementia as those without migration background. There is a willingness to use services, and services embracing Turkish culture would help to reduce hesitance and make affected people feel more comfortable, thereby increasing utilization and satisfaction. A limitation of this study is that participants were already connected to health services, which may not reflect the help-seeking behavior of those in the Turkish community who are not involved in healthcare.

scholarly journals Perception of Childbirth Experiences of Japanese Women in Bali, Indonesia: A Qualitative Study

2020 ◽  
Author(s):  
Kazuko Tanaka ◽  
Ni Made Dian Kurniasari ◽  
Desak Nyoman Widyanthini ◽  
Ni Luh Putu Suariyani ◽  
Rina Listyowati ◽  
...  
Keyword(s):  
Postnatal Care ◽  
Qualitative Content Analysis ◽  
Perinatal Care ◽  
Healthcare Services ◽  
Japanese Women ◽  
Structured Interviews ◽  
Related Information ◽  
Care Services ◽  
Japanese Residents ◽  
Childbirth Experiences

Abstract Background:Maternal healthcare services in Indonesia have seen dramatic improvements over the past 25 years and yet there is still room for improvement. The perception,by the women,of the perinatalcare provided,is a vital input to further improving theseservices. This study examineshow the perinatal care provided is experienced by Japanese women in Bali, using an interview survey.Methods:We conducted semi-structured interviews, from August to October 2017, with 14 Japanese women living in Badung Regency and Denpasar City in Bali Province, Indonesia to reporttheir perception of the perinatal care they experienced during their pregnancies. The interview guide included among others, the reasons for choosing specific (perinatal care) health facilities and their satisfaction with their experience of using the antenatal, delivery, and postnatal care services. The data were analysed using the qualitative content analysis method.Results:From the interview data, 12 categories across five themes were extracted. Participants reported experiencing various concerns during their pregnancies such as difficulty in obtaining perinatal care related information. Participants,from the beginning of their pregnancies gradually establishedtrusting relationships with midwives, but in many situations, they were disappointed with their childbirth experiences, as they felt that the care provided was not woman-centred.Through their own efforts and with the support of family members and other Japanese residents, many women were able to eventually consider their childbirth experiences as positive. Nonetheless, some women could not overcome their negative impressions even years after childbirth.Conclusions:Participants desired close attention and encouragement from nurses and midwives. Our results suggest that Japanese women in Bali expected a woman-centred perinatal care and active support from nursing/midwifery staff during their pregnancies and postnatal care.

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