Perceptions of labour pain management of Dutch primary care midwives: a focus group study

Abstract Background: Cardiovascular disease (CVD) is the leading cause of death for Chinese migrants around the world. Chinese CVD patients rely heavily on their native Chinese language, cultural values and beliefs, which adds challenges for the healthcare providers to offer primary healthcare services with standard protocol. The inappropriate treatment could lead to life loss, mistrust in doctor-patient relationship and heavy burden for healthcare funding. Methods: 28 participants were included for focus group study with the grounded theory methodology. Results: There is considerable misunderstanding among the Chinese community about the role of primary care doctors in the treatment of cardiovascular disease resulting in the variable use of primary care services. Conclusion: Chinese CVD patients or identified risk factors for CVD arguably need closer management, culturally sensitive advice, support and robust follow-up compared to the general population. Doctors and nurses should enhance their practice and give them confidence in their interaction with Chinese patients on the basis of how they think and behave in relation to help seeking.

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Ethical challenges in primary care: a focus group study with general practitioners, nurses and informal caregivers

Family Practice ◽

10.1093/fampra/cmy060 ◽

2018 ◽

Vol 36 (2) ◽

pp. 225-230

Author(s):

Ildikó Gágyor ◽

Arndt Heßling ◽

Susanne Heim ◽

Andreas Frewer ◽

Friedemann Nauck ◽

...

Keyword(s):

Primary Care ◽

Focus Group ◽

General Practitioners ◽

Informal Caregivers ◽

Ethical Challenges ◽

Focus Group Study

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Primary care physicians’ educational needs and learning preferences in end of life care: A focus group study in the UK

BMC Palliative Care ◽

10.1186/s12904-017-0191-2 ◽

2017 ◽

Vol 16 (1) ◽

Cited By ~ 15

Author(s):

Lucy Ellen Selman ◽

Lisa Jane Brighton ◽

Vicky Robinson ◽

Rob George ◽

Shaheen A. Khan ◽

...

Keyword(s):

Primary Care ◽

Focus Group ◽

End Of Life ◽

End Of Life Care ◽

Primary Care Physicians ◽

Educational Needs ◽

Learning Preferences ◽

Life Care ◽

Focus Group Study ◽

The Uk

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Care coordination between specialty care and primary care: a focus group study of provider perspectives on strong practices and improvement opportunities

Journal of Multidisciplinary Healthcare ◽

10.2147/jmdh.s73469 ◽

2015 ◽

pp. 47 ◽

Cited By ~ 12

Author(s):

Bo Kim ◽

Michelle Lucatorto ◽

Kara Hawthorne ◽

Janis Hersh ◽

Raquel Myers ◽

...

Keyword(s):

Primary Care ◽

Focus Group ◽

Care Coordination ◽

Specialty Care ◽

Focus Group Study ◽

Provider Perspectives

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Experiences of general practitioners, practice nurses, psychologists and patients with stepped collaborative care for depression: a focus group study in a large primary healthcare organization

European Journal for Person Centered Healthcare ◽

10.5750/ejpch.v2i2.715 ◽

2014 ◽

Vol 2 (2) ◽

pp. 170 ◽

Cited By ~ 3

Author(s):

Luc Gidding ◽

Mark Spigt ◽

Emmaline Brouwer ◽

Jessica De Snoo ◽

Katinka Mijnheer ◽

...

Keyword(s):

