Challenges for nurses in caring for patients with acute encephalitis: lack of knowledge, time and rehabilitation

2022 ◽  
Vol 31 (1) ◽  
pp. 40-45
Author(s):  
Claire Gill ◽  
Mike Griffiths ◽  
Ava Easton ◽  
Tom Solomon
Keyword(s):  
Data Collection ◽  
Registered Nurses ◽  
Study Design ◽  
Teaching Hospital ◽  
City Centre ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Acute Encephalitis ◽  
Phenomenological Methodology ◽  
Qualitative Phenomenological

Aim: To explore the experiences of registered nurses providing care to adult patients affected by encephalitis, from admission into hospital through to discharge. Study design: A qualitative phenomenological methodology was used. Sample and setting: Eight registered nurses in a city centre teaching hospital. Methods: Data collection took place using in-depth, semi-structured interviews. Data were analysed and themes identified using framework analysis. Findings: Three key findings were identified: nurses felt that they lacked knowledge of encephalitis, lacked time to give these patients the care they needed, and they lacked access to rehabilitation for patients with encephalitis. Conclusion: This study provides the first evidence on nurses' experiences of providing care to patients affected by encephalitis. It has shown that they often lack the knowledge and time to give adequate support to patients. They also lack access to rehabilitation for these patients.

scholarly journals “You know, we can change the services to suit the circumstances of what is happening in the world”: a rapid case study of the COVID-19 response across city centre homelessness and health services in Edinburgh, Scotland

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Tessa Parkes ◽  
Hannah Carver ◽  
Wendy Masterton ◽  
Danilo Falzon ◽  
Joshua Dumbrell ◽  
...  
Keyword(s):  
Substance Use ◽  
Harm Reduction ◽  
Social Needs ◽  
City Centre ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Complex Needs ◽  
Health And Social Care ◽  
The Impact

Abstract Background The COVID-19 pandemic has necessitated unprecedented changes in the way that health, social, and housing services are delivered to individuals experiencing homelessness and problem substance use. Protecting those at high risk of infection/transmission, whilst addressing the multiple health and social needs of this group, is of utmost importance. This study aimed to document the impact of the COVID-19 pandemic on individuals who were experiencing homelessness in one city centre in Scotland, and how services adapted in response. Methods Semi-structured interviews were conducted with individuals with lived/living experience of homelessness (n = 10), staff within onethird sector service (n = 5), and external professionals (n = 5), during April-August 2020, using a rapid case study design. These were audio-recorded, fully transcribed, and analysed using Framework. Analysis was informed by inclusion health and equity-orientated approaches to meeting the needs of people with multiple and complex needs, and emerging literature on providing harm reduction in the context of COVID-19. Results Those with lived/living experience of homelessness and problem substance use faced a range of additional challenges during the pandemic. Mental health and use of substances were affected, influenced by social isolation and access to services. A range of supports were provided which flexed over the lockdown period, including housing, health and social care, substance use treatment, and harm reduction. As well as documenting the additional risks encountered, findings describe COVID-19 as a ‘path-breaking’ event that created opportunities to get evidence into action, increase partnership working and communication, to proactively address risks. Conclusions This rapid case study has described the significant impact of the COVID-19 pandemic on a group of people experiencing homelessness and problem substance use within one city centre in Scotland and provides a unique lens on service/professional responses. It concludes with lessons that can inform the international and ongoing response to this pandemic. It is vital to recognise the vision and leadership that has adapted organisational responses in order to reduce harms. We must learn from such successes that were motivated both by compassion and care for those vulnerable to harms and the desire to provide high-quality, evidence-based, harm reduction services.

scholarly journals Fishy Tales: Experiences of the Occupation of Keeping Fish as Pets

2009 ◽  
Vol 72 (8) ◽  
pp. 349-356 ◽  
Author(s):  
Janaya Langfield ◽  
Carole James
Keyword(s):  
Human Health ◽  
Pet Ownership ◽  
Structured Interviews ◽  
Health And Wellbeing ◽  
Phenomenological Methodology ◽  
Qualitative Phenomenological

