scholarly journals Staff perspectives on existing practice and conditions for nurse-led gout care based on treatment recommendations: a qualitative study in primary health care

2021 ◽  
Author(s):  
Helene Sedelius ◽  
Malin Tistad ◽  
Ulrika Bergsten ◽  
Mats Dehlin ◽  
David Iggman ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Primary Healthcare ◽  
Qualitative Content Analysis ◽  
Preventive Treatment ◽  
Treatment Recommendations ◽  
Group Discussions ◽  
Adequate Treatment ◽  
Individual Interviews ◽  
Inadequate Knowledge

Abstract Background Gout affects nearly two percent of the population and is associated with repeated painful attacks of arthritis. Preventive urate-lowering therapy is widely available, but only one third of patients receive adequate treatment. Lack of knowledge among healthcare professionals and patients within primary healthcare are implicated as partial explanations for this undertreatment. Nurse-led care has proved to be an effective model when treating patients with gout, but there is a need for more knowledge about factors that can be expected to influence the future implementation of such care. The aim of this study was to describe the factors influencing existing gout care in primary healthcare and the conditions for a future implementation of nurse-led gout care based on national treatment recommendations. Methods In this qualitative study, focus group discussions with 56 nurses and physicians and individual interviews with eight managers were conducted at nine primary healthcare units in the middle of Sweden. A deductive qualitative content analysis based on the main constructs of the framework Integrated Promoting Action on Research Implementation in Health Services was followed by an inductive analysis within the frames of the main constructs: innovation, recipients and context. Results The construct “innovation” was described with the management of gout being patient initiated and in some respects complex, and with experiences of nurse-led care as a favourable model. The two categories of the construct “recipients” were represented by a view of gout as a low-priority condition with acute attacks and inadequate knowledge of gout, including preventive treatment. The construct “context” consisted of three categories: a view of primary healthcare as having a holistic but fragmented responsibility for gout care, recommendations against keeping waiting lists that complicate follow-up appointments, and the need for motivation and support when introducing new practices. Conclusion In this study, investigating the perspective of professionals, several factors were found to influence existing gout care. It will be crucial to target these factors in the development of a future implementation strategy.

scholarly journals Malaria intermittent preventive treatment in Nigeria: a qualitative study to explore barriers

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Fatima Mahmud Muhammad ◽  
Saharnaz Nedjat ◽  
Haniye Sadat Sajadi ◽  
Mahboubeh Parsaeian ◽  
Abraham Assan ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Pregnant Women ◽  
Intermittent Preventive Treatment ◽  
Sampling Strategy ◽  
Preventive Treatment ◽  
Group Discussions ◽  
Content Analysis Method ◽  
Conventional Content Analysis ◽  
Sulphadoxine Pyrimethamine ◽  
Selection Of

Abstract Background While the use of sulphadoxine pyrimethamine (SP) is effective in preventing malaria infection during pregnancy, there are challenges limiting its uptake in Nigeria. This study aimed at exploring the barriers to IPTp usage among pregnant women in Kano state - Nigeria. Methods This is a qualitative study. The purposive sampling strategy was used for identification and selection of 14 key informants for interviews. In addition, six focus group discussions (FGDs) were conducted with pregnant women (3 FGDs) and married men (3 FGDs). The conventional content analysis method was used to interpret meaning from the content of the data. MAXQDA 10 software was used for data management and analysis. Results Poor policy implementation, poor antenatal care attendance, inadequate access to intermittent preventive treatment at the community levels, lack of sustainable funding, and poor community engagement emerged as major barriers to IPTp use in Nigeria. Conclusion While the political will to allocate sufficient financial resources could help improve service delivery and IPTp usage among pregnant women, community participation is critical to sustain the gains.

scholarly journals “Help me to take care”: Professional expectations about using an application in heart failure

2021 ◽  
Vol 12 (4) ◽  
pp. 21
Author(s):  
Virna Ribeiro Feitosa Cestari ◽  
Lorena C. De Souza ◽  
Raquel S. Florêncio ◽  
Maria G.V. Sobral ◽  
Vera L.M.P. Pessoa ◽  
...  
Keyword(s):  
Heart Failure ◽  
Qualitative Study ◽  
Health System ◽  
Multidisciplinary Team ◽  
Hermeneutic Circle ◽  
Purposive Sampling ◽  
Individual Interviews ◽  
Professional Expectations

