scholarly journals A kedvesség pszichológiája - Mit tehetnek az egészségügyi dolgozók a kórházakban kezelt betegek mentális egészségéért?

2020 ◽  
Vol 21 (3) ◽  
pp. 239-263
Author(s):  
BH. Szokolai Katus
Keyword(s):  
Mental Health ◽  
Mental State ◽  
Healthcare Professionals ◽  
Healthcare Providers ◽  
Hospitalized Patients ◽  
Medical Assistance ◽  
Structured Interviews ◽  
Sick Person ◽  
Healing Power ◽  
Good Relation

Háttér és célkitűzések: Önkéntes beteglátogatóként és a kórházakban gyógyuló felnőtt betegek mentálhigiénés gondozásával foglalkozó szakemberként gyakran foglalkoztat az a kérdés, hogyan lehet a kórházakban kezelt betegek mentális állapotán javítani, a kórházban eltöltött heteket mentálisan segíteni. Egyre többet hallani az „empatikusabb gyógyításról", vagyis a betegekkel szembeni megértőbb hozzáállásról, de az empatikus magatartás rendkívül nagy energiát igényel. Meglátásom szerint a kedvesség, a másokkal szembeni kedves hozzáállás és cselekedet már önmagában nagyon sokat tehet a betegek mentális egészségének megőrzésében. Módszer: A vizsgálat során a klinikán dolgozó betegkísérők közül négy fővel készítettem félig strukturált interjút. Az interjúk mellett a retrospekció, továbbá extrospekció módszerét alkalmaztam. Eredmények: A betegkísérőkkel készült interjúk összegzése és saját tapasztalataim alapján a kedvességnek öt olyan alappillérét határoztam meg (a bemutatkozás, a mosoly, az együttérző érintés, a figyelmesség, valamint a biztatás és beszélgetés), amelyek sokat jelenthetnek a betegek gyógyulása során, és amelyeket bárki elsajátíthat a betegek mentális egészégének megőrzése vagy javítása érdekében. Következtetések: A betegek iránti tisztelet és törődés nemcsak a segítségnyújtás különböző formáiban, de a kedvesség gyakorlásában is megmutatkozhat. Sokszor nem tudhatjuk, hogy egy beteg ember mit él át, hogyan éli meg az adott élethelyzetet, milyen érzései vannak, de egy kedves cselekedet már az egész napját meghatározhatja, erősítheti a gyógyulásba vetett hitét, a beteg és a gyógyító személyzet tagjai között pedig elősegítheti a bizalmi kapcsolatot. A betegekkel való jó kapcsolat kialakítása nemcsak a betegek mentális egészségére van jó hatással, de az egészségügyi dolgozókat is védheti a kiégéstől.Background and aims: As a voluntary patient visitor and a specialist working for the mental health of hospital-treated adult patients, I frequently dwell on the question how the mental state of hospitalized patients could be improved, and how the weeks spent in a hospital could be supported mentally. Although the healing power of empathy, thus a more emphatic attitude towards patients is recognized today, emphatic behaviour requires a lot of energy. In my view, kindness, and a kind attitude or action can greatly improve the mental health of patients. Methodology: In the course of the analysis, I have done semi- structured interviews with four patient escorts working at the clinic. Besides the interviews, I have also applied the methods of retrospection and extrospection. Results: Based on the summary of the interviews with the patient escorts and my own experiences, I distinguished five basic elements of kindness (introduction, smile, compassionate touch, thoughtfulness, and encouragement) that may greatly contribute to the healing of the patients, and are easily adaptable for the sake of the preservation or improvement of their mental health. Conclusions: The respect and concern for patients can not only be manifested in the various forms of medical assistance, but also in the practice of kindness. In many cases we might not even suspect what a sick person experiences, and what she/he goes through in a certain situation. There is no doubt, however, that a kind act can determine a person's whole day, strengthen one's faith in healing, and promote trust between patients and healthcare providers. Maintaining a good relation is not only beneficial for the mental health of the patients, but it could also prevent healthcare professionals from burnout.

scholarly journals Exploring the Knowledge, Attitudes, and Behavioural Responses of Healthcare Students towards Mental Illnesses—A Qualitative Study

