Patients’ Perspectives on the Quality and Safety of Intravenous Infusions: A Qualitative Study

Background: The administration of medication or fluids via the intravenous route is a common intervention for many hospital inpatients. However, little research has explored the safety and quality of intravenous therapy from the patient’s perspective, despite the role of the patient in patient safety receiving increased attention in recent years. Objective: To explore patients’ perspectives on the perceived quality and safety of intravenous infusions and identify implications for practice. Method: Qualitative semistructured interviews were conducted with 35 hospital patients receiving intravenous infusions in critical care, oncology day care, general medicine, and general surgery areas within 4 National Health Service hospitals in England. Data were analyzed thematically. Results: Four underlying and interlinked themes were identified: knowledge about intravenous infusions, challenges associated with receiving intravenous infusions, the role of health-care professionals, and patients’ attitudes toward receiving infusions. Conclusions: Patients were generally satisfied with receiving infusions; however, factors that contributed to decreased feelings of quality and safety were identified, suggesting areas for intervention. Issues to do with infusion pump alarms, reduced mobility, cannulation, and personal preferences for information, if given more attention, may improve patients’ experiences of receiving intravenous infusions.

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Professional Bereavement Photography in the Setting of Perinatal Loss: A Qualitative Analysis

Global Pediatric Health ◽

10.1177/2333794x19854941 ◽

2019 ◽

Vol 6 ◽

pp. 2333794X1985494 ◽

Cited By ~ 1

Author(s):

Faustine D. Ramirez ◽

Jori F. Bogetz ◽

Megan Kufeld ◽

Lynn M. Yee

Keyword(s):

Health Care ◽

Health Care Professionals ◽

Perinatal Loss ◽

Grieving Process ◽

Bereaved Parents ◽

Semistructured Interviews ◽

Bereavement Photography ◽

Positive Memories

Perinatal loss, including fetal and infant death, is a devastating experience for parents, resulting in long-term adverse physical and psychosocial outcomes. However, little is known about what services might best support grieving parents. We aimed to understand the role of professional bereavement photography in assisting the grieving process of parents who have lost a fetus or infant, by examining the perspectives of bereaved parents, professional photographers, and health care professionals. Twenty semistructured interviews were conducted, and interview transcripts were analyzed using modified grounded theory. Twenty-three individuals participated, including 6 bereaved parents, 8 photographers, and 9 health care professionals. Analyses generated 5 major themes describing ways in which the photographs were valuable to parents: validation of the experience, permission to share, creation of a permanent and tangible legacy, creation of positive memories, and moving forward after the loss. Hospitals should consider incorporation of professional bereavement photography services into palliative care and bereavement programs.

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The Evolving Role of Care Management in Integrated Models of Care

Care Management Journals ◽

10.1891/152109807780845591 ◽

2007 ◽

Vol 8 (2) ◽

pp. 64-70 ◽

Cited By ~ 6

Author(s):

Susan K. McGeehan ◽

Robert Applebaum

Keyword(s):

Health Care Professionals ◽

Care Management ◽

Medical Model ◽

Models Of Care ◽

Future Research ◽

Integrated Models ◽

Care Managers ◽

Wide Range ◽

Semistructured Interviews

The purpose of this study is to better understand care management in integrated models of service delivery. Semistructured interviews were conducted with state- and program-level administrators and care managers from nursing and social work disciplines in eight programs providing integrated care. The professionals interviewed discussed the benefits and difficulties associated with providing care management to a population with a wide range of needs, issues related to interfacing with different health care professionals, and the overall purpose of the care manager role. The findings suggest a need to unify the purpose of care management in programs, that educational and training efforts for care managers need to be examined more closely, and that there is a need for future research to focus on the value of comprehensive care management in a medical model of care.

