scholarly journals Devoted work without limits? Activities and premises of home visit work at the margins of community care

2020 ◽  
Author(s):  
Kirsi Juhila ◽  
Cecilia Hansen Löfstrand ◽  
Suvi Raitakari
Keyword(s):  
Mental Health ◽  
Substance Abuse ◽  
Focus Group ◽  
Home Visit ◽  
Community Care ◽  
Home Visits ◽  
Focus Group Interviews ◽  
Two Stage ◽  
Complex Needs ◽  
Group Interviews

Community care provided through home visits is an increasingly common way to respond to adult citizens’ complex needs due to, for example, mental health and substance abuse problems. This study explores the activities and core premises that this work entails. The data contain six focus group interviews with practitioners in five service settings in Finland and Sweden at the margins of community care. Through a two-stage coding process, 11 activities and three premises – situationality, boundlessness and empathy – were identified. The findings show that home visit work at the margins of community care is comprehensive and flexible, requiring reflexivity.

scholarly journals Different forms of informal coercion in psychiatry – a qualitative study

2019 ◽  
Author(s):  
Veikko Pelto-Piri ◽  
Lars Kjellin ◽  
Ulrika Hylén ◽  
Emanuele Valenti ◽  
Stefan Priebe
Keyword(s):  
Mental Health ◽  
Content Analysis ◽  
Focus Group ◽  
Qualitative Study ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Qualitative Content Analysis ◽  
Focus Group Interviews ◽  
Informal Coercion ◽  
Group Interviews

Abstract Objectives The objective of the study was to investigate how mental health professionals describe and reflect upon different forms of informal coercion. Results In a deductive qualitative content analysis of focus group interviews, several examples of persuasion, interpersonal leverage, inducements, and threats were found. Persuasion was sometimes described as being more like a negotiation. Some participants worried about that the use of interpersonal leverage and inducements risked to pass into blackmail in some situations. In a following inductive analysis, three more categories of informal coercion was found: cheating, using a disciplinary style and referring to rules and routines. Participants also described situations of coercion from other stakeholders: relatives and other authorities than psychiatry. The results indicate that informal coercion includes forms that are not obviously arranged in a hierarchy, and that its use is complex with a variety of pathways between different forms before treatment is accepted by the patient or compulsion is imposed.

Reflecting on one's own death: The existential questions that nurses face during end-of-life care

2016 ◽  
Vol 15 (2) ◽  
pp. 158-167 ◽  
Author(s):  
Margareta Karlsson ◽  
Anne Kasén ◽  
Carola Wärnå-Furu
Keyword(s):  
Focus Group ◽  
Registered Nurses ◽  
End Of Life ◽  
End Of Life Care ◽  
Community Care ◽  
Life Care ◽  
Human Beings ◽  
Focus Group Interviews ◽  
Care Experience ◽  
Group Interviews

AbstractObjective:When registered nurses care for patients at the end of life, they are often confronted with different issues related to suffering, dying, and death whether working in hospital or community care. Serious existential questions that challenge nurses’ identities as human beings can arise as a result of these situations. The aim of our study was to describe and gain a deeper understanding of nurses’ existential questions when caring for dying patients.Method:Focus-group interviews with registered nurses who shared similar experiences and backgrounds about experiences in end-of-life care were employed to gain a deeper understanding about this sensitive subject. Focus-group interviews were performed in hospice care, in community care, and in a palliative care unit in western Sweden. A qualitative hermeneutic approach was employed to interpret the data.Results:Nurses’ existential questions balanced between responsibility and guilt in relation to their patients, between fear and courage in relation to being professional caregivers and fellow human beings, and between hope and despair in relation to the other's and their own death.Significance of results:Nurses in end-of-life care experience various emotions from patients related to things physical, spatial, and temporal. When nurses encounter these emotions as expressing a patient's suffering, they lead to challenges of balancing between different feelings in relation to patients, as both professional caregivers and fellow human beings. Nurses can experience growth both professionally and as human beings when caring for patients at the end of life.

scholarly journals Changing media representations of mental health

1997 ◽  
Vol 21 (3) ◽  
pp. 171-172 ◽  
Author(s):  
G. Philo
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Content Analysis ◽  
Focus Group ◽  
Media Coverage ◽  
Media Representations ◽  
Focus Group Interviews ◽  
Public Beliefs ◽  
Major Study ◽  
Group Interviews

