scholarly journals Perceptions and satisfaction of caregivers regarding rehabilitation services from selected rehabilitation centres in the Western Cape

2018 ◽  
Vol 7 ◽  
Author(s):  
Nondwe B. Mlenzana ◽  
Arne H. Eide ◽  
Jose M. Frantz
Keyword(s):  
Neuromuscular Disorders ◽  
Healthcare Services ◽  
Facility Management ◽  
Rehabilitation Services ◽  
Western Cape ◽  
Thematic Content Analysis ◽  
Cerebrovascular Accidents ◽  
Financial Difficulties ◽  
Rehabilitation Needs ◽  
Depth Interviews

Background: Understanding caregivers’ views on rehabilitation services is important as it may assist in informing healthcare services and patient management.Objectives: The aim of this study was to explore caregivers’ perceptions and satisfaction regarding rehabilitation services in the Western Cape, South Africa, and to inform clinical practice and policy in this emerging field.Method: This study used a descriptive, qualitative design using in-depth interviews with conveniently selected participants. Interviews were conducted with 13 caregivers of patients with: amputations (3), cerebrovascular accidents (5) and neuromuscular disorders (5). Thematic content analysis was conducted with the transcripts.Results: Four key themes emerged, which were (1) financial difficulties, (2) caregiver and therapist relationships, (3) facility management and (4) caregiver experience with service delivery.Conclusion: Based on the participants’ feedback, the rehabilitation services seem to be meeting the basic rehabilitation needs of the patients; however, the needs of the caregivers require attention.

scholarly journals The future of rehabilitation in the United Kingdom National Health Service: Using the COVID-19 crisis to promote change, increasing efficiency and effectiveness

2020 ◽  
pp. 026921552097114
Author(s):  
Derick T Wade
Keyword(s):  
Healthcare Providers ◽  
Organisational Change ◽  
Well Being ◽  
Healthcare Services ◽  
Rehabilitation Services ◽  
Complex Needs ◽  
Cord Injury ◽  
Palliative Care Services ◽  
The Uk ◽  
Rehabilitation Needs

The problem: Rehabilitation services in the UK are inadequate, with insufficient capacity or flexibility to meet the needs of patients after Covid-19. History: Rehabilitation developed in a piecemeal way, focused on specific problems: spinal cord injury, burns, polio, stroke, back pain, equipment and adaptations etc. Rehabilitation is also provided using other names (e.g. intermediate care). Patients with complex needs do not fit easily within this system. System failure: After Covid-19, patients have problems that cross existing condition-specific and/or treatment-specific services. Covid-19 has exposed the lack of any coherent organisational principle underlying development or commissioning of rehabilitation services. Consequently, in order to have their needs met, patients either have to engage with two or more separate services or they receive good management for some problems and sub-optimal management for other problems. The goals: The multitude of small specific services need to coalesce into an integrated service able to meet all the needs of any patient referred. Second, rehabilitation needs to be fully integrated into all healthcare services. A solution: The purpose of healthcare is to ‘ improve our health and well-being . . . to stay as well as we can to the end of our lives’. (NHS constitution) All healthcare services need to consider patients holistically, giving equal attention to disease, disability, and distress. Rehabilitation, acute care, mental health and palliative care services need to work in parallel to achieve this purpose. Healthcare providers, supported by commissioners and rehabilitation experts, could achieve structural and organisational change, meeting the needs of patients.

scholarly journals Experiences of patients and service providers with out-patient rehabilitation services in a rehabilitation centre in the Western Cape Province

2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Anne Kumurenzi ◽  
Charlyn Goliath ◽  
Gubela Mji ◽  
Nondwe Mlenzana ◽  
Conran Joseph ◽  
...  
Keyword(s):  
Service Providers ◽  
Physical Disabilities ◽  
Rehabilitation Services ◽  
Western Cape ◽  
Rehabilitation Centre ◽  
Persons With Disabilities ◽  
Transport Services ◽  
Self Worth ◽  
Depth Interviews

