scholarly journals “I still put them on her plate”: A qualitative study exploring strategies implemented by parents to promote vegetable intake

2021 ◽  
Author(s):  
Chandani Nekitsing ◽  
Pam Blundell-Birtill ◽  
Marion Hetherington
Keyword(s):  
Preschool Children ◽  
Thematic Analysis ◽  
Vegetable Intake ◽  
Structured Interviews ◽  
Mixed Methods Approach ◽  
Home Based ◽  
Variable Success ◽  
Tailored Approach ◽  
Fussy Eating ◽  
Food Fussiness

This study explored strategies implemented by parents to encourage their children to eat vegetables, especially when children exhibit fussy eating. The study involved a mixed methods approach using semi-structured interviews with twenty parents of preschool children (aged 2-5 years) with a high and low level of food fussiness (established by questionnaire). All interviews were audio recorded, then verbatim transcribed and analyzed using thematic analysis. Thematic analysis revealed seven main themes with sixteen subthemes encompassing various vegetable promoting strategies. These included (1) Instructed knowledge, (2) Experiential learning, (3) Food manipulation, (4) Reinforcement, (5) Encouragement of autonomy (6) Commitment to a food ideal and (7) Inherent values. Parents used a range of methods to encourage their children to eat vegetables but there were no major differences by level of food fussiness. Parents talked about variable success in applying strategies even with the same child. Home based strategies were more diverse and personalized to the child than those tested in most research studies. Therefore, interventions to promote vegetable intake in preschool children will benefit from co-production with parents adopting a tailored approach to match the needs of the specific child.

Influence of culture, religion and experience on the decision of Pakistani women in Lothian, Scotland to use postnatal contraception: a qualitative study

2020 ◽  
pp. bmjsrh-2019-200497
Author(s):  
Annette Gallimore ◽  
Tasneem Irshad ◽  
Michelle Cooper ◽  
Sharon Cameron
Keyword(s):  
Thematic Analysis ◽  
Quality Information ◽  
Structured Interviews ◽  
Translation Services ◽  
Tailored Approach ◽  
Pakistani Women ◽  
The Individual ◽  
First And Second Generation ◽  
Inductive Thematic Analysis ◽  
Experience Difficulty

IntroductionEvidence suggests that Pakistani women may experience difficulty accessing postnatal contraceptive (PNC) services. The study aimed to identify experience and decision-making around PNC provision for Pakistani women in Lothian, and to explore the views and experience of maternity staff who provide PNC counselling.MethodsQualitative research including focus groups and 1:1 semi-structured interviews with women and staff. Participants were first- and second-generation Pakistani women with a child/children aged up to 5 years, or pregnant; community and hospital midwives, obstetric doctors who counsel or provide PNC. Data were coded and categorised using QSR NVIVO10. Inductive thematic analysis was carried out.ResultsWomen were receptive to discussion of contraception, including antenatally, and welcomed translated information. Some said the decision on PNC was theirs or made jointly with their husband; however, they acknowledged that in some marriages the husband will take the decision. Women stated they may face family expectation to have a baby early in marriage. Language was identified as a challenge by maternity staff, who utilised translation services to ensure women received the information they needed on contraception.ConclusionsPakistani women value antenatal discussion about PNC. Maternity staff have an important role in providing quality information on contraception and should be supported with translated resources in a range of formats. Most importantly, staff should adopt a tailored approach to identify the individual woman’s needs and preferences.

Facilitators and Barriers of Mother Engagement in a Home-based Parenting Program Following Concerns of Child Maltreatment

2022 ◽  
pp. 0192513X2110675
Author(s):  
Alison Fogarty ◽  
Holly Rominov ◽  
Monique Seymour ◽  
Kirsty Evans ◽  
Catherine Fisher ◽  
...  
Keyword(s):  
Child Maltreatment ◽  
Young Children ◽  
Therapeutic Relationship ◽  
Thematic Analysis ◽  
Home Visiting ◽  
Parenting Program ◽  
Structured Interviews ◽  
Home Based ◽  
Strength Based ◽  
Facilitators And Barriers

