scholarly journals Managerial challenges faced by Swedish nurse managers in perioperative settings– a qualitative study

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Erebouni Arakelian ◽  
Gudrun Rudolfsson

Abstract Background Nurse managers need to create cultures that are worthy, not only of the commitment of everyone who comes to work but also of the trust of everyone who comes to be served. The aim of our study was to describe the challenges faced by Swedish nurse managers in a perioperative setting. Methods A qualitative study was conducted. The participants were chosen by convenience sampling, and individual in-depth interviews were conducted. Data were analysed by Systematic Text Condensation. The COREQ checklist was consulted throughout the study to optimise the quality. Results Nineteen nurse managers (all women) participated. Six themes were identified: “striving to treat employees with consideration and solicitude”; “the obligation to take care of each employee’s individual needs”; “convincing others was an uphill battle”, “finding solutions when things seem impossible”; “staff recruitment, allocation, and management”; “working with constantly changing planning”. Conclusions The nurse managers faced challenges because of the overwhelming amount of work tasks, with almost no time for reflection. Having carefully chosen tasks and a realistic time schedule for each work task, plus time to find one’s own path to inner peace, are essential for nurse managers. Organisations that provide these prerequisites show that they care about their nurse managers. The results of this study indicate the need for time to reflect, as well as support from superior managers and from the human resources department.

Author(s):  
Nita Karmila ◽  
Yudhie Suchyadi

EDUCATION SUPERVISION IN NATURAL SCHOOL BOGORThis research is an interactive qualitative study with a descriptive approach that aims to explore in depth information about the implementation of educational supervision in the Natural School Bogor. Data obtained through observation, in-depth interviews and documentation studies. The results showed that the Natural School Bogor had carried out educational supervision on three main objects namely the curriculum, Human Resources (HR) and facilities and infrastructure. Based on field data, there are obstacles in the implementation of curriculum supervision. While supervision in the field of Human Resources and infrastructure can run well.


Author(s):  
Hani' Annadoroh ◽  
Yaslis Ilyas

Abstract. According to the Minister of Health Regulation no. 33/2015 (Permenkes 33) on Guidelines for Composing the Human Resources in the Health Field (HRH) Planning, planning for HRH must be done from the bottom up. In 2016, Depok City has implemented the regulation, but the results were not applicable. This qualitative study analyzes the process of creating the planning document at Depok City in 2017 through in-depth interviews and documentary research. We discovered that the 2017 HRH planning document in Depok City did not completely follow all the steps stated in Permenkes 33. Ineffective communication caused lack of commitment and support from the stakeholders, which in turn, caused the lack of support from the bureaucratic structure, such as standard operational procedures, regulation, and allocation of resources, whether it was manpower, funding, or facilities. Therefore, we recommend that the socialization or advocation process to the stakeholders to be increased.Abstrak. Menurut Peraturan Menteri Kesehatan nomor 33 Tahun 2015 tentang Pedoman Penyusunan Perencanaan Kebutuhan Sumber Daya Manusia dalam bidang Kesehatan (SDMK), perencanaan SDMK harus dilakukan secara berjenjang dari bawah ke atas. Di tahun 2016, kota Depok telah melaksanakan permenkes tersebut, akan tetapi hasilnya belum dapat dijadikan pertimbangan dalam manajemen kepegawaian. Penelitian ini merupakan penelitian kualitatif yang bertujuan untuk melakukan analisis terhadap pelaksanaan penyusunan dokumen perencanaan kebutuhan SDMK kota Depok tahun 2017 dengan teknik pengumpulan data berupa wawancara mendalam dan telaah dokumen. Hasil penelitian menunjukkan bahwa penyusunan dokumen perencanaan kebutuhan SDMK kota Depok tahun 2017 belum sesuai dengan tahapan yang terdapat dalam Permenkes 33 tahun 2015. Permasalahan disebabkan oleh komunikasi yang tidak efektif, yang menyebabkan tidak adanya komitmen dan dukungan dari pemangku kepentingan, sehingga tidak terdapat dukungan dari struktur birokrasi yang berupa SOP dan peraturan, dan alokasi sumber daya, baik manusia, dana, maupun fasilitas. Untuk itu, sebaiknya proses sosialisasi atau advokasi ke para pemangku kepentingan ditingkatkan.