Background: Rehabilitation is important for persons with disabilities as it contributes to their sense of autonomy, self-worth and social participation, and improves their quality of life. Improving the quality of rehabilitation services requires the dialogue of patients’ perceptions with those of service providers, in order to recommend informed reform. Objective: The objective was to explore the experiences of persons with physical disabilities and service providers, regarding the multi-disciplinary rehabilitation services provided at a community-based out-patient rehabilitation centre. Methods: A qualitative, exploratory study design was used to collect the data. A focus group was conducted with conveniently selected persons with physical disabilities. Three in-depth interviews were conducted with purposively selected key informants. All ethical considerations were adhered to during the implementation of the study.Results: Patients and service providers had different experiences regarding accessibility to rehabilitation services, and similar experiences with patient education and intensity of rehabilitation. Although the patients experienced that the service providers had sufficient knowledge and skills to manage them, services providers expressed that they lacked certain skills.Conclusions: The experiences expressed highlighted the need to improve rehabilitation services in terms of increasing the capacity of service providers and providing transport services for persons with disabilities.

scholarly journals A City Too Busy to Remember? Aging, Structural Violence, and the Politics of Forgetting in Atlanta’s Gentrification

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 393-393
Author(s):  
John Pothen ◽  
Keland Yip ◽  
Ellen Idler
Keyword(s):  
Older Adults ◽  
Structural Violence ◽  
Aging In Place ◽  
Healthcare Services ◽  
The Past ◽  
Critical Theories ◽  
Property Owners ◽  
Ongoing Development ◽  
The City ◽  
Depth Interviews

Abstract Can forgotten stories from the past inform a city’s future? As older adults continue to live longer and comprise more of the population than ever before, the suitability of gentrifying spaces for older adults aging in place is increasingly important. Critical theories of gentrification argue that remembering the experiences of older adults in this context - experiences of suffering, resilience, and structural violence - is essential to promote changes in support aging in place. In this study, we tell a story of individual experiences, structural violence, and aging in the ongoing gentrification of one neighborhood in southwest Atlanta. We construct this narrative through a qualitative analysis of 1,500 local newspaper articles from 1950 to the present day and 10 in-depth interviews with ex-residents of the neighborhood aged 65-87. Drawing on the theory of planetary rent gaps, we frame gentrification as a class struggle between property-owners and working class residents. We highlight the city government’s role as a facilitator for property-owners through projects including the Model City initiative, preparation for the 1996 Olympics, and ongoing development surrounding the Atlanta BeltLine. We show how these projects have affected the prospects for aging in place in general and, specifically, by affecting access to healthcare services. We share this story in an effort to combat the politics of forgetting and to inform a richer, more inclusive, and more equitable future for gentrifying spaces.

scholarly journals Mothers’ Experiences and Perceptions of Facility-based Delivery Care in Rural Ethiopia

2021 ◽  
Vol 14 ◽  
pp. 117863292110176
Author(s):  
Elin Mordal ◽  
Ingrid Hanssen ◽  
Andargachew Kassa ◽  
Solfrid Vatne
Keyword(s):  
Family Involvement ◽  
Healthcare Facility ◽  
Healthcare Services ◽  
Skilled Birth Attendants ◽  
Adequate Treatment ◽  
Rural Ethiopia ◽  
Birth Attendants ◽  
Southern District ◽  
Depth Interviews ◽  
Respectful Care

In Ethiopia, delivery wards are a part of primary healthcare services. However, although the maternal mortality rate is very high, approximately 50% of mothers use skilled birth attendants. This study focused on how women in a rural southern district of Ethiopia experience maternity care offered at the local delivery wards. In this qualitative, exploratory study, 19 women who had given birth in a healthcare facility were interviewed in 2019. Individual in-depth interviews were supplemented with observations conducted at 2 different delivery wards in the same district in 2020. Two main themes emerged from the thematic content analysis: increased awareness and safety were the primary reasons for giving birth at a healthcare facility, and traditions and norms affected women’s birth experiences in public maternity wards. The main shortcomings were a shortage of medicine, ambulance not arriving in time, and lack of care at night. For some women, being assisted by a male midwife could be challenging, and the inability to afford necessary medicine made adequate treatment inaccessible. Providing continuous information gave the women a certain feeling of control. Strong family involvement indicated that collectivistic expectations were key to rural delivery wards. The healthcare system must be structured to meet women’s needs. Moreover, managers and midwives should ensure that birthing women receive high-quality, safe, timely, and respectful care.

