Nurses' perceptions of feedback from cardiac rehabilitation registries: a qualitative study across the UK and Denmark

Background/Aims Feedback on performance is a widely used strategy aiming to improve quality of care; however, limited research exists regarding nurses' perceptions of feedback. This article explores cardiac rehabilitation nurse leads' perceptions of the feedback provided through two national registries. Method This was a qualitative study which used semi-structured interviews. Cardiac rehabilitation nurses (n=12) were strategically recruited across the UK and Denmark. The transcribed interviews were analysed using content analysis, and differences and similarities were identified. Results Overall, five themes emerged; accessibility, reliability, usefulness, relevance and attitudes towards public reporting. In the UK, the nurses perceived that data regarding feedback were accessible, trustworthy, useful and reflected the important elements in cardiac rehabilitation. However, in Denmark, the nurses perceived that feedback data were unavailable, had reliability issues and only partly reflected the important aspects of cardiac rehabilitation. Nurses in both countries were ambivalent towards public reporting. Conclusions In order to facilitate high quality service delivery and improvement, registries should consider cardiac rehabilitation nurse leads' perceptions when delivering feedback.

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Identifying Risk Factors Affecting the Usage of Digital and Social Media: A Preliminary Qualitative Study in the Dental Profession and Dental Education

Dentistry Journal ◽

10.3390/dj9050053 ◽

2021 ◽

Vol 9 (5) ◽

pp. 53

Author(s):

Rayan Sharka ◽

Jonathan P. San Diego ◽

Melanie Nasseripour ◽

Avijit Banerjee

Keyword(s):

Risk Factors ◽

Qualitative Study ◽

Perceived Risk ◽

Dental Education ◽

Dental Students ◽

General Context ◽

Structured Interviews ◽

Factors Affecting ◽

The Uk ◽

Dental Professionals

Aims: This study aimed to identify the risk factors of using DSM to provide an insight into the inherent implications this has on dental professionals in practice and trainee professionals’ education. Materials and methods: Twenty-one participants (10 dental professionals and 11 undergraduate and postgraduate dental students) participated in this qualitative study using semi-structured interviews in a dental school in the UK. The interviews were analysed and categorised into themes, some of which were identified from previous literature (e.g., privacy and psychological risks) and others emerged from the data (e.g., deceptive and misleading information). Results: The thematic analysis of interview transcripts identified nine perceived risk themes. Three themes were associated with the use of DSM in the general context, and six themes were related to the use of DSM in professional and education context. Conclusions: This study provided evidence to understand the risk factors of using DSM in dental education and the profession, but the magnitude of these risks on the uptake and usefulness of DSM needs to be assessed.

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University students’ understanding and perceptions of schizophrenia in the UK: a qualitative study

BMJ Open ◽

10.1136/bmjopen-2018-025813 ◽

2019 ◽

Vol 9 (4) ◽

pp. e025813

Author(s):

Charlotte Cadge ◽

Charlotte Connor ◽

Sheila Greenfield

Keyword(s):

Qualitative Study ◽

University Students ◽

Help Seeking ◽

Negative Symptoms ◽

Health Campaigns ◽

Structured Interviews ◽

African Caribbean ◽

Lay Understanding ◽

The Uk ◽

The University

ObjectiveTo explore lay understanding and perceptions of schizophrenia in university students.DesignQualitative study using semi-structured interviews and thematic analysis.SettingThe University of Birmingham, West Midlands.Participants20 UK home students of white British (n=5), Indian (n=5), Pakistani (n=5), African Caribbean (n=4) and dual white British and African Caribbean ethnicity (n=1).ResultsFindings revealed a lack of knowledge about schizophrenia, particularly the negative symptoms that were not mentioned. There were mixed ideas on the causes and sources of available help for schizophrenia; however, positively many said they would consult their general practitioner. While there was a general misconception among the students that schizophrenia caused multiple personalities and was a dangerous illness, there were some differences in perceptions and understanding between ethnic groups, with more Indian students perceiving upbringing as a causal factor in the development of the illness and more Pakistani students perceiving possession by a spirit as a cause.ConclusionsThe university students interviewed lacked knowledge about schizophrenia and stigma was widespread, both of which may delay help-seeking. Public health campaigns educating young people about schizophrenia are required to improve early identification and intervention and improve outcomes. Further research exploring ways to effectively tackle stigma is also required.