The Glasgow Media Group has published the first major study in this country on media coverage of mental health (Philo, 1996). This research examines both the content of press, television and films and how these relate to public beliefs about mental illness. It involved an extensive content analysis plus a series of focus group interviews. The results show clearly that ill-informed beliefs on, for example, the association of schizophrenia with violence can be traced directly to media accounts.

scholarly journals Different forms of informal coercion in psychiatry – a qualitative study

2019 ◽  
Author(s):  
Veikko Pelto-Piri ◽  
Lars Kjellin ◽  
Ulrika Hylén ◽  
Emanuele Valenti ◽  
Stefan Priebe
Keyword(s):  
Mental Health ◽  
Content Analysis ◽  
Focus Group ◽  
Qualitative Study ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Qualitative Content Analysis ◽  
Focus Group Interviews ◽  
Informal Coercion ◽  
Group Interviews

Abstract Objectives The objective of the study was to investigate how mental health professionals describe and reflect upon different forms of informal coercion. Results In a deductive qualitative content analysis of focus group interviews, several examples of persuasion, interpersonal leverage, inducements, and threats were found. Persuasion was sometimes described as being more like a negotiation. Some participants worried about that the use of interpersonal leverage and inducements risked to pass into blackmail in some situations. In a following inductive analysis, three more categories of informal coercion was found: cheating, using a disciplinary style and referring to rules and routines. Participants also described situations of coercion from other stakeholders: relatives and other authorities than psychiatry. The results indicate that informal coercion includes forms that are not obviously arranged in a hierarchy, and that its use is complex with a variety of pathways between different forms before treatment is accepted by the patient or compulsion is imposed.

scholarly journals Different forms of informal coercion in psychiatry: a qualitative study

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Veikko Pelto-Piri ◽  
Lars Kjellin ◽  
Ulrika Hylén ◽  
Emanuele Valenti ◽  
Stefan Priebe
Keyword(s):  
Mental Health ◽  
Content Analysis ◽  
Focus Group ◽  
Qualitative Study ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Qualitative Content Analysis ◽  
Focus Group Interviews ◽  
Informal Coercion ◽  
Group Interviews

Abstract Objectives The objective of the study was to investigate how mental health professionals describe and reflect upon different forms of informal coercion. Results In a deductive qualitative content analysis of focus group interviews, several examples of persuasion, interpersonal leverage, inducements, and threats were found. Persuasion was sometimes described as being more like a negotiation. Some participants worried about that the use of interpersonal leverage and inducements risked to pass into blackmail in some situations. In a following inductive analysis, three more categories of informal coercion was found: cheating, using a disciplinary style and referring to rules and routines. Participants also described situations of coercion from other stakeholders: relatives and other authorities than psychiatry. The results indicate that informal coercion includes forms that are not obviously arranged in a hierarchy, and that its use is complex with a variety of pathways between different forms before treatment is accepted by the patient or compulsion is imposed.

scholarly journals Health Professionals’ Experiences with Treatment Engagement Among Immigrants with Co-occurring Substance Use- and Mental Health Disorders in Norway

2021 ◽  
Vol 15 ◽  
pp. 117822182110286
Author(s):  
Prabhjot Kour ◽  
Lars Lien ◽  
Bernadette Kumar ◽  
Ole Martin Nordaunet ◽  
Stian Biong ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Focus Group ◽  
Health Professionals ◽  
Treatment Engagement ◽  
Mental Health Disorders ◽  
Focus Group Interviews ◽  
Addiction Services ◽  
Health Disorders ◽  
Group Interviews

