Experienced Psychosocial Problems of Women with Spouses of Substance Abusers: A Qualitative Study

BACKGROUND: Substance dependence is one of the most important social issues in the world today, which affects not only the life of an addicted individual, but also the relatives of the substance abuser individual, and in particular their spouses and children are also exposed to multiple injuries. AIM: This study aimed to investigate the experiences of the women with the substance abuser spouse. MATERIAL AND METHODS: This study is a qualitative study. Sampling was done purposefully. The data were subjected to 25 participants with in-depth and semi-structured interviews (15 wives and 7 therapists and 3 officials dealing with family members of the substance abuser) and analysed using the qualitative approach of the conventional content analysis (Granheim's method). RESULTS: Out of the results of the interviews, two main categories were extracted, including A) family psychological breakdown and B) Disadvantaged social status. The main category of family psychological breakdown including 5 subcategories: Psychological disadvantages, losing borders in the family, insecure space house for the family, turbulent family and Concern on spouses leaving. Category of disadvantaged social status is also including 3 subcategories: trying to preserve the family's image, social stigma, and social isolation of the family. CONCLUSION: The families, especially the women with the substance abuser spouse, are severely vulnerable in various psychological and social dimensions. Therefore, the attention of the health cares to these families is important.

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What motivates informal caregivers of people with dementia (PWD): a qualitative study

BMC Palliative Care ◽

10.1186/s12904-019-0491-9 ◽

2019 ◽

Vol 18 (1) ◽

Cited By ~ 1

Author(s):

Shakiba Zahed ◽

Maryam Emami ◽

Shahrzad Bazargan-Hejazi ◽

Ahmad Ali Eslami ◽

Majid Barekatain ◽

...

Keyword(s):

Social Media ◽

Quality Of Care ◽

Qualitative Study ◽

Motivating Factors ◽

Structured Interviews ◽

Thematic Content Analysis ◽

People With Dementia ◽

The Family ◽

Burden Of Caring

Abstract Background The burden of caring for People with Dementia (PWD) is heavy; identifying incentives that motivate them in providing care is essential in facilitating and optimizing care. This study aims to explore and describe these motivating factors. Methods We conducted this qualitative study between January 2016 and January 2017 in Isfahan, Iran. Data were extracted through in-depth, semi-structured interviews with 19 caregivers of PWD. These data were then examined through thematic content analysis. Results We identified four categories of psychological motives based on the caregivers’ feedback and experience. These include 1) Moral-based motives, 2) Religious, and spiritual motives; 3) Financial motives, and 4) Wicked motives. Conclusions Our results revealed several aspects of caregivers’ motives. They include moral, religious, and spiritual aspects; sharing housing accommodations, and the likelihood of inheriting a portion of the patient’s assets based on unspoken rules and informal arrangements in the family, and wicked and immoral aspects. These findings can inform future efforts in enhancing the experiences of caregivers of PWD, and subsequently, the quality of care these patients receive. It further suggests that family members, members of a religious and spiritual organization, as well as social media, could play important roles in setting the stage.

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Professionals and interfamily violence against children and adolescents: in between legal and conceptual precepts

Revista da Escola de Enfermagem da USP ◽

10.1590/s0080-623420160000600010 ◽

2016 ◽

Vol 50 (5) ◽

pp. 779-784 ◽

Cited By ~ 1

Author(s):

Gabriele Schek ◽

Mara Regina Santos da Silva ◽

Carl Lacharité ◽

Maria Emilia Nunes Bueno

Keyword(s):

Discourse Analysis ◽

Qualitative Study ◽

Children And Adolescents ◽

Legal Aspects ◽

Structured Interviews ◽

Professional Discourse ◽

Violence Against Children ◽

Intervention Process ◽

Analysis Technique ◽

The Family

Abstract OBJECTIVE To identify the conceptions of professionals regarding interfamily violence against children and adolescents. METHOD A qualitative study conducted with 15 professionals who had taken children and adolescents under their care as a result of interfamily violence. Data were collected between November, 2013, and March, 2015, through semi-structured interviews. Data were organized and analyzed using the Textual Discourse Analysis technique. RESULTS The professional discourse highlighted that some legal aspects regarding the handling of interfamily violence against children and adolescents are neglected; an omission supported by the justification of professionals to preserve the family. We highlight the confrontation between the concept of family as a caregiver and the family that commits violence against children, in addition to the positioning of professionals, which does not include the family or the aggressor in the intervention process in facing situations of interfamily violence attended to by the services. CONCLUSION Acting against interfamily violence requires professionals to do away with some pre-established concepts in ordee to put the actual needs of victims and families into evidence.

