scholarly journals “Just Throw It Behind You and Just Keep Going”: Emotional Labor when Ethnic Minority Healthcare Staff Encounter Racism in Healthcare

2022 ◽  
Vol 6 ◽  
Author(s):  
Beth Maina Ahlberg ◽  
Sarah Hamed ◽  
Hannah Bradby ◽  
Cecilia Moberg ◽  
Suruchi Thapar-Björkert
Keyword(s):  
Ethnic Minority ◽  
Thematic Analysis ◽  
Emotional Labor ◽  
Ethical Dilemmas ◽  
Healthcare Setting ◽  
Healthcare Staff ◽  
Negative Effects ◽  
Staff Members ◽  
Healthcare Environment ◽  
Taking Care

Encountering racism is burdensome and meeting it in a healthcare setting is no exception. This paper is part of a larger study that focused on understanding and addressing racism in healthcare in Sweden. In the paper, we draw on interviews with 12 ethnic minority healthcare staff who described how they managed emotional labor in their encounters with racism at their workplace. Data were analyzed using thematic analysis. The analysis revealed that experienced emotional labor arises from two main reasons. The first is the concern and fear that ethnic minority healthcare staff have of adverse consequences for their employment should they be seen engaged in discussing racism. The second concerns the ethical dilemmas when taking care of racist patients since healthcare staff are bound by a duty of providing equal care for all patients as expressed in healthcare institutional regulations. Strategies to manage emotional labor described by the staff include working harder to prove their competence and faking, blocking or hiding their emotions when they encounter racism. The emotional labor implied by these strategies could be intense or traumatizing as indicated by some staff members, and can therefore have negative effects on health. Given that discussions around racism are silenced, it is paramount to create space where racism can be safely discussed and to develop a safe healthcare environment for the benefit of staff and patients.

Are the negative effects of emotional labor exacerbated among Machiavellians?

2010 ◽  
Author(s):  
Stephanie Hastings ◽  
Leah Hamilton ◽  
Jessica A. Fife ◽  
Joan E. Finegan
Keyword(s):  
Emotional Labor ◽  
Negative Effects

scholarly journals A Risk Exchange: Health and Mobility in the Context of Climate and Environmental Change in Bangladesh—A Qualitative Study

2021 ◽  
Vol 18 (5) ◽  
pp. 2629
Author(s):  
Patricia Nayna Schwerdtle ◽  
Kate Baernighausen ◽  
Sayeda Karim ◽  
Tauheed Syed Raihan ◽  
Samiya Selim ◽  
...  
Keyword(s):  
Climate Change ◽  
Mental Health ◽  
Quality Of Care ◽  
Health Risks ◽  
Thematic Analysis ◽  
Health Determinants ◽  
Physical And Mental Health ◽  
Health And Wellbeing ◽  
Healthcare Environment

Background: Climate change influences patterns of human mobility and health outcomes. While much of the climate change and migration discourse is invested in quantitative predictions and debates about whether migration is adaptive or maladaptive, less attention has been paid to the voices of the people moving in the context of climate change with a focus on their health and wellbeing. This qualitative research aims to amplify the voices of migrants themselves to add nuance to dominant migration narratives and to shed light on the real-life challenges migrants face in meeting their health needs in the context of climate change. Methods: We conducted 58 semi-structured in-depth interviews with migrants purposefully selected for having moved from rural Bhola, southern Bangladesh to an urban slum in Dhaka, Bangladesh. Transcripts were analysed using thematic analysis under the philosophical underpinnings of phenomenology. Coding was conducted using NVivo Pro 12. Findings: We identified two overarching themes in the thematic analysis: Firstly, we identified the theme “A risk exchange: Exchanging climate change and health risks at origin and destination”. Rather than describing a “net positive” or “net negative” outcome in terms of migration in the context of climate change, migrants described an exchange of hazards, exposures, and vulnerabilities at origin with those at destination, which challenged their capacity to adapt. This theme included several sub-themes—income and employment factors, changing food environment, shelter and water sanitation and hygiene (WaSH) conditions, and social capital. The second overarching theme was “A changing health and healthcare environment”. This theme also included several sub-themes—changing physical and mental health status and a changing healthcare environment encompassing quality of care and barriers to accessing healthcare. Migrants described physical and mental health concerns and connected these experiences with their new environment. These two overarching themes were prevalent across the dataset, although each participant experienced and expressed them uniquely. Conclusion: Migrants who move in the context of climate change face a range of diverse health risks at the origin, en route, and at the destination. Migrating individuals, households, and communities undertake a risk exchange when they decide to move, which has diverse positive and negative consequences for their health and wellbeing. Along with changing health determinants is a changing healthcare environment where migrants face different choices, barriers, and quality of care. A more migrant-centric perspective as described in this paper could strengthen migration, climate, and health governance. Policymakers, urban planners, city corporations, and health practitioners should integrate the risk exchange into practice and policies.

