Acute pain management in patients with opiate maintenance treatment in primary care: a qualitative study

Abstract Background: Opiate use disorders are a worldwide disease. In the last 30 years, opiate maintenance treatment prescription changed patients’ and also changed physicians’ practice. General practitioners (GPs) have to deal with patients on OMT who are in acute pain. Both clinically and pharmacologically, the treatment of acute pain in patients with an opiate use disorder and an OMT(opiate maintenance treatment) differs from that given to patients with other conditions. As this situation is complex, it was important to explore whether GPs recognised this problem and whether they managed it effectively.Objective: To investigate how GPs identify and manage situations of acute pain in patients with opiate use disorders and OMT. Methods: semi-structured interviews were used as a data collection technique with a purposive sample of practising GPs. Data collection continued until saturation was reached. Analysis was undertaken using a thematic analysis method. Two independent researchers, working blind and pooling data, carried out the analysis. Results: The maximal variation of the sample and saturation of data were reached with 11 GPs. The thematic analysis resulted in 4 main themes: (1) the importance and difficulties of professional links , (2) the specific clinical reasoning , (3) the importance of the doctor-patient relationship and (4) the particular characteristics of OMT patients. Conclusion: The complexity of pain and opioid dependence represents significant challenges for GPs. It is hard to achieve a balance between pain relief and opiate use disorder treatment. These questions are particularly important in general practice, where the practitioner may feel insufficiently trained, and isolated. Existing protocols do not seem to be in line with general practice. The number of patients on OMT has increased since it was first marketed; GPs will increasingly have to deal with these situations and will have to issue their own recommendations.

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Consulta de enfermagem no pré e pós-operatório de transplante renal: faz a diferença?

Revista de Enfermagem UFPE on line ◽

10.5205/reuol.202-1995-3-ce.0302200906 ◽

2009 ◽

Vol 3 (2) ◽

pp. 237

Author(s):

Adriana Valongo Zani ◽

Giovana Paz ◽

Glaucimara Boniotti

Keyword(s):

Renal Failure ◽

Kidney Transplantation ◽

Data Collection ◽

Kidney Transplant ◽

Professional Practice ◽

Thematic Analysis ◽

Descriptive Study ◽

Qualitative Approach ◽

Number Of Patients ◽

Random Draw

ABSTRACTObjective: to describe the patient’s knowledge with chronic renal failure submitted to kidney transplantation on the importance of consultation with nursing for his treatment. Methodology: this is about an exploratory-descriptive study from qualitative approach. The data collection was from January to December 2007. The sample consisted of 36 patients undergoing kidney transplant from a total of 400. For the choice of the patients was a random draw simple daily. For data collection was used a questionnaire consisting of 11 questions concerning the information about the kidney transplant. For organization of the results was used thematic analysis proposed by Minayo. Results: as for nursing consultation for a significant number of patients claiming to be of importance to them, since they make them safer, take your questions and will be better targeted. Conclusion: confirming the effectiveness of professional practice of nurses in the monitoring of renal patients who is subject to renal transplantation. Descriptors: nursing; kidney transplantation; chronic renal failure.RESUMOObjetivo: descrever o conhecimento do paciente portador de insuficiência renal crônica submetido a transplante renal referente à importância da consulta de enfermagem para seu tratamento. Metodologia: tratou-se de um estudo descritivo-exploratório com abordagem qualitativa. O período de coleta foi de janeiro a dezembro de 2007. A amostra foi constituída por 36 pacientes submetidos a transplante renal de um total de 400. Para a escolha dos pacientes foi realizado um sorteio aleatório simples diário. Para a coleta de dados foi utilizado um questionário composto por 11 perguntas referentes as informações sobre o transplante renal. Para organização dos resultados foi utilizada a análise temática proposta por Minayo. Resultados: quanto à consulta de enfermagem um número significativo de pacientes afirmam ser de importância aos mesmos, uma vez que os tornam mais seguros, tiram suas dúvidas e serão melhor orientados. Conclusão: estes dados vêm a confirmar a eficácia da atuação profissional do enfermeiro no acompanhamento dos pacientes renais que se submeterão ao transplante renal. Descritores: enfermagem; transplante renal; insuficiência renal crônica.RESUMENObjetivo: describir el conocimiento del paciente portador de insuficiência renal crónica sometido a transplante renal, referente a la importáncia de la consulta de enfermería para su tratamiento. Metodologia: studio exploratório y descriptivo con abordaje cualitativa. El período de recogida fue de enero a diciembre de 2007. La muestra consistió de 36 pacientes sometidos a trasplante de riñón de un total de 400. Para la elección de los pacientes fue de un sorteo aleatorio simple diario. Para la recogida de datos se utilizó un cuestionario de 11 preguntas relativas a la información sobre el trasplante de riñón. Para la organización de los resultados se utilizó el análisis temático propuesto por Minayo. Resultados: cuanto a consulta de enfermeria, un número significativo de pacientes, afirma ser de importância a los mismos, una vez que los hacen mas seguros, disipan sus dudas y serán mejor orientados. Conclusión: lo que confirma la eficácia de la actuación profesional del enfermero, en el acompañamiento de los pacientes renales que se sometieron al transplante renal. Descriptores: enfermería; transplante renal; insuficiéncia renal crónica.

