scholarly journals Communication with patients using negative wound pressure therapy and their adherence to treatment

2019 ◽  
Vol 28 (11) ◽  
pp. 738-756
Author(s):  
Christine J. Moffatt ◽  
Susie Murray ◽  
Aimee Aubeeluck ◽  
Isabelle Quere
Keyword(s):  
Health Professionals ◽  
Patient Adherence ◽  
Study Data ◽  
Adherence To Treatment ◽  
Structured Interviews ◽  
Pressure Therapy ◽  
Face To Face ◽  
Patient Health ◽  
Data Saturation ◽  
Ongoing Support

Objective: The purpose of this study was to explore the challenges of communication between patients and health professionals, and patient adherence to treatment for hard-to-heal wounds when using negative wound pressure therapy (NPWT). Methods: Face-to-face, semi-structured interviews were conducted with patients undergoing NPWT. Specific features of the NPWT device were the priority for discussion although other factors central to communication and adherence were also explored. Results: A total of 24 patients took part in the study. Data saturation was achieved during the analysis. Patients required ongoing support to understand complex and often protracted treatment and this was particularly important when specialist technology was used. A distinction was highlighted between those who decided not to adhere with therapy and those who did so unintentionally. Participants faced difficulties in their communications with health professionals and in ensuring their needs were listened to and addressed. Conclusion: Further research is needed to achieve a better understanding of this distinction and to evaluate interventions which can sustain adherence behaviours. Further exploration of how to establish concordant patient/health professional communications is warranted.

scholarly journals O enfermeiro e a questão da adesão do paciente ao tratamento da hipertensão arterial sistêmica [Nurses and patient adherence to treatment for systemic arterial hypertension] [El enfermero y la cuestión de la adhesión del paciente al tratamiento de la hipertensión arterial sistémica]

2019 ◽  
Vol 27 ◽  
pp. e37193
Author(s):  
Anna Luisa de Oliveira Salles ◽  
Carlos Eduardo Peres Sampaio ◽  
Leonardo Dos Santos Pereira ◽  
Nickson Scarpine Malheiros ◽  
Renan Araújo Gonçalves
Keyword(s):  
Arterial Hypertension ◽  
Rio De Janeiro ◽  
Patient Adherence ◽  
Family Health ◽  
Adherence To Treatment ◽  
Structured Interviews ◽  
Systemic Arterial Hypertension ◽  
Health Strategy ◽  
El Sistema ◽  
Family Health Strategy

Objetivo: identificar os recursos utilizados pelo enfermeiro da estratégia saúde da família (ESF) para estimular a adesão do paciente ao tratamento da Hipertensão Arterial Sistêmica. Método: abordagem qualitativa. O projeto foi aprovado por Comitê de Ética em Pesquisa. A coleta de dados ocorreu no período de abril a agosto de 2017, por meio de entrevista semiestruturada com 10 enfermeiros atuantes em unidades de ESF localizadas no Estado do Rio de Janeiro. Os depoimentos dos sujeitos foram submetidos à análise de conteúdo de Bardin. Resultados: os enfermeiros realizam consultas de enfermagem garantindo a adesão dos participantes em atividades educativas de grupo, como palestras e orientações de enfermagem. Conclusão: o sistema utilizado na adesão ao tratamento é similar entre as unidades de ESF mantendo um padrão preconizado pela literatura.ABSTRACTObjective: to identify the resources used by Family Health Strategy (FHS) nurses to encourage patient adherence to treatment for Systemic Arterial Hypertension. Method: qualitative approach. The project was approved by the research ethics committee. Data were collected between April and August 2017, through semi-structured interviews of 10 nurses working in FHS units in Rio de Janeiro state. The transcriptions underwent Bardin content analysis. Results: the nurses held nursing appointments thus fostering participants’ adherence in group educational activities, such as talks and nursing guidance sessions. Conclusion: the treatment adherence system used is similar among FHS units, maintaining a pattern recommended by the literature.RESUMENObjetivo: identificar los recursos utilizados por el enfermero de la estrategia de salud familiar (ESF) para estimular la adhesión del paciente al tratamiento de la hipertensión. Método: enfoque cualitativo. El proyecto fue aprobado por el Comité de Ética en Investigación. La recolección de datos ocurrió en el período entre abril y agosto de 2017, por medio de entrevista semiestructurada junto a 10 enfermeros que trabajan en unidades de ESF ubicadas en el estado de Río de Janeiro. Las declaraciones fueron sometidas al análisis de contenido de Bardin. Resultados: los enfermeros realizan consultas de enfermería garantizando la adhesión de los participantes en actividades educativas de grupo, como charlas y orientaciones de enfermería. Conclusión: el sistema utilizado en la adhesión al tratamiento es similar entre las unidades de ESF manteniendo un patrón preconizado por la literatura.

