scholarly journals Engagement of Fathers in Parent Group Interventions for Children with Congenital Zika Syndrome: A Qualitative Study

2019 ◽  
Vol 16 (20) ◽  
pp. 3862 ◽  
Author(s):  
Tracey Smythe ◽  
Antony Duttine ◽  
Ana Carolina Dias Vieira ◽  
Barbara da Silveira Madeira de Castro ◽  
Hannah Kuper
Keyword(s):  
Qualitative Study ◽  
Group Intervention ◽  
Participant Observation ◽  
Opportunity To Learn ◽  
Structured Interviews ◽  
Group Discussions ◽  
Community Based ◽  
Potential Barriers ◽  
Congenital Zika Syndrome ◽  
Program Data

We aimed to explore the engagement of fathers in a community-based group intervention (Juntos) for children with congenital Zika syndrome (CZS) and their caregivers in Brazil. Six Juntos groups were facilitated from August 2017 to May 2018. We conducted a qualitative study to evaluate the feasibility and acceptability of the intervention for fathers of children with CZS. Methods included participant observation, focus group discussions, and semi-structured interviews of fathers with a child enrolled in the program. Data collected were transcribed, coded and thematically analyzed to explore father preference for, and beliefs about the intervention and to assess potential barriers and enablers to their involvement. Forty-nine families (61 participants) enrolled, of whom 20% (12/61) were fathers. Seven (58%) fathers attended more than 7 out of 10 sessions. The content of Juntos was found to be acceptable to those fathers who attended. Participation in the group offered fathers the opportunity to share experiences of caring for their child and demonstrate their importance as care agents. Work commitments, and the view of mothers as primary caregivers were barriers to engagement of fathers. Facilitators to engagement included a presentation of clear objectives for fathers’ involvement and the opportunity to learn a practical skill related to caring for their child. A better understanding of the perspectives of fathers is crucial to help increase their involvement in parenting interventions.

scholarly journals Contribution of the Newborn Behavioral Observations (NBO) for the maternal care of preterm neonates

2017 ◽  
Vol 27 (3) ◽  
pp. 262
Author(s):  
Erika Silva Dittz ◽  
Claudia Regina Lindgren Alves ◽  
Elysângela Dittz Duarte ◽  
Lívia De Castro Magalhães
Keyword(s):  
Content Analysis ◽  
Qualitative Study ◽  
Maternal Care ◽  
Participant Observation ◽  
Preterm Neonates ◽  
Preterm Newborn ◽  
Structured Interviews ◽  
Daily Care ◽  
Behavioral Observations ◽  
Preterm Newborns

Introduction: In the care of preterm newborn, practices that favor the participation of mothers in care are recommended. The use of appropriate instruments by professionals can contribute to strengthen maternal participation.Objective: To analyse the contributions of the use of the Newborn Behavioral Observations (NBO) for the maternal care of preterm neonates.Methods: Descriptive qualitative study, using participant observation and semi-structured interviews with 14 mothers of preterm newborns who underwent NBO. Data was submitted to content analysis, assinted by the software MAXQda 12.Results: It was found that the mothers' prior perceptions of the newborn´s capacities or how they react to environmental stimuli do not differ from what was observed and reported by them after NBO. However, it was verified that NBO confirms this perception and broadens the mothers' understanding of the meaning of the newborn's behavior. Participating in the NBO helped the mothers to identify strategies to find the needs of the newborn, qualifying the care already performed by them and opening new possibilities for maternal care.Conclusions: The NBO is an instrument that favors the mother's learning about the behavior of the newborn and contributes to the construction of practices with potential to be used by them within daily care. This allows us to consider it as a tool that favors the mother-baby relationship, contributes to the mother's participation in the care, and supports the mother in the construction of her autonomy for the continuity of the newborn's care after hospital discharge.

scholarly journals Stabilizing Techniques and Guided Imagery for Traumatized Male Refugees in a German State Registration and Reception Center: A Qualitative Study on a Psychotherapeutic Group Intervention

2019 ◽  
Vol 8 (6) ◽  
pp. 894 ◽  
Author(s):  
Catharina Zehetmair ◽  
Inga Tegeler ◽  
Claudia Kaufmann ◽  
Anne Klippel ◽  
Luise Reddemann ◽  
...  
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Psychosocial Functioning ◽  
Group Intervention ◽  
Guided Imagery ◽  
Mental Health Problems ◽  
Structured Interviews ◽  
German State ◽  
Increased Risk ◽  
State Registration

