Public health nurses' experiences of supporting women to breastfeed in community settings in Ireland

2020 ◽  
Vol 8 (6) ◽  
pp. 240-246
Author(s):  
Sinead Dunne ◽  
Anne Fallon
Keyword(s):  
Public Health ◽  
Thematic Analysis ◽  
Public Health Nurses ◽  
Community Settings ◽  
Structured Interviews ◽  
Key Factor ◽  
Qualitative Descriptive ◽  
External Sources ◽  
Sources Of Support ◽  
Duration Of Breastfeeding

Support is identified as a key factor in the promotion and duration of breastfeeding. This descriptive qualitative study sought to explore public health nurses' experiences of supporting women to breastfeed in Irish community settings. Semi-structured interviews were conducted using a qualitative descriptive methodology. Braun and Clarke's six-phase thematic analysis was used to analyse the data. Following data analysis, three major themes emerged, which included: ‘To give them the best support’; ‘We need the help and support as well’; and ‘We've only a certain amount of time’. The findings reveal that public health nurses seek to provide the best support to breastfeeding women within the constraints of clinical practice. Although public health nurses perceive that they have internal and external sources of support, more is needed to enable them provide the best care for breastfeeding women in Ireland.

Healthcare and Terrorism: The Lebanese Experience

2021 ◽  
pp. 1-4
Author(s):  
Nooreddine Iskandar ◽  
Tatiana Rahbany ◽  
Ali Shokor
Keyword(s):  
Public Health ◽  
Qualitative Study ◽  
Thematic Analysis ◽  
Terrorist Attacks ◽  
Analysis Method ◽  
Structured Interviews ◽  
Security Issues ◽  
The Face ◽  
The Common ◽  
First Time

Abstract Background: Due to the common instability caused by political and security issues, Lebanese hospitals have experienced acts of terrorism multiple times. The most recent Beirut Explosion even forced several hospitals to cease operations for the first time in decades—but studies show the preparedness levels for such attacks in similar countries are low. Objective: The aim of this study is to explore the experience of Lebanese hospitals with terrorist attacks. Methods: This qualitative study used semi-structured interviews with various stakeholders to assess their experience with terrorist bombings. Data was analyzed using the thematic analysis method. Results: The researchers found that Lebanese hospitals vary greatly in their structures and procedures. Those differences are a function of 3 contextual factors: location, culture, and accreditation status. Hospitals found near ‘dangerous zones’ were more likely to be aware and to have better response to such events. A severe lack of communication, unity of command, and collaboration between stakeholders has made the process fragmented. Conclusion: The researchers recommend a larger role for the Ministry of Public Health (MOPH) in this process, and the creation of a platform where Lebanese organizations can share their experiences to improve preparedness and resilience of the Lebanese healthcare system in the face of terrorism.

scholarly journals The Experience of Self-conscious Emotions in Inflammatory Bowel Disease: A Thematic Analysis

2021 ◽  
Author(s):  
Noelle Robertson ◽  
Sarah Gunn ◽  
Rebecca Piper
Keyword(s):  
Inflammatory Bowel Disease ◽  
Thematic Analysis ◽  
Bowel Disease ◽  
Help Seeking ◽  
Future Research ◽  
Structured Interviews ◽  
Semantic Approach ◽  
Critical Realist ◽  
Key Factor ◽  
Inflammatory Bowel

AbstractFew studies have investigated emotional experiences in people living with inflammatory bowel disease (IBD). However, self-conscious emotions, including embarrassment and shame, are indicated as a key factor in delayed help-seeking for bowel symptoms, which can result in poorer health outcomes. This study aimed to explore experiences of self-conscious emotions among people with IBD. Fifteen participants were recruited from outpatient IBD clinics and patient groups, and engaged in semi-structured interviews about their experiences of IBD-related self-consciousness. Data were analysed using thematic analysis following an inductive, semantic approach and conducted from a critical realist position. The analysis generated two themes, each with three sub-themes, which captured self-conscious emotions in relation to experiences which threatened participants’ preferred identities. The first theme, ‘Lack of control’ encapsulated participants’ distress relating to fundamental alteration in self-perception, and their attempts to mitigate this. The second, ‘Lack of understanding’ captured distress associated with awareness of being unfairly judged by other people. Clinical implications are identified, including consideration of therapeutic approaches which target self-conscious emotions such as shame, and continued societal efforts to educate others about invisible disabilities such as IBD. Experiences which threatened participants’ identities were implicated in the generation of self-conscious emotions; these should be considered in work with clients with IBD. Future research should target further investigation of these constructs.