scholarly journals Causes of multidrug-resistant tuberculosis from the perspectives of health providers: challenges and strategies for adherence to treatment during the COVID-19 pandemic in Brazil

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ludmilla Leidianne Limirio Souza ◽  
Felipe Lima dos Santos ◽  
Juliane de Almeida Crispim ◽  
Regina Célia Fiorati ◽  
Sónia Dias ◽  
...  
Keyword(s):  
Health Professionals ◽  
Social Protection ◽  
Multidrug Resistant ◽  
Social Risk ◽  
Health Providers ◽  
Adherence To Treatment ◽  
Structured Interviews ◽  
Resistant Tuberculosis ◽  
Multidrug Resistant Tuberculosis ◽  
Mdr Tb

Abstract Background Multidrug-resistant tuberculosis (MDR-TB) is a serious phenomenon on a global scale that can worsen with the COVID-19 pandemic. The study aimed to understand the perceptions of health professionals about MDR-TB, their strategies to ensure adherence to treatment and their challenges in the context of the COVID-19 pandemic in a priority municipality for disease control. Methods We conducted a qualitative study and recruited 14 health providers (four doctors, three nurses, three nursing technicians, three nursing assistants and a social worker) working in a city in the state of São Paulo, Brazil. Remote semi-structured interviews were conducted with the participants. For data analysis, the thematic content analysis technique was applied according to the study’s theoretical framework. Results The study revealed the causes of MDR-TB are associated with poverty, vulnerability, and social risk. A pre-judgement from the providers was observed, namely, all patients do not adhere due their resistance and association with drug abuse or alcoholism. The study also observed difficulty among health providers in helping patients reconstruct and reframe their life projects under a care perspective, which would strengthen adherence. Other issues that weakened adherence were the cuts in social protection and the benefits really necessary to the patients and a challenge for the providers manage that. The participants revealed that their actions were impacted by the pandemic and insecurity and fear manifested by patients after acquiring COVID-19. For alleviating this, medical appointments by telephone, delivery of medicine in the homes of patients and visits by health professionals once per week were provided. Conclusion The study advances knowledge by highlighting the challenges faced by the health system with the adherence of patients with MDR-TB in a context aggravated by the pandemic. An improvement in DOT is really necessary to help the patients reframe their lives without prejudices, face their fears and insecurity, recover their self-esteem and motivate in concluding their treatment.

The sound of death rattle I: are relatives distressed by hearing this sound?

2006 ◽  
Vol 20 (3) ◽  
pp. 171-175 ◽  
Author(s):  
Bee L Wee ◽  
PG Coleman ◽  
R Hillier ◽  
SH Holgate
Keyword(s):  
Content Analysis ◽  
Therapeutic Intervention ◽  
Health Professionals ◽  
Terminal Care ◽  
Structured Interviews ◽  
Thematic Content Analysis ◽  
Face To Face ◽  
Dying Patients ◽  
Death Rattle ◽  
Impending Death

Background: Death rattle is the noisy, rattling breathing that occurs in many dying patients. Health professionals intervene because the sound is said to distress attendant relatives. We found no formal study to confirm or refute relatives’ distress, so we decided to ask the relatives. Method: Face-to-face semi-structured interviews with 27 bereaved relatives to investigate their experience of terminal care and what their response had been to the sound of death rattle if this had occurred. Interview transcripts were subjected to thematic content analysis. Results: We found that almost half of the 12 relatives who had heard the sound of death rattle had been distressed by it. The others were either neutral about the sound or found it a helpful signal of impending death. Conclusion: We confirmed that some relatives do find it distressing to hear the sound of death rattle. However, our expectation that relatives are universally disturbed by this sound was unfounded. There is no justification for a ‘blanket’ approach to therapeutic intervention when death rattle occurs. A better understanding is required of how relatives make sense of the sound of death rattle.