Refugees have an increased risk of developing mental health problems. Due to the unstable setting in refugee state registration and reception centers, recommended trauma-focused treatment approaches are often not applicable. For this purpose, we devised a suitable therapeutic approach to treat traumatized refugees in a German state registration and reception center: Group therapy, focusing on stabilizing techniques and guided imagery according to Reddemann (2017). From May 2017 to April 2018, we conducted semi-structured interviews with n = 30 traumatized refugees to assess their experiences with the stabilizing techniques and guided imagery in group sessions and self-practice. Participants mainly reported that they had more pleasant feelings, felt increasingly relaxed, and could better handle recurrent thoughts. Additionally, the participants noticed that their psychosocial functioning had improved. The main difficulties that participants encountered were feeling stressed, having difficulties staying focused, or concentrating on the techniques. During self-practice, the participants found it most challenging that they did not have any verbal guidance, were often distracted by the surroundings in the accommodation, and had recurrent thoughts about post-migratory stressors, such as insecurity concerning the future or the application for asylum. Our results show that stabilizing techniques and guided imagery according to Reddemann (2017) are a suitable approach to treat traumatized refugees living in volatile conditions.

scholarly journals Letting Wood Rot: A Case Study on Local Perceptions of Global Conservation Initiatives (Boumba, Niger)

2011 ◽  
Vol 1 ◽  
pp. 40-50 ◽  
Author(s):  
Jocelyn Müller ◽  
Iro Dan Guimbo
Keyword(s):  
Participant Observation ◽  
Sustainable Use ◽  
Conservation Priorities ◽  
Local Conservation ◽  
Group Discussions ◽  
Local Perceptions ◽  
Community Based ◽  
Community Based Conservation ◽  
Conservation Actions

Although there is a pressing need for conservation in Africa and a push for such actions to be directed by the community, there is still much conflict both in academia and on the ground regarding the success and methods of community-based conservation. Employing key-informant interviews, focus group discussions and participant observation, we look at how one community has perceived the conservation actions in their village, Boumba, Niger, and the neighbouring national park, Park-W. This study examines local perceptions of the goals, priorities and methods of conservation in Park-W and the Boumba region. We demonstrate that while participants expressed positive alignment with perceived conservation goals, they did not agree with conservation priorities and felt strongly against the methods.  Reframing conservation discourse in the terms of sustainable-use or adaptive management may serve to help translate much of the conservation ethic to local realities. We argue that for local conservation to be culturally sustainable, programmers of conservation must engage the community on their own terms, and recognize the value of local perceptions.

scholarly journals Operation of the Selected Local Action Group

2015 ◽  
Vol 63 (1) ◽  
pp. 347-352 ◽  
Author(s):  
Lukáš Nevěděl ◽  
Miroslav Horák
Keyword(s):  
Local Community ◽  
Local Development ◽  
Participant Observation ◽  
Local Action ◽  
Detailed Knowledge ◽  
Structured Interviews ◽  
Community Based ◽  
Action Group ◽  
Public Debates ◽  
Current Operation

The main objective of this article is to compare the current operation of elected local action group with the concept of learning regions. This comparison is built on detailed knowledge and understanding of the operation of local action group Podbrnensko citizens’ association (Podbrnensko CA) and learning regions in general. The following is assumed: the understanding of community-based processes from the perspective of residents, the important stakeholders who influence the operation of communities or locations. The operation of local action groups is in line with the current concept led by local community development (community led local development, CLLD), which uses elements of the LEADER method. In this method the solution of development problems comes primarily from the inside, not from the outside of the studied territory. The methods used for the collection of empirical data were mostly observation and interviews with all partners involved in LAG (31 people), all mayors in LAG (29 people) and 176 people from region, i.e. methods, which result in so called deep data. Between the primary techniques applied in the research are: participant observation, unstructured or semi-structured interviews and public debates.

scholarly journals Street Clinic Nursing for coping with vulnerabilities

Rev Rene ◽  
2021 ◽  
Vol 22 ◽  
pp. e67967
Author(s):  
Giulia Romano Bombonatti ◽  
Débora de Souza Santos ◽  
Dalvani Marques ◽  
Fernanda Mota Rocha
Keyword(s):  
Qualitative Study ◽  
Nursing Care ◽  
Nursing Staff ◽  
Participant Observation ◽  
Collaborative Work ◽  
Health Inequities ◽  
Homeless Population ◽  
Structured Interviews ◽  
Nursing Team

Objective: to unveil the perceptions of the Street Clinic nursing staff about coping with vulnerabilities. Methods: qualitative study, carried out by means of participant observation of the team’s activities, recording in a field diary and semi-structured interviews with the nursing team, totaling 17 participants. Results: situations experienced by people living on the streets that deepen health inequities by violating rights were revealed. Among the nursing work tools, the potential of collaborative work, listening, and welcoming technologies stand out as mediators of a more humanized care. There is a need for specific strategies to guide nursing care on the streets. Conclusion: nursing has great potential for addressing the vulnerabilities of the homeless population using soft and soft-hard technologies.

