scholarly journals Addressing Sexual Problems in German Primary Care: A Qualitative Study

2021 ◽  
Vol 12 ◽  
pp. 215013272110464
Author(s):  
Ronja Zannoni ◽  
Elisa Dobberkau ◽  
Hanna Kaduszkiewicz ◽  
Aglaja Valentina Stirn
Keyword(s):  
Qualitative Study ◽  
Qualitative Content Analysis ◽  
Sexual Problems ◽  
Sexual Medicine ◽  
Health Issues ◽  
Structured Interviews ◽  
Study Objective ◽  
Doctor Patient Communication ◽  
Complex Disorders ◽  
Almost All

Although general practitioners (GPs) are often the first contact for patients’ sexual issues, little is known about how German GPs approach, diagnose, and treat sexual problems and disorders. Therefore, the present qualitative study explores approaches and management of sexual health issues used by GPs. The sample included 16 GPs from Kiel and surroundings and Sachsen-Anhalt. The in-depth, semi-structured interviews were coded according to the qualitative content analysis by Mayring using MAXQDA. The results revealed 5 main themes, 2 of which are explored in more detail in relation to the study objective (2 and 4): (1) sexual issues that arise in general practice, (2) addressing sexuality, (3) influencing factors in doctor-patient communication about sexuality, (4) diagnosing and treating sexual dysfunctions, and (5) changes in the approach to sexuality over time. Most GPs did not routinely ask their patients about sexual problems. Common barriers included lack of time, suspected embarrassment on both sides, and fear of offending patients. Almost all GPs tended to diagnose sexual problems individually adapted to patients’ issues, not following a standardized approach. Medication was offered as the main treatment for sexual problems. For complex disorders, most GPs lack sexual medicine knowledge, and they requested a better range of training courses in sexual medicine.

scholarly journals How older patients prioritise their multiple health problems: a qualitative study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Ulrike Junius-Walker ◽  
Tanja Schleef ◽  
Ulrike Vogelsang ◽  
Marie-Luise Dierks
Keyword(s):  
Qualitative Study ◽  
Psychological Adjustment ◽  
Social Inclusion ◽  
Qualitative Content Analysis ◽  
Health Problems ◽  
Health Issues ◽  
Structured Interviews ◽  
General Practices ◽  
Negative Feelings ◽  
Treatment Priorities

Abstract Background Patients with multimorbidity often receive diverse treatments; they are subjected to polypharmacy and to a high treatment burden. Hence it is advocated that doctors set individual health and treatment priorities with their patients. In order to apply such a concept, doctors will need a good understanding of what causes patients to prioritise some of their problems over others. This qualitative study explores what underlying reasons patients have when they appraise their health problems as more or less important. Methods We undertook semi-structured interviews with a purposive sample of 34 patients (aged 70 years and over) in German general practices. Initially, patients received a comprehensive geriatric assessment, on the basis of which they rated the importance of their uncovered health problems. Subsequently, they were interviewed as to why they considered some of their problems important and others not. Transcripts were analysed using qualitative content analysis. Results Patients considered their health problems important, if they were severe, constant, uncontrolled, risky or if they restricted daily activities, autonomy and social inclusion. Important problems often correlated with negative feelings. Patients considered problems unimportant, if they were related to a bearable degree of suffering, less restrictions in activities, or psychological adjustment to diseases. Altogether different reasons occurred on the subject of preventive health issues. Conclusions Patients assess health problems as important if they interfere with what they want from life (life values and goals). Psychological adjustment, by contrast, facilitates a downgrading of the importance. Asking patients with multimorbidity, which health problems are important, may guide physicians to treatment priorities and health problems in need of empowerment.

scholarly journals “I’ve Heard of It, Yes, but I Can’t Remember What Exactly It Was”—A Qualitative Study on Awareness, Knowledge, and Use of the UV Index

2021 ◽  
Vol 18 (4) ◽  
pp. 1615
Author(s):  
Katharina Diehl ◽  
Tatiana Görig ◽  
Charlotte Jansen ◽  
Maike Carola Hruby ◽  
Annette B. Pfahlberg ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Qualitative Content Analysis ◽  
Sun Protection ◽  
Structured Interviews ◽  
Protection Factor ◽  
Protection Measures ◽  
Uv Index ◽  
Correct Definition ◽  
Definition Of