2020 ◽  
Author(s):  
Alireza Abdi ◽  
Aliakbar Vaisi -Raygani ◽  
Bahareh Najafi ◽  
Hamid saidi ◽  
khalil moradi

Abstract Background: Iran has experienced an increasing number of earthquake disasters in the past three decades. Nurses are the largest group of healthcare providers that play an important role in responding to disasters. Therefore, this study aimed to explore the nursing challenges to provide care to the injured in the Kermanshah earthquake, Iran. Methods: The present study was conducted as a qualitative conventional content analysis, and data collection was carried out through 16 semi‑structured and in‑depth interviews with the nurses involved in providing care to the injured in the Kermanshah earthquake. The data were analyzed following Graneheim and Lundman’s approach.Results: Data analysis led to the emergence of 453 primary codes, 14 subcategories, and 5 categories. The five categories were as follows: (a) organizational and managerial challenges; (b) human resources; (c) infrastructure; (d) educational system; (e) and ethical.Conclusion: The results of this study showed that nurses faced several challenges in providing care to earthquake victims. Based on these findings, better educational management and planning, infrastructure reform, and establishment of a crisis nursing national team seem necessary.


2018 ◽  
Vol 5 (1) ◽  
pp. 1
Author(s):  
Yulius Steven ◽  
Evi Sukmaningrum

<p><em>Abstract </em><em>— </em><em>This study examined forgiveness process and factors affecting the process among young adult wives to overcome their spouse’s infidelity. This qualitative study was conducted using in-depth interviews to explore those variables and using two questionnaires – NEO PI-R and TRIM-18 – to measure the personality factor and the forgiveness motivation. Convenience sampling technique was used to recruit participant. This study showed that all three participants have not yet reached the final stage of forgiveness. Rumination was found in all participants as the barrier aspect that affects the process. Other factors that promote forgiveness process are reasons of forgiving, sincere apology from husband, relationship quality, and high motivation of benevolence. Furthermore, the cultural and religious factors play a major role in forgiving process.</em></p><p> </p><p>Abstrak <em>— </em>Penelitian ini bertujuan untuk melihat proses pemaafan dan faktor-faktor yang berperan dalam pemaafan pada istri dewasa muda yang suaminya pernah berselingkuh. Penelitian ini menggunakan metode kualitatif dengan pengambilan data utama melalui wawancara mendalam dan digunakan juga dua kuesioner, yaitu NEO PI-R serta TRIM-18 untuk melengkapi data wawancara. Partisipan pada penelitian ini sebanyak 3 orang dan dipilih dengan menggunakan teknik <em>convenience sampling. </em>Hasil penelitian ini menunjukkan bahwa ketiga partisipan belum sepenuhnya memaafkan suaminya yang pernah berselingkuh. Faktor yang dominan menghambat adalah adanya ruminasi, sedangkan faktor yang mendukung partisipan dalam proses pemaafannya ialah pertimbangan memaafkan, permohonan maaf yang ikhlas dari suami, kualitas hubungan, dan motivasi berbuat baik. Selain itu ditemukan juga adanya faktor budaya dan agama yang sangat kental yang berperan dalam proses pemaafan di ketiga partisipan.</p>


2020 ◽  
Author(s):  
Alireza Abdi ◽  
Aliakbar Vaisi -Raygani ◽  
Bahareh Najafi ◽  
Hamid saidi ◽  
khalil moradi