2019 ◽  
Vol 17 (1) ◽  
pp. 25 ◽  
Author(s):  
Taylor Riffel ◽  
Shu-Ping Chen
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Healthcare Professionals ◽  
Health Knowledge ◽  
Healthcare Providers ◽  
Mental Illnesses ◽  
Qualitative Description ◽  
Mental Illness Stigma ◽  
Structured Interviews ◽  
Behavioural Responses

Background: The stigma of mental illness causes delays in seeking help, and often compromises victims’ therapeutic relationships with healthcare providers. The knowledge, attitudes, and behavioural responses of future healthcare professionals toward individuals with mental illnesses are explored here to suggest steps that will reduce mental illness stigma in healthcare providers. Methods: A generic qualitative approach—Qualitative Description—was used. Eighteen students from nine healthcare programs at a Canadian University participated in individual semi-structured interviews. Participants answered questions regarding their knowledge, attitudes, and behavioural responses towards individuals with mental illnesses. Thematic content analysis guided the data analysis. Results: Four main themes were constructed from the data: positive and negative general perceptions toward mental illness; contact experiences with mental illnesses; mental illness in a healthcare setting; and learning about mental illness in healthcare academia. Conclusions: Students showed well-rounded mental health knowledge and mostly positive behaviours toward individuals with mental illnesses. However, some students hold stigmatizing attitudes and do not feel prepared through their academic experiences to work with individuals with mental illnesses. Mental health education can reduce the stigma toward mental illness and improve the care delivered by healthcare professionals.

scholarly journals The experience of healthcare professionals providing mental health services to mothers with postpartum depression

2021 ◽  
Author(s):  
Nazanin Jannati ◽  
Jamile Farokhzadian ◽  
Leila Ahmadian
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Postpartum Depression ◽  
Healthcare Professionals ◽  
Healthcare Providers ◽  
Negative Attitude ◽  
Main Theme ◽  
Personal Factors ◽  
Structured Interviews

Objectives: This study aims to describe healthcare professionals' experience in providing mental health services to women with postpartum depression. Methods: In this qualitative study, data were collected through semi-structured interviews with five physicians, five midwives, and five psychologists from fourteen urban healthcare centers in Kerman, Iran, from April 2019 to September 2019. We used purposeful sampling to select the participants. Data were qualitatively analyzed using a content analysis approach. Results: Data analysis revealed the main theme of the study, "the long way ahead of comprehensive, integrated and responsive mental health services." This theme includes four categories: "postpartum depression challenges, "social and personal factors," "structural challenges," and "need to change in the mental health services." The participants described that the diagnosis of depression is difficult due to insufficient knowledge of healthcare providers and hidden signs of postpartum depression. The participants described how different factors might cause depression. These factors were economic, cultural factors in the society, personality traits, community lack of knowledge, negative attitude toward depression, and limited family support. Moreover, providing mental health services has some challenges, such as limited human resources, insufficient financial resources, and incomplete or inefficient policy makings. Conclusion: Although measures have been taken to provide mental health services, there are many challenges regarding providing mental health services to mothers. Therefore, there is a need to take serious measures to improve mental health services and re-define the existing measures. Informing the community, empowering the healthcare providers, and planning to change the community's attitude and belief can affect women's mental health care with depression. Keywords: Postpartum Depression, Mental Health Services, Community Mental Health Services, Mental Disorders, Depressive Disorder.

scholarly journals ‘It’s a real fine balancing act’: directly employed care workers’ experiences of engaging with health services

2021 ◽  
Author(s):  
Jane Wilcock ◽  
Jill Manthorpe ◽  
Jo Moriarty ◽  
Steve Iliffe
Keyword(s):  
Health Services ◽  
Healthcare Professionals ◽  
Healthcare Providers ◽  
Well Being ◽  
Care Work ◽  
Structured Interviews ◽  
Care Workers ◽  
The Impact ◽  
Health And Well Being

Little is known of the experiences of directly employed care workers communicating with healthcare providers about the situations of their employers. We report findings from 30 in-depth semi-structured interviews with directly employed care workers in England undertaken in 2018–19. Findings relate to role content, communication with healthcare professionals and their own well-being. Directly employed care workers need to be flexible about the tasks they perform and the changing needs of those whom they support. Having to take on health liaison roles can be problematic, and the impact of care work on directly employed workers’ own health and well-being needs further investigation.

