scholarly journals Discrimination in In-Patient Geriatric Care: A Qualitative Study on the Experiences of Employees with a Turkish Migration Background

2020 ◽  
Vol 17 (7) ◽  
pp. 2205
Author(s):  
Nazan Ulusoy ◽  
Anja Schablon
Keyword(s):  
Qualitative Content Analysis ◽  
Geriatric Care ◽  
Migration Background ◽  
Structured Interviews ◽  
Eye Color ◽  
Migrant Background ◽  
Explorative Study ◽  
Care Workers ◽  
Turkish Migrant

In most studies, nurses with a migrant background report experiences of interpersonal discrimination. These often occur in interaction with those in need of care. However, in Germany this topic has remained largely unexplored, although a large proportion of the employees in geriatric care have a migration background. The aim of the study was to investigate whether care workers with Turkish migration background in in-patient geriatric care are exposed to discrimination from residents. Furthermore, the reasons for discrimination, handling of discrimination and recommendations for in-patient geriatric facilities to avoid/reduce discrimination were examined. In a qualitative, explorative study, 24 employees with Turkish migrant background working in in-patient geriatric care were interviewed in 2017. The semi-structured interviews were evaluated using a qualitative content analysis according to Mayring. The majority (N = 20) experienced or observed discrimination. This occurred mainly in the form of xenophobic insults and rejections. They perceived visible traits (dark hair and eye color, clothing) as potential reasons. To deal with the discrimination, most of them temporarily left the scene. They recommend that institutions should primarily make the diversity of the workforce transparent to avoid/reduce discrimination. More research is needed about discrimination against care workers with migration background because discrimination may have serious psychological effects that impact employee retention and the quality of care.

scholarly journals Exploring the experiences of nurses caring for patients with COVID-19: a qualitative study in Iran

BMC Nursing ◽  
2022 ◽  
Vol 21 (1) ◽  
Author(s):  
Sudabeh Ahmadidarrehsima ◽  
Nasibeh Salari ◽  
Neda Dastyar ◽  
Foozieh Rafati
Keyword(s):  
Compassion Fatigue ◽  
Qualitative Content Analysis ◽  
Patient Care Team ◽  
Social Experiences ◽  
Mitigation Strategies ◽  
Structured Interviews ◽  
Master's Degrees ◽  
Social Burden ◽  
Professional Needs

Abstract Background The coronavirus disease (COVID-19) is now a major public health emergency in the world. Nurses as key members of the COVID-19 patient care team are exposed to most challenges caused by the disease. As exploring the experiences of nurses as patient supporters and caregivers can play an important role in improving the quality of care for patients with COVID-19 disease, the present study explored the experiences of nurses caring for patients with COVID-19. Methods The study employed a qualitative design. This study employed purposive sampling to select 10 nurses with bachelors and master’s degrees in nursing who were taking care of patients with COVID-19 in ICUs or inpatient wards in southern Iran. Data were collected through semi-structured interviews. The collected data were analyzed using the qualitative content analysis procedure proposed by Graneheim and Lundman. Results The analysis of the data revealed four main themes and ten sub-themes: A) physical, psychological, and social burden of care (excessive workload; fear, anxiety, worry; unpleasant social experiences; compassion fatigue) B) unmet needs (personal needs and professional needs) C) positive experiences (pleasant social experiences and inner satisfaction), and D) strategies (problem-solving strategies and stress symptom mitigation strategies). Conclusions An analysis of the themes and subthemes extracted in this study suggested that the nurses who participated in this study faced many personal and professional challenges. Therefore, health officials and specialists need to pay special attention to nurses’ challenges and needs.

scholarly journals Dementia in People with a Turkish Migration Background: Experiences and Utilization of Healthcare Services