Immigrants face barriers in seeking and accessing mental health and addiction services. Health professionals are crucial in providing and promoting healthcare and it is important to understand their experiences in order to enhance the access of mental healthcare. The aim of this paper is to explore and describe health professionals’ experiences with treatment engagement among immigrants with co-occurring substance use disorders (SUD) and mental health disorders (MHD) in Norwegian mental health and addiction services. Within a collaborative approach, 3 focus group interviews were conducted with health professionals, who had provided various mental health and addiction care services to immigrants with co-occurring SUD and MHD. The focus group interviews were transcribed verbatim and analyzed using systematic text condensation. The analysis resulted in 5 main categories: (1) difficulties due to language barriers, (2) difficulties due to lack of culturally competent services, (3) difficulties due to social factors, (4) being curious and flexible improves the user-provider relationship, and (5) increasing access to mental health and addiction services. This study provides an enhanced understanding of how health professionals’ experienced treatment engagement among immigrants with co-occurring SUD and MHD in the Norwegian context. Implications of the findings for clinical practice and future research are discussed.

scholarly journals Recovery on the Pitch: Street Football as a Means of Social Inclusion

2020 ◽  
Vol 7 (3) ◽  
pp. 231-242
Author(s):  
Esther Ogundipe ◽  
Marit Borg ◽  
Tommy Thompson ◽  
Tor Knutsen ◽  
Cathrine Johansen ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Abuse ◽  
Content Analysis ◽  
Social Inclusion ◽  
Focus Group Interviews ◽  
Policy Makers ◽  
Thematic Content Analysis ◽  
Football Team ◽  
Group Interviews

AbstractThe study contributes to the existing literature on the value of street football teams in recovery, by exploring how persons with mental health and/or substance abuse problems experience participation in street football teams. In total, 51 persons experiencing mental health and/or substance abuse challenges who played in street football teams, in Norway, participated in focus group interviews. The interviews were recorded and transcribed verbatim. Data were analyzed using thematic content analysis, and resulted in three major themes: (1) The spirit of the football team, (2) More than just a pitch, and (3) The country’s best follow-up system. Overall, our findings highlighted the importance of community and communal efforts through acts of citizenship, in facilitating and promoting social inclusion for persons in challenging life situations. Street football is one measure than can be helpful in this context. Communities, policy makers and funders need to acknowledge and gain more insight and understanding of the value that street football teams represent. There is also a need for further studies exploring what contributes to community in our highly individualistic society.

scholarly journals Health Care Personnel’s Perspective on Potential Electronic Health Interventions to Prevent Hospitalizations for Older Persons Receiving Community Care: Qualitative Study

10.2196/12797 ◽  
2020 ◽  
Vol 22 (1) ◽  
pp. e12797
Author(s):  
Martha Therese Gjestsen ◽  
Siri Wiig ◽  
Ingelin Testad
Keyword(s):  
Health Care ◽  
Focus Group ◽  
Older Persons ◽  
Community Care ◽  
Health Care Personnel ◽  
Focus Group Interviews ◽  
Individual Interviews ◽  
Patient Groups ◽  
Electronic Health ◽  
Group Interviews

Background The use of electronic health (eHealth) interventions is suggested to help monitor and treat degenerative and chronic diseases through the use of sensors, alarms, and reminders and can potentially prevent hospitalizations for home-dwelling older persons receiving community care. It is increasingly recognized that the health care personnel’s acceptance of a technological application remains a key challenge in adopting an intervention, thus interventions must be perceived to be useful and fit for purpose by the actual users. Objective The aim of this study was to identify and explore the perspectives of managers and health care personnel in community care regarding the use of eHealth interventions in terms of prevention of hospitalizations for home-dwelling older persons receiving community care. Methods A case study with a qualitative approach was carried out in community care in a Norwegian municipality, comprising individual interviews and focus group interviews. A total of 5 individual interviews and 2 focus group interviews (n=12) were undertaken to provide the health care personnel’s and managers’ perspective regarding the use of eHealth interventions, which could potentially prevent hospitalizations for home-dwelling older persons receiving community care. Data were analyzed by way of systematic text condensation, as described by Malterud. Results The data analysis of focus group interviews and individual interviews resulted in 2 categories: potential technological applications and potential patient groups. Discussions in the focus groups generated several suggestions and wishes related to technical applications that they could make use of in their day-to-day practice. The health care personnel warranted tools and measures to enhance and document their clinical observations in contact with patients. They also identified patient groups, such as patients with chronic obstructive pulmonary disease or dehydration or urinary tract infections, for whom hospitalizations could potentially have been prevented. Conclusions We have shown that the health care personnel in community care warrant various technological applications that have the potential to improve quality of care and resource utilization in the studied municipality. We have identified needs and important matters in practice, which are paramount for acceptance and adoption of an intervention in community care.

