scholarly journals Exploring the acceptance of telehealth within palliative care: A Self-Determination Theory perspective.

2021 ◽  
Author(s):  
Joseph Keenan ◽  
Rachel Rahman ◽  
Joanne Hudson
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Lived Experience ◽  
Health Care Professionals ◽  
Need Satisfaction ◽  
Self Determination ◽  
Structured Interviews ◽  
Psychological Need ◽  
Professional Perceptions

Abstract The aim of this paper was to explore potential divergence and convergence in relation to health care professionals’ and patients’ acceptability of the use of telehealth within palliative care provision through the lens of Self-Determination Theory.The research utilized a deductive qualitative approach utilizing semi-structured interviews to explore divergence and convergence between health care professionals’ preconceptions of the use of telehealth in palliative care and the lived experiences of patients accessing support in this manner. Semi-structured interviews were conducted with both professionals and patients to explore whether the barriers and benefits of telehealth perceived by professionals corresponded to the patient’s lived experience of utilizing the technology in their palliative care. Interviews were analyzed using a deductive thematic analysis.Professionals and patients identified that the use of telehealth could satisfy the need for autonomy, however this manifested in different ways. Greater divergence was apparent between patient and professional perceptions about how telehealth could satisfy the need for relatedness and competence needs. The findings of this paper highlight how professionals preconceived concerns about the use of telehealth in relation to providing supportive palliative care may not be realized when exploring the experiences of patients accessing services through this medium. This paper highlights the important role of psychological need satisfaction when considering acceptability of telehealth, and motivation to engage in the implementation of technologically driven health services.

scholarly journals Exploring the acceptance of telehealth within palliative care: A self-determination theory perspective

2021 ◽  
Author(s):  
Joseph Keenan ◽  
Rachel Rahman ◽  
Joanne Hudson
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Lived Experience ◽  
Health Care Professionals ◽  
Self Determination Theory ◽  
Need Satisfaction ◽  
Self Determination ◽  
Structured Interviews ◽  
Psychological Need

AbstractThe aim of this paper was to explore potential divergence and convergence in relation to health care professionals’ and patients’ acceptability of the use of telehealth within palliative care provision through the lens of Self-Determination Theory. The research utilized a deductive qualitative approach utilizing semi-structured interviews to explore divergence and convergence between health care professionals’ preconceptions of the use of telehealth in palliative care and the lived experiences of patients accessing support in this manner. Semi-structured interviews were conducted with both professionals and patients to explore whether the barriers and benefits of telehealth perceived by professionals corresponded to the patient’s lived experience of utilizing the technology in their palliative care. Interviews were analyzed using a deductive thematic analysis. Professionals and patients identified that the use of telehealth could satisfy the need for autonomy, however this manifested in different ways. Greater divergence was apparent between patient and professional perceptions about how telehealth could satisfy the need for relatedness and competence needs. The findings of this paper highlight how professionals preconceived concerns about the use of telehealth in relation to providing supportive palliative care may not be realized when exploring the experiences of patients accessing services through this medium. This paper highlights the important role of psychological need satisfaction when considering acceptability of telehealth, and motivation to engage in the implementation of technologically driven health services.

scholarly journals Where else would I look for it? A five-country qualitative study on purposes, strategies, and consequences of online health information seeking

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Nicola Diviani ◽  
Eva Haukeland Fredriksen ◽  
Corine S. Meppelink ◽  
Judy Mullan ◽  
Warren Rich ◽  
...  
Keyword(s):  
Health Care ◽  
Lived Experience ◽  
Health Information ◽  
Health Care Professionals ◽  
Information Seeking ◽  
The Body ◽  
Online Health Information ◽  
Structured Interviews ◽  
Ehealth Literacy ◽  
Digital Divides

Background. Online health information (OHI) is widely available and consulted by many people in Western countries to gain health advice. The main goal of the present study is to provide a detailed account of the experiences among people from various demographic backgrounds living in high-income countries, who have used OHI. Design and methods. Thematic analysis of 165 qualitative semi-structured interviews conducted among OHI users residing in Australia, Israel, the Netherlands, Norway, and Switzerland was performed. Results. The lived experience of people using OHI seem not to differ across countries. The interviews show that searches for OHI are motivated from curiosity, sharing of experiences, or affirmation for actions already taken. Most people find it difficult to appraise the information, leading them to cross-check sources or discuss OHI with others. OHI seems to impact mostly some specific types of health behaviors, such as changes in diet or physical activity, while it only plays a complementary role for more serious health concerns. Participants often check OHI before seeing their GP, but are reluctant to discuss online content with health care personnel due to expected negative reception. Conclusions. This study adds to the body of knowledge on eHealth literacy by demonstrating how OHI affects overall health behavior, strengthens patients’ ability to understand, live with, and prepare themselves for diverse health challenges. The increasing digitalization of health communication and health care calls for further research on digital divides and patient-professional relations. Health care professionals should acknowledge OHI seeking and engage in discussions with patients to enable them to appreciate OHI, and to support shared decision making in health care. The professionals can utilize patient’s desire to learn as a resource for health prevention, promotion or treatment, and empowerment.

