Experiences of New Zealand Haemodialysis Patients in Relation to Food and Nutrition Management: A Qualitative Study

People receiving haemodialysis have considerable and complex dietary and healthcare needs, including co-morbidities. A recent New Zealand study has shown that few patients on haemodialysis are able to meet nutritional requirements for haemodialysis. This study aims to describe the perspectives and experiences of dietary management among patients on haemodialysis in New Zealand. This exploratory qualitative study used in-depth semi-structured interviews. Purposive sampling was used to recruit participants from different ethnic groups. Forty interviews were conducted, audio-recorded and transcribed verbatim. An inductive approach was taken using thematic analysis. Forty participants were interviewed. Participants spoke of major disruption to their lives as a result of their chronic kidney disease and being on haemodialysis, including loss of employment, financial challenges, loss of independence, social isolation and increased reliance on extended family. Most had received adequate dietary information, although some felt that more culturally appropriate support would have enabled a healthier diet. These findings show that further support to make the recommended dietary changes while on haemodialysis should focus on socio-cultural factors, in addition to the information already provided.

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Healthcare and Terrorism: The Lebanese Experience

Disaster Medicine and Public Health Preparedness ◽

10.1017/dmp.2021.26 ◽

2021 ◽

pp. 1-4

Author(s):

Nooreddine Iskandar ◽

Tatiana Rahbany ◽

Ali Shokor

Keyword(s):

Public Health ◽

Qualitative Study ◽

Thematic Analysis ◽

Terrorist Attacks ◽

Analysis Method ◽

Structured Interviews ◽

Security Issues ◽

The Face ◽

The Common ◽

First Time

Abstract Background: Due to the common instability caused by political and security issues, Lebanese hospitals have experienced acts of terrorism multiple times. The most recent Beirut Explosion even forced several hospitals to cease operations for the first time in decades—but studies show the preparedness levels for such attacks in similar countries are low. Objective: The aim of this study is to explore the experience of Lebanese hospitals with terrorist attacks. Methods: This qualitative study used semi-structured interviews with various stakeholders to assess their experience with terrorist bombings. Data was analyzed using the thematic analysis method. Results: The researchers found that Lebanese hospitals vary greatly in their structures and procedures. Those differences are a function of 3 contextual factors: location, culture, and accreditation status. Hospitals found near ‘dangerous zones’ were more likely to be aware and to have better response to such events. A severe lack of communication, unity of command, and collaboration between stakeholders has made the process fragmented. Conclusion: The researchers recommend a larger role for the Ministry of Public Health (MOPH) in this process, and the creation of a platform where Lebanese organizations can share their experiences to improve preparedness and resilience of the Lebanese healthcare system in the face of terrorism.

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Social support from the perspective of adolescent victims of domestic violence

Revista da Escola de Enfermagem da USP ◽

10.1590/s0080-623420140000400006 ◽

2014 ◽

Vol 48 (4) ◽

pp. 610-617 ◽

Cited By ~ 6

Author(s):

Diene Monique Carlos ◽

Maria das Graças Carvalho Ferriani ◽

Michelly Rodrigues Esteves ◽

Lygia Maria Pereira da Silva ◽

Liliana Scatena

Keyword(s):

Social Support ◽

Domestic Violence ◽

Content Analysis ◽

Qualitative Study ◽

Interpersonal Relationships ◽

Extended Family ◽

Structured Interviews ◽

The Social ◽

Sources Of Support ◽

Adolescent Victims

Objective: Assess the understanding of adolescents regarding the social support received in situations of domestic violence. Method: A qualitative study with data collection carried out through focus groups with 17 adolescent victims of domestic violence, institutionally welcomed in Campinas-SP, and through semi-structured interviews with seven of these adolescents. Information was analyzed by content analysis, thematic modality. Results: Observing the thematic categories it was found that social support for the subjects came from the extended family, the community, the Guardianship Council, the interpersonal relationships established at the user embracement institution and from the religiosity/spirituality. Conclusion: The mentioned sources of support deserve to be enhanced and expanded. With the current complexity of the morbidity and mortality profiles, especially in children and adolescents, the (re)signification and the (re)construction of health actions is imperative.  

