What is preventing dentists from providing person-centred care?

Most healthcare professions have shifted the way they teach clinical approaches from a biomedical to a person-centred perspective. Yet, dentistry remains strongly anchored in a biomedical world.The objective of this project was to understand the barriers practicing dentists face to provide what we consider person-centred care. We conducted a qualitative descriptive study that comprised semi-structured interviews with dentists in private practice in the Greater Montreal area. After the analysis, we identified six barriers:• Fear of interpersonal conflict: participants thought that engaging in genuine conversations with patients would lead to situations of disagreement and even conflicts.• Fear of litigation: dentists considered that the legal and licensing infrastructure would judge the treatment they provide through a strict biomedical framework.• Fear of loss of money: participants thought that providing person-centred care was more time consuming and thus financially penalizing. • Pleasure to excel technically: some dentists did not consider offering interventions that provided less procedural pleasure than technical ones.• Narrow interpretation of health: participants considered the biomedical dimension as the only important dimension.• Lack of information: participants knew nothing or very little about person or patient-centred care. They seemed willing to integrate it into their practice had they had known more about it.These findings should help academic institutions to design their programs on person-centred care and respond to the fears expressed by professionals.Also, legal infrastructures must recognize the paradigm shift from the biomedical to the person-centred.

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Abstract NS3: The Influence of Chinese Culture on Caregiving Role Perceptions Among Stroke Caregivers

Stroke ◽

10.1161/str.47.suppl_1.ns3 ◽

2016 ◽

Vol 47 (suppl_1) ◽

Author(s):

Xichenhui Qiu ◽

Janet W SIT ◽

Haixia Feng

Keyword(s):

Filial Piety ◽

Chinese Culture ◽

Qualitative Content Analysis ◽

Descriptive Study ◽

Structured Interviews ◽

Day Range ◽

Analysis Process ◽

The Family ◽

Qualitative Descriptive ◽

Spouse Caregivers

Introduction: Among the estimated 22.5 million stroke survivors in China, 78% of them require home care. Previous research has indicated that culture can have a significant impact on caregivers’ perceptions of the caregiving role. There is a dearth of research on stroke caregivers’ perceptions within the Chinese culture. Objective: To explore how Chinese culture influences the perceptions of the caregiving role among stroke caregivers. Methods: In this qualitative descriptive study, 14 stroke caregivers were recruited from a 1800-bed regional hospital in China. Caregivers were on average 58 years old (range 46-74), 78% female, 50% spouse-caregivers and 50% children-caregivers. Caregivers spent on average 14 hours per day (range 5-24) providing care. All were 1st time caregivers who had provided stroke caregiving < 12 months. Individual, semi-structured interviews were conducted. Qualitative content analysis was performed. Strategies to achieve trustworthiness include triangulation of the data in the analysis process, member checking and peer debriefing. Results: Three themes emerged from the interviews. (1) Caregiving is a natural expected part of life. All caregivers accepted caregiving for the sick family member as an expected part of life. This perception is deeply rooted in Chinese culture. (2) Caregiving is a culturally prescribed obligation. Spouse caregivers believe that it is their moral obligation to take care of their sick life partner. Female caregivers emphasized their position and role in the family to take up caregiving for sick relative. (3) Caregiving is an expression of reciprocal love within the immediate family. Tangible caregiving and support during adversity are viewed as expression of reciprocal love among family members. Particularly, the children-caregivers believed in the virtue of filial piety and perceived stroke caregiving as a means of repaying their parents. Conclusions: Our findings highlight an underlying acceptance and devotion of undertaking stroke caregiving within the Chinese culture. Researchers and clinicians that plan to develop an intervention to support Chinese stroke caregivers need to consider integrating these findings.

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Estratégias lúdicas no cuidado de enfermagem à criança hospitalizada

Revista de Enfermagem UFPE on line ◽

10.5205/1981-8963.2019.238979 ◽

2019 ◽

Vol 13 ◽

Author(s):

Geicielle Karine de Paula ◽

Fernanda Garcia Bezerra Góes ◽

Aline Cerqueira Santos Santana da Silva ◽

Juliana Rezende Montenegro Medeiros de Moraes ◽

Liliane Faria da Silva ◽

...