Pet ownership is an occupation that has benefits for human health and wellbeing. However, research on pet ownership mainly addresses the benefits of interactive pets, such as dogs and cats. Some individuals are unable to participate in the occupation of interactive pet ownership and, therefore, may be deprived of the benefits that pets can bring to their lives. This research used a qualitative, phenomenological methodology to explore the ownership of fish as pets. Data were collected using in-depth semi-structured interviews and were analysed inductively. Nine participants were interviewed and the following themes were identified from the data collected: the reasons for owning fish as pets; the fish environment; caring for fish; and the benefits of owning fish as pets. It was discovered that pet fish ownership is a meaningful occupation that provides purpose and enjoyment in life. The findings of this study suggest that pet fish may be an alternative to interactive pets, and one that therapists can recommend to clients who wish to own a pet.

scholarly journals The Temporal World in Caregivers of Cancer Survivors: Intertextual Analysis of their Experiences about the Perception of Time Compared with Excerpts from the Book "Einstein's Dreams

2019 ◽  
Vol 1 (2) ◽  
pp. 7-18
Author(s):  
Rafael Vargas ◽  
Andrés Camargo
Keyword(s):  
Cancer Survivors ◽  
Time Perception ◽  
Cancer Diagnosis ◽  
Holistic Approach ◽  
Structured Interviews ◽  
Quality Of Patient Care ◽  
Phenomenological Methodology ◽  
Perception Of Time ◽  
Qualitative Phenomenological

Purpose: The perception of time and its measurements depend on subjective constructs that vary according to changes in health. The evidence has shown that cancer diagnosis induces new relationships with time in patients and caregivers. The purpose of this study was to propose a multifaceted view about time perception referred by caregivers of cancer survivors. Methods: This study used a qualitative phenomenological methodology including semi-structured interviews with caregivers of cancer survivors. Transcripts of the interviews were analyzed using an approach for intertextual analysis, taking as reference the book "Einstein's dreams". Results: The analysis of transcripts shows changes caregivers’ time perception. Participants were grouped into three essential moments related to each stage of the disease. The variations found in the perception of time in caregivers can be explained by common physiological and behavioral responses associated with the diagnosis of a chronic disease (i.e. stress, anxiety, fear, unhappiness, and sadness), which can be modified in the course of the disease. Conclusions: We propose that a holistic approach to patient and caregiver care should include management of time perception, thus establishing interventions that facilitate a change in the experience of time perception into a more pleasant experience after a cancer diagnosis. The above may result in increased quality of patient care and possibly increased quality of life of caregivers.

scholarly journals Nurses' experiences working with nursing students in a hospital: a phenomenological enquiry

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Yolanda Raquel Lapeña-Moñux ◽  
Luis Cibanal-Juan ◽  
Mª Isabel Orts-Cortés ◽  
Mª Loreto Maciá-Soler ◽  
Domingo Palacios-Ceña
Keyword(s):  
Clinical Practice ◽  
Nursing Students ◽  
Registered Nurses ◽  
Common Ground ◽  
Phenomenological Approach ◽  
Study Data ◽  
Clinical Settings ◽  
Structured Interviews ◽  
Qualitative Phenomenological ◽  
The University

Abstract Objective: this paper explores the experiences of registered nurses working with Spanish nursing students within the hospital. Methods: a qualitative phenomenological approach was followed. Purposeful sampling was employed. Twenty-one registered nurses, from a public hospital located in Spain, were included in the study. Data were collected by means of unstructured and semi-structured interviews and were analysed using Giorgi's proposal. The Consolidated Criteria for Reporting Qualitative Research were followed. Results: three main themes described the experience of registered nurses: "The nurse's relationship with nursing students"; most nurses emphasized the importance of the first contact with students and they considered students' attitude to be key. "Defining the role of the student in clinical practice"; it is necessary to unify the nurse's role and interventions to avoid misleading students and establish priorities in clinical practice. "Building bridges between clinical settings and the University"; the need to establish a common ground and connection between the university and hospital clinical settings was emphasized. Nurses felt that the training program should also be designed by the clinical settings themselves. Conclusions: understanding the meaning of nursing students with registered nurses might gain a deeper insight into their expectations.

scholarly journals Choice Under Uncertainty: The Settlement Decisions of Serbian Self-Initiated Expatriates in the United States

