Patients’ Perceptions of Caring and Uncaring Nursing Encounters in Inpatient Rehabilitation Settings

2019 ◽  
Vol 21 (2) ◽  
Author(s):  
Joan C Cheruiyot ◽  
Petra Brysiewicz
Keyword(s):  
South Africa ◽  
Content Analysis ◽  
Inpatient Rehabilitation ◽  
Structured Interview ◽  
The Self ◽  
Personal Relationships ◽  
Individual Interviews ◽  
Textual Data ◽  
Interview Guide ◽  
Being There

This study explores and describes caring and uncaring nursing encounters from the perspective of the patients admitted to inpatient rehabilitation settings in South Africa. The researchers used an exploratory descriptive design. A semi-structured interview guide was used to collect data through individual interviews with 17 rehabilitation patients. Content analysis allowed for the analysis of textual data. Five categories of nursing encounters emerged from the analysis: noticing and acting, and being there for you emerged as categories of caring nursing encounters, and being ignored, being a burden, and deliberate punishment emerged as categories of uncaring nursing encounters. Caring nursing encounters make patients feel important and that they are not alone in the rehabilitation journey, while uncaring nursing encounters makes the patients feel unimportant and troublesome to the nurses. Caring nursing encounters give nurses an opportunity to notice and acknowledge the existence of vulnerability in the patients and encourage them to be present at that moment, leading to empowerment. Uncaring nursing encounters result in patients feeling devalued and depersonalised, leading to discouragement. It is recommended that nurses strive to develop personal relationships that promote successful nursing encounters. Further, nurses must strive to minimise the patients’ feelings of guilt and suffering, and to make use of tools, for example the self-perceived scale, to measure this. Nurses must also perform role plays on how to handle difficult patients such as confused, demanding and rude patients in the rehabilitation settings.

scholarly journals Women’s experiences of living with increased inter-recti distance after childbirth: an interview study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Martin Eriksson Crommert ◽  
Karolina Petrov Fieril ◽  
Catharina Gustavsson
Keyword(s):  
Qualitative Content Analysis ◽  
Healthcare Providers ◽  
Structured Interview ◽  
The Body ◽  
Study Cohort ◽  
Individual Interviews ◽  
Diastasis Recti ◽  
Purposeful Sampling ◽  
Interview Guide ◽  
Biopsychosocial Perspective

Abstract Background Although an increased inter-recti distance, also known as diastasis recti, is common after pregnancy, evidence-based knowledge about the condition is relatively limited. In particular, little is known about the consequences as perceived by the women. The objective of the present study was to describe how postpartum women with increased inter-recti distance experience the condition as well as the contacts they have had with healthcare providers regarding their symptoms. Methods A purposeful sampling approach was used to recruit 19 participants from an existing study cohort of 144 women. All participants had an inter-recti distance of at least two finger widths and at least one child, with the youngest child between the ages of 1 and 6 years. Individual interviews based on a semi-structured interview guide were performed and subsequently analysed using qualitative content analysis. Results Four categories emerged from the interviews: the body’s function and ability has changed; the body does not look like it used to; uncomprehending attitudes and treatment in their surroundings; and trying to acquire an understanding of and strategies to cope with the diastasis. The findings reveal that women with increased inter-recti distance might experience fear of movement and engage in avoidance behaviour. In combination with feelings of physical instability in the midsection of their bodies and body dissatisfaction, many of the women restrict their everyday lives and physical activities. Conclusions The findings indicate that increased inter-recti distance is a complex phenomenon that affects the women in a multitude of ways, highlighting the importance of considering the condition for each individual in her own context from a biopsychosocial perspective.

scholarly journals Being active 1½ years after hip fracture: A qualitative interview study of aged adults’ experiences of meaningfulness

2020 ◽  
Author(s):  
Birgit Rasmussen ◽  
Claus Vinther Nielsen ◽  
Lisbeth Uhrenfeldt
Keyword(s):  
Hip Fracture ◽  
Life Experience ◽  
Well Being ◽  
Structured Interview ◽  
Main Theme ◽  
Individual Interviews ◽  
Self Confidence ◽  
Existential Theory ◽  
Qualitative Interview Study ◽  
Interview Guide

