scholarly journals Views on treatment adherence among psychoactive substance-dependent women in the outpatient setting: a qualitative study

2012 ◽  
Vol 34 (4) ◽  
pp. 198-206
Author(s):  
Dione Viégas Almeida Ribeiro ◽  
Egberto Ribeiro Turato ◽  
Renata Cruz Soares de Azevedo ◽  
Claudinei José Gomes Campos
Keyword(s):  
Health Care ◽  
Substance Use ◽  
Health Care Services ◽  
Substance Dependence ◽  
Qualitative Content Analysis ◽  
Structured Interview ◽  
Social Contexts ◽  
Psychoactive Substance ◽  
Female Population ◽  
Clinical Method

INTRODUCTION: In the female population, adherence to specialist clinical treatment for psychoactive substance dependence has peculiar characteristics in terms of therapeutic approaches available to addicts in general. A smaller number of women seek specialist treatment in comparison with men. Traditionally, most health care services specializing in chemical dependence provide similar therapies to both men or women, including the use of mixed-sex groups at some facilities. OBJECTIVE: To discuss the views or psychological meanings attributed by women with substance use disorders to phenomena associated with adherence to treatment at a specialist university outpatient clinic. METHODS: The qualitative-clinical method was used, i.e., an approach characterized by the typically qualitative focus of human sciences adapted to health care settings. The semi-structured interview technique with open questions was used for data collection, combined with observation of the women interviewed. Data were processed using qualitative content analysis. RESULTS: Three categories of treatment outcomes emerged: 1) significant motivations to seek and follow the treatment proposed; 2) symbolic meanings attributed to the drug; 3) psychological representations of lack of motivation to explain difficulties adhering to treatment. CONCLUSIONS: Our findings suggest that the motivations of addicted women to seek treatment vary, but highlight the fact that the substance used becomes perceived as something that causes significant losses and hinders the proper exercise of women’s role in family and social contexts. A warm welcoming is considered essential for a patient to adhere to treatment, offsetting the strong physical pleasure associated with psychoactive substance use.

Confined to Obscurity: Health Challenges of Pregnant Women in Jail

2020 ◽  
Vol 45 (3) ◽  
pp. 177-185
Author(s):  
Susan J Rose ◽  
Thomas P LeBel
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Substance Use ◽  
Physical Health ◽  
Pregnant Women ◽  
Mental Health Treatment ◽  
Health Care Services ◽  
Background Characteristics ◽  
Policy And Practice ◽  
Care Services

Abstract Research about pregnant women in jail is scant. This exploratory study begins to fill this gap by examining the demographics; background characteristics; and self-reported physical health, mental health, and substance use challenges reported by 27 pregnant women incarcerated in a large midwestern county jail. It further reports on the prenatal care before and during their incarceration, plans of these pregnant women for delivery of their child, caring for their infant after their release from jail, and their expectations of paternal or family support post-release. Among the sample, 66.7 percent reported a physical health care problem, 48.2 percent had received mental health treatment, and 18.5 percent had substance use treatment in the previous year, but only 51.9 percent had seen a health care professional before their incarceration. All women expected the father of their child to provide financial support, but only 76.9 percent expected the father to be involved with the child. The authors also discuss implications of the findings for jail health care services and reintegration policy and practice for pregnant women.

An evaluation of the self-management support capacity of providers of chronic condition primary care

2012 ◽  
Vol 18 (2) ◽  
pp. 112 ◽  
Author(s):  
Tracy E. Cheffins ◽  
Julie A. Twomey ◽  
Jane A. Grant ◽  
Sarah L. Larkins
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Professionals ◽  
Chronic Condition ◽  
Health Care Services ◽  
Readiness To Change ◽  
Structured Interview ◽  
Self Management ◽  
Management Support ◽  
Primary Health

