scholarly journals Patient Rounds With Video-Consulted Relatives: Qualitative Study on Possibilities and Barriers From the Perspective of Healthcare Providers (Preprint)

2018 ◽  
Author(s):  
Christina Østervang ◽  
Lene Vedel Vestergaard ◽  
Karin Brochstedt Dieperink ◽  
Dorthe Boe Danbjørg
Keyword(s):  
Health Care ◽  
Focus Group ◽  
Health Care Professionals ◽  
Health Care Systems ◽  
New Technology ◽  
Work And Family ◽  
Focus Group Interviews ◽  
Work Routines ◽  
Care Systems ◽  
Group Interviews

BACKGROUND In cancer settings, relatives are often seen as a resource as they are able to support the patient and remember information during hospitalization. However, geographic distance to hospitals, work, and family obligations are reasons that may cause difficulties for relatives’ physical participation during hospitalization. This provided inspiration to uncover the possibility of telehealth care in connection with enabling participation by relatives during patient rounds. Telehealth is used advantageously in health care systems but is also at risk of failing during the implementation process because of, for instance, health care professionals’ resistance to change. Research on the implications for health care professionals in involving relatives’ participation through virtual presence during patient rounds is limited. OBJECTIVE This study aimed to investigate health care professionals’ experiences in using and implementing technology to involve relatives during video-consulted patient rounds. METHODS The design was a qualitative approach. Methods used were focus group interviews, short open interviews, and field observations of health care professionals working at a cancer department. The text material was analyzed using interpretative phenomenological analysis. RESULTS Field observational studies were conducted for 15 days, yielding 75 hours of observation. A total of 14 sessions of video-consulted patient rounds were observed and 15 pages of field notes written, along with 8 short open interviews with physicians, nurses, and staff from management. Moreover, 2 focus group interviews with 9 health care professionals were conducted. Health care professionals experienced the use of technology as a way to facilitate involvement of the patient’s relatives, without them being physically present. Moreover, it raised questions about whether this way of conducting patient rounds could address the needs of both the patients and the relatives. Time, culture, and change of work routines were found to be the major barriers when implementing new technology involving relatives. CONCLUSIONS This study identified a double change by introducing both new technology and virtual participation by relatives at the same time. The change had consequences on health care professionals’ work routines with regard to work load, culture, and organization because of the complexity in health care systems.

scholarly journals Nursing staff’s experience of appearance issues in various nursing situations

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Åsa Bringsén ◽  
Johanna Sjöbeck ◽  
Pia Petersson
Keyword(s):  
Health Care ◽  
Focus Group ◽  
Nursing Staff ◽  
Thematic Analysis ◽  
Health Care Professionals ◽  
Knowledge Development ◽  
Research Approach ◽  
Focus Group Interviews ◽  
Professional Nursing ◽  
Group Interviews

Abstract Background Health care professionals frequently interact with unknown patients in a process involving appearance-based judgements and priority-setting, all of which has an effect on health care equality. The healthcare provider–patient interaction is also highly relevant for the awareness and support of patients’ appearance concerns, with an associated possibility for improving patients’ satisfaction with their appearance and health. The aim was therefore to explore nursing staff’s experience of patients’ appearance issues in various nursing situations, with the purpose to facilitate awareness raising and knowledge development. Method A qualitative research approach with focus group interviews was chosen due to the exploratory aim of the study. Five semi-structured focus group interviews were conducted with 24 nursing staff in total (19 women and five men). The participants’ ages varied (20 to 45 years) as did their professional nursing experience. The interviews lasted approximately one hour, were digitally recorded, transcribed verbatim and analysed through thematic analysis. Results The thematic analysis resulted in the two themes Patient perspective and Professional nursing role, with associated subthemes. The findings showed the importance and impact of appearance issues in nursing situations and how these are linked to the health of the patients. Some groups of patients were identified as more vulnerable than others, which was associated with health care inequalities and health disparities. Value-based strategies along with knowledge, and skills for holistic person-centred care were identified as important resources for the development of appearance-related awareness and support in various nursing situations. Conclusion Strategies for improvement can be realised through the educational system for nursing staff, but mainly by using collective reflective learning forums in different workplaces. An empowerment approach is considered a useful framework for the implementation of holistic person-centred care, functioning as a resource for appearance-related awareness and support in various nursing situations. However, more research is needed on the complex and challenging phenomenon of appearance issues in nursing situations. Knowledge development related to successful person-centred strategies for appearance-related awareness and support is important, especially strategies with a salutogenic perspective.