scholarly journals The hospice as a learning space: a death education intervention with a group of adolescents

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Ines Testoni ◽  
Lorenza Palazzo ◽  
Lucia Ronconi ◽  
Stefania Donna ◽  
Paolo Francesco Cottone ◽  
...  
Keyword(s):  
Thematic Analysis ◽  
Death And Dying ◽  
Western Society ◽  
Control Group ◽  
Education Intervention ◽  
Death Education ◽  
Negative Effects ◽  
School Students ◽  
Learning Space ◽  
Experimental Group

Abstract Background The denial of death in Western society deprives young people of the tools to derive meaning from experiences of death and dying. Literature shows that death education may allow them to become familiar with this topic without causing negative effects. This article describes the effects of a death education course with adolescents, wherein participants were given the opportunity to meet palliative doctors and palliative psychologists at school and in a hospice, where they were able to converse with the families of the dying. Methods This study used mixed methods and included an evaluation of a death education intervention with longitudinal follow-up of outcomes. The course involved 87 secondary school students (experimental group) aged between 16 and 20 years. We also recruited a control group of 76 similarly-aged students to observe differences. The variables we examined were: alexithymia, representation of death, value attributed to life and spirituality. These were measured with the following instruments: the Toronto Alexithymia Scale-20, the Testoni Death Representation Scale, the Personal Meaning Profile and the Spiritual Orientation Inventory, respectively. To better understand how the students perceived the experience, we asked the experimental group to answer some open-ended questions. Their answers were analysed through thematic analysis. Results The study showed that death education and the hospice experience did not produce negative effects, but rather allowed students to decrease alexithymia, improving their ability to recognise and express emotions. Thematic analysis revealed that all participants perceived the experience as very positive. Conclusions Our findings affirm that death education programs can be successfully implemented in high schools, and that they can usefully involve local hospices and palliative care professionals, especially physicians and psychologists.

‘We’re not doing it to be nasty’: Caregivers’ ethical dilemmas in negotiating driving safety with older adults

2021 ◽  
pp. 1-8
Author(s):  
Michelle N. Lafrance ◽  
Elizabeth Dreise ◽  
Lynne Gouliquer ◽  
Carmen Poulin
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Thematic Analysis ◽  
Ethical Dilemmas ◽  
Informal Caregivers ◽  
Health Conditions ◽  
Driving Safety ◽  
Loved One ◽  
Study Participants ◽  
Ability To Drive

Abstract The purpose of this research was to investigate how informal caregivers of older adults cope with and negotiate driving safety when their loved one is no longer safe to drive. Fifteen informal caregivers of an older adult living at home took part in the present study. Participants cared for individuals with a range of health conditions that significantly impaired driving safety, including dementia, Parkinson’s disease, macular degeneration, and stroke. A thematic analysis of participants’ accounts identified the complex interpersonal, social, and organisational context they encountered when their loved one did not recognise or acknowledge limitations in their ability to drive. This analysis highlights the ethical dilemma at the heart of caregivers’ experiences and identifies stake and blame as key considerations in the development of sensitive and effective policies and practices.

scholarly journals Self-Diagnosis in Psychology Students

2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Aaiz Ahmed ◽  
Stephen S
Keyword(s):  
Thematic Analysis ◽  
Protective Factor ◽  
Psychology Students ◽  
Negative Effects ◽  
Academic Setting ◽  
Behavioural Effects ◽  
Qualitative Exploration ◽  
Inductive Thematic Analysis

This study aimed to describe how, why and to what extent psychology students self-diagnose and what impact this has on their lives, using an in-depth qualitative exploration. A sample of 8 students were taken and interviews were administered on them. Inductive thematic analysis was conducted on the results, revealing four global themes. These were: Causes of Self-Diagnosis, Methods of Self-Diagnosis, Effects of Self-Diagnosis and Academic Maturity. It was concluded that students self-diagnose based on earlier experiences as well as psychological information they learn in an academic setting and introspection methods. Factors such as schematic thinking played a role in self-diagnosis and it had positive and negative effects, which can be classified as cognitive, affective and behavioural effects. Academic Maturity was seen to be a protective factor against the negative effects of self-diagnosis.

scholarly journals Low Risk of COVID-19 Infection in an Ambulatory Gastrointestinal Endoscopy Center in Argentina

