scholarly journals Caring for women with HIV/AIDS: an interactionist analysis from the perspective of female healthcare professionals

2014 ◽  
Vol 35 (2) ◽  
pp. 40-46 ◽  
Author(s):  
Tainara Serodio Amim Rangel Porto ◽  
Carla Marins Silva ◽  
Octavio Muniz da Costa Vargens

The aim of this study was to know the meanings attributed by female health professionals to the process of caring for women with HIV, considering their vulnerability in the context of feminization of HIV/AIDS. It is a qualitative study based on the grounded theory method and symbolic interactionism, conducted in two public maternity hospitals in Rio de Janeiro, from November 2009 to April 2010. Data were collected by means of semi-structured interviews with twelve female health professionals. The core category that emerged was "Speaking as a Professional and Thinking about Caring", which focused on the meaning of care, and the integration of two categories, the first being the concerns of being a woman/professional caring for women with HIV and the second being the meanings of professional care provided to women with the virus. It was concluded that the professionals still maintained the former perception of HIV/AIDS, contributing to increased gender vulnerability to HIV, discrimination and prejudice.

Author(s):  
Nahid Heidari ◽  
Hossein Afrasiabi ◽  
Seyed Reza Javadiana

Background: Child abuse has destructive consequences for the abused and the abuser which can launch a cycle of inter-generational violence. Our aim was to understand the constructions of child abuse by adult parents. Methods: The research was carried with generic (basic) qualitative research method. Participants included 12 adults who abused their children during the recent year(2020) at Yazd City. The adult participants were selected by snowball-purposeful sampling. The data were collected through semi-structured interviews and analyzed with grounded theory analysis method. Results: After analyzing transcribes, 6 main categories were constructed: abuse transmission, suffered self, normative violence, relationship problems, institutional inefficiency and pressured family. Life world of harassment emerged as the core category. Conclusion: The findings presented the cycle of abuse created through learning and transmitting.


2015 ◽  
Vol 49 (2) ◽  
pp. 0229-0235 ◽  
Author(s):  
Rúbia Aguiar Alencar ◽  
Suely Itsuko Ciosak

OBJECTIVE To identify vulnerabilities of elderly people with HIV/AIDS and the trajectory that they follow until reaching the diagnosis of the disease. METHOD Qualitative research conducted in specialized clinics in the state of São Paulo, from January to June 2011. Semi-structured interviews were conducted with 11 elderly people who were found to be infected with the virus at the age of 60 years or older. The interviews were analyzed using content analysis. RESULTS In this process four categories emerged, then analyzed with reference to the theoretical framework of vulnerability. CONCLUSION Late diagnosis of HIV infection or AIDS among the elderly happens in the secondary or tertiary service. Issues related to sexual life of the elderly are only questioned by health professionals after the diagnosis, also the time that condom use becomes absolute. It is believed that the investigation of the vulnerability of the elderly to HIV/AIDS allows for carrying out appropriate interventions for this population.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Christine Hillestad Hestevik ◽  
Marianne Molin ◽  
Jonas Debesay ◽  
Astrid Bergland ◽  
Asta Bye

Abstract Background Recent studies indicate inadequate nutritional care practices in healthcare institutions and identify several barriers to perform individualized nutritional care to older persons. Organisation of care can become rigid and standardised, thus failing to be respectful of and responsive to each person’s needs and preferences. There is limited research exploring health professionals’ views on how structure of care allows them to individualize nutritional care to older persons. In this study we aim to explore how healthcare professionals’ experience providing individualised nutritional care within the organisational frames of acute geriatric hospital care and home care. Methods Semi-structured interviews with 23 healthcare professionals from hospital acute geriatric care and home care. Interviews were analyzed using thematic analysis. Results Two main themes and six sub-themes emerged from the material. Theme 1: ‘Meeting patients with complex nutritional problems’ with the sub-themes: ‘It is much more complex than just not eating’ and ‘seeing nutrition as a part of the whole’. Theme 2: ‘The structure of the nutritional care’, with the sub-themes: ‘Nutritional routines: Much ado, but for what?’, ‘lack of time to individualize nutritional care’, ‘lack of interdisciplinary collaboration in nutritional care’ and ‘meeting challenging situations with limited resources in home care’. Conclusions The healthcare professionals described having a high focus on and priority of nutritional care when caring for older persons. They did however find it challenging to practice individualized nutritional care due to the complexity of the patients’ nutritional problems and constraints in the way nutritional care was organised. By describing the challenges the healthcare professionals face when trying to individualize the nutritional care, this study may provide important knowledge to health professionals and policy makers on how to decrease the gap between older patients’ preferences for care and nutritional care practice.


