scholarly journals School nurses’ experiences and challenges of working with childhood obesity in Northern Sweden: A qualitative descriptive study

2021 ◽  
pp. 205715852110446
Author(s):  
Jennifer Gothilander ◽  
Helene Johansson
Keyword(s):  
Childhood Obesity ◽  
Qualitative Content Analysis ◽  
Group Discussion ◽  
School Nurses ◽  
Structured Interviews ◽  
Unequal Treatment ◽  
Qualitative Descriptive ◽  
Evidence Based Guidelines ◽  
Health Dialogue

Childhood obesity is increasing in Sweden. All children are offered regularly spread health visits to a school nurse. As health visits include a measure of height and weight and a health dialogue, school nurses can discover, disclose, and treat a child's weight gain. The aim of this study was to describe school nurses’ experiences and challenges in working with childhood obesity. This qualitative study collected data through focus-group discussion and semi-structured interviews with ten female school nurses from six municipalities. Data were analysed inductively using manifest qualitative content analysis. The study was reported using the COREQ guidelines. Stigmatization and lack of resources are major challenges for school nurses working with childhood obesity, and they experience frustration, powerlessness and feel that they provide unequal treatment. The present study concludes that obesity stigmatization is a widespread challenge for school nurses. They cannot alone generate all the resources needed or conquer all challenges. Evidence-based guidelines, increased knowledge, time for reflections and peer support could potentially empower school nurses, reduce frustration, and improve the quality of and equality in childhood obesity treatment.

Intensive care nurses’ experiences of Covid-19 care: A practical and ethical challenge – a qualitative descriptive design

2021 ◽  
pp. 205715852110627
Author(s):  
Anna-Lena Stenlund ◽  
Gunilla Strandberg
Keyword(s):  
Intensive Care ◽  
Qualitative Content Analysis ◽  
Treatment Strategies ◽  
Ethical Challenge ◽  
Ethical Challenges ◽  
Structured Interviews ◽  
Intensive Care Nurses ◽  
Qualitative Descriptive ◽  
Heavy Burden ◽  
New Treatment

The Covid-19 pandemic has generated new experiences of intensive care. It has entailed new working methods, treatment strategies, and ethical dilemmas. The aim of this study was to describe intensive care nurses’ experiences of Covid-19 care and its ethical challenges. Data collection consisted of 11 individual semi-structured interviews and a qualitative content analysis was used. The COREQ checklist was followed. Three main themes emerged: to meet Covid-19 patients’ needs for specifically tailored intensive care; to have a changed approach to the excluded relatives is unethical, but defensible; and to strive to protect ethical values needs to be considered as good enough. In conclusion, ICU nurses shouldered a heavy burden in taking responsibility for the safety of these patients, continuously learning about new treatment strategies. Caring for Covid-19 patients was to strive to make the best of the situation.

Abstract NS3: The Influence of Chinese Culture on Caregiving Role Perceptions Among Stroke Caregivers

Stroke ◽  
2016 ◽  
Vol 47 (suppl_1) ◽  
Author(s):  
Xichenhui Qiu ◽  
Janet W SIT ◽  
Haixia Feng
Keyword(s):  
Filial Piety ◽  
Chinese Culture ◽  
Qualitative Content Analysis ◽  
Descriptive Study ◽  
Structured Interviews ◽  
Day Range ◽  
Analysis Process ◽  
The Family ◽  
Qualitative Descriptive ◽  
Spouse Caregivers

Introduction: Among the estimated 22.5 million stroke survivors in China, 78% of them require home care. Previous research has indicated that culture can have a significant impact on caregivers’ perceptions of the caregiving role. There is a dearth of research on stroke caregivers’ perceptions within the Chinese culture. Objective: To explore how Chinese culture influences the perceptions of the caregiving role among stroke caregivers. Methods: In this qualitative descriptive study, 14 stroke caregivers were recruited from a 1800-bed regional hospital in China. Caregivers were on average 58 years old (range 46-74), 78% female, 50% spouse-caregivers and 50% children-caregivers. Caregivers spent on average 14 hours per day (range 5-24) providing care. All were 1st time caregivers who had provided stroke caregiving < 12 months. Individual, semi-structured interviews were conducted. Qualitative content analysis was performed. Strategies to achieve trustworthiness include triangulation of the data in the analysis process, member checking and peer debriefing. Results: Three themes emerged from the interviews. (1) Caregiving is a natural expected part of life. All caregivers accepted caregiving for the sick family member as an expected part of life. This perception is deeply rooted in Chinese culture. (2) Caregiving is a culturally prescribed obligation. Spouse caregivers believe that it is their moral obligation to take care of their sick life partner. Female caregivers emphasized their position and role in the family to take up caregiving for sick relative. (3) Caregiving is an expression of reciprocal love within the immediate family. Tangible caregiving and support during adversity are viewed as expression of reciprocal love among family members. Particularly, the children-caregivers believed in the virtue of filial piety and perceived stroke caregiving as a means of repaying their parents. Conclusions: Our findings highlight an underlying acceptance and devotion of undertaking stroke caregiving within the Chinese culture. Researchers and clinicians that plan to develop an intervention to support Chinese stroke caregivers need to consider integrating these findings.

