scholarly journals Developing Person-Centred Dental Care: The Perspectives of People Living in Poverty

2020 ◽  
Vol 8 (3) ◽  
pp. 82
Author(s):  
Nioushah Noushi ◽  
Christophe Bedos
Keyword(s):  
Dental Care ◽  
Quality Care ◽  
Sampling Strategy ◽  
Care Process ◽  
Mutual Trust ◽  
Structured Interviews ◽  
Comprehensive Information ◽  
Care Models ◽  
Qualitative Descriptive ◽  
Technical Terms

Dentistry has seen a slow trend toward person-centred care (PCC), with most approaches developed by scholars who have tried to progress away from disease-centred care. Unfortunately, the perspectives and experiences of underprivileged people have not been considered in the development of these approaches. Our objective was thus to understand underprivileged people’s experiences and expectations about dental care and contribute to the development of person-centred dentistry. We conducted a qualitative descriptive study with a sample of 13 people living in poverty. We used a maximum variation sampling strategy and selected them among the users of a free dental clinic in Montreal, Canada. We conducted semi-structured interviews that we audio recorded, transcribed verbatim, and thematically analysed. Our main finding is that participants wanted to feel human and respected by dentists. More specifically, they wanted to be more involved in the dental care process through quality time and empathetic conversations with the dentist. They also wished for an exchange of information free of technical terms and built on mutual trust. In conclusion, person-centred dental care models should emphasize empathy, trust, and quality care beyond technical skills. Clinicians should provide comprehensive information in dental encounters and treat their patients as whole persons.

scholarly journals Caring for a child with a life limiting condition: The experiences of nurses in an intellectual disability service provider

2021 ◽  
pp. 174462952110185
Author(s):  
Eilis O Connor ◽  
Yvonne Corcoran
Keyword(s):  
Intellectual Disability ◽  
Quality Care ◽  
Research Approach ◽  
Structured Interviews ◽  
High Quality ◽  
Disability Service ◽  
Descriptive Research ◽  
Purposeful Sampling ◽  
Qualitative Descriptive ◽  
Limiting Condition

This study elicited the experiences of nurses caring for children with life-limiting conditions and their family, within a community based intellectual disability service. A qualitative descriptive research approach was adopted where purposeful sampling recruited 10 participants. Data was collected using one to one semi-structured interviews and was subsequently analysed using qualitative thematic content analysis. The findings identified a range of complexities unique to the care of children with life-limiting conditions in the intellectual disability setting. From the findings, it is clear that this is a population of highly skilled nurses who work in a challenging and complex area of practice. Further supports are required in order to meet the practice needs and support the emotional needs of this population of nurses. In doing so, high quality practice within the area will be promoted, thereby ensuring high quality care for the children and families within the disability service.

scholarly journals Vivências de cuidadoras sobre o cuidado de crianças com microcefalia

2020 ◽  
Vol 14 ◽  
Author(s):  
Angela De Souza Cajuhi ◽  
Cleuma Sueli Santos Suto ◽  
André Emanuel Dantas Mercês ◽  
Jones Sidnei Barbosa de Oliveira ◽  
Laura Emmanuela Lima Costa ◽  
...  
Keyword(s):  
Zika Virus ◽  
Social Role ◽  
Care Process ◽  
Structured Interviews ◽  
Life Trajectories ◽  
Female Caregiver ◽  
The Social ◽  
Qualitative Descriptive ◽  
Virus Zika

