scholarly journals Patient Satisfaction with Pre-Hospital Emergency Services. A Qualitative Study Comparing Professionals’ and Patients’ Views

2017 ◽  
Author(s):  
Fernando García-Alfranca ◽  
Anna Puig ◽  
Carles Galup ◽  
Hortensia Aguado ◽  
Ismael Cerdá ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Qualitative Study ◽  
Emergency Services ◽  
Healthcare Providers ◽  
Care Process ◽  
Structured Interviews ◽  
Hospital Emergency ◽  
Response Capacity ◽  
Two Phases ◽  
High Level

Objective. To describe patient satisfaction with pre-hospital emergency knowledge and determine if patients and professionals share a common vision on the satisfaction predictors. Methods. A qualitative study conducted in two phases. First, a systematic review following the PRISMA protocol was carried out searching publications between January 2000 and July 2016 in Medline, Scopus, and Cochrane. Second, three focus groups involving professionals (advisers and healthcare providers) and a total of 79 semi-structured interviews involving patients were conducted to obtain information about what dimensions of care were a priority for patients. Results. Thirty-three relevant studies were identified. A majority conducted in Europe using questionnaires. They pointed out a very high level of satisfaction of callers and patients. Delay with the assistance and the ability for resolution of the case are the elements that overlap in fostering satisfaction. The published studies neither reviewed the overall care process nor related the measurement of the real time in responding to an emergency with the satisfaction. The patients and professionals concurred in their assessments about the most relevant elements for patient satisfaction, although safety was not a predictive factor for patients. Response capacity and perceived capacity for resolving the situation were crucial factors for satisfaction. This qualitative approach yielded assistance targets to be improved. Conclusions. Published studies have assessed similar dimensions of satisfaction. Furthermore, despite the fact that few explanations may be given due to the no face to face attention, taking into account the patient’s emotional needs or maintaining contact with the patient until the emergency services arrive are high predictors of the satisfaction.

scholarly journals Patient Satisfaction with Pre-Hospital Emergency Services. A Qualitative Study Comparing Professionals’ and Patients’ Views

2018 ◽  
Vol 15 (2) ◽  
pp. 233 ◽  
Author(s):  
Fernando García-Alfranca ◽  
Anna Puig ◽  
Carles Galup ◽  
Hortensia Aguado ◽  
Ismael Cerdá ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Qualitative Study ◽  
Emergency Services ◽  
Hospital Emergency

scholarly journals NICU and postpartum nurse perspectives on involving fathers in newborn care: a qualitative study

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Katharine W. Buek ◽  
Dagoberto Cortez ◽  
Dorothy J. Mandell
Keyword(s):  
Qualitative Study ◽  
Father Involvement ◽  
Perinatal Care ◽  
Healthcare Providers ◽  
Newborn Care ◽  
Small Scale ◽  
Structured Interviews ◽  
Provider Attitudes ◽  
Attitudes And Practices ◽  
Sense Of Efficacy

Abstract Background Perinatal care nurses are well positioned to provide the education and support new fathers need to navigate the transition to fatherhood and to encourage positive father involvement from the earliest hours of a child’s life. To effectively serve fathers in perinatal settings, it is important to understand the attitudes, beliefs, and behaviors of healthcare providers that may encourage and engage them, or alternatively alienate and discourage them. Methods This qualitative study involved structured interviews with ten NICU and postpartum nurses from hospitals in two large Texas cities. The interview protocol was designed to elicit descriptive information about nurses’ attitudes and beliefs, sense of efficacy and intention for working with fathers, as well as their father-directed behaviors. Nurses were recruited for the study using a purposive sampling approach. Interviews were conducted by telephone and lasted approximately 25 to 35 min. Data were analyzed using a qualitative descriptive approach. Results Overall, study participants held very positive subjective attitudes toward fathers and father involvement. Nevertheless, many of the nurses signaled normative beliefs based on race/ethnicity, gender, and culture that may moderate their intention to engage with fathers. Participants also indicated that their education as well as the culture of perinatal healthcare are focused almost entirely on the mother-baby dyad. In line with this focus on mothers, participants comments reflected a normative belief that fathers are secondary caregivers to their newborns, there to help when the mother is unavailable. Conclusions Nurse attitudes and practices that place mothers in the role of primary caregiver may be interpreted by fathers as excluding or disregarding them. Further research is needed to validate the results of this small-scale study, and to assess whether and how provider attitudes impact their practices in educating and engaging fathers in newborn care.