Objective: To understand the expectations of the professionals about the construction and use of an educational and follow-up application to care.Methods: Phenomenological and qualitative study. Convenience and purposive sampling were carried out and in-depth individual interviews with 35 professionals from the multidisciplinary team, between September and October 2020 in Brazil. All interviews were audio-recorded and data analyzed using the hermeneutic circle. The COREQ checklist was employed to report on the current study.Results: Two main units of meaning emerged: (a) The care of the person who lives with heart failure; and (b) The care of the person with heart failure intermediated by an application. Care for the person with the disease brings together elements related to the identification of demands and understanding of their surroundings, with guidance and use of technologies.Conclusions: The professionals were favorable to the development of an application and considered it beneficial. The use of it, would allow the approximation between patients and their family and the multidisciplinary team; respect the patient’s needs and overcome the precariousness of the health system.

Older people's needs following major disasters: a qualitative study of Iranian elders' experiences of the Bam earthquake

2009 ◽  
Vol 30 (1) ◽  
pp. 11-23 ◽  
Author(s):  
ALI ARDALAN ◽  
MONIR MAZAHERI ◽  
KOUROSH HOLAKOUIE NAIENI ◽  
MOHSEN REZAIE ◽  
FARIBA TEIMOORI ◽  
...  
Keyword(s):  
Focus Group ◽  
Qualitative Study ◽  
Older People ◽  
Group Discussions ◽  
Bam Earthquake ◽  
Emergency Relief ◽  
Perceived Needs ◽  
Individual Interviews ◽  
Response And Recovery

ABSTRACTElders have long been recognised as among the most vulnerable people in disaster events. This paper reports a qualitative study of the self-perceived needs of older people in the aftermath of the Bam earthquake in Iran in 2003. A total of 56 people aged from 65 to 88 years were recruited to the study using purposive sampling, including 29 men and 27 women. Six focus group discussions and ten semi-structured individual interviews were conducted. Each focus group involved six to ten people from the cities of Bam and Baravat and their rural suburbs. Content analysis was used to analyse the transcribed data. The analysis identified four major themes among the informants' concerns: inappropriate service delivery, affronts to dignity, feeling insecure and emotional distress. A disaster-prone country like Iran needs to be appropriately prepared with culturally sensitive plans to meet the needs of those who suffer from their effects, not least older people. Emergency relief managers should note that for many older people in a disaster zone, customary forms of relief are neither required nor appropriate, and that their distinctive immediate and long-term needs should be assessed and met. Relief agencies need to be trained to be age-sensitive and should mainstream older people's rights in the planning and implementation of both the response and recovery phases of assistance.

Technology can`t replace people, but it is a helpful tool: A qualitative study on patients’ experiences of using a smartphone-application post-cardiac rehabilitation (Preprint)

2021 ◽  
Author(s):  
Pernille Lunde ◽  
Asta Bye ◽  
Kari Anette Bruusgaard ◽  
Elisabet Hellem ◽  
Birgitta Blakstad Nilsson
Keyword(s):  
Qualitative Study ◽  
Cardiac Rehabilitation ◽  
Future Development ◽  
Qualitative Content Analysis ◽  
Consistent Finding ◽  
Healthy Behavior ◽  
Individualized Feedback ◽  
One Year