Keyword(s):

Child Care ◽

Descriptive Study ◽

Limiting Factors ◽

Hospitalized Children ◽

Structured Interviews ◽

Scarce Resources ◽

Full Development ◽

Analysis Technique ◽

Qualitative Descriptive ◽

Nursing Professionals

RESUMOObjetivo: analisar o uso de estratégias lúdicas no cuidado à criança hospitalizada na perspectiva da equipe de Enfermagem. Método: trata-se de um estudo qualitativo, descritivo, no setor da Pediatria de um hospital municipal, por meio de entrevistas semiestruturadas com 15 profissionais de enfermagem, cujos dados foram submetidos à técnica de Análise de Conteúdo, na modalidade Análise Temática. Resultados: entende-se que as estratégias lúdicas são compreendidas majoritariamente como uma forma de entreter/distrair as crianças hospitalizadas. Utilizam-se materiais hospitalares, brincadeiras, desenhos, conversa/amizade, vestimentas diferenciadas e contação de histórias, especialmente, durante os cuidados procedimentais. Identificam-se, contudo, fatores limitantes do uso dessas estratégias lúdicas no cuidado à criança, como a escassez de recursos/materiais/investimentos, o medo das crianças em relação aos profissionais e aos procedimentos, a falta de tempo e a presença dos familiares. Conclusão: avalia-se que os fatores limitantes precisam ser superados para a garantia do atendimento integral às crianças hospitalizadas, considerando que o brincar é um direito garantido legalmente, além de contribuir para a recuperação mais prazerosa e para o pleno desenvolvimento infantil. Descritores: Saúde da Criança; Criança Hospitalizada; Enfermagem; Enfermagem Pediátrica; Jogos e Brinquedos; Cuidado de Enfermagem. ABSTRACT Objective: to analyze the use of play strategies in hospitalized child care from the perspective of the Nursing team. Method: this is a qualitative, descriptive study in the pediatrics sector of a municipal hospital, through semi-structured interviews with 15 nursing professionals, whose data were submitted to the Content Analysis technique in the Thematic Analysis modality. Results: it is understood that play strategies are understood mainly as a way to entertain/distract hospitalized children. Hospital materials, games, drawings, conversation/friendship, differentiated clothing and storytelling are used, especially during procedural care. However, there are limitations to the use of these play strategies in child care, such as scarce resources/materials/investments, children's fear of professionals and procedures, lack of time and the presence of family members. Conclusion: it is estimated that the limiting factors need to be overcome to guarantee the integral care of hospitalized children, considering that playing is a legally guaranteed right, as well as contributing to a more pleasant recovery and to the full development of children. Descriptors: Child Health; Hospitalized Child; Nursing; Pediatric Nursing; Games and Toys; Nursing Care. RESUMEN Objetivo: analizar el uso de estrategias lúdicas en el cuidado al niño hospitalizado en la perspectiva del equipo de Enfermería. Método: se trata de un estudio cualitativo, descriptivo, en el sector de la Pediatría de un hospital municipal, por medio de entrevistas semiestructuradas con 15 profesionales de enfermería, cuyos datos fueron sometidos a la técnica de Análisis de Contenido, en la modalidad Análisis Temático. Resultados: se entiende que las estrategias lúdicas son comprendidas mayoritariamente como una forma de entretene/distraer a los niños hospitalizados. Se utilizan materiales hospitalarios, juegos, dibujos, conversación/amistad, vestimentas diferenciadas y cuenta de historias, especialmente, durante los cuidados procedimentales. Se identifican, sin embargo, factores limitantes del uso de esas estrategias lúdicas en el cuidado al niño, como la escasez de recursos / materiales / inversiones, el miedo de los niños hacia los profesionales y los procedimientos, la falta de tiempo y la presencia de los familiares. Conclusión: se evalúa que los factores limitantes necesitan ser superados para la garantía de la atención integral a los niños hospitalizados, considerando que el jugar es un derecho garantizado legalmente, además de contribuir para la recuperación más placentera y para el pleno desarrollo infantil. Descriptores: Salud del Niño; Niño Hospitalizado; Enfermería; Enfermería Pediátrica; Juego e Implementos de Juego; Atención de Enfermería.