scholarly journals White lie during patient care: A qualitative study of nurses’ perspectives

2020 ◽  
Author(s):  
Alireza Nikbakht nasrabadi ◽  
soodabeh joolaee ◽  
Elham Navab ◽  
Maryam esmaeilie ◽  
mahboobe shali
Keyword(s):  
Qualitative Study ◽  
Patient Care ◽  
Healthcare Providers ◽  
Cultural Knowledge ◽  
Hospital Nurses ◽  
Structured Interviews ◽  
Related Factors ◽  
Patient’S Rights ◽  
Wide Range ◽  
Data Saturation

Abstract Background: Keeping the patients well and fully informed about diagnosis, prognosis, and treatments is one of the patient’s rights in any healthcare system. Although all healthcare providers have the same viewpoint about rendering the truth in treatment process, sometimes the truth is not told to the patients; that is why the healthcare staff tell “white lie” instead. This study aimed to explore the nurses’ experience of white lies during patient care. Methods: This qualitative study was conducted from June to December 2018. Eighteen hospital nurses were recruited with maximum variation from ten state-run educational hospitals affiliated to Tehran University of Medical Sciences. Purposeful sampling was used and data were collected by semi-structured interviews that were continued until data saturation. Data were classified and analyzed by content analysis approach. Results: The data analysis in this study resulted in four main categories and eleven subcategories. The main categories included hope crisis, bad news, cultural diversity, and nurses’ limited professional competences. Conclusion: Results of the present study showed that, white lie told by nurses during patient care may be due to a wide range of patient, nurse and/or organizational related factors. Communication was the main factor that influenced information rendering. Nurses’ communication with patients should be based on mutual respect, trust and adequate cultural knowledge, and also nurses should provide precise information to patients, so that they can make accurate decisions regarding their health care.

Investigating the circumstances under which singers use imagery: A pilot study

2019 ◽  
pp. 030573561986829 ◽  
Author(s):  
Brianna DeSantis ◽  
Sarah Deck ◽  
Craig Hall
Keyword(s):  
Pilot Study ◽  
Qualitative Study ◽  
Character Development ◽  
Performance Anxiety ◽  
Structured Interviews ◽  
Male And Female ◽  
Vocal Technique ◽  
Professional Dancers ◽  
High Level

This is a qualitative study in which detailed, semi-structured interviews were conducted with six male and female high-level singers. In comparison to Nordin and Cumming’s work on professional dancers, some similarities and some unique differences emerged from the results. The Four Ws framework was employed, which involves Where, What, Why, and When singers image. Like in Nordin and Cumming’s study, How was a dimension that emerged inductively from the results. Singers mainly used imagery for improving vocal technique, performance anxiety, and character development.

scholarly journals Factors affecting the acceptability of isoniazid preventive therapy among healthcare providers in selected HIV clinics in Nairobi County, Kenya: a qualitative study

BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e024286 ◽  
Author(s):  
Elvis Omondi Achach Wambiya ◽  
Martin Atela ◽  
Ejemai Eboreime ◽  
Latifat Ibisomi
Keyword(s):  
Qualitative Study ◽  
Healthcare Providers ◽  
Preventive Therapy ◽  
Sub Saharan Africa ◽  
Isoniazid Preventive Therapy ◽  
Public Healthcare ◽  
People Living With Hiv ◽  
Policy Makers ◽  
Factors Affecting ◽  
High Level