BACKGROUND Exercise-based cardiac rehabilitation (CR) is a crucial part of the treatment of patients with cardiac diseases and adherence of healthy behavior is a prerequisite to improve long-term prognosis. Unfortunately, adherence to healthy behavior adapted in CR is challenging for many cardiac patients in the long-term. Recently, we demonstrated that follow-up conducted via an application (app) for one year significantly improved adherence to healthy behavior post-CR. In order to increase the knowledge and understanding of mobile Health (mHealth) interventions that can promote acceptance and adherence, qualitative research investigating patients’ experiences with these interventions are warranted. OBJECTIVE The aim of this study was to investigate patient experiences with individualized long-term follow-up conducted via an app for one year and their thoughts about what features promoted adherence to healthy behavior post-CR. This to increase the understanding of significant findings previously reported as well as to guide future development of similar interventions in the field of adherence. METHODS Ten patients who had participated in a randomized controlled trial evaluating the effect of follow-up conducted via an app on adherence to healthy behavior post-CR were included in this qualitative study with individual semi-structured, in-depth interviews. Median age was 65, ranging from 46 to 72 years old, and both genders were represented. Interviews were analyzed by qualitative content analysis. Primarily, codes and themes were inductively developed. RESULTS The analysis resulted in four themes describing the patients’ experiences with follow-up conducted via an app for one-year post-CR: 1) The person behind the app is crucial for motivation and adherence, 2) The app as a commitment, 3) The app as a path to independence, and 4) Suggestions for improvements. Additionally features experienced as beneficial to promote adherence were individualized feedback as well as the use of goalsetting. The significance of the person behind the app that provided individualized feedback turned out to be a consistent finding. This person seemed to promote motivation in general and to enable other known behavioral change techniques to be motivating as well. CONCLUSIONS The person behind the app (the supervisor) seems to be one of the main features which promoted adherence to healthy behavior post-CR. This indicates that healthcare providers must actively participate in the patients´ process of adherence to healthy behavior, also when using interventions including an app. Future development of interventions in the field of adherence should strive to develop tools that enable an ongoing collaborative relationship between the patient and the healthcare provider. The follow-up should be based on the patient’s own goals and individualized feedback should be provided.

scholarly journals A Qualitative Study on Patients' Perceptions of Two Types of Attachments for Implant Overdentures

2017 ◽  
Vol 43 (6) ◽  
pp. 476-481 ◽  
Author(s):  
Marina Pisani ◽  
Christophe Bedos ◽  
Cláudia Helena Lovato da Silva ◽  
Olivier Fromentin ◽  
Rubens F. de Albuquerque
Keyword(s):  
Qualitative Study ◽  
Phase Ii ◽  
Major Theme ◽  
Individual Interviews ◽  
Retention Level ◽  
Negative Factor ◽  
Prosthesis Retention ◽  
Group A ◽  
Group B

The aim of this qualitative study was to gain a deeper understanding of patient perceptions of wearing implant-retained overdentures with ball-shaped or cylindrical attachment systems. Twenty-two wearers of implant-supported overdentures participated in this qualitative study based on a randomized crossover clinical trial that aimed to compare a cylindrical attachment and a ball attachment. In phase I of the study, group A experienced ball attachments (n = 11) and group B Locator attachments (n = 11) for 1 year. Afterward, in phase II, the attachments were changed; group A received Locator attachments and group B received ball attachments. One week after the attachment's replacement, semistructured individual interviews were conducted. All interviews were audiotaped and transcribed. The analysis was guided by thematic content analysis. Most of the patients from both groups preferred the attachment they received in phase II, regardless the type. A major theme raised by the participants to justify their preference between the attachment types was prosthesis retention/stability, sometimes considered as a positive and other times as a negative factor. Other themes were also explored: oral function, pain, hygiene, previous experiences, confidence on the dentist's work, and esthetic. Aspects related to the retention/stability of the overdentures are the main concerns associated with the perceptions of most patients treated with implant overdentures regardless of the type of attachment. Adequate retention level should be identified and adjusted on an individual basis and maintained overtime as possible. Therefore, follow-up appointments should be planned for readjustment of the attachment's retention. Overretention should be avoided.

scholarly journals Challenges of Transcultural Caring Among Health Workers in Mashhad-Iran: A Qualitative Study

2015 ◽  
Vol 8 (7) ◽  
pp. 203 ◽  
Author(s):  
Rana Amiri ◽  
Abbas Heidari ◽  
Nahid Dehghan-Nayeri ◽  
Abou Ali Vedadhir ◽  
Hosein Kareshki
Keyword(s):  
Content Analysis ◽  
Qualitative Study ◽  
Cultural Difference ◽  
Health Workers ◽  
Qualitative Content Analysis ◽  
Cultural Issues ◽  
Transcultural Care ◽  
Communication Barrier ◽  
Depth Interviews