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District nurses' experiences with a caseload profiling tool: a service evaluation

British Journal of Community Nursing ◽

10.12968/bjcn.2020.25.7.318 ◽

2020 ◽

Vol 25 (7) ◽

pp. 318-326

Author(s):

Bruce Harper-McDonald

Keyword(s):

Data Collection ◽

Thematic Analysis ◽

Working Group ◽

Community Setting ◽

Service Evaluation ◽

Complex Data ◽

Structured Interviews ◽

Simple Process ◽

District Nurses ◽

Qualitative Work

Caseload profiling is being advocated as a method to measure, manage and evidence increasingly complex caseloads in district nursing. However, there is no qualitative work on district nurses' experiences of applying caseload profiling to their caseloads. The aim of the service evaluation presented in this paper was to explore a working group's experiences of implementing a caseload-profiling tool to caseloads in district nursing in one community setting. As part of the service evaluation, three semi-structured interviews were conducted during meetings of the working group. Following data collection, thematic analysis supported the identification of three themes: barriers, facilitators and significance of data collected from caseload profiling. Subthemes were identified and compared with available literature and policy to enable new insights from practitioners to be gained. The service evaluation concluded that caseload profiling is a simple process that yields rich, complex data, with the data generated from the caseload profiles providing a method to evidence the complexity of district nursing caseloads and information to support proactive caseload management and identification of service delivery priorities.

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CUKA AREN (Arenga pinnata): KAJIAN PEMANFAATAN OLEH INDIGENOUS PEOPLE KAMPUNG ADAT KUTA BERDASARKAN FLOK KNOWLEGDE

Florea Jurnal Biologi dan Pembelajarannya ◽

10.25273/florea.v8i1.8913 ◽

2021 ◽

Vol 8 (1) ◽

pp. 1

Author(s):

Reza Fauzi Dwisandi ◽

Diana Hernawati ◽

Egi Nuryadin

Keyword(s):