ObjectiveDespite being globally recommended as an effective intervention in tuberculosis (TB) prevention among people living with HIV, isoniazid preventive therapy (IPT) implementation remains suboptimal, especially in sub-Saharan Africa. This study explored the factors influencing the acceptability of IPT among healthcare providers in selected HIV clinics in Nairobi County, Kenya, a high HIV/TB burden country.DesignA qualitative study was conducted using in-depth interviews with healthcare providers in selected HIV clinics. All conversations were audio recorded, transcribed verbatim and analysed using a thematic approach.SettingThe study was conducted in the HIV clinics of three purposefully selected public healthcare facilities in Nairobi County, Kenya between February 2017 and April 2017.ParticipantsEighteen purposefully selected healthcare providers (clinicians, nurses, pharmacists and counsellors) working in the HIV clinics participated in the study.ResultsProvider acceptability of IPT was influenced by factors relating to the organisational context, provider training on IPT and their perception on its efficacy, length and clarity of IPT guidelines and standard operation procedures, as well as structural factors (policy, physical and work environment). Inadequate high-level commitment and support for the IPT programme by programme managers and policy-makers were found to be the major barriers to successful IPT implementation in our study context.ConclusionThis study provides insight into the complexity of factors affecting the IPT implementation in Kenya. Ensuring optimal acceptability of IPT among healthcare providers will require an expanded depth of engagement by policy-makers and IPT programme managers with both providers and patients, as well as on-the-job design specific actions to support providers in implementation. Such high-level commitment and support are consequently essential for quality delivery of the intervention.

scholarly journals Perception of Conventional Medicine and Herbal Medicine Usage Amongst Diabetic Patients: A Qualitative Study in Negeri Sembilan, Malaysia

2020 ◽  
Vol 12 (10) ◽  
pp. 122
Author(s):  
Norbaidurah Ithnain ◽  
Albeny Joslyn Panting ◽  
Rosnani Kassim ◽  
Nadia Amirudin ◽  
Manimaran Krishnan
Keyword(s):  
Side Effects ◽  
Herbal Medicine ◽  
Qualitative Study ◽  
Adverse Effects ◽  
Conventional Medicine ◽  
Healthcare Providers ◽  
Diabetic Patients ◽  
Structured Interviews ◽  
Type 2 Diabetic Mellitus ◽  
Negative Side Effects

INTRODUCTION: The concomitant intake of herbal medicine and conventional medicine amongst patients is steadily increasing worldwide. However, concerns have been raised regarding potential adverse effects and drug interactions when consuming both medications together. Therefore, this work aimed to comprehending the perception of Type 2 Diabetic Mellitus (T2DM) patients on conventional medicine and the manner of its use with herbal medicine in managing diabetes mellitus. METHODS: A qualitative study was conducted among 28 diabetic patients in four government clinics under the jurisdiction of the state of Negeri Sembilan, Malaysia. Purposive sampling was employed to recruit informants who consumed herbal medicine alongside their prescribed conventional medicine. This study employed semi-structured interviews, which were all digitally recorded, transcribed, and analysed thematically. RESULTS: This study found that most of the patients perceived the negative side effects of conventional medicine, which led them to consider incorporating herbal medicine in treating diabetes. Such perception was influenced by the personal experiences of their family members and friends. A majority of the informants utilised herbal medicine as a complementary consumption to conventional medicine as opposed to implementing it as an alternative. However, they would alter the dosage and intake time of conventional medicine for several reasons, such as to complement their herbal medicine intake, being fed-up with conventional medicine, and reduce the risk of its side effects. Lastly, this study revealed that some of the patients noted their intention to discontinue conventional medicine, while some even tried to quit. CONCLUSIONS: A complete understanding of patient’s perceptions regarding conventional medicine and its usage with herbal medicine will aid healthcare providers to deliver education on the importance of conventional medicine usage compliance. Additionally, people should be aware that its combination with herbal medicine when consumed may present adverse effects and subsequently cause serious health problems.