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Understanding Relationship between Milestone and Decision-Making in Project Management: A Qualitative Study among Project Managers in Saudi Arabia

International Journal of Business and Management ◽

10.5539/ijbm.v13n8p184 ◽

2018 ◽

Vol 13 (8) ◽

pp. 184 ◽

Cited By ~ 2

Author(s):

Umar Altahtooh ◽

Thamir Alaskar

Keyword(s):

Decision Making ◽

Saudi Arabia ◽

Project Management ◽

Qualitative Study ◽

Thematic Analysis ◽

Project Managers ◽

Structured Interviews ◽

Pragmatic Research ◽

The Impact ◽

The Relationship

Despite the importance of milestone as a key knowledge in project management, there has been lack of research to understand the relationship between milestones and decision-making. This paper presents a pragmatic research context that aims understanding the nature of milestones and their relationship with different decision-making structures and responsibilities across projects. Data were collected through 14 semi-structured interviews with project managers and analyzed using thematic analysis. The findings explore the concepts of project milestones among project managers in Saudi Arabia. The paper finds that there is a relationship between milestones and the impact on decision-making.

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The aftermath of burn injury from the child’s perspective: A qualitative study

Journal of Health Psychology ◽

10.1177/1359105318800826 ◽

2018 ◽

Vol 25 (13-14) ◽

pp. 2464-2474 ◽

Cited By ~ 2

Author(s):

Marthe R Egberts ◽

Rinie Geenen ◽

Alette EE de Jong ◽

Helma WC Hofland ◽

Nancy EE Van Loey

Keyword(s):

Qualitative Study ◽

Thematic Analysis ◽

Parental Support ◽

Burn Injury ◽

Psychosocial Impact ◽

Structured Interviews ◽

Psychological Barriers ◽

Injury Event ◽

And Coping ◽

Vivid Memories

A burn injury event and subsequent hospitalization are potentially distressing for children. To elucidate the child’s experience of pediatric burn injury, children’s reflections on the burn event and its aftermath were examined. Semi-structured interviews were conducted with eight children (12–17 years old). Using thematic analysis, interview transcripts were coded and codes were combined into overarching categories. Three categories were identified: vivid memories; the importance of parental support; psychosocial impact and coping. Implications for care are discussed in terms of assessing children’s appraisals, paying attention to the parent’s role, and preparing families for potential psychological barriers after discharge.

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Swimming for dementia: An exploratory qualitative study: Innovative practice

Dementia ◽

10.1177/1471301218768372 ◽

2018 ◽

Vol 18 (2) ◽

pp. 776-784 ◽

Cited By ~ 2

Author(s):

Tanya Hobden ◽

Mary Swallow ◽

Charlotte Beer ◽

Tom Dening

Keyword(s):

Qualitative Study ◽

Physical Fitness ◽

Thematic Analysis ◽

Local Group ◽

Weight Bearing ◽

Structured Interviews ◽

Innovative Practice ◽

People With Dementia ◽

The Impact

Swimming is a non-weight bearing form of exercise that can be enjoyable and promote physical fitness. This qualitative study investigated a local group established as part of a national dementia swimming initiative. Semi-structured interviews with people with dementia (N = 4), carers or companions (N = 4) and the organisers and facilitators of the group (N = 6) were analysed using thematic analysis. This revealed four main themes: (1) the pleasure of swimming and its benefits as a form of exercise and for building confidence and empowering participants, (2) the importance of insight and empathy in creating a safe and secure experience, (3) the impact of dementia and (4) how participants valued being part of a group ‘all in the same boat’. ‘Dementia friendly swimming’ appears to be a valuable form of exercise, but it requires considerable preparation and support to make it happen.

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Knowledge, Attitudes and Expectations of Physicians with Respect to Palliative Care in Ecuador: A Qualitative Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17113906 ◽

2020 ◽

Vol 17 (11) ◽

pp. 3906 ◽

Cited By ~ 2

Author(s):

Viviana Dávalos-Batallas ◽

Vinita Mahtani-Chugani ◽

Carla López-Núñez ◽

Víctor Duque ◽

Fatima Leon-Larios ◽

...

Keyword(s):

Palliative Care ◽

Health Policy ◽

Qualitative Study ◽

Health Services ◽

Human Resources ◽

Thematic Analysis ◽

Medical Professional ◽

Structured Interviews ◽

Unequal Distribution

Background: The worldwide need for palliative care is high, especially in mid- income countries like Ecuador, where the percentage of patients receiving such care is very small due to the scarcity of infrastructure and specialized personnel and to the unequal distribution in the country. The objective of this study is to explore the knowledge, attitudes and expectations related to palliative care of the physicians in Ecuador. Methods: A qualitative study based on 28 semi-structured interviews, from March 2014 to November 2016, with physicians working in four cities in Ecuador recruited through the snowball technique. Thematic analysis was developed supported by the ATLAS.ti software. Results: Five core themes were identified: (1) training, (2) health policy, (3) professionals’ activities, (4) health services and (5) development of palliative care in Ecuador. Conclusions: Strategies are needed which intensify the training of medical professional in palliative care, as well as avail the human resources and materials for providing it.