Objetivo: descrever experiências relacionadas à vivência de cuidadoras sobre o cuidado de crianças com microcefalia associada ao Zika vírus. Método: trata-se de um estudo qualitativo, descritivo, exploratório, realizado com o apoio de duas participantes/cuidadoras de crianças com microcefalia, por meio de entrevistas semiestruturadas e analisadas pelo software IRAMUTEQ, que gerou a nuvem de palavras e a árvore de similitude. Resultados: evidenciou-se o termo “filho” nos relatos como de suma importância na vida das cuidadoras. Percebeu-se que a figura paterna e/ou os familiares não estavam vinculados ao processo de cuidado e a assistência governamental direcionada às cuidadoras era falha devido à carência de atividades específicas de promoção de saúde. Aponta-se que as mães enfrentaram mudanças drásticas em suas trajetórias de vida e se sentiram sozinhas. Conclusão: constata-se que as experiências revelaram a sobrecarga, as responsabilidades e a ressignificação da identidade feminina com a autopercepção, prioritariamente, voltada para o papel social de mãe/cuidadora da criança com microcefalia. Descritores: Microcefalia; Zika Vírus; Cuidadores; Criança; Enfermagem; Pesquisa Qualitativa.AbstractObjective: to describe experiences related to female caregivers' experience regarding the care of children with microcephaly associated with the Zika virus. Method: this is a qualitative, descriptive, exploratory study, conducted with the support of two female participants/caregivers of children with microcephaly, through semi-structured interviews and analyzed by the IRAMUTEQ software, which generated the word cloud and the similarity tree. Results: the term “child” was evidenced in the reports as of paramount importance in the female caregivers' lives. It was noticed that the father figure and/or family members were not linked to the care process and the governmental assistance directed to the female caregivers was flawed due to the lack of specific health promotion activities. It is pointed out that mothers faced drastic changes in their life trajectories and felt alone. Conclusion: it can be seen that the experiences revealed the overload, the responsibilities and the resignification of the female identity with self-perception, primarily focused on the social role of mother/female caregiver of the child with microcephaly. Descriptors: Microcephaly; Zika vírus; Female Caregivers; Child; Nurse; Qualitative Research.ResumenObjetivo: describir las experiencias relacionadas con la experiencia de los cuidadores con respecto al cuidado de niños con microcefalia asociada al virus del Zika. Método: este es un estudio cualitativo, descriptivo, exploratorio, realizado con el apoyo de dos participantes/cuidadores de niños con microcefalia, a través de entrevistas semiestructuradas y analizadas por el software IRAMUTEQ, que generó la nube de palabras y el árbol de similitud. Resultados: el término "hijo" se evidenció en los informes como de suma importancia en la vida de los cuidadores. Se observó que la figura paterna y/o los miembros de la familia no estaban vinculados al proceso de atención y que la asistencia gubernamental dirigida a los cuidadores era defectuosa debido a la falta de actividades específicas de promoción de la salud. Se señala que las madres enfrentaron cambios drásticos en sus trayectorias de vida y se sintieron solas. Conclusión: se encontró que las experiencias revelaron la sobrecarga, las responsabilidades y la resignificación de la identidad femenina con la autopercepción, principalmente enfocada en el papel social de la madre/cuidadora del niño con microcefalia. Descriptores: Microcefalia; Virus Zika; Cuidadores; Niño; Enfermería; Investigácion Cualitativa.

scholarly journals “Being in good hands”: Next of kin’s perceptions of continuity of care in patients with heart failure

2019 ◽  
Author(s):  
Malin Östman ◽  
Siv Bäck-Pettersson ◽  
Ann-Helén Sandvik ◽  
Annelie J Sundler
Keyword(s):  
Heart Failure ◽  
Continuity Of Care ◽  
Home Health Care ◽  
Care Process ◽  
Care Hospital ◽  
Structured Interviews ◽  
Next Of Kin ◽  
Primary Care Hospital ◽  
Qualitative Descriptive ◽  
Care And Treatment

Abstract Background Heart failure (HF) is a chronic condition with a variety of diverse symptoms. Patients with HF are usually elderly with multimorbidity, which are both multifaceted and challenging. Being a next of kin to patients with HF is described as a complex task consisting of managing care and treatment, monitoring illness and being an emotional support, while also being able to navigate the healthcare system especially in long-term contact. However, few studies have investigated next of kin's perceptions of continuity of care in connection with HF. The present study aimed to describe continuity of care as perceived by the next of kin who care for patients with HF. Methods This study used a qualitative descriptive design. Semi-structured interviews were conducted with the next of kin (n=15) of patients with HF to obtain their perceptions of continuity of care. A phenomenographic analysis method was used to capture the participants' perceptions of the phenomenon. Results The analysis reveals that the next of kin perceive that support from healthcare professionals was strongly associated with experiences of continuity of care. Four categories reveal the next of kin's perceptions of continuity of care: Want to be involved without being in charge; A desire to be in control without acting as the driving force in the care situation; A need for sustainability without being overlooked; and Focusing on making life meaningful while being preoccupied with caregiving activities. Conclusions Next of kin perceive continuity of care, when having access to care and treatment, when the caregivers collaborate, regardless of who is currently responsible for the care. A feeling of “being in good hands” summarise the need for continuous support and seamless transitions between caregivers in the care process. Consequently, to improve the development of evidence-based HF care, there is a call for collaboration models where caregivers from primary care, hospital, and home health care as well as patients and next of kin participate. Keywords Continuity of care, Heart failure, Next of kin, Phenomenography, Qualitative research

scholarly journals Health care for people with amputation: analysis from the perspective of bioethics