scholarly journals Experiences of Telemental Health Providers and Support Staff Serving Indigenous Patients of Northern Canada

2020 ◽  
Author(s):  
Zhida Shang ◽  
Antonia Arnaert ◽  
Yvonne Hindle ◽  
Zoumanan Debe ◽  
Geneviève Côté-Leblanc ◽  
...  
Keyword(s):  
Mental Health ◽  
Patient Care ◽  
Healthcare Providers ◽  
Indigenous Communities ◽  
Support Staff ◽  
Inpatient Unit ◽  
Telemental Health ◽  
Health Providers ◽  
Structured Interviews ◽  
Local Staff

Abstract Background: It is known that there is a high mental health burden among Indigenous communities in Northern Quebec. The use of telemental health (TMH) may be a potential solution in addressing this burden, but its use in the Northern Quebec context has never been studied. Methods: A purposive sample of eight healthcare providers and support staff comprising of an entire TMH clinic serving Indigenous patients in Northern Quebec was recruited. A qualitative descriptive approach was adopted, and semi-structured interviews were conducted, concurrent with thematic data analysis.Results: Overall, the TMH staff have a very strong sense of communication, which allows them to diligently serve the Indigenous communities, and reflect upon their own practice. On the other hand, Northern patient care at the inpatient unit is seen as a work in progress, as there exists further potential for culturally sensitive Indigenous patient care. Both the TMH clinic and the inpatient unit address the mental health gap in Northern Quebec, where local staff turnover is adversely affecting patient care. As for the delivery of the mental health care, the in-person and videoconferencing consultations have a synergistic effect, since they allow for the TMH psychiatrists to maintain both an insider and outsider identity. Finally, a comprehensive electronic medical record and further administrative reforms are desperately needed, which would increase the efficiency of all components of the TMH clinic. Conclusions: TMH is an indispensable component of Northern patient care, but there is room for further improvements, especially with regards to the inpatient unit and documentation methods. This study may have implications towards the development and improvement of telemental health in Northern Quebec.

scholarly journals The crucible of co-production: Case study interviews with Recovery College practitioner trainers

2019 ◽  
Vol 78 (8) ◽  
pp. 977-987
Author(s):  
Mark Dalgarno ◽  
Jennifer Oates
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Healthcare Professionals ◽  
Mental Healthcare ◽  
Single Site ◽  
Future Research ◽  
Service Users ◽  
Structured Interviews

Objectives: This study explored healthcare professionals’ accounts of being practitioner trainers in a mental health Recovery College, where they worked with peer trainers, who were people with lived experience of mental illness, to co-produce workshops for mental health service users and staff. The aim of this study was to understand the process of co-production in the Recovery College from the perspective of practitioner trainers. Design: Single-site case study. Setting: A Recovery College in the South of England, open to staff and service users from one mental health care provider organisation. Methods: Semi-structured interviews with eight mental healthcare professionals. Transcripts were thematically analysed. Results: A central image of ‘the workshop as crucible’ emerged from the three themes derived from the analysis. Co-facilitating the workshop was a ‘structured’ encounter, within which health professionals experienced ‘dynamism’ and change. For them, this involved experiences of ‘challenge and discomfort’. Conclusion: Findings from this study contribute to the evidence base for the evaluation of Recovery Colleges by focusing on the training impact on staff. Findings suggest that taking on a trainer role in Recovery College co-production is beneficial for healthcare professionals as well as mental health service users, especially if healthcare professionals are open to the dynamism and possible discomfort of these workshop encounters. Future research, however, should expand beyond single-site case studies to test the extent to which this metaphor and themes are appropriate to describing the ‘transformative’ element of co-production.