2020 ◽  
Vol 77 (2) ◽  
pp. 865-875
Author(s):  
Jessica Monsees ◽  
Tim Schmachtenberg ◽  
Wolfgang Hoffmann ◽  
Amy Kind ◽  
Andrea Gilmore-Bykovskyi ◽  
...  
Keyword(s):  
Family Caregivers ◽  
Help Seeking ◽  
Qualitative Content Analysis ◽  
Relevant Information ◽  
Healthcare Services ◽  
Migration Background ◽  
Structured Interviews ◽  
Migrant Populations ◽  
Turkish Culture ◽  
Willingness To Use

Background: As the proportion of older people with migration background (PwM) increases, the proportion of older PwM with dementia might also increase. Dementia is underdiagnosed in this group and a large proportion of PwM with dementia and family caregivers are not properly supported. Healthcare utilization is lower among older migrant populations. Thus, a better understanding of how PwM and family caregivers perceive their situation and how they experience healthcare services is needed to improve utilization of the healthcare system. Objective: Analyze how family caregivers of PwM with dementia experience their situation, why healthcare services are utilized less often, and what can be done to reverse this. Methods: Eight semi-structured interviews were conducted with people with Turkish migration background caring for PwM with dementia. Qualitative content analysis was used for data analysis. Results: Daily care was performed by one family member with the support of others. Healthcare services were used by most participants. Participants identified a need for better access to relevant information and incorporation of Turkish culture into healthcare services. Conclusion: PwM face similar challenges in taking care of persons with dementia as those without migration background. There is a willingness to use services, and services embracing Turkish culture would help to reduce hesitance and make affected people feel more comfortable, thereby increasing utilization and satisfaction. A limitation of this study is that participants were already connected to health services, which may not reflect the help-seeking behavior of those in the Turkish community who are not involved in healthcare.

Perceptions of prognosis and goals of care in patients receiving radiation therapy.

2019 ◽  
Vol 37 (31_suppl) ◽  
pp. 30-30
Author(s):  
Claudia Sofia Roldan ◽  
Jie Jane Chen ◽  
Alexandra N. Nichipor ◽  
Tracy A. Balboni ◽  
Monica Shalini Krishnan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Radiation Therapy ◽  
Lung Metastases ◽  
Qualitative Content Analysis ◽  
Metastatic Cancer ◽  
Structured Interviews ◽  
Goals Of Care ◽  
Palliative Radiation Therapy ◽  
Medical Teams

30 Background: We aimed to gain insight into the experiences and perceptions of patients with advanced metastatic cancer surrounding palliative radiation therapy (RT). Methods: In-depth structured interviews were conducted from 9/2016 to 10/2018 with 17 patients with bone or lung metastases receiving their first course of palliative RT. Patient answers about understandings of goals of care and disease prognosis were recorded and analyzed through qualitative content analysis. Medical records were reviewed to obtain demographic and clinical data. Results: The median age of patients was 64 years (range: 21-82). The median survival from time of metastatic diagnosis was 17.6 months (range: 1-46). When asked about goals of RT, qualitative analysis revealed that half (53%) linked receiving palliative RT to improving their quality of life, however 35% believed RT would completely get rid of their tumor. Words that were used commonly throughout patient answers included alleviating pain (41%), cure (29%), and reducing tumor growth (24%). All patients reported they received their information about goals of care from their medical teams. When asked about prognosis, 53% said prognosis had been discussed with them, whereas 76.5% said they were interested in information about prognosis. When asked “What do you believe lies ahead?,” about half (47%) expressed uncertainty about the future, while others (41%) were focused on the next steps in treatment. In the patients interested in learning more about their prognosis, there was a strong preference for this information to come from their medical teams. Conclusions: More than half of patients accurately identified the goal of RT as improving their quality of life, however some patients believed that the palliative RT would cure their tumor. This highlights the ongoing gap in patient provider communication and the need for improvement in this area. Inaccurate perceptions of goals of treatment and prognosis may motivate some patients to pursue unnecessarily aggressive treatments, which could affect quality of life without improving survival. Referrals to radiation oncologists present a potential opportunity to reopen discussions on goals of care and prognosis to adjust patient expectations.