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Chronic Pain: Fundamental Scientific Considerations, Specifically for Legal Claims

Guides Newsletter ◽

10.1001/amaguidesnewsletters.2013.janfeb01 ◽

2013 ◽

Vol 18 (1) ◽

pp. 1-18 ◽

Cited By ~ 1

Author(s):

Robert J. Barth

Keyword(s):

Health Outcomes ◽

Pain Perception ◽

Driving Forces ◽

Psychological Treatment ◽

Dominant Role ◽

Meta Analysis ◽

General Medicine ◽

Pain Syndrome ◽

Problematic Relationship

Abstract Scientific findings have indicated that psychological and social factors are the driving forces behind most chronic benign pain presentations, especially in a claim context, and are relevant to at least three of the AMA Guides publications: AMA Guides to Evaluation of Disease and Injury Causation, AMA Guides to Work Ability and Return to Work, and AMA Guides to the Evaluation of Permanent Impairment. The author reviews and summarizes studies that have identified the dominant role of financial, psychological, and other non–general medicine factors in patients who report low back pain. For example, one meta-analysis found that compensation results in an increase in pain perception and a reduction in the ability to benefit from medical and psychological treatment. Other studies have found a correlation between the level of compensation and health outcomes (greater compensation is associated with worse outcomes), and legal systems that discourage compensation for pain produce better health outcomes. One study found that, among persons with carpal tunnel syndrome, claimants had worse outcomes than nonclaimants despite receiving more treatment; another examined the problematic relationship between complex regional pain syndrome (CRPS) and compensation and found that cases of CRPS are dominated by legal claims, a disparity that highlights the dominant role of compensation. Workers’ compensation claimants are almost never evaluated for personality disorders or mental illness. The article concludes with recommendations that evaluators can consider in individual cases.

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Navigating the health care system: perceptions of patients with chronic pain

Chronic Diseases in Canada ◽

10.24095/hpcdp.29.4.03 ◽

2009 ◽

Vol 29 (4) ◽

pp. 162-168

Author(s):

AL Dewar ◽

K Gregg ◽

MI White ◽

J Lander

Keyword(s):

Health Care ◽

Chronic Pain ◽

Health Care System ◽

Health Care Professionals ◽

Primary Care Physicians ◽

Treatment Compliance ◽

Care Utilization ◽

Semistructured Interviews ◽

The Individual ◽

Care System

A new framework is needed for patients with chronic pain and their primary care physicians that acknowledges the individual’s experiences and provides evidence-informed education and better linkages to community-based resources. This study describes the experience of 19 chronic-pain sufferers who seek relief via the health care system. Their experiences were recorded through in-depth semistructured interviews and analyzed through qualitative methods. The participants reported early optimism, then disillusionment, and finally acceptance of living with chronic pain. Both individuals with chronic pain and their health care professionals need evidence-informed resources and information on best practices to assist them to manage pain. Empathetic communication between health care professionals and individuals with chronic pain is crucial because insensitive communication negatively affects the individual, reduces treatment compliance and increases health care utilization.

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Soil Chemical Pollution and Aggressive Pathologies

Revista de Chimie ◽

10.37358/rc.18.8.6515 ◽

2018 ◽

Vol 69 (8) ◽

pp. 2278-2282

Author(s):

Stelian Ioan Morariu ◽

Letitia Doina Duceac ◽

Alina Costina Luca ◽

Florina Popescu ◽

Liliana Pavel ◽

...

Keyword(s):

Health Care Professionals ◽

Scientific Progress ◽

Volcanic Eruptions ◽

Chemical Pollution ◽

Optimal Parameters ◽

Chemical Pollutants ◽

Wide Range ◽

Health Physician ◽

Solid Liquid

Maintaining the soil in optimal parameters is vital for mankind, given its essential role in providing the alimentary base, as well as its extremely slow formation and regeneration (hundreds or thousands of years). The direct and indirect pollution of the soil and especially its chemical pollution represent a corollary of other types of pollution, given that it is produced by solid, liquid and gaseous residues. It may be involved in a wide range of diseases (respiratory, cardiovascular, digestive, renal, haematological, osteoarticular, neurological) of allergic, infectious, degenerative or neoplastic nature, from infancy to the old age. Although there are natural causes of soil pollution (e.g. volcanic eruptions), most pollutants come from human activities, which are the most incriminated in its pollution, degradation and erosion at an accelerated pace. The growing concern of all nations for the adoption of measures to limit the chemical pollution of the soil is partially found so far in viable and effective solutions intended to combat soil contamination and degradation and ensure its restoration. Chemical industrialization leads to technical and scientific progress, but at the same time it can develop related pathologies, which means that the role of the occupational health physician is essential in ensuring prophylaxis and the early detection of occupational diseases. Besides that, the role of the pediatrician is equally precious for the detection of specific diseases caused by chemical pollutants to children, because they will develop into adults with pathological stigma.The chemical pollution of the soil is a major challenge for ecologists, given that it is an important risk factor for many types of afflictions. It requires maximum attention from civil society, health care professionals and government institutions. The specialist in occupational medicine, as well as the pediatrician bear an essential responsibility in both, prevention and treatment.

