scholarly journals Childbearing through the Lens of Women with Minor Thalassemia: A Qualitative Study

2019 ◽  
Vol 8 ◽  
pp. 1429
Author(s):  
Khadijeh Sarayloo ◽  
Zahra Behboodi Moghaddam ◽  
Khadijeh Mirzaii Najmabadi ◽  
Sharon Elizabeth Millen ◽  
Mohsen Saffari

Background: It is essential to provide key information and support to every woman regarding pregnancy and childbirth to enable all women to make a fully informed decision regarding their choice to reproduce.  Of particular importance; however, is that women who suffer from a specific condition that increases risks associated with reproduction, to receive specific information regarding such risks and health complications regarding pregnancy and childbirth. This study aims to explore the feelings, experiences, and needs of women with minor thalassemia in relation to childbearing. Materials and Methods: This sample comprised of 12 Iranian women with minor thalassemia who attended to local health centers in Minudasht, Golestan province, from October 2017 to January 2018. The purposeful sampling technique was employed. The data were collected through deep semi-structured interviews, analyzed using conventional content analysis and processed by using the Graneheim and Lundman method. Results: The findings were based on the participants’ experiences of pregnancy and fertility. Three major themes emerged; ‘Emotional and Physical Experience,’ ‘Satisfaction’ and ‘Social and Cultural Issues.’ The most common problem identified was the impact of emotional problems and difficulties regarding the negative implications of thalassemia on reproduction as well as the views and perceptions of family members and those within the community. Conclusion: From the findings, it is evident that thalassemia imposes a heavy psychosocial burden on those women who suffer from the condition. Local health centers in areas most affected by thalassemia would be considered the most suitable venues to introduce key health educational interventions. [GMJ.2019;8:e1429]

2018 ◽  
Vol 8 (2) ◽  
pp. 51-74
Author(s):  
Fonteh Athanasius Amungwa

This paper examines the impact of community education and challenges facing Centres for Education and Community Action as a rural development strategy in Cameroon. The study was conducted in the North-West Region of Cameroon, employing field observations, semi-structured interviews with key informants using a convenient sampling technique and through elaborate review of documents. These research instruments were blended into what is termed triangulation and the data collected was analysed descriptively. The main focus of qualitative analysis is to understand the ways in which people act and the accounts that people give for their actions. This paper posits that extreme dependence on the provision of Western formal education cannot solve the problems of a rapidly changing society like Cameroon, which is facing a long-term economic crisis and persistent unemployment issues of graduates. Consequently, education should be redefined in the context of the prevailing economic crisis to make it responsive to the aspirations of rural communities. Findings showed that community education had contributed towards rural development immensely but has suffered many challenges due to neglect of the field in the policy agenda. This paper recommends the integration of community education with formal education to facilitate group and community betterment in particular and rural transformation in general.


2013 ◽  
Vol 26 (12) ◽  
pp. 2001-2010 ◽  
Author(s):  
Joany K. Millenaar ◽  
Deliane van Vliet ◽  
Christian Bakker ◽  
Myrra J. F. J. Vernooij-Dassen ◽  
Raymond T. C. M. Koopmans ◽  
...  

ABSTRACTBackground:Children of patients with young onset dementia (YOD) who are confronted with a parent who has a progressive disease, often assist in caregiving tasks, which may have a great impact on their lives. The objective of the present study is to explore the experiences of children living with a young parent with dementia with a specific focus on the children's needs.Methods:Semi-structured interviews with 14 adolescent children between the ages of 15 and 27 years of patients with YOD were analyzed using inductive content analysis. Themes were identified based on the established codes.Results:The emerging categories were divided into three themes that demonstrated the impact of dementia on daily life, different ways of coping with the disease, and children's need for care and support. The children had difficulties managing all of the responsibilities and showed concerns about their future. To deal with these problems, they demonstrated various coping styles, such as avoidant or adaptive coping. Although most children were initially reluctant to seek professional care, several of them expressed the need for practical guidance to address the changing behavior of their parent. The children felt more comfortable talking to someone who was familiar with their situation and who had specific knowledge of YOD and the available services.Conclusion:In addition to practical information, more accessible and specific information about the diagnosis and the course of YOD is needed to provide a better understanding of the disease for the children. These findings underline the need for a personal, family-centered approach.