1987 ◽  
Vol 14 (1) ◽  
pp. 10-16 ◽  
Author(s):  
David L. Rennie ◽  
Lynne Brewer

Interviews were conducted with 10 individuals who had great difficulty in completing a thesis, and with 6 students who had relatively little difficulty. A hierarchical structure of categories encapsulating the respondents' accounts was developed through the use of the grounded theory method of qualitative analysis. In this structure, control over the thesis is the core category and is supported by the two properties of dependence—independence and structuring the task. The latter property is in turn supported by project meaningfulness, political expertise, and time management. The relationships among the categories are cast into a grounded theory of thesis blocking. The implications and limitations of the theory are discussed.


2009 ◽  
Vol 05 (01) ◽  
pp. 17
Author(s):  
Sir Michael Bond ◽  

Severe pain is present in about three-quarters of the millions who suffer from cancer or HIV/AIDS in developing countries. Opioids, especially morphine, are vital for pain relief, yet western European countries – in contrast to those in eastern Europe – account for 88% of the total European consumption of opioids. Eighty per cent of the world’s population live in developing countries but receive only 6% of the available morphine. Pain control is possible using World Health Organization (WHO) guidelines in 85–90% of cancer patients, but far fewer gain relief as a result of several barriers to treatment, including inadequate training of healthcare professionals in pain management, obstructions due to governmental health regulations, fear of opioid addiction in health professionals, government advisors and the general public and, in some cases, the costs of medication. The position is similar for HIV/AIDS sufferers.


2019 ◽  
Vol 5 ◽  
pp. 205520761984554
Author(s):  
Angus Watt ◽  
Katherine Swainston ◽  
Gemma Wilson

Objective Wearable technologies for health monitoring are becoming increasingly mainstream. However, there is currently limited evidence exploring use from the perspective of healthcare professionals. This study aimed to explore health professionals’ attitudes toward their patients’ use of wearable technologies. Methods A convenience sample of health professionals was recruited to participate in this study. Qualitative semi-structured interviews were carried out either face-to-face, via Skype or telephone. Interviews were recorded using a Dictaphone, transcribed verbatim and analysed using thematic analysis. Results Four themes emerged from the qualitative findings: ‘opportunities for wearable technology’, ‘usability and understanding’, ‘privacy and surveillance’ and ‘cost’. Conclusions The findings portray health professionals’ ambivalence to the use of wearable technology, and it was apparent that whilst the participants considered the technology as being beneficial to patients, they still had concerns for its use.


2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
R. Balzano ◽  
M. Guidi ◽  
D. Sepio ◽  
L. Martini ◽  
V. Puro ◽  
...  

Aims:A growing body of scientific literature emphasizes a strong linkage between HIV/Aids and serious mental illness. In the Italian context, specialized services for combined management of dual diagnosis are increasingly requested, and healthcare professionals (HPWs) have to face up the difficulty emerging by this new situation. To bridge these gaps, the present study aimed at studying the representations of dual diagnosis, analyzing HPWs’ experiences from their own perspectives, in order to understand their difficulty and create future good practices in healthcare services.Method:A quali-quantitative study was conducted with a multidisciplinary sample of professionals (N=91), drawn by HIV/Aids and Mental Health sites. Due to the exploratory nature of the research, data were collected from semi-structured interviews: HPWs were asked about their work experiences with HIV/Aids and Mental Illness. The interviews were fully audio-taped and verbatim transcribed. A computer-aided lexical correspondence analysis was conducted by a dedicated text-analysis software.Results:Data analysis showed out two main factorial dimensions: the first regarding the representation of the “Management of dual diagnosis within Health Services”, and the second one referring to the “categorization of HIV/Aids-Mental Illness co-morbidity”. Furthermore, four different Representational Conceptions were highlighted, corresponding to as many different ways HPWs use to represent/depict the aims of Health Service in relation to HIV/Aids-Mental Illness co-morbidity.Conclusion:This study reveals that socio-cultural meanings of dual diagnosis are not fixed; rather, they are ongoing co-constructed within the activities carried out by the HPWs involved in their specific health contexts in the exercise of their profession.