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A critical review of cardiac rehabilitation in a digital era

British Journal of Cardiac Nursing ◽

10.12968/bjca.2020.0142 ◽

2021 ◽

Vol 16 (8) ◽

pp. 1-9

Author(s):

Hazel Nikolov ◽

Julia Hubbard

Keyword(s):

Cardiac Rehabilitation ◽

Cardiac Event ◽

Social Economic ◽

Alternative Methods ◽

Face To Face ◽

Digital Era ◽

The Uk ◽

Economic Constraints ◽

Traditional Approaches

Cardiac rehabilitation improves the outcomes of individuals following a cardiac event; however, only 50% of those eligible for cardiac rehabilitation in the UK sign up to a traditional face-to-face programme. The principal causes cited for non-attendance include living in a rural area, work or career commitments, lack of choice in location, gender, ethnicity and social economic constraints, and dislike of group participation. Alternative methods of delivery could ensure greater participation in cardiac rehabilitation activities, particularly among women, who are underrepresented. Studies into digital cardiac rehabilitation reveal improved quality of life, dietary intake and increased physical activity all equal to or an improvement compared to traditional approaches. Embracing digital approaches to cardiac rehabilitation is now timely with COVID-19 requirements for social distancing.

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‘I was in control of it from the start’: A qualitative study of men’s experiences of positive adjustment following a heart attack

Journal of Health Psychology ◽

10.1177/1359105315627000 ◽

2016 ◽

Vol 22 (10) ◽

pp. 1345-1354

Author(s):

Fran Smith ◽

Elizabeth Banwell ◽

Roby Rakhit

Keyword(s):

Qualitative Study ◽

Cardiac Rehabilitation ◽

Coping Strategies ◽

Heart Attack ◽

Adaptive Coping ◽

Structured Interviews ◽

Cardiac Rehabilitation Programme ◽

Positive Adjustment ◽

Interpersonal Factors ◽

Controllable Factors

A qualitative design was used to explore the experience of positive adjustment following a heart attack. Ten men attending a cardiac rehabilitation programme completed in-depth semi-structured interviews. An overarching theme: ‘I was in control of it from the start’ emerged with six subthemes, relating to intrapersonal and interpersonal factors and processes. The subthemes reflected the importance of identifying controllable versus non-controllable factors and employing adaptive coping strategies.

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Knowledge Translation Improvement Strategies in Universities of Medical Sciences in Iran: A Qualitative Study

Ethiopian Journal of Health Sciences ◽

10.4314/ejhs.v31i1.15 ◽

2021 ◽

Vol 31 (1) ◽

Author(s):

Sogand Tourani ◽

Narges Rafiei ◽

Shahnaz Rimaz ◽

Seyed Kazem Malakouti ◽

Alireza Heidari

Keyword(s):

Qualitative Study ◽

Knowledge Translation ◽

Knowledge Production ◽

Data Organization ◽

Health Plans ◽

Medical Sciences ◽

Structured Interviews ◽

Framework Analysis ◽

Improvement Strategies

BACKGROUND፡ Recently, one of the challenges in the health system of the country is the need for research contributing to policy-making. Therefore, it is crucial to develop activities in the field of knowledge Translation (KT). This study aimed to propose KT improvement strategies in universities of medical sciences in Iran.METHODS: In this qualitative study, 18 semi-structured interviews were conducted with key informants from the medical universities in Iran during January-July 2018. The transcribed documents were analyzed using the Gale framework analysis approach. Data organization was carried out using MAXQDA version 10 software.RESULTS: According to framework analysis, six KT improvement strategies were identified including improving the abilities and skills of researchers, improving the processes and quality of knowledge production, revising policies and laws, mproving the prerequisites, culture-building, and promoting the, use of evidence.CONCLUSION: Given the challenges and strategies outlined in this study, it seems that the mechanism of KT and its effects on improving health plans for policymakers and researchers has not been elucidated yet. Therefore, considerable changes in prerequisites, knowledge production processes, academic procedures, policies and laws are necessary for implementing KT in universities of medical sciences in Iran.

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What motivates informal caregivers of people with dementia (PWD): a qualitative study

BMC Palliative Care ◽

10.1186/s12904-019-0491-9 ◽

2019 ◽

Vol 18 (1) ◽

Cited By ~ 1

Author(s):

Shakiba Zahed ◽

Maryam Emami ◽

Shahrzad Bazargan-Hejazi ◽

Ahmad Ali Eslami ◽

Majid Barekatain ◽

...

