scholarly journals Issues Faced by Prosthetists and Physiotherapists During Lower-Limb Prosthetic Rehabilitation: A Thematic Analysis

2022 ◽  
Vol 2 ◽  
Author(s):  
Shruti Turner ◽  
Athina Belsi ◽  
Alison H. McGregor
Keyword(s):  
Thematic Analysis ◽  
Lower Limb ◽  
Limb Amputation ◽  
Service Users ◽  
Prosthetic Rehabilitation ◽  
Structured Interviews ◽  
User Perspective ◽  
Prosthetic Socket ◽  
Clinician Perspectives ◽  
Insight Into

Successful prosthetic rehabilitation is essential to improve the physical and mental outcomes of people with lower-limb amputation. Evaluation of prosthetic services from a prosthesis user perspective have been published and commissioned by the national bodies, however, the perspectives of clinicians working with service users during rehabilitation have not to date been sought. We sought to determine factors impacting lower-limb prosthetic rehabilitation from a clinician's perspective to inform studies focusing on prosthetic and socket design and fitting. Six clinician (2 prosthetists, 4 physiotherapists) interviewees were self-selected from a survey exploring issues and frustrations during lower-limb prosthetic rehabilitation. Semi-structured interviews explored the impactors on and frustrations with rehabilitation and the prosthetic socket. A thematic analysis was subsequently conducted to identify themes in the responses. Five themes were identified: Service Disparity, Body Impactors, Consequences of Ill-Fit, Prosthesis Irritants, and Limitations of Practice. Each theme, though distinct, relates to the others either as a cause or consequence and should be viewed as such. Addressing the themes will have benefits beyond the issues addressed but also expand into the other themes. This study provides an insight into the clinician perspectives on lower-limb prosthetic rehabilitation, which has not been formally documented to date.

scholarly journals Mental health nurses’ perceptions of attachment style as a construct in a medium secure hospital: a thematic analysis

2015 ◽  
Vol 10 (4) ◽  
pp. 218-233 ◽  
Author(s):  
Nikki Boniwell ◽  
Leanne Etheridge ◽  
Ruth Bagshaw ◽  
Joanne Sullivan ◽  
Andrew Watt
Keyword(s):  
Attachment Theory ◽  
Attachment Style ◽  
Thematic Analysis ◽  
Service User ◽  
Attachment Styles ◽  
Personality Development ◽  
Educational Interventions ◽  
Service Users ◽  
Structured Interviews ◽  
Content Type

Purpose – Attachment Theory can be regarded as central to the concept of relational security. There is a paucity of research examining the coherence of this construct for ward-based staff. The paper aims to discuss these issues. Design/methodology/approach – Five female nurses from the acute admission and assessment ward of a UK medium secure unit acted as participants. Semi-structured interviews were conducted, and inductive thematic analysis was applied. Findings – Six themes; “staff-service user relationships”, “staff diversities”, “service user backgrounds”, “variability in service users’ presentations”, “service users with personality disorder are problematic” and “nurses do not use attachment” emerged from the data. The nurses used heuristic models of attachment-related behaviour and they lacked knowledge of constructs associated with Attachment Theory. Research limitations/implications – Acute admissions may not be representative of all treatment contexts. Traditional models of attachment style may have only limited relevance in forensic services. Practical implications – Limited knowledge and confidence in the nurses regarding how Attachment Theory might apply to service users is interesting because it may limit the extent to which care, treatment and risk management might be informed by an understanding of service user representations of therapeutic relationships. Training and educational interventions for nurses that enhance understanding of personality development and attachment styles are warranted. Originality/value – The importance of nurses for achieving relational security is emphasised and the adequacy of their training is questioned.

scholarly journals The value of domiciliary medication reviews: a thematic analysis of patient views

2021 ◽  
Author(s):  
Patricia McCormick ◽  
Bridget Coleman ◽  
Ian Bates
Keyword(s):  
Thematic Analysis ◽  
Outcome Measure ◽  
Service Users ◽  
Structured Interviews ◽  
Main Outcome Measure ◽  
Healthcare Settings ◽  
Medication Reviews ◽  
Informal Carers ◽  
The Individual ◽  
Patient Centric