Disaster Healthcare Workers’ Experience of Using the Psychological First Aid Mobile App During Disaster Simulation Training

2021 ◽  
pp. 1-7
Author(s):  
Yun-Jung Choi ◽  
Hae-Sun Jung ◽  
Eun-Ju Choi ◽  
Eunjung Ko
Keyword(s):  
Mental Health ◽  
Focus Group ◽  
Healthcare Workers ◽  
Simulation Training ◽  
Disaster Relief ◽  
First Aid ◽  
Mobile App ◽  
Focus Group Interviews ◽  
Psychological First Aid ◽  
Group Interviews

Abstract Objective: The study aimed to examine the experience of disaster healthcare workers with simulation training using the Psychological First Aid (PFA) mobile app. Methods: This study was designed using qualitative research methodology with focus group interviews. The participants were 19 disaster healthcare workers from community mental health service centers who attended disaster simulation training in flood, fire, or leakage of hazardous chemicals. Before the simulation, participants were provided the PFA mobile app and allowed to practice the PFA techniques to apply them during the simulation. Data were collected through focus group interviews and qualitatively analyzed using the content analysis method. Results: The findings were divided into 6 categories: experience in realistic disaster situations, satisfaction with education methods using a mobile app, effectiveness of the PFA app in disaster relief, confidence in disaster relief by integrating experience and knowledge of the PFA app, self-reflection as a disaster healthcare worker, and identifying limitations and making developmental suggestions. Conclusions: Based on the participants’ developmental proposals in this study, the disaster simulation training, incorporating improvements in the disaster simulation training and the PFA app features, will serve as a new framework for disaster support education and systematic mental health services to survivors by disaster healthcare workers.

scholarly journals Health Care Personnel’s Perspective on Potential Electronic Health Interventions to Prevent Hospitalizations for Older Persons Receiving Community Care: Qualitative Study (Preprint)

2018 ◽  
Author(s):  
Martha Therese Gjestsen ◽  
Siri Wiig ◽  
Ingelin Testad
Keyword(s):  
Health Care ◽  
Focus Group ◽  
Older Persons ◽  
Community Care ◽  
Health Care Personnel ◽  
Focus Group Interviews ◽  
Individual Interviews ◽  
Patient Groups ◽  
Electronic Health ◽  
Group Interviews

BACKGROUND The use of electronic health (eHealth) interventions is suggested to help monitor and treat degenerative and chronic diseases through the use of sensors, alarms, and reminders and can potentially prevent hospitalizations for home-dwelling older persons receiving community care. It is increasingly recognized that the health care personnel’s acceptance of a technological application remains a key challenge in adopting an intervention, thus interventions must be perceived to be useful and fit for purpose by the actual users. OBJECTIVE The aim of this study was to identify and explore the perspectives of managers and health care personnel in community care regarding the use of eHealth interventions in terms of prevention of hospitalizations for home-dwelling older persons receiving community care. METHODS A case study with a qualitative approach was carried out in community care in a Norwegian municipality, comprising individual interviews and focus group interviews. A total of 5 individual interviews and 2 focus group interviews (n=12) were undertaken to provide the health care personnel’s and managers’ perspective regarding the use of eHealth interventions, which could potentially prevent hospitalizations for home-dwelling older persons receiving community care. Data were analyzed by way of systematic text condensation, as described by Malterud. RESULTS The data analysis of focus group interviews and individual interviews resulted in 2 categories: potential technological applications and potential patient groups. Discussions in the focus groups generated several suggestions and wishes related to technical applications that they could make use of in their day-to-day practice. The health care personnel warranted tools and measures to enhance and document their clinical observations in contact with patients. They also identified patient groups, such as patients with chronic obstructive pulmonary disease or dehydration or urinary tract infections, for whom hospitalizations could potentially have been prevented. CONCLUSIONS We have shown that the health care personnel in community care warrant various technological applications that have the potential to improve quality of care and resource utilization in the studied municipality. We have identified needs and important matters in practice, which are paramount for acceptance and adoption of an intervention in community care.

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