<p><strong>BACKGROUND: </strong>One of the consequences of migration is cultural diversity in various communities. This has created challenges for healthcare systems.</p><p><strong>OBJECTIVES: </strong>The aim of this study is to explore the health care staffs’ experience of caring for Immigrants in Mashhad- Iran.</p><p><strong>SETTING:</strong> This study is done in Tollab area (wherein most immigrants live) of Mashhad. Clinics and hospitals that immigrants had more referral were selected.</p><p><strong>PARTICIPANTS:</strong> Data were collected through in-depth interviews with medical and nursing staffs. 15 participants (7 Doctors and 8 Nurses) who worked in the more referred immigrants’ clinics and hospitals were entered to the study.<strong> </strong></p><p><strong>DESIGN: </strong>This is a qualitative study with content analysis approach. Sampling method was purposive. The accuracy and consistency of data were confirmed. Interviews were conducted until no new data were emerged. Data were analyzed by using latent qualitative content analysis.</p><p><strong>RESULTS:</strong> The data analysis consisted of four main categories; (1) communication barrier, (2) irregular follow- up, (3) lack of trust, (4) cultural- personal trait.</p><p><strong>CONCLUSION:</strong> Result revealed that health workers are confronting with some trans- cultural issues in caring of immigrants. Some of these issues are related to immigration status and some related to cultural difference between health workers and immigrants. These issues indicate that there is transcultural care challenges in care of immigrants among health workers. Due to the fact that Iran is the context of various cultures, it is necessary to consider the transcultural care in medical staffs. The study indicates that training and development in the area of cultural competence is necessary.</p>

Strategies for handling ethical problems in sudden and unexpected death

2013 ◽  
Vol 20 (6) ◽  
pp. 708-722 ◽  
Author(s):  
Åsa Rejnö ◽  
Ella Danielson ◽  
Linda Berg
Keyword(s):  
Content Analysis ◽  
Qualitative Content Analysis ◽  
Unexpected Death ◽  
Ethical Problems ◽  
Team Members ◽  
Individual Interviews ◽  
Follow Up Study ◽  
Stroke Team

How ethical praxis is shaped by different contexts and situations has not been widely studied. We performed a follow-up study on stroke team members’ experiences of ethical problems and how the teams managed the situation when caring for patients faced with sudden and unexpected death from stroke. A number of ways for handling ethical problems emerged, which we have now explored further. Data were collected through a three-part form used as base for individual interviews with 15 stroke team members and analyzed using both quantitative and qualitative content analysis. In the analysis, the approaches in the form were condensed into strategies, and the two different ways those strategies were preferred and used by the team members were shown. Hindrances perceived by the team members to impede them from working the preferred way were also revealed and grouped into eight categories.

scholarly journals Patients’ experiences of life after bariatric surgery and follow-up care: a qualitative study

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e035013 ◽  
Author(s):  
Karen D Coulman ◽  
Fiona MacKichan ◽  
Jane M Blazeby ◽  
Jenny L Donovan ◽  
Amanda Owen-Smith
Keyword(s):  
Bariatric Surgery ◽  
Qualitative Study ◽  
Well Being ◽  
Adjustable Gastric Band ◽  
Comparative Approach ◽  
Future Research ◽  
Individual Interviews ◽  
Follow Up Care

ObjectivesBariatric surgery is the most clinically effective treatment for people with severe and complex obesity, however, the psychosocial outcomes are less clear. Follow-up care after bariatric surgery is known to be important, but limited guidance exists on what this should entail, particularly related to psychological and social well-being. Patients’ perspectives are valuable to inform the design of follow-up care. This study investigated patients’ experiences of life after bariatric surgery including important aspects of follow-up care, in the long term.DesignA qualitative study using semistructured individual interviews. A constant comparative approach was used to code data and identify themes and overarching concepts.SettingBariatric surgery units of two publicly funded hospitals in the South of England.ParticipantsSeventeen adults (10 women) who underwent a primary operation for obesity (mean time since surgery 3.11 years, range 4 months to 9 years), including Roux-en-Y gastric bypass, adjustable gastric band and sleeve gastrectomy, agreed to participate in the interviews.ResultsExperiences of adapting to life following surgery were characterised by the concepts of ‘normality’ and ‘ambivalence’, while experiences of ‘abandonment’ and ‘isolation’ dominated participants’ experiences of follow-up care. Patients highlighted the need for more flexible, longer-term follow-up care that addresses social and psychological difficulties postsurgery and integrates peer support.ConclusionsThis research highlights unmet patient need for more accessible and holistic follow-up care that addresses the long-term multidimensional impact of bariatric surgery. Future research should investigate effective and acceptable follow-up care packages for patients undergoing bariatric surgery.