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Remoção de órgãos sólidos para transplante: protocolo para a enfermagem

Revista de Enfermagem UFPE on line ◽

10.5205/1981-8963.2019.240837 ◽

2019 ◽

Vol 13 ◽

Author(s):

Edna Andréa Pereira de Carvalho ◽

Shirlei Moreira da Costa Faria ◽

Natália Ribeiro Ramos ◽

Karla Rona da Silva

Keyword(s):

Nursing Care ◽

Professional Competence ◽

Descriptive Study ◽

Quality And Safety ◽

Clinical Protocols ◽

Structured Interviews ◽

Validity Index ◽

Organ Removal ◽

Qualitative Descriptive ◽

Adults And Children

Objetivos: elaborar um instrumento na modalidade de protocolo que permita a uniformidade das ações de Enfermagem em remoção de órgãos sólidos para transplantes. Método: trata-se de estudo qualitativo, descritivo, com foco na construção de um instrumento tecnológico do tipo protocolo, respeitando-se as seguintes etapas: revisão integrativa; coleta de dados por meio de entrevistas semiestruturadas; apreciação dos dados por meio da Análise de Conteúdo; elaboração da proposta de protocolo e utilização do Índice de Validade do Conteúdo para a validação. Resultados esperados: espera-se disponibilizar, para os centros transplantadores, um protocolo que auxilie o enfermeiro na sistematização das ações de Enfermagem em cirurgias de remoção de órgãos para transplantes, contribuindo para a qualidade e segurança da assistência prestada a adultos e crianças submetidos a transplantes. Descritores: Protocolos Clínicos; Cuidados de Enfermagem; Transplante de Órgãos; Aloenxerto; Competência Profissional; Fluxo de Trabalho. ABSTRACT Objectives: to elaborate an instrument in the protocol modality that allows uniformity of Nursing actions in the removal of solid organs for transplants. Method: this is a qualitative, descriptive study, focusing on the construction of a protocol-type technological instrument, respecting the following steps: integrative review; data collection through semi-structured interviews; data appreciation through Content Analysis; elaboration of the protocol proposal and use of the Content Validity Index for validation. Expected results: It is expected to make available to transplantation centers a protocol that assists nurses in the systematization of Nursing actions in transplantation organ removal surgeries, contributing to the quality and safety of care provided to adults and children undergoing transplantation. Descriptors: Clinical Protocols; Nursing Care; Organ Transplantation; Allografts; Professional Competence; Workflow.RESUMEN Objetivos: elaborar un instrumento en la modalidad de protocolo que permita la uniformidad de las acciones de enfermería en la extracción de órganos sólidos para trasplante. Método: se trata de un estudio cualitativo, descriptivo, centrado en la construcción de un instrumento tecnológico de tipo protocolo, respetando los siguientes pasos: revisión integradora; recopilación de datos a través de entrevistas semiestructuradas; apreciación de datos a través del Análisis de Contenido; elaboración de la propuesta de protocolo y uso del índice de validez de contenido para la validación. Resultados esperados: se espera que se ponga a disposición para los centros de trasplante, un protocolo que ayude el enfermero en la sistematización de las acciones de Enfermería en cirugías de extracción de órganos de trasplante, contribuyendo para la calidad y seguridad de la atención prestada en adultos y niños sometidos a trasplantes. Descriptores: Protocolos Clínicos; Atención de Enfermería; Transplante de Órganos; Aloinjertos; Competencia Profesional; Flujo de Trabajo.

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As vivências de conforto e desconforto da mulher durante o trabalho de parto e parto [The experiences of comfort and discomfort of woman in labor and childbirth] [Las experiencias de comodidad y incomodidad de la mujer durante el trabajo de parto y parto]

Revista Enfermagem UERJ ◽

10.12957/reuerj.2017.14203 ◽

2017 ◽

Vol 25 ◽

pp. e14203

Author(s):

Larissa Lages Ferrer de Oliveira ◽

Maria Cristina Soares Figueiredo Trezza ◽

Géssyca Cavalcante de Melo ◽

Amuzza Aylla Pereira dos Santos ◽

Maria Elisângela Torres de Lima Sanches ◽

...

