scholarly journals Women’s experiences of living with increased inter-recti distance after childbirth: an interview study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Martin Eriksson Crommert ◽  
Karolina Petrov Fieril ◽  
Catharina Gustavsson
Keyword(s):  
Qualitative Content Analysis ◽  
Healthcare Providers ◽  
Structured Interview ◽  
The Body ◽  
Study Cohort ◽  
Individual Interviews ◽  
Diastasis Recti ◽  
Purposeful Sampling ◽  
Interview Guide ◽  
Biopsychosocial Perspective

Abstract Background Although an increased inter-recti distance, also known as diastasis recti, is common after pregnancy, evidence-based knowledge about the condition is relatively limited. In particular, little is known about the consequences as perceived by the women. The objective of the present study was to describe how postpartum women with increased inter-recti distance experience the condition as well as the contacts they have had with healthcare providers regarding their symptoms. Methods A purposeful sampling approach was used to recruit 19 participants from an existing study cohort of 144 women. All participants had an inter-recti distance of at least two finger widths and at least one child, with the youngest child between the ages of 1 and 6 years. Individual interviews based on a semi-structured interview guide were performed and subsequently analysed using qualitative content analysis. Results Four categories emerged from the interviews: the body’s function and ability has changed; the body does not look like it used to; uncomprehending attitudes and treatment in their surroundings; and trying to acquire an understanding of and strategies to cope with the diastasis. The findings reveal that women with increased inter-recti distance might experience fear of movement and engage in avoidance behaviour. In combination with feelings of physical instability in the midsection of their bodies and body dissatisfaction, many of the women restrict their everyday lives and physical activities. Conclusions The findings indicate that increased inter-recti distance is a complex phenomenon that affects the women in a multitude of ways, highlighting the importance of considering the condition for each individual in her own context from a biopsychosocial perspective.

Patients’ Perceptions of Caring and Uncaring Nursing Encounters in Inpatient Rehabilitation Settings

2019 ◽  
Vol 21 (2) ◽  
Author(s):  
Joan C Cheruiyot ◽  
Petra Brysiewicz
Keyword(s):  
South Africa ◽  
Content Analysis ◽  
Inpatient Rehabilitation ◽  
Structured Interview ◽  
The Self ◽  
Personal Relationships ◽  
Individual Interviews ◽  
Textual Data ◽  
Interview Guide ◽  
Being There

This study explores and describes caring and uncaring nursing encounters from the perspective of the patients admitted to inpatient rehabilitation settings in South Africa. The researchers used an exploratory descriptive design. A semi-structured interview guide was used to collect data through individual interviews with 17 rehabilitation patients. Content analysis allowed for the analysis of textual data. Five categories of nursing encounters emerged from the analysis: noticing and acting, and being there for you emerged as categories of caring nursing encounters, and being ignored, being a burden, and deliberate punishment emerged as categories of uncaring nursing encounters. Caring nursing encounters make patients feel important and that they are not alone in the rehabilitation journey, while uncaring nursing encounters makes the patients feel unimportant and troublesome to the nurses. Caring nursing encounters give nurses an opportunity to notice and acknowledge the existence of vulnerability in the patients and encourage them to be present at that moment, leading to empowerment. Uncaring nursing encounters result in patients feeling devalued and depersonalised, leading to discouragement. It is recommended that nurses strive to develop personal relationships that promote successful nursing encounters. Further, nurses must strive to minimise the patients’ feelings of guilt and suffering, and to make use of tools, for example the self-perceived scale, to measure this. Nurses must also perform role plays on how to handle difficult patients such as confused, demanding and rude patients in the rehabilitation settings.

scholarly journals M150. RELATIVES EXPERIENCES OF THE EARLY SIGNS ACTION PLAN

2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S192-S192
Author(s):  
Nils Sjöström ◽  
David Berg ◽  
Sofia Johansson ◽  
Eva Andreasson ◽  
Margda Waern
Keyword(s):  
Qualitative Content Analysis ◽  
Action Plan ◽  
Structured Interview ◽  
Warning Signs ◽  
Next Of Kin ◽  
Early Warning Signs ◽  
Early Signs ◽  
Qualitative Interview Study ◽  
Interview Guide ◽  
Persons With Schizophrenia