2018 ◽  
Vol 34 (5) ◽  
Author(s):  
Ana Rosa Linde ◽  
Carlos Eduardo Siqueira

Zika virus infection during pregnancy is a cause of congenital brain abnormalities. Its consequences to pregnancies has made governments, national and international agencies issue advices and recommendations to women. There is a clear need to investigate how the Zika outbreak affects the decisions that women take concerning their lives and the life of their families, as well as how women are psychologically and emotionally dealing with the outbreak. We conducted a qualitative study to address the impact of the Zika epidemic on the family life of women living in Brazil, Puerto Rico, and the US, who were affected by it to shed light on the social repercussions of Zika. Women were recruited through the snowball sampling technique and data was collected through semi-structured interviews. We describe the effects in mental health and the coping strategies that women use to deal with the Zika epidemic. Zika is taking a heavy toll on women’s emotional well-being. They are coping with feelings of fear, helplessness, and uncertainty by taking drastic precautions to avoid infection that affect all areas of their lives. Coping strategies pose obstacles in professional life, lead to social isolation, including from family and partner, and threaten the emotional and physical well-being of women. Our findings suggest that the impacts of the Zika epidemic on women may be universal and global. Zika infection is a silent and heavy burden on women’s shoulders.


2019 ◽  
Vol 11 ◽  
pp. 184797901986395
Author(s):  
Jamal Ahmed Hama Kareem

With ever-increasing market competition and advances in technology, more and more countries are prioritizing for advanced and intelligent manufacturing technology as a top priority for improving product design and reducing production waste towards promoting economic growth. Consequently, this study empirically tests the set of intelligent manufacturing elements (IMEs) that affect product design towards minimizing production waste at mineral water factories in the Kurdistan region of Iraq. The results of this study were based on the data obtained from the mixed methods represented in a questionnaire survey and semi-structured interviews in the framework of the case study. The questionnaire survey already has been tested. The sample of the study was 269 respondents selected based on a stratified sampling technique. The criteria for choosing the respondents to be part of the study were based on the status of full-time employee of the organization. The findings showed that among the IMEs addressed in this study, each intelligent device and intelligent process had had a strong impact on improving product design, and hence the efficient use of manufacturing resources towards reducing manufacturing waste in the industrial organizations.


2012 ◽  
Vol 17 (1_suppl) ◽  
pp. 23-30 ◽  
Author(s):  
Pauline Allen ◽  
Simon Turner ◽  
Will Bartlett ◽  
Virginie Perotin ◽  
Greenwell Matchaya ◽  
...  

Objectives To assess the impact of provider diversity on quality and innovation in the English NHS by mapping the extent of diverse provider activity and identifying the differences in performance between Third Sector Organisations (TSOs), for-profit private enterprises, and incumbent organizations within the NHS, and the factors that affect the entry and growth of new providers. Methods Case studies of four local health economies. Data included: semi-structured interviews with 48 managerial and clinical staff from NHS organizations and providers from the private and third sector; some documentary evidence; a focus group with service users; and routine data from the Care Quality Commission and Companies House. Data collection was mainly between November 2008 and November 2009. Results Involvement of diverse providers in the NHS is limited. Commissioners' local strategies influence degrees of diversity. Barriers to entry for TSOs include lack of economies of scale in the bidding process. Private providers have greater concern to improve patient pathways and patient experience, whereas TSOs deliver quality improvements by using a more holistic approach and a greater degree of community involvement. Entry of new providers drives NHS trusts to respond by making improvements. Information sharing diminishes as competition intensifies. Conclusions There is scope to increase the participation of diverse providers in the NHS but care must be taken not to damage public accountability, overall productivity, equity and NHS providers (especially acute hospitals, which are likely to remain in the NHS) in the process.


2021 ◽  
Author(s):  
Holi Ibrahim Holi Ali

Using English to teach and learn academic subjects in higher education (HE) across the globe is increasing in popularity. The overarching aim of this study is to examine the impact of English-medium instruction (EMI) on Omani engineering students’ academic performance and their studies in an English-medium engineering programme in Oman. This paper reports on findings from a larger project that was intended to investigate Omani engineering students’ experience of learning through the medium of English in one of the Colleges of Technology in Oman. The study adopted a qualitative interpretative approach with a case study strategy and a purposive sampling technique to look into the impact of EMI on Omani engineering students’ academic performance and their studies. The sample included 12 Omani engineering and 8 engineering instructors who were interviewed along with five classroom observations. The data were collected and generated through semi-structured interviews and classroom observations. They were analysed manually, inductively and thematically using Braun and Clarke’s model (2006). The findings showed that EMI had both positive and negative impacts on the students’ academic performance and their studies.