2021 ◽  
Vol 51 (2) ◽  
Author(s):  
José Tawil ◽  
Josie Libertucci ◽  
Ana Adet Caldelari ◽  
Irene Banchero ◽  
Sandra Canseco ◽  
...  
Keyword(s):  
General Population ◽  
Gastrointestinal Endoscopy ◽  
Healthcare Professionals ◽  
Hospital Setting ◽  
Low Risk ◽  
Risk Of Infection ◽  
Healthcare Staff ◽  
Future Health ◽  
Endoscopic Procedures ◽  
Staff Members

Background and Objectives. Since the onset of the COVID-19 pandemic, concerns have been raised regarding the risk of infection to both healthcare staff and patients during gastrointestinal endoscopy procedures. Given the importance of performing routine endoscopic procedures to an individual’s future health, we sought to estimate the risk of COVID-19 infection for healthcare staff and patients undergoing endoscopic studies at an ambulatory endoscopy center during the pandemic. Material and Methods. This is a prospective(and) analytical cohort study conducted in an ambulatory gastroenterology center located in the Autonomous City of Buenos Aires, Argentina. Patients undergoing different endoscopic procedures were evaluated for COVID-19 between April 14 and August 31, 2020. COVID-19 was also evaluated in all healthcare and associated staff during the same time period. The risk (cumulative incidence) of acquiring COVID-19 in all patients and staff was calculated. Results. Between April 14 and August 31, 2020, procedures were performed in 3,745 patients with a mean age of 51.12 years; 2,102 (56.18%) were male and 1,643 (43.82%) were female. Follow-up was completed in 3,492 patients, 18 of whom tested positive for COVID-19 standing for an incidence of 0.52% (95%CI 0.31 – 0.81%). Six (5.45%) out of 110 staff members were infected with COVID-19 (1 endoscopist, 4 endoscopy assistants and 1 administrative staff member). In this group, the incidence of positive tests for COVID-19 was 5.45% (95%CI: 2.03 – 11.50%). The increased rates of positive cases among our patients and healthcare professionals were respectively 7.9 and 23.6 times lower than in general population. Conclusion. During the study period, the proportion of COVID-19 infections in our ambulatory specialized in gastrointestinal endoscopy was low and much lower than that in the general population for both patients and healthcare professionals. Endoscopic procedures undertaken at this center were low risk, likely due to strict compliance with established pandemic protocols. Future studies should compare the risk of infection in the hospital setting.

scholarly journals ’We weren't checked in on, nobody spoke to us’: an exploratory qualitative analysis of two focus groups on the concerns of ethnic minority NHS staff during COVID-19

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e053396
Author(s):  
Jehanita Jesuthasan ◽  
Richard A Powell ◽  
Victoria Burmester ◽  
Dasha Nicholls
Keyword(s):  
Focus Groups ◽  
Ethnic Minority ◽  
Lived Experience ◽  
Healthcare Workers ◽  
Well Being ◽  
Small Sample ◽  
Individual Risk ◽  
Future Research ◽  
Healthcare Staff ◽  
Cross Sectional

ObjectiveTo gain exploratory insights into the multifaceted, lived experience impact of COVID-19 on a small sample of ethnic minority healthcare staff to cocreate a module of questions for follow-up online surveys on the well-being of healthcare staff during the pandemic.DesignA cross-sectional design using two online focus groups among ethnic minority healthcare workers who worked in care or supportive roles in a hospital, community health or primary care setting for at least 12 months.ParticipantsThirteen healthcare workers (11 female) aged 26–62 years from diverse ethnic minority backgrounds, 11 working in clinical roles.ResultsFive primary thematic domains emerged: (1) viral vulnerability, centring around perceived individual risk and vulnerability perceptions; (2) risk assessment, comprising pressures to comply, perception of a tick-box exercise and issues with risk and resource stratification; (3) interpersonal relations in the workplace, highlighting deficient consultation of ethnic minority staff, cultural insensitivity, need for support and collegiate judgement; (4) lived experience of racial inequality, consisting of job insecurity and the exacerbation of systemic racism and its emotional burden; (5) community attitudes, including public prejudice and judgement, and patient appreciation.ConclusionsOur novel study has shown ethnic minority National Health Service (NHS) staff have experienced COVID-19 in a complex, multidimensional manner. Future research with a larger sample should further examine the complexity of these experiences and should enumerate the extent to which these varied thematic experiences are shared among ethnic minority NHS workers so that more empathetic and supportive management and related occupational practices can be instituted.

scholarly journals Ethnic minority and majority female academic staff members perspectives on women in stem in Serbia

Sociologija ◽  
2021 ◽  
Vol 63 (1) ◽  
pp. 143-165
Author(s):  
Karolina Lendák-Kabók
Keyword(s):  
Ethnic Minority ◽  
Inclusive Education ◽  
Gender Stereotypes ◽  
Role Models ◽  
Academic Staff ◽  
Women In Stem ◽  
Structured Interviews ◽  
Staff Members ◽  
Social Sciences And Humanities ◽  
And Mathematics