Abstract Background In the recent years person-centered methods have been developed to involve relatives in the care of their next of kin. The Early Signs Action Plan (ESAP) was developed to facilitate relatives’ participation in the care of their next of kin in psychiatric outpatient units specialized in the treatment of persons with schizophrenia and similar disorders. The aim was to investigate relatives’ experiences regarding the activation of the action plan for their next of kin. Methods The study is a qualitative interview study using a semi-structured interview guide. The interviews were conducted with relatives (N=13) to outpatients whose Early Signs Action Plan had been activated. The interviews were digitally recorded and transcribed verbatim. The material was then analyzed with qualitative content analysis. Results ESAP was positively received by the relatives and most of them experienced that they were participating in the planning of the care of their next of kin’s. Participating in the care also implied a feeling of security and awareness about their next of kin’s early warning signs and what to do in case of a relapse. Relatives also indicated that the ESAP is vulnerable during on call time and during vacation periods. Outdated paths to get in contact with psychiatric services on call time were reported as problematic since this information is crucial for getting in touch with care outside of office hours. Discussion ESAP seems to be a useful tool for the involvement of relatives in the care of their next of kin.

Exploring How Lay Rescuers Overcome Barriers to Provide Cardiopulmonary Resuscitation: A Qualitative Study

2016 ◽  
Vol 32 (1) ◽  
pp. 27-32 ◽  
Author(s):  
Wenche Torunn Mathiesen ◽  
Conrad Arnfinn Bjørshol ◽  
Sindre Høyland ◽  
Geir Sverre Braut ◽  
Eldar Søreide
Keyword(s):  
Qualitative Study ◽  
Cardiopulmonary Resuscitation ◽  
Qualitative Content Analysis ◽  
Survival Rates ◽  
Social Institutions ◽  
Structured Interview ◽  
Publication Type ◽  
Interview Guide ◽  
Lay Rescuer ◽  
Cpr Training

AbstractBackgroundSurvival rates after out-of-hospital cardiac arrest (OHCA) vary considerably among regions. The chance of survival is increased significantly by lay rescuer cardiopulmonary resuscitation (CPR) before Emergency Medical Services (EMS) arrival. It is well known that for bystanders, reasons for not providing CPR when witnessing an OHCA incident may be fear and the feeling of being exposed to risk. The aim of this study was to gain a better understanding of why barriers to providing CPR are overcome.MethodsUsing a semi-structured interview guide, 10 lay rescuers were interviewed after participating in eight OHCA incidents. Qualitative content analysis was used. The lay rescuers were questioned about their CPR-knowledge, expectations, and reactions to the EMS and from others involved in the OHCA incident. They also were questioned about attitudes towards providing CPR in an OHCA incident in different contexts.ResultsThe lay rescuers reported that they were prepared to provide CPR to anybody, anywhere. Comprehending the severity in the OHCA incident, both trained and untrained lay rescuers provided CPR. They considered CPR provision to be the expected behavior of any community citizen and the EMS to act professionally and urgently. However, when asked to imagine an OHCA in an unclear setting, they revealed hesitation about providing CPR because of risk to their own safety.ConclusionMutual trust between community citizens and towards social institutions may be reasons for overcoming barriers in providing CPR by lay rescuers. A normative obligation to act, regardless of CPR training and, importantly, without facing any adverse legal reactions, also seems to be an important factor behind CPR provision.MathiesenWT, BjørsholCA, HøylandS, BrautGS, SøreideE. Exploring how lay rescuers overcome barriers to provide cardiopulmonary resuscitation: a qualitative study. Prehosp Disaster Med. 2017;32(1):27–32.

scholarly journals SOCIO-ECONOMIC IMPEDIMENTS TO WOMEN DEVELOPMENT AND EMPOWERMENT IN PESHAWAR, KHYBER PAKHTUNKHWA

2019 ◽  
Vol 1 ◽  
pp. 18-24
Author(s):  
Saadia Bibi ◽  
◽  
Zulfiqar Ali Kalhoro ◽  
Keyword(s):  
Sampling Technique ◽  
Structured Interview ◽  
Equal Opportunities ◽  
The Sustainable Development ◽  
Khyber Pakhtunkhwa ◽  
Cultural Conditions ◽  
Private Organizations ◽  
Purposeful Sampling ◽  
Interview Guide ◽  
Development Goals