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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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The implication of deprivation of freedom on fathering: a qualitative study

Ciencias Psicológicas ◽

10.22235/cp.v14i1.2192 ◽

2020 ◽

Author(s):

Sabrina Daiana Cúnico ◽

Marlene Neves Strey ◽

Ângelo Brandelli Costa

Keyword(s):

Discourse Analysis ◽

Qualitative Study ◽

Critical Discourse Analysis ◽

Psychosocial Factors ◽

Critical Discourse ◽

Complex Phenomenon ◽

Southern Brazil ◽

Structured Interviews ◽

The Family ◽

Penal Institution

This study aims to analyze fathering practices and the meanings attributed to it by imprisoned men. Semi-structured interviews were conducted with twelve fathers, incarcerated in a penal institution located in in southern Brazil. Transcribed data were analyzed through the Critical Discourse Analysis. Results are presented according to two themes: Deprivation of freedom X Deprivation of Fatherhood and Criminality X Fatherhood. Our findings indicate that the meanings attributed to fathering practices within deprivation of freedom context rely on different psychosocial factors and the prison context itself. The results presented here demonstrate that paternity in prison is a complex phenomenon and should be a focus of academic problematization. Its relevance is given both in the context of gender studies and in the studies involving the family and different settings.

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Explaining the Challenges of Coping with Coronavirus Crisis in the Workplaces: A Qualitative Study

10.21203/rs.3.rs-1187068/v1 ◽

2021 ◽

Author(s):

Abdolhamid Tajvar ◽

Zahra Hosseini ◽

Mohammadreza Farahbakhsh ◽

Anahita Fakherpour ◽

atefeh homayuni

Keyword(s):

Content Analysis ◽

Qualitative Study ◽

Organizational Factors ◽

Structured Interviews ◽

Governmental Organizations ◽

Purposeful Sampling ◽

The Family ◽

Conventional Content Analysis ◽

Lack Of Commitment ◽

Valid Information

Abstract Background: Workplaces play a highly important role in controlling or spreading the prevalence of COVID-19. Therefore, the lack of proper implementation of hygienic protocols in theses environments might increase the risk of getting infected with the COVID-19 among the employees, following the increase of the COVID-19 in the family and community levels. This qualitative study was aimed to explain the challenges of coping with coronavirus crisis in the workplaces.Methods: The present qualitative study was conducted with a conventional content analysis approach. We used the purposeful sampling with maximum diversity in terms of working processes. Data were collected through semi-structured interviews. Interviews were performed to the point of information saturation. MAXQDA software version 10 was used for data management.Results: Through the content analysis of the interviews with the participants, we identified 2 main classes and 9 sub-classes. The main classes included problems and limitations related to the intra-organizational factors (job nature, budget allocation problems, individual factors, disorganization, manpower and equipment, and Lack of commitment and insufficient support of managers) and extra-organizational factors (lack of accessibility to valid information, black market, and inter-sectorial coordination problems). Conclusion: The study findings indicated that organizations and industries face numerous internal and external challenges in coping with the COVID-19 pandemic. Paying attention to the mentioned limitations and attempting to eliminate them; especially, by the governmental organizations, employers, and managers could help in effective confronting the COVID-19 pandemic.

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Lonely, Harassed And Abandoned In Society: The Lived Experiences of Iranian Homeless Youth

10.21203/rs.3.rs-853109/v1 ◽

2021 ◽

Author(s):

Fatemeh Johari ◽

Abedin Iranpour ◽

Mahlagha Dehghan ◽

Somayeh Alizadeh ◽

Mansoure Safizadeh ◽

...