The paper aims to fill the gap in the scholarly literature regarding the way in which the intersection of ethnicity, gender and scientific fields shapes women?s narratives about science, technology, engineering and mathematics (STEM) fields in a multiethnic environment in Serbia. A qualitative study was conducted, capitalizing on in-depth, semi-structured of twenty semi-structured interviews conducted with university professors from ethnic minority and majority comminties, working in STEM and social sciences and humanities (SSH) field of studies in two state universiteis in Serbia. The findings indicate that ethnic minority female professors from STEM are less open to female students and colleagues in their domains and do not see the need for more women in STEM. This attitude can be traced back to these women having to overcome a ?double jeopardy? and ?symbolic violence? in a very male-dominated field, as they belong to ethnic minority and hat to deal with the lack of or with the denial of recources within institutions. Equal abilities of men and women in STEM was a topic occurring mostly in the narratives of the majority women who mostly adopted a masculine patterns of behavior and tried to become ?one of the boys?. Both minority and majority women agreed that deeply rooted gender stereotypes prevent women from choosing a career in STEM. The research identified the need for more inclusive education programs on all levels and for female role models to steer more women towards STEM.

Educational Intervention for Bupropion Abuse Prevention

2021 ◽  
pp. JDNP-D-19-00067
Author(s):  
Brittany Debeltz
Keyword(s):  
Self Efficacy ◽  
Prescription Medication ◽  
Abuse Prevention ◽  
Healthcare Staff ◽  
Prescribing Practices ◽  
Healthcare Organizations ◽  
Staff Members ◽  
Prevention Interventions ◽  
Research Findings ◽  
Medication Abuse

BackgroundBupropion is being abused due to effects that are comparable with methamphetamine and cocaine. Current research indicates several interventions that can prevent prescription medication abuse.ObjectivesA research study was performed at two healthcare organizations to evaluate whether education on prevention-based interventions increased self-efficacy of healthcare staff in addressing potential and ongoing bupropion abuse and whether the education reduced the rate of bupropion prescribing.MethodsThe study sample consisted of 43 staff members who completed a paper-based preeducation survey, attended a 1-hour educational session, and completed a paper-based posteducation survey.ResultsThere was a 42% increase in total staff self-efficacy scores along with significant differences between pre-/postsurvey scores (p ≤ .001). After education prescribers answered they plan to change prescribing practices and the number of bupropion prescriptions filled decreased.Implications for NursingFuture practice recommendations should include education on bupropion abuse and implementation of prevention interventions to reduce the occurrence of the abuse of bupropion.ConclusionsThe research findings suggested that education on interventions for bupropion abuse prevention improved healthcare staff self-efficacy in the management of potential and ongoing bupropion abuse, influenced prescribing practices of prescribers, and decreased the number of bupropion prescriptions. This research can be used to continue providing education to help prevent further cases of bupropion abuse.

scholarly journals Why staff at European schools abstain from enforcing smoke-free policies on persistent violators

2019 ◽  
Vol 35 (5) ◽  
pp. 1106-1115 ◽  
Author(s):  
Michael Schreuders ◽  
Anu Linnansaari ◽  
Pirjo Lindfors ◽  
Bas van den Putte ◽  
Anton E Kunst
Keyword(s):  
Secondary Schools ◽  
Thematic Analysis ◽  
Adolescent Smoking ◽  
European Countries ◽  
School Staff ◽  
Primary Role ◽  
School Policies ◽  
Free School ◽  
Staff Members ◽  
Main Challenge

Abstract Secondary schools in European countries increasingly implement comprehensive smoke-free school policies (SFSPs) that prohibit most or even all adolescents from smoking during school hours. Consistent enforcement of SFSPs is essential for realizing optimum effectiveness. A main challenge represents adolescents who persistently violate the rules. We studied how staff in European countries respond to these persistent violators and why they may turn a blind eye. We used interview transcripts from 69 staff members at 22 schools in 6 European countries to identify cases in which staff turned a blind eye. We then applied thematic analysis for identifying the considerations as to why they turn a blind eye. Turning a blind eye on persistent violators happened among school staff in all six countries. Three considerations were identified. First, staff believe their primary role and duty is to support all adolescents to develop into well-functioning adults, and sometimes it is best to accept smoking. Second, staff expect that applying stricter disciplinary measures will not stop persistent violators and is more likely to create more severe problems. Third, staff do not feel supported by relevant actors in society (e.g. parents) in influencing adolescent smoking. We conclude that staff’s considerations stress the need to support school staff in enforcing the increasingly comprehensive rules on the most persistent smokers.

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