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Examining Stakeholder’s Views On Refugee Healthcare Needs, Current Barriers in Accessing Healthcare Services and Future Healthcare Direction in New Zealand: A Qualitative Phenomenological Approach

10.21203/rs.3.rs-877910/v1 ◽

2021 ◽

Author(s):

Bafreen Sherif ◽

Ahmed Awaisu ◽

Nadir Kheir

Keyword(s):

New Zealand ◽

Health Services ◽

Qualitative Methodology ◽

Healthcare Delivery ◽

Healthcare Providers ◽

Healthcare Services ◽

Healthcare Personnel ◽

Structured Interviews ◽

Health Seeking ◽

Healthcare Needs

Abstract Background The annual New Zealand refugee quota was increased to 1500 places from 2020 onwards as a response to the global refugee crisis. The specific healthcare needs of refugees are not clearly understood globally and communication between healthcare providers and refugees remains poor. Methods A phenomenological qualitative methodology was employed to conduct semi-structured interviews among purposively selected stakeholders who work in refugee organisations and relevant bodies in New Zealand. Results The participants indicated the need for a national framework of inclusion, mandating cultural competency training for frontline healthcare and non-healthcare personnel, creation of a national interpretation phone line, and establishing health navigators. Barriers to accessing health services identified included some social determinants of health such as housing and community environment; health-seeking behaviour and health literacy; and social support networks. Future healthcare delivery should focus on capacity building of existing services, including co-design processes, increased funding for refugee-specific health services, and whole government approach. Conclusion Policymakers and refugee organisations and their frontline personnel should seek to address the deficiencies identified in order to provide equitable, timely and cost-effective healthcare services for refugees in New Zealand.

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GPs’ decisions about prescribing anticipatory medicines at the end of life: a qualitative study

British Journal of General Practice ◽

10.3399/bjgp19x702809 ◽

2019 ◽

Vol 69 (suppl 1) ◽

pp. bjgp19X702809

Author(s):

Ben Bowers ◽

Kristian Pollock ◽

Sam Barclay ◽

Stephen Barclay

Keyword(s):

Decision Making ◽

Qualitative Study ◽

End Of Life ◽

Thematic Analysis ◽

Symptom Management ◽

Symptom Relief ◽

Structured Interviews ◽

Family Experiences ◽

Decision Making Processes ◽

Purposive Sample

BackgroundGPs have a central role in decisions about prescribing anticipatory medications (AMs) to help control symptoms at the end of life. Little is known about GPs’ decision-making processes in prescribing AMs and the subsequent use of prescribed drugs.AimTo explore GPs’ decision-making processes in the prescribing and use of AMs for patients at the end of life.MethodA qualitative interpretive descriptive enquiry with a purposive sample of 13 GPs working across one English county. Data was collected in 2017 via semi-structured interviews and analysed inductively using Braun and Clarke’s thematic analysis.ResultsThree themes were constructed from the data: 1) ‘Something we can do’: AMs were a tangible intervention GPs felt they could offer to provide symptom relief for patients approaching death. 2) ‘Getting the timing right’: the prescribing of AMs was recognised as a harbinger of death for patients and families. GPs preferred to prescribe drugs weeks before death was expected, while recognising this meant that many prescribed AMs were never used. 3) ‘Delegating care while retaining accountability’: GPs relied on nurse to assess when to administer drugs and keep them updated about their use.ConclusionGPs view AMs as key to symptom management for dying people. AMs are routinely prescribed even though they are often not used. In order to feel comfortable delegating care, GPs need regular access to nurses and trust in their skills to administer drugs appropriately. Patient and family experiences of AMs, and their preference for involvement in decision-making about their use warrant urgent investigation.