Keyword(s):

Descriptive Study ◽

Theoretical Framework ◽

Structured Interviews ◽

Health Team ◽

Effective Care ◽

Maternity Hospitals ◽

Qualitative Descriptive

Objetivo: analisar as vivências de conforto e desconforto da mulher durante o trabalho de parto e parto. Método: estudo descritivo qualitativo realizado em três maternidades de Maceió-AL com 40 puérperas de julho a setembro de 2014 através de entrevista semiestruturada, tendo como referencial teórico a Teoria do Conforto de Katharine Kolcaba. Resultados: apesar do crescimento da humanização do parto, muitas mulheres estão aquém dessa realidade, sendo pouco ouvidas sobre o que lhe traria conforto ou desconforto no momento do seu parto. O nascimento do filho, a assistência dos profissionais, o acompanhante, a dor, a episiorrafia e o aumento das dores devido ao uso do “soro” estão entre as principais vivências de conforto e desconforto relatadas. Conclusão: conforto e/ou desconforto podem influenciar a satisfação da mulher durante o seu parto, requerendo por parte da equipe de saúde um olhar humanizado para efetivação do cuidado. . ABSTRACTObjective: to analyze the experiences of comfort and discomfort of women during labor and childbirth. Method: a qualitative descriptive study carried out in three maternity hospitals in Maceió-AL with 40 puerperal women, from July to September 2014, through semi-structured interviews, based on the theoretical framework of Katharine Kolcaba’s Theory of Comfort. Results: despite the increase in the humanization of childbirth, many women cannot live this reality, being little heard about what would bring comfort or discomfort to them at the time of their childbirth. The childbirth, the assistance, the companion, the pain, the episiotomy and the increase of pain due to the use of oxytocin are among the main experiences of comfort and discomfort reported. Conclusion: comfort and / or discomfort can influence the woman’s satisfaction during childbirth, requiring the health team a humanized look for effective care. RESUMENObjetivo: analizar las vivencias de comodidad y incomodidad de la mujer durante el trabajo de parto y parto. Método: estudio descriptivo cualitativo realizado en tres maternidades de Maceió-AL con 40 puérperas de julio a septiembre de 2014 a través de entrevista semiestructurada, teniendo como referencial teórico la Teoría del Confort de Katharine Kolcaba. Resultados: a pesar del crecimiento de la humanización del parto, muchas mujeres no viven esa realidad, siendo poco oídas sobre lo que le traería comodidad o incomodidad en el momento de su parto. El nacimiento del hijo, la asistencia de los profesionales, el acompañante, el dolor, la episiorrafia y el aumento de los dolores debido al uso del oxytocin, están entre las principales vivencias de copmodidad e incomodidad relatadas. Conclusión: comodidad y/o incomodidad pueden influenciar la satisfacción de la mujer durante su parto, requiriendo por parte del equipo de salud una mirada humanizada para la efectividad del cuidado. DOI: http://dx.doi.org/10.12957/reuerj.2017.14203

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Impacto da doença renal crônica em adolescentes em tratamento hemodialítico

Revista de Enfermagem UFPE on line ◽

10.5205/1981-8963.2019.240286 ◽

2019 ◽

Vol 13 ◽

Author(s):

Leticia Werner Rêgo ◽

Gisele Martins ◽

Cristiane Feitosa Salviano

Keyword(s):