Keyword(s):

Content Analysis ◽

Lived Experiences ◽

Homeless Youth ◽

Qualitative Content Analysis ◽

Social Stigma ◽

Homeless People ◽

Structured Interviews ◽

Homeless Adults ◽

Main Category ◽

Large Cities

Abstract Introduction: Homelessness is increasing among young adults in large cities. According to the United Nations, there are more than one bilion absolute or relative homeless people in the world. This study was conducted to explain the lived experiences of homeless youth in southeastern Iran.Materials and Methods: This study was conducted with a conventional qualitative content analysis in Kerman, southeastern Iran, in 2020. The participant was young homeless adults aged 18-29 years, who were using homeless shelters provided by municipality, sleeping in parks or on streets. Data were collected through 13 in-depth and semi-structured interviews and three focus group discussions. Data were analyzed by Granheim and Lundman’s qualitative content analysis.Results: The main category of “lonely, annoyed and abandoned in society” and three subcategories of Aversion to society, comprehensive harassment and lack of comprehensive support were extracted. The experiences of young homeless adults showed that they escaped from community due to addiction, feeling like a burden to others and social isolation, and not only have they been left without support in society, but they have also suffered from all kinds of physical and psychological harassments.Conclusion: The lived experiences of homeless people show that in addition to appropriate facilities and living conditions, they require respect, reduced social stigma, discrimination, and favorable conditions for return to life. Therefore, authorities should identify and settle their problems and needs.

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Mothers’ experience of caring for home-quarantined children after close contact with COVID-19 in Korea: an exploratory qualitative study

Korean Journal of Women Health Nursing ◽

10.4069/kjwhn.2021.09.11 ◽

2021 ◽

Vol 27 (3) ◽

pp. 220-229

Author(s):

Hyeyeon Lee ◽

Mihui Kim ◽

Ocksim Kim ◽

Sue Kim ◽

Seongmi Choi

Keyword(s):

Qualitative Study ◽

Thematic Analysis ◽

Close Contact ◽

Social Stigma ◽

Psychosocial Issues ◽

Structured Interviews ◽

Face To Face ◽

School Aged Children ◽

The Social ◽

Psychosocial Difficulties

Purpose: The world saw a shift into a new society consequent to the coronavirus disease 2019 (COVID-19), which made home quarantine mandatory for a person in close contact with those who tested positive. For children, however, home quarantine was not limited only to themselves but the involvement of parents, even mothers were required to quarantine. This qualitative study aims to explore and understand mothers’ experience and their related psychosocial issues while caring for their school-aged children who had to home quarantine after coming in close contact with COVID-19 positive individuals in Korea. Methods: Data were collected from October 2020 to January 2021 via in-depth, semi-structured interviews with nine mothers of children who had to home quarantine. Interviews were conducted face-to-face in an independent space near the participant’s home or workplace (n=5) or via online platforms or telephone (n=4). The data were analyzed using thematic analysis through several iterative team meetings.Results: Thematic analysis revealed the following four themes: “Unable to be relieved due to uncertain situations surrounding me,” “Blame and hurt toward me, others, and one another,” “Pulling myself together for my children in my broken daily life,” and “Changes in the meaning of life amid COVID-19.”Conclusion: The narratives show that mothers experienced psychosocial difficulties while caring for their children during home quarantine. It is necessary to reduce the social stigma toward individuals in home quarantine and establish policies to ensure the mothers’ work and family’s compatibility.

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The Perceived Social Support by Iranian Women with Breast Cancer: A Qualitative Study

10.21203/rs.3.rs-295984/v1 ◽

2021 ◽

Author(s):

Leila Mokhtari ◽

Abdollah Khorami Markani ◽

Hamid Reza Khalkhali ◽

Aram Feizi

Keyword(s):

Breast Cancer ◽

Social Support ◽

Qualitative Study ◽

Lived Experience ◽

Qualitative Content Analysis ◽

Healthcare Providers ◽

Well Being ◽

Medical Sciences ◽

Structured Interviews ◽

The Family

Abstract Background: Social support has an importnat role in improving health outcomes and is considered as one of the crucial aspects of the modern care in cancer patients. Therefore this article aims at discovering and describing the dimensions of social support based on the lived experience of women suffering from breast cancer.Methods: In this qualitative study, 22 women with breast cancer were selected through purposive sampling from 7 hospitals affiliated to Urmia University of Medical Sciences. The data were collected through semi-structured interviews and were analyzed by the Conventional Qualitative Content Analysis and Graneheim’s and Lundman’s (2004) approach, using MAXQDA software, version 10.Results: After completion of the analyzing process, 6 categories were appeared including “creating an empathic atmosphere by family and community”, “creating a safe communication network for the patient”, “adaption to disease”, “giving meaning to life”, “the feeling of satisfaction with the healthcare providers for fulfilling their role”, and “accepting the support and help of family and friends in fighting the disease”. Conclusion: According to the findings, good social support during the illness can result in the spiritual, mental, and physical well-being of the patients and is one of the most effective factors in fighting the disease and feeling of recovery. The findings of this study can be used to develop plans to help the patients to achieve more support from the family, healthcare providers and the community and even providing the required supportive care for this group of women.