2019 ◽  
Vol 11 (1) ◽  
pp. 47-79
Author(s):  
Kristijan Civljak
Keyword(s):  
United States ◽  
Value Added ◽  
Well Being ◽  
The United States ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Social Service Agencies ◽  
Acculturation Orientation ◽  
Self Worth ◽  
Qualitative Phenomenological

Abstract Objective: This study explores the settlement decisions of Serbian self-initiated expatriates (SIEs) in the United States. Methodology: Using qualitative phenomenological inquiry, semi-structured interviews were conducted with 10 Serbian SIEs, and the data were analyzed through the framework analysis method. This explorative study focused on individual preferences and processes, social interactions, and socio-economic environment through the concepts of decision theory, acculturation orientation, and transnational attachment. Findings: Serbian SIEs were motivated to migrate to the United States for career opportunities, self-worth validation, departure from social norms placed by the Serbian society, and normal, happy lives. Their decisions to stay were deeply influenced by their family members, possible repatriation or further journey dependent on favorable opportunities at home, potential boredom with a current lifestyle, and intention to start a family. Serbian SIEs navigated the macro system based on knowledge gained through exploration and transnational networks. They chose the path of individualism and integration in terms of their acculturation orientation, which put them in balanced position for their own well-being. Serbian SIEs deliberately chose metropolitan areas, in which transnational attachments were fostered, and more opportunities arose. Value added: Living in a culturally plural society has become a reality, leading to acculturation among migrants. If policy makers, hiring organizations, social service agencies, immigration officials, and law enforcement agencies understand why people choose to permanently relocate, they can also provide appropriate and relevant help in their adjustment challenges. Recommendations: The research on migration and SIEs’ decisions shows strong evidence that it relates to economic and professional gain as well as social networks and family ties; however, economic and social factors are not the only ones influencing migration decisions. Studies that call for both person- and institutional level are needed for deeper understanding of migration and settlement decisions as parameters exploring the consequences of immigration, crucial for the development of the intercultural management field. This way, both micro- and macro-level aspects would be equally highlighted, while meso-level information would serve for providing the connection between the two.

Topik-Topik Komunikasi Dakwah Dalam Mesej Akidah Kepada Masyarakat Orang Asli di Selangor

Sains Insani ◽  
2018 ◽  
Vol 3 (2) ◽  
pp. 15-21
Author(s):  
Zulkefli Aini ◽  
Abdul Ghafar Don ◽  
Ahmad Irdha Mokhtar ◽  
Nur Uswah Ahmad Fauzi
Keyword(s):  
Qualitative Study ◽  
Study Design ◽  
Verbal Feedback ◽  
Structured Interviews ◽  
Orang Asli ◽  
Case Study Design ◽  
Beliefs And Practice ◽  
Islamic Faith ◽  
Selection Of

