scholarly journals Interpreters’ Self-Perceptions of Their Use of Self When Interpreting in Health and Behavioural Health Settings

Refuge ◽  
2016 ◽  
Vol 32 (3) ◽  
pp. 119-124
Author(s):  
Nicole Dubus
Keyword(s):  
Health Care ◽  
Great Promise ◽  
Use Of Self ◽  
Structured Interviews ◽  
Health Care Settings ◽  
Safe Environment ◽  
Self Perceptions ◽  
Behavioural Health ◽  
The Individual ◽  
Constant Comparative Analysis

This study examines interpreters’ self-perception of their use of self when interpreting in health and behavioural health-care settings. Constant comparative analysis was used to analyze the individual, semi-structured interviews of thirty-six interpreters. Interpreters identified specific skills and techniques, that they developed on their own, (1) to create a safe environment for provider and client, and (2) to increase the effectiveness of the intervention. Interpreters are vital members of care teams. Interpreters might be under-utilized if only seen as a language conduit. Embracing interpreters as members of the inter professional team may hold great promise for addressing challenges in providing culturally effective services.

scholarly journals Evaluation of the Balanced Menus Challenge: a healthy food and sustainability programme in hospitals in Maryland

2014 ◽  
Vol 18 (13) ◽  
pp. 2341-2349 ◽  
Author(s):  
Tarah D Ranke ◽  
C Louise Mitchell ◽  
Diane Marie St. George ◽  
Christopher R D’Adamo
Keyword(s):  
Health Care ◽  
Mixed Methods ◽  
Cost Effective ◽  
Washington Dc ◽  
Previous Survey ◽  
Structured Interviews ◽  
Health Care Settings ◽  
Retrospective Assessment ◽  
Good Nutrition ◽  
National Effort

AbstractObjectiveThe Balanced Menus Challenge (BMC) is a national effort to bring the healthiest, most sustainably produced meat available into health-care settings to preserve antibiotic effectiveness and promote good nutrition. The present study evaluated the outcomes of the BMC in the Maryland/Washington, DC region.DesignThe BMC is a cost-effective programme whereby participating hospitals reduce meat purchases by 20 % of their budget, then invest the savings into purchasing sustainably produced meat. A mixed-methods retrospective assessment was conducted to assess (i) utilization of the BMC ‘implementation toolkit’ and (ii) achievement of the 20 % reduction in meat purchases. Previous survey data were reviewed and semi-structured interviews were conducted.SettingHospitals located in the Maryland/Washington, DC region, USA, that adopted the BMC.SubjectsTwelve hospitals signed the BMC in the Maryland/Washington, DC region and six were available for interview.ResultsThree hospitals in the Maryland/Washington, DC region that signed the BMC tracked their progress and two achieved a reduction in meat procurement by ≥20 %. One hospital demonstrated that the final outcome goal of switching to a local and sustainable source for meat is possible to achieve, at least for a portion of the meal budget. The three hospitals that reduced meat purchases also received and used the highest number of BMC implementation tools. There was a positive correlation between receipt and usage of implementation tools (r=0·93, P=0·005).ConclusionsThe study demonstrates that hospitals in the Maryland/Washington, DC region that sign the BMC can increase the amount of sustainably produced meat purchased and served.

scholarly journals Developing HIV Assisted Partner Notification Services Tailored to Mexican Key Populations: A Qualitative Approach

2020 ◽  
Author(s):  
Heleen Vermandere ◽  
Santiago Aguilera-Mijares ◽  
Liliane Martínez-Vargas ◽  
M. Arantxa Colchero ◽  
Sergio Bautista-Arredondo
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Partner Notification ◽  
Essential Elements ◽  
Care Providers ◽  
Structured Interviews ◽  
Hiv Diagnosis ◽  
Hiv Awareness ◽  
Sex With Men ◽  
The Individual

Abstract Background. Assisted partner notification services (APNS) may increase HIV testing, early diagnosis, and treatment, but they are not formally implemented in Mexico, where the HIV epidemic is concentrated in men who have sex with men (MSM) and transwomen (TW).Methods. We conducted semi-structured interviews to explore partner notification with MSM, TW and health care providers to identify the essential elements to include in the design and implementation of APNS directed to MSM and TW in Mexico City. Afterwards, brainstorm sessions were carried out to produce strategies for implementing APNS.Results. Most participants reported experiences with informal partner notification, but not with APNS. Only one health care provider indicated assisting notification systematically. The main barriers for notifying mentioned by both MSM and TW included fear of (violent) reactions, discrimination and lacking contact information of casual partners. Participants thought it was easier notifying a formal partner, conditional of being well informed about HIV. Given current stigma and lack of awareness, it was suggested that APNS should be preceded by HIV awareness efforts, and be provided by counsellors or peers to mitigate potential rejection or violent reactions. Conclusions. While APNS are not formally implemented in Mexico, all participants supported the service, indicating that APNS can enhance early HIV diagnosis in Mexico. Strategies to implement such services need to be flexible addressing the individual needs of participants, guaranteeing the safety of more vulnerable participants.