2014 ◽  
Vol 23 (4) ◽  
pp. 898-906 ◽  
Author(s):  
Ana Maria Fernandes Borges Marques ◽  
Mara Ambrosina de Oliveira Vargas ◽  
Soraia Dornelles Schoeller ◽  
Erika Yuriko Kinoshita ◽  
Flávia Regina Souza Ramos ◽  
...  
Keyword(s):  
Health Care ◽  
Team Performance ◽  
Public Hospitals ◽  
Health Policies ◽  
Care Process ◽  
Structured Interviews ◽  
Public Health Policies ◽  
Qualitative Descriptive ◽  
Relationship Of ◽  
The Relationship

A qualitative, descriptive and exploratory study was conducted through semi-structured interviews with 18 people undergoing amputation in the period 2008-2010, in public hospitals in Florianópolis. The objectives were to analyze the care provided by health professionals throughout the amputation process in the perspective of the amputee patient; and discuss the process of health care to the person with amputation in the bioethical analysis perspective. Data were analyzed according to content analysis. Three thematic categories emerged: the process of amputation; team performance and rehabilitation. Bioethics permits reflection on the care provided to amputees and problematizes the relationship of the health care process with support available through public health policies. The professional involved in this process has to take responsibility for putting the process in practice and interdisciplinary is essential for the recovery of the amputated patient.

scholarly journals Hypertension as a condition of non-disease: the meaning of chronicity in the subjects' perspective

2013 ◽  
Vol 22 (1) ◽  
pp. 123-131 ◽  
Author(s):  
Fernanda Machado da Silva ◽  
Maria de Lourdes Denardin Budó ◽  
Celso Leonel Silveira ◽  
Marcio Rossato Badke ◽  
Margrid Beuter
Keyword(s):  
Arterial Hypertension ◽  
Family Health ◽  
Physical Symptoms ◽  
Care Process ◽  
Structured Interviews ◽  
Documentary Analysis ◽  
Collection Data ◽  
Qualitative Descriptive ◽  
Family Health Team ◽  
Study Participants

The purpose of this study was to understand the concepts underlying the health-disease-care process of subjects with systemic arterial hypertension, as well as the meaning of this disease in their lives. It consists of a qualitative descriptive study. Study participants were nine subjects with arterial hypertension, in follow-up with a family health team. The study utilized semi-structured interviews, observation and documentary analysis for data collection. Data were analyzed through thematic analysis. There was a unanimous feeling among the participants that hypertension, despite being a chronic illness, does not represent a disease condition. This is attributed to the fact that this illness does not present physical symptoms, added to the ability to stabilize pressure levels with the correct use of medication. This position was also associated with the long period of time in which they experience this chronic condition. For these reasons, these subjects define themselves as healthy people. Therefore, it is verified that these subjects have learned how to live "with" hypertension rather than "despite" it.

scholarly journals Barriers to and facilitators of endorsement for scheduled medicines in podiatry: a qualitative descriptive study

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Kristin Graham ◽  
Helen A. Banwell ◽  
Ryan S. Causby ◽  
Saravana Kumar ◽  
Esther Jie Tian ◽  
...  
Keyword(s):  
Role Models ◽  
Financial Incentive ◽  
Sampling Strategy ◽  
Barriers And Facilitators ◽  
Training Process ◽  
Structured Interviews ◽  
Training Requirements ◽  
Qualitative Descriptive ◽  
Extrinsic Motivators ◽  
Training Opportunities

Abstract Background Australian podiatrists and podiatric surgeons who have successfully completed the requirements for endorsement for scheduled medicines, as directed by the Podiatry Board of Australia, are eligible to prescribe a limited amount of schedule 2, 3, 4 or 8 medications. Registration to become endorsed for scheduled medicines has been available to podiatrists for over 10 years, yet the uptake of training has remained low (approximately 2% of registered podiatrists/podiatry surgeons). This study aimed to explore barriers to and facilitators of engagement with endorsement for scheduled medicines by podiatrists. Methods Qualitative descriptive methodology informed this research. A purposive maximum variation sampling strategy was used to recruit 13 registered podiatrists and a podiatric surgeon who were either endorsed for scheduled medicines, in training or not endorsed. Semi-structured interviews were employed to collate the data which were analysed using thematic analysis. Results Three overarching super-ordinate themes were identified which encompassed both barriers and facilitators: (1) competence and autonomy, (2) social and workplace influences, and (3) extrinsic motivators. Within these, several prominent sub-themes emerged of importance to the participants including workplace and social networks role in modelling behaviours, identifying mentors, and access to supervised training opportunities. Stage of life and career often influenced engagement. Additionally, a lack of financial incentive, cost and time involved in training, and lack of knowledge of training requirements were influential barriers. Rural podiatrists encountered a considerable number of barriers in most of the identified areas. Conclusion A multitude of barriers and facilitators exist for podiatrists as part of the endorsement for scheduled medicines. The findings suggest that a lack of engagement with endorsement for scheduled medicines training may be assisted by a more structured training process and increasing the number of podiatrists who are endorsed to increase the numbers of role models, mentors, and supervision opportunities. Recommendations are provided for approaches as means of achieving, and sustaining, these outcomes.