Pakistan stands among the worst performers when it comes to the equal opportunities for women. The Sustainable Development Goals (2015-30) have rightly prioritized women’s empowerment to provide them with equal opportunities. The empowerment of women brings about significant positive changes in the socio-economic aspects of the family and women’s status. The patriarchal nature, socio-cultural conditions and feudalistic mode of fabrication in Pakistani society has always kept women marginalized and have restricted them to participate along-with men in communal activities. This study was conducted in Peshawar Khyber Pakhtunkhwa. At the first stage, a purposeful sampling technique was applied, and then convenience sampling was used for final data collection. The data was collected through a semi-structured interview guide, Students, government staff and employees of private organizations were involved. The study shows that socio-cultural factors have significant implications for the development of gender and empowerment of women. Keywords: women development, women empowerment, culture and religion, women and culture

scholarly journals The Mental Health Crises of the Families of COVID-19 Victims: A Qualitative Study

2020 ◽  
Author(s):  
fateme mohammadi ◽  
Khodayar Oshvandi ◽  
Farshid Shamsaei ◽  
Fateme Cheraghi ◽  
mostafa bijani
Keyword(s):  
Mental Health ◽  
Content Analysis ◽  
Cultural Context ◽  
Job Insecurity ◽  
Qualitative Content Analysis ◽  
Individual Interviews ◽  
Medical Centers ◽  
Purposeful Sampling ◽  
The Future ◽  
Data Saturation

Abstract Background: The bereaved families of COVID-19 victims are among the most vulnerable social groups in the COVID-19 pandemic. This highly infectious and contagious disease has afflicted these families with numerous psychological crises which have not been studied much yet. The present study is an attempt at investigating the psychological challenges and issues which the families of COVID-19 victims are faced with. The present study aims to identify the Mental Health crises which the families of COVID-19 deceased victims are going through.Methods: A qualitative research, the present study uses a conventional content analysis design. The participants were 16 members of the families of COVID-19 victims selected from medical centers in Iran from February to May 2020 via purposeful sampling. Sampling continued to the point of data saturation Data were collected via semi-structured individual interviews conducted online. The collected data were analyzed according to the conventional qualitative content analysis approach.Results: Analyses of the data yielded two main themes—emotional shock and fear of the future—with nine categories. Conclusion: The families of COVID-19 deceased victims are affected by various psychological crises which have exposed them to a deep sense of loss and emotional shock. In addition, the instability in the family following the loss of a family member and job insecurity due to the COVID crisis have caused them to be very worried about the future. Therefore, there is an urgent need for a cultural context which recognizes and supports all the various aspects of the mental health of these families.

scholarly journals Barriers to Self-care Among Patients with Heart Failure: A Qualitative Study

2020 ◽  
Author(s):  
Reza Negarandeh ◽  
Ali Aghajanloo ◽  
Khatereh Seylani
Keyword(s):  
Heart Failure ◽  
Content Analysis ◽  
Qualitative Content Analysis ◽  
Healthcare Providers ◽  
Self Care ◽  
The Body ◽  
Financial Strain ◽  
Personal Factors ◽  
Structured Interviews ◽  
Patients With Heart Failure

Introduction: Heart failure is the most prevalent cardiovascular disease. It is the end stage of most cardiovascular diseases and is characterized by the reduced ability of the heart to pump enough blood to fulfill the metabolic needs of the body. Self-care is the basis of the management of chronic diseases such as heart failure. The aim of this study was to explore the barriers to self-care among patients with heart failure. Methods: This was a qualitative content analysis. Participants were fourteen patients with heart failure and three healthcare providers who were purposively recruited from cardiac care centers in Zanjan, Iran. Data were collected through in-depth semi-structured interviews and were analyzed through the conventional qualitative content analysis approach proposed by Elo and Kyngäs. Results: Self-care barriers -care among patients with HF were categorized into three main categories, namely personal factors, disease burden, and inefficient support system. Each category had three subcategories which were respectively lack of self-care knowledge, heart failure-related negative emotions, the difficulty of changing habits, progressive physical decline, comorbid conditions, financial strain, inadequate social support, healthcare providers’ inattention to self-care, and limited access to healthcare providers. Conclusion: Patients with heart failure face different personal, disease-related, and supportrelated barriers to self-care. Based on these barriers, healthcare providers can develop interventions for promoting self-care among patients with heart failure.

