Coping With the Unexpected in Childbirth: A Thematic Analysis

2021 ◽  
Vol 30 (3) ◽  
pp. 159-167
Author(s):  
Katherine Hinic
Keyword(s):  
Thematic Analysis ◽  
Maternity Care ◽  
Perinatal Care ◽  
Care Staff ◽  
Health Care Staff ◽  
Original Research ◽  
Experience Of Care ◽  
Birth Satisfaction ◽  
Centered Care ◽  
Birth Processes

This article reports original research that describes new mothers' experiences of birth and maternity care. Qualitative data were collected through a survey on birth satisfaction, which included space for women to provide comments about their birth and experience of care. Thirty-nine women provided comments that were analyzed using the thematic analysis method. Two themes emerged from the women's experiences: “Unexpected birth processes: expectations and reality” and “Coping with birth: the role of health-care staff.” Participants described unexpected birthing processes, their experiences of care, and maternity care staff's contributions to coping with birth. Implications for practice for childbirth professionals include promotion of physiologic birth, respectful person-centered care during all phases of perinatal care, and the value of childbirth preparation.

scholarly journals Risk and Protective Factors of Well-Being among Healthcare Staff. A Thematic Analysis

2020 ◽  
Vol 17 (18) ◽  
pp. 6651 ◽  
Author(s):  
Sabrina Berlanda ◽  
Federica de Cordova ◽  
Marta Fraizzoli ◽  
Monica Pedrazza
Keyword(s):  
Protective Factors ◽  
Working Conditions ◽  
Thematic Analysis ◽  
Professional Growth ◽  
Well Being ◽  
Risk And Protective Factors ◽  
Care Staff ◽  
Health Care Staff ◽  
Quantitative Methodology ◽  
Healthcare Staff

The purpose of this study was to identify physical and psychosocial working conditions to improve well-being at work among healthcare staff. This is a potent area of inquiry given the relationship between healthcare staff well-being and service quality and other key organizational characteristics. However, while numerous studies in this area have used a quantitative methodology, very few have applied qualitative methodologies gathering subjective descriptions of the sources of well-being, providing in so doing significant data to explore in depth the factors that influence well-being in healthcare systems. We gathered qualitative data analyzing open-ended questions about risk and protective factors of well-being at work. The sample was made of 795 professionals answering an online questionnaire. Answers were coded and analyzed using the thematic analysis with an inductive approach (data-driven). We identified four themes strongly affecting professional well-being in health-care staff: Interactions, Working Conditions, Emotional Responses to Work, and Competence and Professional Growth. Our findings suggest possible strategies and actions that may be effective in helping to calibrate case-specific support and monitoring interventions to improve health and well-being of healthcare staff. We also discuss the implications of the study and suggest possible avenues for future empirical research.

scholarly journals The Impact of Culturally-Centered Care on Peripartum Experiences of Autonomy and Respect in Community Birth Centers: A Comparative Study

2021 ◽  
Author(s):  
Jennifer I. Almanza ◽  
J.’Mag Karbeah ◽  
Katelyn M. Tessier ◽  
Carrie Neerland ◽  
Kathrin Stoll ◽  
...  
Keyword(s):  
Statistical Significance ◽  
Perinatal Care ◽  
Ethnic Disparities ◽  
Birth Center ◽  
Experience Of Care ◽  
Birth Centers ◽  
The Us ◽  
Centered Care ◽  
White Clients ◽  
The Impact

Abstract Objective National studies report that birth center care is associated with reduced racial and ethnic disparities and reduced experiences of mistreatment. In the US, there are very few BIPOC-owned birth centers. This study examines the impact of culturally-centered care delivered at Roots, a Black-owned birth center, on the experience of client autonomy and respect. Methods To investigate if there was an association between experiences of autonomy and respect for Roots versus the national Giving Voice to Mothers (GVtM) participants, we applied Wilcoxon rank-sum tests for the overall sample and stratified by race. Results Among BIPOC clients in the national GVtM sample and the Roots sample, MADM and MORi scores were statistically higher for clients receiving culturally-centered care at Roots (MADM p < 0.001, MORi p = 0.011). No statistical significance was found in scores between BIPOC and white clients at Roots Birth Center, however there was a tighter range among BIPOC individuals receiving care at Roots showing less variance in their experience of care. Conclusions for Practice Our study confirms previous findings suggesting that giving birth at a community birth center is protective against experiences of discrimination when compared to care in the dominant, hospital-based system. Culturally-centered care might enhance the experience of perinatal care even further, by decreasing variance in BIPOC experience of autonomy and respect. Policies on maternal health care reimbursement should add focus on making community birth sustainable, especially for BIPOC provider-owners offering culturally-centered care.

