The ICF model as a practical tool to facilitate holistic communication with individuals during their rehabilitation: A qualitative study

2021 ◽  
pp. 205715852110157
Author(s):  
Bodil Bjørnshave Noe ◽  
Sanne Angel ◽  
Merete Bjerrum

During rehabilitation, professionals and patients experience difficulties addressing complex issues. In a hermeneutical approach we examine how the ICF model can capture the complexity of the rehabilitation process using secondary deductive content analysis of transcripts from a previous interview study in line with COREQ. When focusing on interactions, the ICF model captures the complexity of individuals’ issues in a convincing way. Three themes were identified: ‘The influence body function, activity, participation and environment have on an individual’s ability to handle daily tasks of personal importance’, ‘The influence the environment in combination with body function, activity, and personal factors have on an individual’s ability to maintain their social roles’, and ‘The influence personal factors and body functions have on an individual’s confidence in participating in activities they like’. The findings show that the ICF model could provide a useful tool to facilitate communication regarding individuals’ complex issues that are often neglected.

Author(s):  
Farzaneh Valizadeh ◽  
Farahnaz Heshmat ◽  
Solmaz Mohammadi ◽  
Zahra Motaghi

Objective: Different factors have an important role in the positive and negative childbirth experiences of the mothers. The parturient mother’s privacy preservation is one of the factors for increasing the mothers’ satisfaction consistent with natural childbirth. Hence, this study aimed to investigate the factors affecting the parturient mother’s privacy preservation. Materials and methods: Content analysis was used in this qualitative study that is based on the semi structured individual interviews with women who had experienced natural vaginal delivery, midwives, and the specialist in a maternity ward from 2018 to 2021 in Shahroud, Iran. The collected data were analyzed simultaneously with the sampling procedure using a five-step qualitative content analysis method. To ensure the robustness of the data, Lincoln and Guba's four criteria (credibility, dependability, confirmability, and transferability) were used. Results: The findings of the study with 40 participants resulted in the extraction of 28 codes, 9 subcategories, and 2 main categories entitled extra-and intra personal factors affecting the mother’s privacy. Conclusion: To foster the mother’s awareness of her rights and privacy during pregnancy and delivery, continuous education, monitoring, and evaluating both the students and the staff to respect preserving the mother’s privacy is necessary to develop an instrument to measure the preservation of the mother’s privacy in the maternity ward.


2013 ◽  
Vol 28 (6) ◽  
pp. 573-579 ◽  
Author(s):  
Hamidreza Khankeh ◽  
Maryam Nakhaei ◽  
Gholamreza Masoumi ◽  
Mohammadali Hosseini ◽  
Zohreh Parsa-Yekta ◽  
...  

AbstractIntroductionPlanned and organized long-term rehabilitation services should be provided to victims of a disaster for social integration, economic self-sufficiency, and psychological health. There are few studies on recovery and rehabilitation issues in disaster situations. This study explores the disaster-related rehabilitation process.MethodThis study was based on qualitative analysis. Participants included 18 individuals (eight male and ten female) with experience providing or receiving disaster health care or services. Participants were selected using purposeful sampling. Data were collected through in-depth and semi-structured interviews. All interviews were transcribed and content analysis was performed based on qualitative content analysis.ResultsThe study explored three main concepts of recovery and rehabilitation after a disaster: 1) needs for health recovery; 2) intent to delegate responsibility; and 3) desire for a wide scope of social support. The participants of this study indicated that to provide comprehensive recovery services, important basic needs should be considered, including the need for physical rehabilitation, social rehabilitation, and livelihood health; the need for continuity of mental health care; and the need for family re-unification services. Providing social activation can help reintegrate affected people into the community.ConclusionEffective rehabilitation care for disaster victims requires a clear definition of the rehabilitation process at different levels of the community. Involving a wide set of those most likely to be affected by the process provides a comprehensive, continuous, culturally sensitive, and family-centered plan.KhankehH, NakhaeiM, MasoumiG, HosseiniM, Parsa-YektaZ, KurlandL, CastrenM. Life recovery after disasters: a qualitative study in the Iranian context. Prehosp Disaster Med. 2013;28(6):573-579.


