scholarly journals Midwives’ experiences of  witnessing traumatic hospital birth events: A qualitative study            

Author(s):  
Seyhan Çankaya ◽  
Yasemin Erkal Aksoy ◽  
Sema Dereli Yılmaz

Aims: The aim of this study was to investigate in detail the traumatic birth experiences of midwives in the delivery rooms, and their attitudes, reactions, and coping strategies. Methods: The design of the study is descriptive and the purposive sampling method was used. This approach is ideal for a preliminary exploration of the nature of a phenomenon. Between October 2018 and January 2019, semi-structured interviews were conducted with a purposeful sample of midwives. The research was carried out with the participation of 29 midwives, who work in labour and birth room. They were asked to describe a particular stressful situation they had experienced during the birth process, their emotions about the event, and their coping strategies and support systems. All interviews were digitally recorded, stored in a database, and transferred to MAX Qualitative Data Analysis 18.1.0 for analysis. Results: As a result of the content analysis, three main themes emerged: Psychological impact, defensive practice, and expectations from the hospital. It was revealed that, after the traumatic birth, midwives experienced highly emotional exhaustion in the form of sadness, flashbacks, guilt, fear, and empathy, and that they performed an increasingly defensive practice. Besides, midwives explicitly stated that they were not prepared enough for traumatic events and that most traumatic births were simply ignored in their workplace. Eventually, it was determined that midwives received support mostly from their colleagues in case of a traumatic birth. Conclusion(s): Midwives need to feel valued and be supported by their institutions in coping with emotional stress. Therefore, performing clinical inspections by experienced or specialist midwives may serve as a supporting framework for reducing defensive interventions.

2021 ◽  
pp. 105477382110166
Author(s):  
Alessia Martina Trenta ◽  
Davide Ausili ◽  
Rosario Caruso ◽  
Cristina Arrigoni ◽  
Massimo Moro ◽  
...  

This study aimed to explore lived experience of patients with heart failure (HF) during the COVID-19 pandemic. A qualitative study was conducted using an interpretative phenomenological analysis (IPA). Data collection performed in March-May 2020, using in-depth, semi-structured interviews on a purposive sample. Data were analyzed according to the IPA methodology, and triangulation, bracketing, journaling, and member checking were used to assure rigor. 14 patients with HF were enrolled, and three main themes described their lived experience during the COVID-19 pandemic: Vulnerability, Hanging in the balance, and Coping strategies. These people felt particularly vulnerable to the novel virus and experienced uncertainty due to hospital organization changes. Because of this, they felt like they were hanging in the balance, experiencing various negative feelings. Nevertheless, they managed to deal with this challenging situation by implementing some peculiar coping strategies. The COVID-19 represents a significant challenge for patients with HF, impacting significantly on their lives.


2020 ◽  
Vol 120 (9) ◽  
pp. 1759-1775
Author(s):  
Wanfei Wang ◽  
Chengcheng Su ◽  
Jin Hooi Chan ◽  
Xiaoguang Qi

PurposeFocusing on the supply side of peer-to-peer (P2P) accommodation service sector, this study identifies the emerging types of micro-enterprise operators in the growing Chinese market, and investigate their respective operational risks and coping strategies.Design/methodology/approachA qualitative study was adopted to explore the micro-enterprise in peer-to-peer accommodation in China. Twenty semi-structured interviews were conducted to explore the operators' behaviors in the service sector.FindingsBased on the types of property ownership and forms of interaction, four groups of operators were identified, i.e. hospitable sharers, remote sharers, roommates and butlers. This study uncovers their operational risk factors (safety, cost, legal and social, psychological) and respective coping strategies.Originality/valueMost prior studies on P2P accommodation sector are conducted from the demand side about customer behaviors. This study not only enhances the understanding of the hosts in the sharing economy by developing a novel typology of operators, but also provides insights into the operational behaviors on an individual operator perspective.


