scholarly journals Paediatric oncology ward nurses’ experiences of patients’ deaths in China: A qualitative study

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Ruo Han Ma ◽  
Xue Ping Zhao ◽  
Zhi Hong Ni ◽  
Xiao Ling Xue

Abstract Background Considering cancer death is second only to accidental death in the number of lives claimed each year,nurses in paediatric oncology wards often experience helplessness, sadness, frustration and such other adverse emotions when they witness children’s death due to cancer.However,there is a lack of qualitative studies on nurses who witness the death of children in paediatric oncology wards in China. Method A qualitative study was conducted using a semi-structured interview guide with 22 paediatric oncology ward nurses. Interviews were recorded and simultaneously translated and transcribed. Thematic analysis was used to analyse the data. Results The analysis resulted in the identification of three main thematic categories: Different emotional expression, Different copingstrategies, A weak support system. Nursing managers should pay attention to problems faced by nurses in paediatric oncology wards, and take targeted measures in terms of continuing training courses, improving the psychological adaptability of oncology professional nurses, and providing them substantive support. Conclusion Nurses in paediatric oncology wards have strong stress responses to facing the death of children. They reported experiencing complex psychological feelings and have different coping attitudes. Healthcare authorities should recognise and understand the needs of paediatric oncology ward nurses, who often witness the death of children. Appropriate and effective support measures should be planned and implemented for these nurses to maintain their mental health, thus enabling them to better serve patients.

2021 ◽  
Author(s):  
Ruo Han Ma ◽  
Xue Ping Zhao ◽  
Zhi Hong Ni ◽  
Xiao Ling Xue

Abstract Background: Considering cancer death is second only to accidental death in the number of lives claimed each year,nurses in paediatric oncology wards often experience helplessness, sadness, frustration and such other adverse emotions when they witness children’s death due to cancer.However,there is a lack of qualitative studies on nurses who witness the death of children in paediatric oncology wards in China. Method: Semi-structured interviews were conducted with nurses in the paediatric oncology wards at three children’s hospitals in Jiangsu,China,between January and June 2019.A total of 22 paediatric oncology ward nurses (18 female and 4male) aged between 26 and 39 years were enrolled. A previously developed and pilot-tested interview guide was used for the interviews. The number of interviews was determined by data saturation.Results: Nurses in paediatric oncology wards have strong stress responses to facing the death of children. They reported experiencing complex psychological feelings and have different coping attitudes. Nursing managers should pay attention to problems faced by nurses in paediatric oncology wards, and take targeted measures in terms of continuing training courses, improving the psychological adaptability of oncology professional nurses, and providing them substantive support.Conclusion: The findings of this study increase the knowledge and understanding regarding a seldom-studied topic in China. Healthcare authorities should recognise and understand the needs of paediatric oncology ward nurses,who often witness the death of children.Appropriate and effective support measures should be planned and implemented for these nurses to maintain their mental health, thus enabling them to better serve patients.


2016 ◽  
Vol 32 (1) ◽  
pp. 27-32 ◽  
Author(s):  
Wenche Torunn Mathiesen ◽  
Conrad Arnfinn Bjørshol ◽  
Sindre Høyland ◽  
Geir Sverre Braut ◽  
Eldar Søreide

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.