AbstractBackground Medication reviews are recognised as essential to tackling problematic polypharmacy. Domiciliary medication reviews (DMRs) have become more prevalent in recent years. They are proclaimed as being patient-centric but published literature mainly focuses on clinical outcomes. However, it is not known where the value of DMRs lies for patients who participate in them. Objective To determine the value of domiciliary medication reviews to service users. Setting Interviews took place with recipients of domiciliary medication reviews residing in the London boroughs of Islington and Haringey. Method Semi-structured interviews analysed using thematic analysis. Main outcome measure Themes and sub-themes identified from interview transcripts. Results Five themes were identified: advantages over traditional settings, attributes of the professional, adherence, levels of engagement and knowledge. Conclusion For many patients, the domiciliary setting is preferred to traditional healthcare settings. Patients appreciated the time spent with them during a DMR and felt listened to. Informal carers felt reassured that the individual medication needs of their relative had been reviewed by an expert.

scholarly journals A qualitative study of the challenges of providing pre-prosthetic rehabilitation in rural South Africa

2017 ◽  
Vol 42 (2) ◽  
pp. 179-186 ◽  
Author(s):  
Liezel Ennion ◽  
Anton Johannesson
Keyword(s):  
South Africa ◽  
Lower Limb ◽  
Rural Setting ◽  
Limb Amputation ◽  
Prosthetic Rehabilitation ◽  
Rural South ◽  
Physical Strength ◽  
District Hospitals ◽  
Fitting In ◽  
Rural South Africa

Background: There is a known shortage of rehabilitation staff in rural settings and a sharp increase in the number of lower limb amputations being performed. A lack of adequate pre-prosthetic rehabilitation will result in worse physical and psychological outcomes for a person with a lower limb amputation, and they will not be eligible to be fitted with a prosthesis. Objective: To explore therapists’ experiences with providing pre-prosthetic rehabilitation in a rural setting. Study design: A qualitative descriptive approach was used to collect and analyse data. Methods: Data were collected from 17 purposively sampled therapists in five district hospitals in a rural community in South Africa. Data were collected in two rounds of focus groups to explore the challenges of providing pre-prosthetic rehabilitation in rural South Africa. Results: The main themes identified in the study were (1) a lack of government health system support, (2) poor socioeconomic circumstances of patients and (3) cultural factors that influence rehabilitation. These themes all negatively influence the therapists’ ability to follow up patients for pre-prosthetic rehabilitation after discharge from hospital. A lack of adequate pre-prosthetic rehabilitation is a substantial barrier to prosthetic fitting in rural South Africa. Patients who do not receive pre-prosthetic rehabilitation have a poorly shaped residuum or other complications such as knee or hip joint contractures which disqualifies them from being referred to prosthetic services. Conclusion: Therapists involved in this study identified the most important barriers to patients having access to prosthetic services. Clinical relevance Pre-prosthetic rehabilitation provides care of the residuum; maintenance or improvement of physical strength, joint range of motion and referral to a prosthetist. By exploring the challenges known to exist in this service, we can identify potential ways to reduce these barriers and improve the lives of those who use it.

“I Wish I Could Have My Leg”: A Qualitative Study on the Experiences of Individuals With Lower Limb Amputation

2021 ◽  
pp. 105477382110477
Author(s):  
Cigdem Canbolat Seyman ◽  
Yeter Sinem Uzar Ozcetin
Keyword(s):  
Lower Limb ◽  
Qualitative Data ◽  
Body Part ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Design Data ◽  
Software Support ◽  
Permanent Disability ◽  
Phenomenological Design ◽  
Insight Into

Amputation is commonly regarded as a lifesaving procedure. However, the loss of a body part can lead to permanent disability that can impact patients physically, psychologically, and socially. The aim of this study was to describe and understand the perspectives of patients with lower limb amputation (LLA) about their condition. The study uses a descriptive phenomenological design. Data were collected from 12 patients. The researchers conducted interviews using semi-structured questions. MAXQDA was used for qualitative software support in managing the interview data. Data were transcribed. The participants were aged 61.3 ± 10.8 years. Three themes emerged from the qualitative data: (i) losing control over one’s own life, (ii) dreams versus the realities of life, and (iii) future perceptions. Most of the participants emphasized that they face undesirable experiences in their post-amputation lives. The findings of the present study provide novel insight into how individuals subjectively experience life after LLA.