scholarly journals How to support patients who are crying in palliative home care: an interview study from the nurses’ perspective

2016 ◽  
Vol 17 (05) ◽  
pp. 479-488 ◽  
Author(s):  
Kerstin Rydé ◽  
Katarina Hjelm
Keyword(s):  
Home Care ◽  
Qualitative Content Analysis ◽  
Close Contact ◽  
Structured Interviews ◽  
Palliative Home Care ◽  
Pain Anxiety ◽  
Explorative Study ◽  
Sense Of Security ◽  
Practical Support ◽  
Different Types

AimThe aim of this study was to explore how nurses can support patients who are crying in a palliative home care context.BackgroundIn palliative care the nurse has a central role in the team whose duty it is to create a sense of security and trust, as well as to give comfort and support the patients. The nurse’s responsibility is to identify different needs of the patients for support and develop a relationship with them. Patients may express their pain, anxiety, fear and suffering by crying. No studies have been found which focus on how nurses can support patients who are crying in different ways and crying for different reasons.MethodsA qualitative explorative study was performed. Semi-structured interviews were held with eight nurses aged 32–63 years (Median 40) working in Swedish palliative home care. The data were analysed using Qualitative Content analysis.FindingsIt was reported that the nurse should meet and confirm the patient during different types of crying episodes and should also be able to alternate between being close and physically touching the in such close contact with the patients, the nurse can provide emotional support by showing empathy, merely being present and letting the patients cry as much as they want. When the crying finally stops, the nurse can support the person by speaking with them, showing sensitivity, humility and respect for the patient’s wishes. A few examples of the patients’ need for information or practical support emerged. The nurse can emotionally support the person who is crying by just being present, confirming, showing empathy, offering a chance to talk and showing respect for their individual needs and the different ways they may cry.

scholarly journals Unsafe nursing documentation: A qualitative content analysis

2019 ◽  
Vol 27 (5) ◽  
pp. 1213-1224 ◽  
Author(s):  
Ali Tajabadi ◽  
Fazlollah Ahmadi ◽  
Afsaneh Sadooghi Asl ◽  
Mojtaba Vaismoradi
Keyword(s):  
Content Analysis ◽  
Interpersonal Relationships ◽  
Urban Areas ◽  
Qualitative Content Analysis ◽  
Healthcare Management ◽  
Main Theme ◽  
Structured Interviews ◽  
Nursing Documentation ◽  
Factors Influencing

Background Nursing documentation as a pivotal part of nursing care has many implications for patient care in terms of safety and ethics. Objectives To explore factors influencing nursing documentation from nurses’ perspectives in the Iranian nursing context. Methods This qualitative study was carried out using a qualitative content analysis of data collected from 2018 to 2019 in two urban areas of Iran. Semi-structured interviews (n = 15), observations, and reviews of patients’ medical files were used for data collection. Ethical considerations This study was conducted in accordance with the ethical principles of research and regulations in terms of confidentiality of data, anonymity, and provision of informed consent. Findings The main theme of this study was “unsafe documentation.” Two categories, “types of errors in reporting” and “reasons of errors in reporting,” and 12 subcategories were developed indicating factors influencing nursing documentation in the Iranian nursing context. Conclusion In general, individual, organizational, and national factors affected nursing documentation in Iran. In this respect, hiring more nurses, application of reforms in the healthcare management structure, devising appropriate regulations regarding division of labor, constant education of healthcare staff, establishment of clinical governance, improvement of interpersonal relationships, development of hardware and software techniques for documentation, and provision of support should be done to improve the quality of nursing documentation. The above-mentioned suggestions can help nurses with a safe, ethical, lawful, and reliable documentation in nursing practice.

scholarly journals Professionalism of Nurses Working In Geriatric Intermediate Care Facilities: An Analysis Using Semi-Structured Interviews