scholarly journals The feasibility of establishing parent support groups for children with congenital Zika syndrome and their families: a mixed-methods study

2021 ◽  
Vol 6 ◽  
pp. 158
Author(s):  
Tracey Smythe ◽  
Veronika Reichenberger ◽  
Elisa María Pinzón ◽  
Isabel Cristina Hurtado ◽  
Luisa Rubiano ◽  
...  
Keyword(s):  
Support Groups ◽  
Structured Interviews ◽  
Transport Costs ◽  
Post Intervention ◽  
Group Discussions ◽  
Worker Training ◽  
Care Services ◽  
Group Data ◽  
Health And Social Care ◽  
Congenital Zika Syndrome

Background: The Zika epidemic highlighted gaps in health and social care services for parents of children with developmental disabilities. We aimed to evaluate the feasibility of a 10-week support group, ‘Juntos’, as a community-based intervention for parents of children with congenital Zika syndrome (CZS) in Colombia. Methods: Two facilitators delivered ‘Juntos’ to four groups of 8-10 caregivers. One researcher observed each group. Data were collected from: observation notes from 40 sessions, focus group discussions held after each session, pre- post intervention questionnaires with 34 caregivers, and semi-structured interviews conducted with four facilitators, 12 caregivers and three stakeholders. We used the Bowen framework in data analysis. Results: Acceptability and demand for the intervention were high. ‘Juntos’ was largely delivered with fidelity. Practicality was facilitated by providing transport costs and selecting convenient locations. Adaption requirements included additional organisational and social media support. Community health worker training may support integration and the established groups could facilitate programme expansion; however, participants perceived lack of prioritisation as a limitation. Participants’ knowledge and confidence to care for their child improved after programme enrolment. Conclusion: Acceptability, demand and practicality of ‘Juntos’ is high. Yet implementation is challenged by existing health systems gaps in support of children with CZS.

scholarly journals The Dynamics of Students Diversity in Lambung Mangkurat University

2020 ◽  
Vol 8 (2) ◽  
pp. 179-190
Author(s):  
Sarbaini Sarbaini ◽  
Gusti Muhammad Irhamna Husin ◽  
M Ihsanul Arief ◽  
Noor Ainah
Keyword(s):  
Family Environment ◽  
Participant Observation ◽  
Descriptive Analysis ◽  
Structured Interviews ◽  
Group Discussions ◽  
Daily Lives ◽  
Community Environment ◽  
The Family ◽  
Medium Quality ◽  
The Difference

One of the visible forms of worship is reading, studying and practicing the contents of the Koran. The ability to read the Koran properly that is owned by a person will increase the enthusiasm to deepen it. Thus, fluency and accuracy in reciting the recitation of the Koran is very important for everyone, because it will lead to validity and failure of one's prayers, and also an encouragement to deepen the study of the Koran. This research was conducted at Lambung Mangkurat University in the Teaching and Education Faculty (FKIP), the Faculty of Economics and Business (FEB) and the Faculty of Medicine (FK). The focus of research on students' religious behavior is assessed by their ability to read the Koran by the behavior they display in their daily lives. The method used is a qualitative approach with descriptive analysis techniques. Data were collected using participant observation and dept interview techniques. The interview approach used was structured interviews and free interviews. The research was conducted for two months, (October-November, 2019). Data checking was carried out through focus group discussions. There are three categories that this research produces: first, students who have high quality; second, students who have medium quality; and third, have low quality in reading the Koran. The factors that become the difference in quality are caused by the influence of the family environment, the influence of the previous educational environment, and the influence of the community environment.

Challenges of the Relative Value Unit Experience in Iran: A Qualitative Study

2021 ◽  
Vol 15 (5) ◽  
pp. 1249-1255
Author(s):  
S. Forootan ◽  
S. Hajebrahimi ◽  
B. Najafi ◽  
A. Janati
Keyword(s):  
Qualitative Study ◽  
Service Providers ◽  
Health Sector ◽  
Active Role ◽  
Structured Interviews ◽  
Group Discussions ◽  
Provider Behavior ◽  
Income Disparities ◽  
Relative Value ◽  
Data Content