2021 ◽  
Vol 4 ◽  
pp. 8
Author(s):  
Emma Carr ◽  
Arlene McCurtin ◽  
Audrey Tierney ◽  
Carol-Anne Murphy ◽  
Kevin Johnson ◽  
...  

Background: The COVID-19 outbreak was declared a pandemic by the World Health Organization on March 11th, 2020. An ongoing challenge in healthcare is ensuring that up-to-date and high-quality research evidence is implemented in practice. In the context of a global pandemic it is assumed, given the increased pressures on healthcare professionals that this problem has the potential to be exacerbated. Furthermore, the COVID-19 pandemic resulted in many health professionals being reassigned to areas outside their usual scope, returning to practice following absence or commencing their career as new entrants in the midst of a major crisis. These professionals are likely to require additional support to assist their confidence and competence. Aims: This project has two broad aims: to design and deliver an online educational platform to support nursing and allied health professionals in their clinical practice throughout the pandemic and to evaluate that platform and its implementation. Methods: The research protocol for this study consists of two work streams: the development and delivery of the online platform; and the project evaluation. This research will have a mixed methods approach including website data analytics, quantitative surveys and qualitative data analysis of semi-structured interviews. Conclusion: Through knowledge brokering and adherence to principles of effective technology-enhanced-learning this project will provide an accessible, individualised online educational resource to effectively meet the needs of individual nurses and allied health professionals in this unprecedented time. The evaluation of the platform and its implementation will provide key learning for future initiatives and may act as proof-of-concept for other organisations and countries seeking to support healthcare professionals’ knowledge needs during similar future pandemics.


Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1742
Author(s):  
Li-Yun Szu ◽  
Lee-Ing Tsao ◽  
Shu-Chuan Chen ◽  
May-Lien Ho

A successful self-participation experience empowers patients to adapt to living with hemodialysis. However, few studies regarding the subjective experiences of such patient participation have been conducted. This study’s purpose was to describe hemodialysis patients’ perspectives on integrating hemodialysis into a new life regarding self-participation experience. A qualitative study using the grounded theory method was applied. Thirty-two well-adaptive hemodialysis Taiwanese patients attended in-depth interviews. “Integrating hemodialysis into a new life journey” was identified as the core category guiding the entire self-participation experience of hemodialysis patients. The three antecedent themes were “Sense of worthlessness”, “Life is still worth living”, and “Friendly and joyful atmosphere of the hemodialysis room”. Once the patients went through the three antecedent themes, they gradually began making efforts to participate more fully in their hemodialysis. Within this participation experience, the hemodialysis patients exhibited these four interactive themes: “Overcoming one’s predicament”, “Integrating self-care skills into my life”, “Resuming previous roles and tasks”, and “Adapting to independent living”. Finally, most adaptive patients master the hemodialysis life. Encouraging patients to discover that their life is worth living and providing a friendly and joyful atmosphere in hemodialysis units are the keys to facilitating patients’ self-participation more fully.


Author(s):  
Eshagh Ildarabadi ◽  
Hossein Karimi Moonaghi ◽  
Abbas Heydari ◽  
Ali Taghipour ◽  
Abdolghani Abdollahimohammad

Purpose: This study aimed to explore the experiences of nursing students being trained to perform vaccinations. Methods: The grounded theory method was applied to gather information through semi-structured interviews. The participants included 14 undergraduate nursing students in their fifth and eighth semesters of study in a nursing school in Iran. The information was analyzed according to Strauss and Corbin’s method of grounded theory. Results: A core category of experiential learning was identified, and the following eight subcategories were extracted: students’ enthusiasm, vaccination sensitivity, stress, proper educational environment, absence of prerequisites, students’ responsibility for learning, providing services, and learning outcomes. Conclusion: The vaccination training of nursing students was found to be in an acceptable state. However, some barriers to effective learning were identified. As such, the results of this study may provide empirical support for attempts to reform vaccination education by removing these barriers.


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