scholarly journals Perception of Childbirth Experiences of Japanese Women in Bali, Indonesia: A Qualitative Study

2020 ◽  
Author(s):  
Kazuko Tanaka ◽  
Ni Made Dian Kurniasari ◽  
Desak Nyoman Widyanthini ◽  
Ni Luh Putu Suariyani ◽  
Rina Listyowati ◽  
...  
Keyword(s):  
Postnatal Care ◽  
Qualitative Content Analysis ◽  
Perinatal Care ◽  
Healthcare Services ◽  
Japanese Women ◽  
Structured Interviews ◽  
Related Information ◽  
Care Services ◽  
Japanese Residents ◽  
Childbirth Experiences

Abstract Background:Maternal healthcare services in Indonesia have seen dramatic improvements over the past 25 years and yet there is still room for improvement. The perception,by the women,of the perinatalcare provided,is a vital input to further improving theseservices. This study examineshow the perinatal care provided is experienced by Japanese women in Bali, using an interview survey.Methods:We conducted semi-structured interviews, from August to October 2017, with 14 Japanese women living in Badung Regency and Denpasar City in Bali Province, Indonesia to reporttheir perception of the perinatal care they experienced during their pregnancies. The interview guide included among others, the reasons for choosing specific (perinatal care) health facilities and their satisfaction with their experience of using the antenatal, delivery, and postnatal care services. The data were analysed using the qualitative content analysis method.Results:From the interview data, 12 categories across five themes were extracted. Participants reported experiencing various concerns during their pregnancies such as difficulty in obtaining perinatal care related information. Participants,from the beginning of their pregnancies gradually establishedtrusting relationships with midwives, but in many situations, they were disappointed with their childbirth experiences, as they felt that the care provided was not woman-centred.Through their own efforts and with the support of family members and other Japanese residents, many women were able to eventually consider their childbirth experiences as positive. Nonetheless, some women could not overcome their negative impressions even years after childbirth.Conclusions:Participants desired close attention and encouragement from nurses and midwives. Our results suggest that Japanese women in Bali expected a woman-centred perinatal care and active support from nursing/midwifery staff during their pregnancies and postnatal care.

scholarly journals Perception of childbirth experiences of Japanese women in Bali, Indonesia: A qualitative study

2020 ◽  
Author(s):  
Kazuko Tanaka ◽  
Ni Made Dian Kurniasari ◽  
Desak Nyoman Widyanthini ◽  
Ni Luh Putu Suariyani ◽  
Rina Listyowati ◽  
...  
Keyword(s):  
Postnatal Care ◽  
Qualitative Content Analysis ◽  
Perinatal Care ◽  
Healthcare Services ◽  
Japanese Women ◽  
Structured Interviews ◽  
Related Information ◽  
Care Services ◽  
Japanese Residents ◽  
Childbirth Experiences

Abstract Background: Maternal healthcare services in Indonesia have seen dramatic improvements over the past 25 years and yet there is still room for improvement. The perception, by the women, of the perinatal care provided, is a vital input to further improving these services. This study examines how the perinatal care provided is experienced by Japanese women in Bali, using an interview survey.Methods: We conducted semi-structured interviews, from August to October 2017, with 14 Japanese women living in Badung Regency and Denpasar City in Bali Province, Indonesia to report their perception of the perinatal care they experienced during their pregnancies. The interview guide included among others, the reasons for choosing specific (perinatal care) health facilities and their satisfaction with their experience of using the antenatal, delivery, and postnatal care services. The data were analysed using the qualitative content analysis method.Results: From the interview data, 12 categories across five themes were extracted. Participants reported experiencing various concerns during their pregnancies such as difficulty in obtaining perinatal care related information. From the beginning of their pregnancies, participants gradually established trusting relationships with midwives, but in many situations, they were disappointed with their childbirth experiences, as they felt that the care provided was not woman-centred. Through their own efforts and with the support of family members and other Japanese residents, many women were able to eventually regard their childbirth experiences as positive. Nevertheless, some women could not overcome their negative impressions even years after childbirth.Conclusions: Participants desired close attention and encouragement from nurses and midwives. Our results suggest that Japanese women in Bali expected a woman-centred perinatal care and active support from nursing/midwifery staff during their pregnancies and postnatal care.