scholarly journals Exploring the experiences of nurses caring for patients with COVID-19: a qualitative study in Iran

BMC Nursing ◽  
2022 ◽  
Vol 21 (1) ◽  
Author(s):  
Sudabeh Ahmadidarrehsima ◽  
Nasibeh Salari ◽  
Neda Dastyar ◽  
Foozieh Rafati
Keyword(s):  
Compassion Fatigue ◽  
Qualitative Content Analysis ◽  
Patient Care Team ◽  
Social Experiences ◽  
Mitigation Strategies ◽  
Structured Interviews ◽  
Master's Degrees ◽  
Social Burden ◽  
Professional Needs

Abstract Background The coronavirus disease (COVID-19) is now a major public health emergency in the world. Nurses as key members of the COVID-19 patient care team are exposed to most challenges caused by the disease. As exploring the experiences of nurses as patient supporters and caregivers can play an important role in improving the quality of care for patients with COVID-19 disease, the present study explored the experiences of nurses caring for patients with COVID-19. Methods The study employed a qualitative design. This study employed purposive sampling to select 10 nurses with bachelors and master’s degrees in nursing who were taking care of patients with COVID-19 in ICUs or inpatient wards in southern Iran. Data were collected through semi-structured interviews. The collected data were analyzed using the qualitative content analysis procedure proposed by Graneheim and Lundman. Results The analysis of the data revealed four main themes and ten sub-themes: A) physical, psychological, and social burden of care (excessive workload; fear, anxiety, worry; unpleasant social experiences; compassion fatigue) B) unmet needs (personal needs and professional needs) C) positive experiences (pleasant social experiences and inner satisfaction), and D) strategies (problem-solving strategies and stress symptom mitigation strategies). Conclusions An analysis of the themes and subthemes extracted in this study suggested that the nurses who participated in this study faced many personal and professional challenges. Therefore, health officials and specialists need to pay special attention to nurses’ challenges and needs.

scholarly journals Pessoa com Deficiência (PcD): a realidade observada no ambiente organizacional.

Revista Foco ◽  
2019 ◽  
Vol 12 (3) ◽  
pp. 78
Author(s):  
Regiane Freires Dos Santos ◽  
Sabrina Bianca Regis Rocha ◽  
Daniele Oliveira Dos Santos ◽  
Gustavo Yuho Endo ◽  
Alvaro Costa Jardim Neto
Keyword(s):  
Quality Of Life ◽  
Private School ◽  
Educational Institution ◽  
People With Disabilities ◽  
Educational Institutions ◽  
Structured Interviews ◽  
Qualitative Descriptive ◽  
Recruitment And Selection ◽  
Selection Stage

A qualidade de vida dentro do ambiente organizacional não tem refletido de forma positiva para as pessoas com deficiência, pois além de suas características comuns, portam outras que as limitam a executar tarefas que são simples para as demais. Nesse sentido, o estudo tem como objetivo geral analisar a qualidade de vida no trabalho das pessoas com deficiência em instituição de ensino privado. A pesquisa tem caráter qualitativo, descritiva e comparativa. Os dados foram coletados por meio de entrevista semiestruturada, participaram da pesquisa três instituições públicas de ensino e uma instituição privada de ensino. Os principais achados foram que nas instituições públicas de ensino não haviam pessoas com deficiência, não podendo assim analisar a qualidade de vida dos mesmos nessas instituições. Já na instituição privadas existem pessoas com deficiência, ter esse tipo de colaborador é de iniciativa da organização e não somente pelo fato de existirem leis que as obrigam ter uma percentagem desse tipo de colaborador. Esse tipo de colaborador é tratado como os demais colaboradores, desde a etapa de recrutamento e seleção até a avaliação de desempenho. Porém, os mesmos sofrem preconceitos de alunos e colaboradores da própria instituições de ensino. Para que isso diminuía, são propostas ações internas de conscientização.  The quality of life within the organizational environment has not reflected positively on people with disabilities, because in addition to their common characteristics, they carry others that limit them to perform tasks that are simple for others. In this sense, the study aims to analyze the quality of life at work of people with disabilities in private school. The research has qualitative, descriptive and comparative character. Data were collected through semi-structured interviews. Three public educational institutions and one private educational institution participated in the research. The main findings were that in public educational institutions there were no people with disabilities, so they could not analyze their quality of life in these institutions. In the private institution there are people with disabilities, having this type of employee is the initiative of the organization and not only because there are laws that require them to have a percentage of this type of employee. This type of employee is treated like other employees, from the recruitment and selection stage to the performance evaluation. However, they suffer prejudice from students and employees of the educational institutions themselves. To reduce this, internal awareness actions are proposed.