Social Networking ◽

Research Method ◽

Social Impact ◽

Renal Dialysis ◽

Descriptive Study ◽

Physiological Changes ◽

Structured Interviews ◽

Hospital Unit ◽

The Social ◽

Qualitative Descriptive

Objetivo: compreender o impacto social da doença renal crônica em adolescentes submetidos à hemodiálise. Método: trata-se de estudo qualitativo, descritivo, com adolescentes dos 12 aos 18 anos, que realizavam hemodiálise na unidade hospitalar de Terapia Renal Substitutiva, por meio de entrevista semiestruturada. Analisaram-se os dados segundo o método de pesquisa de narrativas e figura. Resultados: identificaram-se três categorias temáticas: Modificações causadas pela hemodiálise que interferem na rotina; Sentimentos do adolescente associados à doença e à hemodiálise; Sentimentos da família associados à doença e à hemodiálise na perspectiva do adolescente. Conclusão: concluiu-se que o adolescente passa por modificações importantes em seu cotidiano, tanto pelas restrições necessárias para o controle da doença quanto pelas alterações fisiológicas. Revela-se, além disso, que sentimentos como tristeza e medo também permeiam o atendimento a este paciente. Descritores: Insuficiência Renal Crônica; Diálise Renal; Rede social; Adolescente; Família.Abstract Objective: to understand the social impact of chronic kidney disease in adolescents undergoing hemodialysis. Method: this is a qualitative, descriptive study with adolescents from 12 to 18 years old, who underwent hemodialysis in the hospital unit of Renal Replacement Therapy, through semi-structured interviews. Data was analyzed according to the narrative and figure research method. Results: three thematic categories were identified: Modifications caused by hemodialysis that interfere in the routine; Adolescent feelings associated with the disease and hemodialysis; Family feelings associated with the disease and hemodialysis from the adolescent's perspective. Conclusion: it was concluded that the adolescent undergoes important changes in their daily life, both due to the restrictions necessary to control the disease and physiological changes. Moreover, feelings such as sadness and fear also permeate the care of this patient. Descriptors: Renal Insufficiency, Chronic; Renal Dialysis; Social Networking; Adolescent; Family. Resumen Objetivo: comprender el impacto social de la enfermedad renal crónica en adolescentes sometidos a hemodiálisis. Método: se trata de un estudio cualitativo y descriptivo con adolescentes de 12 a 18 años que se sometieron a hemodiálisis en la unidad hospitalaria de Terapia de Reemplazo Renal, a través de entrevistas semiestructuradas. Los datos se analizaron de acuerdo con el método de investigación de narrativas y figura. Resultados: se identificaron tres categorías temáticas: modificaciones causadas por hemodiálisis que interfieren en la rutina; Sentimientos adolescentes asociados con la enfermedad y la hemodiálisis; Sentimientos de la familia asociados con la enfermedad y la hemodiálisis desde la perspectiva del adolescente. Conclusión: se concluyó que el adolescente sufre cambios importantes en su vida diaria, tanto por las restricciones necesarias para controlar la enfermedad como por cambios fisiológicos. También se revela que sentimientos como la tristeza y el miedo también impregnan el cuidado de este paciente. Descriptores: Insuficiencia Renal Crónica; Diálisis Renal; Red Social; Adolescente; Familia.

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Primary Teachers' Perceptions Of Mindfulness Practices With Young Children

10.32920/ryerson.14661411.v1 ◽

2021 ◽

Author(s):

Stephanie Anne Piotrowski

Keyword(s):

Young Children ◽

Well Being ◽

Primary Teachers ◽

Descriptive Study ◽

Successful Implementation ◽

Structured Interviews ◽

Teachers Perceptions ◽

Holistic Approaches ◽

Mindfulness Practices ◽

Qualitative Descriptive

This qualitative descriptive study aimed to present findings from four primary teachers and their perceptions of mindfulness practices with young children. Using open-ended and semi-structured interviews, these teachers in the school system shared their experiences with mindfulness practices in their classrooms. This study, using a thematic analysis, indicated that teachers felt there to be benefits of including mindfulness practices in their classrooms but have found that there are various issues that may hinder successful implementation. Integrating different mindfulness practices in the classroom could allow childhood well-being to be improved though holistic approaches.

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First-Time Mothers’ Expectations and Experiences of Postnatal Care in England

Qualitative Health Research ◽

10.1177/1049732320944141 ◽

2020 ◽

Vol 30 (12) ◽

pp. 1876-1887

Author(s):

Jenny McLeish ◽

Merryl Harvey ◽

Maggie Redshaw ◽

Jane Henderson ◽

Reem Malouf ◽

...

Keyword(s):

Maternity Care ◽

Postnatal Care ◽

Trajectory Analysis ◽

Descriptive Study ◽

Structured Interviews ◽

First Time Mothers ◽

Qualitative Descriptive ◽

First Time ◽

In Pregnancy

Postnatal care is the aspect of maternity care with which women in England are least satisfied. Little is known about first-time mothers’ expectations of postnatal care, or how these expectations relate to their experiences and appraisal of care. Thirty-two first-time mothers took part in a longitudinal qualitative descriptive study, based on two semi-structured interviews—the first in pregnancy, and the second 2 to 3 months after birth. Trajectory analysis was used to identify the thematic patterns in the relationships between postnatal care expectations, needs, experiences, and confidence. Five trajectories were identified, showing that mothers’ satisfaction with postnatal care and confidence were primarily influenced not by the extent to which their expectations were met but the varied extent to which their individual postnatal needs were met. Rapid and responsive assessment of needs both antenatally and postnatally, and appropriate adjustment of care, is key in supporting women effectively at this time.

