scholarly journals Dust Phenomenon: Threat Appraisal of Cardiovascular Patients

Author(s):  
Mehdi Mojadam ◽  
Mohammad Hassan Ehrampoush ◽  
Nematollah Jaafarzadeh Haghighifard ◽  
MortezaAbdullatif Khafaie ◽  
Hossein Fallahzadeh ◽  
...  

Introduction: Dust phenomenon is a major environmental problem in world that threatens the middle-east countries specifically. In order to develop a need-based policy and regulate the supporting health program to reduce dust effects requires a proper understanding of the public beliefs about threats posed by this issue. The purpose of this study was to explain the threat appraisal patients with cardiovascular diseases regarding exposure to dust phenomena. Method: This qualitative content-analysis study was conducted from January to June 2018. The participants included 28 cardiovascular patients who referred to the healthcare centers in Ahvaz City. Semi-structured interviews were conducted with open-ended questions and inspiration from threat appraisal process constructs were used to collect data. All data were gathered, transcribed, and analyzed using MAXQDA-10 software and in-depth analysis. Findings: Perceived threat constructs were used and 4 categories and 9 sub-categories were extracted: perceived likelihood of exposure to dust (perceived likelihood of increased non-respiratory problems, perceived likelihood of increased respiratory problems), belief in seriousness and danger of exposure to dust (understanding the severity of physical complications, understanding the severity of mental and psychological complications, understanding the severity of economic complications), external reward of exposure to dust (improving personal and social relationships, improving financial problems), internal reward of exposure to dust (pleasant feeling). Conclusion: This study provided a clearer and deeper understanding of the threat posed by exposure to dust among cardiovascular patients. Based on the results, the authorities can design more targeted and more effective protective plans to raise awareness among community members, especially cardiovascular patients about the negative effects of exposure to dust and the ways to reduce its exposure.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Małgorzata Sudacka ◽  
Martin Adler ◽  
Steven J. Durning ◽  
Samuel Edelbring ◽  
Ada Frankowska ◽  
...  

Abstract Background Effective clinical reasoning is a core competency of health professionals that is necessary to assure patients’ safety. Unfortunately, adoption of longitudinal clinical reasoning curricula is still infrequent. This study explores the barriers that hinder the explicit teaching of clinical reasoning from a new international perspective. Methods The context of this study was a European project whose aim is to develop a longitudinal clinical reasoning curriculum. We collected data in semi-structured interviews with responders from several European countries who represent various health professions and have different backgrounds, roles and experience. We performed a qualitative content analysis of the gathered data and constructed a coding frame using a combined deductive/inductive approach. The identified themes were validated by parallel coding and in group discussions among project members. Results A total of 29 respondents from five European countries participated in the interviews; the majority of them represent medicine and nursing sciences. We grouped the identified barriers into eight general themes: Time, Culture, Motivation, Clinical Reasoning as a Concept, Teaching, Assessment, Infrastructure and Others. Subthemes included issues with discussing errors and providing feedback, awareness of clinical reasoning teaching methods, and tensions between the groups of professionals involved. Conclusions This study provides an in-depth analysis of the barriers that hinder the teaching of explicit clinical reasoning. The opinions are presented from the perspective of several European higher education institutions. The identified barriers are complex and should be treated holistically due to the many interconnections between the identified barriers. Progress in implementation is hampered by the presence of reciprocal causal chains that aggravate this situation. Further research could investigate the perceptual differences between health professions regarding the barriers to clinical reasoning. The collected insights on the complexity and diversity of these barriers will help when rolling out a long-term agenda for overcoming the factors that inhibit the implementation of clinical reasoning curricula.


2021 ◽  
Author(s):  
Aliasghar kheirkhah ◽  
Ehsan Movahed ◽  
Fereshte gheyabi ◽  
Fatemeh kave Farsani ◽  
Fatemeh Rigabadi

Abstract Background: Health providers and patients face many problems in preventing and controlling COVID-19 in the family and the health system.Aim: The aim of the present study was to explore experiences of health providers and patients in COVID‑19.Methods: directional qualitative content analysis was applied and 15 participants, including 10 patients with COVID-19 and 5 health providers. Data were collected using semi-structured interviews and analyzed by Lundman and Graneheim qualitative content analysis methods. The MAXQDA10 software was used to manage qualitative data analysis.Results: During the data analysis, "strengths", "weaknesses", "opportunities", and "threats" were defined in terms of categories. The " Benefits and Barriers " was determined as the main theme.Conclusion: Community members and policymakers should support and reinforce the positive experiences of patients and health providers and the health system and families need to be more prepared for the crisis.