The practice of envelope journalism in the Republic of the Congo

2021 ◽  
Vol 42 (1) ◽  
pp. 111-126
Author(s):  
Cleves Nkie Mongo
Keyword(s):  
Journalism Ethics ◽  
Financial Situation ◽  
Financial Difficulties ◽  
News Organizations ◽  
Republic Of The Congo ◽  
The Republic ◽  
Congo Brazzaville ◽  
Depth Interviews ◽  
Insight Into

This article provides insight into the “brown envelope journalism” in the Republic of the Congo (Brazzaville). Through in-depth interviews with journalists from four major Congolese news outlets, this research reveals how financial difficulties result in reporters justifying their violations of journalism ethics and standards. While two news outlets accept bribes to compensate for their precarious financial situation, two other news organizations pretend that they oppose envelope journalism although this research shows that their reporters also secretly accept bribes.

scholarly journals Experiences of recovery from colorectal cancer surgery after hospital discharge among the oldest old: A qualitative study

2021 ◽  
pp. 205715852199445
Author(s):  
Kristina Sundt Eriksen ◽  
Sissel Iren Eikeland Husebø ◽  
Hartwig Kørner ◽  
Kirsten Lode
Keyword(s):  
Colorectal Cancer ◽  
Thematic Analysis ◽  
Oldest Old ◽  
Healthcare Services ◽  
Hospital Data ◽  
Colorectal Cancer Surgery ◽  
Discharge From Hospital ◽  
Depth Interviews ◽  
Inductive Thematic Analysis

Colorectal cancer affects a large number of people aged ≥80 years. Little is known about how they manage after discharge from hospital. The aim of this study was to explore the experiences of individuals aged ≥80 years recovering from surgery for colorectal cancer, and the challenges they may encounter after discharge from hospital. Data were collected between January and March 2016 through in-depth interviews with ten participants approximately one month after surgery. Inductive thematic analysis was employed to analyse the data. The COREQ checklist was used in reporting this study. Two themes were identified: Managing the recovery from CRC surgery, and Insufficient follow-up from the healthcare services after CRC surgery. The findings indicate that older people treated for colorectal cancer manage surprisingly well after discharge despite challenges in their recovery; however, there are seemingly areas of improvement in their follow-up healthcare.

scholarly journals Backstreet abortion: Women’s experiences

Curationis ◽  
1997 ◽  
Vol 20 (2) ◽  
Author(s):  
F. Makorah ◽  
K. Wood ◽  
R. Jewkes
Keyword(s):  
Descriptive Study ◽  
Induced Abortion ◽  
Public Hospitals ◽  
Western Cape ◽  
Eastern Cape ◽  
Personal Experiences ◽  
Induced Abortions ◽  
Experiences Of Women ◽  
Depth Interviews ◽  
Induce Abortion

This was a descriptive study aimed at exploring the personal experiences of women who induce abortion and the circumstances surrounding induced abortion. The study was conducted in six public hospitals in four different provinces: Baragwanath (Gauteng), Groote Schuur and Tygerberg (Western Cape), King Edward and R.K. Khan (Kwa-Zulu/Natal) and Livingstone (Eastern Cape). In-depth interviews were conducted with 25 African, Indian and Coloured women admitted to the hospitals following backstreet abortions. The study gave women the opportunity to "speak for themselves" about "why" and "how" and the context in which the unscfe induced abortions occurred

scholarly journals Repercussions of hospitalization due to fall of the elderly: health care and prevention