scholarly journals ADHERENCE TO TREATMENT OF YOUNG ADULTS LIVING WITH HIV/AIDS FROM THE PERSPECTIVE OF COMPLEX THINKING

2019 ◽  
Vol 28 ◽  
Author(s):  
Veridiana Tavares Costa ◽  
Betina Hörner Schlindwein Meirelles
Keyword(s):  
Young Adults ◽  
Health Professionals ◽  
Care Service ◽  
Comparative Method ◽  
Study Data ◽  
Theory Approach ◽  
Adherence To Treatment ◽  
Complex Thinking ◽  
Living With Hiv ◽  
Hiv Aids

ABSTRACT Objetive: to understand the adherence to treatment of young adults with HIV/AIDS treated in a specialized care service from the perspective of complex thinking. Method: a qualitative study, with the data grounded theory approach. Twelve young adults aged from 15 to 24 years old living with HIV/AIDS, nine health professionals and four mothers participated in the study. Data was obtained from interviews conducted between April and September 2016 and analyzed using the constant comparative method. Results: the adherence to treatment of young adults with HIV/AIDS has been understood as a dynamic, multifactorial and constantly changing phenomenon. This process involves multiple aspects, including fear of becoming ill, physical and social death, discrimination and stigma. It was found that even in the face of these difficulties, young adults decide to continue their treatment in search of normalization of health, a long and common life like other young people who do not live with HIV/AIDS. Conclusion: it was considered that in view of the complex and changing phenomenon, adherence to treatment of young adults with HIV/AIDS should be understood and managed by health professionals.

scholarly journals THE OCCURRENCE OF THE CARE 'OF US' IN THE MOVEMENTS AND FLUCTUATIONS OF THE INTERACTIVE PROCESSES IN THE HOSPITAL ENVIRONMENT

2016 ◽  
Vol 25 (1) ◽  
Author(s):  
Maria Aparecida Baggio ◽  
Alacoque Lorenzini Erdmann
Keyword(s):  
Health Professionals ◽  
Social Life ◽  
Health Workers ◽  
Study Data ◽  
University Hospital ◽  
Hospital Environment ◽  
Human Relations ◽  
Structured Interviews ◽  
Human Interactions ◽  
Human Care

This study's objective was to understand how nursing and health professionals experience and signify the relationships in the care "of us" process, using Grounded Theory as its method. A total of 25 nursing and health workers from a university hospital, distributed into four sample groups, participated in the study. Data were collected through semi-structured interviews in March-July 2011. The contextualization of the institution and management form the context. The movements of human relations/interactions and the professionals' health are causal conditions, while the advance of technology and decline of human care and social life are intervenient conditions. The processed human relations/interactions of care are the strategies that cause the care "of us" to take place in the procedural circularity of care and being-cared-for. The professionals construct the care "of us" in their practice, understood as relational and procedural, in the movements and fluctuations of processes of human interactions.

Iranian nurses’ perceptions of social responsibility

2013 ◽  
Vol 21 (3) ◽  
pp. 289-298 ◽  
Author(s):  
Mohsen Faseleh-Jahromi ◽  
Marzieh Moattari ◽  
Hamid Peyrovi
Keyword(s):  
Social Responsibility ◽  
Study Data ◽  
Theory Approach ◽  
Structured Interviews ◽  
Socially Responsible ◽  
Professional Performance ◽  
Data Saturation ◽  
Job Levels ◽  
Nurses Perceptions ◽  
Constant Comparative Analysis

Social responsibility is intertwined with nursing; however, perceptions of Iranian nurses about social responsibility has not been explored yet. This study, as part of a larger qualitative grounded theory approach study, aims to explore Iranian nurses’ perception of social responsibility. The study participants included 10 nurses with different job levels. The study data were generated through semi-structured interviews. The participants were selected through purposeful sampling approach, which was then followed by theoretical sampling until reaching the point of data saturation. All the interviews were recorded, transcribed, and analyzed through constant comparative analysis. Positive human characteristics, professional competencies, professional values, solution-focused nursing care, and deployment of professional performance are five categories obtained from the study. The participants believed socially responsible nurses to have positive personality characteristics as well as the necessary skills to do their duties accurately. Such nurses also respect the values, observe the professional principles, and take major steps toward promotion and deployment of the nursing profession in the society.

