scholarly journals A Meaningful Daily Life In Nursing Homes- A Social Constructionist Study Of Residents And Health Professionals' Perspectives And Wishes

2018 ◽  
Vol 03 (03) ◽  
Author(s):  
Mette Holst ◽  
Camilla A Lindholm ◽  
Anja H Lomholdt ◽  
Per Elmstrom
Keyword(s):  
Nursing Homes ◽  
Health Professionals ◽  
Daily Life ◽  
Social Constructionist

scholarly journals Experience of adults with cystic fibrosis: a perspective based on social phenomenology

2018 ◽  
Vol 71 (6) ◽  
pp. 2891-2898
Author(s):  
Samara Macedo Cordeiro ◽  
Maria Cristina Pinto de Jesus ◽  
Renata Evangelista Tavares ◽  
Deise Moura de Oliveira ◽  
Miriam Aparecida Barbosa Merighi
Keyword(s):  
Cystic Fibrosis ◽  
Life History ◽  
Qualitative Study ◽  
Health Professionals ◽  
Daily Life ◽  
The Social ◽  
The World ◽  
Social Prejudice ◽  
The Relationship ◽  
Social Phenomenology

ABSTRACT Objective: To understand the experience of adults living with cystic fibrosis. Method: A qualitative study based on the social phenomenology by Alfred Schütz, carried out with 12 adults interviewed in 2016. The statements were analyzed and organized into concrete categories. Results: The following categories were evidenced: “The biopsychosocial impact of the disease on daily life”, “Social prejudice as a generator of embarrassment”, “Coping strategies” and “Fear, uncertainties and the desire to carry out life projects”. Final considerations: The understanding of the experience lived by adults with cystic fibrosis allowed unveiling intersubjective aspects experienced by this public that should be considered by health professionals in the care of this group. It is up to the professionals involved in assisting these people to develop care strategies aimed at completeness, respect for the world of meanings of each individual, their life history, and intersubjectivity that is specially built in the relationship between professionals and people with cystic fibrosis.

scholarly journals A Proof of Concept of a Mobile Health Application to Support Professionals in a Portuguese Nursing Home

Sensors ◽  
2019 ◽  
Vol 19 (18) ◽  
pp. 3951
Author(s):  
Márcia Esteves ◽  
Marisa Esteves ◽  
António Abelha ◽  
José Machado
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Mobile Health ◽  
Health Professionals ◽  
Point Of Care ◽  
Healthcare Delivery ◽  
Proof Of Concept ◽  
Mobile Health Application ◽  
And Performance

Over the past few years, the rapidly aging population has been posing several challenges to healthcare systems worldwide. Consequently, in Portugal, nursing homes have been getting a higher demand, and health professionals working in these facilities are overloaded with work. Moreover, the lack of health information and communication technology (HICT) and the use of unsophisticated methods, such as paper, in nursing homes to clinically manage residents lead to more errors and are time-consuming. Thus, this article proposes a proof of concept of a mobile health (mHealth) application developed for the health professionals working in a Portuguese nursing home to support them at the point-of-care, namely to manage and have access to information and to help them schedule, perform, and digitally record their tasks. Additionally, clinical and performance business intelligence (BI) indicators to assist the decision-making process are also defined. Thereby, this solution aims to introduce technological improvements into the facility to improve healthcare delivery and, by taking advantage of the benefits provided by these improvements, lessen some of the workload experienced by health professionals, reduce time-waste and errors, and, ultimately, enhance elders’ quality of life and improve the quality of the services provided.

A facilitated approach to family case conferencing for people with advanced dementia living in nursing homes: perceptions of palliative care planning coordinators and other health professionals in the IDEAL study

2017 ◽  
Vol 29 (10) ◽  
pp. 1713-1722 ◽  
Author(s):  
Tim Luckett ◽  
Lynnette Chenoweth ◽  
Jane Phillips ◽  
Deborah Brooks ◽  
Janet Cook ◽  
...  
Keyword(s):  
Palliative Care ◽  
Nursing Home ◽  
Nursing Homes ◽  
Health Professionals ◽  
Business Models ◽  
Care Planning ◽  
Advanced Dementia ◽  
Factors Influencing ◽  
Case Conferences ◽  
Family Case

