scholarly journals “It Is a Very Emotional Topic for Me”—Managing Breastfeeding Problems among German Mothers: A Qualitative Approach

Healthcare ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1352
Author(s):  
Mariz Spannhake ◽  
Charlotte Jansen ◽  
Tatiana Görig ◽  
Katharina Diehl
Keyword(s):  
Mental Health Problems ◽  
Qualitative Content Analysis ◽  
Great Influence ◽  
Well Being ◽  
Negative Consequences ◽  
Structured Interviews ◽  
Positive Health ◽  
Huge Impact ◽  
Breastfeeding Problems ◽  
Positive Health Outcomes

Breastfeeding is associated with positive health outcomes for both child and mother. Nevertheless, some women experience breastfeeding problems which commonly lead to early cessation, or not starting breastfeeding at all. Our aim was to explore how women that have difficulties in breastfeeding perceive their situation and how they actively manage it. We conducted semi-structured interviews with 15 mothers living in Germany who had experienced breastfeeding problems. The interviews were audio-recorded, transcribed verbatim, and analyzed using qualitative content analysis. Breastfeeding problems occurred due to different reasons and had a huge impact, as evidenced in the four main themes of the findings: individual situation, managing the situation, perceived consequences for relations, feelings, and potential future pregnancies, and perceived health consequences for the mother. They frequently experienced negative emotions, including psychological distress and mental health problems, with perceived negative consequences for the mother–infant-bonding. Trying to actively manage the situation and availability of social support seemed to have a relieving effect, whereas confrontation and lack of understanding worsened the situation. Breastfeeding problems and the inability to breastfeed can have a great influence on maternal well-being. These can affect different aspects of a mother’s life, including the attachment to the child. Providing support for actively managing the situation and supporting the exchange of experience between mothers who perceive breastfeeding problems may help mothers to better deal with their situation. Our findings may help health professionals to understand what these mothers feel and how they can support these women in a sensitive way.

Family Caregiver Experience of Resistance to Care: Occurrence Patterns, Context, and Impact on Caregiver

2021 ◽  
pp. 104973232110426
Author(s):  
Yumi Shirai ◽  
Susan Silverberg Koerner ◽  
Shuo Xu
Keyword(s):  
Family Caregiver ◽  
Qualitative Content Analysis ◽  
Well Being ◽  
Intervention Strategies ◽  
Specific Intervention ◽  
Structured Interviews ◽  
Support Intervention ◽  
Stress Theory ◽  
Potential Impact ◽  
Occurrence Patterns

Although the extant literature identifies resistance to care (RTC) as one of the most frequently reported and impactful caregiver (CG) stressors, typical studies that rely on quantitative measures of RTC do not fully explain how and why RTC negatively influences CGs’ well-being. As such, it is difficult to develop specific intervention strategies to support CGs in dealing with RTC. Informed by existing literature and tenets from Stress Theory, the current study includes semi-structured interviews with 19 family CGs of community-dependent (non-institutionalized) elders, regarding their RTC experiences. Through a directed qualitative content analysis, we explored occurrence patterns, contextual factors of when and how RTC occurs, how CGs respond to RTC, and its potential impact on CGs’ subjective stress. The results revealed distinguishable characteristics of four types of RTC: Frequent-Pervasive, Frequent-Delimited, Transition-Activated, and Shock-to-Unfamiliar/Unexpected. We discuss how recognition of those types of RTC can be integrated into CG support intervention strategies.