Keyword(s):

Social Media ◽

Quality Of Care ◽

Qualitative Study ◽

Motivating Factors ◽

Structured Interviews ◽

Thematic Content Analysis ◽

People With Dementia ◽

The Family ◽

Burden Of Caring

Abstract Background The burden of caring for People with Dementia (PWD) is heavy; identifying incentives that motivate them in providing care is essential in facilitating and optimizing care. This study aims to explore and describe these motivating factors. Methods We conducted this qualitative study between January 2016 and January 2017 in Isfahan, Iran. Data were extracted through in-depth, semi-structured interviews with 19 caregivers of PWD. These data were then examined through thematic content analysis. Results We identified four categories of psychological motives based on the caregivers’ feedback and experience. These include 1) Moral-based motives, 2) Religious, and spiritual motives; 3) Financial motives, and 4) Wicked motives. Conclusions Our results revealed several aspects of caregivers’ motives. They include moral, religious, and spiritual aspects; sharing housing accommodations, and the likelihood of inheriting a portion of the patient’s assets based on unspoken rules and informal arrangements in the family, and wicked and immoral aspects. These findings can inform future efforts in enhancing the experiences of caregivers of PWD, and subsequently, the quality of care these patients receive. It further suggests that family members, members of a religious and spiritual organization, as well as social media, could play important roles in setting the stage.

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Tiredness of Life in Older persons: A Qualitative Study on Nurses’ Experiences of Being Confronted With This Growing Phenomenon

The Gerontologist ◽

10.1093/geront/gnz088 ◽

2019 ◽

Vol 60 (4) ◽

pp. 735-744 ◽

Cited By ~ 1

Author(s):

Liesbeth Van Humbeeck ◽

Let Dillen ◽

Ruth Piers ◽

Nele Van Den Noortgate

Keyword(s):

Qualitative Study ◽

Nurse Managers ◽

Careful Consideration ◽

Behavioral Approach ◽

Constructivist Grounded Theory ◽

Older Individuals ◽

Structured Interviews ◽

Nurses Perceptions ◽

Design And Methods ◽

Purposive Sample

Abstract Background and Objectives With worldwide aging it is imperative to understand nurses’ perceptions of tiredness of life (ToL) and their ways of dealing with an increasingly common phenomenon. Most research on ToL relates to older individuals’ experiences. This study aimed to gain insight into nurses’ (a) perceptions of, (b) attitude(s) toward, and (c) ways of dealing with ToL in older patients. Research Design and Methods Qualitative study with elements of constructivist grounded theory. Data were collected by means of semi-structured interviews between February 2016 and June 2017 with a purposive sample of 25 nurses working in home care and nursing homes. Results A careful consideration indicative of an oscillation between 3 levels (e.g., behavioral, cognitive, and affective) is present. The confrontation with persons having ToL instigates a cognitive process of searching to understand the state a person is in, which on its turn ensues in an emotional balancing between courage and powerlessness and a behavioral approach of action or dialogue. Discussion and Implications Our findings indicate that nurses aim to provide good care, sensitive to the older person’s needs, but this process is not without ambiguity. This study provides nurse managers with valuable guidance to (a) support nursing staff in dealing with ToL, and (b) advance opportunities for emotionally sensitive care and (individual- and team-based) reflection. Finally, this study offers suggestions for education programs to incorporate ToL in curricula.

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Experiences of support from primary care and perceived needs of parents bereaved by suicide: a qualitative study

British Journal of General Practice ◽

10.3399/bjgp20x707849 ◽

2020 ◽

Vol 70 (691) ◽

pp. e102-e110 ◽

Cited By ~ 1

Author(s):

Verity Wainwright ◽

Lis Cordingley ◽

Carolyn A Chew-Graham ◽

Nav Kapur ◽

Jenny Shaw ◽

...

Keyword(s):

Primary Care ◽

General Practice ◽

Qualitative Study ◽

Support Needs ◽

Structured Interviews ◽

Perceived Needs ◽

The North ◽

Suicide Bereavement ◽

Additional Support ◽

The Uk

BackgroundPeople bereaved by suicide are a vulnerable group, also at risk of dying by suicide. The importance of postvention support (intervention after suicide) has recently been highlighted; however, little is known about the support needs of parents bereaved by suicide in the UK, and the role played by general practice.AimTo explore the perspectives, experiences, and support needs of parents bereaved by suicide.Design and settingThis was a qualitative study, with semi-structured interviews conducted between 2012 and 2014 in the north of England and the Midlands, with parents bereaved by their son or daughter’s suicide.MethodInterviews explored parents’ experiences of suicide bereavement following the death of their son or daughter, with a focus on their experiences of support from primary care. Interviews were analysed thematically using constant comparison.ResultsTwenty-three interviews were conducted. Three themes were identified from the data: the importance of not feeling alone; perceived barriers to accessing support; and the need for signposting for additional support. Some parents reported having experienced good support from their general practice; others described a number of barriers to accessing help, including triage processes. Primary care was considered to be an important avenue of support but GPs were often perceived as uncertain how to respond. The need for information, signposting to avenues of support, and the helpfulness of group support were also highlighted.ConclusionParents believed it was important that people working in general practice have an awareness of suicide bereavement and understanding of their needs, including knowledge of where to direct people for further support.