Information-sharing ethical dilemmas and decision-making for public health nurses in Japan

2014 ◽  
Vol 22 (5) ◽  
pp. 533-547 ◽  
Author(s):  
Chisato Suzuki ◽  
Katsumasa Ota ◽  
Masami Matsuda
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Information Sharing ◽  
Ethical Issues ◽  
Ethical Dilemmas ◽  
Daily Practice ◽  
Group Interview ◽  
Public Health Nurses ◽  
Consensus Method ◽  
Structured Interviews

Background: Information sharing is one of the most important means of public health nurses collaborating with other healthcare professionals and community members. There are complicated ethical issues in the process. Research objectives: To describe the ethical dilemmas associated with client information sharing that Japanese public health nurses experience in daily practice and to clarify their decision-making process to resolve these dilemmas. Research design: Data were collected using a three-phase consensus method consisting of semi-structured interviews, self-administered questionnaires and a group interview. Participants and research context: We surveyed administrative public health nurses in Shizuoka Prefecture, Japan. The semi-structured interviews were carried out with 12 administrative public health nurses, and the self-administered questionnaires were sent to all 899 administrative public health nurses. The group interview was carried out with eight administrative public health nurses. Ethical considerations: Ethical approval was granted by the ethics committee of the School of Health Sciences, Nagoya University, Japan (8-158, 9-130). Findings: Information-sharing ethical dilemmas occurred most often when clients’ decisions did not coincide with the nurses’ own professional assessments, particularly when they faced clinical issues that were inherently ambiguous. In their decision-making processes, nurses prioritised ‘protection of health and life’. Discussion: These findings suggest that, above all, they sought to address urgent risks to clients’ lives while upholding the principle of client autonomy as much as possible. In such cases, the nurses made decisions regarding whether to share information about the client depending on the individual situation. Conclusion: Public health nurses should protect the client’s health while taking into consideration their relationship with the client.

scholarly journals Comparison of Two Evacuation Shelter Operating Policies and the Role of Public Health Nurses after the Great East Japan Earthquake: A Qualitative Study

2020 ◽  
Vol 17 (22) ◽  
pp. 8310
Author(s):  
Hiroko Mori ◽  
Shuichi P. Obuchi ◽  
Yasuhiro Sugawara ◽  
Takeo Nakayama ◽  
Ryutaro Takahashi
Keyword(s):  
Public Health ◽  
Great East Japan Earthquake ◽  
Constructivist Grounded Theory ◽  
Public Health Nurses ◽  
Theory Approach ◽  
Personal Factors ◽  
Structured Interviews ◽  
Small Organizations ◽  
Emergency Situations

This study describes shelter operations by public health nurses (PHNs) in Kesennuma City, located near the epicenter of the Great East Japan Earthquake, which occurred on March 11, 2011. The data were semi-structured interviews with 10 PHNs, 2 nutritionists, and 2 general administrators conducted from July 2013 to January 2014. All transcripts were analyzed using the constructivist grounded theory approach. We identified two operating methods for shelters: shelters stationed by PHNs in the Old City, and shelters patrolled by PHNs in the merged district. These methods were compared using four themes. In emergency situations, “operational periods,” a predetermined short term for a leader to perform his/her duties responsibly, could be adopted for relatively small organizations on the frontline. PHNs must not only attempt to operate shelters on their own but also encourage residents to manage the shelters as well. Moreover, human resource allocation should be managed independently of personal factors, as strong relationships between shelter residents would sometimes disturb the flexibility of the response. Even when a situation requires PHNs to stay in shelters, frequent collecting of information and updating the plan according to response progress will help to maintain effective shelter operations.

