scholarly journals Described Practices for Assessing Fluid Resuscitation in Acute Hospital Care: A Qualitative Study

2019 ◽  
Vol 18 (4) ◽  
pp. 223-231
Author(s):  
Edward Lloyd ◽  
◽  
Agnieszka Ignatowicz ◽  
Elizabeth Sapey ◽  
Daniel Lasserson ◽  
...  

Fluid resuscitation is a widely-used treatment in acute and emergency medicine, however, the process used to perform a fluid assessment has never been studied. This qualitative study explored how acute physicians describe their approach to assessing for fluid resuscitation. 18 clinicians of varying grades consented to a semi-structured interview. Transcripts were coded and analysed using thematic analysis. Participants described three subtypes of assessment; screening assessment, emergency assessment and formal assessment. Whether a patient was ‘sick’ was key to determining which assessment they would receive. Marked heterogeneity was noted in the assessment processes, particularly regarding the use of history-taking. Further research is required to determine how the information gathered in these assessments is used to decide when fluid resuscitation is indicated.

2021 ◽  
Vol 42 (3) ◽  
pp. 657-673
Author(s):  
Melanie Karrer ◽  
Angela Schnelli ◽  
Adelheid Zeller ◽  
Hanna Mayer

1990 ◽  
pp. 327-342
Author(s):  
Susan H. McDaniel ◽  
Thomas L. Campbell ◽  
David B. Seaburn

2021 ◽  
Vol 8 (4) ◽  
Author(s):  
Rosenda Murillo ◽  
Mariana Vazquez ◽  
Isabel Leal ◽  
Daphne Hernandez ◽  
Qian Lu ◽  
...  

Objective: The purpose of this qualitative study was to identify perceptions and barriers to physical activity in childhood and adulthood among Latina adults. Methods: We conducted 3 focus groups, 2 dyadic interviews, and an individual interview using semi-structured interview guides with 23 Latina women aged 21-35. A thematic analysis approach employing inductive and deductive coding was utilized to code, categorize, and summarize data into themes. Results: The themes that emerged focused on: (1) physical activity is enjoyable; (2) family influenced physical activity; (3) different lifestyle in the US influenced physical activity; (4) physical activity is important for health; and (5) responsibilities (eg, work, caregiving) as barriers to physical activity in adulthood. Conclusions: Perceptions and barriers to physical activity experienced in both childhood and adulthood should be considered in the promotion of physical activity among Latinas.


Author(s):  
Nesa Aurlene ◽  
R Sindhu ◽  
A Haripriya

Introduction: India has become the Coronavirus Disease 2019 (COVID-19) epicentre with the highest number of COVID-19 cases being reported each day. This has caused a major impact on healthcare workers including dentists across the country. Most dental clinics in Tamil Nadu were closed during the initial two months of draconian lockdown enforced by the Government of India (GOI). As partial lockdown measures were introduced over the subsequent months, dental clinics have started functioning and receiving patients for emergency dental treatment. Aim: This study was done among dentists practicing in Tamil Nadu amidst the COVID-19 pandemic to understand how the pandemic has impacted their professional and personal lives. Materials and Methods: A qualitative study using online focus group discussion was conducted among 32 dentists practicing in Tamil Nadu, India using a structured interview guide in the month of July 2020. After data collection, the focus group discussions were transcribed manually and an inductive thematic analysis was performed using Braun and Clarke’s six phases for thematic analysis. Results: Three major themes were identified after the thematic analysis namely limitations of off-campus distance learning, challenges faced in dental practice during the COVID-19 pandemic and social life impacts of COVID-19 among dentists. Conclusion: Dentists in this study felt that the COVID-19 pandemic was negatively impacting their dental practices owing to lack of clarity in COVID-19 protocols, lack of patient awareness, high cost of Personal Protective Equipment (PPE), increasing overhead expenses, ergonomic difficulties in treating patients while wearing PPE, patients’ unwillingness to pay higher charges for treatment under COVID-19 protocols and fear of contracting COVID-19. Majority of participants in this study did not report any negative impacts of social isolation as many of them had stayed with their families during the lockdown.


2012 ◽  
Vol 3 (4) ◽  
pp. 174-177 ◽  
Author(s):  
Fernanda Matos Fernandes Castelo Branco ◽  
Maysa Nayra Pimentel De Sousa ◽  
Nellyda Carvalho Cruz Brito ◽  
Vallone Luiz Paes de Oliveira Rocha ◽  
Juliana Macêdo De Medeiros ◽  
...  

Objetivou-se analisar o significado do crack para usuários do Centro de Atenção Psicossocial para dependentes de Álcool e outras Drogas. Trata-se de um estudo de abordagem qualitativa, realizado no mês de março de 2012. Participaram nove sujeitos que responderam a um roteiro de entrevista semiestruturado. As falas dos depoentes foram submetidas a análise temática. Os relatos evidenciaram que o crack significa, para os usuários, destruição, compulsividade, criminalidade, agressividade e perdas afetivas, familiares e materiais. Percebe-se que compreender esses significados na concepção de seus usuários é o caminho necessário para um redirecionamento da assistência prestada pela equipe de saúde.Palavras chave: Enfermagem, Cocaína, Crack, Saúde Mental.Compulsion, criminality, destruction and loss: the meaning of crack for its usersThis study aimed to analyze the meaning of crack for users at the Center for Psychosocial Care for dependents of Alcohol and other Drugs. This is a qualitative study, conducted in March 2012. Nine participants answered a semi-structured interview. The statements of the users were subjected to thematic analysis. The reports showed that, for its users, crack means destruction, compulsivity, criminality, aggressiveness and material, emotional and family losses. It is evident that understanding such meanings for the users is the necessary path to a redirection of care as provided by the healthcare team.Descriptors: Nursing, Cocaine, Crack, Mental Health.Compulsión, criminalidad, destrucción y pérdida: la importancia del crack para sus usuariosEste estudio tuvo como objetivo analizar la importancia del crack para sus usuarios en el Centro de Atención Psicosocial para dependientes de Alcohol y Otras Drogas. Se trata de un estudio cualitativo, realizado en marzo de 2012. Participaron nueve individuos que respondieron a una entrevista semiestructurada. Las declaraciones de los usuarios fueron sometidas a análisis temático. Los informes muestran que el crack significa, para los usuarios, destrucción, compulsividad, criminalidad, agresividad y pérdidas emocionales, familiares y materiales. Se observa que entender estos significados para los usuarios es el camino necesario para una reorientación de la atención prestada por el equipo de salud.Descriptores: Enfermería, Cocaína, Crack, Salud Mental.


Stroke ◽  
1997 ◽  
Vol 28 (6) ◽  
pp. 1142-1146 ◽  
Author(s):  
Craig J. Currie ◽  
Christopher L. Morgan ◽  
Leicester Gill ◽  
Nigel C. H. Stott ◽  
John R. Peters

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 599-600
Author(s):  
A. Huntley ◽  
M. Chalder ◽  
A. Heawood ◽  
C. Metcalfe ◽  
W. Hollingworth ◽  
...  

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