A school in distress: The manifestations of poverty at a selected satellite school in the Masvingo district, Zimbabwe

2019 ◽  
Vol 2 (1) ◽  
pp. 48-60
Author(s):  
Kudzayi Savious Tarisayi
Keyword(s):  
Land Reform ◽  
Qualitative Content Analysis ◽  
Group Discussion ◽  
Structured Interviews ◽  
The Social ◽  
Extra Curricular Activities ◽  
Additional Funding ◽  
Satellite Schools ◽  
Year 2000

Although there is a plethora of studies on poverty in schools, poverty in satellite schools in Zimbabwe remains a neglected phenomenon. Satellite schools are newly established temporary schools which are attached to a registered school. This paper derives from a study that focused on the social capital influences of communal farmers and land reform beneficiaries on satellite schools in the Masvingo district, Zimbabwe after the year 2000. The study drew on the capability approach by Sen (2000) and the poverty pyramid by Baulch (2011). The study was qualitative and it was positioned in the interpretive paradigm. The paper reports on one case study of communal farmers in the Masvingo district. Four semi-structured interviews and a focus group discussion with a purposive sample of ten participants were carried out in the Sambo community. Qualitative content analysis was utilized to analyse the findings and draw conclusions. The manifestations of poverty at Sambo satellite school were infrastructure challenges; physical resources allocation; a natural resource challenge; and learners’ participation in extra-curricular activities with other schools. Due to a multiplicity of manifestations of poverty, Sambo satellite school was clearly in distress. It is recommended that the Zimbabwean government provide additional funding to support satellite schools that are located in poor, environmentally challenging contexts.

scholarly journals STRATEGI PENINGKATAN MUTU DAN CITRA (IMAGE)SEKOLAH DASAR NEGERI DI UNGARAN, SEMARANG

2016 ◽  
Vol 3 (1) ◽  
pp. 115
Author(s):  
Siti Maamarah ◽  
Supramono Supramono
Keyword(s):  
Extracurricular Activities ◽  
School Environment ◽  
Group Discussion ◽  
Learning Activities ◽  
Teaching Skills ◽  
Standard Size ◽  
School Committee ◽  
Managerial Training ◽  
Qualitative Descriptive

<p>This study aimed to determine the root of the problem of low quality and image of SDN 02 and 04 Ungaran and also to define the strategie to improve the quality and to build the image of SDN 02 and 04 Ungaran. This qualitative descriptive study used fishbone analysis and data collection used Focus Group Discussion (FGD), interviews, and study of document. The results showed that the root problem of low quality of SDN 02 and 04 Ungaran were learners<br />had low ability, teachers provided less motivation of learning, the willingness of teachers to improve teaching skills were low, teachers were elderly, teachers did not plan learning activities by themselves, school principle had never participated in managerial training, non standard size of classrooms and the library had not been adequate. The root of the problem why the image of SDN Ungaran 02 and 04 were not good enough namely: the lack of academic supervition and extracurricular competent. Strategies to improve the quality and to build image of SDN 02 and 04 Ungaran were : a)implementing ongoing supervision by principle to raise teachers motivation, b)proposing for aid to the authorities both for the rehabilitation of classrooms and procurement of books, c) involving school committee in order to improve the school environment, and d) forming school developer team in academic achievement and extracurricular activities.</p>

scholarly journals Representações sociais de travestis profissionais do sexo sobre qualidade de vida

2021 ◽  
Vol 20 (4) ◽  
pp. 131-169
Author(s):  
Ana Lilia Souza Barbosa Barbosa ◽  
Alef Diogo da Silva Santana ◽  
Ednaldo Cavalcante de Araújo ◽  
Paula Daniella de Abreu ◽  
Marcos Soares de Lima ◽  
...  
Keyword(s):  
Social Representations ◽  
Structured Interviews ◽  
Governmental Organizations ◽  
Calidad De Vida ◽  
Non Governmental Organizations ◽  
Access To Health ◽  
The Social ◽  
Qualitative Descriptive ◽  
Trabajadoras Sexuales