The current study aimed to explore mothers’ perceptions of facilitators and barriers to engagement in the HoPES program, an intensive home-visiting intervention for families with young children identified as having child maltreatment concerns. Seven mothers who had participated in the program participated in semi-structured interviews about their experiences. Thematic analysis was conducted using NVivo Version 12. Themes relating to facilitators of engagement included the following: (1) clinician behaviours; (2) treatment relevance/acceptability; (3) strong therapeutic relationship; (4) mothers’ cognitions and beliefs about treatment and (5) program delivery. Themes relating to barriers to engagement included the following: (1) contextual/external barriers to treatment; (2) treatment relevance/acceptability; (3) mothers’ cognitions and beliefs about treatment and (4) program processes. This study highlights the important role which services and clinicians have in engaging parents at risk of child maltreatment. Specifically, the prioritisation of the therapeutic relationship through all intervention processes, and the utilisation of strength-based approaches, may facilitate engagement.

scholarly journals Assistive Technology Provider Experiences during the COVID-19 Pandemic

2021 ◽  
Vol 18 (19) ◽  
pp. 10477
Author(s):  
Louise Puli ◽  
Natasha Layton ◽  
Daniel Mont ◽  
Kylie Shae ◽  
Irene Calvo ◽  
...  
Keyword(s):  
Service Delivery ◽  
Assistive Technology ◽  
Thematic Analysis ◽  
Mixed Methods Approach ◽  
Digital Services ◽  
Home Based ◽  
Provider Experiences ◽  
The Future ◽  
Service Disruption ◽  
Service Data

Globally, health systems face challenges in the delivery of assistive technology (AT) and only 10% of people are currently able to access the assistive products they need. The COVID-19 pandemic presented an uncharted path for AT providers to navigate, placing them under pressure to be agile and rapidly adapt. This article, part of a series, explores the experiences and impacts of the COVID-19 pandemic on AT providers and aims to inform how AT providers can be better prepared and supported in the future. A mixed methods approach was used to gather service data and perspectives from AT providers via a survey. A total of 37 responses were received from 18 countries. Service data showed extensive service disruption throughout 2020. Thematic analysis suggested significant changes to routine AT service delivery including rapid momentum towards home-based, decentralised, and digital services for which many AT providers were not prepared. Providers were required to make difficult decisions and deliver services in new ways to balance meeting demands, complying with government restrictions, and ensuring the safety of staff and clients. Few but important positives were expressed including the belief that expanded capacity to use remote and digital AT service delivery would remain useful in the future.

scholarly journals Reablement professionals’ perspectives on client characteristics and factors associated with successful home-based reablement: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mads Nibe Stausholm ◽  
Louise Pape-Haugaard ◽  
Ole Kristian Hejlesen ◽  
Pernille Heyckendorff Secher
Keyword(s):  
Qualitative Study ◽  
Thematic Analysis ◽  
Driving Forces ◽  
Shared Understanding ◽  
Structured Interviews ◽  
Client Characteristics ◽  
Group Collaboration ◽  
Factors Associated ◽  
Home Based ◽  
Staff Group

Abstract Background To understand what is needed to achieve a successful Danish home-based reablement service from the perspective of reablement professionals. Methods Semi-structured interviews and observations were conducted with nine professionals within a municipal visitation unit in the Northern Denmark Region. Thematic analysis was used to analyze the interviews. Results Four major themes emerged during this study: “Heterogeneity of clients and mixed attitudes towards the reablement intervention”, “Shared understanding and acknowledging the need for help as the first step in reablement”, “Commitment and motivation are essential for successful reablement”, and “Homecare helpers as most important team players”. The findings indicate that the clients had both mixed characteristics and attitudes about participating in the reablement intervention. Essential factors for successful reablement included a shared understanding of the reablement intervention, commitment, and motivation in terms of client involvement and staff group collaboration. Conclusions Shared understanding of the reablement intervention, commitment, and motivation was found to be essential factors and the driving forces in relation to successful reablement.

Strategies for Developing Soft Skills Among Higher Engineering Courses

2021 ◽  
pp. 002205742110164
Author(s):  
Fernando Almeida ◽  
José Morais
Keyword(s):  
Higher Education ◽  
Quantitative Analysis ◽  
Thematic Analysis ◽  
Soft Skills ◽  
Higher Education Institutions ◽  
Future Perspectives ◽  
Structured Interviews ◽  
Good Practices ◽  
Mixed Methods Approach ◽  
Evaluation Methodologies

This study aims to explore how higher education institutions respond to the challenge of incorporating soft skills into their curricula. It employs a mixed-methods approach in which the quantitative analysis of the disciplines addressing this issue is complemented by a thematic analysis of semi-structured interviews conducted with four higher education institutions in Portugal. The findings indicate that although the number of subjects specifically addressing soft skills is small, there is a growing concern to incorporate soft skills in pedagogical and evaluation methodologies in each course. Several challenges, good practices, and future perspectives are also explored in this work.