scholarly journals Being active 1½ years after hip fracture: A qualitative interview study of aged adults’ experiences of meaningfulness

2020 ◽  
Author(s):  
Birgit Rasmussen ◽  
Claus Vinther Nielsen ◽  
Lisbeth Uhrenfeldt
Keyword(s):  
Hip Fracture ◽  
Life Experience ◽  
Well Being ◽  
Structured Interview ◽  
Main Theme ◽  
Individual Interviews ◽  
Self Confidence ◽  
Existential Theory ◽  
Qualitative Interview Study ◽  
Interview Guide

Abstract Background: Being active is vital and a source of well-being. However, 18 months after hip fracture (HF), progress seems to have come to a halt. Aged adults may feel vulnerable, experiencing ongoing dependency and limited possibilities for socializing. How they experience the meaningfulness of being active during these circumstances is unknown. The aim of this study was to explore experiences of the meaningfulness of being active for aged adults 18 months after HF. Methods: A phenomenological-hermeneutic methodology based on the philosophies of Heidegger and Gadamer was applied. Data were collected using individual interviews conducted in participants’ homes. The study was part of a longitudinal study, and three former interviews helped build trusting relationships with participants and focus the semi-structured interview guide. An existential theory of well-being and suffering considering health to be a balancing of mobility and dwelling was applied. Participants were nine aged adults 65 years or older with pre-fracture dependency included in the study 18 months earlier while still in hospital after HF. The interpretation was a process of analyzing data by moving between the parts and the whole as a means of gaining a deeper understanding and continuously testing pre-understandings. The analysis followed five steps: a) getting a sense of the whole b) delineating and condensing meaning units, c) interpreting meaning units, d) relating to study purpose, and e) developing themes and sub-themes. Results: Two main themes emerged. The main-theme “Feeling the continuity of life“ had four sub-themes: “Gratitude for present possibilities,“ “Connected with earlier life-experience,“ “Thoughtfully managing vulnerability,“ and “Belonging with other people.“ The main-theme “Feeling vulnerable“ had two sub-themes: “Thwarted“ and “Sad and regretting lost continuity in life.“ Conclusions: Eighteen months after HF, aged adults seem to be struggling on their own to be active in meaningful ways. To maintain hope, relieve the strain in everyday life, and maintain a sense of safety and self-confidence, they may need help. However, to avoid suffering, there is a need to balance additional training and a struggle for progress with well-being experiences in terms of feeling gratitude, restoring a sense of normality, and feeling kinship with other people.

Use of Non-pharmacological Methods in Managing Labour Pain: Experiences of Nurse- midwives in Two Selected Districts Hospital of Pwani and Dar es Salaam Region, Tanzania

2021 ◽  
Author(s):  
Dorkasi L. Mwakawanga ◽  
Lilian T. Mselle ◽  
Victor Z. Chikwala ◽  
Nathanael Sirili
Keyword(s):  
Qualitative Content Analysis ◽  
Labour Pain ◽  
Structured Interview ◽  
Labor Pain ◽  
Her Family ◽  
Breathing Techniques ◽  
District Hospitals ◽  
Interview Guide ◽  
Nurse Midwives ◽  
Pain Experiences

Abstract Background: Labour pain usually bring worries and most of the concerns to a woman and her family. Thus, the majority of the women in labour pain may require some sort of pain relief method be it pharmacological or non-pharmacological during this period. However, in Tanzania, the use of non-pharmacological labour pain-relieving methods remain low among nurse-midwives. This study analyzed the experiences of nurse-midwives on the use of non-pharmacological methods to manage labour pain in two selected districts of Pwani region Tanzania.Materials and Methods: An exploratory qualitative study using a semi-structured interview guide was conducted to purposefully recruited nurse-midwives working in labour ward in two district hospitals in Pwani region Tanzania. Data were analysed using a qualitative content analysis approach to generate categories describing the experiences of using non-pharmacological methods in managing labour pain. Results: Encouraging women on the tolerability of pain, provision of instructions onchanging positions, deep mouth breathing techniques and exercises, provision of psychological support and provision of sacral massage emerged as the common non-pharmacological methods used by nurse-midwives. Comfortability on using the methods to both nurse-midwives and the women was stated to make both the nurse-midwives and women use them. Furthermore, some nurse-midwives did not use the methods because of limited skills, the misconception that labour pain to delivering women is necessary and lack of awareness of its benefits. Conclusion: The findings of this study underscores that knowledge on benefits on non-pharmacological methods, skills on using non-pharmacological pain and misconception of nurse-midwives on labor pain influence use of non-pharmacological labor pain management.