Primary Care ◽

Focus Group ◽

General Practitioners ◽

Primary Healthcare ◽

Collaborative Care ◽

Diagnostic Tools ◽

Initial Symptom ◽

Focus Group Study ◽

Diagnostic Uncertainty ◽

Practice Nurses

Rationale, aims and objectives: Depression is a major and complex problem in primary care. Stepped Collaborative Care (SCC) models for depression have been developed to support primary care in diagnostic and therapeutic procedures. This study aimed to compare barriers and facilitators experienced by general practitioners (GPs), practice nurses for psychosocial care, primary care psychologists and patients working with SCC for depression and to discuss possible solutions for barriers in daily practice.Method: Conventional content analysis of focus group data. Nine mono-disciplinary focus groups including 16 general practitioners (GPs), 4 practice nurses, 6 psychologists and 23 patients.Results: All 4 participant groups appeared to perceive a need for more skills, support and time for GPs to adequately assess symptoms and initiate psychosocial management accordingly. Psychologists often ignore a GP’s diagnosis. The GPs’ diagnostic uncertainty and their unfamiliarity with psychological therapies can result in inappropriate treatments, incorrect referrals and long waiting lists. To improve stepped collaborative care programs for psychosocial symptoms, improving initial symptom assessment by the GP, seems the most important aspect. All participants agreed that diagnostic tools/questionnaires should be used in primary care, but such activities should not be complicated and should not add to the GPs’ workload. Patients need more information to share decisions with their care providers.Conclusion: There is a need for a diagnostic-therapeutic tool to support GPs in regulating the influx of patients in SCC models and enhancing the effect of SCC in daily practice in order to improve the person-centeredness and efficiency of primary healthcare.

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“Psychiatry is not a science like others” - a focus group study on psychotropic prescribing in primary care

BMC Family Practice ◽

10.1186/1471-2296-14-115 ◽

2013 ◽

Vol 14 (1) ◽

Cited By ~ 11

Author(s):

Tove M Hedenrud ◽

Staffan A Svensson ◽

Susanna M Wallerstedt

Keyword(s):

Primary Care ◽

Focus Group ◽

Focus Group Study

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Primary care doctors’ views on self-monitoring of blood pressure and self-titration among patients with uncontrolled hypertension in Spain. The ADAMPA trial focus group study.

BJGP Open ◽

10.3399/bjgpopen20x101062 ◽

2020 ◽

Vol 4 (4) ◽

pp. bjgpopen20X101062

Author(s):

Irene Marco-Moreno ◽

Patricia Martínez-Ibañez ◽

Eugenia Avelino-Hidalgo ◽

Laura Bellot-Pujalte ◽

Ignacio Barreira-Franch ◽

...

Keyword(s):

Blood Pressure ◽

Primary Care ◽

Focus Group ◽

Home Monitoring ◽

Self Management ◽

Uncontrolled Hypertension ◽

Focus Group Study ◽

Self Monitoring ◽

Primary Care Doctors ◽

Role Of Nursing

BackgroundDespite the increased use of blood pressure (BP) monitoring devices at home, the hypertension of more than 50% of European patients remains uncontrolled. Nevertheless, the self-management of BP, through the combination of home monitoring of BP with self-titration, could be anaccessible and effective tool for improving hypertension control in the primary care setting. The ADAMPA study is a trial with participants randomised to BP self-management (BPSM) with self-titration of antihypertensive medication or to usual care, in a population of patients with poorly controlled hypertension.AimTo explore the views and attitudes of primary care doctors participating in the ADAMPA trial regarding BPSM with self-titration.Design & settingA focus group study took place with primary care doctors participating in the ADAMPA trial, which was carried out in one health district of the Valencia Health System in Spain.MethodNine primary care doctors participating in the ADAMPA trial were included in the focus group. Three researchers (two using manual methods and one using NVivo software) independently conducted a content analysis, reading the transcripts, identifying, classifying, and coding the contents, and developing a conceptual scheme based on these topics.ResultsParticipating doctors clearly support home BP monitoring (HBPM), the setting of individual BP targets, and incorporating patient readings into decision-making. They consider it an investment to educate patients for medication self-adjustment and estimate that an important proportion of their patients are potential candidates for hypertension self-management with medication self-titration. However, they show important divergences regarding the role of nursing in BP control.ConclusionPrimary care doctors participating in the ADAMPA trial feel comfortable with BPSM with self-titration, and would consider extending its use (or the use of some components, such as BP target setting) to other patients with hypertension outside the trial.

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