“I think like if Albert Einstein and Superman had a baby, that's what it would take”: The experiences and perceptions of community and hospital healthcare professionals in a seniors’ patient navigator program

2021 ◽  
pp. 205343452110634
Author(s):  
Kristina M Kokorelias ◽  
Stephanie Posa ◽  
Tracey DasGupta ◽  
Naomi Ziegler ◽  
Sander L Hitzig
Keyword(s):  
Patient Care ◽  
Healthcare Professionals ◽  
Patient Navigation ◽  
Healthcare Providers ◽  
Albert Einstein ◽  
Patient Navigator ◽  
Role Clarity ◽  
Care Providers ◽  
Structured Interviews ◽  
Patient Navigators

Introduction The success of new patient navigation programs have mostly been described from the perspectives of patient outcomes. Little is known about how patient navigators interact with healthcare professionals in the community and in hospital settings. Methods A qualitative study using a phenomenological analysis was undertaken to depict the lived experiences of Ontario (Canada) healthcare providers who have interacted with a patient navigator. Semi-structured interviews were conducted with 42 healthcare professionals, including frontline care providers ( n = 25) and administrators ( n = 16) from hospital ( n = 21) and community care settings ( n = 21). Results Participants’ experiences were reflected in one overarching theme: role clarity and three emergent themes related to the overarching theme: (i) concerns over accountability of patient care (ii) trust (iii) attainable-but-not. Participants described an inconsistent understanding of the role of patient navigators which led to uncertainty regarding their role in patient care. The current nature of the healthcare system influenced participants’ belief in the sustainability of patient navigation model of care. Despite these experiences, participants felt that patient navigators could help healthcare providers care for patients by preventing potential crises from developing and enhancing their knowledge about services. Discussion This study expands our understanding of patient navigation programs by exploring the experiences and perceptions of healthcare professionals, thereby providing new perspectives into components that support the successful health outcomes of older adults being supported by a patient navigator. The implications of findings for research, clinical practice, and policy are described.

scholarly journals Families of victims of homicide: qualitative study of their experiences with mental health inquiries

BJPsych Open ◽  
2020 ◽  
Vol 6 (5) ◽  
Author(s):  
Lillian Ng ◽  
Alan F. Merry ◽  
Ron Paterson ◽  
Sally N. Merry
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Qualitative Study ◽  
Healthcare Providers ◽  
Mental Healthcare ◽  
Interpretive Description ◽  
Structured Interviews ◽  
Mental Health Patient ◽  
Loved One ◽  
Inquiry Process

Background Investigations may be undertaken into mental healthcare related homicides to ascertain if lessons can be learned to prevent the chance of recurrence. Families of victims are variably involved in serious incident reviews. Their perspectives on the inquiry process have rarely been studied. Aims To explore the experiences of investigative processes from the perspectives of family members of homicide victims killed by a mental health patient to better inform the process of conducting inquiries. Method The study design was informed by interpretive description methodology. Semi-structured interviews were conducted with five families whose loved one had been killed by a mental health patient and where there had been a subsequent inquiry process in New Zealand. Data were analysed using an inductive approach. Results Families in this study felt excluded, marginalised and disempowered by mental health inquires. The data highlight these families’ perspectives, particularly on the importance of a clear process of inquiry, and of actions by healthcare providers that indicate restorative intent. Conclusions Families in this study were united in reporting that they felt excluded from mental health inquiries. We suggest that the inclusion of families’ perspectives should be a key consideration in the conduct of mental health inquiries. There may be benefit from inquiries that communicate a clear process of investigation that reflects restorative intent, acknowledges victims, provides appropriate apologies and gives families opportunities to contribute.

scholarly journals Evaluating context and interest in training in evidence-based mental health care: a qualitative investigation among healthcare providers in Kyiv, Ukraine

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Kimberly Hook ◽  
Julia Kozishkurt ◽  
Olga Kovalchuk ◽  
Evelina Goncharenko ◽  
Vitalii Kodovbetskyi ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Knowledge ◽  
Healthcare Providers ◽  
Evidence Based ◽  
Mental Health Training ◽  
Snowball Sampling ◽  
Structured Interviews ◽  
Community Clinics ◽  
Perceived Needs ◽  
Key Factor

Abstract Objective Increasing access to quality, evidence-based mental health treatments, including psychotherapy, is a global priority. Knowledge of factors associated with delivery settings is critical to ensure that new practices are appropriate and effectively adapted for novel settings. Understanding perceived needs for training and interest in ongoing education is one key factor. This qualitative study aimed to identify perspectives on contemporary evidence-based psychotherapies, perceived needs for mental health training, and existing barriers and facilitators to provision of mental health services in community clinics in Ukraine. Purposive and snowball sampling was used to recruit 18 physicians and psychologists employed in community clinics in Kyiv. A combination of free-listing and semi-structured interviews was used to collect data, which were thematically coded using emergent coding. Results Findings from this study indicated that participants recognize a need for improved mental health knowledge and training, as well as suggested interest and openness to learning short-term, structured psychological interventions. Additional barriers and existing strengths described by participants provide insight into possible factors that may impact future trainings in and implementation of modern mental health approaches.