Self-management support (SMS) is an important skill for health professionals providing chronic condition management in the primary health care sector. Training in SMS alone does not always lead to its utilisation. This study aimed to ascertain whether SMS is being used, and to identify barriers and enablers for SMS in practice. Health professionals who underwent SMS training were invited to participate in a semi-structured interview. A response rate of 55% (14 of 24) was achieved. All interviewees rated their understanding of the principles of SMS as moderate or better. In relation to how much they use these principles in their practice, several (5 of 14) said minimally or not at all. The tools they were most likely to use were SMART goals (8 of 14) and decision balance (5 of 14). Core skills that were being used included problem solving (11 of 14), reflective listening (13 of 14), open-ended questions (12 of 14), identifying readiness to change (12 of 14) and goal setting (10 of 14). The most important barriers to implementing SMS were current funding models for health care, lack of space and staff not interested in change. The most highly rated enabling strategies were more training for general practitioners and more training for practice nurses; the lowest rated was more training for receptionists. The increasing prevalence of chronic conditions due to ageing and lifestyle factors must be addressed through new ways of delivering primary health care services. Self-management support is a necessary component of such programs, so identified barriers to SMS must be overcome.

scholarly journals Ethical dilemmas concerning decision-making within health care leadership: a systematic literature review

Medicina ◽  
2010 ◽  
Vol 46 (9) ◽  
pp. 595 ◽  
Author(s):  
◽  
Tarja Suominen ◽  
Päivi Åstedt-Kurki ◽  
Daiva Lepaitė
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health Care Professionals ◽  
Access To Health Care ◽  
Care Management ◽  
Ethical Dilemmas ◽  
Qualitative Content Analysis ◽  
Health Care Management ◽  
Structured Interview ◽  
Health Care Leadership

The objective was to describe the research methods and research focuses on ethical dilemmas concerning decision-making within health care leadership. Material and methods. The search was conducted on Medline and PubMed databases (1998–2008). The systematic review included 21 selected articles. Results. The ethical dilemmas concerning decision-making within health care leadership are related to three levels: institutional (particular organization), political and local interface (local governmental structure), and national (professional expertise and system). The terms that are used as adequate to the term of “ethical dilemma” are the following: “continuous balancing,” “result of resource allocation,” “gap between professional obligations and possibilities,” “ethically controversial situation,” “concern about interactions,” “ethical difficulty,” “outcome of medical choices,” “concern about society access to health care resources,” “ethically difficult/ challenging situation,” “(the consequence of) ethical concern/ethical issue.” In qualitative studies, a semi-structured interview and qualitative content analysis are the most commonly applied methods; in quantitative studies, questionnaire surveys are employed. In the research literature, there is a lack of specification according to professional qualification of health care professionals concerning ethical dilemmas by decision-making within health care management/administration. Conclusions. The research on ethical dilemmas in health care leadership, management, and administration should integrate data about levels at which ethical dilemmas occur and investigate ethical dilemmas as complex phenomena because those are attached to decision-making and specific nuances of health care management/administration. In this article, the presented scientific problem requires extensive scientific discussions and research on ethical dilemmas concerning decision-making within health care leadership at various levels.

scholarly journals Self-rated health among women and their assessment of the health care system / Samoocena zdravja med ženskami in njihov odnos do zdravstvenega sistema v sloveniji

2013 ◽  
Vol 52 (2) ◽  
pp. 87-98 ◽  
Author(s):  
Mirjana Ule ◽  
Slavko Kurdija
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Access To Health Care ◽  
Health Care Services ◽  
Strong Support ◽  
Social Categories ◽  
Female Population ◽  
Care Services ◽  
Self Assessed Health ◽  
Care System