Abstract Background: Being active is vital and a source of well-being. However, 18 months after hip fracture (HF), progress seems to have come to a halt. Aged adults may feel vulnerable, experiencing ongoing dependency and limited possibilities for socializing. How they experience the meaningfulness of being active during these circumstances is unknown. The aim of this study was to explore experiences of the meaningfulness of being active for aged adults 18 months after HF. Methods: A phenomenological-hermeneutic methodology based on the philosophies of Heidegger and Gadamer was applied. Data were collected using individual interviews conducted in participants’ homes. The study was part of a longitudinal study, and three former interviews helped build trusting relationships with participants and focus the semi-structured interview guide. An existential theory of well-being and suffering considering health to be a balancing of mobility and dwelling was applied. Participants were nine aged adults 65 years or older with pre-fracture dependency included in the study 18 months earlier while still in hospital after HF. The interpretation was a process of analyzing data by moving between the parts and the whole as a means of gaining a deeper understanding and continuously testing pre-understandings. The analysis followed five steps: a) getting a sense of the whole b) delineating and condensing meaning units, c) interpreting meaning units, d) relating to study purpose, and e) developing themes and sub-themes. Results: Two main themes emerged. The main-theme “Feeling the continuity of life“ had four sub-themes: “Gratitude for present possibilities,“ “Connected with earlier life-experience,“ “Thoughtfully managing vulnerability,“ and “Belonging with other people.“ The main-theme “Feeling vulnerable“ had two sub-themes: “Thwarted“ and “Sad and regretting lost continuity in life.“ Conclusions: Eighteen months after HF, aged adults seem to be struggling on their own to be active in meaningful ways. To maintain hope, relieve the strain in everyday life, and maintain a sense of safety and self-confidence, they may need help. However, to avoid suffering, there is a need to balance additional training and a struggle for progress with well-being experiences in terms of feeling gratitude, restoring a sense of normality, and feeling kinship with other people.

scholarly journals Determining the factors that determine treatment compliance among hypertensive patients undergoing hemodialysis: A qualitative study Hipertansif hemodiyaliz hastalarının tedavi uyumlarını etkileyen faktörlerin belirlenmesi: Kalitatif çalışma

2016 ◽  
Vol 13 (3) ◽  
pp. 4389
Author(s):  
Seval Aker ◽  
Serpil Yüksel
Keyword(s):  
Content Analysis ◽  
Qualitative Study ◽  
Social Life ◽  
Treatment Compliance ◽  
Previous Treatment ◽  
Structured Interview ◽  
Fluid Restriction ◽  
Individual Interviews ◽  
Study Population ◽  
Relationship Of