scholarly journals Perception of childbirth experiences of Japanese women in Bali, Indonesia: A qualitative study

2020 ◽  
Author(s):  
Kazuko Tanaka ◽  
Ni Made Dian Kurniasari ◽  
Desak Nyoman Widyanthini ◽  
Ni Luh Putu Suariyani ◽  
Rina Listyowati ◽  
...  
Keyword(s):  
Postnatal Care ◽  
Qualitative Content Analysis ◽  
Perinatal Care ◽  
Healthcare Services ◽  
Japanese Women ◽  
Structured Interviews ◽  
Related Information ◽  
Care Services ◽  
Japanese Residents ◽  
Childbirth Experiences

Abstract Background: Maternal healthcare services in Indonesia have seen dramatic improvements over the past 25 years and yet there is still room for improvement. The perception, by the women, of the perinatal care provided, is a vital input to further improving these services. This study examines how the perinatal care provided is experienced by Japanese women in Bali, using an interview survey.Methods: We conducted semi-structured interviews, from August to October 2017, with 14 Japanese women living in Badung Regency and Denpasar City in Bali Province, Indonesia to report their perception of the perinatal care they experienced during their pregnancies. The interview guide included among others, the reasons for choosing specific (perinatal care) health facilities and their satisfaction with their experience of using the antenatal, delivery, and postnatal care services. The data were analysed using the qualitative content analysis method.Results: From the interview data, 12 categories across five themes were extracted. Participants reported experiencing various concerns during their pregnancies such as difficulty in obtaining perinatal care related information. From the beginning of their pregnancies, participants gradually established trusting relationships with midwives, but in many situations, they were disappointed with their childbirth experiences, as they felt that the care provided was not woman-centred. Through their own efforts and with the support of family members and other Japanese residents, many women were able to eventually regard their childbirth experiences as positive. Nevertheless, some women could not overcome their negative impressions even years after childbirth.Conclusions: Participants desired close attention and encouragement from nurses and midwives. Our results suggest that Japanese women in Bali expected a woman-centred perinatal care and active support from nursing/midwifery staff during their pregnancies and postnatal care.

scholarly journals Perception of childbirth experiences of Japanese women in Bali, Indonesia: a qualitative study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Kazuko Tanaka ◽  
Ni Made Dian Kurniasari ◽  
Desak Nyoman Widyanthini ◽  
Ni Luh Putu Suariyani ◽  
Rina Listyowati ◽  
...  
Keyword(s):  
Postnatal Care ◽  
Qualitative Content Analysis ◽  
Perinatal Care ◽  
Healthcare Services ◽  
Japanese Women ◽  
Structured Interviews ◽  
Related Information ◽  
Care Services ◽  
Japanese Residents ◽  
Childbirth Experiences

Abstract Background Maternal healthcare services in Indonesia have seen dramatic improvements over the past 25 years and yet there is still room for improvement. The perception, by the women, of the perinatal care provided, is a vital input to further improving these services. This study examines how the perinatal care provided is experienced by Japanese women in Bali, using an interview survey. Methods We conducted semi-structured interviews, from August to October 2017, with 14 Japanese women living in Badung Regency and Denpasar City in Bali Province, Indonesia to report their perception of the perinatal care they experienced during their pregnancies. The interview guide included among others, the reasons for choosing specific (perinatal care) health facilities and their satisfaction with their experience of using the antenatal, delivery, and postnatal care services. The data were analysed using the qualitative content analysis method. Results From the interview data, 12 categories across five themes were extracted. Participants reported experiencing various concerns during their pregnancies such as difficulty in obtaining perinatal care related information. From the beginning of their pregnancies, participants gradually established trusting relationships with midwives, but in many situations, they were disappointed with their childbirth experiences, as they felt that the care provided was not woman-centred. Through their own efforts and with the support of family members and other Japanese residents, many women were able to eventually regard their childbirth experiences as positive. Nevertheless, some women could not overcome their negative impressions even years after childbirth. Conclusions Participants desired close attention and encouragement from nurses and midwives. Our results suggest that Japanese women in Bali expected a woman-centred perinatal care and active support from nursing/midwifery staff during their pregnancies and postnatal care.