Safe but isolated – an interview study with Iraqi refugees in Sweden about social networks, social support, and mental health

2020 ◽  
pp. 002076402095425 ◽  
Author(s):  
Maria Sundvall ◽  
David Titelman ◽  
Valerie DeMarinis ◽  
Liubov Borisova ◽  
Önver Çetrez
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Social Networks ◽  
Mental Health Problems ◽  
Health Assessment ◽  
Well Being ◽  
Health Problems ◽  
Traumatic Experiences ◽  
Iraqi Refugees ◽  
Structured Interviews

Background: Problems with social networks and social support are known to be associated with mental ill-health in refugees. Social support after migration promotes resilience. Aim: To study how Iraqi refugees who arrived in Sweden after the year 2000 perceived their social networks and social support, and to relate the observed network characteristics and changes to the refugees’ mental health and well-being. Method: Semi-structured interviews with 31 refugees, including questions on background and migration experiences, a biographical network map, and three health assessment scales. The findings were analysed with descriptive statistics and content thematic analysis. Results: The respondents’ networks were diminished. Social support was continued to be provided mainly by family members and supplemented by support from authorities. The main themes of the refugee experience of post-migration challenges were weakened social networks, barriers to integration and challenges to cultural and religious belonging. Failed reunion and worrying about relatives was described as particularly painful. Negative contacts with authority persons were often seen as humiliating or discriminating. Acquiring a new cultural belonging was described as challenging. At the same time, changing family and gender roles made it more difficult to preserve and develop the culture of origin. Traumatic experiences and mental health problems were common in this group. Family issues were more often than integration difficulties associated with mental health problems. Conclusion: In order to strengthen post-migration well-being and adaptation, authorities should support the refugees’ social networks. Clinicians need to address post-migration problems and challenges, including the meaning and function of social networks.

scholarly journals Patients’ experiences with the advanced practice nurse role in Swiss family practices: a qualitative study

BMC Nursing ◽  
2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Nicole Schönenberger ◽  
Beat Sottas ◽  
Christoph Merlo ◽  
Stefan Essig ◽  
Stefan Gysin
Keyword(s):  
Patient Perspective ◽  
Qualitative Content Analysis ◽  
Core Competencies ◽  
Holistic Approach ◽  
Well Being ◽  
Added Value ◽  
Advanced Practice ◽  
Structured Interviews ◽  
Practice Nurses ◽  
Family Practices

Abstract Background Considering shortages of general practitioners (GP) and strategies for improving the quality of health care provision, many countries have implemented interprofessional care models with advanced practice nurses (APN). International evidence suggests that APN care results in high patient satisfaction. In Switzerland, the role is still new, and the patient perspective has not yet been researched. Our aim was therefore to explore patients’ experiences with the APN role in Swiss family practices. Methods We conducted 22 semi-structured interviews in four different family practices with patients aged 18 to 97 suffering from minor acute to multiple chronic diseases, and who had at least one consultation with an APN. All interviews were audiotaped, transcribed verbatim, and analysed using qualitative content analysis. Results The analysis resulted in five themes: Despite the unfamiliarity, all patients were willing to be consulted by an APN because it was recommended by their GP (1); after several encounters, most participants perceived differences between the APN and the GP consultation in terms of the length and style of the consultations as well as the complexity of their tasks (2); the interviewees emphasised coaching, guidance, care coordination, and GP-assisting tasks as APN core competencies and attributed the characteristics empathetic, trustworthy, and competent to the APN role (3); most patients especially valued home visits and the holistic approach of the APNs, but they also noticed that in certain cases GP supervision was required (4); and due to the close collaboration between the APN and the GP, patients felt safe, well cared for and experienced improvements in physical and psychological well-being as well as in daily activities (5). Conclusion Our results suggested that patients value the APNs’ competencies, despite their initial lack of role knowledge. Trust in the GP seemed to be the most important factor for patients’ receptiveness toward the APN role. Overall, patients perceived an added value due to the enlargement of the scope of practice offered by APNs. The patient perspective might provide valuable insights for further APN role implementation in Swiss family practices.

scholarly journals Positive health as a new concept for physiotherapy in the Netherlands?