scholarly journals Blended Learning at the Faculty of Business in Al-Balqa Applied University

2020 ◽  
Vol 15 (10) ◽  
pp. 14
Author(s):  
Khalil Al-Hyari
Keyword(s):  
Blended Learning ◽  
Undergraduate Students ◽  
Learning Strategy ◽  
Study Data ◽  
Ease Of Use ◽  
Research Approach ◽  
Structured Interviews ◽  
Face To Face ◽  
Transferable Skills ◽  
E Learning

The purpose of this study is to explore student and lecturer views of blended learning which is based upon an undergraduate courses offered at the faculty of business at Al-Balqa Applied University, which applied the blended learning approach based on the use of face to face F2F, and e-learning. The study is based on the exploratory qualitative research approach, specifically designed to identify students and lecturers' perceptions towards blended learning process, content, and ease of use. The case study data were collected through structured interviews with 40 undergraduate students who were enrolled in different courses and from 10 lecturers from the faculty of business at Al-Balqa Applied University. In comparison to the traditional face-to-face (F2F) approach, both students and lecturers found the blended learning method more flexible and preferred it over F2F in many instances. The study concludes that in general, the lectures/students’ attitudes towards BL were positive in terms of the domain process, and content. Moreover, they believe that blended learning applications are, hardly, challenging to be applied sometimes. The study also presents that, in order for graduates to meet the challenges of entering the workforce of the 21st century, blended learning should be used as a new learning strategy. Findings of this study will be beneficial for policy makers to formulate appropriate and effective policy to assist the higher education institutions. Also this study is important for university students and lecturers, as it makes them very aware of the significance of blended learning and transferable skills in the workplace. This study provides fresh insights into the context of the benefits of blended learning in Middle East, particularly in Jordan. Moreover, the higher learning institution will be capable to determine the blended learning satisfaction level amongst students and lecturers.

scholarly journals Challenges of Scene Management in Traffic Collisions from the Perspective of Road Emergency Responders in East Azerbaijan, Iran, 2017

2020 ◽  
Author(s):  
Javad Babaie ◽  
Reyhaneh Mostafanejad ◽  
Ali Janati ◽  
Homayon Sadeghi Bazargan
Keyword(s):  
Emergency Services ◽  
Psychosocial Support ◽  
Study Data ◽  
Structured Interviews ◽  
Effective Response ◽  
Social Challenges ◽  
Emergency Responders ◽  
Scene Management ◽  
Data Saturation ◽  
East Azerbaijan

Abstract Background: Annually thousands of traffic collisions occur on the roads of Iran. The present study aimed to investigate the challenges of car crash Scene Management (SM) in East Azerbaijan, Iran.Methods: In this qualitative study, data were collected using in-depth semi-structured interviews with road accidents responders and analyzed using content analysis coding, and merging. Then, subcategories and themes were extracted from the integration of similar codes. The participants were selected using the purposive sampling method, and the interviews were continued until reaching data saturation.Results: Totally 20 participants were interviewed, out of which 167 challenges, 28 subcategories, and 9 themes were identified including: infrastructural problems, lack of preparedness, challenges of triage, deficiencies and limitations, management of special (hazardous) incidents, communication problems with the casualties, lack of coordination, lack of psychosocial support of responders, cultural and social challenges.Conclusion: Every road crash requires an immediate and effective response, but because this process is an inter-sectoral issue, it is faced with several challenges. The most important of them is the lack of coordination between different responders. Therefore, it is necessary to address these challenges by formulating a comprehensive plan, designating a lead organization, assigning a single phone number for requesting emergency services, eliminating deficiencies and shortcomings, training and empowerment of emergency staff and conducting participatory exercise.

scholarly journals User Experiences and Preferences Regarding an App for the Treatment of Urinary Incontinence in Adult Women: Qualitative Study