Objetivo: Identificar las representaciones sociales de las trabajadoras sexuales travestis sobre la calidad de vida. Material y Método: Estudio cualitativo, descriptivo, exploratorio, basado en la Teoría de las Representaciones Sociales, desarrollado con siete travestis trabajadoras sexuales. La producción de los datos se llevó a cabo con entrevistas semiestructuradas y posteriormente se transcribieron, validaron y analizaron a partir del Análisis de contenido temático.Resultados: Surgieron tres clases: 1) Acceso a la salud como principio de calidad de vida; 2) El apoyo de las organizaciones no gubernamentales en la visibilidad y respeto a las demandas de las personas trans y 3) Los vínculos sociales como herramienta útil en el sentido de la calidad de vida.Consideraciones finales: Las representaciones se ubican en la necesidad de acceso a servicios de salud libres de prejuicios; el apoyo de las organizaciones no gubernamentales en el reconocimiento de sus potencialidades y singularidades mediante el establecimiento de vínculos afectivos, solidarios, leales y de confianza, y en el establecimiento de lazos sociales producidos con vecinos y amigos para afrontar las dificultades vividas cotidianamente. Objective: To identify the social representations of transvestite sex professionals regarding quality of life.Material and Method: A qualitative, descriptive, exploratory study, anchored in the Theory of Social Representations, developed with seven professional transvestites of sex. The data production was carried out with semi-structured interviews and later transcribed, validated and analyzed from the Thematic Content Analysis.Results: Three categories emerged: 1) Access to health as a principle to quality of life; 2) Support of non-governmental organizations in the visibility and respect to the demands of the trans population and 3) Social ties as a propositional tool in the meaning of quality of life.Final considerations: The representations are located in the need to access health services free of prejudice; in the support of non-governmental organizations in the recognition of their potentialities and singularities, establishing affective bonds of support, loyalty and trust; and in the establishment of social bonds produced with neighbors and friends to face the difficulties experienced daily. Objetivo: identificar as representações sociais de travestis profissionais do sexo sobre qualidade de vida. Material e Método: Estudo qualitativo, descritivo, exploratório, ancorado na Teoria das Representações Sociais, desenvolvido com sete travestis profissionais do sexo. A produção dos dados foi realizada com entrevistas semiestruturadas e posteriormente transcritas, validadas e analisadas a partir da Análise de Conteúdo Temática. Resultados: Emergiram-se três categorias: 1) O acesso à saúde como princípio à qualidade de vida; 2) Apoio das organizações não governamentais na visibilidade e respeito às demandas das pessoas trans e 3) Os laços sociais como ferramenta propositiva no significado da qualidade de vida.Considerações finais: As representações estão situadas na necessidade de acesso aos serviços de saúde livre de preconceitos; no apoio das organizações não governamentais no reconhecimento de suas potencialidades e singularidades estabelecendo vínculos afetivos, de apoio, lealdade e confiança; e no estabelecimento dos laços sociais produzidos com vizinhos e amigos para o enfrentamento das dificuldades vivenciadas diariamente.

scholarly journals Challenges towards quality assurance of Basic Medical Education in Pakistan

2019 ◽  
Vol 36 (2) ◽  
Author(s):  
Abdul Waheed Khan ◽  
Ahsan Sethi ◽  
Gohar Wajid ◽  
Raheela Yasmeen
Keyword(s):  
Medical Education ◽  
Quality Assurance ◽  
Group Discussion ◽  
Political Influence ◽  
Structured Interviews ◽  
Public And Private ◽  
Creative Commons ◽  
Basic Medical Education ◽  
Basic Medical