2016 ◽  
Vol 1 (1) ◽  
Keyword(s):  
Care Patient ◽  
Geriatric Care ◽  
Working Environment ◽  
Comprehensive Care ◽  
Intermediate Care ◽  
Geriatric Nursing ◽  
Structured Interviews ◽  
Care Facilities ◽  
Intermediate Care Facilities

Background: Japan is getting older and older. More than 26% of the population is 65 years or over. Therefore, the needs and quality of geriatric nursing should be improved. At the same time, the standards and requirements in geriatric intermediate care facilities (GIFs) are also changing. However, the quality of geriatric care in Japan is not in a satisfied level. In order to improve the quality of geriatric nursing, reconsidering professionalism in nurses is crucial. Moreover, it is important to address appropriate working environment of nurses to develop, maintain and enhance their professionalism. Objectives: The aim of this study was to obtain insights to the professionalism of nurses in geriatric intermediate care facilities from the perspectives and experiences of geriatric care. Methodology: A qualitative exploratory descriptive research design was used in this study. The study participants were three clinical nurse specialists of geriatric nursing and five nurse managers from geriatric care facilities. A purposive sampling was used. Results: Five descriptive themes related to the professionalism of nurses in geriatric care facilities were identified: autonomy, comprehensive care, patient advocacy, educational activities, and work with other specialists. Conclusions: Professionalism identified in this study is similar to that of clinical nurses that was reported previous studies. However, some sub-categories indicate the characteristics of geriatric care facilities, such as decision making when a physician is absent, which is included in autonomy, and the life model, which is included comprehensive care.

scholarly journals Main Influencing Factors of Quality Determination of Collaborative Open Data Pages

Information ◽  
2020 ◽  
Vol 11 (6) ◽  
pp. 283
Author(s):  
Ralf-Christian Härting ◽  
Włodzimierz Lewoniewski
Keyword(s):  
Influencing Factors ◽  
Qualitative Content Analysis ◽  
Open Data ◽  
Knowledge Bases ◽  
Poor Quality ◽  
Process Efficiency ◽  
Sources Of Information ◽  
Structured Interviews

Collaborative knowledge bases allow anyone to create and edit information online. One example of a resource with collaborative content is Wikipedia. Despite the fact that this free encyclopedia is one of the most popular sources of information in the world, it is often criticized for the poor quality of its content. Articles in Wikipedia in different languages on the same topic, can be created and edited independently of each other. Some of these language versions can provide very different but valuable information on each topic. Measuring the quality of articles using metrics is intended to make open data pages such as Wikipedia more reliable and trustworthy. A major challenge is that the ‘gold standard’ in determining the quality of an open data page is unknown. Therefore, we investigated which factors influence the potentials of quality determination of collaborative open data pages and their sources. Our model is based on empirical data derived from the experience of international experts on knowledge management and data quality. It has been developed by using semi-structured interviews and a qualitative content analysis based on Grounded Theory (GT). Important influencing factors are: Better outcomes, Better decision making, Limitations, More efficient workflows for article creation and review, Process efficiency, Quality improvement, Reliable and trustworthy utilization of data.

How health professionals facilitate parents’ involvement in decision-making at the hospital: A parental perspective

2017 ◽  
Vol 22 (1) ◽  
pp. 108-121 ◽  
Author(s):  
Antje Aarthun ◽  
Knut A Øymar ◽  
Kristin Akerjordet
Keyword(s):  
Decision Making ◽  
Parental Involvement ◽  
Health Professionals ◽  
Qualitative Content Analysis ◽  
Structured Interviews ◽  
Health Promoting ◽  
Parents Involvement ◽  
Purposive Sample ◽  
Parents Experiences