scholarly journals Play as a care strategy for children with cancer

2015 ◽  
Vol 36 (2) ◽  
pp. 76-81 ◽  
Author(s):  
Kálya Yasmine Nunes de Lima ◽  
Viviane Euzébia Pereira Santos
Keyword(s):  
Content Analysis ◽  
Qualitative Study ◽  
Rio Grande ◽  
Care Process ◽  
Process Of Care ◽  
Structured Interviews ◽  
Children With Cancer ◽  
Recreational Activities ◽  
Photographic Records

OBJECTIVE: To understand the influence of play in the care process as perceived by children with cancer. METHOD: A descriptive, exploratory and qualitative study conducted in a children's cancer unit in Natal, Rio Grande do Norte, Brazil. Data were collected between October 2013 and January 2014 by means of photographic records and semi-structured interviews with eight children, and content analysis with emphasis on two categories: Auxiliary instruments during play; and The influence of play in the process of care. RESULTS: Recreational activities involve watching television, using computers, games and toys, drawing, the playroom and the clown, which provide fun, feelings of joy, distraction and interaction with other people. CONCLUSION: There are several activities at the hospital that are considered play-related and, for the children, they all benefit their care process.

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.

Cancer patients' perceptions of using a “breast gown”: a qualitative study

2006 ◽  
Vol 5 (2) ◽  
pp. 97-107 ◽  
Author(s):  
M. McLean ◽  
D. Hodgson
Keyword(s):  
Content Analysis ◽  
Patient Satisfaction ◽  
Qualitative Study ◽  
Phenomenological Approach ◽  
Patient Choice ◽  
Evidence Based ◽  
Unexpected Result ◽  
Structured Interviews ◽  
Qualitative Phenomenological ◽  
Privacy Issues

Recently, radiotherapy breast gowns have been introduced into some Radiotherapy Departments across the country. The idea of using the breast gowns came from issues highlighted regarding privacy and dignity from patient satisfaction surveys. The introduction of the breast gowns was not evidence based, however they have become popular as they were considered a good aid for patients' comfort. This study aimed to investigate patients' perceptions of the breast gowns using a qualitative, phenomenological approach. The methodology was designed to explore patient's feelings about their experiences throughout their cancer journey. The data was collected through semi-structured interviews, which were transcribed and analysed, via content analysis. The key themes that emerged from the study were related to: patients' emotions; dignity and privacy issues; exposure; patient choice and an unexpected result were their views relating to the notion of “possession”. The results of this study cannot be generalised due to the methodology chosen, however the findings can aid the development of a multi-centred study to investigate this topic further. In addition, this study has highlighted an important recommendation for radiotherapy practice: the development of a “modesty gown” for most treatment sites.

scholarly journals The Experiences of Iranian Nurses in Critical Events and Natural Disasters: A Qualitative Study

2021 ◽  
Author(s):  
Ali Hasanpour Dehkordi ◽  
Shahriar Salehi Tali ◽  
Reza Ganeigheshlagh
Keyword(s):  
Qualitative Study ◽  
Natural Disasters ◽  
Health Professionals ◽  
Medical Staff ◽  
Healthcare Providers ◽  
Main Theme ◽  
Critical Events ◽  
Structured Interviews ◽  
Psychological Disturbance ◽  
Hermeneutic Approach

Medical staff and healthcare providers are always involved in earthquakes; therefore, the aim of this study was to explore the experience of nurses in dealing with critical events and natural disasters. A qualitative study was conducted by semi-structured interviews with 12 medical staff. Data were analyzed by qualitative analysis hermeneutic approach. Four categories were developed as follows: “confusion,” “coercion,” “psychological disturbance,” and “wasting of resources.” The categories led to the development of the main theme of “miss management.” Earthquakes are considered serious challenges for nurses and health professionals involved in such disasters. It will culminate in dire consequences including physical, mental, and psychological damage as well as high mortality rate among people and healthcare providers.

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