scholarly journals Dementia in People with a Turkish Migration Background: Experiences and Utilization of Healthcare Services

2020 ◽  
Vol 77 (2) ◽  
pp. 865-875
Author(s):  
Jessica Monsees ◽  
Tim Schmachtenberg ◽  
Wolfgang Hoffmann ◽  
Amy Kind ◽  
Andrea Gilmore-Bykovskyi ◽  
...  
Keyword(s):  
Family Caregivers ◽  
Help Seeking ◽  
Qualitative Content Analysis ◽  
Relevant Information ◽  
Healthcare Services ◽  
Migration Background ◽  
Structured Interviews ◽  
Migrant Populations ◽  
Turkish Culture ◽  
Willingness To Use

Background: As the proportion of older people with migration background (PwM) increases, the proportion of older PwM with dementia might also increase. Dementia is underdiagnosed in this group and a large proportion of PwM with dementia and family caregivers are not properly supported. Healthcare utilization is lower among older migrant populations. Thus, a better understanding of how PwM and family caregivers perceive their situation and how they experience healthcare services is needed to improve utilization of the healthcare system. Objective: Analyze how family caregivers of PwM with dementia experience their situation, why healthcare services are utilized less often, and what can be done to reverse this. Methods: Eight semi-structured interviews were conducted with people with Turkish migration background caring for PwM with dementia. Qualitative content analysis was used for data analysis. Results: Daily care was performed by one family member with the support of others. Healthcare services were used by most participants. Participants identified a need for better access to relevant information and incorporation of Turkish culture into healthcare services. Conclusion: PwM face similar challenges in taking care of persons with dementia as those without migration background. There is a willingness to use services, and services embracing Turkish culture would help to reduce hesitance and make affected people feel more comfortable, thereby increasing utilization and satisfaction. A limitation of this study is that participants were already connected to health services, which may not reflect the help-seeking behavior of those in the Turkish community who are not involved in healthcare.

scholarly journals The impact of the Affordable Care Act on patient coverage and access to care: perspectives from FQHC administrators in Arizona, California and Texas

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Angelo Ercia
Keyword(s):  
Access To Care ◽  
Affordable Care Act ◽  
Health Care Services ◽  
Healthcare Services ◽  
Structured Interviews ◽  
Care Services ◽  
Healthcare Needs ◽  
The Affordable Care Act ◽  
Insured Patients ◽  
The Impact

Abstract Background The Affordable Care Act (ACA) enabled millions of people to gain coverage that was expected to improve access to healthcare services. However, it is unclear the extent of the policy’s impact on Federally Qualified Health Centers (FQHC) and the patients they served. This study sought to understand FQHC administrators’ views on the ACA’s impact on their patient population and organization. It specifically explores FQHC administrators’ perspective on 1) patients’ experience with gaining coverage 2) their ability to meet patients’ healthcare needs. Methods Twenty-two semi-structured interviews were conducted with administrators from FQHCs in urban counties in 2 Medicaid-expanded states (Arizona and California) and 1 non-expanded state (Texas). An inductive thematic analysis approach was used to analyze the interview data. Results All FQHC administrators reported uninsured patients were more likely to gain coverage from Medicaid than from private health insurance. Insured patients generally experienced an improvement in accessing healthcare services but depended on their plan’s covered services, FQHCs’ capacity to meet demand, and specialist providers’ willingness to accept their coverage type. Conclusion Gaining coverage helped improved newly insured patients’ access to care, but limitations remained. Additional policies are required to better address the gaps in the depth of covered services in Medicaid and the most affordable PHI plans and capacity of providers to meet demand to ensure beneficiaries can fully access the health care services they need.