scholarly journals Perceptions, practice, and “ownership:” experiences in continuity of the patient-doctor relationship in a family medicine residency

2017 ◽  
Vol 8 (4) ◽  
pp. e74-85 ◽  
Author(s):  
Ann Lee ◽  
Sandra Kennett ◽  
Sheny Khera ◽  
Shelley Ross
Keyword(s):  
Health Care ◽  
Family Medicine ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Structured Interviews ◽  
Descriptive Research ◽  
Provider Experiences ◽  
Significant Barrier ◽  
Qualitative Descriptive ◽  
Constant Comparative Analysis

Background: The objective of this mixed-methods study was to determine interpersonal continuity (the ongoing therapeutic relationship between patient and health care provider) experiences of family medicine residents and preceptors, and explore their perceptions of interpersonal continuity.Methods: Quantitative data on resident and preceptor encounters were extracted from the electronic medical record (EMR). Opportunities for developing interpersonal continuity were determined using the Usual Provider Continuity (UPC) Index. A qualitative descriptive research method was used for the qualitative portion. Semi-structured interviews were conducted and constant comparative analysis was used to determine emerging themes.Results: Residents were found to have low UPC rates; preceptor rates were higher. Qualitative findings showed variable experiences with interpersonal continuity not apparent from UPC rates. Both preceptors and residents expressed perception of “ownership” of patients as a significant barrier to interpersonal continuity. Conclusion: This study suggests that a perceived lack of individual “ownership” of a patient panel was a significant barrier to developing interpersonal continuity. This might conflict with current changes towards team-based health care delivery. Understanding perceptions and changing them through a multi-faceted approach including resident teaching and faculty development might help improve interpersonal continuity which are core to both family medicine curricula and current models of health care delivery.

scholarly journals Developing HIV Assisted Partner Notification Services Tailored to Mexican Key Populations: A Qualitative Approach

2020 ◽  
Author(s):  
Heleen Vermandere ◽  
Santiago Aguilera-Mijares ◽  
Liliane Martínez-Vargas ◽  
M. Arantxa Colchero ◽  
Sergio Bautista-Arredondo
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Partner Notification ◽  
Essential Elements ◽  
Care Providers ◽  
Structured Interviews ◽  
Hiv Diagnosis ◽  
Hiv Awareness ◽  
Sex With Men ◽  
The Individual

Abstract Background. Assisted partner notification services (APNS) may increase HIV testing, early diagnosis, and treatment, but they are not formally implemented in Mexico, where the HIV epidemic is concentrated in men who have sex with men (MSM) and transwomen (TW). We conducted semi-structured interviews to explore partner notification with MSM, TW and health care providers to identify the essential elements to include in the design and implementation of APNS directed to MSM and TW in Mexico City. Afterwards, brainstorm sessions were carried out to produce strategies for implementing APNS. Results. Most participants reported experiences with informal partner notification, but not with APNS. Only one health care provider indicated assisting notification systematically. The main barriers for notifying mentioned by both MSM and TW included fear of (violent) reactions, discrimination and lacking contact information of casual partners. Participants thought it was easier notifying a formal partner, conditional of being well informed about HIV. Given current stigma and lack of awareness, it was suggested that APNS should be preceded by HIV awareness efforts, and be provided by counsellors or peers to mitigate potential rejection or violent reactions. Conclusions. While APNS are not formally implemented in Mexico, all participants supported the service, indicating that APNS can enhance early HIV diagnosis in Mexico. Strategies to implement such services need to be flexible addressing the individual needs of participants, guaranteeing the safety of more vulnerable participants.

scholarly journals The Subjective Experience of Pregnancy and the Ex-pectations of Childbirth on a Medicalized World: a Qualitative Study

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Rute Brites ◽  
Odete Nunes ◽  
Monica Pires ◽  
João Hipólito
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
Qualitative Study ◽  
Subjective Experience ◽  
Negative Consequences ◽  
Structured Interviews ◽  
Pregnancy And Childbirth ◽  
Relational Experiences ◽  
Subsequent Discussion ◽  
The Individual