Qualitative Research ◽

Data Collection ◽

Traditional Medicine ◽

Indigenous People ◽

Structured Interviews ◽

Folk Knowledge ◽

The People ◽

Stomach Acid ◽

Data Collection Technique ◽

Processed Products

Palm vinegar is one of the processed products from a type of plant from the Arecaceae family, namely Arenga pinnata. Arenga vinegar is used by the people of the Kuta traditional village as a traditional medicine to treat a disease or prevent disease, this is based on folk knowledge, experience and ancestral traditions passed down from generation to generation in using plants as medicine. However, their utilization practices have not been published, identified and documented. Therefore, this study aims to describe the stages of making arenga vinegar and the practice of using it as a traditional medicine in Kuta Traditional Village. This research was conducted in Kuta Traditional Village, Tambak Sari District, Karangpaninggal Village, Ciamis Regency, in January-February 2021. This research is qualitative research study using the phenomenological method, the data collection technique used in this study are passive participation and active participation observation, semi-structured interviews with 4 people, namely 3 men and 1 woman, and document studies were carried out. The results showed that the arenga vinegar making stages in Kuta Traditional Village includes the process of lodong sterilizer, tapping arenga juice, filtering arenga juice, storing and fermenting arenga juice. As for its use, arenga vinegar is believed to be a traditional medicine such as types of fever, aches, liver, diabetes, stomach acid and external wounds.

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A Course-Based Qualitative Inquiry: What Relational-Centred Practice Looks Like When in a Power-Over Position of Authority

Advances in Social Sciences Research Journal ◽

10.14738/assrj.72.7760 ◽

2020 ◽

Vol 7 (2) ◽

pp. 20-27

Author(s):

Adrianna Cambridge ◽

Sarah Fereja ◽

Irene Mai ◽

Alice Yuan ◽

Gerard Bellefeuille

Keyword(s):

Data Collection ◽

Thematic Analysis ◽

Qualitative Data ◽

Youth Care ◽

Qualitative Inquiry ◽

Self Awareness ◽

Analysis Method ◽

Child And Youth Care ◽

Emotional Safety ◽

Data Collection Technique

In this article, we report on the innovative research design and results of a course-based qualitative inquiry into child and youth care (CYC) students' experiences of maintaining a relational-centered practice stance while in a power-over position of authority. Qualitative data from two semi-structured focus groups as well as an arts-based data collection technique were analyzed using the thematic analysis method. The following four major themes were identified from the analyses: (a) “self-awareness is key,” (b) “the mediating power of a positive trusting relationship,” (c) “the vital importance of emotional safety,” and (d) “it’s a two-way street.” The results of this course-based study revealed that, although CYC students are committed to practicing relationally, the dynamics of being in a position of power-over authority are complex and challenging to navigate.

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FAKTOR - FAKTOR MOTIVASI BERNYANYI KERONCONG PADA PENYANYI KERONCONG MUDA

IKONIK : Jurnal Seni dan Desain ◽

10.51804/ijsd.v3i1.860 ◽

2021 ◽

Vol 3 (1) ◽

pp. 1

Author(s):

Carinda Nabila Huda

Keyword(s):