Socioeconomic inequalities in maternal healthcare utilization in Zambia: 1997-2014

2020 ◽  
Author(s):  
Zhifei He ◽  
Ghose Bishwajit ◽  
Sanni Yaya ◽  
Zhaohui Cheng ◽  
Guo Shuyan ◽  
...  
Keyword(s):  
Postnatal Care ◽  
Multivariate Regression ◽  
Healthcare Utilisation ◽  
Healthcare Services ◽  
Socioeconomic Inequalities ◽  
Facility Delivery ◽  
Health Facility Delivery ◽  
Maternal Healthcare ◽  
Regression Methods ◽  
Care Services

Abstract Background Exploring the trends and socioeconomic inequalities in the use of maternal healthcare utilisation between 1997 and 2014. Methods Data were analyzed using descriptive and multivariate regression methods. Results Women in the higher wealth quintiles (Q4 and Q5) generally had higher prevalence of using health facility delivery and postnatal care services compared with those in the lower wealth quintiles (Q1 and Q2), whereas the prevalence of timely and adequate ANC visit was comparatively higher among those in the lower wealth quintiles. Conclusion Findings indicated important sociodemographic inequalities in using maternal healthcare services, addressing which may help promote the utilisation of these services.

scholarly journals Exhausted and trapped in isolation. Caring for a spouse with dementia during the Covid-19 pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 800-801
Author(s):  
Lena Hammar ◽  
Marcus Johansson ◽  
Lena Dahlberg ◽  
Kevin J McKee ◽  
Martina Summer-Meranius
Keyword(s):  
Perceived Risk ◽  
Older Persons ◽  
Qualitative Content Analysis ◽  
Home Care Services ◽  
Structured Interviews ◽  
Day Care Centers ◽  
Care Services ◽  
Transportation Service ◽  
Health And Social Care ◽  
Rapid Changes

Abstract Even before the Covid-19 pandemic, spouse carers of persons with dementia (PwDs) found their care responsibilities overwhelming and had little time to focus on their own lives. To minimize the risk of being infected with Covid-19, older persons are recommended to self-isolate in their homes, while formal support such as respite care and day care centers are withdrawn. This study involved semi-structured interviews with 24 spouse carers of community-living PwDs, with the aim of describing their situation during the pandemic. The interviews were analyzed with qualitative content analysis. Results revealed that they commonly declined help because of the perceived risk of their spouse being infected with Covid-19 and thus also possibly causing their death. They described feelings of being trapped in their situation, as they experienced having no choice than take all responsibility for the care of their partner themselves, with cost of being unable to take necessary breaks. This was described as making an already strained situation almost unbearable, which led to conflicts with their partner. However, the spouses also described positive aspects due to strategic changes in health and social care provision to prevent the spread of the virus, such as greater staff continuity in home care services, and patient transportation service. These made the PwD less stressed and influenced their everyday life positively. It could be concluded that the extent burden during the Covid-19 pandemic calls for extensive development of tailored support to better tackle the rapid changes that can occur in a society.

scholarly journals PATIENT PARTICIPATION IN SERVICE IMPROVEMENT OF PRIMARY CARE SERVICES

RAHIS ◽  
2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Mayara Ramos ◽  
Marcelo Gitirana Gomes Ferreira ◽  
Fernando Antônio Forcellini
Keyword(s):  
Primary Care ◽  
Community Participation ◽  
Community Involvement ◽  
Planning Process ◽  
Healthcare Services ◽  
Public Healthcare ◽  
Service Improvement ◽  
Structured Interviews ◽  
Care Services ◽  
Annual Planning