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
C M A De Bot ◽  
C Boemaars ◽  
J A J Dierx
Keyword(s):  
Multidisciplinary Approach ◽  
Self Regulation ◽  
Well Being ◽  
Structured Interviews ◽  
Positive Health ◽  
Alternative Approach ◽  
Dutch Association ◽  
Dutch Health ◽  
Professional Profile ◽  
Definition Of

Abstract Background The current WHO definition of health seems to no longer meet the changes in the current Dutch health system. An alternative approach which puts emphasis on health, not disease, is Positive Health. This focus shifts the emphasis on improving resilience and well-being rather than the perspective on what is lacking in health. In 2014, this new definition of Positive health was included in the professional profile ’physiotherapist’ of the Royal Dutch Association for Physiotherapy. This study examines the attitude of physiotherapists to Positive Health and to what extent they experience this concept in their current working practice. Methods A mixed method study was used, with a quantitative and qualitative method. A survey was completed by 276 physiotherapists and 7 semi-structured interviews were conducted among physiotherapists. Results Positive health was considered positive by 68% of the physiotherapists that health is seen as a dynamic concept rather than static, and 60.5% consider it important that the emphasis is on self-regulation. However, physiotherapists wonder if all patients have the ability to self-manage skills. The qualitative analysis shows that all therapists find the new definition positive and that it covers all aspects of health. Conclusions In general, physiotherapists are positive about the definition of positive health. Positive health can help physiotherapists in their work with clients and other professionals because of the multidisciplinary approach. Key messages Positive health can help physiotherapists to promote health in their clients. Positive health can stimulate cooperation between physiotherapists and client to increase self-management.

scholarly journals Vocational rehabilitation via social firms: a qualitative investigation of the views and experiences of employees with mental health problems, social firm managers and clinicians

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nicola Morant ◽  
Alyssa Milton ◽  
Eleanor Gilbert ◽  
Sonia Johnson ◽  
Nicholas Parsons ◽  
...  
Keyword(s):  
Mental Health ◽  
Focus Groups ◽  
Vocational Rehabilitation ◽  
Mental Health Problems ◽  
Well Being ◽  
Health Problems ◽  
Management Support ◽  
Mental Health Clinicians ◽  
Structured Interviews ◽  
The Uk

Abstract Background Employment within social firms in the UK is under-developed and under-researched, but a potentially beneficial route to vocational rehabilitation for people with mental health problems. This study explores the views and experiences of employees with mental ill-health, managers of social firms and mental health clinicians, in order to understand the potential value of social firms for the vocational rehabilitation, employment and well-being of people with mental health problems. Methods Semi-structured interviews were conducted with 23 employees with mental health problems in 11 social firms in England. A focus group and individual interviews were conducted with 12 managers of social firms. Two focus groups were held with 16 mental health clinicians. Data were analysed using thematic analysis. Results Most employees expressed very positive views about working in a social firm. In responses from both employees and social firm managers, an overarching theme regarding the supportive ethos of social firms encompassed several related features: openness about mental health issues; peer, team and management support; flexibility; and support to progress and develop skills over time. Managers identified benefits of employing people with mental health problems who were sufficiently recovered. Knowledge of social firms within clinician focus groups was very limited, although clinicians thought they could be a welcome additional vocational resource. Conclusions High levels of job satisfaction among social firm employees may be explained by the supportive ethos of these working environments. Social firms have potential to be a helpful addition to the range of vocational pathways available for people with mental ill-health. Further mixed methods investigations of experiences and outcomes in order to understand who engages with and benefits from this form of vocational rehabilitation would be valuable in informing decisions about scaling up the model.

scholarly journals Families as support and burden: A mixed methods exploration of the extent to which family identification and support predicts reductions in stress among disadvantaged neighbourhood residents

2021 ◽  
pp. 026540752110500
Author(s):  
Clifford Stevenson ◽  
Juliet R. H. Wakefield ◽  
Blerina Kellezi ◽  
Rebecca J. Stack ◽  
Saskia Dogra
Keyword(s):  
Family Support ◽  
Family Relationships ◽  
Community Services ◽  
Survey Study ◽  
Informational Support ◽  
Structured Interviews ◽  
Positive Health ◽  
Disadvantaged Community ◽  
Related Stigma ◽  
Positive Health Outcomes