2020 ◽  
Vol 53 (3) ◽  
pp. 369-386
Author(s):  
Luke Butcher ◽  
Andrew Day ◽  
Garry Kidd ◽  
Debra Miles ◽  
Steven Stanton

Aboriginal young people from rural areas in Australia are significantly over-represented in the youth justice system, and yet there is little evidence to indicate that current programs are having measurable success on rates of re-offending, suggesting alternative approaches are required. Drawing on new directions in human service policy that emphasise the importance of involving community in program design, this study reports the findings of a consultation with Aboriginal community members from one rural community to identify how the ecological validity of youth justice programs may be increased to be more responsive to local need. Eighteen Aboriginal community members from a town in Western New South Wales participated in semi-structured interviews, guided by a culturally informed research methodology. Qualitative content analysis was used to identify key themes that the community saw as important in program design, highlighting the need for consistent levels of support for local and community-driven solutions. Proposed conditions to enhance the ecological validity of programs are discussed.


Author(s):  
Anja Greinacher ◽  
Anna Cranz ◽  
Julia Jenzer ◽  
Alexander Nikendei ◽  
Renate Kottke ◽  
...  

AbstractPsychosocial emergency care personnel provide voluntary psychological support directly after potentially traumatic events. During emergency responses, they experience challenging situations. However, previous quantitative studies suggest that the psychological burden of psychosocial emergency care personnel does not exceed that of the general population. This study aimed to obtain an in-depth analysis of the volunteers’ psychological reactions and resources regarding emergency responses. 36 psychosocial emergency care volunteers (12 pre-training, 12 post-training, 12 experienced) were invited to participate in semi-structured interviews. The volunteers were selected from previous cross-sectional and longitudinal studies on secondary traumatization in psychosocial emergency care volunteers. A qualitative content analysis of the transcribed interviews was performed following the principles of summary and inductive category development. We identified 845 codes which we summarized in three overarching categories: (I) reactions to emergency responses, (II) psychosocial emergency care work related resources and (III) experiences and changes in life perspective related to working in psychosocial emergency care. The volunteers described both emotional and physical reactions to emergency responses. While they perceived social support as a key coping resource and reported a greater appreciation of their own lives and their families due to their work, many volunteers also felt increased concern that something could happen to them. The volunteers’ reactions and symptoms are reasonable responses to stress and not indicative of serious impairment. Nevertheless, emergency responses are both emotionally and physically challenging. Volunteers should be carefully selected, receive regular supervision and determine the frequency of emergency responses.


2017 ◽  
Vol 9 (1) ◽  
pp. 9-37 ◽  
Author(s):  
Amy L. Cook ◽  
Alveena Shah ◽  
Lauren Brodsky ◽  
Laura J. Morizio

Open communication among school community stakeholders strengthens collaboration and facilitates school transformation. Meaningful parent engagement through two-way conversations supports shared decision-making and developing a shared vision for change. We document the implementation and outcomes of community dialogues on race and ethnicity conducted with a group of 11 school and community members, including parents, caretakers, community professionals, and a teacher. Two rounds of semi-structured interviews with participants were conducted and analyzed using qualitative content analysis to explore outcomes of community dialogues. Critical race theory in education guided the community dialogues implementation and qualitative analyses. Findings illuminate participant appreciation for sharing narratives, becoming aware of cultural differences, and raising critical awareness to mobilize community change. Implications of school community dialogues on educational outcomes and counseling practice are also described.


2020 ◽  
Vol 25 (2) ◽  
pp. 319-333
Author(s):  
Edina Ajanovic ◽  
Beykan Çizel

Considering the significant influence of online hotel reviews on both tourism demand and supply side, these may be considered as a successful persuasive tool. Accordingly, it is necessary to investigate the broader context in which reviews are generated and what are the components that contribute to their effectiveness. The main goal of this study was to analyze the communication occurring on hotel review platforms from a social psychological perspective through understanding structure, characteristics, and functions of attitudes expressed in guests' reviews. In addition, it aims to identify how persuasive cues in review responses should be defined. Following this aim, the authors applied multiple case study design and collected data in several stages through document analysis, participant observation, netnography, and interviews with different stakeholders involved in online review management process. Results of the qualitative content analysis showed that, in order to use the full persuasive potential of review platforms, it is necessary for hotel management to define its presence and visibility on these platforms, to conduct in-depth analysis of structure, characteristics, and functions of attitudes expressed in reviews, and to establish a systematic approach towards use of central and peripheral cues in review responses to induce desired cognitive processing of these messages.


2020 ◽  
Vol 36 (2) ◽  
pp. 97-111
Author(s):  
Stanislava Gardasevic

Purpose This paper presents the results of a qualitative study that involved students of an interdisciplinary PhD program. The study objective was to gather requirements to create a knowledge graph information system. The purpose of this study was to determine information-seeking practices and information needs of this community, to inform the functionalities of a proposed system, intended to help students with relevant resource discovery and decision-making. Design/methodology/approach The study design included semi-structured interviews with eight members of the community, followed by a website usability study with the same student participants. Findings Two main information-seeking styles are recognized and reported through user personas of international and domestic (USA) students. The findings show that the useful information resides within the community and not so much on the program website. Students rely on peer communication, although they report lack of opportunities to connect. Students’ information needs and information seeking are dependent on their progress through the program, as well as their motivation and the projected timeline. Practical implications Considering the current information needs and practices, a knowledge graph hosting both information on social networks and the knowledge produced by the activities of the community members would be useful. By recording data on their activities (for example, collaboration with professors and coursework), students would reveal further useful system functionalities and facilitate transfer of tacit knowledge. Originality/value Aside from the practical value of this research that is directly influencing the design of a system, it contributes to the body of knowledge on interdisciplinary PhD programs.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mahboobeh Asadi ◽  
Mahnaz Noroozi ◽  
Mousa Alavi