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Supervision as Cultural Partnership

Ata Journal of Psychotherapy Aotearoa New Zealand ◽

10.9791/ajpanz.2015.06 ◽

2015 ◽

Vol 19 (1) ◽

pp. 67-81

Author(s):

Kathie Crocket

Keyword(s):

New Zealand ◽

Qualitative Study ◽

Culturally Appropriate ◽

Research Attention ◽

Therapeutic Practice ◽

Post Colonial ◽

Aotearoa New Zealand ◽

Counselling Practice ◽

Representational Practice ◽

Colonial Experience

The term cultural supervision has been coined as part of a strategy that implicates supervision in the support and development of culturally appropriate therapeutic practice. In Aotearoa New Zealand particular focus has been given to supervision where the client is Māori and the practitioner is a member of the dominant Pākehā culture particularly, or of other non-Māori cultures. However, while the phrase cultural supervision has entered common professional parlance, the practice has had little research attention in counselling/psychotherapy in New Zealand. Cultural supervision appears to encompass a range of understandings, and there is no clear agreement about practice implications. It is unclear what alignment there is between aspirations, regulations, and practice. This article reports on an exploratory qualitative study that investigated how supervision might work in supporting culturally appropriate counselling practice in Aotearoa New Zealand. The study’s findings are presented as a multi-voiced dialogue. This arts-based representational practice enacts the uncertainties of post-colonial experience. Its intention is to make assumptions, ideas, and practices available for discussion. Its contribution is to join current dialogue about supervision and culture, and to raise further questions about how supervision and culturally appropriate practice come together. Whakarāpopotonga Kua whakakaupapahia te kīanga whakahaere tikanga-ā-iwi ki tētahi peka o tētahi rautaki hono whakahaere tikanga ki te tautoko, whakangungu haumanu tikanga-ā-iwi tika. I Aotearoa tōtika tonu te aronui atu ki ngā wā he Māori te kiritaki he Pākehā o te ahurea matua, o te hunga ehara rānei i te Māori te kaiwhakawaiwai. Heoi, ahakoa kua putaputa noa mai tēnei kīanga i waenga i ngā kōrerorero ngaio, kāre anō kia āta rangahauhia kia arotikahia rānei i roto i ngā mahi kaikōrero/kaimahi hinengaro i Aotearoa. Te āhua nei he maha ngā mātauranga e tāwharauhia ana e te mahi nei, ā, kāre he whakaarohanga mō ngā hua o te mahi. Kāre i te mārama he aha ngā here mai i ngā whāinga ki ngā here me te mahi. Ko tēnei tuhinga he pūrongo rapunga matai wheako kimi me pēhea e tika ai te whakahaere tikanga hei tautokohanga kaikōrero whakawaiwai tikanga-ā-iwi i Aotearoa. Ko ngā rangahautanga kei roto i te reo maha. Ko tōna tikanga he whakatau mahara, whakaaro, mahi whakawai hoki hai matapakihanga. Ko tāna koha ko te hono ki ngā whakawhitinga korero onamata e pā ana ki te whakahaere tikanga me te tikanga-ā-iwi, ā, ki te whakaara pātai titiro me pēhea e hono tahi ai te whakahaere tikanga me te tikanga-ā-iwi.

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Stratification of Happiness in Urban Areas in Mexico: A Qualitative Examination by Level of Marginalization

The Qualitative Report ◽

10.46743/2160-3715/2021.5045 ◽

2021 ◽

Author(s):

Oscar A. Martínez-Martínez ◽

Javier Reyes ◽

Eder Noda

Keyword(s):

Latin America ◽

Qualitative Study ◽

Thematic Analysis ◽

Urban Areas ◽

Family Health ◽

Economic Conditions ◽

Structured Interviews ◽

Social Stratum ◽

The Family ◽

Research Findings

Although Mexico presents high levels of poverty and marginalization, it is the second happiest nation in Latin America. This raises several questions about what factors are associated with happiness at each level of marginalization and how these factors vary according to marginalization levels. We conducted a qualitative study in urban municipalities in four Mexican states, using 184 semi-structured interviews and employing a thematic analysis approach. Results suggest that happiness is a multifactorial phenomenon. Factors such as the family, health, religion, friendships, economic conditions, and fulfillment of basic needs contribute to happiness, but each of these aspects has different importance and meaning based on the level of marginalization. Evidence also shows that unhappiness is more homogeneous, regardless of the level of marginalization; thus, we can find people in both low marginalized and high-marginalized contexts that are unhappy. The research findings are relevant for the design of public policies, because they show various unsatisfied needs by level of marginalization and how not having them may affect happiness in each social stratum.

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