Abstract Background: This article researches gender inequality in health based on subjective assessments of health, the accessibility of health care services and trust in the health care system between different social categories of women in Slovenia. Methods: The study is based on the Slovenian Public Opinion survey (ISSP Health Module) carried out in 2011 on representative samples of the adult Slovenian population. In the data, we investigated the gender differences and difference between different socio-economic categories within the female sub-sample in self-assessed health, and some other related topics such as: trust in doctors, trust in health care system, access to health care services and attitude to the health care policy in Slovenia. Results: The data shows significant inequalities in self-assessed health between different social strata. Self-assessed health is significantly lower among women at the bottom of the educational and income scale. The data also reveals strong support for the preservation of the available public health. Conclusion: Neoliberal economic reforms (of health care) affect vulnerable social categories the most, and women are particularly exposed. The use of women’s unpaid work in the family belongs among the basic (neo)liberal saving strategies. These want to take more care and health work within families from the shoulders of the state and place it onto the shoulders of family members, which mainly means women. In these circumstances, it is understandable that women subjectively assess their health as being worse than men’s. Moreover, conditions are being established that de facto could lead to worse health in the female population in Slovenia.

scholarly journals Socio-Demographic Profile Of Psychoactive Substance Users Attending a Centre For Mental Health, Rupandehi

2018 ◽  
Vol 7 (2) ◽  
pp. 42-45
Author(s):  
M. Dhungana ◽  
M. Thapa ◽  
D. Thapa
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Substance Dependence ◽  
Psychoactive Substance ◽  
Substance Users ◽  
Public Health Burden ◽  
Icd 10 ◽  
Psychoactive Substance Use ◽  
Spss Software ◽  
Substance Disorder

Introduction: Psychoactive substance use is known since the origin of mankind and has been global problem that is influenced by social, economic, political and psychosocial factors. The menace of psychoactive substance abuse is that it is not only a socially unacceptable reality but in itself a disorder and is emerging as a major public health burden. Material and Method: A descriptive study was carried out with the view to find out the prevalence of psychoactive substance disorder in de-addiction unit at Centre for Mental Health (Chautari Nepal Health Foundation) in Rupandehi district of province-5, Nepal. All patients who were admitted during the study period with psychoactive substance use Disorder were interviewed by using semi structured performa for addiction. Total 387 patients with psychoactive substance dependence (according ICD-10) were enrolled in the study after providing written informed consent. The data was analyzed by using descriptive and inferential statistics with SPSS software version 16. Results: Among 387 psychoactive substance users, majority of them (34.1%) were in the age group 35 years and above, 57.1% were belonged to Brahmin/ Chhetri ethnic group. Greater proportion 44.4% of psychoactive substance abuser had started taking the drugs between the age of 16-20 years of age. Alcohol was most commonly used psychoactive substance as 47.5% were dependent to alcohol. Conclusion: Based on the study findings, it is concluded that addiction is a global burden. Youth is a vulnerable group. Therefore, special attention, Psycho education related to psychoactive substance should be started before adolescent.

scholarly journals Helsepersonells erfaringer og tanker om bruk av frivillige i palliativ omsorg

2017 ◽  
Vol 13 (1) ◽  
Author(s):  
Ragnhild Skaar ◽  
Marthe M. F. Fensli ◽  
Sylvi M. Flateland ◽  
Ulrika Söderhamn
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Community Health ◽  
Health Care Services ◽  
Qualitative Content Analysis ◽  
Health Care Personnel ◽  
Close Monitoring ◽  
Community Health Care ◽  
Individual Interviews ◽  
Care Services

Health care personnel’s experiences and thoughts on the use of volunteers in palliative care in a social perspectiveThe government of Norway is planning for the municipalities’ health care resources, including volunteering. The purpose of this study was to shed light on the experiences and thoughts of a group of health care personnel on the use of volunteers in palliative care in the community health care services, and to discuss the findings in a social perspective. Individual interviews were conducted with seven nurses and three nursing assistants. Using a qualitative content analysis three categories emerged: "The importance of organization, clarification and responsibility," "Qualifications" and "Different types of tasks," with the overarching theme: “Close monitoring and good clarification of roles can contribute to suitable volunteers functioning as an appropriate supplement for patients in palliative care in the community health care services”. The informants stated that trained health care personnel must perform the nursing tasks in palliative care while volunteers can be a positive supplement for the patient.

scholarly journals Comparing intentions to reduce substance use and willingness to seek help among transgender and cisgender participants from the global drug survey