Stronger family relationships predict positive health outcomes: a relationship that is partially due to the range of emotional, practical and informational support that families can provide. Yet not all families possess these resources. A survey study in a disadvantaged community in Nottingham, UK ( N = 142) demonstrated that family identification positively predicts ability to cope with financial stress, but that this relationship is moderated by whether family support is present or absent. Semi-structured interviews with 10 members of different families from the same community shed further light upon the nature of this relationship: individuals report that they tend to turn to their family rather than friends or community services in times of financial hardship, even though their family are unlikely to be able to support them effectively, and that this is often due to feelings of embarrassment or finance-related stigma. Our findings highlight the complex role that families can play in finance-related issues, as well as the need to encourage individuals to seek financial support from sources which provide effective (rather than emotionally comfortable) assistance.

scholarly journals Experiences of Adults High in the Personality Trait Sensory Processing Sensitivity: A Qualitative Study

2021 ◽  
Vol 10 (21) ◽  
pp. 4912
Author(s):  
Sharell Bas ◽  
Mariëtte Kaandorp ◽  
Zoë P. M. de de Kleijn ◽  
Wendeline J. E. Braaksma ◽  
Anouke W. E. A. Bakx ◽  
...  
Keyword(s):  
Qualitative Research ◽  
Sensory Processing ◽  
Personality Trait ◽  
Well Being ◽  
Research Field ◽  
Negative Consequences ◽  
Structured Interviews ◽  
Fine Grained ◽  
Sensory Processing Sensitivity ◽  
Core Characteristics

Sensory processing sensitivity (SPS) is a personality trait reflecting inter-individual differences in sensitivity to negative and positive environmental information. Being high in SPS is associated with increased stress-related problems if environments are unfavourable but also appears to enhance one’s ability to benefit from health-promoting environments. In understanding SPS, therefore, lies the potential for innovating the ways we use to promote mental health. However, as a young research field, the core characteristics of SPS are yet debated. Qualitative research interviewing highly sensitive adults is important to conduct ecologically valid research connected with the complex realities of people. This study was the first to systematically report the perceptions and experiences of SPS characteristics in adults high in this trait. Semi-structured interviews (n = 26) were analysed thematically and described following consolidated criteria for reporting qualitative research. Six themes emerged: (1) emotional responding; (2) relatedness to others; (3) thinking; (4) overstimulation; (5) perceiving details; and (6) global SPS characteristics. With regards to coping with negative consequences of high SPS, the main themes were: (1) reducing sensory input and (2) psychological strategies. We gained fine-grained information on experiences of adults high in SPS and derived new hypotheses regarding the fostering of well-being related to high SPS.

scholarly journals Older Adults’ Experiences in an Online Intervention for Managing Subjective Depressive Symptoms

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 861-861
Author(s):  
Janella Hudson ◽  
Rachel Ungar ◽  
Laurie Albright ◽  
Rifky Tkatch ◽  
James Schaeffer ◽  
...  
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Qualitative Content Analysis ◽  
Well Being ◽  
Late Life Depression ◽  
Structured Interviews ◽  
Community Interactions ◽  
Web Based ◽  
Age Related ◽  
Depressive Feelings

Abstract Background Many older adults struggle with late-life depression, stress, and anxiety, especially when facing age-related transitions including retirement, relocation, and the death of a spouse. Given the consequences of depression among older adults, which include higher rates of suicide, timely interventions that help to manage depressive symptoms are essential. Objective The primary purpose of this study was to explore the perceived efficacy of an online program in improving subjective depressive feelings. Methods Older adult participants were recruited for semi-structured interviews (n = 24) in a web-based intervention that included interactive games and activities undergirded by a cognitive behavioral therapy (CBT) approach. Participants were asked to provide feedback about program features, including weekly module content, games, interactive activities and community interactions, and any perceived effects on their health behaviors and/or emotional well-being. Participants’ responses were analyzed using qualitative content analysis. Results Participants reported several gains, including developing the habit of forming ongoing, incremental goals, achieving wellness-related goals, and experiencing an overall positive shift in perspective. In addition, participants reported feeling greater gratitude, increased positivity, and improvement in mood. Featured games and activities helped to promote stress relief and entertainment, and mindfulness exercises were cited as the most helpful and/or enjoyable among participants. Participants expressed a preference for program content related to aging and aging-related transitions. Conclusions This study demonstrated feasibility of an interactive web-based intervention for older adults with subjective depressive feelings, while also providing important findings about users’ preferences for personalized, aging-related feedback.