ABSTRACTBackground:Palliative care for nursing home residents with advanced dementia is often sub-optimal due to poor communication and limited care planning. In a cluster randomized controlled trial, registered nurses (RNs) from 10 nursing homes were trained and funded to work as Palliative Care Planning Coordinators (PCPCs) to organize family case conferences and mentor staff. This qualitative sub-study aimed to explore PCPC and health professional perceptions of the benefits of facilitated case conferencing and identify factors influencing implementation.Method:Semi-structured interviews were conducted with the RNs in the PCPC role, other members of nursing home staff, and physicians who participated in case conferences. Analysis was conducted by two researchers using a thematic framework approach.Results:Interviews were conducted with 11 PCPCs, 18 other nurses, eight allied health workers, and three physicians. Perceived benefits of facilitated case conferencing included better communication between staff and families, greater multi-disciplinary involvement in case conferences and care planning, and improved staff attitudes and capabilities for dementia palliative care. Key factors influencing implementation included: staffing levels and time; support from management, staff and physicians; and positive family feedback.Conclusion:The facilitated approach explored in this study addressed known barriers to case conferencing. However, current business models in the sector make it difficult for case conferencing to receive the required levels of nursing qualification, training, and time. A collaborative nursing home culture and ongoing relationships with health professionals are also prerequisites for success. Further studies should document resident and family perceptions to harness consumer advocacy.

scholarly journals 142Evaluation of a Tele-mentoring Initiative to Support Inter-professional Education for Health Professionals Caring for Residents in Nursing Homes

2017 ◽  
Vol 46 (Suppl_3) ◽  
pp. iii13-iii59
Author(s):  
Joanna McGlynn ◽  
Susan O’Reilly ◽  
Melissa Ryan ◽  
Orla Donohoe ◽  
Siobhan Kennelly
Keyword(s):  
Nursing Homes ◽  
Professional Education ◽  
Health Professionals

scholarly journals Psychological issues affecting patients living with a stoma

2021 ◽  
Vol 30 (6) ◽  
pp. S20-S32
Author(s):  
Patricia Black ◽  
Joy Notter
Keyword(s):  
Health Professionals ◽  
Daily Life ◽  
Recovery Period ◽  
Treatment Phase ◽  
Psychological Status ◽  
Care Needs ◽  
Stoma Complications ◽  
Bowel Surgery ◽  
Bodily Function ◽  
Patient Outcome Measures

Stoma surgery is an intrusive operation, with outcomes that can impact seriously on daily life, not just in the immediate postoperative and recovery period, but for the rest of the patient's life. There are changes in bodily function, altered body image, physicality and personal care needs. These changes require acceptance and adaptation and can necessitate a re-ordering of daily life, socially, emotionally and in terms of work. Assessing the patient's needs through the trajectory of diagnosis, surgery and a stoma, is not just important during the treatment phase but needs to continue throughout the lifespan. Traditionally, patient outcome measures after bowel surgery have included overall self-efficacy, checking for stoma complications, clinical health status, function and psychological status. However, over the past three decades there has been increasing recognition that quality of life (QoL), which is now regarded as a key measurement, needs further consideration. Patients report difficulties when explaining to health professionals the challenges they face, and their reactions as they try to make the adjustments to their new normal of life with a stoma. This article examines stoma patients' perceptions of their outcomes from recent research. It discusses how more can be done by health professionals to support stoma patients through their initial transition to life with a stoma and for the rest of their life.

scholarly journals Professional Safety in the daily life of primary health care: grounded theory

2022 ◽  
Vol 75 (2) ◽  
Author(s):  
Mariana Delfino Gontijo ◽  
Amanda Tainara Souza Freitas ◽  
Amanda Ferreira de Faria Maia ◽  
Virgínia Junqueira de Oliveira ◽  
Selma Maria da Fonseca Viegas
Keyword(s):  
Health Care ◽  
Grounded Theory ◽  
Primary Health Care ◽  
Safety Culture ◽  
Health Professionals ◽  
Professional Training ◽  
Daily Life ◽  
Unified Health System ◽  
Grounded Theory Method ◽  
Primary Health

ABSTRACT Objective: to understand Professional Safety in daily life in Primary Health Care. Methods: this is a study on the Grounded Theory method and the Symbolic Interactionism theoretical framework with 82 health professionals. Results: it presents the category "Professional Safety in Daily Life in Primary Health Care: a Grounded Theory" and two subcategories determining and conditioning Professional Safety in PHC: professional training, infrastructure, support and technical responsibility; Professional Safety: physical protection, psychological support, distress and feelings reveal the (un)safe conditions. Professional Safety is mentioned in several dimensions that include professionals' knowledge, decision-making skills, the practice of the profession and what regulates it, the structure and organization of the Unified Health System and services, permanent education. It presents the context of primary care and the factors that impact an (unsafe) work. Final considerations: this study contributes to reflect on Professional Safety to strengthen safety culture in Primary Health Care.

