scholarly journals Home health nurses’ views on participating in pre-ambulance emergency treatment: A qualitative descriptive study

2020 ◽  
pp. 205715852094664
Author(s):  
Carina Fjällman ◽  
Yvonne Hilli ◽  
Lise-Lotte Jonasson

As part of the Health Care Interaction project that was rolled out in western Sweden, home health nurses (HHNs) were called on as first responders to provide emergency treatment to patients, while waiting for the ambulance to arrive. The aim of this study was to evaluate the Health Care Interaction project in terms of the training and preparation of HHNs and the competencies that the nurses felt they needed to develop to feel confident in these assignments. In this qualitative descriptive study, 11 home health nurses from six municipalities that implemented the project were interviewed, and the data were analysed using content analysis. The COREQ guidelines were followed in the reporting of this study. The findings show that some municipalities did not have a training or preparation course in place, and guided the HHNs to refer to self-education material. The HHNs emphasised the importance of continuously updating their knowledge and skills through regular training. Further, feedback and reflection were considered important as reinforcement of learning.

2018 ◽  
Vol 27 (21-22) ◽  
pp. 4066-4076 ◽  
Author(s):  
Elliane Irani ◽  
Karen B Hirschman ◽  
Pamela Z Cacchione ◽  
Kathryn H Bowles

2019 ◽  
Vol 7 (4) ◽  
pp. 561-569
Author(s):  
Jo-Ana D Chase ◽  
David Russell ◽  
Meridith Rice ◽  
Carmen Abbott ◽  
Kathryn H Bowles ◽  
...  

Background: Post-acute home health-care (HHC) services provide a unique opportunity to train and support family caregivers of older adults returning home after a hospitalization. To enhance family-focused training and support strategies, we must first understand caregivers’ experiences. Objective: To explore caregivers’ experiences regarding training and support for managing older adults’ physical functioning (PF) needs in the post-acute HHC setting. Method: We conducted a qualitative descriptive study using semi-structured telephone interviews of 20 family caregivers. Interviews were recorded, transcribed, and analyzed using conventional content analysis. Results: We identified the following primary categories: facilitators to learning (eg, past experience, learning methods), barriers to learning (eg, learning on their own, communication, timing/logistics, preferred information and timing of information delivery), and interactions with HHC providers (eg, positive/negative interactions, provider training and knowledge). Conclusion: Caregivers were responsive to learning strategies to manage older adults’ PF needs and, importantly, voiced ideas to improve family-focused training and support. HHC providers can use these findings to tailor training and support of family caregivers in the post-acute HHC setting.


TOTOBUANG ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 155-167
Author(s):  
Salimulloh Tegar Sanubarianto ◽  
Erwin Syahputra Kembaren

This study discusses the positive politeness strategies in Kupang Malay on Facebook social media which are related with the politeness strategy theory  by Brown and Levinson. This research is a qualitative descriptive study with content analysis method. The research data were the status posts/comments in the Kupang Malay language on the Facebook which were selected based on the suitability of the research objectives. The selected data are then collected and analyzed according to theory. As a result, there are 12 strategies used by Facebook users in Kupang Malay namely (1) give sympathy to the interlocutor; (2) exaggerating sympathy for the interlocutor; (3) pay special attention to the interlocutor; (4) increase interest in the interlocutor; (5) use markers that show similarities; (6) seek the approval of the interlocutor; (7) avoid conflict with the interlocutor; (8) presupposes the interlocutor; (9) the strategy of making jokes; (10) strategies for making offers and promises; (11) showing a sense of optimism; and (12) trying to involve the interlocutor. Penelitian ini membahas strategi kesantunan positif dalam bahasa Melayu Kupang pada media sosial Facebook yang dikaitkan dengan teori strategi kesantunan yang dikemukakan oleh Brown dan Levinson. Penelitian ini adalah penelitian deskriptif kualitatif dengan metode analisis isi (content analysis). Data penelitian adalah tulisan status/komentar dalam bahasa Melayu Kupang pada Facebook yang dipilih berdasarkan kesesuaian terhadap tujuan penelitian. Data yang dipilih kemudian dikumpulkan dan dianalisis sesuai teori. Hasilnya, ada 12 strategi yang digunakan oleh pengguna Facebook berbahasa Melayu Kupang, dan ada 12 strategi yang ditemukan dalam penggunaanya dalam Facebook, yaitu (1) memberikan simpati pada lawan tutur; (2) melebih-lebihkan simpati pada lawan tutur; (3) memberikan perhatian khusus pada lawan tutur; (4) meningkatkan rasa tertarik pada lawan tutur; (5) menggunakan penanda yang menunjukkan kesamaan; (6) mencari dan mengusahakan persetujuan lawan tutur; (7) menghindari pertentangan dengan lawan tutur; (8) mempresuposisikan lawan tutur; (9) strategi membuat lelucon; (10) strategi membuat penawaran dan janji; (11) menunjukkan rasa optimism; dan (12) berusaha melibatkan lawan tutur.