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Older people’s long-term care experiences during the COVID-19 pandemic in Ghana: a qualitative descriptive study

International Journal of Care and Caring ◽

10.1332/239788221x16316397347134 ◽

2021 ◽

Author(s):

Kofi Awuviry-Newton ◽

Jacob Oppong Nkansah ◽

Abraham Newton ◽

Kwamina Abekah-Carter

Keyword(s):

Long Term Care ◽

Well Being ◽

Descriptive Study ◽

Structured Interviews ◽

Term Care ◽

Care Policies ◽

Qualitative Descriptive ◽

Descriptive Approach ◽

Southern Ghana

This study explores older people’s long-term care experiences during the COVID-19 pandemic in Ghana. A qualitative descriptive approach employing semi-structured interviews was used to collect data from 15 older people from Southern Ghana. Analysis of interview data resulted in five interrelated themes: (1) sources and type of long-term care; (2) older people’s satisfaction with the long-term care received; (3) changes in their long-term care; (4) feelings of neglect regarding long-term care; and (5) older people’s resilience in long-term care. The sustainability of long-term care depends on the state’s ability to devise innovative long-term care policies and programmes to promote older people’s and their carers’ well-being.

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The Transition from Military Nurse to Nurse Faculty: A Descriptive Study

International Journal of Nursing Education Scholarship ◽

10.1515/ijnes-2017-0027 ◽

2017 ◽

Vol 14 (1) ◽

Cited By ~ 2

Author(s):

Katie A. Chargualaf ◽

Brenda Elliott ◽

Barbara Patterson

Keyword(s):

Military Service ◽

Leadership Skills ◽

Academic Culture ◽

Descriptive Study ◽

Nurse Faculty ◽

Structured Interviews ◽

Military Nurses ◽

Faculty Recruitment ◽

Viable Solution ◽

Qualitative Descriptive

AbstractAimThe aim of this qualitative descriptive study was to describe the transition from military nurse to nurse faculty.BackgroundThere is a global shortage of qualified nurse faculty. Recruitment of retiring or separating military nurses is a viable solution.MethodsContent and thematic analysis of semi-structured interviews of former military nurses (N=13) was undertaken.ResultsThe transition from military nurse to nurse faculty includes acknowledgment of the reality of academic culture, appreciation of the journey to bridge the gap, and culmination of a new identity. Leadership skills acquired during military service proved instrumental to a successful transition.ConclusionsRecognizing this transition and the strengths these nurses offer provides evidence for focused orientation programs to increase recruitment and retention of these faculty.

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Influencing Factors for Expatriation Willingness of Chinese Medical Aid Team Members (CMATMs) in Africa: A Qualitative Descriptive Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17020632 ◽

2020 ◽

Vol 17 (2) ◽

pp. 632

Author(s):

Xiaochang Chen ◽

Xiaojun Liu ◽

Zongfu Mao

Keyword(s):

Influencing Factors ◽

Career Advancement ◽

Descriptive Study ◽

Local Health ◽

Structured Interviews ◽

Team Members ◽

Family Work ◽

Medical Aid ◽

Promotion Policies ◽

Qualitative Descriptive

Chinese medical aid team members (CMATMs) play an important role in the implementation of China’s health assistance strategies in Africa. This paper explored the influencing factors of expatriation willingness for Chinese medical aid team members (CMATMs). We employed a qualitative descriptive study using semi-structured interviews with twenty-five participants. Participants included hospital directors and local Health and Family Planning Commission (HFPC) officers who were in charge of CMATMs dispatching, and CMATMs that had returned from medical aid service. Six influencing factors emerged: career advancement, loneliness, living conditions, personal safety, family–work conflict, and doctor–patient relationship. Career advancement is the most important factor and concern for doctor CMATMs. Social use of Internet is on the core of entertainment. Enhancing technical title promotion policies is the most important motivator. This study obtained baseline information that is useful to relevant stakeholders in their attempts to improve CMATMs’ expatriation willingness.

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