scholarly journals Mothers’ perspectives on the lived experience of children with intellectual disability and challenging behaviour

2017 ◽  
Vol 23 (2) ◽  
pp. 175-189 ◽  
Author(s):  
Joann Kiernan ◽  
Duncan Mitchell ◽  
Jois Stansfield ◽  
Carol Taylor
Keyword(s):  
Intellectual Disability ◽  
Lived Experience ◽  
Thematic Analysis ◽  
Challenging Behaviour ◽  
Structured Interviews ◽  
Central Tenet ◽  
Experience Of Inclusion ◽  
Challenging Behaviours ◽  
Insight Into ◽  
Children With Intellectual Disability

Children with intellectual disability and behavioural needs (challenging behaviour) are vulnerable to exclusion from services and communities. The situation is exacerbated by difficulties in accessing appropriate support and services to effectively meet the needs of children and carers. Family perspectives on the ‘lived experience’ of children can provide insight into how behavioural needs can affect their ability to access everyday experiences. Semi-structured interviews were conducted with mothers of children with intellectual disabilities and challenging behaviours. Phenomenological thematic analysis provided four key themes: finding our way; square services, round needs; behaviour touches everything and belonging. Experience of inclusion and exclusion was a central tenet of the lived experience. Recommendations call for timely proactive and bespoke interventions to identify and support children at risk of exclusion from communities. Early intervention and effective local provision will avoid increased burdens placed on families and services, in supporting children whose needs are currently unmet within child-centred provision.

scholarly journals Tertiary Level Learners’ Listening Self Knowledge in an “Input Poor” EFL Context of Bangladesh

BELTA Journal ◽  
2020 ◽  
Vol 4 (1) ◽  
pp. 1-19
Author(s):  
Tasnima Aktar
Keyword(s):  
Cognitive Processes ◽  
Thematic Analysis ◽  
Metacognitive Knowledge ◽  
Self Concept ◽  
Tertiary Level ◽  
Structured Interviews ◽  
Efl Context ◽  
L2 Learning ◽  
Self Knowledge ◽  
Insight Into

Metacognitive knowledge can influence L2 learning and listening; however, little is known about learners’ listening self knowledge, particularly in the EFL context of Bangladesh. The current study is a part of the author’s PhD project (Cite, 0000) that aimed to understand tertiary level EFL listeners’ listening self knowledge in Bangladesh. Semi-structured interviews were conducted with 30 participants on their metacognitive knowledge. There were 15 less successful listeners (LSMs) and 15 more successful listeners (MSLs). The thematic analysis of their listening self knowledge revealed students’ awareness of six aspects of listening self knowledge. Although their overall awareness in terms of frequency of mentions showed no considerable differences between the groups, variances have been observed in particular areas. The LSLs frequently mentioned listening problems and obstacles whereas the MSLs were more aware of the cognitive processes and showed greater motivation and exposure. A huge difference was revealed in self-concept: the LSLs’ negative self-concept differed from the positive self-concept of their counterparts. Insight into listeners’ listening self knowledge has several pedagogical implications.

scholarly journals Narratives of Recovery Over the First Year After Major Lower Limb Loss

2020 ◽  
Vol 30 (13) ◽  
pp. 2049-2063
Author(s):  
Phoebe Sanders ◽  
Ross Wadey ◽  
Melissa Day ◽  
Stacy Winter
Keyword(s):  
National Health Service ◽  
Narrative Analysis ◽  
Lower Limb ◽  
Well Being ◽  
Limb Amputation ◽  
First Year ◽  
Rehabilitation Center ◽  
Prosthetic Rehabilitation ◽  
Psychosocial Experiences ◽  
Opening Up