scholarly journals Informing the Children When a Parent Is Diagnosed as Having Multiple Sclerosis

2015 ◽  
Vol 17 (1) ◽  
pp. 42-48 ◽  
Author(s):  
Ylva Nilsagård ◽  
Katrin Boström
Keyword(s):  
Multiple Sclerosis ◽  
Health Care ◽  
Focus Group ◽  
Health Care Professionals ◽  
Health Care Services ◽  
Disease Course ◽  
Focus Group Interviews ◽  
Care Services ◽  
Disease Information ◽  
Group Interviews

Background: The aim of this study was to gain an understanding of how health-care services can support the empowerment of children when a parent is diagnosed as having multiple sclerosis (MS). The study focuses on what information parents with MS, their partners, and their children desire from health-care professionals. Methods: Focus group interviews were conducted with nine adolescents, nine parents with diagnosed MS, and five partners representing members of ten families. Results: The main finding was that parents with MS, their partners, and the adolescents stressed their need to be well informed about the disease. Information should be provided at the time of diagnosis and then offered regularly throughout the disease course. The information should be suited to the recipient's level of maturity and individualized to reflect the parent's clinical picture. Conclusions: It is usually beneficial for children if their parents feel informed about the illness and encourage their children to ask questions and discuss the situation. This knowledge, gained from several sources, is likely to be of value for health-care professionals and their ongoing efforts to improve services for parents with MS, their partners, and their children.

scholarly journals Interprofessional Learning Through Shadowing in Rehabilitations Department: A Qualitative Study of the Student´s Placement in Hospital Setting

2017 ◽  
Vol 13 (28) ◽  
pp. 1
Author(s):  
Synnove Hofseth Almas ◽  
Halvard Nilsen ◽  
Randi Spjutoy ◽  
Froydis Vasset
Keyword(s):  
Health Care ◽  
Focus Group ◽  
Health Care Professionals ◽  
Hospital Setting ◽  
Collaborative Practice ◽  
Physical Medicine ◽  
Focus Group Interviews ◽  
Interprofessional Learning ◽  
Roles And Responsibilities ◽  
Group Interviews

Interprofessional collaborative learning (IPL) is a requirement in health and social education, primary in student placements. This study explored IPL as shadowing with seven participants at a department of physical medicine and rehabilitation in a hospital. Seven participants were divided into two groups (n=3; n=4) when caring for two patients. Both groups wrote a rehabilitation plan together with the patients. In a submitted template, the students reflected on roles and responsibilities of health care professionals. To examine how the informants expressed their experiences of IPL, focus group interviews were conducted with each group and transcribed. The focus group transcripts, together with submitted templates, were then analysed using Giorgis’ model of content analysis. All informants expressed that IPL led to acquired knowledge about each other’s responsibilities in healthcare. Participants were aware of differences and similarities between their responsibilities. They reported that leadership and communication are prerequisites for collaborative practice.

scholarly journals Patients’ and Health Care Professionals’ Perceptions of the Potential of Using the Digital Diabetes Questionnaire to Prepare for Diabetes Care Meetings: Qualitative Focus Group Interview Study

10.2196/17504 ◽  
2020 ◽  
Vol 22 (8) ◽  
pp. e17504 ◽  
Author(s):  
Katarina Eeg-Olofsson ◽  
Unn-Britt Johansson ◽  
Ebba Linder ◽  
Janeth Leksell
Keyword(s):  
Health Care ◽  
Focus Group ◽  
Diabetes Care ◽  
Health Care Professionals ◽  
Digital Technology ◽  
Focus Group Interview ◽  
Diabetes Management ◽  
Focus Group Interviews ◽  
Group Discussions ◽  
Group Interviews