scholarly journals Implementation of Intentional Touch for Geriatric Patients with Chronic Pain: A Qualitative Pilot Study

2019 ◽  
Vol 26 (3) ◽  
pp. 195-205
Author(s):  
Barbara Stöckigt ◽  
Ralf Suhr ◽  
Daniela Sulmann ◽  
Michael Teut ◽  
Benno Brinkhaus
Keyword(s):  
Chronic Pain ◽  
Pain Relief ◽  
Therapeutic Relationship ◽  
Pain Perception ◽  
Visual Analysis ◽  
Qualitative Content Analysis ◽  
Video Recording ◽  
Well Being ◽  
Special Importance ◽  
Structured Interviews

Background: Intentional Touch (InTouch) refers to a soft physical touch with the aim to ease complaints and enhance well-being. Central questions were perception of InTouch by nurses and patients and possible effects on pain perception. Patients and Methods: InTouch was developed by stakeholder involvement. Nurses working in geriatric care received expert training in InTouch. Semi-structured interviews and participant observation (including video recording) were conducted with nurses applying and patients with chronic pain receiving InTouch after the beginning of the intervention and after 4 weeks. Interviews were analyzed based on Qualitative Content Analysis and video recordings based on Qualitative Visual Analysis. Results: Six elderly patients with chronic pain and 6 nurses were included. Nurses and patients equally described relaxation, well-being, and a sensation of warmth during the intervention. Patients reported no pain during the intervention. After the intervention, 3 patients each experienced pain relief or no change. Patients described better drive and positive feelings, and nurses felt empowered in their nursing work. Empathetic attention had special importance for improving the therapeutic relationship. Conclusion: The results of this study suggest that InTouch promoted relaxation, well-being, and pain relief for elderly people suffering from chronic pain and may contribute positively to the therapeutic relationship.

Virtual nature, inner forest: Prospects for immersive virtual nature art and well-being

2021 ◽  
Vol 11 (1) ◽  
pp. 125-146
Author(s):  
Jessica Laraine Williams ◽  
Susannah Langley ◽  
Ann Borda
Keyword(s):  
Design Research ◽  
Well Being ◽  
Psychosocial Health ◽  
The Body ◽  
Evidence Based ◽  
Positive Health ◽  
Theoretical Frameworks ◽  
Biophilic Design ◽  
Art Practices ◽  
Positive Health Outcomes

Over a number of decades, studies have revealed compelling relationships between experiences of the natural environment and positive health outcomes in adult communities. These psychosocial health benefits have typically been described via key theoretical frameworks in the health sciences, such as the biophilia hypothesis. Despite the body of evidence for nature design and well-being, propositions for immersive virtual nature experiences are still emerging across the fields of creativity and health. In this article, we identify the potential for immersive virtual nature art as a creative well-being intervention, articulated through a discussion of background literature and concepts leading to the development of our artwork, Inner Forest (2020–21). This article incorporates a transdisciplinary suite of perspectives across three key parts; in the first section, we review key health and design research around beneficial nature experiences, with particular emphasis on designing technological nature. Secondly, we propose considerations for immersive virtual nature experiences, as distinct from prior iterations of technological nature; these considerations are framed through discussion of our artistic and well-being rationale for designing the collaborative artwork Inner Forest. This extended reality (XR) project was developed in response to well-being challenges such as social isolation and restricted nature access- of particular valence during the COVID-19 pandemic. The artwork incorporates multisensory, aesthetic elements drawn from biophilic design guidelineswhich support creative, evidence-based approaches to designed nature and societal health. To conclude this article, we report on prospects for further scaling of the Inner Forest artwork, with ongoing scope to contribute to both nature-health design and immersive virtual nature art practices.

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