scholarly journals Ethical challenges of caring for burn patients: a qualitative study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Mostafa Bijani ◽  
Fateme Mohammadi
Keyword(s):  
Qualitative Study ◽  
Personal Identity ◽  
Clinical Decision ◽  
Vulnerable Groups ◽  
Burn Patients ◽  
Ethical Challenges ◽  
Data Saturation ◽  
Field Notes ◽  
Improved Performance ◽  
Colaizzi's Method

Abstract Background Burn patients are among the most vulnerable groups of patients requiring principled ethical care. Caring for these patients often brings various ethical challenges for the members of the health care teams, especially nurses, which affect the clinical decisions made for these patients. A limited number of studies have addressed the ethical challenges of caring for burn patients for the responsible caregivers, so the present study attempted to identify these challenges. The present study aimed to explore the health professionals' experiences of the ethical challenges during caring for burn patients. Methods This was a qualitative study with a descriptive, phenomenological design. 22 health professional practiced in public burn centers in Iran who met the inclusion criteria of the study were selected via purposeful sampling to participate in the study from June to August 2019. Data were collected using semi-structured, in-depth interviews with the individuals as well as field notes. Sampling was continued up to the data saturation. Thereafter, the collected data were analyzed using Colaizzi's method. Results The findings of the study yielded 3 themes, including respect for the patient's privacy, respect for the patient's personal identity, and care challenges, as well as 9 categories. Conclusion The findings of this study showed that the burn patients’ caregivers face some challenges in the domains of maintaining the patient's privacy, respecting the patient’s personal identity, and making the best clinical decision. Thus, providing the cultural, professional, and organizational requirements of meeting the challenges of caring for burn patients can consequently result in the caregivers’ inner peace and the improved performance.

Osteoarthritis Patients’ Experiences of Pharmacotherapy for Pain Management in Iran: A Qualitative Study

Drug Research ◽  
2017 ◽  
Vol 67 (06) ◽  
pp. 327-336 ◽  
Author(s):  
Vahid Zamanzadeh ◽  
Fazlollah Ahmadi ◽  
Mozhgan Behshid ◽  
Alireza Irajpoor ◽  
Parvin Zakeri-Milani
Keyword(s):  
Pain Management ◽  
Qualitative Study ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Effective Dosage ◽  
Healthcare Personnel ◽  
Therapeutic Goals ◽  
Data Saturation ◽  
Conventional Content Analysis ◽  
Minimum Effective Dosage

Abstract Despite the effectiveness of pharmacotherapy for pain management in patients with osteoarthritis (OA), personal biases in the selection, administration, and continuation of pharmacotherapy challenge the proper management of symptoms and the effectiveness of the therapy. This study was conducted to carry out an in-depth examination of the experiences of patients with OA about their use of pharmacotherapy for the OA pain management and the existing challenges. The present qualitative study was conducted on 17 patients with OA, 5 of their family members and 8 healthcare personnel using a conventional content analysis approach. Data were collected through 35 interviews, which were unstructured at first but became semi-structured later on. Data collection continued until data saturation and analyzed simultaneously. The criteria used to determine the rigor of the study included the credibility, transferability, dependability and conformability of the data. The analysis of the data revealed 3 main categories and 8 subcategories. The main categories including preference for non-pharmacological modalities, preference for symptomatic slow-acting drugs for osteoarthritis (SySADOAs) and preference for vitamins and minerals. Briefing the patients on the therapeutic goals, participating them in the clinical decision-making process, modifying drug administration patterns through prescribing the minimum effective dosage and substituting alternative therapies whenever possible, consistently monitoring the therapeutic responses and any unexpected complications and use of complementary treatments, makes up strategies that can help improve OA pain management.

scholarly journals Correction to: Using behavioral insights to design implementation strategies in public mental health settings: a qualitative study of clinical decision-making

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Briana S. Last ◽  
Simone H. Schriger ◽  
Carter E. Timon ◽  
Hannah E. Frank ◽  
Alison M. Buttenheim ◽  
...  
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Qualitative Study ◽  
Clinical Decision Making ◽  
Public Mental Health ◽  
Implementation Strategies ◽  
Clinical Decision ◽  
Mental Health Settings

An amendment to this paper has been published and can be accessed via the original article.