scholarly journals The Main Components of Body Image from the Perspectives of Iranian Adolescents: A Qualitative Study

2020 ◽  
Author(s):  
Sara Jalali-Farahani ◽  
Parisa Amiri ◽  
Fariba Zarani ◽  
Fereidoun Azizi
Keyword(s):  
Body Image ◽  
Focus Group ◽  
Qualitative Study ◽  
Physical Functioning ◽  
Bone Structure ◽  
Qualitative Content Analysis ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Main Components ◽  
Main Component

Abstract Background: This study investigates main components of body image from the perspectives of Iranian boys and girls. Methods: A qualitative approach was used to identify the main components of body image in Iranian adolescents. A total of 13 semi-structured focus group discussions were conducted with 84 adolescents (42 girls and 42 boys), aged 15–18 years. All focus group discussions were audio recorded and transcribed verbatim, followed by a qualitative content analysis of the data.Results: The mean age and BMI of participants were 16.2±0.9 years and 24.3±8.0 kg/m2 respectively. Regarding main components of body image, three main themes emerged from the data: 1) perceived face/hair, which included three subthemes-facial features, facial shape/form and hair, 2) perceived body, which included three subthemes-body size, body shape and bone structure and 3) perceived physical functioning which included three subthemes-physical ability, physical health and voice tone. Among mentioned themes, perceived body was the concept which was most frequently addressed by both adolescent boys and girls. When adolescents were talking about their bodies, girls more frequently mentioned their faces and its components, while boys tended to talk more about their physical functioning. Conclusion: This qualitative study provide further insight into the components of body image as perceived by Iranian boys and girls. Current findings indicated that besides those features that focused on body appearance and its aesthetic aspects, physical functioning was another main component of perceived body image by participants. These findings can contribute to the design and implementation of effective interventions aiming at improving body image and its related disorders in Iranian adolescents.

scholarly journals Cultural Perceptions of Child Abuse in Terms of Parents Perspective a Qualitative Study in Indonesia

2020 ◽  
Author(s):  
Reizkiana Feva Kosmah Dewi ◽  
Meita Dhamayanti ◽  
Sri Endah Rahayuningsih ◽  
Kuswandewi Mutyara ◽  
Nita Arisanti ◽  
...  
Keyword(s):  
High School ◽  
Child Abuse ◽  
Focus Group ◽  
Qualitative Study ◽  
Health Workers ◽  
Qualitative Content Analysis ◽  
World Health ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Cultural Perceptions

Abstract Background Child abuse (CA) is a serious problem and difficult to detect. According to World Health Organization (WHO), CA is responsible on 950,000 deaths in children aged below 18 every year. As many cultures as various of CA among parents inside. This research aims to determine the cultural perceptions of child abuse in terms of parents in Indonesia. Method A qualitative study using focus group discussions was conducted to thirty one parents that selected purposively. The discussion centered about CA definition, classification, and frequency, level of CA (mild, moderate, and severe), the difference between violence and discipline. The focus group discussions divided in to 3 groups level education, Elementary/Junior high school, senior high school, and bachelor’s degree. The process offocus group discussion were recorded, transcribed, and analyzed using manifest qualitative content analysis. Results Every cultures in Indonesia perceived that CA is a form of parents’ emotion which lead to injure children physically and mentally. Indonesian cultures were not familiar with neglect and exploitation. Participants’ opinion regarding level of violence can be categorized as severe if leaving wounds, need to be hospitalized, and visumed. The parents assumed as CA if occurred more than twice and/or leaving marks. The discipline’s ussualy purpose is not to mistreat, but for goods, character building, and educating the children. Conclusions Cultural perceptions of parents about CA is a form of parents’ emotion which lead to injure children physically and mentally. The community and health workers should be aware to decrease morbidity and mortality of CA

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