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S245-S245
Author(s):  
Dean Connolly ◽  
Emma Davies ◽  
Michael Lynskey ◽  
Monica Barratt ◽  
Larissa Maier ◽  
...  
Keyword(s):  
Substance Use ◽  
Help Seeking ◽  
Substance Dependence ◽  
Substance Misuse ◽  
Psychoactive Substance ◽  
Psychoactive Substances ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Trans People ◽  
Gender Groups

AimsTo describe and compare psychoactive substance misuse help-seeking among transgender (trans) and cisgender (cis) participants from a large multi-national cross-sectional survey.BackgroundTrans people experience stressors related to their minority status which have been associated with increased rates of psychoactive substance use and related harm. Despite this, there is a paucity of evidence relating to the treatment needs of trans people who use psychoactive substances, beyond a small body of literature describing a culture of transphobic hostility in general substance misuse services. This paper aims to describe and compare psychoactive substance misuse help-seeking among trans and cis participants from a large multi-national cross-sectional survey.MethodOver 180,000 participants, recruited from the world's largest annual survey of drug use - the Global Drug Survey (GDS) - during 2018 and 2019, reported use of a range of psychoactive substances in the preceding 12 months. Five gender groups (118,157 cis men, 64,319 cis women, 369 trans men, 353 trans women and 1,857 non-binary people) were compared, using Chi-square and z-tests with Bonferroni correction, on items relating to the desire to use less psychoactive substances and the need to seek help to achieve this. Respondents from GDS 2018 were also assessed for substance dependence. Binary logistic regression was used to compare gender groups on self-reported substance dependence to frame the help-seeking analyses.ResultTrans respondents (n = 1,710) to GDS 2018 were significantly more likely than cis respondents to report use of illicit substances (OR = 1.66-2.93) and dependence on cannabis (OR = 2.39), alcohol (OR = 3.28) and novel psychoactive substances (OR = 4.60). In the combined GDS 2018 and 2019 dataset, there were no significant differences between trans (n = 2,579) and cis (n = 182,476) participants on the desire to reduce substance use. However, among those who did report wanting to use less, non-binary people and trans women were most likely to want help to achieve this.ConclusionTrans respondents reported a greater need for help with reducing substance use than cis respondents. Given the deficit of specialist services for psychoactive substance users who are trans, there is a need for a more thorough understanding of the barriers and facilitators to their engagement in general substance misuse services. In the interim, substance misuse service providers require education about gender minority status to help meet the needs of trans clients.

scholarly journals "Oh God, Please Save Us from War": AN Ethography Study of Impact of War on Health Among Syrian Children Refuges in Lebanon and Their Experience Living with Health Problems

2019 ◽  
Vol 4 (3) ◽  
pp. 47-55
Author(s):  
Zulkhairul Naim Bin Sidek Ahmad ◽  
Burhanudin Busu
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Economic Effect ◽  
Structured Interview ◽  
Health Problems ◽  
Psychological Burden ◽  
Care Services ◽  
War Zone ◽  
Improve Health Status ◽  
The Impact

In nearly six years of armed conflict, more than 250,000 Syrians have lost their lives and there were over 1 million Syrian refugees who had been registered in Lebanon in 2016. It has been reported that exposure to war causes injury, illness and breakdown in the health care structures especially to children. This paper attempts to evaluate the impact of war on health in children and to explore their experience living with health problems. A qualitative data from semi structured  interview was conducted among  mothers in refugee camp in Bekaa Valley, Lebanon Participants were purposefully sampled and asked to share their impact on war to health of their children. All interviews were written manually and analysed thematically. Ten participants were involved in this study. There were three main themes were identified, each of which led to health risks for the children; antepartum, intrapartum and postpartum. There was variety of health problems reported ranging from neurological, musculoskeletal disorder to ocular problems.  The experience living with health problems were understood through construction of three thematic categories emerged; psychological burden, disruption of daily living and economic effect. In additional, the participants also highlighted the intergenerational impact of war on health predominantly mental disorder, congenital abnormalities, infectious disease and complication in pregnancy. In general, this paper provides an important understanding of impact of wars on health among vulnerable group which is children. The effects of wars on health and health care services are substantial. All these issues should be explored more to ensure the children received adequate health care. The results generated form this study can inspire new collaboration with many authorities in the design and implementation intervention to improve health status in war zone

scholarly journals Access to Health Care Services by Individuals Who Are Deaf or Hard of Hearing (Dhh) in Botswana: Francistown and Tati