scholarly journals Nurses’ Clinical Work Experience during Pregnancy

Healthcare ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. 16
Author(s):  
Hyunjung Lee ◽  
Hyoung Eun Chang ◽  
Jiyeon Ha
Keyword(s):  
Work Experience ◽  
Qualitative Data ◽  
Clinical Work ◽  
Working Environment ◽  
Organizational Characteristics ◽  
Main Question ◽  
Field Notes ◽  
Colaizzi's Method ◽  
Induced Changes ◽  
Depth Interviews

The working environment of nurses contains numerous hazards that can be particularly harmful to pregnant women. In addition, pregnancy-induced changes can themselves cause discomfort. Therefore, it is necessary to analyze pregnant nurses’ experiences of clinical work. This qualitative study analyzed data collected through in-depth interviews. From January to June in 2020, 12 shift-work nurses who had experienced pregnancy within three years were interviewed. The main question was “Could you describe your clinical work experience during pregnancy?” Qualitative data from field notes and transcriptions of the interviews were analyzed using Colaizzi’s method. Six categories were extracted that described the nurses’ clinical work experience during pregnancy, as follows: “enduring alone,” “organizational characteristics of nursing,” “risky work environment,” “strengths that sustain work during pregnancy,” “growth as a nurse,” and “methods to protect pregnant nurses.” Pregnant nurses experienced various difficulties due to physical and mental changes during pregnancy, and the clinical working environment did not provide them with adequate support. The findings of this study will be helpful for developing and implementing practical maternity protection policies and work guidelines.

“We will never give up”: A qualitative study of ethical challenges Syrian health workers face in situations of extreme violence

Disasters ◽  
2021 ◽  
Author(s):  
Namrita S. Singh ◽  
Brittany Redman ◽  
Grant Broussard ◽  
Matthew DeCamp ◽  
Diana Rayes ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Health Workers ◽  
Ethical Challenges ◽  
Extreme Violence

Exploring hospital nurses’ transitional medication management for older patients with multi-morbidity: An ethnographic study

2021 ◽  
pp. 205715852110617
Author(s):  
Mette Geil Kollerup ◽  
Birgitte Schantz Laursen
Keyword(s):  
Older Patients ◽  
Communication Systems ◽  
Clinical Decision Making ◽  
Medication Management ◽  
Clinical Decision ◽  
Ethnographic Study ◽  
University Hospital ◽  
Hospital Nurses ◽  
Assessment Skills ◽  
Field Notes

Transitional medication management, in which individual needs are balanced against organizational priorities, is crucial for safe discharge processes. The aim of this study was to explore hospital nurses’ transitional medication management in the discharge of older patients with multi-morbidity. Using an ethnographic approach the data were collected through participant observations at a mixed medical ward at a Danish university hospital for two weeks. The participants were five registered nurses, responsible for nursing care of 23 patients with multi-morbidity and planned for discharge. The data comprised field notes that were analysed using iterative processes of domain, taxonomic and component analysis. The reporting adhered to the COREQ checklist. Hospital nurses’ transitional medication management was characterized by unpredictability and inconsistency in patient situations, fragmentation and discontinuity in working processes and complexity in communication systems. Special attention to nurses’ needs assessment skills and clinical decision making in caring for patients with multi-morbidity in a single focused healthcare system is required.

scholarly journals Pathology of Social Violence Phenomenon in Ardabil Province: A Qualitative Study

2016 ◽  
Vol 8 (10) ◽  
pp. 15
Author(s):  
Shahram Habibzadeh ◽  
Farhad Poufarzi ◽  
Mohammad Mehrtak ◽  
Saied Sadeghiyeh-Ahari ◽  
Mehdi Jafari-Oori ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Minority Groups ◽  
Expert Panel ◽  
Vulnerable Groups ◽  
Physical Damage ◽  
Cultural Economic ◽  
Social Violence ◽  
Targeted Sampling ◽  
The Social ◽  
Regional Factors

<p><strong>Introduction:</strong> In all human societies, domestic violence is known as a threat. Violence is imposing one's will on others through mental pressure and physical damage then can cause a feeling of anxiety and insecurity in them, especially for the weaker and more vulnerable groups such as women, children, elderly and minority groups who are the victims of oppression and socioeconomic inequalities. According to statistics, Ardabil, in comparison with other Iran’s provinces, has the most number of violent crimes. This qualitative research was conducted with the aim of exploring pathological phenomena of social violence in Ardabil province.</p><p><strong>Methods:</strong> this qualitative study was conducted with expert panel. Eighteen participants were selected with targeted sampling method from professors and the heads of the administrative offices who were linked to the phenomenon of social violence and have rich experiences with the social violence issues. After obtaining an informed consent from the participants, expert panel were conducted in two sessions of 150 minutes. At each session all discourse was recorded and after that, immediately transcribed verbatim. Then, the codes, sub-themes and the themes were obtained.</p><p><strong>Results:</strong> The five main extracted themes included: social, historical and anthropological, cultural, economic and regional factors and 13 sub-themes were classified.</p><p><strong>Conclusion:</strong> Social, economic, cultural and regional structure, which have been formed and institutionalized in the society over the years, can be influenced and changed by government policies and a variety of programs.</p>

scholarly journals Practice of informed consent in Guangdong, China: a qualitative study from the perspective of in-hospital patients