scholarly journals Lived Experiences of Palestinian Patients With COVID-19: A Multi-center Phenomenological Study of Recovery Journey

2021 ◽  
Author(s):  
Aidah Alkaissi ◽  
Fadi AlZiben ◽  
Mohammad Abu Rajab ◽  
Mahdia Alkony
Keyword(s):  
Mental Health ◽  
Lived Experiences ◽  
Phenomenological Study ◽  
Qualitative Interviews ◽  
Healthcare Providers ◽  
Mental Healthcare ◽  
Sampling Technique ◽  
Care Plan ◽  
Structured Interviews ◽  
Study Participants

Abstract Background: Exploring lived experiences of recovered COVID-19 patients might have scientific, social, and policy relevance that apply to the healthcare infrastructure. This multi-center phenomenological study was conducted to explore lived experiences of Palestinian patients who recovered from COVID-19.  Methods: In this qualitative study, a phenomenological descriptive approach was used. A purposive sampling technique was employed to select the study participants. Semi-structured qualitative interviews were conducted with patients who recovered from COVID-19 (n = 20). The transcripts of the audio recorded interviews were analyzed by using Giorgio’s phenomenological analysis method. Results: Semi-structured interviews were conducted with 14 male and 6 female participants. The age of the participants ranged from 25-50 years. Nine themes and multiple subthemes emerged from the qualitative data. The themes were relevant to patient’s feelings about the experience, mental issues, social discriminations/stigma, symptoms, life in isolation, using supportive treatment, personal preventive measures, social support, and life after recovery.Conclusion: Survivors who were interviewed in this study recounted devastating experiences with regard to their mental health, social stigmatization, feeling guilt, shame, and hesitant to regain contact with others. Mental health issues should be addressed as a part of the care plan for patients with COVID-19. More studies are still needed to investigate if introducing mental healthcare providers to the care team of patients with COVID-19 can improve the experiences of the patients.

Exploring the Barriers Related to the Healthcare System and Healthcare Professionals in Implementing Quality Intravenous Chemotherapy: A Qualitative Study

2021 ◽  
Author(s):  
shahin salarvand ◽  
Masoumeh Sadat Mousavi ◽  
Mohammad Almasian
Keyword(s):  
Cancer Patients ◽  
Family Caregivers ◽  
Healthcare System ◽  
Healthcare Professionals ◽  
Qualitative Content Analysis ◽  
Healthcare Providers ◽  
Routine Care ◽  
Structured Interviews ◽  
Intravenous Chemotherapy ◽  
Individualized Care

Abstract Purpose: This study aimed to explore barriers related to the healthcare system (HCS) and healthcare providers (HCPs) in implementing quality intravenous (IV) chemotherapy (CT) from the perspectives of cancer patients, family caregivers, and healthcare professionals.Methods: Using an explanatory descriptive qualitative method, this study was conducted in 2019. Forty-one participants (6 patients, 5 family caregivers, 12 oncologists, and 18 nurses) were selected through purposive sampling. In-depth semi-structured interviews were conducted to collect the data, which were analyzed using qualitative content analysis. Lincoln and Guba’s criteria of rigor were employed to ensure the trustworthiness of the study.Results: Data analysis showed two categories, each with three subcategories: Barriers related to HCPs that contains “educational and communication barriers”, “failure to establish trust” and “unskilled healthcare professionals”; Barriers related to the HCS, which consists of “inadequate physical and care infrastructures to provide services”, “lack of support in the disease trajectory from diagnosis to rehabilitation” and “mismanagement of CT wards/procedures”.Conclusion: The identification and removal of the barriers related to HCPs and HCS from routine care are crucial. Education of and communication with cancer patients and their family caregivers are two important pillars in the quality of intravenous chemotherapy (IV CT) and this education and communication should be based on individualized care and tailored to the unique needs of each patient.

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