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Redefining Forro as a marker of identity: Language contact as a driving force for language maintenance among Santomeans in Portugal

Multilingua ◽

10.1515/multi-2020-0082 ◽

2020 ◽

Vol 0 (0) ◽

Author(s):

Marie-Eve Bouchard

Keyword(s):

Language Contact ◽

Language Maintenance ◽

Attitudes And Beliefs ◽

Speech Community ◽

Group Code ◽

Community Members ◽

Sao Tome And Principe ◽

Semistructured Interviews ◽

Changing Attitudes

AbstractIn São Tomé and Príncipe, the language shift toward Portuguese is resulting in the endangerment of the native creoles of the island. These languages have been considered of low value in Santomean society since the mid-twentieth century. But when Santomeans are members of a diaspora, their perceptions of these languages, especially Forro, change in terms of value and identity-marking. It is possible to observe such changes among the Santomeans who learn Forro when they are abroad, who use it as an in-group code, and start to value it more. In this article, I address the role of language contact in the maintenance and expansion of Forro. I investigate the mechanisms of language maintenance by focusing on the shifts in community members’ attitudes and beliefs regarding their languages, as a result of contact. The changing attitudes and beliefs have led to a redefinition of the role of Forro in the speech community. This qualitative study is based on semistructured interviews conducted on São Tomé Island and in Portugal. Findings suggest that the change in value attributed to Forro by Santomeans as a result of contact contribute to the valorization of the language.

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Healthy Ageing and Vaccines: Application of the P4 Medicine Concept to Immunizations

Gerontology ◽

10.1159/000517211 ◽

2021 ◽

pp. 1-7

Author(s):

Jean-Pierre Michel ◽

Fiona Ecarnot

Keyword(s):

Life Course ◽

Health Care Professionals ◽

Personal Autonomy ◽

Scientific Evidence ◽

Functional Decline ◽

Healthy Ageing ◽

Renal Diseases ◽

P4 Medicine ◽

Community Protection

In today’s tormented world, it appears useful to take advantage of communication channels to promote life-course immunization and affirm its major role in healthy ageing. Instead of developing the argument of chronological age, we demonstrate the life-course principle here based on the P4 medicine concept. Are vaccines “preventive, personalized, predictive, and participatory?” Based on detailed analysis of research findings, we successively demonstrate the seminal role of vaccines on preventable infectious diseases, post-sepsis functional decline, non-communicable diseases (cardio-neuro-vascular, respiratory, and renal diseases), community protection, antimicrobial resistance, and perhaps even old-age dementia. Healthy ageing and the promotion of immunization are closely dependent on health literacy and provision of information by skilled health-care professionals. However, personal autonomy and individual freedom are influenced by psycho-cognitive hurdles (cultural approaches, beliefs, emotions, and behaviours), the opinions of the public/family/friends, and the increasing role of social media, which challenges scientific evidence. A similar phenomenon exists when dealing with the issue of healthy ageing, whose success depends greatly on life-course immunization.

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Agricultural Cooperatives and COVID-19 in Southeast Africa. The Role of Managerial Capital for Rural Resilience

Sustainability ◽

10.3390/su13031046 ◽

2021 ◽

Vol 13 (3) ◽

pp. 1046

Author(s):

Nicola Francesconi ◽

Fleur Wouterse ◽

Dorothy Birungi Namuyiga

Keyword(s):