Abstract Background: Iran has experienced an increasing number of earthquake disasters in the past three decades. Nurses are the largest group of healthcare providers that play an important role in responding to disasters. Therefore, this study aimed to explore the nursing challenges to provide care to the injured in the Kermanshah earthquake, Iran. Methods: The present study was conducted as a qualitative conventional content analysis, and data collection was carried out through 16 semi‑structured and in‑depth interviews with the nurses involved in providing care to the injured in the Kermanshah earthquake. The data were analyzed following Graneheim and Lundman’s approach.Results: Data analysis led to the emergence of 453 primary codes, 14 subcategories, and 5 categories. The five categories were as follows: (a) organizational and managerial challenges; (b) human resources; (c) infrastructure; (d) educational system; (e) and ethical.Conclusion: The results of this study showed that nurses faced several challenges in providing care to earthquake victims. Based on these findings, better educational management and planning, infrastructure reform, and establishment of a crisis nursing national team seem necessary.


2019 ◽  
Vol 18 (1) ◽  
pp. 37-47
Author(s):  
Silva Liem ◽  
Hana Panggabean ◽  
Rustono Marta Farady

ABSTRACT Stunting is an indicator of chronic malnutrition in the first 1000 days of a child’s life. This threatens the quality of human resources of Indonesia. The local communities generally interpret stunting as “short” and use different terms such as ‘kerdil’, ‘cebol’, ‘kuntet’, and ‘kuntring’. Having short posture is frequently perceived as heredity rather than as malnutrition.  Inadequate meanings derived from social perception process may lead mothers to ignore such behavior that will increase risks of stunting and undermine community participation in government-led programme to reduce stunting. This qualitative study aims to describe facts on how community preceived stunted children. Data were obtained through field observation and in-depth interviews with four mothers having under-five-aged children in Tangerang. Thematic analysis was used to analyse the collected data. This study revealed that stunting is not being associated with health or nutrition issues. In fact, participants perceive stunted children as smart children. Holding on to such perception may jeopardize optimal community participation in government’s efforts to reduce stunting prevalences. Design of appropriate activities may need to consider social perception held by local communities where the intervention will be implemented.  Keywords: Stunting, social perception, childhood nutrition   ABSTRAK  Stunting adalah indikator kekurangan gizi kronis dalam periode 1000 hari pertama kehidupan seseorang. Hal ini mengancam kualitas sumber daya manusia Indonesia. Masyarakat setempat pada umumnya memaknai stunting sebatas “berbadan pendek” dengan menggunakan istilah yang berbeda, misalnya ‘kerdil’, ‘cebol’, ‘kuntet’, dan ‘‘kuntring’’ sebagai akibat dari faktor keturunan. Perspektif persepsi sosial penting dalam pemaknaan tersebut, karena berpotensi mengabaikan perilaku berisiko anak stunting oleh para ibu dan menghambat partisipasi masyarakat dalam program pemerintah menurunkan kejadian stunting. Penelitian kualitatif ini bertujuan untuk mengetahui bagaimana masyarakat memaknai balita berbadan pendek. Data diperoleh melalui observasi dan wawancara mendalam dengan empat orang ibu yang memiliki anak balita di kabupaten Tangerang. Data diolah dengan analisis tematik. Hasil penelitian menunjukkan balita pendek tidak dikaitkan dengan masalah kesehatan maupun gizi, bahkan responden memandang anak ‘‘kuntring’’ sebagai anak yang pintar. Persepsi demikian dapat berdampak pada keterlibatan masyarakat yang tidak optimal dalam upaya pemerintah mengurangi kejadian stunting. Perencanaan intervensi pencegahan yang tepat perlu mempertimbangkan persepsi sosial yang berlaku dalam masyarakat.  Kata kunci: Stunting, persepsi sosial, gizi anak balita


Author(s):  
Talent Mhangwa ◽  
Madhu Kasiram ◽  
Sibonsile Zibane

The number of female drug users has been on the rise in South Africa, with statistics reflecting a rise in the number of women who attend treatment centres annually. This article presents empirical data from a broader qualitative study which aimed to explore perceptions concerning the effectiveness of aftercare programmes for female recovering drug users. The main data source was transcripts of in-depth interviews and focus groups with both service users and service providers from a designated rehabilitation centre in Gauteng, South Africa. Framed within a biopsychosocial-spiritual model, this article explores the perceptions and meanings which the female recovering drug users and the service providers attach to aftercare programmes. The findings of the research outlined the range of factors promoting recovery, alongside noteworthy suggestions for improvement in aftercare services. While acknowledging multiple influences on behaviour, this article highlights the significance of these findings in planning and implementing holistic aftercare programmes.