2020 ◽  
Author(s):  
Luke Laari ◽  
Sinegugu Evidence Duma

Abstract Background: While nursing is complex, transforming and multi-faceted profession, its focus of providing a safe and caring environment that promotes client health and wellbeing has remained unchanged. To do this, nurses need to use their professional roles and skills to advocate for such an environment to provide quality nursing care. However, this can be difficult, as health advocacy is a contextually intricate and complex component of nursing practice.Speaking up to protect clients’ rights is a key ethical and moral mandate for nurses, with many remaining silent, even when presented with circumstances that require them to use their health advocacy role during their practice. The barriers to Ghanaian nurses using their role as health advocates for clients in the healthcare and communities’ settings are not well understood. Identifying and describing these barriers is important to inform contextually relevant strategies to empower nurses to use their health advocacy role in their daily nursing practice. Methods: An inductive descriptive qualitative design, based on Strauss and Corbin Grounded Theory, was used to collect and analyse data on barriers that prevent nurses from practising their health advocacy role in Ghana. Twenty-four professional nurses were recruited from three regional hospitals in Ghana and interviewed using a semi-structured interview guide. Data were analysed using Strauss and Corbin’s general guidelines and framework. Results: Three categories emerged as barriers to the health advocacy role practice by nurses, these being intra-personal, inter-personal and structural barriers.Conclusion: The barriers to nurses using their health advocacy role in practice are many and complex and have implications for nursing practice. Incorporating health advocacy into their curriculum may help address the barriers to nurses’ practice of health advocacy.


Crisis ◽  
2020 ◽  
Vol 41 (2) ◽  
pp. 128-134 ◽  
Author(s):  
Johnny Andoh-Arthur ◽  
Birthe Loa Knizek ◽  
Joseph Osafo ◽  
Heidi Hjelmeland

Abstract. Background: Condemnatory reactions toward suicide are prevalent in Africa, yet no study has examined how society reacts to suicides from the perspective of suicide-bereaved persons. Aims: This qualitative study explored societal reactions to suicides so as to further our understanding of the problem in Ghana. Method: Using a semi-structured interview guide, we interviewed 45 close relations of 14 men who took their lives. Results: The reactions followed ontological questions of what suicide means (construing the act), its impact (consequences), why it happened and who to blame (attributions and allocation of responsibility), and how to remedy perceived damages (damage control). Limitations: Focusing on suicides of only men might have limited the range of societal reactions to suicide in general. Conclusion: Reparative and retributive societal reactions to suicides were influenced predominantly by views that suicide is an extraordinary moral evil in the setting. Increased culturally focused suicide education can improve people's understanding and enhance responsive suicide prevention and postvention.


2021 ◽  
Vol 58 (1) ◽  
pp. 5613-5622
Author(s):  
Verónica Johana Suárez Molina Et al.

The purpose of the research was to determine the influence of pedagogical leadership and educational management on the teaching practice of the SENA's technical and technological training centers in Colombia. The study has a mixed approach, in the quantitative approach it was the non-experimental design and in the qualitative approach it followed the phenomenological-hermeneutic design. For the quantitative study, the population was made up of 201 professional instructors, located in 33 regions of Colombia where the SENA is present, and for the qualitative study, 8 teaching directors. The application instruments were a questionnaire and a semi-structured interview guide. In conclusion, there is a relationship between the influence of the pedagogical leadership of the direction and the educational management in the teaching practice of the SENA training centers in Colombia


2021 ◽  
Vol 8 (2) ◽  
pp. 130-147
Author(s):  
Hongying Dai ◽  
◽  
Athena Ramos ◽  
Niran Tamraker ◽  
Marshall Cheney ◽  
...  

Objective: In this qualitative study, we sought to assess 3 topics of interest: (1) current status of vaping and school-based prevention; (2) school personnel’s perceptions of vaping; and (3) challenges in implementing school-based vaping prevention programs. Methods: We conducted 5 focus groups using a semi-structured interview guide during October through December 2019. School personnel (eg, principals, teachers [N = 32]) from 30 middle and high schools were recruited across diverse regions in Nebraska. Results: Eight themes arose from the thematic analysis in 3 topic areas. School personnel attributed student vaping to easy access, low perception of harm, addiction, and proliferation of stealthy products for concealed use. Whereas schools showed strong support for addressing youth vaping on school grounds, few schools had adopted a comprehensive e-cigarette prevention and cessation program. The top challenges to current school-based vaping prevention programs include lack of time, knowledge, and coordinated efforts. Participants also recognized the significance of parental engagement in the prevention effort. Conclusions: There is a considerable variation in school policies and actions to address youth vaping. An evidence based youth vaping program that involves schools, parents, students, and communities needs to be developed and disseminated in school settings.