2020 ◽  
Author(s):  
Gorgeous Sarah Chinkonono ◽  
Vivian Namuli ◽  
Catherine Atuhaire ◽  
Hamida Massaquoi ◽  
Sourav Mukhopadhyay ◽  
...  
Keyword(s):  
Health Care ◽  
Hard Of Hearing ◽  
Access To Health Care ◽  
Health Care Services ◽  
Healthcare Professionals ◽  
Healthcare Services ◽  
Structured Interview ◽  
Care Services ◽  
Main Challenge ◽  
The Impact

Abstract Background: Individuals who are Deaf or hard of hearing (DHH) face a lot of challenges when accessing health care services. The main barrier that they face is communication. Despite this, not much research had been carried out in Africa to understand how individuals who are DHH access healthcare services. This study sought to explore experiences of individuals who are DHH in Botswana when accessing healthcare services to propose recommendations towards improving their situation.Methods: This is a qualitative research study using phenomenological approach. Participants were observed at one point in time. Face-to-face in-depth interviews were conducted with 22 DHH individuals living in Francistown and Tati, using a semi-structured interview guide and an interpreter. Participants age range was between 18years to 40years. Purposive sampling and snowballing sampling techniques were used to select the participants.Results: The main challenge that individuals who are DHH in Botswana face is communication barrier which has culminated in their reception of poor healthcare services as the healthcare professionals fail to effectively attain to their health needs. This is evident through wrong prescriptions and treatment; poor counselling services, lack of confidentiality; poor maternal health services especially during child delivery; and limited health information. However, individuals who are DHH in Botswana continues to utilise healthcare services.Conclusion: Poor communication between healthcare professionals and individuals who are DHH act as an impediment to acquiring proper healthcare services by individuals who are DHH. This can lead to poor health outcomes for the DHH population as they are not well informed about health issues that they are at risk of and at times do not know where to seek specific healthcare services pertaining to the health problems they are experiencing. Therefore, there is a need to provide sign language interpreters in the healthcare centres to reduce the impact of this problem.

scholarly journals Harm reduction conceptions: speeches of Primary Health Care nursing professionals

2020 ◽  
Vol 73 (suppl 1) ◽  
Author(s):  
Sarah Salvador Pereira ◽  
Sonia Regina Zerbetto ◽  
Maria do Perpétuo Socorro de Sousa Nóbrega ◽  
Ricardo Wagner Machado da Silveira ◽  
Angélica Martins de Souza Gonçalves ◽  
...  
Keyword(s):  
Health Care ◽  
Substance Use ◽  
Primary Health Care ◽  
Harm Reduction ◽  
Psychoactive Substance ◽  
Primary Health ◽  
Psychoactive Substance Use ◽  
Nursing Professionals ◽  
The Impact ◽  
Care Nursing

ABSTRACT Objective: to analyze the discursive memories about the harm reduction strategy, which permeate the knowledge of Primary Health Care nursing professionals. Method: a qualitative and exploratory study based on the French Discourse Analysis theoretical-methodological framework. Semi-structured interviews were carried out with 14 Primary Health Care nursing professionals. Results: analysis indicated a predominance of discursive memories related to the biomedical model of health conception as well as religious and moral approaches regarding psychoactive substance use. The perspective of an “expanded clinic” was discreet, highlighting the link and prevention of risks and harms from psychoactive substance use that affect the physiological dimension. Final considerations: the impact of this study emphasizes the need for permanent education proposals on harm reduction concepts in training and qualifying nursing professionals.

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