Non-participation in mammographic screening – experiences of women from a region in Sweden

Abstract Background Understanding women’s life conditions regarding their non-participation in different health-promoting and disease-preventing activities is important as it may draw attention to potential areas for improvement in the healthcare sector. Mammographic screening, a disease-preventing service, facilitates early detection of any potential malignancies and consequently prompts initiation of treatment. The reasons for non-participation in mammographic screening can be understood from different perspectives, such as socioeconomic and lifestyle-related determinants of health. This study aims to gain a deeper understanding of women’s experiences and perceptions about non-participation in mammographic screening in a Swedish region with a single mammographic facility. Methods Data from individual semi-structured interviews, conducted in 2018 with eleven women between the ages of 48 and 73, were analysed by a qualitative content analysis. Results The findings reveal three main categories: 1) doubts regarding mammographic screening and its organisation, 2) sense and sensibility in the decision to refrain from mammographic screening, and 3) dependency and options. These three categories indicate aspects, such as the individual’s life situation, accessibility to the offered service, and the flexibility of the healthcare system, that need to be considered to improve the organisation of mammographic screening. Conclusion Listening to the women’s voices regarding their experiences and perceptions about mammographic screening is important as individual characteristics and social circumstances interact with healthcare and affect the degree of participation.

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Recognizing expressions of thriving among persons living in nursing homes: a qualitative study

BMC Nursing ◽

10.1186/s12912-020-00526-7 ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Rebecca Baxter ◽

Per-Olof Sandman ◽

Sabine Björk ◽

Anders Sköldunger ◽

David Edvardsson

Keyword(s):

Nursing Home ◽

Nursing Homes ◽

Qualitative Content Analysis ◽

Structured Interviews ◽

Term Care ◽

Organizational Policies ◽

Health Promoting ◽

The Individual ◽

Practical Implications

Abstract Background Thriving has emerged as a contemporary and health-promoting concept for older people living in nursing homes; however, there has been limited research to explore how nursing home staff identify thriving in their everyday practice. The aim of this study was to explore how staff recognize expressions of thriving among persons living in nursing homes. Methods Semi-structured interviews were conducted with 14 nurses working at a nursing home in Victoria, Australia. The interviews were audio-recorded, transcribed and analyzed using qualitative content analysis. Results The analysis resulted in six sub-categories and three main categories. Expressions of thriving were recognized in relation to how staff understood thriving, observed thriving and sensed thriving. Staff described comparing and contrasting clinical assessment indicators with their own personal and professional understandings of thriving, as well as their overall sense of the individual person within the wider situational and environmental context. Conclusions Our results illuminate how staff recognize everyday expressions of thriving for people living in nursing homes and emphasizes the importance of utilizing person-centred care principles in clinical assessments. These findings have practical implications with regards to how thriving is identified and assessed in long-term care, and could be used to inform and guide staff education, person-centred care strategies, and organizational policies to better support and promote thriving in nursing homes.

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Women offenders who served community sentences: A view from Catalonia

European Journal of Probation ◽

10.1177/20662203211017061 ◽

2021 ◽

pp. 206622032110170

Author(s):

Cristina Vasilescu

Keyword(s):

Women Offenders ◽

Justice System ◽

Structured Interviews ◽

Women's Voices ◽

Male Offenders ◽

What Works ◽

Multiple Issues ◽

Alternative Responses ◽

Experiences Of Women ◽

Specific Evaluation

Unlike in other jurisdictions, in Catalonia there has been no specific evaluation of women’s experiences regarding community sentences. The purpose of this article is to contribute to filling this gap by conducting qualitative research in Barcelona and Girona to analyse the experiences of women serving community sentences. To this end, 23 semi-structured interviews with women offenders are analysed. The results follow the trend found in research conducted in other jurisdictions and show that women have multiple issues, responsibilities and needs in comparison with men, and what works with female offenders is different from what works with male offenders with regard to supervision style, relationship with professionals and unpaid work or therapy environments. The findings make it possible to identify alternative responses that offer appropriate support and interventions to address women’s underlying problems and reduce reoffending. The article underscores the importance of listening to women’s voices in order to achieve a gender-sensitive criminal justice system.