Care staff experiences of facilitating person-centered care and resident involvement through the use of individualized music in dementia care

2012 ◽  
Vol 11 (2) ◽  
pp. 39-46 ◽  
Author(s):  
Eva Skrivervik, MHS ◽  
Linda L. Buettner, PhD, LRT, CTRS† ◽  
Ingelin Testad, PhD
Keyword(s):  
Nursing Home Residents ◽  
Psychosocial Interventions ◽  
Care Staff ◽  
Experience Of Care ◽  
Person Centered Care ◽  
Semistructured Interviews ◽  
Resident Involvement ◽  
Centered Care ◽  
Staff Experiences ◽  
Individualized Music

Introduction: To meet the needs of persons with dementia, adequate psychosocial interventions such as individualized music (IM) therapy is needed through resident involvement and person-centered care.Aim: The aim of this study was to explore the experience of care staff working with IM in nursing home residents with dementia.Method: A qualitative, explorative, and descriptive design was used. Semistructured interviews of seven care staff from four nursing homes were carried out.Result: The main findings included improved person-centered care and resident involvement, categorized in the three main themes: (1) IM in care staff-resident relation, (2) IM as a psychosocial intervention for agitation and restlessness, and (3) IM and job satisfaction in care staff.Conclusion: These findings suggest that IM can improve facilitation of person-centered care, thus providing an increased focus on resident involvement.

scholarly journals Mobile X-ray outside the Hospital: a review

2019 ◽  
Author(s):  
Maria Dietz Toppenberg ◽  
Thomas Erik Møller Christiansen ◽  
Finn Rasmussen ◽  
Camilla Palmhøj Nielsen ◽  
Else Marie Damsgaard
Keyword(s):  
Target Population ◽  
Care Staff ◽  
Radiology Department ◽  
Health Care Staff ◽  
X Ray ◽  
Experience Of Care ◽  
Quantitative Studies ◽  
Language Studies ◽  
Potential Benefits

Abstract Background For several years mobile X-ray equipment has been used in intensive care units, when transportation to the radiology department was inadvisable. Now, mobile X-ray examinations are also used outside hospital. The literature describes that fragile patients may benefit from mobile X-ray, but we need to know if it is an evident alternative to hospital-based examination and in what populations. Methods We searched PubMed, Cinahl and Embase for English-, Danish-, Norwegian - and Swedish-language studies, published within the last 10 years about mobile X-ray outside the hospital. We decided that both qualitative and quantitative studies were eligible. Result We included nine studies in this scoping review. The results were divided into four topics : 1. Target population 2. Population health 3 . Experience of care and 4. C ost effectiveness . The conclusions are unclear, as quality of the evidence is low, the study populations are small, and the descriptions of the technology are week. Conclusion Mobile X-ray may be used outside hospital. There seems to be potential benefits to both patients and health care staff. Based on the published studies it is not possible to conclude if mobile X-ray examination is a relevant diagnostic offer and for whom. Further studies are needed to assess the feasibility of use in fragile patients, also regarding staff, relatives and society.

scholarly journals Mobile X-ray outside the Hospital: a scoping review

2019 ◽  
Author(s):  
Maria Dietz Toppenberg ◽  
Thomas Erik Møller Christiansen ◽  
Finn Rasmussen ◽  
Camilla Palmhøj Nielsen ◽  
Else Marie Damsgaard
Keyword(s):  
Scoping Review ◽  
Target Population ◽  
Care Staff ◽  
Radiology Department ◽  
Health Care Staff ◽  
X Ray ◽  
Experience Of Care ◽  
Quantitative Studies ◽  
Language Studies ◽  
Potential Benefits

Abstract Background For several years mobile X-ray equipment has been used in intensive care units, when transportation to the radiology department was inadvisable. Now, mobile X-ray examinations are also used outside hospital. The literature describes that fragile patients may benefit from mobile X-ray, but we need to know if it is an evident alternative to hospital-based examination and in what populations. Methods We searched PubMed, Cinahl and Embase for English-, Danish-, Norwegian - and Swedish-language studies, published within the last 10 years about mobile X-ray outside the hospital. We decided that both qualitative and quantitative studies were eligible. Result We included nine studies in this scoping review. The results were divided into four topics : 1. Target population 2. Population health 3 . Experience of care and 4. Cost effectiveness . The conclusions are unclear, as quality of the evidence is low, the study populations are small, and the descriptions of the technology are week. Conclusion Mobile X-ray may be used outside hospital. There seems to be potential benefits to both patients and health care staff. Based on the published studies it is not possible to conclude if mobile X-ray examination is a relevant diagnostic offer and for whom. Further studies are needed to assess the feasibility of use in fragile patients, also regarding staff, relatives and society.