Objective: There are growing concerns towards the quality of medical education in Pakistan. To help strengthen accreditation processes, this study identifies the challenges towards quality assurance of Basic Medical Education in Pakistan. Methods: A qualitative case study was carried out from March to August 2018. Participants included inspectors from various disciplines in both public and private medical colleges, and medical educationists from Pakistan. Semi-structured interviews were conducted with 12 inspectors, while focus group discussion included 10 medical educationists. All the interviews were audio recorded and transcribed verbatim. Thematic analysis was conducted to capture the intricacies of meaning within the data. Results: Data identified 14 sub-themes grouped under three major themes. Challenges towards quality assurance included mounting political influence, commercialism in medical education, weak regulatory capacity of accrediting body, violation of rules, lack of valid accreditation standards and skilled inspectors. Conclusion: Quality assurance of Basic Medical Education in Pakistan involves various systemic, resource and personnel related challenges. The accrediting body needs to bring major reforms in its accreditation system and strengthen its regulatory and technical educational capacity to ensure the quality of medical education in nearly 168 medical and dental colleges of the country. doi: https://doi.org/10.12669/pjms.36.2.1319 How to cite this:Khan AW, Sethi A, Wajid G, Yasmeen R . Challenges towards quality assurance of Basic Medical Education in Pakistan. Pak J Med Sci. 2020;36(2):---------. doi: https://doi.org/10.12669/pjms.36.2.1319 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Fostering Holistic Hand Therapy: Emergent Themes of Client Experiences of Mind–Body Interventions

2019 ◽  
Vol 40 (2) ◽  
pp. 122-130
Author(s):  
Sandy C. Takata ◽  
Mark E. Hardison ◽  
Shawn C. Roll
Keyword(s):  
Mindfulness Meditation ◽  
Holistic Approach ◽  
The Body ◽  
Structured Interviews ◽  
Hand Therapy ◽  
Client Experiences ◽  
Meaningful Activity ◽  
Qualitative Descriptive ◽  
Therapy Sessions

Mind–body interventions are a viable holistic approach to rehabilitation; however, evidence for mind–body approaches in hand therapy is lacking. This study explored the experiences of clients with musculoskeletal disorders undergoing two mind–body interventions within hand therapy. Qualitative data were obtained from clients who received mindfulness meditation and sonographic biofeedback as part of hand therapy. Semi-structured interviews conducted after four therapy sessions elicited participants’ experiences and acceptability. Emergent themes were identified through an iterative, qualitative descriptive process. The following three themes emerged as results: insight on the body, relaxation and relief, and I am in control. A fourth theme was identified in the acceptability data, that is, mindfulness as a meaningful activity. At least one of the interventions was acceptable to each participant. Positive participant experiences support further consideration of mind–body interventions as a useful holistic approach in hand therapy to support wellness, quality of care, and participation in recovery.

Perceptions of prognosis and goals of care in patients receiving radiation therapy.

2019 ◽  
Vol 37 (31_suppl) ◽  
pp. 30-30
Author(s):  
Claudia Sofia Roldan ◽  
Jie Jane Chen ◽  
Alexandra N. Nichipor ◽  
Tracy A. Balboni ◽  
Monica Shalini Krishnan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Radiation Therapy ◽  
Lung Metastases ◽  
Qualitative Content Analysis ◽  
Metastatic Cancer ◽  
Structured Interviews ◽  
Goals Of Care ◽  
Palliative Radiation Therapy ◽  
Medical Teams

30 Background: We aimed to gain insight into the experiences and perceptions of patients with advanced metastatic cancer surrounding palliative radiation therapy (RT). Methods: In-depth structured interviews were conducted from 9/2016 to 10/2018 with 17 patients with bone or lung metastases receiving their first course of palliative RT. Patient answers about understandings of goals of care and disease prognosis were recorded and analyzed through qualitative content analysis. Medical records were reviewed to obtain demographic and clinical data. Results: The median age of patients was 64 years (range: 21-82). The median survival from time of metastatic diagnosis was 17.6 months (range: 1-46). When asked about goals of RT, qualitative analysis revealed that half (53%) linked receiving palliative RT to improving their quality of life, however 35% believed RT would completely get rid of their tumor. Words that were used commonly throughout patient answers included alleviating pain (41%), cure (29%), and reducing tumor growth (24%). All patients reported they received their information about goals of care from their medical teams. When asked about prognosis, 53% said prognosis had been discussed with them, whereas 76.5% said they were interested in information about prognosis. When asked “What do you believe lies ahead?,” about half (47%) expressed uncertainty about the future, while others (41%) were focused on the next steps in treatment. In the patients interested in learning more about their prognosis, there was a strong preference for this information to come from their medical teams. Conclusions: More than half of patients accurately identified the goal of RT as improving their quality of life, however some patients believed that the palliative RT would cure their tumor. This highlights the ongoing gap in patient provider communication and the need for improvement in this area. Inaccurate perceptions of goals of treatment and prognosis may motivate some patients to pursue unnecessarily aggressive treatments, which could affect quality of life without improving survival. Referrals to radiation oncologists present a potential opportunity to reopen discussions on goals of care and prognosis to adjust patient expectations.

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