This study is a phenomenological qualitative study.  The aim of the study was to investigate the factors to determine treatment compliance in hemodialysis patients, the importance of these factors, and relationship of factors. The study population consisted of 10 patients undergoing hemodialysis at the Bolu Private Nefro Dialysis Center. Appropriate authorizations and consent to perform the study were obtained from the facility where the study was performed, the ethical committee and the participating patients. In-depth individual interviews by the investigator with the help of a semi-structured interview form were conducted to collect the information between August 1 and August 24, 2011. The recorded data were evaluated by inductive content analysis. Content analysis allowed the identification of 26 codes for factors influencing treatment compliance. These codes were then categorized in seven broader categories: disease and health perception, effect on professional and social life, coping, fear, expectations, diet and fluid restriction, education and information. These categories were assessed according to their particular significance and reconciled under the overarching theme of factors determining compliance. The patients' age was 48.1+14.45 years, the duration of previous hemodialysis treatment 6.35+3.75 years and that of previous treatment for hypertension 5.2+3.33 years. The duration of previous treatment for patients who expressed that the chronic character of the disease did affect their perception of disease and health was 6-10 years. Patients aged over 40 had greater physical fatigue post dialysis; eight of the patients experienced or had experienced problems related to their recommended diet. Seven patients experienced physical restrictions due to their treatment; such restrictions were affecting negatively their occupational and social life. ÖzetAraştırma, hipertansif hemodiyaliz hastalarının tedaviye uyumlarını etkileyen faktörleri ve aralarındaki ilişkiyi incelemek amacıyla fenomolojik tipte nitel olarak gerçekleştirildi.  Araştırma kapsamına, Özel Nefro Bolu Diyaliz Merkezi'nde hemodiyaliz tedavisi gören 10 hasta alındı. Araştırmanın uygulanabilmesi için, araştırmanın gerçekleştirileceği kurumdan, etik kuruldan ve hastalardan yazılı izin alındı. Veriler, araştırmacı tarafından yarı yapılandırılmış görüşme formu kullanılarak, derinlemesine bireysel görüşme yöntemi ile 01-24 Ağustos 2011 tarihleri arasında toplandı. Kaydedilen verilerin çözümlenmesi, tümevarımcı içerik analizi ile yapıldı. İçerik analizi ile tedavi uyumunu etkilediği belirlenen 26 kod belirlendi. Kodlar kategorize edilerek;  sağlık ve hastalık algısı, iş ve sosyal yaşama etki, başetme, korku, beklenti, diyet ve sıvı kısıtlaması, eğitim ve bilgi edinme olmak üzere 7 kategori oluşturuldu. Kategoriler taşıdıkları anlama göre incelenerek,  uyumu etkileyen faktörler teması altında birleştirildi. Hastaların yaş ortalamasının 48,10+14,45 yıl, hemodiyaliz tedavi süresinin 6,35+3,75 yıl, hipertansiyon tedavi süresinin 5,2+3,33 yıl olduğu belirlendi. Hastalığın uzun süreli olmasının sağlık ve hastalık algısını etkilediğini belirten hastaların tedavi süresinin 6-10 yıl arasında olduğu saptandı.  40 yaş üzerinde olan hastaların diyaliz sonrası bedensel yorgunluk şikayetinin daha fazla olduğu; hastalardan 8’inin önerilen diyete uyumla ilgili sorun yaşadığı belirlendi. Hastalardan 7’sinin tedavi nedeniyle fiziksel sınırlılık yaşadığı, bu sınırlılıkların iş ve sosyal yaşamı, aile içindeki rolleri olumsuz olarak etkilediği bulundu. 

scholarly journals Radiografers oppfatninger av suboptimale henvisninger innen konvensjonell røntgen - en kvalitativ studie

2018 ◽  
Vol 4 (1) ◽  
pp. 17 ◽  
Author(s):  
Alaa Sadiq Abohaikel ◽  
Huda Hussein Musa ◽  
Kristin Bakke Lysdahl
Keyword(s):  
Thematic Analysis ◽  
Clinical Information ◽  
Structured Interview ◽  
Plain Radiography ◽  
Work Situation ◽  
Individual Interviews ◽  
Quality Patient Care ◽  
Interview Guide

Abstract: Title: Radiographers’ perception of suboptimal referrals for plain radiography – a qualitative study.Introduction: Adequately filled in radiology requests forms are crucial for the quality of conducting and reporting examinations. Still suboptimal referrals occur. The knowledge of how the referrals are assessed handled in the radiological department is limited, in particular the role of the radiographers. The purpose of this study was to investigate how radiographers understand, experience and act upon suboptimal referrals and how this influence their work.Methods and Materials: A semi-structured interview guide was developed and applied in individual interviews with five radiographers in south-east Norway. The radiographers had different length of employment and experience in performing plain radiographs. The interviews were transcribed and analyzed using a thematic analysis method.Results: Five main categories were identified from the interviews. 1) Scope and type of referral quality problems, where the problem is recognised, mainly due to missing clinical information, which is reported to occur frequently, particularly in referrals for control examinations. 2) Communication experiences and approaches towards patients, experienced colleges or radiologists, when seeking to substitute missing/wrong referral information. 3) Consequences of inappropriate referrals, in shape of unwarranted examinations, waste of time, and reduced job satisfaction. 4) Perceived responsibility for optimisation and justification of examinations. 5) Strategies to overcome the problem, through leadership and co-operation between radiographers, radiologists and referring physicians.Conclusion: Suboptimal referral quality influence the radiographers work. They recognize it as a commonplace problem with implication for quality patient care, own work-situation and -satisfaction and economically for health society. Increased interdisciplinary co-operation may improve the quality of the referrals.