Witnessing Suicide-Related Behavior in Prison

Crisis ◽  
2014 ◽  
Vol 35 (1) ◽  
pp. 10-17 ◽  
Author(s):  
Heidi Hales ◽  
Mona Freeman ◽  
Amanda Edmondson ◽  
Pamela Taylor
Keyword(s):  
Health Care ◽  
Thematic Analysis ◽  
Attempted Suicide ◽  
Unmet Needs ◽  
Young Men ◽  
Care Staff ◽  
Health Care Staff ◽  
Cognitive Effects ◽  
The Core ◽  
Need For Support

Background: Rates of suicide and suicide-related behavior (SRB) are high in prison. Those witnessing such behavior may develop psychological morbidity. Most previous studies have been quantitative. Little has been written about the witnesses’ qualitative experience. Aims: The aim of the study was to explore, through interview and then thematic analysis, the core concerns of those witnessing another’s SRB in prison. Method: We interviewed 70 detained young men about their experience of another’s SRB in prison. Results: Three main themes were identified: their experience of another’s SRB; their thoughts of why the victim died by/attempted suicide; and the physical, emotional, and cognitive effects of another’s SRB on them. Responses to questions about the witnesses’ experience of support from others, unmet needs, and peers’ responses are also described. Two categories within the theme ”thoughts of why the victim died by/attempted suicide” were associated with being in prison, all others could be experienced in the community. Over half of the sample reported negative reactions to witnessing another’s SRB. Conclusion: Most themes were unrelated to prison. Though many reported negative reactions to their experience, suggesting a need for support, many denied that need. The implication of this study is that prison discipline and health-care staff need to consider how to provide needed support and care in an acceptable form to young men in prison.

scholarly journals ReCOV: recovery and rehabilitation during and after COVID-19 – a study protocol of a longitudinal observational study on patients, next of kin and health care staff

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
E. Rydwik ◽  
L. Anmyr ◽  
M. Regardt ◽  
A. McAllister ◽  
R. Zarenoe ◽  
...  
Keyword(s):  
Health Care ◽  
Psychosocial Support ◽  
Care Staff ◽  
Psychological Wellbeing ◽  
Health Care Staff ◽  
Post Traumatic Stress ◽  
Next Of Kin ◽  
Related Quality ◽  
Long Term Consequences

Abstract Background The knowledge of the long-term consequences of covid-19 is limited. In patients, symptoms such as fatigue, decreased physical, psychological, and cognitive function, and nutritional problems have been reported. How the disease has affected next of kin, as well as staff involved in the care of patients with covid-19, is also largely unknown. The overall aim of this study is therefore three-fold: (1) to describe and evaluate predictors of patient recovery, the type of rehabilitation received and patients’ experiences of specialized rehabilitation following COVID-19 infection; (2) to study how next of kin experienced the hospital care of their relative and their experiences of the psychosocial support they received as well as their psychological wellbeing; (3) to describe experiences of caring for patients with COVID-19 and evaluate psychological wellbeing, coping mechanisms and predictors for development of psychological distress over time in health care staff. Methods This observational longitudinal study consists of three cohorts; patients, next of kin, and health care staff. The assessments for the patients consist of physical tests (lung function, muscle strength, physical capacity) and questionnaires (communication and swallowing, nutritional status, hearing, activities of daily living, physical activity, fatigue, cognition) longitudinally at 3, 6 and 12 months. Patient records auditing (care, rehabilitation) will be done retrospectively at 12 months. Patients (3, 6 and 12 months), next of kin (6 months) and health care staff (baseline, 3, 6, 9 and 12 months) will receive questionnaires regarding, health-related quality of life, depression, anxiety, sleeping disorders, and post-traumatic stress. Staff will also answer questionnaires about burnout and coping strategies. Interviews will be conducted in all three cohorts. Discussion This study will be able to answer different research questions from a quantitative and qualitative perspective, by describing and evaluating long-term consequences and their associations with recovery, as well as exploring patients’, next of kins’ and staffs’ views and experiences of the disease and its consequences. This will form a base for a deeper and better understanding of the consequences of the disease from different perspectives as well as helping the society to better prepare for a future pandemic.

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