scholarly journals Healing the Feelings and Feeling the Healing: Hypnotic Approaches in Cancer and Palliative Care

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Sylvain Néron ◽  
Daniel Handel
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Health Care Professionals ◽  
Symptom Relief ◽  
Self Regulation ◽  
Video Clip ◽  
Medical Procedures ◽  
The Face ◽  
Clinical Hypnosis

This workshop will focus on clinical demonstrations of hypnotic suggestion through metaphors for self-regulation improvements, pain relief, palliation of symptoms, and amelioration of hope in the face of advanced or progressive illness. These materials were designed (Néron and Handel, In Press) for health care professionals who use – or may decide to use – clinical hypnosis in their professional work with patients. The role of adjunctive hypnotic therapy in cancer care is to help manage distressing symptoms and to give the sufferer a sense of control via mind-body regulation. Physicians and health care professionals can integrate personalized hypnotic approaches in order to help patients regulate physiological functions, alleviate pain, enhance the release of tension, reframe hope, facilitate new levels of personal adjustments, and promote or restore healing spiritual experiences.The workshop will include case-based, video clip demonstrations to cover the following topic areas: a) addressing patients’ misconceptions about hypnosis, b) establishing appropriate clinical goals, c) using hypnotic techniques in different medical settings, d) developing quick ways of reaching a hypnotic state, e) teaching self-hypnosis, f) preparing for medical procedures, g) reframing hope, and h) promoting healing spiritual experiences.Objectives: Participants will be introduced to ways of: a) Integrating guided clinical hypnosis procedures at bedside and in several medical contexts. b) Empowering the sufferer by teaching him or her how to use self-hypnosis for symptom relief and for addressing their existential issues.ReferenceNéron, S., and Handel, D. Hypnotic Approaches in Cancer and Palliative Care. Quebec: Presses de l’Université du Québec, In Press.

Examining the role of psychological need satisfaction in sleep: A Self-Determination Theory perspective

2015 ◽  
Vol 77 ◽  
pp. 199-204 ◽  
Author(s):  
Rachel Campbell ◽  
Maarten Vansteenkiste ◽  
Liesbeth M. Delesie ◽  
An N. Mariman ◽  
Bart Soenens ◽  
...  
Keyword(s):  
Self Determination Theory ◽  
Need Satisfaction ◽  
Self Determination ◽  
Psychological Need ◽  
Psychological Need Satisfaction

scholarly journals Physiotherapy students’ perceptions of the dual role of the clinical educator as mentor and assessor: Influence on the teaching–learning relationship

2017 ◽  
Vol 73 (1) ◽  
Author(s):  
Ilse S. Meyer ◽  
Alwyn Louw ◽  
Dawn Ernstzen
Keyword(s):  
Health Care ◽  
Clinical Education ◽  
Health Care Professionals ◽  
Dual Role ◽  
Structured Interviews ◽  
Negative Effects ◽  
Clinical Educator ◽  
Qualitative Descriptive ◽  
Teaching Learning

Background: Clinical education is widely considered to be the cornerstone of health care professionals’ education. Clinical educators (CEs) fulfil many roles and act as both mentors and assessors in the learning process of students’ undergraduate health care professions education. However, changing from being a mentor to being an assessor may present particular challenges for both the CE and the students.Objective: To explore students’ perceptions of how the dual role of a CE as mentor and assessor influenced the teaching–learning (T-L) relationship.Method: A qualitative descriptive study, involving seven individual semi-structured interviews and two focus group discussions, was conducted with students in the Division of Physiotherapy, Stellenbosch University. A contextualised interpretive content analysis was used to analyse the data. By following an iterative process, themes were identified and categories were reviewed and refined.Results: Challenges were experienced when CEs had to act and change as both mentors and assessors to the needs of the students. This influenced the T-L relationship and consequently impacted the learning of students. The expectations of students and CEs were often not fulfilled. Contradictions were disclosed regarding the dual role of CEs.Conclusion: The findings of the study, grounded in the perceptions and experiences of students on the dual role of the CE, are highlighted. It is important to consider the challenges that the students face in order to minimise any negative effects these challenges could have on students’ learning processes.

scholarly journals Teachers’ authentic leadership and psychological need satisfaction climate in second chance programmes: The moderating role of teachers’ gender