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Conceptualizing the ‘whole university’ approach: an international qualitative study

Health Promotion International ◽

10.1093/heapro/daz072 ◽

2019 ◽

Vol 35 (4) ◽

pp. 730-740 ◽

Cited By ~ 1

Author(s):

Mark Dooris ◽

Sue Powell ◽

Alan Farrier

Keyword(s):

Qualitative Study ◽

Mental Health Crisis ◽

Structured Interviews ◽

Single Issue ◽

Health Crisis ◽

Global Movement ◽

Health Promoting ◽

Vice Chancellors ◽

The Uk ◽

Health Promoting University

Abstract Focusing on the conceptualization of a whole university approach, this paper reports on an international qualitative study that explored vice-chancellors’ and network members’ understanding of and commitment to Health Promoting Universities, examined perspectives on leadership and investigated the Okanagan Charter’s potential to catalyse whole university leadership and change. A multi-method qualitative approach was used: semi-structured interviews and focus groups were conducted face-to-face with vice-chancellors (n = 12) and Health Promoting University co-ordinators who were members of the UK Healthy Universities Network (n = 8); telephone interviews were conducted with a mix of UK and non-UK Health Promoting University co-ordinators (n = 5) and two online questionnaires were distributed to non-UK network co-ordinators (n = 6) and non-UK Health Promoting University co-ordinators (n = 10). Through thematic analysis, a number of key themes emerged that build a new conceptualization of the whole university approach (see Figure 1): building a broad understanding and framing of health; developing a supportive ethos and culture; embedding health into the university and joining up areas of work; focusing on the whole population and facing challenges and seizing opportunities. The study elicited rich and wide-ranging views from multiple stakeholders from universities and networks across four continents, confirming Health Promoting Universities as a truly global movement. Looking ahead, there are clear opportunities and challenges. First, the media narrative of a student mental health ‘crisis’ has focused universities’ attention on ‘health’, but from a single issue ‘illness’ perspective. This risks detracting from the whole system Health Promoting Universities approach. Second, even with the Okanagan Charter inspiring individuals and universities, there are still major challenges in translating the rhetoric of whole system approaches into meaningful action within large, complex and culturally diverse organizations.

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Attitudes towards frailty assessment in clinical practice among psychiatrists in the UK

Working with Older People ◽

10.1108/wwop-09-2019-0023 ◽

2019 ◽

Vol 23 (4) ◽

pp. 185-194 ◽

Cited By ~ 1

Author(s):

Kanthee Anantapong ◽

Anthea Tinker

Keyword(s):

Clinical Practice ◽

Psychiatric Patients ◽

Frailty Index ◽

Mental Illnesses ◽

Care Plan ◽

Structured Interviews ◽

Negative Stereotypes ◽

Content Type ◽

The Uk

Purpose Although there is substantial evidence about the association between frailty and mental illnesses in older people, there is currently little evidence about how this is integrated into psychiatric clinical practice. The purpose of this paper is to explore the attitudes of a sample of psychiatrists in the UK about the concept and assessment of frailty in their clinical practice. Design/methodology/approach This research used a qualitative approach with semi-structured interviews. Interview schedules and transcripts were analysed using thematic analysis. NVivo software and an audit trail were used for the data analysis. Findings There were ten respondents (all psychiatrists) in this study. From the interviews, it appeared that some respondents were not be fully familiar with existing concepts of frailty. However, from their perspectives, frailty appeared to be multidimensional, reversible and for some could be enhanced by older people’s ability. Negative stereotypes of being frail could undermine the accessibility to appropriate assessment and care. Existing multidisciplinary assessments, with some adjustments to the particular needs of psychiatric patients, can be used to establish a frailty index. Originality/value The concept of frailty, especially those concerning its multidimensional and homeostatic nature, should be further examined to make it more applicable to psychiatric practice. Without much more effort, frailty could be assessed within current psychiatric practices. This could constitute a care plan tailored for frail people with a psychiatric illness, so as to improve the outcomes of their treatment and quality of life.

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