Pharmacists and pharmaceutical technicians play an important role in counselling customers regarding sunscreen use and sun protection measures. A potentially helpful tool that can be used during counselling is the ultraviolet index (UVI), which informs individuals when and what sun protection measures are needed at a specific place and time. Our aim in this qualitative study was to explore awareness, knowledge, and use of the UVI during counselling in pharmacies. We used semi-structured interviews with pharmacists and pharmaceutical technicians (n = 20) to answer our research questions. Interviews were audiotaped, transcribed verbatim, and analyzed using qualitative content analysis. During the interviews pharmacists and pharmaceutical technicians revealed a lot of uncertainty and lack of knowledge regarding the UVI. Eight professionals were able to give a correct definition of UVI. Amongst others, the UVI was confused with sun protection factor. Overall, the UVI was hardly used during the counselling of customers. The UVI was developed to provide guidance when which type of sun protection is required to avoid detrimental effects of ultraviolet radiation. For effective implementation, both the general population and health professionals (e.g., pharmacists) have to increase their knowledge about the UVI. This would strengthen its use during professional counselling in pharmacies and may help to reduce the incidence of skin cancer over the long term.

scholarly journals Experiences of general practitioners in the Ga-Rankuwa and Mabopane areas in dealing with patients who have sexual problems

2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Benjamin Mills ◽  
Indiran Govender ◽  
Jannie Hugo
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Health ◽  
General Practitioners ◽  
Sexual Problems ◽  
Sexual Medicine ◽  
Health Issues ◽  
North West ◽  
Self Help ◽  
Field Notes ◽  
And Training

Background: Sexual problems are common. Many patients with sexual health dysfunction use self-help literature or are often managed in general practice. However, many general practitioners (GPs) find it difficult to discuss sexual health issues because they feel uncomfortable with this and lack training in these matters. These GPs are now referring patients with sexual dysfunction to specialists.Aim: We sought to explore how GPs working in the Mabopane and Ga-Rankuwa areas of handle sexual problems of their patients.Setting: The setting was the Mabopane and Ga-Rankuwa areas of North-West Tshwane, in Gauteng Province.Methods: A qualitative study comprising eight free attitude interviews with purposefully selected four male and four female GPs. All interviews were conducted in English and tape-recorded. Field notes in the form of a detailed diary was kept. The tapes were transcribed verbatim, and the transcriptions were checked against the tapes for omissions and inaccuracies.Results: Six themes emerged from the interviews: causes of sexual problems; presentation of sexual problems to the doctor; management of sexual health problems; sex is a taboo topic; society’s need for sexual health discussions, and these discussions have already begun; previous limited exposure and training, and a need for more sexual health training.Conclusion: This study confirms earlier findings that patients could be either reluctant to discuss their problems or are open about them when presenting to doctors with sexual dysfunction. GPs were not exposed to sexual health training at medical school and, because of this shortcoming, felt that training in sexual medicine should be part of the curriculum.

scholarly journals Factors Affecting Nurses’ Perceived Organizational Commitment: A Qualitative Study

2019 ◽  
Vol 18 (2) ◽  
pp. 303-311 ◽  
Author(s):  
Faribah Sepahvand ◽  
Foorozan Atashzadeh Shoorideh ◽  
Soroor Parvizy ◽  
Mansoureh Zagheri Tafreshi
Keyword(s):  
Content Analysis ◽  
Organizational Commitment ◽  
Qualitative Study ◽  
Nurse Managers ◽  
Qualitative Content Analysis ◽  
Medical Science ◽  
Organizational Factors ◽  
Structured Interviews ◽  
Factors Affecting ◽  
Clinical Nurses

Objective: Nurses’ organizational commitment is one of the most important factors that facilitates their professional evolution and influences the method of care provision, quality of care, and patients’ satisfaction. The aim of this study was identified the factors that affect nurses’ perceived organizational commitment. Material and Methods: This qualitative study, conducted on 16 clinical nurses employed in Social Security Hospital of Khorramabad, Iran, during five months from May to September 2015, used deep semi-structured interviews. Purposive sampling method was used for the selection of nurses and the data were analyzed using conventional qualitative content analysis. Lincoln & Guba’s criteria were used to secure data accuracy and stability. Results: Sixteen subcategories, five categories, and three themes were distilled during content analysis process. The abstracted themes included “organizational factors”, “occupational challenges”, and “contributory management”. Conclusion: Our findings showed that numerous factors present in nurses’ profession and work environment may influence the rate of nurses’ interest and commitment in the hospital and the related organization. Hence, nurse managers can foster the promotion of nurses’ organizational commitment through creating the required suitable conditions. Bangladesh Journal of Medical Science Vol.18(2) 2019 p.303-311

Factors that promote and impede other-sex friendships: a qualitative study of Iranian adolescent girls