In many western countries, parents have a legal right to influence and be involved in decision-making (DM) surrounding their children’s healthcare. This ensures that the healthcare is customized as far as possible to meet the children’s and families’ needs and preferences. However, parental involvement in such DM is not sufficiently implemented and the parental role during hospitalizations has become demanding. More knowledge is required to inform health professionals (HPs) about how to improve parental involvement in DM from a health-promoting perspective. The aims of this study were to explore parents’ experiences of how HPs facilitate their involvement in the DM surrounding their child’s healthcare and to identify how HPs can improve parental involvement at the hospital. This was an explorative, descriptive qualitative study within a constructivist research paradigm, comprising a purposive sample of 12 parents participating in individual semi-structured interviews. Qualitative content analysis was performed. The findings showed that HPs’ sensitivity to parents’ capacity, resources and needs was essential in order to facilitate the latter’s involvement in DM. HPs’ sensitivity also seemed to influence the quality of communication and the HP-parent relationship. Moreover, these factors appeared to affect parents’ coping ability during their children’s hospitalization.

scholarly journals Accept and apply diversity? An exploratory study of the attitudes towards diversity of students of STEM subjects

2021 ◽  
Vol 1 (2) ◽  
Author(s):  
Petia Genkova ◽  
Henrik Schreiber
Keyword(s):  
Academic Success ◽  
Cultural Diversity ◽  
Social Integration ◽  
Intercultural Competence ◽  
Qualitative Content Analysis ◽  
Migration Background ◽  
Working Environment ◽  
Structured Interviews ◽  
Diversity Awareness ◽  
Stem Students

AbstractGerman universities are obligated to guarantee a fair learning environment for students with diverse features. They also must prepare students for a highly diverse working environment. This means to develop awareness for diversity and to train intercultural competence. The present study takes an exploratory look at the extent to which diversity awareness is established among science, technology, engineering, and mathematics (STEM) students and which barriers for the academic success students with a migration background perceive. To counteract discrepancies between the current state and the need for diversity awareness at universities, it identifies areas with room for improvement regarding the dealing with cultural diversity. Structured interviews with 31 STEM students were carried out and analyzed using qualitative content analysis. The interviews revealed differences in the awareness of diversity between students with and without a migration background. Results showed that there are barriers for STEM students with migration backgrounds which potentially reduce their academic success. Those barriers result from a lack of acceptance of cultural diversity and insufficient social integration and were especially apparent in insufficient language skills, orientation difficulties, and a lower degree of social integration. On the other hand, there is a need for both students with and without a migration background to promote competence and raise awareness for diversity. Furthermore, the role of social support as a resource became apparent.

scholarly journals Barriers to Provision of Spiritual Care in Mental Health Care Centers: A Qualitative Content Analysis

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Siamak Amiri ◽  
Parvaneh Vasli ◽  
Jamileh Mohtashami ◽  
Nadereh Memaryan
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Content Analysis ◽  
Mental Health Care ◽  
Spiritual Care ◽  
Qualitative Content Analysis ◽  
Structured Interviews ◽  
Data Saturation ◽  
Health Care Centers

Background: Spiritual care (SC) is an appropriate source for adaptation and coping with disease and life stressors. Although SC contributes to the quality of life and mental health of clients, there are barriers to the provision of such care. Objectives: This study aimed to explore barriers to the provision of SC in mental health care centers from the viewpoints of mental health care provider (MHCP) experts. Methods: This qualitative study was conducted based on conventional content analysis on 19 participants who were selected from different groups of MHCPs. The participants were selected by purposive sampling method from December 2019 to December 2020 in Karaj and Tehran, Iran, by considering the maximum diversity. Data were collected through semi-structured interviews with participants during an average time of 60 min per interview until data saturation. The transcripts of the interviews were analyzed by qualitative content analysis. Results: Barriers to SC were obtained in four categories and 10 subcategories. The categories included “SC concept-related barriers”, “barriers related to MHCPs”, “organizational barriers”, and “barriers related to SC recipients.” Conclusions: This study demonstrated various barriers to the provision of SC to the clients of health care centers that should be removed to promote the level and quality of SC.

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