Widyaparwa ◽  
2020 ◽  
Vol 48 (2) ◽  
pp. 283-291
Author(s):  
Muhammad Wildan Sahidillah ◽  
Sarwiji Suwandi ◽  
Atikah Anindyarini

This research aims to describe the history of Indonesian reform in the collection of Telepon Genggam poems by Joko Pinurbo. The dark history of reform needs to be reminded to everyone, to remind that Indonesia has a dark history of humanity, the Trisakti Tragedy. The May 1998 Trisakti Tragedy is a dark history that cannot be forgotten by Indonesian people. This research is included in a qualitative descriptive study. Data and data sources of this research are a collection of poems by Joko Pinurbo entitled Telepon Genggam. The data analysis technique used is the content analysis technique. Listen note is a technique used for data collection techniques. The results of research on the history of Indonesian reform, namely Tragedi Trisakti, in a collection of poems by Joko Pinurbo's Mobile Phone, found that there was a monetary crisis that made people uneasy because of the soaring prices of basic necessities. In addition, there were demonstrations by students and activists which resulted in many casualties, looting and rape of ethnic Chinese, and the kidnapping and disappearance of activists and students.Penelitian ini memiliki tujuan untuk mendeskripsikan sejarah kelam reformasi Indonesia dalam kumpulan puisi Telepon Genggam karya Joko Pinurbo. Sejarah kelam reformasi sangat perlu diingatkan untuk semua orang, untuk mengingatkan bahwa Indonesia mempunyai sejarah kemanusiaan yang kelam, yaitu Tragedi Trisakti. Tragedi Trisakti Mei 1998 merupakan sejarah kelam yang tidak bisa dilupakan oleh bangsa Indonesia. Penelitian ini termasuk dalam penelitian deskriptif kualitatif. Data dan sumber data penelitian ini adalah kumpulan puisi karya Joko Pinurbo yang berjudul Telepon Genggam. Teknik analisis data yang digunakan adalah teknik analisis isi. Simak catat adalah teknik yang digunakan untuk teknik pengumpulan data. Hasil penelitian mengenai sejarah reformasi Indonesia, yaitu Tragedi Trisakti, pada kumpulan puisi Telepon Genggam karya Joko Pinurbo ditemukan bahwa adanya krisis moneter yang membuat rakyat menjadi resah karena harga kebutuhan pokok yang melambung tinggi. Selain itu, ada juga demonstrasi para mahasiswa dan aktivis yang menyebabkan banyak korban berjatuhan, penjarahan dan perkosaan terhadap etnis Tionghoa, dan penculikan dan penghilangan aktivis dan mahasiswa.


2021 ◽  
Author(s):  
◽  
Marie Appelgren

Registered nurses [RNs] are within the frontline of professional nursing and are expected to provide a diverse range of health care services to a varied and heterogenic group of patients. They are bound by a code of ethics that mandates that nurses respect all human rights regardless of the patient’s abilities or functional status. However, research implies that RNs do not feel adequately prepared to support patients with intellectual and developmental disabilities [IDD], and that patients with IDD are often misinterpreted and misunderstood in care. Gaining in-depth knowledge about how RNs can experience nursing for this group of patients is therefore of great importance. The overall aim of this thesis was to describe, appraise, integrate and synthesise knowledge concerning nursing for patients with IDD. A further aim was to explore and describe Swedish RNs’ perceptions of providing care for patients with IDD within a home health care setting. This thesis consisted of two studies designed to investigate various aspects of nursing and caring for patients with IDD. Paper I was a systematic review using a meta-ethnographic approach, and Paper II was an interview study using a qualitative descriptive, interpretive design. Data was collected by systematic data base searches (Paper I), and by individual interviews (Paper II). The systematic review comprised 202 RNs (Paper I) and the qualitative descriptive study comprised 20 RNs. In the systematic review, data was analysed by a Line of Argument Synthesis [LOAs] as described by Noblit and Hare (1988), while the data in Paper II was analysed by content analysis. Nurses’ experiences and perceptions of nursing patients with an IDD could be understood from 14 LOAs. Six of these were interpreted to reflect a tentatively more distinctive and unique conceptualisation of RNs’ experience of nursing for this group of patients. The remaining eight LOAs were interpreted to reflect a conceptualisation of nursing per se that is a universal experience regardless of context or patient group (Paper I). In Paper II, the nurse’s perceptions were interpreted to be reflected by three overarching categories: Nursing held hostage in the context of care, Care dependant on intuition and proven experience and Contending for the patient’s right to adequate care. Absence of understanding and knowledge about IDD might be an explanation for the “otherness” that still appears to surround this group of patients. Concentrating on the person behind the disabilities label as well as on abilities instead of disabilities could be a reasonable approach in nursing care for patients with IDD. Thus, implementing nursing models focusing on person-centred care could support RNs to moderate the health and care inequalities that are still present among patients with IDD (Paper I). As a result of the home health care context and its organisation, the RNs perceived themselves as unable to provide care in accordance with their professional values. Not mastering the available augmentative and alternative communication tool additionally meant having to provide care based on second-hand information from support staff. The RNs also perceived that caring for this group of patients involved a daily battle for the patient’s rights to receive the right care at the right place and time and by the right person (Paper II). Hence, a broad base of evidence on what actually works best in clinical practice for this group of patients, particularly in the home care context, is still needed.