scholarly journals Barriers to and facilitators to endorsement for scheduled medicines in podiatry: a qualitative descriptive study

2020 ◽  
Author(s):  
kristin graham ◽  
Helen A Banwell ◽  
Ryan S Causby ◽  
Saravana Kumar ◽  
Esther Jie Tian ◽  
...  
Keyword(s):  
Role Models ◽  
Financial Incentive ◽  
Sampling Strategy ◽  
Barriers And Facilitators ◽  
Training Process ◽  
Structured Interviews ◽  
Training Requirements ◽  
Qualitative Descriptive ◽  
Extrinsic Motivators ◽  
Training Opportunities

Abstract Background Australian podiatrists and podiatric surgeons who have successfully completed the requirements for endorsement for scheduled medicines, as directed by the Podiatry Board of Australia, are eligible to prescribe a limited amount of schedule 2, 3, 4 or 8 medications. Registration to become endorsed for scheduled medicines has been available to podiatrists for over 10 years, yet the uptake of training has remained low (approximately 2% of registered podiatrists/podiatry surgeons). This study aimed to explore barriers to and facilitators for engagement with endorsement for scheduled medicines by podiatrists. Methods Qualitative descriptive methodology informed this research. A purposive maximum variation sampling strategy was used to recruit 13 registered podiatrists and a podiatric surgeon who were either endorsed for scheduled medicines, in training or not endorsed. Semi-structured interviews were employed to collate the data which were analysed using thematic analysis. Results Three overarching super-ordinate themes were identified which encompassed both barriers and facilitators: (1) competence and autonomy, (2) social and workplace influences, and (3) extrinsic motivators. Within these, several prominent sub-themes emerged of importance to the participants including workplace and social networks role in modelling behaviours, identifying mentors, and access to supervised training opportunities. Stage of life and career often influenced engagement. Additionally, a lack of financial incentive, cost and time involved in training, and lack of knowledge of training requirements were influential barriers. Rural podiatrists encountered a considerable number of barriers in most of the identified areas. Conclusion A multitude of barriers and facilitators exist for podiatrists as part of the endorsement for scheduled medicines. The findings suggest that a lack of engagement with endorsement for scheduled medicines training may be assisted by a more structured training process and increasing the number of podiatrists who are endorsed to increase the numbers of role models, mentors and supervision opportunities. Recommendations are provided for approaches as means of achieving, and sustaining, these outcomes.

scholarly journals Person-Centered Care: Perspectives of free dental clinic users in Montréal, Canada

2018 ◽  
Vol 5 (1) ◽  
Author(s):  
Nioushah Noushi ◽  
Christophe Bedos ◽  
Nareg Apelian ◽  
Jean-Noel Vergnes ◽  
Charo Rodriguez
Keyword(s):  
Dental Care ◽  
Care Delivery ◽  
Dental Health ◽  
Sampling Strategy ◽  
Free Clinics ◽  
Structured Interviews ◽  
Dental Clinic ◽  
Dental Clinics ◽  
Person Centered Care ◽  
Centered Care

There has been a relatively slow incorporation of person-centered care into dental care. Despite the efforts to sustain this approach in dental health care delivery, the perspectives of patients have yet to be considered, especially those using free dental clinics. Our objectives were: (1) to describe the perspectives of adults unable to access private dental clinics when using free dental clinics, (2) to document their suggestions for improvements to dental care. This qualitative descriptive study included 13 adults using a free dental clinic. To select participants, we adopted a maximum variation sampling strategy regarding age, sex, marital status, education level and employment status. We used in-depth, semi-structured interviews to collect data and thematic content analysis to analyze the verbatim transcripts. Participants were generally satisfied with the dental care they received in private and free dental clinics. However, they did not appreciate the long wait times at free clinics, and were bothered by the cost at private clinics. They emphasized a desire for quality time with the dentist allowing for more informed and shared decisions about their care, regardless of the clinic they visited. Participants want to feel cared for through a trustworthy relationship with the clinician, and suggested incorporating a walk-in concept into free clinics to address access to care. Adults using free dental clinics have various experiences with private and public dentistry, but they all need clinicians who adopt a comprehensive approach when providing information. This could improve patients’experiences through a more person-centered approach to dental care.