Background: To become a mother represents, for many women, a challenging existential process. Women have to deal with countless changes and adaptations, which can be experienced as sources of imbalance but also as moments of personal enrichment.  Currently, this process is influenced by the medicalization of pregnancy and childbirth, which may have positive or negative consequences to the individual experiences of pregnancy and childbirth.Goals: This study aimed to deepen the understanding of the experience of pregnancy and expectations regarding childbirth in a group of women, in a context where pregnancy and childbirth are increasingly medicalized processes.Methods: In this qualitative study, we used semi-structured interviews to collect data regarding the experience of pregnancy and regarding expectations about childbirth in a sample of women (n = 37), recruited in health care centres or obstetric clinics by research assistants. The individual interviews took place at their homes. Data resulting from these interviews, focusing on the relationship with the health team, the partner and the unborn baby, and on the moment of childbirth, were analysed using ALCESTE software. Two senior researchers, psychologists, conducted the content analysis. Investigator triangulation was achieved through independent content analysis by each researcher and subsequent discussion and consensual interpretation.Results: Thirty-seven pregnant women were interviewed. Four classes emerged from the analysis: "Expectations about childbirth and baby health", “Significant relational experiences of the past”, "Mother-baby relationship process" and “Health care in pregnancy". Results emphasize the desire of future mothers to have a quick childbirth, without stress and with minimal suffering and anxiety. Despite these worries, women described a positive subjective experience of pregnancy and a feeling of security related to the knowledge they attribute to health professionals. Discussion: “Medicalization” seems to be perceived as positive and securing, with no mention to a sense of disempowerment or loss of control. Therefore, the existence of spaces for sharing disturbing experiences and expectations of childbirth is prophylactic,contributing to the creation of conditions that foster positive expectations and mitigate fears related to childbirth.

scholarly journals UNVEILING THE ACTIONS OF NURSES IN PRIMARY HEALTH CARE GROUPS

2016 ◽  
Vol 25 (4) ◽  
Author(s):  
Priscila Rosa Maceno ◽  
Ivonete Teresinha Schulter Buss Heidemann
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Nursing Education ◽  
Structured Interviews ◽  
Primary Health ◽  
Care Groups ◽  
Group A ◽  
The Individual ◽  
Education And Development

ABSTRACT The aim was to know the health promotion actions developed by nurses in the collective services of primary health care in Florianópolis, Santa Catarina, Brazil. Exploratory, descriptive, qualitative study. The participants were ten nurses working in primary health care groups in the year 2012. Semi-structured interviews were used for data collection and the data were analyzed through thematic analysis and discussed in the light of health promotion. Five categories emerged: Nursing education and development of the health promotion group; Duties of the nurse in the group; Methodology of the group; Issue included in the groups and Results of the group. A total of 1,363 collective services were identified, with 247 being related to health education activities. The focus of activities in the groups was based on chronic diseases, did not follow specific methodology and the themes were constructed according to the pathophysiology of diseases or professional specificity. The importance is highlighted of health promotion through educational practices in the collective services, as a form of care and encouragement for the autonomy of the individual/community.

scholarly journals Invisible rights: Barriers and facilitators to access and use of interpreter services in health care settings by Polish migrants in Norway

2018 ◽  
Vol 47 (7) ◽  
pp. 755-764 ◽  
Author(s):  
Elżbieta Anna Czapka ◽  
Jennifer Gerwing ◽  
Mette Sagbakken
Keyword(s):  
Health Care ◽  
Health Personnel ◽  
Ad Hoc ◽  
Health Condition ◽  
Barriers And Facilitators ◽  
Structured Interviews ◽  
Health Care Settings ◽  
Interpreter Services ◽  
Polish Migrants

Aims: Polish migration to Norway is a relatively new phenomenon. Many Polish migrants do not speak Norwegian or have insufficient knowledge of the language, which makes it difficult or impossible to communicate with health personnel. The main aim of the study was to identify barriers and facilitators to Polish migrants’ access and use of interpreter services in health care settings in Norway. Methods: Nineteen semi-structured interviews with Polish migrants were carried out in 2013 and 2014. Thematic analysis was performed to identify barriers and facilitators related to the use of interpreter services. Results: Participants often received information regarding their health condition and treatment in a language they did not fully understand. They reported that their access to interpretation services was limited or denied for a variety of reasons, such as reluctance of health personnel to book an interpreter and overestimation of patient’s language skills. In many cases, using friends, relatives or bilingual staff instead of professional interpreters compromised the quality of interpretation. Conclusions: Even though migrants are entitled to free interpreter services, Polish migrants experience several barriers accessing interpreters in health care settings. A variety of practices such as selective use and use of unqualified and ad hoc interpreters reveals a failure to meet recommended standards of interpretation services. Not involving professional interpreters in language-discordant consultations constitutes a serious threat to practitioners’ ability to work as competent professionals, potentially risking the quality and safety of health care for these patients.