BMJ ◽  
2004 ◽  
Vol 328 (7449) ◽  
pp. 1159 ◽  
Author(s):  
James D Ralston ◽  
Debra Revere ◽  
Lynne S Robins ◽  
Harold I Goldberg

Author(s):  
Van der Meulen Merel ◽  
Daniel J. Lobatto ◽  
R. van Furth Wouter ◽  
Sasja D. Huisman ◽  
Yvonne F. Heerkens ◽  
...  

2021 ◽  
pp. 019394592110509
Author(s):  
Kelly E. Stacy ◽  
Joseph Perazzo ◽  
Rhonna Shatz ◽  
Tamilyn Bakas

Lewy body disease (LBD) is a devastating condition with cognitive and physical deficits that pose a challenge to family caregivers. The purpose of this study was to identify the needs and concerns of family caregivers of persons with LBD. A convenience sample of LBD caregivers were interviewed regarding their caregiving needs, concerns, strategies, and advice. A content analysis approach was used to organize data into themes from an existing needs and concerns framework. Findings included the need for more information about the disease, strategies for managing LBD-related emotions and behaviors, support and assistance with physical and instrumental care, and strategies for managing one’s own personal responses to caregiving. Findings highlight the need for a Lewy body specific caregiver assessment tool and future caregiver interventions.


2018 ◽  
Vol 21 (3) ◽  
pp. 628-635
Author(s):  
Lorna E. Ingoe ◽  
Janis Hickey ◽  
Simon Pearce ◽  
Tim Rapley ◽  
Salman Razvi ◽  
...  

2018 ◽  
Vol 17 (4) ◽  
pp. 1270-1284 ◽  
Author(s):  
Szilvia Zörgő ◽  
Olga L. Olivas Hernández

Introduction: Complementary and alternative medicine (CAM) use has been increasing in the past decades in tandem with changes regarding the notions of health and illness. Comparing conventional medicine (CM) and CAM in how they address health problems has been a point of focus for both the health sciences and individuals dealing with health problems. Various social, cultural, political, economic, and personal factors play a role in whether different health approaches are integrated or not when addressing illness experiences. Methods: The qualitative study comprised semistructured interviews (N = 9) and participant observation involving 105 patients conducted between January 2015 and May 2017 at 4 clinics of Traditional Chinese Medicine in Budapest, Hungary. Code structures were created inductively with Interpretative Phenomenological Analysis. Results: The mutually exclusive view of CM/CAM use occurred due to loss of trust in the doctor-patient relationship causing problems in communication, and also as a result of the patient espousing certain cultural dispositions. Significant dispositions included a preference for the “natural” and psychologization, the latter often manifested in psychosocial etiology, vitalism, and illness symbolism. Discussion: A polarized choice of therapy may occur as a result of a competitive health care market in which medical modalities and their underlying cultural systems compete within a global milieu of information proliferation and a hybridization of individual worldviews. Through a process of “cultural creolization”, changing concepts of health and illness create varying patient expectations and meanings regarding illness, which in turn affect therapy choice as well. Conclusion: Mirrored in the articulation of an individual’s illness trajectory is a tension that is also reflected in the struggles in the health care system to more adequately understand health/illness processes from a pluralistic perspective. The power relations in the health arena (among CAM/CM practitioners and systems) play a role in legitimizing or undermining different health practices, which as consequence affects the possibility of integrating them into the processes of care. Thus, therapy choice is not only linked to changing notions of health and illness, but also to shifting conceptualizations of self, identity, and the practitioner-patient relationship.


2014 ◽  
Vol 48 (4) ◽  
pp. 610-617 ◽  
Author(s):  
Diene Monique Carlos ◽  
Maria das Graças Carvalho Ferriani ◽  
Michelly Rodrigues Esteves ◽  
Lygia Maria Pereira da Silva ◽  
Liliana Scatena

Objective: Assess the understanding of adolescents regarding the social support received in situations of domestic violence. Method: A qualitative study with data collection carried out through focus groups with 17 adolescent victims of domestic violence, institutionally welcomed in Campinas-SP, and through semi-structured interviews with seven of these adolescents. Information was analyzed by content analysis, thematic modality. Results: Observing the thematic categories it was found that social support for the subjects came from the extended family, the community, the Guardianship Council, the interpersonal relationships established at the user embracement institution and from the religiosity/spirituality. Conclusion: The mentioned sources of support deserve to be enhanced and expanded. With the current complexity of the morbidity and mortality profiles, especially in children and adolescents, the (re)signification and the (re)construction of health actions is imperative.




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