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How health professionals facilitate parents’ involvement in decision-making at the hospital: A parental perspective

Journal of Child Health Care ◽

10.1177/1367493517744279 ◽

2017 ◽

Vol 22 (1) ◽

pp. 108-121 ◽

Cited By ~ 6

Author(s):

Antje Aarthun ◽

Knut A Øymar ◽

Kristin Akerjordet

Keyword(s):

Decision Making ◽

Parental Involvement ◽

Health Professionals ◽

Qualitative Content Analysis ◽

Structured Interviews ◽

Health Promoting ◽

Parents Involvement ◽

Purposive Sample ◽

Parents Experiences

In many western countries, parents have a legal right to influence and be involved in decision-making (DM) surrounding their children’s healthcare. This ensures that the healthcare is customized as far as possible to meet the children’s and families’ needs and preferences. However, parental involvement in such DM is not sufficiently implemented and the parental role during hospitalizations has become demanding. More knowledge is required to inform health professionals (HPs) about how to improve parental involvement in DM from a health-promoting perspective. The aims of this study were to explore parents’ experiences of how HPs facilitate their involvement in the DM surrounding their child’s healthcare and to identify how HPs can improve parental involvement at the hospital. This was an explorative, descriptive qualitative study within a constructivist research paradigm, comprising a purposive sample of 12 parents participating in individual semi-structured interviews. Qualitative content analysis was performed. The findings showed that HPs’ sensitivity to parents’ capacity, resources and needs was essential in order to facilitate the latter’s involvement in DM. HPs’ sensitivity also seemed to influence the quality of communication and the HP-parent relationship. Moreover, these factors appeared to affect parents’ coping ability during their children’s hospitalization.

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Goals aligned: Predictors of common goal identification in educational cross-sectoral collaboration initiatives

Educational Management Administration & Leadership ◽

10.1177/1741143219846906 ◽

2019 ◽

Vol 48 (5) ◽

pp. 916-934 ◽

Cited By ~ 2

Author(s):

Nina Kolleck ◽

Angelika Rieck ◽

Miri Yemini

Keyword(s):

Qualitative Content Analysis ◽

Third Sector ◽

Individual Characteristics ◽

Educational Goals ◽

Mixed Methods Design ◽

Common Goal ◽

Structured Interviews ◽

Inequality In Education ◽

Common Goals

The rise of cross-sectoral collaboration initiatives has been widely documented. While schools and third-sector organizations share important educational goals in these initiatives, the predictors of their identification with common goals have not been examined systemically to date. This article analyses predictors of common goal identification within educational collaborative initiatives through a case study of a German initiative aimed at tackling inequality in education. By implementing a mixed-methods design – including surveys, semi-structured interviews and social network analysis, combined with logistic regression and qualitative content analysis – we demonstrate that an actor’s identification with the common goal is shaped not only by individual characteristics, but also by his/her relative position within the collaboration. Findings of this study have practical implications for networked leadership and school principals’ work and training, since they inform regarding the particular settings, skills and knowledge needed for managing cross-sectoral collaboration to the benefit of schools.

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Exploring the experiences related to postpartum changes: perspectives of mothers and healthcare providers in Iran

BMC Pregnancy and Childbirth ◽

10.1186/s12884-020-03504-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Mahboobeh Asadi ◽

Mahnaz Noroozi ◽

Mousa Alavi

Keyword(s):