scholarly journals Policy Considerations for Geriatric Social Workers in Healthcare Settings During COVID-19

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 382-382
Author(s):  
Terri Lewinson ◽  
Tiffany Washington
Keyword(s):  
Health Care ◽  
Social Work ◽  
Social Workers ◽  
Interprofessional Education ◽  
Work Practice ◽  
Work Conditions ◽  
Social Work Practice ◽  
Structured Interviews ◽  
Health Care Settings ◽  
The Impact

Abstract Social workers are essential to the delivery of health care with older adults the during COVID-19 pandemic. This paper focuses on the impact of policies in health care systems that affect geriatric social work practice. Semi-structured interviews were conducted with 55 social workers from a variety of health care settings. Data were analyzed to identify the scope of social work practice in health care settings during the COVID-19 pandemic, and how policies in their respective settings impacted their work. Conditions that impeded participants’ ability to provide quality care and work within their scope of practice included inconsistent expectations of interdisciplinary team members, disparate access to resources, restriction of opportunities to address emotional distress experienced by workers. Recommendations for policy enhancements in health care settings include interprofessional education on effective team communication, protocol development for the equitable distribution of resources among essential workers, and trauma-informed in-service trainings for health care administrators.

scholarly journals General Practitioners’ Perspectives Over Solutions To Change BZD Prescription Trends – A Qualitative Study

2021 ◽  
Author(s):  
Teresa Reis ◽  
Helena Serra ◽  
Inês Faria ◽  
Miguel Xavier
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Qualitative Study ◽  
General Practitioners ◽  
Public Health Issue ◽  
Structured Interviews ◽  
Health Care Settings ◽  
Prescription Practices ◽  
Primary Health ◽  
Primary Health Care Settings

Abstract Background: This qualitative study explores General Practitioners’ (GPs) perspectives on solutions to address the problem of excessive prescription of benzodiazepines (BZDs). Over-prescription of BZDs at a primary health care settings is a prevalent issue in the region under analysis, but also elsewhere internationally. GPs are the gatekeepers to these medicines in primary care, but for several subjective, organizational and external reasons, they find it difficult to change current prescription patterns. Simultaneously, GPs recognize the issue of BZD excessive prescription practices, and propose possible solutions to invert the trend.Methods: Qualitative data were collected in seven primary health care centers in an interior and mostly rural region of Portugal. We conducted 12 semi-structured interviews with GPs. Interviews were audio-recorded, transcribed verbatim and underwent thematic analysis. The themes were integrated and organized into eight axes for action.Results: Solutions proposed by GPs focused on organizational aspects, such as human resources, infrastructure and training (including on withdrawal schemes), alternative approaches, and wider community-based initiatives to counter societal aspects affecting mental health in the identified region. The themes were integrated and organized into eight axes for action.Conclusions: The findings provide an assessment of the priorities to change excessive BZDs prescription, as suggested by the GPs in primary health care settings, and hence reflecting what they consider to be context specific needs. Both experts and multi-stakeholders bottom-up perspectives should be taken into account when proposing new policies and local strategies to tackle current excessive BZD prescription, especially considering the failure of previous strategies to change this well-known public health issue. We consider that our results to be generalizable to all countries where primary health care plays a central role in care provision.Trial registration: ClinicalTrials.gov number NCT04925596

Student Preparation for Dysphagia Practice: Universities and Practicum Sites Supporting a Common Outcome

2016 ◽  
Vol 1 (13) ◽  
pp. 122-129 ◽  
Author(s):  
Wendy Chase ◽  
Lucinda Soares Gonzales
Keyword(s):  
Health Care ◽  
Student Performance ◽  
Classroom Setting ◽  
Medical Settings ◽  
Student Preparation ◽  
Health Care Settings ◽  
The University ◽  
University Of Connecticut

This article will describe the approach to dysphagia education in a classroom setting at the University of Connecticut (UCONN), explore the disparity between student performance in schools vs. health care settings that was discovered at UCONN, and offer suggestions for practicum supervisors in medical settings to enhance student acquisition of competence.

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