scholarly journals Primary care nurses’ perceptions and experiences of patients being overweight or obese as well as visions and attitudes about working with lifestyle issues: a qualitative interview study

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Marie Bräutigam Ewe ◽  
Cathrine Hildingh ◽  
Jörgen Månsson ◽  
Marie Lydell
Keyword(s):  
Primary Care ◽  
Qualitative Interview ◽  
Interview Study ◽  
Qualitative Interview Study ◽  
Primary Care Nurses ◽  
Nurses Perceptions

scholarly journals Primary Care Nurses' Perceptions and Experiences of Patients Being Overweight, as well as Visions and Attitudes About Working with Lifestyle Issues: A Qualitative Interview Study

2020 ◽  
Author(s):  
Marie Bräutigam Ewe ◽  
Cathrine Hildingh ◽  
Jörgen Månsson ◽  
Marie Lydell
Keyword(s):  
Primary Care ◽  
Qualitative Content Analysis ◽  
Qualitative Interview ◽  
Interview Study ◽  
Diabetic Patients ◽  
Motivation To Change ◽  
Individualized Care ◽  
Qualitative Interview Study ◽  
Primary Care Nurses ◽  
Nurses Perceptions

Abstract Background: A primary health care centre (PHCC) is often the first point of contact for overweight patients, and nurses play key roles in overweight and lifestyle management. Since overweight is an increasing problem and a challenge for PHCCs to handle, it is important to describe primary care nurses' perceptions and experience with overweight problems, as well as their visions and attitudes regarding working with lifestyle issues. Methods: This was a qualitative interview study. Thirteen nurses in PHCCs in the southwest of Sweden were interviewed with a semi-structured, face-to-face guide. The interviews were analysed using qualitative content analysis. Results: The nurses had a wish and a willingness to work more with overweight and lifestyle issues than they currently did due to a lack of priority, resources, time and education. They experienced overweight as an increasing problem and felt that society should do more to stop its development. They considered that meeting with the patient was the most important task at PHCCs. How the conversations were structured without pointers and in an individualized manner was crucial for weight management to strengthen the patients’ motivation to change. The nurses experienced that how to use and implement guidelines was unclear. They also asked for a national forum in Sweden for nurses working with overweight and lifestyle issues with lectures about the latest research in the area. Conclusions: The nurses considered overweight to be a complex condition that requires a holistic approach with individualized care. To make this approach possible, a wider range of efforts should be offered to patients through more group meetings, lectures, and digital solutions. The development of a multidisciplinary team with different professions working with this patient group was the nurses’ dream scenario. They wished for a preventive reception for pre-diabetic patients to save costs and suffering. Informing parents earlier about a healthy lifestyle at childcare centres in PHCCs and offering health examinations to promote preventive work were seen as good ideas. Implementing these suggestions in working with overweight and lifestyle issues could be a discussion among the management in PHCCs and for the decision makers in the region.

Effects of payment for performance in primary care: Qualitative interview study

2008 ◽  
Vol 13 (3) ◽  
pp. 133-139 ◽  
Author(s):  
Susan Maisey ◽  
Nick Steel ◽  
Roy Marsh ◽  
Stephen Gillam ◽  
Robert Fleetcroft ◽  
...  
Keyword(s):  
Primary Care ◽  
Qualitative Interview ◽  
Interview Study ◽  
Qualitative Interview Study

scholarly journals GPs’ and nurses’ perceptions of electronic cigarettes in England: a qualitative interview study

2018 ◽  
Vol 69 (678) ◽  
pp. e8-e14 ◽  
Author(s):  
Melissa Stepney ◽  
Paul Aveyard ◽  
Rachna Begh
Keyword(s):  
Electronic Cigarettes ◽  
Qualitative Interview ◽  
Interview Study ◽  
Structured Interviews ◽  
Face To Face ◽  
Perceptions And Attitudes ◽  
Qualitative Interview Study ◽  
Nurses Perceptions ◽  
Support Programmes ◽  
The Right

BackgroundReports from royal colleges and organisations such as Public Health England suggest that GPs and nurses should advise patients to switch to electronic cigarettes (e-cigarettes) if they do not want to stop smoking using licensed medication. However, there are no data on what practitioners think, feel, or do about e-cigarettes.AimTo explore practitioners’ perceptions and attitudes towards e-cigarettes, and their experiences of discussing e-cigarettes with patients.Design and settingA qualitative interview study was carried out with semi-structured interviews conducted with nurses and GPs across England in 2017.MethodParticipants were interviewed once either via telephone or face to face. Data were analysed using thematic analysis.ResultsInterviews were conducted with 23 practitioners (eight nurses and 15 GPs). There were three key themes: ambivalence and uncertainty; pragmatism; and responsibility. Many practitioners had uncertainties about the safety and long-term risks of e-cigarettes. Some had ambivalence about their own knowledge and ability to advise on their use, as well as uncertainty about whether to and what to advise patients. Despite this, many sought to provide honesty in consultations by acknowledging these uncertainties about e-cigarettes with patients and taking a pragmatic approach, believing that e-cigarettes were a ‘step in the right direction’. Practitioners wanted advice from healthcare regulators such as the National Institute for Health and Care Excellence to reassure them about the safety of e-cigarettes, practical tools to support the consultation, and to control their use by providing behavioural support programmes for reduction or cessation.ConclusionCurrent dissemination strategies for guidelines are not effective in reaching practitioners, who are offering more cautious advice about e-cigarettes than guidelines suggest is reasonable.

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