One of the factors that can affect a person's behavior is a communication message. In the context of the da`wah, preachers who involved actively in da`wah communication with the Orang Asli should be able to ensure that the message conveyed can be understood by the target group. In addition, the selection of the correct messages of da`wah based on the foremost priority simplify the process of sharing information between the preachers and the Orang Asli. Accordingly, this article aims to identify specific topics of Islamic faith (akidah) submitted by the Orang Asli in the process of da`wah communication and to identify verbal feedback given by the preachers to the Orang Asli of the topics. This qualitative study using case study design and data was collected through semi-structured interviews. Interviews involving nine preachers were active in da`wah activity to the Orang Asli community in Selangor. Data were analyzed thematically according to the specified objectives. The study found that the topics frequently raised by the Orang Asli is concerned about belief in Allah, belief in Malaikat, and belief in Qada' and Qadar. The topics may be found within the framework of worldview in their beliefs and practice of ancient traditions. Therefore, the preachers gave verbal feedback on these topics is based on a clear and precise sample corresponding to the level of their thinking. The emphasis on these topics is very important to strengthen and purify the faith of the community.Keywords: Communication; Message; Preacher; Indigenous community Abstrak: Elemen mesej dalam komunikasi merupakan salah satu faktor yang dapat memberi kesan terhadap perubahan tingkah laku seseorang. Dalam konteks dakwah, pendakwah yang terlibat dalam proses komunikasi dakwah dengan Orang Asli seharusnya berkebolehan memastikan kandungan mesej yang disampaikan boleh difahami oleh sasaran dakwahnya. Di samping itu, pemilihan mesej dakwah yang betul mengikut keutamaan memudahkan proses perkongsian maklumat antara pendakwah dengan Orang Asli. Sehubungan dengan itu, artikel ini bertujuan untuk mengenalpasti topik-topik tertentu dalam mesej akidah yang dikemukakan oleh masyarakat Orang Asli kepada pendakwah dan mengenalpasti maklum balas lisan yang diberikan oleh pendakwah kepada Orang Asli terhadap topik tersebut. Kajian kualitatif ini menggunakan reka bentuk kajian kes dengan pengumpulan data melalui temu bual separa struktur. Temu bual melibatkan sembilan orang pendakwah yang aktif dalam aktiviti dakwah masyarakat Orang Asli di Selangor. Data kajian dianalisis secara tematik mengikut objektif yang ditentukan. Kajian ini mendapati bahawa topik-topik yang sering dikemukan oleh Orang Asli kepada pendakwah dalam penyampaian mesej akidah ialah berkenaan tentang keimanan kepada Allah SWT, keimanan kepada malaikat, dan keimanan kepada qada’ dan qadar. Topik-topik berkenaan didapati berada dalam kerangka worldview kepercayaan dan amalan tradisi mereka. Sehubungan dengan itu, pendakwah memberikan maklum balas lisan terhadap topik-topik tersebut adalah berdasarkan keterangan yang jelas dan contoh yang tepat bersesuaian dengan tahap pemikiran mereka. Penekanan terhadap topik-topik tersebut merupakan perkara yang penting dalam rangka mengukuhkan dan memurnikan akidah masyarakat Orang Asli.Kata kunci: Komunikasi; Mesej; Pendakwah; Komuniti Orang Asli

Model Kaderisasi Anggota Partai Politik Islam dalam Membentuk Pemimpin Islami

2017 ◽  
Vol 2 (2) ◽  
pp. 103-114
Author(s):  
Muhammad Saiful Haq AlFaruqy ◽  
Ahmad Sarbini ◽  
Asep Iwan Setiawan
Keyword(s):  
Data Collection ◽  
Learning Process ◽  
Structured Interviews ◽  
The West ◽  
West Java ◽  
Qualitative Descriptive

Penelitian ini dilakukan untuk mengentahui tugas pokok Bidang Kaderisasi DPW PKS Jawa Barat, untuk mengetahui proses tahapan dan sistem model kaderisasi PKS yang marhalah (berjenjang), untuk mengetahui dan mendapatkan data dalam memebentuk kader pemimpin Islami Bidang Kaderisasi DPW PKS Jawa Barat. Metode yang digunakan dalam penelitian ini ialah deskrptif kualitatif dengan tekinik pengeumpulan data berupa wawancara terstrurktur, observasi, dan studi dokumentasi.. Hasil dari penelitian ini menunjukan bahwa model kaderisi dalam menciptakan pemimpin Islami melalui tahapan-tahapan pembinaan kader yang marhalah (berjenjang). Yaitu, Pertama, ta’lim proses pembelajaran yang mana bertujuan para kader diberikan kurikulum kaderisiasi partai. Kedua, Tandzhim yang mana setelah pembelajaran diharapkan para kader dapat mengasah dan mengimplementasikan hasil kurikulum kaderisasi. Ketiga, taqwin para kader harus dapat menginternalisasi ajaran Islam dalam partai maupun kehidupan berbangsa dan bernegara. This research was conducted to identify the main tasks of the West Java PKS DPW Cadre Field Division, to find out the stages and stages of the PKS cadre model model that is marhalah (tiered), to find out and obtain data in forming the Islamic leaders cadre of the West Java PKW DPW Cadre. The method used in this study is a qualitative descriptive with data collection techniques in the form of structured interviews, observations, and documentation studies. The results of this study indicate that the cadre model in creating Islamic leaders through the stages of training cadres who are marhalah (tiered). That is, First, ta'lim the learning process in which the cadres aim to be given a party cadre curriculum. Second, Tandzhim which after learning is expected that the cadres can hone and implement the results of the regeneration curriculum. Third, taqwin of cadres must be able to internalize the teachings of Islam in the party and the life of the nation and state.

scholarly journals The psychosocial response to a terrorist attack at Manchester Arena, 2017: a process evaluation