CJEM ◽  
2019 ◽  
Vol 21 (6) ◽  
pp. 798-802 ◽  
Author(s):  
Vanessa Rojas-Luengas ◽  
Bianca Seaton ◽  
Katie Dainty ◽  
Shelley McLeod ◽  
Catherine Varner

ABSTRACTObjectiveThe purpose of this qualitative study was to explore the experiences and perceptions of care of women treated for early pregnancy complications in a Canadian emergency department (ED) and early pregnancy clinic (EPC).MethodsWe conducted a descriptive qualitative study to understand the perceptions, meanings, and perspectives of women of 18 years and older who presented to the ED or EPC of an urban, tertiary care hospital with early pregnancy complications or loss. Using a semi-structured interview guide, a 45- to 60-minute telephone interview was conducted by a trained qualitative interviewer at 4 to 6 weeks after the ED visit. All interviews were digitally recorded and transcribed verbatim for analysis. Data analysis occurred in conjunction with data collection in order to continuously monitor emerging themes and general areas for further exploration. Interviews were conducted until thematic saturation had occurred.ResultsInterviews were completed with 30 women between June and August 2018. Three key themes arose: disconnect of the ED's role in the provision of care, normalization of a chaotic healthcare experience, and finding connection through the institution's EPC.ConclusionsPerspectives of women with early pregnancy complications highlight the ways in which ED care often does not meet the expectations or needs of patients and their families. The emotional complexity of this medical situation is often overlooked by ED staff and can produce encounters that are distressing. However, negative experiences were often mitigated by follow-up care in the institution's EPC.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Sherald Sanchez ◽  
Farah Jindani ◽  
Jing Shi ◽  
Mark van der Maas ◽  
Sylvia Hagopian ◽  
...  

Abstract Background Although Internet-based interventions (IBIs) have been around for two decades, uptake has been slow. Increasing the acceptability of IBIs among end users may increase uptake. In this study, we explored the factors that shape acceptability of IBIs for problem gambling from the perspective of clients and clinicians. Findings from this qualitative study of focus groups informed the design and implementation of an IBI for problem gambling. Methods Using a semi-structured interview guide, we conducted three focus groups with clients experiencing gambling problems (total n = 13) and two with clinicians providing problem gambling treatment (total n = 21). Focus groups were audio recorded, transcribed verbatim, and analyzed using a two-part inductive-deductive approach to thematic analysis. Results Although both user groups reported similar experiences, each group also had unique concerns. Clinician perspectives were more homogeneous reflective of healthcare professionals sharing the same practice and values. Clinicians were more concerned about issues relating to the dissemination of IBIs into clinical settings, including the development of policies and protocols and the implications of IBIs on the therapeutic relationship. In comparison, client narratives were more heterogeneous descriptive of diverse experiences and individual preferences, such as the availability of services on a 24-h basis. There was consensus among clients and clinicians on common factors influencing acceptability: access, usability, high quality technology, privacy and security, and the value of professional guidance. Conclusions Acceptability is an important factor in the overall effectiveness of IBIs. Gaining an understanding of how end users perceive IBIs and why they choose to use IBIs can be instrumental in the successful and meaningful design, implementation, and evaluation of IBIs.


2019 ◽  
Vol 1 (1) ◽  
pp. 31
Author(s):  
Fernando Ledesma Perez ◽  
Maria Caycho Avalos ◽  
Juana Cruz Montero ◽  
Andrea Ayala Sandoval

Citizenship is the exercise of the fundamental rights of people in spaces of participation, opinion and commitments, which can not be violated by any health condition in which the individual is. This research aims to interpret the process of construction of citizenship in hospitalized children, was developed through the qualitative approach, ethnomethodological method, synchronous design, with a sample of three students hospitalized in a health institute specializing in childhood, was used Observation technique and a semi-structured interview guide were obtained as results that hospitalized children carry out their citizenship construction in an incipient way, through the communication interaction they make with other people in the environment where they grow up.


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