The objectives of this research were to extend previous research by exploring the psychosocial experiences of patients over the first year after major lower limb amputation (MLLA) and identify implications for rehabilitation practice. This research took place at a United Kingdom–based National Health Service–operated prosthetic rehabilitation center. Thirty patients were recruited who had experienced MLLA within the last year and were undertaking prosthetic rehabilitation. Data were collected through semi-structured narrative interviews, observation, and a reflexive journal and analyzed using dialogical narrative analysis. The concept of well-being was used to map patients’ recovery trajectories, and five narrative typologies were identified: accelerated decline, adaptation, illusory cure, muddling along, and projection. This article advances knowledge by opening up new possibilities for anticipating patients’ future needs through the stories they are telling in the present and provides the basis for additional resources supporting psychosocial recovery.

scholarly journals Experiences of Youth Mentoring Through Street Dance

Youth Justice ◽  
2019 ◽  
Vol 20 (3) ◽  
pp. 235-251
Author(s):  
Amber Gunay ◽  
Alison M. Bacon
Keyword(s):  
Thematic Analysis ◽  
Good Practice ◽  
Mental Wellbeing ◽  
At Risk Youth ◽  
Structured Interviews ◽  
Future Directions ◽  
Future Outlook ◽  
The United Kingdom ◽  
And Coping ◽  
Insight Into

There has been limited research regarding the effectiveness of mentoring for at-risk youth in the United Kingdom and none focussing on a dance-based intervention. This study explored experiences of a mentoring through street dance programme. Eight participants (aged 16–18) and their mentor took part in semi-structured interviews which were transcribed verbatim and the data subjected to thematic analysis. Three emergent themes were identified: Relationship with mentor, changes in outlook and coping with emotions. Data indicated that the programme resulted in increased mental wellbeing, desistance from antisocial behaviours, positive future outlook and greater awareness of life opportunities. A trusting, non-hierarchical mentor-mentee relationship was central. Inclusion of mentor narratives was a novel aspect of the study and allowed for insight into how this was achieved. Street dance itself provided a framework for confidence building, social levelling and bonding. Results are discussed in terms of future directions for good practice.

Cardiorespiratory fitness and physical strain during prosthetic rehabilitation after lower limb amputation

2019 ◽  
Vol 43 (4) ◽  
pp. 418-425
Author(s):  
Daphne Wezenberg ◽  
Rienk Dekker ◽  
Frank van Dijk ◽  
Willemijn Faber ◽  
Lucas van der Woude ◽  
...  
Keyword(s):  
Heart Rate ◽  
Cardiorespiratory Fitness ◽  
Aerobic Capacity ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Prosthetic Rehabilitation ◽  
Physical Strain ◽  
Individual Level ◽  
The Individual

Background: Sufficient cardiorespiratory fitness has been regarded a prerequisite for prosthetic walking. In order to improve cardiorespiratory fitness, adequate strain ought to be placed on the system during training. Objectives: To determine cardiorespiratory fitness at the start and end of inpatient rehabilitation after lower limb amputation and determine the physical strain experienced during conventional prosthetic rehabilitation. Study design: Multicenter prospective cohort study. Methods: Cardiorespiratory fitness was assessed using a peak one-legged cycle exercise test. Physical strain was assessed during a minimum of three full rehabilitation days using heart rate recordings. Physical strain was expressed in the time per day that heart rate exceeded 40% of heart rate reserve. Results: At the start of rehabilitation, peak aerobic capacity was on average 16.9 (SD, 6.5) mL/kg/min ( n = 33). Overall, peak aerobic capacity did not improve over the course of rehabilitation ( n = 23, p = 0.464). Fifty percent of the patients experienced a physical strain level that satisfies minimum criteria for maintaining cardiorespiratory fitness (>40% heart rate reserve for 30 min/day). Conclusion: Cardiorespiratory fitness was low and did not increase during conventional prosthetic rehabilitation. On average, the physical strain during rehabilitation was insufficient to elicit potential improvements in aerobic capacity. Results stress the need for dedicated physical training modules at the individual level. Clinical relevance This study shows that clinicians ought to be aware of the relatively low cardiorespiratory fitness of people who have undergone lower limb amputation and that improvements during rehabilitation are not always obtained. Results stress the need for physical training modules in which intensity is imposed at the individual level.

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