scholarly journals A national appraisal of haemodialysis vascular access provision in Scotland

2017 ◽  
Vol 18 (2) ◽  
pp. 126-131 ◽  
Author(s):  
Scott W. Oliver ◽  
Jacqueline Campbell ◽  
David B. Kingsmore ◽  
Ram Kasthuri ◽  
Wendy Metcalfe ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Vascular Access ◽  
Thematic Analysis ◽  
Clinical Pathways ◽  
Registry Data ◽  
Clinical Activity ◽  
Structured Interviews ◽  
Activity Data ◽  
Mixed Methods Approach ◽  
Clinical Workload

Purpose Published registry data demonstrate longstanding variation in the utilisation of different vascular access (VA) modalities between Scottish renal units; this may reflect different clinical processes between centres. A comprehensive appraisal was undertaken to understand the processes underpinning VA creation and maintenance across Scotland. Methods A mixed methods approach was utilised. Fifty-two semi-structured interviews were conducted with patients and clinicians in all ten, adult and paediatric, Scottish renal units. Interview transcripts were subjected to thematic analysis. Clinical activity data were prospectively collected for six weeks, and correlated with registry data. Results VA accounts for a large clinical workload. There was significant inter-centre variation in the utilisation of different VA modalities, and patients described frustrating, dissatisfying experiences. VA creation and maintenance pathways functioned best when nephrologists, surgeons and radiologists were co-located on the same campus with close multi-disciplinary working, protected clinical time, and proactive VA maintenance. No unit routinely measured or discussed procedure outcomes or strategic aspects of their service. Conclusions Varied clinical outcomes reflected varied clinical processes. Optimised clinical pathways, staff education and measurement of clinical outcomes may improve VA service quality and facilitate safer, more effective, patient-centred care.

‘Are we on the same wavelength?’ International nurses and the process of confronting and adjusting to clinical communication in Australia

2017 ◽  
Vol 13 (3) ◽  
pp. 263-274 ◽  
Author(s):  
Tonia Crawford ◽  
Peter Roger ◽  
Sally Candlin
Keyword(s):  
Communication Skills ◽  
Thematic Analysis ◽  
Care Setting ◽  
Linguistically Diverse ◽  
The Other ◽  
Culturally And Linguistically Diverse ◽  
Central Theme ◽  
Structured Interviews ◽  
Clinical Communication ◽  
Professional Experiences

Effective communication skills are important in the health care setting in order to develop rapport and trust with patients, provide reassurance, assess patients effectively and provide education in a way that patients easily understand (Candlin and Candlin, 2003). However with many nurses from culturally and linguistically diverse (CALD) backgrounds being recruited to fill the workforce shortfall in Australia, communication across cultures with the potential for miscommunication and ensuing risks to patient safety has gained increasing focus in recent years (Shakya and Horsefall, 2000; Chiang and Crickmore, 2009). This paper reports on the first phase of a study that examines intercultural nurse patient communication from the perspective of four Registered Nurses from CALD backgrounds working in Australia. Five interrelating themes that were derived from thematic analysis of semi-structured interviews are discussed. The central theme of ‘adjustment’ was identified as fundamental to the experiences of the RNs and this theme interrelated with each of the other themes that emerged: professional experiences with communication, ways of showing respect, displaying empathy, and vulnerability.

scholarly journals Reluctance to Accept Palliative Care and Recommendations for Improvement: Findings From Semi-Structured Interviews With Patients and Caregivers

2021 ◽  
pp. 104990912110126
Author(s):  
Valeria Cardenas ◽  
Anna Rahman ◽  
Yujun Zhu ◽  
Susan Enguidanos
Keyword(s):  
Palliative Care ◽  
Controlled Trial ◽  
Insurance Coverage ◽  
Healthcare Providers ◽  
Health Condition ◽  
Insurance Companies ◽  
Structured Interviews ◽  
Care Services ◽  
Home Based ◽  
Palliative Care Services