Incentives to Reduce Salt Intake Resulting From Women’s Experiences: A Qualitative Study

2021 ◽  
pp. 0272684X2199137
Author(s):  
Tahere Soltani ◽  
Seyed Saeed Mazloomy Mahmoodabad ◽  
Ali Akbar Vaezi ◽  
Azadeh Nadjarzadeh ◽  
Seyedeh Mahdieh Namayandeh ◽  
...  
Keyword(s):  
Salt Intake ◽  
Qualitative Content Analysis ◽  
Healthcare Providers ◽  
Educational Interventions ◽  
Care Providers ◽  
Staff Support ◽  
Individual Interviews ◽  
Salt Consumption ◽  
Reduced Salt ◽  
Self Protection

Introduction Over consumption of salt adversely affects health and is associated with some diseases. Salt over consumption has been reported to be higher in Asian countries including Iran. This research aimed to identify the facilitative factors of reduced salt consumption among 20–65 year-old women to develop effective educational interventions. Methods: This research used qualitative content analysis. We included 42 (31 women aged 20–65 years residing in Hamidia, Yazd and 11 healthcare providers) using Purposeful sampling method. Data were collected through focal group discussions (three groups of 6) and in-depth semi-structured individual interviews with 24 Participants. Data analysis was done using Graneheim and Lundman’s approach. Results: Motivators and facilitators were extracted. The former consisted of sub-categories: physical fitness and healthcare, obtaining others’ approval, family cooperation and support, internal motivators, contextual motivators and healthcare staff support. Sub-categories of the latter were gaining more information from different instructions, willingness to acquire self-protection skills and nutritional advice. These factors affected to reduce the salt intake among women. Conclusion: In the light of the qualitative results of motivating and facilitating factors, it is essential to enhance internal motivators and increase access to information via different communicative channels in community including schools, medical care providers and public associations. It is also necessary to pave the way for more family and medical staff support, provide appropriate educational and advertising programs, raise women’s awareness and change their attitude and behavior with this concern.

scholarly journals The mental health crises of the families of COVID-19 victims: a qualitative study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Fateme Mohammadi ◽  
Khodayar Oshvandi ◽  
Farshid Shamsaei ◽  
Fateme Cheraghi ◽  
Masoud Khodaveisi ◽  
...  
Keyword(s):  
Mental Health ◽  
Content Analysis ◽  
Cultural Context ◽  
Qualitative Content Analysis ◽  
Individual Interviews ◽  
Medical Centers ◽  
Financial Conditions ◽  
Purposeful Sampling ◽  
The Family ◽  
Data Saturation

Abstract Background The bereaved families of COVID-19 victims are among the most vulnerable social groups in the COVID-19 pandemic. This highly infectious and contagious disease has afflicted these families with numerous psychological crises which have not been studied much yet. The present study is an attempt at investigating the psychological challenges and issues which the families of COVID-19 victims are faced with. The present study aims to identify the Mental Health crises which the families of COVID-19 deceased victims are going through. Methods A qualitative research, the present study uses a conventional content analysis design. The participants were 16 members of the families of COVID-19 victims selected from medical centers in Iran from February to May 2020 via purposeful sampling. Sampling continued to the point of data saturation Data were collected via semi-structured individual interviews conducted online. The collected data were analyzed according to the conventional qualitative content analysis approach. Results Analyses of the data yielded two main themes and seven categories. Emotional shock included (feelings of guilt and rumination, bitter farewell, strange burial and concern about unreligious burial), and fear of the future included (instability in the family, lack of job security and difficult financial conditions, Stigmatization and complications in social interactions). Conclusion The families of COVID-19 deceased victims are affected by various psychological crises which have exposed them to a deep sense of loss and emotional shock. Therefore, there is an urgent need for a cultural context which recognizes and supports all the various aspects of the mental health of these families.

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