Postpartum Period ◽

Qualitative Content Analysis ◽

Healthcare Providers ◽

Educational Interventions ◽

Psychological State ◽

Structured Interviews ◽

Childbearing Age ◽

New Period ◽

Women's Lives ◽

Field Notes

Abstract Background Numerous changes occur in different aspects of women’s lives in the postpartum period. Women’s adjusting with problems and taking advantage of this opportunity can develop their personality. In this regard, accurate knowledge of their experiences and feelings is necessary to help them to benefit from this period. Therefore, the present study aimed to explore the experiences related to postpartum changes in women. Methods In the present qualitative study, 23 participants, including women of childbearing age who gave birth and healthcare providers (midwives and obstetricians) in Isfahan, Iran were selected using purposive sampling with a maximum variation strategy. Data were collected through in-depth semi structured interviews, field notes, and daily notes, and simultaneously analyzed using the conventional qualitative content analysis. Results The data analysis results led to the extraction of three main categories including “feeling of decreased female attractiveness” (with two sub-categories of “ feeling of decreased beauty” and “feeling of decreased sexual function”), “feeling of insolvency and helplessness” (with two sub-categories of “physical burnout”, and “mental preoccupations”) and “beginning a new period in life” (with three sub-categories of “changing the meaning of life”, “feeling of maturity” and “deepening the communication”). Conclusions Findings of this study can provide a good context for designing interventions to improve the women’s quality of life by explaining and highlighting their experiences in the postpartum period. In this regard, providing sufficient empathy, social and psychological support from family members (especially husband), performing appropriate educational interventions and also regular assessment of women’s psychological state by healthcare providers in postpartum period can reduce their concerns and help to improve their health.

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Encountering suicide in primary healthcare rehabilitation: the experiences of physiotherapists

BMC Psychiatry ◽

10.1186/s12888-020-03004-1 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Åse Lundin ◽

Anna Bergenheim

Keyword(s):

At Risk ◽

Healthcare System ◽

Primary Healthcare ◽

Qualitative Content Analysis ◽

Western Hemisphere ◽

Mental Wellbeing ◽

Healthcare Personnel ◽

Public Health Issue ◽

Structured Interviews ◽

Patients At Risk

Abstract Background Suicide is a serious public health issue and one of the most common causes of death globally. Suicide has long-lasting impact on personal, relational, community and societal levels. Research has shown that patients often seek help in the primary healthcare system preceding a suicide. Studies exploring the experiences of encountering patients at risk for suicide have been performed among various categories of healthcare personnel, such as nurses and psychiatry residents as well as emergency room staff. There is a lack of research regarding primary healthcare rehabilitation staff, despite the fact that physiotherapists are the third largest health profession in the Western hemisphere and often work with patients experiencing mental health symptoms. The aim of this study was to explore the experiences of encountering patients at risk for suicide among physiotherapists working in a primary healthcare rehabilitation setting. Methods Semi-structured interviews were conducted with 13 physiotherapists working in primary healthcare rehabilitation clinics in the Gothenburg area, Sweden. The interviews were recorded on audio and transcribed into written text. A qualitative content analysis was performed on the material collected. Results The analysis of the material revealed an overarching theme, Through barriers and taboos – the physiotherapist finds a way, with five main categories: possibilities for identification, obstacles in meeting suicide, workplace environment matters, where does the patient belong? and education and experience are keys. Conclusions The present study indicates that physiotherapists in the primary healthcare system encounter patients experiencing suicidality, and they expressed a strong desire to care for both the physical and mental wellbeing of the patients. Despite reporting many barriers, the physiotherapists often found a way to form a meaningful therapeutic alliance with the patient and to ask about possible suicidality in their clinical practice. The result suggests that physiotherapists could play a larger role in working with patients experiencing suicidality in a primary healthcare setting and that they could be viewed as possible gatekeepers in identification as well as referral of these patients into other parts of the healthcare system.

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“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

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18041615 ◽

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.

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Gender Differences and Their Influences on T2DM Self-Management Among Spanish-Speaking Latinx Immigrants

Hispanic Health Care International ◽

10.1177/15404153211011727 ◽

2021 ◽

pp. 154041532110117

Author(s):

Cheryl A. Smith-Miller ◽

Diane C. Berry ◽

Cass T. Miller

Keyword(s):

Gender Differences ◽

Health Literacy ◽

English Language ◽

Educational Achievement ◽

Self Management ◽

Structured Interviews ◽

Health Promoting Behaviors ◽

History Of ◽

Health Promoting ◽

Excessive Alcohol

Introduction: Evidence suggests that gender may influence many aspects of type 2 diabetes (T2DM) self-management (SM) and we posit that limited English language–proficient Latinx immigrants face additional challenges. Methods: Instruments and semi-structured interviews were used to examine gender differences on health literacy, diabetes knowledge, health-promoting behaviors, diabetes, eating and exercise self-efficacy (SE), and T2DM SM practices among a cohort of limited English language–proficient Latinx immigrants. Statistical and qualitative analysis procedures were performed comparing males and females. Results: Thirty persons participated. Males tended to be older, have higher educational achievement, and more financial security than females. Physiologic measures tended worse among female participants. Health literacy and exercise SE scores were similar, but females scored lower on Eating and Diabetes SE. Forty-seven percent ( n= 9) of the women reported a history of gestational diabetes mellitus and a majority of men ( n = 7) cited difficulty with excessive alcohol. Consumption: Males appeared to receive more SM support compared to females. Females more frequently noted how family obligations and a lack of support impeded their SM. Work environments negatively influenced SM practices. Conclusion: Men and women have unique SM challenges and as such require individualized strategies and support to improve T2DM management.