2021 ◽  
Vol 7 (19) ◽  
pp. 270
Author(s):  
Caio Flávio Stettiner ◽  
Ednício Oliveira Lima ◽  
Eliane Pires Giavina Bianchi

Based on theoretical models, such as those proposed in the studies of McClelland and Spencer and Spencer over the last forty years, this study identifies entrepreneurs’ perception of the impact of the required skills of a job applicant in startups. It uses the snowball sampling technique and direct observation in incubators and accelerators to conduct a qualitative analysis. Semi-structured interviews were conducted with the founders and managers of different impact ventures. From the analysis and discussion of this research, some of the skills required in startups are empathy, principles, ethical values, and other attributes of human nature. This study will be of practical value to job seekers, recruiters, and scholars as it suggests the skills that are required in the high-impact market, helping to develop better recruitment and training programs to their business.


2020 ◽  
Vol 3 (2) ◽  
pp. 115-126
Author(s):  
Rizki Amalia ◽  
Moch. Hakimi ◽  
Herlin Fitriani

Evidence-based is a very effective strategy to improve the quality of midwifery services. One of the most frequently problems faced is the gap between midwifery practices that are in accordance with the procedures (based on evidence-based) with clinical care practices that occur in the clinic. The purpose of this study was to explore in-depth the obstacles to the implementation of evidence-based normal childbirth, which are the position of delivery, monitoring and documenting delivery by using partographs in the Independent Practice of Midwives of Gunungkidul District, Yogyakarta.This research was a qualitative research with a phenomenological descriptive approach. The participants of this study were midwives who had the Independent Midwife Practice (PMB) consisting of 7 informants. Participant selection in this study used a purposive sampling technique with convenience sampling and identification of obstacles used was the Consolidated Framework for Implementation Research (CFIR). Data collection used was semi-structured interviews and observations. Data analysis used was a thematic analysis.The interview and observation of delivery assistance is done at the Independent Midwife Practice Center (PMB). The position of delivery that was often used by patients was lithotomy and left slant, and the application of evidence-based monitoring and documentation using partograph was still not optimal. This was because there were several obstacles in its application, which were obstacles from patients, families, midwives, and obstacles from the organization. The impact of these obstacles was that it can reduce the quality of obstetric care in patients according to evidence-based. The evaluation of clinical practice based on evidence-based by the organization and the existence of feedback from patients to midwives are expected to improve the quality of service to patients.    


2021 ◽  
Vol 10 (2) ◽  
pp. 1-22
Author(s):  
Leila Verkerk ◽  
Ad Backus ◽  
Laurie Faro ◽  
Jean-Marc Dewaele ◽  
Enny Das

Language is an essential part of psychotherapeutic work. In psychotherapy involving more than one language and/or culture, acknowledging the impact of the therapist’s and the client’s language(s) can facilitate achieving the most beneficial therapeutic process and outcome. The field has witnessed a surge in interdisciplinary work combining research methods from multilingualism and psychotherapy. This research aims to investigate the role of multilingualism in emotion expression and interpretation in psychotherapy offered by multilingual/multicultural therapists. Ten individual semi-structured interviews with therapists in the Netherlands focused on therapists’ experience of working as a multilingual/multicultural therapist with culturally and linguistically diverse clients. Thematic analysis of the results showed that language choice influenced the therapeutic process and its outcome in terms of discussing emotional topics, establishing and maintaining rapport with the client, and managing linguistic and cultural differences. Linguistic awareness of therapists allows them to manage the linguistic and cultural issues that inevitably arise in encounters with multilingual/multicultural clients.


2018 ◽  
Vol 7 (2.29) ◽  
pp. 338
Author(s):  
Ririn Tri Ratnasari ◽  
Sri Gunawan ◽  
Moh Qudzi Fauzi ◽  
Dina Fitrisia Septiarini

This study aim to determine the impact of patient intimacy and developing innovations to improve the performance of health services in public health centers which ISO certified in Surabaya. This research was conducted with a quantitative approach survey to patients who are on treatment or health check at public health center. The sampling technique is simple random sampling. Furthermore, the data were processed using partial least square. Result from this study are first, communicaton, social interaction, and compromise as part of a patient intimacy significantly affect the performance of health service in health centers which certified by ISO. Second, communication, compromise, and social interaction as part of the patient intimacy have significant impact on the innovation development of public health centers which certified by ISO. Third, the innovations development significantly affect the performance of health services in primary public health centers which have ISO certificate.  


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