2018 ◽  
Vol 71 (suppl 2) ◽  
pp. 763-769 ◽  
Author(s):  
Adriana Remião Luzardo ◽  
Newton Ferreira de Paula Júnior ◽  
Marcelo Medeiros ◽  
Paula Carolina Bejo Wolkers ◽  
Silvia Maria Azevedo dos Santos
Keyword(s):  
Public Hospital ◽  
The Elderly ◽  
Health Condition ◽  
Exploratory Research ◽  
Financial Cost ◽  
Thematic Content Analysis ◽  
The Social ◽  
Elderly Health ◽  
Elderly Caregivers ◽  
Depth Interviews

ABSTRACT Objective: To know the repercussions of the fall reported by the elderly and their caregiver during hospitalization in a public hospital in Florianópolis city from October to December 2014. Method: Exploratory research with a qualitative approach, conducted by depth interviews with 16 participants, the eight elderly were hospitalized for falls and eight elderly caregivers. Data analysis were performed through the Thematic Content Analysis. Results: It was evidenced the thematic axis: Faller Elderly supported by four thematic categories: Changes caused by Falls, I am a faller, I take care of me and Prevention of the Fall. The repercussions of the fall were evidenced in the impairment of the health condition, self-care and functional capacity. We observed the naturalization of the phenomenon and the passivity with the harmful consequences of the event. Final Considerations: The fall is valued the more negative its repercussion, such as the need for hospitalization and surgery. Managing the vulnerability of the elderly, especially in primary care, evaluating their comorbidities and their internal and external environment, will minimize unfavorable consequences and the social and financial cost of hospitalizations.

Providing Patient Centered Care for Adolescents with Chronic Conditions

2016 ◽  
Vol 6 (1) ◽  
pp. 22-29
Author(s):  
Nabeel Al-Yateem
Keyword(s):  
Young Adults ◽  
Healthcare Professionals ◽  
Transition Process ◽  
Healthcare Services ◽  
Adolescents And Young Adults ◽  
Study Phase ◽  
Patient Centered ◽  
Centered Care ◽  
Group Interviews ◽  
Depth Interviews

Background: It is well acknowledged that clear, structured healthcare services that are mutually developed between the patient and the healthcare professionals are likely to be of high quality, desirable, and effective. Such service should address the complexity of the illness-health experience in terms of the factors that influence it as well as the physical and psychosocial consequences on the patient. The required focus should be on treating the patient rather than just treating the disease.Objectives: To develop relevant and feasible care guidelines that may inform more competent and patient centered services for adolescents and young adults with chronic conditions.Methodology: A sequential exploratory mixed method design guided this study. The first qualitative phase employed in-depth interviews to explore the experiences of adolescents and young adults about the health services they were receiving. This was followed by focus group interviews with healthcare professionals to discuss the patients’ reported needs and to suggest interventions that would address them. Finally, a second quantitative phase was carried out through a survey to explore the views of a larger sample of service stakeholders about the relevance and feasibility of the suggested guidelines for clinical practice.Results: The in-depth interviews revealed four main themes, as follows: a current amorphous service, sharing knowledge, the need to be at the center of service, and easing the transition process to adulthood. The second study phase yielded 32 proposed guidelines that may contribute to more competent and patient centered health care.

Active and Healthy Aging

2017 ◽  
pp. 369-391
Author(s):  
Emine Özmete
Keyword(s):  
Qualitative Research ◽  
Delivery System ◽  
Healthy Aging ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Capital City ◽  
Elderly Persons ◽  
Healthcare Delivery System ◽  
Care And Support ◽  
Depth Interviews

This study aims to investigate the difficulties experienced by elderly persons in accessing healthcare services and their satisfaction with issues as regards the healthcare system. In this study, qualitative research was carried out to assess the difficulties regarding the healthcare delivery system and satisfaction with the healthcare services. This qualitative research was performed through in-depth interviews with 6 men and 4 women aged 65+ years, in Ankara, the capital city of Turkey. It was discovered that elderly persons required the support of others to access a doctor, a health institution or hospital and the care and support of others for the regular intake of their drugs with increasing age. They were satisfied with the current family physician program. The most significant challenges experienced by elderly persons regarding the healthcare delivery system included crowded hospitals, difficulty walking, the unavailability of wheel chairs, and inadequate assistance from support staff.

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