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Views about sensory modulation from people with schizophrenia and treating staff: A multisite qualitative study

British Journal of Occupational Therapy ◽

10.1177/0308022620988470 ◽

2021 ◽

pp. 030802262098847

Author(s):

Tawanda Machingura ◽

Chris Lloyd ◽

Karen Murphy ◽

Sarah Goulder ◽

David Shum ◽

...

Keyword(s):

Content Analysis ◽

Treatment Option ◽

Perceived Risk ◽

Quantitative Methods ◽

Qualitative Content Analysis ◽

Treatment Options ◽

Occupational Therapists ◽

Sensory Modulation ◽

Structured Interviews ◽

Effective Training

Introduction Current non-pharmacological treatment options for people with schizophrenia are limited. There is, however, emerging evidence that sensory modulation can be beneficial for this population. This study aimed to gain insight into sensory modulation from the user’s and the treating staff’s perspectives. Method A qualitative content analysis design was used. Transcripts from occupational therapists ( n=11) and patients with schizophrenia ( n=13) derived from in-depth semi-structured interviews were analysed for themes using content analysis. Results Five themes emerged from this study: Service user education on the sensory approach is the key; A variety of tools should be tried; Sensory modulation provides a valued treatment option; There are challenges of managing perceived risk at an organisational level; and There is a shortage of accessible and effective training. Conclusion People with schizophrenia and treating staff had congruent perceptions regarding the use of sensory modulation as a treatment option. The findings suggest that sensory modulation can be a valued addition to treatment options for people with schizophrenia. We suggest further research on sensory modulation intervention effectiveness using quantitative methods so these results can be further explored.

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Identifying ethical and legal issues in elder care

Nursing Ethics ◽

10.1177/0969733020981761 ◽

2021 ◽

pp. 096973302098176

Author(s):

Nertila Podgorica ◽

Emiljano Pjetri ◽

Andreas W Müller ◽

Daniela Deufert

Keyword(s):

Elder Care ◽

Qualitative Content Analysis ◽

Wide Spectrum ◽

Legal Education ◽

European Union Member State ◽

Patient Rights ◽

Legal Issues ◽

Structured Interviews ◽

Ethical Conflicts ◽

Ethical And Legal Issues

Background: As a non–European Union member state, Albania is increasingly orienting itself on Western models regarding human rights, patient rights, and legal regulations for healthcare. Due to its limited fiscal and legal power, enforcing legal and ethical regulations poses a major problem. Aim: The aim of this study is to investigate nurse’s knowledge and experiences regarding ethical and legal issues in Albanian elder care in state-funded and privately run institutions. Research design: The study was conducted using an inductive and qualitative design, utilizing a focused ethnographic approach, based on Roper and Shapira’s framework. Method: Data were collected between June 2017 and September 2018 using participant observation, field notes, and semi-structured interviews with 15 nurses in seven different elder care institutions. In total, 100 h of observation and 15 interviews were performed. Data analysis was based on Mayring’s qualitative content analysis. Ethical consideration: The approval for the study was obtained from UMIT—The Health and Life Sciences University, Austria. Findings: The findings of the study fell into the following main categories: “Everyday care issues,” “End-of-life issues,” “Legal issues,” and “Ethical-legal education and conflicts.” Discussion: The participants reported many ethical and legal issues when describing their everyday challenges and displayed a strong lack of ethical and legal education. Despite a wide spectrum in the quality of care between private and state-funded nursing homes, older people mostly do not know their own diagnosis. Conclusion: This study indicates that further ethical and legal education is needed. Furthermore, nurses need to be better prepared for ethical conflicts with families, as strengthening patient rights could come into conflict with traditional rights of the Albanian family.

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