scholarly journals Culturally Sensitive Disaster Nursing Focusing on Pacific Rim Island Countries: First Report on Japanese Public Health Nurses

2019 ◽  
Vol 34 (s1) ◽  
pp. s114-s114
Author(s):  
Miki Marutani ◽  
Nahoko Harada ◽  
Mihoko Uebayashi ◽  
Yukiko Anzai ◽  
Kanae Takase ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care Providers ◽  
Culturally Sensitive ◽  
Pacific Rim ◽  
Public Health Nurses ◽  
Local Context ◽  
Care Providers ◽  
Structured Interviews ◽  
First Report ◽  
Disaster Victims

Introduction:Providing culturally sensitive disaster nursing is essential to enhance survivors’ resilience, especially in Pacific Rim island countries, which are home to 80% of the disaster victims of the world. Until now, most studies have focused on immigrant culture or language, and few have explored the idea of disaster nursing adjusted to the affected area’s culture.Aim:The study explores public health nurses’ (PHNs) tacit knowledge regarding culturally sensitive disaster nursing focusing on the Pacific Rim island countries. This first report is the result of the study that clarified how Japanese PHNs, as relief nurses, considered the local culture to provide care to survivors in Japan.Methods:Study participants were nine PHNs from seven prefectures, who provided care to survivors of natural disasters that occurred in 2011–2017 in Japan. Semi-structured interviews were conducted with questions such as, “Which culture did you consider while providing care to survivors in each disaster phase?” Data were analyzed qualitatively and inductively and were sorted according to the four disaster phases. The study was approved by the ethical committee at the National Institution of Public Health.Results:In the acute phase, PHNs utilized close relationships between local residents and health care providers to collect information. They balanced local habits and the prevention of secondary health damage in the subacute phase; for example, balancing sanitation habits and prevention of contaminations. Additionally, they, as strangers to the community, played a role in alleviating tensions between residents under stress. During the recovery phase, they strengthened survivors’ attachment to the area.Discussion:PHNs dispatched from the outside of the affected areas must be culturally malleable to adjust their practice to the local context. Being strangers in an affected area can be advantageous if they utilize their position effectively.

scholarly journals Japanese public health nurses’ culturally sensitive disaster nursing for small island communities

2020 ◽  
Vol 15 (2) ◽  
pp. 371-386
Author(s):  
Miki Marutani ◽  
Shimpei Kodama ◽  
Nahoko Harada
Keyword(s):  
Public Health ◽  
Acute Phase ◽  
Cultural Influences ◽  
Recovery Process ◽  
Culturally Sensitive ◽  
Public Health Nurses ◽  
Small Island ◽  
Structured Interviews ◽  
Cultural Elements ◽  
Island Communities

Objective: To clarify the tacit knowledge of Japanese public-health nurses who administer culturally sensitive disaster nursing for small island communities. Design: Qualitative and inductive study. Sample: Eleven public-health nurses who provided disaster aid on one of six affected islands. Measurements: Semi-structured interviews, with qualitative analysis of data. Nursing actions that were based on consideration for islanders’ culture were categorized in terms of similarity. Results: Categories of culturally sensitive disaster nursing were identified for each disaster phase of the recovery process. These included confirming islanders’ safety and using existing interpersonal bonds to notify others (acute phase); assisting shelter management by facilitating the application of local rules and bonds (semi-acute phase); compensating for weakened neighbour-based relationships through public services (mid-term phase); and supporting the completion of necessary procedures by utilizing/adjusting islanders’ existing relationships with local government personnel (long-term phase). Cultural elements included interpersonal bonds and relationship, which emerged across phases. Conclusion: Public-health nurses should utilize culture not only to comfort islanders, but also to strengthen their sense of coherence and resilience as islander. They should also remember the nursing principle of compensating for a lack of self-care. To provide effective aid, the changes in cultural influences with recovery phases should be considered.

scholarly journals “Becoming an independent feeder”: infant’s transition in solid food introduction through baby-led weaning