10.2196/17114 ◽  
2020 ◽  
Vol 8 (6) ◽  
pp. e17114 ◽  
Author(s):  
Nienke J Wessels ◽  
Lisa Hulshof ◽  
Anne M M Loohuis ◽  
Lisette van Gemert-Pijnen ◽  
Petra Jellema ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Qualitative Study ◽  
Mobile App ◽  
Adult Women ◽  
Adherence To Treatment ◽  
User Experiences ◽  
Face To Face ◽  
Semistructured Interviews ◽  
Data Saturation ◽  
The One

Background Although several apps are available to support the treatment of urinary incontinence (UI), little has been reported about the experiences and preferences of their users. Objective The objective of this study was to explore the experiences and preferences of women using a mobile app for the treatment of UI and to identify potential improvements to the app. We developed this app for three types of UI: stress UI, urgency UI, and mixed UI. Methods The participants in this qualitative study were women with self-reported stress UI, urgency UI, or mixed UI who used an app-based treatment to manage their condition for at least six weeks. Following the intervention, semistructured interviews were conducted to explore the participants’ experiences and preferences regarding the app. All interviews were audio-recorded, transcribed verbatim, and analyzed separately by two researchers. Results Data saturation was reached after interviewing 9 women (aged 32-68 years) with stress UI (n=1, 11%), urgency UI (n=3, 33%), or mixed UI (n=5, 56%). Accessibility, awareness, usability, and adherence emerged as the main themes. On the one hand, participants appreciated that the app increased their accessibility to care, preserved their privacy, increased their awareness of therapeutic options, was easy to use and useful, and supported treatment adherence. On the other hand, some participants reported that they wanted more contact with a care provider, and others reported that using the app increased their awareness of symptoms. Conclusions This qualitative study indicates that women appreciate app-based treatment for UI because it can lower barriers to treatment and increase both awareness and adherence to treatment. However, the app does not offer the ability of face-to-face contact and can lead to a greater focus on symptoms.

scholarly journals Home Medication Review by Hospital Tuanku Fauziah: Carers’ Perspectives

2021 ◽  
Vol 5 ◽  
pp. 24
Author(s):  
Wei Chern Ang ◽  
Jurisma Che Lah ◽  
Nursyafiqah Zulkepli ◽  
Nursyamimi Sukri ◽  
Amalina Rosedi
Keyword(s):  
Health Professionals ◽  
Healthcare Providers ◽  
Allied Health Professionals ◽  
Face To Face ◽  
Major Benefit ◽  
Home Medication ◽  
Data Saturation ◽  
Depth Interviews ◽  
Supplementary Issue ◽  
Thematic Data

Introduction: Home Medications Review (HMR) is a continuation of patient care from health facilities to their home to assess patients’ pharmacotherapy by a multidisciplinary team. Bedridden patients were the main group who received this service. To improve the provision of HMR, we need to understand carers’ viewpoints of the current service.Objectives: To explore the carers’ perspectives of HMR conducted by the medical outreach team (MOT) of Hospital Tuanku Fauziah. Methods: This is a qualitative study conducted among carers who were involved in the HMR programme for more than six months. Subjects were recruited by purposive sampling from August 2019 to December 2019. In-depth interviews were audio-recorded at patients’ homes until data saturation and transcribed verbatim. The transcripts then underwent thematic data analysis.Results: Nine carers were interviewed. All participants had a limited understanding of HMR since they were not properly counselled prior to admission to the programme. The convenience of not having to go to the hospital was perceived as the major benefit of the programme. Healthcare providers were welcomed during each visit. Recognising allied health professionals in the MOT possesses a problem for some carers. There was a concern about having to collect newly add-on medications from the hospital. Some participants suggested increasing the frequency of visits and hope for more financial aids.Conclusion: This study proved that carers’ understanding of HMR was generally poor. All carers were satisfied with the current HMR programme provided by the MOT. However, several aspects of our HMR need to be improved. Despite the COVID-19 situation that puts HMR onhold and telemedicine have been adapted, HMR is here to stay in the post-COVID-19 era. This is supported by studies conducted in the pre-COVID-19 era that HMR is more beneficial than telemedicine due to the personal touch of face-to-face encounters.International Journal of Human and Health Sciences Supplementary Issue: 2021 Page: S24

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