scholarly journals A Qualitative Examination of Factors That Influence Sleep Among Shipboard Sailors

2020 ◽  
Author(s):  
Emily A Schmied ◽  
Elizabeth M Harrison ◽  
Renee G Dell’Acqua ◽  
Vanessa G Perez ◽  
Gen Glickman ◽  
...  
Keyword(s):  
Content Analysis ◽  
Environmental Factors ◽  
Educational Interventions ◽  
Structured Interview ◽  
Active Duty ◽  
Service Members ◽  
Thematic Content Analysis ◽  
Noise Cancelling ◽  
Interview Guide ◽  
And Performance

Abstract Introduction Sleep disturbance is prevalent among service members; however, little is known about factors that compromise sleep in unique operational environments, such as naval ships. Given the importance of sleep to health and performance, it is critical to identify both causes and potential solutions to this serious issue. The objective of this qualitative study was to elucidate the barriers to sleep and the strategies service members use to improve their sleep and combat fatigue while living and working aboard ships (i.e., underway). Methods and Materials Interviews were conducted with 22 active duty service members assigned to sea duty. The semi-structured interview guide assessed the experiences of service members sleeping in shipboard environments. Interview transcripts were analyzed using applied thematic content analysis by two independent coders. Results Participants were largely male (77.8%) and enlisted (88.9%). The most common barrier to obtaining sufficient sleep was stress, followed by rotating schedules, and environmental factors (e.g., noise and light). Additionally, many participants reported prioritizing other activities over sleep when off duty. Many participants did not report using any specific strategies to improve their sleep while underway. Among those who did, most described mitigating environmental barriers (e.g., noise-cancelling headphones or sleep masks). However, some participants also acknowledged these strategies are not always feasible, either attributable to cost or because sailors must be able to respond to alarms or commands. Notably, few sailors reported using stress mitigation or relaxation strategies to help sleep. Ingesting caffeine was the only strategy sailors reported using to alert themselves while fatigued. Conclusions Service members reported many unique barriers to sleep in the shipboard environment, yet many did not report the use of strategies to mitigate them. Further, few used alerting techniques when fatigued. This at-risk population could benefit from targeted educational interventions on sleep-promoting behaviors, prioritization of sleep, and fatigue mitigation.

scholarly journals Identification of Psycho-Social Needs and Coping Strategies in Children with Cancer

2021 ◽  
Author(s):  
Fariba Zarani ◽  
Leili Panaghi ◽  
Seddighe Mirzaei ◽  
Sanaz Helmi
Keyword(s):  
Content Analysis ◽  
Coping Strategies ◽  
Structured Interview ◽  
Social Needs ◽  
Children With Cancer ◽  
Negative Behaviors ◽  
Individual Interviews ◽  
Iranian Children ◽  
Passive Aggression ◽  
And Coping

Background: Studies have shown that cancer creates a variety of problems and issues for children with cancer. It creates unique challenges for both the patients and their families. Despite the severe stress associated with these problems, most children are able to adequately cope with and adapt to cancer. However, some of the patients experience more severe or prolonged problems that require psychological support. The present study investigated the needs and coping strategies of Iranian children aged 9 to 13 with cancer. The goal was to determine the needs, concerns and coping strategies in children after being diagnosed with cancer. Methods: For this purpose, 12 children aged 9-13 with cancer as well as their mothers were selected from among children admitted to Mofid hospital. Patient selection was conducted in a purposeful sampling method. Data was collected in an in-depth semi-structured interview with the child and their mother and then analyzed using content analysis method. Results: The content analysis of individual interviews with the child and mother showed that the main concerns of these children were related to the hospital space, support, society, family and educational needs, which were responded to by five distinct types of coping. These coping methods include spiritual coping, admission of support and assistance, visiting relatives (on a regular basis) in a positive manner and negative behaviors such as active and passive aggression and avoiding presence in the community and society. The findings of this study indicate that Iranian children with cancer have special needs some of which have mental and emotional aspects, including worry about being a burden on their families, and they use different coping strategies to cope with their condition. One of the most important means of coping with cancer are family and relatives. Conclusion: Treatment centers should address these factors in order to improve the mental and physical health of their patients.