Background: The Relative Value Unit (RVU) is a value scale and plays a key role in the physician reimbursement system. The health sector has faced challenges such as providers’ dissatisfaction, income disparities, and reduced service quality which is said to be due to improper RVUs. Always there are debates about it. This study aims to identify the challenges of the RVU experience in Iran from the perspective of the service providers, payers and, policymakers. Methods: This qualitative study was conducted in 2020. Data were collected from November 2019 to February 2020. Thirty experts participated in the study and were categorized into four groups: insurance organizations’ managers, surgeons, health economists, and health policymakers. Focus Group Discussions and semi-structured interviews were held to collect data. Content analysis was conducted to analyze data. Results: According to the expert, the challenges of RVU in Iran are classified into five scopes. Financial, payment, macro-organization, regulation, and persuasion scope. Each scope’s result was categorized into main themes and relevant sub-themes. Conclusions: The RVU has an important impact on the health system, provider behavior, and even patients. Paying attention to required infrastructures, decision- makers’ conflict of interests, decrease the Ministry of Health and Medical Education’s authority, and expanding the active role of involved organizations to increase their commitment to the successful implantation of RVU is necessary. Keywords: Relative Value Unit, Challenge, Expert opinion, Qualitative study, Iran.

scholarly journals Challenges of Obtaining Informed Consent in Emergency Ward: A Qualitative Study in One Iranian Hospital

2017 ◽  
Vol 11 (1) ◽  
pp. 263-276 ◽  
Author(s):  
Nayyereh Davoudi ◽  
Nahid Dehghan Nayeri ◽  
Mohammad Saeed Zokaei ◽  
Nematallah Fazeli
Keyword(s):  
Informed Consent ◽  
Qualitative Study ◽  
Health Care Providers ◽  
Participant Observation ◽  
Research Field ◽  
Public Hospitals ◽  
Consent Process ◽  
Care Providers ◽  
Structured Interviews ◽  
Emergency Ward

Background and Objective:Regarding the fact that emergency ward has unique characteristics, whose uniqueness affects informed consent processes by creating specific challenges. Hence, it seems necessary to identify the process and challenges of informed consent in the emergency ward through a qualitative study to understand actual patients’ and health care providers’ experiences, beliefs, values, and feelings about the informed consent in the emergency ward. Through such studies, new insight can be gained on the process of informed consent and its challenges with the hope that the resulting knowledge will enable the promotion of ethical, legal as well as effective health services to the patients in the emergency ward.Method:In this qualitative study, research field was one of the emergency wards of educational and public hospitals in Iran. Field work and participant observation were carried out for 515 hours from June 2014 to March 2016. Also, conversations and semi-structured interviews based on the observations were conducted. The participants of the study were nurses and physicians working in the emergency ward, as well as patients and their attendants who were involved in the process of obtaining informed consent.Results:Three main categories were extracted from the data: a sense of frustration; reverse protection; and culture of paternalism in consent process.Conclusion:Findings of this study can be utilized in correcting the structures and processes of obtaining informed consent together with promotion of patients' ethical and legal care in emergency ward. In this way, the approaches in consent process will be changed from paternalistic approach to patient-centered care which concomitantly protects patient’s autonomy.

scholarly journals Community-based rehabilitation programme for adolescents with mental health conditions in Israel: a qualitative study protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e032809
Author(s):  
Hila Tuaf ◽  
Hod Orkibi
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Mental Health Professionals ◽  
Rehabilitation Programme ◽  
Health Conditions ◽  
Ministry Of Education ◽  
Structured Interviews ◽  
Community Based ◽  
Mental Health Conditions ◽  
Informed Consent Form

IntroductionIn Israel, 12% of adolescents have mental health conditions. Approximately 600 adolescents with mental health conditions are hospitalised each year and about 40% of them return to the hospital and are thus cut-off from their daily lives and peers in the community. In contrast to adults, adolescents with mental health conditions in Israel are not eligible by law for rehabilitation services. Thus, the overarching goal of this qualitative study is to identify best practices for the implementation of community-based psychosocial rehabilitation programme for this population, by examining the first such programme in Israel. Amitim for Youth, which was established in 2018 by the Israel Association of Community Centers in cooperation with the Ministry of Health, the Ministry of Education and the Special Projects Fund of the National Insurance Institute.Methods and analysisQualitative data will be collected through in depth semi-structured interviews and focus groups. To identify themes and patterns in the data, a six-stage reflexive thematic analysis approach will be used. A triangulation procedure will be conducted to strengthen the validity of the findings collected by different methods and from various stakeholders in the programme: the programme’s decision-makers, programme team members, the intended beneficiaries and referring mental health professionals. To insure the trustworthiness of the findings, three strategies will be employed: memo writing, reflexive journaling and member checking.Ethics and disseminationThis study was approved by the Ethics Committee for Human Research in the Faculty of Social Welfare and Health Sciences at the University of Haifa (#455–18) and by the Chief Scientist in the Ministry of Education (#10566). All participants will sign an informed consent form and will be guaranteed confidentiality and anonymity. Data collection will be conducted in the next 2 years (2019 to 2020). After data analysis, the findings will be disseminated via publications.

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