Author(s):  
Palma ­Candia ◽  
Hueso­Montoro ◽  
Martí-García ◽  
Fernández-Alcántara ◽  
Campos-Calderón ◽  
...  

Background: Aging and longevity are important topics nowadays. Purpose: To describe how older adults perform the occupational adaptation process in the extreme region of Magallanes (Chile), and to identify the factors that might contribute to successful occupational adaptation and well-being. Method: Qualitative study, with a phenomenological interpretative approach. In-depth interviews were carried out with 16 older adults, with high or low levels of well-being, assessed with the Ryff Scale. An inductive content analysis according to Elo and Kyngäs was performed. Findings: Resilience, self-esteem and interdependence with significant others are key elements that promote well-being. Participants develop strategies to minimize the effects of environmental factors. The occupation’s function in terms of socialization, use of time, and social participation is revealed as a conditioning factor of occupational adaptation. Implications: Interventions with older people to achieve a successful occupational adaptation process must take into consideration the commitment to meaningful activities.


Author(s):  
Sibylle Herzig van Wees ◽  
Michael Jennings

Abstract Substantial global advocacy efforts have been made over the past decade to encourage partnerships and funding of faith-based organizations in international development programmes in efforts to improve social and health outcomes. Whilst there is a wealth of knowledge on religion and development, including its controversies, less attention has been payed to the role that donors might play. The aim of this study was to describe and analyse the engagement between donors and faith-based organizations in Cameroon’s health sector, following the implementation of the Cameroon Health Sector Partnership Strategy (2012). Forty-six in-depth interviews were conducted in selected regions in Cameroon. The findings show that global advocacy efforts to increase partnerships with faith-based organizations have created a space for increasing donor engagement of faith-based organizations following the implementation of the strategy. However, the policy was perceived as top down as it did not take into account some of the existing challenges. The policy arguably accentuated some of the existing tensions between the government and faith-based organizations, fed faith-controversies and complicated the health system landscape. Moreover, it provided donors with a framework for haphazard engagement with faith-based organizations. As such, putting the implications of donor engagement with FBOs on the research map acknowledges the limitations of efforts to collaborate with faith-based organizations and brings to the surface still-remaining blinkers and limited assumptions in donor definitions of faith-based organizations and in ways of collaborating with them.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Fatemeh Asadollahi ◽  
Hamid Taher Neshat Doost ◽  
Mohammad Reza Abedi ◽  
Hamid Afshar Zanjani

Background: Persistent depressive disorder (PDD) is a chronic problem that is more prevalent among women than men. Various studies have revealed that these people experience many problems in their interpersonal relationships, which increase their suffering. Objectives: The present study was done to identify how people suffering from PDD experience interpersonal relationships that often seem troubled and broken. Methods: A phenomenological approach was adopted for this qualitative study. For this purpose, in-depth interviews were conducted with 21 individuals with PDD, focusing on exploring their experience and suffering in interpersonal relationships. All interviews were recorded and transcribed, and the transcripts were analyzed using Giorgi’s phenomenological descriptive method. Results: In general, five main themes and 16 sub-themes emerged. The main themes were: (1) Feeling empty of love and compassion; (2) feeling ignored; (3) ignoring others’ needs, conditions, and suffering; (4) feeling of being annoying to others; and (5) feeling confused and helpless in relationships. Conclusions: It seems that all five themes convey the message that these individuals demonstrate less skill in feeling compassion and receiving it from others. Therefore, it appears that long-term compassion-based interventions can effectively reduce the interpersonal suffering of these individuals. It should be noted that although these themes have commonalities in different cultural contexts, the culture can influence the content and intensity of these feelings.


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