2016 ◽  
Vol 50 (4) ◽  
pp. 569-578
Author(s):  
Naira Agostini Rodrigues dos Santos ◽  
Antonio Tadeu Cheriff dos Santos ◽  
Rildo Pereira da Silva

Abstract OBJECTIVE To understand and describe the experience of the development of coping strategies during the professional life of nurses providing care to patients with facial image alteration. METHOD Descriptive qualitative study with a hermeneutic-dialectic framework conducted in the head and neck ward of a reference hospital in Rio de Janeiro, with the participation of eight nurses and data produced through semi-structured interviews conducted between June and August 2013. RESULTS Three major impressions were found: initial estrangement and complexity, consisting in the care given to patients with facial image alteration; a threshold between estrangement and coping, corresponding to the emergence of coping strategies during care; and image-likeness as a (re)cognition of the individual with facial image alteration in the development and consolidation of coping strategies during care. CONCLUSION Among other contributions, the identification and understanding of coping strategies may contribute to better qualify nursing education and care.


2016 ◽  
Vol 9 (1) ◽  
pp. 120 ◽  
Author(s):  
Zohreh Tavakoli ◽  
Ali Montazeri ◽  
Ali Asghar Farshad ◽  
Zahra Lotfi ◽  
Ismail Noor Hassim

BACKGROUND: Physicians are at risk of having high levels of stress which affect their performance. Finding the stressors and the coping skills to manage stress could be used to develop program to decrease stressful situation. No study has been done on Physicians' stress and coping in Iran. The main objective of this study is to find out the main stressors and coping strategies among Iranian Physicians working in hospital in Tehran-Iran.METHODS: A cross-sectional study was performed on 780 Physicians,using a questionnaire consisted of two sections ;The first section were the stressors which included 67 questions and The second section were The Brief COPE with 28-items for assessing a broad range of coping behaviors among respondents.RESULTS: A total of 1100 questionnaires were distributed to all the available Physicians in the hospitals selected. 780 Physicians returned complete questionnaires with observed response rate of 75%. The majority of respondents (56.9%) were women. The first 3 sources of stress in workplace (Job stressors) are physical environment problem (75%), too much volume of work and poorly paid. The main sources of stress outside the work place (non-job stressors) ranked by Physicians were; financial problem (9.09), not enough time to spend with family (8.87), conflicts with household tasks (7.36).The top five coping strategies used by Iranian Physicians were Behavioral Disengagement, Planning, Instrumental support, Acceptance, and turning to religion.CONCLUSIONS: This study revealed that both workplace and non-job sources of stress can affect the Physicians performance and there is an association between gender and coping skills.


2012 ◽  
Vol 18 (1) ◽  
pp. 67-79 ◽  
Author(s):  
Sonia A. Udod ◽  
W. Dean Care

Competing demands and a nursing shortage have contributed to a managerial workforce that is overworked and a health care environment that is under constant tension. The short supply and high turnover of manager positions, upwards of 30% in some regions in Canada, have contributed to an unstable work environment. The aim of this study examined the stress experiences and coping strategies of nurse managers in an acute care setting. Semi-structured interviews of five nurse managers were included in this pilot study. Qualitative content analysis was used to analyse the transcribed text. Six descriptive themes related to work stressors were identified: fiscal responsibilities, inadequate human resources, managing others, intrapersonal distress, middle management role and competing priorities. Three descriptive themes related to coping strategies were identified: peer and superior support, cognitive coping strategies and social and personal strategies. Findings indicate that coping mechanisms lessened the work stressors experienced by managers, but it was not always evident managers felt confident in their ability to cope effectively. Senior nurse leaders play an integral role in assuming responsibility for equipping managers with appropriate preparation and support to facilitate their success and to enhance the attractiveness of the manager role to potential recruits.


Author(s):  
Shaikha R AL-Naimi ◽  
Michael H Romanowski ◽  
Xiangyun Du

This study examined the challenges novice teachers encountered in Qatari government schools and the coping strategies they adopt. A qualitative study was conducted using semi-structured interviews with 15 novice teachers during their initial years of teaching. The findings demonstrated that most participants faced several personal challenges and other challenges within and beyond the school. Findings also indicated that these teachers confronted these challenges using various coping strategies. The challenges facing novice teachers include teaching and classroom, government, and administrative, and professional challenges. Novice teachers' coping strategies included individual internal peace strategies, active communication, and changing environment. Finally, based on these findings, suggestions are provided to support novice teachers' long-term success in Qatari government schools or similar contexts.