Humanização do parto: avanços e dificuldades para sua implantação

2009 ◽  
Vol 3 (4) ◽  
pp. 945
Author(s):  
Samira Maria Oliveira Almeida ◽  
Maria De Fátima Silveira
Keyword(s):  
Content Analysis ◽  
Women's Health ◽  
Health Professionals ◽  
Care Delivery ◽  
Structured Interview ◽  
Qualitative Approach ◽  
High Demand ◽  
Interview Guide ◽  
Ethics In Research ◽  
The University

Objective: to identify the advances and difficulties in implementation and practice of humanization of parturition. Methodology: the study was conducted in a qualitative approach, and its sample was composed of 13 professionals directly involved with the care. Data were collected through semi-structured interview guide and observation from the participants. Processing of data, using the content analysis ― themes analysis. Results: advances in the process of humanization are considered least in comparison to the difficulties raised by the interviewees. The study has been approved by the Committee of Ethics in Research of the University of Paraiba State (CAAE – 0724.0.000.133-06). The resistance of professionals, the limited of the vacancies, high demand, accompanied by the small number of professionals, are the factors considered most difficult in the practice of humanization. Conclusion: the results show that the factors related to the difficulties and advances in humanization depend largely on professionalism and ethics on the attitude of managers and health professionals involved with care delivery, so that together can overcome the obstacles that put forward to humanized care in all its dimensions. Descriptors: women's health, parturition, humanization.

scholarly journals CHARACTER EDUCATION FROM THE PERSPECTIVES OF ELEMENTARY SCHOOL PHYSICAL EDUCATION TEACHERS

2020 ◽  
Vol 39 (2) ◽  
pp. 395-408
Author(s):  
Tatang Muhtar ◽  
Ruswan Dallyono
Keyword(s):  
Content Analysis ◽  
Elementary Schools ◽  
Physical Education ◽  
Character Education ◽  
Social Life ◽  
Structured Interview ◽  
Physical Education Teachers ◽  
Teachers Perceptions ◽  
Individual Interviews

Physical Education (PE) in elementary schools has so far been extensively geared towards achieving character goals. However, not all of these goals have been well accomplished by teachers. This research aims to examine three fundamental issues in PE practice, i.e., to define PE teachers perceptions of character education, to identify problems of PE teachers in promoting character education, and to determine whether PE teachers consider character education is plausible to be implemented through PE activities. This study used a case study and a content analysis in the qualitative research method. The data were obtained from 53 PE teachers who worked in 53 elementary schools from 26 sub-districts in Sumedang Regency through an accessible case sampling method. This study employed individual interviews (10-15 minutes) in a semi-structured interview technique. Content analysis was used to analyze the interview scripts. This study revealed that character education is defined as the process of individual alteration from family, school, and social life. Meanwhile, the teachers stated that the curriculum is considered to be not precisely accessible for the development of character education since they were still confused about curriculum implementation. However, they believed that PE is effective to promote character education.

Construction of citizenship in hospitalized children, Peru

2019 ◽  
Vol 1 (1) ◽  
pp. 31
Author(s):  
Fernando Ledesma Perez ◽  
Maria Caycho Avalos ◽  
Juana Cruz Montero ◽  
Andrea Ayala Sandoval
Keyword(s):  
Structured Interview ◽  
Health Condition ◽  
Qualitative Approach ◽  
Fundamental Rights ◽  
Hospitalized Children ◽  
Health Institute ◽  
Interview Guide ◽  
Communication Interaction ◽  
The Individual

Citizenship is the exercise of the fundamental rights of people in spaces of participation, opinion and commitments, which can not be violated by any health condition in which the individual is. This research aims to interpret the process of construction of citizenship in hospitalized children, was developed through the qualitative approach, ethnomethodological method, synchronous design, with a sample of three students hospitalized in a health institute specializing in childhood, was used Observation technique and a semi-structured interview guide were obtained as results that hospitalized children carry out their citizenship construction in an incipient way, through the communication interaction they make with other people in the environment where they grow up.

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