Potential Barriers to Utilizing Health Services among Multi-Ethnic Communities in Samarinda City: A Qualitative Study

2020 ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jannike Karlstad ◽  
Cathrine Fredriksen Moe ◽  
Mari Wattum ◽  
Berit Støre Brinchmann

Abstract Background Caring for an individual with an eating disorder involves guilt, distress and many extra burdens and unmet needs. This qualitative study explored the experiences of parents with adult daughters suffering from anorexia nervosa or bulimia nervosa and the strategies they adopted. A subsidiary aim of the study was to explore the relationship between the caregivers’ perceived need for professional support and the support they reported receiving in practice from the health services. Methods Semi-structured interviews were conducted with 11 mothers and fathers from across Norway. Data collection, coding and analysis was conducted using the principles of constructivist grounded theory in an iterative process. The main concern shared by participants was identified by this process and their “solution” to the main concern then formed the content of the core category. Results ″Wearing all the hats″ emerged as the core category, indicating that the parents have to fulfil several roles to compensate the lack of help from health services. The three subcategories: “adapting to the illness”, “struggling for understanding and help” and “continuing to stay strong” described how the participants handled their situation as parents of adult daughters with eating disorders. Conclusions In daily life, the parents of adults with eating disorders have to attend to a wide range of caregiver tasks to help their ill daughters. This study suggests that the health services that treat adults with eating disorders should be coordinated, with a professional carer in charge. The parents need easy access to information about the illness and its treatment. They also need professional support for themselves in a demanding situation.


Author(s):  
Norlela Yacob ◽  
Wan Mohamad Nasir Wan Othman

The curriculum of the Bachelor of Dental Surgery in Faculty of Dentistry, USIM is based on the integration of naqli (revealed) and aqli (acquired) knowledge. It aspires its graduates to exhibit the values of balanced professionals in providing community oral health care by being technically competent, socially responsible, spiritually enlighted and professionally accountable. Their clinical supervisors are in an enviable position to assess them from these perspectives. The aim of this paper was to determine the supervisors’ perception on the performance of the graduates from the Faculty of Dentistry, USIM who were under their charge. It was a qualitative study on the performance of 100 graduates from the first three batches. A total of 21 supervisors spread across the country responded to an open-ended questionnaire on the qualities of USIM graduates under their supervision.  They may supervise more than one graduate. The perceptions of the supervisors were categorised into three major themes. They felt that the graduates were socially responsible in performing their functions with competence in the community oral health services They were seen to have good personal and leadership qualities. Their supervisors also perceived them to require further exposure, guidance and training as they were new to the service.  The results indicated that the Bachelor of Dental Surgery programme at USIM was able to instill the values of a balanced professional in dentistry among its graduates but these values need to be further enhanced in providing care in the community. These findings can provide the principles in curriculum development to enhanced the qualities of the graduates in the context of balanced professional.  


Rev Rene ◽  
2016 ◽  
Vol 17 (1) ◽  
pp. 93 ◽  
Author(s):  
Cintia Koerich ◽  
Alacoque Lorenzini Erdmann

Objective: to understand the meanings attributed by the nursing staff to permanent educational practices in a reference cardiovascular hospital. Methods: this is a qualitative study, which used the Grounded Theory in Data for collecting and analyzing data. The sample consisted of 22 nursing professionals. Results: the study presents two categories that highlight the need for further clarification of the nursing staff about the concept of permanent education in health, as well as reinforce the permanent education of nurses as a management practice which needs to be incorporated into other assignments in daily work. Conclusion: it is admitted the need to work the concepts of permanent education in health even in professional qualification, as well as place greater emphasis on managerial training of nurses, so they acquire the power to take their assignment as a nursing care manager and the nursing staff education contribute to the necessary changes in the health services.


2020 ◽  
Author(s):  
N Gasteiger ◽  
Theresa Fleming ◽  
K Day

© 2020 The Authors Background: Patient portals have the potential to increase access to mental health services. However, a lack of research is available to guide practices on extending patient portals into mental health services. This study explored stakeholder (student service users' and health providers') expectations and perceptions of extending patient portals into a New Zealand university-based mental health service. Materials and methods: This qualitative study explored the perspectives of 17 students and staff members at a university-based health and counselling service on an Internet-based patient portal through a software demonstration, two focus groups and 13 interviews. Data were analyzed thematically. Results: Staff and students perceived the patient portal as useful, easy to use and expected it to help make mental health care more accessible. Staff were most concerned with the portal's ability to support their triage processes and that it might enable students to ‘counselor hop’ (see multiple counselors). Staff recommended extension into services that do not require triage. Most students expected the portal to enhance patient-counselor contact and rapport, through continuity of care. Students were concerned with appointment waiting times, the stigmatization of poor mental health and their capacity to seek help. They considered the portal might assist with this. Students recommended extension into all services, including urgent appointments. After viewing findings from initial student and staff groups, staff concluded that extending a patient portal into their counseling services should be prioritized. Conclusion: This research suggests that there is value in extending patient portals into mental health care, especially into low-risk services. Future research should explore opportunities to support triage and appointment-making processes for mental health services, via patient portals.


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