Author(s):  
Phuong Le Nguyen ◽  
Mau Dung Nguyen

Vietnam is the second largest coffee producer in the world, mostly from the Central Highlands region where water has been becoming a scarce resource. Since 2014, drought has been strongly affecting Central Highlands’ agriculture, particularly coffee production. The drought leads to changes in flowering, ripening and thus harvesting times of coffee. Coffee productivity has reduced about 50 percent. Ultimately, coffee quantity and quality is jeopardized which endangers coffee farmers who occupy 90 per cent of population and their livelihoods mainly rely on coffee. Most of coffee farmers have had to develop alternative strategies to respond to the drought. Based on quantitative and qualitative data collected from 50 coffee households in a community in the Central Highlands, this research has indicated that farmers had to find the ways to adapt as well as to cope with drought. The ways of adaptation and coping were diverse, including short, medium and long-term plans. To strengthen the adaptation and coping strategies of farmers with drought in the short term, it is recommended that authorities provide more technical and financial support to farmers. Furthermore, longer term strategies need to focus on land use planning, investment in irrigation schemes, and consolidated afforestation schemes in appropriate areas.


Author(s):  
Edith Mwananzila ◽  
Muteti Catherine Mueni

The purpose of the study was to determine factors attributed to primary schools adolescents’ stress and common stress coping strategies they use. Four research questions guided this study. The study employed mixed research approach. Descriptive cross-sectional design was used. Participants were 225 primary schools’ adolescents and 15 primary class teachers and five primary heads of schools. Data were collected through structured questionnaire, semi structured interviews and focus group discussion. Data were analysed using both content and thematic analysis. The findings of the study reveal that, most of adolescents had experienced stress even though some of them were not sure whether they were stressed or not due to lack of knowledge regarding stress and the sources of stress. Furthermore, the study found that two thirds of primary school adolescents often experienced symptoms of stress implying that they had high stress levels. Similarly, the study found that majority of the pupils often employed positive coping strategies. The study concludes that primary school adolescents in Moshi municipality were subjected to high levels of stress which affects their psychological wellbeing although they had not been able to address the sources of stress. Adolescents lacked the awareness of signs and symptoms of stress which increased the level of stress among them. Moreover, the pupils reported nervousness, anger, anxiety, sickness and lack of concentration during class hours. Primary schools adolescents were not able to device relevant coping strategies against stress. The Ministry of Education should put more emphasis on the issue of stress and coping strategies in primary schools by introducing well-structured formal support systems. The family should learn to support and be helpful for adolescents faced with stress, no matter how they are adapting to the stress. Moreover, schools should pay attention to students’ trouble with learning and apply appropriate strategies to enhance their learning effectiveness


2020 ◽  
Author(s):  
Monirsadat nematollahi ◽  
Roghayeh Mehdi pour Rabori ◽  
Fatemeh Keshavarz ◽  
behnaz bagherian

Abstract Background: parents of children with epilepsy face health-related problems of their children. Coping strategies of parents, major caregivers, affect not only their stresses but also the children's quality of life. This study investigated the coping strategies of parents of children with epilepsy at two educational hospitals affiliated with Kerman University of Medical Sciences in Iran. Method: twenty parents (15 mothers and 5 fathers), and three nurses were selected using the purposive sampling method. Data were collected using qualitative semi-structured interviews and analyzed using the method suggested by Corbin and Strauss version 2008. The Interviews were conducted until thematic saturation was achieved. Results: the coping process had five phases: disbelief, patience, change to preserve, acceptance of the current situation, and self- empowerment.In summary, the parents of children with epilepsy had a five-phase coping strategy. The core category was "continued efforts of parents to restore calm."Conclusion: properly assessing the stresses of parents of children with epilepsy and their coping strategies may help medical staff and social workers provide more targeted support and balance the family function.


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