2016 ◽  
Vol 30 (4) ◽  
Author(s):  
Nasim Bahrami ◽  
Masoumeh Sibmar ◽  
William M. Bukowski ◽  
AbouAli Vedadhir ◽  
Bianca Panarello
Keyword(s):  
Qualitative Study ◽  
Identity Formation ◽  
Adolescent Girls ◽  
Qualitative Content Analysis ◽  
Self Esteem ◽  
Structured Interviews ◽  
Public Places ◽  
Self Confidence ◽  
Poor Understanding ◽  
Different Levels

Abstract Aim: The aim of this study was to identify factors that promote and impede other-sex (OS) friendships in adolescent girls. Methods: A qualitative study conducted with 20 adolescent girls recruited in public places in Tehran, Iran. Information was collected through semi-structured interviews and coded via the conventional qualitative content analysis approach. Results: Four factors were identified that appeared to promote entry into OS friendships. These factors include (a) a poor understanding of perceived risks, (b) weak religious beliefs, (c) processes of identity formation, and (d) low self-esteem. In addition, six factors appeared to impede entry into these friendships: (a) self-confidence, (b) prioritizing education, (c) maintaining particular entertainment preferences, (d) awareness of prior unpleasant experiences with boys, (e) having strong religious convictions, and (f) shaming from significant others. Conclusion: These findings provide unique insights into the factors that stem from different levels of social complexity, which affect participation in a fundamental form of human experience.

How Do Coaches Experience Psychological Momentum? A Qualitative Study of Female Elite Handball Teams

2012 ◽  
Vol 26 (3) ◽  
pp. 435-453 ◽  
Author(s):  
Karin Moesch ◽  
Erwin Apitzsch
Keyword(s):  
Content Analysis ◽  
Qualitative Study ◽  
Qualitative Content Analysis ◽  
External Factors ◽  
Individual Factors ◽  
Competitive Sports ◽  
Structured Interviews ◽  
Psychological Momentum ◽  
Behavioral Aspects

Psychological Momentum (PM) is commonly referred to in competitive sports, but still has to be considered elusive from a scientific perspective. This study explores coaches’ perception of triggers, strategies and characteristics of PM in female elite handball teams. Semi-structured interviews with nine coaches were evaluated using a qualitative content analysis. The results revealed that positive and negative PM were characterized by factors regarding behavior, cognition, confidence, emotions, and the team. Triggers for positive PM were categorized into confidence, players’ individual factors, team factors, and team-opponent-factors, whereas triggers for negative PM related to coach factors, confidence, external factors, players’ individual factors, and team factors. Moreover, strategies emerged that are considered beneficial for controlling PM. The results are discussed with emphasis on behavioral aspects, confidence, emotions, team factors, and application. Foundations based on this study and recent research lead to the assumption that PM is probably best portrayed in a circular approach.

scholarly journals Analysis of the Reasons for Infidelity in Women with Extra-marital Relationships: A Qualitative Study

2016 ◽  
Vol 10 (5) ◽  
pp. 151 ◽  
Author(s):  
Shima Messripour ◽  
Ozra Etemadi ◽  
Seyed Ahmad Ahmadi ◽  
Rezvanosadat Jazayeri
Keyword(s):  
Content Analysis ◽  
Qualitative Study ◽  
Qualitative Content Analysis ◽  
Marital Relationships ◽  
Three Dimensions ◽  
Research Approach ◽  
Structured Interviews ◽  
Factors Affecting ◽  
Marital Conflicts ◽  
Intrapersonal Factors

<p>Due to the higher statistics of male infidelity, the focus of previous studies has been on investigating the reasons for infidelity in this gender group. On the other hand; since marital infidelity is a phenomenon that affects every country’s culture, people, and even families, the results of research studies conducted overseas cannot be fully implicated to Iranian families. To this end, this study aimed at analyzing the reasons behind infidelity in women with extra-marital relationships in the form of a qualitative study. This study was conducted through a qualitative research approach and by using the content analysis method. Participants included 11 women referred to the counseling centers in the city of Isfahan. Purposive sampling was used and continued until data saturation. Semi-structured interviews were employed as the primary method of data collection. The data were analyzed via qualitative content analysis and constant comparative analysis methods. After the examination and division of the basic concepts, 800 initial codes were extracted from interviews. The categories were created based on the codes following several reviews and summarizations on the basis of similarities. By the nature, these conceptual and abstract themes were named in three categories of intrapersonal factors, marital conflicts, and sexual reasons. The factors affecting female infidelity in this study had three dimensions. These factors included intrapersonal factors, marital conflicts, and sexual reasons. These findings can help psychologists, family counselors, and planners in the field of the social sciences identify the efficient scopes and purposes.</p>

scholarly journals Writing a Doctoral Dissertation: A Qualitative Study of Education Doctoral Students' Perceptions