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Daniel Hind ◽  
Kate Allsopp ◽  
Prathiba Chitsabesan ◽  
Paul French
Keyword(s):  
Young People ◽  
Process Evaluation ◽  
Terrorist Attack ◽  
Health Sector ◽  
Routine Data ◽  
Recovery Phase ◽  
Normalisation Process Theory ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Response Phase

Abstract Background A 2017 terrorist attack in Manchester, UK, affected large numbers of adults and young people. During the response phase (first seven weeks), a multi-sector collaborative co-ordinated a decentralised response. In the subsequent recovery phase they implemented a centralised assertive outreach programme, ‘The Resilience Hub’, to screen and refer those affected. We present a process evaluation conducted after 1 year. Methods Case study, involving a logic modelling approach, aggregate routine data, and semi-structured interviews topic guides based on the Inter-Agency Collaboration Framework and May’s Normalisation Process Theory. Leaders from health, education and voluntary sectors (n = 21) and frontline Resilience Hub workers (n = 6) were sampled for maximum variation or theoretically, then consented and interviewed. Framework analysis of transcripts was undertaken by two researchers. Results Devolved government, a collaborative culture, and existing clinical networks meant that, in the response phase, a collaboration was quickly established between health and education. All but one leader evaluated the response positively, although they were not involved in pre-disaster statutory planning. However, despite overwhelming positive feedback there were clear difficulties. (1) Some voluntary sector colleagues felt that it took some time for them to be involved. (2) Other VCSE organisations were accused of inappropriate, harmful use of early intervention. (3) The health sector were accused of overlooking those below the threshold for clinical treatment. (4) There was a perception that there were barriers to information sharing across organisations, which was particularly evident in relation to attempts to outreach to first responders and other professionals who may have been affected by the incident. (5) Hub workers encountered barriers to referring people who live outside of Greater Manchester. After 1 year of the recovery phase, 877 children and young people and 2375 adults had completed screening via the Resilience Hub, 79% of whom lived outside Greater Manchester. Conclusions The psychosocial response to terrorist attacks and other contingencies should be planned and practiced before the event, including reviews of communications, protocols, data sharing procedures and workforce capacity. Further research is needed to understand how the health and voluntary sectors can best collaborate in the wake of future incidents.

scholarly journals Free to be: Experiences of arts-based relational caring in a community living and thriving with dementia

Dementia ◽  
2021 ◽  
pp. 147130122110270
Author(s):  
Christine Jonas-Simpson ◽  
Gail Mitchell ◽  
Sherry Dupuis ◽  
Lesley Donovan ◽  
Pia Kontos
Keyword(s):  
Ethic Of Care ◽  
Research Question ◽  
Creative Arts ◽  
Support Worker ◽  
Personal Support ◽  
Body Of Knowledge ◽  
The Arts ◽  
Van Manen ◽  
Phenomenological Methodology ◽  
Qualitative Phenomenological

Aim To present findings about experiences of relational caring at an arts-based academy for persons living with dementia. Background There is a compelling call and need for connection and relationships in communities living with dementia. This study shares what is possible when a creative arts-based academy for persons living with dementia grounded in relational inquiry and caring focuses on relationships through the medium of the arts. Design A qualitative phenomenological methodology (informed by van Manen) was used to answer the research question, “What is it like to experience relational caring at an arts-based academy for persons living with dementia?” We address two research objectives: (1) to explore how relationships are experienced when a relational caring philosophy underpins practice, including arts-based engagements; and (2) to understand the meaning of relationships that bring quality to day-to-day living. Methods Twenty-five participants were recruited from the Academy and interviewed in one-to-one in-depth interviews or small groups. Participants included five persons living with dementia, eight family members, four staff, five artists, one personal support worker, and two volunteers. Participants were asked to describe their experiences of relational caring or relationships in the Academy space. Findings Three thematic patterns emerged, which address the research objectives. Relational caring is experienced when: freedom and fluid engagement inspire a connected spontaneous liveliness; embracing difference invites discovery and generous inclusivity; and mutual affection brings forth trust and genuine expression. Conclusions Findings contribute to the growing body of knowledge about both relational caring and arts-based practices that call forth a different ethic of care—one that is relational, inclusive, and intentional. Findings also shed light on what is possible when a relational caring philosophy underpins arts-based practices—everyone thrives.

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