Background In effective diabetes management, it is important that providers and health care systems prioritize the delivery of patient-centered care and that they are respectful of and responsive to individual patient preferences and barriers. Objective The objective of the study was to conduct focus group interviews to capture patients’ and health care professionals’ perceptions and attitudes regarding digital technology and to explore how the digital Diabetes Questionnaire can be used to support patient participation in diabetes care, as a basis for an implementation study. Methods A qualitative study was conducted with six focus group discussions with diabetes specialist nurses and medical doctors (n=29) and four focus group discussions with individuals with diabetes (n=23). A semistructured focus group interview guide was developed, including probing questions. The data were transcribed verbatim, and qualitative content analysis was performed using an inductive approach. Results Two main categories were revealed by the qualitative analysis: perceptions of digital technology and the digital questionnaire in diabetes management and care and perceptions of participation in diabetes care. An overarching theme that emerged from the focus group interviews was patients’ and professionals’ involvement in diabetes care using digital tools. Conclusions The analysis identified important factors to consider when introducing the digital Diabetes Questionnaire in clinical use. Both professionals and patients need support and training in the practical implementation of the digital questionnaire, as well as the opportunity to provide feedback on the questionnaire answers.

scholarly journals Patients’ and Health Care Professionals’ Perceptions of the Potential of Using the Digital Diabetes Questionnaire to Prepare for Diabetes Care Meetings: Qualitative Focus Group Interview Study (Preprint)

2019 ◽  
Author(s):  
Katarina Eeg-Olofsson ◽  
Unn-Britt Johansson ◽  
Ebba Linder ◽  
Janeth Leksell
Keyword(s):  
Health Care ◽  
Focus Group ◽  
Diabetes Care ◽  
Health Care Professionals ◽  
Digital Technology ◽  
Focus Group Interview ◽  
Diabetes Management ◽  
Focus Group Interviews ◽  
Group Discussions ◽  
Group Interviews

BACKGROUND In effective diabetes management, it is important that providers and health care systems prioritize the delivery of patient-centered care and that they are respectful of and responsive to individual patient preferences and barriers. OBJECTIVE The objective of the study was to conduct focus group interviews to capture patients’ and health care professionals’ perceptions and attitudes regarding digital technology and to explore how the digital Diabetes Questionnaire can be used to support patient participation in diabetes care, as a basis for an implementation study. METHODS A qualitative study was conducted with six focus group discussions with diabetes specialist nurses and medical doctors (n=29) and four focus group discussions with individuals with diabetes (n=23). A semistructured focus group interview guide was developed, including probing questions. The data were transcribed verbatim, and qualitative content analysis was performed using an inductive approach. RESULTS Two main categories were revealed by the qualitative analysis: <i>perceptions of digital technology and the digital questionnaire in diabetes management and care</i> and <i>perceptions of participation in diabetes care</i>. An overarching theme that emerged from the focus group interviews was <i>patients’ and professionals’ involvement in diabetes care using digital tools.</i> CONCLUSIONS The analysis identified important factors to consider when introducing the digital Diabetes Questionnaire in clinical use. Both professionals and patients need support and training in the practical implementation of the digital questionnaire, as well as the opportunity to provide feedback on the questionnaire answers.

scholarly journals Forum: equity in access to health care. Introduction

2008 ◽  
Vol 24 (5) ◽  
pp. 1159-1161 ◽  
Author(s):  
Claudia Travassos
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Health Care Professionals ◽  
Access To Health Care ◽  
Health Care Systems ◽  
Care Access ◽  
Unethical Practices ◽  
Access To Health ◽  
Care Systems ◽  
Equity In Access