scholarly journals Rocky Road Ahead Of Nursing Presence in the Oncology Care Unit: A Qualitative Study

2018 ◽  
Vol 6 (11) ◽  
pp. 2221-2227
Author(s):  
Fereshteh Araghian Mojarad ◽  
Leila Jouybari ◽  
Akram Sanagoo
Keyword(s):  
Content Analysis ◽  
Qualitative Content Analysis ◽  
Quality Care ◽  
Care Process ◽  
Nursing Interventions ◽  
Structured Interviews ◽  
Analysis Methodology ◽  
Nursing Presence ◽  
Oncology Care

BACKGROUND: Cancer patients need not only well-planned treatment, but also comprehensive nursing care provided with compassion, competence, and conscience. Nursing presence is an essential part of the care process in all nursing interventions. AIM: This study aimed to identify the barriers to the nursing presence in oncology care units. MATERIALS AND METHODS: A qualitative content analysis study was carried out with the participation of 27 nurses who were chosen by purposive sampling. The data collection instruments were semi-structured interviews and observation. The interviews were recorded and transcribed, and then coded and analysed by the Graneheim and Lundman’s content analysis methodology. The criteria proposed by Guba and Lincoln were used to ensure the validity of the research. RESULTS: From the data analysis, the researchers were able to obtain a primary theme labelled “Rocky road ahead of nursing presence” and two subthemes labelled “Difficult and stressful work environment” and “Dysfunctional rules and regulations” with several subcategories including “exposure to violence”, “shortage of nursing staff”, “inattention to the needs of nurses”, “organizational unfairness”, “excessive paperwork”, and “need for detailed documentation”. CONCLUSION: There are numerous challenges ahead of achieving satisfactory nursing presence and quality care in the oncology care units. The findings highlight the key role of organisational conditions in the nursing presence and the dire need to pay further attention to the motivational factors.

Nurse workforce scheduling: A qualitative study of Indonesian nurse managers’ experiences during the COVID-19 pandemic

2022 ◽  
Author(s):  
Kartika Mawar Sari Sugianto ◽  
Rr. Tutik Sri Hariyati ◽  
Hening Pujasari ◽  
Enie Novieastari ◽  
Hanny Handiyani
Keyword(s):  
Nurse Managers ◽  
Quality Care ◽  
Staff Nurses ◽  
Workforce Scheduling ◽  
Structured Interviews ◽  
Nurse Shortage ◽  
Nursing Managers ◽  
Referral Hospitals ◽  
Shift Pattern ◽  
Qualitative Descriptive

Background: The increase in COVID-19 cases in Indonesia has resulted in changes in the hospital workflow, including the staffing process and scheduling, especially in the isolation units. Nurse managers are working hard in the scheduling system to ensure high-quality care is provided with the best human resources. Objective: This study aimed to explore the experiences of nurse managers in managing staff nurses’ work schedules during the COVID-19 pandemic. Methods: A qualitative descriptive design was used in this study. Eleven nurse managers from three COVID-19 referral hospitals were selected using purposive sampling. Data were collected using online semi-structured interviews. Thematic analysis was used for data analysis, and data were presented using a thematic tree. Consolidated criteria for reporting qualitative research (COREQ) checklist was used as a reporting guideline of the study. Results: Four themes were developed: (i) Nurse shortage, (ii) Strategically looking for ways to fulfill the workforce, (iii) Change of shift schedule, and (iv) Expecting guidance from superiors and compliance from staff. Conclusion: The lack of nurse staff is a problem during a pandemic. Thus, managing personnel effectively, mobilizing and rotating, and recruiting volunteers are strategies to fulfill the workforce during the pandemic. Using a sedentary shift pattern and sufficient holidays could prevent nurses from falling ill and increase compliance with scheduling. In addition, a staffing calculation formula is needed, and top nursing managers are suggested to provide guidance or direction to the head nurses to reduce confusion in managing the work schedule during the pandemic.

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