2020 ◽  
pp. 174114322095734
Author(s):  
Izhak Berkovich ◽  
Batel Gueta
Keyword(s):  
Authentic Leadership ◽  
Self Determination Theory ◽  
Need Satisfaction ◽  
Self Determination ◽  
Group Level ◽  
Psychological Need ◽  
Second Chance ◽  
Moderating Role ◽  
Psychological Need Satisfaction

The present study explores the effect of teachers’ authentic leadership in second chance programmes on students’ psychological need satisfaction climate (according to self-determination theory), and the manner in which teachers’ gender moderates this effect. Data collected from 60 teachers and 183 students in second chance programmes in Israel were analysed at the group level. The study found that for male teachers, authentic leadership negatively predicted psychological need satisfaction climate in the classroom. The implications of findings for authentic leadership in general and for teaching in second chance programmes are discussed.

Experiences of individuals with arthritis who participate in quilting-related leisure activities

2019 ◽  
Vol 26 (10) ◽  
pp. 1-10
Author(s):  
Rachel Proffitt ◽  
Meredith Abraham ◽  
Christina Hughes
Keyword(s):  
Health Care ◽  
Lived Experience ◽  
Health Care Professionals ◽  
Task Analysis ◽  
Leisure Activities ◽  
Leisure Activity ◽  
Occupational Therapists ◽  
Physiological Changes ◽  
Structured Interviews ◽  
Everyday Activities

Background/Aims Individuals with arthritis experience physiological impacts from the condition that affect their participation in everyday activities. The latest literature suggests a need for more in-depth exploration of how hand impairments impact participation in leisure activities. This qualitative study explores the lived experience of individuals with arthritis who participate in quilting and sewing as a leisure activity. Methods The Person-Environment-Occupation model provided a framework for this study. Semi-structured interviews were conducted with four individuals with arthritis. Participants interviewed in person also gave feedback on quilting tools. Results Environmental supports (from tools or social circles) and physiological changes from the arthritis impacted performance of and participation in quilting. The participants were already independently making modifications to maximise participation in quilting and sewing, even though none had consulted with health care professionals. Conclusions Knowledge of task analysis and ergonomics allows occupational therapists to support performance through collaboration with clients on modifications to support participation.

Shame, Suffering, and Believing in the Family: The Experiences of Grandmothers of a Grandchild With a Developmental Delay or Disability in the Context of Chinese Culture

2020 ◽  
Vol 26 (1) ◽  
pp. 52-64
Author(s):  
Yu-Ping Huang ◽  
Shou-Yu Wang ◽  
Ursula Kellett ◽  
Chao-Huei Chen
Keyword(s):  
Health Care ◽  
Lived Experience ◽  
Developmental Delay ◽  
Health Care Professionals ◽  
Chinese Culture ◽  
Phenomenological Study ◽  
Cultural Background ◽  
Social Rejection ◽  
The Family

Grandparents are primary resources of caregiving support for parents worldwide, regardless of the cultural background. In Chinese societies, grandmothers often fill the role of supportive caregiver. However, a knowledge gap in the literature exists about how Chinese culture influences caregiving for grandmothers of grandchildren with a disability, particularly in Taiwan. This phenomenological study explored the lived experience of grandmothers caring for a grandchild with a developmental delay or disability in the context of Chinese culture. Twenty-five grandmothers were interviewed. When grandmothers learned of their grandchild’s disability, they experienced suffering, which was compounded by the stigma attached to persons with a disability in Chinese cultures, and they also experienced shame and fear of social rejection. Grandmothers’ belief in the importance of family gave meaning to their suffering and prompted them to find new ways to deal with everyday difficulties. These findings can guide nurses and health care professionals responsible for supporting grandmothers caring for a child with a disability in the context of Chinese culture.

Challenge Demands, Hindrance Demands, and Psychological Need Satisfaction

2015 ◽  
Vol 14 (2) ◽  
pp. 70-79 ◽  
Author(s):  
Simon L. Albrecht
Keyword(s):  
Work Engagement ◽  
Job Demands ◽  
Self Determination Theory ◽  
Structural Equations ◽  
Need Satisfaction ◽  
Self Determination ◽  
Job Resources ◽  
Mediating Effects ◽  
Psychological Need ◽  
Practical Implications

The job demands-resources (JD-R) model provides a well-validated account of how job resources and job demands influence work engagement, burnout, and their constituent dimensions. The present study aimed to extend previous research by including challenge demands not widely examined in the context of the JD-R. Furthermore, and extending self-determination theory, the research also aimed to investigate the potential mediating effects that employees’ need satisfaction as regards their need for autonomy, need for belongingness, need for competence, and need for achievement, as components of a higher order needs construct, may have on the relationships between job demands and engagement. Structural equations modeling across two independent samples generally supported the proposed relationships. Further research opportunities, practical implications, and study limitations are discussed.

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