Data Collection ◽

Family Support ◽

Motivational Factors ◽

Structured Interviews ◽

Internal Factor ◽

The People ◽

Written Form ◽

Data Collection Technique ◽

The Individual

Penelitian ini bertujuan untuk mengetahui faktor - faktor yang memengaruhi motivasi seseorang yang masih berusia muda untuk belajar dan bernyanyi keroncong. Penelitian ini merupakan penelitian kualitaitif dengan wawancara semi-terstruktur sebagai teknik pengumpulan data. Wawancara dilakukan terhadap tiga narasumber, yaitu tiga penyanyi keroncong yang masih berusia muda, yakni 23, 24 dan 25 tahun. Narasumber tersebut dipilih berdasarkan tiga kriteria : berusia muda, memiliki prestasi di bidang vokal keroncong, dan sudah menjadikan bernyanyi keroncong sebagai sebuah profesi. Rekaman wawancara yang sudah terkumpul kemudian ditranskrip ke dalam bentuk tulisan, diberi kode, dan direduksi. Hasil penelitian menunjukkan bahwa faktor motivasi dalam bernyanyi keroncong dikelompokkan menjadi faktor yang berasal dari dalam individu (internal) dan faktor yang berasal dari luar individu (eksternal). Faktor internal berupa rasa penasaran, tertantang, perasaan suka, enjoy, seru, semangat, hobby dan perasaan ingin menambah pengalaman dan referensi. Sedangkan faktor yang berasal dari luar individu (eksternal) banyak datang dari saran dan dukungan dari orang - orang di sekitar individu tersebut. Seperti saran dari orangtua untuk bernyanyi keroncong, dukungan keluarga, teman, serta adanya sarana dan prasarana yang memadahi.The purpose of this research was to find out the factors that influence the motivation of someone who is young to learn and sing keroncong. The was qualitative with semi-structured interviews as a data collection technique. Interviews was conducted with three speakers. They were 23, 24, and 25 year-old-keroncong singers. The three speakers were chosen based on three criterias : young, having vocal keroncong achievments, and having a profession as keroncong singer. The interview records that have been collected are then transcribed into written form, coded, and reduced. The results showed that motivational factors in singing keroncong are grouped into factors that orginate from within the individual (internal) and factors that cone from oustide the individual (external). Internal factor such as curiosity, challenge, feeling like, enjoy, exciting, passion, hobby, and feeling want to add experience and references. While the factors that come from outside the individual (external) many come from the advice and support of the people around the individual. As suggestions from parents to sing keroncong, family support, friends, and the existence of adequate facilities and infrastructure.

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Cultural Diversity and Its Influence on Role Players in a Full-Service School in Soshanguve: A Wellness Perspective

European Journal of Education ◽

10.26417/790dun39d ◽

2021 ◽

Vol 4 (1) ◽

pp. 23

Author(s):

Ute Steenkamp

Keyword(s):

Data Collection ◽

Cultural Diversity ◽

Thematic Analysis ◽

Cultural Awareness ◽

Research Study ◽

Research Question ◽

Theoretical Framework ◽

Structured Interviews ◽

Role Players ◽

Cultural Historical Activity

The purpose of the study was to explore the role cultural diversity plays in a Full-Service School in Soshanguve by means of a wellness perspective lens. The phenomenon at hand was the way that cultural diversity influences role players within a Full-Service School. The study was underpinned by three theories, namely Hettler’s Wellness Theory, Cultural-Historical Activity Theory and Ubuntu to generate a comprehensive insight into the role of cultural diversity on role players within a Full-Service School in Soshanguve. The study was premised on a qualitative philosophy using an interpretive paradigm, an ethnographic case study and using various qualitative methods of data collection, analysis and interpretation of data. Only one school participated in this research study as the goal of this research study was understanding the phenomenon from the participants’ perspective. The study employed a purposive sampling approach to select diary entries from educators who participated in the semi-structured interviews. Data collection and analysis were precise as the data was collected and transcribed as soon as it was recorded. The researcher consequently decided to use thematic analysis to draw on the theoretical framework of this study. Thematic analysis refers to the identification of themes and patterns of meaning throughout the data in correlation to the research question. Thus, the researcher analysed content by coding specific themes as directed by the research project’s theoretical framework. Among the findings was that role players identified that cultural diversity influences the wellness dimensions holistically. One of the recommendations is to establish a cultural awareness model in collaboration with the community within a Full-service school.

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The Negative Factors Influencing the Career Intention of General Practice Trainees in Eastern China: a Qualitative Study

10.21203/rs.3.rs-677147/v1 ◽

2021 ◽

Author(s):

Lei Tang ◽

Huan Yang ◽

Zhuxin Mao ◽

Quan Li ◽

Shunping Li

Keyword(s):