BMJ Open ◽  
2018 ◽  
Vol 8 (10) ◽  
pp. e020658 ◽  
Author(s):  
Ni Gong ◽  
Yinhua Zhou ◽  
Yu Cheng ◽  
Xiaoqiong Chen ◽  
Xuting Li ◽  
...  
Keyword(s):  
Informed Consent ◽  
Qualitative Study ◽  
Medical Information ◽  
Medical Knowledge ◽  
Information Provision ◽  
Clinical Decision ◽  
Clinical Settings ◽  
Clinical Practices ◽  
Informed Consent Form ◽  
Hospital Patients

ObjectiveThis study aimed to investigate the practice of informed consent in China from the perspective of patients.DesignA qualitative study using in-depth interviews with in-hospital patients focusing on personal experience with informed consent.SettingGuangdong Province, China.Participants71 in-hospital patients in rehabilitation after surgical operations were included.ResultsMedical information is not actively conveyed by doctors nor effectively received by patients. Without complete and understandable information, patients are unable to make an autonomous clinical decision but must sign an informed consent form following the doctor’s medical arrangement. Three barriers to accessing medical information by patients were identified: (1) medical information received by patients was insufficient to support their decision-making, (2) patients lacked medical knowledge to understand the perceptions of doctors and (3) patient–doctor interactions were insufficient in clinical settings.ConclusionsInformed consent is implemented as an administrative procedure at the hospital level in China. However, it has not been embedded in doctors’ clinical practices because, from the perspective of patients, doctors do not fulfil the obligation of medical information provision. As a result, the informed part of informed consent was neglected by individual doctors in China. Reforming medical education, monitoring the process of informed consent in clinical settings and redesigning medical institutional arrangements are pathways to restoring the practice of informed consent and patient-centred models in China.

scholarly journals Resident uncertainty in clinical decision making and impact on patient care: a qualitative study

2008 ◽  
Vol 17 (2) ◽  
pp. 122-126 ◽  
Author(s):  
J M Farnan ◽  
J K Johnson ◽  
D O Meltzer ◽  
H J Humphrey ◽  
V M Arora
Keyword(s):  
Decision Making ◽  
Qualitative Study ◽  
Patient Care ◽  
Clinical Decision Making ◽  
Clinical Decision

Barriers to self-care in elderly people with hypertension: a qualitative study

2018 ◽  
Vol 22 (4) ◽  
pp. 243-251
Author(s):  
Hanieh Gholamnejad ◽  
Ali Darvishpoor Kakhki ◽  
Fazlollah Ahmadi ◽  
Camelia Rohani
Keyword(s):  
Data Collection ◽  
Qualitative Study ◽  
Elderly People ◽  
Self Care ◽  
Content Type ◽  
Common Chronic Disease ◽  
Face To Face ◽  
Purposeful Sampling ◽  
Data Saturation ◽  
Conventional Content Analysis

Purpose Hypertension is the most common chronic disease throughout the world. Self-care is the key criteria in determining the final course of the disease. However, the majority of elderly people do not observe self-care behaviors. The purpose of this paper is to analyze the experiences of elderly people with hypertension in order to understand the barriers of their self-care behaviors. Design/methodology/approach This is a qualitative study with a conventional content analysis approach conducted in Tehran, Iran in 2017. Data collection was done among 23 participants – 14 elderly people; 6 cardiologists, geriatric physicians and nurses working in the cardiovascular ward; and 3 caregivers – who were selected by purposeful sampling. Using semi-structured, face-to-face interviews, data collection was continued until data saturation. Findings Three main categories, including attitude limitations, inefficient supportive network and desperation, all showed barriers to self-care by the experiences of elderly people with hypertension. Originality/value Lack of knowledge of the disease and its treatment process is one of the main barriers to self-care in elderly people with hypertension. Deficient supportive resources along with economic and family problems exacerbate the failure to do self-care behaviors.

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