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The shared decision making of older adults in healthcare

Working with Older People ◽

10.1108/wwop-11-2018-0023 ◽

2019 ◽

Vol 23 (2) ◽

pp. 77-86

Author(s):

Emilia Pusey ◽

Anthea Tinker ◽

Federica Lucivero

Keyword(s):

Older Adults ◽

Decision Making ◽

Qualitative Study ◽

Shared Decision Making ◽

Research Question ◽

Healthcare Setting ◽

Shared Decision ◽

Structured Interviews ◽

Content Type ◽

The Family

Purpose The research question is: what are older adults’ experiences of shared decision making (SDM) in a healthcare setting? This involved exploring older adults’ experiences and opinions of decision making in a healthcare setting, and understanding what SDM means to older adults. The paper aims to discuss this issue. Design/methodology/approach A qualitative study using face-to-face, semi-structured interviews with adults over 65 years was conducted. Thematic analysis was used. Findings Three broad themes were identified which ascribed roles to individuals involved in decision making. This includes the way in which older adults felt they should be involved actively: by asking questions and knowing their own body. The doctors’ role was described as assistive by facilitating discussion, giving options and advice. The role of the family was also explored; older adults felt the family could impact on their decisions in both a direct and indirect way. There was some confusion about what constituted a decision. Research limitations/implications This was a small qualitative study in a market town in England. Practical implications Clinicians should facilitate the involvement of older adults in SDM and consider how they can increase awareness of this. They should also involve the family in decision making. Originality/value There are limited studies which look at this issue in depth.

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Clinicians’ Perceptions of the Appropriateness of Neurocritical Care for Patients with Spontaneous Intracerebral Hemorrhage (ICH): A Qualitative Study

Neurocritical Care ◽

10.1007/s12028-020-01145-5 ◽

2020 ◽

Author(s):

Siobhan Mc Lernon ◽

David Werring ◽

Louise Terry

Keyword(s):

Decision Making ◽

Qualitative Study ◽

Elderly Patients ◽

Frail Elderly ◽

Neurocritical Care ◽

Structured Interviews ◽

Mortality And Morbidity ◽

Tertiary Referral Center ◽

Inappropriate Care ◽

The Family

Abstract Background and Objective Clinicians working in intensive care frequently report perceptions of inappropriate care (PIC) situations. Intracerebral haemorrhage (ICH) is associated with high rates of mortality and morbidity. Prognosticating after ICH is complex and may be influenced by clinicians’ subjective impressions and biases, which may, in turn, influence decision making regarding the level of care provided. The aim of this study was to qualitatively explore perceptions of neurocritical care in relation to the expected functional outcome for ICH patients. Design Qualitative study using semi-structured interviews with neurocritical care doctors and nurses. Setting Neurocritical care (NCC) department in a UK neuroscience tertiary referral center. Subjects Eleven neurocritical care nurses, five consultant neurointensivists, two stroke physicians, three neurosurgeons. Intervention None. Measurements and Main Results We conducted 21 semi-structured interviews and identified five key themes: (1) prognostic uncertainty (2) subjectivity of good versus poor outcome (3) perceived inappropriate care (PIC) situations (including for frail elderly patients) (4) challenging nature of decision-making (5) clinician distress. Conclusions Caring for severely affected ICH patients in need of neurocritical care is challenging, particularly with frail elderly patients. Awareness of the challenges could facilitate interventions to improve decision-making for this group of stroke patients and their families, as well as measures to reduce the distress on clinicians who care for this patient group. Our findings highlight the need for effective interdisciplinary shared decision making involving the family, taking into account patients’ previously expressed values and preferences and incorporating these into bespoke care planning.

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