2020 ◽  
Vol 14 (S13) ◽  
Author(s):  
Ayu Fitria Utami ◽  
Dessie Wanda ◽  
Happy Hayati ◽  
Cathrine Fowler
Keyword(s):  
Thematic Analysis ◽  
Growth And Development ◽  
Complementary Feeding ◽  
Solid Food ◽  
Structured Interviews ◽  
Complementary Foods ◽  
Qualitative Descriptive ◽  
Solid Food Introduction ◽  
Descriptive Approach

Abstract Background Baby-led weaning (BLW), a method for introducing complementary foods, has become popular because it is considered beneficial for infants. Methods This study investigated the experiences of mothers when using BLW in Jakarta, Indonesia using a qualitative descriptive approach. Thirteen mothers participated who had introduced complementary feeding using BLW for a minimum of 6 months. Semi-structured interviews and thematic analysis was used to work with the data. Results Three themes were identified: avoiding being a ‘picky’ eater; infants gagging and choking; and becoming independent feeders. Conclusion Further research related to the growth and development of baby-led weaning infants in Indonesia is recommended.

scholarly journals “AI’s gonna have an impact on everything in society, so it has to have an impact on public health”: a fundamental qualitative descriptive study of the implications of artificial intelligence for public health

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jason D. Morgenstern ◽  
Laura C. Rosella ◽  
Mark J. Daley ◽  
Vivek Goel ◽  
Holger J. Schünemann ◽  
...  
Keyword(s):  
Public Health ◽  
Artificial Intelligence ◽  
Disease Surveillance ◽  
Public Health Practice ◽  
Descriptive Study ◽  
Quality Data ◽  
Health Practice ◽  
Structured Interviews ◽  
Qualitative Descriptive ◽  
Research And Education

Abstract Background Our objective was to determine the impacts of artificial intelligence (AI) on public health practice. Methods We used a fundamental qualitative descriptive study design, enrolling 15 experts in public health and AI from June 2018 until July 2019 who worked in North America and Asia. We conducted in-depth semi-structured interviews, iteratively coded the resulting transcripts, and analyzed the results thematically. Results We developed 137 codes, from which nine themes emerged. The themes included opportunities such as leveraging big data and improving interventions; barriers to adoption such as confusion regarding AI’s applicability, limited capacity, and poor data quality; and risks such as propagation of bias, exacerbation of inequity, hype, and poor regulation. Conclusions Experts are cautiously optimistic about AI’s impacts on public health practice, particularly for improving disease surveillance. However, they perceived substantial barriers, such as a lack of available expertise, and risks, including inadequate regulation. Therefore, investment and research into AI for public health practice would likely be beneficial. However, increased access to high-quality data, research and education regarding the limitations of AI, and development of rigorous regulation are necessary to realize these benefits.

scholarly journals The Experiences of People with Diabetes during COVID-19 Pandemic Lockdown

2021 ◽  
Vol 19 (1) ◽  
pp. 340
Author(s):  
Modi Al-Moteri ◽  
Virginia Plummer ◽  
Hanan A. M. Youssef ◽  
Ruba W. H. Yaseen ◽  
Mohammed Al Malki ◽  
...  
Keyword(s):  
Risk Perception ◽  
Thematic Analysis ◽  
Behavioral Change ◽  
Theoretical Foundation ◽  
Skill Development ◽  
Self Care ◽  
Effective Communication ◽  
Structured Interviews ◽  
Qualitative Descriptive

Little is known about the theoretical foundation underling the response of people with diabetes managing their everyday routines during COVID-19 pandemic lockdown. Aim: To explore the experience of people with diabetes during COVID-19 pandemic lockdown in light of the risk perception, response and behavioral change theories. Method: A qualitative descriptive design was employed, and Braun and Clark’s six step analysis were used for thematic analysis. Semi-structured interviews were conducted online using Zoom Videos Communication. Result: Five themes were defined as follows: (1) perceived the threat and faced their fears, (2) appraised the damage, (3) identified the challenges, (4) modified their routine, and (5) identified the strengths that facilitate the efficacy of their response. There were eight sub-themes within the themes. Conclusion: The results of this study may provide an opportunity for nurses to reflect on issues highlighted by the patients regarding more effective communication, knowledge and skill development for people to support self-care during national emergencies.

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