Health Impact ◽

Value Chains ◽

Agricultural Cooperatives ◽

African Countries ◽

Elite Capture ◽

Innovative Solutions ◽

Reduced Mobility ◽

The Impact ◽

Food Value

While the health impact of COVID-19 in most African countries appears modest, the impact of social distancing measures, closing of markets and reduced mobility is felt across the board. Domestic, labor-intensive and traditional food value chains and the smallholders they serve appear to be particularly affected. During a systemic shock where idiosyncratic risk coping strategies fail, collective or organizational resilience becomes of the essence to protect the livelihoods of smallholders. In this study, we have used pre- and during-shock data on agricultural cooperatives from Southeast Africa to understand how resilient these smallholder-owned organizations are. We find that many organizations could not countervail market-disruptions and fell into a state of dormancy during the pandemic. One reason for this is that collective decision-making was heavily affected by the banning of gatherings. Only a few organizations devised innovative solutions to maintain the market linkages of rural smallholders. The lack of resilience demonstrated by most cooperatives appears to be associated with organizational immaturity, large membership size, elite capture and limited business-orientation, which underscore a general lack of managerial capital.

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Long COVID and the role of physical activity: a qualitative study

BMJ Open ◽

10.1136/bmjopen-2020-047632 ◽

2021 ◽

Vol 11 (3) ◽

pp. e047632

Author(s):

Helen Humphreys ◽

Laura Kilby ◽

Nik Kudiersky ◽

Robert Copeland

Keyword(s):

Physical Activity ◽

Qualitative Study ◽

Lived Experience ◽

Well Being ◽

Telephone Interviews ◽

Semistructured Interviews ◽

The Usa ◽

The Uk ◽

Insight Into

ObjectivesTo explore the lived experience of long COVID with particular focus on the role of physical activity.DesignQualitative study using semistructured interviews.Participants18 people living with long COVID (9 men, 9 women; aged between 18–74 years; 10 white British, 3 white Other, 3 Asian, 1 black, 1 mixed ethnicity) recruited via a UK-based research interest database for people with long COVID.SettingTelephone interviews with 17 participants living in the UK and 1 participant living in the USA.ResultsFour themes were generated. Theme 1 describes how participants struggled with drastically reduced physical function, compounded by the cognitive and psychological effects of long COVID. Theme 2 highlights challenges associated with finding and interpreting advice about physical activity that was appropriately tailored. Theme 3 describes individual approaches to managing symptoms including fatigue and ‘brain fog’ while trying to resume and maintain activities of daily living and other forms of exercise. Theme 4 illustrates the battle with self-concept to accept reduced function (even temporarily) and the fear of permanent reduction in physical and cognitive ability.ConclusionsThis study provides insight into the challenges of managing physical activity alongside the extended symptoms associated with long COVID. Findings highlight the need for greater clarity and tailoring of physical activity-related advice for people with long COVID and improved support to resume activities important to individual well-being.

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Color-Neutral Disaggregation? Principals’ Practices Around Disaggregating Data From Three School Districts

Educational Administration Quarterly ◽

10.1177/0013161x18769052 ◽

2018 ◽

Vol 54 (4) ◽

pp. 559-588

Author(s):

Rachel Roegman ◽

Ala Samarapungavan ◽

Yukiko Maeda ◽

Gary Johns

Keyword(s):

School Districts ◽

Leadership Practice ◽

Policy Practice ◽

Data Practices ◽

Semistructured Interviews ◽

Disaggregated Data ◽

Disaggregate Data ◽

Low Performance ◽

Role Of The Principal

Purpose: We explored the practices and understandings around using disaggregated data to inform instruction of 18 principals from three Midwestern school districts. Research Method: This qualitative study used one-on-one semistructured interviews with the principals focusing on how they disaggregate data in practice. The protocol included general questions about principals’ data practices as well as specific questions around disaggregation. Initial inductive coding began with principals’ direct responses to specific questions around disaggregation, and then emerging themes were used to analyze the entire transcripts. Findings: Participants were more likely to talk about disaggregation in relation to performance (by teacher, by grade level, etc.) than by subgroup (by race/ethnicity, by gender, etc.). Further analysis highlighted principals’ purposes for disaggregating data that focused on identifying low performance on standards-based assessments, as well as the challenges they faced, particularly in terms of technical skills and software. Implications for Research and Practice: We conclude with a discussion of how disaggregation could support or challenge equity-focused leadership, with implications for policy, practice, and preparation. We consider the role of the principal in identifying inequitable patterns versus focusing on individual students, and different ways that equity can become part of regular leadership practice.

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