The Introduction outlines this issue's special Forum on equity in access to health care, including three Articles and a Postscript. The Forum represents a continuation of the debates raised during a seminar organized by the Oswaldo Cruz Foundation in the city of Rio de Janeiro, Brazil, in 2006, in collaboration with UNICEF, UNDP, World Bank, the WHO Special Program for Research and Training in Tropical Diseases, and the United Nations Research Institute for Social Development. The authors approach health care access and equity from a comprehensive and contemporaneous perspective, introducing a new conceptual framework for access, in which information plays a central role. Trust is proposed as an important value for an equitable health care system. Unethical practices by health administrators and health care professionals are highlighted as hidden critical aspects of inequities in health care. As a whole, the articles represent a renewed contribution for understating inequalities in access, and for building socially just health care systems.

scholarly journals The Invisibility of Spiritual Nursing Care in Clinical Practice

2019 ◽  
Vol 38 (1) ◽  
pp. 147-155 ◽  
Author(s):  
Dawn M. Hawthorne ◽  
Shirley C. Gordon
Keyword(s):  
Health Care ◽  
Nursing Education ◽  
Nursing Care ◽  
Health Care Professionals ◽  
Nursing Practice ◽  
Health Care Systems ◽  
Spiritual Needs ◽  
Central Component ◽  
Nursing Curricula ◽  
Care Systems

Background and Purpose: Spirituality has been identified as the essence of being human and is recognized, by many health care professionals, as a central component in health and healing. Scholars have identified spiritual nursing care as essential to nursing practice and include caring for the human spirit through the development of relationships and interconnectedness between the nurse and the patient. However, despite the recognition of spiritual practices as important to health, little attention has been given to spirituality in nursing practice and education in the literature. The purpose of this article is to explore factors contributing to the invisibility of spiritual nursing care practices (SNCP), recognition and offer strategies to enhance the visibility of SNCP. Two major factors that reduce visibility of SNCP are conceptual confusion differentiating between spirituality and religion and limited education in the area of spirituality including nursing curricula and organizations. Strategies to enhance visibility of SNCP include educational approaches in nursing curricula and health care organizations. to influence nurses’ perceptions about spirituality and creation of a culture of spiritual care. Conclusion: Holistic nursing includes assessing and responding to the spiritual needs of patients. Changes in nursing education and health care systems are needed to increase the visibility of SNCP.

scholarly journals Mindful congruence, four noble truths and healing relationships

2018 ◽  
Vol 5 (1) ◽  
Author(s):  
Patricia Lynn Dobkin
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Compassion Fatigue ◽  
Health Care Professionals ◽  
Emotional Regulation ◽  
Health Care Systems ◽  
Buddhist Philosophy ◽  
Healing Relationships ◽  
Care Systems ◽  
Four Noble Truths

Amidst the commotion of constant changes in health care systems, budget cuts, burnout and compassion fatigue there are resilient clinicians who relieve suffering and promote healing in those who seek their care. This workshop will focus on how doctors, nurses, and allied health care professionals serve in this way while maintaining equanimity and sense of meaning in their work and personal lives.This 90-minute experiential-based workshop will be divided into three parts.First, Mindful Clinical Practice will be described using narratives from different health care professionals in various settings. Mindful Congruence will be defined, along with Satir’s four other communication stances.Second, how the Four Noble Truths stemming from Buddhist philosophy inform clinical practice will be discussed with an emphasis on the Eightfold Path to end suffering. Third, a model of Healing Relationships (Scott et al, 2008; 2009) will be used to help participants identify underlying processes contributing to the relational outcomes: hope, trust, and being known. An Appreciative Inquiry exercise will be used to enrich participants’ understanding of their own experiences of being healers in clinical encounters.If and how medicine may be a spiritual practice will be examined.At the end of the workshop participants will be able to: 1. Define Mindful Congruence.2. Understand how the Four Noble Truths from Buddhist philosophy inform clinical practice.3. See how meditation practice contributes to clinicians’ mindfulness and emotional regulation.4. Discern the competencies and processes underlying healing.

Sign in / Sign up

Export Citation Format

Share Document