2021 ◽  
Vol VI (I) ◽  
pp. 31-40
Author(s):  
Tanzeela Batool ◽  
Yaar Muhammad ◽  
Faisal Anis
Keyword(s):  
Qualitative Study ◽  
Doctoral Students ◽  
Academic Writing ◽  
Qualitative Content Analysis ◽  
Sampling Technique ◽  
Private University ◽  
Supervisory Support ◽  
Personal Factors ◽  
Structured Interviews ◽  
Dissertation Writing

For doctoral students, dissertation writing is an important stage in their completion of the degree. They might face several problems during this stage. The aim of the current qualitative study was to explore doctoral students' perceptions of dissertation writing. Ten participants were selected through a purposive sampling technique from the education department of a private university in Lahore, Pakistan. An interview guide was constructed in light of the research objectives and literature review. Data were collected through semi-structured interviews and analyzed through qualitative content analysis. The findings of the study revealed language barriers, insufficient academic writing skills, inadequate supervisory support, and personal factors as problems faced by doctoral students during their dissertation writing. It is recommended that an academic writing course should be offered during coursework. Moreover, effective supervisory support should be ensured at the dissertation writing stage. The concerned department should facilitate and solve the problems of doctoral students during their write-up stage.

scholarly journals Responding to rural adversity: a qualitative study of alcohol and other drug service users’ experiences of service response to COVID-19 in Western Australia’s Southwest

2021 ◽  
pp. 103985622110361
Author(s):  
Mathew Coleman ◽  
Michael Taran ◽  
Beatriz Cuesta-Briand
Keyword(s):  
Qualitative Study ◽  
Rural Areas ◽  
Service Provision ◽  
Lived Experiences ◽  
Service Users ◽  
Health Issues ◽  
Structured Interviews ◽  
Mental Health Issues ◽  
Southwest Region ◽  
The Impact

Objective This study reports on the impact of the COVID-19 pandemic on the lived experiences of people with substance use problems in accessing services in the Southwest region of Western Australia, and its implications for preparedness in a context of rural adversity. Method This was a qualitative study informed by the principles of phenomenology. Data were collected through semi-structured interviews and subjected to thematic analysis. Results Twenty-two participants were interviewed. Two main themes were identified: disruption to supportive connections; and bridging the connection gap: local service response to the COVID-19 pandemic. Conclusions The COVID-19 pandemic restrictions exacerbated social isolation and mental health issues, and disrupted services and treatment in the Southwest. Our results demonstrate that local alcohol and other drug services in rural areas can successfully respond to crises by assertively and flexibly adapting their service provision.

scholarly journals Patients’ experiences of discontentment one year after total knee arthroplasty- A qualitative study

2020 ◽  
Author(s):  
Aamir Mahdi ◽  
Mia Svantesson ◽  
Per Wretenberg ◽  
Maria Hälleberg
Keyword(s):  
Total Knee Arthroplasty ◽  
Qualitative Study ◽  
Knee Arthroplasty ◽  
Qualitative Content Analysis ◽  
Organizational Level ◽  
Structured Interviews ◽  
Common Procedure ◽  
Replacement Surgery ◽  
Total Knee ◽  
One Year

Abstract Background Total knee arthroplasty is a common procedure with generally good results. However, there are still patients who are discontented without known explanation. Contentment and discontentment have previously been captured by quantitative designs, but there is a lack of qualitative studies regarding these patients’ experiences. Qualitative knowledge might be useful in creating strategies to decrease the discontentment rate. Methods Of the 348 patients who responded to a letter asking if they were contented or discontented with their surgery, 61 (18%) reported discontentment. After excluding patients with documented complications and those who declined to participate, semi-structured interviews were conducted with 44 patients. The interviews were analyzed according to qualitative content analysis. The purpose was to describe patients’ experiences of discontentment one year after total knee arthroplasty. Results The patients experienced unfulfilled expectations and needs regarding unresolved and new problems, limited independence, and need for buttresses. They were bothered by pain and stiffness, and worried that changes were complications as a result of surgery. They described inability to perform daily activities and valued activities. They also felt a need for buttresses, and a lack of respect and continuity, support from health care, and information adapted to their needs. Conclusion Patient expectation seems to be the major contributing factor in patient discontentment after knee replacement surgery. This qualitative study sheds light on the meaning of unfulfilled expectations, in contrast to previous quantitative studies. The elements of unfulfilled expectations need to be dealt with both on the individual staff level and on the organizational level. For instance, increased continuity of healthcare staff and facilities may help to improve patient contentment after surgery.

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