2021 ◽  
Vol 1 (12) ◽  
pp. e0000017
Author(s):  
Amber Heyd ◽  
Courtney Heffernan ◽  
Kate Storey ◽  
T. Cameron Wild ◽  
Richard Long

In Canada, preventive therapy for latent tuberculosis infection (LTBI) has required multiple doses of medication over an extended period of time. Such regimens are associated with poor adherence and completion rates. A shortened treatment regimen of once weekly isoniazid plus rifapentine for 3 months (3HP), is now available, and holds promise in populations facing challenges to treatment adherence. Although many factors impact treatment adherence, a knowledge gap exists in describing these factors in the context of this regimen. We present findings from a qualitative descriptive study, involving semi-structured interviews with unstably housed or homeless individuals in Edmonton and Fort McMurray, Alberta, Canada who were offered directly-observed preventive therapy (DOPT) with 3HP, and their health care providers. Latent content analysis revealed incomplete understandings of LTBI and about the need for preventive therapy. Clients’ motivation to be healthy, alongside education, health care outreach, relationships developed in the context of DOPT, ease of treatment regimen, incentives, and collaboration were all described as supporting treatment completion. Competing priorities, difficulty in reaching clients, undesirable aspects of the regimen and difficulties obtaining and initiating 3HP were identified as barriers. Perceptions of stigma related to LTBI and TB were described by clients in addition to feelings of shame related to their diagnosis. Our study provides insight into LTBI and indicates that multiple interacting psychosocial factors influence preventive therapy access, uptake, and adherence. Findings from this study of both client and provider perspectives can be used to inform and address inequities among individuals experiencing homelessness, and ultimately contribute to a diminished reservoir of LTBI.


2020 ◽  
Vol 47 (5) ◽  
pp. 728-739
Author(s):  
Margaret M. Paschen-Wolff ◽  
Madelyne Z. Greene ◽  
Tonda L. Hughes

Although sexual minority women (SMW) are at risk for cervical cancer and sexually transmitted infections (STIs), they may not seek preventative sexual and reproductive health care at the same rates as their heterosexual peers. We conducted a qualitative descriptive study of 22 adult SMW, a subsample of participants enrolled in the Chicago Health and Life Experiences of Women study. The aim was to describe the sexual and reproductive health literacy of this community sample based on qualitative themes, using an integrated model of health literacy. This model considers not only access to information but also understanding, appraisal, and application of information. We found that family of origin, health care providers, and school-based sexual education were the most important sources of sexual and reproductive health information. Participants described their understanding, appraisal, and application of sexual and reproductive health information as interdependent concepts. Pap test literacy and decision making were strongly independent, with SMW seeking various sources of information, or were driven by health care providers, with SMW following instructions and trusting provider advice. STI-related literacy hinged on whether the participant perceived SMW as at risk for STIs. Our findings reinforce that simply having access to information is insufficient to enact health behaviors that reflect full literacy. Findings have implications for health care providers, who should provide evidence-based recommendations for their SMW clients, and for public health practitioners and educators, who could make sexual health education more inclusive of and specific to the needs of SMW.


2014 ◽  
Vol 48 (4) ◽  
pp. 706-714 ◽  
Author(s):  
Myllena Cândida de Melo ◽  
Gisella de Carvalho Queluci ◽  
Mônica Villela Gouvêa

Objective: To investigate practical teaching of nurse residents in a multidisciplinary residency in oncology. Method: A qualitative descriptive study grounded in the problematization methodology and its steps, represented by the Maguerez Arch. Data were analyzed using content analysis. Results: Potentiating and limiting elements of the residency guided the design of a practical teaching protocol from the perspective of residents, structured in three stages: Welcoming and ambience; Nursing care for problem situations; and, Evaluation process. Conclusion: Systematization of practical teaching promoted the autonomy of individuals and the approximation of teaching to reality, making residency less strenuous, stressful and distressing.




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