General Practice ◽

Thematic Analysis ◽

Eastern China ◽

Training System ◽

Social Recognition ◽

Structured Interviews ◽

Career Intention ◽

Factors Influencing ◽

The Government ◽

Negative Factors

Abstract Background: There is an acute shortage of general practitioners (GPs) in China, and most of those general practice trainees have low career intention. This study aimed to investigate negative factors influencing the career intention of GPs in eastern China from the perspective of trainees taking standardised residency training, as to identify the barriers for general practice trainees becoming registered GPs, and to provide a policy-making basis for GPs recruitment and retention.Methods: A qualitative design was carried out in two training bases of Jinan and Qingdao in eastern China. Face-to-face, in-depth, semi-structured interviews were conducted, audiotaped, and transcribed using thematic analysis.Results: twenty-one trainees participated in this study. Thematic analysis generated five major themes: (1) low social recognition, (2) low professional identity, (3) low remuneration level, (4) imperfect training system and (5) influence of policy factors. Conclusion: Our results identified various negative factors influencing the career intentions of trainees. In order to eliminate these factors and increase attractiveness of general practice, it is recommended that the government and the public should create a supportive environment, which can be beneficial to the construction and development of general practice.

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Perilaku konsumtif sebagai dampak online shop di kalangan mahasiswa Sosiologi 2019 Universitas Negeri Malang

Jurnal Integrasi dan Harmoni Inovatif Ilmu-Ilmu Sosial ◽

10.17977/um063v1i5p542-546 ◽

2021 ◽

Vol 1 (5) ◽

pp. 542-546

Author(s):

Catur Dian Rahayu ◽

Hasna Bararah M ◽

Kalya Nabila Zuhdi ◽

Muhammad Iqbal Perdana ◽

Nabilah Fina Aprilia ◽

...

Keyword(s):

Data Collection ◽

Qualitative Approach ◽

Consumption Patterns ◽

Digital Marketing ◽

Consumption Pattern ◽

Technological Changes ◽

Structured Interviews ◽

Jean Baudrillard ◽

Data Collection Technique ◽

Online Shops

The presence of technology brings about a change in people's lives, with technology of all activities being more comfortable. Technological changes have taken place in the field of digital marketing, such as shopping online. The presence of an online shop provides considerable comfort in shopping activities. But with that convenience, it can also establish higher consumption patterns. This consumption pattern was analyzed using the concept of the consumption of Jean Boudrilland. The study USES a descriptive qualitative approach with the data-collection technique of structured interviews. In the study two results have been found, the first of these is consensual behaviors among sociology students where they buy goods through online shops out of sheer need. The second result was that a sociology student was seeking to remain unaffected by the ease of shopping through online shops in order to avoid the form of consumer behavior. From such exposure it can be concluded that the concept of consumptive society by Jean Boudrilland is relevant to today's lives where people tend to satisfy the urge to buy things instead of the need. Kehadiran teknologi membawa perubahan dalam kehidupan masyarakat, dengan adanya teknologi segala aktivitas dapat dilakukan dengan lebih nyaman. perubahan karena teknologi turut hadir dalam bidang digital marketing seperti hadirnya online shop. Kehadiran online shop cukup memberikan kenyamanan dalam aktivitas belanja. Namun dengan kenyamanan tersebut dapat pula membentuk pola konsumsi yang semakin tinggi. Pola konsumsi ini dianalisis menggunakan konsep masyarakat konsumsi dari Jean Boudrilland. Penelitian ini menggunakan metode pendekatan kualitatif deskriptif dengan teknik pengumpulan data yakni wawancara terstruktur. Dalam penelitian ini ditemukan dua hasil, yang pertama adanya perilaku konsumtif di kalangan mahasiswa sosiologi dimana mereka membeli barang melalui online shop karena keinginan bukan kebutuhan. Hasil yang kedua yakni ditemukan adanya mahasiswa Sosiologi yang berusaha untuk tidak terpengaruh kemudahan berbelanja melalui online shop dengan tujuan agar tidak terbentuk perilaku konsumtif. Dari pemaparan tersebut dapat disimpulkan bahwa konsep masyarakat konsumtif oleh Jean Baudrillard relevan dengan kehidupan saat ini dimana masyarakat cenderung memuaskan keinginan membeli suatu barang bukan atas dasar kebutuhan.