Abstract Background Numerous changes occur in different aspects of women’s lives in the postpartum period. Women’s adjusting with problems and taking advantage of this opportunity can develop their personality. In this regard, accurate knowledge of their experiences and feelings is necessary to help them to benefit from this period. Therefore, the present study aimed to explore the experiences related to postpartum changes in women. Methods In the present qualitative study, 23 participants, including women of childbearing age who gave birth and healthcare providers (midwives and obstetricians) in Isfahan, Iran were selected using purposive sampling with a maximum variation strategy. Data were collected through in-depth semi structured interviews, field notes, and daily notes, and simultaneously analyzed using the conventional qualitative content analysis. Results The data analysis results led to the extraction of three main categories including “feeling of decreased female attractiveness” (with two sub-categories of “ feeling of decreased beauty” and “feeling of decreased sexual function”), “feeling of insolvency and helplessness” (with two sub-categories of “physical burnout”, and “mental preoccupations”) and “beginning a new period in life” (with three sub-categories of “changing the meaning of life”, “feeling of maturity” and “deepening the communication”). Conclusions Findings of this study can provide a good context for designing interventions to improve the women’s quality of life by explaining and highlighting their experiences in the postpartum period. In this regard, providing sufficient empathy, social and psychological support from family members (especially husband), performing appropriate educational interventions and also regular assessment of women’s psychological state by healthcare providers in postpartum period can reduce their concerns and help to improve their health.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Åse Lundin ◽  
Anna Bergenheim

Abstract Background Suicide is a serious public health issue and one of the most common causes of death globally. Suicide has long-lasting impact on personal, relational, community and societal levels. Research has shown that patients often seek help in the primary healthcare system preceding a suicide. Studies exploring the experiences of encountering patients at risk for suicide have been performed among various categories of healthcare personnel, such as nurses and psychiatry residents as well as emergency room staff. There is a lack of research regarding primary healthcare rehabilitation staff, despite the fact that physiotherapists are the third largest health profession in the Western hemisphere and often work with patients experiencing mental health symptoms. The aim of this study was to explore the experiences of encountering patients at risk for suicide among physiotherapists working in a primary healthcare rehabilitation setting. Methods Semi-structured interviews were conducted with 13 physiotherapists working in primary healthcare rehabilitation clinics in the Gothenburg area, Sweden. The interviews were recorded on audio and transcribed into written text. A qualitative content analysis was performed on the material collected. Results The analysis of the material revealed an overarching theme, Through barriers and taboos – the physiotherapist finds a way, with five main categories: possibilities for identification, obstacles in meeting suicide, workplace environment matters, where does the patient belong? and education and experience are keys. Conclusions The present study indicates that physiotherapists in the primary healthcare system encounter patients experiencing suicidality, and they expressed a strong desire to care for both the physical and mental wellbeing of the patients. Despite reporting many barriers, the physiotherapists often found a way to form a meaningful therapeutic alliance with the patient and to ask about possible suicidality in their clinical practice. The result suggests that physiotherapists could play a larger role in working with patients experiencing suicidality in a primary healthcare setting and that they could be viewed as possible gatekeepers in identification as well as referral of these patients into other parts of the healthcare system.


Author(s):  
Katharina Diehl ◽  
Tatiana Görig ◽  
Charlotte Jansen ◽  
Maike Carola Hruby ◽  
Annette B. Pfahlberg ◽  
...  

Pharmacists and pharmaceutical technicians play an important role in counselling customers regarding sunscreen use and sun protection measures. A potentially helpful tool that can be used during counselling is the ultraviolet index (UVI), which informs individuals when and what sun protection measures are needed at a specific place and time. Our aim in this qualitative study was to explore awareness, knowledge, and use of the UVI during counselling in pharmacies. We used semi-structured interviews with pharmacists and pharmaceutical technicians (n = 20) to answer our research questions. Interviews were audiotaped, transcribed verbatim, and analyzed using qualitative content analysis. During the interviews pharmacists and pharmaceutical technicians revealed a lot of uncertainty and lack of knowledge regarding the UVI. Eight professionals were able to give a correct definition of UVI. Amongst others, the UVI was confused with sun protection factor. Overall, the UVI was hardly used during the counselling of customers. The UVI was developed to provide guidance when which type of sun protection is required to avoid detrimental effects of ultraviolet radiation. For effective implementation, both the general population and health professionals (e.g., pharmacists) have to increase their knowledge about the UVI. This would strengthen its use during professional counselling in pharmacies and may help to reduce the incidence of skin cancer over the long term.


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