Healthcare services from western economies use patient and public participation to promote quality improvement. In Brazil, community participation is a guideline for the public healthcare system. However, community participation is little developed and few efforts are made to improve it. Through a case study, we described and analyze the service improvement process used in SUS primary care units of Florianopolis and the community involvement in this process. Semi-structured interviews with healthcare professionals, and community representatives were conducted. Results show that improvements are made in local improvements or in an annual planning process, and the community participation in them is low. The annual planning process have deficiencies in its methodology and conduction. The adoption of co-creative methods can improve community participation on SUS and strengthen its participation policy. These methods can also help better structure improvement processes.

scholarly journals Midwives’ expectations from pregnant women regarding their participation in safe delivery: a qualitative study

2020 ◽  
Author(s):  
Roghieh Bayrami ◽  
Rahim Baghaei
Keyword(s):  
Qualitative Study ◽  
Pregnant Women ◽  
Qualitative Content Analysis ◽  
Perinatal Care ◽  
Developed Countries ◽  
Care Quality ◽  
Public Hospitals ◽  
Structured Interviews ◽  
Safe Delivery ◽  
Data Saturation

Abstract Background : Pregnant women’s participation in safe delivery is associated with safety assurance and improvement. Safety and care quality improvement in developed countries has so far been based on research and clinical evidence. Nonetheless, stakeholders’ preferences and expectations were not much taken into account. This study aimed to explore midwives’ expectations from pregnant women regarding their participation in safe delivery. Methods : This qualitative study was conducted in 2019 in three public hospitals in Urmia, Iran. Data were collected through 24 in-depth semi-structured interviews with 24 midwives. Sampling was done purposively and continued up to data saturation. Data were analyzed through Graneheim and Lundman’s qualitative content analysis. Results: Midwives’ expectations from pregnant women regarding their participation in safe delivery were grouped into the two main themes of effective communication (with two main categories) and empowerment of pregnant women (with three categories). The five main categories of these two themes were client’s interaction with midwife, confidence in midwife, readiness for delivery, health literacy improvement, and participation in safe behaviors, respectively. Conclusions : Understanding midwives’ expectations regarding pregnant women participation in safe delivery is important to the development of policies for care quality and safety improvement in perinatal care. Keywords : Patient participation, Safe delivery, Qualitative study

Public health care nurses’ views of mothers’ mental health in paediatric healthcare services: a qualitative study

2015 ◽  
Vol 16 (05) ◽  
pp. 470-480 ◽  
Author(s):  
Gunilla Borglin ◽  
Johanna Hentzel ◽  
Doris M. Bohman
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Qualitative Content Analysis ◽  
Healthcare Services ◽  
Public Health Care ◽  
Public Health Nurses ◽  
Routine Practice ◽  
Structured Interviews ◽  
Mother And Child ◽  
Nurses Perceptions

AimTo investigate public health nurses’ perceptions and experiences of mental health and of the prevention of mental ill health among women postpartum, within paediatric healthcare services.BackgroundAlthough maternal health following childbirth should be a priority within primary care, it is known that women postpartum do not always receive the support they need to adapt to and cope with motherhood. Research implies that postnatal problems lack recognition and are not always acknowledged in routine practice. Few studies have been presented on this topic or from the perspective of nurses.MethodsFor this study, eight semi-structured interviews were conducted with public health nurses, and the transcribed texts were analysed through a process inspired by Burnard’s description of the four-step qualitative content analysis.FindingsThree categories – external influences on postpartum mental health, screening for and preventing postpartum mental ill health and paediatric healthcare services as a platform for support – were interpreted to reflect the nurses’ perceptions and experiences of mental health among women postpartum and of the prevention of mental ill health among women postpartum.ConclusionWe found that public health nurses can have an important role in supporting mothers’ mental health postpartum. Although caution is warranted in interpreting our results, the findings concur with those of other studies, highlighting that an equal care emphasis on both the mother and child can be an important aspect of successful support. Implementing person-centred care might be one strategy to create such an emphasis, while also promoting the mental health of new mothers. Public health nurses have a unique opportunity to support mothers’ transition into healthy motherhood, especially because they are likely to meet both mothers and children on a regular basis during the first year after birth.

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