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P121: Understanding health equity: a pilot project to collect socio-demographic information on emergency department patients at registration

CJEM ◽

10.1017/cem.2017.323 ◽

2017 ◽

Vol 19 (S1) ◽

pp. S119

Author(s):

S. Vaillancourt ◽

M. McGowan ◽

C. Semprun ◽

P. Hannam ◽

G. Bandiera ◽

...

Keyword(s):

Emergency Department ◽

Data Collection ◽

Large Scale ◽

Capture Rate ◽

Tertiary Care ◽

Participation Rate ◽

Pilot Project ◽

Patient Data ◽

Structured Interviews ◽

Number Of Patients

Introduction: There is strong evidence that socio-economic factors such as income, housing and ethnicity are linked to health outcome disparities for emergency department (ED) patients. However, lack of real-time patient data has limited our ability to identify, understand and address health disparities. During a 14-week period, we assessed the feasibility and acceptability of the systematic collection of patient-level equity data in a busy tertiary care urban ED. Methods: We assessed feasibility by directly observing impact on registration time, percentage of patients on which data was collected, and ambulance patient data collection. We also assessed acceptability to patients, registration staff and clinicians through structured interviews of patients systematically sampled, focus group and surveys of registration staff and survey of clinicians. Results: Over the course of the study, equity data was collected on 2017 patients. Capture rate peaked in week 7 with 51% of eligible patients offered the equity questions and 30% answering. Average patient registration time increased from 215 seconds to 345 seconds (60%). Data collection with ambulance patients did not appear feasible. Patients (n=30) reported being comfortable with most questions except income (47% comfortable). 93% believed it could improve health services. However, a small number of patients voiced concern that the data could result in discrimination. Registration staff required sustained support and engagement, but some continued to feel uncomfortable with offering the questionnaire to some patients. Conclusion: Large scale collection of equity data is feasible but requires additional resources and sustained staff and patient support. Patient participation rate is likely to remain relatively low and is likely to underestimate disadvantaged groups. Data collection at multiple points within an institution may improve capture rate.

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Exploring the Experience of Klang Valley Youths on Fake Braces by Bogus Dentists

Malaysian Journal of Science Health & Technology ◽

10.33102/mjosht.v7i1.140 ◽

2021 ◽

Vol 7 (1) ◽

pp. 69-74

Author(s):

Nurul Izza Idaham ◽

Wan Mohamad Nasir Wan Othman ◽

Hasyimah Hassan

Keyword(s):

Health Promotion ◽

Oral Health ◽

Data Collection ◽

Qualitative Study ◽

Conceptual Framework ◽

Thematic Analysis ◽

Phenomenological Approach ◽

Structured Interviews ◽

Oral Health Promotion ◽

Klang Valley

The use of fake dental braces provided by bogus dentists is potentially dangerous to users' oral health. However, many people, especially youths, still fancy the use of these fake braces. This study aimed to explore the experience of youths from Klang Valley on the use of fake braces. This qualitative study used the phenomenological approach by interviewing ten youths aged between 16 - 27 years old who were from Klang Valley and wore fake braces. The tenth respondent formed the point of saturation of information in data collection. Semi-structured interviews were conducted to explore their experience in using fake braces. The interviews were conducted on the phone. Each interview lasted for a period of 10-15 minutes, and the conversations were recorded. The recordings were then transcribed verbatim, and thematic analysis of the content was used to develop the conceptual framework. Five major themes were discerned related to the respondents' views on the use of fake braces: a) physical appearance of teeth, b) influencing factors, c) seeking services of bogus dentists, d) procedures performed, and e) outcome of fake braces services. For youths with physical misalignment of teeth, fake braces are enticing due to the accessibility, availability, and affordability of bogus dentists. However, not all outcomes were perceived as favourable. Some perceived no change in the outcome, whilst most felt that fake braces led to worse consequences. This study's findings can provide the content for developing oral health promotion modules to check this unsafe practice.

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