scholarly journals Making Each Other’s Daily Life: Nurse Assistants’ Experiences and Knowledge on Developing a Meaningful Daily Life in Nursing Homes

2014 ◽  
Vol 8 (1) ◽  
pp. 34-42 ◽  
Author(s):  
Inger James ◽  
Carin Fredriksson ◽  
Catrin Wahlström ◽  
Annica Kihlgren ◽  
Karin Blomberg
Keyword(s):  
Nursing Homes ◽  
Older Persons ◽  
Practical Wisdom ◽  
Practical Knowledge ◽  
Daily Life ◽  
Older Person ◽  
Action Research Project ◽  
Daily Lives ◽  
Reflection Data ◽  
The Right

Background In a larger action research project, guidelines were generated for how a meaningful daily life could be developed for older persons. In this study, we focused on the nurse assistants’ (NAs) perspectives, as their knowledge is essential for a well-functioning team and quality of care. The aim was to learn from NAs’ experiences and knowledge about how to develop a meaningful daily life for older persons in nursing homes and the meaning NAs ascribe to their work. Methods The project is based on Participatory and Appreciative Action and Reflection. Data were generated through interviews, participating observations and informal conversations with 27 NAs working in nursing homes in Sweden, and a thematic analysis was used. Result NAs developed a meaningful daily life by sensing and finding the “right” way of being (Theme 1). They sense and read the older person in order to judge how the person was feeling (Theme 2). They adapt to the older person (Theme 3) and share their daily life (Theme 4). NAs use emotional involvement to develop a meaningful daily life for the older person and meaning in their own work (Theme 5), ultimately making each other’s daily lives meaningful. Conclusion It was obvious that NAs based the development of a meaningful daily life on different forms of knowledge: theoretical and practical knowledge, and practical wisdom, all of which are intertwined. These results could be used within the team to constitute a meaningful daily life for older persons in nursing homes.

scholarly journals “Blaming, shaming, humiliation”: Stigmatising medical interactions among people with non-epileptic seizures

2017 ◽  
Vol 2 ◽  
pp. 55 ◽  
Author(s):  
Catherine Robson ◽  
Olaug S. Lian
Keyword(s):  
Health Professionals ◽  
Epileptic Seizures ◽  
Quality Of Healthcare ◽  
Social Constructionist ◽  
Free Text ◽  
Negative Experiences ◽  
Health And Illness ◽  
Survey Responses ◽  
Study Participants

Background: People with non-epileptic seizures (NES) describe challenging relationships with health professionals, and explain negative interactions as common and expected. Despite these difficulties, little is known about how people with NES experience difficult healthcare encounters. Methods: Using a thematic discourse analysis approach, we analysed the free-text survey responses of 135 people with NES and asked: what kind of challenges do people living with this condition encounter when interacting with health professionals, and how do they experience the consequences of difficult interactions? We explore their experiences by interpreting the latent meaning of participants’ texts from a social-constructionist perspective on health and illness. Results: The overarching narrative depicts a fundamental breakdown in patient-provider relationships. According to our data, the negative experiences of study participants emerge from more than practitioners’ lack of awareness of NES and access to information about the condition - to the extent that it is available. In examining the challenges people with NES encounter when interacting with health professionals, their main experiences centre on blame and humiliation. When exploring their experiences, theories of stigma serve as a useful theoretical framework. Conclusions: Normative judgements arising from psychogenic understandings of NES are stigmatising and restrict professional displays of respectful (patient-centred) care. Those with the condition depict being negatively stereotyped, illegitimated and held morally culpable by health professionals. Perceived to lack medical, moral and credible status, participants describe practitioners who treat them with disrespect, and some recount conduct that defies all ethical and professional obligations and standards. These encounters can have wide-ranging adverse consequences for patients: emotionally, physically, and for their future healthcare. The quality of healthcare interactions for people with NES requires urgent improvements. In addition to increased awareness of the condition, practitioners need to be conscious of making and acting on adverse moral appraisals when interacting with this patient group.

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