Background: Despite some insurance plans now paying for home-based palliative care, recent reports have suggested that insurance coverage for palliative care may be insufficient in expanding patient access to home-based palliative care. Aim: To identify patients’ and caregivers’ perceived barriers to home-based palliative care and their recommendations for overcoming these barriers. Design: We conducted a qualitative study using semi-structured individual interviews. Our interview protocol elicited participants’ perspectives on home-based palliative care services; positive and negative aspects of the palliative program explanation; and suggestions for improving messaging around home-based palliative care. Setting/Participants: Twenty-five participants (patients, proxies, and their caregivers) who were eligible for a randomized controlled trial of home-based palliative care were interviewed by telephone. Results: Themes related to home-based palliative care referral barriers included reluctance to have home visits, enrollment timing, lack of palliative care knowledge, misconceptions about palliative care, and patients’ self-perceived health condition. Themes related to recommendations for overcoming these obstacles included ensuring that palliative care referrals come from healthcare providers or insurance companies and presenting palliative care services more clearly. Conclusion: Findings reinforce the need for additional palliative care education among patients with serious illness (and their caregivers) and the importance of delivering palliative care information and referrals from trusted sources.

Acceptance of the HPV Vaccine in a Multiethnic Sample of Latinx Mothers

2021 ◽  
Vol 31 (3) ◽  
pp. 472-483
Author(s):  
Ana Cristina Lindsay ◽  
Madelyne J. Valdez ◽  
Denisse Delgado ◽  
Emily Restrepo ◽  
Yessica M. Guzmán ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Thematic Analysis ◽  
Hpv Vaccine ◽  
Female Adolescents ◽  
Future Research ◽  
Care Providers ◽  
Foreign Born ◽  
Structured Interviews ◽  
Direct Benefits ◽  
Multiethnic Sample

This descriptive qualitative study explored Latinx mothers’ acceptance of the human papillomavirus (HPV) vaccine for their adolescent children. Data were collected through individual, semi-structured interviews and analyzed using a hybrid method of thematic analysis that incorporated deductive and inductive approaches. Twenty-two ( n = 22), mostly foreign-born, Latinx mothers of male and female adolescents participated in the study. Three main themes and nine subthemes emerged from the analyses. Findings identified the need for increased efforts to raise awareness and knowledge among Latinx mothers of the direct benefits of the HPV vaccine for sons, including stressing prevention of HPV-associated cancers in males. Findings also underscore the need for improved health care providers’ communication and recommendation of the HPV vaccine for Latinx adolescent males. Future research should intervene upon the study’s findings to address barriers that remain and affect Latinx mothers’ acceptance and uptake of the HPV vaccine for their children, in particular their sons.

Qualitative Analysis of the Cognition and Flow (CoGFlowS) Study: An Individualized Approach to Cognitive Training for Dementia Is Needed

2021 ◽  
pp. 1-17
Author(s):  
Lucy Beishon ◽  
Victoria Haunton ◽  
Hari Subramaniam ◽  
Elizabeta B. Mukaetova-Ladinska ◽  
Ronney B. Panerai ◽  
...  
Keyword(s):  
Cognitive Training ◽  
Controlled Trial ◽  
Cognitive Disorders ◽  
Health Belief ◽  
Analytical Framework ◽  
Structured Interviews ◽  
Home Based ◽  
Individualized Approach ◽  
Belief Model ◽  
Severity Of Dementia

Background: Cognitive training (CT) may have benefits for both healthy older adults (HC) and those with early cognitive disorders [mild cognitive impairment (MCI) and dementia]. However, few studies have qualitatively evaluated home-based, computerized CT programs. Objective: We present the qualitative arm of a feasibility randomized controlled trial evaluating a CT program for HC and people living with MCI or dementia. Methods: Participants underwent semi-structured interviews after 12 weeks of CT. Where possible, participants were interviewed with their carers. The interview schedule and analysis were underpinned by the health belief model. Interviews were audio-recorded, transcribed, open-coded, and categorized into themes. The analytical framework was developed, and themes were condensed under five major categories: benefits, barriers, threat, self-efficacy, and cues to action. Results: 37 participants underwent interviews. CT was feasible and acceptable to participants. Benefits included: enjoyment, improved awareness, benchmarking cognitive function, reassurance of abilities and giving back control. Barriers were more prevalent among those with dementia: problems with technology, frustration, conflict between patients and carers, apathy and lack of insight, anxiety or low mood, and lack of portability. HC and MCI perceived the severity of dementia risk as high, partially mitigated by CT. Participants living with dementia valued a more individualized approach to training, accounting for baseline characteristics. Conclusion: CT was a feasible intervention for HC and people living with dementia and MCI. Benefits were present, but the identified barriers need to be addressed for CT to be implemented successfully.

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